| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$7,031.76 |
— |
2.1× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$7,031.76 |
— |
2.1× |
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
$1,911.50 |
$2,366–$3,357 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,911.50 |
$2,176 |
2.2× |
| Abdomen Surgery Procedure (22999) |
$489.06 |
$8,336 |
2.1× |
| Ablate inf turbinate submuc (30802) |
$3,020.04 |
— |
2.0× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$21,226.38 |
— |
2.1× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$21,226.38 |
— |
2.1× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$26,232.86 |
$12,273 |
1.6× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$14,564.62 |
— |
2.1× |
| Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) |
$26,488.92 |
— |
2.1× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,303.34 |
— |
2.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$3,020.04 |
— |
2.0× |
| Abrasion single lesion (15786) |
$405.10 |
— |
2.1× |
| Acne surgery (10040) |
$405.10 |
— |
2.1× |
| Acromiopl/Acromionect Partial (23130) |
$6,615.10 |
— |
2.1× |
| Adding Walker Previously Applied Cast (29440) |
$321.70 |
— |
2.1× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$3,729.44 |
— |
1.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,729.44 |
— |
1.9× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$7,463.98 |
— |
2.2× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$3,729.44 |
— |
1.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,729.44 |
— |
1.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$3,729.44 |
— |
1.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,729.44 |
— |
1.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,729.44 |
— |
1.9× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$14,564.62 |
— |
2.1× |
| Allogeneic lymphocyte infusions (38242) |
$3,342.16 |
— |
2.2× |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) |
$6,611.96 |
— |
2.1× |
| Amniocentesis diagnostic (59000) |
$1,775.26 |
$1,420 |
2.0× |
| Amniocentesis therapeutic (59001) |
$620.18 |
— |
2.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$6,615.10 |
— |
2.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$6,615.10 |
— |
2.1× |
| Amputate Metacarpal Bone (26910) |
$6,615.10 |
— |
2.1× |
| Amputation follow-up surgery (27594) |
$6,615.10 |
— |
2.1× |
| Amputation foot transmetarsal (28805) |
$6,615.10 |
— |
2.1× |
| Amputation metatarsal with toe single (28810) |
$6,615.10 |
— |
2.1× |
| Amputation toe interphalangeal joint (28825) |
$6,615.10 |
— |
2.1× |
| Amputation toe metatarsophalangeal joint (28820) |
$6,615.10 |
— |
2.1× |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
$6,615.10 |
— |
2.1× |
| Amputation, forearm, through radius and ulna; re-amputation Facility (25909) |
$14,564.62 |
— |
2.1× |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
$6,615.10 |
— |
2.1× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$6,615.10 |
— |
2.1× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$611.46 |
— |
2.1× |
| Anal/Urinary Muscle Study (51784) |
$319 |
— |
2.6× |
| Ankle Arthroscopy/Surgery (29892) |
$14,564.62 |
— |
2.1× |
| Ankle disarticulation (27889) |
$14,564.62 |
— |
2.1× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$5,591.18 |
— |
2.1× |
| Anorectal myomectomy (45108) |
$5,591.18 |
— |
2.1× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$1,858.80 |
— |
2.1× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$5,591.18 |
— |
2.1× |
| Anoscopy Ablation Lesion (46615) |
$5,591.18 |
— |
2.1× |
| Anoscopy Control Bleeding (46614) |
$2,403.90 |
— |
2.1× |
| Anoscopy diagnostic (46600) |
$262.80 |
$288 |
2.1× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,403.90 |
— |
2.1× |
| Anoscopy remove lesion (46610) |
$5,591.18 |
— |
2.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,858.80 |
— |
2.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,403.90 |
— |
2.1× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$2,403.90 |
— |
2.1× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$5,591.18 |
— |
2.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$10,064.42 |
— |
2.1× |
| Anterior Tibial Tubercleplasty (27418) |
$14,564.62 |
— |
2.1× |
| Apheresis Platelets (36513) |
$891.32 |
— |
2.1× |
| Appendectomy (44950) |
$12,721.60 |
— |
2.0× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$321.70 |
— |
2.1× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$3,262.92 |
— |
2.1× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$541.46 |
— |
2.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$321.70 |
$337 |
2.1× |
| Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) |
$3,729.44 |
— |
1.9× |
| Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017) |
$3,729.44 |
— |
1.9× |
| Application Body Cast Shoulder Hips (29035) |
$541.46 |
— |
2.0× |
| Application Body Cast Shoulder Hips Both Thighs (29046) |
$541.46 |
— |
2.0× |
| Application cast elbow finger short arm (29075) |
$541.46 |
— |
2.0× |
| Application Cast Finger (29086) |
$321.70 |
$107 |
2.1× |
| Application Cast Shoulder Spica (29055) |
$541.46 |
— |
2.0× |
| Application Finger Splint Dynamic (29131) |
$121.10 |
— |
2.1× |
Application finger splint static (29130)
range across 2 matching MRF lines |
$262.80 |
$59–$1,229 |
2.1× |
| Application Halo Type Body Cast (29000) |
$541.46 |
— |
2.0× |
| Application Hip Spica Cast 1 Leg (29305) |
$541.46 |
— |
2.0× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$321.70 |
$114–$1,229 |
2.1× |
| Application Long Leg Cast Brace (29358) |
$541.46 |
— |
2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$541.46 |
— |
2.0× |
| Application Long Leg Splint (29505) |
$321.70 |
$1,229 |
2.1× |
| Application multiplane external fixation system (20692) |
$26,232.86 |
— |
2.1× |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
$321.70 |
— |
2.1× |
| Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) |
$541.46 |
— |
2.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$541.46 |
— |
2.0× |
| Application of halo, including removal; femoral Facility (20663) |
$6,615.10 |
— |
2.1× |
| Application of long leg cast (29345) |
$541.46 |
— |
2.0× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$37,493.60 |
— |
1.4× |
| Application of pelvis brace (20662) |
$3,262.92 |
— |
2.1× |
| Application of rigid total contact leg cast (29445) |
$541.46 |
$1,282 |
2.0× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$541.46 |
— |
2.0× |
| Application Patellar Tendon Bearing Cast (29435) |
$541.46 |
— |
2.0× |
| Application risser jacket localizer body only (29010) |
$541.46 |
— |
2.0× |
| Application Short Arm Splint Dynamic (29126) |
$262.80 |
— |
2.1× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$262.80 |
$92–$1,229 |
2.1× |
| Application short leg splint calf foot (29515) |
$321.70 |
$1,229 |
2.1× |
| Application uniplane external fixation system (20690) |
$14,564.62 |
— |
2.1× |
| Application, cast; figure-of-eight Facility (29049) |
$541.46 |
— |
2.0× |
| Apply hand/wrist cast (29085) |
$321.70 |
— |
2.1× |
| Apply long arm cast (29065) |
$541.46 |
— |
2.0× |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
$321.70 |
$337–$1,052 |
2.1× |
| Apply Short Leg Cast (29405) |
$541.46 |
— |
2.0× |
| Apply short leg cast (29425) |
$541.46 |
— |
2.0× |
| Apply shoulder cast,plastr velpeau (29058) |
$541.46 |
— |
2.0× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$10,519.60 |
— |
2.1× |
| Aqueous Shunt Extraocular Reservoir W/O Graft (66179) |
$10,519.60 |
— |
2.1× |
| Arrest Epiphyseal Distal Femur (27475) |
$14,564.62 |
— |
2.1× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$6,615.10 |
— |
2.1× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$6,615.10 |
— |
2.1× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$6,615.10 |
— |
2.1× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$14,564.62 |
— |
2.1× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$6,417.12 |
— |
2.1× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$262.80 |
$272–$277.50 |
2.1× |
| Arteriovenous Anastomosis Open Direct (36821) |
$6,417.12 |
— |
2.1× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$11,021.14 |
— |
2.1× |
| Artery-vein autograft (36825) |
$11,021.14 |
— |
2.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$26,232.86 |
— |
2.1× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$26,232.86 |
— |
2.1× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$14,564.62 |
— |
2.1× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$26,232.86 |
— |
2.1× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$26,232.86 |
— |
2.1× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$14,564.62 |
— |
2.1× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
$601.84 |
$810–$1,321 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,411.90 |
$1,531 |
2.1× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines |
$601.84 |
$1,128–$3,084 |
2.0× |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$601.84 |
$2,150–$3,452 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$601.84 |
$1,208 |
2.0× |
| Arthrodesis ankle open (27870) |
$26,232.86 |
— |
2.1× |
| Arthrodesis Glenohumeral Joint (23800) |
$14,564.62 |
— |
2.1× |
| Arthrodesis great toe interphalangeal joint (28755) |
$14,564.62 |
— |
2.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$14,564.62 |
— |
2.1× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$6,615.10 |
— |
2.1× |
| Arthrodesis Pantalar (28705) |
$37,493.60 |
— |
2.2× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$37,493.60 |
— |
1.4× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$37,493.60 |
— |
2.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$37,493.60 |
$27,137 |
2.2× |
| Arthrodesis subtalar (28725) |
$26,232.86 |
— |
2.1× |
| Arthrodesis triple (28715) |
$26,232.86 |
— |
2.1× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$14,564.62 |
— |
2.1× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$14,564.62 |
— |
2.1× |
| Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802) |
$26,232.86 |
— |
2.1× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$37,493.60 |
— |
2.2× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$26,232.86 |
— |
2.1× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$14,564.62 |
— |
2.1× |
| Arthroplasty Ankle (27700) |
$14,564.62 |
— |
2.1× |
| Arthroplasty Ankle W/Implant (27702) |
$37,493.60 |
— |
1.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$37,493.60 |
— |
2.2× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$26,232.86 |
— |
2.1× |
| Arthroplasty interphalangeal joint each (26535) |
$6,615.10 |
— |
2.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$6,615.10 |
— |
2.1× |
| Arthroplasty Patella W/Prosthesis (27438) |
$26,232.86 |
— |
2.1× |
| Arthroplasty radial head (24365) |
$26,232.86 |
— |
2.1× |
| Arthroplasty Radial Head W/Implant (24366) |
$26,232.86 |
— |
2.1× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$37,493.60 |
— |
2.2× |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
$26,232.86 |
— |
2.1× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$37,493.60 |
— |
2.2× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
$26,232.86 |
— |
2.1× |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) |
$14,564.62 |
— |
2.1× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
$37,493.60 |
— |
2.2× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) |
$26,232.86 |
— |
2.1× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) |
$26,232.86 |
— |
2.1× |
| Arthroplasty, knee, tibial plateau; Facility (27440) |
$26,232.86 |
— |
2.1× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
$26,232.86 |
— |
2.1× |
| Arthroplasty, patella; without prosthesis (27437) |
$14,564.62 |
— |
2.1× |
| Arthroplasty, temporomandibular joint, with allograft Facility (21242) |
$12,060.84 |
— |
2.1× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$12,060.84 |
— |
2.1× |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) |
$37,493.60 |
— |
1.4× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$3,262.92 |
— |
2.1× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$26,232.86 |
— |
2.1× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$6,615.10 |
— |
2.1× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$6,615.10 |
— |
2.1× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$14,564.62 |
— |
2.1× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$6,615.10 |
— |
2.1× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$6,615.10 |
— |
2.1× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$6,615.10 |
— |
2.1× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$6,615.10 |
— |
2.1× |
| Arthroscopy hip w/femoroplasty (29914) |
$14,564.62 |
— |
2.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$6,615.10 |
— |
2.1× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$26,232.86 |
— |
2.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$6,615.10 |
— |
2.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$6,615.10 |
— |
2.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$6,615.10 |
— |
2.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$6,615.10 |
— |
2.1× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$14,564.62 |
— |
2.1× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$3,262.92 |
— |
2.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$14,564.62 |
— |
2.1× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) |
$26,232.86 |
— |
2.1× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) |
$6,615.10 |
— |
2.1× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$14,564.62 |
— |
2.1× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$6,615.10 |
— |
2.1× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$3,262.92 |
— |
2.1× |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
$6,615.10 |
— |
2.1× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$3,262.92 |
— |
2.1× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$3,262.92 |
— |
2.1× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$14,564.62 |
— |
2.1× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$6,615.10 |
— |
2.1× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$6,615.10 |
— |
2.1× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$6,615.10 |
— |
2.1× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$6,615.10 |
— |
2.1× |
| Arthrotomy wrist joint with synovectomy (25105) |
$6,615.10 |
— |
2.1× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$6,615.10 |
— |
2.1× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$6,615.10 |
— |
2.1× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$6,615.10 |
— |
2.1× |
| Arthrotomy, temporomandibular joint Facility (21010) |
$6,611.96 |
— |
2.1× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$6,615.10 |
— |
2.1× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$6,615.10 |
— |
2.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$26,232.86 |
— |
2.1× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$6,615.10 |
— |
2.1× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$26,232.86 |
— |
2.1× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$14,564.62 |
— |
2.1× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$6,615.10 |
— |
2.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$14,564.62 |
— |
2.1× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$26,232.86 |
— |
2.1× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$6,615.10 |
— |
2.1× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$6,615.10 |
— |
2.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$6,615.10 |
— |
2.1× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$6,615.10 |
— |
2.1× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$14,564.62 |
— |
2.1× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$6,615.10 |
— |
2.1× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$6,615.10 |
— |
2.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$6,615.10 |
— |
2.1× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$6,615.10 |
— |
2.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$3,262.92 |
— |
2.1× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$6,615.10 |
— |
2.1× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$6,615.10 |
— |
2.1× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$6,615.10 |
— |
2.1× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$3,262.92 |
— |
2.1× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$6,615.10 |
— |
2.1× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$6,615.10 |
— |
2.1× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$14,564.62 |
— |
2.1× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$6,615.10 |
— |
2.1× |
| Artificial insemination intra-cervical (58321) |
$620.18 |
— |
2.1× |
| Artificial insemination intra-uterine (58322) |
$410.14 |
— |
2.1× |
| Aspirate pleura w/ imaging (32555) |
$1,260.50 |
$3,452 |
2.1× |
| Aspirate Pleura W/O Imaging (32554) |
$1,260.50 |
$2,176 |
2.1× |
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines |
$601.84 |
$2,431–$3,301 |
2.0× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$1,434.48 |
— |
2.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,434.48 |
$2,308 |
2.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,176.50 |
— |
2.1× |
| Aspiration Bladder Needle (51100) |
$495.86 |
— |
2.1× |
| Aspiration bladder trocar/intracatheter (51101) |
$2,074.26 |
— |
2.5× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$4,649.94 |
— |
2.1× |
| Augmentation lower jaw bone (21127) |
$12,060.84 |
— |
2.1× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
$12,060.84 |
— |
2.1× |
| Autologous Chondrocyte Implantation Knee (27412) |
$14,564.62 |
— |
2.1× |
| Av fistula revision (36833) |
$11,021.14 |
— |
2.1× |
| Av Fistula Revision Open (36832) |
$11,021.14 |
— |
2.1× |
| Av Fuse Uppr Arm Basilic (36819) |
$11,021.14 |
— |
2.1× |
| Av fusion/forearm vein (36820) |
$11,021.14 |
— |
2.1× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$405.10 |
$815–$816 |
2.1× |
| Axillary lymphadenectomy; complete (38745) |
$11,895.08 |
— |
2.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$12,721.60 |
— |
2.0× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$21,226.38 |
— |
2.1× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$21,226.38 |
— |
2.1× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$12,721.60 |
— |
2.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$7,195.04 |
— |
1.2× |
| Biopsy Abdominal Mass (49180) |
$3,303.34 |
$3,357 |
2.1× |
| Biopsy bone open deep (20245) |
$5,835.14 |
$7,543 |
2.1× |
| Biopsy bone open superficial (20240) |
$5,835.14 |
$4,912 |
2.1× |
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines |
$3,303.34 |
$3,574–$5,753 |
2.1× |
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines |
$3,303.34 |
$3,575–$5,446 |
2.1× |
| Biopsy External Auditory Canal (69105) |
$3,020.04 |
— |
2.0× |
| Biopsy external ear (69100) |
$473.44 |
— |
2.1× |
| Biopsy eye muscle (67346) |
$7,688.30 |
— |
2.0× |
| Biopsy muscle percutaneous needle (20206) |
$3,303.34 |
$2,968 |
2.1× |
| Biopsy Muscle Superficial (20200) |
$3,303.34 |
— |
2.1× |
| Biopsy nail unit (11755) |
$1,434.48 |
— |
2.1× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$6,611.96 |
— |
2.1× |
| Biopsy of breast; open, incisional (19101) |
$7,807.14 |
— |
2.1× |
| Biopsy of conjunctiva (68100) |
$4,756.44 |
— |
2.1× |
| Biopsy of cornea (65410) |
$4,756.44 |
— |
2.1× |
| Biopsy of epididymis (54800) |
$3,303.34 |
— |
2.1× |
| Biopsy of floor of mouth (41108) |
$3,303.34 |
— |
2.1× |
| Biopsy of foot joint lining (28052) |
$6,615.10 |
— |
2.1× |
| Biopsy of foot joint lining (28050) |
$6,615.10 |
— |
2.1× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$1,911.50 |
— |
2.2× |
| Biopsy of lacrimal gland (68510) |
$4,756.44 |
— |
2.1× |
| Biopsy of lip (40490) |
$473.44 |
— |
2.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$3,303.34 |
$7,854 |
2.1× |
| Biopsy of nerve (64795) |
$3,981.30 |
— |
2.1× |
| Biopsy of palate, uvula (42100) |
$3,020.04 |
— |
2.0× |
| Biopsy of penis (54100) |
$3,303.34 |
— |
2.1× |
| Biopsy of penis; deep structures (54105) |
$5,835.14 |
— |
2.1× |
| Biopsy of rectum (45100) |
$5,591.18 |
— |
2.1× |
| Biopsy of tear sac (68525) |
$4,756.44 |
— |
2.1× |
| Biopsy of toe joint lining (28054) |
$6,615.10 |
— |
2.1× |
| Biopsy of upper nose/throat (42806) |
$6,611.96 |
— |
2.1× |
| Biopsy of urethra (53200) |
$4,176.50 |
— |
2.1× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$7,807.14 |
— |
2.1× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$7,807.14 |
— |
2.1× |
| Biopsy Oropharynx (42800) |
$3,020.04 |
— |
2.0× |
| Biopsy ovary uni/bi separate procedure (58900) |
$6,482.42 |
— |
2.1× |
| Biopsy Pleura Percutaneous Needle (32400) |
$3,303.34 |
$3,452 |
2.1× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$7,031.76 |
— |
2.1× |
| Biopsy Salivary Gland Incisional (42405) |
$3,020.04 |
— |
2.0× |
| Biopsy Salivary Gland Needle (42400) |
$1,434.48 |
$2,618 |
2.1× |
| Biopsy soft tissue back/flank deep (21925) |
$3,303.34 |
— |
2.1× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$3,303.34 |
— |
2.1× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$5,835.14 |
— |
2.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$3,303.34 |
— |
2.1× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$5,835.14 |
— |
2.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$3,303.34 |
— |
2.1× |
| Biopsy soft tissue neck/thorax (21550) |
$3,303.34 |
$5,182 |
2.1× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$3,303.34 |
— |
2.1× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$3,303.34 |
$7,065 |
2.1× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$5,835.14 |
— |
2.1× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$3,303.34 |
— |
2.1× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$5,835.14 |
— |
2.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$3,303.34 |
— |
2.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$3,303.34 |
$4,857 |
2.1× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$3,303.34 |
— |
2.1× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$7,031.76 |
— |
2.1× |
| Biopsy Testis Needle Separate Procedure (54500) |
$5,835.14 |
— |
2.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$1,038.26 |
— |
2.0× |
| Biopsy Tongue Posterior One-Third (41105) |
$6,611.96 |
— |
2.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$6,482.42 |
— |
2.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,775.26 |
— |
2.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,775.26 |
— |
2.0× |
| Biopsy, vestibule of mouth (40808) |
$1,038.26 |
— |
2.0× |
| Biopsy/removal lymph nodes (38510) |
$7,807.14 |
— |
2.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,360.84 |
— |
2.0× |
| Bladder Irrigation (51700) |
$495.86 |
$1,315 |
2.1× |
| Bladder Scan (51798) |
$121.10 |
$550 |
2.1× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$3,342.16 |
— |
2.2× |
| Blepharoplasty Lower Eyelid (15820) |
$3,729.44 |
— |
1.9× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$3,729.44 |
— |
1.9× |
| Blepharoplasty upper eyelid (15822) |
$3,729.44 |
— |
1.9× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,729.44 |
— |
1.9× |
| Blepharotomy drainage abscess eyelid (67700) |
$609.46 |
$2,258 |
2.0× |
| Blood Transfusion Service (36430) |
$891.32 |
$2,471 |
2.1× |
| Blood/Lymph System Procedure (38999) |
$891.32 |
$9,152 |
2.1× |
| Bone Graft Any Donor Area Major/Large (20902) |
$14,564.62 |
— |
2.1× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$14,564.62 |
— |
2.1× |
| Bone Marrow Biopsy (38221) |
$3,303.34 |
$3,837 |
2.1× |
| Bone marrow harvest allogen (38230) |
$3,342.16 |
— |
2.2× |
| Bone Marrow Harvest Autolog (38232) |
$9,552.12 |
— |
2.3× |
| Bone Marrow; Aspiration Only (38220) |
$3,303.34 |
$3,837 |
2.1× |
| Breast augmentation with implant (19325) |
$19,509.36 |
— |
2.5× |
| Breast Reduction (19318) |
$13,295.94 |
— |
2.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,515.84 |
— |
2.1× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$7,516.94 |
— |
2.1× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$7,516.94 |
— |
2.1× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$3,515.84 |
— |
2.1× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$7,516.94 |
— |
2.1× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$14,113.52 |
— |
2.1× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$7,516.94 |
— |
2.1× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$3,515.84 |
— |
2.1× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$7,516.94 |
— |
2.1× |
| Bronch Thermoplsty 1 Lobe (31660) |
$14,113.52 |
— |
2.1× |
| Bronchial Valve Init Insert (31647) |
$14,113.52 |
— |
2.1× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$14,113.52 |
— |
2.1× |
| Bronchoscopy Balloon Occlusion (31634) |
$14,113.52 |
— |
2.1× |
| Bronchoscopy Bronch Stents (31636) |
$14,113.52 |
— |
2.1× |
| Bronchoscopy Clear Airways (31645) |
$3,515.84 |
$4,301 |
2.1× |
| Bronchoscopy Dilate W/Stent (31631) |
$14,113.52 |
— |
2.1× |
| Bronchoscopy Reclear Airway (31646) |
$791.68 |
$4,301 |
2.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$3,515.84 |
— |
2.1× |
| Bronchoscopy W/Excision Tumor (31640) |
$7,516.94 |
— |
2.1× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
$14,113.52 |
— |
2.1× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,515.84 |
— |
2.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$7,516.94 |
— |
2.1× |
| Bronchoscopy/Needle Bx Each (31629) |
$7,516.94 |
— |
2.1× |
| Buttock fasciotomy (27027) |
$14,564.62 |
— |
2.1× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$5,835.14 |
— |
2.1× |
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines |
$3,303.34 |
$8,207–$9,206 |
2.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,303.34 |
$6,781 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$3,303.34 |
$9,206 |
2.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$3,303.34 |
— |
2.1× |
| Bx Cervix (57500) |
$1,775.26 |
— |
2.0× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$7,031.76 |
— |
2.1× |
| Bx/exc lymph node open deep axillary node (38525) |
$7,807.14 |
— |
2.1× |
| Bx/exc lymph node open superficial (38500) |
$7,807.14 |
— |
2.1× |
| Canthoplasty (67950) |
$4,756.44 |
— |
2.1× |
| Canthotomy Separate Procedure (67715) |
$4,756.44 |
— |
2.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$6,615.10 |
— |
2.1× |
| Capsular contracture release (23020) |
$6,615.10 |
— |
2.1× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$3,262.92 |
— |
2.1× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$6,615.10 |
— |
2.1× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$6,615.10 |
— |
2.1× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$14,564.62 |
— |
2.1× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$14,564.62 |
— |
2.1× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$14,564.62 |
— |
2.1× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$14,564.62 |
— |
2.1× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$3,262.92 |
— |
2.1× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$3,262.92 |
— |
2.1× |
| Capsulotomy Midtarsal (28264) |
$3,262.92 |
— |
2.1× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$6,615.10 |
— |
2.1× |
| Capsulotomy wrist (25085) |
$6,615.10 |
— |
2.1× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$6,615.10 |
— |
2.1× |
| Car-t admn autologous (38228) |
$676.24 |
— |
2.1× |
| Carpal Tunnel Surgery (64721) |
$3,981.30 |
— |
2.1× |
| Carpectomy All Bones Proximal Row (25215) |
$6,615.10 |
— |
2.1× |
| Cartilage graft; costochondral (20910) |
$1,248 |
— |
1.8× |
| Cataract surg w/iol 1 stage (66983) |
$4,649.94 |
— |
2.1× |
| Cataract surgery complex (66982) |
$4,649.94 |
— |
2.1× |
| Catheter aspiration nasotracheal spx (31720) |
$414.68 |
— |
2.0× |
| Catheterization with bronchial brush biopsy Facility (31717) |
$791.68 |
— |
2.1× |
| Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) |
$495.86 |
— |
2.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$620.18 |
— |
2.1× |
| Cautery Cervix Electro/Thermal (57510) |
$6,482.42 |
— |
2.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$6,482.42 |
— |
2.1× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$6,482.42 |
— |
2.1× |
| Cerv artific diskectomy (22856) |
$37,493.60 |
— |
2.2× |
| Cervical lymphadenectomy (complete) (38720) |
$13,295.94 |
— |
2.1× |
| Cessj Therapy Cath Removal (37214) |
$6,417.12 |
$4,697 |
2.1× |
| Change Cystostomy Tube Complicated (51710) |
$1,360.84 |
— |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$495.86 |
$613 |
2.1× |
| Change of Windpipe Airway (31502) |
$473.44 |
$690 |
2.1× |
| Change ureter stent percut (50382) |
$4,176.50 |
— |
2.1× |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
$405.10 |
$663–$800 |
2.1× |
| Chemical exfoliation for acne (17360) |
$405.10 |
— |
2.1× |
| Chemical peel face dermal (15789) |
$1,248 |
— |
1.8× |
| Chemical peel nonfacial dermal (15793) |
$814.56 |
— |
2.1× |
| Chemical peel nonfacial epidermal (15792) |
$1,248 |
— |
1.8× |
| Chemical peel, facial; epidermal (15788) |
$814.56 |
— |
2.1× |
| Chemical Pleurodesis (32560) |
$1,260.50 |
— |
2.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,411.90 |
— |
2.1× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,411.90 |
— |
2.1× |
| Chemodenerv Eccrine Glands (64650) |
$601.84 |
— |
2.0× |
| Chemodenerv Musc Migraine (64615) |
$601.84 |
$2,685 |
2.0× |
| Chemodenerv musc neck dyston (64616) |
$601.84 |
— |
2.0× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$601.84 |
— |
2.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,411.90 |
— |
2.1× |
| Chemodenerv trunk musc 6/> (64647) |
$1,411.90 |
— |
2.1× |
| Chemodenervation eccrine glands oth area per day (64653) |
$601.84 |
— |
2.0× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$1,411.90 |
— |
2.1× |
| Chemodenervation of extraocular muscle (67345) |
$609.46 |
— |
2.0× |
| Chemodenervation of internal anal sphincter (46505) |
$2,403.90 |
— |
2.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$601.84 |
— |
2.0× |
Chest tube placement (32551)
range across 3 matching MRF lines |
$3,167.16 |
$2,176–$3,645 |
2.1× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$4,176.50 |
— |
2.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$7,195.04 |
$7,245 |
2.1× |
| Chorionic Villus Sampling (59015) |
$1,775.26 |
— |
2.0× |
| Ciliary body destruction; cryotherapy Facility (66720) |
$4,756.44 |
— |
2.1× |
| Ciliary body destruction; cyclodialysis Facility (66740) |
$4,756.44 |
— |
2.1× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$4,649.94 |
— |
2.1× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$4,756.44 |
— |
2.1× |
| Circumcision 28 days or older (54161) |
$4,176.50 |
— |
2.1× |
| Circumcision Neonate (54160) |
$1,360.84 |
— |
2.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$4,176.50 |
— |
2.1× |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
$7,688.30 |
— |
2.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$3,262.92 |
— |
2.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,262.92 |
$3,103 |
2.1× |
| Claviculectomy partial (23120) |
$6,615.10 |
— |
2.1× |
| Claviculectomy; total (23125) |
$6,615.10 |
— |
2.1× |
| Clear outer ear canal (69200) |
$262.80 |
$260 |
2.1× |
| Close mastoid fistula (69700) |
$3,020.04 |
— |
2.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$6,615.10 |
— |
2.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$489.06 |
— |
2.1× |
| Closed rx talotarsal disloc,anesth (28575) |
$6,615.10 |
$3,137 |
2.1× |
| Closed Treat Vert Body Fract (22310) |
$489.06 |
— |
2.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$489.06 |
$551 |
2.1× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$3,262.92 |
$1,911 |
2.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$489.06 |
— |
2.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$489.06 |
— |
2.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$489.06 |
— |
2.1× |
| Closed Treatment Sternum Fracture (21820) |
$489.06 |
— |
2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$489.06 |
— |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$489.06 |
$2,264 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,262.92 |
$1,911 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$489.06 |
— |
2.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$489.06 |
— |
2.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$489.06 |
— |
2.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,262.92 |
— |
2.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$489.06 |
— |
2.1× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$6,615.10 |
