| Abd paracentesis w/imaging (49083) |
$2,311.12 |
$4,127 |
2.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,551.20 |
$2,770 |
1.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$12,755.12 |
$22,777 |
0.7× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$8,587.04 |
$15,334 |
0.8× |
| Abltj 1/> lvr tum prq rf (47382) |
$13,713.84 |
$24,489 |
2.2× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$5,598.88 |
$9,998 |
2.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$12,663.85 |
$22,614.01 |
3.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$5,598.88 |
$9,998 |
2.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,742.88 |
$4,898 |
1.3× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,257.76 |
$2,246 |
0.6× |
| Amniocentesis diagnostic (59000) |
$1,288.56 |
$2,301 |
1.3× |
| Amputate metacarpal bone (26910) |
$10,102.41 |
$18,040.01 |
2.9× |
| Amputation metatarsal with toe single (28810) |
$7,073.64 |
$12,631.50 |
2.0× |
| Amputation of finger/thumb (26952) |
$8,722.84 |
$15,576.50 |
2.5× |
| Amputation toe interphalangeal joint (28825) |
$3,051.44 |
$5,449 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,051.44 |
$5,449 |
0.9× |
| Anoscopy diagnostic (46600) |
$257.04 |
$459 |
1.8× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,923.88 |
$3,435.50 |
1.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,051.44 |
$5,449 |
1.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$8,044.40 |
$14,365 |
1.5× |
| Anterior Tibial Tubercleplasty (27418) |
$11,923.25 |
$21,291.51 |
1.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$711.76 |
$1,271 |
4.2× |
| Application cast elbow finger short arm (29075) |
$538.72 |
$962 |
1.8× |
| Application finger splint static (29130) |
$170.24 |
$304 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$288.96 |
$516 |
1.7× |
| Application long leg splint thigh ankle/toes (29505) |
$282.80 |
$505 |
1.6× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$7,540.40 |
$13,465 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$257.04 |
$459 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$326.48 |
$583 |
2.3× |
| Application short leg splint calf foot (29515) |
$296.24 |
$529 |
1.7× |
| Apply multlay comprs arm/hand (29584) |
$164.08 |
$293 |
1.0× |
| Apply short leg cast (29405) |
$391.44 |
$699 |
1.3× |
| Apply short leg cast (29425) |
$621.04 |
$1,109 |
2.1× |
| Arterial puncture (36600) |
$193.20 |
$345 |
1.4× |
| Arteriovenous Anastomosis Open Direct (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× |
| Arthrodesis ankle open (27870) |
$21,628.89 |
$38,623.01 |
1.6× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
likely a partial charge, not the full procedure |
$2,789.23 |
$4,980.76 |
0.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$10,491.61 |
$18,735.01 |
0.6× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$3,497.20 |
$6,245 |
0.1× |
| 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, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$15,499.69 |
$27,678.01 |
0.5× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$14,665.01 |
$26,187.51 |
0.8× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$10,491.61 |
$18,735.01 |
0.6× |
| 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 knee condyle and plateau medial or lateral compartment (sso) (27446) |
$18,838.41 |
$33,640.01 |
1.4× |
Arthroplasty with prosthetic replacement; distal radius (25441)
likely a partial charge, not the full procedure |
$2,543.52 |
$4,542 |
0.2× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$6,194.72 |
$11,062 |
0.8× |
| Arthroscopy ankle; ext debridem (29898) |
$3,770.48 |
$6,733 |
1.1× |
| Arthroscopy of joint (29999) |
$7,138.46 |
$12,747.25 |
27.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$3,038.28 |
$5,425.50 |
0.9× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$3,770.48 |
$6,733 |
1.1× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$6,802.33 |
$12,147.01 |
0.9× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,867.26 |
$10,477.25 |
1.7× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$8,625.13 |
$15,402.01 |
0.6× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$7,380.24 |
$13,179 |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,742 |
$13,825 |
2.2× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$3,020.22 |
$5,393.26 |
0.4× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,299.82 |
$11,249.67 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,510.04 |
$2,696.50 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,714.99 |
$4,848.20 |
0.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,299.82 |
$11,249.67 |
0.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,557.44 |
$9,924 |
0.7× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$4,588.64 |
$8,194 |
1.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$1,831.20 |
$3,270 |
5.7× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$4,299.12 |
$7,677 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$254.24 |
$454 |
1.2× |
| Axillary lymphadenectomy; complete (38745) |
$10,102.41 |
$18,040.01 |
1.6× |
| Biopsy Bone Open Deep (20245) |
$2,799.44 |
$4,999 |
0.9× |
| 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 Bone Trocar/Needle Superficial (20220) |
$3,138.24 |
$5,604 |
1.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$523.04 |
$934 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$1,991.92 |
$3,557 |
1.1× |
| Biopsy of tongue (41100) |
$560 |
$1,000 |
1.0× |
| Biopsy of uterus lining (58100) |
$3,116.40 |
$5,565 |
14.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$560 |
$1,000 |
0.1× |
| Biopsy Oropharynx (42800) |
$6,102.88 |
$10,898 |
3.7× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$3,404.80 |
$6,080 |
2.0× |
| Biopsy Salivary Gland,Needle (42400) |
$1,995.28 |
$3,563 |
2.7× |
| Biopsy soft tissue neck/thorax (21550) |
$2,924.32 |
$5,222 |
1.7× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,032.80 |
$3,630 |
0.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$523.04 |
$934 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$4,480 |
$8,000 |
1.1× |
| Biopsy/removal lymph nodes (38510) |
$7,268.81 |
$12,980.01 |
1.8× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$595.28 |
$1,063 |
0.8× |
| Bladder Irrigation Simple (51700) |
$718.48 |
$1,283 |
2.7× |
| Bladder Scan (51798) |
$261.52 |
$467 |
4.2× |
| Blood patch (62273) |
$1,354.64 |
$2,419 |
1.8× |
| Blood transfusion service (36430) |
$1,251.88 |
$2,235.50 |
2.7× |
| Bone marrow aspiration only (38220) |
$2,356.48 |
$4,208 |
1.4× |
| Bone Marrow Biopsy (38221) |
$1,962.80 |
$3,505 |
1.1× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$1,179.92 |
$2,107 |
1.6× |
| Breast augmentation with implant (19325) |
$6,760.18 |
$12,071.75 |
0.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$977.62 |
$1,745.75 |
0.5× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,302.32 |
$5,897 |
0.8× |
| Bronch ebus samplng 1/2 node (31652) |
$5,527.20 |
$9,870 |
1.4× |
| Bronch ebus samplng 3/> node (31653) |
$6,061.44 |
$10,824 |
1.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,426.48 |
$4,333 |
1.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$977.62 |
$1,745.75 |
0.5× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,091.04 |
$3,734 |
0.5× |
| Bronchoscopy w/tumor excise (31640) |
$4,378.64 |
$7,819 |
1.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,226 |
$3,975 |
1.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,609.44 |
$2,874 |
0.9× |
| Bx anorectal wall anal approach (45100) |
$3,051.44 |
$5,449 |
1.0× |
| 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 vulva/perineum 1 lesion (56605) |
$523.04 |
$934 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$4,570.72 |
$8,162 |
2.6× |
| Canthotomy Separate Procedure (67715) |
$3,450.16 |
$6,161 |
1.4× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,079.44 |
$5,499 |
0.9× |
| Capsulodesis Mtcarphlngl Joint 2 Digits (26517) |
$4,634 |
$8,275 |
1.3× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$8,109.37 |
$14,481.01 |
1.1× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$7,380.24 |
$13,179 |
1.0× |
| Carpectomy All Bones Proximal Row (25215) |
$2,940.57 |
$5,251.01 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$302.40 |
$540 |
1.3× |
| Cautery Cervix Electro/Thermal (57510) |
$4,250.96 |
$7,591 |
1.2× |
| Cerv artific diskectomy (22856) |
$10,491.61 |
$18,735.01 |
0.6× |
| Cessj Therapy Cath 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× |
| Change Ureter Stent, Percut (50382) |
$5,467.84 |
$9,764 |
2.5× |
| Chemical Cautery 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 Musc Migraine (64615) |
$940.24 |
$1,679 |
2.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$986.44 |
$1,761.50 |
3.0× |
| 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 of parotid and submandibular salivary glands, bilateral (64611) |
$940.24 |
$1,679 |
2.9× |
| Chest tube placement (32551) |
$2,231.60 |
$3,985 |
1.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$287.28 |
$513 |
2.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,248 |
$5,800 |
1.5× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$7,250.32 |
$12,947 |
1.9× |
| Chromotubation of oviduct, including materials (58350) |
$3,770.48 |
$6,733 |
0.7× |
| Circum 28 days or older (54161) |
$6,102.88 |
$10,898 |
2.8× |
| Claviculectomy; partial (23120) |
$8,044.40 |
$14,365 |
2.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,256.80 |
$4,030 |
1.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$334.32 |
$597 |
1.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,256.80 |
