| Abd paracentesis w/imaging (49083) |
$1,660.81 |
$4,152.03 |
1.9× |
| Ablate inf turbinate submuc (30802) |
$2,365.29 |
$5,913.24 |
1.6× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$11,682.38 |
$29,205.96 |
1.1× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$791.90 |
$1,979.74 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,319.96 |
$3,299.89 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$8,580.62 |
$21,451.56 |
2.7× |
| Amputation toe interphalangeal joint (28825) |
$697.72 |
$1,744.30 |
0.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,583.43 |
$11,458.57 |
1.5× |
| Ankle arthroscopy (29899) |
$13,545.82 |
$33,864.54 |
1.9× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$13,545.82 |
$33,864.54 |
4.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$12,317.90 |
$30,794.74 |
2.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$453.68 |
$1,134.19 |
2.9× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$8,673.96 |
$21,684.91 |
0.7× |
| Arterial puncture (36600) |
$116.04 |
$290.09 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,202.97 |
$3,007.42 |
4.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,017.89 |
$2,544.73 |
3.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,498.58 |
$3,746.46 |
5.1× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,574.25 |
$6,435.62 |
0.2× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
unusually low: confirm this is the full procedure |
$4,350.65 |
$10,876.63 |
0.4× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$15,105.89 |
$37,764.72 |
0.9× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$8,731.58 |
$21,828.96 |
0.7× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$3,198.44 |
$7,996.09 |
0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$11,674.90 |
$29,187.26 |
0.7× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$18,015.26 |
$45,038.16 |
1.5× |
| Arthroplasty knee fc/tp (27442) |
$17,106.23 |
$42,765.59 |
1.4× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$6,474.34 |
$16,185.84 |
0.9× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889)
likely a partial charge, not the full procedure |
$3,249.80 |
$8,124.51 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,916.09 |
$9,790.22 |
1.2× |
| Arthroscopy of joint (29999) |
$6,692.51 |
$16,731.28 |
28.1× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$636.64 |
$1,591.59 |
0.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,393.45 |
$13,483.64 |
1.7× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$5,515.68 |
$13,789.21 |
1.7× |
Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866)
likely a partial charge, not the full procedure |
$1,730.76 |
$4,326.89 |
0.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,855.71 |
$12,139.26 |
1.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$5,999.72 |
$14,999.31 |
1.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,711.49 |
$14,278.72 |
1.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,590.13 |
$18,975.32 |
2.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,628.71 |
$11,571.77 |
0.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,922.86 |
$24,807.16 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,220.80 |
$10,551.99 |
1.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,617.77 |
$11,544.42 |
1.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$9,469.44 |
$23,673.61 |
3.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$17,106.70 |
$42,766.76 |
2.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,167.83 |
$15,419.57 |
0.9× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$5,529.84 |
$13,824.59 |
1.8× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,956.70 |
$7,391.75 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$1,183.89 |
$2,959.72 |
6.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,282.70 |
$3,206.76 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$752.01 |
$1,880.02 |
0.5× |
| Biopsy Breast Open Incisional (19101) |
$3,671.36 |
$9,178.40 |
1.0× |
| Biopsy of uterus lining (58100) |
$3,252.37 |
$8,130.93 |
16.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,410.98 |
$3,527.44 |
0.4× |
| Biopsy Salivary Gland,Needle (42400) |
$1,410.98 |
$3,527.44 |
2.1× |
| Biopsy soft tissue neck/thorax (21550) |
$1,410.98 |
$3,527.44 |
0.9× |
| Biopsy/removal lymph nodes (38525) |
$3,709.04 |
$9,272.60 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,271.08 |
$8,177.70 |
0.9× |
| Blepharoplasty upper eyelid (15822) |
$7,107.26 |
$17,768.15 |
3.6× |
| Blood patch (62273) |
$1,505.06 |
$3,762.66 |
2.2× |
| Blood transfusion service (36430) |
$816.15 |
$2,040.37 |
1.9× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
unusually low: confirm this is the full procedure |
$2,574.24 |
$6,435.60 |
0.4× |
| Bone Marrow Biopsy (38221) |
$2,821.12 |
$7,052.80 |
1.8× |
Breast augmentation with implant (19325)
unusually low: confirm this is the full procedure |
$3,844.20 |
$9,610.50 |
0.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$5,737.09 |
$14,342.72 |
3.3× |
| Bronch ebus samplng 1/2 node (31652) |
$4,682.11 |
$11,705.28 |
1.3× |
| Bronch ebus samplng 3/> node (31653) |
$5,556.81 |
$13,892.02 |
1.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$16,446.99 |
$41,117.48 |
9.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,741.10 |
$6,852.74 |
0.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,628.52 |
