| Abd paracentesis w/imaging (49083) |
$1,917.20 |
$4,793 |
2.0× |
| Abdomen Surgery Procedure (22999) |
$4,794.90 |
$11,987.26 |
18.8× |
| Ablate inf turbinate submuc (30802) |
$6,735.83 |
$16,839.58 |
4.2× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$7,525.58 |
$18,813.95 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$12,637.74 |
$31,594.36 |
3.7× |
| Amputation toe metatarsophalangeal joint (28820) |
$7,808.06 |
$19,520.16 |
2.3× |
| Anoscopy diagnostic (46600) |
$3,087.26 |
$7,718.16 |
22.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$6,375.72 |
$15,939.29 |
1.2× |
| Anterior tibial tubercleplasty (27418) |
$19,815.80 |
$49,539.50 |
2.6× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$305.80 |
$764.50 |
1.8× |
| Application finger splint static (29130) |
$242.40 |
$606 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$32.50 |
$81.25 |
0.2× |
| Application of rigid total contact leg cast (29445) |
$1,420 |
$3,550 |
4.9× |
| Application short arm splint forearm-hand static (29125) |
$242.40 |
$606 |
1.8× |
| Apply long leg splint (29505) |
$4.23 |
$10.57 |
0.0× |
| Apply short leg splint (29515) |
$271.03 |
$677.57 |
1.6× |
| Arterial puncture (36600) |
$212 |
$530 |
1.5× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$7,526.38 |
$18,815.94 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,926.98 |
$4,817.44 |
2.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$2,516.38 |
$6,290.95 |
7.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,919.77 |
$4,799.42 |
6.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$3,103.35 |
$7,758.36 |
9.8× |
| Arthrodesis ankle open (27870) |
$17,427.56 |
$43,568.91 |
1.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$8,750.97 |
$21,877.44 |
1.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$14,578.18 |
$36,445.44 |
1.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$4,132.50 |
$10,331.26 |
1.2× |
| Arthrodesis triple (28715) |
$11,738.34 |
$29,345.84 |
0.9× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$6,316.04 |
$15,790.09 |
0.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$7,131.26 |
$17,828.16 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$8,483.06 |
$21,207.65 |
0.5× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$15,136.67 |
$37,841.67 |
4.5× |
| Arthroplasty, radial head; with implant Facility (24366) |
$10,875.90 |
$27,189.75 |
0.8× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$4,960.43 |
$12,401.08 |
0.7× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$11,758.31 |
$29,395.77 |
1.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$9,291.39 |
$23,228.49 |
2.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,766.60 |
$9,416.50 |
1.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$5,978.55 |
$14,946.39 |
1.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$5,015.55 |
$12,538.89 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$6,148.04 |
$15,370.11 |
1.8× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$4,685.28 |
$11,713.21 |
1.4× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$9,212.12 |
$23,030.31 |
2.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,134.16 |
$15,335.40 |
1.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$11,317.55 |
$28,293.89 |
3.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$8,089.23 |
$20,223.07 |
2.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$8,938.45 |
$22,346.14 |
1.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$13,051.30 |
$32,628.26 |
1.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$20,222.72 |
$50,556.79 |
6.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,031.96 |
$12,579.91 |
0.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,970.34 |
$14,925.85 |
0.8× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$4,225.07 |
$10,562.67 |
1.2× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$13,275.49 |
$33,188.71 |
3.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,025.07 |
$17,562.69 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$7,712.36 |
$19,280.89 |
2.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$8,291.55 |
$20,728.87 |
5.0× |
| Aspirate pleura w/ imaging (32555) |
$1,940.40 |
$4,851 |
3.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$274.39 |
$685.97 |
1.3× |
| Biopsy bone open superficial (20240) |
$5,023.89 |
$12,559.72 |
1.7× |
| Biopsy bone trocar/needle deep (20225) |
$3,928 |
$9,820 |
2.3× |
| Biopsy muscle deep (20205) |
$2,760.24 |
$6,900.60 |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$2,673.67 |
$6,684.19 |
1.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,831.75 |
$4,579.37 |
0.5× |
| Biopsy Salivary Gland,Needle (42400) |
$1,900.34 |
$4,750.84 |
2.6× |
| Biopsy soft tissue neck/thorax (21550) |
$3,826.80 |
$9,567 |
2.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,505.06 |
$6,262.64 |
1.5× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,602.98 |
$6,507.44 |
0.8× |
| Biopsy/removal lymph nodes (38525) |
$12,814.90 |
$32,037.26 |
3.2× |
| Biopsy/removal lymph nodes (38510) |
$4,708.76 |
$11,771.90 |
1.2× |
| Bl exchange/transfuse nb (36450) |
$1,849.60 |
$4,624 |
4.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$3,361.40 |
$8,403.49 |
4.7× |
| Bladder Irrigation Simple (51700) |
