| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$5,334.49 |
$26,672.46 |
1.4× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$7,197.86 |
$35,989.28 |
2.0× |
| Abd paracentesis w/imaging (49083) |
$716.61 |
$3,583.07 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$9,174.96 |
$45,874.78 |
9.7× |
| Abdomen Surgery Procedure (22999) |
$18,738.43 |
$93,692.17 |
72.7× |
| Ablate inf turbinate submuc (30802) |
$6,018.65 |
$30,093.27 |
3.7× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$7,513.14 |
$37,565.70 |
0.7× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$12,314.71 |
$61,573.55 |
0.7× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$7,434.02 |
$37,170.08 |
0.7× |
Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994)
likely a partial charge, not the full procedure |
$2,963.60 |
$14,818 |
0.3× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$7,798.53 |
$38,992.65 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$6,702.90 |
$33,514.50 |
1.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$5,450.93 |
$27,254.63 |
3.4× |
| Abortion (59841) |
$3,981.37 |
$19,906.84 |
1.2× |
| Acne surgery (10040) |
$4,702.45 |
$23,512.23 |
22.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$14,900.42 |
$74,502.10 |
4.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$5,378.02 |
$26,890.09 |
2.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$4,926.51 |
$24,632.55 |
2.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$7,060.25 |
$35,301.26 |
1.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$9,132.91 |
$45,664.53 |
4.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$6,240.65 |
$31,203.27 |
2.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$8,296.43 |
$41,482.17 |
3.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$7,416.45 |
$37,082.27 |
3.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$5,071.51 |
$25,357.54 |
2.4× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$7,159.33 |
$35,796.67 |
0.9× |
| Amniocentesis diagnostic (59000) |
$102.80 |
$514 |
0.1× |
| Amniocentesis therapeutic (59001) |
$183.40 |
$917 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,776.90 |
$18,884.50 |
1.1× |
| Amputate metacarpal bone (26910) |
$5,013.49 |
$25,067.45 |
1.5× |
| Amputation Finger/Thumb (26951) |
$5,401.79 |
$27,008.93 |
1.6× |
| Amputation foot transmetarsal (28805) |
$5,954.51 |
$29,772.57 |
1.7× |
| Amputation metatarsal with toe single (28810) |
$8,288.68 |
$41,443.38 |
2.4× |
| Amputation of penis; partial Facility (54120) |
$8,438.51 |
$42,192.55 |
2.3× |
| Amputation toe interphalangeal joint (28825) |
$4,520.46 |
$22,602.32 |
1.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,545.25 |
$22,726.24 |
1.3× |
| Amputation, leg, through tibia and fibula; (27880) |
$14,034.89 |
$70,174.45 |
1.9× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$17,382.51 |
$86,912.56 |
5.1× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$5,206.73 |
$26,033.66 |
1.5× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$10,964.31 |
$54,821.54 |
3.2× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$10,495.20 |
$52,476.01 |
3.1× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$5,193.06 |
$25,965.31 |
1.8× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$4,855.92 |
$24,279.62 |
5.0× |
| Anoscopy diagnostic (46600) |
$52.20 |
$261 |
0.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$4,524.84 |
$22,624.19 |
3.6× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$8,613.22 |
$43,066.11 |
6.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,519.20 |
$22,596 |
1.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$12,699.98 |
$63,499.91 |
2.4× |
| Anterior tibial tubercleplasty (27418) |
$25,624.43 |
$128,122.15 |
3.4× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$14,572.12 |
$72,860.62 |
85.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$375 |
$1,875 |
2.2× |
| Appl Multlay Comprs Arm/Hand (29584) |
$290.80 |
$1,454 |
1.7× |
| Application Body Cast Shoulder Hips (29035) |
$5,184.60 |
$25,923 |
17.8× |
| Application Cast Finger (29086) |
$99.20 |
$496 |
0.6× |
| Application Cast Shoulder Spica (29055) |
$191.20 |
$956 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$42.60 |
$213 |
0.7× |
| Application finger splint static (29130) |
$35.80 |
$179 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$242.20 |
$1,211 |
1.4× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$13,339.78 |
$66,698.88 |
1.0× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$6,001.32 |
$30,006.60 |
20.5× |
| Application of long leg cast (29345) |
$10,937.08 |
$54,685.38 |
37.4× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$79,649.22 |
$398,246.11 |
2.8× |
| Application of rigid total contact leg cast (29445) |
$611.80 |
$3,059 |
2.1× |
| Application Short Arm Splint Dynamic (29126) |
$197.80 |
$989 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$160.80 |
$804 |
1.2× |
| Application uniplane external fixation system (20690) |
$6,089.67 |
$30,448.33 |
0.8× |
| Apply Body Cast,Risser Jacket (29010) |
$3,678.87 |
$18,394.35 |
12.6× |
| Apply Hand/Wrist Cast (29085) |
$99.20 |
$496 |
0.6× |
| Apply long leg splint (29505) |
$2,920.10 |
$14,600.50 |
17.2× |
| Apply short leg cast (29405) |
$3,028.30 |
$15,141.50 |
10.4× |
| Apply short leg cast (29425) |
$536.83 |
$2,684.15 |
1.8× |
| Apply short leg splint (29515) |
$116.20 |
$581 |
0.7× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$27,956.27 |
$139,781.35 |
8.2× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Facility (27479) |
$28,897.84 |
$144,489.20 |
3.8× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475) |
$10,409.51 |
$52,047.56 |
1.4× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Facility (27477) |
$15,152.41 |
$75,762.05 |
2.0× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$12,396.67 |
$61,983.35 |
1.6× |
| Arterial puncture (36600) |
$13,359.18 |
$66,795.92 |
96.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$9,046.11 |
$45,230.57 |
2.7× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,689.48 |
$38,447.42 |
1.3× |
| Artery-vein autograft (36825) |
$11,973.29 |
$59,866.44 |
2.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$21,759.96 |
$108,799.79 |
1.6× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$24,749.13 |
$123,745.67 |
1.8× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$36,296.27 |
$181,481.33 |
2.7× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$26,054.57 |
$130,272.86 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,506.20 |
$7,531 |
4.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$549.71 |
$2,748.55 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$488.66 |
$2,443.30 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$280.70 |
$1,403.50 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$3,780.01 |
$18,900.03 |
11.8× |
| Arthrodesis ankle open (27870) |
$19,990.29 |
$99,951.47 |
1.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$12,842.84 |
$64,214.22 |
1.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$16,703.52 |
$83,517.58 |
2.2× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$6,623.03 |
$33,115.16 |
1.9× |
| Arthrodesis pantalar (28705) |
$77,988.30 |
$389,941.49 |
4.3× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$21,968.98 |
$109,844.92 |
1.2× |
| Arthrodesis triple (28715) |
$28,456.11 |
$142,280.54 |
2.1× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$48,707.72 |
$243,538.58 |
1.7× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$29,786.24 |
$148,931.19 |
1.1× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$14,817.97 |
$74,089.87 |
2.0× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$12,939.34 |
$64,696.70 |
1.7× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$34,888.40 |
$174,442 |
1.2× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) |
$32,107.23 |
$160,536.15 |
1.8× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$20,183.70 |
$100,918.50 |
1.1× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$19,393.52 |
$96,967.59 |
1.1× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$24,443.15 |
$122,215.74 |
1.3× |
| Arthrodesis, tibiofibular joint, proximal or distal Facility (27871) |
$21,708.12 |
$108,540.59 |
1.6× |
| Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) |
$27,280.53 |
$136,402.66 |
3.6× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$17,518.62 |
$87,593.10 |
1.3× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$10,896.76 |
$54,483.82 |
1.4× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$9,557.76 |
$47,788.78 |
1.3× |
| Arthrodesis; subtalar (28725) |
$23,251.23 |
$116,256.17 |
1.7× |
| Arthroplasty ankle revision total ankle (27703) |
$16,704.98 |
$83,524.92 |
0.9× |
| Arthroplasty Ankle W/Implant (27702) |
$40,111.20 |
$200,556.01 |
1.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$24,140.85 |
$120,704.25 |
1.3× |
| Arthroplasty interphalangeal joint each (26535) |
$12,853.42 |
$64,267.10 |
3.8× |
| Arthroplasty radial head (24365) |
$11,058.37 |
$55,291.85 |
0.8× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
$17,268.61 |
$86,343.07 |
1.3× |
| Arthroplasty, ankle; Facility (27700) |
$26,080.96 |
$130,404.79 |
3.4× |
| Arthroplasty, elbow; with membrane (eg, fascial) Facility (24360) |
$19,669.01 |
$98,345.05 |
2.6× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$9,675.95 |
$48,379.74 |
2.8× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$20,969.14 |
$104,845.70 |
1.6× |
| Arthroplasty, patella; without prosthesis Facility (27437) |
$21,177.85 |
$105,889.23 |
2.8× |
| Arthroplasty, radial head; with implant Facility (24366) |
$12,736.95 |
$63,684.74 |
1.0× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$10,988.09 |
$54,940.45 |
1.8× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$32,301.74 |
$161,508.70 |
2.4× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$10,624.31 |
$53,121.54 |
1.4× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$13,401.70 |
$67,008.51 |
8.0× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$17,977.13 |
$89,885.64 |
2.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$17,660.15 |
$88,300.77 |
5.2× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$7,793.97 |
$38,969.84 |
2.3× |
| Arthroscopy knee synovectomy limited spx (29875) |
$8,090.38 |
$40,451.90 |
2.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$8,230.77 |
$41,153.86 |
2.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$14,568.77 |
$72,843.85 |
4.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$18,432.75 |
$92,163.74 |
5.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$15,991.74 |
$79,958.69 |
4.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$28,210.25 |
$141,051.27 |
8.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$22,722.77 |
$113,613.85 |
6.7× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$17,639.83 |
$88,199.15 |
5.2× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$12,550.13 |
$62,750.67 |
3.7× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$11,840.24 |
$59,201.20 |
1.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$10,230.23 |
$51,151.16 |
3.0× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$17,654.32 |
$88,271.59 |
2.3× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$16,860.07 |
$84,300.37 |
2.2× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$17,413.67 |
$87,068.37 |
5.1× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$10,875.51 |
$54,377.57 |
3.2× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) |
$14,763.86 |
$73,819.32 |
1.9× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$11,834.72 |
$59,173.61 |
3.5× |
| Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) |
$19,977.98 |
$99,889.91 |
1.5× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$19,546.03 |
$97,730.17 |
2.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$19,814.53 |
$99,072.63 |
5.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$6,045.87 |
$30,229.37 |
1.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$24,444.85 |
$122,224.26 |
7.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$16,659.51 |
$83,297.57 |
4.9× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$5,419.03 |
$27,095.17 |
1.6× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$14,880.34 |
$74,401.68 |
2.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$21,022.67 |
$105,113.34 |
2.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$13,082.36 |
$65,411.78 |
3.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$19,023.45 |
$95,117.23 |
2.5× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$14,718.14 |
$73,590.69 |