— |
2.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$489.06 |
— |
2.1× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$3,020.04 |
— |
2.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$3,262.92 |
— |
2.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$489.06 |
$1,748 |
2.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,262.92 |
— |
2.1× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,020.04 |
— |
2.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,038.26 |
— |
2.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$12,060.84 |
— |
2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$489.06 |
$2,264 |
2.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,262.92 |
$2,415 |
2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,020.04 |
$4,197 |
2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$6,611.96 |
— |
2.1× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$3,020.04 |
— |
2.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$6,611.96 |
— |
2.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$489.06 |
— |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$489.06 |
$1,613 |
2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$489.06 |
$1,613 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,262.92 |
— |
2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$489.06 |
$2,264 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,262.92 |
$2,415 |
2.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$489.06 |
— |
2.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,262.92 |
$2,264 |
2.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$489.06 |
— |
2.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$489.06 |
$1,619 |
2.1× |
| Closed tx septal&nose fx (21337) |
$6,611.96 |
— |
2.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$489.06 |
— |
2.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$489.06 |
— |
2.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,262.92 |
$1,654 |
2.1× |
| Closed tx talus fracture w/o manipulation (28430) |
$489.06 |
— |
2.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$489.06 |
— |
2.1× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$489.06 |
— |
2.1× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,020.04 |
— |
2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$489.06 |
$313 |
2.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,262.92 |
— |
2.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$489.06 |
$2,264 |
2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$489.06 |
— |
2.1× |
| Closure Gastrostomy Surg (43870) |
$7,756.66 |
— |
2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$473.44 |
$815 |
2.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,038.26 |
$4,197 |
2.0× |
| Closure Lacrimal Fistula Spx (68770) |
$4,756.44 |
— |
2.1× |
| Closure lacrimal punctum (68760) |
$609.46 |
— |
2.0× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$7,031.76 |
— |
2.1× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$6,611.96 |
— |
2.1× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$6,482.42 |
— |
2.1× |
| Closure of salivary fistula (42600) |
$6,611.96 |
— |
2.1× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$10,364.48 |
— |
2.0× |
| Closure of urethrovaginal fistula; Facility (57310) |
$15,076.52 |
— |
2.1× |
| Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) |
$15,076.52 |
— |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$489.06 |
$1,619 |
2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$489.06 |
$1,076 |
2.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$3,262.92 |
— |
2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$489.06 |
$1,619 |
2.1× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,038.26 |
$5,130 |
2.0× |
| Clsd Tx Pelvic Ring Fx (27198) |
$489.06 |
— |
2.1× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$489.06 |
$355 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,262.92 |
— |
2.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$489.06 |
$1,619 |
2.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$3,262.92 |
— |
2.1× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$5,591.18 |
— |
2.1× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$609.46 |
— |
2.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$489.06 |
— |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,262.92 |
— |
2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,262.92 |
— |
2.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$489.06 |
— |
2.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,262.92 |
— |
2.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$489.06 |
— |
2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$489.06 |
$551 |
2.1× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$3,262.92 |
— |
2.1× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$489.06 |
— |
2.1× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$3,262.92 |
— |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$489.06 |
$2,264 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$489.06 |
$2,264 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$489.06 |
$1,619 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$489.06 |
$1,076 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$489.06 |
$2,264 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,262.92 |
$2,697 |
2.1× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$3,262.92 |
— |
2.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$3,262.92 |
— |
2.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$489.06 |
— |
2.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$489.06 |
— |
2.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,262.92 |
$2,714 |
2.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$489.06 |
$1,619 |
2.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$489.06 |
$1,619 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$489.06 |
$1,619 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$489.06 |
$313 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,262.92 |
— |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$489.06 |
— |
2.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$489.06 |
— |
2.1× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$489.06 |
— |
2.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,262.92 |
— |
2.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,262.92 |
— |
2.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$489.06 |
$2,264 |
2.1× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$489.06 |
— |
2.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,262.92 |
— |
2.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$3,262.92 |
— |
2.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$489.06 |
— |
2.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,262.92 |
— |
2.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$541.46 |
— |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$489.06 |
$1,619 |
2.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$541.46 |
— |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$489.06 |
$1,619 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,262.92 |
$3,103 |
2.1× |
| Cltx Medial Ankle Fx (27760) |
$489.06 |
— |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$489.06 |
$2,264 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$489.06 |
$1,076 |
2.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,262.92 |
— |
2.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,262.92 |
— |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$489.06 |
$1,619 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$489.06 |
$1,076 |
2.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,262.92 |
— |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$489.06 |
$2,264 |
2.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,262.92 |
$2,415 |
2.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$489.06 |
— |
2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,262.92 |
— |
2.1× |
| Cltx prox tibfib jt dislc req anes (27831) |
$6,615.10 |
— |
2.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$489.06 |
— |
2.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$489.06 |
— |
2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$489.06 |
$2,264 |
2.1× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$3,262.92 |
$2,447 |
2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,262.92 |
— |
2.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$3,262.92 |
— |
2.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,262.92 |
$1,911 |
2.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$489.06 |
— |
2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$3,262.92 |
$1,911 |
2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$489.06 |
— |
2.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$6,615.10 |
— |
2.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$489.06 |
$366 |
2.1× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$489.06 |
— |
2.1× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$489.06 |
— |
2.1× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$489.06 |
— |
2.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,262.92 |
$1,911 |
2.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$489.06 |
— |
2.1× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$6,615.10 |
— |
2.1× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$10,064.42 |
— |
2.1× |
| Coccygectomy, primary (27080) |
$6,615.10 |
— |
2.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$262.80 |
$158 |
2.1× |
| Collection of venous blood by venipuncture (36415) |
$19.48 |
$36 |
2.1× |
| Colonoscopy Flexible With Decompression (45393) |
$2,403.90 |
— |
2.1× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$2,403.90 |
— |
2.1× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,403.90 |
— |
2.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$2,403.90 |
— |
2.1× |
| Colonoscopy stoma w/balloon dilation (44405) |
$2,403.90 |
— |
2.1× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$2,403.90 |
— |
2.1× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
$12,136.58 |
— |
2.1× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$2,403.90 |
— |
2.1× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$1,858.80 |
— |
2.1× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$2,403.90 |
— |
2.1× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,858.80 |
— |
2.1× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$2,403.90 |
— |
2.1× |
| Colonoscopy thru stoma (44388) |
$1,858.80 |
— |
2.1× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,403.90 |
— |
2.1× |
| Colonoscopy w/ablation (45388) |
$2,403.90 |
— |
2.1× |
| Colonoscopy W/Band Ligation (45398) |
$2,403.90 |
— |
2.1× |
| Colonoscopy w/fb removal (45379) |
$2,403.90 |
— |
2.1× |
| Colonoscopy w/ndl aspir/bx (44407) |
$2,403.90 |
— |
2.1× |
| Colonoscopy W/Resection (45390) |
$5,591.18 |
— |
2.1× |
| Colonoscopy w/stent plcmt (45389) |
$12,136.58 |
— |
2.1× |
| Colonoscopy w/submucosal inj (45381) |
$2,403.90 |
— |
2.1× |
| Colpocentesis (57020) |
$10,064.42 |
— |
2.1× |
| Colpocleisis (le fort type) (57120) |
$10,064.42 |
— |
2.1× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$6,482.42 |
— |
2.1× |
| Colpopexy extraperitoneal (57282) |
$15,076.52 |
— |
2.1× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$15,076.52 |
— |
2.1× |
| Colporrhaphy (57200) |
$6,482.42 |
— |
2.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$620.18 |
— |
2.1× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$620.18 |
— |
2.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$410.14 |
— |
2.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$620.18 |
— |
2.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$6,482.42 |
— |
2.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$6,482.42 |
— |
2.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$620.18 |
— |
2.1× |
| Colposcopy of vulva (56820) |
$410.14 |
— |
2.1× |
| Colposcopy Vulva W/Biopsy (56821) |
$620.18 |
— |
2.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,775.26 |
— |
2.0× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$6,482.42 |
— |
2.1× |
| Colpotomy; with exploration (57000) |
$6,482.42 |
— |
2.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,403.90 |
— |
2.1× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$2,403.90 |
— |
2.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,403.90 |
— |
2.1× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$2,403.90 |
— |
2.1× |
| Combined anteroposterior colporrhaphy; (57260) |
$10,064.42 |
— |
2.1× |
| Complex Cystometrogram (51726) |
$495.86 |
— |
2.1× |
| Complex drainage wound (10180) |
$5,835.14 |
$3,371 |
2.1× |
| Composite Skin Graft (15760) |
$3,729.44 |
— |
1.9× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$6,482.42 |
— |
2.1× |
| Conization of cervix (57520) |
$6,482.42 |
— |
2.1× |
| Conjunctival Flap Total (68362) |
$4,756.44 |
— |
2.1× |
| Conjunctivoplasty W/Buccal Muc Memb Graft (68325) |
$7,688.30 |
— |
2.0× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$4,756.44 |
— |
2.1× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$7,688.30 |
— |
2.0× |
| Conjunctivorhinostomy W/O Tube (68745) |
$7,688.30 |
— |
2.0× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$4,756.44 |
— |
2.1× |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
$4,756.44 |
— |
2.1× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$6,611.96 |
— |
2.1× |
| Construct thumb replacement (26550) |
$6,615.10 |
— |
2.1× |
| Construction of artificial vagina; with graft Facility (57292) |
$10,064.42 |
— |
2.1× |
| Construction of vagina (57291) |
$10,064.42 |
— |
2.1× |
| Contour cranial bone lesion (21181) |
$12,060.84 |
— |
2.1× |
| Contour of face bone lesion (21029) |
$6,611.96 |
— |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$262.80 |
$271 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$262.80 |
$313 |
2.1× |
| Control nose/throat bleeding (42972) |
$6,611.96 |
— |
2.1× |
| Control oropharyngeal hemorrhage simple (42960) |
$1,038.26 |
— |
2.0× |
| Conversion ext bil drg cath (47535) |
$7,195.04 |
— |
2.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,867.58 |
— |
2.1× |
| Convert Nephrostomy Catheter (50434) |
$4,176.50 |
— |
2.1× |
| Cordocentesis (59012) |
$620.18 |
— |
2.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,303.34 |
$3,452 |
2.1× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$813.56 |
— |
1.9× |
| Corneal transplant (65710) |
$10,519.60 |
— |
2.1× |
| Corneal Transplant,Penetrat,Aphakia (65750) |
$10,519.60 |
— |
2.1× |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
$4,756.44 |
— |
2.1× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$7,031.76 |
— |
2.1× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$7,031.76 |
— |
2.1× |
| Correction claw finger, other methods Facility (26499) |
$6,615.10 |
— |
2.1× |
| Correction Everted Punctum Cautery (68705) |
$609.46 |
— |
2.0× |
| Correction hammertoe (28285) |
$6,615.10 |
— |
2.1× |
| Correction of inverted nipples (19355) |
$7,807.14 |
— |
2.1× |
| Correction of lid retraction (67911) |
$4,756.44 |
— |
2.1× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$262.80 |
— |
2.1× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$1,974.66 |
— |
2.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,615.10 |
— |
2.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$6,615.10 |
— |
2.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$26,232.86 |
— |
2.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$14,564.62 |
— |
2.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$6,615.10 |
— |
2.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$14,564.62 |
— |
2.1× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$4,756.44 |
— |
2.1× |
| Costotransversectomy (separate procedure) Facility (21610) |
$6,615.10 |
— |
2.1× |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
$14,564.62 |
— |
2.1× |
| Create Eardrum Opening (69433) |
$1,038.26 |
— |
2.0× |
| Create Tear Sac-Nasal Fistula (68720) |
$7,688.30 |
— |
2.0× |
| Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) |
$13,056.60 |
— |
1.5× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$3,981.30 |
— |
2.1× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$3,981.30 |
— |
2.1× |
| Cricopharyngeal myotomy (43030) |
$12,060.84 |
— |
2.1× |
| Cricotracheal resection (31592) |
$12,060.84 |
— |
2.1× |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
$1,974.66 |
— |
2.1× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$6,615.10 |
— |
2.1× |
| Cross-over vein graft (34520) |
$11,021.14 |
— |
2.1× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$11,021.14 |
— |
2.1× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$7,807.14 |
— |
2.1× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$18,853.08 |
— |
2.1× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$121.10 |
— |
2.1× |
| Csf shunt reprogram (62252) |
$611.46 |
— |
2.1× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$473.44 |
— |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$262.80 |
$815 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$473.44 |
— |
2.1× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$6,611.96 |
— |
2.1× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$1,858.80 |
— |
2.1× |
| Curettage postpartum (59160) |
$6,482.42 |
— |
2.1× |
| Curette/treat cornea (65435) |
$1,974.66 |
$1,800 |
2.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,176.50 |
— |
2.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,176.50 |
— |
2.1× |
| Cysto w/complex removal stone & stent (52315) |
$4,176.50 |
— |
2.1× |
| Cysto w/destruction of lesions (52214) |
$7,031.76 |
— |
2.1× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$10,364.48 |
— |
2.0× |
| Cysto w/insert ureteral stent (52332) |
$7,031.76 |
— |
2.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$7,031.76 |
— |
2.1× |
| Cysto w/removal of lesions small (52224) |
$7,031.76 |
— |
2.1× |
| Cysto w/removal of tumors small (52234) |
$7,031.76 |
— |
2.1× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$7,031.76 |
— |
2.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,176.50 |
— |
2.1× |
| Cysto w/up stricture tx (52342) |
$7,031.76 |
— |
2.1× |
| Cysto w/ureter stricture tx (52341) |
$7,031.76 |
— |
2.1× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$10,364.48 |
— |
2.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$7,031.76 |
— |
2.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$7,031.76 |
— |
2.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$7,031.76 |
— |
2.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$10,364.48 |
— |
2.0× |
| Cysto/uretero w/lithotripsy (52356) |
$10,364.48 |
— |
2.0× |
| Cysto/uretero w/up stricture (52345) |
$7,031.76 |
— |
2.1× |
| Cystolithotomy (51050) |
$10,364.48 |
— |
2.0× |
| Cystometrogram W/Up (51727) |
$1,360.84 |
— |
2.0× |
| Cystometrogram W/Vp (51728) |
$1,360.84 |
— |
2.0× |
| Cystometrogram W/Vp&Up (51729) |
$1,360.84 |
— |
2.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$18,853.08 |
— |
2.1× |
| Cystoscopy and radiotracer (52250) |
$7,031.76 |
— |
2.1× |
| Cystoscopy implant stent (52282) |
$7,031.76 |
— |
2.1× |
| Cystoscopy inject material (52327) |
$10,364.48 |
— |
2.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,176.50 |
— |
2.1× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$7,031.76 |
— |
2.1× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$7,031.76 |
— |
2.1× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$7,031.76 |
— |
2.1× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$4,176.50 |
— |
2.1× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) |
$7,031.76 |
— |
2.1× |
| Cystouretero W/Congen Repr (52400) |
$7,031.76 |
— |
2.1× |
| Cystouretero w/excise tumor (52355) |
$10,364.48 |
— |
2.0× |
| Cystouretero w/renal strict (52346) |
$10,364.48 |
— |
2.0× |
| Cystourethroscopy (52000) |
$1,360.84 |
— |
2.0× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$10,364.48 |
— |
2.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$1,360.84 |
— |
2.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$10,364.48 |
— |
2.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy with biopsy (52204) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) |
$18,853.08 |
— |
2.1× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$1,360.84 |
— |
2.0× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$4,176.50 |
— |
2.1× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$10,364.48 |
— |
2.0× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$7,031.76 |
— |
2.1× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$4,176.50 |
— |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,248 |
— |
3.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$5,835.14 |
— |
2.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,434.48 |
$1,717 |
2.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,434.48 |
— |
2.1× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$6,615.10 |
— |
2.1× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$6,615.10 |
— |
2.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$6,615.10 |
— |
2.1× |
| Dcmprn fasct leg post compartment only (27601) |
$6,615.10 |
— |
2.1× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$3,981.30 |
— |
2.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,248 |
$1,662 |
1.8× |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$121.10 |
$403–$404 |
2.1× |
| Debride nail 6 or more (11721) |
$121.10 |
$438 |
2.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,303.34 |
$4,066 |
2.1× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$1,038.26 |
— |
2.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$405.10 |
— |
2.1× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$814.56 |
$722–$1,381 |
2.1× |
Declot vascular device (36593)
range across 2 matching MRF lines |
$676.24 |
$519–$705 |
2.1× |
| Decomp forearm,1 compart,w/o debride (25020) |
$3,262.92 |
— |
2.1× |
| Decompress eye socket (61330) |
$6,611.96 |
— |
2.1× |
| Decompress Fingers/Hand (26035) |
$6,615.10 |
— |
2.1× |
| Decompress Spinal Cord Lmbr (63056) |
$14,564.62 |
— |
2.1× |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) |
$12,060.84 |
— |
2.1× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$3,262.92 |
— |
2.1× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$3,262.92 |
— |
2.1× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$6,615.10 |
— |
2.1× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$14,564.62 |
— |
2.1× |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) |
$14,564.62 |
— |
2.1× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$6,615.10 |
— |
2.1× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$6,615.10 |
— |
2.1× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$3,262.92 |
— |
2.1× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
$14,564.62 |
— |
2.1× |
| Decompression internal auditory canal Facility (69960) |
$12,060.84 |
— |
2.1× |
| Decompression of leg (27894) |
$6,615.10 |
— |
2.1× |
| Decompression of leg (27892) |
$6,615.10 |
— |
2.1× |
| Decompression of tibia nerve (28035) |
$3,981.30 |
— |
2.1× |
| Decompressive fasciotomy hand (26037) |
$6,615.10 |
— |
2.1× |
| Deep Muscle Biopsy (20205) |
$5,835.14 |
— |
2.1× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$3,729.44 |
— |
1.9× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$3,729.44 |
— |
1.9× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$3,729.44 |
— |
1.9× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$7,463.98 |
— |
2.2× |
| Delivery of placenta (59414) |
$6,482.42 |
— |
2.1× |
| Denervation of hip joint (27035) |
$6,615.10 |
— |
2.1× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$7,463.98 |
— |
2.2× |
| Derma-fat-fascia graft (15770) |
$7,463.98 |
— |
2.2× |
| Dermabrasion regional other than face (15782) |
$5,835.14 |
— |
2.1× |
| Dermabrasion segmental face (15781) |
$1,434.48 |
— |
2.1× |
| Dermabrasion superficial any site (15783) |
$814.56 |
— |
2.1× |
| Dermabrasion total face (15780) |
$5,835.14 |
— |
2.1× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$3,729.44 |
— |
1.9× |
| Design custom breast implant (19396) |
$7,807.14 |
— |
2.1× |
| Destr penis lesion(s) (54065) |
$3,729.44 |
— |
1.9× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,815.12 |
$8,443 |
2.1× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$3,981.30 |
$4,625–$5,809 |
2.1× |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$3,981.30 |
$4,625–$5,809 |
2.1× |
| Destruc retinal lesn,photocoag (67210) |
$1,118.48 |
— |
2.1× |
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines |
$405.10 |
$242–$2,100 |
2.1× |
| Destruction Benign Lesions 15/> (17111) |
$405.10 |
— |
2.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,815.12 |
$3,837 |
2.1× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$3,981.30 |
— |
2.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$601.84 |
— |
2.0× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$1,815.12 |
$3,837 |
2.1× |
| Destruction ciliary body (66700) |
$4,649.94 |
— |
2.1× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$2,403.90 |
— |
2.1× |
| Destruction Lesions Vulva Extensive (56515) |
$3,729.44 |
— |
1.9× |
| Destruction Lesions Vulva Simple (56501) |
$3,729.44 |
— |
1.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$405.10 |
— |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$405.10 |
— |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$814.56 |
— |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$1,248 |
— |
1.8× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$1,248 |
— |
1.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$405.10 |
— |
2.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$405.10 |
— |
2.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$405.10 |
— |
2.1× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$814.56 |
— |
2.1× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$814.56 |
— |
2.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$405.10 |
— |
2.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$405.10 |
— |
2.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$405.10 |
— |
2.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$405.10 |
— |
2.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$814.56 |
— |
2.1× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$814.56 |
— |
2.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$405.10 |
— |
2.1× |
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines |
$3,981.30 |
$4,901–$5,122 |
2.1× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$1,118.48 |
— |
2.1× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$609.46 |
— |
2.0× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$1,974.66 |
— |
2.1× |
| Destruction of lesion, conjunctiva (68135) |
$4,756.44 |
— |
2.1× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$7,688.30 |
— |
2.0× |
| Destruction of rectal tumor transanal approach (45190) |
$5,591.18 |
— |
2.1× |
| Destruction of skin lesions (17106) |
$814.56 |
— |
2.1× |
| Destruction Premalignant Lesion 15/> (17004) |
$814.56 |
— |
2.1× |
| Destruction premalignant lesion 1st (17000) |
$405.10 |
— |
2.1× |
| Destruction Vaginal Lesions Extensive (57065) |
$6,482.42 |
— |
2.1× |
| Destruction Vaginal Lesions Simple (57061) |
$6,482.42 |
— |
2.1× |
| Diagnostic anoscopy (46601) |
$813.56 |
— |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,858.80 |
— |
2.1× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$410.14 |
— |
2.1× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$2,403.90 |
— |
2.1× |
| Dilat female urethra general/cndj spinal anes (53665) |
$4,176.50 |
— |
2.1× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$319 |
— |
2.6× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$262.80 |
— |
2.1× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$2,403.90 |
— |
2.1× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$262.80 |
— |
2.1× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
$495.86 |
— |
2.1× |
| Dilat Xst Trc New Access Rcs (50437) |
$7,031.76 |
$7,068 |
2.1× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,911.50 |
— |
2.2× |
| Dilate Urethra Stricture (53620) |
$1,360.84 |
— |
2.0× |
| Dilate Urethra Stricture (53600) |
$495.86 |
— |
2.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$6,482.42 |
— |
2.1× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$1,038.26 |
— |
2.0× |
| Dilation And Curettage Of Cervical Stump (57558) |
$6,482.42 |
— |
2.1× |
| Dilation Cervical Canal (57800) |
$6,482.42 |
— |
2.1× |
| Dilation Esophagus Guide Wire (43453) |
$3,867.58 |
— |
2.1× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$813.56 |
— |
1.9× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$7,031.76 |
— |
2.1× |
| Dilation of vagina (57400) |
$6,482.42 |
— |
2.1× |
| Dilation Salivary Duct (42650) |
$3,020.04 |
— |
2.0× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$11,021.14 |
— |
2.1× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$11,021.14 |
— |
2.1× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
$3,729.44 |
— |
1.9× |
| Disarticulation through wrist; secondary closure or scar revision Facility (25922) |
$3,262.92 |
— |
2.1× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$14,564.62 |
— |
2.1× |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) |
$4,649.94 |
— |
2.1× |
| Discission Secondary Membranous Cataract (66820) |
$4,649.94 |
— |
2.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$3,515.84 |
— |
2.1× |
| Dissection, deep jugular node(s) Facility (38542) |
$11,895.08 |
— |
2.0× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$11,021.14 |
— |
2.1× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$12,060.84 |
— |
2.1× |
| Division of scalenus anticus; without resection of cervical rib Facility (21700) |
$14,564.62 |
— |
2.1× |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) |
$1,434.48 |
— |
2.1× |
| Division of stricture of rectum Facility (45150) |
$2,403.90 |
— |
2.1× |
| Division of symblepharon (68340) |
$4,756.44 |
— |
2.1× |
| Drain ant chmbr,remv vitreous (65810) |
$4,649.94 |
— |
2.1× |
| Drain Cerebro Spinal Fluid (62272) |
$1,411.90 |
— |
2.1× |
| Drain chest lesion (21502) |
$6,615.10 |
— |
2.1× |
| Drain Hand Tendon Sheath (26020) |
$6,615.10 |
— |
2.1× |
| Drain ovary abscess open (58820) |
$6,482.42 |
— |
2.1× |
| Drain penis lesion (54015) |
$3,303.34 |
— |
2.1× |
| Drain shoulder bursa (23031) |
$5,835.14 |
— |
2.1× |
| Drain Spinal Cord Cyst (62268) |
$1,815.12 |
— |
2.1× |
| Drain/inj small joint/bursa w/us (20604) |
$601.84 |
— |
2.0× |
| Drainage abscess parotid simple (42300) |
$3,020.04 |
— |
2.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,038.26 |
$1,200 |
2.0× |
| Drainage external auditory canal abscess (69020) |
$1,434.48 |
— |
2.1× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$3,303.34 |
$1,977 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,434.48 |
$845 |
2.1× |
| Drainage Finger Abscess Complicated (26011) |
$3,303.34 |
$2,385 |
2.1× |
| Drainage lymph node lesion (38305) |
$5,835.14 |
— |
2.1× |
| Drainage Mouth Roof Lesion (42000) |
$473.44 |
$1,005 |
2.1× |
| Drainage of eye (65800) |
$4,649.94 |
— |
2.1× |
| Drainage of finger abscess simple (26010) |
$405.10 |
$1,005 |
2.1× |
| Drainage of gum lesion (41800) |
$262.80 |
$1,005 |
2.1× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$3,303.34 |
$2,151–$2,153 |
2.1× |
| Drainage of hydrocele (55000) |
$1,434.48 |
— |
2.1× |
| Drainage of mouth lesion (41006) |
$3,020.04 |
— |
2.0× |
| Drainage of mouth lesion (41017) |
$6,611.96 |
— |
2.1× |
| Drainage of nose lesion (30000) |
$473.44 |
$1,002 |
2.1× |
| Drainage of palmar bursa single bursa (26025) |
$6,615.10 |
— |
2.1× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$6,615.10 |
— |
2.1× |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
$4,176.50 |
— |
2.1× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
$1,360.84 |
— |
2.0× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$4,176.50 |
— |
2.1× |
| Drainage of rectal abscess (45020) |
$5,591.18 |
— |
2.1× |
| Drainage of rectal abscess (45005) |
$2,403.90 |
— |
2.1× |
| Drainage of salivary cyst (42409) |
$6,611.96 |
— |
2.1× |
| Drainage of salivary gland (42320) |
$1,038.26 |
— |
2.0× |
| Drainage of salivary gland (42305) |
$6,611.96 |
— |
2.1× |
| Drainage of scrotal wall abscess (55100) |
$3,303.34 |
$1,663 |
2.1× |
| Drainage of scrotum (54700) |
$4,176.50 |
— |
2.1× |
| Drainage of skene's gland abscess or cyst (53060) |
$4,176.50 |
— |
2.1× |