$4,030 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,163.56 |
$3,863.50 |
1.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,256.80 |
$4,030 |
1.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,256.80 |
$4,030 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$334.32 |
$597 |
1.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$2,163.56 |
$3,863.50 |
1.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$500.64 |
$894 |
1.9× |
| Closed treat wrist dislocation (25660) |
$334.32 |
$597 |
1.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$334.32 |
$597 |
1.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$6,102.88 |
$10,898 |
1.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$334.32 |
$597 |
1.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$334.32 |
$597 |
1.3× |
| Closed Treatment 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 Manip (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 calcaneal fracture w/o manipulation (28400) |
$336 |
$600 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$334.32 |
$597 |
1.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,256.80 |
$4,030 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$334.32 |
$597 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,256.80 |
$4,030 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$4,402.72 |
$7,862 |
2.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,282.40 |
$2,290 |
4.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,256.80 |
$4,030 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$334.32 |
$597 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$5,258.40 |
$9,390 |
3.1× |
| Closed tx septal&nose fx (21337) |
$5,267.92 |
$9,407 |
1.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,256.80 |
$4,030 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$513.52 |
$917 |
2.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,256.80 |
$4,030 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$334.32 |
$597 |
1.3× |
| 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× |
| Closure of vagina (57120) |
$6,102.88 |
$10,898 |
1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$334.32 |
$597 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,256.80 |
$4,030 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$502.88 |
$898 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,163.56 |
$3,863.50 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$615.16 |
$1,098.50 |
2.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$334.32 |
$597 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$347.76 |
$621 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$334.32 |
$597 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,475.60 |
$2,635 |
5.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$334.32 |
$597 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$334.32 |
$597 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$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 fem fx dstl end medial/lat condyle w/manj (27510) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$334.32 |
$597 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$334.32 |
$597 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$334.32 |
$597 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,210.32 |
$3,947 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,276.24 |
$2,279 |
4.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$603.12 |
$1,077 |
2.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$449.12 |
$802 |
1.7× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$4,432.96 |
$7,916 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$320.60 |
$572.50 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$334.32 |
$597 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$526.96 |
$941 |
2.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$882 |
$1,575 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$334.32 |
$597 |
1.3× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$526.96 |
$941 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$334.32 |
$597 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,591.24 |
$2,841.50 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$423.36 |
$756 |
1.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$2,256.80 |
$4,030 |
1.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,629.76 |
$4,696 |
1.6× |
| 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 (27752) |
$3,817.94 |
$6,817.76 |
2.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$334.32 |
$597 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,256.80 |
$4,030 |
1.3× |
| Colonoscopy flex w/rem forcep (45384) |
$560 |
$1,000 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$1,583.12 |
$2,827 |
1.3× |
| Colonoscopy stoma w/snare (44394) |
$1,493.52 |
$2,667 |
1.2× |
| Colonoscopy thru stoma (44388) |
$1,966.44 |
$3,511.50 |
2.0× |
| Colonoscopy w/ablation (45388) |
$4,762.24 |
$8,504 |
3.8× |
| Colonoscopy w/resection (45390) |
$3,014.48 |
$5,383 |
1.0× |
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 injury vagina (57200) |
$2,999.36 |
$5,356 |
0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$3,155.88 |
$5,635.50 |
9.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,032.80 |
$3,630 |
0.6× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,032.80 |
$3,630 |
0.6× |
| 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 (57455) |
$208.88 |
$373 |
0.6× |
| Colposcopy vulva (56820) |
$129.92 |
$232 |
0.6× |
| Colposcopy vulva w/biopsy (56821) |
$208.88 |
$373 |
0.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$208.88 |
$373 |
0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$523.04 |
$934 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,991.36 |
$3,556 |
1.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$857.36 |
$1,531 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,430.15 |
$2,553.84 |
1.1× |
| Complete replacement picc rs&i (36584) |
$2,056.88 |
$3,673 |
1.2× |
| Complex Drainage, Wound (10180) |
$4,487.28 |
$8,013 |
1.5× |
| Conization of cervix (57520) |
$6,102.88 |
$10,898 |
1.8× |
| Conization of cervix (57522) |
$6,102.88 |
$10,898 |
1.8× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$666.96 |
$1,191 |
3.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$246.40 |
$440 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (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× |
| Conversion ext bil drg cath (47535) |
$7,902.72 |
$14,112 |
2.1× |
| Convert nephrostomy catheter (50434) |
$1,905.68 |
$3,403 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$5,038.88 |
$8,998 |
2.9× |
| Correction hammertoe (28285) |
$3,779.44 |
$6,749 |
1.1× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
Correction of bunion (28297)
unusually low: confirm this is the full procedure |
$6,069.84 |
$10,839 |
0.4× |
| Create eardrum opening (69436) |
$5,598.88 |
$9,998 |
3.4× |
| Crtj arven fstl xcp dir arven anast nonautog grf (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 Bladder W/Ureteral Catheterization (52005) |
$5,857.60 |
$10,460 |
2.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$6,918.24 |
$12,354 |
1.9× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$6,918.25 |
$12,354.01 |
1.2× |
| Cysto w/destruction of lesions (52214) |
$7,540.96 |
$13,466 |
2.0× |
| Cysto w/removal of tumors small (52234) |
$3,459.12 |
$6,177 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$6,918.24 |
$12,354 |
3.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$6,178.48 |
$11,033 |
1.7× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$7,484.40 |
$13,365 |
2.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$8,821.69 |
$15,753.01 |
1.6× |
| Cysto/uretero w/lithotripsy (52356) |
$8,093.13 |
$14,452.01 |
1.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,362.84 |
$9,576.50 |
0.9× |
| Cystoscopy w/biopsy (52204) |
$4,047.12 |
$7,227 |
1.8× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$7,540.96 |
$13,466 |
3.4× |
| Cystoscopy,insert ureteral stent (52332) |
$7,229.60 |
$12,354 |
1.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$6,918.24 |
$12,354 |
3.1× |
| Cystourethroscopy (52000) |
$7,540.96 |
$13,466 |
10.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$6,918.24 |
$12,354 |
3.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$7,540.96 |
$13,466 |
3.4× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$6,918.24 |
$12,354 |
1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$848.96 |
$1,516 |
2.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,841.04 |
$6,859 |
1.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$988.40 |
$1,765 |
1.3× |
| Debride nail 1-5 (11720) |
$244.16 |
$436 |
3.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,820 |
$3,250 |
4.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,421.19 |
$2,537.84 |
1.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,170 |
$3,875 |
1.2× |
| Declot vascular device (36593) |
$579.60 |
$1,035 |
1.7× |
| Delivery placenta separate procedure (59414) |
$3,639.44 |
$6,499 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$3,793.16 |
$6,773.50 |
1.8× |
| Destroy lumb/sac facet jnt (64635) |
$3,034.64 |
$5,419 |
1.5× |
| Destruction anal lesion(s) (46924) |
$7,540.96 |
$13,466 |
2.6× |
| 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; other peripheral nerve or branch (64640) |
$3,966.48 |
$7,083 |
4.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$1,157.52 |
$2,067 |
3.6× |
| 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 multiple growths of penis (54065) |
$3,770.48 |
$6,733 |
1.7× |
| Destruction vaginal lesions simple (57061) |
$5,598.88 |
$9,998 |
1.6× |
