| 68399-unlisted Procedures Conjunctiva (68399) |
$1,867.82 |
$5,336.62 |
5.6× |
| Abd paracentesis (49082) |
$675.26 |
$1,929.31 |
0.7× |
| Abd paracentesis w/imaging (49083) |
$675.26 |
$1,929.31 |
0.7× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$14,705.96 |
$42,017.02 |
0.8× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$7,667.98 |
$21,908.50 |
0.7× |
| Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma (19105) |
$2,902.05 |
$8,291.57 |
0.7× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$7,580.17 |
$21,657.61 |
0.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$5,695.67 |
$16,273.33 |
0.7× |
| Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) |
$3,402.51 |
$9,721.44 |
2.0× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$3,463.88 |
$9,896.78 |
0.5× |
| Acne surgery (10040) |
$149.14 |
$426.09 |
0.7× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$3,201.92 |
$9,148.34 |
0.9× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,287.14 |
$3,677.52 |
0.6× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,297.59 |
$3,707.40 |
0.6× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$1,363.02 |
$3,894.32 |
0.6× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$2,797.47 |
$7,992.75 |
1.3× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$1,428.21 |
$4,080.58 |
0.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,351.50 |
$3,861.41 |
0.6× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$2,657.69 |
$7,593.39 |
1.2× |
| Amniocentesis diagnostic (59000) |
$524.14 |
$1,497.54 |
0.5× |
| Amniocentesis therapeutic (59001) |
$313.33 |
$895.21 |
1.0× |
| Amnioinfusion (59070) |
$238.98 |
$682.78 |
0.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,164.18 |
$6,183.36 |
0.6× |
| Amputation of finger/thumb (26952) |
$2,164.33 |
$6,183.80 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$2,216.02 |
$6,331.48 |
0.6× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$189.82 |
$542.32 |
0.6× |
| Anoscopy and biopsy (46606) |
$675.17 |
$1,929.04 |
0.5× |
| Anoscopy diagnostic (46600) |
$107.34 |
$306.66 |
0.8× |
| Anoscopy remove for body (46608) |
$606.62 |
$1,733.18 |
0.6× |
| Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,… (46615) |
$2,091.58 |
$5,975.94 |
0.7× |
| Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent… (46607) |
$777.42 |
$2,221.19 |
0.6× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21 (46610) |
$3,139.88 |
$8,971.06 |
1.1× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,428.31 |
$4,080.87 |
1.8× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$2,468.33 |
$7,052.36 |
1.1× |
| Application cast finger (29086) |
$277.52 |
$792.90 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$79.48 |
$227.08 |
1.3× |
| Application finger splint static (29130) |
$97.40 |
$278.26 |
0.7× |
| Application of hip spica cast; 1 and one-half spica or both legs Age Under 21 (29325) |
$292.74 |
$836.40 |
1.0× |
| Application of long leg cast (thigh to toes); (29345) |
$169.97 |
$485.61 |
0.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$113.76 |
$325.02 |
0.7× |
| Application of short arm splint (forearm to hand); static (29125) |
$119.90 |
$342.57 |
0.9× |
| Application of short leg cast (below knee to toes); (29405) |
$169.96 |
$485.60 |
0.6× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$169.97 |
$485.61 |
0.6× |
| Application of short leg splint (calf to foot) (29515) |
$89.59 |
$255.96 |
0.5× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,428.31 |
$4,080.87 |
0.7× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$123.33 |
$352.35 |
0.7× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$183.57 |
$524.46 |
0.6× |
| Application rigid total contact leg cast (29445) |
$199.89 |
$571.10 |
0.7× |
| Application, cast; figure-of-eight Age Under 21 (29049) |
$200.06 |
$571.58 |
0.7× |
| Application, cast; shoulder to hand (long arm) (29065) |
$169.96 |
$485.60 |
0.6× |
| Apply hand/wrist cast (29085) |
$89.59 |
$255.96 |
0.5× |
| Apply long arm splint (29105) |
$119.90 |
$342.57 |
0.7× |
| Apply patella tendon bearing cast (29435) |
$169.97 |
$485.61 |
0.6× |
| Apply splint short arm dynamic (29126) |
$89.59 |
$255.96 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$189.82 |
$542.33 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$494.81 |
$1,413.72 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$189.82 |
$542.33 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$218.30 |
$623.69 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$189.82 |
$542.33 |
0.6× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$198.46 |
$567.01 |
0.6× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$2,408.91 |
$6,882.58 |
0.7× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,101.76 |
$3,147.88 |
0.6× |
| Aspirate pleura w/o imaging (32554) |
$409.21 |
$1,169.16 |
0.6× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$189.82 |
$542.32 |
0.6× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$673.28 |
$1,923.63 |
0.9× |
| Aspiration and/or injection thyroid cyst (60300) |
$489.76 |
$1,399.29 |
0.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,329.96 |
$3,799.87 |
0.6× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$612.14 |
$1,748.95 |
0.7× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$149.14 |
$426.09 |
0.7× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21 (47553) |
$8,453.60 |
$24,153.13 |
1.2× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554) |
$7,667.98 |
$21,908.50 |
0.7× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low — confirm this is the full procedure |
$2,095.36 |
$5,986.72 |
0.3× |
| Biopsy bone open superficial (20240) |
$2,146.55 |
$6,132.98 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,090.50 |
$3,115.70 |
0.6× |
| Biopsy external auditory canal (69105) |
$1,082.61 |
$3,093.17 |
0.7× |
| Biopsy external ear (69100) |
$245.09 |
$700.24 |
1.0× |
| Biopsy floor of mouth (41108) |
$1,227.52 |
$3,507.19 |
0.7× |
| Biopsy intranasal (30100) |
$1,036.42 |
$2,961.20 |
0.6× |
| Biopsy lip (40490) |
$245.09 |
$700.24 |
1.0× |
| Biopsy liver needle percutaneous (47000) |
$1,207.73 |
$3,450.65 |
0.7× |
| Biopsy lymph node (38505) |
$1,207.73 |
$3,450.65 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,227.52 |
$3,507.19 |
0.7× |
| Biopsy nail unit (11755) |
$524.11 |
$1,497.44 |
0.7× |
| Biopsy nasopharynx visible lesion simple (42804) |
$3,597.53 |
$10,278.64 |
1.0× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$1,227.52 |
$3,507.19 |
0.7× |
| Biopsy of cervix (57500) |
$469.99 |
$1,342.81 |
0.5× |
| Biopsy of eyelid (67810) |
$239.71 |
$684.88 |
0.7× |
| Biopsy of eyelid lining (68100) |
$1,649.41 |
$4,712.60 |
0.7× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$879.06 |
$2,511.59 |
0.7× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$680.83 |
$1,945.22 |
0.7× |
| Biopsy of penis: separate procedure deep structures (54105) |
$2,156.05 |
$6,160.13 |
0.7× |
| Biopsy of penis; (separate procedure) (54100) |
$1,207.73 |
$3,450.65 |
0.7× |
| Biopsy of salivary gland (42405) |
$1,829.29 |
$5,226.52 |
1.1× |
| Biopsy of salivary gland; needle (42400) |
$522.89 |
$1,493.97 |
0.7× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$706.08 |
$2,017.36 |
0.7× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$511.73 |
$1,462.07 |
0.9× |
| Biopsy of uterus lining (58100) |
$115.59 |
$330.24 |
0.5× |
| Biopsy of voice box using an endoscope with mirror (31510) |
$2,646.14 |
$7,560.40 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,271.59 |
$6,490.23 |
0.5× |
| Biopsy oropharynx (42800) |
$1,082.61 |
$3,093.17 |
0.7× |
| Biopsy pleura percutaneous needle (32400) |
$1,207.73 |
$3,450.65 |
0.7× |
| Biopsy roof of mouth (42100) |
$1,036.42 |
$2,961.20 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$1,058.42 |
$3,024.04 |
0.6× |
| Biopsy soft tissue upper arm/elbow superficial (24065) |
$1,952.57 |
$5,578.77 |
1.1× |
| Biopsy thyroid percutaneous core needle (60100) |
$445.49 |
$1,272.81 |
0.6× |
| Biopsy tongue,poster 1/3 (41105) |
$2,436.39 |
$6,961.10 |
0.7× |
| Biopsy vaginal mucosa simple (57100) |
$469.99 |
$1,342.81 |
0.5× |
| Biopsy vestibule mouth (40808) |
$409.87 |
$1,171.03 |
0.7× |
| Biopsy vulva/perineum 1 lesion (56605) |
$598.86 |
$1,711.01 |
0.6× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,207.73 |
$3,450.65 |
0.7× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,227.52 |
$3,507.19 |
0.7× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$2,839.43 |
$8,112.65 |
0.7× |
| Biopsy, muscle; superficial (20200) |
$1,132.30 |
$3,235.13 |
0.6× |
| Bladder irrigation (51700) |
$176.52 |
$504.34 |
0.7× |
| Bladder pressure measurement during filling (51726) |
$515.03 |
$1,471.51 |
2.0× |
| Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE (15822) |
$1,525.06 |
$4,357.30 |
0.7× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$307.13 |
$877.50 |
0.9× |
| Brain canal shunt procedure (61070) |
$437.90 |
$1,251.13 |
0.6× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$2,789.60 |
$7,970.28 |
0.7× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$2,789.60 |
$7,970.28 |
0.7× |
| Bronch foreign body removal (31635) |
$1,264.33 |
$3,612.37 |
0.7× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,789.60 |
$7,970.28 |
0.7× |
| Bronchoscopy w biopsy (31625) |
$1,264.33 |
$3,612.37 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$991.74 |
$2,833.52 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$627.58 |
$1,793.08 |
1.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$1,235.88 |
$3,531.07 |
0.7× |
| Bronchoscopy/lung bx each (31628) |
$2,382.65 |
$6,807.55 |
0.6× |
| Bx breast 1st lesion mr imag (19085) |
$1,207.73 |
$3,450.65 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$1,207.73 |
$3,450.65 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$1,207.73 |
$3,450.65 |
0.7× |
| C/c 41008 exploration floor of mouth for submandibular duct (42699) |
$938.08 |
$2,680.22 |
3.8× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$1,947.28 |
$5,563.64 |
7.4× |
| C/t 51860 laproscopic cystorrhaphy sutr bldr wnd inj/rpt simple (51999) |
$3,498.18 |
$9,994.80 |
0.5× |
| Canthoplasty (67950) |
$1,442.48 |
$4,121.36 |
0.6× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$252.97 |
$722.76 |
1.0× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$2,280.56 |
$6,515.86 |
0.7× |
| Car-t therapy autol car-t cell administration (38228) |
$700.02 |
$2,000.04 |
2.0× |
| Cardiac surg procedure unlist (33999) |
$1,459.88 |
$4,171.06 |
2.2× |
| Care of miscarriage (59820) |
$2,328.89 |
$6,653.97 |
0.7× |
| Cast short arm (29075) |
$169.97 |
$485.61 |
0.6× |
| Casting/strapping procedure (29799) |
$117.38 |
$335.36 |
0.7× |
| Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and… (53866) |
$510.75 |
$1,459.26 |
1.9× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$244.36 |
$698.16 |
0.8× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$1,806.05 |
$5,160.12 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$198.17 |
$566.18 |
0.8× |
| Change g-tube to g-j perc (49446) |
$1,417.45 |
$4,049.85 |
0.7× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$499.35 |
$1,426.69 |
0.7× |
| Change of windpipe airway (31502) |
$152.47 |
$435.62 |
0.6× |
| Chemical cauterization of granulation tissue (17250) |
$131.21 |
$374.86 |
0.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$515.15 |
$1,471.83 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$515.15 |
$1,471.83 |
0.7× |
| Chemodenerv eccrine glands both axillae (64650) |
$198.52 |
$567.20 |
0.6× |
| Chemodenerv saliv glands (64611) |
$189.82 |
$542.33 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$515.15 |
$1,471.83 |
0.7× |
| Chemodenerv trunk musc 6/> (64647) |
$652.71 |
$1,864.86 |
0.9× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$494.84 |
$1,413.81 |
0.7× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$189.82 |
$542.32 |
0.6× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$189.82 |
$542.33 |
0.6× |
| Chest tube placement (32551) |
$1,193.03 |
$3,408.63 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,226.12 |
$3,503.19 |
0.6× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$2,611.54 |
$7,461.53 |
0.7× |
| Chorionic villus sampling, any method Age Under 21 (59015) |
