| Abd paracentesis w/imaging (49083) |
$1,048.08 |
$1,588 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$844.14 |
$1,279 |
0.9× |
Ablate Pulm Tumor Perq Crybl (32994)
unusually low: confirm this is the full procedure |
$3,872.88 |
$5,868 |
0.4× |
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure |
$4,431.90 |
$6,715 |
0.4× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$5,600.10 |
$8,485 |
0.3× |
| Acne surgery (10040) |
$148.50 |
$225 |
0.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,367.52 |
$2,072 |
0.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,367.52 |
$2,072 |
0.6× |
| Amniocentesis diagnostic (59000) |
$516.12 |
$782 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,082.86 |
$4,671 |
0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,569.38 |
$3,893 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$2,391.18 |
$3,623 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$2,802.36 |
$4,246 |
0.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,960.10 |
$4,485 |
0.9× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$350.46 |
$531 |
1.1× |
| Anal/Urinary Muscle Study (51784) |
$315.48 |
$478 |
2.4× |
| Anoscopy Ablation Lesion (46615) |
$2,059.20 |
$3,120 |
0.7× |
| Anoscopy diagnostic (46600) |
$100.32 |
$152 |
0.7× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$910.80 |
$1,380 |
0.7× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$102.96 |
$156 |
0.6× |
| Application cast elbow finger short arm (29075) |
$195.36 |
$296 |
0.7× |
| Application finger splint static (29130) |
$152.46 |
$231 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$236.28 |
$358 |
1.4× |
| Application Long Leg Splint (29505) |
$290.40 |
$440 |
1.7× |
| Application of cylinder cast (thigh to ankle) (29365) |
$199.32 |
$302 |
0.7× |
| Application of long leg cast (29345) |
$266.64 |
$404 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$183.48 |
$278 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$202.62 |
$307 |
1.5× |
| Application short leg splint calf foot (29515) |
$217.80 |
$330 |
1.3× |
| Application uniplane external fixation system (20690) |
$5,953.20 |
$9,020 |
0.8× |
| Apply hand/wrist cast (29085) |
$171.60 |
$260 |
1.0× |
| Apply long arm cast (29065) |
$254.10 |
$385 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$172.92 |
$262 |
1.0× |
| Apply Short Leg Cast (29405) |
$300.96 |
$456 |
1.0× |
| Apply short leg cast (29425) |
$234.30 |
$355 |
0.8× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$108.90–$112.20 |
$165–$170 |
varies |
| Arteriovenous Anastomosis Open Direct (36821) |
$6,133.38 |
$9,293 |
1.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,303.10 |
$8,035 |
0.9× |
| Artery-vein autograft (36825) |
$5,472.06 |
$8,291 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$272.58 |
$413 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$480.48 |
$728 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$291.06 |
$441 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$487.74 |
$739 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$308.88 |
$468 |
1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,296.90 |
$1,965 |
0.8× |
| Artificial insemination intra-uterine (58322) |
$190.74 |
$289 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$1,154.34 |
$1,749 |
1.8× |
| Aspirate Pleura W/O Imaging (32554) |
$402.60 |
$610 |
0.6× |
| Aspirate/Inj Ganglion Cyst (20612) |
$250.80 |
$380 |
0.8× |
| Aspiration and/or injection thyroid cyst (60300) |
$417.12 |
$632 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,165.46 |
$3,281 |
1.0× |
| Aspiration Bladder Needle (51100) |
$198 |
$300 |
0.8× |
| Av fistula revision (36833) |
$6,353.16 |
$9,626 |
1.1× |
| Av Fistula Revision Open (36832) |
$5,854.86 |
$8,871 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,943.30 |
$9,005 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$228.36 |
$346 |
1.1× |
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
unusually low: confirm this is the full procedure |
$4,217.40 |
$6,390 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$1,373.46 |
$2,081 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$2,302.74 |
$3,489 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,626.90 |
$2,465 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,265.22 |
$1,917 |
0.7× |
| Biopsy Muscle Superficial (20200) |
$1,156.32 |
$1,752 |
0.7× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,522.62 |
$2,307 |
0.9× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,766.16 |
$2,676 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$811.80 |
$1,230 |
1.1× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$768.90 |
$1,165 |
0.4× |
| Biopsy Tongue Posterior One-Third (41105) |
$1,830.84 |
$2,774 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$231 |
$350 |
0.3× |
| Bladder Irrigation (51700) |
$285.78 |
$433 |
1.1× |
| Bladder Scan (51798) |
$106.26 |
$161 |
1.7× |
| Blepharotomy drainage abscess eyelid (67700) |
$283.14 |
$429 |
0.9× |
| Blood Transfusion Service (36430) |
$749.76 |
$1,136 |
1.6× |
| Bone Marrow Biopsy (38221) |
$1,067.88 |
$1,618 |
0.6× |
| Bone Marrow; Aspiration Only (38220) |
$1,075.14 |
$1,629 |
0.6× |
| Breast augmentation with implant (19325) |
$7,124.04 |
$10,794 |
0.8× |
| Breast Reduction (19318) |
$4,952.64 |
$7,504 |
0.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,272.38 |
$3,443 |
1.2× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$3,565.32 |
$5,402 |
0.9× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$3,556.08 |
$5,388 |
0.9× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,062.50 |
$3,125 |
1.1× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$2,637.36 |
$3,996 |
0.7× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,283.60 |
$3,460 |
0.6× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$2,887.50 |
$4,375 |
0.7× |
| Bronchial Valve Init Insert (31647) |
$4,696.56 |
$7,116 |
0.6× |
| Bronchoscopy Balloon Occlusion (31634) |
$4,979.70 |
$7,545 |
0.7× |
| Bronchoscopy Bronch Stents (31636) |
$4,906.44 |
$7,434 |
0.7× |
| Bronchoscopy Clear Airways (31645) |
$1,826.22 |
$2,767 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$1,110.12 |
$1,682 |
2.7× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,098.80 |
$3,180 |
1.1× |
| Bronchoscopy W/Excision Tumor (31640) |
$2,886.84 |
$4,374 |
0.7× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
$4,192.98 |
$6,353 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,103.42 |
$3,187 |
1.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,176.02 |
$3,297 |
0.6× |
| Bronchoscopy/Needle Bx Each (31629) |
$2,557.50 |
$3,875 |
0.7× |
| Bx breast 1st lesion mr imag (19085) |
$852.06 |
$1,291 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$1,696.86 |
$2,571 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,846.02 |
$2,797 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,211.10 |
$1,835 |
0.7× |
| Carpal Tunnel Surgery (64721) |
$1,950.30 |
$2,955 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$189.42 |
$287 |
0.8× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$232.98 |
$353 |
0.7× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,287.56 |
$3,466 |
0.7× |
| Cessj Therapy Cath Removal (37214) |
$4,668.18 |
$7,073 |
1.4× |
| Change Cystostomy Tube Complicated (51710) |
$524.04 |
$794 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$342.54 |
$519 |
1.3× |
| Change of Windpipe Airway (31502) |
$293.04 |
$444 |
1.2× |
| Change ureter stent percut (50382) |
$2,626.80 |
$3,980 |
1.2× |
| Chemical Cautery Tissue (17250) |
$199.98 |
$303 |
1.0× |
| Chemical Pleurodesis (32560) |
$493.68 |
$748 |
0.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$805.86 |
$1,221 |
1.1× |
| Chemodenerv 1 extremity 1-4 (64642) |
$675.18 |
$1,023 |
0.9× |
| Chemodenerv Eccrine Glands (64650) |
$274.56 |
$416 |
0.9× |
| Chemodenerv Musc Migraine (64615) |
$592.02 |
$897 |
1.9× |
| Chemodenerv musc neck dyston (64616) |
$507.54 |
$769 |
1.6× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$198.66 |
$301 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$619.74 |
$939 |
0.8× |
| Chemodenerv trunk musc 6/> (64647) |
$868.56 |
$1,316 |
1.2× |
| Chemodenervation eccrine glands oth area per day (64653) |
$269.28 |
$408 |
0.8× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$550.44 |
$834 |
0.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$318.78 |
$483 |
1.0× |
| Chest tube placement (32551) |
$979.44 |
$1,484 |
0.6× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,222.88 |
$3,368 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,742.76 |
$7,186 |
1.3× |
| Circumcision 28 days or older (54161) |
$1,541.10 |
$2,335 |
0.7× |