| 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× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$7,540.96 |
$13,466 |
2.2× |
| Dilation Esophagus Guide Wire (43453) |
$1,941.52 |
$3,467 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,340.80 |
$4,180 |
1.2× |
| Drain hand tendon sheath (26020) |
$5,290.88 |
$9,448 |
1.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,009.68 |
$1,803 |
1.4× |
| Drain outer ear canal lesion (69020) |
$1,009.68 |
$1,803 |
1.4× |
| Drain spinal cord cyst (62268) |
$1,877.68 |
$3,353 |
2.0× |
| Drain/inj small joint/bursa w/us (20604) |
$232.96 |
$416 |
0.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$343.84 |
$614 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,009.68 |
$1,803 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$385.28 |
$688 |
1.8× |
| Drainage mouth roof lesion (42000) |
$641.76 |
$1,146 |
2.6× |
| Drainage of eyelid abscess (67700) |
$418.88 |
$748 |
1.3× |
| Drainage of gum lesion (41800) |
$353.36 |
$631 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$3,856.16 |
$6,886 |
2.2× |
| Drainage of mouth lesion (41017) |
$4,432.96 |
$7,916 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$4,638.48 |
$8,283 |
2.7× |
| Draw blood off venous device (36591) |
$287.28 |
$513 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$561.12 |
$1,002 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$488.32 |
$872 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$448 |
$800 |
2.1× |
| Dry Needling 3+ Muscles (20561) |
$45.92 |
$82 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$5,598.88 |
$9,998 |
1.9× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$6,102.88 |
$10,898 |
2.8× |
| Dx bone marrow bx & aspir (38222) |
$2,859.36 |
$5,106 |
0.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$4,255.86 |
$7,599.75 |
2.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,941.52 |
$3,467 |
1.0× |
| Egd Endo Mucosal Resection (43254) |
$970.76 |
$1,733.50 |
0.5× |
| Egd flexible foreign body removal (43247) |
$1,941.52 |
$3,467 |
2.0× |
| Egd guide wire insertion (43248) |
$1,941.52 |
$3,467 |
2.0× |
| Egd remove lesion snare (43251) |
$970.76 |
$1,733.50 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,499.82 |
$2,678.25 |
0.7× |
| Egd Varices Ligation (43244) |
$1,941.52 |
$3,467 |
1.0× |
| Elbow arthroscopy/surgery (29837) |
$3,770.48 |
$6,733 |
1.1× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$9,658.33 |
$17,247.01 |
1.6× |
| Endocervical Curettage (57505) |
$523.04 |
$934 |
0.5× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$8,044.40 |
$14,365 |
1.5× |
| Endoscopic Injection/Implant (51715) |
$6,918.24 |
$12,354 |
1.9× |
| Endoven ther chem adhes 1st (36482) |
$8,015.28 |
$14,313 |
1.4× |
| Endovenous rf 1st vein (36475) |
$5,598.88 |
$9,998 |
1.7× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$3,011.68 |
$5,378 |
1.4× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$5,250 |
$9,375 |
1.3× |
| Ercp Duct Stent Placement (43274) |
$7,540.96 |
$13,466 |
1.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,852.96 |
$8,666 |
1.2× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,803.08 |
$5,005.50 |
0.7× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,803.08 |
$5,005.50 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$809.06 |
$1,444.75 |
0.8× |
| Evacuate mole of uterus (59870) |
$7,380.24 |
$13,179 |
2.2× |
| Evacuation of 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× |
| Exc abd les sc 3 cm/> (22903) |
$6,102.89 |
$10,898.01 |
2.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,665.60 |
$4,760 |
1.5× |
| Exc back les sc < 3 cm (21930) |
$3,051.44 |
$5,449 |
1.8× |
| Exc back tum deep < 5 cm (21932) |
$6,102.88 |
$10,898 |
2.0× |
| Exc face les sbq 2 cm/> (21012) |
$3,360 |
$6,000 |
1.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,556.28 |
$6,350.50 |
4.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$6,102.88 |
$10,898 |
3.5× |
| Exc forearm les sc < 3 cm (25075) |
$3,391.36 |
$6,056 |
1.9× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$13,604.65 |
$24,294.01 |
2.2× |
| Exc Rect Tum Transanal Full (45172) |
$6,102.88 |
$10,898 |
2.1× |
| Exc rect tum transanal part (45171) |
$7,290.64 |
$13,019 |
2.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$6,102.88 |
$10,898 |
3.5× |
| Exc skin abd (15830) |
$10,128.16 |
$18,086 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,657.04 |
$2,959 |
2.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$6,102.88 |
$10,898 |
14.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,638 |
$2,925 |
2.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$756 |
$1,350 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$3,051.44 |
$5,449 |
1.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,806.32 |
$6,797 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,770.49 |
$6,733.01 |
2.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$5,598.88 |
$9,998 |
3.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$6,102.88 |
$10,898 |
2.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$2,422.94 |
$4,326.67 |
3.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$6,102.88 |
$10,898 |
2.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$5,598.88 |
$9,998 |
3.2× |
| 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 leg/ankle subq <3cm (27618) |
$1,901.20 |
$3,395 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,598.88 |
$9,998 |
1.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$6,102.88 |
$10,898 |
2.0× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$7,268.81 |
$12,980.01 |
2.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$7,250.32 |
$12,947 |
1.9× |
| Exchange nephrostomy cath (50435) |
$3,483.20 |
$6,220 |
1.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$4,021.92 |
$7,182 |
2.0× |
| Excise tendon forearm/wrist (25109) |
$2,782.58 |
$4,968.90 |
0.8× |
| Excision Breast Lesion (19125) |
$6,918.24 |
$12,354 |
1.7× |
| Excision Chalazion Single (67800) |
$706.16 |
$1,261 |
2.1× |
| Excision exostosis(es), external auditory canal (69140) |
$6,788.32 |
$12,122 |
1.1× |
| Excision hydrocele bilateral (55041) |
$6,102.88 |
$10,898 |
1.6× |
| 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 malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$3,459.12 |
$6,177 |
4.6× |
| Excision of bartholin's gland or cyst (56740) |
$6,102.88 |
$10,898 |
1.8× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$5,598.88 |
$9,998 |
7.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$6,102.89 |
$10,898.01 |
8.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$6,102.88 |
$10,898 |
3.6× |
| Excision of hydrocele; unilateral (55040) |
$6,102.88 |
$10,898 |
1.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$5,598.88 |
$9,998 |
5.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$4,191.32 |
$7,484.50 |
2.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$4,172.56 |
$7,451 |
2.4× |
| Excision of local lesion of epididymis (54830) |
$6,102.89 |
$10,898.01 |
1.6× |
| Excision of mouth lesion (40816) |
$6,102.88 |
$10,898 |
1.7× |
| Excision of nail fold toe (11765) |
$561.12 |
$1,002 |
1.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,971.96 |
$8,878.50 |
1.6× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$5,822.88 |
$10,398 |
2.6× |
| Excision of vaginal cyst or tumor (57135) |
$5,598.88 |
$9,998 |
1.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,038.88 |
$8,998 |
1.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,102.88 |
$10,898 |
3.5× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$3,051.44 |
$5,449 |
1.8× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$2,108.68 |
$3,765.50 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$6,102.88 |
$10,898 |
3.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,570.88 |
$9,948 |
1.8× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$6,102.88 |
$10,898 |
2.0× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$5,395.21 |
$9,634.30 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$3,847.20 |
$6,870 |
2.2× |
| Explor ankle jt+tenosynovectomy (27626) |
$6,102.88 |
$10,898 |
1.8× |
| Exploration of ankle joint (27612) |
$7,540.96 |
$13,466 |
2.2× |
| Exploration penetrating wound spx chest (20101) |
$2,774.80 |
$4,955 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,886.24 |
$5,154 |
1.7× |
| Exploration Penetrating Wound Spx Neck (20100) |
$926.80 |
$1,655 |
1.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,236.94 |
$5,780.25 |
0.9× |
| Explore parathyroid glands (60500) |
$12,300.68 |
$21,965.50 |
2.0× |
| Explore/treat ankle joint (27610) |
$5,580.96 |
$9,966 |
1.6× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$560 |
$1,000 |
0.3× |
| Exposure of prostate, any approach, for insertion of radioactive substance; (55860) |
$8,846.88 |
$15,798 |
1.6× |
| External Cephalic Version (59412) |
$2,153.76 |
$3,846 |
0.6× |
| Fasciotomy palmar percutaneous (26040) |
$3,051.44 |
$5,449 |
1.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,102.88 |
$10,898 |
1.8× |
| Fetal Contraction Stress Test (59020) |
$500.64 |
$894 |
2.3× |
| Fetal non-stress test (59025) |
$520.80 |
$930 |
2.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,202.32 |
$2,147 |
1.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,529.08 |
$2,730.50 |
2.0× |
| Fine needle aspiration without imaging guidance (10021) |
$419.72 |
$749.50 |
1.0× |
| Finger tendon transfer (26497) |
$13,098.38 |
$23,389.97 |
3.8× |
| Fixation of knee joint (27570) |
$5,104.40 |
$9,115 |
3.0× |
| Fluid pressure muscle (20950) |
$988.40 |
$1,765 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$652.96 |
$1,166 |
