| Abd paracentesis w/imaging (49083) |
$1,742.25 |
$2,323 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,247 |
$2,996 |
2.1× |
| Abdomen Surgery Procedure (22999) |
$6,508.50 |
$8,678 |
22.0× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$7,592.25 |
$10,123 |
0.6× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$5,288.25 |
$7,051 |
0.3× |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) |
$28,663.50 |
$38,218 |
2.3× |
Ablation renal tumor unilateral perq cryotherapy (50593)
unusually low: confirm this is the full procedure |
$5,761.50 |
$7,682 |
0.5× |
| Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous Other… (55877) |
$28,663.50 |
$38,218 |
2.3× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$11,737.50 |
$15,650 |
1.3× |
| Abltj 1/> lvr tum prq rf (47382) |
$5,289.75 |
$7,053 |
0.7× |
| Abortion (59841) |
$2,915.24 |
$3,886.99 |
0.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$7,850.99 |
$10,467.98 |
3.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$7,080.65 |
$9,440.87 |
1.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$5,193.49 |
$6,924.65 |
2.1× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,609.75 |
$4,813 |
1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$6,288 |
$8,384 |
2.5× |
| Amniocentesis diagnostic (59000) |
$716.25 |
$955 |
0.6× |
| Amputation Finger/Thumb (26951) |
$5,234.21 |
$6,978.95 |
1.3× |
| Amputation foot transmetarsal (28805) |
$3,565.28 |
$4,753.70 |
0.9× |
| Amputation metatarsal with toe single (28810) |
$3,788.66 |
$5,051.54 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$4,759.13 |
$6,345.50 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,546.25 |
$7,395 |
1.4× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$1,751.62 |
$2,335.50 |
1.6× |
| Anoscopy Ablation Lesion (46615) |
$1,889.62 |
$2,519.50 |
0.6× |
| Anoscopy diagnostic (46600) |
$339.75 |
$453 |
2.1× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,534.12 |
$2,045.50 |
1.1× |
| Anoscopy w/control bleeding (46614) |
$544.88 |
$726.50 |
0.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$868.88 |
$1,158.50 |
0.8× |
| Anoscopy; with biopsy, single or multiple (46606) |
$544.88 |
$726.50 |
0.4× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$966.38 |
$1,288.50 |
0.7× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$1,889.62 |
$2,519.50 |
0.6× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$1,889.62 |
$2,519.50 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,926.38 |
$2,568.50 |
0.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$6,790.09 |
$9,053.45 |
1.1× |
| Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants Other Outpatient (0355U) |
$308.25 |
$411 |
2.3× |
| Appendectomy (44950) |
$11,572.60 |
$15,430.13 |
1.5× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$2,555.25 |
$3,407 |
1.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$534 |
$712 |
2.7× |
| Application cast shoulder hand long arm (29065) |
$885 |
$1,180 |
2.6× |
| Application finger splint static (29130) |
$310.50 |
$414 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$474.75 |
$633 |
2.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
$2,758.68 |
$3,678.24 |
8.2× |
| Application of long leg cast (29345) |
$777.75 |
$1,037 |
2.3× |
| Application of rigid total contact leg cast (29445) |
$777.75 |
$1,037 |
2.3× |
| Application short arm splint forearm-hand static (29125) |
$377.25 |
$503 |
2.4× |
| Apply long leg splint (29505) |
$474.75 |
$633 |
2.4× |
| Apply short leg cast (29405) |
$329.25 |
$439 |
1.0× |
| Apply short leg splint (29515) |
$474.75 |
$633 |
2.4× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$9,370.44 |
$12,493.92 |
1.5× |
| Arteriovenous Anastomosis Open Direct (36821) |
$5,684.58 |
$7,579.44 |
1.5× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,040.18 |
$6,720.24 |
0.8× |
| Artery-vein autograft (36825) |
$7,794.96 |
$10,393.28 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$566.25 |
$755 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,370.25 |
$1,827 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$566.25 |
$755 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$566.25 |
$755 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$566.25 |
$755 |
1.5× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$11,565.60 |
$15,420.80 |
1.3× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$5,658.73 |
$7,544.97 |
1.4× |
| Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) |
$7,881.59 |
$10,508.78 |
0.9× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$6,862.35 |
$9,149.80 |
1.8× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$6,727.16 |
$8,969.55 |
1.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$8,854.61 |
$11,806.14 |
2.3× |
| Arthroscopy knee synovectomy limited spx (29875) |
$6,276.46 |
$8,368.61 |
1.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$6,510.24 |
$8,680.32 |
1.7× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$8,401.77 |
$11,202.36 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,735.72 |
$8,980.96 |
1.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$6,675.51 |
$8,900.68 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$6,172.20 |
$8,229.60 |
1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$9,151.55 |
$12,202.07 |
2.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,210.65 |
$12,280.87 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$8,223.24 |
$10,964.32 |
2.1× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$4,237.85 |
$5,650.47 |
0.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$7,186.77 |
$9,582.36 |
1.8× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$7,310.14 |
$9,746.85 |
1.9× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$6,288 |
$8,384 |
3.3× |
| Arthrotomy wrist joint with synovectomy (25105) |
$4,252.73 |
$5,670.30 |
1.1× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$10,763.01 |
$14,350.68 |
2.7× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$8,753.08 |
$11,670.77 |
2.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$16,786.88 |
$22,382.50 |
1.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$6,432.38 |
$8,576.51 |
1.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$4,751.76 |
$6,335.68 |
2.5× |
| Aspirate pleura w/ imaging (32555) |
$1,744.50 |
$2,326 |
2.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$328.50 |
$438 |
0.9× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,854 |
$2,472 |
2.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,592 |
$3,456 |
1.0× |
| Aspiration bladder needle (51100) |
$529.50 |
$706 |
1.8× |
| Av fistula revision (36833) |
$11,473.09 |
$15,297.45 |
1.7× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,901.87 |
$10,535.82 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$501 |
$668 |
2.1× |
| Axillary lymphadenectomy; complete (38745) |
$12,491.75 |
$16,655.66 |
1.7× |
| Axillary lymphadenectomy; superficial Facility (38740) |
$5,033.08 |
$6,710.77 |
0.7× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure |
$2,624.25 |
$3,499 |
0.3× |
Biliary Endoscopy Percut,Biopsy (47553)
unusually low: confirm this is the full procedure |
$2,741.25 |
$3,655 |
0.4× |
Biliary endoscopy percut,dil strict (47555)
unusually low: confirm this is the full procedure |
$3,198 |
$4,264 |
0.4× |
Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554)
likely a partial charge, not the full procedure |
$3,198 |
$4,264 |
0.3× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure |
$4,609.50 |
$6,146 |
0.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,425.50 |
$3,234 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,388.75 |
$3,185 |
1.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$2,688.58 |
$3,584.77 |
2.4× |
| Biopsy intranasal (30100) |
$3,656.53 |
$4,875.37 |
2.0× |
| Biopsy muscle deep (20205) |
$5,137.90 |
$6,850.53 |
1.5× |
| Biopsy muscle percutaneous needle (20206) |
$1,174.50 |
$1,566 |
0.6× |
| Biopsy of breast; open, incisional (19101) |
$3,824.47 |
$5,099.29 |
0.8× |
| Biopsy of penis (54100) |
$4,429.17 |
$5,905.56 |
2.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$6,713.06 |
$8,950.74 |
1.4× |
| Biopsy pleura percutaneous needle (32400) |
$918 |
$1,224 |
0.5× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$4,277.25 |
$5,703 |
1.0× |
| Biopsy Salivary Gland,Needle (42400) |
$1,744.50 |
$2,326 |
2.1× |
| Biopsy soft tissue back,superf (21920) |
$2,907.75 |
$3,877 |
1.5× |
| Biopsy soft tissue neck/thorax (21550) |
$2,388.75 |
$3,185 |
1.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$3,436.49 |
$4,581.98 |
3.1× |
| Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712) |
$4,277.25 |
$5,703 |
1.0× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) |
$4,277.25 |
$5,703 |
1.0× |
| Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) |
$4,277.25 |
$5,703 |
1.0× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$4,277.25 |
$5,703 |
1.0× |
| Biopsy/removal lymph nodes (38525) |
$10,380.36 |
$13,840.48 |
2.2× |
| Biopsy/removal lymph nodes (38510) |
$8,563.95 |
$11,418.60 |
1.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,182 |
$1,576 |
1.4× |
| Bladder Irrigation Simple (51700) |
$788.25 |
$1,051 |
2.6× |
| Blepharoplasty lower eyelid (15820) |
$3,290.61 |
$4,387.48 |
1.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,838.39 |
$5,117.85 |
1.6× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$3,243.53 |
$4,324.70 |
1.3× |
| Blepharotomy drain absc eyelid (67700) |
$1,044 |
$1,392 |
2.7× |
| Blood patch (62273) |
$1,636.50 |
$2,182 |
1.9× |
| Blood transfusion service (36430) |
$1,389.75 |
$1,853 |
2.6× |
| Blood/Lymph System Procedure (38999) |
$1,953.75 |
$2,605 |
3.7× |
| Bone marrow aspiration only (38220) |
$548.25 |
$731 |
0.3× |
| Bone Marrow Biopsy (38221) |
$2,907.75 |
$3,877 |
1.5× |
| Breast Reduction (19318) |
$10,306.55 |
$13,742.07 |
1.3× |
| Breast surgery procedure (19499) |
$2,539.50 |
$3,386 |
0.5× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,966.12 |
$2,621.50 |
0.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,540.50 |
$2,054 |
0.7× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure |
$3,311.25 |
$4,415 |
0.4× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$2,580.38 |
$3,440.50 |
0.6× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,966.12 |
$2,621.50 |
0.4× |
| Bronch ebus samplng 1/2 node (31652) |
$4,547.25 |
$6,063 |
1.0× |
| Bronch ebus samplng 3/> node (31653) |
$4,547.25 |
$6,063 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,760.25 |
$2,347 |
0.8× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$868.88 |
$1,158.50 |
0.1× |
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure |
$3,311.25 |
$4,415 |
0.4× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,966.12 |
$2,621.50 |
0.4× |
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure |
$2,278.50 |
$3,038 |
0.3× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$5,275.12 |
$7,033.50 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,900.75 |
$5,201 |
1.8× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$868.88 |
$1,158.50 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$1,166.25 |
$1,555 |
2.5× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,378.25 |
$3,171 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,388.75 |
$3,185 |
1.2× |
| Bx anorectal wall anal approach (45100) |
$3,017.25 |
$4,023 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$2,124.75 |
$2,833 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$2,388.75 |
$3,185 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$2,388.75 |
$3,185 |
1.2× |
| Bx Prostate Transperineal Ultrasound-Guided (55709) |
$4,277.25 |
$5,703 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$2,388.75 |
$3,185 |
1.2× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$2,187 |
$2,916 |
1.1× |
| Carpectomy All Bones Proximal Row (25215) |
$7,465.79 |
$9,954.39 |
1.9× |
| Cataract surgery complex (66982) |
$4,794.33 |
$6,392.44 |
1.7× |
| Catheterization with bronchial brush biopsy Facility (31717) |
$993 |
$1,324 |
2.1× |
| Cauterization,cervix,electro/thermal (57510) |
$3,762.39 |
$5,016.52 |
1.0× |
| Cautery cervix laser ablation (57513) |
$2,204.93 |
$2,939.90 |
0.6× |