$503.68 |
$1,439.06 |
0.5× |
| Ciliary body destruction; cyclophotocoagulation, transscleral Age Under 21 (66710) |
$1,740.73 |
$4,973.51 |
0.7× |
| Circumcision, Newborn (54150) |
$1,544.09 |
$4,411.66 |
0.7× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$1,544.09 |
$4,411.66 |
0.7× |
| Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21 (61050) |
$222.85 |
$636.69 |
0.7× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$533.82 |
$1,525.18 |
1.6× |
| Closed rx acetabular fx (27220) |
$333.57 |
$953.04 |
1.3× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,104.45 |
$3,155.55 |
0.7× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,104.45 |
$3,155.55 |
0.7× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,104.45 |
$3,155.55 |
0.7× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$188.45 |
$538.41 |
0.7× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$146.30 |
$418 |
0.6× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$146.30 |
$418 |
0.6× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$175.67 |
$501.90 |
0.7× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$146.30 |
$418 |
0.6× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$146.30 |
$418 |
0.6× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$207.09 |
$591.66 |
0.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$158.93 |
$454.08 |
0.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$152.85 |
$436.69 |
0.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$146.30 |
$418 |
0.6× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$175.67 |
$501.90 |
0.7× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,104.53 |
$3,155.78 |
0.7× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$331.08 |
$945.92 |
1.3× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,197.24 |
$3,420.66 |
0.7× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$175.67 |
$501.90 |
0.7× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$175.67 |
$501.90 |
0.7× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$338.14 |
$966.09 |
1.3× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,752.98 |
$5,008.49 |
1.0× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$146.30 |
$418 |
0.6× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$2,216.02 |
$6,331.48 |
1.3× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$146.30 |
$418 |
0.6× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,197.24 |
$3,420.66 |
0.7× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$146.30 |
$418 |
0.6× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$169.94 |
$485.52 |
0.7× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$149.32 |
$426.61 |
0.6× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,197.24 |
$3,420.66 |
0.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$146.30 |
$418 |
0.6× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$146.30 |
$418 |
0.6× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$134.17 |
$383.33 |
0.5× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,363.54 |
$3,895.82 |
0.8× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,236.01 |
$3,531.45 |
0.7× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$146.30 |
$418 |
0.6× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,236.01 |
$3,531.45 |
0.7× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$146.30 |
$418 |
0.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$250.24 |
$714.95 |
1.0× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$146.30 |
$418 |
0.6× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$162.83 |
$465.22 |
0.6× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$190.94 |
$545.53 |
0.7× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$256.46 |
$732.73 |
1.0× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,104.45 |
$3,155.55 |
0.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$146.30 |
$418 |
0.6× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$175.67 |
$501.90 |
0.7× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,197.24 |
$3,420.66 |
0.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$182.54 |
$521.52 |
0.7× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$146.30 |
$418 |
0.6× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$162.24 |
$463.54 |
0.6× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$175.67 |
$501.90 |
0.7× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$182.54 |
$521.52 |
0.7× |
| Closed treatment of ulnar styloid fracture (25650) |
$175.67 |
$501.90 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$188.32 |
$538.03 |
0.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,104.45 |
$3,155.55 |
0.7× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$147.30 |
$420.85 |
0.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$943.86 |
$2,696.73 |
0.6× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$409.87 |
$1,171.03 |
0.7× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$4,362.37 |
$12,463.90 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$180.59 |
$515.96 |
0.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$757.56 |
$2,164.44 |
2.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$175.67 |
$501.90 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,104.45 |
$3,155.55 |
0.7× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,104.45 |
$3,155.55 |
0.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$182.54 |
$521.52 |
0.7× |
| Closed tx septal&nose fx (21337) |
$2,189.03 |
$6,254.35 |
0.6× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$146.30 |
$418 |
0.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$189.84 |
$542.39 |
0.7× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,260.18 |
$3,600.49 |
0.8× |
| Closed tx vert fx w/o manj (22310) |
$146.30 |
$418 |
0.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$306.80 |
$876.56 |
1.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$459.78 |
$1,313.64 |
0.8× |
| Closure of the lacrimal punctum; by plug, each Age Under 21 (68761) |
$239.71 |
$684.88 |
0.7× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Age Under 21 (68760) |
$218.68 |
$624.79 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$338.14 |
$966.09 |
1.3× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$1,157.41 |
$3,306.86 |
0.7× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$2,436.39 |
$6,961.10 |
0.7× |
| Clsd tx pelvic ring fx (27197) |
$163.11 |
$466.02 |
0.6× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$163.11 |
$466.02 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$973.67 |
$2,781.89 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,104.45 |
$3,155.55 |
0.7× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$146.30 |
$418 |
0.6× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$146.30 |
$418 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$146.30 |
$418 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,104.45 |
$3,155.55 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$180.59 |
$515.96 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$146.30 |
$418 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$146.30 |
$418 |
0.6× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$147.30 |
$420.85 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$172.04 |
$491.54 |
0.7× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$146.30 |
$418 |
0.6× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$175.67 |
$501.90 |
0.7× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,104.45 |
$3,155.55 |
0.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$146.30 |
$418 |
0.6× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$146.30 |
$418 |
0.6× |
| Cltx metar fx w/manj (28475) |
$201.97 |
$577.04 |
0.8× |
| Cltx post ankle fx (27767) |
$158.93 |
$454.08 |
0.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,065.03 |
$3,042.92 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,104.45 |
$3,155.55 |
0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$175.67 |
$501.90 |
0.7× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,236.01 |
$3,531.45 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$150 |
$428.56 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,104.45 |
$3,155.55 |
0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$216.61 |
$618.86 |
0.8× |
| Collect blood from catheter venous nos (36592) |
$99.68 |
$284.79 |
0.7× |
| Collect blood from implant venous access device (36591) |
$75.30 |
$215.13 |
0.5× |
| Colonoscopy flexible with decompression (45393) |
$667.04 |
$1,905.82 |
0.5× |
| Colonoscopy through stoma; with transendoscopic balloon dilation Age Under 21 (44405) |
$3,165.31 |
$9,043.72 |
2.5× |
| Colonoscopy thru stoma spx (44388) |
$621.45 |
$1,775.57 |
0.6× |
| Colonoscopy w/ablation (45388) |
$666.78 |
$1,905.06 |
0.5× |
| Colonoscopy w/control bleed (45382) |
$998.77 |
$2,853.62 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$671.43 |
$1,918.35 |
0.5× |
| Colonoscopy w/resection (45390) |
$1,954.64 |
$5,584.66 |
0.7× |
| Colonoscopy w/stent plcmt (45389) |
$3,645.98 |
$10,417.08 |
0.6× |
| Colonoscopy w/stent plcmt (44402) |
$3,645.98 |
$10,417.08 |
0.6× |
| Colonoscopy with ablation (44401) |
$666.78 |
$1,905.06 |
0.5× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$667.04 |
$1,905.82 |
0.5× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$822.99 |
$2,351.40 |
0.7× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$683.10 |
$1,951.69 |
0.5× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$907.62 |
$2,593.20 |
0.7× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$2,069.72 |
$5,913.47 |
0.6× |
| Colposcopy cervix (57452) |
$177.82 |
$508.05 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$239.04 |
$682.97 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$232.96 |
$665.58 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$220.88 |
$631.07 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$2,328.89 |
$6,653.97 |
0.7× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$523.90 |
$1,496.85 |
0.5× |
| Colposcopy vulva (56820) |
$118.91 |
$339.74 |
0.6× |
| Colposcopy vulva w/biopsy (56821) |
$238.98 |
$682.78 |
0.7× |
| Colposcopy w/endocervical curettage (57456) |
$225.03 |
$642.92 |
0.7× |
| Colpotomy; with exploration Age Under 21 (57000) |
$3,455.12 |
$9,871.75 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$879.06 |
$2,511.59 |
0.7× |
| Complete replacement picc rs&i (36584) |
$1,193.03 |
$3,408.63 |
0.7× |
| Complex cystometrogram voiding pressure studies (51728) |
$515.03 |
$1,471.51 |
0.7× |
| Complex uroflowmetry (51741) |
$350.73 |
$1,002.06 |
1.5× |
| Complx cystometro w/void press & urethral profil (51729) |
$515.03 |
$1,471.51 |
0.7× |
| Conization of cervix (57520) |
$2,328.89 |
$6,653.97 |
0.7× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$2,328.89 |
$6,653.97 |
0.7× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Age Under 21 (67880) |
$1,740.73 |
$4,973.51 |
0.7× |
| Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice… (31611) |
$2,487.65 |
$7,107.56 |
0.7× |
| Contrast injection perq radiologic eval gi tube (49465) |
$182.54 |
$521.52 |
0.7× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$146.38 |
$418.21 |
0.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$124.68 |
$356.21 |
0.9× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$162.66 |
$464.73 |
1.2× |
| Control throat bleeding (42960) |
$418.76 |
$1,196.45 |
0.7× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$2,018.59 |
$5,767.40 |
0.5× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$1,544.09 |
$4,411.66 |
0.7× |
| Conz of cervix w/scope leep (57461) |
$2,328.89 |
$6,653.97 |
0.7× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,261.78 |
$3,605.06 |
0.7× |
| Correction eyelid w/implant (67912) |
$1,740.73 |
$4,973.51 |
0.7× |
| Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Age Under… (67825) |
$218.68 |
$624.79 |
0.7× |
| Correction of widely-opened upper eyelid|RIGHT SIDE (67911) |
$1,740.73 |
$4,973.51 |
0.7× |
| Cryosurgery anal lesion(s) (46916) |
$149.14 |
$426.09 |
0.7× |
| Csf shunt reprogram (62252) |
$180.86 |
$516.74 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$135.89 |
$388.23 |
1.0× |
| Curettage postpartum (59160) |
$2,328.89 |
