| Abd paracentesis w/imaging (49083) |
$3.50 |
$5 |
0.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$729.80 |
$1,042.57 |
0.8× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$13,300 |
$19,000 |
4.0× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,925 |
$2,750 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,084.50 |
$5,835 |
2.0× |
| Amputation metatarsal with toe single (28810) |
$13,561.10 |
$19,373 |
4.1× |
| Amputation of finger/thumb (26952) |
$7,180.85 |
$10,258.36 |
2.2× |
| Amputation toe interphalangeal joint (28825) |
$5,023.90 |
$3,679.30 |
1.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$9,197.30 |
$13,139 |
2.8× |
| Amputation, foot; transmetatarsal (28805) |
$11,900 |
$17,000 |
3.6× |
| Anoscopy diagnostic (46600) |
$269.50 |
$385 |
2.0× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$3,244.50 |
$4,635 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$5.96 |
$8.51 |
0.0× |
| Application cast elbow finger short arm (29075) |
$300.55 |
$429.36 |
1.1× |
| Application Cast Finger (29086) |
$132.48 |
$189.26 |
0.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$132.48 |
$189.26 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$300.55 |
$429.36 |
1.1× |
| Application finger splint static (29130) |
$132.48 |
$189.26 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$132.48 |
$189.26 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$148.38 |
$211.97 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$5.82 |
$8.32 |
0.0× |
| Application short arm splint forearm-hand static (29125) |
$132.48 |
$189.26 |
1.0× |
| Application short leg splint calf foot (29515) |
$148.38 |
$211.97 |
0.9× |
| Apply long leg cast brace (29358) |
$330.83 |
$472.62 |
1.2× |
| Apply short leg cast (29405) |
$318.72 |
$455.31 |
1.1× |
| Apply short leg cast (29425) |
$349.69 |
$499.55 |
1.2× |
| Arterial puncture (36600) |
$55.52 |
$79.31 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$5.51 |
$7.87 |
0.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$175 |
$250 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$776.74 |
$1,109.62 |
2.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$249.20 |
$356 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$5.40 |
$7.71 |
0.0× |
| Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800) |
$56,000 |
$80,000 |
3.2× |
| Arthrodesis ankle open (27870) |
$60,200 |
$86,000 |
4.7× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$56,910 |
$81,300 |
4.4× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$74,644.88 |
$106,635.54 |
4.2× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$56,700 |
$81,000 |
4.4× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$64,656.20 |
$92,366 |
2.4× |
| Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for… (22556) |
$73,500 |
$105,000 |
4.2× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments (22808) |
$58,100 |
$83,000 |
3.3× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments (22810) |
$56,000 |
$80,000 |
3.2× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$56,893.90 |
$81,277 |
2.1× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$28,945 |
$41,350 |
4.0× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$73,311 |
$104,730 |
2.7× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$56,893.90 |
$81,277 |
3.2× |
| Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610) |
$73,325 |
$104,750 |
4.2× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$28,000 |
$40,000 |
1.6× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$74,644.88 |
$106,635.54 |
4.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$56,700 |
$81,000 |
3.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$11,873.52 |
$16,962.17 |
3.6× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$13,076 |
$18,680 |
4.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$13,090 |
$18,700 |
4.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$13,300 |
$19,000 |
4.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$13,300 |
$19,000 |
4.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$13,300 |
$19,000 |
4.0× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$12,950 |
$18,500 |
3.9× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$13,752.20 |
$19,646 |
4.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$661.50 |
$945 |
2.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$182 |
$260 |
0.9× |
| Biopsy bone open superficial (20240) |
$4,554.90 |
$6,507 |
1.6× |
| Biopsy bone trocar/needle deep (20225) |
$6,650 |
$9,500 |
4.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,634.10 |
$3,763 |
1.6× |
| Biopsy Breast Open Incisional (19101) |
$8,326.50 |
$11,895 |
2.1× |
| Biopsy of lip (40490) |
$295.52 |
$422.17 |
1.2× |
| Biopsy of uterus lining (58100) |
$299.60 |
$428 |
1.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$14,899.50 |
$21,285 |
3.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$3,255 |
$4,650 |
3.5× |
| Biopsy/removal lymph nodes (38525) |
$8,690.50 |
$12,415 |
2.2× |
| Bladder Irrigation Simple (51700) |
$325.08 |
$464.40 |
1.3× |
| Bladder Scan (51798) |
$272.54 |
$389.34 |
4.6× |
| Blood patch (62273) |
$385 |
$550 |
0.5× |
| Blood transfusion service (36430) |
$1,750 |
$2,500 |