| Cerclage cervix pregnancy vaginal (59320) |
$6,138.75 |
$8,185 |
1.6× |
| Cessj Therapy Cath Removal (37214) |
$4,904.25 |
$6,539 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$2,057.25 |
$2,743 |
2.5× |
| Change of cystostomy tube simple (51705) |
$788.25 |
$1,051 |
2.6× |
| Change stent via transureth (50385) |
$4,158.75 |
$5,545 |
1.7× |
| Change Ureter Stent, Percut (50382) |
$4,979.62 |
$6,639.50 |
2.0× |
| Chemical cautery tissue (17250) |
$585 |
$780 |
2.4× |
| Chemodenerv musc migraine (64615) |
$1,113 |
$1,484 |
3.0× |
| Chemodenerv Musc Neck Dyston (64616) |
$1,113 |
$1,484 |
3.0× |
| Chemodenervation internal anal sphincter (46505) |
$4,017.75 |
$5,357 |
2.8× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,057.25 |
$2,743 |
0.8× |
| Circum 28 days or older (54161) |
$3,900.93 |
$5,201.24 |
1.6× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,877.25 |
$2,503 |
5.1× |
| Claviculectomy partial (23120) |
$5,778.56 |
$7,704.74 |
1.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$516.75 |
$689 |
1.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$4,247.98 |
$5,663.97 |
2.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$2,425.50 |
$3,234 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,805.25 |
$2,407 |
6.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,805.25 |
$2,407 |
6.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,805.25 |
$2,407 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,805.25 |
$2,407 |
6.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,805.25 |
$2,407 |
0.9× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$3,042 |
$4,056 |
1.6× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$8,596.37 |
$11,461.83 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$2,946 |
$3,928 |
10.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,425.50 |
$3,234 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,535.23 |
$3,380.31 |
8.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,744.50 |
$2,326 |
5.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,103 |
$2,804 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,805.25 |
$2,407 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,425.50 |
$3,234 |
1.3× |
| Closed tx septal&nose fx (21337) |
$174 |
$232 |
0.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$579.75 |
$773 |
2.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,805.25 |
$2,407 |
0.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$105.75 |
$141 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,744.50 |
$2,326 |
5.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,805.25 |
$2,407 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,744.50 |
$2,326 |
5.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,425.50 |
$3,234 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,774.88 |
$2,366.50 |
6.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$2,947.16 |
$3,929.55 |
10.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$515.25 |
$687 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$534 |
$712 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,770.50 |
$3,694 |
1.4× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$3,540.86 |
$4,721.15 |
1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$5,842.79 |
$7,790.38 |
3.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,805.25 |
$2,407 |
6.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,805.25 |
$2,407 |
6.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$129.75 |
$173 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$528.75 |
$705 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,425.50 |
$3,234 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,805.25 |
$2,407 |
6.1× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,704.50 |
$3,606 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$695.25 |
$927 |
2.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,563 |
$2,084 |
4.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$534 |
$712 |
1.8× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,292.50 |
$4,390 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$3,350.27 |
$4,467.03 |
11.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,026.25 |
$4,035 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$210.75 |
$281 |
0.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$5,378.78 |
$7,171.71 |
2.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$534 |
$712 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,805.25 |
$2,407 |
6.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,555.25 |
$3,407 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,901.25 |
$2,535 |
6.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,776.50 |
$3,702 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$534 |
$712 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,555.25 |
$3,407 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$8,369.14 |
$11,158.85 |
4.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$4,992.77 |
$6,657.03 |
2.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,805.25 |
$2,407 |
0.9× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,292.50 |
$4,390 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$377.25 |
$503 |
2.4× |
| Colonoscopy flex w/blln dilat (45386) |
$1,966.12 |
$2,621.50 |
1.4× |
| Colonoscopy flex w/inj submuc (45381) |
$1,526.62 |
$2,035.50 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,966.12 |
$2,621.50 |
1.4× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,464.75 |
$1,953 |
1.0× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$1,464.75 |
$1,953 |
0.2× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,275.75 |
$1,701 |
0.9× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$966.38 |
$1,288.50 |
0.7× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$966.38 |
$1,288.50 |
0.7× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy stoma w/us gid ndl aspir/bx (44407) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,464.75 |
$1,953 |
1.3× |
Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage,… (44402)
likely a partial charge, not the full procedure |
$1,464.75 |
$1,953 |
0.2× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$868.88 |
$1,158.50 |
0.8× |
| Colonoscopy thru stoma (44388) |
$1,104 |
$1,472 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,966.12 |
$2,621.50 |
1.4× |
| Colonoscopy w/ablation (45388) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy w/band ligation (45398) |
$1,464.75 |
$1,953 |
1.0× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,512.80 |
$2,017.06 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$988.12 |
$1,317.50 |
0.7× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,966.12 |
$2,621.50 |
1.4× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$2,429.62 |
$3,239.50 |
0.7× |
| Colpocleisis (le fort type) (57120) |
$8,730.54 |
$11,640.72 |
1.5× |
| Colpoperineorrhaphy non ob (57210) |
$2,334.57 |
$3,112.76 |
0.6× |
| Colporrhaphy Suture Injury Vagina (57200) |
$7,671.22 |
$10,228.29 |
2.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$4,212.65 |
$5,616.86 |
11.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,642.36 |
$4,856.48 |
0.9× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$4,017.47 |
$5,356.62 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$5,059.28 |
$6,745.71 |
13.9× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$7,059.41 |
$9,412.54 |
1.2× |
| Combined anteroposterior colporrhaphy; (57260) |
$8,475.77 |
$11,301.03 |
1.4× |
| Complex Uroflowmetry (51741) |
$474 |
$632 |
1.8× |
| Conization of cervix (57520) |
$6,131.24 |
$8,174.98 |
1.6× |
| Conization of cervix (57522) |
$3,649.56 |
$4,866.08 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$379.50 |
$506 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$377.25 |
$503 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$409.50 |
$546 |
2.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$3,913.62 |
$5,218.16 |
6.1× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$5,680.55 |
$7,574.06 |
1.4× |
| Conversion ext bil drg cath (47535) |
$4,969.50 |
$6,626 |
1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,085.75 |
$2,781 |
0.9× |
| Convert nephrostomy catheter (50434) |
$1,197.75 |
$1,597 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,429.25 |
$3,239 |
1.2× |
| Correction hammertoe (28285) |
$3,143.40 |
$4,191.20 |
0.8× |
| Correction of bunion (28298) |
$8,204.61 |
$10,939.48 |
0.9× |
| Correction of bunion (28292) |
$6,677.86 |
$8,903.81 |
1.7× |
| Correction of bunion (28299) |
$8,990.60 |
$11,987.46 |
1.0× |
| Correction of bunion (28297) |
$12,539.19 |
$16,718.92 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$7,395.14 |
$9,860.19 |
1.9× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$6,864.19 |
$9,152.25 |
1.8× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$5,432.67 |
$7,243.56 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$177 |
$236 |
1.1× |
| Curettage postpartum (59160) |
$4,405.67 |
$5,874.23 |
1.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,158.75 |
$5,545 |
1.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,158.75 |
$5,545 |
1.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,571.72 |
$4,762.29 |
0.8× |
| Cysto w/destruction of lesions (52214) |
$3,571.72 |
$4,762.29 |
0.8× |
| Cysto w/insert ureteral stent (52332) |
$3,571.72 |
$4,762.29 |
0.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$5,706.39 |
$7,608.52 |
1.4× |
| Cysto w/removal of tumors small (52234) |
$3,571.72 |
$4,762.29 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,158.75 |
$5,545 |
1.7× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,643.57 |
$6,191.43 |
1.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,811.76 |
$9,082.34 |
1.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$9,006.53 |
$12,008.70 |
1.4× |
| Cysto/uretero w/lithotripsy (52356) |
$8,143.94 |
$10,858.59 |
1.3× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$8,142.77 |
$10,857.02 |
1.3× |
| Cystolithotomy (51050) |
$6,776.97 |
$9,035.96 |
1.1× |
| Cystometrogram w/vp (51728) |
$1,992 |
$2,656 |
2.4× |
| Cystometrogram W/Vp&Up (51729) |
$1,504.76 |
$2,006.34 |
1.8× |
| Cystoscopy implant stent (52282) |
$8,040.41 |
$10,720.54 |
1.9× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$4,855.68 |
$6,474.24 |
1.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$6,288 |
$8,384 |
2.5× |
| Cystouretero & or pyeloscope (52351) |
$5,334.85 |
$7,113.13 |
1.3× |
| Cystourethroscopy (52000) |
$1,744.50 |
$2,326 |
2.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$5,787.63 |
$7,716.84 |
1.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,158.75 |
$5,545 |
1.7× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$5,326.01 |
$7,101.35 |
1.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,843.80 |
$5,125.06 |
1.5× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$7,464.89 |
$9,953.19 |
1.8× |
| Cystourethroscopy with biopsy (52204) |
$3,313.39 |
$4,417.85 |
1.3× |
| Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter… (52443) |
$11,487 |
$15,316 |
1.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$4,697.90 |
$6,263.86 |
1.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$7,281.98 |
$9,709.31 |
1.1× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$4,346.45 |
$5,795.26 |
1.7× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$3,826.79 |
$5,102.38 |
1.5× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$6,531.05 |
$8,708.06 |
1.5× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$13,222.77 |
$17,630.36 |
2.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$2,599.94 |
$3,466.58 |
5.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,360.50 |
$1,814 |
1.6× |
| Debride nail 1-5 (11720) |
$256.50 |
$342 |
3.6× |
| Debride tissue/muscle (11043) |
$1,120.50 |
$1,494 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,931.25 |
$2,575 |
4.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$4,158.75 |
$5,545 |
2.1× |
| Declot vascular device (36593) |
$1,080.75 |
$1,441 |
2.7× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) Facility (26035) |
$4,093.50 |
$5,458 |
1.0× |
| Decompression Of Tibia Nerve (28035) |
$5,972.39 |
$7,963.18 |
2.6× |