| Circumcision Neonate (54160) |
$1,346.40 |
$2,040 |
1.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$224.40 |
$340 |
0.1× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,141.80 |
$1,730 |
0.7× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,725.90 |
$2,615 |
1.0× |
| Clear outer ear canal (69200) |
$178.20 |
$270 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$696.30 |
$1,055 |
2.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$187.44 |
$284 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$291.06 |
$441 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$449.46 |
$681 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,141.80 |
$1,730 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$384.78 |
$583 |
1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$595.98 |
$903 |
2.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$4,788.30 |
$7,255 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$192.06 |
$291 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$360.36 |
$546 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,024.98 |
$1,553 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,130.58 |
$1,713 |
0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$217.80 |
$330 |
0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,436.16 |
$2,176 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$189.42 |
$287 |
0.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,141.80 |
$1,730 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$272.58 |
$413 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,518.66 |
$2,301 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$267.30 |
$405 |
1.0× |
| Closure Gastrostomy Surg (43870) |
$2,955.48 |
$4,478 |
0.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$408.54 |
$619 |
1.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$500.28 |
$758 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$285.12 |
$432 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,537.14 |
$2,329 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$601.92 |
$912 |
2.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,199.22 |
$1,817 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$142.56 |
$216 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$729.96 |
$1,106 |
2.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$275.88 |
$418 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$291.72 |
$442 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$163.68 |
$248 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$326.04 |
$494 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,104.84 |
$1,674 |
0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$894.96 |
$1,356 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$187.44 |
$284 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,162.92 |
$1,762 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$190.74 |
$289 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$228.36 |
$346 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$222.42 |
$337 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,873.08 |
$2,838 |
1.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,141.80 |
$1,730 |
0.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,173.48 |
$1,778 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$320.10 |
$485 |
1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,255.32 |
$1,902 |
0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$198.66 |
$301 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$294.36 |
$446 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$402.60 |
$610 |
1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,144.44 |
$1,734 |
0.7× |
| Cltx Medial Ankle Fx (27760) |
$176.88 |
$268 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$399.96 |
$606 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$163.68 |
$248 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$372.90 |
$565 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$191.40 |
$290 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,554.96 |
$2,356 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$727.98 |
$1,103 |
2.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,056 |
$1,600 |
0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,259.28 |
$1,908 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$283.80 |
$430 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,230.24 |
$1,864 |
0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,230.90 |
$1,865 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,258.62 |
$1,907 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,161.60 |
$1,760 |
0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$221.76 |
$336 |
0.9× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$174.24 |
$264 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$324.06 |
$491 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,184.04 |
$1,794 |
0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$275.88 |
$418 |
1.1× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$2,306.70 |
$3,495 |
0.7× |
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines |
$106.92–$114.84 |
$162–$174 |
varies |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$19.14–$21.12 |
$29–$32 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$1,518 |
$2,300 |
1.2× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,867.14 |
$2,829 |
1.5× |
| Colonoscopy stoma w/balloon dilation (44405) |
$949.08 |
$1,438 |
0.8× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$949.08 |
$1,438 |
0.8× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,923.24 |
$2,914 |
1.6× |
| Colonoscopy thru stoma (44388) |
$1,593.24 |
$2,414 |
1.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,220.34 |
$1,849 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,716.66 |
$2,601 |
1.4× |
| Colonoscopy W/Band Ligation (45398) |
$1,803.12 |
$2,732 |
1.5× |
| Colonoscopy w/fb removal (45379) |
$1,646.70 |
$2,495 |
1.3× |
| Colonoscopy W/Resection (45390) |
$2,372.04 |
$3,594 |
0.8× |
| Colonoscopy w/submucosal inj (45381) |
$1,626.24 |
$2,464 |
1.3× |
| Colporrhaphy (57200) |
$1,989.90 |
$3,015 |
0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$275.22 |
$417 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,933.80 |
$2,930 |
1.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,868.46 |
$2,831 |
1.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,687.62 |
$2,557 |
1.4× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$1,872.42 |
$2,837 |
1.5× |
| Complex Cystometrogram (51726) |
$559.02 |
$847 |
2.2× |
| Complex drainage wound (10180) |
$2,975.28 |
$4,508 |
1.0× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$2,302.08 |
$3,488 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$288.42 |
$437 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$253.44 |
$384 |
1.8× |
| Control oropharyngeal hemorrhage simple (42960) |
$410.52 |
$622 |
0.7× |
| Conversion ext bil drg cath (47535) |
$3,560.04 |
$5,394 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,178 |
$3,300 |
1.1× |
| Convert Nephrostomy Catheter (50434) |
$2,058.54 |
$3,119 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,347.06 |
$2,041 |
0.8× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$2,791.80 |
$4,230 |
0.8× |
| Crd ceramides liq chrom plsm (0119U) |
$75.24 |
$114 |
0.9× |
| Create Eardrum Opening (69433) |
$369.60 |
$560 |
0.7× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,428.50 |
$8,225 |
0.9× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$3,098.04 |
$4,694 |
0.8× |
| Csf shunt reprogram (62252) |
$262.02 |
$397 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$390.72 |
$592 |
2.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$242.22 |
$367 |
1.0× |
| Curette/treat cornea (65435) |
$652.74 |
$989 |
0.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,459.16 |
$3,726 |
1.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,642.64 |
$4,004 |
1.2× |
| Cysto w/destruction of lesions (52214) |
$1,373.46 |
$2,081 |
0.4× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$3,989.04 |
$6,044 |
0.7× |
| Cysto w/insert ureteral stent (52332) |
$3,064.38 |
$4,643 |
0.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,816.88 |
$4,268 |
0.8× |
| Cysto w/removal of lesions small (52224) |
$2,758.80 |
$4,180 |
0.8× |
| Cysto w/removal of tumors small (52234) |
$2,671.68 |
$4,048 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,671.12 |
$2,532 |
0.8× |
| Cysto w/ureter stricture tx (52341) |
$2,593.80 |
$3,930 |
0.7× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,671.68 |
$4,048 |
0.7× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,768.04 |
$4,194 |
0.8× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$2,593.80 |