4.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$15,893.47 |
$79,467.36 |
2.1× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) |
$43,280.29 |
$216,401.43 |
3.2× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$9,202.76 |
$46,013.78 |
2.7× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$13,613.56 |
$68,067.78 |
1.8× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$11,626.35 |
$58,131.77 |
3.4× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$6,305.51 |
$31,527.56 |
1.8× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$6,140.50 |
$30,702.51 |
1.8× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$6,526.81 |
$32,634.05 |
3.9× |
| Arthrotomy w/synovectomy ankle (27625) |
$9,315.76 |
$46,578.82 |
2.7× |
| Arthrotomy with biopsy; metatarsophalangeal joint Facility (28052) |
$1,531.40 |
$7,657 |
0.4× |
| Arthrotomy wrist joint with synovectomy (25105) |
$9,244.34 |
$46,221.72 |
2.7× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$3,322.33 |
$16,611.66 |
1.0× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$14,592.88 |
$72,964.38 |
4.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$8,599.25 |
$42,996.25 |
2.5× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$4,144.23 |
$20,721.15 |
1.2× |
| Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) |
$32,730.30 |
$163,651.51 |
4.3× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure |
$3,497.66 |
$17,488.29 |
0.5× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$23,023.71 |
$115,118.54 |
6.7× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$21,454.22 |
$107,271.11 |
6.3× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$16,453.31 |
$82,266.55 |
4.8× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$8,553.90 |
$42,769.48 |
2.5× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$46,747.25 |
$233,736.23 |
13.7× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) |
$10,590.62 |
$52,953.12 |
1.4× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$5,477.42 |
$27,387.08 |
1.6× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$9,397.93 |
$46,989.65 |
2.8× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$9,533.18 |
$47,665.92 |
2.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$21,765.17 |
$108,825.83 |
2.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$10,722.12 |
$53,610.62 |
3.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$13,642.81 |
$68,214.06 |
4.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$5,376.30 |
$26,881.50 |
3.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$7,708.30 |
$38,541.51 |
4.6× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$9,364.54 |
$46,822.69 |
2.7× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$6,612.98 |
$33,064.90 |
1.9× |
| Artificial Insemination Intra-Uterine (58322) |
$90.40 |
$452 |
0.4× |
| Artificial insemination; intra-cervical Facility (58321) |
$145.80 |
$729 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$1,221.13 |
$6,105.67 |
1.9× |
| Aspiration and injection for treatment of bone cyst (20615) |
$8,138.48 |
$40,692.40 |
11.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$701.60 |
$3,508 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,309.18 |
$11,545.92 |
1.1× |
| Av fistula revision (36833) |
$13,830.29 |
$69,151.43 |
2.4× |
| Av Fuse Uppr Arm Basilic (36819) |
$9,622.54 |
$48,112.68 |
1.7× |
| Av fusion/forearm vein (36820) |
$5,472.43 |
$27,362.14 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$3,109.86 |
$15,549.30 |
14.8× |
| Axillary lymphadenectomy; complete (38745) |
$8,876.02 |
$44,380.11 |
1.4× |
| Axillary lymphadenectomy; superficial Facility (38740) |
$9,375.65 |
$46,878.24 |
1.5× |
| Biopsy bone open deep (20245) |
$11,289.14 |
$56,445.68 |
3.7× |
| Biopsy bone open superficial (20240) |
$7,460.08 |
$37,300.40 |
2.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,306.45 |
$11,532.24 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$5,579.69 |
$27,898.45 |
3.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$4,613.51 |
$23,067.56 |
4.8× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$3,434.40 |
$17,172 |
1.1× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$3,868.39 |
$19,341.95 |
2.2× |
| Biopsy intranasal (30100) |
$8,445.94 |
$42,229.68 |
5.2× |
| Biopsy muscle deep (20205) |
$4,273.75 |
$21,368.73 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$2,005.47 |
$10,027.36 |
1.2× |
| Biopsy Nail Unit Separate Procedure (11755) |
$3,133.16 |
$15,665.80 |
4.2× |
| Biopsy Nerve (64795) |
$4,257.39 |
$21,286.96 |
2.1× |
| Biopsy of bowel (44100) |
$4,838.01 |
$24,190.06 |
5.1× |
| Biopsy of breast; open, incisional (19101) |
$8,491.43 |
$42,457.14 |
2.1× |
| Biopsy of lip (40490) |
$3,924.74 |
$19,623.68 |
15.9× |
| Biopsy of palate, uvula (42100) |
$12,820.25 |
$64,101.23 |
7.9× |
| Biopsy of penis (54105) |
$6,741.52 |
$33,707.61 |
2.2× |
| Biopsy of penis (54100) |
$5,983.76 |
$29,918.80 |
3.5× |
| Biopsy of tongue (41100) |
$3,929.79 |
$19,648.94 |
7.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$9,443.61 |
$47,218.06 |
2.3× |
| Biopsy Oropharynx (42800) |
$6,396.68 |
$31,983.38 |
3.9× |
| Biopsy pleura percutaneous needle (32400) |
$2,994.79 |
$14,973.94 |
1.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$7,671.12 |
$38,355.59 |
2.1× |
| Biopsy Salivary Gland Incisional (42405) |
$17,116.55 |
$85,582.77 |
10.6× |
| Biopsy Salivary Gland,Needle (42400) |
$1,396.18 |
$6,980.92 |
1.9× |
| Biopsy soft tissue back,superf (21920) |
$4,157.55 |
$20,787.73 |
2.4× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$613.70 |
$3,068.50 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$4,097.80 |
$20,489.02 |
2.4× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$4,587.07 |
$22,935.36 |
2.7× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$5,193.58 |
$25,967.88 |
3.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,963.91 |
$19,819.56 |
1.3× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$5,749.06 |
$28,745.30 |
1.9× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,013.40 |
$5,067 |
0.6× |
| Biopsy Tongue Posterior One-Third (41105) |
$4,767.62 |
$23,838.10 |
1.4× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$4,185.66 |
$20,928.29 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$4,445.36 |
$22,226.81 |
4.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$4,737.69 |
$23,688.47 |
4.9× |
| Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712) |
$7,776.55 |
$38,882.74 |
2.1× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) |
$7,841.48 |
$39,207.40 |
2.1× |
| Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) |
$8,085.40 |
$40,426.98 |
2.2× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$8,063.49 |
$40,317.44 |
2.2× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$1,441.20 |
$7,206 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$16,463.82 |
$82,319.11 |
4.0× |
| Biopsy/removal lymph nodes (38510) |
$10,281.10 |
$51,405.49 |
2.5× |
| Bl exchange/transfuse nb (36450) |
$772.40 |
$3,862 |
1.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$7,727.61 |
$38,638.06 |
10.6× |
| Bladder Irrigation Simple (51700) |
$404.60 |
$2,074.50 |
1.6× |
| Blepharoplasty lower eyelid (15820) |
$3,440.95 |
$17,204.76 |
1.6× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,825.45 |
$14,127.24 |
1.3× |
| Blepharoplasty, Upper Eyelid (15822) |
$3,007.13 |
$15,035.64 |
1.4× |
| Blepharotomy drain absc eyelid (67700) |
$3,168.84 |
$15,844.20 |
9.6× |
| Blood patch (62273) |
$635.29 |
$3,176.44 |
0.9× |
| Blood transfusion service (36430) |
$7,786.33 |
$38,931.67 |
16.9× |
| Blood/Lymph System Procedure (38999) |
$17,665.50 |
$88,327.52 |
38.3× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$20,132.95 |
$100,664.77 |
2.7× |
| Bone marrow aspiration only (38220) |
$2,171.10 |
$10,855.50 |
1.3× |
| Bone Marrow Biopsy (38221) |
$3,464.78 |
$17,323.90 |
2.0× |
| Bone Marrow Harvest Autolog (38232) |
$21,708.12 |
$108,540.59 |
4.8× |
| Breast augmentation with implant (19325) |
$11,189.42 |
$55,947.08 |
1.3× |
| Breast Reduction (19318) |
$18,279.92 |
$91,399.59 |
2.6× |
| Breast surgery procedure (19499) |
$4,683.61 |
$23,418.03 |
1.1× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$13,252.24 |
$66,261.20 |
7.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$12,803.17 |
$64,015.85 |
6.9× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$935.20 |
$4,676 |
0.5× |
| Brnchsc removal bronchial valve initial (31648) |
$935.20 |
$4,676 |
0.2× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure |
$2,246 |
$11,230 |
0.3× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$13,315.27 |
$66,576.35 |
3.4× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$9,863.89 |
$49,319.43 |
2.5× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$11,470.47 |
$57,352.35 |
2.9× |
| Bronch ebus samplng 1/2 node (31652) |
$14,395.70 |
$71,978.50 |
3.7× |
| Bronch ebus samplng 3/> node (31653) |
$15,414.85 |
$77,074.25 |
4.0× |
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure |
$2,117.80 |
$10,589 |
0.3× |
Bronchial valve init insert (31647)
unusually low: confirm this is the full procedure |
$2,243.40 |
$11,217 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,634.23 |
$8,171.15 |
0.9× |
Bronchoscopic Thermoplasty 2/> Lobes (31661)
unusually low: confirm this is the full procedure |
$2,816 |
$14,080 |
0.4× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,399.93 |
$6,999.65 |
0.2× |
Bronchoscopy Bronch Stents (31636)
likely a partial charge, not the full procedure |
$1,570.40 |
$7,852 |
0.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$13,252.24 |
$66,261.20 |
3.4× |
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure |
$1,145.40 |
$5,727 |
0.2× |
Bronchoscopy W/Placement Tracheal Stent (31631)
likely a partial charge, not the full procedure |
$1,570.40 |
$7,852 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$5,063.44 |
$25,317.20 |
2.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$12,924.17 |
$64,620.85 |
7.0× |
| Bronchoscopy w/tumor excise (31640) |
$14,593.23 |
$72,966.15 |
3.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$12,570.30 |
$62,851.50 |
6.8× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$11,654.42 |
$58,272.10 |
6.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,186.30 |
$10,931.48 |
1.3× |
| Bx anorectal wall anal approach (45100) |
$4,168.30 |
$20,841.50 |
1.4× |
| Bx breast 1st lesion mr imag (19085) |
$3,905.56 |
$19,527.80 |
2.3× |
| Bx breast 1st lesion strtctc (19081) |
$2,363.08 |
$11,815.40 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$1,733.65 |
$8,668.26 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$5,306.67 |
$26,533.36 |
3.1× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$2,137.40 |
$10,687 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$1,384.11 |
$6,920.56 |
0.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$10,895.26 |
$54,476.30 |
3.2× |
| Capsular contracture release (23020) |
$19,638.12 |
$98,190.59 |
5.7× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$5,926.90 |
$29,634.50 |
1.7× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$22,997.44 |
$114,987.19 |
3.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$5,776.47 |
$28,882.36 |
3.4× |
| Capsulotomy wrist (25085) |
$4,170.89 |
$20,854.45 |
1.2× |
| Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) |
$20,465.90 |
$102,329.49 |
2.7× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$21,577.22 |
$107,886.08 |
6.3× |
| Capsulotomy, midfoot; with tendon lengthening Facility (28261) |
$13,162.35 |
$65,811.75 |
7.8× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$23,105.71 |
$115,528.55 |
6.8× |
| Carpectomy All Bones Proximal Row (25215) |
$4,628.10 |
$23,140.50 |
1.4× |
| Cartilage graft; costochondral (20910) |
$12,292 |
$61,460 |
15.9× |
| Cartilage graft; nasal septum Facility (20912) |
$19,687.94 |
$98,439.70 |
5.3× |
| Casting/strapping procedure (29799) |
$3,017.12 |
$15,085.60 |
17.8× |
| Cataract surg w/iol 1 stage (66983) |
$3,867.26 |
$19,336.30 |
1.6× |
| Cataract surgery complex (66982) |
$4,235.67 |
$21,178.36 |
1.8× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$16 |
$80 |
0.1× |
| Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and… (53866) |
$4,221.28 |
$21,106.39 |
16.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$5,468.26 |
$27,341.29 |
1.6× |
| Cervical lymphadenectomy (complete) (38720) |
$16,486.66 |
$82,433.31 |
2.4× |
| Cessj Therapy Cath Removal (37214) |
$2,216.20 |
$11,081 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$4,268.68 |
$21,343.38 |
5.9× |
| Change of cystostomy tube simple (51705) |
$3,686.46 |
$18,432.28 |
14.1× |
