| Abd paracentesis (49082) |
$1,551.20 |
$2,770 |
1.6× |
| Abd paracentesis w/imaging (49083) |
$2,311.12 |
$4,127 |
2.4× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$12,755.12 |
$22,777 |
0.7× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$7,280 |
$13,000 |
1.1× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$8,587.04 |
$15,334 |
0.8× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$8,246 |
$14,725 |
1.3× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$5,038.88 |
$8,998 |
1.4× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$5,598.88 |
$9,998 |
1.6× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$12,663.85 |
$22,614.01 |
3.4× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$5,598.88 |
$9,998 |
2.6× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$10,284.96 |
$18,366 |
4.7× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$2,742.88 |
$4,898 |
1.3× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$1,257.76 |
$2,246 |
0.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$4,700.64 |
$8,394 |
2.2× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$6,102.89 |
$10,898.01 |
2.8× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$5,598.88 |
$9,998 |
2.6× |
| Amniocentesis diagnostic (59000) |
$1,288.56 |
$2,301 |
1.3× |
| Amputate metacarpal bone (26910) |
$10,102.41 |
$18,040.01 |
2.9× |
| Amputation of finger/thumb (26952) |
$8,722.84 |
$15,576.50 |
2.5× |
| Amputation of toe (28820) |
$3,051.44 |
$5,449 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$3,051.44 |
$5,449 |
0.9× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$7,073.64 |
$12,631.50 |
2.0× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$3,051.44 |
$5,449 |
1.0× |
| Anoscopy and biopsy (46606) |
$1,923.88 |
$3,435.50 |
1.5× |
| Anoscopy diagnostic (46600) |
$257.04 |
$459 |
1.8× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$8,044.40 |
$14,365 |
1.5× |
| Anterior tibial tubercleplasty (27418) |
$11,923.25 |
$21,291.51 |
1.6× |
| Application finger splint static (29130) |
$170.24 |
$304 |
1.2× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$282.80 |
$505 |
1.6× |
| Application of short arm splint (forearm to hand); static (29125) |
$326.48 |
$583 |
2.3× |
| Application of short leg cast (below knee to toes); (29405) |
$391.44 |
$699 |
1.3× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$621.04 |
$1,109 |
2.1× |
| Application of short leg splint (calf to foot) (29515) |
$296.24 |
$529 |
1.7× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$711.76 |
$1,271 |
4.2× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$164.08 |
$293 |
1.0× |
| Application uniplane external fixation system (20690) |
$7,540.40 |
$13,465 |
1.0× |
| Apply long arm splint (29105) |
$288.96 |
$516 |
1.7× |
| Apply splint short arm dynamic (29126) |
$257.04 |
$459 |
1.8× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age Under 21 (36821) |
$10,758.17 |
$19,211.01 |
3.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$663.60 |
$1,185 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$543.48 |
$970.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,160.04 |
$2,071.50 |
3.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,361.64 |
$2,431.50 |
4.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$273.28 |
$488 |
0.8× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$232.96 |
$416 |
0.7× |
| Arthrodesis, ankle, open Age Under 21 (27870) |
$21,628.89 |
$38,623.01 |
1.6× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure |
$3,497.20 |
$6,245 |
0.1× |
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551)
likely a partial charge — not the full procedure |
$2,789.23 |
$4,980.76 |
0.2× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$15,489.05 |
$27,659.01 |
0.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$6,918.24 |
$12,354 |
0.9× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$7,540.96 |
$13,466 |
2.2× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age… (26862) |
$10,506.44 |
$18,761.50 |
3.0× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850)
unusually low — confirm this is the full procedure |
$2,513.73 |
$4,488.80 |
0.3× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$5,142.86 |
$9,183.68 |
0.7× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age Under 21 (28730) |
$6,918.25 |
$12,354.01 |
0.5× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age Under 21 (28735) |
$9,268.01 |
$16,550.01 |
0.7× |
| Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740) |
$6,918.24 |
$12,354 |
0.9× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$15,499.69 |
$27,678.01 |
0.5× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Cervical Spinal Fusion (22600) |
$10,491.61 |
$18,735.01 |
0.6× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$14,665.01 |
$26,187.51 |
0.8× |
| Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279) |
$10,491.61 |
$18,735.01 |
0.6× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825)
unusually low — confirm this is the full procedure |
$3,089.34 |
$5,516.67 |
0.4× |
| Arthrodesis; subtalar (28725) |
$13,604.65 |
$24,294.01 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$11,612.73 |
$20,737.01 |
0.6× |
Arthroplasty or replacement of the end of the forearm bone on the small finger side at the wrist level (25442)
likely a partial charge — not the full procedure |
$4,730.88 |
$8,448 |
0.3× |
Arthroplasty or replacement of the end of the forearm bone on the thumb side at the wrist level (25441)
likely a partial charge — not the full procedure |
$2,543.52 |
$4,542 |
0.2× |
| Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Age Under 21 (24363) |
$32,468.25 |
$57,979.01 |
1.8× |
| Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21 (26536) |
$6,015.80 |
$10,742.50 |
0.8× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446) |
$18,838.41 |
$33,640.01 |
1.4× |
| Arthroplasty, metacarpophalangeal joint; each joint Age Under 21 (26530) |
$11,383.13 |
$20,327.01 |
1.5× |
| Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531) |
$9,149.57 |
$16,338.51 |
1.2× |
| Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age Under 21 (25332) |
$13,756.69 |
$24,565.51 |
4.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$6,194.72 |
$11,062 |
0.8× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855) |
$6,057.53 |
$10,817.01 |
0.8× |
| Arthroscopy knee osteochondral allograft (29867) |
$8,625.13 |
$15,402.01 |
0.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$3,770.48 |
$6,733 |
1.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$3,038.28 |
$5,425.50 |
0.9× |
| Arthroscopy, elbow, surgical; debridement, limited Age Under 21 (29837) |
$3,770.48 |
$6,733 |
1.1× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) |
$3,770.48 |
$6,733 |
1.1× |
| Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age Under 21 (29915) |
$6,735.96 |
$12,028.50 |
0.9× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914) |
$6,802.33 |
$12,147.01 |
0.9× |
| Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916) |
$9,449.72 |
$16,874.50 |
1.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$5,867.26 |
$10,477.25 |
1.7× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$7,138.46 |
$12,747.25 |
27.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$7,380.24 |
$13,179 |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$5,364.80 |
$9,580 |
1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$7,742 |
$13,825 |
2.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$6,299.82 |
$11,249.67 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$1,510.04 |
$2,696.50 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$2,714.99 |
$4,848.20 |
0.8× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
unusually low — confirm this is the full procedure |
$3,149.92 |
$5,624.84 |
0.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$5,557.44 |
$9,924 |
0.7× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$5,454.62 |
$9,740.38 |
1.6× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$4,588.64 |
$8,194 |
1.3× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Age Under 21 (27612) |
$7,540.96 |
$13,466 |
2.2× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$3,236.94 |
$5,780.25 |
0.9× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age Under 21 (27626) |
$6,102.88 |
$10,898 |
1.8× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$10,697.40 |
$19,102.50 |
0.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$560 |
$1,000 |
0.3× |
| Aspirate pleura w/o imaging (32554) |
$1,736.56 |
$3,101 |
2.6× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$1,831.20 |
$3,270 |
5.7× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$3,720.64 |
$6,644 |
5.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,299.12 |
$7,677 |
1.9× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$1,877.68 |
$3,353 |
2.0× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$254.24 |
$454 |
1.2× |
| Axillary lymphadenectomy; complete Age Under 21 (38745) |
$10,102.41 |
$18,040.01 |
1.6× |
| Biopsy bone open superficial (20240) |
$3,051.44 |
$5,449 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$5,406.52 |
$9,654.50 |
3.1× |
| Biopsy liver needle percutaneous (47000) |
$4,509.12 |
$8,052 |
2.6× |
| Biopsy lymph node (38505) |
$4,570.72 |
$8,162 |
2.6× |
| Biopsy muscle percutaneous needle (20206) |
$1,991.92 |
$3,557 |
1.1× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$3,051.44 |
$5,449 |
1.0× |
| Biopsy of cervix (57500) |
$523.04 |
$934 |
0.5× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,583.12 |
$2,827 |
1.3× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$623.56 |
$1,113.50 |
0.6× |
| Biopsy of salivary gland; needle (42400) |
$1,995.28 |
$3,563 |
2.7× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$1,859.76 |
$3,321 |
1.9× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$560 |
$1,000 |
1.0× |
| Biopsy of uterus lining (58100) |
$3,116.40 |
$5,565 |
14.6× |
| Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) |
$2,032.80 |
$3,630 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$560 |
$1,000 |
0.1× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$4,480 |
$8,000 |
1.1× |
| Biopsy oropharynx (42800) |
$6,102.88 |
$10,898 |
3.7× |
| Biopsy soft tissue neck/thorax (21550) |
$2,924.32 |
$5,222 |
1.7× |
| Biopsy thyroid percutaneous core needle (60100) |
$1,152.48 |
$2,058 |
1.5× |
| Biopsy vaginal mucosa simple (57100) |
$523.04 |
$934 |
0.5× |
| Biopsy vulva/perineum 1 lesion (56605) |
$523.04 |
$934 |
0.5× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,609.44 |
$2,874 |
0.9× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$2,799.44 |
$4,999 |
0.9× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$3,138.24 |
$5,604 |
1.8× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$3,137.68 |
$5,603 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$7,268.81 |
$12,980.01 |
1.8× |
| Bladder irrigation (51700) |
$718.48 |
$1,283 |
2.7× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$418.88 |
$748 |
1.3× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$0.01 |
$0.01 |
0.0× |
| Brain canal shunt procedure (61070) |
$1,179.92 |
$2,107 |
1.6× |
| Breast augmentation with implant Age Under 21 (19325) |
$6,760.18 |
$12,071.75 |
0.8× |
| Breast Reduction|BILATERAL PROCEDURE (19318) |
$13,604.65 |
$24,294.01 |
1.9× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$5,527.20 |
$9,870 |
1.4× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$6,061.44 |
$10,824 |
1.5× |
| Bronchoscopy w biopsy (31625) |
$977.62 |
$1,745.75 |
0.5× |
| Bronchoscopy w/tumor excise (31640) |
$4,378.64 |
$7,819 |