$419.88 |
$1,049.70 |
1.6× |
| Blood patch (62273) |
$2,178.60 |
$5,446.50 |
3.0× |
| Blood transfusion service (36430) |
$632 |
$1,580 |
1.4× |
| Bone Marrow Biopsy (38221) |
$2,355.73 |
$5,889.32 |
1.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,004.25 |
$2,510.63 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$2,232.80 |
$5,582 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$3,781.15 |
$9,452.87 |
2.2× |
| Bx/exc lymph node needle superficial (38505) |
$2,000.40 |
$5,001 |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$7,519 |
$18,797.51 |
2.2× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$9,931.71 |
$24,829.27 |
1.3× |
| Cerclage cervix pregnancy vaginal (59320) |
$7,442 |
$18,605 |
2.2× |
| Chemical cautery tissue (17250) |
$1,343.20 |
$3,358 |
6.5× |
| Chromotubation oviduct (58350) |
$6,277.11 |
$15,692.77 |
1.2× |
| Circum 28 days or older (54161) |
$7,439.75 |
$18,599.38 |
3.4× |
| Circumcision (54150) |
$2,491.90 |
$6,229.75 |
1.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$2.67 |
$6.68 |
0.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$2,274.39 |
$5,685.98 |
0.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$122 |
$305 |
0.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$2,034.40 |
$5,086 |
8.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$4.23 |
$10.57 |
0.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$4.65 |
$11.63 |
0.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,584.40 |
$6,461 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$122.28 |
$305.69 |
0.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$2.11 |
$5.29 |
0.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$242.40 |
$606 |
0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$69.07 |
$172.67 |
0.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,409.44 |
$3,523.61 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$7.59 |
$18.97 |
0.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$4.65 |
$11.63 |
0.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$4.65 |
$11.63 |
0.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$5.87 |
$14.68 |
0.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$4.23 |
$10.57 |
0.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$16.91 |
$42.28 |
0.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$584.58 |
$1,461.45 |
0.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,949.94 |
$4,874.86 |
7.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,941.80 |
$4,854.50 |
7.6× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$2,588.63 |
$6,471.57 |
0.8× |
| Colonoscopy flex w/inj submuc (45381) |
$2,527.49 |
$6,318.74 |
2.0× |
| Colonoscopy flex w/rem forcep (45384) |
$5,282.98 |
$13,207.44 |
4.3× |
| Colonoscopy thru stoma (44388) |
$3,645.60 |
$9,114 |
3.8× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$7,122.13 |
$17,805.33 |
5.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$6,494.63 |
$16,236.58 |
2.3× |
| Colpocleisis (le fort type) (57120) |
$10,489.17 |
$26,222.93 |
2.0× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$5,477.74 |
$13,694.34 |
0.7× |
| Colporrhaphy Suture Injury Vagina (57200) |
$10,637.74 |
$26,594.36 |
3.2× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,477.74 |
$13,694.34 |
1.1× |
| Conization of cervix (57520) |
$7,549.67 |
$18,874.17 |
2.3× |
| Conization of cervix (57522) |
$6,653.42 |
$16,633.55 |
2.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$383.61 |
$959.03 |
1.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$195.17 |
$487.93 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$123.10 |
$307.75 |
0.9× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$6,892.33 |
$17,230.83 |
2.0× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$6,896.46 |
$17,241.15 |
0.5× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,274.88 |
$5,687.19 |
1.1× |
| Convert nephrostomy catheter (50434) |
$4,543.87 |
$11,359.67 |
2.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,952.80 |
$7,382 |
1.7× |
| Correction hammertoe (28285) |
$8,691.63 |
$21,729.07 |
2.6× |
| Correction of bunion (28299) |
$8,426.13 |
$21,065.32 |
1.1× |
| Correction of bunion (28297) |
$18,168.22 |
$45,420.55 |
1.4× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$11,982.95 |
$29,957.38 |
3.5× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$16,702.82 |
$41,757.05 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$609.33 |
$1,523.33 |
4.4× |
| Curettage postpartum (59160) |
$8,445.17 |
$21,112.93 |
2.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$6,478.97 |
$16,197.43 |
3.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,448.95 |
$8,622.37 |
1.6× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$5,324 |
$13,310.01 |
1.5× |
| Cysto w/insert ureteral stent (52332) |
$2,975.69 |
$7,439.22 |
0.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$7,284.99 |
$18,212.48 |
2.0× |
| Cysto w/removal of tumors small (52234) |
$4,170.86 |
$10,427.15 |
1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,251.72 |
$8,129.31 |
0.9× |
| Cysto/uretero w/lithotripsy (52356) |
$16,133.62 |
$40,334.04 |
2.9× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$13,261.16 |
$33,152.90 |