| Change Ureter Stent, Percut (50382) |
$11,513.72 |
$57,568.59 |
5.3× |
| Chemical cautery tissue (17250) |
$139.20 |
$696 |
0.7× |
| Chemical peel face dermal (15789) |
$8,458.20 |
$42,290.98 |
11.0× |
| Chemical Peel Facial Epidermal (15788) |
$12,352.37 |
$61,761.85 |
29.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,139.60 |
$5,698.01 |
1.5× |
| Chemodenerv musc migraine (64615) |
$354.20 |
$1,771 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$579.40 |
$2,897 |
1.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$1,834.10 |
$9,170.50 |
5.7× |
| Chemodenerv trunk musc 6/> (64647) |
$1,072.80 |
$5,364 |
1.5× |
| Chemodenervation internal anal sphincter (46505) |
$5,182.37 |
$25,911.86 |
4.1× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,541.60 |
$7,708 |
2.1× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,666.87 |
$8,334.36 |
0.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,545.20 |
$12,726 |
0.7× |
| Chromotubation oviduct (58350) |
$12,015.17 |
$60,075.85 |
2.3× |
| Ciliary body destruction; cyclodialysis Facility (66740) |
$4,104.68 |
$20,523.41 |
1.7× |
| Circum 28 days or older (54161) |
$7,302.83 |
$36,514.13 |
3.3× |
| Circumcision (54150) |
$192.20 |
$961 |
0.1× |
| Circumcision Neonate (54160) |
$233.50 |
$1,167.50 |
0.3× |
| Claviculectomy partial (23120) |
$12,987.69 |
$64,938.43 |
3.8× |
| Closed treat wrist dislocation (25660) |
$7,332.46 |
$36,662.32 |
28.5× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,787.57 |
$18,937.83 |
1.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$13,339.78 |
$66,698.88 |
7.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$8,471.30 |
$42,356.51 |
32.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,710.30 |
$8,551.50 |
1.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$13,021.23 |
$65,106.15 |
7.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$7,546.15 |
$37,730.76 |
13.4× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,239.73 |
$26,198.65 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,009.63 |
$20,048.17 |
2.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$3,864.58 |
$19,322.89 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$4,601.94 |
$23,009.70 |
2.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$5,450.82 |
$27,254.10 |
21.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,970.47 |
$19,852.35 |
2.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$4,233.56 |
$21,167.80 |
2.5× |
| Closed tx septal&nose fx (21337) |
$4,129.68 |
$20,648.39 |
1.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$4,938.99 |
$24,694.97 |
3.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$4,009.63 |
$20,048.17 |
2.4× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$1,441.20 |
$7,206 |
0.4× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$7,171.85 |
$35,859.26 |
2.1× |
| Closure of gastrostomy, surgical (43870) |
$4,717.55 |
$23,587.75 |
1.2× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$9,922.95 |
$49,614.77 |
1.8× |
| Closure of vesicovaginal fistula; vaginal approach Facility (57320) |
$9,544.73 |
$47,723.65 |
1.8× |
| Closure salivary fistula (42600) |
$5,302.09 |
$26,510.43 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$27,981.07 |
$139,905.33 |
16.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$4,342.78 |
$21,713.91 |
16.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$4,830.50 |
$24,152.50 |
2.9× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$5,483.85 |
$27,419.26 |
3.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,131.06 |
$20,655.30 |
2.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$5,502.27 |
$27,511.36 |
3.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$5,494.35 |
$27,471.75 |
21.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$16,693.94 |
$83,469.70 |
9.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$21,982.87 |
$109,914.37 |
13.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$3,937.50 |
$19,687.51 |
15.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$4,380.36 |
$21,901.81 |
2.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$954.50 |
$4,772.50 |
6.9× |
| Colonoscopy flex w/blln dilat (45386) |
$2,654.75 |
$13,273.77 |
2.1× |
| Colonoscopy flex w/inj submuc (45381) |
$2,946.21 |
$14,731.06 |
2.4× |
| Colonoscopy flex w/rem forcep (45384) |
$3,696.69 |
$18,483.47 |
3.0× |
| Colonoscopy Flx With Endoscopic Stent Placement (45389) |
$10,264.64 |
$51,323.19 |
1.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$3,969.06 |
$19,845.28 |
3.2× |
| Colonoscopy stoma w/balloon dilation (44405) |
$4,566.34 |
$22,831.69 |
3.7× |
| Colonoscopy stoma w/biopsy (44389) |
$2,523.20 |
$12,615.98 |
2.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$2,305.46 |
$11,527.29 |
1.8× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$2,719.13 |
$13,595.63 |
2.2× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$1,170 |
$5,850 |
1.2× |
| Colonoscopy thru stoma (44388) |
$2,062.15 |
$10,310.77 |
2.1× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,766.21 |
$13,831.07 |
2.2× |
| Colonoscopy w/ablation (45388) |
$2,744.83 |
$13,724.14 |
2.2× |
| Colonoscopy w/band ligation (45398) |
$2,361.14 |
$11,805.69 |
1.9× |
| Colonoscopy w/endoscopic fnb (45392) |
$3,083.80 |
$15,419 |
2.5× |
| Colonoscopy w/fb removal (45379) |
$2,819.59 |
$14,097.95 |
2.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$3,531.83 |
$17,659.17 |
2.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$4,114.01 |
$20,570.03 |
1.4× |
| Colpocleisis (le fort type) (57120) |
$11,463.23 |
$57,316.15 |
2.2× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$17,901.39 |
$89,506.94 |
2.3× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$17,750.57 |
$88,752.84 |
2.3× |
| Colporrhaphy Suture Injury Vagina (57200) |
$19,649.50 |
$98,247.48 |
5.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$144 |
$720 |
0.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$123.60 |
$618 |
0.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$144 |
$720 |
0.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,606.79 |
$23,033.94 |
1.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,500.80 |
$7,738.50 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$5,610.14 |
$28,050.70 |
17.6× |
| Colposcopy vulva (56820) |
$4,473.36 |
$22,366.80 |
21.2× |
| Colposcopy vulva w/biopsy (56821) |
$4,514.40 |
$22,572.02 |
14.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$144 |
$720 |
0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$144 |
$720 |
0.1× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$1,271.20 |
$6,356 |
0.4× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$17,750.57 |
$88,752.84 |
3.4× |
| Combined anteroposterior colporrhaphy; (57260) |
$16,088.97 |
$80,444.86 |
3.1× |
| Complex Cystometrogram (51726) |
$1,550.14 |
$7,750.70 |
5.9× |
| Complex cystometrogram urethral press profile (51727) |
$975.29 |
$4,876.45 |
1.3× |
| Complex Uroflowmetry (51741) |
$205.40 |
$1,027 |
0.9× |
| Conization of cervix (57520) |
$4,392.34 |
$21,961.71 |
1.3× |
| Conization of cervix (57522) |
$4,611.02 |
$23,055.08 |
1.4× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$4,468.47 |
$22,342.35 |
1.1× |
| Constj Tracheoesophgl Fstl&Insj Sp Prosth (31611) |
$6,333.96 |
$31,669.82 |
1.8× |
| Contour cranial bone lesion (21181) |
$31,241.26 |
$156,206.31 |
5.1× |
| Contour of face bone lesion (21029) |
$7,952.75 |
$39,763.76 |
2.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$355.86 |
$1,779.30 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$5,651.89 |
$28,259.47 |
40.7× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$12,906.72 |
$64,533.61 |
22.9× |
| Conversion ext bil drg cath (47535) |
$2,020.70 |
$10,103.50 |
0.5× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$27,376.70 |
$136,883.48 |
2.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,777.89 |
$8,889.46 |
0.9× |
| Convert nephrostomy catheter (50434) |
$23,611.73 |
$118,058.66 |
10.8× |
| Coracoacromial ligament release, with or without acromioplasty Facility (23415) |
$8,256.73 |
$41,283.67 |
1.1× |
| Cordocentesis (59012) |
$99 |
$495 |
0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,553.90 |
$12,769.50 |
1.5× |
| Correction eyelid w/implant (67912) |
$7,640.66 |
$38,203.28 |
3.1× |
| Correction hammertoe (28285) |
$8,561.70 |
$42,808.51 |
2.5× |
| Correction of astigmatism (65772) |
$3,855.11 |
$19,275.55 |
3.7× |
| Correction of bunion (28298) |
$18,236.84 |
$91,184.22 |
2.4× |
| Correction of bunion (28292) |
$5,708.46 |
$28,542.30 |
1.7× |
| Correction of bunion (28299) |
$12,089.95 |
$60,449.77 |
1.6× |
| Correction of bunion (28297) |
$21,992.45 |
$109,962.25 |
1.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$9,453.81 |
$47,269.07 |
2.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$18,864.04 |
$94,320.22 |
5.5× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$12,873.44 |
$64,367.18 |
2.2× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61790) |
$8,356.53 |
$41,782.66 |
4.1× |
| Cricopharyngeal myotomy (43030) |
$4,727.87 |
$23,639.34 |
0.8× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$1,815.90 |
$9,079.48 |
0.4× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$18,280.81 |
$91,404.05 |
1.8× |
| Csf shunt reprogram (62252) |
$124.40 |
$622 |
0.4× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$5,937.29 |
$29,686.43 |
24.0× |
| Curettage postpartum (59160) |
$3,673 |
$18,364.98 |
1.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$6,207.67 |
$31,038.37 |
2.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,113.67 |
$20,568.36 |
1.9× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$6,410.59 |
$32,052.94 |
1.7× |
| Cysto w/destruction of lesions (52214) |
$8,936.56 |
$44,682.82 |
2.4× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$9,960.47 |
$49,802.33 |
1.8× |
| Cysto w/insert ureteral stent (52332) |
$6,829.97 |
$34,149.87 |
1.9× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$8,326.01 |
$41,630.05 |
2.3× |
| Cysto w/removal of tumors small (52234) |
$6,675.71 |
$33,378.55 |
1.8× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$6,036.60 |
$30,182.99 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$5,858.37 |
$29,291.85 |
2.7× |
| Cysto w/ureter stricture tx (52341) |
$16,064.24 |
$80,321.18 |
4.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$6,829.97 |
$34,149.87 |
1.9× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$9,219.07 |
$46,095.34 |
2.5× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$9,182.10 |
$45,910.48 |
1.6× |
| Cysto/uretero w/lithotripsy (52356) |
$14,305.77 |
$71,528.86 |
2.6× |
| Cysto/uretero w/up stricture (52345) |
$11,690.72 |
$58,453.62 |
3.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$10,928.96 |
$54,644.79 |
2.0× |
| Cystolithotomy (51050) |
$7,986.39 |
$39,931.94 |
1.4× |
| Cystometrogram w/vp (51728) |
$1,552.32 |
$7,761.60 |
2.1× |
| Cystometrogram W/Vp&Up (51729) |
$521.24 |
$2,606.20 |
0.7× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) |
$36,842.57 |
$184,212.87 |
3.7× |
| Cystoscopy implant stent (52282) |
$10,554.68 |
$52,773.39 |
2.9× |
Cystoscopy inject material (52327)
unusually low: confirm this is the full procedure |
$2,114.40 |
$10,572 |
0.4× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$7,646.57 |
$38,232.86 |
3.5× |
| Cystostomy Cystotomy W/Drainage (51040) |
$10,410.92 |
$52,054.61 |
4.8× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$1,441.20 |
$7,206 |
0.4× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$830.40 |
$4,152 |
0.4× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) |
$1,441.20 |
$7,206 |
0.4× |
| Cystouretero & or pyeloscope (52351) |
$6,140.90 |
$30,704.50 |
1.7× |
| Cystourethroscopy (52000) |
$4,613.51 |
$23,067.56 |
6.3× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$9,878.88 |
$49,394.40 |
1.8× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$6,435.31 |
$32,176.57 |
1.7× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$5,559.35 |
$27,796.76 |
2.5× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$281.20 |
$1,406 |
0.4× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$7,082.55 |
$35,412.74 |
1.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,759.77 |
$18,798.85 |
1.7× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$10,567.59 |
$52,837.93 |
2.9× |
| Cystourethroscopy with biopsy (52204) |
$6,532.78 |
$32,663.88 |
3.0× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$12,847.89 |
$64,239.43 |
3.5× |
| Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Facility (52250) |
$9,057.14 |
$45,285.71 |
2.5× |
| Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) |