2.6× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,459.12 |
$6,177 |
1.6× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$4,829.17 |
$8,623.51 |
2.2× |
Fuse hand bones with graft (25825)
unusually low: confirm this is the full procedure |
$3,089.34 |
$5,516.67 |
0.4× |
| Fusion Finger Joint (26860) |
$7,540.96 |
$13,466 |
2.2× |
| Fusion of foot bones (28730) |
$6,918.25 |
$12,354.01 |
0.5× |
| Fusion of foot bones (28735) |
$9,268.01 |
$16,550.01 |
0.7× |
| Fusion of foot bones (28740) |
$6,918.24 |
$12,354 |
0.9× |
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure |
$2,513.73 |
$4,488.80 |
0.3× |
| Fusion of knuckle joint (26516) |
$3,770.48 |
$6,733 |
1.1× |
| Fusion of knuckle with graft (26852) |
$5,142.86 |
$9,183.68 |
0.7× |
| Fusion/graft of finger joint (26862) |
$10,506.44 |
$18,761.50 |
3.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$624.96 |
$1,116 |
2.7× |
| Gastrocnemius Recession (27687) |
$2,165.24 |
$3,866.50 |
0.6× |
| Glossectomy; less than one-half tongue (41120) |
$6,102.88 |
$10,898 |
1.0× |
| Graft ear crtlg autogenous nose/ear (21235) |
$5,502.98 |
$9,826.75 |
0.9× |
| 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) (15769) |
$9,056.32 |
$16,172 |
2.4× |
| Guide Cathet Fluid Drainage (10030) |
$3,138.24 |
$5,604 |
4.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$6,102.88 |
$10,898 |
1.8× |
| Hemorrhoidectomy (46255) |
$5,295.64 |
$9,456.50 |
1.8× |
| Hemorrhoidectomy external complete (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× |
| Hip arthro acetabuloplasty (29915) |
$6,735.96 |
$12,028.50 |
0.9× |
| Hip arthro w/labral repair (29916) |
$9,449.72 |
$16,874.50 |
1.2× |
Hysteroscopy ablation (58563)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
| Hysteroscopy biopsy (58558) |
$7,380.24 |
$13,179 |
2.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$7,540.96 |
$13,466 |
1.4× |
| I&D Abscess Peritonsillar (42700) |
$385.28 |
$688 |
1.5× |
| I&d abscess simple (10060) |
$2,108.69 |
$3,765.51 |
10.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,350.96 |
$11,341 |
2.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$7,540.96 |
$13,466 |
2.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,901.92 |
$5,182 |
1.3× |
| I&d perianal abscess superficial (46050) |
$4,979.52 |
$8,892 |
5.1× |
| I&d pilonidal cyst simple (10080) |
$3,368.12 |
$6,014.50 |
4.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,279.76 |
$4,071 |
1.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,841.04 |
$6,859 |
1.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,859.76 |
$3,321 |
1.9× |
| Image Cath Fluid Colxn Visc (49405) |
$2,793.28 |
$4,988 |
1.6× |
| Image Cath Fluid Peri/Retro (49406) |
$4,210.64 |
$7,519 |
2.4× |
| Immediate breast prosthesis (19340) |
$7,380.24 |
$13,179 |
0.9× |
| Impl oi implt skull mag tc attachment esp<100 (69716) |
$7,380.24 |
$13,179 |
0.5× |
| Impl oi implt skull perq attachment esp (69714) |
$17,339.29 |
$30,963.01 |
1.3× |
| Implant neuroelectrodes (63650) |
$11,597.60 |
$20,710 |
1.7× |
Implant neuroelectrodes (64580)
unusually low: confirm this is the full procedure |
$6,918.24 |
$12,354 |
0.3× |
| Incise finger tendon sheath (26055) |
$2,177 |
$3,887.50 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,225.72 |
$3,974.50 |
5.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,745.44 |
$8,474 |
1.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$3,556.28 |
$6,350.50 |
4.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,279.76 |
$4,071 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$677.32 |
$1,209.50 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$641.76 |
$1,146 |
3.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$594.16 |
$1,061 |
1.8× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$6,102.88 |
$10,898 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$3,410.96 |
$6,091 |
2.0× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$5,500.04 |
$9,821.50 |
0.8× |
| Incision of eardrum (69420) |
$343.84 |
$614 |
1.4× |
| Incision of heel bone (28300) |
$6,305.88 |
$11,260.50 |
0.8× |
| Incision of lingual frenum (41010) |
$5,598.88 |
$9,998 |
3.4× |
| Incision of metatarsal (28308) |
$6,861.68 |
$12,253 |
2.0× |
| Incision of rectal abscess (46040) |
$4,242.56 |
$7,576 |
3.4× |
| Incision of thigh tendons (27307) |
$5,491.36 |
$9,806 |
1.6× |
| Incision of wrist capsule (25085) |
$908.61 |
$1,622.51 |
0.3× |
| Incision thrombosed hemorrhoid external (46083) |
$561.68 |
$1,003 |
2.1× |
| Incisional biopsy skin single lesion (11106) |
$408.80 |
$730 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$492.24 |
$879 |
2.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,294.16 |
$2,311 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$1,048.04 |
$1,871.50 |
3.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,261.68 |
$2,253 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,157.52 |
$2,067 |
1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,754.92 |
$4,919.50 |
3.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,209.60 |
$2,160 |
1.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$3,130.96 |
$5,591 |
3.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$2,454.48 |
$4,383 |
3.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,226.56 |
$3,976 |
2.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,226.56 |
$3,976 |
3.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$3,067.96 |
$5,478.50 |
3.3× |
| Inject Rx Celiac Plexus Nerve (64680) |
$2,301.04 |
$4,109 |
2.5× |
| Inject Tendon Origin/Insert (20551) |
$273.28 |
$488 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,261.68 |
$2,253 |
1.7× |
| 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 other peripheral nerve/branch (64450) |
$1,157.52 |
$2,067 |
1.6× |
| 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 single/mlt trigger point 1/2 muscles (20552) |
$870.24 |
$1,554 |
2.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$686.56 |
$1,226 |
2.1× |
| Injection therapeutic carpal tunnel (20526) |
$5,300.97 |
$9,466.01 |
16.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$976.08 |
$1,743 |
3.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (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 endovas vena cava filtr (37191) |
$13,300.56 |
$23,751 |
2.3× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$18,081.28 |
$32,288 |
1.6× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$23,344.16 |
$41,686 |
2.1× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$22,150.80 |
$39,555 |
2.0× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$18,146.24 |
$32,404 |
1.6× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$17,376.80 |
$31,030 |
2.0× |
| Ins vag brachytx device (57156) |
$911.12 |
$1,627 |
2.8× |
| Ins/Rep Subq Defibrillator (33270) |
$60,059.44 |
$107,249 |
1.8× |
| Insert 1 electrode pm-defib (33216) |
$11,413.92 |
$20,382 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$324.80 |
$580 |
2.4× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$3,951.92 |
$7,057 |
2.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,625.44 |
$6,474 |
1.8× |
| Insert hepatic shunt (tips) (37182) |
$11,954.88 |
$21,348 |
0.6× |
| Insert nasal septal button (30220) |
$6,918.24 |
$12,354 |
4.2× |
| Insert non-tunnel cv cath (36556) |
$2,555.56 |
$4,563.50 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,357.20 |
$5,995 |
1.0× |
| Insert pacing lead & connect (33224) |
$14,560.56 |
$26,001 |
1.3× |
| Insert picc cath (36569) |
$2,061.36 |
$3,681 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$376.32 |
$672 |
2.7× |
| Insert tun ip cath perc (49418) |
$8,471.40 |
$15,127.50 |
2.2× |
| Insert tunneled cv cath (36561) |
$7,681.52 |
$13,717 |
2.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$448 |
$800 |
3.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,250.32 |
$12,947 |
1.9× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
unusually low: confirm this is the full procedure |
$6,918.24 |
$12,354 |
0.3× |
| 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× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$9,894.64 |
$17,669 |
1.9× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$11,413.92 |
$20,382 |
1.3× |
Insj inflatable urethral/bladder neck sphincter (53445)
unusually low: confirm this is the full procedure |
$9,644.33 |
$17,222.01 |
0.4× |
Insj multi-component inflatable penile prosth (54405)
unusually low: confirm this is the full procedure |
$10,102.41 |
$18,040.01 |
0.5× |
Insj penile prosthesos inflatable self-contained (54401)
unusually low: confirm this is the full procedure |
$8,821.69 |
$15,753.01 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$8,903.44 |
$15,899 |
2.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,829.72 |
$8,624.50 |
1.5× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$7,380.24 |
$13,179 |
0.9× |
| Insj/rplcmt defib w/lead(s) (33249) |
$45,974.88 |
$82,098 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,413.92 |
$20,382 |
1.3× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$12,257.28 |
$21,888 |
1.4× |
| 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× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$5,598.88 |
$9,998 |
0.2× |
| 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× |
| Intro Gastrointestinal Tube (44500) |
$1,754.48 |
$3,133 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$910.84 |
$1,626.50 |
3.6× |
| Irrigate corpora cavernosa for priapism (54220) |
$1,232 |
$2,200 |
4.7× |
| Irrigation maxillary sinus (31000) |
$343.84 |
$614 |
1.4× |
| Island pedicle flap graft (15740) |
$4,341.29 |
$7,752.30 |
2.0× |