3.9× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$15,603 |
$22,290 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$3,532.12 |
$5,045.88 |
2.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,141 |
$1,630 |
0.3× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,721.53 |
$2,459.33 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$289.19 |
$413.13 |
1.2× |
| Chemical Cautery Tissue (17250) |
$13.61 |
$19.44 |
0.1× |
| Chest tube placement (32551) |
$645.01 |
$921.44 |
0.4× |
| Circum 28 days or older (54161) |
$4,139.32 |
$5,913.32 |
2.0× |
| Circumcision (54150) |
$3,392.90 |
$4,847 |
1.6× |
| Circumcision Neonate (54160) |
$493.50 |
$705 |
0.7× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$175.64 |
$250.91 |
0.1× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,242.38 |
$3,203.40 |
1.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$403.76 |
$576.80 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$175.64 |
$250.91 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$4,247.16 |
$6,067.37 |
2.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$328.56 |
$469.37 |
1.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$175.64 |
$250.91 |
0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$595.80 |
$851.14 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$128.70 |
$183.86 |
0.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,595.60 |
$3,708 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$6,580 |
$9,400 |
4.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$217.74 |
$311.06 |
0.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$5,895.62 |
$8,422.32 |
3.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,621.66 |
$3,745.23 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$175.64 |
$250.91 |
0.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$431.10 |
$615.85 |
1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$175.64 |
$250.91 |
0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$175.64 |
$250.91 |
0.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$205.16 |
$293.09 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$595.80 |
$851.14 |
0.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$6,580 |
$9,400 |
4.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$175.64 |
$250.91 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$175.64 |
$250.91 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,050 |
$1,500 |
4.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$235.45 |
$336.35 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$175.64 |
$250.91 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$175.64 |
$250.91 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$175.64 |
$250.91 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$394.42 |
$563.46 |
1.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$175.64 |
$250.91 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$205.16 |
$293.09 |
0.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,225.70 |
$1,751 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,103.20 |
$1,576 |
4.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$235.45 |
$336.35 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,844.32 |
$2,634.74 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$595.80 |
$851.14 |
0.4× |
| Coccygectomy Primary (27080) |
$8,400 |
$12,000 |
2.6× |
| Colonoscopy flex w/rem forcep (45384) |
$2,592.24 |
$3,703.19 |
2.2× |
| Colonoscopy w/ablation (45388) |
$1,079.57 |
$1,542.24 |
0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$274.45 |
$392.07 |
0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$7,973.70 |
$11,391 |
2.5× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$4,522 |
$6,460 |
1.4× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$738.95 |
$1,055.64 |
2.4× |
| Colposcopy vulva (56820) |
$3.50 |
$5 |
0.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,275.40 |
$1,822 |
1.1× |
| Complex Drainage, Wound (10180) |
$11,025 |
$15,750 |
3.8× |
| Conization of cervix (57522) |
$4,784.50 |
$6,835 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$159.74 |
$228.20 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$169.58 |
$242.26 |
1.3× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$29,050 |
$41,500 |
4.0× |
| Correction hammertoe (28285) |
$6,868.64 |
$9,812.34 |
2.1× |
| Correction of bunion (28298) |
$29,575 |
$42,250 |
4.1× |
| Correction of bunion (28292) |
$13,300 |
$19,000 |
4.0× |
| Correction of bunion (28299) |
$29,575 |
$42,250 |
4.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$13,335 |
$19,050 |
4.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170.34 |
$243.34 |
1.3× |
| Curettage postpartum (59160) |
$12,390 |
$17,700 |
3.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$755.61 |
$1,079.44 |
1.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,250.65 |
$1,786.64 |
0.4× |
| Debride nail 1-5 (11720) |
$3.91 |
$5.58 |
0.1× |
| Debride nail 6 or more (11721) |
$3.91 |
$5.59 |
0.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$323.26 |
$461.80 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$924.70 |
$1,321 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,649.70 |
$3,785.28 |
1.6× |
| Declot vascular device (36593) |
$3.50 |
$5 |