| Delivery placenta separate procedure (59414) |
$3,610.50 |
$4,814 |
0.9× |
| Derma-fat-fascia graft (15770) |
$7,812.38 |
$10,416.51 |
1.8× |
| Destroy internal hemorrhoids (46930) |
$7,649.73 |
$10,199.64 |
5.3× |
| Destroy lumb/sac facet jnt (64635) |
$3,571.50 |
$4,762 |
1.5× |
| Destruction Benign Lesions 15/> (17111) |
$1,417.44 |
$1,889.91 |
5.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$1,433.18 |
$1,910.90 |
6.0× |
| Destruction Lesions Vulva Extensive (56515) |
$4,006.58 |
$5,342.11 |
1.6× |
| Destruction Lesions Vulva Simple (56501) |
$5,717.13 |
$7,622.84 |
2.3× |
| Destruction Vaginal Lesions Extensive (57065) |
$4,316.48 |
$5,755.31 |
1.1× |
| Destruction Vaginal Lesions Simple (57061) |
$4,009.22 |
$5,345.63 |
1.0× |
| Diagnostic anoscopy (46601) |
$244.50 |
$326 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,744.50 |
$2,326 |
2.1× |
| Diagnostic sigmoidoscopy (45330) |
$1,744.50 |
$2,326 |
1.6× |
| Dil urethra,female,subsequent (53661) |
$418.34 |
$557.78 |
2.6× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$2,201.25 |
$2,935 |
1.5× |
| Dilate Urethra Stricture (53620) |
$4,810.42 |
$6,413.89 |
5.8× |
| Dilate urethra stricture (53600) |
$949.18 |
$1,265.57 |
3.2× |
| Dilation and curettage (58120) |
$5,121.99 |
$6,829.32 |
1.3× |
| Dilation and curettage of cervical stump Facility (57558) |
$4,158.75 |
$5,545 |
1.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$868.88 |
$1,158.50 |
0.8× |
| Dilation esophagus over guide wire (43453) |
$868.88 |
$1,158.50 |
0.4× |
| Dilation of anal sphincter (45905) |
$2,201.25 |
$2,935 |
1.5× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$451.50 |
$602 |
2.8× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$3,091.19 |
$4,121.58 |
0.7× |
| Drain bladder by trocar/cath (51101) |
$1,805.25 |
$2,407 |
1.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$654 |
$872 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$566.25 |
$755 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$54 |
$72 |
0.1× |
| Drainage Finger Abscess Complicated (26011) |
$4,848.44 |
$6,464.58 |
2.4× |
| Drainage Finger Abscess Simple (26010) |
$94.50 |
$126 |
0.4× |
| Drainage of gum lesion (41800) |
$59.25 |
$79 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$2,832.75 |
$3,777 |
1.4× |
| Drainage of hydrocele (55000) |
$1,113 |
$1,484 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$2,619.75 |
$3,493 |
1.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$4,109.19 |
$5,478.92 |
1.0× |
| Draw blood off venous device (36591) |
$377.25 |
$503 |
2.4× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$4,158.75 |
$5,545 |
6.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$766.50 |
$1,022 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$401.25 |
$535 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$639 |
$852 |
2.7× |
| Dstrj lesion anus simple surg excision (46922) |
$4,817.88 |
$6,423.84 |
1.4× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$664.64 |
$886.18 |
1.4× |
| Dstrj lesion penis simple surg excision (54060) |
$3,544.41 |
$4,725.88 |
1.4× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$285.75 |
$381 |
0.3× |
| Dx bone marrow bx & aspir (38222) |
$2,907.75 |
$3,877 |
0.8× |
| Dx duod intub w/asp spec (43756) |
$285.75 |
$381 |
0.3× |
| Dx gastr intub w/asp spec (43754) |
$285.75 |
$381 |
1.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,895 |
$3,860 |
1.4× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$5,694.75 |
$7,593 |
2.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,742.75 |
$3,657 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,254.12 |
$3,005.50 |
1.0× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,966.12 |
$2,621.50 |
0.9× |
| Egd control bleeding any (43255) |
$4,158.75 |
$5,545 |
1.8× |
| Egd dilate stricture (43245) |
$3,639 |
$4,852 |
1.6× |
| Egd endo mucosal resection (43254) |
$2,254.12 |
$3,005.50 |
1.0× |
| Egd endoscopic stent place (43266) |
$7,743.75 |
$10,325 |
1.1× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,966.12 |
$2,621.50 |
0.9× |
| Egd flexible foreign body removal (43247) |
$3,639 |
$4,852 |
3.3× |
| Egd guide wire insertion (43248) |
$3,639 |
$4,852 |
3.3× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,966.12 |
$2,621.50 |
0.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,639 |
$4,852 |
1.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,254.12 |
$3,005.50 |
1.0× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$8,248.50 |
$10,998 |
0.6× |
| Egd place gastrostomy tube (43246) |
$2,247 |
$2,996 |
1.0× |
| Egd remove lesion snare (43251) |
$3,639 |
$4,852 |
1.6× |
| Egd tube/cath insertion (43241) |
$3,172.83 |
$4,230.44 |
1.4× |
| Egd us exam duodenum/jejunum (43259) |
$3,639 |
$4,852 |
1.6× |
| Egd us transmural injxn/mark (43253) |
$3,172.83 |
$4,230.44 |
1.4× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$20,938.04 |
$27,917.39 |
3.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$474 |
$632 |
3.1× |
| Endometrial Biopsy (58100) |
$501 |
$668 |
2.1× |
| Endoscopic us exam esoph (43237) |
$2,254.12 |
$3,005.50 |
1.0× |
| Endoscopy bowel pouch/biop (44386) |
$1,275.75 |
$1,701 |
1.1× |
| Endoscopy of bowel pouch (44385) |
$966.38 |
$1,288.50 |
0.9× |
| Endoscopy Upper Small Intestine (44360) |
$2,247 |
$2,996 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,726.25 |
$15,635 |
0.8× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$5,667 |
$7,556 |
1.5× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$3,233.25 |
$4,311 |
0.5× |
| Endovenous laser, 1st vein (36478) |
$3,233.25 |
$4,311 |
0.9× |
| Endovenous rf 1st vein (36475) |
$5,666.74 |
$7,555.65 |
1.5× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,129.50 |
$1,506 |
0.5× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,966.12 |
$2,621.50 |
0.9× |
| Epididymectomy unilateral (54860) |
$8,453.50 |
$11,271.33 |
2.0× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Facility (25450) |
$6,397.51 |
$8,530.01 |
1.6× |
| Episiotomy or vaginal repair (59300) |
$5,185.50 |
$6,914 |
1.3× |
| Ercp Duct Stent Placement (43274) |
$6,832.88 |
$9,110.50 |
0.9× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,247 |
$2,996 |
0.5× |
| Ercp ea duct/ampulla dilate (43277) |
$1,966.12 |
$2,621.50 |
0.4× |
Ercp lithotripsy calculi (43265)
unusually low: confirm this is the full procedure |
$2,742.75 |
$3,657 |
0.4× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,292.62 |
$5,723.50 |
0.9× |
| Ercp remove forgn body duct (43275) |
$4,292.62 |
$5,723.50 |
1.9× |
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure |
$2,302.88 |
$3,070.50 |
0.3× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,137.12 |
$2,849.50 |
0.5× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,966.12 |
$2,621.50 |
0.4× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$4,292.62 |
$5,723.50 |
0.9× |
| Esoph Scope W/Submucous Inj (43201) |
$999 |
$1,332 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,526.62 |
$2,035.50 |
1.4× |
| Esophagoscopy control bleed (43227) |
$1,966.12 |
$2,621.50 |
0.9× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$2,742.75 |
$3,657 |
1.2× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$999 |
$1,332 |
0.4× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,137.12 |
$2,849.50 |
0.5× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,275.75 |
$1,701 |
0.6× |
| Esophagoscopy flexible guide wire dilation (43226) |
$2,137.12 |
$2,849.50 |
0.9× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$993 |
$1,324 |
0.9× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$3,639 |
$4,852 |
1.6× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$3,172.83 |
$4,230.44 |
1.4× |
| Esophagoscopy Retro Balloon (43213) |
$1,966.12 |
$2,621.50 |
0.9× |
| Esophagoscopy rig transoral guide wire dilation (43196) |
$3,844.37 |
$5,125.83 |
1.7× |
Esophagoscopy transoral stent placement (43212)
unusually low: confirm this is the full procedure |
$3,496.12 |
$4,661.50 |
0.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$966.38 |
$1,288.50 |
0.4× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$868.88 |
$1,158.50 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,137.12 |
$2,849.50 |
0.9× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$2,047.88 |
$2,730.50 |
0.9× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$3,607.88 |
$4,810.50 |
0.5× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$999 |
$1,332 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$66.75 |
$89 |
0.4× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,533.62 |
$3,378.16 |
1.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,679.18 |
$4,905.57 |
1.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$4,134.87 |
$5,513.16 |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,864.75 |
$3,819.66 |
1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$3,557.03 |
$4,742.71 |
4.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,892.91 |
$3,857.21 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,900.75 |
$5,201 |
2.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,826.79 |
$5,102.38 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$2,491.49 |
$3,321.98 |
2.9× |
| Exc back les sc < 3 cm (21930) |
$5,985.47 |
$7,980.62 |
3.0× |
| Exc back tum deep < 5 cm (21932) |
$4,041.75 |
$5,389 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$679.50 |
$906 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,497.90 |
$1,997.20 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$3,148.39 |
$4,197.85 |
1.6× |
| Exc Frenum Labial/Buccal (40819) |
$1,458 |
$1,944 |
0.8× |
| Exc ganglion wrist recurrent (25112) |
$4,017.59 |
$5,356.79 |
2.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$6,222.45 |
$8,296.60 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,625.14 |
$3,500.18 |
1.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,890.05 |
$3,853.40 |
1.5× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$6,801.56 |
$9,068.74 |
1.7× |
| Exc neck tum deep < 5 cm (21556) |
$4,400.52 |
$5,867.36 |
1.3× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$4,704.25 |
$6,272.33 |
2.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$4,525.07 |
$6,033.42 |
1.4× |
| Exc rect tum transanal part (45171) |
$5,198.81 |
$6,931.74 |
1.6× |
| Exc skin abd (15830) |
$11,562.04 |
$15,416.05 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,636.55 |
$2,182.06 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,107.28 |
$2,809.71 |
4.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,551.16 |
$3,401.55 |
3.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,545.28 |
$3,393.70 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,706.22 |
$4,941.62 |
1.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,813.93 |
$6,418.57 |
1.4× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,932.10 |
$5,242.80 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,657.08 |
$4,876.10 |
1.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,132.75 |
$2,843.66 |
1.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,526.44 |
$3,368.59 |
0.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,955.53 |
$5,274.04 |
1.1× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$2,779.60 |
$3,706.13 |
0.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$4,827.95 |
$6,437.26 |
2.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,448.92 |
$3,265.22 |
1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,739.50 |
$3,652.67 |
0.8× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,938.56 |
$6,584.74 |
1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,189.82 |
$5,586.42 |
1.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,735.07 |
$4,980.09 |
1.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,240.44 |
$6,987.25 |
2.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,509.22 |
$4,678.96 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$4,636.34 |
$6,181.79 |
1.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,230.79 |
$2,974.38 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,747.33 |
$6,329.77 |
1.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,231.45 |
$6,975.26 |
2.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$4,676.24 |
$6,234.99 |