1.1× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$2,426.48 |
$4,333 |
1.3× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$3,302.32 |
$5,897 |
0.8× |
| Bronchoscopy/lung bx each (31628) |
$2,091.04 |
$3,734 |
0.5× |
| Bx breast 1st lesion mr imag (19085) |
$4,438 |
$7,925 |
2.5× |
| Bx breast 1st lesion strtctc (19081) |
$4,331.88 |
$7,735.50 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$3,875.20 |
$6,920 |
2.2× |
| Bx pancreas ndl perc (48102) |
$3,404.80 |
$6,080 |
2.0× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$6,102.88 |
$10,898 |
28.6× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$3,079.44 |
$5,499 |
0.9× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Age Under 21 (26517) |
$4,634 |
$8,275 |
1.3× |
| Capsulodesis, metacarpophalangeal joint; single digit Age Under 21 (26516) |
$3,770.48 |
$6,733 |
1.1× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$6,222.16 |
$11,111 |
0.8× |
| Cardiac surg procedure unlist (33999) |
$2,520 |
$4,500 |
3.8× |
| Care of miscarriage (59820) |
$5,598.88 |
$9,998 |
1.6× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$1,470.29 |
$2,625.51 |
0.4× |
| Cast short arm (29075) |
$538.72 |
$962 |
1.8× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$4,250.96 |
$7,591 |
1.2× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$5,493.60 |
$9,810 |
1.6× |
| Change Cystostomy Tube Simple (51705) |
$2,417.24 |
$4,316.50 |
9.2× |
| Change g-tube to g-j perc (49446) |
$3,625.44 |
$6,474 |
1.8× |
| Chemical cauterization of granulation tissue (17250) |
$330.96 |
$591 |
1.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$2,454.48 |
$4,383 |
3.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$2,148.16 |
$3,836 |
2.9× |
| Chemodenerv saliv glands (64611) |
$940.24 |
$1,679 |
2.9× |
| Chemodenerv trunk musc 6/> (64647) |
$1,020.32 |
$1,822 |
1.4× |
| Chemodenervation Internal Anal Sphincter (46505) |
$3,051.44 |
$5,449 |
2.4× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$986.44 |
$1,761.50 |
3.0× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$940.24 |
$1,679 |
2.9× |
| Chest tube placement (32551) |
$2,231.60 |
$3,985 |
1.3× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,248 |
$5,800 |
1.5× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$7,250.32 |
$12,947 |
1.9× |
| Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350) |
$3,770.48 |
$6,733 |
0.7× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$6,102.88 |
$10,898 |
2.8× |
| Claviculectomy; partial Age Under 21 (23120) |
$8,044.40 |
$14,365 |
2.3× |
| Closed rx humer epicondylr fx,manip (24565) |
$2,256.80 |
$4,030 |
1.3× |
| Closed rx shldr disloc,prox hum fx (23675) |
$2,629.76 |
$4,696 |
1.6× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$334.32 |
$597 |
1.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$336 |
$600 |
1.3× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$334.32 |
$597 |
1.3× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$2,256.80 |
$4,030 |
1.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$502.88 |
$898 |
1.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,475.60 |
$2,635 |
5.7× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$334.32 |
$597 |
1.3× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$334.32 |
$597 |
1.3× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,256.80 |
$4,030 |
1.3× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$334.32 |
$597 |
1.3× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$334.32 |
$597 |
1.3× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$2,163.56 |
$3,863.50 |
1.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$320.60 |
$572.50 |
1.2× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$334.32 |
$597 |
1.3× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$2,256.80 |
$4,030 |
1.3× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$334.32 |
$597 |
1.3× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,256.80 |
$4,030 |
1.3× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$2,256.80 |
$4,030 |
1.3× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$334.32 |
$597 |
1.3× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,591.24 |
$2,841.50 |
0.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$473.20 |
$845 |
1.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$334.32 |
$597 |
1.3× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$423.36 |
$756 |
1.6× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$334.32 |
$597 |
1.3× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$334.32 |
$597 |
1.3× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$2,163.56 |
$3,863.50 |
1.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$615.16 |
$1,098.50 |
2.4× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$2,256.80 |
$4,030 |
1.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$334.32 |
$597 |
1.3× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$334.32 |
$597 |
1.3× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$334.32 |
$597 |
1.3× |
| Closed treatment of ulnar styloid fracture (25650) |
$334.32 |
$597 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$577.36 |
$1,031 |
2.2× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$2,256.80 |
$4,030 |
1.3× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$5,642.56 |
$10,076 |
21.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$334.32 |
$597 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,282.40 |
$2,290 |
4.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$5,258.40 |
$9,390 |
3.1× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,256.80 |
$4,030 |
1.3× |
| Closed tx septal&nose fx (21337) |
$5,267.92 |
$9,407 |
1.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$417.76 |
$746 |
1.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$733.60 |
$1,310 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$334.32 |
$597 |
1.3× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$4,402.72 |
$7,862 |
2.7× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$6,102.88 |
$10,898 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,163.56 |
$3,863.50 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$347.76 |
$621 |
1.3× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$334.32 |
$597 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$538.72 |
$962 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,821.84 |
$5,039 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$334.32 |
$597 |
1.3× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$334.32 |
$597 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,276.24 |
$2,279 |
4.9× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$603.12 |
$1,077 |
2.3× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$526.96 |
$941 |
2.0× |
| Cltx metar fx w/manj (28475) |
$1,423.99 |
$2,542.84 |
5.5× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$334.32 |
$597 |
1.3× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$3,817.94 |
$6,817.76 |
2.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$500.64 |
$894 |
1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,256.80 |
$4,030 |
1.3× |
| Collect blood from catheter venous nos (36592) |
$287.28 |
$513 |
2.0× |
| Collect blood from implant venous access device (36591) |
$287.28 |
$513 |
2.0× |
| Colonoscopy thru stoma spx (44388) |
$1,966.44 |
$3,511.50 |
2.0× |
| Colonoscopy w/ablation (45388) |
$4,762.24 |
$8,504 |
3.8× |
| Colonoscopy w/control bleed (45382) |
$1,991.36 |
$3,556 |
1.6× |
| Colonoscopy w/resection (45390) |
$3,014.48 |
$5,383 |
1.0× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$560 |
$1,000 |
0.4× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$857.36 |
$1,531 |
0.7× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
unusually low — confirm this is the full procedure |
$3,392.20 |
$6,057.50 |
0.4× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
unusually low — confirm this is the full procedure |
$2,489.76 |
$4,446 |
0.3× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$2,999.36 |
$5,356 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$208.88 |
$373 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$208.88 |
$373 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$3,155.88 |
$5,635.50 |
9.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$2,032.80 |
$3,630 |
0.6× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$523.04 |
$934 |
0.5× |
| Colposcopy vulva (56820) |
$129.92 |
$232 |
0.6× |
| Colposcopy vulva w/biopsy (56821) |
$208.88 |
$373 |
0.6× |
| Colposcopy w/endocervical curettage (57456) |
$208.88 |
$373 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,430.15 |
$2,553.84 |
1.1× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260) |
$8,750.85 |
$15,626.51 |
1.7× |
| Complete replacement picc rs&i (36584) |
$2,056.88 |
$3,673 |
1.2× |
| Conization of cervix (57520) |
$6,102.88 |
$10,898 |
1.8× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$6,102.88 |
$10,898 |
1.8× |
| Contrast injection perq radiologic eval gi tube (49465) |
$652.96 |
$1,166 |
2.6× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$666.96 |
$1,191 |
3.0× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$246.40 |
$440 |
1.8× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$350.56 |
$626 |
2.5× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs,… (42970) |
$6,102.88 |
$10,898 |
24.4× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$7,902.72 |
$14,112 |
2.1× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$1,905.68 |
$3,403 |
0.9× |
| Conz of cervix w/scope leep (57461) |
$2,032.80 |
$3,630 |
0.6× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$5,038.88 |
$8,998 |
2.9× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
unusually low — confirm this is the full procedure |
$6,069.84 |
$10,839 |
0.4× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$3,779.44 |
$6,749 |
1.1× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$8,625.13 |
$15,402.01 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$372.96 |
$666 |
2.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$343.84 |
$614 |
1.4× |
| Curettage postpartum (59160) |
$5,598.88 |
$9,998 |
1.6× |
| Curette/treat cornea (65435) |
$1,312.64 |
$2,344 |
1.2× |
| Cysto/uretero w/lithotripsy (52356) |
$8,093.13 |
$14,452.01 |
1.4× |
| Cystoscopy and treatment (52310) |
$6,918.24 |
$12,354 |
3.1× |
| Cystoscopy w/biopsy(s) (52204) |
$4,047.12 |
$7,227 |
1.8× |
| Cystourethroscopy (52000) |
$7,540.96 |
$13,466 |
10.3× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,… (52344) |
$7,484.40 |
$13,365 |
2.0× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$7,540.96 |
$13,466 |
3.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) |
$7,540.96 |
$13,466 |
3.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$6,918.25 |
$12,354.01 |
1.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$6,918.24 |
$12,354 |
1.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$3,459.12 |
$6,177 |
0.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) |
$7,540.96 |
$13,466 |
2.0× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$6,918.24 |
$12,354 |
1.9× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$0.01 |
$0.01 |
0.0× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$4,814.04 |
$8,596.50 |
2.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354) |
$8,821.69 |
$15,753.01 |
1.6× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353) |
$5,362.84 |
$9,576.50 |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$6,178.48 |
$11,033 |
1.7× |
| Deb skin bone at fx site (11012) |
$3,841.04 |
$6,859 |
1.3× |
| Debride skin at fx site (11010) |