2.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$7,132.76 |
$17,831.91 |
3.3× |
| Cystouretero & or pyeloscope (52351) |
$9,883.95 |
$24,709.88 |
2.7× |
| Cystourethroscopy (52000) |
$17,633.82 |
$44,084.56 |
24.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$6,381.68 |
$15,954.20 |
3.0× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$9,626.44 |
$24,066.10 |
2.6× |
| Cystourethroscopy with biopsy (52204) |
$9,550.09 |
$23,875.22 |
4.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$6,662.18 |
$16,655.46 |
1.2× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$5,313.70 |
$13,284.24 |
2.5× |
| Debride nail 1-5 (11720) |
$1,222.67 |
$3,056.67 |
20.0× |
| Debride tissue/muscle (11043) |
$1,300.40 |
$3,251 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,362.40 |
$3,406 |
3.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,342 |
$3,355 |
0.8× |
| Declot vascular device (36593) |
$163.49 |
$408.73 |
0.5× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$5,692.78 |
$14,231.96 |
1.7× |
| Delivery placenta separate procedure (59414) |
$1,372.07 |
$3,430.17 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,590.80 |
$3,977 |
2.2× |
| Diagnostic sigmoidoscopy (45330) |
$4,362.67 |
$10,906.67 |
4.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,090.76 |
$5,226.89 |
2.2× |
| Discission Secondary Membranous Cataract (66820) |
$12,639.26 |
$31,598.16 |
5.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$773.11 |
$1,932.77 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$8.46 |
$21.14 |
0.0× |
| Drainage Finger Abscess Simple (26010) |
$4.23 |
$10.57 |
0.0× |
| Drainage of hematoma/fluid (10140) |
$627.91 |
$1,569.79 |
0.4× |
| Draw blood off venous device (36591) |
$166 |
$415 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$1,290.80 |
$3,227 |
6.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$1,343.20 |
$3,358 |
6.5× |
| Dstrj lesion anus simple surg excision (46922) |
$2,078.17 |
$5,195.42 |
0.7× |
| Dx bone marrow bx & aspir (38222) |
$2,377.35 |
$5,943.37 |
0.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,832.05 |
$4,580.13 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,047.40 |
$5,118.50 |
1.0× |
| Egd band ligation esophgeal/gastric varices (43244) |
$4,094.80 |
$10,237 |
2.1× |
| Egd control bleeding any (43255) |
$3,140.26 |
$7,850.64 |
1.6× |
| Egd flexible foreign body removal (43247) |
$4,676.07 |
$11,690.18 |
5.0× |
| Egd remove lesion snare (43251) |
$4,234.80 |
$10,587 |
2.1× |
| Epididymectomy unilateral (54860) |
$7,623.42 |
$19,058.54 |
2.1× |
| Episiotomy or vaginal repair (59300) |
$1,677 |
$4,192.50 |
0.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,150.67 |
$7,876.68 |
0.8× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,150.67 |
$7,876.68 |
0.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,884.91 |
$7,212.27 |
3.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$3,196.13 |
$7,990.33 |
3.4× |
| Esophagoscopy rigid trnso dx (43191) |
$2,034.73 |
$5,086.82 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$3,570.43 |
$8,926.08 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$4.65 |
$11.63 |
0.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$7,422.17 |
$18,555.43 |
4.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$3,886.25 |
$9,715.64 |
5.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$3,997.63 |
$9,994.07 |
2.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,158.88 |
$10,397.21 |
2.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$4,741.88 |
$11,854.71 |
2.8× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$3,139.13 |
$7,847.82 |
4.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$8,759.02 |
$21,897.54 |
5.3× |
| Exc neck tum deep < 5 cm (21556) |
$5,079.29 |
$12,698.22 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$3,262.42 |
$8,156.06 |
4.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$6,332.28 |
$15,830.70 |
15.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$7,463.10 |
$18,657.74 |
10.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,606.12 |
$11,515.30 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$6,453.69 |
$16,134.23 |
3.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,829.27 |
$9,573.18 |
1.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$7,465.49 |
$18,663.73 |
4.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$8,631.56 |
$21,578.90 |
2.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$8,750.97 |
$21,877.44 |
5.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,606.12 |
$11,515.30 |
1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,243.51 |
$10,608.77 |
2.5× |
| Exc urethral diverticulum spx female (53230) |
$11,785.50 |
$29,463.74 |
2.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$6,577.48 |
$16,443.69 |
1.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,103.35 |
$7,758.36 |
1.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,405.60 |
$11,014 |
1.2× |
| Exchange intraocular lens (66986) |
$13,950 |
$34,875.01 |
5.8× |
| Exchange nephrostomy cath (50435) |
$2,449.94 |
$6,124.86 |
1.1× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,766.64 |
$6,916.61 |
1.4× |
| Excise pharynx lesion (42808) |
$3,098.76 |
$7,746.91 |
0.9× |
| Excision Breast Lesion (19125) |
$3,653.22 |