1.3× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$4,034.99 |
$5,379.98 |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$5,452.39 |
$7,269.85 |
1.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,467.08 |
$5,956.11 |
1.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$5,566.81 |
$7,422.41 |
1.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,653.27 |
$4,871.02 |
1.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,969.50 |
$6,626 |
1.2× |
| Exchange intraocular lens (66986) |
$7,005.69 |
$9,340.92 |
2.5× |
| Exchange nephrostomy cath (50435) |
$3,021.75 |
$4,029 |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,057.25 |
$2,743 |
0.9× |
| Excise cutaneous neurofibroma (64788) |
$3,068.19 |
$4,090.92 |
1.3× |
| Excise lesion testis (54512) |
$6,726.74 |
$8,968.98 |
1.6× |
| Excise mandible lesion (21040) |
$7,632.92 |
$10,177.22 |
1.9× |
| Excise pharynx lesion (42808) |
$4,899.75 |
$6,533 |
1.2× |
| Excise Wrist Tendon Sheath (25118) |
$4,814.99 |
$6,419.99 |
2.5× |
| Excise/repair mouth lesion (40812) |
$9,200.33 |
$12,267.10 |
4.9× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$3,411.49 |
$4,548.65 |
1.2× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$4,350.11 |
$5,800.14 |
1.1× |
| Excision Breast Lesion (19125) |
$6,150.52 |
$8,200.69 |
1.3× |
| Excision Chalazion Single (67800) |
$2,506.45 |
$3,341.93 |
6.6× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$5,571.26 |
$7,428.34 |
1.6× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$11,212.29 |
$14,949.72 |
3.2× |
| Excision hydrocele bilateral (55041) |
$7,468.66 |
$9,958.21 |
1.7× |
| Excision interdigital morton neuroma single each (28080) |
$3,201.96 |
$4,269.28 |
1.7× |
| Excision Lesion Floor Mouth (41116) |
$6,371.52 |
$8,495.36 |
1.6× |
| Excision lesion meniscus/capsule knee (27347) |
$8,134.67 |
$10,846.22 |
2.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$3,239.54 |
$4,319.39 |
1.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,268.02 |
$3,024.03 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$5,205.66 |
$6,940.88 |
6.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$5,575.93 |
$7,434.57 |
6.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,866.62 |
$6,488.83 |
1.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$5,936.98 |
$7,915.97 |
7.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,423.79 |
$3,231.72 |
2.9× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$7,044.92 |
$9,393.23 |
1.0× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$4,846.70 |
$6,462.27 |
1.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,606.85 |
$4,809.13 |
1.9× |
| Excision of hydrocele unilateral (55040) |
$7,102.07 |
$9,469.42 |
1.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$4,067.02 |
$5,422.69 |
3.4× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$8,892.17 |
$11,856.23 |
2.1× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$4,803.25 |
$6,404.33 |
1.2× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$7,800.61 |
$10,400.81 |
2.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$3,673.46 |
$4,897.95 |
1.9× |
| Excision of local lesion of epididymis (54830) |
$8,223.11 |
$10,964.15 |
1.9× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$3,541.93 |
$4,722.57 |
1.5× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$7,022.75 |
$9,363.66 |
1.0× |
| Excision of penile plaque (Peyronie disease); Facility (54110) |
$7,431.48 |
$9,908.64 |
1.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,155.81 |
$6,874.41 |
1.5× |
| Excision of single external papilla or tag, anus (46220) |
$4,647.27 |
$6,196.36 |
3.2× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$6,408.88 |
$8,545.17 |
2.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$6,465.77 |
$8,621.02 |
4.5× |
| Excision of vaginal cyst or tumor (57135) |
$4,433.02 |
$5,910.69 |
1.1× |
| Excision of vaginal septum (57130) |
$2,286.44 |
$3,048.58 |
0.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$7,662.58 |
$10,216.77 |
1.8× |
| Excision olecranon bursa (24105) |
$6,056.63 |
$8,075.51 |
1.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$6,690.56 |
$8,920.74 |
1.7× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$5,288.43 |
$7,051.24 |
1.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,800.36 |
$7,733.81 |
1.7× |
| Excision prepatellar bursa (27340) |
$7,347.24 |
$9,796.32 |
1.9× |
| Excision Synovial Cyst Popliteal Space (27345) |
$6,751.35 |
$9,001.80 |
1.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,654.90 |
$3,539.86 |
1.3× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,163.36 |
$4,217.80 |
0.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,740.63 |
$4,987.50 |
1.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,288.20 |
$4,384.26 |
1.7× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$3,415.47 |
$4,553.96 |
1.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,257.66 |
$1,676.88 |
0.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,675.82 |
$2,234.43 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,094.82 |
$5,459.76 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$3,002.82 |
$4,003.77 |
1.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,465.11 |
$5,953.48 |
2.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$6,272.03 |
$8,362.70 |
1.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,470.55 |
$7,294.07 |
1.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$5,108.78 |
$6,811.71 |
1.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$6,567.95 |
$8,757.26 |
1.9× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$6,746.95 |
$8,995.93 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,992.57 |
$5,323.42 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,918.25 |
$3,891 |
1.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,868.66 |
$3,824.88 |
1.5× |
| Explo/Drain Breast Abscess (19020) |
$6,192.65 |
$8,256.87 |
3.1× |
| Exploration of knee joint (27310) |
$7,848.31 |
$10,464.41 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,425.50 |
$3,234 |
1.2× |
| Explore Parathyroid Glands (60500) |
$12,965.09 |
$17,286.78 |
1.8× |
| Explore/treat eye socket (67412) |
$8,497.09 |
$11,329.45 |
3.0× |
| External cephalic version (59412) |
$9,063 |
$12,084 |
2.3× |
| Fasciectomy Palm Only (26121) |
$4,523.35 |
$6,031.13 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$4,808.57 |
$6,411.42 |
1.2× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$6,547.49 |
$8,729.98 |
1.7× |
| Fasciotomy foot and/or toe (28008) |
$5,374.41 |
$7,165.88 |
1.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$5,925.11 |
$7,900.15 |
1.5× |
| Fetal contraction stress test (59020) |
$1,368 |
$1,824 |
5.6× |
| Fetal non-stress test (59025) |
$576 |
$768 |
2.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,113 |
$1,484 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,113 |
$1,484 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$3,230.25 |
$4,307 |
6.6× |
| Fit/Insert Intravag Support Device (57160) |
$534 |
$712 |
2.2× |
| Fix Entropion,Extensv Lid Repair (67924) |
$3,914 |
$5,218.66 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$1,158.75 |
$1,545 |
4.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,113 |
$1,484 |
1.3× |
| Foreskin manipulation (54450) |
$59.25 |
$79 |
0.2× |
| Frenulotomy of penis (54164) |
$3,571.72 |
$4,762.29 |
1.4× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$7,293.84 |
$9,725.12 |
2.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,294.95 |
$4,393.27 |
1.3× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$8,336.21 |
$11,114.94 |
3.4× |
| Fusion of foot bones (28740) |
$9,710.39 |
$12,947.19 |
1.1× |
| Fusion of knuckle (26850) |
$9,100.69 |
$12,134.25 |
1.0× |
| Fusion of toes (28280) |
$4,954.31 |
$6,605.75 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$534 |
$712 |
2.1× |
| Gastrocnemius recession (27687) |
$7,889.85 |
$10,519.80 |
2.0× |
| Glossectomy; less than one-half tongue Facility (41120) |
$8,832.88 |
$11,777.17 |
1.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$11,925.62 |
$15,900.83 |
2.8× |
| Guide Cathet Fluid Drainage (10030) |
$880.08 |
$1,173.44 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$10,214.90 |
$13,619.86 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$4,856.23 |
$6,474.97 |
1.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$2,702.06 |
$3,602.75 |
0.7× |
| Hemorrhoidectomy (46255) |
$5,439.88 |
$7,253.17 |
1.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$5,272.49 |
$7,029.99 |
1.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$4,661.30 |
$6,215.07 |
1.4× |
| Hemorrhoidopexy by stapling (46947) |
$7,278.56 |
$9,704.74 |
2.2× |
| Hymenotomy Simple Incision (56442) |
$3,242.77 |
$4,323.69 |
0.8× |
| Hysteroscopy biopsy (58558) |
$3,925.12 |
$5,233.49 |
1.0× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$4,457.27 |
$5,943.03 |
0.7× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$3,256.66 |
$4,342.21 |
0.5× |
| Hysteroscopy removal leiomyomata (58561) |
$5,948.38 |
$7,931.17 |
1.0× |
| Hysteroscopy w endometrial ablation (58563) |
$4,518.19 |
$6,024.25 |
0.8× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$3,961.94 |
$5,282.59 |
1.0× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,175.14 |
$4,233.52 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$1,636.50 |
$2,182 |
5.8× |
| I&d abscess simple (10060) |
$534 |
$712 |
2.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,288 |
$8,384 |
1.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$7,441.13 |
$9,921.51 |
2.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$8,266.58 |
$11,022.10 |
3.3× |
| I&d pilonidal cyst simple (10080) |
$1,744.50 |
$2,326 |
2.1× |
| I&d submucosal abscess rectum (45005) |
$5,266.16 |
$7,021.55 |
3.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$4,017.75 |
$5,357 |
2.0× |
| I&d vulva/perineal abscess (56405) |
$1,160.25 |
$1,547 |
3.2× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,580.25 |
$2,107 |
0.7× |
| Ileoscopy thru stoma (44380) |
$993 |
$1,324 |
0.9× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$966.38 |
$1,288.50 |
0.9× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$1,580.25 |
$2,107 |
0.7× |
| Image Cath Fluid Colxn Visc (49405) |
$4,158.75 |
$5,545 |
2.1× |
| Image Cath Fluid Peri/Retro (49406) |
$4,158.75 |
$5,545 |
2.1× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,897.25 |
$3,863 |
1.5× |
| Incise external hemorrhoid (46083) |
$379.50 |
$506 |
1.3× |
| Incise finger tendon sheath (26055) |
$1,654.75 |
$2,206.33 |
0.9× |
| Incise wrist/forearm tendon (25290) |
$3,139.76 |
$4,186.35 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$718.50 |
$958 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$6,865.05 |
$9,153.40 |
2.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,636.50 |
$2,182 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,832.75 |
$3,777 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$718.50 |
$958 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$69.75 |
$93 |
0.3× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$7,021.50 |
$9,362 |
2.1× |
| Incision and drainage perianal abscess superficial (46050) |
$57.75 |
$77 |
0.1× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,661.25 |
$2,215 |
0.5× |
| Incision bone cortex foot (28005) |
$4,020.47 |
$5,360.63 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,846 |
$2,461.33 |
1.0× |
| Incision of eardrum (69420) |
$2,555.48 |
$3,407.30 |
9.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,234.50 |
$1,646 |
0.7× |
| Incision of rectal abscess (46045) |
$5,880.03 |
$7,840.04 |
1.8× |
| Incision of rectal abscess (46040) |
$197.25 |
$263 |
0.1× |
| Incisional biopsy skin single lesion (11106) |
$578.93 |
$771.90 |
0.7× |
| Induced abortion by d&c (59840) |
$3,397.43 |
$4,529.91 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$60 |
$80 |
0.2× |
| Inj neurolytic subarachnoid (62280) |
$1,806 |
$2,408 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,466.25 |
$1,955 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$576 |
$768 |
1.6× |
| Inj therapeutic carpal tunnel (20526) |
$1,670.28 |
$2,227.04 |
4.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,744.50 |