$6,653.97 |
0.7× |
| Curette/treat cornea (65435) |
$615.22 |
$1,757.76 |
0.6× |
| Curette/treat cornea (65436) |
$1,740.73 |
$4,973.51 |
0.7× |
| Cylinder cast (29365) |
$202.51 |
$578.58 |
0.7× |
| Cysto w/ureter stricture tx (52341) |
$2,596.91 |
$7,419.72 |
0.7× |
| Cystometrogram w/up (51727) |
$515.03 |
$1,471.51 |
0.7× |
| Cystoscopy and treatment (52310) |
$1,164.49 |
$3,327.09 |
0.5× |
| Cystoscopy removal of clots (52001) |
$2,373.47 |
$6,781.32 |
0.6× |
| Cystoscopy w/biopsy(s) (52204) |
$1,801.09 |
$5,145.95 |
0.8× |
| Cystourethroscopy (52000) |
$505.97 |
$1,445.62 |
0.7× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Age… (52330) |
$6,065.77 |
$17,330.75 |
1.6× |
| Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) |
$7,242.84 |
$20,693.82 |
0.7× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$1,164.49 |
$3,327.09 |
0.5× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,801.09 |
$5,145.95 |
0.8× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353) |
$3,628.78 |
$10,367.94 |
0.6× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$2,641.67 |
$7,547.62 |
0.7× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Age Under 21 (52305) |
$3,628.78 |
$10,367.94 |
0.6× |
| Deb skin bone at fx site (11012) |
$1,902.08 |
$5,434.50 |
0.6× |
| Debride skin at fx site (11010) |
$524.11 |
$1,497.44 |
0.7× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$435.85 |
$1,245.26 |
1.0× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$67.51 |
$192.86 |
1.1× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$67.51 |
$192.86 |
1.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$257.97 |
$737.04 |
0.6× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,228.31 |
$3,509.45 |
0.7× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$466.71 |
$1,333.43 |
0.6× |
| Declot vascular device (36593) |
$252.28 |
$720.79 |
0.7× |
| Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age Under 21 (15630) |
$3,018.21 |
$8,623.45 |
1.4× |
| Delivery of placenta (59414) |
$2,328.89 |
$6,653.97 |
0.7× |
| Destroy nerve face muscle (64612) |
$189.82 |
$542.33 |
0.6× |
| Destroy nerve of eye muscle (67345) |
$274.78 |
$785.06 |
0.8× |
| Destroy vulva lesion/s compl (56515) |
$1,443.73 |
$4,124.93 |
0.7× |
| Destruct lesion 15 or more (17111) |
$149.14 |
$426.09 |
0.7× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$149.14 |
$426.09 |
0.7× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$386.86 |
$1,105.31 |
0.9× |
| Destruction benign lesions up to 14 (17110) |
$159.27 |
$455.03 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$768.49 |
$2,195.66 |
0.8× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$740.05 |
$2,114.41 |
0.8× |
| Destruction lesion conjunctiva (68135) |
$1,740.73 |
$4,973.51 |
0.7× |
| Destruction lesions vulva simple (56501) |
$1,337.76 |
$3,822.15 |
0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,548.96 |
$4,425.59 |
0.8× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) |
$1,076.57 |
$3,075.90 |
1.4× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$283.48 |
$809.92 |
0.7× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) |
$3,217.10 |
$9,191.70 |
1.5× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Age Under 21 (66770) |
$387.60 |
$1,107.41 |
0.7× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Age Under 21 (65450) |
$644.19 |
$1,840.52 |
1.9× |
| Destruction of lesion of lid margin (up to 1 cm) Age Under 21 (67850) |
$645.99 |
$1,845.67 |
0.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$2,091.58 |
$5,975.94 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$283.04 |
$808.67 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$2,091.58 |
$5,975.94 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$1,969.89 |
$5,628.25 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$1,337.76 |
$3,822.15 |
0.6× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$2,566.08 |
$7,331.65 |
1.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$149.14 |
$426.09 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
$2,108.99 |
$6,025.67 |
1.0× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$283.01 |
$808.60 |
0.7× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age Under 21 (67210) |
$401.99 |
$1,148.54 |
0.7× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$2,328.89 |
$6,653.97 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$241.08 |
$688.79 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$138.36 |
$395.30 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$297.04 |
$848.66 |
1.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$297.65 |
$850.41 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$145.27 |
$415.05 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$149.14 |
$426.09 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$283.66 |
$810.44 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$159.11 |
$454.59 |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$201.17 |
$574.77 |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$201.17 |
$574.77 |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$152.19 |
$434.81 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$283.04 |
$808.67 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$139.77 |
$399.34 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$434.18 |
$1,240.50 |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$257.97 |
$737.04 |
0.6× |
| Diagnostic anoscopy (46601) |
$701.81 |
$2,005.15 |
1.5× |
| Diagnostic bone marrow aspirations (38220) |
$1,165.20 |
$3,329.14 |
0.7× |
| Diagnostic bone marrow biopsies (38221) |
$1,241.48 |
$3,547.07 |
0.7× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,116.69 |
$6,047.66 |
0.7× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$2,328.89 |
$6,653.97 |
0.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$563.11 |
$1,608.87 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$680.83 |
$1,945.22 |
0.7× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$131.48 |
$375.65 |
0.6× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$2,328.89 |
$6,653.97 |
0.7× |
| Dilation and catheterization of salivary duct, with or without injection Age Under 21 (42660) |
$409.87 |
$1,171.03 |
0.7× |
| Dilation of cervical canal (57800) |
$2,328.89 |
$6,653.97 |
0.7× |
| Dilation of lacrimal punctum, with or without irrigation (68801) |
$300.51 |
$858.59 |
0.6× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$1,329.96 |
$3,799.87 |
1.8× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$209.02 |
$597.20 |
0.8× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$174.83 |
$499.50 |
0.7× |
| Drainage external auditory canal, abscess (69020) |
$521.67 |
$1,490.48 |
0.7× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$1,811.60 |
$5,175.98 |
1.0× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$521.64 |
$1,490.38 |
0.7× |
| Drainage finger abscess simple (26010) |
$149.88 |
$428.21 |
0.7× |
| Drainage of abscess of palate, uvula (42000) |
$167.71 |
$479.17 |
0.7× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$1,530.92 |
$4,374.04 |
0.7× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$522.89 |
$1,493.95 |
0.9× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$521.64 |
$1,490.38 |
0.7× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$558.24 |
$1,594.95 |
1.0× |
| Drainage of eye (65810) |
$1,480.09 |
$4,228.81 |
0.6× |
| Drainage of eye (65800) |
$1,749.34 |
$4,998.10 |
0.7× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,207.73 |
$3,450.65 |
0.7× |
| Drainage of hydrocele (55000) |
$524.11 |
$1,497.44 |
0.7× |
| Drainage of nose lesion (30020) |
$409.87 |
$1,171.03 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,207.73 |
$3,450.65 |
0.7× |
| Drainage of scrotum (54700) |
$1,647.70 |
$4,707.71 |
0.7× |
| Drainage of tonsil abscess (42700) |
$245.09 |
$700.24 |
1.0× |
| Dry needling (20999) |
$29.47 |
$84.18 |
0.1× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,472.78 |
$4,207.93 |
0.7× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,466.62 |
$4,190.34 |
0.7× |
| Dx bronchoscope/brush (31623) |
$1,264.33 |
$3,612.37 |
0.7× |
| Dx bronchoscope/lavage (31624) |
$1,264.33 |
$3,612.37 |
0.7× |
| Dx laryngoscopy excl nb (31525) |
$1,422.35 |
$4,063.84 |
0.8× |
| Ed proc insert intraosseous IV (36680) |
$274.65 |
$784.71 |
0.6× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$184.88 |
$528.22 |
1.4× |
| Ed proc remve fb nasal- hospital (30300) |
$92.23 |
$263.51 |
0.7× |
| Ed prof arthrocentesis sm - hospital (20551) |
$176.18 |
$503.35 |
0.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$95.16 |
$271.87 |
0.7× |
| Ed prof burn - large - hospital (16030) |
$702.66 |
$2,007.60 |
1.6× |
| Ed prof burn medium - hospital (16025) |
$149.14 |
$426.09 |
0.7× |
| Ed prof burn small - hospital (16020) |
$131.21 |
$374.86 |
0.6× |
| Ed prof catheterization/straight (51701) |
$88.27 |
$252.18 |
0.6× |
| Ed prof closed tx post hip arthroplasty (27265) |
$146.30 |
$418 |
0.6× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,104.45 |
$3,155.55 |
0.7× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,104.45 |
$3,155.55 |
0.7× |
| Ed prof drain dental abscess-hospital (41800) |
$134.66 |
$384.74 |
1.0× |
| Ed prof insert foley cath simple (51702) |
$95.16 |
$271.87 |
0.7× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,924.72 |
$5,499.19 |
0.6× |
| Ed prof insertion of heart electr (33210) |
$4,926.62 |
$14,076.04 |
0.6× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$272.88 |
$779.64 |
0.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$261.02 |
$745.75 |
0.6× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$168.26 |
$480.73 |
0.6× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$270.01 |
$771.43 |
0.6× |
| Egd endo mucosal resection (43254) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd endoscopic stent place (43266) |
$4,245.47 |
$12,129.91 |
0.7× |
| Egd injection varices (43243) |
$1,167.82 |
$3,336.61 |
0.6× |
| Egd lesion ablation (43270) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd transoral control bleeding any method (43255) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd tube/cath insertion (43241) |
$1,167.90 |
$3,336.84 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd us fine needle bx/aspir (43242) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd us transmural injxn/mark (43253) |
$1,417.45 |
$4,049.85 |
0.7× |
| Egd w/transmural drain cyst (43240) |
$4,245.47 |
$12,129.91 |
0.7× |
| Embedded ip cath exit-site (49436) |
$1,226.12 |
$3,503.19 |
0.6× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$101.34 |
$289.54 |
0.7× |
| Endocervical curettage (57505) |
$469.99 |
$1,342.81 |
0.5× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$687.61 |
$1,964.60 |
0.7× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$580.88 |
$1,659.63 |
0.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$2,852.86 |
$8,151.01 |
0.7× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$2,427.82 |
$6,936.61 |
0.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$2,852.86 |
$8,151.01 |
0.7× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$2,852.86 |
$8,151.01 |
0.7× |
| Endoscopic us exam esoph (43237) |
$1,417.45 |
$4,049.85 |
0.7× |
| Endoscopy upper small intestine (44360) |
$2,128.21 |
$6,080.59 |
1.1× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$3,883.66 |
$11,096.17 |
0.7× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$2,932.06 |
$8,377.31 |
0.9× |
| Endovenous rf 1st vein (36475) |
$2,564.14 |
$7,326.09 |
0.8× |
| Episiotomy or vaginal repair (59300) |
$1,895.32 |
$5,415.20 |
0.6× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$515.15 |
$1,471.83 |
0.7× |
| Er orbit surgery procedure (67599) |
$650.34 |
$1,858.11 |
1.9× |
| Ercp duct stent placement (43274) |
$3,512.81 |
$10,036.58 |
0.5× |
| Ercp ea duct/ampulla dilate (43277) |
$2,852.86 |
$8,151.01 |
0.7× |
| Ercp lithotripsy calculi (43265) |
$3,513.05 |
$10,037.27 |
0.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,852.86 |
$8,151.01 |
0.7× |
| Ercp remove forgn body duct (43275) |
$1,630.87 |
$4,659.62 |
0.8× |
| Ercp stent exchange w/dilate (43276) |
$3,512.81 |
$10,036.58 |
0.5× |