0.0× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$584.44 |
$834.92 |
0.3× |
| Delivery placenta separate procedure (59414) |
$80.87 |
$115.53 |
0.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$1,044.40 |
$1,492 |
2.6× |
| Destruction benign lesions 15 or more (17111) |
$454.82 |
$649.74 |
2.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$359.45 |
$513.50 |
1.8× |
| Destruction Lesions Vulva Simple (56501) |
$3,920 |
$5,600 |
1.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$3.50 |
$5 |
0.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$338.10 |
$483 |
1.7× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$3.50 |
$5 |
0.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$338.10 |
$483 |
1.7× |
| Destruction premalignant lesion 1st (17000) |
$314.72 |
$449.60 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,428 |
$2,040 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,410.84 |
$2,015.50 |
0.4× |
| Division of fallopian tube (58600) |
$2,611.83 |
$3,731.18 |
0.8× |
| Drainage abscess/hematoma nasal int approach (30000) |
$364.90 |
$521.28 |
1.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,536.05 |
$2,194.36 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$506.78 |
$723.96 |
2.5× |
| Drainage of gum lesion (41800) |
$206.50 |
$295 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$3,939.34 |
$5,627.64 |
2.4× |
| Drainage of scrotal wall abscess (55100) |
$6,930 |
$9,900 |
4.2× |
| Draw blood off venous device (36591) |
$3.50 |
$5 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$108.15 |
$154.50 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$153.50 |
$219.28 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$253.86 |
$362.66 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$11,200 |
$16,000 |
4.0× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$7,700 |
$11,000 |
3.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$4,088 |
$5,840 |
2.1× |
| Egd flexible foreign body removal (43247) |
$1,461.60 |
$2,088 |
1.6× |
| Egd rem tumr/polyp forcep (43250) |
$6,280.78 |
$8,972.54 |
3.3× |
| Egd remove lesion snare (43251) |
$2,982.70 |
$4,261 |
1.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,810.20 |
$2,586 |
0.9× |
| Endoscopic Plantar Fasciotomy (29893) |
$13,370 |
$19,100 |
4.1× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$4.73 |
$6.75 |
0.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$4.73 |
$6.75 |
0.0× |
| Episiotomy or vaginal repair (59300) |
$105 |
$150 |
0.0× |
| Evacuate mole of uterus (59870) |
$2,328.55 |
$3,326.50 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$24.74 |
$35.34 |
0.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,553.86 |
$5,076.94 |
2.1× |
| Exc abd les sc 3 cm/> (22903) |
$1,216.60 |
$1,738 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$6,721.02 |
$9,601.45 |
2.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,099.07 |
$5,855.82 |
2.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$731.59 |
$1,045.12 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3.50 |
$5 |
0.0× |
| Exc back les sc < 3 cm (21930) |
$2,603.51 |
$3,719.30 |
1.6× |
| Exc face les sbq 2 cm/> (21012) |
$3.50 |
$5 |
0.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,109.50 |
$1,585 |
1.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$5,947.29 |
$8,496.13 |
3.6× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$3,540.60 |
$5,058 |
2.1× |
| Exc forearm les sc 3 cm/> (25071) |
$18,258.82 |
$26,084.02 |
11.0× |
| Exc forearm les sc < 3 cm (25075) |
$3,336.36 |
$4,766.24 |
2.0× |
| Exc neck tum deep < 5 cm (21556) |
$5,921.30 |
$8,459 |
2.0× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$5,116.36 |
$7,309.09 |
2.6× |
| Exc shoulder tum deep 5 cm/> (23073) |
$4,554.90 |
$6,507 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,109.50 |
$1,585 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$538.27 |
$768.95 |
1.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$455.81 |
$651.16 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$292.60 |
$417.99 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$795.98 |
$1,137.12 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,606.10 |
$3,723 |
1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,727.20 |
$3,896 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,745.10 |
$2,493 |
1.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,801.74 |
$2,573.91 |
1.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$5,936 |
$8,480 |
2.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,220 |
$4,600 |
1.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,859 |
$8,370 |
2.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,102.50 |
$1,575 |
1.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$6,760.92 |
$9,658.46 |
2.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$6,224.53 |
$8,892.18 |
2.1× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$11,900 |
$8,578.77 |
4.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$11,200 |
$16,000 |
3.8× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$6,762 |
$9,660 |
2.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$10,949.40 |
$15,642 |
3.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,990 |
$5,700 |