$3,930 |
0.7× |
| Cysto/uretero w/lithotripsy (52356) |
$3,918.42 |
$5,937 |
0.7× |
| Cystometrogram W/Vp (51728) |
$381.48 |
$578 |
0.5× |
| Cystometrogram W/Vp&Up (51729) |
$316.80 |
$480 |
0.4× |
| Cystoscopy inject material (52327) |
$3,804.24 |
$5,764 |
0.7× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,545.72 |
$2,342 |
0.7× |
| Cystourethroscopy (52000) |
$652.08 |
$988 |
0.9× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$3,989.70 |
$6,045 |
0.7× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$2,888.82 |
$4,377 |
0.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,733.82 |
$2,627 |
0.8× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,125.76 |
$4,736 |
0.9× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$3,918.42 |
$5,937 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,545.72 |
$2,342 |
0.7× |
| Cystourethroscopy with biopsy (52204) |
$1,545.72 |
$2,342 |
0.7× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$1,601.16 |
$2,426 |
0.7× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$1,554.30 |
$2,355 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$454.74 |
$689 |
1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,316.60 |
$3,510 |
0.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,022.34 |
$1,549 |
1.4× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$2,625.48 |
$3,978 |
0.8× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$2,494.80 |
$3,780 |
0.7× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$1,981.32 |
$3,002 |
0.6× |
| Dcmprn fasct leg post compartment only (27601) |
$2,854.50 |
$4,325 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$630.30 |
$955 |
0.8× |
| Debride nail 1-5 (11720) |
$72.60 |
$110 |
1.2× |
| Debride nail 6 or more (11721) |
$85.14 |
$129 |
1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,631.52 |
$2,472 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$420.42 |
$637 |
1.0× |
| Declot vascular device (36593) |
$341.88 |
$518 |
1.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,141.80 |
$1,730 |
0.7× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$5,351.94 |
$8,109 |
0.7× |
| Deep Muscle Biopsy (20205) |
$2,152.92 |
$3,262 |
0.7× |
| Delivery of placenta (59414) |
$1,811.70 |
$2,745 |
0.5× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,020.36 |
$1,546 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,533.08 |
$3,838 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,583.90 |
$3,915 |
1.3× |
| Destruct B9 Lesion 1-14 (17110) |
$146.52 |
$222 |
0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,533.84 |
$2,324 |
1.7× |
| Destruction Lesions Vulva Simple (56501) |
$1,615.68 |
$2,448 |
0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$151.80 |
$230 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,695.54 |
$2,569 |
0.8× |
| Destruction of rectal tumor transanal approach (45190) |
$2,141.70 |
$3,245 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$180.84 |
$274 |
0.9× |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$1,131.90–$1,265.88 |
$1,715–$1,918 |
varies |
| Dilat female urethra general/cndj spinal anes (53665) |
$1,500.84 |
$2,274 |
0.7× |
| Dilat Xst Trc New Access Rcs (50437) |
$2,885.52 |
$4,372 |
0.8× |
| Dilate Esophagus 1/Mult Pass (43450) |
$731.94 |
$1,109 |
0.8× |
| Dilate Urethra Stricture (53600) |
$198 |
$300 |
0.8× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$4,189.02 |
$6,347 |
0.7× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$3,872.88 |
$5,868 |
0.7× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$5,366.46 |
$8,131 |
0.9× |
| Division of scalenus anticus; without resection of cervical rib Facility (21700) |
$5,514.30 |
$8,355 |
0.7× |
| Drain Cerebro Spinal Fluid (62272) |
$797.28 |
$1,208 |
1.1× |
| Drain Hand Tendon Sheath (26020) |
$2,626.80 |
$3,980 |
0.8× |
| Drain Spinal Cord Cyst (62268) |
$721.38 |
$1,093 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$485.10 |
$735 |
1.5× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$372.24 |
$564 |
0.7× |
| Drainage external auditory canal abscess (69020) |
$542.52 |
$822 |
0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,135.86 |
$1,721 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$448.14 |
$679 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,214.40 |
$1,840 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$386.10 |
$585 |
1.6× |
| Drainage of eye (65800) |
$1,904.10 |
$2,885 |
0.8× |
| Drainage of finger abscess simple (26010) |
$216.48 |
$328 |
1.0× |
| Drainage of gum lesion (41800) |
$315.48 |
$478 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$1,661.22 |
$2,517 |
1.0× |
| Drainage of hydrocele (55000) |
$514.80 |
$780 |
0.7× |
| Drainage of nose lesion (30000) |
$171.60 |
$260 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,244.76 |
$1,886 |
0.7× |
| Drainage of scrotum (54700) |
$2,134.44 |
$3,234 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$118.80 |
$180 |
0.9× |
| Dressing Change Under Anesthesia (15852) |
$491.04 |
$744 |
0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$502.92 |
$762 |
0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$484.44 |
$734 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$465.30 |
$705 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$372.24 |
$564 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$246.84 |
$374 |
1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,021.68 |
$1,548 |
1.1× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,500.18 |
$2,273 |
0.5× |
| Dx Bronchoscope/Lavage (31624) |
$1,954.26 |
$2,961 |
1.1× |
| Dx Bronchoscope/Wash (31622) |
$1,904.76 |
$2,886 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,104.08 |
$3,188 |
1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$873.18 |
$1,323 |
1.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,720.62 |
$2,607 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,445.96 |
$3,706 |
1.2× |
| Egd cautery tumor polyp (43250) |
$1,679.04 |
$2,544 |
0.8× |
| Egd control bleeding any (43255) |
$2,308.68 |
$3,498 |
1.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,284.92 |
$3,462 |
1.2× |
| Egd endo mucosal resection (43254) |
$1,556.28 |
$2,358 |
0.8× |
| Egd Endoscopic Stent Place (43266) |
$3,532.32 |
$5,352 |
0.6× |
| Egd Flexible Foreign Body Removal (43247) |
$2,236.08 |
$3,388 |
2.4× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$2,067.78 |
$3,133 |
1.0× |
| Egd guide wire insertion (43248) |
$1,769.46 |
$2,681 |
1.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,940.30 |
$4,455 |
1.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,857.24 |
$2,814 |
0.9× |
| Egd lesion ablation (43270) |
$2,377.98 |
$3,603 |
1.2× |
| Egd Optical Endomicroscopy (43252) |
$2,537.70 |
$3,845 |
1.3× |
| Egd place gastrostomy tube (43246) |
$2,337.06 |
$3,541 |
1.2× |
| Egd remove lesion snare (43251) |
$2,334.42 |
$3,537 |
1.2× |
| Egd Tube/Cath Insertion (43241) |
$1,954.26 |
$2,961 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$2,453.88 |
$3,718 |
1.2× |
| Egd us transmural injxn/mark (43253) |
$2,420.22 |
$3,667 |
1.2× |
| Egd Varices Ligation (43244) |
$2,360.82 |
$3,577 |
1.2× |
| Egd W/Thrml Txmnt Gerd (43257) |
$2,379.96 |
$3,606 |
0.6× |
| Egd W/Transmural Drain Cyst (43240) |
$3,237.96 |
$4,906 |
0.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$456.06 |
$691 |
1.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$504.24 |
$764 |
1.6× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$402.60 |
$610 |
1.3× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$6,574.92 |
$9,962 |
1.1× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$4,001.58 |
$6,063 |
0.7× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$3,738.90 |
$5,665 |
0.6× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$4,121.70 |
$6,245 |
0.7× |
| Endometrial Biopsy (58100) |
$408.54 |
$619 |
2.0× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$3,993.66 |
$6,051 |
0.8× |
| Endoscopic injection/implant (51715) |
$2,967.36 |
$4,496 |
0.8× |
| Endoscopic us exam esoph (43237) |
$2,042.04 |
$3,094 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,997.16 |
$3,026 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$1,901.46 |
$2,881 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$2,372.04 |
$3,594 |
0.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,996.30 |
$6,055 |
1.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,944.16 |
$5,976 |
1.2× |
| Endoven ther chem adhes 1st (36482) |
$4,777.74 |
$7,239 |
0.8× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$2,122.56 |
$3,216 |
1.1× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,467.84 |
$2,224 |