$2,326 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$918.75 |
$1,225 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,543.50 |
$2,058 |
1.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,168.50 |
$1,558 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,397.25 |
$1,863 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$798.75 |
$1,065 |
0.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,168.50 |
$1,558 |
1.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$3,826.79 |
$5,102.38 |
3.6× |
| Inject Sinus Tract Theraputic (20500) |
$654 |
$872 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$576 |
$768 |
1.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,023 |
$1,364 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,370.25 |
$1,827 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$654 |
$872 |
1.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,234.50 |
$1,646 |
1.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$654 |
$872 |
0.8× |
| Injection for identification of sentinel node (38792) |
$678.75 |
$905 |
1.4× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$654 |
$872 |
0.9× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$332.25 |
$443 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$576 |
$768 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$534 |
$712 |
1.5× |
| Injection(s) spider veins (36468) |
$203.25 |
$271 |
0.4× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$918.75 |
$1,225 |
0.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,168.50 |
$1,558 |
1.1× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,124.25 |
$1,499 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$6,807 |
$9,076 |
1.8× |
| Ins cath ren art 1st unilat (36251) |
$5,442.75 |
$7,257 |
1.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,807 |
$9,076 |
1.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,442.75 |
$7,257 |
0.8× |
| Ins endovas vena cava filtr (37191) |
$8,099.25 |
$10,799 |
1.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$17,158.50 |
$22,878 |
1.4× |
| Ins tun ip cath for dial opn (49421) |
$4,197 |
$5,596 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$474 |
$632 |
3.1× |
| Insert cath pleura w/ image (32557) |
$1,374 |
$1,832 |
0.7× |
| Insert cath pleura w/o image (32556) |
$3,135.75 |
$4,181 |
1.4× |
| Insert cervical dilator (59200) |
$1,262.25 |
$1,683 |
3.5× |
| Insert Drug Implant Device (11981) |
$516 |
$688 |
3.2× |
| Insert gastrostomy tube percutaneous (49440) |
$2,052.38 |
$2,736.50 |
0.9× |
| Insert heart pm ventricular (33207) |
$17,158.50 |
$22,878 |
1.4× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$5,407.50 |
$7,210 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$2,502.75 |
$3,337 |
0.7× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,502.75 |
$3,337 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,087.25 |
$2,783 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$377.25 |
$503 |
2.4× |
| Insert Tissue Expander(S) (11960) |
$6,852.35 |
$9,136.47 |
1.6× |
| Insert tun ip cath perc (49418) |
$4,537.50 |
$6,050 |
1.1× |
| Insert tunneled cv cath (36561) |
$5,439.75 |
$7,253 |
1.4× |
| Insert Tunneled Cv Cath With Pump (36563) |
$3,869.25 |
$5,159 |
0.6× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$3,292.50 |
$4,390 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$377.25 |
$503 |
2.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,115.25 |
$5,487 |
1.0× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$23,725.77 |
$31,634.36 |
1.0× |
| Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) |
$10,091.24 |
$13,454.98 |
0.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,636.50 |
$2,182 |
2.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,887.50 |
$11,850 |
0.9× |
| Insj picc rs&i 5 yr+ (36573) |
$3,900.75 |
$5,201 |
2.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,230.25 |
$4,307 |
0.9× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,292.50 |
$4,390 |
0.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,869.25 |
$5,159 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$10,953.75 |
$14,605 |
1.6× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,869.25 |
$5,159 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$11,863.50 |
$15,818 |
3.1× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$12,096.59 |
$16,128.78 |
1.2× |
| Insj/rplcmt defib w/lead(s) (33249) |
$30,485.79 |
$40,647.72 |
0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$12,293.25 |
$16,391 |
1.2× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$14,210.25 |
$18,947 |
1.4× |
| Intro cath dialysis circuit (36901) |
$1,805.25 |
$2,407 |
1.0× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure |
$1,805.25 |
$2,407 |
0.1× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$7,242.75 |
$9,657 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$670.50 |
$894 |
2.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,636.50 |
$2,182 |
5.5× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$11,383.48 |
$15,177.97 |
2.3× |
| Knee Arthroscopy/Surgery (29874) |
$6,934.04 |
$9,245.39 |
1.8× |
| Knee Arthroscopy/Surgery (29879) |
$7,071.05 |
$9,428.07 |
1.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$10,222.36 |
$13,629.81 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$12,751.25 |
$17,001.66 |
1.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$10,969.80 |
$14,626.40 |
1.3× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$7,911.54 |
$10,548.72 |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,916.28 |
$13,221.70 |
1.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$10,345.59 |
$13,794.12 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$11,457.77 |
$15,277.03 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$9,148.35 |
$12,197.80 |
1.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$11,130.42 |
$14,840.56 |
1.3× |
| Lap ing hernia repair init (49650) |
$8,050.97 |
$10,734.63 |
1.1× |
| Lap paraesoph her rpr w/mesh (43282) |
$12,632.12 |
$16,842.83 |
1.0× |
| Lap paraesophag hern repair (43281) |
$11,905.91 |
$15,874.55 |
0.9× |
| Lap replace gastr adj device (43773) |
$9,922.15 |
$13,229.53 |
1.4× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$10,186.03 |
$13,581.37 |
1.4× |
| Laparoscopy appendectomy (44970) |
$11,713.94 |
$15,618.59 |
1.6× |
| Laparoscopy biopsy (49321) |
$7,247.22 |
$9,662.96 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$14,433.26 |
$19,244.35 |
1.1× |
| Laparoscopy tubal block (58671) |
$6,309.18 |
$8,412.24 |
0.9× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,512.45 |
$16,683.26 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$8,045.90 |
$10,727.86 |
1.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$11,207.35 |
$14,943.13 |
1.5× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,883.63 |
$15,844.84 |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$16,793.08 |
$22,390.77 |
1.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$9,271.35 |
$12,361.80 |
2.0× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$13,709.23 |
$18,278.97 |
1.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,758.90 |
$17,011.87 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$8,925.98 |
$11,901.30 |
1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$11,542.36 |
$15,389.81 |
0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$12,441.82 |
$16,589.09 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$12,054.89 |
$16,073.18 |
1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$9,354.98 |
$12,473.30 |
1.3× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$5,647.35 |
$7,529.80 |
0.8× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$8,924.33 |
$11,899.10 |
1.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,626.57 |
$8,835.42 |
0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$8,584.38 |
$11,445.84 |
1.2× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$14,018.84 |
$18,691.79 |
1.1× |
| Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) |
$12,898.50 |
$17,198 |
1.0× |
| Laps Surg Prst8ect Rpbic Radical W/Lymph Node Bx (55868) |
$12,898.50 |
$17,198 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$9,748.19 |
$12,997.58 |
1.3× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,184.74 |
$5,579.65 |
0.9× |
| Laryngoscopy diagnostic (31505) |
$40.50 |
$54 |
0.2× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$908.25 |
$1,211 |
1.9× |
| Laryngoscopy flexible diagnostic (31575) |
$501 |
$668 |
2.1× |
| Laryngoscopy w/biopsy (31535) |
$3,964.33 |
$5,285.77 |
0.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$422.25 |
$563 |
0.2× |
| Larynscop w/tumr exc + scope (31541) |
$5,103.38 |
$6,804.50 |
1.1× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$9,569.35 |
$12,759.13 |
1.5× |
| Ligation of a-v fistula (37607) |
$2,921.85 |
$3,895.80 |
0.8× |
| Ligation of hemorrhoid(s) (46221) |
$955.50 |
$1,274 |
0.9× |
| Ligation Of Inf Vena Cava (37619) |
$7,375.50 |
$9,834 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$2,578.41 |
$3,437.88 |
1.3× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$6,537.63 |
$8,716.84 |
1.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,287.67 |
$7,050.22 |
1.3× |
| Lithotripsy (50590) |
$3,497.21 |
$4,662.95 |
0.8× |
| Liver Biopsy (47000) |
$2,388.75 |
$3,185 |
1.2× |
| Lyse chest fibrin init day (32561) |
$9,184.75 |
$12,246.33 |
12.2× |
| Lysis of labial adhesions (56441) |
$8,740.23 |
$11,653.64 |
2.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,626.09 |
$4,834.78 |
1.4× |
| Manipulation knee joint under general anesthesia (27570) |
$5,624.44 |
$7,499.25 |
2.9× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,124.25 |
$1,499 |
1.3× |
| Marsupialization Bartholins Gland Cyst (56440) |
$5,342.50 |
$7,123.33 |
1.4× |
| Mastectomy for gynecomastia (19300) |
$5,834.74 |
$7,779.65 |
1.2× |
| Mastectomy partial (19301) |
$6,240.74 |
$8,320.99 |
1.3× |
| Mastectomy simple complete (19303) |
$9,638.37 |
$12,851.16 |
1.2× |
| Mastopexy (19316) |
$7,514.93 |
$10,019.91 |
0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,461.75 |
$1,949 |
0.8× |
| Mech remov tunneled cv cath (36595) |
$3,292.50 |
$4,390 |
0.9× |
| Metatarsectomy (28140) |
$5,146.67 |
$6,862.23 |
1.3× |
| Myelography Lumbar Injection (62305) |
$1,404.75 |
$1,873 |
1.5× |
| Myelography Lumbar Injection (62304) |
$1,404.75 |
$1,873 |
1.5× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,404.75 |
$1,873 |
1.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,290 |
$1,720 |
1.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$6,541.64 |
$8,722.19 |
1.5× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$6,149.79 |
$8,199.72 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$4,037.36 |
$5,383.14 |
1.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,455.84 |
$4,607.78 |
1.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$849.75 |
$1,133 |
1.6× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$5,599.29 |
$7,465.72 |
1.3× |
| Needle biopsy of pancreas (48102) |
$1,805.25 |
$2,407 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$72.64 |
$96.85 |
2.1× |
| Nerve repair w/allograft (64910) |
$7,379.84 |
$9,839.78 |
0.7× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,820.04 |
$3,760.05 |
1.2× |
| Nipple/areola reconstruction (19350) |
$10,601.96 |
$14,135.94 |
2.3× |
| Njx aa&/strd sciatic nerve (64445) |
$1,744.50 |
$2,326 |
2.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$788.25 |
$1,051 |
2.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$5,118.75 |
$6,825 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,969.50 |
$6,626 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,026 |
$1,368 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,805.25 |
$2,407 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,805.25 |
$2,407 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,234.50 |
$1,646 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,744.50 |
$2,326 |
2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$918.75 |
$1,225 |
0.9× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$695.25 |
$927 |
0.3× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$332.25 |
$443 |