2.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$6,580 |
$9,400 |
2.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$13,300 |
$19,000 |
4.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$6,580 |
$4,747.85 |
4.1× |
| Excise cutaneous neurofibroma (64788) |
$8,050 |
$11,500 |
4.1× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$5,921.30 |
$8,459 |
2.0× |
| Excision lesion mouth roof (42104) |
$12,915 |
$18,450 |
3.9× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,584.40 |
$3,692 |
1.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$3,134.60 |
$4,478 |
4.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,109.50 |
$1,585 |
1.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,058.66 |
$1,512.38 |
2.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$896.92 |
$1,281.32 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$189.27 |
$270.38 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,125.60 |
$1,608 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,125.60 |
$1,608 |
1.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$621.54 |
$887.91 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,395.70 |
$4,851 |
2.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$3,397.80 |
$4,854 |
2.0× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$9.63 |
$13.76 |
0.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,952.76 |
$2,789.66 |
2.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$6,650 |
$9,500 |
4.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,649.50 |
$3,785 |
1.6× |
| Excision of bartholin's gland or cyst (56740) |
$6,379.10 |
$9,113 |
2.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,732.50 |
$2,475 |
2.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,580.89 |
$3,686.98 |
3.6× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$6,580 |
$4,754.30 |
4.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$483 |
$690 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$969.02 |
$1,384.32 |
0.6× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$6,580 |
$9,400 |
4.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$10,955 |
$15,650 |
3.8× |
| Excision of single external papilla or tag, anus (46220) |
$2,609.60 |
$3,728 |
2.2× |
| Excision olecranon bursa (24105) |
$13,370 |
$19,100 |
4.1× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$6,580 |
$9,400 |
4.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$6,496.70 |
$9,281 |
2.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,123 |
$5,890 |
2.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$3,969 |
$5,670 |
2.5× |
| Excision, nasal polyp(s), simple (30110) |
$3.50 |
$5 |
0.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$3,909.50 |
$5,585 |
2.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$6,758.50 |
$9,655 |
2.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,596.10 |
$5,137.28 |
2.2× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,561 |
$2,230 |
0.5× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$13,752.20 |
$9,913.88 |
4.2× |
| Explo/Drain Breast Abscess (19020) |
$4,000.50 |
$5,715 |
2.4× |
| Exploration of spinal fusion (22830) |
$56,000 |
$80,000 |
7.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,528.86 |
$2,184.09 |
0.9× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,012.24 |
$2,874.63 |
0.6× |
| External Cephalic Version (59412) |
$12,379.50 |
$17,685 |
3.8× |
| Fasciotomy palmar open partial (26045) |
$13,300 |
$19,000 |
4.0× |
| Fetal non-stress test (59025) |
$3.50 |
$5 |
0.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$606.12 |
$865.88 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$379.25 |
$541.78 |
0.9× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$584.44 |
$834.92 |
0.3× |
| Fusion of foot bones (28730) |
$31,412.50 |
$44,875 |
2.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$93.88 |
$134.11 |
0.4× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$13,300 |
$19,000 |
4.0× |
| Hemorrhoidectomy (46255) |
$6,541.50 |
$9,345 |
2.3× |
| Hysteroscopy biopsy (58558) |
$2,502.17 |
$3,574.52 |
0.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$11,900 |
$17,000 |
3.7× |
| I&D Abscess Peritonsillar (42700) |
$962.50 |
$1,375 |
4.0× |
| I&d abscess simple (10060) |
$201.38 |
$287.68 |
1.0× |
| I&d below fascia foot 1 bursal space (28002) |
$6,650 |
$9,500 |
4.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,440.80 |
$6,344 |
1.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$4,128.62 |
$5,898.04 |
2.0× |
| I&d perianal abscess superficial (46050) |
$1,113.95 |
$1,591.35 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$362.63 |
$518.04 |
0.5× |
| Incise finger tendon sheath (26055) |
$6,300 |
$9,000 |
3.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$619.50 |
$885 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,237.78 |
$1,768.25 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,940 |
$4,200 |
4.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,628.50 |
$3,755 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$467.08 |
$461.80 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$424.20 |
$606 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$792.74 |
$1,132.48 |
2.6× |
| Incision bone cortex foot (28005) |