| Esoph egd dilation <30 mm (43249) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esoph scope w/submucous inj (43201) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$565.48 |
$1,615.64 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$1,167.90 |
$3,336.84 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$565.48 |
$1,615.64 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$565.48 |
$1,615.64 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esophagoscop stent placement (43212) |
$4,022.65 |
$11,493.27 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$687.35 |
$1,963.83 |
0.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$565.48 |
$1,615.64 |
0.6× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,202.89 |
$3,436.81 |
0.6× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,417.45 |
$4,049.85 |
0.7× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$1,417.45 |
$4,049.85 |
0.7× |
| Evac subungual hematoma (11740) |
$99.68 |
$284.79 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,268.82 |
$3,625.18 |
0.7× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$546.11 |
$1,560.31 |
1.0× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$2,275.90 |
$6,502.55 |
1.0× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$1,070.57 |
$3,058.77 |
1.4× |
| Exc face les sbq 2 cm/> (21012) |
$1,311.31 |
$3,746.60 |
0.8× |
| Exc face tum deep < 2 cm (21013) |
$1,241.48 |
$3,547.07 |
0.7× |
| Exc forearm les sc 3 cm/> (25071) |
$1,354.61 |
$3,870.31 |
0.8× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,227.52 |
$3,507.19 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$631.71 |
$1,804.86 |
0.8× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,207.73 |
$3,450.65 |
0.7× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$2,752.79 |
$7,865.10 |
1.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$524.11 |
$1,497.44 |
0.7× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$410.93 |
$1,174.07 |
0.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,175.02 |
$9,071.47 |
1.0× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$2,146.55 |
$6,132.98 |
0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,268.03 |
$3,622.92 |
0.7× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,123.88 |
$3,211.07 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,144.96 |
$6,128.43 |
1.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,175.02 |
$9,071.47 |
1.0× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$2,146.55 |
$6,132.98 |
0.7× |
| Exc. pentagonal wedge, csd/w deep and lash/grey line sutures (67999) |
$1,696.77 |
$4,847.90 |
5.1× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$2,018.59 |
$5,767.40 |
0.5× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,938.50 |
$8,395.70 |
1.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,133.76 |
$3,239.30 |
0.6× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$1,740.73 |
$4,973.51 |
0.7× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$1,740.73 |
$4,973.51 |
0.7× |
| Excision aural polyp (69540) |
$1,215.75 |
$3,473.57 |
0.7× |
| Excision external ear partial simple repair (69110) |
$2,116.69 |
$6,047.66 |
0.7× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,310.01 |
$3,742.86 |
0.8× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$5,033.54 |
$14,381.52 |
1.6× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$5,033.54 |
$14,381.52 |
1.6× |
| Excision lesion mouth roof (42104) |
$2,436.39 |
$6,961.10 |
0.7× |
| Excision lesion sclera (66130) |
$1,312.85 |
$3,750.99 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$524.11 |
$1,497.44 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$374.45 |
$1,069.85 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$601.63 |
$1,718.93 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$584.11 |
$1,668.87 |
0.8× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$2,197.46 |
$6,278.45 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$1,227.52 |
$3,507.19 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,237.41 |
$3,535.45 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$560.75 |
$1,602.14 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,207.73 |
$3,450.65 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,640.55 |
$4,687.28 |
0.9× |
| Excision multiple external papillae/tags anus (46230) |
$2,091.58 |
$5,975.94 |
0.7× |
| Excision of bartholin's gland or cyst (56740) |
$1,895.32 |
$5,415.20 |
0.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$580.93 |
$1,659.79 |
0.6× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$1,975.51 |
$5,644.29 |
1.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$1,975.51 |
$5,644.29 |
0.6× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,349.31 |
$3,855.15 |
0.8× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$2,436.39 |
$6,961.10 |
0.7× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair (41825) |
$3,597.53 |
$10,278.64 |
1.0× |
| Excision of lesion, conjunctiva; over 1 cm Age Under 21 (68115) |
$1,740.73 |
$4,973.51 |
0.7× |
| Excision of mouth lesion (41116) |
$2,398.36 |
$6,852.43 |
0.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age Under 21 (42410) |
$6,525.03 |
$18,642.94 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,034.30 |
$2,955.14 |
0.8× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$5,134.21 |
$14,669.15 |
1.7× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$5,134.21 |
$14,669.15 |
1.7× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$5,033.54 |
$14,381.52 |
1.6× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) |
$5,134.21 |
$14,669.15 |
1.7× |
| Excision of sublingual gland (42450) |
$3,993.14 |
$11,408.95 |
0.6× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$991.74 |
$2,833.52 |
4.7× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,332.90 |
$3,808.27 |
1.1× |
| Excision of tongue fold (41115) |
$1,154.47 |
$3,298.46 |
0.7× |
| Excision of tongue lesion (41112) |
$2,436.39 |
$6,961.10 |
0.7× |
| Excision of vaginal cyst or tumor (57135) |
$2,131.19 |
$6,089.11 |
0.6× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$1,362.96 |
$3,894.15 |
0.8× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$5,171.46 |
$14,775.60 |
1.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,416.15 |
$4,046.14 |
0.8× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$1,227.61 |
$3,507.43 |
0.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,353.03 |
$3,865.80 |
0.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,558.82 |
$4,453.77 |
0.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,290.36 |
$3,686.73 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$1,193.64 |
$3,410.39 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$2,116.69 |
$6,047.66 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,193.64 |
$3,410.39 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$377.47 |
$1,078.48 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,133.30 |
$3,237.98 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$560.75 |
$1,602.14 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,109.71 |
$3,170.60 |
0.6× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$524.11 |
$1,497.44 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$524.11 |
$1,497.44 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$1,315.34 |
$3,758.09 |
0.8× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$1,466.92 |
$4,191.20 |
0.8× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,630.08 |
$4,657.37 |
0.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$1,237.41 |
$3,535.45 |
1.7× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,111.34 |
$3,175.24 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$550.66 |
$1,573.31 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$642.60 |
$1,836 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$1,243.38 |
$3,552.50 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$630.18 |
$1,800.50 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$1,073.80 |
$3,068 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,714.04 |
$4,897.24 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$1,952.98 |
$5,579.94 |
0.6× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$3,014.54 |
$8,612.96 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$1,207.73 |
$3,450.65 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$3,175.02 |
$9,071.47 |
1.0× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$2,089.03 |
$5,968.64 |
0.7× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$2,179.17 |
$6,226.18 |
1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,175.02 |
$9,071.47 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$2,849.53 |
$8,141.50 |
1.6× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$5,291.70 |
$15,119.12 |
1.7× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$1,236.71 |
$3,533.44 |
0.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,013.86 |
$5,753.87 |
0.6× |
| Excision/Destruction Lesion Pharynx Any Method (42808) |
$2,398.36 |
$6,852.43 |
0.7× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$2,089.31 |
$5,969.45 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,207.73 |
$3,450.65 |
0.7× |
| Explore wound abdomen (20102) |
$1,308.47 |
$3,738.46 |
0.6× |
| Explore wound chest (20101) |
$1,321.82 |
$3,776.62 |
0.6× |
| Explore/irrigate tear ducts (68840) |
$242.02 |
$691.48 |
0.7× |
| External cannula declotting (separate procedure); with balloon catheter Age Under 21 (36861) |
$4,093.59 |
$11,695.96 |
0.7× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$2,013.86 |
$5,753.87 |
0.6× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21 (41016) |
$3,549.77 |
$10,142.18 |
0.6× |
| Fetal contraction stress test (59020) |
$124.44 |
$355.54 |
0.6× |
| FGFR3 (fibroblast growth factor receptor 3) gene analysis Other Outpatient (0154U) |
$1,067.22 |
$3,049.20 |
2.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$522.89 |
$1,493.97 |
0.7× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$522.89 |
$1,493.97 |
0.7× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$349.60 |
$998.84 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$522.89 |
$1,493.97 |
0.7× |
| Flap island pedicle (15740) |
$2,108.99 |
$6,025.67 |
1.0× |
| Fluid pressure muscle (20950) |
$557.78 |
$1,593.63 |
0.7× |
| Fna bx w/mr gdn 1st les (10011) |
$522.89 |
$1,493.97 |
0.7× |
| Follow-up surgery of eye (66250) |
$1,647.34 |
$4,706.66 |
0.7× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21 (15731) |
$3,732.01 |
$10,662.86 |
1.0× |
| Frenulotomy of penis (54164) |
$1,396.28 |
$3,989.35 |
0.6× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$2,108.99 |
$6,025.67 |
1.0× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$2,108.99 |
$6,025.67 |
1.0× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$2,108.99 |
$6,025.67 |
1.0× |
| Ganglion impar nerve block (64999) |
$939.02 |
$2,682.90 |
2.9× |
| Gastric lavage (43753) |
$233.82 |
$668.05 |
1.0× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$176.72 |
$504.90 |
4.8× |
| Guide cathet fluid drainage (10030) |
$521.64 |
$1,490.38 |
0.7× |
| Hair removal by electrolysis, each 30 minutes (17380) |
$444.59 |
$1,270.25 |
0.6× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,990.20 |
$5,686.27 |
0.6× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$680.83 |
$1,945.22 |
0.7× |
| Hepcidin-25 elisa serum or plasma (0251U) |
$232.85 |
$665.28 |
13.5× |
| Hysteroscopy biopsy (58558) |
$2,328.89 |
$6,653.97 |
0.7× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$3,213.26 |
$9,180.72 |
0.6× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$2,131.19 |
$6,089.11 |
0.6× |
| I&d abscess simple/single (10060) |
$149.88 |
$428.21 |
0.7× |
| I&d hematoma/seroma/fluid (10140) |
$1,207.73 |
$3,450.65 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$521.64 |
$1,490.38 |
0.7× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$2,125.39 |
$6,072.52 |
0.7× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,128.21 |
$6,080.59 |
1.1× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$706.08 |
$2,017.36 |
0.7× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$1,236.82 |
$3,533.76 |
4.8× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$1,207.73 |
$3,450.65 |
0.7× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,148.27 |