0.7× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$1,535.16 |
$2,326 |
0.8× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$2,195.16 |
$3,326 |
1.1× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
$3,259.08 |
$4,938 |
0.5× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$1,535.16 |
$2,326 |
0.8× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,610.40 |
$2,440 |
0.8× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$1,877.70 |
$2,845 |
0.9× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$1,877.70 |
$2,845 |
0.9× |
| Epidural Blood Patch (62273) |
$1,139.82 |
$1,727 |
1.6× |
| Episiotomy or vaginal repair (59300) |
$1,989.90 |
$3,015 |
0.6× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$3,860.34 |
$5,849 |
0.6× |
| Ercp duct stent placement (43274) |
$3,903.90 |
$5,915 |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$2,917.20 |
$4,420 |
0.7× |
| Ercp ea duct/ampulla dilate (43277) |
$2,599.74 |
$3,939 |
0.7× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,730.42 |
$4,137 |
0.7× |
| Ercp remove forgn body duct (43275) |
$2,711.28 |
$4,108 |
1.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,532.32 |
$5,352 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,426.16 |
$3,676 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,128.50 |
$3,225 |
0.5× |
| Ercp,Sphincterotomy (43262) |
$2,624.16 |
$3,976 |
0.7× |
| Esoph Scope W/Submucous Inj (43201) |
$1,468.50 |
$2,225 |
0.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,597.86 |
$2,421 |
1.7× |
| Esophagosc Dilate Balloon 30 (43214) |
$1,468.50 |
$2,225 |
0.7× |
| Esophagoscop Stent Placement (43212) |
$3,902.58 |
$5,913 |
0.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,133.88 |
$1,718 |
0.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,244.66 |
$3,401 |
0.6× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$1,217.04 |
$1,844 |
0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$961.62 |
$1,457 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,468.50 |
$2,225 |
0.7× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$1,468.50 |
$2,225 |
0.7× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,178.66 |
$3,301 |
1.1× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$1,600.50 |
$2,425 |
0.8× |
| Esophagoscopy rigid trnso dx (43191) |
$1,156.32 |
$1,752 |
0.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,413.72 |
$2,142 |
0.7× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,784.64 |
$2,704 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$134.64 |
$204 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$405.24 |
$614 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,427.58 |
$2,163 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$524.70 |
$795 |
0.7× |
| Exc Frenum Labial/Buccal (40819) |
$1,077.78 |
$1,633 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$573.54 |
$869 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,359.60 |
$2,060 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$512.82 |
$777 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,313.40 |
$1,990 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,698.18 |
$2,573 |
1.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$332.64 |
$504 |
0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$528 |
$800 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,313.40 |
$1,990 |
0.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$2,152.92 |
$3,262 |
0.7× |
| Exc/fulguration urethral caruncle (53265) |
$1,545.72 |
$2,342 |
0.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,727.02 |
$5,647 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,496.22 |
$2,267 |
0.7× |
| Exchange Transfusion Blood Newborn (36450) |
$298.98 |
$453 |
0.7× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,414.94 |
$3,659 |
1.2× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,137.18 |
$1,723 |
0.7× |
| Excise excessive skin arm (15836) |
$2,191.20 |
$3,320 |
0.7× |
| Excision Infected Graft Extremity (35903) |
$4,878.72 |
$7,392 |
1.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,131.90 |
$1,715 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$942.48 |
$1,428 |
0.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,164.80 |
$3,280 |
0.8× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$2,349.60 |
$3,560 |
0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,143.02 |
$3,247 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$1,399.86 |
$2,121 |
1.1× |
| Excision of vaginal septum (57130) |
$2,105.40 |
$3,190 |
0.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,350.92 |
$3,562 |
0.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,040.72 |
$3,092 |
0.7× |
| Excision synovial cyst popliteal space (27345) |
$2,494.80 |
$3,780 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,211.10 |
$1,835 |
0.7× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$1,712.70 |
$2,595 |
0.7× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$5,796.12 |
$8,782 |
1.0× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$5,083.32 |
$7,702 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$1,158.96 |
$1,756 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$514.14 |
$779 |
0.3× |
| Exploration Penetrating Wound Spx Neck (20100) |
$3,828 |
$5,800 |
6.9× |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure |
$1,038.84 |
$1,574 |
0.2× |
| External cephalic version (59412) |
$1,865.82 |
$2,827 |
0.6× |
| Fasciotomy, foot and/or toe (28008) |
$2,437.38 |
$3,693 |
0.7× |
| Fetal non-stress test (59025) |
$392.04 |
$594 |
1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$625.68 |
$948 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$264 |
$400 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$469.26 |
$711 |
1.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$538.56 |
$816 |
0.7× |
| Fna bx w/us gdn 1st les (10005) |
$986.04 |
$1,494 |
1.3× |
| Foreskin manipulation (54450) |
$318.12 |
$482 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,249.38 |
$1,893 |
1.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,220.90 |
$3,365 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,558.16 |
$3,876 |
0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$2,102.76 |
$3,186 |
0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$495.66 |
$751 |
0.5× |
| Hysteroscopy Biopsy (58558) |
$2,410.32 |
$3,652 |
0.7× |
| I&d abscess peritonsillar (42700) |
$413.82 |
$627 |
1.7× |
| I&d abscess simple (10060) |
$257.40 |
$390 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,188.66 |
$1,801 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,058.54 |
$3,119 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,347.72 |
$2,042 |
1.4× |
| I&d pilonidal cyst complicated (10081) |
$1,837.44 |
$2,784 |
2.5× |
| I&d pilonidal cyst simple (10080) |
$512.82 |
$777 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,018.94 |
$3,059 |
0.7× |
| Icd Pocket Revision (33223) |
$2,292.84 |
$3,474 |
1.1× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$1,273.14 |
$1,929 |
0.6× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,817.64 |
$2,754 |
1.9× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,629.54 |
$2,469 |
1.7× |
| Image Cath Fluid Colxn Visc (49405) |
$2,162.16 |
$3,276 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$2,502.72 |
$3,792 |
1.5× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,023.66 |
$1,551 |
0.6× |
| Implant neuroelectrodes (63650) |
$5,464.14 |
$8,279 |
0.8× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$17,406.84 |
$26,374 |
0.9× |
| Impression & Preparation Oral Surgical Splint (21085) |
$188.10 |
$285 |
0.8× |
| Incise external hemorrhoid (46083) |
$239.58 |
$363 |
0.9× |
| Incise finger tendon sheath (26055) |
$1,296.24 |
$1,964 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$560.34 |
$849 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,316.60 |
$3,510 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,049.96 |
$3,106 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$547.80 |
$830 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$293.04 |
$444 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$407.88 |
$618 |
1.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$934.56 |
$1,416 |
0.6× |
| Incision of lymph channels (38308) |
$2,865.06 |
$4,341 |
0.7× |
| Incision of rectal abscess (46040) |
$2,661.78 |
$4,033 |
2.1× |
| Incisional biopsy skin single lesion (11106) |
$278.52 |
$422 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$191.40 |
$290 |
0.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,401.84 |
$2,124 |
1.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$721.38 |
$1,093 |
3.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,211.66 |
$3,351 |