| IV injection test vascular flow flap/graft (15860) |
$2,034.29 |
$3,632.66 |
4.3× |
| Knee arthroscopy/surgery (29883) |
$5,364.80 |
$9,580 |
1.6× |
| 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… (63030) |
$8,044.40 |
$14,365 |
1.1× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$9,259.60 |
$16,535 |
1.2× |
| Lap ing hernia repair init (49650) |
$5,701.22 |
$10,180.75 |
0.9× |
| Lap insert tunnel ip cath (49324) |
$6,918.24 |
$12,354 |
1.1× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$8,625.13 |
$15,402.01 |
0.8× |
| Laparoscopy appendectomy (44970) |
$7,229.60 |
$12,910 |
1.1× |
| Laparoscopy biopsy (49321) |
$3,459.12 |
$6,177 |
0.5× |
Laparoscopy lymphadenectomy (38572)
likely a partial charge, not the full procedure |
$1,499.68 |
$2,678 |
0.1× |
| Laparoscopy Remove Adnexa (58661) |
$6,918.25 |
$12,354.01 |
1.1× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$16,219.29 |
$28,963.01 |
1.4× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$14,364.57 |
$25,651.01 |
1.3× |
| Laparoscopy w/lysis of adhesions (58660) |
$4,099.48 |
$7,320.50 |
0.6× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,401.74 |
$7,860.25 |
0.7× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$21,655.77 |
$38,671.01 |
1.9× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$14,364.57 |
$25,651.01 |
1.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$8,083.04 |
$14,434 |
1.3× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$9,676.81 |
$17,280.01 |
0.9× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$8,860.89 |
$15,823.01 |
0.8× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (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, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$20,156.09 |
$35,993.01 |
1.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$9,658.32 |
$17,247 |
0.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
$12,657.69 |
$22,603.01 |
1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,380.24 |
$13,179 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$12,115.05 |
$21,634.01 |
1.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$8,625.13 |
$15,402.01 |
1.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,540.96 |
$13,466 |
1.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$7,540.96 |
$13,466 |
1.9× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$8,860.89 |
$15,823.01 |
0.8× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$11,612.73 |
$20,737.01 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,924.40 |
$12,365 |
1.1× |
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× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$9,870.01 |
$17,625.01 |
0.9× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$8,044.41 |
$14,365.01 |
1.3× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$7,540.96 |
$13,466 |
1.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$6,040.44 |
$10,786.50 |
1.5× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Other… (31584) |
$7,231.28 |
$12,913 |
1.2× |
| Laryngoscopy Direct Aspiration (31515) |
$609.28 |
$1,088 |
1.5× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$4,022.20 |
$7,182.50 |
1.0× |
| Laryngoscopy Flexible Diagnostic (31575) |
$268.80 |
$480 |
1.3× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$4,022.20 |
$7,182.50 |
2.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$267.12 |
$477 |
1.3× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$267.12 |
$477 |
1.3× |
| Laryngoscopy w/biopsy (31535) |
$6,918.24 |
$12,354 |
1.8× |
| Laryngoscopy w/bx op scope (31536) |
$8,044.40 |
$14,365 |
2.0× |
| Laryngoscopy w/exc of tumor (31540) |
$7,792.68 |
$13,915.50 |
2.0× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$5,637.80 |
$10,067.50 |
3.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,424.24 |
$4,329 |
1.3× |
| Larynscop w/tumr exc + scope (31541) |
$7,712.32 |
$13,772 |
2.0× |
| Laser surgery, anal lesion(s) (46917) |
$5,598.88 |
$9,998 |
1.9× |
| Laser treatment of retina (67039) |
$9,044.85 |
$16,151.51 |
2.1× |
| Laser treatment of retina (67040) |
$7,540.96 |
$13,466 |
1.7× |
| Late closure of wound (13160) |
$5,936.84 |
$10,601.50 |
1.6× |
| Lateral canthopexy (21282) |
$7,540.97 |
$13,466.01 |
2.2× |
| Lateral retinacular release open (27425) |
$8,044.40 |
$14,365 |
2.3× |
| 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 smpl/sm <2.5 cm (52317) |
$1,308.16 |
$2,336 |
0.4× |
| Lithotripsy (50590) |
$18,929.96 |
$33,803.50 |
5.1× |
| Liver Biopsy (47000) |
$4,509.12 |
$8,052 |
2.6× |
| Male sling procedure (53440) |
$11,617.77 |
$20,746.01 |
0.8× |
| Manipulation, elbow, under anesthesia (24300) |
$2,273.04 |
$4,059 |
1.3× |
| Marsup Bartholin 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× |
| Mastectomy simple complete (19303) |
$11,098.64 |
$19,819 |
1.6× |
| Mastopexy (19316) |
$4,736.97 |
$8,458.88 |
0.7× |
| Measure Kidney Pressure Thru Tube (50396) |
$1,781.92 |
$3,182 |
2.4× |
| Mediastinoscopy Includes Mediastinal Mass Biopsy (39401) |
$8,044.40 |
$14,365 |
1.3× |
| Mediastinoscpy w/lmph nod bx (39402) |
$10,758.17 |
$19,211.01 |
1.7× |
| Muscle-skin graft arm (15736) |
$7,540.96 |
$13,466 |
3.5× |
| Muscle-skin graft trunk (15734) |
$560 |
$1,000 |
0.1× |
Muscle/tendon transfer upper arm/elbow single (24301)
likely a partial charge, not the full procedure |
$1,891.96 |
$3,378.50 |
0.2× |
| Musculoskeletal surgery (20999) |
$8,201.69 |
$14,645.88 |
31.5× |
| Myelography Lumbar Injection (62305) |
$3,608.08 |
$6,443 |
4.4× |
| Myelography Lumbar Injection (62304) |
$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 1-4 myomas 250 gm/< vaginal appr (58145) |
$4,022.20 |
$7,182.50 |
1.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$3,770.48 |
$6,733 |
17.9× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$3,770.49 |
$6,733.01 |
0.5× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
unusually low: confirm this is the full procedure |
$2,240 |
$4,000 |
0.3× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$560 |
$1,000 |
0.1× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$7,701.69 |
$13,753.01 |
1.0× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$4,716.32 |
$8,422 |
0.6× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$3,614.80 |
$6,455 |
1.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$7,540.96 |
$13,466 |
4.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$7,540.96 |
$13,466 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$3,770.48 |
$6,733 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$640.64 |
$1,144 |
1.4× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$4,577.16 |
$8,173.50 |
0.7× |
| 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) |
$45.92 |
$82 |
1.5× |
| Nerve Pedicle Xfer,First Stage (64905) |
$18,899.45 |
$33,749.01 |
2.0× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
$5,176.92 |
$9,244.50 |
0.6× |
| Neuroplasty digital 1/both same digit (64702) |
$5,370.57 |
$9,590.30 |
2.6× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,113.63 |
$3,774.34 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$3,169.60 |
$5,660 |
1.5× |
| Nipple exploration (19110) |
$5,598.88 |
$9,998 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,444.40 |
$4,365 |
2.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$432.32 |
$772 |
1.6× |
| 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 Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,537.20 |
$2,745 |
1.6× |
| 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× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$10,152.24 |
$18,129 |
1.2× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$24,541.45 |
$43,824.01 |
0.8× |
Open Osteochondral Autograft Talus (28446)
unusually low: confirm this is the full procedure |
$2,689.54 |
$4,802.75 |
0.4× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$8,044.41 |
$14,365.01 |
1.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,867.26 |
$10,477.26 |
0.8× |
| Open Treatment Humeral Condylar Fracture (24579) |
$10,758.17 |
$19,211.01 |
0.8× |
| 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; (23550) |
$8,092.85 |
$14,451.51 |
1.1× |
| Open treatment of acute shoulder dislocation (23660) |
$10,146.64 |
$18,119 |
1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,635.65 |
$17,206.51 |
1.3× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$17,156.73 |
$30,637.01 |
2.2× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$9,870.01 |
$17,625.01 |
0.7× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$9,401.29 |
$16,788.01 |
1.2× |
| 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; unicondylar, includes internal fixation (27535) |
$11,612.73 |
$20,737.01 |
1.5× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$10,426.09 |
$18,618.01 |
1.4× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,356.88 |
$2,423 |
0.2× |
| 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 Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,806.32 |
$6,797 |
1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,588.64 |
$8,194 |
1.3× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$9,985.65 |
$17,831.51 |
1.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$7,540.96 |
$13,466 |
2.2× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
unusually low: confirm this is the full procedure |
$3,690.12 |
$6,589.50 |
0.5× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$7,229.60 |
$12,910 |
0.9× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$9,156 |
$16,350 |
2.7× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$3,806.33 |
$6,797.01 |
0.3× |
| Open/Perq Place Stent Same (37238) |
$19,967.36 |
$35,656 |