$6,571.29 |
1.5× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$5,592.49 |
$13,981.21 |
1.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,815.97 |
$9,539.92 |
2.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,221.54 |
$3,053.85 |
0.8× |
| Bx anorectal wall anal approach (45100) |
$4,386.02 |
$10,965.04 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$3,735.38 |
$9,338.44 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$3,519.52 |
$8,798.80 |
2.2× |
| Bx vulva/perineum 1 lesion (56605) |
$4,899.95 |
$12,249.86 |
5.5× |
| Bx/exc lymph node needle superficial (38505) |
$1,410.98 |
$3,527.44 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$4,510.40 |
$11,275.99 |
2.0× |
| Capsular Contracture Release (23020) |
$3,032.58 |
$7,581.45 |
1.0× |
Capsulorrhaphy anterior w/labral repair (23455)
likely a partial charge, not the full procedure |
$1,426.06 |
$3,565.16 |
0.2× |
| Cerv artific diskectomy (22856) |
$11,532.60 |
$28,831.49 |
0.7× |
| Change g-tube to g-j perc (49446) |
$1,177.73 |
$2,944.32 |
0.6× |
| Chemical Cautery Tissue (17250) |
$367.04 |
$917.60 |
1.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$706.81 |
$1,767.02 |
1.0× |
| Chemodenerv Musc Migraine (64615) |
$455.77 |
$1,139.42 |
1.5× |
| Chemodenerv Musc Neck Dyston (64616) |
$675.91 |
$1,689.78 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,168.45 |
$2,921.12 |
1.7× |
| Chromotubation of oviduct, including materials (58350) |
$2,907.67 |
$7,269.17 |
0.6× |
| Circum 28 days or older (54161) |
$6,638.81 |
$16,597.02 |
3.3× |
| Claviculectomy; partial (23120) |
$4,243.48 |
$10,608.70 |
1.3× |
| Claviculectomy; total (23125) |
$5,133.89 |
$12,834.72 |
1.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$4,386.02 |
$10,965.04 |
2.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$2,639.91 |
$6,599.78 |
0.8× |
| Closed tx septal&nose fx (21337) |
$2,907.67 |
$7,269.17 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,067.49 |
$5,168.74 |
1.3× |
| Colonoscopy thru stoma (44388) |
$1,515.85 |
$3,789.63 |
1.7× |
| Colonoscopy w/ablation (45388) |
$2,273.10 |
$5,682.74 |
2.0× |
| Colonoscopy w/resection (45390) |
$4,483.90 |
$11,209.74 |
1.7× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$6,655.70 |
$16,639.26 |
0.9× |
| Colporrhaphy suture injury vagina (57200) |
$3,916.09 |
$9,790.22 |
1.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$2,955.09 |
$7,387.72 |
2.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$733.51 |
$1,833.78 |
0.6× |
| Conization of cervix (57520) |
$6,396.87 |
$15,992.17 |
2.0× |
| Conization of cervix (57522) |
$4,678.42 |
$11,696.05 |
1.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$581.80 |
$1,454.51 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$2,639.91 |
$6,599.78 |
20.6× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$4,386.02 |
$10,965.04 |
1.4× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$23,271.59 |
$58,178.98 |
1.9× |
| Convert nephrostomy catheter (50434) |
$1,387.95 |
$3,469.87 |
0.7× |
| Correction hammertoe (28285) |
$2,966.76 |
$7,416.89 |
0.9× |
| Correction of bunion (28298) |
$8,338.92 |
$20,847.31 |
1.2× |
| Correction of bunion (28297) |
$12,982.77 |
$32,456.91 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$7,115.28 |
$17,788.20 |
2.3× |
| Create eardrum opening (69436) |
$2,179.65 |
$5,449.13 |
1.5× |
| Create Tear Sac-Nasal Fistula (68720) |
$5,711.49 |
$14,278.72 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$2,639.91 |
$6,599.78 |
20.6× |
| Curettage postpartum (59160) |
$4,824.62 |
$12,061.55 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,824.62 |
$12,061.55 |
2.4× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,512.96 |
$8,782.41 |
1.0× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$7,969.12 |
$19,922.79 |
1.5× |
| Cysto w/destruction of lesions (52214) |
$4,386.02 |
$10,965.04 |
1.3× |
| Cysto w/removal of tumors small (52234) |
$3,947.67 |
$9,869.18 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,956.70 |
$7,391.75 |
1.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,161.38 |
$7,903.46 |
0.9× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,414.88 |
$6,037.21 |
0.7× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,336.98 |
$10,842.46 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$7,951.91 |
$19,879.77 |
1.5× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$7,102.19 |
$17,755.47 |
1.4× |
| Cystoscopy w/biopsy (52204) |
$4,386.02 |
$10,965.04 |
2.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$4,204.55 |
$10,511.38 |
2.1× |
| Cystoscopy,insert ureteral stent (52332) |
$4,217.65 |
$10,544.12 |
1.2× |
| Cystourethroscopy (52000) |
$4,386.02 |
$10,965.04 |
6.5× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,956.70 |
$7,391.75 |
1.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$6,393.57 |
$15,983.92 |
3.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,824.62 |
$12,061.55 |
2.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,526.62 |
$11,316.55 |
1.3× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$5,406.72 |
$13,516.79 |
1.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$3,212.33 |
$8,030.82 |
1.0× |
| Debride nail 6 or more (11721) |
$148.29 |
$370.72 |
2.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$600.16 |
$1,500.39 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$929.29 |