2.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,382.70 |
$2,095 |
1.5× |
| Inject Intravitreal Pharmcologic (67028) |
$322.74 |
$489 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$319.44 |
$484 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$888.36 |
$1,346 |
1.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$888.36 |
$1,346 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$660 |
$1,000 |
0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,105.50 |
$1,675 |
1.2× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$693 |
$1,050 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$597.96 |
$906 |
0.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$733.26 |
$1,111 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$680.46 |
$1,031 |
0.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$312.18 |
$473 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,541.76 |
$2,336 |
1.7× |
| Injection anesthetic agent suprascapular nerve (64418) |
$558.36 |
$846 |
0.8× |
| Injection for identification of sentinel node (38792) |
$559.68 |
$848 |
1.4× |
| Injection single tendon origin/insertion (20551) |
$229.68 |
$348 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$318.78 |
$483 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$383.46 |
$581 |
1.2× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$889.68 |
$1,348 |
0.6× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$842.16 |
$1,276 |
0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$598.62 |
$907 |
0.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$561.66 |
$851 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$146.52 |
$222 |
0.7× |
| Injx anterior chamber eye air/liquid spx (66020) |
$1,850.64 |
$2,804 |
0.8× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$1,877.04 |
$2,844 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$5,959.14 |
$9,029 |
1.8× |
| Ins cath ren art 1st unilat (36251) |
$5,383.62 |
$8,157 |
1.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,050.22 |
$9,167 |
1.1× |
| Ins endovas vena cava filtr (37191) |
$6,432.36 |
$9,746 |
1.1× |
| Ins/Rep Subq Defibrillator (33270) |
$25,629.12 |
$38,832 |
0.8× |
| Insert 1 Electrode Pm-Defib (33216) |
$6,622.44 |
$10,034 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$312.18 |
$473 |
2.3× |
| Insert cath pleura w/ image (32557) |
$1,346.40 |
$2,040 |
0.8× |
| Insert cath pleura w/o image (32556) |
$1,479.72 |
$2,242 |
0.7× |
| Insert cervical dilator (59200) |
$394.02 |
$597 |
1.2× |
| Insert Drug Implant Device (11981) |
$478.50 |
$725 |
3.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,978.02 |
$2,997 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$8,625.54 |
$13,069 |
0.8× |
| Insert Heart Pm Ventricular (33207) |
$12,337.38 |
$18,693 |
1.1× |
| Insert hepatic shunt (tips) (37182) |
$9,554.16 |
$14,476 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,672.44 |
$2,534 |
0.5× |
| Insert Pacing Lead & Connect (33224) |
$14,130.60 |
$21,410 |
1.3× |
| Insert pessary/other device (57160) |
$126.72 |
$192 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,160.28 |
$1,758 |
0.7× |
| Insert pulse gen dual leads (33213) |
$10,822.02 |
$16,397 |
1.0× |
| Insert pulse gen mult leads (33221) |
$14,896.86 |
$22,571 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$163.02 |
$247 |
1.2× |
| Insert tun ip cath perc (49418) |
$4,500.54 |
$6,819 |
1.2× |
| Insert tunneled cv cath (36561) |
$4,206.18 |
$6,373 |
1.3× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$4,973.10 |
$7,535 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$139.92 |
$212 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,391.74 |
$5,139 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,603.80 |
$2,430 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,748.50 |
$10,225 |
0.8× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$6,353.82 |
$9,627 |
0.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$999.24 |
$1,514 |
0.3× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,145.76 |
$1,736 |
1.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,016.86 |
$4,571 |
0.9× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$2,226.18 |
$3,373 |
0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,562.88 |
$2,368 |
1.0× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$9,085.56 |
$13,766 |
1.1× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$3,600.30 |
$5,455 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,923.70 |
$5,945 |
1.2× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$31,970.40 |
$48,440 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,168.92 |
$10,862 |
0.8× |
| Insrt heart pm atrial & vent (33208) |
$15,823.50 |
$23,975 |
1.5× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$19,413.90 |
$29,415 |
0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$18,460.20 |
$27,970 |
0.8× |
| Interdental fixation (21110) |
$1,176.12 |
$1,782 |
0.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,467.18 |
$2,223 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$784.08 |
$1,188 |
1.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$823.02 |
$1,247 |
2.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$425.70 |
$645 |
0.8× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,077.78 |
$1,633 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$982.08 |
$1,488 |
0.3× |
| Intro cath dialysis circuit (36901) |
$962.28 |
$1,458 |
0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$19,553.82 |
$29,627 |
1.6× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$8,822.88 |
$13,368 |
1.5× |
| Intro Gastrointestinal Tube (44500) |
$1,143.12 |
$1,732 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$539.88 |
$818 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$331.32 |
$502 |
1.3× |
| Lam facetec & foramot lumbar (63047) |
$5,435.10 |
$8,235 |
0.7× |
| Laminotomy Single Lumbar (63042) |
$5,779.62 |
$8,757 |
0.8× |
| Lap insert tunnel ip cath (49324) |
$4,264.26 |
$6,461 |
0.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$7,444.14 |
$11,279 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,448.40 |
$6,740 |
0.7× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$4,217.40 |
$6,390 |
0.7× |
| Laryngoscopy diagnostic (31505) |
$132 |
$200 |
0.6× |
| Laryngoscopy flexible diagnostic (31575) |
$390.72 |
$592 |
1.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$718.08 |
$1,088 |
1.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$595.98 |
$903 |
1.5× |
| Laryngoscopy W/Biopsy (31535) |
$2,111.34 |
$3,199 |
0.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,332.54 |
$2,019 |
0.7× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$326.70 |
$495 |
0.8× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
$317.46 |
$481 |
0.8× |
| Late closure of wound (13160) |
$3,645.18 |
$5,523 |
1.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$2,365.44 |
$3,584 |
0.7× |
| Ligation Major Artery Abdomen (37617) |
$5,387.58 |
$8,163 |
0.9× |
| Ligation of a-v fistula (37607) |
$5,218.62 |
$7,907 |
1.6× |
| Ligation Of Neck Artery (37615) |
$2,566.74 |
$3,889 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$1,308.12 |
$1,982 |
0.8× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$2,547.60 |
$3,860 |
0.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,148.20 |
$4,770 |
0.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,778.60 |
$4,210 |
0.8× |
| Low Back Disk Surgery (63030) |
$5,660.16 |
$8,576 |
0.8× |
| Lyse chest fibrin init day (32561) |
$786.72 |
$1,192 |
1.2× |
| Lyse Chest Fibrin Subq Day (32562) |
$576.18 |
$873 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,500.84 |
$2,274 |
0.7× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$181.50 |
$275 |
0.7× |
| Manipulation knee joint under general anesthesia (27570) |
$2,281.62 |
$3,457 |
1.4× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$1,077.78 |
$1,633 |
0.7× |
| Manipulation wrist under anesthesia (25259) |
$1,239.48 |
$1,878 |
0.7× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,239.48 |
$1,878 |
0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,977.36 |
$2,996 |
1.2× |
| Mastectomy for gynecomastia (19300) |
$2,794.44 |
$4,234 |
0.7× |
| Mastectomy simple complete (19303) |
$5,105.10 |
$7,735 |
0.7× |
Maternity Care Procedure (59899)
range across 2 matching MRF lines |
$180.84–$1,320 |
$274–$2,000 |
varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,374.78 |
$2,083 |
0.8× |
| Mech remov tunneled cv cath (36595) |
$2,328.48 |
$3,528 |
0.7× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,432 |
$5,200 |
0.9× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$3,738.90 |
$5,665 |
1.0× |
| Myelography Lumbar Injection (62305) |
$1,407.78 |