$9,133.04 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$4,039.40 |
$10,098.50 |
5.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$3,152.95 |
$7,882.37 |
4.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$3,323.10 |
$8,307.75 |
4.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$6,858.50 |
$17,146.25 |
4.1× |
| Excision of hydrocele unilateral (55040) |
$9,805.11 |
$24,512.78 |
2.6× |
| Excision of lactiferous duct fistula Facility (19112) |
$5,263.20 |
$13,158 |
1.3× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$7,918.54 |
$19,796.35 |
2.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,347.88 |
$5,869.71 |
1.4× |
| Excision of local lesion of epididymis (54830) |
$3,436.89 |
$8,592.22 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,486.54 |
$16,216.35 |
2.2× |
| Excision of single external papilla or tag, anus (46220) |
$5,504.67 |
$13,761.68 |
4.4× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$9,472.19 |
$23,680.48 |
4.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$4,113.51 |
$10,283.77 |
3.3× |
| Excision of vaginal cyst or tumor (57135) |
$2,846.14 |
$7,115.36 |
0.8× |
| Excision of vaginal septum (57130) |
$3,862.91 |
$9,657.29 |
1.2× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$5,779.37 |
$14,448.42 |
1.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$8,923.17 |
$22,307.94 |
3.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,888.65 |
$12,221.63 |
2.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$9,806.80 |
$24,516.99 |
5.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,345.62 |
$10,864.05 |
1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$4,161.67 |
$10,404.18 |
2.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,294.97 |
$10,737.42 |
2.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$9,691.12 |
$24,227.80 |
3.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,913.90 |
$9,784.74 |
1.3× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$16,213.20 |
$40,533.01 |
4.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,774.85 |
$6,937.13 |
0.8× |
| Excision; trochanteric bursa or calcification (27062) |
$8,930.54 |
$22,326.36 |
2.6× |
| Expl retroperitoneum w/wo bx spx (49010) |
$6,619.90 |
$16,549.75 |
1.0× |
| Exploration of knee joint (27310) |
$3,973.34 |
$9,933.36 |
1.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$7,712.72 |
$19,281.81 |
2.3× |
| Explore Parathyroid Glands (60500) |
$15,538.82 |
$38,847.05 |
2.5× |
| External cephalic version (59412) |
$3,358 |
$8,395 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$10,054.87 |
$25,137.18 |
3.0× |
| Fetal contraction stress test (59020) |
$1,544.20 |
$3,860.50 |
7.4× |
| Fetal non-stress test (59025) |
$355.40 |
$888.50 |
1.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,004.40 |
$5,011 |
2.7× |
| Fixation contralateral testis separate procedure (54620) |
$4,967.64 |
$12,419.11 |
1.4× |
| Fusion of foot bones (28740) |
$9,263.82 |
$23,159.54 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$8,991.62 |
$22,479.05 |
2.7× |
| Hemorrhoidectomy (46255) |
$9,046.85 |
$22,617.13 |
3.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,658.55 |
$11,646.39 |
1.6× |
| Herpes simplex virus (HSV) types 1 and 2 and Varicella zoster virus (VZV), amplified probe technique, each pathogen… (0527U) |
$247.60 |
$619 |
1.7× |
| Hip arthro w/labral repair (29916) |
$11,758.31 |
$29,395.77 |
1.6× |
| Hysteroscopy biopsy (58558) |
$9,854.35 |
$24,635.87 |
2.9× |
| Hysteroscopy removal leiomyomata (58561) |
$11,825.92 |
$29,564.81 |
2.3× |
| Hysteroscopy w endometrial ablation (58563) |
$10,456.98 |
$26,142.44 |
2.0× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$7,735.26 |
$19,338.14 |
2.3× |
| I&D Abscess Peritonsillar (42700) |
$65.11 |
$162.78 |
0.3× |
| I&d abscess simple (10060) |
$60.91 |
$152.29 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,801.29 |
$14,503.22 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$1,849.20 |
$4,623 |
2.5× |
| I&d vulva/perineal abscess (56405) |
$9.30 |
$23.26 |
0.0× |
| Image Cath Fluid Colxn Visc (49405) |
$4,489.94 |
$11,224.84 |
2.6× |
| Image Cath Fluid Peri/Retro (49406) |
$3,798.66 |
$9,496.65 |
2.2× |
| Incise finger tendon sheath (26055) |
$6,079.55 |
$15,198.88 |
3.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$36.23 |
$90.58 |
0.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$4.40 |
$11.01 |
0.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,806.44 |
$7,016.11 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$34.20 |
$85.50 |
0.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,873.82 |
$4,684.55 |
9.0× |
| Incision bone cortex foot (28005) |
$8,899.11 |
$22,247.77 |
2.6× |
| Incision extensor tendon sheath wrist (25000) |
$8,090.82 |
$20,227.05 |
4.9× |
| Incision of labial frenum (frenotomy) (40806) |
$2,607.07 |
$6,517.68 |
4.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$4,708.79 |
$11,771.97 |
2.9× |
| Incisional biopsy skin single lesion (11106) |
$424.80 |
$1,062 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$48.56 |
$121.41 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$4,519.65 |
$11,299.13 |
14.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$515.40 |