$7,666.24 |
$38,331.18 |
0.8× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$1,441.20 |
$7,206 |
0.4× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$8,600.02 |
$43,000.12 |
2.3× |
| Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) |
$11,504.36 |
$57,521.79 |
2.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$11,337.86 |
$56,689.29 |
2.0× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$5,333.06 |
$26,665.28 |
2.4× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$3,708.61 |
$18,543.06 |
1.7× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$5,926.88 |
$29,634.42 |
2.7× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$1,441.20 |
$7,206 |
0.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$9,911.51 |
$49,557.53 |
1.8× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$4,188.81 |
$20,944.07 |
1.1× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$6,273.63 |
$31,368.17 |
1.7× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$4,041.64 |
$20,208.20 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$3,699.05 |
$18,495.25 |
8.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$9,474.78 |
$47,373.91 |
3.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$8,877.64 |
$44,388.20 |
12.0× |
| Debride skin musc at fx site (11011) |
$20,736.51 |
$103,682.57 |
28.0× |
| Debride tissue/muscle (11043) |
$6,368.39 |
$31,841.97 |
8.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$5,362.78 |
$26,813.88 |
12.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$6,753.30 |
$33,766.51 |
3.9× |
| Declot vascular device (36593) |
$4,359.35 |
$21,796.75 |
12.6× |
| Decompression of lower leg (27600) |
$5,301.18 |
$26,505.91 |
1.6× |
| Decompression Of Tibia Nerve (28035) |
$9,582.39 |
$47,911.94 |
4.7× |
| Decompression; plantar digital nerve Facility (64726) |
$11,091.56 |
$55,457.78 |
5.4× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$7,213.04 |
$36,065.18 |
3.3× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$8,160 |
$40,800.01 |
3.8× |
| Delivery placenta separate procedure (59414) |
$1,640.20 |
$8,201 |
0.5× |
| Derma-fat-fascia graft (15770) |
$17,048.93 |
$85,244.64 |
4.6× |
| Destroy cerv/thor facet jnt (64633) |
$2,159.89 |
$10,799.45 |
1.1× |
| Destroy internal hemorrhoids (46930) |
$6,018.82 |
$30,094.09 |
4.8× |
| Destroy lumb/sac facet jnt (64635) |
$2,367.90 |
$11,839.50 |
1.2× |
| Destruction anal lesion(s) (46924) |
$3,773.06 |
$18,865.31 |
1.3× |
| Destruction Benign Lesions 15/> (17111) |
$553.80 |
$2,769 |
2.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$637 |
$3,185 |
3.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,035.91 |
$5,179.55 |
1.1× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$5,859.61 |
$29,298.03 |
2.9× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$6,099.33 |
$30,496.65 |
3.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,137.61 |
$5,688.05 |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$5,518.20 |
$27,591.01 |
2.6× |
| Destruction Lesions Vulva Simple (56501) |
$5,038.94 |
$25,194.72 |
2.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$57.70 |
$288.50 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$6,282.44 |
$31,412.18 |
14.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$6,282.44 |
$31,412.18 |
30.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$5,020.42 |
$25,102.12 |
24.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$5,624.95 |
$28,124.73 |
26.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$6,282.44 |
$31,412.18 |
14.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$977.30 |
$4,886.50 |
0.5× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$738.20 |
$3,691 |
2.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$4,086.08 |
$20,430.40 |
1.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$5,417.46 |
$27,087.30 |
2.5× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$14,609.19 |
$73,045.94 |
25.4× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$5,507.78 |
$27,538.90 |
1.9× |
| Destruction of skin lesions (17106) |
$5,217.14 |
$26,085.70 |
12.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$7,386.75 |
$36,933.76 |
17.4× |
| Destruction premalignant lesion 1st (17000) |
$289.20 |
$1,446 |
1.4× |
| Destruction Vaginal Lesions Extensive (57065) |
$5,590.36 |
$27,951.81 |
1.7× |
| Destruction Vaginal Lesions Simple (57061) |
$5,723.91 |
$28,619.57 |
1.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$959.60 |
$4,798 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,202.38 |
$6,011.92 |
1.2× |
| Dilat female urethra general/cndj spinal anes (53665) |
$2,867.10 |
$14,335.48 |
1.3× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$342.70 |
$1,713.50 |
0.3× |
| Dilate urethra stricture (53600) |
$136.80 |
$684 |
0.5× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$10,411.66 |
$52,058.31 |
18.5× |
| Dilation and curettage (58120) |
$4,456.64 |
$22,283.21 |
1.3× |
| Dilation and curettage of cervical stump Facility (57558) |
$3,054.40 |
$15,271.98 |
0.9× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,505.96 |
$12,529.79 |
2.6× |
| Dilation esophagus over guide wire (43453) |
$2,524.68 |
$12,623.41 |
1.3× |
| Dilation of anal sphincter (45905) |
$3,266.88 |
$16,334.41 |
2.6× |
| Dilation of cervical canal (57800) |
$85 |
$425 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$657.26 |
$3,286.30 |
4.9× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$4,597.77 |
$22,988.83 |
1.2× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$7,730.31 |
$38,651.57 |
1.3× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$21,600.22 |
$108,001.08 |
3.7× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$24,749.13 |
$123,745.67 |
3.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$3,056.60 |
$15,283 |
1.6× |
| Dissection, deep jugular node(s) Facility (38542) |
$18,545.99 |
$92,729.96 |
2.9× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$6,058.82 |
$30,294.12 |
1.0× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$17,878.77 |
$89,393.85 |
2.9× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$25,170.97 |
$125,854.83 |
7.4× |
| Division of stricture of rectum Facility (45150) |
$2,716.22 |
$13,581.10 |
2.2× |
| Drain bladder by trocar/cath (51101) |
$6,359.75 |
$31,798.76 |
7.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$6,379.41 |
$31,897.07 |
8.6× |
| Drain Spinal Cord Cyst (62268) |
$248.20 |
$1,241 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$620.60 |
$3,103 |
1.9× |
| Drainage abscess/hematoma nasal int approach (30000) |
$52.20 |
$261 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$393.30 |
$1,966.50 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$2,599.10 |
$12,995.50 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$5,337.15 |
$26,685.75 |
25.5× |
| Drainage of eye (65800) |
$1,297.20 |
$6,486 |
0.5× |
| Drainage of gum lesion (41800) |
$7,678.58 |
$38,392.89 |
55.3× |
| Drainage of hematoma/fluid (10140) |
$6,131.16 |
$30,655.82 |
3.6× |
| Drainage of hydrocele (55000) |
$5,224.06 |
$26,120.30 |
7.1× |
| Drainage of lymph node abscess or lymphadenitis; extensive Facility (38305) |
$5,940.10 |
$29,700.48 |
2.0× |
| Drainage of ovarian cyst(s) (58800) |
$10,643.40 |
$53,216.98 |
3.1× |
| Drainage of pelvic abscess (45000) |
$597 |
$2,985 |
0.5× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$7,726.73 |
$38,633.65 |
3.5× |
| Drainage of salivary cyst (42409) |
$8,848.77 |
$44,243.86 |
2.6× |
| Drainage of salivary gland (42305) |
$5,423.45 |
$27,117.25 |
1.6× |
| Drainage of scrotal wall abscess (55100) |
$5,288.45 |
$26,442.23 |
3.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$13,182.44 |
$65,912.19 |
3.9× |
| Drainage tendon sheath digit&/palm each (26020) |
$3,362.09 |
$16,810.46 |
1.0× |
| Draw blood off venous device (36591) |
$6,343.25 |
$31,716.24 |
45.7× |
| Dressing change under anesthesia (15852) |
$397.10 |
$1,985.50 |
0.5× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$874 |
$4,370 |
0.3× |
| Drg privesical/prevesical space absc (51080) |
$1,161.60 |
$5,808 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$3,675.07 |
$18,375.35 |
8.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$256.20 |
$1,281 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$357.60 |
$1,788 |
1.7× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$5,214.36 |
$26,071.80 |
6.8× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$5,202.46 |
$26,012.30 |
2.4× |
| Dstrj lesion anus simple surg excision (46922) |
$3,980.20 |
$19,900.99 |
1.4× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$3,769.21 |
$18,846.07 |
1.7× |
| Dstrj Lesion Penis Simple Laser (54057) |
$5,364.45 |
$26,822.26 |
2.5× |
| Dstrj lesion penis simple surg excision (54060) |
$4,086.08 |
$20,430.40 |
1.9× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$660.20 |
$3,301 |
0.7× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$4,999.81 |
$24,999.06 |
5.3× |
| Dx bone marrow bx & aspir (38222) |
$3,650.17 |
$18,250.86 |
1.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$4,623.63 |
$23,118.13 |
2.5× |
| Dx laryngoscopy w/oper scope (31526) |
$5,380.62 |
$26,903.09 |
2.9× |
| Ear Cartilage Graft (21235) |
$17,191.91 |
$85,959.56 |
2.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$13,395.52 |
$66,977.61 |
6.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$3,030.89 |
$15,154.45 |
1.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,459.50 |
$17,297.50 |
1.7× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,980.76 |
$9,903.81 |
1.0× |
| Egd control bleeding any (43255) |
$3,642.35 |
$18,211.74 |
1.8× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$6,185.35 |
$30,926.74 |
1.5× |
| Egd dilate stricture (43245) |
$4,142.10 |
$20,710.51 |
2.1× |
| Egd endo mucosal resection (43254) |
$3,820.20 |
$19,100.99 |
1.9× |
| Egd endoscopic stent place (43266) |
$8,158.14 |
$40,790.70 |
1.3× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$2,524.95 |
$12,624.75 |
1.3× |
| Egd flexible foreign body removal (43247) |
$2,757.31 |
$13,786.55 |
2.9× |
| Egd guide wire insertion (43248) |
$3,674.71 |
$18,373.57 |
3.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$4,900.31 |
$24,501.53 |
2.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$4,584.86 |
$22,924.29 |
2.3× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$20,491.21 |
$102,456.05 |
1.8× |
| Egd place gastrostomy tube (43246) |
$3,719.95 |
$18,599.73 |
1.9× |
| Egd remove lesion snare (43251) |
$3,421.57 |
$17,107.84 |
1.7× |
| Egd tube/cath insertion (43241) |
$1,635.34 |
$8,176.69 |
0.8× |
| Egd us exam duodenum/jejunum (43259) |
$3,269.09 |
$16,345.46 |
1.6× |
| Egd us transmural injxn/mark (43253) |
$3,941.23 |
$19,706.14 |
2.0× |
| Egd w/transmural drain cyst (43240) |
$9,135.57 |
$45,677.86 |
1.4× |
| Elbow arthroscopy (29830) |
$13,423.52 |
$67,117.59 |
3.9× |
| Elbow Arthroscopy/Surgery (29837) |
$14,226.47 |
$71,132.36 |
4.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$385.80 |
$1,929 |
1.2× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$319.80 |
$1,599 |
1.0× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$11,802.86 |
$59,014.29 |
2.0× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$1,410.86 |
$7,054.32 |
10.5× |
| Endocervical Curettage (57505) |
$4,276.44 |
$21,382.21 |
4.4× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$8,682.55 |
$43,412.77 |
1.7× |
| Endometrial Biopsy (58100) |
$229.40 |
$1,147 |
1.1× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$13,134.77 |
$65,673.85 |
1.7× |
| Endoscopic plantar fasciotomy (29893) |
$6,295.38 |
$31,476.91 |
1.8× |
| Endoscopic us exam esoph (43237) |
$3,357.63 |
$16,788.15 |
1.7× |
| Endoscopy bowel pouch/biop (44386) |
$1,820.88 |
$9,104.40 |
1.9× |
| Endoscopy of bowel pouch (44385) |
$3,646.55 |
$18,232.73 |
3.8× |
| Endoscopy Upper Small Intestine (44360) |
$1,451.10 |
$7,255.52 |
0.7× |
| Endovenous laser, 1st vein (36478) |
$10,293.68 |
$51,468.41 |
3.1× |
| Endovenous rf 1st vein (36475) |
$9,611.17 |
$48,055.85 |
2.9× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,965.72 |
$14,828.62 |
1.5× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$3,289.80 |
$16,449 |
1.5× |
| Epididymectomy unilateral (54860) |
$5,948.28 |
$29,741.40 |
1.6× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Facility (25450) |
$14,592.88 |
$72,964.38 |
4.3× |
| Episiotomy or vaginal repair (59300) |
$3,797.33 |
$18,986.64 |
1.1× |
| Ercp Duct Stent Placement (43274) |
$9,271.78 |
$46,358.88 |
1.5× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$7,313.32 |
$36,566.59 |
1.8× |
| Ercp ea duct/ampulla dilate (43277) |
$7,238.97 |
$36,194.87 |
1.8× |