| Drainage of throat abscess (42725) |
$12,060.84 |
— |
2.1× |
| Drainage of urethra abscess (53040) |
$7,031.76 |
— |
2.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$6,482.42 |
— |
2.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$6,482.42 |
— |
2.1× |
| Draw Blood Off Venous Device (36591) |
$262.80 |
$158 |
2.1× |
| Dressing Change Under Anesthesia (15852) |
$1,248 |
— |
1.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,038.26 |
— |
2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,434.48 |
$845 |
2.1× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$1,038.26 |
— |
2.0× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$5,835.14 |
— |
2.1× |
| Drg privesical/prevesical space absc (51080) |
$5,835.14 |
— |
2.1× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines |
$814.56 |
$423–$460 |
2.1× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
$405.10 |
$279–$316 |
2.1× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$405.10 |
$234–$278 |
2.1× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,248 |
— |
1.8× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$3,729.44 |
— |
1.9× |
| Dstrj Extensive Retinopathy (67227) |
$7,688.30 |
— |
2.0× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$6,611.96 |
— |
2.1× |
| Dstrj Lesion Anus Extensive (46924) |
$5,591.18 |
— |
2.1× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$814.56 |
— |
2.1× |
| Dstrj lesion anus simple cryosurgery (46916) |
$405.10 |
— |
2.1× |
| Dstrj lesion anus simple surg excision (46922) |
$5,591.18 |
— |
2.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$3,729.44 |
— |
1.9× |
| Dstrj lesion choroid pc 1/> sess (67220) |
$1,118.48 |
— |
2.1× |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
$1,118.48 |
— |
2.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$814.56 |
— |
2.1× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$405.10 |
— |
2.1× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$3,729.44 |
— |
1.9× |
| Dstrj lesion penis simple laser (54057) |
$3,729.44 |
— |
1.9× |
| Dstrj lesion penis simple surg excision (54060) |
$3,729.44 |
— |
1.9× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$814.56 |
— |
2.1× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$3,981.30 |
— |
2.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,815.12 |
$4,150 |
2.1× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
$1,815.12 |
— |
2.1× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,815.12 |
— |
2.1× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$1,911.50 |
— |
2.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$5,835.14 |
$4,566 |
2.1× |
| Dx Bronchoscope/Lavage (31624) |
$3,515.84 |
$4,301 |
2.1× |
| Dx Bronchoscope/Wash (31622) |
$3,515.84 |
$4,301 |
2.1× |
| Dx duod intub w/asp spec (43756) |
$1,911.50 |
— |
2.2× |
| Dx gastr intub w/asp spec (43754) |
$634.88 |
— |
3.1× |
| Dx gastr intub w/asp specs (43755) |
$319 |
— |
2.6× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,515.84 |
— |
2.1× |
| Dx laryngoscopy w/oper scope (31526) |
$3,515.84 |
— |
2.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,411.90 |
— |
2.1× |
| Dynamic Cavernosometry Njx Vasoactive Drugs (54231) |
$495.86 |
— |
2.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$3,867.58 |
— |
2.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$3,867.58 |
— |
2.1× |
| Egd cautery tumor polyp (43250) |
$3,867.58 |
— |
2.1× |
| Egd control bleeding any (43255) |
$3,867.58 |
— |
2.1× |
| Egd dilation gastric/duodenal stricture (43245) |
$3,867.58 |
— |
2.1× |
| Egd endo mucosal resection (43254) |
$3,867.58 |
— |
2.1× |
| Egd Endoscopic Stent Place (43266) |
$12,136.58 |
$8,962 |
2.1× |
| Egd Flexible Foreign Body Removal (43247) |
$1,911.50 |
$3,145 |
2.2× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$3,867.58 |
— |
2.1× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
$1,911.50 |
— |
2.2× |
| Egd guide wire insertion (43248) |
$1,911.50 |
— |
2.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$3,867.58 |
— |
2.1× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,867.58 |
— |
2.1× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,867.58 |
— |
2.1× |
| Egd lesion ablation (43270) |
$3,867.58 |
— |
2.1× |
| Egd Optical Endomicroscopy (43252) |
$3,867.58 |
— |
2.1× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$21,226.38 |
— |
2.1× |
| Egd place gastrostomy tube (43246) |
$3,867.58 |
— |
2.1× |
| Egd remove lesion snare (43251) |
$3,867.58 |
— |
2.1× |
| Egd Tube/Cath Insertion (43241) |
$3,867.58 |
— |
2.1× |
| Egd us exam duodenum/jejunum (43259) |
$3,867.58 |
— |
2.1× |
| Egd us transmural injxn/mark (43253) |
$3,867.58 |
— |
2.1× |
| Egd Varices Ligation (43244) |
$3,867.58 |
— |
2.1× |
| Egd W/Thrml Txmnt Gerd (43257) |
$7,756.66 |
— |
2.1× |
| Egd W/Transmural Drain Cyst (43240) |
$12,136.58 |
— |
2.1× |
| Elbow arthroscopy (29830) |
$6,615.10 |
— |
2.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$611.46 |
— |
2.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$611.46 |
— |
2.1× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$611.46 |
— |
2.1× |
| Electro-Uroflowmetry First (51741) |
$634.88 |
— |
3.1× |
| Electroejaculation (55870) |
$1,775.26 |
— |
2.0× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$1,248 |
— |
1.8× |
| Embedded ip cath exit-site (49436) |
$3,867.58 |
— |
2.1× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$11,021.14 |
— |
2.1× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$11,021.14 |
— |
2.1× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$11,021.14 |
— |
2.1× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$11,021.14 |
— |
2.1× |
| Endocervical curettage (57505) |
$1,775.26 |
— |
2.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$10,064.42 |
— |
2.1× |
| Endometrial Biopsy (58100) |
$410.14 |
— |
2.1× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$10,064.42 |
— |
2.1× |
| Endoscopic injection/implant (51715) |
$7,031.76 |
— |
2.1× |
| Endoscopic plantar fasciotomy (29893) |
$6,615.10 |
— |
2.1× |
| Endoscopic us exam esoph (43237) |
$3,867.58 |
— |
2.1× |
| Endoscopy of ureter (50953) |
$7,031.76 |
— |
2.1× |
| Endoscopy Upper Small Intestine (44360) |
$3,867.58 |
— |
2.1× |
| Endoscopy upper small intestine w/biopsy (44361) |
$3,867.58 |
— |
2.1× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$23,121.14 |
— |
2.1× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$6,417.12 |
— |
2.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$6,417.12 |
— |
2.1× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$6,417.12 |
$6,953 |
2.1× |
| Endoven ther chem adhes 1st (36482) |
$11,021.14 |
$7,828 |
2.1× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$3,867.58 |
— |
2.1× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$3,867.58 |
— |
2.1× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$3,867.58 |
— |
2.1× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$3,867.58 |
— |
2.1× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
$12,136.58 |
— |
2.1× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$3,867.58 |
— |
2.1× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$3,867.58 |
— |
2.1× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$3,867.58 |
— |
2.1× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$3,867.58 |
— |
2.1× |
| Enucleation Eye Implt Musc X Attached Implt (65103) |
$7,688.30 |
— |
2.0× |
| Enucleation of Eye W/O Implant (65101) |
$7,688.30 |
— |
2.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$3,729.44 |
— |
1.9× |
| Epididymectomy bilateral (54861) |
$7,031.76 |
— |
2.1× |
| Epididymectomy unilateral (54860) |
$7,031.76 |
— |
2.1× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
$7,031.76 |
— |
2.1× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,729.44 |
— |
1.9× |
Epidural Blood Patch (62273)
range across 3 matching MRF lines |
$1,411.90 |
$1,687–$3,548 |
2.1× |
| Epidural lysis mult sessions (62263) |
$1,815.12 |
— |
2.1× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$6,615.10 |
— |
2.1× |
| Episiotomy or vaginal repair (59300) |
$6,482.42 |
— |
2.1× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$12,136.58 |
— |
2.1× |
| Ercp duct stent placement (43274) |
$12,136.58 |
— |
2.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$7,756.66 |
— |
2.1× |
| Ercp ea duct/ampulla dilate (43277) |
$7,756.66 |
— |
2.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$7,756.66 |
— |
2.1× |
| Ercp remove forgn body duct (43275) |
$3,867.58 |
— |
2.1× |
| Ercp Stent Exchange W/Dilate (43276) |
$12,136.58 |
— |
2.1× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$7,756.66 |
— |
2.1× |
| Ercp W/Biopsy Single/Multiple (43261) |
$7,756.66 |
— |
2.1× |
| Ercp w/pressure measurement sphincter of oddi (43263) |
$3,867.58 |
— |
2.1× |
| Ercp,Sphincterotomy (43262) |
$7,756.66 |
— |
2.1× |
| Esc i p ulcer w ostect & flap (15946) |
$3,729.44 |
— |
1.9× |
| Escharotomy; initial incision (16035) |
$814.56 |
— |
2.1× |
| Esoph Optical Endomicroscopy (43206) |
$3,867.58 |
— |
2.1× |
| Esoph Scope W/Submucous Inj (43201) |
$3,867.58 |
— |
2.1× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,911.50 |
— |
2.2× |
| Esophagosc Dilate Balloon 30 (43214) |
$3,867.58 |
— |
2.1× |
| Esophagoscop Mucosal Resect (43211) |
$3,867.58 |
— |
2.1× |
| Esophagoscop Stent Placement (43212) |
$12,136.58 |
— |
2.1× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$7,756.66 |
— |
2.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,911.50 |
— |
2.2× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$1,911.50 |
— |
2.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,911.50 |
— |
2.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Retro Balloon (43213) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy Rigid Balloon (43195) |
$7,756.66 |
— |
2.1× |
| Esophagoscopy rigid trnso dx (43191) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$3,867.58 |
— |
2.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,867.58 |
— |
2.1× |
| Esophagoscp Guide Wire Dilat (43196) |
$3,867.58 |
— |
2.1× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$12,060.84 |
— |
2.1× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$3,867.58 |
— |
2.1× |
| Esophagoscp Rig Trnso Inject (43192) |
$3,867.58 |
— |
2.1× |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
$3,020.04 |
— |
2.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$3,867.58 |
— |
2.1× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$3,867.58 |
— |
2.1× |
| Ethmoidectomy Extranasal Total (31205) |
$6,611.96 |
— |
2.1× |
| Ethmoidectomy Intranasal Anterior (31200) |
$12,060.84 |
— |
2.1× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$3,020.04 |
— |
2.0× |
| Evacuate mole of uterus (59870) |
$6,482.42 |
— |
2.1× |
| Evacuation of subungual hematoma (11740) |
$262.80 |
$438 |
2.1× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$3,303.34 |
— |
2.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,303.34 |
— |
2.1× |
| Exc abdl tum deep 5 cm/> (22901) |
$5,835.14 |
— |
2.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,303.34 |
— |
2.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,434.48 |
— |
2.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,303.34 |
— |
2.1× |
| Exc Back Les Sc < 3 Cm (21930) |
$3,303.34 |
— |
2.1× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$5,835.14 |
— |
2.1× |
| Exc back tum deep < 5 cm (21932) |
$5,835.14 |
— |
2.1× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
$12,060.84 |
— |
2.1× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) |
$12,060.84 |
— |
2.1× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$12,060.84 |
— |
2.1× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$6,611.96 |
— |
2.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$7,807.14 |
— |
2.1× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$4,756.44 |
— |
2.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$1,434.48 |
— |
2.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,434.48 |
— |
2.1× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$3,303.34 |
— |
2.1× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$3,303.34 |
— |
2.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,434.48 |
— |
2.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,434.48 |
— |
2.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,434.48 |
— |
2.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,303.34 |
— |
2.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$3,303.34 |
— |
2.1× |
| Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) |
$3,020.04 |
— |
2.0× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$14,564.62 |
— |
2.1× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$3,303.34 |
— |
2.1× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$5,835.14 |
— |
2.1× |
| Exc Frenum Labial/Buccal (40819) |
$3,020.04 |
— |
2.0× |
| Exc ganglion wrist recurrent (25112) |
$3,262.92 |
— |
2.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,303.34 |
— |
2.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,434.48 |
$2,690 |
2.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,303.34 |
$3,575 |
2.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$3,303.34 |
— |
2.1× |
| Exc hand tum deep < 1.5 cm (26116) |
$3,303.34 |
— |
2.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$7,031.76 |
— |
2.1× |
| Exc Lacrimal Gland Tumor Frontal Approach (68540) |
$4,756.44 |
— |
2.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$1,974.66 |
— |
2.1× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$6,611.96 |
— |
2.1× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$6,611.96 |
— |
2.1× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$3,262.92 |
— |
2.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$3,262.92 |
— |
2.1× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$6,611.96 |
— |
2.1× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$6,611.96 |
— |
2.1× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$6,611.96 |
— |
2.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$6,611.96 |
— |
2.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$6,611.96 |
— |
2.1× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$6,611.96 |
— |
2.1× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$3,981.30 |
— |
2.1× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$3,981.30 |
— |
2.1× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,981.30 |
— |
2.1× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$3,981.30 |
— |
2.1× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$12,060.84 |
— |
2.1× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$5,591.18 |
— |
2.1× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$5,591.18 |
— |
2.1× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$5,835.14 |
— |
2.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,434.48 |
— |
2.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,303.34 |
— |
2.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$5,835.14 |
— |
2.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,303.34 |
— |
2.1× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$5,835.14 |
— |
2.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$3,303.34 |
— |
2.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$5,835.14 |
— |
2.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,303.34 |
— |
2.1× |
| Exc tendon shth lesion leg/ankle (27630) |
$6,615.10 |
— |
2.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,835.14 |
— |
2.1× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$5,835.14 |
— |
2.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,403.90 |
— |
2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$814.56 |
— |
2.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,434.48 |
— |
2.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,303.34 |
$2,975 |
2.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,835.14 |
— |
2.1× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$3,303.34 |
— |
2.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,303.34 |
— |
2.1× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,303.34 |
— |
2.1× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$5,835.14 |
— |
2.1× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$3,303.34 |
— |
2.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$5,835.14 |
— |
2.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,303.34 |
— |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,303.34 |
— |
2.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$5,835.14 |
— |
2.1× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$5,835.14 |
— |
2.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$5,835.14 |
— |
2.1× |
| Exc urethral diverticulum spx female (53230) |
$10,364.48 |
— |
2.0× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$7,031.76 |
— |
2.1× |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
$14,564.62 |
— |
2.1× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$14,564.62 |
— |
2.1× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$14,564.62 |
— |
2.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$6,615.10 |
— |
2.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,262.92 |
— |
2.1× |
| Exc/fulguration urethral caruncle (53265) |
$4,176.50 |
— |
2.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$7,195.04 |
— |
2.1× |
| Exchange Intraocular Lens (66986) |
$4,649.94 |
— |
2.1× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$4,176.50 |
$3,665–$6,307 |
2.1× |
| Exchange Transfusion (36455) |
$891.32 |
— |
2.1× |
| Exchange Transfusion Blood Newborn (36450) |
$891.32 |
— |
2.1× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$3,867.58 |
$3,766 |
2.1× |
| Excis conjunc lesn+adj sclera (68130) |
$4,756.44 |
— |
2.1× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$6,611.96 |
— |
2.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$6,611.96 |
— |
2.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$3,020.04 |
— |
2.0× |
| Excis penile plaque (54110) |
$7,031.76 |
— |
2.1× |
| Excis uppr jaw cyst w/repair (21049) |
$12,060.84 |
— |
2.1× |
| Excis urethral prolapse (53275) |
$7,031.76 |
— |
2.1× |
| Excise breast duct fistula (19112) |
$7,807.14 |
— |
2.1× |
| Excise excessive skin arm (15836) |
$5,835.14 |
— |
2.1× |
| Excise intraspinal lesion (63267) |
$14,564.62 |
— |
2.1× |
| Excise intraspinl lesion crv (63265) |
$14,564.62 |
— |
2.1× |
| Excise mandible lesion (21040) |
$6,611.96 |
— |
2.1× |
| Excise Neurofibroma Extensive (64792) |
$13,056.60 |
— |
4.0× |
| Excise oral mucosa for graft (40818) |
$1,038.26 |
— |
2.0× |
| Excise tendon forearm/wrist (25109) |
$6,615.10 |
— |
2.1× |
| Excise Wrist Tendon Sheath (25118) |
$3,262.92 |
— |
2.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,434.48 |
— |
2.1× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$4,756.44 |
— |
2.1× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$4,756.44 |
— |
2.1× |
| Excision Aural Polyp (69540) |
$3,020.04 |
— |
2.0× |
| Excision Bone Mandible (21025) |
$12,060.84 |
— |
2.1× |
| Excision Chalazion Multiple Same Lid (67801) |
$1,974.66 |
— |
2.1× |
| Excision Chalazion Single (67800) |
$609.46 |
— |
2.0× |
| Excision Chest Wall Tumor Including Ribs (21601) |
$5,835.14 |
— |
2.1× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$12,060.84 |
— |
2.1× |
| Excision Distal Ulna Partial/Complete (25240) |
$6,615.10 |
— |
2.1× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
$5,835.14 |
— |
2.1× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$5,835.14 |
— |
2.1× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$12,060.84 |
— |
2.1× |
| Excision External Ear Partial Simple Repair (69110) |
$5,835.14 |
— |
2.1× |
| Excision external ear; complete amputation Facility (69120) |
$12,060.84 |
— |
2.1× |
| Excision Facial Bone (21026) |
$12,060.84 |
— |
2.1× |
| Excision gum each quadrant (41820) |
$6,611.96 |
— |
2.1× |
| Excision H/P/P/U Complex Repair (11471) |
$5,835.14 |
— |
2.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$5,835.14 |
— |
2.1× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$5,835.14 |
— |
2.1× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$5,835.14 |
— |
2.1× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$5,835.14 |
— |
2.1× |
| Excision Infected Graft Extremity (35903) |
$6,417.12 |
— |
2.1× |
| Excision inferior turbinate partial/complete (30130) |
$6,611.96 |
— |
2.1× |
| Excision Lacrimal Sac (68520) |
$7,688.30 |
— |
2.0× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$4,756.44 |
— |
2.1× |
| Excision lesion conjunctiva > 1 cm (68115) |
$4,756.44 |
— |
2.1× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,974.66 |
— |
2.1× |
| Excision lesion meniscus/capsule knee (27347) |
$6,615.10 |
— |
2.1× |
| Excision lesion mouth roof (42104) |
$6,611.96 |
— |
2.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$3,262.92 |
— |
2.1× |
| Excision Lesion Tongue W/O Closure (41110) |
$6,611.96 |
— |
2.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$3,020.04 |
— |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,434.48 |
— |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,434.48 |
— |
2.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$814.56 |
— |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,434.48 |
— |
2.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,434.48 |
— |
2.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$3,303.34 |
— |
2.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$5,835.14 |
— |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$3,303.34 |
— |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,434.48 |
— |
2.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,434.48 |
— |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,303.34 |
— |
2.1× |
| Excision malignant tumor mandible (21044) |
$12,060.84 |
— |
2.1× |
| Excision Malignant Tumor Maxilla/Zygoma (21034) |
$12,060.84 |
— |
2.1× |
| Excision Maxillary Torus Palatinus (21032) |
$6,611.96 |
— |
2.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,591.18 |
— |
2.1× |
| Excision Nasal Polyp Extensive (30115) |
$6,611.96 |
— |
2.1× |
| Excision nasal polyp(s) simple (30110) |
$3,020.04 |
— |
2.0× |
| Excision of bartholin's gland or cyst (56740) |
$6,482.42 |
— |
2.1× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$12,060.84 |
— |
2.1× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$12,060.84 |
— |
2.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$6,615.10 |
— |
2.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$14,564.62 |
— |
2.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) |
$14,564.62 |
— |
2.1× |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
$7,031.76 |
— |
2.1× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
$10,064.42 |
— |
2.1× |
| Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) |
$10,064.42 |
— |
2.1× |
| Excision of chalazion; multiple, different lids (67805) |
$609.46 |
— |
2.0× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$6,615.10 |
— |
2.1× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) |
$13,295.94 |
— |
2.1× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$7,807.14 |
— |
2.1× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$6,615.10 |
— |
2.1× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$6,615.10 |
— |
2.1× |
| Excision of extraparenchymal lesion of testis (54512) |
$7,031.76 |
— |
2.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,262.92 |
— |
2.1× |
| Excision of gum flap (41821) |
$3,020.04 |
— |
2.0× |
| Excision of gum lesion (41828) |
$3,020.04 |
— |
2.0× |
| Excision of hydrocele; bilateral (55041) |
$7,195.04 |
— |
2.1× |
| Excision of hydrocele; unilateral (55040) |
$7,195.04 |
— |
2.1× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
$7,688.30 |
— |
2.0× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) |
$7,688.30 |
— |
2.0× |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
$7,688.30 |
— |
2.0× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$12,060.84 |
— |
2.1× |
| Excision of lingual tonsil (42870) |
$12,060.84 |
— |
2.1× |
| Excision of local lesion of epididymis (54830) |
$7,031.76 |
— |
2.1× |
| Excision of Mullerian duct cyst Facility (55680) |
$7,031.76 |
— |
2.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$3,981.30 |
— |
2.1× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$13,056.60 |
— |
4.0× |
| Excision of osseous tuberosities, dentoalveolar structures (41823) |
$12,060.84 |
— |
2.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$12,060.84 |
— |
2.1× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$12,060.84 |
— |
2.1× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$12,060.84 |
— |
2.1× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
$18,853.08 |
— |
2.1× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$10,364.48 |
— |
2.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,835.14 |
— |
2.1× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$5,591.18 |
— |
2.1× |
| Excision of single external papilla or tag, anus (46220) |
$2,403.90 |
— |
2.1× |
| Excision of sublingual gland (42450) |
$12,060.84 |
— |
2.1× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$6,611.96 |
— |
2.1× |
| Excision of submandibular (submaxillary) gland (42440) |
$12,060.84 |
— |
2.1× |
| Excision of tonsil tags (42860) |
$6,611.96 |
— |
2.1× |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
$12,060.84 |
— |
2.1× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$10,364.48 |
— |
2.0× |
| Excision of vaginal cyst or tumor (57135) |
$6,482.42 |
— |
2.1× |
| Excision of vaginal septum (57130) |
$6,482.42 |
— |
2.1× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
$12,721.60 |
— |
2.0× |
| Excision olecranon bursa (24105) |
$6,615.10 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) |
$14,564.62 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$6,615.10 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$6,615.10 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$14,564.62 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$14,564.62 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
$14,564.62 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$14,564.62 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) |
$14,564.62 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$6,615.10 |
— |
2.1× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$14,564.62 |
— |
2.1× |
| Excision or fulguration; Skene's glands Facility (53270) |
$7,031.76 |
— |
2.1× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$7,031.76 |
— |
2.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$5,835.14 |
— |
2.1× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$5,835.14 |
— |
2.1× |
| Excision prepatellar bursa (27340) |
$6,615.10 |
— |
2.1× |
| Excision Radial Head (24130) |
$6,615.10 |
— |
2.1× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$13,295.94 |
— |
2.1× |
| Excision soft tissue lesion, external auditory canal (69145) |
$5,835.14 |
— |
2.1× |
| Excision spermatocele w/wo epididymectomy (54840) |
$4,176.50 |
— |
2.1× |
| Excision synovial cyst popliteal space (27345) |
$6,615.10 |
— |
2.1× |
| Excision tendon finger flexor/extensor each (26180) |
$3,262.92 |
— |
2.1× |
| Excision tendon palm flexor/extensor single each (26170) |
$3,262.92 |
— |
2.1× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$11,895.08 |
— |
2.0× |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) |
$11,895.08 |
— |
2.0× |
| Excision Torus Mandibularis (21031) |
$6,611.96 |
— |
2.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,303.34 |
— |
2.1× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$5,835.14 |
— |
2.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,303.34 |
— |
2.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,303.34 |
— |
2.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$3,303.34 |
— |
2.1× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$7,463.98 |
— |
2.2× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$5,835.14 |
— |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$5,835.14 |
— |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$5,835.14 |
— |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$5,835.14 |
— |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$5,835.14 |
— |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$5,835.14 |
— |
2.1× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$3,262.92 |
— |
2.1× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$7,463.98 |
— |
2.2× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$3,729.44 |
— |
1.9× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$12,060.84 |
— |
2.1× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$3,729.44 |
— |
1.9× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$5,835.14 |
— |
2.1× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$5,835.14 |
— |
2.1× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$7,463.98 |
— |
2.2× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$7,463.98 |
— |
2.2× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$7,463.98 |
— |
2.2× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$3,303.34 |
— |
2.1× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$3,729.44 |
— |
1.9× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$7,463.98 |
— |
2.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,835.14 |
— |
2.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$3,303.34 |
— |
2.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,835.14 |
— |
2.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$5,835.14 |
— |
2.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$5,835.14 |
— |
2.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,303.34 |
— |
2.1× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$6,615.10 |
— |
2.1× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$3,262.92 |
— |
2.1× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$6,615.10 |
— |
2.1× |
| Excision/destruction intranasal lesion int appr (30117) |
$6,611.96 |
— |
2.1× |
| Excision/destruction lesion pharynx any method (42808) |
$6,611.96 |
— |
2.1× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$6,611.96 |
— |
2.1× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$4,756.44 |
— |
2.1× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$4,756.44 |
— |
2.1× |
| Excision; trochanteric bursa or calcification (27062) |
$6,615.10 |
— |
2.1× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) |
$7,688.30 |
— |
2.0× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
$7,688.30 |
— |
2.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,729.44 |
— |
1.9× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$6,417.12 |
— |
2.1× |
| Explo/Drain Breast Abscess (19020) |
$3,303.34 |
— |
2.1× |
| Exploration for undescended testis with abdominal exploration (54560) |
$4,176.50 |
— |
2.1× |
| Exploration maxillary sinus (31020) |
$6,611.96 |
— |
2.1× |
| Exploration of hip joint (27033) |
$14,564.62 |
— |
2.1× |
| Exploration of knee joint (27310) |
$6,615.10 |
— |
2.1× |
| Exploration penetrating wound spx chest (20101) |
$3,729.44 |
— |
1.9× |
| Exploration penetrating wound spx extremity (20103) |
$3,303.34 |
— |
2.1× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,038.26 |
— |
2.0× |
| Exploratory elbow surgery (24000) |
$6,615.10 |
— |
2.1× |
| Explore epididymis (54865) |
$7,031.76 |
— |
2.1× |
| Explore eye socket,drainage (67405) |
$4,756.44 |
— |
2.1× |
| Explore for undescended testis (54550) |
$7,195.04 |
— |
2.1× |
| Explore inner ear (69806) |
$12,060.84 |
— |
2.1× |
| Explore inner ear (69805) |
$12,060.84 |
— |
2.1× |
| Explore treat shoulder joint (23107) |
$14,564.62 |
— |
2.1× |
| Explore/Treat Elbow Joint (24101) |
$6,615.10 |
— |
2.1× |
| Explore/Treat Hand Joint (26070) |
$3,262.92 |
— |
2.1× |
| Explore/Treat Knee Joint (27331) |
$6,615.10 |
— |
2.1× |
| Explore/Treat Wrist Joint (25040) |
$6,615.10 |
— |
2.1× |
| Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) |
$10,364.48 |
— |
2.0× |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) |
$609.46 |
— |
2.0× |
| Extensive ear canal surgery (69150) |
$12,060.84 |
— |
2.1× |
| Extensive mastoid surgery (69511) |
$12,060.84 |
— |
2.1× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$1,118.48 |
— |
2.1× |
| External cephalic version (59412) |
$6,482.42 |
— |
2.1× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$3,262.92 |
— |
2.1× |
| Extraction of lens (66940) |
$4,649.94 |
— |
2.1× |
| Extraction of lens (66920) |
$4,649.94 |
— |
2.1× |
| Extraction of lens (66930) |
$8,201.80 |
— |
2.1× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$4,649.94 |
— |
2.1× |
| Eye surgery procedure (67299) |