$2,133 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,351.02 |
$2,047 |
1.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,390.62 |
$2,107 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,842.06 |
$2,791 |
2.3× |
| N Block Inj Celiac Pelus (64530) |
$782.76 |
$1,186 |
0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$722.70 |
$1,095 |
1.0× |
| N block inj intercost sng (64420) |
$656.70 |
$995 |
0.9× |
| N Block Inj Pudendal (64430) |
$861.30 |
$1,305 |
0.9× |
| N Block Lumbar/Thoracic (64520) |
$1,186.02 |
$1,797 |
1.3× |
| Nasal Endoscopy Dx (31231) |
$153.78 |
$233 |
0.7× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$543.18 |
$823 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,293.60 |
$1,960 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$961.62 |
$1,457 |
0.5× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$358.38 |
$543 |
1.4× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,175.46 |
$1,781 |
1.2× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,540.44 |
$2,334 |
1.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,296.90 |
$1,965 |
0.8× |
| Needle Biopsy Lymph Nodes (38505) |
$1,309.44 |
$1,984 |
0.8× |
| Needle Biopsy Pancreas (48102) |
$1,030.26 |
$1,561 |
0.6× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) |
$1,148.40 |
$1,740 |
1.5× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$374.22 |
$567 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$485.10 |
$735 |
1.2× |
| Nipple/areola reconstruction (19350) |
$2,853.84 |
$4,324 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,070.52 |
$1,622 |
1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$371.58 |
$563 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,275.68 |
$3,448 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,558.16 |
$3,876 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,457.94 |
$2,209 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$885.06 |
$1,341 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,358.28 |
$2,058 |
1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,024.98 |
$1,553 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$772.20 |
$1,170 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,248.06 |
$1,891 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$941.82 |
$1,427 |
1.0× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$1,321.32 |
$2,002 |
0.6× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$1,717.98 |
$2,603 |
0.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$728.64 |
$1,104 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$707.52 |
$1,072 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$468.60 |
$710 |
1.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$411.18 |
$623 |
1.0× |
| Njx Sclrsnt Spider Veins (36468) |
$188.76 |
$286 |
0.4× |
| Obstructive material removal from gi tube (49460) |
$950.40 |
$1,440 |
1.0× |
| Occipital Nerve Block (64405) |
$585.42 |
$887 |
1.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,589.18 |
$3,923 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,791.80 |
$4,230 |
0.8× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$10,411.50 |
$15,775 |
0.8× |
| Open tx interphalangeal joint dislocation (26785) |
$2,529.12 |
$3,832 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,494.80 |
$3,780 |
0.7× |
| Open/Perq Place Stent 1St (37236) |
$14,357.64 |
$21,754 |
1.2× |
| Open/Perq Place Stent Same (37238) |
$14,615.04 |
$22,144 |
1.2× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$2,865.72 |
$4,342 |
0.8× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$2,865.72 |
$4,342 |
0.8× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$4,788.30 |
$7,255 |
0.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,196.58 |
$1,813 |
0.7× |
| Partial removal of rib (21600) |
$5,280 |
$8,000 |
0.7× |
| Partial removal of toe (28160) |
$2,830.08 |
$4,288 |
0.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,148.96 |
$3,256 |
0.6× |
| Penile Injection (54235) |
$248.16 |
$376 |
1.0× |
| Penis plastic surgery (54360) |
$2,593.80 |
$3,930 |
0.7× |
| Perc Cryo Ablate Renal Tum (50593) |
$6,208.62 |
$9,407 |
0.6× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,397.22 |
$2,117 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$4,722.30 |
$7,155 |
0.8× |
| Percut Ablate Liver Rf (47382) |
$6,332.70 |
$9,595 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,979.66 |
$18,151 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,062.60 |
$1,610 |
1.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,392.50 |
$3,625 |
0.7× |
| Pericardiocentesis W/Imaging (33016) |
$1,854.60 |
$2,810 |
1.1× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$9,405 |
$14,250 |
0.5× |
| Perq Cervicothoracic Inject (22510) |
$5,002.14 |
$7,579 |
1.5× |
| Perq dev breast 1st us imag (19285) |
$430.32 |
$652 |
0.6× |
| Perq device breast 1st imag (19281) |
$1,135.86 |
$1,721 |
0.7× |
| Perq Lumbosacral Injection (22511) |
$4,883.34 |
$7,399 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$978.78 |
$1,483 |
1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$17,171.88 |
$26,018 |
1.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,139.52 |
$6,272 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,660.52 |
$13,122 |
1.2× |
| Perq Vertebral Augmentation (22513) |
$8,717.28 |
$13,208 |
1.2× |
| Phleb Veins - Extrem 20+ (37766) |
$2,923.80 |
$4,430 |
0.9× |
| Place Cath Subclavian Art (36225) |
$5,313 |
$8,050 |
1.6× |
| Place Cath Thoracic Aorta (36221) |
$4,403.52 |
$6,672 |
1.3× |
| Place Cath Vertebral Art (36226) |
$8,657.88 |
$13,118 |
1.5× |
| Place Duod/Jej Tube Perc (49441) |
$1,559.58 |
$2,363 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$346.50 |
$525 |
0.7× |
| Placement of seton (46020) |
$2,220.90 |
$3,365 |
0.8× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) |
$1,511.40 |
$2,290 |
0.7× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure |
$2,822.82 |
$4,277 |
0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,731.44 |
$8,684 |
0.9× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,538.72 |
$8,392 |
0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,431.44 |
$3,684 |
1.1× |
| Plmt Nephroureteral Catheter (50433) |
$2,585.88 |
$3,918 |
0.7× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,723.72 |
$5,642 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$4,119.06 |
$6,241 |
1.1× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$6,535.32 |
$9,902 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$374.88 |
$568 |
0.4× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,688.94 |
$2,559 |
1.4× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$1,967.46 |
$2,981 |
0.7× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,688.94 |
$2,559 |
1.4× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$927.30 |
$1,405 |
0.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$536.58 |
$813 |
0.7× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$5,755.86 |
$8,721 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,657.72 |
$5,542 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,738.90 |
$5,665 |
1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$5,514.96 |
$8,356 |
0.7× |
| Pseudoaneurysm Injection Trt (36002) |
$652.08 |
$988 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$227.04 |
$344 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$362.34 |
$549 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$452.76 |
$686 |
0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$530.64 |
$804 |
0.7× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$546.48 |
$828 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,599.18 |
$2,423 |
0.8× |
| Reconstruct Finger Joint (26548) |
$2,408.34 |
$3,649 |
0.7× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$4,376.46 |
$6,631 |
0.7× |
| Reconstruction of urethra (54326) |
$2,593.80 |
$3,930 |
0.7× |
| Relocation Pocket Pacemaker (33222) |
$2,482.26 |
$3,761 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$5,197.50 |
$7,875 |
1.6× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$770.22 |
$1,167 |
0.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$154.44 |
$234 |
0.5× |
| Removal foreign body foot deep (28192) |
$1,159.62 |
$1,757 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$679.80 |
$1,030 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$266.64 |
$404 |
0.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,997.16 |
$3,026 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$71.94 |
$109 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$71.28 |
$108 |
1.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,211 |
$3,350 |
0.7× |
| Removal Implant Deep (20680) |