| Ercp lithotripsy calculi (43265) |
$5,601.35 |
$28,006.76 |
0.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$6,527.68 |
$32,638.39 |
1.6× |
| Ercp remove forgn body duct (43275) |
$5,087.67 |
$25,438.36 |
2.5× |
| Ercp Stent Exchange W/Dilate (43276) |
$7,546.47 |
$37,732.34 |
1.2× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$6,608.60 |
$33,043 |
1.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$7,111.21 |
$35,556.03 |
1.8× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$7,545.53 |
$37,727.64 |
1.9× |
| Esc i p ulcer w ostect & flap (15946) |
$11,091.02 |
$55,455.11 |
5.1× |
| Esoph Scope W/Submucous Inj (43201) |
$2,568.62 |
$12,843.09 |
1.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,987.75 |
$19,938.77 |
4.2× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$4,397.74 |
$21,988.69 |
2.2× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$13,776.03 |
$68,880.14 |
3.4× |
| Esophagoscopy flexible guide wire dilation (43226) |
$4,583.79 |
$22,918.93 |
2.3× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$10,989.45 |
$54,947.26 |
11.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,061.63 |
$5,308.17 |
1.1× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,723.21 |
$13,616.04 |
1.4× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$3,420.35 |
$17,101.76 |
1.7× |
| Esophagoscopy Retro Balloon (43213) |
$2,510.65 |
$12,553.24 |
1.3× |
| Esophagoscopy rig transoral guide wire dilation (43196) |
$4,297.11 |
$21,485.56 |
2.1× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$3,020.64 |
$15,103.21 |
1.5× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$4,583.47 |
$22,917.33 |
1.1× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$4,341.71 |
$21,708.53 |
2.2× |
| Esophagoscopy rigid trnso dx (43191) |
$5,944.67 |
$29,723.34 |
3.0× |
| Esophagoscopy transoral stent placement (43212) |
$8,566.84 |
$42,834.22 |
1.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,688.01 |
$8,440.05 |
0.8× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$7,345.82 |
$36,729.10 |
1.2× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,627.42 |
$8,137.08 |
0.8× |
| Ethmoidectomy Intranasal Anterior (31200) |
$4,041.64 |
$20,208.20 |
0.7× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$4,545.94 |
$22,729.68 |
2.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,014.80 |
$20,074.01 |
2.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,398.68 |
$21,993.40 |
2.6× |
| Exc abdl tum deep 5 cm/> (22901) |
$5,902.08 |
$29,510.39 |
1.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,559.13 |
$22,795.67 |
2.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$6,596.55 |
$32,982.76 |
8.9× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$5,436.70 |
$27,183.50 |
3.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,368.06 |
$21,840.28 |
2.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$5,695.68 |
$28,478.42 |
3.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$5,609.83 |
$28,049.15 |
7.6× |
| Exc back les sc < 3 cm (21930) |
$6,566.28 |
$32,831.40 |
3.8× |
| Exc back tum deep < 5 cm (21932) |
$5,601.14 |
$28,005.71 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,944.88 |
$19,724.40 |
5.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$4,356.67 |
$21,783.36 |
2.5× |
| Exc forearm les sc 3 cm/> (25071) |
$4,096.12 |
$20,480.61 |
2.4× |
| Exc Frenum Labial/Buccal (40819) |
$2,702.82 |
$13,514.10 |
1.7× |
| Exc ganglion wrist recurrent (25112) |
$5,303.81 |
$26,519.05 |
3.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$14,437.17 |
$72,185.83 |
3.9× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,974.93 |
$19,874.63 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$4,099.79 |
$20,498.97 |
2.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$6,928.69 |
$34,643.44 |
4.1× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$10,894.50 |
$54,472.50 |
3.1× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$3,826.74 |
$19,133.69 |
1.1× |
| Exc neck tum deep < 5 cm (21556) |
$6,303.50 |
$31,517.50 |
2.1× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$4,440.29 |
$22,201.45 |
2.2× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$6,653.40 |
$33,267 |
3.3× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$7,541.49 |
$37,707.46 |
3.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$17,327.42 |
$86,637.08 |
8.5× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$12,140.23 |
$60,701.13 |
4.2× |
| Exc rect tum transanal part (45171) |
$6,400.54 |
$32,002.70 |
2.2× |
| Exc skin abd (15830) |
$10,485.15 |
$52,425.75 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$4,175.19 |
$20,875.94 |
5.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$5,594.28 |
$27,971.42 |
13.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$4,762.22 |
$23,811.08 |
6.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$4,086.59 |
$20,432.93 |
2.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$8,837.61 |
$44,188.07 |
2.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$5,786.87 |
$28,934.33 |
1.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,806.35 |
$29,031.77 |
3.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$8,825.62 |
$44,128.10 |
2.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$16,129.59 |
$80,647.97 |
5.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$6,987.64 |
$34,938.22 |
4.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,453.04 |
$22,265.21 |
1.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$6,907.18 |
$34,535.89 |
2.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$4,359.80 |
$21,799.02 |
2.5× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$5,550.45 |
$27,752.25 |
3.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,838.31 |
$19,191.56 |
2.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$7,289.16 |
$36,445.80 |
2.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,841.14 |
$29,205.70 |
1.9× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$6,445.96 |
$32,229.82 |
2.1× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$7,105.41 |
$35,527.07 |
4.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$4,042.33 |
$20,211.67 |
2.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$7,627.74 |
$38,138.71 |
2.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,275.09 |
$21,375.45 |
1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$6,386.38 |
$31,931.88 |
2.1× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,434.08 |
$22,170.41 |
1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,058.62 |
$25,293.09 |
2.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,927.95 |
$24,639.76 |
1.6× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$5,522.98 |
$27,614.90 |
1.8× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$5,511.41 |
$27,557.06 |
3.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$5,531.10 |
$27,655.50 |
1.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$18,191.44 |
$90,957.18 |
10.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,175.35 |
$30,876.77 |
2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$8,134 |
$40,670.01 |
4.7× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$10,013.43 |
$50,067.16 |
3.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$10,842.30 |
$54,211.51 |
3.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$3,858.27 |
$19,291.34 |
1.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$12,672.25 |
$63,361.24 |
4.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,838.95 |
$24,194.74 |
1.6× |
| Exc urethral diverticulum spx female (53230) |
$7,222.86 |
$36,114.31 |
1.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$7,055.47 |
$35,277.35 |
2.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$5,186.37 |
$25,931.87 |
3.1× |
| Exc/fulguration urethral caruncle (53265) |
$4,202.24 |
$21,011.18 |
1.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$1,206.94 |
$6,034.69 |
0.3× |
| Exchange intraocular lens (66986) |
$4,270.08 |
$21,350.40 |
1.8× |
| Exchange nephrostomy cath (50435) |
$2,065.72 |
$10,328.62 |
0.9× |
| Exchange transfusion, blood; other than newborn Facility (36455) |
$2,182.64 |
$10,913.20 |
4.7× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,766.87 |
$8,834.33 |
0.9× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$7,761.39 |
$38,806.93 |
2.2× |
| Excis Pterygium (65420) |
$3,602.46 |
$18,012.29 |
1.5× |
| Excise cutaneous neurofibroma (64788) |
$8,211.46 |
$41,057.30 |
4.0× |
| Excise excessive skin arm (15836) |
$15,217.35 |
$76,086.74 |
5.0× |
| Excise Inferior Turbinate (30130) |
$7,086.29 |
$35,431.45 |
2.0× |
| Excise lesion testis (54512) |
$5,974.76 |
$29,873.78 |
1.6× |
| Excise mandible lesion (21040) |
$8,838.86 |
$44,194.30 |
2.6× |
| Excise pharynx lesion (42808) |
$7,883.83 |
$39,419.13 |
2.3× |
| Excise tendon forearm/wrist (25109) |
$3,434.40 |
$17,172 |
1.0× |
| Excise Wrist Tendon Sheath (25118) |
$3,701.74 |
$18,508.68 |
2.2× |
| Excise/repair mouth lesion (40812) |
$3,949.30 |
$19,746.48 |
2.4× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$4,153.57 |
$20,767.86 |
1.7× |
| Excision Bone Mandible (21025) |
$9,621.87 |
$48,109.36 |
1.6× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$5,406 |
$27,029.98 |
1.6× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$5,410.53 |
$27,052.64 |
0.9× |
| Excision Breast Lesion (19125) |
$11,671.91 |
$58,359.57 |
2.9× |
| Excision Chalazion Single (67800) |
$3,170.89 |
$15,854.45 |
9.6× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$3,799.29 |
$18,996.45 |
0.6× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$8,032.69 |
$40,163.44 |
2.4× |
| Excision Facial Bone (21026) |
$16,430.79 |
$82,153.94 |
2.7× |
| Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Facility (26390) |
$10,271.52 |
$51,357.60 |
1.4× |
| Excision H/P/P/U Complex Repair (11471) |
$7,745.34 |
$38,726.68 |
2.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$4,457.26 |
$22,286.31 |
1.5× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$2,999.33 |
$14,996.66 |
1.0× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$4,113.31 |
$20,566.56 |
1.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,825.65 |
$19,128.25 |
1.3× |
| Excision hydrocele bilateral (55041) |
$6,143.67 |
$30,718.34 |
1.6× |
| Excision interdigital morton neuroma single each (28080) |
$4,145.88 |
$20,729.41 |
2.5× |
| Excision Lesion Floor Mouth (41116) |
$4,547.26 |
$22,736.28 |
1.3× |
| Excision lesion meniscus/capsule knee (27347) |
$6,219.56 |
$31,097.80 |
1.8× |
| Excision lesion mouth roof (42104) |
$4,569.75 |
$22,848.74 |
1.3× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$6,070.66 |
$30,353.28 |
3.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,706.07 |
$13,530.35 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$6,596.55 |
$32,982.76 |
8.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$5,889.58 |
$29,447.89 |
8.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$4,911.08 |
$24,555.41 |
11.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$3,778.97 |
$18,894.87 |
5.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$6,034.57 |
$30,172.85 |
8.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$10,240.52 |
$51,202.60 |
13.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$7,115.35 |
$35,576.75 |
9.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$7,222.77 |
$36,113.86 |
9.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$5,764.56 |
$28,822.80 |
3.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$9,222.81 |
$46,114.06 |
5.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$5,409.68 |
$27,048.42 |
3.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$4,051.64 |
$20,258.19 |
5.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$4,544.57 |
$22,722.84 |
6.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$6,070.93 |
$30,354.65 |
3.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$4,687.25 |
$23,436.25 |
2.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,434.64 |
$22,173.19 |
1.5× |
| Excision nasal polyp extensive (30115) |
$5,303.11 |
$26,515.53 |
1.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$4,066.80 |
$20,334.01 |
5.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$4,135.23 |
$20,676.17 |
5.6× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$5,589.03 |
$27,945.15 |
0.9× |
| Excision of chalazion; multiple, different lids (67805) |
$3,783.22 |
$18,916.10 |
11.4× |
| Excision of chalazion; multiple, same lid (67801) |
$3,441.21 |
$17,206.06 |
3.3× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$3,127.53 |
$15,637.65 |
1.3× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$4,500.74 |