$988.40 |
$1,765 |
1.3× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$848.96 |
$1,516 |
2.0× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$244.16 |
$436 |
3.9× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,820 |
$3,250 |
4.2× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,170 |
$3,875 |
1.2× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,421.19 |
$2,537.84 |
1.8× |
| Declot vascular device (36593) |
$579.60 |
$1,035 |
1.7× |
| Delivery of placenta (59414) |
$3,639.44 |
$6,499 |
1.1× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$1,157.52 |
$2,067 |
3.6× |
| Destruction benign lesions up to 14 (17110) |
$2,025.24 |
$3,616.50 |
9.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$3,581.76 |
$6,396 |
3.8× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$2,301.04 |
$4,109 |
2.5× |
| Destruction lesions vulva simple (56501) |
$5,598.88 |
$9,998 |
2.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,012.80 |
$5,380 |
1.5× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$7,540.96 |
$13,466 |
2.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$5,598.88 |
$9,998 |
1.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$5,598.88 |
$9,998 |
1.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$6,102.88 |
$10,898 |
2.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$3,770.48 |
$6,733 |
1.7× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$5,598.88 |
$9,998 |
1.6× |
| Diagnostic bone marrow aspirations (38220) |
$2,356.48 |
$4,208 |
1.4× |
| Diagnostic bone marrow biopsies (38221) |
$1,962.80 |
$3,505 |
1.1× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,859.36 |
$5,106 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$3,912.16 |
$6,986 |
5.3× |
| Diagnostic sigmoidoscopy (45330) |
$2,053.80 |
$3,667.50 |
2.1× |
| Dilate esophagus (43453) |
$1,941.52 |
$3,467 |
1.0× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$7,540.96 |
$13,466 |
2.2× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$7,380.24 |
$13,179 |
1.3× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$2,340.80 |
$4,180 |
1.2× |
| Drain lower leg lesion (27603) |
$4,745.44 |
$8,474 |
1.5× |
| Drain neck/chest lesion (21501) |
$7,540.96 |
$13,466 |
2.5× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$343.84 |
$614 |
1.4× |
| Drainage external auditory canal, abscess (69020) |
$1,009.68 |
$1,803 |
1.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$1,009.68 |
$1,803 |
1.4× |
| Drainage finger abscess simple (26010) |
$385.28 |
$688 |
1.8× |
| Drainage of abscess of palate, uvula (42000) |
$641.76 |
$1,146 |
2.6× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$1,009.68 |
$1,803 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$4,638.48 |
$8,283 |
2.7× |
| Drainage of scrotum (54700) |
$2,901.92 |
$5,182 |
1.3× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$5,290.88 |
$9,448 |
1.5× |
| Drainage of tonsil abscess (42700) |
$385.28 |
$688 |
1.5× |
| Dry needling (20999) |
$8,201.69 |
$14,645.88 |
31.5× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$3,793.16 |
$6,773.50 |
1.8× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,034.64 |
$5,419 |
1.5× |
| Dx bronchoscope/brush (31623) |
$977.62 |
$1,745.75 |
0.5× |
| Dx bronchoscope/lavage (31624) |
$2,226 |
$3,975 |
1.2× |
| Dx laryngoscopy excl nb (31525) |
$2,424.24 |
$4,329 |
1.3× |
| Ed proc insert intraosseous IV (36680) |
$504.56 |
$901 |
1.1× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$324.80 |
$580 |
2.4× |
| Ed proc remve fb nasal- hospital (30300) |
$357.56 |
$638.50 |
2.5× |
| Ed prof arthrocentesis sm - hospital (20551) |
$273.28 |
$488 |
0.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$193.20 |
$345 |
1.4× |
| Ed prof burn - large - hospital (16030) |
$561.12 |
$1,002 |
1.3× |
| Ed prof burn medium - hospital (16025) |
$488.32 |
$872 |
2.3× |
| Ed prof burn small - hospital (16020) |
$448 |
$800 |
2.1× |
| Ed prof catheterization/straight (51701) |
$448 |
$800 |
3.2× |
| Ed prof closed tx post hip arthroplasty (27265) |
$526.96 |
$941 |
2.0× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$2,256.80 |
$4,030 |
1.3× |
| Ed prof drain dental abscess-hospital (41800) |
$353.36 |
$631 |
2.5× |
| Ed prof insert foley cath simple (51702) |
$376.32 |
$672 |
2.7× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,555.56 |
$4,563.50 |
0.8× |
| Ed prof insertion of heart electr (33210) |
$11,413.92 |
$20,382 |
1.3× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,090.32 |
$1,947 |
2.5× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$1,045.24 |
$1,866.50 |
2.4× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$449.12 |
$802 |
1.7× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$640.64 |
$1,144 |
1.4× |
| Egd endo mucosal resection (43254) |
$970.76 |
$1,733.50 |
0.5× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$970.76 |
$1,733.50 |
0.5× |
| Egd transoral control bleeding any method (43255) |
$1,499.82 |
$2,678.25 |
0.7× |
| Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201) |
$9,658.33 |
$17,247.01 |
1.6× |
| Endocervical curettage (57505) |
$523.04 |
$934 |
0.5× |
| Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21 (58353) |
$8,044.40 |
$14,365 |
1.5× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$6,918.24 |
$12,354 |
1.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$4,852.96 |
$8,666 |
1.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$2,803.08 |
$5,005.50 |
0.7× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$8,015.28 |
$14,313 |
1.4× |
| Endovenous rf 1st vein (36475) |
$5,598.88 |
$9,998 |
1.7× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,157.52 |
$2,067 |
1.6× |
| Ercp duct stent placement (43274) |
$7,540.96 |
$13,466 |
1.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,803.08 |
$5,005.50 |
0.7× |
| Esoph egd dilation <30 mm (43249) |
$4,255.86 |
$7,599.75 |
2.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$809.06 |
$1,444.75 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,941.52 |
$3,467 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,941.52 |
$3,467 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,941.52 |
$3,467 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,941.52 |
$3,467 |
2.0× |
| Evac subungual hematoma (11740) |
$257.04 |
$459 |
1.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,818.39 |
$5,032.84 |
1.6× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$6,918.24 |
$12,354 |
3.1× |
| Exc face les sbq 2 cm/> (21012) |
$3,360 |
$6,000 |
1.9× |
| Exc face tum deep < 2 cm (21013) |
$5,598.88 |
$9,998 |
3.2× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$4,172.56 |
$7,451 |
2.4× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$1,657.04 |
$2,959 |
2.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$4,191.32 |
$7,484.50 |
2.4× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$1,120 |
$2,000 |
0.5× |
| Exc rect tum transanal part (45171) |
$7,290.64 |
$13,019 |
2.5× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$2,422.94 |
$4,326.67 |
3.2× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$1,638 |
$2,925 |
2.2× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$6,102.88 |
$10,898 |
2.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$6,102.88 |
$10,898 |
2.0× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$5,598.88 |
$9,998 |
1.8× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,391.36 |
$6,056 |
1.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,901.20 |
$3,395 |
1.1× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$7,250.32 |
$12,947 |
1.9× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$3,483.20 |
$6,220 |
1.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$4,021.92 |
$7,182 |
2.0× |
| Excision exostosis(es), external auditory canal Age Under 21 (69140) |
$6,788.32 |
$12,122 |
1.1× |
| Excision external ear; complete amputation Age Under 21 (69120) |
$7,132.17 |
$12,736.01 |
1.1× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$2,373.73 |
$4,238.80 |
1.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$3,051.44 |
$5,449 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$6,102.88 |
$10,898 |
8.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,422.94 |
$4,326.67 |
3.2× |
| Excision of bartholin's gland or cyst (56740) |
$6,102.88 |
$10,898 |
1.8× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$6,918.24 |
$12,354 |
1.7× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$6,102.88 |
$10,898 |
3.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$5,598.88 |
$9,998 |
5.3× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$3,690.12 |
$6,589.50 |
1.1× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Age Under 21 (40816) |
$6,102.88 |
$10,898 |
1.7× |
| Excision of lip; V-excision with primary direct linear closure Age Under 21 (40520) |
$7,540.96 |
$13,466 |
2.2× |
| Excision of local lesion of epididymis Age Under 21 (54830) |
$6,102.89 |
$10,898.01 |
1.6× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415) |
$13,604.65 |
$24,294.01 |
2.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$4,971.96 |
$8,878.50 |
1.6× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$6,102.88 |
$10,898 |
2.1× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$5,822.88 |
$10,398 |
2.6× |
| Excision of tendon, forearm and/or wrist, flexor or extensor, each Age Under 21 (25109) |
$2,782.58 |
$4,968.90 |
0.8× |
| Excision of tendon, palm, flexor or extensor, single, each tendon Age Under 21 (26170) |
$10,318.57 |
$18,426.01 |
6.1× |
| Excision of vaginal cyst or tumor (57135) |
$5,598.88 |
$9,998 |
1.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age Under 21 (55530) |
$7,268.81 |
$12,980.01 |
2.0× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; Age Under 21 (25130) |
$5,395.21 |
$9,634.30 |
1.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,038.88 |
$8,998 |
1.6× |
| Excision pilonidal cyst/sinus extensive (11771) |
$6,102.88 |
$10,898 |
2.0× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$13,944.57 |
$24,901.01 |
2.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,102.88 |
$10,898 |
3.5× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$3,051.44 |
$5,449 |
1.8× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$5,570.88 |
$9,948 |
1.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$6,102.88 |
$10,898 |
3.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$2,665.60 |
$4,760 |
1.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$3,806.32 |
$6,797 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$6,102.88 |
$10,898 |
14.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$3,051.44 |
$5,449 |
1.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$756 |
$1,350 |
1.0× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$3,770.49 |
$6,733.01 |
2.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830) |
$10,128.16 |
$18,086 |
1.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$3,459.12 |
$6,177 |
4.6× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$5,598.88 |
$9,998 |
3.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$6,102.89 |
$10,898.01 |
8.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$5,598.88 |
$9,998 |
7.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$3,556.28 |
$6,350.50 |
4.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$6,102.88 |
$10,898 |
3.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$6,102.89 |
$10,898.01 |
2.0× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$6,102.88 |
$10,898 |
2.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$2,108.68 |
$3,765.50 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$6,102.88 |