$1,288.50 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$31.47 |
$78.68 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$12.24 |
$30.60 |
0.0× |
| Ins cath ren art 1st bilat (36252) |
$3,028.01 |
$7,570.02 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$11,095.50 |
$27,738.75 |
1.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$18,017.42 |
$45,043.56 |
1.7× |
| Insert Bladder Cath Complex (51703) |
$108.76 |
$271.90 |
0.8× |
| Insert gastrostomy tube percutaneous (49440) |
$3,464.20 |
$8,660.50 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$5,307.19 |
$13,267.97 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$108.76 |
$271.90 |
0.8× |
| Insert tun ip cath perc (49418) |
$4,809.14 |
$12,022.84 |
1.3× |
| Insert tunneled cv cath (36561) |
$4,160.79 |
$10,401.97 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$79.52 |
$198.80 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,350.32 |
$10,875.80 |
1.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,964.18 |
$29,910.44 |
1.4× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$21,899.84 |
$54,749.59 |
1.1× |
| Insj picc rs&i 5 yr+ (36573) |
$2,253.14 |
$5,632.84 |
1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,471.70 |
$11,179.25 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,551.72 |
$11,379.30 |
1.4× |
| Insrt/redo spine n generator (63685) |
$21,398.37 |
$53,495.92 |
0.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$4,723.78 |
$11,809.45 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$953.47 |
$2,383.68 |
3.9× |
| Knee Arthroscopy/Surgery (29874) |
$10,211.54 |
$25,528.84 |
3.0× |
| Knee Arthroscopy/Surgery (29879) |
$3,220.71 |
$8,051.78 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$11,252.03 |
$28,130.08 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$10,966.17 |
$27,415.42 |
1.5× |
| Lap ing hernia repair init (49650) |
$7,532.15 |
$18,830.38 |
1.2× |
| Lap insert tunnel ip cath (49324) |
$5,250.36 |
$13,125.89 |
0.8× |
| Lap paraesophag hern repair (43281) |
$9,513.16 |
$23,782.90 |
0.9× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$12,534.70 |
$31,336.75 |
2.0× |
| Laparoscopy appendectomy (44970) |
$15,081.28 |
$37,703.19 |
2.4× |
| Laparoscopy biopsy (49321) |
$6,232.40 |
$15,581 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$14,423.96 |
$36,059.90 |
1.3× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$26,789.27 |
$66,973.18 |
2.4× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$11,649.92 |
$29,124.79 |
1.9× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,687.26 |
$11,718.16 |
0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$9,139.44 |
$22,848.59 |
0.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$8,172.88 |
$20,432.21 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,867.63 |
$17,169.08 |
1.1× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$7,815.70 |
$19,539.25 |
0.7× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$16,333.43 |
$40,833.57 |
1.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,157.03 |
$12,892.57 |
0.8× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$7,630.97 |
$19,077.41 |
0.7× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$15,503.71 |
$38,759.27 |
2.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,769.43 |
$11,923.58 |
0.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$12,684.22 |
$31,710.56 |
2.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$5,158.79 |
$12,896.98 |
0.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$2,711.40 |
$6,778.50 |
0.7× |
| Laryngoscopy w/biopsy (31535) |
$2,842.93 |
$7,107.32 |
0.7× |
| Laryngoscopy w/bx op scope (31536) |
$3,970.39 |
$9,925.97 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,318.68 |
$10,796.69 |
1.1× |
| Lateral retinacular release open (27425) |
$8,040.08 |
$20,100.21 |
2.4× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$12,798.87 |
$31,997.19 |
3.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,999.78 |
$12,499.46 |
1.4× |
| Lithotripsy (50590) |
$8,412.68 |
$21,031.71 |
2.3× |
| Liver Biopsy (47000) |
$2,910.33 |
$7,275.82 |
1.7× |
| Marsupialization Bartholins Gland Cyst (56440) |
$53.39 |
$133.47 |
0.0× |
| Mastectomy partial (19301) |
$8,867.49 |
$22,168.73 |
2.2× |
| Myelography Lumbar Injection (62304) |
$3,257.55 |
$8,143.88 |
4.0× |
| Nasal endoscopy dx (31231) |
$2,562.91 |
$6,407.28 |
12.4× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure |
$2,885.19 |
$7,212.98 |
0.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,732.35 |
$9,330.89 |
1.0× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
unusually low: confirm this is the full procedure |
$3,491.23 |
$8,728.09 |
0.5× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
unusually low: confirm this is the full procedure |
$2,849.17 |
$7,122.93 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$5,220.11 |
$13,050.27 |
2.8× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
unusually low: confirm this is the full procedure |
$3,491.23 |
$8,728.09 |
0.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$3,669.52 |
$9,173.79 |
0.5× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$7,116.32 |
$17,790.81 |
2.0× |
| Needle biopsy of pancreas (48102) |
$905.30 |
$2,263.26 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$7,503.28 |