$4,649.94 |
— |
2.1× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$3,729.44 |
— |
1.9× |
| Fascia lata graft; by stripper Facility (20920) |
$3,729.44 |
— |
1.9× |
| Fasciectomy Palm Only (26121) |
$6,615.10 |
— |
2.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$6,615.10 |
— |
2.1× |
| Fasciotomy Iliotibial Open (27305) |
$6,615.10 |
— |
2.1× |
| Fasciotomy palmar open partial (26045) |
$6,615.10 |
— |
2.1× |
| Fasciotomy palmar percutaneous (26040) |
$3,262.92 |
— |
2.1× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$6,615.10 |
— |
2.1× |
| Fasciotomy, foot and/or toe (28008) |
$6,615.10 |
— |
2.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,615.10 |
— |
2.1× |
| Fetal Contraction Stress Test (59020) |
$410.14 |
— |
2.1× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$620.18 |
— |
2.1× |
| Fetal non-stress test (59025) |
$410.14 |
$806 |
2.1× |
| Fetal Scalp Blood Sampling (59030) |
$620.18 |
— |
2.1× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$620.18 |
— |
2.1× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$3,729.44 |
— |
1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,434.48 |
$2,784 |
2.1× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$1,434.48 |
$2,784 |
2.1× |
| Fine Needle Aspiration Orbital Contents (67415) |
$4,756.44 |
— |
2.1× |
| Fine needle aspiration without imaging guidance (10021) |
$814.56 |
$1,700 |
2.1× |
| Finger tendon transfer (26497) |
$6,615.10 |
— |
2.1× |
| Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) |
$8,201.80 |
— |
2.1× |
| Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) |
$8,201.80 |
— |
2.1× |
| Fixation contralateral testis separate procedure (54620) |
$7,031.76 |
— |
2.1× |
| Flap; neurovascular pedicle (15750) |
$7,463.98 |
— |
2.2× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) |
$14,564.62 |
— |
2.1× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
$14,564.62 |
— |
2.1× |
| Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) |
$14,564.62 |
— |
2.1× |
| Fluid Pressure Muscle (20950) |
$1,434.48 |
— |
2.1× |
| Fluoro exam of g/colon tube (49465) |
$492.82 |
$882 |
2.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,434.48 |
$2,784 |
2.1× |
| Fna bx w/us gdn 1st les (10005) |
$1,434.48 |
$2,784 |
2.1× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$1,775.26 |
— |
2.0× |
| Forehead flap w/vasc pedicle (15731) |
$7,463.98 |
— |
2.2× |
| Foreskin manipulation (54450) |
$495.86 |
$533 |
2.1× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$7,463.98 |
— |
2.2× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$6,611.96 |
— |
2.1× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
$14,564.62 |
— |
2.1× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$14,564.62 |
— |
2.1× |
| Frenulotomy of penis (54164) |
$4,176.50 |
— |
2.1× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$3,729.44 |
— |
1.9× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$3,729.44 |
— |
1.9× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$4,649.94 |
— |
2.1× |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$4,649.94 |
— |
2.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,729.44 |
— |
1.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,729.44 |
— |
1.9× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$3,729.44 |
— |
1.9× |
| Fuse hand bones with graft (25825) |
$14,564.62 |
— |
2.1× |
| Fusion Finger Joint (26860) |
$6,615.10 |
— |
2.1× |
| Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) |
$14,564.62 |
— |
2.1× |
| Fusion of elbow joint (24800) |
$14,564.62 |
— |
2.1× |
| Fusion of foot bones (28740) |
$14,564.62 |
— |
2.1× |
| Fusion of hand bones (25820) |
$14,564.62 |
— |
2.1× |
| Fusion of hand joint (26843) |
$14,564.62 |
— |
2.1× |
| Fusion of knuckle (26850) |
$14,564.62 |
— |
2.1× |
| Fusion of knuckle joint (26516) |
$6,615.10 |
— |
2.1× |
| Fusion of knuckle joints (26518) |
$14,564.62 |
— |
2.1× |
| Fusion of knuckle with graft (26852) |
$14,564.62 |
— |
2.1× |
| Fusion of shoulder joint (23802) |
$26,232.86 |
— |
2.1× |
| Fusion of spermatic ducts (54900) |
$4,176.50 |
— |
2.1× |
| Fusion of tibiofibular joint (27871) |
$26,232.86 |
— |
2.1× |
| Fusion/graft of hand joint (26844) |
$14,564.62 |
— |
2.1× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$7,463.98 |
— |
2.2× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$7,463.98 |
— |
2.2× |
| Gastrocnemius recession (27687) |
$6,615.10 |
— |
2.1× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$3,867.58 |
— |
2.1× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
$1,911.50 |
— |
2.2× |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) |
$1,911.50 |
— |
2.2× |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
$6,611.96 |
— |
2.1× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$12,060.84 |
— |
2.1× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$12,060.84 |
— |
2.1× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) |
$6,611.96 |
— |
2.1× |
| Glaucoma surgery (66160) |
$4,649.94 |
— |
2.1× |
| Goniotomy (65820) |
$8,201.80 |
— |
2.1× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) |
$5,591.18 |
— |
2.1× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$12,060.84 |
— |
2.1× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$12,060.84 |
— |
2.1× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$7,463.98 |
— |
2.2× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$3,729.44 |
— |
1.9× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
$7,463.98 |
— |
2.2× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
$7,463.98 |
— |
2.2× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$12,060.84 |
— |
2.1× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$3,729.44 |
— |
1.9× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$7,463.98 |
— |
2.2× |
| Grafting of autologous soft tiss by direct exc (15769) |
$7,463.98 |
— |
2.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,434.48 |
$2,457 |
2.1× |
| Gum graft (41870) |
$3,020.04 |
— |
2.0× |
| Hair xplant punch grft 1-15 (15775) |
$814.56 |
— |
2.1× |
| Hair xplant punch grft >15 (15776) |
$814.56 |
— |
2.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$14,564.62 |
— |
2.1× |
| Hand tendon reconstruction (26500) |
$14,564.62 |
— |
2.1× |
| Harvesting conjunctival allograft, living donor Facility (68371) |
$4,756.44 |
— |
2.1× |
| Head Surgery Procedure (21499) |
$473.44 |
— |
2.1× |
| Hemiepiphyseal Arrest (24470) |
$6,615.10 |
— |
2.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,591.18 |
— |
2.1× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$5,591.18 |
— |
2.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$5,591.18 |
— |
2.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$5,591.18 |
— |
2.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$5,591.18 |
— |
2.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$5,591.18 |
— |
2.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,858.80 |
— |
2.1× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$5,591.18 |
— |
2.1× |
| Hemorrhoidopexy by stapling (46947) |
$5,591.18 |
— |
2.1× |
| Hip arthro acetabuloplasty (29915) |
$14,564.62 |
— |
2.1× |
| Hip arthro w/labral repair (29916) |
$14,564.62 |
— |
2.1× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$5,591.18 |
— |
2.1× |
| Hrv skin for skin cell ssp agrft 1st 25 sq cm/< (15011) |
$3,729.44 |
— |
1.9× |
| Hymenotomy Simple Incision (56442) |
$6,482.42 |
— |
2.1× |
| Hyoid myotomy and suspension Facility (21685) |
$12,060.84 |
— |
2.1× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
$10,064.42 |
— |
2.1× |
| Hysteroscopy Biopsy (58558) |
$6,482.42 |
— |
2.1× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$10,064.42 |
— |
2.1× |
| Hysteroscopy Dx Sep Proc (58555) |
$6,482.42 |
— |
2.1× |
| Hysteroscopy Endometrial Ablation (58563) |
$10,064.42 |
— |
2.1× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$10,064.42 |
— |
2.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$6,482.42 |
— |
2.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$10,064.42 |
— |
2.1× |
| Hysterotomy Abdominal (59100) |
$10,064.42 |
— |
2.1× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$6,611.96 |
— |
2.1× |
| I&d abscess peritonsillar (42700) |
$473.44 |
$818 |
2.1× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$405.10 |
$872–$1,005 |
2.1× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$3,262.92 |
— |
2.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,835.14 |
— |
2.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,835.14 |
— |
2.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$6,615.10 |
— |
2.1× |
| I&d forearm/wrist bursa (25031) |
$3,262.92 |
— |
2.1× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$5,591.18 |
— |
2.1× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$5,591.18 |
— |
2.1× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$1,038.26 |
— |
2.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$6,615.10 |
— |
2.1× |
| I&d perianal abscess superficial (46050) |
$1,858.80 |
$5,163 |
2.1× |
| I&d pilonidal cyst complicated (10081) |
$1,434.48 |
$1,871 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$1,434.48 |
$845 |
2.1× |
| I&d shoulder deep abscess/hematoma (23030) |
$5,835.14 |
— |
2.1× |
| I&d thyroglossal duct cyst infected (60000) |
$3,020.04 |
— |
2.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$5,835.14 |
— |
2.1× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$5,835.14 |
— |
2.1× |
| Icd Pocket Revision (33223) |
$3,729.44 |
— |
1.9× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$3,867.58 |
— |
2.1× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,911.50 |
— |
2.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,911.50 |
— |
2.2× |
| Image Cath Fluid Colxn Visc (49405) |
$3,303.34 |
$5,370 |
2.1× |
| Image Cath Fluid Peri/Retro (49406) |
$3,303.34 |
$3,481 |
2.1× |
| Image Cath Fluid Trns/Vgnl (49407) |
$3,303.34 |
— |
2.1× |
| Immediate breast prosthesis (19340) |
$13,295.94 |
— |
1.7× |
| Implant cochlear device (69930) |
$64,849.74 |
— |
2.0× |
| Implant eye drug system (67027) |
$31,325.80 |
— |
2.3× |
| Implant neuroelectrodes (63650) |
$13,380.44 |
$17,548 |
2.2× |
| Implant Neuroelectrodes (64561) |
$13,380.44 |
— |
2.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$43,720.78 |
$73,819 |
2.3× |
| Implant Spine Infusion Pump (62362) |
$36,033.96 |
— |
2.1× |
| Implant temple bone w/stimul (69714) |
$26,232.86 |
— |
2.1× |
| Implantation intrastromal corneal ring segments (65785) |
$8,201.80 |
— |
2.1× |
| Implantation iris prosthesis (66683) |
$33,469.82 |
— |
2.1× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$36,033.96 |
— |
2.1× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$26,232.86 |
— |
2.1× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) |
$26,232.86 |
— |
2.1× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$14,564.62 |
— |
2.1× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$13,056.60 |
— |
1.5× |
| Impression & Preparation Auricular Prosthesis (21086) |
$6,611.96 |
— |
2.1× |
| Impression & Preparation Nasal Prosthesis (21087) |
$12,060.84 |
— |
2.1× |
| Impression & Preparation Oral Surgical Splint (21085) |
$473.44 |
— |
2.1× |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
$6,611.96 |
— |
2.1× |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
$6,611.96 |
— |
2.1× |
| Impression and custom preparation; facial prosthesis Facility (21088) |
$6,611.96 |
— |
2.1× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$6,611.96 |
— |
2.1× |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
$12,060.84 |
— |
2.1× |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
$12,060.84 |
— |
2.1× |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
$6,611.96 |
— |
2.1× |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
$6,611.96 |
— |
2.1× |
| Impression&Preparation Surg Obturator Prosthes (21076) |
$3,020.04 |
— |
2.0× |
| Incise external hemorrhoid (46083) |
$495.86 |
$1,005 |
2.1× |
| Incise finger tendon sheath (26055) |
$3,262.92 |
— |
2.1× |
| Incise flexor carpi radialis (25001) |
$6,615.10 |
— |
2.1× |
| Incise sperm duct pouch (55600) |
$4,176.50 |
— |
2.1× |
| Incise tendon(s) & muscle(s) (23406) |
$14,564.62 |
— |
2.1× |
| Incise Wrist/Forearm Tendon (25290) |
$6,615.10 |
— |
2.1× |
| Incise/Drain Conjunctiva (68020) |
$1,974.66 |
— |
2.1× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$814.56 |
$1,006–$1,414 |
2.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,835.14 |
— |
2.1× |
| Incision & drainage leg/ankle infected bursa (27604) |
$6,615.10 |
— |
2.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,303.34 |
$3,575 |
2.1× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$814.56 |
$1,006–$2,162 |
2.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$410.14 |
$1,005 |
2.1× |
| Incision and drainage of the tear gland (68400) |
$1,974.66 |
— |
2.1× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$5,835.14 |
— |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$620.18 |
$1,434 |
2.1× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$3,262.92 |
— |
2.1× |
| Incision bone cortex foot (28005) |
$6,615.10 |
— |
2.1× |
| Incision Drainage Lacrimal Sac (68420) |
$4,756.44 |
— |
2.1× |
| Incision extensor tendon sheath wrist (25000) |
$3,262.92 |
— |
2.1× |
| Incision of eardrum (69421) |
$6,611.96 |
— |
2.1× |
| Incision of eardrum (69420) |
$473.44 |
— |
2.1× |
| Incision of eye (65850) |
$4,649.94 |
— |
2.1× |
| Incision of fibula (27707) |
$6,615.10 |
— |
2.1× |
| Incision of Foot Tendon (28234) |
$3,262.92 |
— |
2.1× |
| Incision of hip tendon (27001) |
$6,615.10 |
— |
2.1× |
| Incision of iris (66500) |
$4,649.94 |
— |
2.1× |
| Incision of labial frenum (frenotomy) (40806) |
$1,038.26 |
— |
2.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$3,020.04 |
— |
2.0× |
| Incision of lymph channels (38308) |
$7,807.14 |
— |
2.1× |
| Incision of rectal abscess (46040) |
$2,403.90 |
$6,354 |
2.1× |
| Incision of sperm duct (55200) |
$7,031.76 |
— |
2.1× |
| Incision of thigh tendons (27392) |
$6,615.10 |
— |
2.1× |
| Incision of tibia & fibula (27709) |
$26,232.86 |
— |
2.1× |
| Incision of urethra (53010) |
$10,364.48 |
— |
2.0× |
| Incision of urethra (53025) |
$4,176.50 |
— |
2.1× |
| Incision of urethra (53000) |
$4,176.50 |
— |
2.1× |
| Incision of urethra (53020) |
$4,176.50 |
— |
2.1× |
| Incision&drainage bursa foot (28001) |
$3,303.34 |
— |
2.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,303.34 |
— |
2.1× |
| Incision, anal septum (infant) Facility (46070) |
$5,591.18 |
— |
2.1× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$3,262.92 |
— |
2.1× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$6,615.10 |
— |
2.1× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$609.46 |
— |
2.0× |
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines |
$1,248 |
$3,575–$4,857 |
1.8× |
| Induced abortion dilation and curettage (59840) |
$6,482.42 |
— |
2.1× |
| Induced abortion, by dilation and evacuation (59841) |
$6,482.42 |
— |
2.1× |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
$405.10 |
$242–$278 |
2.1× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$1,815.12 |
$3,743–$4,923 |
2.1× |
| Inj W/Fluor Eval Cv Device (36598) |
$429.56 |
$2,021 |
2.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,815.12 |
— |
2.1× |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines |
$1,815.12 |
$3,743–$4,201 |
2.1× |
| Inject Intravitreal Pharmcologic (67028) |
$676.24 |
$536 |
2.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$601.84 |
$1,725 |
2.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,815.12 |
$3,300 |
2.1× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,815.12 |
— |
2.1× |
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines |
$1,411.90 |
$3,743–$4,201 |
2.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,815.12 |
$3,837 |
2.1× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,815.12 |
— |
2.1× |
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines |
$1,411.90 |
$3,743–$4,201 |
2.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,411.90 |
$3,018 |
2.1× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,815.12 |
— |
2.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$601.84 |
$2,685 |
2.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,815.12 |
— |
2.1× |
Injection anesthetic agent suprascapular nerve (64418)
range across 4 matching MRF lines |
$1,411.90 |
$2,432–$3,851 |
2.1× |
| Injection enzyme palmar fascial cord (20527) |
$601.84 |
— |
2.0× |
| Injection for identification of sentinel node (38792) |
$819.26 |
$1,965 |
2.1× |
| Injection Into Brain Canal (61055) |
$601.84 |
— |
2.0× |
| Injection into disk lesion (62292) |
$3,981.30 |
— |
2.1× |
| Injection into spinal artery (62294) |
$1,815.12 |
— |
2.1× |
| Injection medication/other subst tenon capsule (67515) |
$609.46 |
— |
2.0× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$1,858.80 |
— |
2.1× |
| Injection procedure for peyronie disease (54200) |
$495.86 |
— |
2.1× |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) |
$10,364.48 |
— |
2.0× |
| Injection single tendon origin/insertion (20551) |
$601.84 |
$1,725 |
2.0× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$601.84 |
$1,128–$1,725 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$601.84 |
$1,828 |
2.0× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$3,020.04 |
— |
2.0× |
| Injection therapeutic carpal tunnel (20526) |
$601.84 |
— |
2.0× |
| Injection Turbinate Therapeutic (30200) |
$1,038.26 |
— |
2.0× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
$1,815.12 |
$2,432–$3,436 |
2.1× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$1,411.90 |
$3,018–$3,743 |
2.1× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines |
$1,411.90 |
$2,432–$4,201 |
2.1× |
| Injection, anesthetic agent; vagus nerve (64408) |
$601.84 |
— |
2.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$405.10 |
— |
2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$405.10 |
$399 |
2.1× |
| Injx anterior chamber eye air/liquid spx (66020) |
$4,649.94 |
— |
2.1× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$4,649.94 |
— |
2.1× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,815.12 |
$2,835 |
2.1× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,815.12 |
— |
2.1× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$1,815.12 |
— |
2.1× |
| Inner ear surgery proc unlisted (69949) |
$473.44 |
— |
2.1× |
| Ins cath ren art 1st bilat (36252) |
$6,417.12 |
$6,708 |
2.1× |
| Ins cath ren art 1st unilat (36251) |
$6,417.12 |
$6,284 |
2.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,417.12 |
— |
2.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$11,021.14 |
— |
2.1× |
| Ins endovas vena cava filtr (37191) |
$11,021.14 |
$11,595 |
2.1× |
| Ins Vag Brachytx Device (57156) |
$620.18 |
— |
2.1× |
| Ins/Rep Subq Defibrillator (33270) |
$65,367.10 |
— |
2.2× |
| Insert 1 Electrode Pm-Defib (33216) |
$16,873.06 |
$12,835 |
2.1× |
| Insert and remove bone pin (20650) |
$6,615.10 |
— |
2.1× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$8,201.80 |
— |
2.1× |
| Insert Bladder Cath Complex (51703) |
$319 |
$371 |
2.6× |
| Insert cath pleura w/ image (32557) |
$3,167.16 |
$5,278 |
2.1× |
| Insert cath pleura w/o image (32556) |
$3,867.58 |
$3,452 |
2.1× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$2,403.90 |
— |
2.1× |
| Insert cervical dilator (59200) |
$620.18 |
— |
2.1× |
| Insert Drug Implant Device (11981) |
$262.80 |
— |
2.1× |
| Insert eye socket implant (67550) |
$7,688.30 |
— |
2.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,867.58 |
— |
2.1× |
| Insert Heart Pm Atrial (33206) |
$21,336.70 |
— |
2.1× |
| Insert Heart Pm Ventricular (33207) |
$21,336.70 |
$34,859 |
2.1× |
| Insert heyman uteri capsule (58346) |
$10,064.42 |
— |
2.1× |
| Insert multi-comp penis pros (54405) |
$41,038.08 |
— |
2.1× |
| Insert Nasal Septal Button (30220) |
$3,020.04 |
— |
2.0× |
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines |
$6,417.12 |
$2,019–$3,105 |
2.1× |
| Insert ocular implant (65135) |
$7,688.30 |
— |
2.0× |
| Insert Pacing Lead & Connect (33224) |
$21,336.70 |
— |
2.1× |
| Insert pessary/other device (57160) |
$410.14 |
— |
2.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$3,167.16 |
— |
2.1× |
| Insert prost urethral stent (53855) |
$4,176.50 |
— |
2.1× |
| Insert pulse gen dual leads (33213) |
$21,336.70 |
$34,859 |
2.1× |
| Insert pulse gen mult leads (33221) |
$38,882.26 |
— |
2.1× |
| Insert Pulse Gen Sngl Lead (33212) |
$16,873.06 |
— |
2.1× |
| Insert self-contd prosthesis (54401) |
$41,038.08 |
— |
2.1× |
| Insert semi-rigid prosthesis (54400) |
$26,488.92 |
— |
2.1× |
| Insert spine infusion device (62360) |
$36,033.96 |
— |
2.1× |
| Insert tandem cuff (53444) |
$41,038.08 |
— |
2.1× |
| Insert Temp Bladder Cath (51702) |
$262.80 |
$344 |
2.1× |
| Insert testicular prosthesis (54660) |
$10,364.48 |
— |
2.0× |
| Insert tissue expander(s) (11960) |
$7,463.98 |
— |
2.2× |
| Insert tun ip cath perc (49418) |
$7,195.04 |
$7,467 |
2.1× |
| Insert tunneled cv cath (36561) |
$6,417.12 |
$6,416 |
2.1× |
| Insert tunneled cv cath (36563) |
$11,021.14 |
— |
2.1× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$11,021.14 |
— |
2.1× |
| Insert Uro/Ves Nck Sphincter (53445) |
$41,038.08 |
— |
2.1× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$262.80 |
$260–$272 |
2.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,195.04 |
$6,168 |
2.1× |
| Insertion of cannula (36800) |
$11,021.14 |
— |
2.1× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$6,417.12 |
— |
2.1× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$11,021.14 |
— |
2.1× |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) |
$11,021.14 |
— |
2.1× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
$7,688.30 |
— |
2.0× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
$7,688.30 |
— |
2.0× |
| Insertion of pin-retained palatal prosthesis Facility (42281) |
$12,060.84 |
— |
2.1× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
$13,056.60 |
— |
1.5× |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
$6,417.12 |
— |
2.1× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$25,424.44 |
— |
2.4× |
| Insertion phrenic nerve stimulator system (33276) |
$91,746.94 |
— |
2.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,167.16 |
$2,905 |
2.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$16,873.06 |
$9,216 |
2.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$7,195.04 |
— |
2.1× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$11,021.14 |
— |
2.1× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$10,064.42 |
— |
2.1× |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$6,615.10 |
— |
2.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$16,873.06 |
— |
2.1× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$4,649.94 |
— |
2.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$6,417.12 |
$3,105 |
2.1× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,260.50 |
— |
2.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,417.12 |
— |
2.1× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$6,417.12 |
— |
2.1× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$3,167.16 |
$2,697–$4,429 |
2.1× |
| Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) |
$4,756.44 |
— |
2.1× |
| Insj Stablj Dev W/Dcmprn (22867) |
$37,493.60 |
— |
2.2× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$26,232.86 |
$20,658 |
2.1× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$16,873.06 |
— |
2.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$6,417.12 |
— |
2.1× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$11,021.14 |
— |
2.1× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$6,417.12 |
— |
2.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,417.12 |
$6,416 |
2.1× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$19,509.36 |
— |
2.5× |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) |
$62,129.50 |
— |
2.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$65,367.10 |
— |
2.2× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$62,129.50 |
$73,819 |
2.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$16,873.06 |
$20,178 |
2.1× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$16,873.06 |
— |
2.1× |
| Insrt heart pm atrial & vent (33208) |
$21,336.70 |
$34,859 |
2.1× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$45,763.26 |
— |
2.1× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$65,367.10 |
— |
2.2× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$45,763.26 |
— |
2.1× |
| Insrt/Redo Neurostim 1 Array (61885) |
$43,720.78 |
— |
1.5× |
| Install spinal shunt (63741) |
$13,056.60 |
— |
1.5× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$495.86 |
— |
2.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$5,591.18 |
— |
2.1× |
| Interdental fixation (21110) |
$3,020.04 |
— |
2.0× |
| Interdental Wiring Other Than Fracture (21497) |
$3,020.04 |
— |
2.0× |
| Intersex surgery; female to male (55980) |
$7,031.76 |
— |
2.1× |
| Intersex surgery; male to female (55970) |
$10,064.42 |
— |
2.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,789.60 |
$3,906 |
2.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$814.56 |
$2,088 |
2.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$814.56 |
$2,088 |
2.1× |
| Intranasal Biopsy (30100) |
$3,020.04 |
— |
2.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,038.26 |
— |
2.0× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$473.44 |
— |
2.1× |
| Intraoral i&d tongue/floor submental space (41007) |
$3,020.04 |
— |
2.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$6,611.96 |
— |
2.1× |
| Intro cath dialysis circuit (36901) |
$3,167.16 |
$3,514 |
2.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$23,121.14 |
$21,685 |
2.1× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$11,624.26 |
$10,728 |
2.1× |
| Intro Gastrointestinal Tube (44500) |
$1,911.50 |
— |
2.2× |
| Intubation endotracheal emergency procedure (31500) |
$473.44 |
$1,884 |
2.1× |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
$4,649.94 |
— |
2.1× |
| Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) |
$4,649.94 |
— |
2.1× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
$1,118.48 |
— |
2.1× |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) |
$4,649.94 |
— |
2.1× |
| Iridotomy/irridectomy laser surg per session (66761) |
$1,118.48 |
— |
2.1× |
| Irrigation maxillary sinus (31000) |
$473.44 |
— |
2.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$495.86 |
$821 |
2.1× |
| Island pedicle flap graft (15740) |
$3,729.44 |
— |
1.9× |
| IV injection test vascular flow flap/graft (15860) |
$813.56 |
— |
1.9× |
| Jaw arthroscopy/surgery (29800) |
$6,615.10 |
— |
2.1× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$8,201.80 |
— |
2.1× |
| Keratoplasty Penetrating Pseudophakia (65755) |
$8,201.80 |
— |
2.1× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$8,201.80 |
— |
2.1× |
| Kidney endoscopy (50575) |
$10,364.48 |
— |
2.0× |
| Kidney endoscopy (50553) |
$10,364.48 |
— |
2.0× |
| Kidney endoscopy (50570) |
$7,031.76 |
— |
2.1× |
| Kidney endoscopy (50551) |
$10,364.48 |
— |
2.0× |
| Knee arthroscopy/drainage (29871) |
$6,615.10 |
— |
2.1× |
| Knee Arthroscopy/Surgery (29885) |
$14,564.62 |
— |
2.1× |
| Knee Arthroscopy/Surgery (29874) |
$6,615.10 |
— |
2.1× |
| Knee Arthroscopy/Surgery (29850) |
$3,262.92 |
— |
2.1× |
| Labyrinthectomy; with mastoidectomy Facility (69910) |
$12,060.84 |
— |
2.1× |
| Labyrinthotomy Transcanal (69801) |
$3,020.04 |
— |
2.0× |
| Lam facetec & foramot lumbar (63047) |
$14,564.62 |
— |
2.1× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$14,564.62 |
— |
2.1× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$14,564.62 |
— |
2.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$14,564.62 |
— |
2.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$14,564.62 |
— |
2.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$14,564.62 |
— |
2.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$14,564.62 |
— |
2.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$14,564.62 |
— |
2.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$14,564.62 |
— |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$14,564.62 |
— |
2.1× |
| Laminotomy Single Lumbar (63042) |
$14,564.62 |
— |
2.1× |
| Lap impl electrode antrum (43647) |
$25,424.44 |
— |
2.4× |
| Lap insert tunnel ip cath (49324) |
$11,895.08 |
— |
2.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$21,226.38 |
— |
2.1× |
| Lap paraesophag hern repair (43281) |
$21,226.38 |
— |
2.1× |
| Lap replace gastr adj device (43773) |
$11,895.08 |
— |
2.0× |
| Lap revision perm ip cath (49325) |
$11,895.08 |
— |
2.0× |
| Laparo ablate liver tumor rf (47370) |
$21,226.38 |
— |
2.1× |
| Laparo ablate renal cyst (50541) |
$21,226.38 |
— |
2.1× |
| Laparo ablate renal mass (50542) |
$21,226.38 |
— |
2.1× |
| Laparo ligate spermatic vein (55550) |
$11,895.08 |
— |
2.0× |
| Laparo new ureter/bladder (50947) |
$21,226.38 |
— |
2.1× |
| Laparo-vag hyst incl t/o (58552) |
$21,226.38 |
— |
2.1× |
| Laparoscope proc ureter (50949) |
$11,895.08 |
— |
2.0× |
| Laparoscopic myomectomy (58545) |
$11,895.08 |
— |
2.0× |
| Laparoscopy aspiration (49322) |
$11,895.08 |
— |
2.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$11,895.08 |
— |
2.0× |
| Laparoscopy fimbrioplasty (58672) |
$11,895.08 |
— |
2.0× |
| Laparoscopy fulguration oviducts (58670) |
$11,895.08 |
— |
2.0× |
| Laparoscopy gastrostomy (43653) |
$11,895.08 |
— |
2.0× |
| Laparoscopy salpingostomy (58673) |
$21,226.38 |
— |
2.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$11,895.08 |
— |
2.0× |
| Laparoscopy surgical orchiectomy (54690) |
$11,895.08 |
— |
2.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$21,226.38 |
— |
2.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$21,226.38 |
— |
2.1× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$11,895.08 |
— |
2.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, appendectomy (44970) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$7,756.66 |
— |
2.1× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, splenectomy (38120) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; ureterolithotomy Facility (50945) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$21,226.38 |
— |
2.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$11,895.08 |
— |
2.0× |
| Laparoscopy, Tubal Block (58671) |
$11,895.08 |
— |
2.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$11,895.08 |
— |
2.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$11,895.08 |
— |
2.0× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$7,756.66 |
— |
2.1× |
| Laps pelvic lymphadec (38573) |
$21,226.38 |
— |
2.1× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$21,226.38 |
— |
2.1× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$21,226.38 |
— |
2.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$11,895.08 |
— |
2.0× |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
$11,895.08 |
— |
2.0× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$11,895.08 |
— |
2.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$21,226.38 |
— |
2.1× |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
$14,113.52 |
— |
2.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$7,516.94 |
— |
2.1× |
| Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) |
$12,060.84 |
— |
2.1× |
| Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) |
$12,060.84 |
— |
2.1× |
| Laryngoplasty Medialization Unliateral (31591) |
$12,060.84 |
— |
2.1× |
| Laryngoplasty, cricoid split, without graft placement Facility (31587) |
$12,060.84 |
— |
2.1× |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) |
$12,060.84 |
— |
2.1× |
| Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) |
$12,060.84 |
— |
2.1× |
| Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) |
$12,060.84 |
— |
2.1× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
$12,060.84 |
— |
2.1× |
| Laryngoscop w/arytenoidectom (31560) |
$14,113.52 |
— |
2.1× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy and dilation (31528) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy diagnostic (31505) |
$395.82 |
— |
2.1× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy flexible diagnostic (31575) |
$395.82 |
— |
2.1× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$3,515.84 |
— |
2.1× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,515.84 |
— |
2.1× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,515.84 |
— |
2.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$791.68 |
— |