$10,898 |
3.5× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$6,102.88 |
$10,898 |
2.0× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$5,598.88 |
$9,998 |
1.8× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$6,102.88 |
$10,898 |
2.0× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$6,102.88 |
$10,898 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,886.24 |
$5,154 |
1.7× |
| Explore wound chest (20101) |
$2,774.80 |
$4,955 |
1.3× |
| Explore wound neck (20100) |
$926.80 |
$1,655 |
1.6× |
| Explore/treat ankle joint (27610) |
$5,580.96 |
$9,966 |
1.6× |
| Exposure of prostate, any approach, for insertion of radioactive substance; Age Under 21 (55860) |
$8,846.88 |
$15,798 |
1.6× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$4,432.96 |
$7,916 |
1.3× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21 (41016) |
$8,625.12 |
$15,402 |
1.4× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$6,918.24 |
$12,354 |
2.0× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$6,102.88 |
$10,898 |
1.8× |
| Fetal contraction stress test (59020) |
$500.64 |
$894 |
2.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,202.32 |
$2,147 |
1.6× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$419.72 |
$749.50 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,529.08 |
$2,730.50 |
2.0× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$4,195.52 |
$7,492 |
1.2× |
| Flap island pedicle (15740) |
$4,341.29 |
$7,752.30 |
2.0× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; Age Under 21 (25315) |
$8,434.73 |
$15,062.01 |
1.1× |
| Fluid pressure muscle (20950) |
$988.40 |
$1,765 |
1.3× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$3,459.12 |
$6,177 |
1.6× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$4,829.17 |
$8,623.51 |
2.2× |
| Ganglion impar nerve block (64999) |
$1,295.28 |
$2,313 |
4.0× |
| Gastric lavage (43753) |
$624.96 |
$1,116 |
2.7× |
| Gastrocnemius recession (27687) |
$2,165.24 |
$3,866.50 |
0.6× |
| Glossectomy; less than one-half tongue Age Under 21 (41120) |
$6,102.88 |
$10,898 |
1.0× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235) |
$4,022.20 |
$7,182.50 |
0.6× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$14,503.45 |
$25,899.01 |
3.9× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$9,056.32 |
$16,172 |
2.4× |
| Guide cathet fluid drainage (10030) |
$3,138.24 |
$5,604 |
4.2× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$1,960 |
$3,500 |
0.6× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$6,102.88 |
$10,898 |
1.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,295.64 |
$9,456.50 |
1.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,504.76 |
$6,258.50 |
1.2× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$5,598.88 |
$9,998 |
1.9× |
| Hysteroscopy biopsy (58558) |
$7,380.24 |
$13,179 |
2.2× |
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561) |
$7,540.96 |
$13,466 |
1.4× |
| I&d abscess simple/single (10060) |
$2,108.69 |
$3,765.51 |
10.0× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$6,350.96 |
$11,341 |
2.1× |
| I&d hematoma/seroma/fluid (10140) |
$3,856.16 |
$6,886 |
2.2× |
| I&d pilonidal cyst simple (10080) |
$3,368.12 |
$6,014.50 |
4.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,841.04 |
$6,859 |
1.3× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$6,102.88 |
$10,898 |
23.5× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$2,793.28 |
$4,988 |
1.6× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$4,210.64 |
$7,519 |
2.4× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$7,380.24 |
$13,179 |
0.5× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Age Under 21 (69714) |
$17,339.29 |
$30,963.01 |
1.3× |
| Incise & drain bladder (51040) |
$6,918.24 |
$12,354 |
3.1× |
| Incise external hemorrhoid (46083) |
$561.68 |
$1,003 |
2.1× |
| Incise finger tendon sheath (26055) |
$2,177 |
$3,887.50 |
1.3× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$2,225.72 |
$3,974.50 |
5.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$641.76 |
$1,146 |
3.0× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$3,556.28 |
$6,350.50 |
4.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$594.16 |
$1,061 |
1.8× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$4,487.28 |
$8,013 |
1.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$6,102.88 |
$10,898 |
0.8× |
| Incision and drainage, perianal abscess, superficial (46050) |
$4,979.52 |
$8,892 |
5.1× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$2,279.76 |
$4,071 |
1.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$2,279.76 |
$4,071 |
1.3× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$677.32 |
$1,209.50 |
1.6× |
| Incision extensor tendon sheath wrist (25000) |
$3,410.96 |
$6,091 |
2.0× |
| Incision of eyelid fold (67715) |
$3,450.16 |
$6,161 |
1.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$5,598.88 |
$9,998 |
3.4× |
| Incision of rectal abscess (46040) |
$4,242.56 |
$7,576 |
3.4× |
| Incision of tendon located from elbow to shoulder, open procedure (24310) |
$1,683.74 |
$3,006.67 |
0.5× |
| Incision to repair or release capsule of wrist joint (25085) |
$908.61 |
$1,622.51 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$408.80 |
$730 |
0.5× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$885.92 |
$1,582 |
2.5× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$492.24 |
$879 |
2.3× |
| Inj epidural blood or clot patch (62273) |
$1,354.64 |
$2,419 |
1.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,294.16 |
$2,311 |
1.4× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,537.20 |
$2,745 |
1.6× |
| Inj tx nerve (64640) |
$3,966.48 |
$7,083 |
4.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,157.52 |
$2,067 |
1.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,209.60 |
$2,160 |
1.3× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,261.68 |
$2,253 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,261.68 |
$2,253 |
1.7× |
| Injection aa&/strd greater occipital nerve (64405) |
$976.08 |
$1,743 |
3.0× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$2,454.48 |
$4,383 |
3.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,226.56 |
$3,976 |
2.4× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$2,226.56 |
$3,976 |
3.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,209.60 |
$2,160 |
1.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,261.68 |
$2,253 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$4,809.28 |
$8,588 |
14.9× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$3,067.96 |
$5,478.50 |
3.3× |
| Injection anes superior hypogastric plexus (64517) |
$3,447.36 |
$6,156 |
3.7× |
| Injection for identification of sentinel node (38792) |
$1,220.24 |
$2,179 |
2.9× |
| Injection therapeutic carpal tunnel (20526) |
$5,300.97 |
$9,466.01 |
16.4× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$870.24 |
$1,554 |
2.7× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$686.56 |
$1,226 |
2.1× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$1,048.04 |
$1,871.50 |
3.2× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$3,130.96 |
$5,591 |
3.4× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$940.24 |
$1,679 |
2.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$3,549.70 |
$6,338.75 |
16.8× |
| Ins cath ren art 1st bilat (36252) |
$14,805.28 |
$26,438 |
4.4× |
| Ins cath ren art 1st unilat (36251) |
$8,531.60 |
$15,235 |
2.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$8,058.96 |
$14,391 |
1.4× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$13,300.56 |
$23,751 |
2.3× |
| Ins vag brachytx device (57156) |
$911.12 |
$1,627 |
2.8× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$60,059.44 |
$107,249 |
1.8× |
| Insert gastrostomy tube percutaneous (49440) |
$3,625.44 |
$6,474 |
1.8× |
| Insert heart pm atrial (33206) |
$23,344.16 |
$41,686 |
2.1× |
| Insert nasal septal button (30220) |
$6,918.24 |
$12,354 |
4.2× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$3,357.20 |
$5,995 |
1.0× |
| Insert uteri tandem/ovoids (57155) |
$9,894.64 |
$17,669 |
1.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,250.32 |
$12,947 |
1.9× |
| Insertion of breast implant on same day of mastectomy (ie, immediate) Age Under 21 (19340) |
$7,380.24 |
$13,179 |
0.9× |
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Age Under 21 (53445)
unusually low — confirm this is the full procedure |
$9,644.33 |
$17,222.01 |
0.4× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir (54405)
unusually low — confirm this is the full procedure |
$10,102.41 |
$18,040.01 |
0.5× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$18,081.28 |
$32,288 |
1.6× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$18,146.24 |
$32,404 |
1.6× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$17,376.80 |
$31,030 |
2.0× |
Insertion of penile prosthesis; inflatable (self-contained) (54401)
unusually low — confirm this is the full procedure |
$8,821.69 |
$15,753.01 |
0.4× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$6,918.24 |
$12,354 |
1.9× |
| Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) |
$11,954.88 |
$21,348 |
0.6× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$302.40 |
$540 |
1.3× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$7,681.52 |
$13,717 |
2.3× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$4,829.72 |
$8,624.50 |
1.5× |
| Insertion or replacement of breast implant on separate day from mastectomy Age Under 21 (19342) |
$7,380.24 |
$13,179 |
0.9× |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
unusually low — confirm this is the full procedure |
$6,918.24 |
$12,354 |
0.3× |
| Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) |
$12,257.28 |
$21,888 |
1.4× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,061.36 |
$3,681 |
1.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,961.68 |
$3,503 |
1.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,413.92 |
$20,382 |
1.3× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$11,413.92 |
$20,382 |
1.3× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$11,413.92 |
$20,382 |
1.3× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$14,560.56 |
$26,001 |
1.3× |
| Insj intraperitoneal catheter w/img guid (49418) |
$8,471.40 |
$15,127.50 |
2.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$8,903.44 |
$15,899 |
2.7× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$45,974.88 |
$82,098 |
1.4× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$5,598.88 |
$9,998 |
0.2× |
| Insrt heart pm atrial & vent (33208) |
$22,150.80 |
$39,555 |
2.0× |
| Insrt pulse gen w/dual leads (33230) |
$44,448.32 |
$79,372 |
1.9× |
| Insrt pulse gen w/mult leads (33231) |
$40,778.08 |
$72,818 |
1.2× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$7,380.25 |
$13,179.01 |
4.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$18,264.68 |
$32,615.50 |
1.5× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$13,502.72 |
$24,112 |
2.2× |
| Intubation endotracheal (31500) |
$910.84 |
$1,626.50 |
3.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,232 |
$2,200 |
4.7× |
| IV injection test vascular flow flap/graft (15860) |
$2,034.29 |
$3,632.66 |
4.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$10,236.81 |
$18,280.01 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$9,259.60 |
$16,535 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,044.40 |
$14,365 |
1.1× |
| Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) |
$6,102.88 |
$10,898 |
1.0× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151) |
$8,093.13 |
$14,452.01 |
1.3× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$8,083.04 |