$18,758.19 |
3.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,586.80 |
$3,967 |
3.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,607.87 |
$4,019.68 |
2.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$892.87 |
$2,232.19 |
1.2× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure |
$2,642.74 |
$6,606.85 |
0.4× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,670.75 |
$9,176.87 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$15,570.44 |
$38,926.10 |
2.1× |
| Open treatment metatarsal fracture each (28485) |
$9,426.11 |
$23,565.28 |
1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$16,924.84 |
$42,312.09 |
2.3× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure |
$4,524.35 |
$11,310.86 |
0.3× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$9,081.05 |
$22,702.61 |
1.2× |
| Open tx carpal scaphoid navicular fracture (25628) |
$9,015.34 |
$22,538.36 |
1.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$6,704.84 |
$16,762.09 |
0.9× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$13,121.73 |
$32,804.32 |
1.7× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$3,868.41 |
$9,671.03 |
1.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,002.37 |
$15,005.94 |
1.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$10,661.79 |
$26,654.48 |
1.4× |
| Open tx ulnar fx proximal end (24685) |
$10,875.90 |
$27,189.75 |
1.4× |
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure |
$2,308.60 |
$5,771.50 |
0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$16,435.42 |
$41,088.56 |
2.2× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$13,642.72 |
$34,106.81 |
1.8× |
| Orchiectomy radical tumor inguinal approach (54530) |
$9,397.56 |
$23,493.91 |
2.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,995.23 |
$9,988.07 |
1.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$11,563.89 |
$28,909.72 |
1.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$7,555.65 |
$18,889.12 |
2.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$9,263.82 |
$23,159.54 |
1.2× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455) |
$4,179.09 |
$10,447.73 |
0.6× |
| Partial hymenectomy or revision (56700) |
$7,267.41 |
$18,168.52 |
2.2× |
| Partial removal of thyroid (60220) |
$6,039.04 |
$15,097.59 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,410.87 |
$6,027.16 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$992.97 |
$2,482.42 |
1.4× |
| Perq dev breast 1st us imag (19285) |
$3,653.22 |
$9,133.04 |
5.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,332.20 |
$3,330.50 |
5.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$822.95 |
$2,057.37 |
1.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$9,941.56 |
$24,853.91 |
0.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,502.60 |
$26,256.49 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,759.49 |
$24,398.73 |
1.7× |
| Perq Vertebral Augmentation (22513) |
$6,958.64 |
$17,396.61 |
0.9× |
| Plastic operation on penis to correct angulation Facility (54360) |
$4,664.11 |
$11,660.29 |
1.3× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$3,959.86 |
$9,899.65 |
2.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,439.68 |
$11,099.21 |
2.1× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$935.12 |
$2,337.81 |
0.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$7,390.35 |
$18,475.87 |
1.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$3,226.85 |
$8,067.12 |
3.4× |
| Prostate Saturation Sampling (55706) |
$6,961.21 |
$17,403.03 |
1.9× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$6,829.80 |
$17,074.51 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$261.60 |
$654 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$289.07 |
$722.67 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$1,763.14 |
$4,407.84 |
4.2× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$9,263.82 |
$23,159.54 |
1.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$8,560.57 |
$21,401.41 |
1.1× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$15,686.88 |
$39,217.20 |
2.1× |
| Rem Endovas Vena Cava Filter (37193) |
$5,752.48 |
$14,381.21 |
1.8× |
| Removal biliary drg cath (47537) |
$878.15 |
$2,195.37 |
0.9× |
| Removal foreign body intranasal (30300) |
$4.23 |
$10.57 |
0.0× |
| Removal foreign body pharynx (42809) |
$4.81 |
$12.02 |
0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$45.97 |
$114.93 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$4,682.94 |
$11,707.34 |
76.7× |
| Removal implant deep (20680) |
$9,473.03 |
$23,682.58 |
3.2× |
| Removal of adenoids (42831) |
$5,746.02 |
$14,365.06 |
1.7× |
| Removal of adenoids (42830) |
$6,313.92 |
$15,784.79 |
1.8× |
| Removal of embedded foreign body, eyelid (67938) |
$222.01 |
$555.02 |
0.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$222.01 |
$555.02 |
0.5× |
| Removal of heel spur (28119) |
$4,353.19 |
$10,882.96 |
1.3× |
| Removal of implant from finger or hand (26320) |
$4,452.88 |
$11,132.19 |
2.6× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$12,150.62 |
$30,376.55 |
5.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$3,542.85 |
$8,857.13 |
5.5× |
| Removal of iud (58301) |
$5,910.97 |
$14,777.42 |
18.7× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$9,137.29 |