$3,280.75 |
0.7× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$1,148.27 |
$3,280.75 |
0.7× |
| Implant subq hormone pellet (11980) |
$300.51 |
$858.59 |
0.6× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350) |
$4,963.59 |
$14,181.67 |
0.5× |
| Incise & drain bladder (51040) |
$1,396.74 |
$3,990.68 |
0.6× |
| Incise external hemorrhoid (46083) |
$343.04 |
$980.11 |
1.3× |
| Incise finger tendon sheath (26055) |
$1,229.34 |
$3,512.39 |
0.7× |
| Incise inner eye adhesions (65865) |
$1,618.60 |
$4,624.57 |
0.7× |
| Incise/drain eyelid lining (68020) |
$728.64 |
$2,081.81 |
0.7× |
| Incise/drain tear gland (68400) |
$654.66 |
$1,870.44 |
0.6× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$297.04 |
$848.66 |
0.7× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$192.03 |
$548.64 |
0.9× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$792.79 |
$2,265.09 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$238.98 |
$682.78 |
0.7× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$2,116.69 |
$6,047.66 |
0.7× |
| Incision and drainage, perianal abscess, superficial (46050) |
$548.76 |
$1,567.86 |
0.6× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$1,174.11 |
$3,354.60 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,193.64 |
$3,410.39 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$270.86 |
$773.88 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$1,229.34 |
$3,512.39 |
0.7× |
| Incision of connective tissue of foot and/or toe (28008) |
$2,575.17 |
$7,357.61 |
0.7× |
| Incision of eardrum with insertion of eardrum tube under local or topical anesthesia|BILATERAL PROCEDURE (69433) |
$470.43 |
$1,344.06 |
0.8× |
| Incision of eyelid (67710) |
$645.99 |
$1,845.67 |
0.6× |
| Incision of eyelid fold (67715) |
$1,740.73 |
$4,973.51 |
0.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,154.47 |
$3,298.46 |
0.7× |
| Incision of rectal abscess (46040) |
$1,342.23 |
$3,834.93 |
1.1× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$270.01 |
$771.43 |
0.6× |
| Incision&drainage bursa foot (28001) |
$1,207.73 |
$3,450.65 |
0.7× |
| Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Age Under 21 (68420) |
$1,636.06 |
$4,674.45 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$467.85 |
$1,336.70 |
0.6× |
| Induced abortion by d&c (59840) |
$2,328.89 |
$6,653.97 |
0.7× |
| Induced abortion dilation & evacuation (59841) |
$3,436.13 |
$9,817.50 |
1.0× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$698.61 |
$1,996.02 |
1.7× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$195 |
$557.14 |
0.6× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$223.70 |
$639.14 |
1.1× |
| Inj epidural blood or clot patch (62273) |
$508.40 |
$1,452.55 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$628.85 |
$1,796.70 |
0.7× |
| Inj paravert f jnt l/s 1 lev (64493) |
$628.85 |
$1,796.70 |
0.7× |
| Inj substitute pars plana/limbl w/wo aspir spx (67025) |
$1,749.33 |
$4,998.08 |
0.7× |
| Inj tx nerve (64640) |
$613.81 |
$1,753.72 |
0.7× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$181.96 |
$519.88 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$426.82 |
$1,219.48 |
0.6× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$1,919.90 |
$5,485.40 |
2.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$582.94 |
$1,665.53 |
0.6× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,869.32 |
$5,340.89 |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$563.11 |
$1,608.87 |
0.8× |
| Injection aa&/strd greater occipital nerve (64405) |
$332.29 |
$949.39 |
1.0× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$388.86 |
$1,111.01 |
0.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$628.85 |
$1,796.70 |
0.7× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$515.15 |
$1,471.83 |
0.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$563.11 |
$1,608.87 |
0.8× |
| Injection aa&/strd pudendal nerve (64430) |
$737.58 |
$2,107.35 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$508.40 |
$1,452.55 |
0.7× |
| Injection aa&/strd suprascapular nerve (64418) |
$587.38 |
$1,678.22 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$201.45 |
$575.56 |
0.6× |
| Injection aa&/strd vagus nerve (64408) |
$330.95 |
$945.55 |
1.0× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$690.31 |
$1,972.31 |
0.7× |
| Injection anes superior hypogastric plexus (64517) |
$686.60 |
$1,961.70 |
0.7× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$812.94 |
$2,322.68 |
0.6× |
| Injection enzyme palmar fascial cord (20527) |
$209.95 |
$599.83 |
0.6× |
| Injection eye drug (67028) |
$239.71 |
$684.88 |
0.7× |
| Injection of drug or substance into membrane covering eyeball|BILATERAL PROCEDURE (67515) |
$239.71 |
$684.88 |
0.7× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$1,154.47 |
$3,298.47 |
0.7× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$557.81 |
$1,593.72 |
0.8× |
| Injection sclerosant multiple incmptnt veins (36471) |
$283.48 |
$809.92 |
0.7× |
| Injection sclerosant single incmptnt vein (36470) |
$297.04 |
$848.66 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$189.82 |
$542.32 |
0.6× |
| Injection treatment of nerve (64681) |
$805.02 |
$2,300.05 |
0.9× |
| Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) |
$310.15 |
$886.13 |
0.7× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$533.82 |
$1,525.18 |
0.6× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$533.82 |
$1,525.18 |
0.6× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$515.15 |
$1,471.83 |
0.7× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$189.82 |
$542.33 |
0.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$189.82 |
$542.33 |
0.6× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$189.82 |
$542.33 |
0.6× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$628.85 |
$1,796.70 |
0.7× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$343.17 |
$980.46 |
1.1× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Age Under 21 (66020) |
$1,735.93 |
$4,959.80 |
0.7× |
| Injection, anterior chamber of eye (separate procedure); medication Age Under 21 (66030) |
$1,618.60 |
$4,624.57 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$153.85 |
$439.55 |
0.7× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62280) |
$1,041.36 |
$2,975.29 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$2,418.51 |
$6,910.02 |
0.7× |
| Ins cath ren art 1st unilat (36251) |
$2,094.49 |
$5,984.25 |
0.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,093.59 |
$11,695.96 |
0.7× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$4,093.59 |
$11,695.96 |
0.7× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$26,015.91 |
$74,331.15 |
0.8× |
| Insert and remove bone pin (20650) |
$3,616.77 |
$10,333.62 |
1.0× |
| Insert cervical dilator (59200) |
$244.36 |
$698.16 |
0.8× |
| Insert drug implant device (11981) |
$92.95 |
$265.55 |
0.7× |
| Insert gastrostomy tube percutaneous (49440) |
$1,417.45 |
$4,049.85 |
0.7× |
| Insert heart pm atrial (33206) |
$7,765.48 |
$22,187.06 |
0.7× |
| Insert nasal septal button (30220) |
$1,143.18 |
$3,266.21 |
0.7× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$2,289.24 |
$6,540.68 |
0.7× |
| Insert pessary/other device (57160) |
$111.88 |
$319.63 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,131.53 |
$6,090.08 |
0.6× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$19,084.47 |
$54,527.03 |
0.8× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$7,765.48 |
$22,187.06 |
0.7× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$7,279.13 |
$20,797.49 |
0.7× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$6,311.48 |
$18,032.78 |
0.7× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$1,193.03 |
$3,408.63 |
0.7× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$2,596.91 |
$7,419.72 |
0.7× |
| Insertion of tissue expander(s) for other than breast, including subsequent expansion (11960) |
$2,496.60 |
$7,133.14 |
0.7× |
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182)
likely a partial charge — not the full procedure |
$5,224.10 |
$14,925.99 |
0.3× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$152.49 |
$435.66 |
0.7× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$2,102.21 |
$6,006.31 |
0.6× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$2,650.23 |
$7,572.07 |
0.8× |
| Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) |
$6,521.80 |
$18,633.70 |
0.7× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,193.03 |
$3,408.63 |
0.7× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$987.07 |
$2,820.19 |
0.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$559.60 |
$1,598.84 |
0.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,004.18 |
$17,154.80 |
0.7× |
| Insertion tunnel intraperitoneal cath dial open (49421) |
$2,577.17 |
$7,363.33 |
0.7× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$5,483.33 |
$15,666.64 |
0.6× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$7,258.77 |
$20,739.32 |
0.8× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$11,430.08 |
$32,657.35 |
1.0× |
| Insj intraperitoneal catheter w/img guid (49418) |
$2,018.59 |
$5,767.40 |
0.5× |
| Insj of subq implantable defibrillator electrode (33271) |
$5,525.36 |
$15,786.73 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,270.04 |
$6,485.81 |
0.7× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$1,888.78 |
$5,396.51 |
0.6× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$26,008.82 |
$74,310.90 |
0.8× |
| Insrt heart pm atrial & vent (33208) |
$8,635.62 |
$24,673.20 |
0.8× |
| Insrt pulse gen w/dual leads (33230) |
$20,450.74 |
$58,430.67 |
0.9× |
| Insrt pulse gen w/mult leads (33231) |
$20,450.74 |
$58,430.67 |
0.6× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$568.08 |
$1,623.08 |
0.9× |
| Interdental fixation (21110) |
$931.20 |
$2,660.56 |
0.6× |
| Interdental wiring (21497) |
$931.27 |
$2,660.75 |
0.6× |
| Intraoral i&d tongue/floor masticator space (41009) |
$402.27 |
$1,149.32 |
0.7× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$192.39 |
$549.67 |
0.8× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,987.81 |
$5,679.45 |
1.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,002.60 |
$5,721.69 |
0.6× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,193.03 |
$3,408.63 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$7,960.01 |
$22,742.87 |
0.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$3,938.37 |
$11,252.47 |
0.7× |
| Intubation endotracheal (31500) |
$180.73 |
$516.37 |
0.7× |
| Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber… (66762) |
$474.08 |
$1,354.51 |
0.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$178.05 |
$508.70 |
0.7× |
| Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21 (69801) |
$943.46 |
$2,695.59 |
0.6× |
| Largsc w/ther injection (31573) |
$3,160.50 |
$9,030 |
1.7× |
| Laryngoscope w/vc inj (31570) |
$2,789.60 |
$7,970.28 |
0.7× |
| Laryngoscopy flex diagnostic (31575) |
$134.82 |
$385.18 |
0.6× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$1,161.86 |
$3,319.59 |
0.6× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$1,205.36 |
$3,443.87 |
0.6× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$311.70 |
$890.56 |
0.8× |
| Laryngoscopy indirect diagnostic (31505) |
$137.72 |
$393.46 |
0.7× |
| Laryngoscopy w stroboscopy (31579) |
$346.92 |
$991.20 |
0.8× |
| Laryngoscopy w/foreign body removal (31530) |
$2,453.99 |
$7,011.40 |
1.3× |
| Laser treatment of retina (67040) |
$2,749.25 |
$7,854.99 |
0.6× |
| Lateral canthopexy (21282) |
$3,311.05 |
$9,460.14 |
0.9× |
| Ligation of a-v fistula (37607) |
$2,496.91 |
$7,134.02 |
0.7× |
| Ligation or biopsy, temporal artery (37609) |
$1,265.97 |
$3,617.05 |
0.7× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$2,601.50 |
$7,432.85 |
0.8× |
| Lip mucosa excision and reapproximation (40799) |
$3,019.33 |
$8,626.64 |
12.1× |
| Long gi tube placement (44500) |
$675.26 |
$1,929.31 |
0.7× |
| Lumbar puncture (62270) |
$515.15 |
$1,471.83 |
0.7× |
| Lysis intranasal synechia (30560) |
$439.67 |
$1,256.18 |
0.8× |
| Lysis of labial adhesions (56441) |
$2,328.89 |
$6,653.97 |
0.7× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$1,494.71 |
$4,270.59 |
0.7× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$181.61 |