$14,434 |
1.3× |
| Laparoscopy surg colpopexy (57425) |
$14,364.57 |
$25,651.01 |
1.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$5,701.22 |
$10,180.75 |
0.9× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$4,401.74 |
$7,860.25 |
0.7× |
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659) |
$3,525.06 |
$6,294.75 |
0.6× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$21,655.77 |
$38,671.01 |
1.9× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$9,676.81 |
$17,280.01 |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$7,540.96 |
$13,466 |
1.9× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$6,735.97 |
$12,028.51 |
1.1× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$8,860.88 |
$15,823 |
0.8× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542) |
$8,860.89 |
$15,823.01 |
0.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570) |
$9,658.32 |
$17,247 |
0.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571) |
$9,870.01 |
$17,625.01 |
0.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
$12,657.69 |
$22,603.01 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573) |
$14,364.57 |
$25,651.01 |
1.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550) |
$8,044.41 |
$14,365.01 |
1.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552) |
$16,219.29 |
$28,963.01 |
1.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$8,625.13 |
$15,402.01 |
0.8× |
Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$7,380.24 |
$13,179 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564) |
$12,115.05 |
$21,634.01 |
1.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571) |
$11,612.73 |
$20,737.01 |
1.0× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572)
likely a partial charge — not the full procedure |
$1,499.68 |
$2,678 |
0.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321) |
$3,459.12 |
$6,177 |
0.5× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$7,540.96 |
$13,466 |
1.2× |
| Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Age Under 21 (49324) |
$6,918.24 |
$12,354 |
1.1× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660) |
$4,099.48 |
$7,320.50 |
0.6× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$6,918.25 |
$12,354.01 |
1.1× |
| Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570) |
$5,804.40 |
$10,365 |
0.9× |
| Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of… (49325) |
$7,540.96 |
$13,466 |
1.2× |
| Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281) |
$20,156.09 |
$35,993.01 |
1.8× |
| Laps Surg Esopg/Gstr Fundoplasty (43280) |
$8,860.89 |
$15,823.01 |
0.8× |
| Laps Surg Rpr Recurrent Inguinal Hernia (49651) |
$8,625.13 |
$15,402.01 |
1.4× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low — confirm this is the full procedure |
$2,165.24 |
$3,866.50 |
0.3× |
| Largsc w/ther injection (31573) |
$4,022.20 |
$7,182.50 |
2.1× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed (31584) |
$7,231.28 |
$12,913 |
1.2× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$5,637.80 |
$10,067.50 |
3.0× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$609.28 |
$1,088 |
1.5× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Age Under 21 (31528) |
$4,022.20 |
$7,182.50 |
1.0× |
| Laryngoscopy flex diagnostic (31575) |
$268.80 |
$480 |
1.3× |
| Laryngoscopy indirect diagnostic (31505) |
$267.12 |
$477 |
1.3× |
| Laryngoscopy w/biopsy (31535) |
$6,918.24 |
$12,354 |
1.8× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$8,044.40 |
$14,365 |
2.0× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age Under 21 (31540) |
$7,792.68 |
$13,915.50 |
2.0× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$7,712.32 |
$13,772 |
2.0× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$6,040.44 |
$10,786.50 |
1.5× |
| Laser treatment of retina (67040) |
$7,540.96 |
$13,466 |
1.7× |
| Lateral canthopexy (21282) |
$7,540.97 |
$13,466.01 |
2.2× |
| Lateral retinacular release open (27425) |
$8,044.40 |
$14,365 |
2.3× |
| Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) (31000) |
$343.84 |
$614 |
1.4× |
| Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25280) |
$2,947.14 |
$5,262.75 |
0.9× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$1,960 |
$3,500 |
0.6× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,364.80 |
$9,580 |
0.7× |
| Ligation of a-v fistula (37607) |
$10,758.17 |
$19,211.01 |
3.2× |
| Ligation or biopsy, temporal artery (37609) |
$6,668.49 |
$11,908.01 |
3.8× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$2,681.84 |
$4,789 |
0.7× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$1,308.16 |
$2,336 |
0.4× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$18,929.96 |
$33,803.50 |
5.1× |
| Long gi tube placement (44500) |
$1,754.48 |
$3,133 |
1.8× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$4,884.86 |
$8,722.96 |
18.8× |
| Lumbar puncture (62270) |
$1,631.84 |
$2,914 |
2.2× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$5,104.40 |
$9,115 |
3.0× |
| Manipulation, elbow, under anesthesia Age Under 21 (24300) |
$2,273.04 |
$4,059 |
1.3× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,781.92 |
$3,182 |
2.4× |
| Marsupialization bartholin's gland cyst (56440) |
$5,176.92 |
$9,244.50 |
1.5× |
| Mastectomy partial (19301) |
$5,598.88 |
$9,998 |
1.4× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$12,663.85 |
$22,614.01 |
1.8× |
| Mastopexy (19316) |
$4,736.97 |
$8,458.88 |
0.7× |
| Mastotomy expl drg absc dp (19020) |
$3,847.20 |
$6,870 |
2.2× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$261.52 |
$467 |
4.2× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed (39401) |
$8,044.40 |
$14,365 |
1.3× |
| Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) (39402) |
$10,758.17 |
$19,211.01 |
1.7× |
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Age Under 21 (24301)
likely a partial charge — not the full procedure |
$1,891.96 |
$3,378.50 |
0.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$560 |
$1,000 |
0.1× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21 (15736) |
$7,540.96 |
$13,466 |
3.5× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$3,608.08 |
$6,443 |
4.4× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$3,608.08 |
$6,443 |
4.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,608.08 |
$6,443 |
4.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$3,932.88 |
$7,023 |
4.8× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$4,022.20 |
$7,182.50 |
1.2× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$343.84 |
$614 |
1.4× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$3,770.48 |
$6,733 |
17.9× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255) |
$4,716.32 |
$8,422 |
0.6× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21 (31257) |
$3,770.48 |
$6,733 |
0.5× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$3,770.49 |
$6,733.01 |
0.5× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$560 |
$1,000 |
0.1× |
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267)
unusually low — confirm this is the full procedure |
$2,240 |
$4,000 |
0.3× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$7,540.96 |
$13,466 |
4.0× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$3,614.80 |
$6,455 |
1.9× |
| Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253) |
$7,540.96 |
$13,466 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$7,701.69 |
$13,753.01 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,351.92 |
$9,557 |
3.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.96 |
$41 |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$22.96 |
$41 |
0.8× |
| Nerve pedicle transfer; first stage Age Under 21 (64905) |
$18,899.45 |
$33,749.01 |
2.0× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) Age Under 21 (64912) |
$5,176.92 |
$9,244.50 |
0.6× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$5,344.36 |
$9,543.50 |
2.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$1,239.45 |
$2,213.30 |
0.6× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$5,370.57 |
$9,590.30 |
2.6× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$2,113.63 |
$3,774.34 |
1.0× |
| Nfct ds DNA untrgt ngnrj seq (0152U) |
$3,169.60 |
$5,660 |
1.5× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21 (19110) |
$5,598.88 |
$9,998 |
1.4× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$2,754.92 |
$4,919.50 |
3.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,444.40 |
$4,365 |
2.6× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$3,812.48 |
$6,808 |
1.0× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$4,770.64 |
$8,519 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,140.60 |
$3,822.50 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,029.84 |
$1,839 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,257.20 |
$2,245 |
1.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,748.32 |
$3,122 |
2.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$2,264.08 |
$4,043 |
3.1× |
| Non stress test (59025) |
$520.80 |
$930 |
2.4× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$3,628.81 |
$6,480.02 |
1.1× |
| Onc Pan-Tumor DNA & RNA Next-Generation Sequencing Other Outpatient (0211U) |
$10,152.24 |
$18,129 |
1.2× |
Open implantation of neurostimulator electrode array; neuromuscular Age Under 21 (64580)
unusually low — confirm this is the full procedure |
$6,918.24 |
$12,354 |
0.3× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Age Under 21 (64581) |
$5,500.04 |
$9,821.50 |
0.8× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$24,541.45 |
$43,824.01 |
0.8× |
Open osteochondral autograft, talus (includes obtaining graftºs») Age Under 21 (28446)
unusually low — confirm this is the full procedure |
$2,689.54 |
$4,802.75 |
0.4× |
| Open treatment bimalleolar ankle fracture (27814) |
$5,867.26 |
$10,477.26 |
0.8× |
| Open Treatment Distal Fracture (25608) |
$8,044.41 |
$14,365.01 |
1.1× |
| Open treatment fracture distal tibia only (27827) |
$9,401.29 |
$16,788.01 |
0.7× |
| Open treatment medial malleolus fracture (27766) |
$7,380.24 |
$13,179 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,540.96 |
$13,466 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550) |
$8,092.85 |
$14,451.51 |
1.1× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552) |
$12,657.69 |
$22,603.01 |
1.7× |
| Open treatment of acute shoulder dislocation Age Under 21 (23660) |
$10,146.64 |
$18,119 |
1.3× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$3,806.32 |
$6,797 |
1.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$9,635.65 |
$17,206.51 |
1.3× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$17,542.57 |
$31,326.01 |
2.8× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
unusually low — confirm this is the full procedure |
$3,690.12 |
$6,589.50 |
0.5× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630) |
$10,146.64 |
$18,119 |
1.3× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579) |
$10,758.17 |
$19,211.01 |
0.8× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Age Under 21 (27566)
unusually low — confirm this is the full procedure |
$3,690.13 |
$6,589.51 |
0.5× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$9,401.29 |
$16,788.01 |
1.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure |
$3,806.33 |
$6,797.01 |
0.3× |
| Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585) |
$7,380.24 |
$13,179 |
1.0× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$11,158.01 |
$19,925.01 |
1.5× |
| Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535) |
$11,612.73 |
$20,737.01 |
1.5× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$10,426.09 |