$13,300 |
$19,000 |
4.0× |
| Incision extensor tendon sheath wrist (25000) |
$3,409 |
$4,870 |
2.1× |
| Incision of lingual frenum (41010) |
$589.37 |
$841.95 |
0.4× |
| Incision of metatarsal (28308) |
$6,848.67 |
$9,783.82 |
2.1× |
| Incision of rectal abscess (46040) |
$2,857.11 |
$4,081.58 |
2.4× |
| Incision thrombosed hemorrhoid external (46083) |
$2,857.11 |
$4,081.58 |
11.4× |
| Incision&drainage bursa foot (28001) |
$6,650 |
$9,500 |
4.0× |
| Incisional biopsy skin single lesion (11106) |
$1,439.90 |
$2,057 |
1.9× |
| Induced abortion by d&c (59840) |
$1,877.48 |
$2,682.12 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$102.96 |
$147.08 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,470 |
$2,100 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$434.78 |
$621.12 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$475.65 |
$679.50 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,012.50 |
$2,875 |
2.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,756.65 |
$2,509.50 |
2.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,170 |
$3,100 |
2.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,732.50 |
$2,475 |
2.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$3,937.50 |
$5,625 |
4.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,012.50 |
$2,875 |
2.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,940 |
$4,200 |
4.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,578.50 |
$2,255 |
2.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,216.25 |
$1,737.50 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$816.43 |
$1,166.33 |
2.6× |
| Injection anes other peripheral nerve/branch (64450) |
$1,068.20 |
$1,526 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$473.90 |
$677 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$323.72 |
$462.46 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$486.50 |
$695 |
1.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$3,167.50 |
$4,525 |
10.3× |
| Insert Bladder Cath Complex (51703) |
$139.30 |
$199 |
1.1× |
| Insert cervical dilator (59200) |
$3.50 |
$5 |
0.0× |
| Insert Drug Implant Device (11981) |
$280 |
$400 |
2.1× |
| Insert non-tunnel cv cath (36556) |
$2,450 |
$3,500 |
0.8× |
| Insert pessary/other device (57160) |
$539 |
$770 |
2.7× |
| Insert picc cath (36569) |
$3.50 |
$5 |
0.0× |
| Insert Temp Bladder Cath (51702) |
$94.63 |
$135.19 |
0.7× |
| Insert tunneled cv cath (36561) |
$5,059.60 |
$7,228 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$76.46 |
$109.23 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,094.40 |
$2,992 |
1.3× |
| Insrt/redo spine n generator (63685) |
$120,190.43 |
$86,738.80 |
3.9× |
| Intubation endotracheal emergency procedure (31500) |
$392 |
$560 |
1.6× |
| Knee arthroscopy/surgery (29883) |
$13,300 |
$19,000 |
4.0× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$26,242.87 |
$37,489.82 |
3.6× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$44,817.58 |
$64,025.12 |
2.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$29,050 |
$41,500 |
4.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$30,590 |
$43,700 |
4.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$31,500 |
$45,000 |
4.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$29,050 |
$41,500 |
4.0× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$30,590 |
$43,700 |
4.2× |
| Lap ing hernia repair init (49650) |
$13,030.33 |
$18,614.76 |
2.1× |
| Laparoscopy appendectomy (44970) |
$8,802.50 |
$12,575 |
1.4× |
| Laparoscopy Remove Adnexa (58661) |
$13,154.75 |
$18,792.50 |
2.2× |
| Laparoscopy tubal block (58671) |
$24,080 |
$34,400 |
4.0× |
| Laparoscopy Tubal Cautery (58670) |
$3,555.78 |
$5,079.70 |
0.6× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,696.20 |
$9,566 |
1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,059.75 |
$10,085.35 |
1.2× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$12,670 |
$18,100 |
2.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$3.50 |
$5 |
0.0× |
| Late closure of wound (13160) |
$8,050 |
$11,500 |
2.3× |
| Lateral retinacular release open (27425) |
$13,090 |
$18,700 |
4.0× |
| Marsup Bartholin Gland Cyst (56440) |
$4,522 |
$6,460 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$218.46 |
$312.09 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$630 |
$900 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,537.68 |
$2,196.68 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$798.70 |
$1,141 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,022 |
$1,460 |
1.2× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$31,500 |
$45,000 |
4.3× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$30,800 |
$44,000 |
4.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$28,700 |
$41,000 |
3.9× |
| Open Treatment Medial Malleolus Fracture (27766) |
$28,700 |
$41,000 |
3.9× |
| Open treatment metatarsal fracture each (28485) |
$29,487.50 |
$42,125 |
4.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$16,266.25 |
$23,237.50 |
2.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$28,700 |
$41,000 |
3.9× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$28,910 |
$41,300 |
2.2× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$31,500 |
$45,000 |