$22,843.22 |
2.1× |
| Removal of nail bed (11750) |
$2,438.65 |
$6,096.63 |
5.8× |
| Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) |
$7,131.26 |
$17,828.16 |
0.9× |
| Removal of sesamoid bone (28315) |
$7,716.02 |
$19,290.04 |
2.3× |
| Removal of testis (54520) |
$9,211.59 |
$23,028.97 |
2.5× |
| Removal of tonsils (42825) |
$6,983 |
$17,457.50 |
1.1× |
| Removal of tonsils (42826) |
$7,453.42 |
$18,633.54 |
2.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$13,687.96 |
$34,219.91 |
18.7× |
| Remove drug implant device (11982) |
$3,432.42 |
$8,581.05 |
7.4× |
| Remove ext hem groups 2+ (46250) |
$4,199.91 |
$10,499.77 |
1.5× |
| Remove Peritoneal Foreign Body (49402) |
$9,813.89 |
$24,534.72 |
2.6× |
| Remove Pilonidal Cyst Exten (11771) |
$6,234.35 |
$15,585.88 |
2.1× |
| Remove Prostate Regrowth (52630) |
$11,484.82 |
$28,712.04 |
2.1× |
| Remove Tendon Sheath Lesion (26160) |
$6,611.33 |
$16,528.33 |
4.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$5,522.80 |
$13,807 |
3.2× |
| Remv Ext Canal Foreign Body (69200) |
$4.23 |
$10.57 |
0.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$201.82 |
$504.56 |
1.5× |
| Remv&replc pm gen dual lead (33228) |
$17,428.45 |
$43,571.13 |
1.6× |
| Renal Biopsy Percutaneous (50200) |
$3,057.92 |
$7,644.80 |
1.8× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$5,191.90 |
$12,979.75 |
1.6× |
| Repair achilles tendon (27650) |
$15,061.95 |
$37,654.87 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$4,009.75 |
$10,024.38 |
9.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,427.40 |
$11,068.49 |
2.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,006.70 |
$7,516.75 |
0.8× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,890.70 |
$9,726.76 |
1.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,006.70 |
$7,516.75 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$7.34 |
$18.35 |
0.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$64.48 |
$161.20 |
0.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$20.22 |
$50.55 |
0.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$11,533.84 |
$28,834.60 |
1.7× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$18,023.91 |
$45,059.78 |
3.3× |
| Repair of humerus (24430) |
$9,294.06 |
$23,235.15 |
0.7× |
| Repair of nail bed (11760) |
$9.30 |
$23.26 |
0.0× |
| Repair of nasal septum (30520) |
$8,014.24 |
$20,035.60 |
2.3× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372) |
$5,777.23 |
$14,443.07 |
0.8× |
| Repair Profundus Tendon,Primary (26370) |
$17,052.59 |
$42,631.47 |
5.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$7,947.59 |
$19,868.98 |
1.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$11,535.87 |
$28,839.68 |
3.1× |
| Repair secondary achilles tendon w/wo graft (27654) |
$11,648.90 |
$29,122.24 |
1.6× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,489.99 |
$16,224.98 |
0.9× |
| Repair tympanic membrane (69610) |
$4,715.30 |
$11,788.26 |
2.9× |
| Repair/graft wrist bone (25440) |
$11,102.91 |
$27,757.27 |
1.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,678.08 |
$4,195.19 |
1.8× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,475.50 |
$3,688.75 |
1.6× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,423.80 |
$3,559.51 |
1.5× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$11,979.83 |
$29,949.58 |
5.0× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$3,119.69 |
$7,799.24 |
0.9× |
| Revise ulnar nerve at elbow (64718) |
$12,468.44 |
$31,171.09 |
6.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
unusually low: confirm this is the full procedure |
$6,153.38 |
$15,383.46 |
0.3× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$935.12 |
$2,337.81 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$225.41 |
$563.52 |
1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,743.54 |
$4,358.84 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,883.12 |
$4,707.80 |
2.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$918.51 |
$2,296.28 |
0.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,573.75 |
$3,934.37 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,624.50 |
$6,561.24 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,677.55 |
$11,693.87 |
1.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,053 |
$17,632.49 |
1.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,274.36 |
$13,185.90 |
1.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,279.33 |
$15,698.33 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$5,969.55 |
$14,923.89 |
1.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,880.30 |
$17,200.74 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,519.82 |
$13,799.55 |
0.9× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$13,019.40 |
$32,548.50 |
3.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,620.31 |
$11,550.77 |
1.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$7,643.57 |
$19,108.92 |
2.3× |
| Shoulder Arthroscopy/Surgery (29819) |
$4,282.19 |
$10,705.49 |
1.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$8,293.51 |
$20,733.77 |
2.4× |
| Sigmoidoscopy w/biopsy (45331) |
$4,570.07 |
$11,425.17 |
4.7× |
| Sigmoidoscopy w/fb removal (45332) |
$7,301.92 |
$18,254.79 |