$2,323.23 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$4,448.74 |
$11,121.84 |
2.8× |
| Declot vascular device (36593) |
$748.75 |
$1,871.87 |
2.4× |
| Decompression of tibia nerve (28035) |
$9,922.86 |
$24,807.16 |
5.3× |
| Derma-fat-fascia graft (15770) |
$1,647.51 |
$4,118.78 |
0.5× |
| Destroy cerv/thor facet jnt (64633) |
$2,829.62 |
$7,074.04 |
1.5× |
| Destroy lumb/sac facet jnt (64635) |
$3,002.66 |
$7,506.65 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$9,541.36 |
$23,853.41 |
49.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,756.27 |
$4,390.67 |
2.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,941.19 |
$4,852.98 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$652.06 |
$1,630.16 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$918.70 |
$2,296.75 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,886.07 |
$9,715.17 |
1.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$527.70 |
$1,319.26 |
0.6× |
| Dilation of cervical canal (57800) |
$4,386.02 |
$10,965.04 |
1.4× |
| Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) |
$10,875.57 |
$27,188.92 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$4,824.62 |
$12,061.55 |
3.0× |
| Dstrj lesion anus simple surg excision (46922) |
$4,824.62 |
$12,061.55 |
1.8× |
| Dstrj lesion penis simple surg excision (54060) |
$3,198.43 |
$7,996.08 |
1.6× |
| Dx bone marrow bx & aspir (38222) |
$2,821.12 |
$7,052.80 |
1.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,746.19 |
$4,365.48 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,190.70 |
$5,476.74 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,190.70 |
$5,476.74 |
1.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,804.52 |
$4,511.29 |
1.0× |
| Egd flexible foreign body removal (43247) |
$1,578.17 |
$3,945.43 |
1.8× |
| Egd guide wire insertion (43248) |
$1,724.22 |
$4,310.55 |
2.0× |
| Egd remove lesion snare (43251) |
$1,920.81 |
$4,802.03 |
1.0× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,026.77 |
$5,066.91 |
1.1× |
| Egd Varices Ligation (43244) |
$1,840.37 |
$4,600.94 |
1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$575.11 |
$1,437.78 |
1.9× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$4,386.02 |
$10,965.04 |
0.9× |
| Endoscopic Injection/Implant (51715) |
$2,956.70 |
$7,391.75 |
0.9× |
| Endovenous rf 1st vein (36475) |
$4,329.08 |
$10,822.71 |
1.4× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$7,052.23 |
$17,630.57 |
2.0× |
| Ercp Duct Stent Placement (43274) |
$3,126.14 |
$7,815.36 |
0.5× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,423.72 |
$11,059.30 |
1.2× |
| Ercp lithotripsy calculi (43265) |
$7,541.50 |
$18,853.74 |
1.3× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,722.77 |
$6,806.92 |
0.7× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,728.81 |
$9,322.02 |
0.6× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,398.97 |
$8,497.42 |
0.9× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$2,156.14 |
$5,390.36 |
2.5× |
| Esophagus Surg Procedure Unlisted (43499) |
$697.04 |
$1,742.60 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$6,424.66 |
$16,061.65 |
4.0× |
| Exc abd les sc 3 cm/> (22903) |
$4,386.02 |
$10,965.04 |
1.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$4,386.02 |
$10,965.04 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$5,192.26 |
$12,980.66 |
3.3× |
| Exc back les sc < 3 cm (21930) |
$3,198.43 |
$7,996.08 |
2.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,613.25 |
$6,533.12 |
3.8× |
| Exc forearm les sc 3 cm/> (25071) |
$1,440.21 |
$3,600.54 |
0.9× |
| Exc forearm les sc < 3 cm (25075) |
$12,682.28 |
$31,705.71 |
8.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$6,480.96 |
$16,202.39 |
1.9× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$7,744.62 |
$19,361.54 |
1.4× |
| Exc rect tum transanal part (45171) |
$6,396.87 |
$15,992.17 |
2.4× |
| Exc shoulder tum deep 5 cm/> (23073) |
$5,815.33 |
$14,538.33 |
2.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,193.01 |
$5,482.52 |
5.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$2,193.01 |
$5,482.52 |
3.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,132.29 |
$5,330.73 |
3.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$4,386.02 |
$10,965.04 |
2.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$7,969.12 |
$19,922.79 |
2.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,784.83 |
$6,962.08 |
1.7× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,956.70 |
$7,391.75 |
1.1× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,711.49 |
$14,278.72 |
2.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,824.62 |
$12,061.55 |
1.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$731.84 |
$1,829.59 |
0.2× |
| Exchange nephrostomy cath (50435) |
$2,490.99 |
$6,227.47 |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,578.64 |
$3,946.61 |
0.9× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$3,872.31 |
$9,680.77 |
1.7× |
| Excise Inferior Turbinate (30130) |
$1,703.01 |
$4,257.52 |
0.5× |
| Excise Neurofibroma Extensive (64792) |
$6,480.96 |
$16,202.39 |
2.0× |
| Excise pharynx lesion (42808) |
$1,319.96 |
$3,299.89 |
0.4× |
| Excision Breast Lesion (19125) |
$4,386.02 |
$10,965.04 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$3,244.57 |
$8,111.42 |
4.8× |
| Excision of bartholin's gland or cyst (56740) |
$5,766.30 |
$14,415.74 |