$18,618.01 |
1.4× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$9,870.01 |
$17,625.01 |
1.3× |
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure |
$1,356.88 |
$2,423 |
0.2× |
| Open treatment posterior malleolus fracture (27769) |
$4,022.20 |
$7,182.50 |
0.5× |
| Open treatment radial shaft fracture (25515) |
$8,957.20 |
$15,995 |
1.2× |
| Open treatment talus fracture (28445) |
$7,380.24 |
$13,179 |
1.0× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$7,229.60 |
$12,910 |
0.9× |
| Open tx distal fibular fracture lat malleolus (27792) |
$8,044.40 |
$14,365 |
1.1× |
| Open tx distal phalangeal fracture each (26765) |
$4,588.64 |
$8,194 |
1.3× |
| Open tx metacarpal fracture single ea bone (26615) |
$7,540.96 |
$13,466 |
2.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$9,156 |
$16,350 |
2.7× |
| Open/perq placement intravascular stent initial (37236) |
$14,296.24 |
$25,529 |
1.2× |
| Open/perq placement intravascular stent same 1st (37238) |
$19,967.36 |
$35,656 |
1.6× |
| Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) |
$6,102.88 |
$10,898 |
1.6× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$2,827.86 |
$5,049.75 |
0.8× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$2,020.48 |
$3,608 |
0.6× |
| Osteochondral knee autograft (27416) |
$8,044.41 |
$14,365.01 |
1.1× |
| Osteoplasty, radius OR ulna; shortening Age Under 21 (25390) |
$5,395.21 |
$9,634.30 |
0.7× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$6,861.68 |
$12,253 |
2.0× |
| Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300) |
$6,305.88 |
$11,260.50 |
0.8× |
| Otoplasty, protruding ear, with or without size reduction Age Under 21 (69300) |
$15,225.29 |
$27,188.01 |
4.4× |
| Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500) |
$12,300.68 |
$21,965.50 |
2.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx… (26235) |
$6,102.88 |
$10,898 |
3.6× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21 (27641) |
$2,513.62 |
$4,488.60 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,921.08 |
$3,430.50 |
0.6× |
| Partial excision bone tibia (27640) |
$2,940.56 |
$5,251 |
0.9× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$6,102.88 |
$10,898 |
1.8× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$5,288.08 |
$9,443 |
1.5× |
| Pelvis/hip joint surgery unlisted (27299) |
$7,540.96 |
$13,466 |
29.0× |
| Penile injection (54235) |
$432.32 |
$772 |
1.6× |
| Perc rf ablate renal tumor (50592) |
$4,331.60 |
$7,735 |
0.7× |
| Percut ablate liver rf (47382) |
$13,713.84 |
$24,489 |
2.2× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$3,138.24 |
$5,604 |
4.2× |
| Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561) |
$5,598.88 |
$9,998 |
0.8× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$6,102.88 |
$10,898 |
1.8× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Age Under 21 (25671) |
$3,785.60 |
$6,760 |
1.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$8,044.40 |
$14,365 |
1.1× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Age Under 21 (24582)
unusually low — confirm this is the full procedure |
$3,770.48 |
$6,733 |
0.5× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$6,918.24 |
$12,354 |
0.9× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$8,741.32 |
$15,609.50 |
2.1× |
| Pericardiocentesis w/img guidance when performed (33016) |
$2,145.92 |
$3,832 |
1.3× |
Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451)
unusually low — confirm this is the full procedure |
$6,918.24 |
$12,354 |
0.5× |
| Periurethral transperineal adjustable balloon continence device; removal, each balloon (53453) |
$7,540.96 |
$13,466 |
2.0× |
| Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and… (53452) |
$7,540.96 |
$13,466 |
0.8× |
| Perq dev breast 1st strtctc (19283) |
$2,003.68 |
$3,578 |
2.7× |
| Perq dev breast 1st us imag (19285) |
$2,106.72 |
$3,762 |
2.8× |
| Perq device breast 1st imag (19281) |
$2,283.68 |
$4,078 |
1.3× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,609.44 |
$2,874 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,174.88 |
$2,098 |
4.5× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$11,114.89 |
$19,848.01 |
0.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$9,891.57 |
$17,663.52 |
0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$12,024.32 |
$21,472 |
2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$22,163.12 |
$39,577 |
2.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$22,163.12 |
$39,577 |
2.9× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$9,922.08 |
$17,718 |
2.9× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$10,815.28 |
$19,313 |
3.1× |
| Phleb veins - extrem 20+ (37766) |
$2,060.52 |
$3,679.50 |
0.6× |
| Place duod/jej tube perc (49441) |
$3,951.92 |
$7,057 |
2.0× |
| Placement needle head/neck radioelement applicat (41019) |
$3,922.24 |
$7,004 |
0.6× |
| Placement needle pelvic organ radioelement appl (55920) |
$8,846.88 |
$15,798 |
1.7× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$3,086.72 |
$5,512 |
2.1× |
| Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application… (20555) |
$3,491.60 |
$6,235 |
1.0× |
Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for… (19298)
unusually low — confirm this is the full procedure |
$4,942 |
$8,825 |
0.3× |
| Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial… (19296) |
$7,843.92 |
$14,007 |
0.9× |
| Placement of seton (46020) |
$3,051.44 |
$5,449 |
1.0× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$4,937.52 |
$8,817 |
1.4× |
| Plastic operation on penis to correct angulation Age Under 21 (54360) |
$8,821.69 |
$15,753.01 |
2.4× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$6,918.24 |
$12,354 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$8,540.56 |
$15,251 |
3.9× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$8,540.56 |
$15,251 |
2.3× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,611.12 |
$2,877 |
2.2× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$8,144.08 |
$14,543 |
2.2× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$8,144.08 |
$14,543 |
2.2× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$12,805.52 |
$22,867 |
3.4× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$15,842.40 |
$28,290 |
0.8× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age… (67145) |
$6,972.28 |
$12,450.50 |
12.0× |
| Prq impltj nstim electrode array epidural (63650) |
$11,597.60 |
$20,710 |
1.7× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$7,902.72 |
$14,112 |
2.1× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$7,250.32 |
$12,947 |
1.9× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$14,915.04 |
$26,634 |
4.5× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$12,657.69 |
$22,603.01 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$5,598.88 |
$9,998 |
13.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$525.84 |
$939 |
1.2× |
| Puncture aspiration of cyst of breast (19000) |
$1,259.44 |
$2,249 |
1.7× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$3,770.48 |
$6,733 |
3.9× |
| Radial styloidectomy (separate procedure) Age Under 21 (25230) |
$3,684.10 |
$6,578.75 |
1.1× |
| Radiant-neck/chest procedure unlisted (21899) |
$10,102.41 |
$18,040.01 |
40.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,758 |
$4,925 |
1.3× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$5,598.88 |
$9,998 |
1.6× |
| Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455) |
$8,109.37 |
$14,481.01 |
1.1× |
| Reconstr mcp jnt col ligam w graft (26541) |
$3,407.78 |
$6,085.30 |
1.0× |
| Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238) |
$6,569.92 |
$11,732 |
0.9× |
Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue… (25337)
unusually low — confirm this is the full procedure |
$2,543.52 |
$4,542 |
0.3× |
| Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24346) |
$22,970.09 |
$41,018.01 |
1.7× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$6,102.88 |
$10,898 |
2.8× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$333.76 |
$596 |
1.6× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$1,648.08 |
$2,943 |
1.7× |
| Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21 (54600) |
$6,102.88 |
$10,898 |
1.6× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$11,383.13 |
$20,327.01 |
1.5× |
| Release i-p jt contracture (26525) |
$1,975.68 |
$3,528 |
1.2× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
unusually low — confirm this is the full procedure |
$3,020.22 |
$5,393.26 |
0.4× |
| Release palm contracture (26040) |
$3,051.44 |
$5,449 |
1.8× |
| Release, intrinsic muscles of hand, each muscle Age Under 21 (26593) |
$560 |
$1,000 |
0.2× |
| Relocate skin pocket implantable defibrillator (33223) |
$3,011.68 |
$5,378 |
1.4× |
| Relocation of skin pocket for pacemaker (33222) |
$3,011.68 |
$5,378 |
1.4× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$5,467.84 |
$9,764 |
2.5× |
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 |
$7,540.97 |
$13,466.01 |
0.3× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$3,035.76 |
$5,421 |
3.2× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$1,683.92 |
$3,007 |
2.3× |
| Removal foreign body, intranasal; requiring general anesthesia Age Under 21 (30310) |
$6,102.88 |
$10,898 |
1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$228.20 |
$407.50 |
3.7× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$3,178.84 |
$5,676.50 |
51.1× |
| Removal implant deep (20680) |
$3,632.72 |
$6,487 |
1.2× |
| Removal implant superficial (20670) |
$7,540.96 |
$13,466 |
4.3× |
| Removal implantable defib pulse generator only (33241) |
$5,033.28 |
$8,988 |
1.3× |
| Removal of appendix using an endoscope (44970) |
$7,229.60 |
$12,910 |
1.1× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$706.16 |
$1,261 |
2.1× |
| Removal of eye lesion (65400) |
$1,363.04 |
$2,434 |
1.3× |
| Removal of eyelashes using forceps|BILATERAL PROCEDURE (67820) |
$289.52 |
$517 |
2.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$3,967.04 |
$7,084 |
3.1× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$6,102.88 |
$10,898 |
1.6× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$6,102.88 |
$10,898 |
1.6× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$2,279.76 |
$4,071 |
1.3× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$267.12 |
$477 |
1.3× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$2,279.76 |
$4,071 |
1.3× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$6,756.12 |
$12,064.50 |
2.2× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$962.64 |
$1,719 |
6.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$440.72 |
$787 |
0.9× |
| Removal of foreign body, foot; deep (28192) |
$2,279.76 |
$4,071 |
1.3× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$8,976.80 |
$16,030 |
3.7× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,493.52 |
$2,667 |
1.2× |
| Removal of implanted material, anterior segment of eye Age Under 21 (65920) |
$6,972.28 |
$12,450.50 |
2.9× |
| Removal of implanted material, posterior segment; intraocular Age Under 21 (67121) |
$6,918.24 |
$12,354 |
2.8× |
| Removal of intact breast implant Age Under 21 (19328) |
$7,540.96 |
$13,466 |
1.8× |
| Removal of iud (58301) |
$1,347.36 |
$2,406 |
4.2× |
Removal of magnetic band from base of esophagus using an endoscope (43285)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$5,598.88 |
$9,998 |
1.9× |
| Removal of nail bed (11750) |
$793.52 |
$1,417 |
1.9× |
| Removal of pm generator (33233) |
$11,413.92 |
$20,382 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$277.20 |
$495 |
1.3× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$3,367.46 |