$518.88 |
0.7× |
| Manipulation finger joint under anes each joint (26340) |
$1,185.37 |
$3,386.77 |
0.7× |
| Marsupialization bartholin's gland cyst (56440) |
$2,328.89 |
$6,653.97 |
0.7× |
| Mastopexy (19316) |
$4,016.52 |
$11,475.75 |
0.6× |
| Mastotomy expl drg absc dp (19020) |
$1,244.64 |
$3,556.11 |
0.7× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$2,468.16 |
$7,051.88 |
0.7× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$72.82 |
$208.05 |
1.2× |
| Meatotomy cutting meatus spx except infant (53020) |
$1,570.23 |
$4,486.37 |
0.7× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,469.65 |
$4,198.98 |
2.2× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,469.65 |
$4,198.98 |
0.9× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$2,374.42 |
$6,784.05 |
0.7× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$2,468.16 |
$7,051.88 |
0.7× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$577.16 |
$1,649.01 |
0.7× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$721.45 |
$2,061.26 |
0.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$577.16 |
$1,649.01 |
0.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$577.16 |
$1,649.01 |
0.7× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$245.09 |
$700.24 |
1.0× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$207.54 |
$592.96 |
1.0× |
| Nasal surg proc unlisted (30999) |
$1,696.30 |
$4,846.57 |
6.8× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$434 |
$1,240 |
1.1× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$1,422.35 |
$4,063.84 |
0.8× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$1,275.72 |
$3,644.91 |
0.7× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Age Under 21 (31239) |
$2,530.75 |
$7,230.70 |
0.6× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$777.52 |
$2,221.48 |
0.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,369.04 |
$6,768.67 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.19 |
$63.38 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$20.75 |
$59.28 |
0.7× |
| Neuroeltrd stim post tibial (64566) |
$176.18 |
$503.36 |
0.5× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$53.84 |
$153.81 |
0.5× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,466.62 |
$4,190.34 |
0.7× |
| Nipple/areola reconstruction (19350) |
$2,483.96 |
$7,097.02 |
0.6× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$755.53 |
$2,158.65 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$690.31 |
$1,972.31 |
0.7× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$2,650.90 |
$7,573.98 |
0.7× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$2,018.59 |
$5,767.40 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$460.95 |
$1,316.99 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$460.76 |
$1,316.45 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$580.43 |
$1,658.36 |
0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,416.88 |
$4,048.21 |
1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$580.43 |
$1,658.36 |
0.6× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,428.21 |
$4,080.58 |
0.7× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,428.21 |
$4,080.58 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$486.30 |
$1,389.41 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$486.30 |
$1,389.41 |
0.7× |
| Non stress test (59025) |
$111.88 |
$319.63 |
0.5× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$2,172.97 |
$6,208.48 |
0.7× |
| Obstructive material removal from gi tube (49460) |
$675.26 |
$1,929.31 |
0.7× |
| Ocular photodynamic ther (67221) |
$403.26 |
$1,152.16 |
0.7× |
| Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous… (0172U) |
$4,899.51 |
$13,998.60 |
1.6× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Age Under 21 (21356) |
$4,561.09 |
$13,031.68 |
0.7× |
| Open tx distal phalangeal fracture each (26765) |
$2,411.19 |
$6,889.09 |
0.7× |
| Open/perq placement intravascular stent initial (37236) |
$8,560.68 |
$24,459.07 |
0.7× |
| Open/perq placement intravascular stent same 1st (37238) |
$8,560.68 |
$24,459.07 |
0.7× |
| Or placement of amniotic membrane on the ocular surface; single layer, sutured (65779) |
$2,964.28 |
$8,469.36 |
0.7× |
| Palate/uvula surgery (42299) |
$630.60 |
$1,801.71 |
2.5× |
| Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or… (65815) |
$1,612 |
$4,605.70 |
0.7× |
| Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500) |
$6,699.47 |
$19,141.32 |
1.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$159.27 |
$455.03 |
0.8× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$149.14 |
$426.09 |
0.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$159.27 |
$455.03 |
0.8× |
| Partial excision distal phalanx finger (26236) |
$1,005.94 |
$2,874.10 |
0.6× |
| Partical excision bone phalanx toe (28124) |
$1,990.20 |
$5,686.27 |
0.6× |
| Penile injection (54235) |
$178.05 |
$508.70 |
0.7× |
| Percut ablate liver rf (47382) |
$3,849.83 |
$10,999.51 |
0.6× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$833.37 |
$2,381.05 |
1.1× |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080) |
$10,293.63 |
$29,410.36 |
1.0× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$332.25 |
$949.27 |
1.3× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$3,204.79 |
$9,156.54 |
1.0× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,320.29 |
$3,772.25 |
0.8× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$675.26 |
$1,929.31 |
0.7× |
| Perq av fistula creation uxtr sep access sites (36837) |
$20,832.14 |
$59,520.38 |
1.1× |
| Perq av fistula creation uxtr single access (36836) |
$20,832.14 |
$59,520.38 |
1.1× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$1,043.17 |
$2,980.48 |
1.4× |
| Perq dev breast 1st strtctc (19283) |
$521.64 |
$1,490.38 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$912.42 |
$2,606.89 |
1.2× |
| Perq device breast 1st imag (19281) |
$1,832.44 |
$5,235.54 |
1.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,895.36 |
$11,129.58 |
1.0× |
| Perq drainage pleura insert cath w/imaging (32557) |
$987.07 |
$2,820.19 |
0.6× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,299.78 |
$3,713.64 |
0.6× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$20,832.14 |
$59,520.38 |
1.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$12,873.72 |
$36,782.05 |
1.1× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$12,873.72 |
$36,782.05 |
1.1× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$12,873.72 |
$36,782.05 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$212.37 |
$606.76 |
0.8× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$12,065.31 |
$34,472.30 |
0.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$7,960.01 |
$22,742.87 |
0.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$3,938.37 |
$11,252.47 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$5,069.55 |
$14,484.42 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,050.92 |
$14,431.20 |
0.7× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$2,444.86 |
$6,985.30 |
0.7× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$2,444.86 |
$6,985.30 |
0.7× |
| Phleb veins - extrem 20+ (37766) |
$3,043.11 |
$8,694.60 |
0.9× |
| PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis… (0155U) |
$452.76 |
$1,293.60 |
1.6× |
| Pin finger fracture each (26756) |
$3,637.46 |
$10,392.72 |
1.1× |
| Place duod/jej tube perc (49441) |
$1,417.45 |
$4,049.85 |
0.7× |
| Placement of amniotic membrane on eye surface for wound healing|RIGHT SIDE (65778) |
$759.26 |
$2,169.31 |
0.7× |
| Plastic repair of canaliculi (68700) |
$1,740.73 |
$4,973.51 |
0.7× |
| Plmt access thru biliary tree into small bwl new (47541) |
$8,453.60 |
$24,153.13 |
1.2× |
| Plmt bile duct stent prq existing access (47538) |
$3,818.39 |
$10,909.66 |
0.6× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$3,818.39 |
$10,909.66 |
0.6× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$3,818.39 |
$10,909.66 |
0.6× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,396.74 |
$3,990.68 |
0.6× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,596.91 |
$7,419.72 |
0.7× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$489.96 |
$1,399.87 |
0.7× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$2,080.15 |
$5,943.27 |
0.6× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,080.15 |
$5,943.27 |
0.6× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$2,080.15 |
$5,943.27 |
0.6× |
| Pr inj. intralesional gt 7 lesions (11901) |
$153.85 |
$439.55 |
0.7× |
| Pr transfusion intrauterine fetal (36460) |
$304.26 |
$869.29 |
0.7× |
| Preputial stretching (54450) |
$219.21 |
$626.29 |
0.8× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$19,593.35 |
$55,980.98 |
1.0× |
| Probe nasolacrimal duct (68815) |
$1,442.48 |
$4,121.36 |
0.6× |
| Probing of nasolacrimal duct, with or without irrigation; Age Under 21 (68810) |
$274.04 |
$782.95 |
0.8× |
| Proctosigmoidoscopy dx (45300) |
$1,197.70 |
$3,421.98 |
1.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$879.06 |
$2,511.59 |
0.7× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$1,454.50 |
$4,155.69 |
1.2× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy… (67141) |
$373.06 |
$1,065.88 |
1.1× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age… (67145) |
$387.59 |
$1,107.40 |
0.7× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$2,018.59 |
$5,767.40 |
0.5× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$2,018.59 |
$5,767.40 |
0.5× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$2,202.62 |
$6,293.18 |
0.7× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$8,194.97 |
$23,414.18 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$297.04 |
$848.66 |
0.7× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$297.04 |
$848.66 |
0.7× |
| Puncture aspiration of cyst of breast (19000) |
$524.11 |
$1,497.44 |
0.7× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$1,667.39 |
$4,763.96 |
1.7× |
| Pvb thoracic single injection site w/img gid (64461) |
$545.27 |
$1,557.89 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,548.96 |
$4,425.59 |
0.8× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Age… (67975) |
$1,740.73 |
$4,973.51 |
0.7× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$1,740.73 |
$4,973.51 |
0.7× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$1,229.06 |
$3,511.58 |
5.8× |
| Reduction overcorrection ptosis (67909) |
$1,442.48 |
$4,121.36 |
0.6× |
| Release of eye fluid (67015) |
$1,480.09 |
$4,228.81 |
0.6× |
| Release palm contracture (26040) |
$1,229.34 |
$3,512.39 |
0.7× |
| Relieve pressure on nerve(s) (64722) |
$1,466.62 |
$4,190.34 |
0.7× |
| Relocate skin pocket implantable defibrillator (33223) |
$1,287.14 |
$3,677.53 |
0.6× |
| Relocation of skin pocket for pacemaker (33222) |
$1,287.14 |
$3,677.53 |
0.6× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$1,879.89 |
$5,371.10 |
0.9× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$675.26 |
$1,929.31 |
0.7× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$503.82 |
$1,439.48 |
0.7× |
| Removal foreign body mouth (40804) |
$677.07 |
$1,934.46 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56.70 |
$161.98 |
0.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$58.46 |
$167.02 |
0.9× |
| Removal implant deep (20680) |
$2,116.69 |
$6,047.66 |
0.7× |
| Removal implant from finger/hand (26320) |
$1,009.35 |
$2,883.83 |
0.6× |
| Removal implant superficial (20670) |
$1,133.30 |
$3,237.98 |
0.7× |
| Removal implantable contraceptive capsules (11976) |
$524.11 |
$1,497.44 |
0.7× |
| Removal implantable defib pulse generator only (33241) |
$4,387.95 |
$12,537 |
1.1× |
| Removal of blood from fetal umbilical cord (59012) |
$250.63 |
$716.06 |
0.8× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$2,272.16 |
$6,491.87 |
0.7× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$239.71 |
$684.88 |
0.7× |
| Removal of eye lesion (65400) |
$1,065.70 |
$3,044.83 |
1.0× |
| Removal of eyelashes using forceps|BILATERAL PROCEDURE (67820) |
$110.46 |
$315.59 |
0.8× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,227.61 |
$3,507.43 |
0.7× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,227.52 |
$3,507.20 |
0.7× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$94.80 |