1.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$5,192.26 |
$12,980.66 |
7.6× |
| Excision of chalazion; multiple, different lids (67805) |
$3,991.14 |
$9,977.86 |
13.0× |
| Excision of hydrocele; unilateral (55040) |
$7,969.12 |
$19,922.79 |
2.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,193.01 |
$5,482.52 |
1.4× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$3,916.09 |
$9,790.22 |
2.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$7,969.12 |
$19,922.79 |
2.8× |
| Excision of sublingual gland (42450) |
$12,849.32 |
$32,123.30 |
2.3× |
| Excision olecranon bursa (24105) |
$9,020.79 |
$22,551.98 |
2.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$14,258.11 |
$35,645.27 |
4.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$9,541.36 |
$23,853.41 |
3.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,499.49 |
$11,248.72 |
2.8× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$4,824.62 |
$12,061.55 |
1.7× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$7,969.12 |
$19,922.79 |
2.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,984.56 |
$9,961.39 |
2.5× |
| Explore parathyroid glands (60500) |
$9,541.36 |
$23,853.41 |
1.7× |
| Explore/biopsy eye socket (67400) |
$8,314.90 |
$20,787.25 |
2.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$7,744.62 |
$19,361.54 |
2.5× |
| Fetal non-stress test (59025) |
$416.03 |
$1,040.08 |
2.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$529.37 |
$1,323.43 |
0.8× |
| Fix ectropion,entensv lid repair (67917) |
$5,192.26 |
$12,980.66 |
2.3× |
| Fixation of shoulder (23700) |
$1,017.15 |
$2,542.89 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$686.92 |
$1,717.29 |
3.0× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,872.31 |
$9,680.77 |
1.9× |
Glossectomy; less than one-half tongue (41120)
likely a partial charge, not the full procedure |
$1,305.36 |
$3,263.41 |
0.2× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$4,157.45 |
$10,393.63 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,659.57 |
$4,148.93 |
2.4× |
| Hemorrhoidectomy (46255) |
$4,824.62 |
$12,061.55 |
1.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$4,386.02 |
$10,965.04 |
1.6× |
| Hysteroscopy ablation (58563) |
$5,106.50 |
$12,766.25 |
1.1× |
| Hysteroscopy biopsy (58558) |
$5,081.23 |
$12,703.07 |
1.6× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$7,969.12 |
$19,922.79 |
1.7× |
| I&d abscess simple (10060) |
$1,854.08 |
$4,635.20 |
9.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,815.33 |
$14,538.33 |
2.9× |
| I&d perianal abscess superficial (46050) |
$4,386.02 |
$10,965.04 |
4.9× |
| I&d pilonidal cyst simple (10080) |
$3,330.01 |
$8,325.02 |
4.9× |
| Image Cath Fluid Peri/Retro (49406) |
$3,213.03 |
$8,032.58 |
2.0× |
| Implant neuroelectrodes (63650) |
$3,888.77 |
$9,721.93 |
0.6× |
| Incise finger tendon sheath (26055) |
$3,557.64 |
$8,894.10 |
2.3× |
| Incise wrist/forearm tendon (25290) |
$7,062.75 |
$17,656.87 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$4,533.85 |
$11,334.63 |
11.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$6,405.25 |
$16,013.13 |
16.3× |
| Incision bone cortex shoulder area (23035) |
$5,815.33 |
$14,538.33 |
3.8× |
| Incision of eardrum (69421) |
$2,375.68 |
$5,939.20 |
0.7× |
| Incision of lingual frenum (41010) |
$2,639.91 |
$6,599.78 |
1.8× |
| Incision of metatarsal (28308) |
$4,961.43 |
$12,403.58 |
1.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,990.32 |
$4,975.79 |
2.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,568.68 |
$3,921.69 |
1.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,568.68 |
$3,921.69 |
2.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,805.26 |
$7,013.15 |
3.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$738.21 |
$1,845.53 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$919.37 |
$2,298.42 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,055.28 |
$2,638.20 |
1.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,622.89 |
$4,057.22 |
1.9× |
| Inject Nerv Blck,Pudendal (64430) |
$1,693.14 |
$4,232.85 |
2.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,339.63 |
$3,349.07 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$5,599.51 |
$13,998.77 |
8.2× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$868.92 |
$2,172.31 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$667.88 |
$1,669.71 |
2.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$607.17 |
$1,517.92 |
2.1× |
| Injection(s) spider veins (36468) |
$266.56 |
$666.40 |
0.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$646.01 |
$1,615.02 |
2.2× |
| Ins endovas vena cava filtr (37191) |
$5,354.98 |
$13,387.45 |
1.0× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$13,873.38 |
$34,683.45 |
1.4× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$13,529.93 |
$33,824.82 |
1.3× |
| Ins vag brachytx device (57156) |
$681.12 |
$1,702.80 |
2.3× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,606.14 |
$6,515.35 |
1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,433.38 |
$3,583.45 |
0.8× |
| Insert picc cath (36569) |
$4,267.95 |
$10,669.87 |
2.8× |
| Insert Tissue Expander(S) (11960) |
$2,055.89 |
$5,139.73 |
0.6× |
| Insert tunneled cv cath (36561) |
$3,404.74 |
$8,511.86 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$381.99 |
$954.97 |
0.1× |
Insertion of brain neurostimulator pulse with connection to single (61885)