$2,753.52 |
$4,172 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,040.72 |
$3,092 |
1.2× |
| Removal of esophageal sphincter augmentation device (43285) |
$3,896.64 |
$5,904 |
0.6× |
| Removal of foreign body from pharynx (42809) |
$287.76 |
$436 |
0.6× |
| Removal of nail bed (11750) |
$432.30 |
$655 |
1.0× |
| Removal of testis (54520) |
$2,593.80 |
$3,930 |
0.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,667.62 |
$5,557 |
1.1× |
| Removal of vein clot (34490) |
$3,113.22 |
$4,717 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$217.80 |
$330 |
0.8× |
| Removal Pacemaker Electrode (33235) |
$4,148.10 |
$6,285 |
1.1× |
| Removal ppm generator only (33233) |
$6,338.64 |
$9,604 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$128.70 |
$195 |
0.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$639.54 |
$969 |
0.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,555.62 |
$2,357 |
0.7× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,364.88 |
$2,068 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$233.64 |
$354 |
0.8× |
| Remove cerclage suture (59871) |
$2,287.56 |
$3,466 |
0.7× |
| Remove drug implant device (11982) |
$250.14 |
$379 |
0.5× |
| Remove Elctrd Transvenously (33244) |
$4,441.14 |
$6,729 |
1.1× |
| Remove Forearm Foreign Body (25248) |
$1,199.22 |
$1,817 |
0.7× |
| Remove foreign body from eye (65205) |
$126.72 |
$192 |
0.9× |
| Remove Intrauterine Device (58301) |
$281.16 |
$426 |
0.9× |
| Remove intrvas foreign body (37197) |
$3,458.40 |
$5,240 |
1.1× |
| Remove Lower Leg Bone Lesion (27635) |
$2,626.80 |
$3,980 |
0.8× |
| Remove lung catheter (32552) |
$1,274.46 |
$1,931 |
2.0× |
| Remove Nasal Foreign Body (30300) |
$229.02 |
$347 |
1.7× |
| Remove prostate regrowth (52630) |
$4,109.16 |
$6,226 |
0.7× |
| Remove Pulse Generator (33241) |
$3,696.66 |
$5,601 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$892.98 |
$1,353 |
1.2× |
| Remove ureter stent percut (50384) |
$1,799.16 |
$2,726 |
0.8× |
| Remove&replace pm gen singl (33227) |
$10,274.88 |
$15,568 |
1.2× |
| Remove/Insert Drug Implant (11983) |
$326.04 |
$494 |
0.7× |
| Remv&replc cvd gen dual lead (33263) |
$27,127.98 |
$41,103 |
1.2× |
| Remv&replc cvd gen mult lead (33264) |
$27,607.14 |
$41,829 |
0.8× |
| Remv&replc cvd gen sing lead (33262) |
$25,703.04 |
$38,944 |
1.1× |
| Remv&replc pm gen dual lead (33228) |
$11,987.58 |
$18,163 |
1.1× |
| Remv&replc pm gen mult leads (33229) |
$18,433.80 |
$27,930 |
0.9× |
| Renal Biopsy Perq (50200) |
$1,686.30 |
$2,555 |
1.0× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,150.18 |
$4,773 |
1.0× |
| Repair blood vessel direct neck (35201) |
$4,105.20 |
$6,220 |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,244.56 |
$4,916 |
1.0× |
| Repair blood vessel lesion (35190) |
$4,364.58 |
$6,613 |
0.8× |
| Repair blood vessel lesion (35236) |
$3,651.78 |
$5,533 |
0.6× |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
$4,001.58 |
$6,063 |
0.7× |
| Repair blood vessel with vein graft; neck Facility (35231) |
$2,465.10 |
$3,735 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$438.24 |
$664 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$832.26 |
$1,261 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$490.38 |
$743 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$595.32 |
$902 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$330 |
$500 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$903.54 |
$1,369 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$343.86 |
$521 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$324.06 |
$491 |
0.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,405.80 |
$2,130 |
0.8× |
| Repair Eyelid Wound (67935) |
$1,505.46 |
$2,281 |
0.6× |
| Repair Hand Joint (26540) |
$2,808.30 |
$4,255 |
0.8× |
| Repair incomplete circumcision (54163) |
$1,500.84 |
$2,274 |
0.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,951.52 |
$4,472 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$462.66 |
$701 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$459.36 |
$696 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$521.40 |
$790 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$731.28 |
$1,108 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$625.02 |
$947 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$421.08 |
$638 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$506.22 |
$767 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$582.12 |
$882 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$682.44 |
$1,034 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$434.28 |
$658 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$526.02 |
$797 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$622.38 |
$943 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$574.86 |
$871 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,321.32 |
$2,002 |
0.6× |
| Repair Laceration Palate </2 Cm (42180) |
$382.80 |
$580 |
0.7× |
| Repair lead pace-defib dual (33220) |
$5,501.76 |
$8,336 |
1.4× |
| Repair Lead Pace-Defib One (33218) |
$5,501.76 |
$8,336 |
1.4× |
| Repair of nail bed (11760) |
$677.82 |
$1,027 |
0.9× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,351.94 |
$8,109 |
0.7× |
| Repair tongue laceration (41252) |
$927.96 |
$1,406 |
3.8× |
| Repair tongue laceration (41250) |
$287.10 |
$435 |
0.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,125.96 |
$1,706 |
1.2× |
| Replace G-J Tube Perc (49452) |
$1,289.64 |
$1,954 |
1.4× |
| Replace g/c tube perc (49450) |
$1,032.24 |
$1,564 |
1.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,638.02 |
$3,997 |
0.7× |
| Reposition Gastrostomy Tube (43761) |
$682.44 |
$1,034 |
2.6× |
| Reposition L Ventric Lead (33226) |
$3,781.14 |
$5,729 |
1.2× |
| Reposition Pacing-Defib Lead (33215) |
$3,484.80 |
$5,280 |
1.1× |
| Reposition Venous Catheter (36597) |
$940.50 |
$1,425 |
0.6× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$2,782.56 |
$4,216 |
0.8× |
| Revision of lower leg tendon (27685) |
$2,494.80 |
$3,780 |
0.7× |
| Revision of penis (54300) |
$2,593.80 |
$3,930 |
0.7× |
| Revision of penis (54304) |
$2,593.80 |
$3,930 |
0.7× |
| Revision of urethra (53460) |
$2,593.80 |
$3,930 |
0.7× |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883)
unusually low: confirm this is the full procedure |
$2,714.58 |
$4,113 |
0.5× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
$3,500.64 |
$5,304 |
0.6× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$5,503.08 |
$8,338 |
0.8× |
| Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) |
$3,405.60 |
$5,160 |
0.6× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$12,034.44 |
$18,234 |
2.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$2,706 |
$4,100 |
0.7× |
| Revj/rpr oprative wound anterior segment (66250) |
$1,762.20 |
$2,670 |
0.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,478.96 |
$3,756 |
1.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,078.44 |
$1,634 |
0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$682.44 |
$1,034 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$331.32 |
$502 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$190.08 |
$288 |
1.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$250.80 |
$380 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,760.78 |
$4,183 |
2.2× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$2,613.60 |
$3,960 |
0.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,711.38 |
$2,593 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,942.94 |
$4,459 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,758.90 |
$2,665 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$842.16 |
$1,276 |
1.3× |
| Rplc Gtube No Revj Trc (43762) |
$335.28 |
$508 |
1.3× |
| Rplc gtube revj gstrst trc (43763) |
$415.80 |
$630 |
1.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,457.18 |
$3,723 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,112.76 |
$1,686 |
0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,790.58 |
$2,713 |
1.1× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$3,872.22 |
$5,867 |
0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,545.52 |
$5,372 |
1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,809.52 |
$5,772 |
1.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$2,865.72 |
$4,342 |
0.8× |
| Rpr blood vessel direct lower extremity (35226) |
$762.30 |
$1,155 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$962.28 |
$1,458 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$489.72 |
$742 |
2.4× |
Rpr ing hernia init reduce (49500)
unusually low: confirm this is the full procedure |
$2,865.72 |
$4,342 |
0.4× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,527.24 |
$2,314 |