$6,013.33 |
1.0× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$3,051.44 |
$5,449 |
0.8× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$3,886.40 |
$6,940 |
1.8× |
Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod Age… (26392)
unusually low — confirm this is the full procedure |
$3,295.78 |
$5,885.30 |
0.4× |
| Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225) |
$21,655.77 |
$38,671.01 |
3.4× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$7,280 |
$13,000 |
2.4× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$4,816.56 |
$8,601 |
1.2× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$5,250 |
$9,375 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,666.44 |
$4,761.50 |
0.8× |
| Removal of wrist bone (25210) |
$840 |
$1,500 |
0.2× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$391.44 |
$699 |
1.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,431.36 |
$2,556 |
1.9× |
| Removal tunneled cv cath (36590) |
$2,353.68 |
$4,203 |
1.4× |
| Removal, non-biodegradable drug delivery implant (11982) |
$3,459.12 |
$6,177 |
7.3× |
| Removal/revision of cast (29700) |
$391.44 |
$699 |
1.3× |
| Remove eyelid foreign body (67938) |
$834.40 |
$1,490 |
2.5× |
| Remove foreign body from eye (65210) |
$440.72 |
$787 |
0.9× |
| Remove lung catheter (32552) |
$1,609.44 |
$2,874 |
2.4× |
| Remove pharynx foreign body (42809) |
$440.72 |
$787 |
0.9× |
| Remove ureter stent percut (50384) |
$5,467.84 |
$9,764 |
2.5× |
| Remove vc lesion w/scope (31545) |
$8,044.41 |
$14,365.01 |
2.0× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$21,550.48 |
$38,483 |
2.0× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$26,056.24 |
$46,529 |
1.3× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$21,355.04 |
$38,134 |
2.4× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$4,710.16 |
$8,411 |
2.7× |
| Repair achilles tendon (27650) |
$8,532.44 |
$15,236.50 |
1.1× |
| Repair blood vessel lesion (35226) |
$1,668.52 |
$2,979.50 |
2.2× |
| Repair blood vessel upper ext (35206) |
$4,637.36 |
$8,281 |
1.4× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$4,637.36 |
$8,281 |
1.4× |
| Repair brow defect (67900) |
$14,087.92 |
$25,157 |
5.6× |
| Repair choanal atresia; intranasal Age Under 21 (30540) |
$5,502 |
$9,825 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$561.12 |
$1,002 |
1.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$2,309.72 |
$4,124.50 |
5.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,295.44 |
$4,099 |
5.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$3,590.72 |
$6,412 |
4.6× |
| Repair elbow deb/attch open (24359) |
$6,102.88 |
$10,898 |
1.8× |
| Repair extensor tendon hand w/o graft each (26410) |
$2,256.80 |
$4,030 |
1.3× |
| Repair fibula nonunion/malunion w int fixation (27726) |
$8,718.27 |
$15,568.34 |
1.1× |
| Repair finger tendon (26418) |
$3,904.60 |
$6,972.50 |
2.3× |
| Repair finger/hand tendon (26350) |
$6,027.84 |
$10,764 |
1.7× |
| Repair forearm tendon/muscle (25260) |
$4,588.64 |
$8,194 |
1.3× |
| Repair incomplete circumcision (54163) |
$6,102.88 |
$10,898 |
2.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$7,540.96 |
$13,466 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$834.40 |
$1,490 |
1.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$799.96 |
$1,428.50 |
1.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,731.52 |
$3,092 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,731.52 |
$3,092 |
4.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$660.80 |
$1,180 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$738.64 |
$1,319 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,218.56 |
$2,176 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$962.64 |
$1,719 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$561.12 |
$1,002 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$1,000.16 |
$1,786 |
2.3× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$848.96 |
$1,516 |
1.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$1,414.56 |
$2,526 |
3.3× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$2,692.48 |
$4,808 |
1.2× |
| Repair lead pace-defib one (33218) |
$11,371.92 |
$20,307 |
2.9× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$898.24 |
$1,604 |
1.6× |
| Repair nasal septal perforations Age Under 21 (30630) |
$5,122.88 |
$9,148 |
1.5× |
| Repair nasal vestibular stenosis (30465) |
$6,918.24 |
$12,354 |
1.1× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$10,758.17 |
$19,211.01 |
1.6× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Repair of biceps tendon at elbow (24340) |
$5,141.22 |
$9,180.75 |
0.7× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$9,855.45 |
$17,599.01 |
1.8× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$440.72 |
$787 |
0.9× |
| Repair of leg tendon each (27658) |
$5,087.88 |
$9,085.50 |
1.5× |
| Repair of nail bed (11760) |
$848.96 |
$1,516 |
1.1× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435) |
$13,835.37 |
$24,706.01 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405) |
$16,185.69 |
$28,903.01 |
2.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) |
$8,063.44 |
$14,399 |
1.1× |
| Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440) |
$17,542.57 |
$31,326.01 |
2.3× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age Under 21 (67105) |
$4,263.84 |
$7,614 |
7.3× |
| Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling… (67107) |
$12,792.65 |
$22,844.01 |
2.9× |
| Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) |
$8,680.56 |
$15,501 |
2.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412) |
$12,663.85 |
$22,614.01 |
1.7× |
| Repair of shoulder joint capsule and shoulder blade with bone block (23460) |
$7,380.24 |
$13,179 |
1.0× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$3,886.40 |
$6,940 |
1.1× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$6,581.69 |
$11,753.01 |
1.9× |
| Repair wrist joints (25447) |
$3,569.23 |
$6,373.62 |
1.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,242.08 |
$2,218 |
1.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,347.36 |
$2,406 |
1.7× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$848.96 |
$1,516 |
2.0× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$9,600.65 |
$17,144.01 |
2.8× |
| Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659) |
$4,032 |
$7,200 |
0.5× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322) |
$7,540.96 |
$13,466 |
1.0× |
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
unusually low — confirm this is the full procedure |
$3,770.48 |
$6,733 |
0.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405) |
$6,194.73 |
$11,062.01 |
0.8× |
Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654)
likely a partial charge — not the full procedure |
$1,885.25 |
$3,366.51 |
0.2× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698) |
$5,344.36 |
$9,543.50 |
0.7× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$1,683.74 |
$3,006.67 |
0.5× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$4,588.64 |
$8,194 |
1.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$2,306.08 |
$4,118 |
0.7× |
| Repair/graft achilles tendon (27652) |
$8,471.12 |
$15,127 |
1.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,609.44 |
$2,874 |
1.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,609.44 |
$2,874 |
1.7× |
| Replace tunneled cv cath (36582) |
$7,586.88 |
$13,548 |
2.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,609.44 |
$2,874 |
1.7× |
| Replacement of tissue expander with permanent implant|BILATERAL PROCEDURE (11970) |
$8,044.41 |
$14,365.01 |
1.1× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$6,809.04 |
$12,159 |
2.0× |
| Reposition l ventric lead (33226) |
$4,367.44 |
$7,799 |
1.3× |
| Reposition venous catheter (36597) |
$2,873.92 |
$5,132 |
1.7× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$3,770.48 |
$6,733 |
1.0× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$2,710.40 |
$4,840 |
10.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,806.32 |
$6,797 |
1.1× |
| Reset dislocated jaw (21480) |
$513.52 |
$917 |
2.0× |
| Reshaping of bony cartilage dividing nasal passages|BILATERAL PROCEDURE (30420) |
$3,770.49 |
$6,733.01 |
0.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$24,655.13 |
$44,027.01 |
1.8× |
| Revise ulnar nerve at elbow (64718) |
$2,514.40 |
$4,490 |
1.2× |
| Revise ulnar nerve at wrist (64719) |
$1,258.32 |
$2,247 |
0.6× |
| Revision of reconstructed breast (19380) |
$4,867.52 |
$8,692 |
0.7× |
| Revision of total knee arthroplasty, with or without allograft; 1 component (27486) |
$10,491.60 |
$18,735 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487) |
$18,838.41 |
$33,640.01 |
1.0× |
| Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473) |
$9,243.08 |
$16,505.50 |
0.7× |
| Revision of upper eyelid (15823) |
$7,540.97 |
$13,466.01 |
3.5× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$3,051.44 |
$5,449 |
0.8× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$3,410.96 |
$6,091 |
0.9× |
| Revision peri-implant capsule breast (19370) |
$5,379.09 |
$9,605.51 |
1.3× |
| Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832) |
$12,115.05 |
$21,634.01 |
2.1× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$3,051.44 |
$5,449 |
0.8× |
| Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Age Under 21 (30450) |
$5,502.01 |
$9,825.01 |
0.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$4,513.60 |
$8,060 |
2.0× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$246.40 |
$440 |
1.8× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$292.04 |
$521.50 |
2.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,446.24 |
$6,154 |
1.1× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$45,974.88 |
$82,098 |
1.4× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$40,778.08 |
$72,818 |
1.7× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$40,778.08 |
$72,818 |
1.7× |
| Rmvl nfros tube req fluoro guidance (50389) |
$2,264.08 |
$4,043 |
3.1× |
| Rmvl of access device (36589) |
$1,506.96 |
$2,691 |
2.3× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$5,300.96 |
$9,466 |
1.3× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$5,250 |
$9,375 |
1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,132.64 |
$5,594 |
1.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$7,484.40 |
$13,365 |
2.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$8,625.13 |
$15,402.01 |
1.4× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$8,158.65 |
$14,569.01 |
1.2× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$6,918.24 |
$12,354 |
1.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$6,918.25 |
$12,354.01 |
1.8× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$14,828.81 |
$26,480.01 |
2.2× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$2,084.32 |
$3,722 |
1.3× |
| Rpr non-union mtcrpl/phalanx (26546) |
$5,331.20 |
$9,520 |
0.7× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$7,540.96 |
$13,466 |
2.0× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$5,600 |
$10,000 |
1.6× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$5,293.02 |
$9,451.80 |
1.5× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$4,006.80 |
$7,155 |
1.2× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$8,680 |
$15,500 |
2.6× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$1,736 |
$3,100 |
1.0× |
| Scrotal exploration Age Under 21 (55110) |
$7,540.96 |
$13,466 |
2.0× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$5,936.84 |
$10,601.50 |
1.6× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$560 |
$1,000 |
0.2× |