likely a partial charge, not the full procedure |
$5,447.63 |
$13,619.08 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,934.07 |
$9,835.17 |
2.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,027.52 |
$30,068.80 |
1.5× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,601.73 |
$11,504.32 |
0.6× |
| Insj inflatable urethral/bladder neck sphincter (53445) |
$14,258.11 |
$35,645.27 |
0.7× |
| Insj penile prosthesos inflatable self-contained (54401) |
$12,961.91 |
$32,404.78 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,404.74 |
$8,511.86 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,404.74 |
$8,511.86 |
1.1× |
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure |
$3,844.20 |
$9,610.50 |
0.5× |
| Insj/rplcmt defib w/lead(s) (33249) |
$30,101.46 |
$75,253.66 |
1.0× |
| Insrt pulse gen w/mult leads (33231) |
$31,966.70 |
$79,916.74 |
1.1× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$5,405.79 |
$13,514.47 |
0.2× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$11,101.54 |
$27,753.85 |
2.0× |
| Knee arthroscopy/surgery (29883) |
$11,532.60 |
$28,831.49 |
3.7× |
| Knee arthroscopy/surgery (29876) |
$2,855.74 |
$7,139.36 |
0.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$9,237.69 |
$23,094.23 |
1.3× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
likely a partial charge, not the full procedure |
$4,336.98 |
$10,842.45 |
0.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,485.15 |
$23,712.87 |
1.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$12,961.91 |
$32,404.78 |
1.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$10,698.03 |
$26,745.07 |
1.5× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$15,820.54 |
$39,551.36 |
2.3× |
| Lap ing hernia repair init (49650) |
$7,424.83 |
$18,562.08 |
1.3× |
| Laparoscopy appendectomy (44970) |
$6,395.20 |
$15,988 |
1.1× |
| Laparoscopy Remove Adnexa (58661) |
$6,917.87 |
$17,294.69 |
1.2× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$16,484.56 |
$41,211.41 |
1.6× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$9,977.37 |
$24,943.42 |
1.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,396.87 |
$15,992.17 |
1.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,396.87 |
$15,992.17 |
1.1× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$8,673.96 |
$21,684.91 |
0.8× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$32,581.38 |
$81,453.45 |
3.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$18,232.59 |
$45,581.47 |
1.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$9,401.84 |
$23,504.59 |
1.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$9,892.76 |
$24,731.91 |
1.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,757.16 |
$19,392.89 |
1.3× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$8,673.96 |
$21,684.91 |
2.3× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$17,245.66 |
$43,114.14 |
1.7× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$16,446.99 |
$41,117.48 |
1.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$2,375.68 |
$5,939.20 |
12.3× |
| Laryngoscopy w/bx op scope (31536) |
$2,156.15 |
$5,390.37 |
0.6× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$1,319.96 |
$3,299.89 |
0.8× |
| Late closure of wound (13160) |
$5,815.33 |
$14,538.33 |
1.7× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,988.82 |
$14,972.05 |
0.9× |
| Ligate/strip long leg vein (37722) |
$15,712.18 |
$39,280.45 |
5.2× |
| Ligation of hemorrhoid(s) (46221) |
$4,147.94 |
$10,369.84 |
4.6× |
| Ligation or biopsy temporal artery (37609) |
$6,821.44 |
$17,053.59 |
4.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,642.88 |
$11,607.19 |
1.4× |
| Lithotripsy (50590) |
$14,347.62 |
$35,869.06 |
4.2× |
| Liver Biopsy (47000) |
$1,410.98 |
$3,527.44 |
0.9× |
| Marsup Bartholin Gland Cyst (56440) |
$10,103.28 |
$25,258.20 |
3.2× |
| Mast mod rad (19307) |
$4,369.49 |
$10,923.74 |
0.7× |
| Mastectomy partial (19301) |
$5,927.46 |
$14,818.65 |
1.6× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,821.08 |
$7,052.71 |
0.4× |
| Muscle-skin graft trunk (15734) |
$11,832.36 |
$29,580.90 |
3.5× |
| Myelography Lumbar Injection (62305) |
$3,137.59 |
$7,843.97 |
4.2× |
| Myelography Lumbar Injection (62304) |
$2,551.83 |
$6,379.57 |
3.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,528.08 |
$6,320.19 |
3.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,622.58 |
$6,556.46 |
3.5× |
| Myringoplasty (69620) |
$2,639.91 |
$6,599.78 |
0.8× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$1,145.93 |
$2,864.82 |
0.2× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$865.38 |
$2,163.45 |
0.1× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$5,192.26 |
$12,980.65 |
0.8× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$865.38 |
$2,163.44 |
0.5× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$644.34 |
$1,610.86 |
0.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,979.93 |
$4,949.84 |
1.2× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$5,192.25 |
$12,980.63 |
0.8× |
| Nerve repair w/allograft (64910) |
$6,013.86 |
$15,034.66 |
0.7× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
$6,424.66 |
$16,061.65 |
0.8× |
| Neuroplasty; nerve of hand or foot (64704) |
$7,744.62 |
$19,361.54 |
4.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,831.79 |
$4,579.47 |
0.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,954.40 |
$7,386 |