1.6× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$14,296.24 |
$25,529 |
1.2× |
| Optx post ankle fx (27769) |
$4,022.20 |
$7,182.50 |
0.5× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,102.88 |
$10,898 |
1.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (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 (25390) |
$5,395.21 |
$9,634.30 |
0.7× |
| Other procedure on head muscle or head bone (21499) |
$6,918.24 |
$12,354 |
27.7× |
| Partial Excision Bone Fibula (27641) |
$2,513.62 |
$4,488.60 |
0.7× |
| Partial excision bone talus/calcaneus (28120) |
$1,921.08 |
$3,430.50 |
0.6× |
| Partial Excision Bone Tibia (27640) |
$2,940.56 |
$5,251 |
0.9× |
| Partial excision of lip (40520) |
$7,540.96 |
$13,466 |
2.2× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$6,102.88 |
$10,898 |
3.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$6,102.88 |
$10,898 |
1.8× |
| Partial removal of thyroid (60220) |
$14,364.57 |
$25,651.01 |
2.3× |
| Pelvic exam under anesthesia (57410) |
$5,288.08 |
$9,443 |
1.5× |
| Penis plastic surgery (54360) |
$8,821.69 |
$15,753.01 |
2.4× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$4,331.60 |
$7,735 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$3,720.64 |
$6,644 |
5.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$12,657.69 |
$22,603.01 |
1.0× |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
$8,846.88 |
$15,798 |
1.6× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$8,044.40 |
$14,365 |
1.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,937.52 |
$8,817 |
1.4× |
| Peri-implant capsulectomy breast complete (19371) |
$8,741.32 |
$15,609.50 |
2.1× |
| Pericardiocentesis W/Imaging (33016) |
$2,145.92 |
$3,832 |
1.3× |
| Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) |
$7,540.96 |
$13,466 |
2.0× |
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; 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 Radiofreq Ablation Tx, Pul Tumor (32998) |
$7,280 |
$13,000 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,174.88 |
$2,098 |
4.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,611.12 |
$2,877 |
2.2× |
| 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× |
| Pin hand dislocation (26676) |
$6,102.88 |
$10,898 |
1.8× |
| Pin radioulnar dislocation (25671) |
$3,785.60 |
$6,760 |
1.1× |
| Place Cath Subclavian Art (36225) |
$14,445.20 |
$25,795 |
4.3× |
| Place Cath Thoracic Aorta (36221) |
$3,628.81 |
$6,480.02 |
1.1× |
| Place Cath Vertebral Art (36226) |
$18,097.80 |
$32,317.50 |
3.1× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$3,086.72 |
$5,512 |
2.1× |
| Place ndl musc/tis for rt (20555) |
$3,491.60 |
$6,235 |
1.0× |
| 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 needle for intraosseous infusion (36680) |
$504.56 |
$901 |
1.1× |
| Placement of seton (46020) |
$3,051.44 |
$5,449 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,918.24 |
$12,354 |
1.1× |
| Plmt expandable cath brst following prtl mast (19296) |
$7,843.92 |
$14,007 |
0.9× |
| 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 radthx brachytx brst following prtl mast (19298)
unusually low: confirm this is the full procedure |
$4,942 |
$8,825 |
0.3× |
| 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× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$5,998.72 |
$10,712 |
0.9× |
| Prim art mech thrombectomy (37184) |
$15,842.40 |
$28,290 |
0.8× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$6,972.28 |
$12,450.50 |
12.0× |
| Prostatectomy (turp) (52601) |
$7,380.24 |
$13,179 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$3,138.24 |
$5,604 |
4.2× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$5,598.88 |
$9,998 |
0.8× |
| 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 skel fixj humrl cndylr fx medial/lat w/manj (24582)
unusually low: confirm this is the full procedure |
$3,770.48 |
$6,733 |
0.5× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$6,918.24 |
$12,354 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$5,598.88 |
$9,998 |
13.1× |
| Puncture Aspiration (10160) |
$525.84 |
$939 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,259.44 |
$2,249 |
1.7× |
| Radial styloidectomy (25230) |
$3,684.10 |
$6,578.75 |
1.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,758 |
$4,925 |
1.3× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$6,569.92 |
$11,732 |
0.9× |
| Realignment extensor tendon hand each tendon (26437) |
$5,598.88 |
$9,998 |
1.6× |
| Rebuild eardrum structures (69633) |
$9,449.72 |
$16,874.50 |
1.5× |
| Rebuild eardrum structures (69632) |
$7,268.81 |
$12,980.01 |
1.2× |
Reconstruct ulna/radioulnar (25337)
unusually low: confirm this is the full procedure |
$2,543.52 |
$4,542 |
0.3× |
Reconstruct wrist joint (25442)
likely a partial charge, not the full procedure |
$4,730.88 |
$8,448 |
0.3× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$3,407.78 |
$6,085.30 |
1.0× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$22,970.09 |
$41,018.01 |
1.7× |
| Reconstruction of mouth (40845) |
$8,044.41 |
$14,365.01 |
1.3× |
| Reconstruction of nail bed with graft (11762) |
$6,102.88 |
$10,898 |
2.8× |
| Reduce testis torsion (54600) |
$6,102.88 |
$10,898 |
1.6× |
| Reduction of Large Breast (19318) |
$13,604.65 |
$24,294.01 |
1.9× |
| Reduction of rectal prolapse (45900) |
$1,648.08 |
$2,943 |
1.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$11,383.13 |
$20,327.01 |
1.5× |
| Release i-p jt contracture (26525) |
$3,391.36 |
$6,056 |
2.0× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$560 |
$1,000 |
0.2× |
| Release palm contracture (26121) |
$6,918.24 |
$12,354 |
2.0× |
| Release wrist/forearm tendon (25295) |
$2,113.63 |
$3,774.34 |
0.6× |
| Relocation of skin pocket for pacemaker (33222) |
$3,011.68 |
$5,378 |
1.4× |
| Rem endovas vena cava filter (37193) |
$8,680 |
$15,500 |
2.6× |
| Removal biliary drg cath (47537) |
$3,035.76 |
$5,421 |
3.2× |
| Removal fb intranasal (30300) |
$357.56 |
$638.50 |
2.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$6,756.12 |
$12,064.50 |
2.2× |
| Removal foreign body foot deep (28192) |
$2,279.76 |
$4,071 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$1,683.92 |
$3,007 |
2.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,279.76 |
$4,071 |
1.3× |
| Removal foreign body pharynx (42809) |
$440.72 |
$787 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (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 Separate Procedure (20670) |
$7,540.96 |
$13,466 |
4.3× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$5,033.28 |
$8,988 |
1.3× |
| Removal Intact Mammary Implant (19328) |
$7,540.96 |
$13,466 |
1.8× |
| Removal of adenoids (42831) |
$5,038.88 |
$8,998 |
1.4× |
| Removal of adenoids (42830) |
$5,598.88 |
$9,998 |
1.6× |
| Removal of arm foreign body (24200) |
$2,279.76 |
$4,071 |
1.3× |
Removal of esophageal sphincter augmentation device (43285)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
| Removal of external ear (69120) |
$7,132.17 |
$12,736.01 |
1.1× |
| Removal of eye lesion (65400) |
$1,363.04 |
$2,434 |
1.3× |
| Removal of heel bone (28118) |
$2,827.86 |
$5,049.75 |
0.8× |
| Removal of implanted material, anterior segment of eye (65920) |
$6,972.28 |
$12,450.50 |
2.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,609.44 |
$2,874 |
2.4× |
| Removal of intrauterine device (iud) (58301) |
$1,347.36 |
$2,406 |
4.2× |
| Removal of nail bed (11750) |
$793.52 |
$1,417 |
1.9× |
| Removal of palm tendon each (26170) |
$10,318.57 |
$18,426.01 |
6.1× |
| Removal of sesamoid bone (28315) |
$3,367.46 |
$6,013.33 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$277.20 |
$495 |
1.3× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$3,051.44 |
$5,449 |
0.8× |
| Removal of tonsils (42825) |
$5,598.88 |
$9,998 |
0.9× |
| Removal of tonsils (42826) |
$5,598.88 |
$9,998 |
1.6× |
| Removal of wrist bone (25210) |
$840 |
$1,500 |
0.2× |
| Removal ppm generator only (33233) |
$11,413.92 |
$20,382 |
1.3× |
| Removal subq cardiac rhythm monitor (33286) |
$1,431.36 |
$2,556 |
1.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,886.40 |
$6,940 |
1.8× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$5,332.88 |
$9,523 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$391.44 |
$699 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$391.44 |
$699 |
1.3× |
| Remove anal fist subq (46270) |
$3,770.48 |
$6,733 |
1.3× |
| Remove bladder stone (52318) |
$2,681.84 |
$4,789 |
0.7× |
| Remove digit nerve lesion (64776) |
$1,120 |
$2,000 |
0.5× |
| Remove drug implant device (11982) |
$3,459.12 |
$6,177 |
7.3× |
| Remove eye implant material (67121) |
$6,918.24 |
$12,354 |
2.8× |
| Remove Eyelid Foreign Body (67938) |
$834.40 |
$1,490 |
2.5× |
| Remove finger bone (26185) |
$1,920.80 |
$3,430 |
1.1× |
| Remove foreign body from eye (65235) |
$8,976.80 |
$16,030 |
3.7× |
| Remove foreign body from eye (65210) |
$440.72 |
$787 |
0.9× |
| Remove in/ex hem groups 2+ (46260) |
$5,598.88 |
$9,998 |
1.9× |
| Remove intrvas foreign body (37197) |
$14,915.04 |
$26,634 |
4.5× |
| Remove knee cyst (27347) |
$3,690.12 |
$6,589.50 |
1.1× |
| Remove Pilonidal Cyst Exten (11771) |
$6,102.88 |
$10,898 |
2.0× |
| Remove prostate regrowth (52630) |
$8,044.40 |
$14,365 |
1.4× |
| Remove renal tube w/fluoro (50389) |
$2,264.08 |
$4,043 |
3.1× |
| Remove thyroid duct lesion (60280) |
$13,944.57 |
$24,901.01 |
2.2× |
| Remove tissue expander (11971) |
$7,280 |
$13,000 |
2.4× |
| 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× |
| Remove wrist tendon lesion (25111) |
$2,373.73 |
$4,238.80 |
1.4× |
| Remove&replace pm gen singl (33227) |
$21,355.04 |
$38,134 |
2.4× |
| Remv Ext Canal Foreign Body (69200) |