4.3× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$56,893.90 |
$81,277 |
4.4× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$28,945 |
$41,350 |
4.0× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$60,284 |
$86,120 |
8.3× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$60,284 |
$86,120 |
8.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$13,076 |
$18,680 |
4.0× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$30,800 |
$44,000 |
4.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$13,370 |
$19,100 |
4.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$13,300 |
$19,000 |
4.0× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$30,562 |
$43,660 |
4.2× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$59,480.16 |
$84,971.66 |
4.6× |
| Optx post ankle fx (27769) |
$30,590 |
$43,700 |
4.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$7,378 |
$10,540 |
2.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$7,441 |
$10,630 |
2.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$13,300 |
$19,000 |
4.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$13,752.20 |
$9,913.93 |
4.2× |
| Osteotomy Radius Distal Third (25350) |
$30,562 |
$43,660 |
4.2× |
| Partial Excision Bone Olecranon Process (24147) |
$13,300 |
$19,000 |
4.0× |
| Partial excision bone talus/calcaneus (28120) |
$13,300 |
$19,000 |
4.0× |
| Partial Excision Bone Ulna (25150) |
$13,300 |
$19,000 |
4.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$8,127.33 |
$11,610.47 |
2.5× |
| Partial Removal Foot Fascia (28060) |
$7,157.50 |
$10,225 |
2.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$13,370 |
$19,100 |
4.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$30,590 |
$43,700 |
4.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$13,300 |
$19,000 |
4.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$780.52 |
$1,115.03 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$270.27 |
$386.10 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$28,700 |
$41,000 |
3.9× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$13,755 |
$19,650 |
4.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$13,090 |
$18,700 |
4.0× |
| Placement of needle for intraosseous infusion (36680) |
$101.44 |
$144.92 |
0.2× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$30,800 |
$44,000 |
4.2× |
| Punch biopsy skin single lesion (11104) |
$370.55 |
$529.35 |
0.9× |
| Puncture Aspiration (10160) |
$396.30 |
$259.56 |
1.0× |
| Pvb thoracic single inj site (64461) |
$1,018.50 |
$1,455 |
1.4× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$29,400 |
$42,000 |
4.0× |
| Reconstruct Shoulder Joint (23470) |
$58,100 |
$83,000 |
4.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$14,552.26 |
$20,788.94 |
2.0× |
| Reinsertion Spinal Fixation Device (22849) |
$56,000 |
$80,000 |
4.3× |
| Removal fb intranasal (30300) |
$151.41 |
$216.30 |
1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,441.15 |
$6,344.50 |
1.5× |
| Removal Foreign Body Foot Complicated (28193) |
$6,650 |
$9,500 |
4.0× |
| Removal foreign body foot deep (28192) |
$6,650 |
$9,500 |
4.0× |
| Removal foreign body foot subcutaneous (28190) |
$1,047.13 |
$1,495.90 |
1.5× |
| Removal foreign body pharynx (42809) |
$76.46 |
$109.23 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$94.45 |
$134.93 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$76.46 |
$109.23 |
1.3× |
| Removal Implant Deep (20680) |
$10,949.40 |
$15,642 |
3.8× |
| Removal Intact Mammary Implant (19328) |
$5,393.50 |
$7,705 |
1.4× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$14,000 |
$20,000 |
1.9× |
| Removal of heel bone (28118) |
$13,370 |
$19,100 |
4.1× |
| Removal of heel spur (28119) |
$3,957.86 |
$5,654.08 |
1.2× |
| Removal of intrauterine device (iud) (58301) |
$864.50 |
$1,235 |
2.8× |
| Removal of kneecap (27350) |
$29,050 |
$41,500 |
4.0× |
| Removal of nail bed (11750) |
$517.83 |
$739.75 |
1.3× |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
$35,000 |
$50,000 |
4.8× |
| Removal of posterior segmental instrumentation (22852) |
$56,000 |
$80,000 |
7.7× |
| Removal of sesamoid bone (28315) |
$7,437.50 |
$10,625 |
2.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$173.81 |
$248.30 |
0.9× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$8,120 |
$11,600 |
4.1× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$15,400 |
$22,000 |
4.4× |
| Remove by ligat int hem grps (46946) |
$11,200 |
$16,000 |
4.0× |
| Remove cerclage suture (59871) |
$1,564.82 |
$2,235.46 |
0.5× |
| Remove cerv artif disc (22864) |
$56,700 |
$81,000 |
7.8× |
| Remove elbow lesion (24120) |
$13,300 |
$19,000 |
4.0× |
| Remove foreign body from eye (65235) |
$726.77 |
$1,038.24 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$11,200 |
$16,000 |
4.0× |
| Remove Pilonidal Cyst Exten (11771) |
$1,577.80 |
$2,254 |
0.5× |
| Remove wrist tendon lesion (25111) |
$2,031.06 |
$2,901.51 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$76.46 |
$109.23 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$162.76 |
$232.52 |
1.2× |
| Remv for.body deep penile tiss (54115) |
$5,996.30 |
$8,566.14 |
2.1× |
| Repair achilles tendon (27650) |
$29,540 |
$42,200 |
4.1× |
| Repair collat ankle ligmnt,secondary (27698) |
$15,751.04 |