3.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,228.14 |
$3,070.36 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,228.14 |
$3,070.36 |
1.8× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,733.23 |
$6,833.08 |
1.4× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$5,051.64 |
$12,629.10 |
1.3× |
| Open rx carpal bone fx,each bone (25645) |
$2,969.61 |
$7,424.02 |
0.9× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$9,172.81 |
$22,932.02 |
1.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$15,015.68 |
$37,539.20 |
2.1× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$1,426.06 |
$3,565.16 |
0.1× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$5,711.49 |
$14,278.72 |
0.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,955.48 |
$22,388.70 |
1.3× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$5,871.96 |
$14,679.90 |
0.8× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge, not the full procedure |
$1,570.05 |
$3,925.13 |
0.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$12,730.45 |
$31,826.12 |
1.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,969.61 |
$7,424.02 |
0.9× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$5,935.03 |
$14,837.57 |
0.8× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$10,593.45 |
$26,483.63 |
0.9× |
Open/Perq Place Stent Same (37238)
unusually low: confirm this is the full procedure |
$4,690.46 |
$11,726.14 |
0.4× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$7,017.45 |
$17,543.63 |
0.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$7,969.12 |
$19,922.79 |
2.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$5,711.49 |
$14,278.72 |
1.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,639.91 |
$6,599.78 |
0.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$6,115.20 |
$15,288.01 |
1.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,596.13 |
$6,490.33 |
1.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$3,872.31 |
$9,680.77 |
1.2× |
| Partial Removal Foot Fascia (28060) |
$4,213.24 |
$10,533.10 |
1.3× |
| Partial removal of thyroid (60220) |
$9,000.52 |
$22,501.30 |
1.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,234.22 |
$8,085.55 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,410.98 |
$3,527.44 |
2.1× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$4,734.33 |
$11,835.82 |
0.4× |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
$5,815.33 |
$14,538.33 |
1.1× |
| Percutaneous diskectomy (62287) |
$7,244.65 |
$18,111.62 |
3.8× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$10,103.28 |
$25,258.20 |
1.4× |
| Perq dev breast 1st us imag (19285) |
$1,919.55 |
$4,798.88 |
2.8× |
| Perq device breast 1st imag (19281) |
$1,578.19 |
$3,945.47 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$6,222.34 |
$15,555.85 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,396.87 |
$15,992.17 |
0.9× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,386.02 |
$10,965.04 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,198.44 |
$7,996.09 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,373.38 |
$3,433.44 |
0.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$7,261.06 |
$18,152.64 |
2.1× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$15,825.07 |
$39,562.68 |
4.7× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$7,244.65 |
$18,111.62 |
1.2× |
| Prim art mech thrombectomy (37184) |
$9,588.83 |
$23,972.07 |
0.5× |
| Probe nasolacrimal duct (68815) |
$6,424.66 |
$16,061.65 |
2.8× |
| Proctosigmoidoscopy (45303) |
$2,956.70 |
$7,391.75 |
2.6× |
| Prostatectomy (turp) (52601) |
$7,372.25 |
$18,430.61 |
1.4× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$5,909.77 |
$14,774.42 |
1.0× |
| Puncture Aspiration (10160) |
$328.99 |
$822.48 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$415.57 |
$1,038.92 |
0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$5,529.84 |
$13,824.60 |
1.8× |
Realignment of knee (27455)
unusually low: confirm this is the full procedure |
$3,212.33 |
$8,030.82 |
0.5× |
| Rebuild outer ear canal (69310) |
$3,872.31 |
$9,680.77 |
0.7× |
| Reconstr disloc patella w mscl adv (27422) |
$4,499.45 |
$11,248.62 |
0.6× |
| Reconstruc Eyelid,<2/3,One Stage (67971) |
$6,533.13 |
$16,332.83 |
2.9× |
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346)
unusually low: confirm this is the full procedure |
$5,861.52 |
$14,653.79 |
0.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$6,721.74 |
$16,804.35 |
1.0× |
| Rem endovas vena cava filter (37193) |
$4,985.23 |
$12,463.06 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$2,639.91 |
$6,599.78 |
46.4× |
| Removal Implant Deep (20680) |
$5,447.79 |
$13,619.47 |
1.9× |
| Removal of adenoids (42830) |
$2,012.24 |
$5,030.59 |
0.6× |
| Removal of heel spur (28119) |
$6,424.66 |
$16,061.65 |
2.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,510.29 |
$3,775.72 |
2.5× |
| Removal of intrauterine device (iud) (58301) |
$2,846.07 |
$7,115.17 |
9.7× |
| Removal of kidney stone (50081) |
$18,974.85 |
$47,437.13 |
2.1× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$4,875.43 |
$12,188.58 |
1.4× |
| Removal of tear sac (68520) |
$6,468.44 |
$16,171.10 |
1.7× |
| Removal of testis (54520) |
$6,396.87 |
$15,992.17 |
1.9× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,139.46 |
$5,348.64 |
0.4× |
| Removal of tonsils (42826) |
$3,103.98 |
$7,759.94 |
1.0× |