0.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,239.48 |
$1,878 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,211.10 |
$1,835 |
2.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,490.84 |
$3,774 |
1.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$2,339.70 |
$3,545 |
0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,125.30 |
$1,705 |
1.7× |
| Sclerotx Fluid Collection (49185) |
$1,667.16 |
$2,526 |
1.0× |
| Scrotoplasty Simple (55175) |
$2,593.80 |
$3,930 |
0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,341.12 |
$2,032 |
1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,739.76 |
$2,636 |
1.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$291.72 |
$442 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$161.70 |
$245 |
0.8× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$2,354.22 |
$3,567 |
0.7× |
| Sigmoidoscopy & decompress (45337) |
$968.88 |
$1,468 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$717.42 |
$1,087 |
0.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,483.02 |
$2,247 |
1.2× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$839.52 |
$1,272 |
0.7× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$2,555.52 |
$3,872 |
2.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$896.28 |
$1,358 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$2,014.98 |
$3,053 |
1.6× |
| Sigmoidoscopy w/plcmt stent (45347) |
$3,320.46 |
$5,031 |
0.5× |
| Sigmoidoscopy W/Resection (45349) |
$1,464.54 |
$2,219 |
0.5× |
| Sigmoidoscopy W/Ultrasound (45341) |
$2,483.58 |
$3,763 |
2.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,700.16 |
$2,576 |
1.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,531.20 |
$2,320 |
1.2× |
| Simple Cystometrogram (51725) |
$495 |
$750 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$362.34 |
$549 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$300.30 |
$455 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$324.06 |
$491 |
1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$475.20 |
$720 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$303.60 |
$460 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$277.86 |
$421 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$210.54 |
$319 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$357.06 |
$541 |
1.7× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,362.24 |
$2,064 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$1,617.66 |
$2,451 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,287 |
$1,950 |
1.7× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,022.50 |
$9,125 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$4,334.88 |
$6,568 |
1.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$8,374.08 |
$12,688 |
1.5× |
| Small bowel endoscopy (44366) |
$2,113.98 |
$3,203 |
1.1× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,397.88 |
$2,118 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$322.74 |
$489 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$405.24 |
$614 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$348.48 |
$528 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$762.96 |
$1,156 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,312.54 |
$5,019 |
1.0× |
| Strapping ankle (29540) |
$105.60 |
$160 |
0.6× |
| Strapping hand/finger (29280) |
$105.60 |
$160 |
1.7× |
| Strapping toes (29550) |
$92.40 |
$140 |
1.5× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$227.70 |
$345 |
0.5× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$442.20 |
$670 |
0.6× |
| Suction assisted lipectomy; upper extremity (15878) |
$1,405.80 |
$2,130 |
0.7× |
| Surg Implnt Neuroelect,Epidural (63655) |
$17,351.40 |
$26,290 |
0.9× |
| Surg tx anal fistula subq (46270) |
$2,164.80 |
$3,280 |
0.8× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$1,887.60 |
$2,860 |
0.8× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$31,544.04 |
$47,794 |
1.1× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$18,703.08 |
$28,338 |
0.9× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$2,436.72 |
$3,692 |
0.7× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$1,173.48 |
$1,778 |
0.7× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$2,675.64 |
$4,054 |
0.8× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,248.06 |
$1,891 |
0.7× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,205.72 |
$3,342 |
1.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$847.44 |
$1,284 |
1.2× |
| Therapeutic plasma exchange (36514) |
$2,391.18 |
$3,623 |
1.5× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$3,884.76 |
$5,886 |
0.7× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$3,798.96 |
$5,756 |
0.7× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$2,337.72 |
$3,542 |
0.7× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$5,524.20 |
$8,370 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$19,100.40 |
$28,940 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$4,595.58 |
$6,963 |
1.4× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$4,364.58 |
$6,613 |
0.8× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$5,484.60 |
$8,310 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$4,596.90 |
$6,965 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$372.24 |
$564 |
1.1× |
| Thrombolytic Venous Therapy (37212) |
$3,184.50 |
$4,825 |
1.0× |
| Thyroid biopsy (60100) |
$562.98 |
$853 |
0.8× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$4,788.30 |
$7,255 |
0.8× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$3,416.82 |
$5,177 |
0.6× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$678.48 |
$1,028 |
1.2× |
| Tracheostoma revj smpl w/o flap rotation (31613) |
$2,302.08 |
$3,488 |
0.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,259.94 |
$1,909 |
5.1× |
| Tracheostomy planned (31600) |
$1,938.42 |
$2,937 |
0.6× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$292.38 |
$443 |
0.9× |
| Transcatheter biopsy (37200) |
$4,143.48 |
$6,278 |
0.7× |
| Transur electr resection of prostate (52601) |
$3,645.18 |
$5,523 |
0.7× |
| Transurethral resection bladder neck (52500) |
$2,671.68 |
$4,048 |
0.7× |
| Treat Dental Ridge Fracture (21440) |
$2,371.38 |
$3,593 |
0.7× |
| Treat Hip Socket Fracture (27222) |
$1,298.22 |
$1,967 |
5.1× |
| Treat humerus fracture (24500) |
$166.32 |
$252 |
0.7× |
| Treat Humerus Fracture (24505) |
$1,232.22 |
$1,867 |
0.7× |
| Treat humerus fracture (23600) |
$256.08 |
$388 |
1.0× |
| Treat knee fracture (27532) |
$2,306.70 |
$3,495 |
0.7× |
| Treat Knuckle Dislocation (26700) |
$223.08 |
$338 |
0.9× |
| Treat Thumb Dislocation (26641) |
$356.40 |
$540 |
1.4× |
| Treat toe dislocation (28630) |
$190.74 |
$289 |
0.7× |
| Treat Vaginal Bleeding (57180) |
$139.92 |
$212 |
0.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,269.18 |
$1,923 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$487.74 |
$739 |
1.9× |
| Trim skin lesion (11055) |
$93.72 |
$142 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$156.42 |
$237 |
0.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$46.20 |
$70 |
0.8× |
| Trluml Balo Angiop 1St Art (37246) |
$9,823.44 |
$14,884 |
1.7× |
| Trluml Balo Angiop 1St Vein (37248) |
$8,855.22 |
$13,417 |
1.5× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,315.94 |
$3,509 |
0.6× |
| Trurl rescj postop bladder neck contracture (52640) |
$2,630.76 |
$3,986 |
0.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,164.80 |
$3,280 |
0.8× |
| Tx Gastro Intub W/Asp (43753) |
$245.52 |
$372 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$543.84 |
$824 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$733.92 |
$1,112 |
1.7× |
| Unlisted Cardiac Surgery (33999) |
$7,104.24 |
$10,764 |
10.9× |
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines |
$562.98–$1,296.90 |
$853–$1,965 |
varies |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$62.70–$2,412.96 |
$95–$3,656 |
varies |
| Upgrade of pacemaker system (33214) |
$10,029.36 |
$15,196 |
0.9× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$2,593.80 |
$3,930 |
0.7× |
| Vasc embolize/occlude artery (37242) |
$17,256.36 |
$26,146 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,911.28 |
$24,108 |
1.3× |
| Vasc Embolize/Occlude Organ (37243) |
$14,134.56 |
$21,416 |
1.2× |
| Vasc embolize/occlude venous (37241) |
$14,426.94 |
$21,859 |
1.2× |
| Vein Access Cutdown < 1 Yr (36420) |
$50.16 |
$76 |
0.4× |
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure |
$5,582.28 |
$8,458 |
0.5× |
| Ventricular puncture previous burr hole w/inj (61026) |
$561 |
$850 |
0.8× |
| Wedge excision skin nail fold (11765) |
$154.44 |
$234 |
0.4× |
| Xtroral I&D Floor Masticator Space (41018) |
$1,176.12 |
$1,782 |
0.7× |