$22,503.70 |
1.5× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) |
$11,238.20 |
$56,190.98 |
1.8× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) |
$15,424.73 |
$77,123.65 |
2.2× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$8,675.74 |
$43,378.70 |
2.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,949.58 |
$19,747.90 |
2.4× |
| Excision of hydrocele unilateral (55040) |
$5,822.78 |
$29,113.89 |
1.6× |
| Excision of infected graft; extremity Facility (35903) |
$18,409.99 |
$92,049.94 |
5.6× |
| Excision of lactiferous duct fistula Facility (19112) |
$3,432.92 |
$17,164.61 |
0.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$3,364.51 |
$16,822.57 |
3.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$11,620.65 |
$58,103.25 |
3.4× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$14,700.28 |
$73,501.38 |
4.0× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$3,976.67 |
$19,883.37 |
1.1× |
| Excision of lesion of tongue without closure (41110) |
$943.50 |
$4,717.50 |
0.3× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$25,470.06 |
$127,350.31 |
4.1× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$20,063.47 |
$100,317.33 |
5.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$4,784.34 |
$23,921.71 |
2.8× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$4,069.40 |
$20,347 |
1.6× |
| Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Facility (40527) |
$6,794.20 |
$33,971.02 |
1.1× |
| Excision of local lesion of epididymis (54830) |
$6,124.84 |
$30,624.20 |
1.7× |
| Excision of malignant tumor of mandible; Facility (21044) |
$21,801.34 |
$109,006.72 |
3.5× |
| Excision of mucosa of vestibule of mouth as donor graft Facility (40818) |
$13,958.47 |
$69,792.36 |
24.8× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$17,900.43 |
$89,502.16 |
8.8× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$14,769.67 |
$73,848.34 |
2.4× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$10,546.78 |
$52,733.91 |
1.7× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$18,359.58 |
$91,797.91 |
3.0× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$27,898.69 |
$139,493.45 |
5.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,968.86 |
$24,844.30 |
1.6× |
| Excision of rib, partial Facility (21600) |
$7,811.05 |
$39,055.25 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$4,218.38 |
$21,091.88 |
3.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$5,045.59 |
$25,227.95 |
1.7× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$6,390.45 |
$31,952.24 |
2.9× |
| Excision of sublingual gland (42450) |
$10,521.37 |
$52,606.85 |
1.7× |
| Excision of sublingual salivary cyst (ranula) Facility (42408) |
$9,947.93 |
$49,739.67 |
2.9× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$9,099.95 |
$45,499.74 |
1.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$4,628.58 |
$23,142.89 |
3.7× |
| Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) |
$7,269.46 |
$36,347.29 |
1.2× |
| Excision of tongue lesion (41112) |
$4,767.62 |
$23,838.10 |
1.4× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$12,149.01 |
$60,745.03 |
1.9× |
| Excision of vaginal cyst or tumor (57135) |
$4,288.84 |
$21,444.19 |
1.3× |
| Excision of vaginal septum (57130) |
$5,449.87 |
$27,249.36 |
1.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$14,466.79 |
$72,333.96 |
3.9× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Facility (55540) |
$8,383.61 |
$41,918.03 |
2.2× |
| Excision olecranon bursa (24105) |
$4,639.12 |
$23,195.62 |
1.4× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Facility (25136) |
$7,105.16 |
$35,525.80 |
0.9× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$8,762.28 |
$43,811.41 |
2.6× |
| Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356) |
$18,501.12 |
$92,505.60 |
1.4× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$16,731.10 |
$83,655.52 |
2.2× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$14,989.69 |
$74,948.45 |
4.4× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) |
$19,460.84 |
$97,304.21 |
2.6× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$5,610.39 |
$28,051.95 |
1.6× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25125) |
$13,561 |
$67,805.02 |
8.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$14,419.54 |
$72,097.72 |
4.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) |
$15,551.31 |
$77,756.57 |
2.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) |
$8,827.74 |
$44,138.71 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft… (28107) |
$6,322.81 |
$31,614.07 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$16,960.86 |
$84,804.28 |
2.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) |
$18,807.63 |
$94,038.13 |
2.5× |
| Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870) |
$3,803.11 |
$19,015.55 |
0.6× |
| Excision or fulguration; Skene's glands Facility (53270) |
$5,480.47 |
$27,402.34 |
1.5× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$12,183.37 |
$60,916.85 |
3.3× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$4,913.94 |
$24,569.68 |
1.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,378.02 |
$26,890.09 |
1.8× |
| Excision prepatellar bursa (27340) |
$6,615.35 |
$33,076.74 |
1.9× |
| Excision radial head (24130) |
$15,789.58 |
$78,947.88 |
4.6× |
| Excision Synovial Cyst Popliteal Space (27345) |
$4,309.04 |
$21,545.22 |
1.3× |
| Excision tendon finger flexor/extensor each (26180) |
$3,555.56 |
$17,777.80 |
2.1× |
| Excision tendon palm flexor/extensor single each (26170) |
$3,788.28 |
$18,941.40 |
2.3× |
| Excision Torus Mandibularis (21031) |
$14,121.01 |
$70,605.06 |
4.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,197.38 |
$30,986.91 |
3.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$4,215.66 |
$21,078.31 |
1.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$4,299.62 |
$21,498.12 |
2.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,412.27 |
$22,061.36 |
2.6× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$6,313.07 |
$31,565.34 |
3.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,267.20 |
$21,335.98 |
2.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$9,432.88 |
$47,164.40 |
3.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$6,720.53 |
$33,602.64 |
2.2× |
| Excision, ischial pressure ulcer, with primary suture; Facility (15940) |
$10,913.53 |
$54,567.65 |
3.6× |
| Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Facility (15941) |
$7,593.40 |
$37,967.02 |
2.5× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$6,806.45 |
$34,032.27 |
3.2× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$13,958.47 |
$69,792.36 |
2.3× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$4,391.06 |
$21,955.32 |
1.3× |
| Excision, nasal polyp(s), simple Facility (30110) |
$8,311.49 |
$41,557.43 |
5.1× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$15,184.15 |
$75,920.76 |
7.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$8,798.50 |
$43,992.50 |
4.1× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$5,567.92 |
$27,839.60 |
1.8× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$9,634.66 |
$48,173.29 |
2.6× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$3,902.25 |
$19,511.23 |
2.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,923.24 |
$24,616.22 |
1.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$7,834.86 |
$39,174.32 |
4.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,735.08 |
$23,675.38 |
2.7× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$6,054.91 |
$30,274.53 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,174.22 |
$20,871.09 |
1.4× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$3,986.16 |
$19,930.81 |
1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$5,628.96 |
$28,144.78 |
1.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$8,226.47 |
$41,132.36 |
2.7× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$18,440.30 |
$92,201.50 |
3.0× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$5,812.66 |
$29,063.29 |
1.7× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$3,931.65 |
$19,658.27 |
2.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,466.58 |
$22,332.88 |
1.3× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$10,591.42 |
$52,957.09 |
3.1× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$6,160.49 |
$30,802.47 |
2.5× |
| Excision; trochanteric bursa or calcification (27062) |
$16,044.30 |
$80,221.49 |
4.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$8,277.54 |
$41,387.71 |
3.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,960.61 |
$19,803.03 |
2.4× |
| Explo/Drain Breast Abscess (19020) |
$5,688.99 |
$28,444.94 |
3.3× |
| Exploration maxillary sinus (31020) |
$8,528.66 |
$42,643.28 |
2.5× |
Exploration Of Hip Joint (27033)
unusually low: confirm this is the full procedure |
$3,497.66 |
$17,488.29 |
0.5× |
| Exploration of knee joint (27310) |
$9,637.98 |
$48,189.91 |
2.8× |
| Exploration penetrating wound spx extremity (20103) |
$6,067.26 |
$30,336.32 |
3.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$5,775.77 |
$28,878.85 |
1.7× |
| Explore for undescended testis (54550) |
$7,063.26 |
$35,316.31 |
1.9× |
| Explore Parathyroid Glands (60500) |
$15,939.16 |
$79,695.79 |
2.6× |
| Explore/biopsy eye socket (67400) |
$7,435.38 |
$37,176.88 |
1.8× |
| Explore/irrigate tear ducts (68840) |
$5,672.25 |
$28,361.25 |
17.1× |
| Explore/Treat Elbow Joint (24101) |
$12,082.58 |
$60,412.91 |
3.5× |
| Explore/treat eye socket (67412) |
$5,559.73 |
$27,798.63 |
2.2× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$10,436.21 |
$52,181.07 |
18.2× |
| External cephalic version (59412) |
$1,779.97 |
$8,899.85 |
0.5× |
| Eye surgery procedure (66999) |
$3,929.67 |
$19,648.35 |
1.6× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$15,403.57 |
$77,017.83 |
7.1× |
| Fasciectomy Palm Only (26121) |
$5,457.72 |
$27,288.59 |
1.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$9,582.39 |
$47,911.94 |
2.8× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$27,662.20 |
$138,311 |
8.1× |
| Fasciotomy foot and/or toe (28008) |
$13,162.35 |
$65,811.75 |
3.9× |
| Fasciotomy Iliotibial Open (27305) |
$15,422.42 |
$77,112.10 |
4.5× |
| Fasciotomy palmar open partial (26045) |
$5,985.91 |
$29,929.55 |
1.8× |
| Fasciotomy palmar percutaneous (26040) |
$5,437.96 |
$27,189.79 |
3.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,742.15 |
$23,710.76 |
1.4× |
| Fetal contraction stress test (59020) |
$106 |
$530 |
0.5× |
| Fetal non-stress test (59025) |
$200 |
$1,000 |
0.9× |
| Filleted finger/toe flap (14350) |
$7,275.02 |
$36,375.12 |
3.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,005.74 |
$10,028.72 |
2.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,359.93 |
$6,799.65 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$848.80 |
$4,244 |
2.0× |
| Fit/Insert Intravag Support Device (57160) |
$139 |
$695 |
0.7× |
| Fix Entropion,Extensv Lid Repair (67924) |
$2,691.34 |
$13,456.70 |
1.1× |
| Fixation contralateral testis separate procedure (54620) |
$5,883.56 |
$29,417.80 |
1.6× |
| Fixation of shoulder (23700) |
$3,335.28 |
$16,676.40 |
2.0× |
| Fluoro exam of g/colon tube (49465) |
$242.40 |
$1,212 |
1.0× |
| Fna bx w/fluor gdn 1st les (10007) |
$736 |
$3,680 |
1.0× |
| Forearm or wrist surgery (25999) |
$15,319.99 |
$76,599.97 |
59.5× |
| Forehead flap w/vasc pedicle (15731) |
$10,495.69 |
$52,478.46 |
2.8× |
| Foreskin manipulation (54450) |
$174.40 |
$872 |
0.7× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$4,463.31 |
$22,316.54 |
2.1× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$9,179.13 |
$45,895.66 |
2.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$10,087.56 |
$50,437.79 |
2.9× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$2,726.59 |
$13,632.97 |
0.8× |
| Frenulotomy of penis (54164) |
$1,080.64 |
$5,403.20 |
0.5× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$13,131.41 |
$65,657.07 |
6.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$9,542.18 |
$47,710.92 |
4.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$7,911.93 |
$39,559.66 |
3.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$9,301.36 |
$46,506.80 |
4.3× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$19,980.98 |
$99,904.90 |
9.3× |
| Fusion of elbow joint (24800) |
$18,137.01 |
$90,685.05 |
2.4× |
| Fusion of finger tendons (26474) |
$5,483.85 |
$27,419.26 |
3.3× |
| Fusion of finger tendons (26471) |
$5,683.14 |
$28,415.70 |
1.7× |
| Fusion of foot bones (28740) |
$21,061.43 |
$105,307.17 |
2.8× |
| Fusion of hand bones (25820) |
$11,415.09 |
$57,075.47 |
1.5× |
| Fusion of knuckle (26850) |
$11,791.63 |
$58,958.16 |
1.6× |