$270.83 |
0.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$300.51 |
$858.59 |
0.6× |
| Removal of foreign body, foot; deep (28192) |
$1,373 |
$3,922.84 |
0.8× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$2,216.03 |
$6,331.49 |
0.6× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$2,663.10 |
$7,608.83 |
10.7× |
| Removal of growth of eyelid lining 1.0 cm or less|RIGHT SIDE (68110) |
$1,740.73 |
$4,973.51 |
0.7× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$939.24 |
$2,683.54 |
0.7× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$716.61 |
$2,047.44 |
0.6× |
| Removal of iud (58301) |
$212.58 |
$607.35 |
0.7× |
| Removal of nail bed (11750) |
$317.39 |
$906.82 |
0.7× |
| Removal of pm generator (33233) |
$6,030.54 |
$17,230.11 |
0.7× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$2,839.43 |
$8,112.65 |
0.7× |
| Removal of salivary stone (42330) |
$1,975.51 |
$5,644.29 |
0.6× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$2,270.04 |
$6,485.81 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$149.14 |
$426.09 |
0.7× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$1,952.15 |
$5,577.56 |
0.6× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$2,925.30 |
$8,358 |
0.7× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$4,387.95 |
$12,537 |
1.1× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,807.65 |
$5,164.70 |
0.5× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$205.78 |
$587.93 |
0.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$469.81 |
$1,342.30 |
0.6× |
| Removal tunneled cv cath (36590) |
$1,193.03 |
$3,408.63 |
0.7× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$300.51 |
$858.59 |
0.6× |
| Removal, non-biodegradable drug delivery implant (11982) |
$300.51 |
$858.59 |
0.6× |
| Removal/revision of cast (29700) |
$200.06 |
$571.58 |
0.7× |
| Remove eye implant material (67120) |
$1,618.60 |
$4,624.57 |
0.7× |
| Remove eyelid foreign body (67938) |
$217.01 |
$620.02 |
0.6× |
| Remove eyelid lesions (67805) |
$242.02 |
$691.48 |
0.7× |
| Remove eyelid lesions (67801) |
$604.26 |
$1,726.44 |
0.6× |
| Remove foreign body from eye (65210) |
$314.24 |
$897.82 |
0.7× |
| Remove lung catheter (32552) |
$455.45 |
$1,301.28 |
0.7× |
| Remove pharynx foreign body (42809) |
$270.01 |
$771.43 |
0.6× |
| Remove stent via transureth (50386) |
$1,570.23 |
$4,486.37 |
0.7× |
| Remove ureter stent percut (50384) |
$1,517.26 |
$4,335.02 |
0.7× |
| Remove vc lesion w/scope (31545) |
$2,789.60 |
$7,970.28 |
0.7× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$6,540.10 |
$18,685.99 |
0.6× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$14,387.53 |
$41,107.22 |
0.7× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$5,641.07 |
$16,117.33 |
0.6× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$1,207.73 |
$3,450.65 |
0.7× |
| Repair blood vessel lesion (35226) |
$540.55 |
$1,544.41 |
0.7× |
| Repair brow defect (67900) |
$1,796.57 |
$5,133.03 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$291.81 |
$833.73 |
0.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$371.18 |
$1,060.49 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$467.85 |
$1,336.70 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$384.32 |
$1,098.03 |
0.5× |
| Repair ectropion suture (67914) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair entropion excision tarsal wedge (67923) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair entropion suture (67921) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,054.77 |
$3,013.62 |
0.6× |
| Repair eyelid defect (67908) |
$1,442.48 |
$4,121.36 |
0.6× |
| Repair eyelid defect (67924) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair eyelid defect (67904) |
$1,615.52 |
$4,615.75 |
0.6× |
| Repair eyelid defect (67903) |
$1,442.48 |
$4,121.36 |
0.6× |
| Repair eyelid wound (67930) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair finger tendon (26418) |
$1,054.77 |
$3,013.62 |
0.6× |
| Repair finger/hand tendon (26350) |
$2,411.19 |
$6,889.09 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$1,955.56 |
$5,587.29 |
0.6× |
| Repair incomplete circumcision (54163) |
$1,570.23 |
$4,486.37 |
0.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$297.04 |
$848.66 |
0.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$297.04 |
$848.66 |
0.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$237.73 |
$679.21 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$258.41 |
$738.29 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$701.77 |
$2,005.05 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$297.04 |
$848.66 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$237.28 |
$677.94 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$467.85 |
$1,336.70 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$237.29 |
$677.95 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$249.15 |
$711.85 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$467.85 |
$1,336.70 |
0.6× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$227.40 |
$649.69 |
0.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$297.04 |
$848.66 |
0.7× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$297.04 |
$848.66 |
0.7× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,398.04 |
$3,994.39 |
0.6× |
| Repair lead pace-defib dual (33220) |
$4,094.81 |
$11,699.44 |
1.0× |
| Repair lead pace-defib one (33218) |
$4,387.95 |
$12,537 |
1.1× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$459.78 |
$1,313.63 |
0.8× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$546.11 |
$1,560.31 |
1.0× |
| Repair of abnormal anal drainage tract with tissue glue (46706) |
$2,107.10 |
$6,020.28 |
0.7× |
| Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Age… (67902) |
$2,327.57 |
$6,650.20 |
0.6× |
| Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Age Under 21 (67901) |
$1,534.06 |
$4,383.01 |
0.6× |
| Repair of digit nerve (64831) |
$2,415.30 |
$6,900.85 |
1.2× |
| Repair of ectropion; excision tarsal wedge Age Under 21 (67916) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$1,565.76 |
$4,473.58 |
0.6× |
| Repair of entropion; thermocauterization Age Under 21 (67922) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair of eye wound (65286) |
$1,730.35 |
$4,943.85 |
0.7× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$296.81 |
$848.01 |
0.6× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$546.11 |
$1,560.31 |
2.2× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Age Under 21 (65272) |
$1,318.58 |
$3,767.37 |
0.5× |
| Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age Under 21 (65270) |
$1,318.58 |
$3,767.37 |
0.5× |
| Repair of laceration; cornea, nonperforating, with or without removal foreign body Age Under 21 (65275) |
$2,687.88 |
$7,679.64 |
0.6× |
| Repair of nail bed (11760) |
$444.56 |
$1,270.17 |
0.6× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Age Under 21 (67101) |
$1,540 |
$4,400 |
0.6× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age Under 21 (67105) |
$497.95 |
$1,422.71 |
0.9× |
| Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Age Under 21 (67110) |
$1,955.58 |
$5,587.36 |
0.8× |
| Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling… (67107) |
$3,700.51 |
$10,572.87 |
0.8× |
| Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) |
$2,886.16 |
$8,246.15 |
0.7× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$705.19 |
$2,014.82 |
1.1× |
| Repair of turning-outward defect of upper or lower eyelid using heat (67915) |
$1,740.73 |
$4,973.51 |
0.7× |
| Repair vagina/perineum (57210) |
$2,328.89 |
$6,653.97 |
0.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$384.32 |
$1,098.03 |
0.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$384.32 |
$1,098.03 |
0.5× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$467.85 |
$1,336.70 |
1.1× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$384.32 |
$1,098.03 |
0.5× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$3,217.10 |
$9,191.70 |
1.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$675.26 |
$1,929.31 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$675.26 |
$1,929.31 |
0.7× |
| Replace tunneled cv cath (36582) |
$2,102.21 |
$6,006.30 |
0.6× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$675.26 |
$1,929.31 |
0.7× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$2,374.42 |
$6,784.05 |
0.7× |
| Repos previously implanted subq implantable dfb (33273) |
$6,400.49 |
$18,287.10 |
1.6× |
| Reposition l ventric lead (33226) |
$1,826.39 |
$5,218.25 |
0.5× |
| Reposition venous catheter (36597) |
$1,193.03 |
$3,408.63 |
0.7× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$588.25 |
$1,680.71 |
2.2× |
| Reset dislocated jaw (21480) |
$175.67 |
$501.90 |
0.7× |
| Retrobulbar injection; medication (separate procedure, does not include supply of medication) Age Under 21 (67500) |
$217.01 |
$620.02 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$1,474.65 |
$4,213.28 |
0.7× |
| Revise/graft eyelid lining (68320) |
$1,740.73 |
$4,973.51 |
0.7× |
| Revision of cervix (59320) |
$1,971.03 |
$5,631.51 |
0.6× |
| Revision of cornea (65600) |
$1,740.73 |
$4,973.51 |
0.7× |
| Revision of iris (66761) |
$424.97 |
$1,214.18 |
0.7× |
| Revision of upper eyelid (15823) |
$1,308.47 |
$3,738.46 |
0.6× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$8,168.06 |
$23,337.30 |
1.4× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,517.26 |
$4,335.02 |
0.7× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$95.16 |
$271.87 |
0.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$120.34 |
$343.81 |
0.9× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$20,450.74 |
$58,430.67 |
0.6× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$20,450.74 |
$58,430.67 |
0.9× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$20,450.74 |
$58,430.67 |
0.9× |
| Rmvl nfros tube req fluoro guidance (50389) |
$505.97 |
$1,445.62 |
0.7× |
| Rmvl of access device (36589) |
$480.67 |
$1,373.34 |
0.7× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$2,925.30 |
$8,358 |
0.7× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$4,174.77 |
$11,927.89 |
1.1× |
| Rplc gtube revj gstrst trc (43763) |
$208.87 |
$596.76 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,193.03 |
$3,408.63 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,374.42 |
$6,784.05 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,193.03 |
$3,408.63 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,076.57 |
$3,075.90 |
1.4× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$931.20 |
$2,660.56 |
0.6× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$5,706.35 |
$16,303.85 |
1.7× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$2,374.42 |
$6,784.05 |
0.7× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$2,202.62 |
$6,293.18 |
0.7× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$1,832.44 |
$5,235.54 |
1.1× |
| Scraping of cornea, diagnostic, for smear and/or culture (65430) |
$300.51 |
$858.59 |
0.6× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,541.74 |
$4,404.97 |
0.4× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$3,311.05 |
$9,460.14 |
0.9× |
| Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)… (67031) |
$438.30 |
$1,252.26 |
0.8× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$2,159.20 |
$6,169.11 |
2.3× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$297.04 |
$848.66 |
0.7× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$153.85 |
$439.55 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$153.85 |
$439.55 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$283.01 |
$808.60 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$153.85 |
$439.55 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$153.85 |
$439.55 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$149.14 |
$426.09 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$283.01 |
$808.60 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$159.27 |
$455.03 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$283.48 |
$809.94 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$283.01 |
$808.60 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$159.06 |
$454.43 |
0.8× |
| Sigmoidoscopy & polypectomy (45333) |
$680.83 |
$1,945.22 |
0.7× |