2.1× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$791.68 |
— |
2.1× |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$395.82 |
— |
2.1× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$791.68 |
— |
2.1× |
| Laryngoscopy W/Biopsy (31535) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$7,516.94 |
— |
2.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,515.84 |
— |
2.1× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$791.68 |
— |
2.1× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
$791.68 |
— |
2.1× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$6,611.96 |
— |
2.1× |
| Larynscop w/tumr exc + scope (31541) |
$7,516.94 |
— |
2.1× |
| Laser Surgery Anal Lesions (46917) |
$5,591.18 |
— |
2.1× |
| Laser Surgery of Cervix (57513) |
$6,482.42 |
— |
2.1× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$1,118.48 |
— |
2.1× |
| Laser treatment of retina (67040) |
$8,201.80 |
— |
2.1× |
| Laser vaporization of prostate (52648) |
$10,364.48 |
— |
2.0× |
| Late closure of wound (13160) |
$3,729.44 |
$5,976 |
1.1× |
| Lateral Canthopexy (21282) |
$6,611.96 |
— |
2.1× |
| Lateral retinacular release open (27425) |
$6,615.10 |
— |
2.1× |
| Lavage cannulation sphenoid sinus (31002) |
$3,020.04 |
— |
2.0× |
| Lengthen metacarpal/finger (26568) |
$14,564.62 |
— |
2.1× |
| Lengthen radius or ulna (25391) |
$26,232.86 |
— |
2.1× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$14,564.62 |
— |
2.1× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$6,615.10 |
— |
2.1× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$14,564.62 |
— |
2.1× |
| Lengthening of palate (42227) |
$12,060.84 |
— |
2.1× |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
$12,060.84 |
— |
2.1× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$6,615.10 |
— |
2.1× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$6,615.10 |
— |
2.1× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$6,417.12 |
— |
2.1× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$6,417.12 |
— |
2.1× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$26,232.86 |
— |
2.1× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$14,564.62 |
— |
2.1× |
| Ligamentous reconstruction knee intra-articular (27428) |
$26,232.86 |
— |
2.1× |
| Ligate leg veins open (37761) |
$6,417.12 |
— |
2.1× |
| Ligate/strip long leg vein (37722) |
$6,417.12 |
— |
2.1× |
| Ligate/strip short leg vein (37718) |
$6,417.12 |
— |
2.1× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$6,417.12 |
— |
2.1× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$6,417.12 |
— |
2.1× |
| Ligation External Carotid Artery (37600) |
$6,417.12 |
— |
2.1× |
| Ligation Internal/Common Carotid Artery (37605) |
$6,417.12 |
— |
2.1× |
| Ligation nasal sinus artery (30915) |
$6,417.12 |
— |
2.1× |
| Ligation of a-v fistula (37607) |
$6,417.12 |
$12,832 |
2.1× |
| Ligation of femoral vein (37650) |
$6,417.12 |
— |
2.1× |
| Ligation of hemorrhoids (46946) |
$5,591.18 |
— |
2.1× |
| Ligation Of Inf Vena Cava (37619) |
$11,021.14 |
— |
2.1× |
| Ligation Of Neck Artery (37615) |
$6,417.12 |
— |
2.1× |
| Ligation or biopsy temporal artery (37609) |
$3,303.34 |
— |
2.1× |
| Ligation salivary duct, intraoral Facility (42665) |
$6,611.96 |
— |
2.1× |
| Ligation, internal jugular vein Facility (37565) |
$6,417.12 |
— |
2.1× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) |
$6,417.12 |
— |
2.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$6,417.12 |
— |
2.1× |
| Limited pharyngectomy Facility (42890) |
$12,060.84 |
— |
2.1× |
| Lip Surgery Procedure (40799) |
$473.44 |
— |
2.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$7,031.76 |
— |
2.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$7,031.76 |
— |
2.1× |
| Lithotripsy, extracorporeal shock wave (50590) |
$7,031.76 |
— |
2.1× |
| Low Back Disk Surgery (63030) |
$14,564.62 |
— |
2.1× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
$49.94 |
— |
1.8× |
| Lsh uterus 250 g or less (58541) |
$21,226.38 |
— |
2.1× |
| Lsh uterus above 250 g (58543) |
$21,226.38 |
— |
2.1× |
| Lsh w/t/o uterus above 250 g (58544) |
$21,226.38 |
— |
2.1× |
| Lumbar spine fusion combined (22633) |
$37,493.60 |
— |
1.4× |
| Lyse chest fibrin init day (32561) |
$1,260.50 |
— |
2.1× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,260.50 |
— |
2.1× |
| Lysis Intranasal Synechia (30560) |
$1,038.26 |
— |
2.0× |
| Lysis of labial adhesions (56441) |
$6,482.42 |
— |
2.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$4,176.50 |
— |
2.1× |
| Malar Augmentation Prosthetic Material (21270) |
$12,060.84 |
— |
2.1× |
| Male sling procedure (53440) |
$26,488.92 |
— |
2.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$489.06 |
— |
2.1× |
| Manipulation Ankle Under General Anesthesia (27860) |
$6,615.10 |
— |
2.1× |
| Manipulation Elbow Under Anesthesia (24300) |
$3,262.92 |
— |
2.1× |
| Manipulation hip joint general anesthesia (27275) |
$3,262.92 |
— |
2.1× |
| Manipulation knee joint under general anesthesia (27570) |
$3,262.92 |
— |
2.1× |
| Manipulation spine requiring anesthesia (22505) |
$3,262.92 |
— |
2.1× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$3,020.04 |
— |
2.0× |
| Manipulation wrist under anesthesia (25259) |
$3,262.92 |
— |
2.1× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$3,262.92 |
— |
2.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$3,262.92 |
— |
2.1× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,360.84 |
— |
2.0× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
$319 |
— |
2.6× |
| Marsupialization of bartholin's gland cyst (56440) |
$6,482.42 |
— |
2.1× |
| Marsupialization of urethral diverticulum, male or female Facility (53240) |
$7,031.76 |
— |
2.1× |
| Mast mod rad (19307) |
$13,295.94 |
— |
2.1× |
| Mastectomy for gynecomastia (19300) |
$7,807.14 |
— |
2.1× |
| Mastectomy partial (19301) |
$7,807.14 |
— |
2.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$13,295.94 |
— |
2.1× |
| Mastectomy simple complete (19303) |
$13,295.94 |
— |
2.1× |
| Mastoid obliteration separate procedure (69670) |
$12,060.84 |
— |
2.1× |
| Mastoidectomy (69501) |
$12,060.84 |
— |
2.1× |
| Mastoidectomy; complete (69502) |
$12,060.84 |
— |
2.1× |
| Mastopexy (19316) |
$13,295.94 |
— |
2.1× |
| Maternity Care Procedure (59899) |
$410.14 |
— |
2.1× |
| Maxillary impression for palatal prosthesis Facility (42280) |
$1,038.26 |
— |
2.0× |
| Maxillofacial fixation (21100) |
$12,060.84 |
— |
2.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$3,167.16 |
— |
2.1× |
| Mech remov tunneled cv cath (36595) |
$6,417.12 |
— |
2.1× |
| Medial Canthopexy Separate Procedure (21280) |
$6,611.96 |
— |
2.1× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$11,895.08 |
— |
2.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$11,895.08 |
— |
2.0× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
$12,060.84 |
— |
2.1× |
| Metatarsectomy (28140) |
$6,615.10 |
— |
2.1× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$6,611.96 |
— |
2.1× |
| Middle ear surgery proc unlisted (69799) |
$473.44 |
— |
2.1× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$7,463.98 |
— |
2.2× |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
$4,756.44 |
— |
2.1× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$1,248 |
— |
1.8× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$1,248 |
— |
1.8× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) |
$25,424.44 |
— |
2.4× |
| Multifetal Pregnancy Reduction (59866) |
$620.18 |
— |
2.1× |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
$26,232.86 |
— |
2.1× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
$6,615.10 |
— |
2.1× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
$6,615.10 |
— |
2.1× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$4,756.44 |
— |
2.1× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$3,729.44 |
— |
1.9× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$7,463.98 |
— |
2.2× |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
$14,564.62 |
— |
2.1× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$14,564.62 |
— |
2.1× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$7,463.98 |
— |
2.2× |
| Muscle-skin graft trunk (15734) |
$7,463.98 |
— |
2.2× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$14,564.62 |
— |
2.1× |
| Myelography Lumbar Injection (62305) |
$1,610.78 |
$8,168 |
2.1× |
| Myelography Lumbar Injection (62304) |
$1,610.78 |
$7,560 |
2.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,610.78 |
$7,560 |
2.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,610.78 |
$7,560 |
2.1× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$6,482.42 |
— |
2.1× |
| Myringoplasty (69620) |
$6,611.96 |
— |
2.1× |
| N Block Inj Celiac Pelus (64530) |
$1,815.12 |
$3,743 |
2.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,411.90 |
$3,018 |
2.1× |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
$1,411.90 |
$3,018–$3,822 |
2.1× |
| N Block Inj Paracervical (64435) |
$1,411.90 |
— |
2.1× |
| N Block Inj Plantar Digit (64455) |
$601.84 |
— |
2.0× |
N Block Inj Pudendal (64430)
range across 2 matching MRF lines |
$1,815.12 |
$3,018–$3,822 |
2.1× |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
$1,815.12 |
$3,743–$4,923 |
2.1× |
| Nasal Endoscopy Dx (31231) |
$395.82 |
— |
2.1× |
| Nasal sinus therapy (30210) |
$3,020.04 |
— |
2.0× |
| Nasal surgery procedure (30999) |
$473.44 |
— |
2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$813.56 |
$632 |
1.9× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$791.68 |
— |
2.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$7,516.94 |
— |
2.1× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$14,113.52 |
— |
2.1× |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) |
$14,113.52 |
— |
2.1× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
$14,113.52 |
— |
2.1× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$14,113.52 |
— |
2.1× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$12,060.84 |
— |
2.1× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
$12,060.84 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$3,515.84 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$3,515.84 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,515.84 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$7,516.94 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$14,113.52 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$14,113.52 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$14,113.52 |
— |
2.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$14,113.52 |
— |
2.1× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$14,113.52 |
— |
2.1× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$14,113.52 |
— |
2.1× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$14,113.52 |
— |
2.1× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) |
$3,515.84 |
— |
2.1× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$14,113.52 |
— |
2.1× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$14,113.52 |
— |
2.1× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$14,113.52 |
— |
2.1× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$3,515.84 |
— |
2.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$495.86 |
— |
2.1× |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) |
$14,564.62 |
— |
2.1× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,858.80 |
— |
2.1× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,858.80 |
— |
2.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,262.92 |
— |
2.1× |
| Neck spine disk surgery (63020) |
$14,564.62 |
— |
2.1× |
| Needle Biopsy Lymph Nodes (38505) |
$3,303.34 |
$4,857 |
2.1× |
| Needle Biopsy Pancreas (48102) |
$3,303.34 |
$7,854 |
2.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$49.94 |
$51 |
1.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$49.94 |
$57 |
1.8× |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) |
$13,056.60 |
— |
1.5× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
$13,056.60 |
— |
1.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$13,056.60 |
— |
1.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$13,056.60 |
— |
1.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
$13,056.60 |
— |
1.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) |
$13,056.60 |
— |
1.5× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
$13,056.60 |
— |
4.0× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) |
$13,056.60 |
— |
1.5× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
$13,056.60 |
— |
1.5× |
| Nerve graft arm/leg <4 cm (64892) |
$13,056.60 |
— |
1.5× |
| Nerve Pedicle Transfer First Stage (64905) |
$13,056.60 |
— |
1.5× |
| Nerve pedicle transfer; second stage Facility (64907) |
$13,056.60 |
— |
1.5× |
| Nerve repair w/conduit each nerve (64910) |
$13,056.60 |
— |
1.5× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$13,056.60 |
— |
1.5× |
| Neurectomy Popliteal (27326) |
$3,981.30 |
— |
2.1× |
| Neurectomy, hamstring muscle Facility (27325) |
$3,981.30 |
— |
2.1× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
$3,981.30 |
— |
2.1× |
| Neuroeltrd Stim Post Tibial (64566) |
$601.84 |
$8,365 |
2.0× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$3,981.30 |
— |
2.1× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$3,981.30 |
— |
2.1× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$3,981.30 |
— |
2.1× |
| Neurorraphy w/vein autograft (64911) |
$13,056.60 |
— |
1.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$3,981.30 |
— |
2.1× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$3,981.30 |
— |
2.1× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$3,981.30 |
— |
2.1× |
| Nipple Exploration (19110) |
$7,807.14 |
— |
2.1× |
| Nipple/areola reconstruction (19350) |
$7,807.14 |
— |
2.1× |
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines |
$1,815.12 |
$3,743–$4,201 |
2.1× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines |
$601.84 |
$2,432–$3,302 |
2.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$7,195.04 |
$6,098 |
2.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$7,195.04 |
— |
2.1× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$1,815.12 |
$3,994–$4,923 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,815.12 |
— |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,411.90 |
$2,685 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,411.90 |
— |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,815.12 |
— |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,815.12 |
— |
2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,411.90 |
$2,685 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,815.12 |
— |
2.1× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$3,729.44 |
— |
1.9× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$3,729.44 |
— |
1.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,360.84 |
— |
2.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,360.84 |
— |
2.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$814.56 |
— |
2.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$814.56 |
— |
2.1× |
| Njx Sclrsnt Spider Veins (36468) |
$814.56 |
— |
2.1× |
| Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) |
$495.86 |
— |
2.1× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$14,113.52 |
— |
2.1× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$14,113.52 |
— |
2.1× |
| Obstructive material removal from gi tube (49460) |
$1,911.50 |
— |
2.2× |
Occipital Nerve Block (64405)
range across 3 matching MRF lines |
$601.84 |
$2,432–$4,167 |
2.0× |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$6,482.42 |
— |
2.1× |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
$7,688.30 |
— |
2.0× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$7,688.30 |
— |
2.0× |
| Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781) |
$10,519.60 |
— |
2.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$7,807.14 |
— |
2.1× |
| Open bone biopsy (20251) |
$14,564.62 |
— |
2.1× |
| Open bone biopsy (20250) |
$6,615.10 |
— |
2.1× |
| Open Implantation Nea Peripheral Nerve (64575) |
$25,424.44 |
— |
2.4× |
| Open Implantation Nea Sacral Nerve (64581) |
$13,380.44 |
— |
2.2× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$62,129.50 |
— |
1.5× |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
$43,720.78 |
— |
2.3× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$62,129.50 |
— |
2.1× |
| Open nasoethmoid fx w/o fixj (21338) |
$12,060.84 |
— |
2.1× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$14,564.62 |
— |
2.1× |
| Open Repair of Rotator Cuff Acute (23410) |
$14,564.62 |
— |
2.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$14,564.62 |
— |
2.1× |
| Open treatment calcaneal fracture (28415) |
$14,564.62 |
— |
2.1× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$26,232.86 |
— |
2.1× |
| Open treatment fracture distal tibia only (27827) |
$26,232.86 |
— |
2.1× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$14,564.62 |
— |
2.1× |
| Open Treatment Humeral Condylar Fracture (24579) |
$26,232.86 |
— |
2.1× |
| Open treatment interphalangeal joint dislocation (28675) |
$6,615.10 |
— |
2.1× |
| Open Treatment Lunate Dislocation (25695) |
$14,564.62 |
— |
2.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$14,564.62 |
— |
2.1× |
| Open treatment metacarpophalangeal dislocation (26715) |
$6,615.10 |
— |
2.1× |
| Open treatment metatarsal fracture each (28485) |
$14,564.62 |
— |
2.1× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$14,564.62 |
— |
2.1× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$14,564.62 |
— |
2.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$14,564.62 |
— |
2.1× |
| Open treatment of coccygeal fracture Facility (27202) |
$6,615.10 |
— |
2.1× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) |
$12,060.84 |
— |
2.1× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$12,060.84 |
— |
2.1× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$12,060.84 |
— |
2.1× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$12,060.84 |
— |
2.1× |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) |
$12,060.84 |
— |
2.1× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$12,060.84 |
— |
2.1× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$12,060.84 |
— |
2.1× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$14,564.62 |
— |
2.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$26,232.86 |
— |
2.1× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$12,060.84 |
— |
2.1× |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
$12,060.84 |
— |
2.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$6,611.96 |
— |
2.1× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$6,611.96 |
— |
2.1× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$6,615.10 |
— |
2.1× |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) |
$12,060.84 |
— |
2.1× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) |
$12,060.84 |
— |
2.1× |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) |
$12,060.84 |
— |
2.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$12,060.84 |
— |
2.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) |
$12,060.84 |
— |
2.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$12,060.84 |
— |
2.1× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$12,060.84 |
— |
2.1× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$12,060.84 |
— |
2.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$14,564.62 |
— |
2.1× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$14,564.62 |
— |
2.1× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) |
$14,564.62 |
— |
2.1× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$14,564.62 |
— |
2.1× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$3,262.92 |
— |
2.1× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$14,564.62 |
— |
2.1× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
$14,564.62 |
— |
2.1× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$14,564.62 |
— |
2.1× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$14,564.62 |
— |
2.1× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$6,611.96 |
— |
2.1× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$14,564.62 |
— |
2.1× |
| Open treatment of ulnar styloid fracture (25652) |
$14,564.62 |
— |
2.1× |
| Open treatment posterior malleolus fracture (27769) |
$14,564.62 |
— |
2.1× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$14,564.62 |
— |
2.1× |
| Open Treatment Proximal Humeral Fracture (23615) |
$26,232.86 |
— |
2.1× |
| Open Treatment Radial Shaft Fracture (25515) |
$14,564.62 |
— |
2.1× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$14,564.62 |
— |
2.1× |
| Open tx acute shoulder dislocation (23660) |
$14,564.62 |
— |
2.1× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$14,564.62 |
— |
2.1× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$6,615.10 |
— |
2.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$6,615.10 |
— |
2.1× |
| Open tx carpal scaphoid navicular fracture (25628) |
$14,564.62 |
— |
2.1× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$6,615.10 |
— |
2.1× |
| Open Tx Depressed Malar Fracture (21360) |
$12,060.84 |
— |
2.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$14,564.62 |
— |
2.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,615.10 |
— |
2.1× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$14,564.62 |
— |
2.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$14,564.62 |
— |
2.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$6,615.10 |
— |
2.1× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$26,232.86 |
— |
2.1× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$26,232.86 |
— |
2.1× |
| Open tx interphalangeal joint dislocation (26785) |
$6,615.10 |
— |
2.1× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$12,060.84 |
— |
2.1× |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
$12,060.84 |
— |
2.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,615.10 |
— |
2.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$6,615.10 |
— |
2.1× |
| Open Tx Radial Head/Neck Fracture (24665) |
$14,564.62 |
— |
2.1× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$26,232.86 |
— |
2.1× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
$14,564.62 |
— |
2.1× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$14,564.62 |
— |
2.1× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
$14,564.62 |
— |
2.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$14,564.62 |
— |
2.1× |
| Open tx ulnar fx proximal end (24685) |
$14,564.62 |
— |
2.1× |
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines |
$23,121.14 |
$16,479–$23,781 |
2.1× |
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines |
$23,121.14 |
$16,479–$23,781 |
2.1× |
| Opn tx orbit fx combined (21387) |
$12,060.84 |
— |
2.1× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$6,615.10 |
— |
2.1× |
| Opponensplasty; hypothenar muscle transfer Facility (26494) |
$6,615.10 |
— |
2.1× |
| Optic Nerve Decompression (67570) |
$7,688.30 |
— |
2.0× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$6,615.10 |
— |
2.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$14,564.62 |
— |
2.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$14,564.62 |
— |
2.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$26,232.86 |
— |
2.1× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$26,232.86 |
— |
2.1× |
| Orbital implant removal/revision (67560) |
$7,688.30 |
— |
2.0× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) |
$12,060.84 |
— |
2.1× |
| Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) |
$7,688.30 |
— |
2.0× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$7,688.30 |
— |
2.0× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$4,756.44 |
— |
2.1× |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
$4,756.44 |
— |
2.1× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$7,688.30 |
— |
2.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) |
$7,688.30 |
— |
2.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$7,688.30 |
— |
2.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) |
$7,688.30 |
— |
2.0× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$7,688.30 |
— |
2.0× |
| Orchiectomy partial (54522) |
$7,031.76 |
— |
2.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$7,195.04 |
— |
2.1× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$7,031.76 |
— |
2.1× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$7,195.04 |
— |
2.1× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$7,195.04 |
— |
2.1× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$6,615.10 |
— |
2.1× |
| Ostc prtl exostc/condylc metar head (28288) |
$6,615.10 |
— |
2.1× |
| Ostectomy calcaneus (28118) |
$6,615.10 |
— |
2.1× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$6,615.10 |
— |
2.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$6,615.10 |
— |
2.1× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$6,615.10 |
— |
2.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$6,615.10 |
— |
2.1× |
| Osteochondral allograft knee open (27415) |
$26,232.86 |
— |
2.1× |
| Osteochondral knee autograft (27416) |
$14,564.62 |
— |
2.1× |
| Osteochondral talus autogrft (28446) |
$14,564.62 |
— |
2.1× |
| Osteoplasty Humerus (24420) |
$14,564.62 |
— |
2.1× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$14,564.62 |
— |
2.1× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$6,615.10 |
— |
2.1× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$12,060.84 |
— |
2.1× |
| Osteoplasty, facial bones; reduction (21209) |
$12,060.84 |
— |
2.1× |
| Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) |
$14,564.62 |
— |
2.1× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$14,564.62 |
— |
2.1× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$14,564.62 |
— |
2.1× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$14,564.62 |
— |
2.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$6,615.10 |
— |
2.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$14,564.62 |
— |
2.1× |
| Osteotomy Clavicle W Bone Graft (23485) |
$26,232.86 |
— |
2.1× |
| Osteotomy Metacarpal Each (26565) |
$6,615.10 |
— |
2.1× |
| Osteotomy Phalanx Finger Each (26567) |
$6,615.10 |
— |
2.1× |
| Osteotomy radius distal third (25350) |
$14,564.62 |
— |
2.1× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$6,615.10 |
— |
2.1× |
| Osteotomy talus (28302) |
$14,564.62 |
— |
2.1× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$14,564.62 |
— |
2.1× |
| Osteotomy Tibia (27705) |
$14,564.62 |
— |
2.1× |
| Osteotomy Ulna (25360) |
$14,564.62 |
— |
2.1× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$14,564.62 |
— |
2.1× |
| Osteotomy, mandible, segmental; with genioglossus advancement (21199) |
$12,060.84 |
— |
2.1× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$14,564.62 |
— |
2.1× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$10,064.42 |
— |
2.1× |
| Palatop cl palate soft&/hard palate only (42200) |
$12,060.84 |
— |
2.1× |
| Palatopharyngoplasty (42145) |
$12,060.84 |
— |
2.1× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$6,611.96 |
— |
2.1× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$12,060.84 |
— |
2.1× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$12,060.84 |
— |
2.1× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$4,649.94 |
— |
2.1× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$12,060.84 |
— |
2.1× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$10,064.42 |
— |
2.1× |
| Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) |
$12,060.84 |
— |
2.1× |
| Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) |
$12,060.84 |
— |
2.1× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$6,611.96 |
— |
2.1× |
| Part exc bone femur prox tibia (27360) |
$6,615.10 |
— |
2.1× |
| Part remv talus or calcaneus (28120) |
$6,615.10 |
— |
2.1× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$14,564.62 |
— |
2.1× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$14,564.62 |
— |
2.1× |
| Partial excision bone clavicle (23180) |
$14,564.62 |
— |
2.1× |
| Partial Excision Bone Humerus (24140) |
$6,615.10 |
— |
2.1× |
| Partial excision bone metacarpal (26230) |
$6,615.10 |
— |
2.1× |
| Partial excision bone olecranon process (24147) |
$6,615.10 |
— |
2.1× |
| Partial Excision Bone Radius (25151) |
$6,615.10 |
— |
2.1× |
| Partial Excision Bone Ulna (25150) |
$6,615.10 |
— |
2.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,262.92 |
$1,838 |
2.1× |
| Partial excision of lip (40520) |
$6,611.96 |
— |
2.1× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$14,564.62 |
— |
2.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$3,262.92 |
— |
2.1× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$6,482.42 |
— |
2.1× |
| Partial removal of fibula (27641) |
$6,615.10 |
— |
2.1× |
| Partial removal of lip (40530) |
$6,611.96 |
— |
2.1× |
| Partial removal of nose (30150) |
$12,060.84 |
— |
2.1× |
| Partial removal of penis (54120) |
$7,031.76 |
— |
2.1× |
| Partial removal of radius (24145) |
$14,564.62 |
— |
2.1× |
| Partial removal of rib (21600) |
$14,564.62 |
— |
2.1× |
| Partial removal of scapula (23190) |
$6,615.10 |
— |
2.1× |
| Partial removal of thyroid (60220) |
$11,895.08 |
— |
2.0× |
| Partial removal of tibia (27640) |
$6,615.10 |
— |
2.1× |
| Partial removal of toe (28160) |
$6,615.10 |
— |
2.1× |
| Partial removal of tongue (41120) |
$12,060.84 |
— |
2.1× |
| Partial thyroid excision (60212) |
$11,895.08 |
— |
2.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$11,895.08 |
— |
2.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$6,615.10 |
— |
2.1× |
| Patellectomy or hemipatellectomy (27350) |
$14,564.62 |
— |
2.1× |
| Pelvic examination under anesthesia (other than local) (57410) |
$6,482.42 |
— |
2.1× |
| Penile Injection (54235) |
$495.86 |
— |
2.1× |
| Penile Plethysmography (54240) |
$634.88 |
— |
3.1× |
| Penile venous occlusive procedure Facility (37790) |
$7,031.76 |
— |
2.1× |
| Penis plastic surgery (54360) |
$7,031.76 |
— |
2.1× |
| Perc Cryo Ablate Renal Tum (50593) |
$21,226.38 |
— |
2.1× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,789.60 |
— |
2.1× |
| Perc Rf Ablate Renal Tumor (50592) |
$11,895.08 |
— |
2.0× |
| Percut Ablate Liver Rf (47382) |
$11,895.08 |
— |
2.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$23,121.14 |
— |
2.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,434.48 |
$2,221 |
2.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$6,417.12 |
— |
2.1× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) |
$25,424.44 |
— |
2.4× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$6,615.10 |
— |
2.1× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$14,564.62 |
— |
2.1× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$3,262.92 |
— |
2.1× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$6,615.10 |
— |
2.1× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
$14,564.62 |
— |
2.1× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$3,262.92 |
— |
2.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$6,615.10 |
— |
2.1× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$6,611.96 |
— |
2.1× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$6,611.96 |
— |
2.1× |
| Pereyra procedure, including anterior colporrhaphy Facility (57289) |
$15,076.52 |
— |
2.1× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$7,807.14 |
— |
2.1× |
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines |
$3,167.16 |
$2,176–$3,259 |
2.1× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$6,482.42 |
— |
2.1× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) |
$12,060.84 |
— |
2.1× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) |
$12,060.84 |
— |
2.1× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) |
$12,060.84 |
— |
2.1× |
| Perirectal inj sclerosing solution prolapse (45520) |
$1,858.80 |
— |
2.1× |
| Peritoneal Lavage (49084) |
$1,911.50 |
— |
2.2× |
| Periurethral tprnl adjtbl balo cntnc dev adjmt (53454) |
$495.86 |
— |
2.1× |
| Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) |
$7,031.76 |
— |
2.1× |
| Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451) |
$26,488.92 |
— |
2.1× |
| Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and… (53452) |
$18,853.08 |
— |
2.1× |
| Perq av fistula creation uxtr sep access sites (36837) |
$36,610.14 |
— |
2.1× |
| Perq av fistula creation uxtr single access (36836) |
$36,610.14 |
— |
2.1× |
| Perq Cervicothoracic Inject (22510) |
$6,615.10 |
— |
2.1× |
| Perq dev breast 1st mr guide (19287) |
$1,434.48 |
$1,395 |
2.1× |
| Perq dev breast 1st strtctc (19283) |
$1,434.48 |
$1,098 |
2.1× |
| Perq dev breast 1st us imag (19285) |
$1,434.48 |
$1,437 |
2.1× |