0.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,992 |
$2,656 |
2.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,197.75 |
$1,597 |
1.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$695.25 |
$927 |
1.4× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$6,585.72 |
$8,780.96 |
0.8× |
| Occipital Nerve Block (64405) |
$654 |
$872 |
1.8× |
| Occlude fallopian tube(s) (58615) |
$7,335.64 |
$9,780.85 |
1.9× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$5,767.50 |
$7,690 |
0.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$8,994.33 |
$11,992.44 |
1.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$15,774.01 |
$21,032.01 |
1.8× |
| Open treatment calcaneal fracture (28415) |
$15,849.63 |
$21,132.84 |
1.8× |
| Open treatment fracture distal tibia only (27827) |
$12,022.13 |
$16,029.51 |
0.8× |
| Open Treatment Medial Malleolus Fracture (27766) |
$10,456.92 |
$13,942.56 |
1.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$5,169.20 |
$6,892.26 |
1.3× |
| Open treatment metatarsal fracture each (28485) |
$8,490.10 |
$11,320.13 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$12,943.57 |
$17,258.09 |
1.5× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$11,034.77 |
$14,713.03 |
0.7× |
| Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Facility (21445) |
$9,353.25 |
$12,471 |
1.3× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$4,865.22 |
$6,486.96 |
1.2× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$4,441.38 |
$5,921.84 |
1.1× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$6,131.57 |
$8,175.42 |
1.6× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$12,280.58 |
$16,374.11 |
0.8× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$11,219.63 |
$14,959.51 |
1.3× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$15,478.44 |
$20,637.92 |
1.8× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$25,827.92 |
$34,437.22 |
1.7× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$31,544.81 |
$42,059.75 |
3.6× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$12,558.15 |
$16,744.20 |
1.4× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$7,967.46 |
$10,623.28 |
0.9× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$6,284.78 |
$8,379.70 |
1.6× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,676.87 |
$10,235.82 |
0.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$13,375.25 |
$17,833.67 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,288 |
$8,384 |
1.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$15,173.65 |
$20,231.53 |
1.7× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$7,296.24 |
$9,728.32 |
1.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$14,326.55 |
$19,102.07 |
0.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$7,685.81 |
$10,247.75 |
2.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,891.65 |
$9,188.87 |
1.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$15,844.73 |
$21,126.30 |
1.8× |
| Open tx ulnar fx proximal end (24685) |
$13,512.47 |
$18,016.62 |
1.6× |
| Open/Perq Place Stent Same (37238) |
$11,723.25 |
$15,631 |
0.8× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,723.25 |
$15,631 |
0.8× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$10,647.63 |
$14,196.84 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$10,149.04 |
$13,532.05 |
1.2× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$9,280.35 |
$12,373.80 |
1.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$9,113.03 |
$12,150.71 |
2.1× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$7,878.46 |
$10,504.61 |
1.9× |
| Ostectomy calcaneus (28118) |
$9,839.48 |
$13,119.31 |
2.5× |
| Ostectomy complete 1st metatarsal head (28111) |
$10,209.26 |
$13,612.35 |
2.6× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,026.98 |
$4,035.98 |
0.8× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$4,655.13 |
$6,206.84 |
1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$6,188.94 |
$8,251.92 |
1.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,976.97 |
$6,635.96 |
1.3× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$4,925.83 |
$6,567.77 |
0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$7,028.48 |
$9,371.30 |
1.8× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$12,839.69 |
$17,119.58 |
1.5× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$15,203.87 |
$20,271.82 |
1.0× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$7,628.66 |
$10,171.55 |
0.9× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$14,349.26 |
$19,132.35 |
1.7× |
| Ovarian cystectomy (58925) |
$5,637 |
$7,516 |
0.9× |
| P-mastectomy w/ln removal (19302) |
$12,900.51 |
$17,200.68 |
1.6× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$4,413.38 |
$5,884.50 |
1.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$5,011.39 |
$6,681.85 |
1.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$7,270.56 |
$9,694.08 |
3.8× |
| Partial hymenectomy or revision (56700) |
$2,745.15 |
$3,660.20 |
0.7× |
| Partial removal of thyroid (60220) |
$12,188.18 |
$16,250.91 |
1.7× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$16,555.19 |
$22,073.59 |
2.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,275.18 |
$4,366.90 |
0.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,816.26 |
$3,755.01 |
0.7× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$5,761.50 |
$7,682 |
0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,726.25 |
$15,635 |
0.8× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,805.25 |
$2,407 |
2.1× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$5,245.50 |
$6,994 |
0.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,245.50 |
$6,994 |
1.4× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$7,566.81 |
$10,089.08 |
1.9× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$8,108.27 |
$10,811.03 |
0.9× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$11,060.66 |
$14,747.54 |
5.7× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,706.65 |
$4,942.20 |
0.9× |
| Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456) |
$7,902.78 |
$10,537.04 |
0.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,245.94 |
$4,327.92 |
0.8× |
| Peritoneal Lavage (49084) |
$1,170 |
$1,560 |
1.1× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$5,407.50 |
$7,210 |
0.2× |
| Perq dev breast 1st mr guide (19287) |
$2,124.75 |
$2,833 |
2.5× |
| Perq dev breast 1st us imag (19285) |
$2,124.75 |
$2,833 |
2.5× |
| Perq device breast 1st imag (19281) |
$2,124.75 |
$2,833 |
1.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,404.50 |
$3,206 |
0.6× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$2,404.50 |
$3,206 |
0.6× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$5,761.50 |
$7,682 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,744.50 |
$2,326 |
5.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$5,473.34 |
$7,297.78 |
1.4× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
likely a partial charge, not the full procedure |
$5,422.50 |
$7,230 |
0.2× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$2,189.25 |
$2,919 |
0.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,242.75 |
$9,657 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,311.50 |
$11,082 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$10,642.50 |
$14,190 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$5,546.25 |
$7,395 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$4,197 |
$5,596 |
1.1× |
| Phalangectomy toe each toe (28150) |
$3,821.94 |
$5,095.92 |
1.0× |
| Phleb veins - extrem 20+ (37766) |
$2,664 |
$3,552 |
0.7× |
| Picc line placement (36569) |
$4,158.75 |
$5,545 |
2.2× |
| Place Cath Thoracic Aorta (36221) |
$8,118.75 |
$10,825 |
2.1× |
| Place duod/jej tube perc (49441) |
$2,238 |
$2,984 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$205.50 |
$274 |
0.4× |
| Placement of seton (46020) |
$4,788.47 |
$6,384.63 |
1.4× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$4,969.50 |
$6,626 |
0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,401.25 |
$12,535 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$9,400.50 |
$12,534 |
1.3× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$9,400.50 |
$12,534 |
1.3× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$3,571.72 |
$4,762.29 |
2.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,438.75 |
$4,585 |
1.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,438.75 |
$4,585 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,121 |
$6,828 |
1.2× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$5,121 |
$6,828 |
1.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$8,410.04 |
$11,213.38 |
1.4× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$5,194.50 |
$6,926 |
0.2× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,256.60 |
$3,008.80 |
0.8× |
| Probe nasolacrimal duct (68810) |
$1,424.45 |
$1,899.27 |
3.7× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$2,333.08 |
$3,110.77 |
0.8× |
| Proctosigmoid w/biopsy (45305) |
$1,458 |
$1,944 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$5,118.75 |
$6,825 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,969.50 |
$6,626 |
1.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$5,546.25 |
$7,395 |
1.4× |
| Prq skel fixj metar fx w/manj (28476) |
$8,953.65 |
$11,938.20 |
2.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$4,876.49 |
$6,501.99 |
1.2× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$7,115.36 |
$9,487.14 |
0.8× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,698.79 |
$4,931.72 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$548.25 |
$731 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$1,413.75 |
$1,885 |
1.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$718.50 |
$958 |
1.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,805.25 |
$2,407 |
2.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,390.61 |
$5,854.14 |
1.1× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$3,554.75 |
$4,739.67 |
1.8× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$9,301.13 |
$12,401.50 |
1.1× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$993 |
$1,324 |
0.9× |
| Realignment extensor tendon hand each tendon (26437) |
$3,453.14 |
$4,604.18 |
0.9× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$8,159.44 |
$10,879.25 |
2.1× |
| Reduce testis torsion (54600) |
$9,581.06 |
$12,774.74 |
2.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$10,358.82 |
$13,811.76 |
1.2× |
| Release finger contracture (26525) |
$4,473.08 |
$5,964.10 |
2.3× |
| Rem Endovas Vena Cava Filter (37193) |
$5,061.75 |
$6,749 |
1.3× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$19,691.66 |
$26,255.54 |
0.8× |
| Removal biliary drg cath (47537) |
$1,102.50 |
$1,470 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$3,966.63 |
$5,288.84 |
2.0× |
| Removal foreign body foot deep (28192) |
$14,970.36 |
$19,960.48 |
7.6× |
| Removal foreign body foot subcutaneous (28190) |
$654 |
$872 |
0.8× |
| Removal foreign body intranasal (30300) |
$105.75 |
$141 |
0.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$3,021 |
$4,028 |
1.5× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,805.25 |
$2,407 |
0.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,626.09 |
$4,834.78 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$265.50 |
$354 |
3.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$42.75 |
$57 |
0.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,063.45 |
$4,084.60 |
0.8× |
| Removal implant deep (20680) |
$5,519.28 |
$7,359.04 |
1.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$8,793.95 |
$11,725.27 |
4.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$8,207.84 |
$10,943.79 |
9.7× |
| Removal of adenoids (42831) |
$4,928.96 |
$6,571.95 |
1.2× |
| Removal of adenoids (42830) |
$4,819.26 |
$6,425.68 |
1.2× |
| Removal of anal fissure (46200) |
$4,750.58 |
$6,334.10 |
1.4× |
| Removal of arm foreign body (24200) |
$2,089.50 |
$2,786 |
1.1× |
| Removal of breast capsule (19371) |
$8,211.32 |
$10,948.42 |
1.7× |
| Removal of embedded foreign body, eyelid (67938) |
$691.50 |
$922 |
1.8× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,391 |
$3,188 |
1.7× |
| Removal of finger lesion (26210) |
$3,879.37 |
$5,172.49 |