| Fusion of thumb (26841) |
$11,871.96 |
$59,359.82 |
1.6× |
| Fusion of wrist joint (25800) |
$10,373.61 |
$51,868.04 |
1.4× |
| Fusion/graft of finger joint (26862) |
$7,024.95 |
$35,124.73 |
2.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$2,002.81 |
$10,014.05 |
8.9× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$10,523.67 |
$52,618.35 |
2.8× |
| Gastrocnemius recession (27687) |
$18,452.80 |
$92,264.01 |
5.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$5,396.73 |
$26,983.63 |
1.3× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$12,590.36 |
$62,951.80 |
6.3× |
| Glaucoma surgery (66170) |
$11,312.41 |
$56,562.07 |
4.7× |
| Glossectomy; less than one-half tongue Facility (41120) |
$14,839.11 |
$74,195.55 |
2.4× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$13,158.25 |
$65,791.26 |
2.1× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$10,258.64 |
$51,293.18 |
4.8× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$12,051.71 |
$60,258.54 |
3.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$16,822.45 |
$84,112.24 |
4.5× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$14,947.53 |
$74,737.67 |
4.0× |
| Guide Cathet Fluid Drainage (10030) |
$1,118.21 |
$5,591.06 |
1.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$11,432.40 |
$57,161.99 |
1.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$4,315.88 |
$21,579.39 |
1.3× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$4,120.44 |
$20,602.20 |
1.2× |
| Hemorrhoidectomy (46255) |
$5,519.29 |
$27,596.45 |
1.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,881.89 |
$34,409.44 |
2.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$6,729.02 |
$33,645.09 |
2.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$5,327.04 |
$26,635.22 |
1.8× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$6,417.31 |
$32,086.55 |
2.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$5,897.69 |
$29,488.47 |
2.0× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$4,013.35 |
$20,066.74 |
1.4× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$6,600.36 |
$33,001.81 |
2.3× |
| Hip arthro acetabuloplasty (29915) |
$17,977.13 |
$89,885.64 |
2.4× |
| Hip arthro w/labral repair (29916) |
$23,373.83 |
$116,869.15 |
3.1× |
| Hysteroscopy biopsy (58558) |
$5,091.72 |
$25,458.60 |
1.5× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$6,254.55 |
$31,272.77 |
1.2× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$5,081.04 |
$25,405.20 |
1.0× |
| Hysteroscopy removal leiomyomata (58561) |
$7,222.13 |
$36,110.64 |
1.4× |
| Hysteroscopy w endometrial ablation (58563) |
$8,145.56 |
$40,727.82 |
1.6× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$5,996.80 |
$29,983.99 |
1.8× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,524.25 |
$22,621.25 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$611.70 |
$3,058.50 |
2.5× |
| I&d abscess simple (10060) |
$735.20 |
$3,676 |
3.5× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$14,812.52 |
$74,062.61 |
8.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$9,324.36 |
$46,621.82 |
3.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,669.47 |
$33,347.34 |
2.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$6,036.98 |
$30,184.92 |
2.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$9,764.65 |
$48,823.24 |
2.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$10,210.99 |
$51,054.95 |
3.0× |
| I&d pilonidal cyst simple (10080) |
$916 |
$4,580 |
1.2× |
| I&d shoulder deep abscess/hematoma (23030) |
$5,626.53 |
$28,132.65 |
1.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$6,211.69 |
$31,058.43 |
3.6× |
| I&d vulva/perineal abscess (56405) |
$5,769.48 |
$28,847.39 |
18.1× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,528.66 |
$12,643.31 |
1.3× |
| Ileoscopy thru stoma (44380) |
$1,208.99 |
$6,044.94 |
1.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,346.33 |
$11,731.63 |
2.5× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$796.30 |
$3,981.50 |
0.4× |
| Image Cath Fluid Colxn Visc (49405) |
$2,274.42 |
$11,372.11 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$2,232.66 |
$11,163.28 |
1.3× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,497.54 |
$17,487.71 |
2.0× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$45,194.36 |
$225,971.79 |
5.3× |
| Implant neuroelectrodes (63650) |
$13,202.38 |
$66,011.90 |
2.0× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$27,803.49 |
$139,017.46 |
3.7× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$27,712.36 |
$138,561.78 |
3.0× |
| Incise finger tendon sheath (26055) |
$3,816.24 |
$19,081.18 |
2.3× |
| Incise wrist/forearm tendon (25290) |
$12,795.40 |
$63,977.01 |
3.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$5,560.36 |
$27,801.79 |
13.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,709.48 |
$18,547.38 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$4,667.10 |
$23,335.49 |
6.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$5,674.08 |
$28,370.42 |
3.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$5,463.16 |
$27,315.81 |
12.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$86.60 |
$451 |
0.4× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$3,973.40 |
$19,866.99 |
1.4× |
| Incision and drainage perianal abscess superficial (46050) |
$5,906.34 |
$29,531.69 |
6.1× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$8,293.26 |
$41,466.31 |
2.7× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$6,637.01 |
$33,185.05 |
2.2× |
| Incision bone cortex foot (28005) |
$10,395.69 |
$51,978.46 |
3.0× |
| Incision bone cortex hand/finger (26034) |
$3,788.37 |
$18,941.85 |
2.3× |
| Incision extensor tendon sheath wrist (25000) |
$3,652.95 |
$18,264.77 |
2.2× |
| Incision of eardrum (69420) |
$93.40 |
$467 |
0.4× |
| Incision of eyelid fold (67715) |
$6,463.49 |
$32,317.44 |
2.6× |
| Incision of fibula (27707) |
$10,142.05 |
$50,710.27 |
3.0× |
| Incision of labial frenum (frenotomy) (40806) |
$2,702.46 |
$13,512.30 |
4.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,873.22 |
$14,366.10 |
1.8× |
| Incision of lymph channels (38308) |
$5,950.82 |
$29,754.10 |
1.5× |
| Incision of rectal abscess (46045) |
$8,512.50 |
$42,562.49 |
2.9× |
| Incision of rectal abscess (46040) |
$6,067.23 |
$30,336.17 |
4.9× |
| Incision of tibia (27705) |
$24,951.96 |
$124,759.80 |
3.3× |
| Incision of tibia & fibula (27709) |
$37,174.74 |
$185,873.68 |
2.8× |
| Incision of urethra (53010) |
$15,251.14 |
$76,255.70 |
2.7× |
| Incision of urethra (53025) |
$834 |
$4,170 |
0.4× |
| Incision of urethra (53000) |
$834 |
$4,170 |
0.4× |
| Incision of urethra (53020) |
$352.14 |
$1,760.70 |
0.2× |
| Incision&drainage bursa foot (28001) |
$689 |
$3,445 |
0.4× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$5,319.52 |
$26,597.61 |
1.6× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Facility (25001) |
$14,913.86 |
$74,569.30 |
4.4× |
| Incisional biopsy skin single lesion (11106) |
$4,128.88 |
$20,644.39 |
5.3× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$5,386.26 |
$26,931.28 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$241.20 |
$1,206 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,360 |
$6,800 |
1.5× |
| Inj tendon sheath/ligament (20550) |
$653 |
$3,265 |
2.0× |
| Inj therapeutic carpal tunnel (20526) |
$672.93 |
$3,364.65 |
2.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$12,037.48 |
$60,187.40 |
13.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$18,669.33 |
$93,346.64 |
20.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$975.04 |
$4,875.20 |
1.1× |
| Inject Intravitreal Pharmcologic (67028) |
$12,598.54 |
$62,992.70 |
36.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$11,147.17 |
$55,735.85 |
12.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$7,162.52 |
$35,812.61 |
7.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$995.89 |
$4,979.45 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$995.89 |
$4,979.45 |
1.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$290.16 |
$1,450.80 |
0.3× |
| Inject Rx Celiac Plexus Nerve (64680) |
$2,558.78 |
$12,793.90 |
2.8× |
| Inject Sinus Tract Theraputic (20500) |
$1,473.89 |
$7,369.44 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$734.20 |
$3,671 |
2.3× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$14,582.16 |
$72,910.82 |
15.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$975.13 |
$4,875.65 |
1.3× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$22,603.19 |
$113,015.94 |
24.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$483.90 |
$2,419.50 |
0.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$11,175.42 |
$55,877.10 |
15.2× |
| Injection aa&/strd pudendal nerve (64430) |
$486.83 |
$2,434.15 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$573.80 |
$2,869 |
1.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$410.26 |
$2,051.30 |
1.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$21,859.86 |
$109,299.29 |
23.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$12,617.18 |
$63,085.88 |
17.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$540.50 |
$2,702.50 |
0.7× |
| Injection for identification of sentinel node (38792) |
$19,719.17 |
$98,595.87 |
47.2× |
| Injection into skin lesions (11900) |
$454.90 |
$2,274.50 |
2.2× |
| Injection peyronie disease (54200) |
$124.80 |
$624 |
0.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$190.40 |
$952 |
0.3× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$1,193.24 |
$5,966.20 |
2.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$794.12 |
$3,970.60 |
2.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$570.30 |
$2,851.50 |
1.8× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$34,919.65 |
$174,598.27 |
37.8× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$2,007.51 |
$10,096.05 |
2.7× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$6,831.97 |
$34,159.86 |
7.4× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$3,358.15 |
$16,790.76 |
3.6× |
| Ins cath ren art 1st bilat (36252) |
$20,200.09 |
$101,000.43 |
6.1× |
| Ins cath ren art 1st unilat (36251) |
$16,670.65 |
$83,353.23 |
5.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,092.80 |
$15,464 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$14,014.66 |
$70,073.31 |
2.4× |
| Ins endovas vena cava filtr (37191) |
$6,206.28 |
$31,031.38 |
1.1× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$11,766.11 |
$58,830.55 |
1.1× |
| Ins tun ip cath for dial opn (49421) |
$8,728.81 |
$43,644.05 |
2.3× |
| Ins/Rep Subq Defibrillator (33270) |
$42,542.43 |
$212,712.13 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$202.80 |
$1,014 |
1.5× |
| Insert cath pleura w/ image (32557) |
$3,434.79 |
$17,173.96 |
2.1× |
| Insert cervical dilator (59200) |
$650.40 |
$3,252 |
2.0× |
| Insert Drug Implant Device (11981) |
$26,153.57 |
$130,767.87 |
188.2× |
| Insert gastrostomy tube percutaneous (49440) |
$2,630.25 |
$13,151.27 |
1.3× |
| Insert heart pm atrial (33206) |
$11,869.49 |
$59,347.43 |
1.1× |
| Insert heart pm ventricular (33207) |
$15,083.64 |
$75,418.22 |
1.4× |
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure |
$6,378.60 |
$31,893 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,803.80 |
$9,018.99 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$502.60 |
$2,513 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$241.60 |
$1,208 |
0.1× |
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure |
$2,915.20 |
$14,576 |
0.3× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$3,271 |
$16,355 |
0.2× |
Insert pulse gen sngl lead (33212)
unusually low: confirm this is the full procedure |
$2,802.80 |
$14,014 |
0.3× |
| Insert subq implantable defib electrode (33271) |
$4,923.60 |
$24,618 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$108 |
$540 |
0.8× |
| Insert testicular prosthesis (54660) |
$8,006.95 |
$40,034.73 |
1.4× |
| Insert Tissue Expander(S) (11960) |
$10,500.45 |
$52,502.25 |
2.8× |
| Insert tun ip cath perc (49418) |
$3,395.88 |
$16,979.42 |
0.9× |
| Insert tunneled cv cath (36561) |
$4,592.44 |
$22,962.18 |
1.4× |
| Insert Tunneled Cv Cath With Pump (36563) |
$3,564.35 |
$17,821.76 |
0.6× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$4,174.54 |
$20,872.68 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$78.20 |
$391 |
0.6× |
| Insert/ replace infusn pump,programmable (62362) |
$27,251.73 |
$136,258.63 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,726.63 |
$18,633.15 |
1.0× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement Facility (53855) |
$2,804.05 |
$14,020.27 |
1.3× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$41,878.42 |
$209,392.11 |