| Perq device breast 1st imag (19281) |
$3,303.34 |
$1,059 |
2.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$7,031.76 |
$4,201 |
2.1× |
| Perq Lumbosacral Injection (22511) |
$6,615.10 |
$17,791 |
2.1× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$18,853.08 |
— |
2.1× |
| Perq p-art revsc 1 nm nt uni (33900) |
$23,121.14 |
— |
2.1× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$36,610.14 |
— |
2.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$23,121.14 |
— |
2.1× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$23,121.14 |
— |
2.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$11,895.08 |
— |
2.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,434.48 |
$1,362 |
2.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$6,615.10 |
— |
2.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$23,121.14 |
$21,685 |
2.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$11,624.26 |
$11,264 |
2.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$14,564.62 |
$54,390 |
2.1× |
| Perq Vertebral Augmentation (22513) |
$14,564.62 |
$54,390 |
2.1× |
| Petrous apicectomy including radical mastoidectomy Facility (69530) |
$12,060.84 |
— |
2.1× |
| Phalangectomy toe each toe (28150) |
$6,615.10 |
— |
2.1× |
| Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) |
$3,020.04 |
— |
2.0× |
| Phleb Veins - Extrem 20+ (37766) |
$6,417.12 |
— |
2.1× |
| Photopheresis extracorporeal (36522) |
$9,552.12 |
— |
2.3× |
| Pin Finger Dislocation (26776) |
$6,615.10 |
— |
2.1× |
| Pin hand dislocation (26676) |
$6,615.10 |
— |
2.1× |
| Pin knuckle dislocation (26706) |
$6,615.10 |
— |
2.1× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
$1,974.66 |
— |
2.1× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$7,688.30 |
— |
2.0× |
| Place breast rad tube/caths (19298) |
$13,295.94 |
— |
1.0× |
| Place Cath Subclavian Art (36225) |
$6,417.12 |
$8,761 |
2.1× |
| Place Cath Thoracic Aorta (36221) |
$6,417.12 |
$8,114 |
2.1× |
| Place Cath Vertebral Art (36226) |
$11,021.14 |
— |
2.1× |
| Place Duod/Jej Tube Perc (49441) |
$3,867.58 |
$4,548 |
2.1× |
| Place ndl musc/tis for rt (20555) |
$6,615.10 |
— |
2.1× |
| Place Rt Device/Marker Pros (55876) |
$2,789.60 |
— |
2.1× |
| Placement needle head/neck radioelement applicat (41019) |
$12,060.84 |
— |
2.1× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$10,064.42 |
— |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$813.56 |
$632 |
1.9× |
| Placement of seton (46020) |
$5,591.18 |
— |
2.1× |
| Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) |
$4,176.50 |
— |
2.1× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) |
$4,176.50 |
— |
2.1× |
| Plastic Repair Canaliculi (68700) |
$4,756.44 |
— |
2.1× |
| Plastic Repair Introitus (56800) |
$6,482.42 |
— |
2.1× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$12,060.84 |
— |
2.1× |
| Plastic Repair Of Urethrocele (57230) |
$6,482.42 |
— |
2.1× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$12,721.60 |
— |
2.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$11,895.08 |
— |
2.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$11,895.08 |
— |
2.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$11,895.08 |
— |
2.0× |
| Plmt expandable cath brst following prtl mast (19296) |
$19,509.36 |
— |
2.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$4,176.50 |
— |
2.1× |
| Plmt Nephroureteral Catheter (50433) |
$7,031.76 |
— |
2.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$7,031.76 |
— |
2.1× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$7,031.76 |
$8,761 |
2.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$7,031.76 |
— |
2.1× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$12,060.84 |
— |
2.1× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$12,060.84 |
— |
2.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$10,064.42 |
— |
2.1× |
| Preparation skin cell ssp agrft 1st 25 sq cm/< (15013) |
$14,782.30 |
— |
2.2× |
| Prepare face/oral prosthesis (21089) |
$473.44 |
— |
2.1× |
| Prim art mech thrombectomy (37184) |
$36,610.14 |
$21,341 |
2.1× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$609.46 |
— |
2.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$4,756.44 |
— |
2.1× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$4,756.44 |
— |
2.1× |
| Probe nl duct w/balloon (68816) |
$4,756.44 |
— |
2.1× |
| Probing nasolacrimal duct (68810) |
$609.46 |
— |
2.0× |
| Proctopexy Perineal Approach (45541) |
$5,591.18 |
— |
2.1× |
| Proctoplasty Stenosis (45500) |
$5,591.18 |
— |
2.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,858.80 |
— |
2.1× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$2,403.90 |
— |
2.1× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$5,591.18 |
— |
2.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$2,403.90 |
— |
2.1× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
$2,403.90 |
— |
2.1× |
| Proctosgmdsc rigid w/dilation (45303) |
$2,403.90 |
— |
2.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$5,591.18 |
— |
2.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$5,591.18 |
— |
2.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$2,403.90 |
— |
2.1× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$5,591.18 |
— |
2.1× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
$12,136.58 |
— |
2.1× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$1,118.48 |
— |
2.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$26,232.86 |
— |
2.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) |
$6,615.10 |
— |
2.1× |
| Prostate laser enucleation (52649) |
$10,364.48 |
— |
2.0× |
| Prostatic microwave thermotx (53850) |
$7,031.76 |
— |
2.1× |
| Prostatic Rf Thermotx (53852) |
$7,031.76 |
— |
2.1× |
| Prostatotomy external drg abscess simple (55720) |
$7,031.76 |
— |
2.1× |
| Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) |
$7,031.76 |
— |
2.1× |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
$5,835.14 |
— |
0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,434.48 |
$1,926 |
2.1× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$13,380.44 |
$19,219 |
2.2× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$1,815.12 |
$4,150 |
2.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$7,195.04 |
$9,133 |
2.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$7,195.04 |
— |
2.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$6,615.10 |
— |
2.1× |
| Prq skel fixj femoral fx prox end neck (27235) |
$14,564.62 |
— |
2.1× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$6,615.10 |
— |
2.1× |
| Prq skel fixj metar fx w/manj (28476) |
$6,615.10 |
— |
2.1× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$14,564.62 |
— |
2.1× |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) |
$14,564.62 |
— |
2.1× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$6,615.10 |
— |
2.1× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$6,615.10 |
— |
2.1× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
$14,564.62 |
— |
2.1× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$6,615.10 |
— |
2.1× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$14,564.62 |
— |
2.1× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$6,615.10 |
— |
2.1× |
| Prtl Exchange Transfuse Nb (36456) |
$891.32 |
— |
2.1× |
| Pseudoaneurysm Injection Trt (36002) |
$1,260.50 |
$2,331 |
2.1× |
| Pterygomaxillary fossa surgery, any approach Facility (31040) |
$12,060.84 |
— |
2.1× |
| Punch biopsy skin single lesion (11104) |
$814.56 |
$2,957 |
2.1× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines |
$814.56 |
$1,005–$1,535 |
2.1× |
| Puncture Aspiration Cyst Breast (19000) |
$1,434.48 |
$2,589 |
2.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,411.90 |
— |
2.1× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$891.32 |
— |
2.1× |
| Pvb thoracic cont infusion (64463) |
$1,411.90 |
— |
2.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,411.90 |
— |
2.1× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$14,564.62 |
— |
2.1× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,262.92 |
— |
2.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$6,615.10 |
— |
2.1× |
| Rad resect elbow caps/sr bone w rels (24149) |
$14,564.62 |
— |
2.1× |
| Rad resect hand tumor 3 cm/> (26118) |
$5,835.14 |
— |
2.1× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$5,835.14 |
— |
2.1× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$5,835.14 |
— |
2.1× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$5,835.14 |
— |
2.1× |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
$5,835.14 |
— |
2.1× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$5,835.14 |
— |
2.1× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$12,060.84 |
— |
2.1× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
$12,060.84 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$5,835.14 |
— |
2.1× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$3,262.92 |
— |
2.1× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
$6,615.10 |
— |
2.1× |
| Radical resection of tumor, radial head or neck Facility (24152) |
$14,564.62 |
— |
2.1× |
| Radical resection of tumor, radius or ulna (25170) |
$14,564.62 |
— |
2.1× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
$14,564.62 |
— |
2.1× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$3,262.92 |
— |
2.1× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$6,615.10 |
— |
2.1× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
$6,615.10 |
— |
2.1× |
| Radical Resection Tumor Metacarpal (26250) |
$6,615.10 |
— |
2.1× |
| Radical Resection Tumor Metatarsal (28173) |
$6,615.10 |
— |
2.1× |
| Radical styloidectomy separate procedure (25230) |
$6,615.10 |
— |
2.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,981.30 |
— |
2.1× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$6,615.10 |
— |
2.1× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$6,615.10 |
— |
2.1× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$6,615.10 |
— |
2.1× |
| Rcnstj Dislocating Patella (27420) |
$14,564.62 |
— |
2.1× |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
$4,756.44 |
— |
2.1× |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
$4,756.44 |
— |
2.1× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
$4,756.44 |
— |
2.1× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) |
$12,060.84 |
— |
2.1× |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
$12,060.84 |
— |
2.1× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$14,564.62 |
— |
2.1× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$7,031.76 |
— |
2.1× |
| Re-explore parathyroids (60502) |
$12,060.84 |
— |
2.1× |
| Realignment extensor tendon hand each tendon (26437) |
$6,615.10 |
— |
2.1× |
| Realignment of hand (25335) |
$6,615.10 |
— |
2.1× |
| Reconst lwr jaw w/fixation (21196) |
$12,060.84 |
— |
2.1× |
| Reconst lwr jaw w/o fixation (21195) |
$12,060.84 |
— |
2.1× |
| Reconstr lwr jaw segment (21198) |
$12,060.84 |
— |
2.1× |
| Reconstruct cleft palate (42220) |
$12,060.84 |
— |
2.1× |
| Reconstruct cleft palate (42210) |
$12,060.84 |
— |
2.1× |
| Reconstruct elbow joint (24360) |
$14,564.62 |
— |
2.1× |
| Reconstruct elbow lat ligmnt (24344) |
$14,564.62 |
— |
2.1× |
| Reconstruct elbow med ligmnt (24346) |
$26,232.86 |
— |
2.1× |
| Reconstruct extra finger (26587) |
$6,615.10 |
— |
2.1× |
| Reconstruct finger joint (26545) |
$6,615.10 |
— |
2.1× |
| Reconstruct Finger Joint (26548) |
$6,615.10 |
— |
2.1× |
| Reconstruct lip with flap (40525) |
$6,611.96 |
— |
2.1× |
| Reconstruct lip with flap (40527) |
$12,060.84 |
— |
2.1× |
| Reconstruct midface lefort (21143) |
$12,060.84 |
— |
2.1× |
| Reconstruct ulna/radioulnar (25337) |
$14,564.62 |
— |
2.1× |
| Reconstruct upper jaw bone (21206) |
$12,060.84 |
— |
2.1× |
| Reconstruct wrist joint (25445) |
$14,564.62 |
— |
2.1× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$12,060.84 |
— |
2.1× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$12,060.84 |
— |
2.1× |
| Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) |
$12,060.84 |
— |
2.1× |
| Reconstruction Nail Bed W/Graft (11762) |
$3,729.44 |
— |
1.9× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$14,564.62 |
— |
2.1× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$14,564.62 |
— |
2.1× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$12,060.84 |
— |
2.1× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$7,688.30 |
— |
2.0× |
| Reconstruction of jaw (21249) |
$12,060.84 |
— |
2.1× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$12,060.84 |
— |
2.1× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) |
$12,060.84 |
— |
2.1× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$12,060.84 |
— |
2.1× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) |
$12,060.84 |
— |
2.1× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) |
$12,060.84 |
— |
2.1× |
| Reconstruction of mouth (40844) |
$12,060.84 |
— |
2.1× |
| Reconstruction of mouth (40842) |
$12,060.84 |
— |
2.1× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$12,060.84 |
— |
2.1× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$6,615.10 |
— |
2.1× |
| Reconstruction of throat (42950) |
$12,060.84 |
— |
2.1× |
| Reconstruction of urethra (54326) |
$7,031.76 |
— |
2.1× |
| Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) |
$12,060.84 |
— |
2.1× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$12,060.84 |
— |
2.1× |
| Reconstruction Toe Polydactyly (28344) |
$6,615.10 |
— |
2.1× |
| Reconstruction Tongue Fold (41520) |
$6,611.96 |
— |
2.1× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$12,060.84 |
— |
2.1× |
| Reconstruction, cleft foot Facility (28360) |
$14,564.62 |
— |
2.1× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) |
$6,615.10 |
— |
2.1× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without… (21742) |
$6,615.10 |
— |
2.1× |
| Redo Endovas Vena Cava Filtr (37192) |
$6,417.12 |
— |
2.1× |
| Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) |
$12,060.84 |
— |
2.1× |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) |
$12,060.84 |
— |
2.1× |
| Reduction forehead; contouring only Facility (21137) |
$6,611.96 |
— |
2.1× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) |
$3,020.04 |
— |
2.0× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) |
$6,611.96 |
— |
2.1× |
| Reduction of rectal prolapse (45900) |
$1,858.80 |
— |
2.1× |
| Reduction Overcorrection Ptosis (67909) |
$4,756.44 |
— |
2.1× |
| Reinforce clavicle (23490) |
$14,564.62 |
— |
2.1× |
| Reinforce humerus (24498) |
$26,232.86 |
— |
2.1× |
| Reinforce radius (25490) |
$14,564.62 |
— |
2.1× |
| Reinforce tibia (27745) |
$14,564.62 |
— |
2.1× |
| Reinforce ulna (25491) |
$26,232.86 |
— |
2.1× |
| Reinnervate larynx (31590) |
$12,060.84 |
— |
2.1× |
| Reinsert ocular implant (65150) |
$7,688.30 |
— |
2.0× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$7,688.30 |
— |
2.0× |
| Release encircling material (67115) |
$8,201.80 |
— |
2.1× |
| Release eye tissue (67343) |
$4,756.44 |
— |
2.1× |
| Release facial nerve (69955) |
$12,060.84 |
— |
2.1× |
| Release facial nerve (69720) |
$12,060.84 |
— |
2.1× |
| Release foot/toe nerve (64726) |
$3,981.30 |
— |
2.1× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$6,615.10 |
— |
2.1× |
| Release of big toe (28240) |
$6,615.10 |
— |
2.1× |
| Release of shoulder ligament (23415) |
$14,564.62 |
— |
2.1× |
| Release or recession, hamstring, proximal Facility (27097) |
$6,615.10 |
— |
2.1× |
| Release Thenar Muscle (26508) |
$6,615.10 |
— |
2.1× |
| Relieve Pressure on Nerve(S) (64722) |
$3,981.30 |
— |
2.1× |
| Relocation Pocket Pacemaker (33222) |
$3,729.44 |
— |
1.9× |
| Rem Endovas Vena Cava Filter (37193) |
$6,417.12 |
$10,344 |
2.1× |
| Removal Anal Seton Other Marker (46030) |
$2,403.90 |
— |
2.1× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$41,038.08 |
— |
2.1× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$41,038.08 |
— |
2.1× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$41,038.08 |
— |
2.1× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
$26,488.92 |
— |
1.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,911.50 |
— |
2.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$609.46 |
— |
2.0× |
| Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) |
$6,615.10 |
— |
2.1× |
| Removal entire oi implt skl perq attachment esp (69726) |
$6,615.10 |
— |
2.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,835.14 |
— |
2.1× |
| Removal Foreign Body Foot Complicated (28193) |
$3,303.34 |
— |
2.1× |
| Removal foreign body foot deep (28192) |
$3,303.34 |
$5,203 |
2.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,434.48 |
$3,576 |
2.1× |
| Removal foreign body jawbone (41806) |
$3,020.04 |
— |
2.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,303.34 |
— |
2.1× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$6,615.10 |
— |
2.1× |
| Removal Foreign Body Scrotum (55120) |
$4,176.50 |
— |
2.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$5,835.14 |
— |
2.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$6,611.96 |
— |
2.1× |
| Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) |
$13,056.60 |
— |
4.0× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$121.10 |
$141–$236 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$121.10 |
$147 |
2.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$6,482.42 |
— |
2.1× |
| Removal Implant Deep (20680) |
$5,835.14 |
— |
2.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,303.34 |
— |
2.1× |
| Removal implantable contraceptive capsules (11976) |
$1,434.48 |
— |
2.1× |
| Removal intact breast implant (19328) |
$7,807.14 |
— |
2.1× |
| Removal of a lesion from the floor of the mouth (41116) |
$6,611.96 |
— |
2.1× |
| Removal of adenoids (42835) |
$6,611.96 |
— |
2.1× |
| Removal of adenoids (42831) |
$6,611.96 |
— |
2.1× |
| Removal of adenoids (42830) |
$6,611.96 |
— |
2.1× |
| Removal of adenoids (42836) |
$6,611.96 |
— |
2.1× |
| Removal of anal fissure (46200) |
$5,591.18 |
— |
2.1× |
| Removal of ankle implant (27704) |
$6,615.10 |
— |
2.1× |
| Removal of bladder cyst (51500) |
$11,895.08 |
— |
2.0× |
| Removal of bone lesion (23140) |
$6,615.10 |
— |
2.1× |
| Removal of brow wrinkles (15826) |
$7,463.98 |
— |
2.2× |
| Removal of calcium deposits (23000) |
$5,835.14 |
— |
2.1× |
| Removal of cervix (57530) |
$10,064.42 |
— |
2.1× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$13,056.60 |
— |
4.0× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$3,981.30 |
— |
2.1× |
| Removal of epiglottis (31420) |
$12,060.84 |
— |
2.1× |
| Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) |
$4,649.94 |
— |
2.1× |
| Removal of esophageal sphincter augmentation device (43285) |
$11,895.08 |
— |
2.0× |
| Removal of eye (65110) |
$7,688.30 |
— |
2.0× |
| Removal of foot joint lining (28072) |
$6,615.10 |
— |
2.1× |
| Removal of foreign body from pharynx (42809) |
$813.56 |
$639 |
1.9× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$4,649.94 |
— |
2.1× |
| Removal of heel spur (28119) |
$6,615.10 |
— |
2.1× |
| Removal of humerus lesion (23150) |
$6,615.10 |
— |
2.1× |
| Removal of humerus lesion (23156) |
$14,564.62 |
— |
2.1× |
| Removal of implant from finger or hand (26320) |
$3,303.34 |
— |
2.1× |
| Removal of implanted material, anterior segment of eye (65920) |
$4,649.94 |
— |
2.1× |
| Removal of infusion pump (36262) |
$7,419.80 |
— |
2.1× |
| Removal of intranasal lesion (30118) |
$6,611.96 |
— |
2.1× |
| Removal of iris (66635) |
$4,649.94 |
— |
2.1× |
| Removal of iris (66630) |
$4,649.94 |
— |
2.1× |
| Removal of ischial bursa (27060) |
$14,564.62 |
— |
2.1× |
| Removal of jaw joint (21050) |
$12,060.84 |
— |
2.1× |
| Removal of kidney stone (50081) |
$18,853.08 |
— |
2.1× |
| Removal of lens material (66852) |
$8,201.80 |
— |
2.1× |
| Removal of mammary implant material (19330) |
$7,807.14 |
— |
2.1× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$814.56 |
$3,575–$3,576 |
2.1× |
| Removal of nose (30160) |
$12,060.84 |
— |
2.1× |
| Removal of nose lesion (30124) |
$3,020.04 |
— |
2.0× |
| Removal of ocular implant (65175) |
$7,688.30 |
— |
2.0× |
| Removal of residual cervix (57550) |
$10,064.42 |
— |
2.1× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$4,649.94 |
— |
2.1× |
| Removal of sesamoid bone (28315) |
$6,615.10 |
— |
2.1× |
| Removal of skin wrinkles (15829) |
$7,463.98 |
— |
2.2× |
| Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Facility (61892) |
$6,615.10 |
— |
2.1× |
| Removal of sperm cord lesion (55520) |
$7,031.76 |
— |
2.1× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$6,615.10 |
— |
2.1× |
| Removal of tendon for graft (20924) |
$14,564.62 |
— |
2.1× |
| Removal of testis (54520) |
$7,031.76 |
— |
2.1× |
| Removal of Thiersch wire or suture, anal canal Facility (46754) |
$5,591.18 |
— |
2.1× |
| Removal of thymus gland (60520) |
$12,060.84 |
— |
2.1× |
| Removal of thyroid (60271) |
$12,060.84 |
— |
2.1× |
| Removal of tonsils (42825) |
$12,060.84 |
— |
2.1× |
| Removal of tonsils (42826) |
$6,611.96 |
— |
2.1× |
| Removal of tumor, temporal bone Facility (69970) |
$12,060.84 |
— |
2.1× |
| Removal of tunneled intraperitoneal catheter (49422) |
$6,417.12 |
— |
2.1× |
| Removal of urethra (53210) |
$7,031.76 |
— |
2.1× |
| Removal of vein clot (34490) |
$6,417.12 |
— |
2.1× |
| Removal of wrist bone (25210) |
$6,615.10 |
— |
2.1× |
| Removal of wrist prosthesis; (separate procedure) Facility (25250) |
$3,262.92 |
— |
2.1× |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
$6,615.10 |
— |
2.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$541.46 |
$1,052 |
2.0× |
| Removal or destruction of bladder canal (urethra) malignancy (53220) |
$7,031.76 |
— |
2.1× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$10,364.48 |
— |
2.0× |
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines |
$7,419.80 |
$5,158–$5,416 |
2.1× |
| Removal parotid stone (42340) |
$6,611.96 |
— |
2.1× |
| Removal peritoneal-venous shunt (49429) |
$6,417.12 |
— |
2.1× |
| Removal phrenic nerve stimulator system (33278) |
$7,011.44 |
— |
2.1× |
| Removal ppm generator only (33233) |
$16,873.06 |
— |
2.1× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$5,835.14 |
— |
2.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$405.10 |
$2,885 |
2.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,434.48 |
$15,699 |
2.1× |
| Removal Submand Stone,Complicated (42335) |
$6,611.96 |
— |
2.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,729.44 |
— |
1.9× |
| Removal sweat gland lesion (11450) |
$5,835.14 |
— |
2.1× |
| Removal tong/halo applied by another individual (20665) |
$813.56 |
— |
1.9× |
| Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69728) |
$6,615.10 |
— |
2.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$3,262.92 |
— |
2.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$541.46 |
— |
2.0× |
| Remove & graft wrist lesion (25136) |
$14,564.62 |
— |
2.1× |
| Remove & graft wrist lesion (25135) |
$14,564.62 |
— |
2.1× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$4,176.50 |
— |
2.1× |
| Remove Ankle Joint Lining (27626) |
$6,615.10 |
— |
2.1× |
| Remove armpit lymph nodes (38740) |
$11,895.08 |
— |
2.0× |
| Remove blood clot from eye (65930) |
$4,649.94 |
— |
2.1× |
| Remove brain canal fluid (61050) |
$601.84 |
— |
2.0× |
| Remove Brain Cavity Fluid (61020) |
$1,815.12 |
— |
2.1× |
| Remove cerclage suture (59871) |
$6,482.42 |
— |
2.1× |
| Remove coronoid process (21070) |
$12,060.84 |
— |
2.1× |
| Remove cranial cavity fluid (61000) |
$1,411.90 |
— |
2.1× |
| Remove drug implant device (11982) |
$813.56 |
— |
1.9× |
| Remove ear lesion (69552) |
$12,060.84 |
— |
2.1× |
| Remove ear lesion (69550) |
$12,060.84 |
— |
2.1× |
| Remove elbow joint implant (24160) |
$6,615.10 |
— |
2.1× |
| Remove Elbow Joint Lining (24102) |
$6,615.10 |
— |
2.1× |
| Remove elbow lesion (24120) |
$6,615.10 |
— |
2.1× |
| Remove Elctrd Transvenously (33244) |
$7,419.80 |
— |
2.1× |
| Remove eye lesion (66130) |
$4,756.44 |
— |
2.1× |
| Remove eye/attach implant (65105) |
$7,688.30 |
— |
2.0× |
| Remove femur lesion/graft (27356) |
$26,232.86 |
— |
2.1× |
| Remove finger bone (26185) |
$3,262.92 |
— |
2.1× |
| Remove Forearm Foreign Body (25248) |
$3,262.92 |
— |
2.1× |
| Remove foreign body from eye (65265) |
$4,649.94 |
— |
2.1× |
| Remove foreign body from eye (65235) |
$4,649.94 |
— |
2.1× |
| Remove foreign body from eye (65205) |
$262.80 |
$228 |
2.1× |
| Remove Gastric Port Open (43887) |
$3,729.44 |
— |
1.9× |
| Remove groin lymph nodes (38760) |
$13,295.94 |
— |
2.1× |
| Remove Hand Bone Lesion (26200) |
$3,262.92 |
— |
2.1× |
| Remove hip pressure sore (15941) |
$5,835.14 |
— |
2.1× |
| Remove hip pressure sore (15940) |
$5,835.14 |
— |
2.1× |
| Remove humerus lesion (23174) |
$14,564.62 |
— |
2.1× |
| Remove humerus lesion (24110) |
$6,615.10 |
— |
2.1× |
| Remove inner ear (69905) |
$12,060.84 |
— |
2.1× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$4,176.50 |
— |
2.1× |
| Remove Intrauterine Device (58301) |
$620.18 |
— |
2.1× |
| Remove intrvas foreign body (37197) |
$6,417.12 |
$21,098 |
2.1× |
| Remove iris and lesion (66600) |
$8,201.80 |
— |
2.1× |
| Remove knee joint lining (27334) |
$6,615.10 |
— |
2.1× |
| Remove lamina/facets lumbar (63012) |
$14,564.62 |
— |
2.1× |
| Remove Lower Leg Bone Lesion (27635) |
$6,615.10 |
— |
2.1× |
| Remove lung catheter (32552) |
$1,260.50 |
$1,426 |
2.1× |
| Remove mastoid structures (69505) |
$12,060.84 |
— |
2.1× |
| Remove middle ear nerve (69676) |
$6,611.96 |
— |
2.1× |
| Remove muti-comp penis pros (54406) |
$7,031.76 |
— |
2.1× |
| Remove Nasal Foreign Body (30300) |
$262.80 |
$260 |
2.1× |
| Remove palate/lesion (42120) |
$12,060.84 |
— |
2.1× |
| Remove part lumbar vertebra (22102) |
$14,564.62 |
— |
2.1× |
| Remove part thorax vertebra (22101) |
$14,564.62 |
— |
2.1× |
| Remove Peritoneal Foreign Body (49402) |
$7,195.04 |
— |
2.1× |
| Remove prostate regrowth (52630) |
$10,364.48 |
— |
2.0× |
| Remove Pulse Generator (33241) |
$7,419.80 |
— |
2.1× |
| Remove radius head implant (24164) |
$6,615.10 |
— |
2.1× |
| Remove renal tube w/fluoro (50389) |
$1,360.84 |
$1,512 |
2.0× |
| Remove sacrum pressure sore (15937) |
$3,729.44 |
— |
1.9× |
| Remove self-contd penis pros (54415) |
$7,031.76 |
— |
2.1× |
| Remove Shoulder Foreign Body (23330) |
$3,303.34 |
— |
2.1× |
| Remove shoulder joint lining (23105) |
$14,564.62 |
— |
2.1× |
| Remove Skin Nerve Lesion (64774) |
$3,981.30 |
— |
2.1× |
| Remove spine eltrd plate (63662) |
$7,011.44 |
— |
2.1× |
| Remove spine lamina 1/2 lmbr (63005) |
$14,564.62 |
— |
2.1× |
| Remove spine lamina 1/2 thrc (63003) |
$14,564.62 |
— |
2.1× |
| Remove spine lamina >2 thrc (63016) |
$14,564.62 |
— |
2.1× |
| Remove sympathetic nerves (64821) |
$6,615.10 |
— |
2.1× |
| Remove Tendon Sheath Lesion (26160) |
$3,262.92 |
— |
2.1× |
| Remove thigh pressure sore (15951) |
$5,835.14 |
— |
2.1× |
| Remove thigh pressure sore (15956) |
$3,729.44 |
— |
1.9× |
| Remove thyroid lesion (60200) |
$11,895.08 |
— |
2.0× |
| Remove tissue expander (11971) |
$5,835.14 |
— |
2.1× |
| Remove ureter stent percut (50384) |
$4,176.50 |
— |
2.1× |
| Remove vc lesion scope/graft (31546) |
$14,113.52 |
— |
2.1× |
| Remove vc lesion w/scope (31545) |
$7,516.94 |
— |
2.1× |
| Remove wrist joint cartilage (25107) |
$6,615.10 |
— |
2.1× |
| Remove&replace pm gen singl (33227) |
$16,873.06 |
$34,859 |
2.1× |
| Remove/graft bone lesion (24125) |
$6,615.10 |
— |
2.1× |
| Remove/graft finger lesion (26215) |
$6,615.10 |
— |
2.1× |
| Remove/graft foot lesion (28102) |
$14,564.62 |
— |
2.1× |
| Remove/graft foot lesion (28107) |
$14,564.62 |
— |
2.1× |
| Remove/graft forearm lesion (25126) |
$6,615.10 |
— |
2.1× |
| Remove/graft forearm lesion (25125) |
$3,262.92 |
— |
2.1× |
| Remove/graft leg bone lesion (27637) |
$14,564.62 |
— |
2.1× |
| Remove/Insert Drug Implant (11983) |
$813.56 |
— |
1.9× |
| Remove/replace penis prosth (54410) |
$41,038.08 |
— |
2.1× |
| Remv cartilage for graft nasal (20912) |
$7,463.98 |
— |
2.2× |
| Remv&replc cvd gen dual lead (33263) |
$45,763.26 |
— |
2.1× |
| Remv&replc cvd gen mult lead (33264) |
$65,367.10 |
— |
2.2× |
| Remv&replc cvd gen sing lead (33262) |
$45,763.26 |
— |
2.1× |
| Remv&replc pm gen dual lead (33228) |
$21,336.70 |
$36,647 |
2.1× |
| Remv&replc pm gen mult leads (33229) |
$38,882.26 |
— |
2.1× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$10,364.48 |
— |
2.0× |
| Renal Biopsy Perq (50200) |
$3,303.34 |
$2,385 |
2.1× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) |
$18,853.08 |
— |
2.1× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) |
$18,853.08 |
— |
2.1× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$10,364.48 |
— |
2.0× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$1,360.84 |
— |
2.0× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
$18,853.08 |
— |
2.1× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$7,031.76 |
— |
2.1× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$10,364.48 |
— |
2.0× |
| Renal scope w/tumor resect (50562) |
$18,853.08 |
— |
2.1× |
| Reopen fallopian tube (58350) |
$10,064.42 |
— |
2.1× |
| Repair Achilles Tendon (27650) |
$14,564.62 |
— |
2.1× |
| Repair Anorectal Fistula Plug (46707) |
$5,591.18 |
— |
2.1× |
| Repair arm/leg nerve (64857) |
$13,056.60 |
— |
4.0× |
| Repair bladder neck (51845) |
$10,064.42 |
— |
2.1× |
| Repair Bladder-Vagina Lesion (57320) |
$10,064.42 |
— |
2.1× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$6,417.12 |
$3,320 |
2.1× |
| Repair blood vessel direct neck (35201) |
$11,021.14 |
— |
2.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$6,417.12 |
$3,197 |
2.1× |
| Repair blood vessel lesion (35190) |
$11,021.14 |
— |
2.1× |
| Repair blood vessel lesion (35236) |
$11,021.14 |
— |
2.1× |
| Repair blood vessel lesion (35266) |
$11,021.14 |
— |
2.1× |
| Repair blood vessel with graft other than vein; neck Facility (35261) |
$6,417.12 |
— |
2.1× |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
$11,021.14 |
— |
2.1× |
| Repair blood vessel with vein graft; neck Facility (35231) |
$6,417.12 |
— |
2.1× |
| Repair brow ptosis (67900) |
$4,756.44 |
— |
2.1× |
| Repair Choanal Atresia Intranasal (30540) |
$12,060.84 |
— |
2.1× |
| Repair choanal atresia; transpalatine Facility (30545) |
$12,060.84 |
— |
2.1× |
| Repair cleft hand deformity (26580) |
$6,615.10 |
— |
2.1× |
| Repair cleft lip/nasal (40720) |
$6,611.96 |
— |
2.1× |
| Repair cleft lip/nasal (40702) |
$12,060.84 |
— |
2.1× |
| Repair cleft lip/nasal (40761) |
$12,060.84 |
— |
2.1× |
| Repair cleft lip/nasal (40700) |
$12,060.84 |
— |
2.1× |
| Repair clitoris (56805) |
$6,482.42 |
— |
2.1× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$14,564.62 |
— |
2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,248 |
$2,088 |
1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,248 |
$4,285 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$814.56 |
$815 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,248 |
$815 |
3.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,248 |
$710 |
3.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,248 |
$2,093 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,248 |
$1,835 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,248 |
$2,088 |
1.8× |
| Repair defect w/autograft radius/ulna (25425) |
$14,564.62 |
— |
2.1× |
| Repair Detached Retina (67101) |
$4,649.94 |
— |
2.1× |
| Repair detached retina (67105) |
$1,118.48 |
— |
2.1× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$4,756.44 |
— |
2.1× |
| Repair Ectropion Extensive (67917) |
$4,756.44 |
— |
2.1× |
| Repair Ectropion Suture (67914) |
$4,756.44 |
— |
2.1× |
| Repair Ectropion Thermocauterization (67915) |
$4,756.44 |
— |
2.1× |
| Repair Elbow Perc (24357) |
$6,615.10 |
— |
2.1× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$4,756.44 |
— |
2.1× |
| Repair Entropion Extensive (67924) |
$4,756.44 |
— |
2.1× |
| Repair Entropion Suture (67921) |
$4,756.44 |
— |
2.1× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$6,615.10 |
— |
2.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,262.92 |
— |
2.1× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$6,615.10 |
— |
2.1× |
| Repair Eyelid Wound (67935) |
$4,756.44 |
— |
2.1× |
| Repair facial nerve (69740) |
$12,060.84 |
— |
2.1× |
| Repair finger deformity (26590) |
$3,262.92 |
— |
2.1× |
| Repair Finger Tendon (26433) |
$6,615.10 |
— |
2.1× |
| Repair Finger/Hand Tendon (26350) |
$6,615.10 |
— |
2.1× |
| Repair Fistula Oromaxillary (30580) |
$12,060.84 |
— |
2.1× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$6,615.10 |
— |
2.1× |
| Repair Foot Dislocation (28615) |
$14,564.62 |
— |
2.1× |