$246.40 |
$440 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$962.64 |
$1,719 |
6.9× |
| Remv&replc cvd gen dual lead (33263) |
$40,778.08 |
$72,818 |
1.7× |
| Remv&replc cvd gen mult lead (33264) |
$45,974.88 |
$82,098 |
1.4× |
| Remv&replc cvd gen sing lead (33262) |
$40,778.08 |
$72,818 |
1.7× |
| Remv&replc pm gen dual lead (33228) |
$21,550.48 |
$38,483 |
2.0× |
| Remv&replc pm gen mult leads (33229) |
$26,056.24 |
$46,529 |
1.3× |
| Renal biopsy (50200) |
$4,710.16 |
$8,411 |
2.7× |
| Repair achilles tendon (27650) |
$8,532.44 |
$15,236.50 |
1.1× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$5,293.02 |
$9,451.80 |
1.5× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$4,637.36 |
$8,281 |
1.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,637.36 |
$8,281 |
1.4× |
| Repair brow defect (67900) |
$14,087.92 |
$25,157 |
5.6× |
| Repair Choanal Atresia Intranasal (30540) |
$5,502 |
$9,825 |
0.9× |
| Repair collat ankle ligmnt,secondary (27698) |
$5,344.36 |
$9,543.50 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,242.08 |
$2,218 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,347.36 |
$2,406 |
1.7× |
| 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 (13132) |
$2,309.72 |
$4,124.50 |
5.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$848.96 |
$1,516 |
2.0× |
| 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 defect of artery (35011) |
$7,380.24 |
$13,179 |
1.3× |
| Repair detached retina (67105) |
$4,263.84 |
$7,614 |
7.3× |
| Repair eardrum structures (69635) |
$13,212.65 |
$23,594.01 |
2.1× |
| Repair elbow deb/attch open (24359) |
$6,102.88 |
$10,898 |
1.8× |
| Repair elbow perc (24357) |
$3,590.72 |
$6,412 |
1.0× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$9,600.65 |
$17,144.01 |
2.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,904.60 |
$6,972.50 |
2.3× |
| Repair finger/hand tendon (26350) |
$6,027.84 |
$10,764 |
1.7× |
| Repair finger/hand tendon (26370) |
$3,886.40 |
$6,940 |
1.1× |
| Repair forearm tendon sheath (25275) |
$1,683.74 |
$3,006.67 |
0.5× |
| Repair forearm tendon/muscle (25270) |
$5,600 |
$10,000 |
1.6× |
| Repair forearm tendon/muscle (25260) |
$4,588.64 |
$8,194 |
1.3× |
| Repair hallux rigidus (28289) |
$1,960 |
$3,500 |
0.6× |
| Repair hand tendon (26410) |
$2,256.80 |
$4,030 |
1.3× |
| Repair humerus with graft (24435) |
$13,835.37 |
$24,706.01 |
1.0× |
| Repair incomplete circumcision (54163) |
$6,102.88 |
$10,898 |
2.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,540.96 |
$13,466 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,731.52 |
$3,092 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$834.40 |
$1,490 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$799.96 |
$1,428.50 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,414.56 |
$2,526 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$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 12.6-20.0cm (12035) |
$1,090.32 |
$1,947 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$561.12 |
$1,002 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,000.16 |
$1,786 |
2.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$848.96 |
$1,516 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,045.24 |
$1,866.50 |
2.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,692.48 |
$4,808 |
1.2× |
| Repair kneecap tendon (27380) |
$21,159.04 |
$37,784 |
2.8× |
| Repair lead pace-defib one (33218) |
$11,371.92 |
$20,307 |
2.9× |
| Repair nasal septal perforations (30630) |
$5,122.88 |
$9,148 |
1.5× |
| Repair nasal vestibular stenosis (30465) |
$6,918.24 |
$12,354 |
1.1× |
| Repair nonunion hand (26546) |
$5,331.20 |
$9,520 |
0.7× |
| Repair nonunion radius/ulna w autogrft (25405) |
$16,185.69 |
$28,903.01 |
2.1× |
Repair of ankle ligament (27695)
unusually low: confirm this is the full procedure |
$3,770.48 |
$6,733 |
0.5× |
| 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 biceps tendon (24340) |
$5,141.22 |
$9,180.75 |
0.7× |
| Repair of eardrum structures (69631) |
$4,637.08 |
$8,280.50 |
0.7× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$8,718.27 |
$15,568.34 |
1.1× |
| Repair Of Foot Tendon (28208) |
$4,588.64 |
$8,194 |
1.3× |
| 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 nasal septum (30520) |
$560 |
$1,000 |
0.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$8,063.44 |
$14,399 |
1.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$12,663.85 |
$22,614.01 |
1.7× |
| Repair of thigh musc (27385) |
$8,821.69 |
$15,753.01 |
1.2× |
| Repair of vagina (57260) |
$8,750.85 |
$15,626.51 |
1.7× |
Repair rectum & vagina (57250)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
| Repair retinal detach cplx (67113) |
$9,855.45 |
$17,599.01 |
1.8× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$12,792.65 |
$22,844.01 |
2.9× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,885.25 |
$3,366.51 |
0.2× |
| Repair Tongue Laceration (41250) |
$440.72 |
$787 |
0.9× |
| Repair tympanic membrane (69610) |
$6,102.88 |
$10,898 |
3.7× |
| Repair wrist joints (25447) |
$3,569.23 |
$6,373.62 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$6,194.73 |
$11,062.01 |
0.8× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$2,306.08 |
$4,118 |
0.7× |
| Repair/graft achilles tendon (27652) |
$8,471.12 |
$15,127 |
1.1× |
Repair/graft hand tendon (26392)
unusually low: confirm this is the full procedure |
$3,295.78 |
$5,885.30 |
0.4× |
| Repair/graft wrist bone (25440) |
$17,542.57 |
$31,326.01 |
2.3× |
| Repair/revise wrist joint (25320) |
$6,222.16 |
$11,111 |
0.8× |
| Replace duod/jej tube perc (49451) |
$1,609.44 |
$2,874 |
1.7× |
| Replace elbow joint (24363) |
$32,468.25 |
$57,979.01 |
1.8× |
| Replace g/c tube perc (49450) |
$1,609.44 |
$2,874 |
1.7× |
| Replace Tissue Expander (11970) |
$8,044.41 |
$14,365.01 |
1.1× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,609.44 |
$2,874 |
1.7× |
| Reposition gastrostomy tube (43761) |
$2,710.40 |
$4,840 |
10.3× |
| Reposition pacing-defib lead (33215) |
$4,006.80 |
$7,155 |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,806.32 |
$6,797 |
1.1× |
| Rerepair ing hernia reduce (49520) |
$7,540.96 |
$13,466 |
2.0× |
| Resect Inferior Turbinate (30140) |
$1,960 |
$3,500 |
0.6× |
| Revis reconst shoulder joint (23473) |
$9,243.08 |
$16,505.50 |
0.7× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$24,655.13 |
$44,027.01 |
1.8× |
| Revise arm/leg nerve (64708) |
$1,239.45 |
$2,213.30 |
0.6× |
| Revise external ear (69300) |
$15,225.29 |
$27,188.01 |
4.4× |
| Revise Eyelashes,Forceps (67820) |
$289.52 |
$517 |
2.1× |
| Revise knuckle joint (26530) |
$11,383.13 |
$20,327.01 |
1.5× |
| Revise knuckle with implant (26531) |
$9,149.57 |
$16,338.51 |
1.2× |
| Revise median n/carpal tunnel surg (64721) |
$5,344.36 |
$9,543.50 |
2.6× |
| Revise middle ear & mastoid (69641) |
$11,383.13 |
$20,327.01 |
1.8× |
Revise middle ear bone (69660)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
| Revise palsy hand tendon(s) (25315) |
$8,434.73 |
$15,062.01 |
1.1× |
| Revise thumb tendon (26496) |
$4,634.01 |
$8,275.01 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$3,770.48 |
$6,733 |
1.8× |
| Revise ulnar nerve at wrist (64719) |
$1,891.96 |
$3,378.50 |
0.9× |
| Revise wrist joint (25332) |
$13,756.69 |
$24,565.51 |
4.0× |
| Revise wrist/forearm tendon (25280) |
$2,947.14 |
$5,262.75 |
0.9× |
| Revise/implant finger joint (26536) |
$6,015.80 |
$10,742.50 |
0.8× |
| Revision of arm tendon (24310) |
$1,683.74 |
$3,006.67 |
0.5× |
| Revision of lower leg tendon (27685) |
$1,960 |
$3,500 |
0.6× |
| Revision of nose (30450) |
$5,502.01 |
$9,825.01 |
0.9× |
| Revision of reconstructed breast (19380) |
$4,867.52 |
$8,692 |
0.7× |
| 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 knee arthroplasty, with or without allograft; one component (27486) |
$10,491.60 |
$18,735 |
0.8× |
| Revision of upper eyelid (15823) |
$7,540.97 |
$13,466.01 |
3.5× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,051.44 |
$5,449 |
0.8× |
| Revision peri-implant capsule breast (19370) |
$10,758.17 |
$19,211.01 |
2.6× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$3,410.96 |
$6,091 |
0.9× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$12,115.05 |
$21,634.01 |
2.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,051.44 |
$5,449 |
0.8× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$3,770.49 |
$6,733.01 |
0.6× |
Rmvl & rplcmt inflatable penile prosth same sess (54410)
unusually low: confirm this is the full procedure |
$7,540.97 |
$13,466.01 |
0.3× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$4,513.60 |
$8,060 |
2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$440.72 |
$787 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$292.04 |
$521.50 |
2.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$3,967.04 |
$7,084 |
3.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,446.24 |
$6,154 |
1.1× |
| Rmvl of subq defibrillator (33272) |
$5,300.96 |
$9,466 |
1.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$5,250 |
$9,375 |
1.3× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,816.56 |
$8,601 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,353.68 |
$4,203 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,506.96 |
$2,691 |
2.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$6,809.04 |
$12,159 |
2.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,132.64 |
$5,594 |
1.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$7,586.88 |
$13,548 |
2.3× |
| 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 Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
| Rpr blood vessel direct lower extremity (35226) |
$1,668.52 |