| Sesamoidectomy, thumb or finger (separate procedure) Age Under 21 (26185) |
$1,920.80 |
$3,430 |
1.1× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$561.12 |
$1,002 |
1.3× |
| Sigmoidoscopy & polypectomy (45333) |
$583.55 |
$1,042.05 |
0.6× |
| Sigmoidoscopy flx control bleeding (45334) |
$663.57 |
$1,184.95 |
0.5× |
| Sigmoidoscopy w/fb removal (45332) |
$1,742.72 |
$3,112 |
1.4× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$572.04 |
$1,021.50 |
0.5× |
| Simple complete removal of breast|BILATERAL PROCEDURE (19303) |
$6,102.88 |
$10,898 |
0.9× |
| Simple partial removal of external female genitals (56620) |
$3,873.24 |
$6,916.50 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$400.40 |
$715 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$417.76 |
$746 |
2.0× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$400.40 |
$715 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$417.76 |
$746 |
2.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$417.76 |
$746 |
2.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,154.16 |
$2,061 |
5.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$561.12 |
$1,002 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$400.40 |
$715 |
1.9× |
| Skin tissue procedure unlisted (17999) |
$4,884.86 |
$8,722.96 |
23.1× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$26,705 |
$47,687.50 |
4.5× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$10,918.04 |
$19,496.50 |
3.3× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$18,836.72 |
$33,637 |
3.2× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$14,445.20 |
$25,795 |
4.3× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$18,097.80 |
$32,317.50 |
3.1× |
| Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Age Under 21 (53440) |
$11,617.77 |
$20,746.01 |
0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$2,800 |
$5,000 |
0.5× |
| Small bowel endoscopy (44366) |
$2,143.40 |
$3,827.50 |
1.1× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$408.24 |
$729 |
1.9× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$561.12 |
$1,002 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$561.12 |
$1,002 |
1.3× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$2,561.44 |
$4,574 |
0.7× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$7,540.96 |
$13,466 |
3.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,051.44 |
$5,449 |
0.9× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; Age… (69660)
likely a partial charge — not the full procedure |
$560 |
$1,000 |
0.1× |
| Strapping elbow or wrist (29260) |
$257.04 |
$459 |
4.1× |
| Strapping hand/finger (29280) |
$257.04 |
$459 |
4.1× |
| Strapping of knee (29530) |
$78.96 |
$141 |
0.6× |
| Strapping of shoulder (29240) |
$257.04 |
$459 |
1.8× |
| Strapping of toes (29550) |
$257.04 |
$459 |
4.1× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$560 |
$1,000 |
0.7× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$1,960 |
$3,500 |
0.6× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$6,918.24 |
$12,354 |
1.1× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$4,577.16 |
$8,173.50 |
0.7× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$6,148.81 |
$10,980.01 |
14.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$3,770.48 |
$6,733 |
1.3× |
| Suture closure of vagina and vaginal opening (57120) |
$3,051.44 |
$5,449 |
0.6× |
| Suture of infrapatellar tendon; primary Age Under 21 (27380) |
$21,159.04 |
$37,784 |
2.8× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$8,821.69 |
$15,753.01 |
1.2× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386) |
$8,821.69 |
$15,753.01 |
1.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$2,525.60 |
$4,510 |
1.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,051.44 |
$5,449 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$378 |
$675 |
0.9× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$19,678.40 |
$35,140 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,030.94 |
$12,555.25 |
0.9× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,051.44 |
$5,449 |
0.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$6,102.88 |
$10,898 |
3.6× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$2,113.63 |
$3,774.34 |
0.6× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Age Under 21 (26442) |
$56 |
$100 |
0.0× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$3,590.72 |
$6,412 |
1.0× |
| Tenotomy, flexor, finger, open, each tendon Age Under 21 (26455) |
$6,102.88 |
$10,898 |
3.6× |
| Tenotomy, percutaneous, adductor or hamstring; multiple tendons Age Under 21 (27307) |
$5,491.36 |
$9,806 |
1.6× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21 (27306) |
$4,836.16 |
$8,636 |
1.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$4,264.40 |
$7,615 |
5.7× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,630.16 |
$2,911 |
2.2× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,429.68 |
$2,553 |
2.2× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21 (35875) |
$8,317.12 |
$14,852 |
1.4× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
likely a partial charge — not the full procedure |
$515.20 |
$920 |
0.1× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$5,493.60 |
$9,810 |
1.6× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$30,749.04 |
$54,909 |
5.2× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$30,749.04 |
$54,909 |
9.2× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age Under 21 (19357) |
$11,104.52 |
$19,829.50 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$6,102.88 |
$10,898 |
1.7× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$5,598.88 |
$9,998 |
1.6× |
| Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825) |
$5,598.88 |
$9,998 |
0.9× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$10,491.61 |
$18,735.01 |
0.6× |
| Total knee arthroplasty (27447) |
$11,345.61 |
$20,260.01 |
0.8× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220) |
$14,364.57 |
$25,651.01 |
2.3× |
| Transcatheter biopsy (37200) |
$8,933.12 |
$15,952 |
1.5× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$3,459.12 |
$6,177 |
1.7× |
| Transfer of tendon to restore intrinsic function; ring and small finger Age Under 21 (26497) |
$13,098.38 |
$23,389.97 |
3.8× |
| Transfer of tendon to thumb, palm, or wrist (26496) |
$4,634.01 |
$8,275.01 |
1.3× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691)
likely a partial charge — not the full procedure |
$1,885.24 |
$3,366.50 |
0.2× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$10,102.41 |
$18,040.01 |
2.9× |
| Transfusion, blood or blood components (36430) |
$1,251.88 |
$2,235.50 |
2.7× |
| Transperi needle place pros (55875) |
$8,846.88 |
$15,798 |
1.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$7,355.60 |
$13,135 |
1.3× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$7,380.24 |
$13,179 |
1.3× |
| Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) |
$8,044.40 |
$14,365 |
2.2× |
| Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative… (52630) |
$8,044.40 |
$14,365 |
1.4× |
| Treat big toe fracture (28495) |
$334.32 |
$597 |
1.3× |
| Treat dental ridge fracture (21440) |
$4,432.96 |
$7,916 |
1.3× |
| Treat fx distal radial (25606) |
$6,064.80 |
$10,830 |
1.8× |
| Treat fx rad extra-articul (25607) |
$7,712.32 |
$13,772 |
1.0× |
| Treat humerus fracture (24577) |
$2,256.80 |
$4,030 |
1.3× |
| Treat knee fracture (27532) |
$4,588.64 |
$8,194 |
1.3× |
| Treat lower leg fracture (27825) |
$2,210.32 |
$3,947 |
1.3× |
| Treat tail bone fracture (27200) |
$334.32 |
$597 |
1.3× |
| Treat thumb fracture (26665) |
$8,821.69 |
$15,753.01 |
2.6× |
| Treat thumb fracture (26645) |
$2,256.80 |
$4,030 |
1.3× |
| Treat toe dislocation (28630) |
$882 |
$1,575 |
3.4× |
| Treat ulnar fracture (24675) |
$2,256.80 |
$4,030 |
1.3× |
| Treat wrist bone fracture (25635) |
$2,256.80 |
$4,030 |
1.3× |
| Treat wrist dislocation (25690) |
$2,256.80 |
$4,030 |
1.3× |
| Treat wrist dislocation (25675) |
$334.32 |
$597 |
1.3× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,256.80 |
$4,030 |
1.3× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$9,985.65 |
$17,831.51 |
1.3× |
| Treatment of ankle fracture (27822) |
$6,157.62 |
$10,995.76 |
0.8× |
| Treatment of bladder lesion (51720) |
$595.28 |
$1,063 |
0.8× |
| Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515) |
$9,870.01 |
$17,625.01 |
0.7× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$615.16 |
$1,098.50 |
2.4× |
| Treatment of miscarriage (59812) |
$5,598.88 |
$9,998 |
1.6× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$6,102.88 |
$10,898 |
1.8× |
| Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) |
$8,718.26 |
$15,568.33 |
0.6× |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236) |
$17,156.73 |
$30,637.01 |
2.2× |
| Trimming of nondystrophic nails, any number (11719) |
$183.12 |
$327 |
2.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$17,878.56 |
$31,926 |
3.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,639.92 |
$24,357 |
2.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$2,199.40 |
$3,927.50 |
2.8× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) |
$6,102.88 |
$10,898 |
3.7× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$13,212.65 |
$23,594.01 |
2.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$11,383.13 |
$20,327.01 |
1.8× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$7,268.81 |
$12,980.01 |
1.2× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$9,449.72 |
$16,874.50 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$4,637.08 |
$8,280.50 |
0.7× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$5,598.88 |
$9,998 |
3.4× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$5,998.72 |
$10,712 |
0.9× |
| Unlisted msk procedure head drainage of a pseudomeningocele in subgaleal most like 10160 (21499) |
$6,918.24 |
$12,354 |
27.7× |
| Unlisted procedure anus (46999) |
$5,598.88 |
$9,998 |
5.7× |
| Unlisted procedure colon (45399) |
$946.96 |
$1,691 |
1.0× |
| Unlisted procedure rectum (45999) |
$6,102.88 |
$10,898 |
6.2× |
| Unlisted procedure, dentoalveolar structures (41899) |
$6,091.68 |
$10,878 |
24.4× |
| Upgrade of pacemaker system (33214) |
$20,386.24 |
$36,404 |
1.8× |
| Upper arm/elbow surgery unlisted (24999) |
$3,770.48 |
$6,733 |
14.5× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$7,380.24 |
$13,179 |
2.2× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262) |
$13,471.93 |
$24,057.01 |
2.6× |
| Vasc embolize/occlude bleed (37244) |
$15,155.28 |
$27,063 |
1.2× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$14,288.40 |
$25,515 |
0.7× |
| Vascular embolization or occlusion venous rs&i (37241) |
$15,273.44 |
$27,274 |
1.3× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$14,060.48 |
$25,108 |
1.2× |
| Vascular surgery procedure (37799) |
$23,266.32 |
$41,547 |
35.2× |
| Vasectomy (55250) |
$3,446.80 |
$6,155 |
1.6× |
| Venipuncture (36415) |
$4.76 |
$8.50 |
0.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$5,598.88 |
$9,998 |
1.6× |
| Version cephalic external (59412) |
$2,153.76 |
$3,846 |
0.6× |
| Vestibuloplasty; complex (including ridge extension, muscle repositioning) Age Under 21 (40845) |
$8,044.41 |
$14,365.01 |
1.3× |
| Vitrectomy mechanical pars plana (67036) |
$6,972.29 |
$12,450.51 |
1.6× |
| Vitrectomy pars plana remove int memb retina (67042) |
$7,505.68 |
$13,403 |
1.7× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age Under 21 (67039) |
$9,044.85 |
$16,151.51 |
2.1× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Age… (67041) |
$6,918.24 |
$12,354 |
1.6× |
| Wedge excision skin nail fold (11765) |
$561.12 |
$1,002 |
1.3× |