| Repair Forearm Tendon Sheath (25275) |
$6,615.10 |
— |
2.1× |
| Repair forearm tendon/muscle (25265) |
$6,615.10 |
— |
2.1× |
| Repair gum (41872) |
$6,611.96 |
— |
2.1× |
| Repair Hallux Rigidus (28289) |
$6,615.10 |
— |
2.1× |
| Repair Hand Joint (26540) |
$6,615.10 |
— |
2.1× |
| Repair Hand Tendon (26410) |
$3,262.92 |
— |
2.1× |
| Repair humerus with graft (24435) |
$26,232.86 |
— |
2.1× |
| Repair incomplete circumcision (54163) |
$4,176.50 |
— |
2.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$7,195.04 |
— |
2.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$7,195.04 |
— |
2.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$7,195.04 |
— |
2.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,195.04 |
— |
2.1× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$7,195.04 |
— |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$814.56 |
$740 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$814.56 |
$815 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$814.56 |
$815 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$814.56 |
$2,088 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$814.56 |
$4,285 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,248 |
$2,088 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$814.56 |
$740 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$814.56 |
$815 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,248 |
$2,088 |
1.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$3,729.44 |
$2,239 |
1.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$814.56 |
$2,088 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$814.56 |
$740 |
2.1× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines |
$814.56 |
$815–$816 |
2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,248 |
$2,088 |
1.8× |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines |
$814.56 |
$2,087–$2,088 |
2.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,729.44 |
$3,929 |
1.9× |
| Repair intrinsic muscles hand each muscle (26591) |
$6,615.10 |
— |
2.1× |
| Repair iris ciliary body (66680) |
$4,649.94 |
— |
2.1× |
| Repair Laceration Palate </2 Cm (42180) |
$1,038.26 |
— |
2.0× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$12,060.84 |
— |
2.1× |
| Repair lead pace-defib dual (33220) |
$7,419.80 |
— |
2.1× |
| Repair Lead Pace-Defib One (33218) |
$7,419.80 |
— |
2.1× |
| Repair Leg Fascia Defect (27656) |
$6,615.10 |
— |
2.1× |
| Repair lower leg epiphyses (27734) |
$6,615.10 |
— |
2.1× |
| Repair lower leg tendons (27676) |
$14,564.62 |
— |
2.1× |
| Repair lumbar hernia (49540) |
$11,895.08 |
— |
2.0× |
| Repair mouth/nose fistula (30600) |
$12,060.84 |
— |
2.1× |
| Repair nasal septal perforations (30630) |
$6,611.96 |
— |
2.1× |
| Repair Nasal Vestibular Stenosis (30465) |
$12,060.84 |
— |
2.1× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$26,232.86 |
— |
2.1× |
| Repair Nonunion Carpal Bone Each Bone (25431) |
$14,564.62 |
— |
2.1× |
| Repair Nonunion Hand (26546) |
$14,564.62 |
— |
2.1× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$26,232.86 |
— |
2.1× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$14,564.62 |
— |
2.1× |
| Repair nose to lip fistula (42260) |
$12,060.84 |
— |
2.1× |
| Repair of anal fistula with fibrin glue (46706) |
$5,591.18 |
— |
2.1× |
| Repair of anal sphincter (46760) |
$5,591.18 |
— |
2.1× |
| Repair of arm tendon (24320) |
$14,564.62 |
— |
2.1× |
| Repair of biceps tendon (24340) |
$14,564.62 |
— |
2.1× |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
$6,615.10 |
— |
2.1× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$10,064.42 |
— |
2.1× |
| Repair of entropion; thermocauterization (67922) |
$4,756.44 |
— |
2.1× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$6,615.10 |
— |
2.1× |
| Repair of fibula epiphysis (27732) |
$6,615.10 |
— |
2.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$14,564.62 |
— |
2.1× |
| Repair of hammertoe (28286) |
$6,615.10 |
— |
2.1× |
| Repair of hydrocele (55060) |
$7,031.76 |
— |
2.1× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$7,031.76 |
— |
2.1× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$10,364.48 |
— |
2.0× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) |
$18,853.08 |
— |
2.1× |
| Repair of knee ligaments (27409) |
$14,564.62 |
— |
2.1× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$4,756.44 |
— |
2.1× |
| Repair of leg nerve (64840) |
$13,056.60 |
— |
1.5× |
| Repair of metatarsals (28322) |
$14,564.62 |
— |
2.1× |
| Repair of nail bed (11760) |
$1,248 |
$710 |
1.8× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$14,564.62 |
— |
2.1× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$14,564.62 |
— |
2.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$14,564.62 |
— |
2.1× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
$14,564.62 |
— |
2.1× |
| Repair of rectocele (45560) |
$5,591.18 |
— |
2.1× |
| Repair of rectum (45505) |
$5,591.18 |
— |
2.1× |
| Repair of Ruptured Tendon (24342) |
$14,564.62 |
— |
2.1× |
| Repair of scleral staphyloma with graft Facility (66225) |
$10,519.60 |
— |
2.1× |
| Repair of shoulder (23420) |
$14,564.62 |
— |
2.1× |
| Repair of traumatic corporeal tear(s) (54437) |
$7,031.76 |
— |
2.1× |
| Repair of urethra injury (53502) |
$7,031.76 |
— |
2.1× |
| Repair of web finger (26562) |
$6,615.10 |
— |
2.1× |
| Repair of web finger (26560) |
$3,262.92 |
— |
2.1× |
| Repair of web finger (26561) |
$6,615.10 |
— |
2.1× |
| Repair of windpipe (31755) |
$12,060.84 |
— |
2.1× |
| Repair of windpipe (31750) |
$12,060.84 |
— |
2.1× |
| Repair of windpipe defect (31825) |
$6,611.96 |
— |
2.1× |
| Repair oval window fistula (69666) |
$6,611.96 |
— |
2.1× |
| Repair palate (42235) |
$12,060.84 |
— |
2.1× |
| Repair paravag defect lap (57423) |
$21,226.38 |
— |
2.1× |
| Repair paravag defect vag (57285) |
$15,076.52 |
— |
2.1× |
| Repair penis post injury (54440) |
$7,031.76 |
— |
2.1× |
| Repair radius & ulna (25415) |
$14,564.62 |
— |
2.1× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$7,195.04 |
— |
2.1× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$7,195.04 |
— |
2.1× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$12,721.60 |
— |
2.0× |
| Repair retinal detach cplx (67113) |
$10,519.60 |
— |
2.1× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$8,201.80 |
— |
2.1× |
| Repair Rotator Cuff Chronic (23412) |
$14,564.62 |
— |
2.1× |
| Repair round window fistula (69667) |
$6,611.96 |
— |
2.1× |
| Repair secondary achilles tendon w/wo graft (27654) |
$14,564.62 |
— |
2.1× |
| Repair shoulder capsule (23462) |
$14,564.62 |
— |
2.1× |
| Repair shoulder capsule (23466) |
$14,564.62 |
— |
2.1× |
| Repair Spica/Body/Jacket Cast (29720) |
$321.70 |
— |
2.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$6,615.10 |
— |
2.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$14,564.62 |
— |
2.1× |
| Repair Toe Dislocation (28645) |
$6,615.10 |
— |
2.1× |
| Repair tongue laceration (41252) |
$473.44 |
— |
2.1× |
| Repair tongue laceration (41250) |
$813.56 |
$414 |
1.9× |
| Repair Tooth Socket (41874) |
$6,611.96 |
— |
2.1× |
| Repair umbilical lesion (49600) |
$7,195.04 |
— |
2.1× |
| Repair uro sphincter (53449) |
$18,853.08 |
— |
2.1× |
| Repair webbed toe(s) (28345) |
$3,262.92 |
— |
2.1× |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) |
$11,021.14 |
— |
2.1× |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
$6,417.12 |
— |
2.1× |
| Repair, congenital arteriovenous fistula; head and neck Facility (35180) |
$3,167.16 |
— |
2.1× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$14,564.62 |
— |
2.1× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$7,195.04 |
— |
2.1× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$11,895.08 |
— |
2.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$14,564.62 |
— |
2.1× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$14,564.62 |
— |
2.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$6,615.10 |
— |
2.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$6,615.10 |
— |
2.1× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
$14,564.62 |
— |
2.1× |
| Repair/graft achilles tendon (27652) |
$14,564.62 |
— |
2.1× |
| Repair/graft finger tendon (26428) |
$6,615.10 |
— |
2.1× |
| Repair/Graft Wrist Bone (25440) |
$14,564.62 |
— |
2.1× |
| Repair/Revise Wrist Joint (25320) |
$14,564.62 |
— |
2.1× |
| Repair/transpose nerve (64856) |
$13,056.60 |
— |
1.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,911.50 |
— |
2.2× |
| Replace elbow joint (24363) |
$37,493.60 |
— |
2.2× |
| Replace eye fluid (67025) |
$4,649.94 |
— |
2.1× |
| Replace G-J Tube Perc (49452) |
$1,911.50 |
— |
2.2× |
| Replace g/c tube perc (49450) |
$1,911.50 |
— |
2.2× |
| Replace/Revise Brain Shunt (62230) |
$13,056.60 |
— |
1.5× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69730) |
$26,232.86 |
— |
2.1× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719) |
$26,232.86 |
— |
2.1× |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) |
$3,981.30 |
— |
2.1× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$14,564.62 |
— |
2.1× |
| Replantation digit complete (20822) |
$3,262.92 |
— |
2.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$7,419.80 |
— |
2.1× |
| Reposition Gastrostomy Tube (43761) |
$495.86 |
— |
2.1× |
| Reposition L Ventric Lead (33226) |
$6,417.12 |
— |
2.1× |
| Reposition Pacing-Defib Lead (33215) |
$6,417.12 |
$4,505 |
2.1× |
| Reposition Venous Catheter (36597) |
$3,167.16 |
$3,221 |
2.1× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$4,649.94 |
— |
2.1× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$7,011.44 |
— |
2.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$6,615.10 |
— |
2.1× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$14,564.62 |
— |
2.1× |
| Repr torn cruciate knee ligam (27407) |
$14,564.62 |
— |
2.1× |
| Rerepair ing hernia reduce (49520) |
$7,195.04 |
— |
2.1× |
| Resect back tum < 5 cm (21935) |
$5,835.14 |
— |
2.1× |
| Resect enlarged toe (28341) |
$6,615.10 |
— |
2.1× |
| Resect enlarged toe tissue (28340) |
$6,615.10 |
— |
2.1× |
| Resect forarm/wrist tum 3cm> (25078) |
$5,835.14 |
— |
2.1× |
| Resect hip/pelv tum 5 cm/> (27059) |
$5,835.14 |
— |
2.1× |
| Resect hip/pelv tum < 5 cm (27049) |
$5,835.14 |
— |
2.1× |
| Resect leg/ankle tum < 5 cm (27615) |
$5,835.14 |
— |
2.1× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$5,835.14 |
— |
2.1× |
| Resect shoulder tumor < 5 cm (23077) |
$5,835.14 |
— |
2.1× |
| Resect thigh/knee tum < 5 cm (27329) |
$5,835.14 |
— |
2.1× |
| Resection of elbow joint (arthrectomy) Facility (24155) |
$6,615.10 |
— |
2.1× |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
$12,060.84 |
— |
2.1× |
| Resection of scrotum (55150) |
$7,031.76 |
— |
2.1× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$6,615.10 |
— |
2.1× |
| Resection, humeral head Facility (23195) |
$14,564.62 |
— |
2.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$6,615.10 |
— |
2.1× |
| Resection/transplantation long tendon biceps (23440) |
$14,564.62 |
— |
2.1× |
| Retrobulbar inject,alcohol (67505) |
$609.46 |
— |
2.0× |
| Retrobulbar injection (67500) |
$609.46 |
— |
2.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,011.44 |
$9,200 |
2.1× |
| Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) |
$26,232.86 |
— |
2.1× |
| Revis reconst shoulder joint (23473) |
$26,232.86 |
— |
2.1× |
| Revise Abdomen-Venous Shunt (49426) |
$7,195.04 |
— |
2.1× |
| Revise cornea with implant (65770) |
$29,133.02 |
— |
2.1× |
| Revise external ear (69300) |
$6,611.96 |
— |
2.1× |
| Revise eye (65091) |
$7,688.30 |
— |
2.0× |
| Revise eye with implant (65093) |
$7,688.30 |
— |
2.0× |
| Revise eyelashes (67835) |
$4,756.44 |
— |
2.1× |
| Revise eyelashes (67825) |
$609.46 |
— |
2.0× |
| Revise eyelid lining (68360) |
$7,688.30 |
— |
2.0× |
| Revise finger joint each (26140) |
$3,262.92 |
— |
2.1× |
| Revise graft w/vein (35884) |
$11,021.14 |
— |
2.1× |
| Revise Hand/Foot Nerve (64704) |
$3,981.30 |
— |
2.1× |
| Revise hernia & sperm veins (55540) |
$7,195.04 |
— |
2.1× |
| Revise knuckle joint (26530) |
$14,564.62 |
— |
2.1× |
| Revise lower leg tendon (27690) |
$14,564.62 |
— |
2.1× |
| Revise Lower Leg Tendons (27686) |
$6,615.10 |
— |
2.1× |
| Revise palsy hand tendon(s) (25315) |
$14,564.62 |
— |
2.1× |
| Revise penis/urethra (54328) |
$7,031.76 |
— |
2.1× |
| Revise penis/urethra (54332) |
$7,031.76 |
— |
2.1× |
| Revise penis/urethra (54336) |
$7,031.76 |
— |
2.1× |
| Revise radius & ulna (25365) |
$26,232.86 |
— |
2.1× |
| Revise reconst elbow joint (24371) |
$37,493.60 |
— |
2.2× |
| Revise Spine Eltrd Plate (63664) |
$25,424.44 |
— |
2.4× |
| Revise thumb tendon (26496) |
$6,615.10 |
— |
2.1× |
| Revise ulnar nerve at wrist (64719) |
$3,981.30 |
— |
2.1× |
| Revise ureter (50727) |
$7,031.76 |
— |
2.1× |
| Revise Wrist/Forearm Tendon (25280) |
$6,615.10 |
— |
2.1× |
| Revise/Implant Finger Joint (26536) |
$14,564.62 |
— |
2.1× |
| Revise/remove neuroelectrode (61880) |
$7,011.44 |
— |
2.1× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) |
$7,011.44 |
— |
2.1× |
| Revise/Repair Finger/Toe Nerve (64702) |
$3,981.30 |
— |
2.1× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$15,076.52 |
— |
2.1× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$6,482.42 |
— |
2.1× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
$12,060.84 |
— |
2.1× |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) |
$12,060.84 |
— |
2.1× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$12,060.84 |
— |
2.1× |
| Revision of big toe (28310) |
$14,564.62 |
— |
2.1× |
| Revision of eyelid (67880) |
$4,756.44 |
— |
2.1× |
| Revision of foot (28116) |
$6,615.10 |
— |
2.1× |
| Revision of foot and ankle (28262) |
$14,564.62 |
— |
2.1× |
| Revision of foot bones (28737) |
$26,232.86 |
— |
2.1× |
| Revision of foot fascia (28250) |
$6,615.10 |
— |
2.1× |
| Revision of humerus (24400) |
$14,564.62 |
— |
2.1× |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
$7,419.80 |
— |
2.1× |
| Revision of knee joint (27442) |
$26,232.86 |
— |
2.1× |
| Revision of larynx (31400) |
$12,060.84 |
— |
2.1× |
| Revision of leg vein (37780) |
$6,417.12 |
— |
2.1× |
| Revision of lower leg tendon (27685) |
$6,615.10 |
— |
2.1× |
| Revision of neck muscle (21720) |
$6,615.10 |
— |
2.1× |
| Revision of nose (30462) |
$12,060.84 |
— |
2.1× |
| Revision of penis (54300) |
$7,031.76 |
— |
2.1× |
| Revision of penis (54304) |
$7,031.76 |
— |
2.1× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$10,364.48 |
— |
2.0× |
| Revision of reconstructed breast (19380) |
$13,295.94 |
— |
2.1× |
| Revision of scrotum (55180) |
$10,364.48 |
— |
2.0× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$12,060.84 |
— |
2.1× |
| Revision of toe (28312) |
$6,615.10 |
— |
2.1× |
| Revision of tracheostomy scar (31830) |
$6,611.96 |
— |
2.1× |
| Revision of urethra (53460) |
$7,031.76 |
— |
2.1× |
| Revision of urethra (57220) |
$10,064.42 |
— |
2.1× |
| Revision of wrist joint (25450) |
$6,615.10 |
— |
2.1× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$25,424.44 |
— |
2.4× |
| Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth… (61891) |
$43,720.78 |
— |
1.5× |
| Revision Peri-Implant Capsule Breast (19370) |
$7,807.14 |
— |
2.1× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$11,021.14 |
— |
2.1× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
$11,021.14 |
— |
2.1× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) |
$25,424.44 |
— |
2.4× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$4,649.94 |
— |
2.1× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
$14,564.62 |
— |
2.1× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$7,463.98 |
— |
2.2× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$7,463.98 |
— |
2.2× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$13,380.44 |
— |
2.2× |
| Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) |
$11,021.14 |
— |
2.1× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
$12,060.84 |
— |
2.1× |
| Revj Shunt Extraocular Reservoir W/O Graft (66184) |
$4,649.94 |
— |
2.1× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$11,624.26 |
— |
2.1× |
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines |
$7,011.44 |
$7,362–$15,742 |
2.1× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$25,424.44 |
— |
2.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$7,011.44 |
$9,200 |
2.1× |
| Revj/rpr oprative wound anterior segment (66250) |
$4,756.44 |
— |
2.1× |
| Rhinoplasty primary w/major septal repair (30420) |
$12,060.84 |
— |
2.1× |
| Rhinoplasty Secondary Intermediate Revision (30435) |
$12,060.84 |
— |
2.1× |
| Rhinoplasty Secondary Major Revision (30450) |
$12,060.84 |
— |
2.1× |
| Rhinoplasty Secondary Minor Revision (30430) |
$12,060.84 |
— |
2.1× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
$12,060.84 |
— |
2.1× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$12,060.84 |
— |
2.1× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
$12,060.84 |
— |
2.1× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$7,463.98 |
— |
2.2× |
| Rhytidectomy Forehead (15824) |
$3,729.44 |
— |
1.9× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$7,463.98 |
— |
2.2× |
| Rib cartilage graft (21230) |
$12,060.84 |
— |
2.1× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$4,176.50 |
— |
2.1× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$4,756.44 |
— |
2.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,020.04 |
— |
2.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,038.26 |
— |
2.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,911.50 |
— |
2.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$3,303.34 |
— |
2.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$813.56 |
$632 |
1.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$262.80 |
$228 |
2.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$813.56 |
$632 |
1.9× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$609.46 |
— |
2.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,403.90 |
— |
2.1× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$3,020.04 |
— |
2.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$5,835.14 |
— |
2.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$5,835.14 |
— |
2.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$3,303.34 |
— |
2.1× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$4,649.94 |
— |
2.1× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$4,649.94 |
— |
2.1× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$4,649.94 |
— |
2.1× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$4,649.94 |
— |
2.1× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$7,419.80 |
— |
2.1× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$7,011.44 |
— |
2.1× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$7,011.44 |
— |
2.1× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,981.30 |
$4,164 |
2.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$3,981.30 |
$4,181 |
2.1× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$13,056.60 |
— |
4.0× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$14,564.62 |
— |
2.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$7,419.80 |
— |
2.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,167.16 |
$1,460 |
2.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,260.50 |
$1,323 |
2.1× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$4,649.94 |
— |
2.1× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$4,649.94 |
— |
2.1× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$62,129.50 |
— |
2.1× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$25,424.44 |
— |
2.4× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$541.46 |
— |
2.0× |
| Rmvl/revj sling stress incontinence (57287) |
$6,482.42 |
— |
2.1× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$6,611.96 |
— |
2.1× |
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines |
$495.86 |
$568–$668 |
2.1× |
| Rplc gtube revj gstrst trc (43763) |
$495.86 |
— |
2.1× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$6,417.12 |
— |
2.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,167.16 |
— |
2.1× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$6,417.12 |
— |
2.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,167.16 |
$2,834 |
2.1× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$11,021.14 |
— |
2.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$6,417.12 |
$6,416 |
2.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$6,417.12 |
— |
2.1× |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) |
$13,056.60 |
— |
4.0× |
| Rplcmt/irrigation ventricular catheter (62225) |
$13,056.60 |
— |
4.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$11,895.08 |
— |
2.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$7,195.04 |
— |
2.1× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$12,721.60 |
— |
2.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$12,721.60 |
— |
2.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$11,895.08 |
— |
2.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$7,195.04 |
— |
2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$12,721.60 |
— |
2.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$11,895.08 |
— |
2.0× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$7,688.30 |
— |
2.0× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
$4,756.44 |
— |
2.1× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$4,756.44 |
— |
2.1× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$4,756.44 |
— |
2.1× |
| Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) |
$7,688.30 |
— |
2.0× |
| Rpr blood vessel direct lower extremity (35226) |
$1,434.48 |
— |
2.1× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$4,756.44 |
— |
2.1× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$11,021.14 |
— |
2.1× |
| Rpr Component Inflatable Penile Prosthesis (54408) |
$10,364.48 |
— |
2.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,167.16 |
— |
2.1× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$6,615.10 |
— |
2.1× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$14,564.62 |
— |
2.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$405.10 |
$815 |
2.1× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$14,564.62 |
— |
2.1× |
| Rpr ing hern premie blocked (49492) |
$7,195.04 |
— |
2.1× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$7,195.04 |
— |
2.1× |
| Rpr ing hernia init reduce (49500) |
$12,721.60 |
— |
2.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,248 |
$2,088 |
1.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$473.44 |
— |
2.1× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$4,649.94 |
— |
2.1× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$4,756.44 |
— |
2.1× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$10,519.60 |
— |
2.1× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$7,688.30 |
— |
2.0× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$10,519.60 |
— |
2.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,038.26 |
— |
2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,038.26 |
$4,197 |
2.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$3,020.04 |
— |
2.0× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$12,060.84 |
— |
2.1× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$12,060.84 |
— |
2.1× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$14,564.62 |
— |
2.1× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
$4,649.94 |
— |
2.1× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$8,201.80 |
— |
2.1× |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
$4,649.94 |
— |
2.1× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$7,688.30 |
— |
2.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$6,615.10 |
— |
2.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$6,615.10 |
— |
2.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$6,615.10 |
— |
2.1× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$14,564.62 |
— |
2.1× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
$14,564.62 |
— |
2.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,260.50 |
— |
2.1× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$7,688.30 |
— |
2.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$6,615.10 |
— |
2.1× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$14,564.62 |
— |
2.1× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$14,564.62 |
— |
2.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,615.10 |
— |
2.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$6,615.10 |
— |
2.1× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$6,615.10 |
— |
2.1× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
$14,564.62 |
— |
2.1× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$6,615.10 |
— |
2.1× |
| Salpingostomy (salpingoneostomy) (58770) |
$6,482.42 |
— |
2.1× |
| Saphenopopliteal vein anastomosis Facility (34530) |
$6,417.12 |
— |
2.1× |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
$14,564.62 |
— |
2.1× |
| Scleral reinforcement (separate procedure); without graft Facility (67250) |
$4,756.44 |
— |
2.1× |
| Scleral Reinforcement Spx W/Graft (67255) |
$8,201.80 |
— |
2.1× |
| Sclerotx Fluid Collection (49185) |
$3,303.34 |
— |
2.1× |
| Scrotal exploration (55110) |
$7,031.76 |
— |
2.1× |
| Scrotoplasty Simple (55175) |
$7,031.76 |
— |
2.1× |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
$12,060.84 |
— |
2.1× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$12,060.84 |
— |
2.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$6,611.96 |
— |
2.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$6,615.10 |
— |
2.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$6,615.10 |
— |
2.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) |
$6,615.10 |
— |
2.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) |
$6,615.10 |
— |
2.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) |
$14,564.62 |
— |
2.1× |
| Sequestrectomy Olecranon Process (24138) |
$14,564.62 |
— |
2.1× |
| Sever cranial nerve (64771) |
$3,981.30 |
— |
2.1× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$1,118.48 |
— |
2.1× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$8,201.80 |
— |
2.1× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
$4,649.94 |
— |
2.1× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$4,649.94 |
— |
2.1× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$4,649.94 |
— |
2.1× |
| Severing tarsorrhaphy (67710) |
$1,974.66 |
— |
2.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,858.80 |
— |
2.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,403.90 |
— |
2.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$814.56 |
— |
2.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$405.10 |
— |
2.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$814.56 |
— |
2.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$405.10 |
— |
2.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$405.10 |
— |
2.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$405.10 |
— |
2.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$814.56 |
— |
2.1× |
| Shorten radius & ulna (25392) |
$14,564.62 |
— |
2.1× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$6,615.10 |
— |
2.1× |
| Shoulder arthroscopy (29820) |
$14,564.62 |
— |
2.1× |
| Shoulder arthroscopy diagnostic (29805) |
$6,615.10 |
— |
2.1× |
| Shoulder Arthroscopy/Surgery (29825) |
$6,615.10 |
— |
2.1× |
| Shoulder joint surgery (23101) |
$6,615.10 |
— |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$405.10 |
— |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$814.56 |
— |
2.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$405.10 |
— |
2.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$814.56 |
— |
2.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$405.10 |
— |
2.1× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$6,611.96 |
— |
2.1× |
| Sigmoidoscopy & decompress (45337) |
$1,858.80 |
— |
2.1× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,858.80 |
— |
2.1× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,403.90 |
— |
2.1× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$2,403.90 |
— |
2.1× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$2,403.90 |
— |
2.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$2,403.90 |
— |
2.1× |
| Sigmoidoscopy w/fb removal (45332) |
$2,403.90 |
— |
2.1× |
| Sigmoidoscopy w/plcmt stent (45347) |
$12,136.58 |
— |
2.1× |
| Sigmoidoscopy W/Resection (45349) |
$5,591.18 |
— |
2.1× |
| Sigmoidoscopy W/Ultrasound (45341) |
$1,858.80 |
— |
2.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,858.80 |
— |
2.1× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$2,403.90 |
— |
2.1× |
| Simple Cystometrogram (51725) |
$495.86 |
— |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$814.56 |
$815 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$405.10 |
$537 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$405.10 |
$673 |
2.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$814.56 |
$2,088 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$405.10 |
$773 |
2.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$405.10 |
$4,286 |
2.1× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$405.10 |
$538–$759 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$405.10 |
$4,286 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$405.10 |
$773 |
2.1× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$12,060.84 |
— |
2.1× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) |
$12,060.84 |
— |
2.1× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) |
$12,060.84 |
— |
2.1× |
| Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) |
$12,060.84 |
— |
2.1× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) |
$12,060.84 |
— |
2.1× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) |
$12,060.84 |
— |
2.1× |
| Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) |
$12,060.84 |
— |
2.1× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
$12,060.84 |
— |
2.1× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$12,060.84 |
— |
2.1× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$12,060.84 |
— |
2.1× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$12,060.84 |
— |
2.1× |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) |
$12,060.84 |
— |
2.1× |
| Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) |
$12,060.84 |
— |
2.1× |
| Skin Full Grft Face/Genit/Hf (15240) |
$3,729.44 |
— |
1.9× |
| Skin graft, harvest cultured tissue (15040) |
$3,729.44 |
— |
1.9× |
| Skin Pedicle Flap Trunk (15570) |
$3,729.44 |
— |
1.9× |
| Skin Pinch Graft (15050) |
$1,248 |
$732 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$3,729.44 |
$2,241 |
5.2× |
| Skin sub graft trnk/arm/leg (15271) |
$3,729.44 |
$2,241 |
5.2× |
| Skin sub grft t/arm/lg child (15273) |
$7,463.98 |
$3,929 |
3.8× |
| Skin Tissue Procedure (17999) |
$405.10 |
— |
2.1× |
| Skn sub grft f/n/hf/g child (15277) |
$3,729.44 |
$2,241 |
1.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$11,021.14 |
$10,458 |
2.1× |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
$6,417.12 |
$8,114–$11,866 |
2.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$11,021.14 |
— |
2.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$10,064.42 |
— |
2.1× |
| Slitting of prepuce (54001) |
$4,176.50 |
— |
2.1× |
| Slitting of prepuce (54000) |
$7,031.76 |
— |
2.1× |
| Small bowel endoscopy (44384) |
$3,867.58 |
— |
2.1× |
| Small bowel endoscopy (44366) |
$3,867.58 |
— |
2.1× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$3,867.58 |
— |
2.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$12,136.58 |
— |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$405.10 |
$673 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$814.56 |
$815 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$814.56 |
$2,088 |
2.1× |
| Snip Incision Lacrimal Punctum (68440) |
$609.46 |
— |
2.0× |
| Sperm washing artificial insemination (58323) |
$410.14 |
— |
2.1× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$5,591.18 |
— |
2.1× |
| Sphincterotomy anal division sphincter spx (46080) |
$5,591.18 |
— |
2.1× |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
$5,591.18 |
— |
2.1× |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
$1,411.90 |
$1,997–$3,452 |
2.1× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$7,463.98 |
— |
2.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$3,729.44 |
— |
1.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$6,417.12 |
— |
2.1× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$12,060.84 |
— |
2.1× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$12,060.84 |