5.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$56.78 |
$141.95 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$53.24 |
$133.11 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,252.94 |
$3,132.34 |
6.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$163 |
$407.50 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$171.27 |
$428.18 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$647.78 |
$1,619.44 |
3.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,468.40 |
$6,171 |
3.2× |
| Skin Tissue Procedure (17999) |
$2,444.66 |
$6,111.64 |
11.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$6,273.34 |
$15,683.35 |
1.2× |
| Slitting of prepuce (54001) |
$4,632.38 |
$11,580.95 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$675.74 |
$1,689.34 |
3.3× |
| Spinal puncture lumbar diagnostic (62270) |
$205.87 |
$514.68 |
0.3× |
| Strapping knee (29530) |
$242.40 |
$606 |
1.8× |
| Strapping shoulder (29240) |
$4.65 |
$11.63 |
0.0× |
| Strapping toes (29550) |
$6.90 |
$17.25 |
0.1× |
| Strapping unna boot (29580) |
$354 |
$885 |
2.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,981 |
$9,952.49 |
1.2× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$12,752.91 |
$31,882.28 |
3.8× |
| Suspension of testis (54640) |
$7,715.58 |
$19,288.96 |
2.1× |
| Suture infrapatellar tendon primary (27380) |
$7,824.01 |
$19,560.04 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$15,239.73 |
$38,099.32 |
2.0× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$6,148.04 |
$15,370.11 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$261.60 |
$654 |
0.6× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$6,871.03 |
$17,177.57 |
2.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$3,166.56 |
$7,916.41 |
0.9× |
| Tenodesis long tendon biceps (23430) |
$7,400.52 |
$18,501.31 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$4,626.75 |
$11,566.87 |
2.8× |
| Tenotomy flexor finger open each tendon (26455) |
$4,065.16 |
$10,162.91 |
2.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,299.04 |
$3,247.60 |
2.0× |
| Throat Surgery Procedure (42999) |
$4,240.57 |
$10,601.43 |
17.3× |
| Thyroid biopsy (60100) |
$1,825 |
$4,562.51 |
2.5× |
| Thyroidectomy, total or complete (60240) |
$10,130.67 |
$25,326.69 |
1.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$5,392.13 |
$13,480.33 |
1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$7,249.49 |
$18,123.72 |
2.1× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$4,816.83 |
$12,042.08 |
0.4× |
| Total Knee Arthroplasty (27447) |
$8,608.10 |
$21,520.25 |
0.6× |
| Transcatheter biopsy (37200) |
$3,700.80 |
$9,252 |
0.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$3,959.86 |
$9,899.65 |
0.7× |
| Transur electr resection of prostate (52601) |
$16,165.64 |
$40,414.11 |
2.9× |
| Transurethral resection bladder neck (52500) |
$3,392.87 |
$8,482.18 |
0.9× |
| Treat Knee Fracture (27535) |
$11,558.09 |
$28,895.22 |
1.5× |
| Treat Knee Fracture (27540) |
$15,096.38 |
$37,740.95 |
2.0× |
| Treat radius fracture (24665) |
$14,627.56 |
$36,568.91 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,078.34 |
$2,695.85 |
4.2× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$5,697.82 |
$14,244.54 |
1.7× |
| Trim skin lesion (11055) |
$653.20 |
$1,633 |
3.1× |
| Tube thoracostomy includes water seal (32551) |
$6,044.86 |
$15,112.14 |
3.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,279.20 |
$13,198 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$7,958.05 |
$19,895.12 |
10.4× |
| Tympanostomy general anesthesia (69436) |
$2,518.90 |
$6,297.25 |
1.6× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$5,387.99 |
$13,469.97 |
25.8× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,033.91 |
$15,084.78 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,940.42 |
$17,351.06 |
1.1× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$3,757.21 |
$9,393.03 |
0.6× |
| Unlisted procedure arthroscopy (29999) |
$37,833.09 |
$94,582.73 |
148.2× |
| Unlisted procedure femur or knee (27599) |
$5,065.42 |
$12,663.55 |
19.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$11,218.62 |
$28,046.54 |
44.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,006.70 |
$7,516.75 |
3.2× |
| Unlisted procedure, hands or fingers (26989) |
$2,580.27 |
$6,450.68 |
10.1× |
| Us urine capacity measure (51798) |
$99.28 |
$248.20 |
1.6× |
| Uvulectomy excision of uvula (42140) |
$4,731 |
$11,827.51 |
1.4× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$7,119.43 |
$17,798.57 |
1.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$6,636.59 |
$16,591.48 |
1.3× |
| Vasc embolize/occlude artery (37242) |
$10,133.80 |
$25,334.50 |
0.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,112.28 |
$27,780.71 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$6,435.82 |
$16,089.56 |
3.0× |
| Venipuncture (36415) |
$14.40 |
$36 |
1.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,186 |
$10,465 |
1.2× |
| Vitrectomy mechanical pars plana (67036) |
$10,137.45 |
$25,343.62 |
2.4× |
| Vitrectomy pars plana remove int memb retina (67042) |
$11,094.94 |
$27,737.35 |
2.6× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$9,674.95 |
$24,187.37 |
2.3× |
| Vulvectomy Simple Partial (56620) |
$6,505.86 |
$16,264.66 |
1.9× |