$2,979.50 |
2.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,195.52 |
$7,492 |
1.2× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$4,032 |
$7,200 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$898.24 |
$1,604 |
1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,084.32 |
$3,722 |
1.3× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$7,540.96 |
$13,466 |
1.0× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$8,680.56 |
$15,501 |
2.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,581.69 |
$11,753.01 |
1.9× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$4,367.44 |
$7,799 |
1.3× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,873.92 |
$5,132 |
1.7× |
| Sclerotx Fluid Collection (49185) |
$1,736 |
$3,100 |
1.0× |
| Scrotal exploration (55110) |
$7,540.96 |
$13,466 |
2.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$572.04 |
$1,021.50 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$561.12 |
$1,002 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$663.57 |
$1,184.95 |
0.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$623.56 |
$1,113.50 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$583.55 |
$1,042.05 |
0.6× |
| Sigmoidoscopy w/fb removal (45332) |
$1,742.72 |
$3,112 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$561.12 |
$1,002 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$400.40 |
$715 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$417.76 |
$746 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$400.40 |
$715 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$417.76 |
$746 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$417.76 |
$746 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,154.16 |
$2,061 |
5.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$400.40 |
$715 |
1.9× |
| Skin splt grft trnk/arm/leg (15100) |
$7,540.96 |
$13,466 |
3.5× |
| Skin sub graft face/nk/hf/g (15275) |
$560 |
$1,000 |
0.7× |
| Skin Tissue Procedure (17999) |
$4,884.86 |
$8,722.96 |
23.1× |
| Skin tissue rearrangement (14040) |
$10,284.96 |
$18,366 |
4.7× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,561.44 |
$4,574 |
0.7× |
| 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× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (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 (12002) |
$408.24 |
$729 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (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× |
| Spinal puncture lumbar diagnostic (62270) |
$1,631.84 |
$2,914 |
2.2× |
| Spinal Puncture Therapeutic (62272) |
$1,630.16 |
$2,911 |
2.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,051.44 |
$5,449 |
0.9× |
| Strapping elbow/wrist (29260) |
$257.04 |
$459 |
4.1× |
| Strapping hand/finger (29280) |
$257.04 |
$459 |
4.1× |
| Strapping knee (29530) |
$78.96 |
$141 |
0.6× |
| Strapping shoulder (29240) |
$257.04 |
$459 |
1.8× |
| Strapping toes (29550) |
$257.04 |
$459 |
4.1× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$6,918.24 |
$12,354 |
1.1× |
| Suspension of testis (54640) |
$3,770.48 |
$6,733 |
1.0× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$8,821.69 |
$15,753.01 |
1.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,525.60 |
$4,510 |
1.5× |
| 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× |
| Tendon excision palm/finger (26145) |
$3,051.44 |
$5,449 |
1.8× |
| 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 Tendo (26442) |
$56 |
$100 |
0.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$6,102.88 |
$10,898 |
3.6× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$4,836.16 |
$8,636 |
1.4× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$6,102.88 |
$10,898 |
3.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$4,264.40 |
$7,615 |
5.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,429.68 |
$2,553 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,736.56 |
$3,101 |
2.6× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (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× |
| Thrombolytic Art Therapy (37211) |
$30,749.04 |
$54,909 |
5.2× |
| Thrombolytic Therapy, Stroke (37195) |
$885.92 |
$1,582 |
2.5× |
| Thrombolytic Venous Therapy (37212) |
$30,749.04 |
$54,909 |
9.2× |
| Thyroid biopsy (60100) |
$1,152.48 |
$2,058 |
1.5× |
| Tibial arthroscopy/surgery (29855) |
$6,057.53 |
$10,817.01 |
0.8× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$4,700.64 |
$8,394 |
2.2× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$6,102.89 |
$10,898.01 |
2.8× |
| Tissue expander placement breast reconstruction (19357) |
$11,104.52 |
$19,829.50 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,102.88 |
$10,898 |
1.7× |
| Total hip arthroplasty (27130) |
$10,697.40 |
$19,102.50 |
0.8× |
| Total knee arthroplasty (27447) |
$11,345.61 |
$20,260.01 |
0.8× |
| Total thyroid lobectomy unilateral (60225) |
$21,655.77 |
$38,671.01 |
3.4× |
| Transcatheter biopsy (37200) |
$8,933.12 |
$15,952 |
1.5× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$3,459.12 |
$6,177 |
1.7× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$7,355.60 |
$13,135 |
1.3× |
| Transplant/graft hand tendon (26483) |
$10,102.41 |
$18,040.01 |
2.9× |
| Transurethral resection of bladder neck (52500) |
$8,044.40 |
$14,365 |
2.2× |
| Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) |
$17,542.57 |
$31,326.01 |
2.8× |
| Treat clavicle dislocation (23552) |
$12,657.69 |
$22,603.01 |
1.7× |
| Treat ectopic pregnancy (59151) |
$8,093.13 |
$14,452.01 |
1.3× |
| Treat Fracture Radius & Ulna (25560) |
$473.20 |
$845 |
1.8× |
| 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 (23630) |
$10,146.64 |
$18,119 |
1.3× |
| Treat humerus fracture (24577) |
$2,256.80 |
$4,030 |
1.3× |
| Treat knee fracture (27532) |
$4,588.64 |
$8,194 |
1.3× |
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure |
$3,690.13 |
$6,589.51 |
0.5× |
| Treat Lower Leg Fracture (27827) |
$9,401.29 |
$16,788.01 |
0.7× |
| Treat Metatarsal Fracture (28475) |
$1,423.99 |
$2,542.84 |
5.5× |
| Treat scapula fracture (23585) |
$7,380.24 |
$13,179 |
1.0× |
| Treat thumb fracture (26665) |
$8,821.69 |
$15,753.01 |
2.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,256.80 |
$4,030 |
1.3× |
| Treat ulnar fracture (24685) |
$9,870.01 |
$17,625.01 |
1.3× |
| Treat wrist bone fracture (25635) |
$2,256.80 |
$4,030 |
1.3× |
| Treatment closed elbow dislocation req anes (24605) |
$2,256.80 |
$4,030 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$615.16 |
$1,098.50 |
2.4× |
| Treatment of ankle fracture (27822) |
$6,157.62 |
$10,995.76 |
0.8× |
| Treatment of ankle fracture (27792) |
$8,044.40 |
$14,365 |
1.1× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$6,102.88 |
$10,898 |
1.8× |
| Treatment of tibia fracture (27759) |
$8,718.26 |
$15,568.33 |
0.6× |
| 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 Incomplete Abortion Any Trimester Surgical (59812) |
$5,598.88 |
$9,998 |
1.6× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,598.88 |
$9,998 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,199.40 |
$3,927.50 |
2.8× |
| Unlisted Cardiac Surgery (33999) |
$2,520 |
$4,500 |
3.8× |
Unlisted laparoscopy procedure, appendix (44979)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$3,525.06 |
$6,294.75 |
0.6× |
| Unlisted laparoscopy procedure, stomach (43659) |
$6,102.88 |
$10,898 |
1.0× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$560 |
$1,000 |
0.1× |
| Unlisted procedure anus (46999) |
$5,598.88 |
$9,998 |
5.7× |
| Unlisted Procedure Breast (19499) |
$3,137.68 |
$5,603 |
0.8× |
| Unlisted procedure colon (45399) |
$946.96 |
$1,691 |
1.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$6,091.68 |
$10,878 |
24.4× |
| Unlisted Procedure Endocrine System (60699) |
$8,246 |
$14,725 |
1.3× |
| Unlisted procedure femur or knee (27599) |
$6,102.88 |
$10,898 |
23.5× |
| Unlisted procedure humerus/elbow (24999) |
$3,770.48 |
$6,733 |
14.5× |
| Unlisted procedure maternity care & delivery (59899) |
$333.76 |
$596 |
1.6× |
| Unlisted procedure neck or thorax (21899) |
$10,102.41 |
$18,040.01 |
40.4× |
| Unlisted Procedure Nervous System (64999) |
$1,295.28 |
$2,313 |
4.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$7,540.96 |
$13,466 |
29.0× |
| Unlisted Procedure Rectum (45999) |
$6,102.88 |
$10,898 |
6.2× |
| Unlisted Procedure Small Intestine (44799) |
$3,770.48 |
$6,733 |
3.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$23,266.32 |
$41,547 |
35.2× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$4,884.86 |
$8,722.96 |
18.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$6,102.88 |
$10,898 |
28.6× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$20,386.24 |
$36,404 |
1.8× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$13,471.93 |
$24,057.01 |
2.6× |
| Vasc embolize/occlude artery (37242) |
$14,288.40 |
$25,515 |
0.7× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,155.28 |
$27,063 |
1.2× |
| Vasc embolize/occlude organ (37243) |
$14,060.48 |
$25,108 |
1.2× |
| Vasc embolize/occlude venous (37241) |
$15,273.44 |
$27,274 |
1.3× |
| 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× |
| Vit for macular pucker (67041) |
$6,918.24 |
$12,354 |
1.6× |
| 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× |
| Vulvectomy simple partial (56620) |
$3,873.24 |
$6,916.50 |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$6,148.81 |
$10,980.01 |
14.3× |
| Wrist arthroscop,excis triang cart (29846) |
$5,454.62 |
$9,740.38 |
1.6× |
Xfer single deep low leg tendon (27691)
likely a partial charge, not the full procedure |
$1,885.24 |
$3,366.50 |
0.2× |
| Xtroral i&d absc cst/hmtma floor mouth subment (41016) |
$8,625.12 |
$15,402 |
1.4× |