| Removal ppm generator only (33233) |
$7,542.41 |
$18,856.02 |
0.9× |
| Removal subq cardiac rhythm monitor (33286) |
$3,144.90 |
$7,862.25 |
4.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,639.91 |
$6,599.78 |
1.3× |
| Remove anal fist 2 stage (46285) |
$4,824.62 |
$12,061.55 |
1.8× |
| Remove bladder stone (52318) |
$6,396.87 |
$15,992.17 |
1.9× |
| Remove digit nerve lesion (64776) |
$3,006.93 |
$7,517.33 |
1.6× |
| Remove drug implant device (11982) |
$4,770.68 |
$11,926.70 |
11.1× |
| Remove eyelid lesions (67801) |
$2,375.68 |
$5,939.20 |
2.5× |
| Remove in/ex hem groups 2+ (46260) |
$5,367.62 |
$13,419.05 |
2.0× |
| Remove in/ex hem grp w/fistu (46258) |
$4,824.62 |
$12,061.55 |
1.8× |
| Remove Pilonidal Cyst Exten (11771) |
$8,361.48 |
$20,903.69 |
3.0× |
| Remove prostate regrowth (52630) |
$6,368.66 |
$15,921.65 |
1.2× |
| Remove thyroid duct lesion (60280) |
$6,468.44 |
$16,171.09 |
1.1× |
| Remove tissue expander (11971) |
$645.64 |
$1,614.11 |
0.2× |
| Remove wrist tendon lesion (25111) |
$4,213.24 |
$10,533.10 |
2.7× |
| Remove&replace pm gen singl (33227) |
$7,062.97 |
$17,657.42 |
0.9× |
| Remv&replc cvd gen dual lead (33263) |
$14,226.52 |
$35,566.29 |
0.7× |
| Remv&replc cvd gen mult lead (33264) |
$24,130.05 |
$60,325.12 |
0.8× |
| Remv&replc cvd gen sing lead (33262) |
$14,226.52 |
$35,566.29 |
0.7× |
| Remv&replc pm gen dual lead (33228) |
$8,296.65 |
$20,741.62 |
0.8× |
| Remv&replc pm gen mult leads (33229) |
$30,101.46 |
$75,253.66 |
1.6× |
| Renal biopsy (50200) |
$2,617.91 |
$6,544.78 |
1.6× |
| Repair achilles tendon (27650) |
$6,424.66 |
$16,061.65 |
0.9× |
| Repair arm tendon/muscle (24341) |
$9,896.60 |
$24,741.50 |
1.4× |
| Repair brow defect (67900) |
$6,533.14 |
$16,332.84 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,440.21 |
$3,600.53 |
3.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,340.72 |
$5,851.81 |
3.3× |
| Repair Entropion Suture (67921) |
$5,192.26 |
$12,980.66 |
2.3× |
| Repair exten tendon,dist,open,grft (26434) |
$11,723.03 |
$29,307.58 |
3.7× |
| Repair eyelid defect (67904) |
$6,497.50 |
$16,243.75 |
2.8× |
| Repair eyelid defect (67924) |
$7,115.28 |
$17,788.20 |
3.1× |
Repair foot dislocation (28585)
unusually low: confirm this is the full procedure |
$3,234.22 |
$8,085.55 |
0.5× |
| Repair hallux rigidus (28289) |
$5,711.49 |
$14,278.72 |
1.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$6,396.87 |
$15,992.17 |
1.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$12,685.86 |
$31,714.65 |
3.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$2,132.29 |
$5,330.72 |
5.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,193.01 |
$5,482.52 |
5.6× |
| Repair kneecap tendon (27380) |
$8,683.04 |
$21,707.61 |
1.2× |
| Repair of biceps tendon (24340) |
$5,104.68 |
$12,761.69 |
0.7× |
| Repair of eardrum structures (69631) |
$6,468.44 |
$16,171.09 |
1.1× |
| Repair of hydrocele (55060) |
$3,984.56 |
$9,961.40 |
1.2× |
| Repair of leg tendon each (27664) |
$14,125.50 |
$35,313.74 |
2.0× |
| Repair of nasal septum (30520) |
$3,170.13 |
$7,925.33 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$5,192.26 |
$12,980.66 |
0.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$5,786.57 |
$14,466.43 |
0.8× |
| Repair of thigh musc (27385) |
$4,585.34 |
$11,463.35 |
0.7× |
| Repair rectum & vagina (57250) |
$12,317.90 |
$30,794.74 |
2.6× |
| Repair rotator cuff acute (23410) |
$4,510.40 |
$11,275.99 |
0.6× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,192.26 |
$12,980.66 |
0.7× |
Repair shoulder capsule (23465)
likely a partial charge, not the full procedure |
$713.03 |
$1,782.58 |
0.1× |
| Repair wrist joints (25447) |
$10,350.02 |
$25,875.05 |
3.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$6,762.32 |
$16,905.79 |
2.1× |
| Repair/graft achilles tendon (27652) |
$10,296.97 |
$25,742.42 |
1.5× |
| Replace elbow joint (24363) |
$20,506.38 |
$51,265.94 |
1.2× |
| Replace g/c tube perc (49450) |
$626.32 |
$1,565.81 |
0.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$626.32 |
$1,565.81 |
0.7× |
| Reposition pacing-defib lead (33215) |
$1,805.90 |
$4,514.76 |
0.6× |
| Rerepair ing hernia blocked (49521) |
$21,513.37 |
$53,783.43 |
3.4× |
| Rerepair ing hernia reduce (49520) |
$6,396.87 |
$15,992.17 |
1.9× |
| Resect Inferior Turbinate (30140) |
$2,596.13 |
$6,490.33 |
0.8× |
| Revise arm/leg nerve (64708) |
$7,744.62 |
$19,361.54 |
4.1× |
| Revise leg vein (37700) |
$5,766.30 |
$14,415.75 |
1.9× |
| Revise median n/carpal tunnel surg (64721) |
$5,148.53 |
$12,871.33 |
2.7× |
| Revise ulnar nerve at elbow (64718) |
$6,365.22 |
$15,913.06 |
3.4× |
| Revise ulnar nerve at wrist (64719) |
$3,234.22 |
$8,085.55 |
1.7× |
| Revise wrist joint (25332) |
$3,531.38 |
$8,828.44 |
1.1× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$5,766.30 |
$14,415.74 |
0.5× |
| Revision of eyelid (67961) |
$11,086.54 |
$27,716.34 |
4.8× |
| Revision of eyelid (67999) |
$3,916.09 |
$9,790.22 |
12.8× |
| Revision of tips (37183) |
$4,242.43 |
$10,606.07 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$15,271.33 |
$38,178.32 |
1.2× |
| Revision of upper eyelid (15823) |
$7,186.45 |
$17,966.12 |
3.6× |
Revision or removal of cranial neurostimulator pulse generator or receiver (61888)
unusually low: confirm this is the full procedure |
$4,386.02 |
$10,965.04 |
0.4× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$5,051.64 |
$12,629.10 |