$22,501.48 |
2.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$582.17 |
$831.67 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$639.71 |
$913.87 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$381.56 |
$545.08 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$581.41 |
$830.59 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$381.56 |
$545.08 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$857.50 |
$1,225 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$623.05 |
$890.07 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$648.03 |
$925.76 |
0.9× |
| Repair finger tendon (26432) |
$6,433 |
$9,190 |
4.0× |
| Repair finger/hand tendon (26350) |
$189.27 |
$270.38 |
0.1× |
| Repair hallux rigidus (28289) |
$13,090 |
$18,700 |
4.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$15,470 |
$22,100 |
4.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$442.12 |
$631.60 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$496.86 |
$709.79 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$451.96 |
$645.66 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$449.69 |
$642.41 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$411.84 |
$588.34 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$426.98 |
$609.97 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$457.26 |
$653.23 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$419.41 |
$599.15 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$170.34 |
$243.34 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$496.33 |
$709.04 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$405.02 |
$578.60 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$457.26 |
$653.23 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$434.55 |
$620.78 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$381.56 |
$545.08 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,044.40 |
$1,492 |
2.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$449.69 |
$642.41 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$682.50 |
$975 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$457.26 |
$653.23 |
0.2× |
| Repair kneecap tendon (27380) |
$30,590 |
$43,700 |
4.2× |
| Repair nonunion radius/ulna w autogrft (25405) |
$29,540 |
$42,200 |
4.1× |
| Repair of ankle ligament (27695) |
$29,540 |
$42,200 |
4.1× |
| Repair Of Foot Tendon (28208) |
$13,300 |
$19,000 |
4.0× |
| Repair of nail bed (11760) |
$1,295.03 |
$1,850.04 |
1.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$28,700 |
$41,000 |
3.9× |
| Repair of shoulder (23420) |
$28,700 |
$41,000 |
3.9× |
| Repair of thigh musc (27385) |
$29,575 |
$42,250 |
4.1× |
| Repair rotator cuff acute (23410) |
$30,800 |
$44,000 |
4.2× |
| Repair Tongue Laceration (41250) |
$125.67 |
$179.53 |
0.3× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$28,945 |
$41,350 |
4.0× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$13,300 |
$19,000 |
4.0× |
| Repair/graft achilles tendon (27652) |
$29,540 |
$42,200 |
4.1× |
| Replace g/c tube perc (49450) |
$224 |
$320 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$14,700 |
$21,000 |
4.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$7,332.50 |
$10,475 |
2.2× |
| Revis reconst shoulder joint (23473) |
$45,850 |
$65,500 |
3.6× |
| Revise median n/carpal tunnel surg (64721) |
$8,104.60 |
$11,578 |
4.1× |
| Revise ulnar nerve at elbow (64718) |
$8,050 |
$11,500 |
4.1× |
| Revision of cervix (57720) |
$2,482.64 |
$3,546.62 |
0.8× |
| Revision of foot (28116) |
$13,370 |
$19,100 |
4.1× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$57,050 |
$81,500 |
3.2× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$15,260 |
$21,800 |
4.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$162.76 |
$232.52 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,585.04 |
$3,692.92 |
2.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$11,900 |
$17,000 |
4.1× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$886 |
$1,265.71 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,551.96 |
$2,217.08 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$3.50 |
$5 |
0.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$24,080 |
$34,400 |
4.0× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$9,144.45 |
$13,063.50 |
1.4× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$24,080 |
$34,400 |
4.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$16,450 |
$23,500 |
4.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$449.69 |
$642.41 |
0.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$649.60 |
$928 |
2.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,018.29 |
$2,883.27 |
3.7× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$30,259.50 |
$43,227.85 |
4.2× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$29,540 |
$42,200 |
4.1× |
| Shoulder arthroscopy (29805) |
$13,755 |
$19,650 |
4.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$366.10 |
$523 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$327.60 |
$468 |
1.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$833.49 |
$1,190.70 |
4.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,426.60 |
$2,038 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$337.94 |
$482.77 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$242.26 |