| Sigmoidoscopy flx control bleeding (45334) |
$657.31 |
$1,878.01 |
0.5× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$751.85 |
$2,148.14 |
0.8× |
| Sigmoidoscopy w/ablation (45346) |
$716.61 |
$2,047.44 |
0.6× |
| Sigmoidoscopy w/fb removal (45332) |
$1,323.31 |
$3,780.88 |
1.0× |
| Sigmoidoscopy w/resection (45349) |
$1,954.64 |
$5,584.66 |
0.7× |
| Sigmoidoscopy w/us guide bx (45342) |
$879.06 |
$2,511.59 |
0.7× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$698.77 |
$1,996.46 |
0.6× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$716.61 |
$2,047.44 |
0.7× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$526.67 |
$1,504.77 |
0.5× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) |
$4,245.47 |
$12,129.91 |
0.7× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$657.31 |
$1,878.01 |
0.5× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$657.31 |
$1,878.01 |
0.5× |
| Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) |
$255.76 |
$730.72 |
1.0× |
| Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) |
$153.85 |
$439.55 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$122.71 |
$350.59 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$122.81 |
$350.86 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$147.50 |
$421.42 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$222.96 |
$637.01 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$259.24 |
$740.67 |
1.2× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$144.26 |
$412.17 |
0.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$261.79 |
$747.97 |
1.2× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$226.24 |
$646.40 |
0.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$297.04 |
$848.66 |
0.7× |
| Simple revision of superficial scar tissue from surgically created opening of large bowel to skin (44340) |
$2,410.17 |
$6,886.20 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$179.67 |
$513.34 |
0.8× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) |
$95.16 |
$271.87 |
0.7× |
| Skin tissue procedure unlisted (17999) |
$1,297.59 |
$3,707.40 |
6.1× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$4,093.59 |
$11,695.96 |
0.7× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$2,172.97 |
$6,208.46 |
0.7× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$4,236.95 |
$12,105.56 |
0.7× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$2,418.51 |
$6,910.02 |
0.7× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$5,004.74 |
$14,299.25 |
0.9× |
| Slitting of prepuce (54001) |
$1,305.63 |
$3,730.36 |
0.6× |
| Small bowel endoscopy (44384) |
$2,290.61 |
$6,544.60 |
1.1× |
| Small bowel endoscopy (44366) |
$1,588.71 |
$4,539.15 |
0.8× |
| Small bowel endoscopy (44376) |
$1,417.45 |
$4,049.85 |
0.7× |
| Small bowel endoscopy/biopsy (44377) |
$1,417.45 |
$4,049.85 |
0.7× |
| Small bowel endoscopy/biopsy (44361) |
$2,128.21 |
$6,080.59 |
1.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$1,167.90 |
$3,336.84 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$1,260.75 |
$3,602.13 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$2,026.87 |
$5,791.04 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370) |
$3,645.98 |
$10,417.08 |
0.6× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$158.25 |
$452.13 |
0.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$297.04 |
$848.66 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$261.79 |
$747.97 |
0.6× |
| Snip incision lacrimal punctum (68440) |
$218.68 |
$624.79 |
0.7× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$3,201.92 |
$9,148.34 |
0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,795.77 |
$7,987.89 |
0.8× |
| Stimulus evoked response (51792) |
$140.31 |
$400.87 |
2.3× |
| Stomach surgery procedure unlisted (43999) |
$2,005.76 |
$5,730.76 |
2.1× |
| Strapping ankle (29540) |
$117.38 |
$335.36 |
0.7× |
| Strapping elbow or wrist (29260) |
$97.40 |
$278.26 |
1.6× |
| Strapping hand/finger (29280) |
$73.96 |
$211.31 |
1.2× |
| Strapping of knee (29530) |
$71.49 |
$204.25 |
0.5× |
| Strapping of shoulder (29240) |
$103.72 |
$296.34 |
0.7× |
| Strapping of toes (29550) |
$67.46 |
$192.74 |
1.1× |
| Strapping unna boot (29580) |
$118.52 |
$338.62 |
0.7× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,428.31 |
$4,080.87 |
1.8× |
| Subconjunctival injection (68200) |
$296.81 |
$848.01 |
0.6× |
| Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age Under 21 (11950) |
$159.27 |
$455.03 |
0.8× |
| Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age Under 21 (11951) |
$467.85 |
$1,336.70 |
0.6× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age Under 21 (11952) |
$467.85 |
$1,336.70 |
0.6× |
| Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age Under 21 (11954) |
$467.85 |
$1,336.70 |
0.6× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$3,597.53 |
$10,278.64 |
1.0× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,538.31 |
$4,395.15 |
2.0× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$1,402.98 |
$4,008.50 |
3.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$1,792.19 |
$5,120.54 |
0.6× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$1,740.73 |
$4,973.51 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$159.27 |
$455.03 |
0.4× |
| Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq,… (0379U) |
$3,499.91 |
$9,999.74 |
1.1× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$23,793.15 |
$67,980.42 |
0.8× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$12,943.33 |
$36,980.93 |
0.6× |
| Temporary closure of eyelids by suture (eg, Frost suture) Age Under 21 (67875) |
$580.93 |
$1,659.79 |
0.6× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$1,106.43 |
$3,161.21 |
0.7× |
| Tenotomy percutaneous toe single tendon (28010) |
$1,310.01 |
$3,742.86 |
0.8× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$1,646.16 |
$4,703.31 |
1.0× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$1,646.16 |
$4,703.31 |
1.0× |
| Therapeutic apheresis; for white blood cells Age Under 21 (36511) |
$1,350.03 |
$3,857.21 |
0.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$563.11 |
$1,608.87 |
0.8× |
| Therapeutic spinal puncture drainage csf (62272) |
$515.15 |
$1,471.83 |
0.7× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$11,212.54 |
$32,035.81 |
0.8× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$486.39 |
$1,389.67 |
0.7× |
| Throat surgery procedure (42999) |
$258.33 |
$738.07 |
1.0× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$1,806.05 |
$5,160.12 |
0.5× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$3,883.66 |
$11,096.15 |
0.7× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$2,269.89 |
$6,485.38 |
0.7× |
| Trabeculoplasty by laser surgery Age Under 21 (65855) |
$428.78 |
$1,225.06 |
0.7× |
| Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Age Under 21 (31612) |
$2,779.66 |
$7,941.88 |
0.8× |
| Tracheostoma revision; simple, without flap rotation Age Under 21 (31613) |
$3,597.53 |
$10,278.64 |
1.0× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$459.78 |
$1,313.63 |
1.8× |
| Transcatheter biopsy (37200) |
$3,208.49 |
$9,167.10 |
0.5× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$7,238.07 |
$20,680.19 |
0.6× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624) |
$14,405.93 |
$41,159.78 |
0.7× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$2,166.94 |
$6,191.23 |
1.1× |
| Transfusion, blood or blood components (36430) |
$323.38 |
$923.92 |
0.7× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$3,374.69 |
$9,641.97 |
0.6× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$1,110.40 |
$3,172.57 |
0.6× |
| Treat big toe fracture (28495) |
$163.17 |
$466.20 |
0.6× |
| Treat dental ridge fracture (21440) |
$1,975.51 |
$5,644.29 |
0.6× |
| Treat finger dislocation (26775) |
$500.14 |
$1,428.96 |
1.7× |
| Treat humerus fracture (24577) |
$1,065.03 |
$3,042.92 |
0.6× |
| Treat knee fracture (27532) |
$2,164.18 |
$6,183.36 |
0.6× |
| Treat lower leg fracture (27825) |
$1,236.01 |
$3,531.45 |
0.7× |
| Treat mouth roof fracture (21421) |
$2,779.66 |
$7,941.88 |
0.8× |
| Treat thumb fracture (26645) |
$1,104.45 |
$3,155.55 |
0.7× |
| Treat toe dislocation (28630) |
$146.30 |
$418 |
0.6× |
| Treat ulnar fracture (24675) |
$1,104.45 |
$3,155.55 |
0.7× |
| Treat wrist bone fracture (25635) |
$1,065.03 |
$3,042.92 |
0.6× |
| Treat wrist bone fracture (25624) |
$1,106.43 |
$3,161.21 |
0.7× |
| Treat wrist dislocation (25690) |
$1,197.24 |
$3,420.66 |
0.7× |
| Treat wrist dislocation (25675) |
$188.75 |
$539.28 |
0.7× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$973.67 |
$2,781.89 |
0.6× |
| Treatment of bladder lesion (51720) |
$508.86 |
$1,453.88 |
0.7× |
| Treatment of choroid lesion (67220) |
$447.84 |
$1,279.52 |
0.8× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$165.39 |
$472.54 |
0.6× |
| Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21 (67228) |
$490.50 |
$1,401.41 |
0.8× |
| Treatment of heel fracture (28405) |
$450.61 |
$1,287.44 |
1.7× |
| Treatment of miscarriage (59812) |
$2,328.89 |
$6,653.97 |
0.7× |
| Treatment of mouth lesion (40820) |
$1,975.51 |
$5,644.29 |
0.6× |
| Treatment of retinal lesion (67208) |
$521.96 |
$1,491.31 |
1.6× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$143.56 |
$410.17 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$175.67 |
$501.90 |
0.7× |
| Trimming of nondystrophic nails, any number (11719) |
$37.12 |
$106.04 |
0.6× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$3,938.37 |
$11,252.47 |
0.7× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$3,938.37 |
$11,252.47 |
0.7× |
| Trurl dstrj prst8 tiss rf wv (53854) |
$2,596.91 |
$7,419.72 |
0.7× |
| Tx superficial wound dehiscence simple closure (12020) |
$371.18 |
$1,060.49 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$237.28 |
$677.94 |
0.6× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$1,772.51 |
$5,064.30 |
0.7× |
| Unlisted craniofacial and maxillofacial procedure (21299) |
$3,754.29 |
$10,726.54 |
15.0× |
| Unlisted msk procedure head drainage of a pseudomeningocele in subgaleal most like 10160 (21499) |
$319.45 |
$912.71 |
1.3× |
| Unlisted procedure accessory sinuses (31299) |
$463.36 |
$1,323.88 |
1.9× |
| Unlisted procedure anus (46999) |
$697.96 |
$1,994.15 |
0.7× |
| Unlisted procedure pancreas (48999) |
$5,439.47 |
$15,541.34 |
7.3× |
| Unlisted procedure rectum (45999) |
$663.44 |
$1,895.53 |
0.7× |
| Unlisted procedure, dentoalveolar structures (41899) |
$445.56 |
$1,273.01 |
1.8× |
| Unlisted procedure, hands or fingers (26989) |
$1,850.66 |
$5,287.59 |
7.1× |
| Unlisted procedure, liver (47399) |
$524.11 |
$1,497.44 |
0.7× |
| Unlisted procedure, posterior segment (67299) |
$1,618.60 |
$4,624.57 |
0.7× |
| Unlisted procedure, vestibule of mouth (40899) |
$455.89 |
$1,302.53 |
1.8× |
| Upgrade of pacemaker system (33214) |
$9,939.35 |
$28,398.14 |
0.9× |
| Urology surgery procedure unlisted (53899) |
$1,164.49 |
$3,327.09 |
4.4× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$245.74 |
$702.11 |
0.5× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$3,455.12 |
$9,871.75 |
1.0× |
| Uvulectomy, excision of uvula (42140) |
$2,487.65 |
$7,107.56 |
0.7× |
| Vaginal delivery (59409) |
$1,307.08 |
$3,734.49 |
0.4× |
| Vasc embolize/occlude bleed (37244) |
$8,300.63 |
$23,716.06 |
0.7× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$13,062.23 |
$37,320.65 |
0.7× |
| Vascular embolization or occlusion venous rs&i (37241) |
$8,300.63 |
$23,716.06 |
0.7× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$8,300.63 |
$23,716.06 |
0.7× |
| Vascular surgery procedure (37799) |
$3,101.82 |
$8,862.33 |
4.7× |
| Vasectomy (55250) |
$2,275.90 |
$6,502.55 |
1.0× |
| Vbac delivery only (59612) |
$2,328.89 |
$6,653.97 |
0.7× |
| Venipuncture (36415) |
$5.90 |
$16.86 |
0.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,436.39 |
$6,961.10 |
0.7× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$731.65 |
$2,090.42 |
0.8× |
| Version cephalic external (59412) |
$2,328.89 |
$6,653.97 |
0.7× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age Under 21 (67039) |
$3,134.63 |
$8,956.06 |
0.7× |
| Wedge excision skin nail fold (11765) |
$283.01 |
$808.60 |
0.7× |
| Windowing of cast (29730) |
$105.30 |
$300.83 |
0.6× |