— |
2.1× |
| Stapes mobilization (69650) |
$6,611.96 |
— |
2.1× |
| Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) |
$13,056.60 |
— |
4.0× |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) |
$3,981.30 |
— |
2.1× |
| Strabismus Any Superior Oblique Muscle (67318) |
$4,756.44 |
— |
2.1× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$4,756.44 |
— |
2.1× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$4,756.44 |
— |
2.1× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$7,688.30 |
— |
2.0× |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
$4,756.44 |
— |
2.1× |
| Strapping ankle (29540) |
$321.70 |
$1,229 |
2.1× |
| Strapping elbow or wrist (29260) |
$121.10 |
$1,229 |
2.1× |
| Strapping hand/finger (29280) |
$121.10 |
$1,229 |
2.1× |
| Strapping Hip (29520) |
$262.80 |
$1,229 |
2.1× |
| Strapping knee (29530) |
$262.80 |
$1,229 |
2.1× |
| Strapping shoulder (29240) |
$262.80 |
$1,229 |
2.1× |
| Strapping thorax (29200) |
$321.70 |
$1,229 |
2.1× |
| Strapping toes (29550) |
$121.10 |
$1,229 |
2.1× |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
$321.70 |
$537–$1,052 |
2.1× |
| Stump elongation, upper extremity Facility (24935) |
$14,564.62 |
— |
2.1× |
| Subconjunctival injection (68200) |
$813.56 |
$517 |
1.9× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$813.56 |
— |
1.9× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$405.10 |
— |
2.1× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$1,248 |
— |
1.8× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$1,248 |
— |
1.8× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$1,248 |
— |
1.8× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$1,411.90 |
— |
2.1× |
| Submucosal abltj tongue rf 1/> sites pr session (41530) |
$6,611.96 |
— |
2.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$6,611.96 |
— |
2.1× |
| Subtalar arthro w/deb (29906) |
$6,615.10 |
— |
2.1× |
| Subtalar arthro w/exc (29905) |
$14,564.62 |
— |
2.1× |
| Suction assisted lipectomy; head and neck (15876) |
$7,463.98 |
— |
2.2× |
| Suction assisted lipectomy; trunk (15877) |
$7,463.98 |
— |
2.2× |
| Suction assisted lipectomy; upper extremity (15878) |
$3,729.44 |
— |
1.9× |
| Suction Lipectomy Lwr Extrem (15879) |
$7,463.98 |
— |
2.2× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$676.24 |
— |
2.1× |
| Suprahyoid lymphadenectomy (38700) |
$13,295.94 |
— |
2.1× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$6,611.96 |
— |
2.1× |
| Surg Implnt Neuroelect,Epidural (63655) |
$43,720.78 |
— |
2.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$12,060.84 |
— |
2.1× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$12,060.84 |
— |
2.1× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$5,591.18 |
— |
2.1× |
| Surg tx anal fistula subq (46270) |
$5,591.18 |
— |
2.1× |
| Surgery to stop leg growth (27479) |
$14,564.62 |
— |
2.1× |
| Surgery to stop leg growth (27477) |
$14,564.62 |
— |
2.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$5,591.18 |
— |
2.1× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$4,756.44 |
— |
2.1× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$13,056.60 |
— |
4.0× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$13,056.60 |
— |
4.0× |
| Suture 1 Nerve Ulnar Motor (64836) |
$13,056.60 |
— |
4.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,981.30 |
— |
2.1× |
| Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) |
$12,060.84 |
— |
2.1× |
| Suture infrapatellar tendon primary (27380) |
$14,564.62 |
— |
2.1× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$4,649.94 |
— |
2.1× |
| Suture of facial nerve; extracranial Facility (64864) |
$13,056.60 |
— |
1.5× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$13,056.60 |
— |
4.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$14,564.62 |
— |
2.1× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$14,564.62 |
— |
2.1× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$14,564.62 |
— |
2.1× |
| Suture of sciatic nerve (64858) |
$3,981.30 |
— |
2.1× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) |
$6,611.96 |
— |
2.1× |
| Suture of; brachial plexus Facility (64861) |
$3,981.30 |
— |
2.1× |
| Suture of; lumbar plexus Facility (64862) |
$13,056.60 |
— |
4.0× |
| Suture pharynx for wound or injury (42900) |
$3,020.04 |
— |
2.0× |
| Suture/repair testicular injury (54670) |
$7,031.76 |
— |
2.1× |
| Sympathectomy cervical (64802) |
$3,981.30 |
— |
2.1× |
| Sympathectomy, cervicothoracic Facility (64804) |
$3,981.30 |
— |
2.1× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$3,981.30 |
— |
2.1× |
| Sympathectomy; superficial palmar arch (64823) |
$6,615.10 |
— |
2.1× |
| Sympathectomy; ulnar artery (64822) |
$6,615.10 |
— |
2.1× |
| Syndactylization toes (28280) |
$6,615.10 |
— |
2.1× |
| Synovectomy carpometacarpal joint (26130) |
$6,615.10 |
— |
2.1× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$6,615.10 |
— |
2.1× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$6,615.10 |
— |
2.1× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$6,615.10 |
— |
2.1× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$6,615.10 |
— |
2.1× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$14,564.62 |
— |
2.1× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,262.92 |
— |
2.1× |
| T-cell depletion of harvest (38210) |
$891.32 |
— |
2.1× |
| Talectomy (astragalectomy) Facility (28130) |
$14,564.62 |
— |
2.1× |
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines |
$405.10 |
$2,852–$2,957 |
1.0× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$1,248 |
— |
1.8× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$1,248 |
— |
1.8× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$57,959.64 |
— |
2.1× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$38,882.26 |
$34,859 |
2.1× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$6,417.12 |
— |
2.1× |
| Temple bone implant revision (69717) |
$14,564.62 |
— |
2.1× |
| Temporary Closure Eyelids Suture (67875) |
$1,974.66 |
— |
2.1× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$6,615.10 |
— |
2.1× |
| Tendon shortening (26477) |
$6,615.10 |
— |
2.1× |
| Tendon transfer with graft (26492) |
$6,615.10 |
— |
2.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$6,615.10 |
— |
2.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$6,615.10 |
— |
2.1× |
| Tenodesis distal joint each (26474) |
$3,262.92 |
— |
2.1× |
| Tenodesis long tendon biceps (23430) |
$14,564.62 |
— |
2.1× |
| Tenodesis proximal interphalangeal joint each (26471) |
$6,615.10 |
— |
2.1× |
| Tenodesis Wrist Extensors Fingers (25301) |
$6,615.10 |
— |
2.1× |
| Tenodesis Wrist Flexors Fingers (25300) |
$6,615.10 |
— |
2.1× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$6,615.10 |
— |
2.1× |
| Tenolysis extensor foot single tendon (28225) |
$6,615.10 |
— |
2.1× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$6,615.10 |
— |
2.1× |
| Tenolysis flexor foot single tendon (28220) |
$3,262.92 |
— |
2.1× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$6,615.10 |
— |
2.1× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,262.92 |
— |
2.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$6,615.10 |
— |
2.1× |
| Tenolysis Triceps (24332) |
$6,615.10 |
— |
2.1× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$6,615.10 |
— |
2.1× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$6,615.10 |
— |
2.1× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$6,615.10 |
— |
2.1× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$6,615.10 |
— |
2.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$3,262.92 |
— |
2.1× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$3,262.92 |
— |
2.1× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$3,262.92 |
— |
2.1× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$6,615.10 |
— |
2.1× |
| Tenotomy Hip Abd/Ext Open (27006) |
$6,615.10 |
— |
2.1× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$3,262.92 |
— |
2.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,262.92 |
— |
2.1× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$6,615.10 |
— |
2.1× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$3,262.92 |
— |
2.1× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$6,615.10 |
— |
2.1× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$6,615.10 |
— |
2.1× |
| Tenotomy shoulder area single tendon (23405) |
$14,564.62 |
— |
2.1× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
$14,564.62 |
— |
2.1× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$6,615.10 |
— |
2.1× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$6,615.10 |
— |
2.1× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$6,615.10 |
— |
2.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,262.92 |
— |
2.1× |
| Thaw preserved stem cells (38208) |
$891.32 |
— |
2.1× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$9,552.12 |
— |
2.3× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,342.16 |
— |
2.2× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,411.90 |
— |
2.1× |
| Therapeutic Apheresis White Blood Cells (36511) |
$3,342.16 |
— |
2.2× |
| Therapeutic plasma exchange (36514) |
$3,342.16 |
— |
2.2× |
| Therapeutic pneumothorax (32960) |
$1,260.50 |
— |
2.1× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$26,232.86 |
$20,831 |
2.1× |
| Thoracoscopy w/bx nodule (32608) |
$21,226.38 |
— |
2.1× |
| Thoracoscopy w/bx pleura (32609) |
$11,895.08 |
— |
2.0× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$21,226.38 |
— |
2.1× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$11,895.08 |
— |
2.0× |
| Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) |
$21,226.38 |
— |
2.1× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$11,895.08 |
— |
2.0× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$11,021.14 |
— |
2.1× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$11,021.14 |
— |
2.1× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$6,417.12 |
— |
2.1× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$11,021.14 |
— |
2.1× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$36,610.14 |
— |
2.1× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
$1,260.50 |
— |
2.1× |
| Thromblytic art/ven therapy (37213) |
$6,417.12 |
$6,066 |
2.1× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$11,021.14 |
— |
2.1× |
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines |
$11,021.14 |
$7,709–$10,467 |
2.1× |
| Thrombolytic Therapy Stroke (37195) |
$676.24 |
$1,066 |
2.1× |
| Thrombolytic Venous Therapy (37212) |
$6,417.12 |
$6,971 |
2.1× |
| Thumb fusion with graft (26842) |
$14,564.62 |
— |
2.1× |
| Thyroid biopsy (60100) |
$1,434.48 |
$2,308 |
2.1× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$12,060.84 |
— |
2.1× |
| Thyroidectomy, total or complete (60240) |
$11,895.08 |
— |
2.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$12,060.84 |
— |
2.1× |
| Tibial Arthroscopy/Surgery (29855) |
$14,564.62 |
— |
2.1× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$3,729.44 |
— |
1.9× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$7,463.98 |
— |
2.2× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$3,729.44 |
— |
1.9× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$35,471.72 |
— |
2.7× |
| Tlh uterus over 250 g (58572) |
$21,226.38 |
— |
2.1× |
| Tnot elbow lateral/medial debride open (24358) |
$6,615.10 |
— |
2.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$6,615.10 |
— |
2.1× |
| Tongue suspension (41512) |
$12,060.84 |
— |
2.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,611.96 |
— |
2.1× |
| Tooth extraction (41899) |
$473.44 |
$498 |
2.1× |
| Total Knee Arthroplasty (27447) |
$26,232.86 |
— |
2.1× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$11,895.08 |
— |
2.0× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$10,364.48 |
— |
2.0× |
| Trabeculoplasty by laser surgery (65855) |
$1,118.48 |
— |
2.1× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
$6,611.96 |
— |
2.1× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$6,482.42 |
— |
2.1× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,038.26 |
— |
2.0× |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
$12,060.84 |
— |
2.1× |
| Tracheostoma revj smpl w/o flap rotation (31613) |
$6,611.96 |
— |
2.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$473.44 |
$1,884 |
2.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$3,020.04 |
— |
2.0× |
| Tracheostomy Fenestration W/Skin Flaps (31610) |
$12,060.84 |
— |
2.1× |
| Tracheostomy planned (31600) |
$6,611.96 |
— |
2.1× |
| Tracheostomy Planned Under 2 Years Spx (31601) |
$12,060.84 |
— |
2.1× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$620.18 |
— |
2.1× |
| Transcatheter biopsy (37200) |
$11,021.14 |
— |
2.1× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$6,482.42 |
— |
2.1× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$15,076.52 |
— |
2.1× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of; lingual nerve Facility (64740) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of; mental nerve Facility (64736) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of; phrenic nerve Facility (64746) |
$3,981.30 |
— |
2.1× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$3,981.30 |
— |
2.1× |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) |
$3,981.30 |
— |
2.1× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$3,981.30 |
— |
2.1× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) |
$14,564.62 |
— |
2.1× |
| Transfer iliopsoas; to femoral neck Facility (27111) |
$6,615.10 |
— |
2.1× |
| Transfer of embryo (58976) |
$620.18 |
— |
2.1× |
| Transfer of embryo (58974) |
$1,775.26 |
— |
2.0× |
| Transfer of iliopsoas muscle (27110) |
$14,564.62 |
— |
2.1× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$6,615.10 |
— |
2.1× |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) |
$6,615.10 |
— |
2.1× |
| Transfer skin pedicle flap (15650) |
$3,729.44 |
— |
1.9× |
| Transfer, adductor to ischium Facility (27098) |
$6,615.10 |
— |
2.1× |
| Transfer, finger to another position without microvascular anastomosis Facility (26555) |
$14,564.62 |
— |
2.1× |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
$14,564.62 |
— |
2.1× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$6,615.10 |
— |
2.1× |
| Transfusion Intrauterine Fetal (36460) |
$891.32 |
— |
2.1× |
| Translum Dil Eye Canal (66174) |
$8,201.80 |
— |
2.1× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$10,519.60 |
— |
2.1× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$6,615.10 |
— |
2.1× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$3,729.44 |
— |
1.9× |
| Transoral lower esophageal myotomy (43497) |
$12,136.58 |
— |
2.1× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$14,564.62 |
— |
2.1× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$10,364.48 |
— |
2.0× |
| Transplant hand tendon (26480) |
$6,615.10 |
— |
2.1× |
| Transplant of thigh tendon (27396) |
$14,564.62 |
— |
2.1× |
| Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) |
$14,564.62 |
— |
2.1× |
| Transplant/graft hand tendon (26483) |
$6,615.10 |
— |
2.1× |
| Transplant/graft palm tendon (26489) |
$6,615.10 |
— |
2.1× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$7,031.76 |
— |
2.1× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$18,853.08 |
— |
2.1× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$2,403.90 |
— |
2.1× |
| Transur electr resection of prostate (52601) |
$10,364.48 |
— |
2.0× |
| Transurethral incision of prostate (52450) |
$7,031.76 |
— |
2.1× |
| Transurethral resection bladder neck (52500) |
$7,031.76 |
— |
2.1× |
| Transvesical ureterolithotomy Facility (51060) |
$4,176.50 |
— |
2.1× |
| Treat ankle dislocation (27848) |
$14,564.62 |
— |
2.1× |
| Treat Ankle Dislocation (27846) |
$14,564.62 |
— |
2.1× |
| Treat ankle fracture (28445) |
$14,564.62 |
— |
2.1× |
| Treat Big Toe Fracture (28505) |
$6,615.10 |
— |
2.1× |
| Treat clavicle dislocation (23530) |
$14,564.62 |
— |
2.1× |
| Treat Dental Ridge Fracture (21440) |
$6,611.96 |
— |
2.1× |
| Treat dental ridge fracture (21445) |
$12,060.84 |
— |
2.1× |
| Treat dislocation/fracture (23670) |
$14,564.62 |
— |
2.1× |
| Treat dislocation/fracture (23680) |
$26,232.86 |
— |
2.1× |
| Treat ectopic pregnancy (59151) |
$11,895.08 |
— |
2.0× |
| Treat elbow fracture (24586) |
$26,232.86 |
— |
2.1× |
| Treat Elbow Fracture (24635) |
$14,564.62 |
— |
2.1× |
| Treat elbow fracture (24587) |
$26,232.86 |
— |
2.1× |
| Treat Finger Fracture Each (26727) |
$6,615.10 |
— |
2.1× |
| Treat forearm bone lesion (25035) |
$14,564.62 |
— |
2.1× |
| Treat fracture radius/ulna (25575) |
$14,564.62 |
— |
2.1× |
| Treat Fx Rad Extra-Articul (25607) |
$14,564.62 |
— |
2.1× |
| Treat Hand Bone Lesion (26034) |
$3,262.92 |
— |
2.1× |
| Treat humerus fracture (24500) |
$489.06 |
— |
2.1× |
| Treat Humerus Fracture (24505) |
$3,262.92 |
$1,911 |
2.1× |
| Treat humerus fracture (23616) |
$37,493.60 |
— |
2.2× |
| Treat humerus fracture (23600) |
$489.06 |
$2,264 |
2.1× |
| Treat knee fracture (27532) |
$6,615.10 |
— |
2.1× |
| Treat Knee Fracture(S) (27538) |
$489.06 |
— |
2.1× |
| Treat kneecap dislocation (27566) |
$14,564.62 |
— |
2.1× |
| Treat Kneecap Fracture (27524) |
$14,564.62 |
— |
2.1× |
| Treat Knuckle Dislocation (26700) |
$489.06 |
$1,619 |
2.1× |
| Treat lower jaw fracture (21452) |
$12,060.84 |
— |
2.1× |
| Treat lower leg bone lesion (27607) |
$6,615.10 |
— |
2.1× |
| Treat lower leg dislocation (27832) |
$14,564.62 |
— |
2.1× |
| Treat metacarpal fracture (26607) |
$6,615.10 |
— |
2.1× |
| Treat Metatarsal Fracture (28475) |
$489.06 |
$333 |
2.1× |
| Treat midfoot fracture (28456) |
$14,564.62 |
— |
2.1× |
| Treat scapula fracture (23585) |
$14,564.62 |
— |
2.1× |
| Treat skull fracture (62000) |
$6,611.96 |
— |
2.1× |
| Treat Tail Bone Fracture (27200) |
$489.06 |
— |
2.1× |
| Treat Thumb Dislocation (26641) |
$489.06 |
— |
2.1× |
| Treat Thumb Fracture (26645) |
$3,262.92 |
— |
2.1× |
| Treat thumb fracture (26665) |
$6,615.10 |
— |
2.1× |
Treat toe dislocation (28630)
range across 2 matching MRF lines |
$489.06 |
$1,334–$2,219 |
2.1× |
| Treat Trigeminal Nerve (61790) |
$3,981.30 |
— |
2.1× |
| Treat vagina infection (57150) |
$121.10 |
— |
2.1× |
| Treat Vaginal Bleeding (57180) |
$410.14 |
— |
2.1× |
| Treat/graft heel fracture (28420) |
$26,232.86 |
— |
2.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,262.92 |
— |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$489.06 |
$2,264 |
2.1× |
| Treatment extensive retinopathy photocoagulation (67228) |
$1,118.48 |
— |
2.1× |
| Treatment mouth roof lesion (42160) |
$6,611.96 |
— |
2.1× |
| Treatment of anal fissure (46940) |
$5,591.18 |
— |
2.1× |
| Treatment of ankle fracture (27823) |
$14,564.62 |
— |
2.1× |
| Treatment of foot infection (28003) |
$6,615.10 |
— |
2.1× |
| Treatment of gum lesion (41850) |
$3,020.04 |
— |
2.0× |
| Treatment of nose fracture (21330) |
$12,060.84 |
— |
2.1× |
| Treatment of penis lesion (54115) |
$5,835.14 |
— |
2.1× |
| Treatment of retina (67141) |
$609.46 |
— |
2.0× |
| Treatment of retinal lesion (67208) |
$609.46 |
— |
2.0× |
| Treatment of tibia fracture (27756) |
$14,564.62 |
— |
2.1× |
| Trim skin lesion (11055) |
$405.10 |
$291 |
2.1× |
| Trim skin lesions 2 to 4 (11056) |
$405.10 |
$570 |
2.1× |
| Trim skin lesions over 4 (11057) |
$405.10 |
$662 |
2.1× |
| Trimming Nondystrophic Nails Any Number (11719) |
$121.10 |
$438 |
2.1× |
Trluml Balo Angiop 1St Art (37246)
range across 5 matching MRF lines |
$11,624.26 |
$9,564–$16,949 |
2.1× |
| Trluml Balo Angiop 1St Vein (37248) |
$11,624.26 |
$8,195 |
2.1× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$891.32 |
— |
2.1× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$891.32 |
— |
2.1× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$891.32 |
— |
2.1× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$891.32 |
— |
2.1× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$891.32 |
— |
2.1× |
| Trnspl prepj hematop progen tum cell deplj (38211) |
$891.32 |
— |
2.1× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$120,579.30 |
— |
2.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$3,342.16 |
— |
2.2× |
| Trnsplj Hematopoietic Cell Boost (38243) |
$3,342.16 |
— |
2.2× |
| Trurl drainage prostatic abscess (52700) |
$7,031.76 |
— |
2.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$7,031.76 |
— |
2.1× |
| Trurl rescj postop bladder neck contracture (52640) |
$7,031.76 |
— |
2.1× |
| Trurl Rf Female Bladder Neck Strs Urin Incont (53860) |
$4,176.50 |
— |
2.1× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$3,515.84 |
— |
2.1× |
| Tubal ligation (58600) |
$6,482.42 |
— |
2.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,591.18 |
— |
2.1× |
| Tx Gastro Intub W/Asp (43753) |
$634.88 |
$1,609 |
3.1× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$26,232.86 |
— |
2.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,482.42 |
— |
2.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$6,482.42 |
— |
2.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$6,482.42 |
— |
2.1× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$3,262.92 |
$2,338 |
2.1× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$3,262.92 |
— |
2.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,262.92 |
— |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,248 |
$2,088 |
1.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$814.56 |
$815 |
2.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,262.92 |
— |
2.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$489.06 |
— |
2.1× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$26,232.86 |
— |
2.1× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$3,020.04 |
— |
2.0× |
| Tympanolysis transcanal (69450) |
$6,611.96 |
— |
2.1× |
| Tympanoplasty (69631) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$12,060.84 |
— |
2.1× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$12,060.84 |
— |
2.1× |
| Tympanostomy general anesthesia (69436) |
$3,020.04 |
— |
2.0× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$7,195.04 |
— |
2.1× |
| Umbilical cord occlud w/us (59072) |
$620.18 |
— |
2.1× |
| Unlisted Cardiac Surgery (33999) |
$1,260.50 |
— |
2.1× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$473.44 |
— |
2.1× |
| Unlisted fetal invasive px w/ultrasound (59897) |
$410.14 |
— |
2.1× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$410.14 |
— |
2.1× |
| Unlisted laparoscopic procedure liver (47379) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure appendix (44979) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, bladder (51999) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, endocrine system (60659) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, maternity care and delivery (59898) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, rectum (45499) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, renal (50549) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, spleen (38129) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, testis (54699) |
$11,895.08 |
— |
2.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$11,895.08 |
— |
2.0× |
| Unlisted Procedure Accessory Sinuses (31299) |
$473.44 |
— |
2.1× |
| Unlisted procedure anus (46999) |
$1,858.80 |
— |
2.1× |
| Unlisted procedure arthroscopy (29999) |
$489.06 |
— |
2.1× |
| Unlisted Procedure Biliary Tract (47999) |
$1,911.50 |
— |
2.2× |
| Unlisted procedure breast (19499) |
$7,807.14 |
— |
2.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$321.70 |
— |
2.1× |
| Unlisted procedure colon (45399) |
$1,858.80 |
— |
2.1× |
| Unlisted Procedure Conjunctiva (68399) |
$609.46 |
— |
2.0× |
| Unlisted Procedure Endocrine System (60699) |
$11,895.08 |
$8,945 |
2.0× |
| Unlisted Procedure Esophagus (43499) |
$1,911.50 |
— |
2.2× |
| Unlisted procedure excision pressure ulcer (15999) |
$1,434.48 |
— |
2.1× |
| Unlisted Procedure External Ear (69399) |
$473.44 |
— |
2.1× |
| Unlisted procedure eyelids (67999) |
$609.46 |
— |
2.0× |
| Unlisted procedure femur or knee (27599) |
$489.06 |
— |
2.1× |
| Unlisted procedure foot or toes (28899) |
$489.06 |
— |
2.1× |
| Unlisted procedure forearm or wrist (25999) |
$489.06 |
— |
2.1× |
| Unlisted Procedure Hands/Fingers (26989) |
$489.06 |
— |
2.1× |
| Unlisted procedure humerus/elbow (24999) |
$489.06 |
$912 |
2.1× |
| Unlisted Procedure Intestine (44799) |
$1,911.50 |
— |
2.2× |
| Unlisted procedure lacrimal system (68899) |
$609.46 |
— |
2.0× |
| Unlisted procedure larynx (31599) |
$473.44 |
— |
2.1× |
| Unlisted Procedure Leg/Ankle (27899) |
$489.06 |
— |
2.1× |
| Unlisted procedure liver (47399) |
$1,434.48 |
— |
2.1× |
| Unlisted procedure lungs and pleura (32999) |
$1,260.50 |
— |
2.1× |
| Unlisted Procedure Male Genital System (55899) |
$495.86 |
— |
2.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$489.06 |
— |
2.1× |
| Unlisted procedure neck or thorax (21899) |
$473.44 |
— |
2.1× |
Unlisted procedure nervous system (64999)
range across 5 matching MRF lines |
$601.84 |
$823–$5,552 |
2.0× |
| Unlisted Procedure Palate Uvula (42299) |
$473.44 |
— |
2.1× |
| Unlisted procedure pancreas (48999) |
$1,434.48 |
— |
2.1× |
| Unlisted procedure pelvis/hip joint (27299) |
$489.06 |
— |
2.1× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$473.44 |
— |
2.1× |
| Unlisted Procedure Rectum (45999) |
$1,858.80 |
— |
2.1× |
| Unlisted procedure shoulder (23929) |
$489.06 |
— |
2.1× |
| Unlisted procedure spine (22899) |
$489.06 |
— |
2.1× |
| Unlisted procedure stomach (43999) |
$1,911.50 |
— |
2.2× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$473.44 |
— |
2.1× |
| Unlisted Procedure Trachea Bronchi (31899) |
$395.82 |
— |
2.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,260.50 |
— |
2.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,911.50 |
— |
2.2× |
| Unlisted procedure, orbit (67599) |
$609.46 |
— |
2.0× |
| Unlisted procedure, temporal bone, middle fossa approach (69979) |
$473.44 |
— |
2.1× |
| Unlisted Procedure, Urinary System (53899) |
$495.86 |
— |
2.1× |
| Unlisted procedure, vestibule of mouth (40899) |
$473.44 |
— |
2.1× |
| Unlisted px extraocular musc (67399) |
$609.46 |
— |
2.0× |
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines |
$410.14 |
$2,403–$8,779 |
2.1× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$473.44 |
— |
2.1× |
| Unlisted vascular endoscopy procedure (37501) |
$1,260.50 |
— |
2.1× |
| Upgrade of pacemaker system (33214) |
$21,336.70 |
— |
2.1× |
| Ureter endoscopy (50970) |
$7,031.76 |
— |
2.1× |
| Ureter endoscopy & biopsy (50955) |
$10,364.48 |
— |
2.0× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$10,364.48 |
— |
2.0× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) |
$10,364.48 |
— |
2.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$10,364.48 |
— |
2.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) |
$10,364.48 |
— |
2.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$7,031.76 |
— |
2.1× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) |
$10,364.48 |
— |
2.0× |
| Ureteral endoscopy via ureterostomy (50951) |
$7,031.76 |
— |
2.1× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$10,364.48 |
— |
2.0× |
| Urethrlys Transvag W/ Scope (53500) |
$7,031.76 |
— |
2.1× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$7,031.76 |
— |
2.1× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) |
$18,853.08 |
— |
2.1× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$7,031.76 |
— |
2.1× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$10,364.48 |
— |
2.0× |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) |
$7,031.76 |
— |
2.1× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$10,364.48 |
— |
2.0× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$10,364.48 |
— |
2.0× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) |
$10,364.48 |
— |
2.0× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$10,364.48 |
— |
2.0× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$10,364.48 |
— |
2.0× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$10,364.48 |
— |
2.0× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$10,364.48 |
— |
2.0× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$10,364.48 |
— |
2.0× |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) |
$10,364.48 |
— |
2.0× |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) |
$10,364.48 |
— |
2.0× |
| Urinary Reflex Study (51792) |
$121.10 |
— |
2.1× |
| Urine Flow Measurement (51736) |
$262.80 |
— |
2.1× |
| Uvulectomy excision of uvula (42140) |
$6,611.96 |
— |
2.1× |
| Vag hyst complex (58290) |
$15,076.52 |
— |
2.1× |
| Vag hyst incl t/o complex (58291) |
$10,064.42 |
— |
2.1× |
| Vag hyst w/t/o & vag repair (58263) |
$10,064.42 |
— |
2.1× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$6,482.42 |
— |
2.1× |
| Vaginal delivery only (59409) |
$6,482.42 |
— |
2.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$10,064.42 |
— |
2.1× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$10,064.42 |
— |
2.1× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$15,076.52 |
— |
2.1× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
$10,064.42 |
— |
2.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$10,064.42 |
— |
2.1× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$6,482.42 |
— |
2.1× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) |
$6,482.42 |
— |
2.1× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$6,482.42 |
— |
2.1× |
| Vaginoplasty for intersex state Facility (57335) |
$10,064.42 |
— |
2.1× |
| Valvuloplasty Femoral Vein (34501) |
$11,021.14 |
— |
2.1× |
| Vasc embolize/occlude artery (37242) |
$36,610.14 |
— |
2.1× |
| Vasc Embolize/Occlude Bleed (37244) |
$23,121.14 |
— |
2.1× |
| Vasc Embolize/Occlude Organ (37243) |
$23,121.14 |
— |
2.1× |
| Vasc embolize/occlude venous (37241) |
$23,121.14 |
— |
2.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,176.50 |
— |
2.1× |
| Vasovasostomy vasovasorrhaphy (55400) |
$7,031.76 |
— |
2.1× |
| Vein Access Cutdown < 1 Yr (36420) |
$262.80 |
— |
2.1× |
| Venous Cutdown >1 Y/O (36425) |
$813.56 |
— |
1.9× |
| Venous Mech Thrombectomy (37187) |
$23,121.14 |
$16,601 |
2.1× |
| Venous valve transposition, any vein donor Facility (34510) |
$11,021.14 |
— |
2.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$6,611.96 |
— |
2.1× |
| Ventricular puncture previous burr hole w/inj (61026) |
$1,411.90 |
— |
2.1× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
$6,611.96 |
— |
2.1× |
| Vestibular nerve section, translabyrinthine approach Facility (69915) |
$6,611.96 |
— |
2.1× |
| Vestibuloplasty Anterior (40840) |
$12,060.84 |
— |
2.1× |
| Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) |
$12,060.84 |
— |
2.1× |
| Vestibuloplasty Posterior Bilateral (40843) |
$12,060.84 |
— |
2.1× |
| Vit for membrane dissect (67043) |
$8,201.80 |
— |
2.1× |
| Vitrectomy mechanical pars plana (67036) |
$8,201.80 |
— |
2.1× |
| Vitrectomy pars plana remove int memb retina (67042) |
$8,201.80 |
— |
2.1× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$8,201.80 |
— |
2.1× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$8,201.80 |
— |
2.1× |
| Vulvectomy simple partial (56620) |
$6,482.42 |
— |
2.1× |
| Vulvectomy simple; complete (56625) |
$6,482.42 |
— |
2.1× |
| Wash harvest stem cells (38209) |
$891.32 |
— |
2.1× |
| Wedge excision skin nail fold (11765) |
$814.56 |
$663 |
2.1× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
$15,076.52 |
— |
2.1× |
| Wedging of cast (29740) |
$541.46 |
— |
2.0× |
| Wedging of clubfoot cast (29750) |
$541.46 |
— |
2.0× |
| Windowing of cast (29730) |
$321.70 |
— |
2.1× |
| Wound Prep F/N/Hf/G (15004) |
$1,248 |
$5,204 |
3.2× |
| Wound Prep Trk/Arm/Leg (15002) |
$3,729.44 |
— |
5.2× |
| Wrist arthroscopy (29840) |
$6,615.10 |
— |
2.1× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$6,615.10 |
— |
2.1× |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) |
$8,201.80 |
— |
2.1× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$10,519.60 |
— |
2.1× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$8,201.80 |
— |
2.1× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) |
$10,519.60 |
— |
2.1× |
| Xfer Single Deep Low Leg Tendon (27691) |
$14,564.62 |
— |
2.1× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$11,021.14 |
— |
2.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$3,167.16 |
— |
2.1× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
$3,262.92 |
— |
2.1× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$1,038.26 |
— |
2.0× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$12,060.84 |
— |
2.1× |
| Xtroral I&D Floor Masticator Space (41018) |
$3,020.04 |
— |
2.0× |