$346.08 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$292.22 |
$417.46 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$302.82 |
$432.60 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$207.43 |
$296.33 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$454.23 |
$648.90 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$269.51 |
$199.25 |
1.3× |
| Skin splt grft trnk/arm/leg (15100) |
$4.70 |
$6.71 |
0.0× |
| Skin sub graft face/nk/hf/g (15275) |
$316.40 |
$452 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$7.14 |
$10.20 |
0.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$7.25 |
$10.35 |
0.0× |
| Skin Tissue Procedure (17999) |
$223.33 |
$319.04 |
1.1× |
| Skin tissue rearrangement (14040) |
$4,065.04 |
$5,807.19 |
2.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4.89 |
$6.99 |
0.0× |
| Skn sub grft f/n/hf/g child (15277) |
$7.63 |
$10.90 |
0.0× |
| Small bowel endoscopy (44376) |
$1,935.02 |
$2,764.31 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$228.63 |
$326.61 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$318.50 |
$455 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$427.74 |
$611.05 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$1,068.20 |
$1,526 |
1.5× |
| Strapping ankle (29540) |
$132.48 |
$189.26 |
0.8× |
| Strapping elbow/wrist (29260) |
$132.48 |
$189.26 |
2.2× |
| Strapping hand/finger (29280) |
$132.48 |
$189.26 |
2.2× |
| Strapping knee (29530) |
$148.38 |
$211.97 |
1.1× |
| Strapping shoulder (29240) |
$132.48 |
$189.26 |
1.0× |
| Strapping toes (29550) |
$132.48 |
$189.26 |
2.2× |
| Strapping unna boot (29580) |
$5.82 |
$8.32 |
0.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,550 |
$6,500 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$250.02 |
$357.18 |
0.6× |
| Tenotomy elbow lateral/medial debride open (24358) |
$13,300 |
$19,000 |
4.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$5.73 |
$8.19 |
0.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$6,615 |
$9,450 |
4.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,540 |
$2,200 |
2.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$918.30 |
$1,311.86 |
1.5× |
| Thrombolytic Therapy, Stroke (37195) |
$625.83 |
$894.04 |
1.9× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,442 |
$2,060 |
0.7× |
| Total hip arthroplasty (27130) |
$56,910 |
$81,300 |
4.4× |
| Total knee arthroplasty (27447) |
$49,700 |
$71,000 |
3.9× |
| Trach Tube Change (31502) |
$165.04 |
$235.77 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$3.50 |
$5 |
0.0× |
| Treat elbow fracture (24586) |
$56,893.90 |
$81,277 |
4.4× |
| Treat Finger Fracture Each (26727) |
$13,670.61 |
$19,529.44 |
4.2× |
| Treat fracture radius/ulna (25575) |
$30,590 |
$43,700 |
4.2× |
| Treat fx distal radial (25606) |
$13,090 |
$18,700 |
4.0× |
| Treat fx rad extra-articul (25607) |
$29,050 |
$41,500 |
4.0× |
| Treat heel fracture (28415) |
$43,750 |
$62,500 |
6.0× |
| Treat humerus fracture (23600) |
$352.03 |
$502.90 |
1.4× |
| Treat lower leg fracture (27828) |
$56,910 |
$81,300 |
4.4× |
| Treat Lower Leg Fracture (27827) |
$58,100 |
$83,000 |
4.5× |
| Treat Metatarsal Fracture (28475) |
$296.01 |
$422.87 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$289.84 |
$414.06 |
1.2× |
| Treatment of ankle fracture (27792) |
$29,540 |
$42,200 |
4.1× |
| Treatment of foot infection (28003) |
$13,300 |
$19,000 |
4.0× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$28,700 |
$41,000 |
3.9× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$2,346.86 |
$3,352.65 |
0.7× |
| Treatment of tibia fracture (27759) |
$56,893.90 |
$81,277 |
4.4× |
| Trim skin lesion (11055) |
$12.21 |
$17.44 |
0.1× |
| Trim skin lesions 2 to 4 (11056) |
$3.50 |
$5 |
0.0× |
| Trim skin lesions over 4 (11057) |
$3.56 |
$5.09 |
0.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$3.65 |
$5.22 |
0.1× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$37,800 |
$54,000 |
2.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,092.48 |
$1,560.68 |
0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,190.15 |
$3,128.78 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$581.41 |
$830.59 |
0.8× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$805 |
$1,150 |
4.0× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$12,603.50 |
$18,005 |
2.1× |
| Unlisted procedure anus (46999) |
$3,850 |
$5,500 |
4.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$257.95 |
$368.50 |
1.6× |
| Unlisted procedure maternity care & delivery (59899) |
$805 |
$1,150 |
4.0× |
| Unlisted Procedure Nervous System (64999) |
$542.50 |
$775 |
1.8× |
| Unlisted procedure spine (22899) |
$980 |
$1,400 |
4.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,562.40 |
$2,232 |
2.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,750 |
$2,500 |
1.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$507.50 |
$725 |
2.5× |
| Vaginal delivery only (59409) |
$13.98 |
$19.96 |
0.0× |
| Vasectomy (55250) |
$8,400 |
$12,000 |
4.0× |
| Vbac delivery only (59612) |
$3.50 |
$5 |
0.0× |
| Venipuncture (36415) |
$33.72 |
$48.18 |
3.6× |
| Wound Prep F/N/Hf/G (15004) |
$863.10 |
$1,233 |
2.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$4.43 |
$6.33 |
0.0× |