1.5× |
| Revision peri-implant capsule breast (19370) |
$2,036.88 |
$5,092.19 |
0.5× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$10,012.20 |
$25,030.50 |
1.6× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$4,544.04 |
$11,360.10 |
2.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,861.61 |
$7,154.03 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,510.29 |
$3,775.72 |
2.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,451.89 |
$6,129.73 |
0.8× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$3,432.32 |
$8,580.81 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$1,845.08 |
$4,612.71 |
1.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,378.05 |
$3,445.12 |
1.5× |
| Shldr arthroscop,lyse adhesns (29825) |
$5,148.48 |
$12,871.21 |
1.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,991.54 |
$4,978.85 |
2.2× |
| Skin sub graft face/nk/hf/g (15275) |
$2,132.99 |
$5,332.47 |
3.0× |
| Skin sub graft trnk/arm/leg (15271) |
$2,156.12 |
$5,390.30 |
3.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,926.39 |
$7,315.96 |
1.5× |
| Skin tissue rearrangement (14040) |
$2,596.13 |
$6,490.33 |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,815.33 |
$14,538.33 |
1.2× |
| Small bowel endoscopy (44376) |
$1,378.05 |
$3,445.12 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$592.78 |
$1,481.96 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$652.06 |
$1,630.16 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$8,701.30 |
$21,753.25 |
2.9× |
| Strapping unna boot (29580) |
$408.35 |
$1,020.88 |
2.6× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$7,062.75 |
$17,656.87 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$328.99 |
$822.48 |
0.8× |
| Temporary Closure Eyelids Suture (67875) |
$4,157.45 |
$10,393.62 |
4.3× |
| Tenodesis long tendon biceps (23430) |
$5,453.58 |
$13,633.96 |
0.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$829.34 |
$2,073.36 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,660.81 |
$4,152.02 |
2.7× |
| Thrombolytic Art Therapy (37211) |
$31,552.84 |
$78,882.09 |
5.9× |
| Thyroid biopsy (60100) |
— |
$1.06 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
$4,125.04 |
$10,312.59 |
2.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,405.62 |
$8,514.04 |
1.1× |
| Total hip arthroplasty (27130) |
$18,219.70 |
$45,549.25 |
1.5× |
| Total knee arthroplasty (27447) |
$15,690.29 |
$39,225.72 |
1.3× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$1,360.02 |
$3,400.06 |
0.3× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$8,673.96 |
$21,684.91 |
1.2× |
| Transplant/graft hand tendon (26483) |
$5,148.48 |
$12,871.21 |
1.6× |
| Transurethral resection of bladder neck (52500) |
$3,622.32 |
$9,055.81 |
1.1× |
| Treat clavicle dislocation (23552) |
$12,394.74 |
$30,986.86 |
1.8× |
| Treat ectopic pregnancy (59151) |
$7,670.74 |
$19,176.86 |
1.3× |
| Treat elbow fracture (24586) |
$7,741.71 |
$19,354.28 |
0.6× |
| Treat fracture radius/ulna (25575) |
$16,677.85 |
$41,694.62 |
2.4× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,426.06 |
$3,565.16 |
0.2× |
| Treat humerus fracture (23630) |
$4,519.15 |
$11,297.88 |
0.6× |
| Treat kneecap dislocation (27566) |
$10,527.29 |
$26,318.23 |
1.5× |
| Treat knuckle dislocation (26715) |
$2,969.61 |
$7,424.02 |
0.9× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$5,192.26 |
$12,980.66 |
0.4× |
| Treat ulnar fracture (24685) |
$11,573.14 |
$28,932.86 |
1.7× |
| Treatment of ankle fracture (27822) |
$5,933.51 |
$14,833.78 |
0.8× |
| Treatment of ankle fracture (27792) |
$7,115.28 |
$17,788.20 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$6,396.87 |
$15,992.17 |
2.0× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$3,873.62 |
$9,684.06 |
0.7× |
| Trurl rescj postop bladder neck contracture (52640) |
$2,412.31 |
$6,030.77 |
0.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,252.37 |
$8,130.93 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,182.25 |
$12,955.63 |
1.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$4,361.22 |
$10,903.04 |
1.4× |
| Unlisted Cardiac Surgery (33999) |
$7,032 |
$17,580 |
11.6× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$5,051.64 |
$12,629.10 |
25.9× |
| Unlisted laparoscopic procedure liver (47379) |
$5,015.32 |
$12,538.29 |
0.9× |
Unlisted laparoscopy procedure, appendix (44979)
unusually low: confirm this is the full procedure |
$2,907.66 |
$7,269.16 |
0.5× |
| Unlisted laparoscopy procedure, stomach (43659) |
$44,516.38 |
$111,290.96 |
7.6× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$5,737.22 |
$14,343.06 |
1.0× |
| Unlisted procedure anus (46999) |
$2,956.70 |
$7,391.75 |
3.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$5,532.22 |
$13,830.55 |
24.2× |
| Unlisted Procedure Nervous System (64999) |
$3,309.16 |
$8,272.91 |
11.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$7,488.61 |
$18,721.52 |
12.4× |
| Unlisted procedure, male genital system (55899) |
$6,396.87 |
$15,992.17 |
26.6× |
| Vasc embolize/occlude artery (37242) |
$18,513.48 |
$46,283.69 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$16,330.87 |
$40,827.18 |
1.5× |
| Vasc embolize/occlude organ (37243) |
$14,666.47 |
$36,666.17 |
1.3× |
| Vasc embolize/occlude venous (37241) |
$12,361.49 |
$30,903.71 |
1.1× |
| Vasectomy (55250) |
$6,189.58 |
$15,473.95 |
3.1× |
| Venipuncture (36415) |
$17.11 |
$42.77 |
1.8× |