2.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$60.75 |
$81 |
0.1× |
| Removal of heel spur (28119) |
$4,971.88 |
$6,629.17 |
1.3× |
| Removal of implant from finger or hand (26320) |
$3,231 |
$4,308 |
1.6× |
| Removal of implant material (19330) |
$4,724.60 |
$6,299.47 |
1.0× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$2,716.90 |
$3,622.53 |
1.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,234.50 |
$1,646 |
1.6× |
| Removal of iud (58301) |
$534 |
$712 |
1.5× |
| Removal of nail bed (11750) |
$695.25 |
$927 |
1.4× |
| Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of… (54415) |
$6,206.54 |
$8,275.39 |
1.5× |
| Removal of sesamoid bone (28315) |
$6,025.83 |
$8,034.44 |
1.5× |
| Removal Of Tendon Lesion (27630) |
$5,316.37 |
$7,088.49 |
1.4× |
| Removal of testis (54520) |
$5,528.60 |
$7,371.47 |
1.3× |
| Removal of tonsils (42825) |
$5,037.69 |
$6,716.92 |
0.7× |
| Removal of tonsils (42826) |
$5,246.68 |
$6,995.57 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,742.75 |
$3,657 |
0.7× |
| Removal of wrist bone (25210) |
$5,351.05 |
$7,134.73 |
1.4× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$6,154.72 |
$8,206.29 |
1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$2,583.65 |
$3,444.87 |
10.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,862.25 |
$2,483 |
2.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,638.25 |
$4,851 |
1.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$141.57 |
$188.76 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$465.75 |
$621 |
1.4× |
| Remove anal fist subq (46270) |
$4,993.15 |
$6,657.53 |
1.5× |
| Remove cerclage suture (59871) |
$2,882.25 |
$3,843 |
0.7× |
| Remove drug implant device (11982) |
$817.50 |
$1,090 |
1.5× |
| Remove ext hem groups 2+ (46250) |
$4,638.86 |
$6,185.14 |
1.4× |
| Remove intrvas foreign body (37197) |
$6,228.75 |
$8,305 |
1.6× |
| Remove Lower Leg Bone Lesion (27635) |
$6,363.17 |
$8,484.23 |
1.6× |
| Remove Pilonidal Cyst Exten (11771) |
$5,441.28 |
$7,255.04 |
1.6× |
| Remove Prostate Regrowth (52630) |
$6,592.94 |
$8,790.59 |
1.0× |
| Remove pulse generator (33241) |
$4,362.17 |
$5,816.22 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$1,744.50 |
$2,326 |
2.1× |
| Remove Tendon Sheath Lesion (26160) |
$2,137.18 |
$2,849.57 |
1.1× |
| Remove thyroid duct lesion (60280) |
$6,727.64 |
$8,970.19 |
0.9× |
| Remove tissue expander (11971) |
$5,314.24 |
$7,085.65 |
1.5× |
| Remove ureter stent, percut (50384) |
$2,404.50 |
$3,206 |
1.0× |
| Remove vagina gland lesion (56740) |
$5,599.71 |
$7,466.28 |
1.4× |
| Remove&replace pm gen singl (33227) |
$12,150.43 |
$16,200.57 |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,992.96 |
$2,657.28 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$60 |
$80 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$328.50 |
$438 |
2.1× |
| Remv&replc cvd gen dual lead (33263) |
$29,433.71 |
$39,244.95 |
1.1× |
| Remv&replc cvd gen mult lead (33264) |
$19,014.83 |
$25,353.10 |
0.5× |
| Remv&replc cvd gen sing lead (33262) |
$16,821.08 |
$22,428.10 |
0.6× |
| Remv&replc pm gen dual lead (33228) |
$10,432.43 |
$13,909.90 |
0.8× |
| Remv&replc pm gen mult leads (33229) |
$12,802.66 |
$17,070.21 |
0.6× |
| Renal Biopsy Percutaneous (50200) |
$2,388.75 |
$3,185 |
1.2× |
| Repair achilles tendon (27650) |
$7,649.60 |
$10,199.47 |
0.9× |
| Repair anal fistula (46288) |
$7,303.55 |
$9,738.06 |
2.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$7,446.51 |
$9,928.68 |
2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$219.75 |
$293 |
0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$431.25 |
$575 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,044 |
$1,392 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$522.75 |
$697 |
1.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$225.75 |
$301 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$558.75 |
$745 |
1.1× |
| Repair Ectropion Extensive (67917) |
$3,757.95 |
$5,010.60 |
1.3× |
| Repair ectropion suture (67914) |
$4,078.79 |
$5,438.38 |
1.4× |
| Repair Entropion Suture (67921) |
$5,189.34 |
$6,919.12 |
1.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,093.50 |
$5,458 |
2.1× |
| Repair eyelid defect (67908) |
$3,473.06 |
$4,630.75 |
1.2× |
| Repair eyelid defect (67923) |
$3,505.78 |
$4,674.37 |
1.2× |
| Repair eyelid defect (67903) |
$3,307.91 |
$4,410.54 |
1.2× |
| Repair Eyelid Wound (67935) |
$3,900.75 |
$5,201 |
1.4× |
| Repair eyelid wound (67930) |
$3,732.75 |
$4,977 |
1.3× |
| Repair Finger Tendon (26433) |
$3,893.87 |
$5,191.83 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$7,766.92 |
$10,355.89 |
2.0× |
| Repair hand tendon (26410) |
$6,288 |
$8,384 |
3.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$7,757.09 |
$10,342.79 |
1.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$12,370.73 |
$16,494.30 |
2.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$7,288.19 |
$9,717.59 |
1.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$9,539.77 |
$12,719.69 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,075.50 |
$1,434 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,113 |
$1,484 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$152.25 |
$203 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$177 |
$236 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$225 |
$300 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$108.75 |
$145 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$181.50 |
$242 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$165 |
$220 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$130.50 |
$174 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$101.25 |
$135 |
0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,901.25 |
$2,535 |
3.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,044 |
$1,392 |
2.1× |
| Repair lower leg tendons (27676) |
$10,770.95 |
$14,361.27 |
1.2× |
| Repair Mouth Laceration (40831) |
$1,805.25 |
$2,407 |
2.8× |
| Repair nasal septal perforations (30630) |
$5,917.82 |
$7,890.43 |
1.5× |
| Repair of hammertoe (28286) |
$5,154.92 |
$6,873.23 |
1.3× |
| Repair of hydrocele (55060) |
$6,450.87 |
$8,601.16 |
1.5× |
| Repair of iris, ciliary body (as for iridodialysis) Facility (66680) |
$1,848.45 |
$2,464.60 |
0.7× |
| Repair of leg tendon each (27664) |
$16,239.56 |
$21,652.74 |
1.9× |
| Repair of nail bed (11760) |
$93.75 |
$125 |
0.1× |
| Repair of nasal septum (30520) |
$6,767.27 |
$9,023.02 |
1.7× |
| Repair radius & ulna (25415) |
$18,536.93 |
$24,715.90 |
2.1× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$7,671.59 |
$10,228.78 |
1.0× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$6,484.25 |
$8,645.66 |
1.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,114.55 |
$9,486.07 |
0.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$7,898.21 |
$10,530.95 |
2.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$9,678.78 |
$12,905.04 |
1.1× |
| Repair tongue laceration (41252) |
$3,900.75 |
$5,201 |
13.7× |
| Repair Tongue Laceration (41250) |
$147 |
$196 |
0.3× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$10,661.34 |
$14,215.12 |
1.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$12,545.51 |
$16,727.35 |
1.4× |
| Repair/graft finger tendon (26420) |
$4,181.54 |
$5,575.38 |
1.1× |
| Repair/graft wrist bone (25440) |
$10,200.83 |
$13,601.11 |
1.2× |
| Repair/revise wrist joint (25320) |
$8,311.22 |
$11,081.62 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$679.50 |
$906 |
0.6× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$841.50 |
$1,122 |
0.8× |
| Replace Tissue Expander (11970) |
$9,028.12 |
$12,037.49 |
1.0× |
| Replace tunneled cv cath (36578) |
$3,230.25 |
$4,307 |
0.9× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$679.50 |
$906 |
0.6× |
| Reposition cv cath w/fluoro (36597) |
$1,461.75 |
$1,949 |
0.8× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,805.25 |
$2,407 |
6.0× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$5,061.75 |
$6,749 |
1.3× |
| Resection of scrotum (55150) |
$5,885.75 |
$7,847.67 |
1.4× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$1,839.38 |
$2,452.51 |
0.5× |
| Revise Hand/Foot Nerve (64704) |
$3,415.16 |
$4,553.55 |
1.5× |
| Revise knuckle joint (26530) |
$8,031.62 |
$10,708.83 |
0.9× |
| Revise knuckle with implant (26531) |
$6,343.94 |
$8,458.58 |
0.7× |
| Revise thumb tendon (26496) |
$6,105.77 |
$8,141.02 |
1.6× |
| Revise ulnar nerve at elbow (64718) |
$4,886.93 |
$6,515.90 |
2.1× |
| Revise/Implant Finger Joint (26536) |
$8,436.39 |
$11,248.52 |
1.0× |
| Revision of colostomy simple (44340) |
$7,505.62 |
$10,007.49 |
1.8× |
| Revision of eyelid (67961) |
$3,172.57 |
$4,230.09 |
1.1× |
| Revision of foot (28116) |
$9,327.09 |
$12,436.12 |
2.4× |
| Revision of lower leg tendon (27685) |
$3,724.44 |
$4,965.92 |
0.9× |
| Revision of reconstructed breast (19380) |
$8,824.75 |
$11,766.33 |
1.1× |
| Revision of tips (37183) |
$11,863.50 |
$15,818 |
1.7× |
| Revision of urethra (53450) |
$3,812.49 |
$5,083.32 |
0.9× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$5,210.91 |
$6,947.88 |
0.8× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$15,347.25 |
$20,463 |
2.2× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$15,347.25 |
$20,463 |
2.2× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$31,128.75 |
$41,505 |
2.2× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$31,128.75 |
$41,505 |
2.2× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$15,347.25 |
$20,463 |
2.2× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$15,347.25 |
$20,463 |
2.2× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$31,128.75 |
$41,505 |
2.2× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$31,128.75 |
$41,505 |
2.2× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$31,128.75 |
$41,505 |
2.2× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$31,128.75 |
$41,505 |
2.2× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$49,431.75 |
$65,909 |
2.3× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$49,431.75 |
$65,909 |
2.3× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$9,416.10 |
$12,554.80 |
1.3× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$9,094.37 |
$12,125.82 |
1.3× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,057.25 |
$2,743 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$57.75 |
$77 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,488.28 |
$5,984.37 |
1.3× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$4,663.07 |
$6,217.43 |
1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,774.88 |
$2,366.50 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,160.25 |
$1,547 |
1.5× |
| Rplc gtube revj gstrst trc (43763) |
$993 |
$1,324 |
3.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$11,863.50 |
$15,818 |
6.3× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,292.50 |
$4,390 |
0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,087.25 |
$2,783 |
1.1× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$3,869.25 |
$5,159 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,292.50 |
$4,390 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,565.75 |
$3,421 |
0.7× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$5,368.16 |
$7,157.54 |
1.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,461.75 |
$1,949 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$6,105 |
$8,140 |
9.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$427.50 |
$570 |
0.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$6,105 |
$8,140 |
3.3× |
| Rpr non-union mtcrpl/phalanx (26546) |
$6,602.35 |
$8,803.13 |
0.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$9,872.14 |
$13,162.85 |
2.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,160.25 |
$1,547 |
1.5× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$5,054.55 |
$6,739.40 |
1.3× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,185.50 |
$2,914 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$7,346.94 |
$9,795.92 |
1.9× |
| Sclerotx Fluid Collection (49185) |
$2,150.25 |
$2,867 |
1.1× |
| Sesamoidectomy, thumb or finger (separate procedure) Facility (26185) |
$4,241.69 |
$5,655.59 |
2.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,132.12 |
$1,509.50 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,526.62 |
$2,035.50 |
1.1× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,534.12 |
$2,045.50 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$2,477.72 |
$3,303.62 |
10.3× |
| Sigmoidoscopy & decompress (45337) |
$868.88 |
$1,158.50 |
0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,534.12 |
$2,045.50 |
1.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$966.38 |
$1,288.50 |
0.7× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,565.84 |
$2,087.78 |
1.4× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$966.38 |
$1,288.50 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$657.75 |
$877 |
0.6× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,534.12 |
$2,045.50 |
1.1× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$1,534.12 |
$2,045.50 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$1,526.62 |
$2,035.50 |
1.4× |
| Sigmoidoscopy w/fb removal (45332) |
$736.50 |
$982 |
0.5× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,565.84 |
$2,087.78 |
1.1× |
| Simple Cystometrogram (51725) |
$739.26 |
$985.68 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,744.50 |
$2,326 |
7.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,744.50 |
$2,326 |
7.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$171.75 |
$229 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$166.50 |
$222 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$534 |
$712 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$192 |
$256 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,744.50 |
$2,326 |
7.3× |
| Skin splt grft trnk/arm/leg (15100) |
$3,622.59 |
$4,830.12 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,690.25 |
$3,587 |
3.0× |
| Skin sub graft trnk/arm/leg (15271) |
$2,690.25 |
$3,587 |
3.0× |
| Skin sub grft t/arm/lg child (15273) |
$829.50 |
$1,106 |
0.3× |
| Skin Tissue Procedure (17999) |
$534 |
$712 |
2.2× |
| Skin tissue rearrangement (14040) |
$3,237.28 |
$4,316.37 |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$6,272.72 |
$8,363.63 |
1.0× |
| Slitting of prepuce (54001) |
$3,571.72 |
$4,762.29 |
1.4× |
| Small bowel endoscopy (44366) |
$1,966.12 |
$2,621.50 |
0.9× |
| Small bowel endoscopy (44364) |
$1,966.12 |
$2,621.50 |
0.9× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,966.12 |
$2,621.50 |
0.9× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,966.12 |
$2,621.50 |
0.9× |
| Small bowel endoscopy/biopsy (44377) |
$1,966.12 |
$2,621.50 |
0.9× |
| Small bowel endoscopy/stent (44370) |
$4,355.62 |
$5,807.50 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$1,966.12 |
$2,621.50 |
0.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$4,355.25 |
$5,807 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$1,244.25 |
$1,659 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$534 |
$712 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$150 |
$200 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$4,158.75 |
$5,545 |
8.5× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,964.34 |
$5,285.78 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,744.50 |
$2,326 |
2.1× |
| Spinal Puncture Therapeutic (62272) |
$1,636.50 |
$2,182 |
1.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,664 |
$3,552 |
0.7× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$7,387.31 |
$9,849.75 |
2.6× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$6,188.21 |
$8,250.95 |
2.2× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$7,256.79 |
$9,675.72 |
1.5× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Facility (67316) |
$8,825.78 |
$11,767.70 |
3.1× |
| Strapping ankle (29540) |
$444.75 |
$593 |
2.3× |
| Strapping elbow or wrist (29260) |
$220.50 |
$294 |
3.1× |
| Strapping hand/finger (29280) |
$2,512.52 |
$3,350.03 |
35.5× |
| Strapping knee (29530) |
$365.25 |
$487 |
2.3× |
| Strapping unna boot (29580) |
$474.75 |
$633 |
2.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$796.68 |
$1,062.24 |
1.5× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$1,050 |
$1,400 |
4.4× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$5,028.83 |
$6,705.11 |
1.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,658.13 |
$4,877.50 |
1.1× |
| Suspension of testis (54640) |
$7,921.41 |
$10,561.88 |
1.8× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$8,120.46 |
$10,827.28 |
3.5× |
| Suture infrapatellar tendon primary (27380) |
$11,413.43 |
$15,217.90 |
1.3× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$12,039.78 |
$16,053.04 |
1.4× |
| Suture/repair testicular injury (54670) |
$8,405.90 |
$11,207.87 |
2.0× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$3,868.27 |
$5,157.69 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$4,242.46 |
$5,656.61 |
2.2× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$33,720 |
$44,960 |
1.5× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$5,081.01 |
$6,774.68 |
1.3× |
| Tenolysis flexor foot single tendon (28220) |
$5,094.18 |
$6,792.24 |
2.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,327.02 |
$4,436.02 |
1.7× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,259.66 |
$4,346.22 |
0.8× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$6,554.95 |
$8,739.93 |
1.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,673.75 |
$3,565 |
1.4× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$7,068.50 |
$9,424.67 |
1.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$4,068.60 |
$5,424.80 |
2.1× |
| Tgsap sld org neo DNA 523&RNA 55 next gnrj seq (0379U) |
$3,329.25 |
$4,439 |
1.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,125 |
$1,500 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,744.50 |
$2,326 |
2.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,904.25 |
$6,539 |
1.3× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,198.25 |
$2,931 |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$5,697 |
$7,596 |
14.4× |
| Thrombolytic Venous Therapy (37212) |
$5,031 |
$6,708 |
1.3× |
| Thyroid biopsy (60100) |
$1,113 |
$1,484 |
1.3× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$8,479.73 |
$11,306.30 |
1.2× |
| Thyroidectomy, total or complete (60240) |
$14,516.60 |
$19,355.46 |
2.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$16,026.27 |
$21,368.36 |
2.3× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$11,590.14 |
$15,453.52 |
0.7× |
| Tnot elbow lateral/medial debride open (24358) |
$7,056.40 |
$9,408.53 |
1.8× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$5,582.09 |
$7,442.78 |
1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,390.85 |
$7,187.80 |
1.4× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$18,210.27 |
$24,280.36 |
0.9× |
| Total hip arthroplasty (27130) |
$24,385.07 |
$32,513.43 |
1.6× |
| Total Knee Arthroplasty (27447) |
$19,034.71 |
$25,379.61 |
1.2× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$11,208.16 |
$14,944.21 |
1.5× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$7,573.34 |
$10,097.79 |
2.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,166.25 |
$1,555 |
1.8× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,744.50 |
$2,326 |
6.1× |
| Transcatheter biopsy (37200) |
$3,869.25 |
$5,159 |
0.6× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) |
$4,236.83 |
$5,649.11 |
1.7× |
| Transplant hand tendon (26480) |
$6,395.63 |
$8,527.51 |
1.6× |
| Transplant/graft hand tendon (26483) |
$5,945.28 |
$7,927.04 |
1.5× |
| Transur electr resection of prostate (52601) |
$7,584.98 |
$10,113.31 |
1.2× |
| Transurethral resection bladder neck (52500) |
$6,374.09 |
$8,498.78 |
1.5× |
| Treat Big Toe Fracture (28505) |
$5,148.59 |
$6,864.79 |
1.3× |
| Treat elbow fracture (24586) |
$8,680.74 |
$11,574.32 |
0.6× |
| Treat fracture radius/ulna (25575) |
$17,728.37 |
$23,637.83 |
2.0× |
| Treat knee fracture (27532) |
$5,177.88 |
$6,903.84 |
1.3× |
| Treat Knee Fracture (27535) |
$19,487.96 |
$25,983.94 |
2.2× |
| Treat Knee Fracture (27540) |
$13,665.99 |
$18,221.32 |
1.6× |
| Treat Kneecap Fracture (27524) |
$11,180.80 |
$14,907.73 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$5,039.70 |
$6,719.60 |
17.0× |
| Treat shoulder blade fx (23575) |
$6,176.28 |
$8,235.04 |
3.2× |
| Treat Thumb Dislocation (26641) |
$1,805.25 |
$2,407 |
6.1× |
| Treat thumb fracture (26665) |
$6,391.46 |
$8,521.95 |
1.6× |
| Treatment closed elbow dislocation req anes (24605) |
$2,667 |
$3,556 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$300 |
$400 |
1.0× |
| Treatment of fibula fracture (27784) |
$16,703.58 |
$22,271.44 |
1.9× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$15,159.99 |
$20,213.32 |
1.7× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$3,138.01 |
$4,184.01 |
0.8× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,638.48 |
$4,851.30 |
0.9× |
| Treatment of nose fracture (21330) |
$4,922.56 |
$6,563.41 |
0.7× |
| Trim skin lesion (11055) |
$480 |
$640 |
2.0× |
| Trim skin lesions over 4 (11057) |
$103.50 |
$138 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$256.50 |
$342 |
3.6× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,583 |
$7,444 |
0.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,081.75 |
$8,109 |
0.9× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$3,826.50 |
$5,102 |
0.9× |
| Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) |
$11,487 |
$15,316 |
1.0× |
| Tube thoracostomy includes water seal (32551) |
$3,900.75 |
$5,201 |
2.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$7,021.79 |
$9,362.39 |
2.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,508.50 |
$8,678 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,113 |
$1,484 |
1.3× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$16,901.78 |
$22,535.70 |
1.1× |
| Tympanostomy general anesthesia (69436) |
$2,962.18 |
$3,949.57 |
1.6× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$5,418.22 |
$7,224.29 |
1.3× |
| Unlisted laparoscopy procedure stomach (43659) |
$10,109.39 |
$13,479.19 |
1.4× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$12,791.51 |
$17,055.35 |
1.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$7,489.25 |
$9,985.66 |
1.0× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$12,256.89 |
$16,342.52 |
1.7× |
| Unlisted procedure anus (46999) |
$1,113 |
$1,484 |
1.0× |
| Unlisted procedure colon (45399) |
$1,464.75 |
$1,953 |
1.3× |
| Unlisted procedure dentoalveolar structures (41899) |
$516 |
$688 |
1.8× |
| Unlisted Procedure Endocrine System (60699) |
$5,564.25 |
$7,419 |
0.8× |
| Unlisted procedure foot or toes (28899) |
$8,197.78 |
$10,930.37 |
27.7× |
| Unlisted procedure liver (47399) |
$532.50 |
$710 |
0.6× |
| Unlisted Procedure Male Genital System (55899) |
$3,865.55 |
$5,154.07 |
12.9× |
| Unlisted procedure nervous system (64999) |
$421.50 |
$562 |
1.1× |
| Unlisted procedure pelvis/hip joint (27299) |
$19,002.52 |
$25,336.69 |
64.3× |
| Unlisted procedure rectum (45999) |
$1,228.50 |
$1,638 |
1.1× |
| Unlisted Procedure Small Intestine (44799) |
$6,508.50 |
$8,678 |
6.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$47.25 |
$63 |
0.1× |
| Unlisted procedure, stomach (43999) |
$1,227.75 |
$1,637 |
1.1× |
| Unlisted px female genital system nonobstetrical (58999) |
$5,867.56 |
$7,823.41 |
24.2× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$15,278.16 |
$20,370.88 |
2.4× |
| Us urine capacity measure (51798) |
$193.50 |
$258 |
2.7× |
| Vaginal delivery only (59409) |
$3,514.50 |
$4,686 |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$10,572.32 |
$14,096.43 |
1.8× |
| Vasc embolize/occlude artery (37242) |
$11,723.25 |
$15,631 |
0.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,723.25 |
$15,631 |
0.8× |
| Vasc embolize/occlude organ (37243) |
$11,723.25 |
$15,631 |
0.8× |
| Vasc embolize/occlude venous (37241) |
$11,723.25 |
$15,631 |
0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,021.75 |
$4,029 |
1.2× |
| Venipuncture (36415) |
$20.25 |
$27 |
2.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,427.76 |
$4,570.35 |
0.9× |
| Vulvectomy Simple Partial (56620) |
$4,340.42 |
$5,787.22 |
1.1× |
| Vulvectomy simple; complete (56625) |
$3,307.99 |
$4,410.65 |
0.9× |
| Wedge excision skin nail fold (11765) |
$718.50 |
$958 |
1.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$6,283.46 |
$8,377.94 |
7.1× |