1.9× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$6,016.96 |
$30,084.80 |
2.5× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$32,379.25 |
$161,896.24 |
1.5× |
| Insertion of penile prosthesis; inflatable (self-contained) Facility (54401) |
$35,221.20 |
$176,106.01 |
1.6× |
| Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) |
$27,209.20 |
$136,046 |
2.0× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Facility (25430) |
$9,500.47 |
$47,502.36 |
2.8× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) |
$46,303.14 |
$231,515.69 |
1.4× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) |
$45,928.48 |
$229,642.39 |
1.4× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$11,122.89 |
$55,614.47 |
1.0× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,067.80 |
$5,339 |
1.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$15,412.91 |
$77,064.54 |
1.8× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$7,694.27 |
$38,471.35 |
1.5× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$27,439.49 |
$137,197.44 |
1.4× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$10,559.07 |
$52,795.34 |
1.2× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$8,918.60 |
$44,593 |
1.0× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$13,883.10 |
$69,415.51 |
1.3× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
unusually low: confirm this is the full procedure |
$8,430.30 |
$42,151.50 |
0.4× |
| Insj picc rs&i 5 yr+ (36573) |
$1,520.36 |
$7,601.82 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,462.89 |
$17,314.47 |
1.1× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,463 |
$17,315 |
1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,252 |
$16,260 |
1.0× |
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
unusually low: confirm this is the full procedure |
$2,651.80 |
$13,259 |
0.5× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$4,541.11 |
$22,705.54 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$8,074.13 |
$40,370.64 |
2.4× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$14,488.42 |
$72,442.08 |
1.7× |
| Insj/rplcmt defib w/lead(s) (33249) |
$37,012.88 |
$185,064.42 |
1.1× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$1,951.20 |
$9,756 |
0.2× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$2,713.20 |
$13,566 |
0.3× |
Insrt pulse gen w/dual leads (33230)
unusually low: confirm this is the full procedure |
$8,075 |
$40,375 |
0.3× |
Insrt pulse gen w/mult leads (33231)
unusually low: confirm this is the full procedure |
$9,925 |
$49,625 |
0.3× |
| Insrt/redo spine n generator (63685) |
$50,337.18 |
$251,685.89 |
1.6× |
| Install spinal shunt (63741) |
$18,344.73 |
$91,723.64 |
2.0× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$112.20 |
$561 |
0.4× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$7,164.63 |
$35,823.17 |
2.5× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$4,496.61 |
$22,483.05 |
3.1× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$6,379.41 |
$31,897.07 |
1.8× |
| Intro cath dialysis circuit (36901) |
$16,010.27 |
$80,051.36 |
9.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$15,048.44 |
$75,242.22 |
1.2× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$6,550.42 |
$32,752.08 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$7,637.96 |
$38,189.80 |
30.9× |
| Irrigation maxillary sinus (31000) |
$5,744.10 |
$28,720.50 |
23.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$6,829.98 |
$34,149.90 |
26.2× |
| Irrigation sphenoid sinus (31002) |
$7,817.86 |
$39,089.28 |
4.8× |
| Island pedicle flap graft (15740) |
$14,212.12 |
$71,060.59 |
6.6× |
| IV injection test vascular flow flap/graft (15860) |
$10,495.20 |
$52,476.01 |
22.5× |
Kidney endoscopy (50575)
unusually low: confirm this is the full procedure |
$2,114.40 |
$10,572 |
0.4× |
| Kidney endoscopy (50551) |
$19,090.30 |
$95,451.49 |
3.4× |
| Knee Arthroscopy/Surgery (29885) |
$14,784.50 |
$73,922.49 |
2.0× |
| Knee Arthroscopy/Surgery (29874) |
$10,893.59 |
$54,467.96 |
3.2× |
| Knee Arthroscopy/Surgery (29879) |
$8,495.95 |
$42,479.76 |
2.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$13,947.90 |
$69,739.52 |
1.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$16,474.88 |
$82,374.40 |
2.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$13,293.31 |
$66,466.57 |
1.8× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$50,362.40 |
$251,811.99 |
2.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$52,607.34 |
$263,036.72 |
6.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$24,162.89 |
$120,814.43 |
3.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$13,019.67 |
$65,098.34 |
1.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$15,919.25 |
$79,596.25 |
2.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$14,126.30 |
$70,631.51 |
1.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$15,852.34 |
$79,261.69 |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$14,688.78 |
$73,443.90 |
1.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$14,119.32 |
$70,596.60 |
1.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$10,699.14 |
$53,495.72 |
1.4× |
| Lap impl electrode antrum (43647) |
$30,244.31 |
$151,221.57 |
2.6× |
| Lap ing hernia repair init (49650) |
$15,375.14 |
$76,875.72 |
2.4× |
| Lap insert tunnel ip cath (49324) |
$10,373.23 |
$51,866.15 |
1.6× |
| Lap paraesoph her rpr w/mesh (43282) |
$24,878.04 |
$124,390.21 |
2.2× |
| Lap paraesophag hern repair (43281) |
$20,082.16 |
$100,410.80 |
1.8× |
| Lap revision perm ip cath (49325) |
$9,148.26 |
$45,741.28 |
1.4× |
| Laparoscopic surgical splenectomy (38120) |
$28,956.62 |
$144,783.08 |
2.6× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$9,596.16 |
$47,980.80 |
1.5× |
| Laparoscopy appendectomy (44970) |
$11,216.99 |
$56,084.96 |
1.8× |
| Laparoscopy biopsy (49321) |
$11,964.01 |
$59,820.04 |
1.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,323 |
$61,614.99 |
1.1× |
| Laparoscopy tubal block (58671) |
$10,363.07 |
$51,815.37 |
1.6× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,279.27 |
$61,396.37 |
1.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$9,989.59 |
$49,947.94 |
1.6× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$23,057.72 |
$115,288.61 |
2.1× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Facility (47370) |
$13,485.44 |
$67,427.18 |
1.2× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$20,800.83 |
$104,004.17 |
1.9× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$12,596.01 |
$62,980.05 |
2.0× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$24,554.06 |
$122,770.32 |
2.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$16,839.33 |
$84,196.67 |
1.5× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$11,491.33 |
$57,456.65 |
2.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$16,357.34 |
$81,786.72 |
4.1× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$21,848.20 |
$109,240.98 |
3.5× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$30,164.74 |
$150,823.69 |
2.7× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$31,730.08 |
$158,650.42 |
2.9× |
| Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550) |
$7,953.30 |
$39,766.50 |
1.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$10,314.53 |
$51,572.67 |
0.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$21,654.16 |
$108,270.78 |
2.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$10,738.99 |
$53,694.96 |
1.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$11,502.71 |
$57,513.56 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) |
$25,569.42 |
$127,847.12 |
2.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$12,402.50 |
$62,012.48 |
1.1× |
| Laparoscopy, surgical; ablation of renal cysts Facility (50541) |
$24,877.61 |
$124,388.07 |
2.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$13,254.05 |
$66,270.26 |
2.1× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$10,269.15 |
$51,345.75 |
1.6× |
| Laparoscopy, surgical; orchiectomy Facility (54690) |
$7,995.02 |
$39,975.11 |
1.3× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$7,980.93 |
$39,904.63 |
1.3× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$28,362.11 |
$141,810.55 |
2.6× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$27,200.46 |
$136,002.31 |
2.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$14,834.94 |
$74,174.72 |
2.3× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$21,539.81 |
$107,699.03 |
3.4× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947) |
$19,359.25 |
$96,796.26 |
1.7× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$20,433.41 |
$102,167.04 |
1.8× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$20,033.89 |
$100,169.46 |
3.2× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$14,349.41 |
$71,747.07 |
1.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573) |
$16,481.50 |
$82,407.51 |
1.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$13,513.93 |
$67,569.65 |
1.2× |
| Laparoscopy, surgical; with fimbrioplasty Facility (58672) |
$17,299.33 |
$86,496.66 |
2.7× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$9,052.07 |
$45,260.33 |
1.4× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$9,441.76 |
$47,208.78 |
1.5× |
| Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673) |
$16,550.67 |
$82,753.34 |
1.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,831.26 |
$39,156.29 |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$10,880.78 |
$54,403.90 |
1.7× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$17,571.97 |
$87,859.83 |
1.6× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$8,000.15 |
$40,000.74 |
1.3× |
| Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) |
$33,278.51 |
$166,392.54 |
3.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$12,948.60 |
$64,743 |
2.1× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$15,293.69 |
$76,468.44 |
2.4× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$11,375.24 |
$56,876.19 |
1.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$6,399.03 |
$31,995.16 |
1.6× |
| Laryngoplasty, medialization, unilateral Facility (31591) |
$6,529.42 |
$32,647.10 |
1.1× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$6,328.36 |
$31,641.80 |
1.6× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$5,237.40 |
$26,187.01 |
1.3× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$5,940.45 |
$29,702.25 |
1.5× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$13,655.57 |
$68,277.86 |
3.5× |
| Laryngoscopy flexible diagnostic (31575) |
$5,395.26 |
$26,976.28 |
25.9× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$5,504.11 |
$27,520.55 |
1.4× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$9,047.43 |
$45,237.14 |
4.9× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$7,724.89 |
$38,624.45 |
4.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,938.30 |
$9,691.50 |
4.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$430.60 |
$2,153 |
1.1× |
| Laryngoscopy w/biopsy (31535) |
$3,903.79 |
$19,518.93 |
1.0× |
| Laryngoscopy w/bx op scope (31536) |
$3,588.10 |
$17,940.51 |
0.9× |
| Laryngoscopy w/exc of tumor (31540) |
$4,466.58 |
$22,332.88 |
1.1× |
| Laryngoscopy w/fb & op scope (31531) |
$4,796.05 |
$23,980.23 |
1.2× |
| Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Facility (31561) |
$5,748.91 |
$28,744.55 |
0.8× |
| Larynscop w/tumr exc + scope (31541) |
$6,451.48 |
$32,257.42 |
1.7× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$16,026.93 |
$80,134.63 |
2.9× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$13,100.86 |
$65,504.29 |
2.3× |
| Late closure of wound (13160) |
$6,112.85 |
$30,564.23 |
1.7× |
| Lateral retinacular release open (27425) |
$6,007.20 |
$30,036.01 |
1.8× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$19,836.48 |
$99,182.42 |
2.6× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$19,629.31 |
$98,146.56 |
5.7× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$23,253.72 |
$116,268.58 |
3.1× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$5,608.44 |
$28,042.20 |
1.6× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$10,298.02 |
$51,490.08 |
3.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$25,954.19 |
$129,770.93 |
3.4× |
| Ligamentous reconstruction knee intra-articular (27428) |
$18,716.89 |
$93,584.43 |
1.4× |
| Ligate leg veins open (37761) |
$10,133.55 |
$50,667.74 |
3.1× |
| Ligate leg veins radical (37760) |
$8,234.38 |
$41,171.90 |
2.5× |
| Ligate/strip long leg vein (37722) |
$10,459.30 |
$52,296.50 |
3.2× |
| Ligation of a-v fistula (37607) |
$13,546.38 |
$67,731.91 |
4.1× |
| Ligation of hemorrhoid(s) (46221) |
$1,753.15 |
$8,765.77 |
1.8× |
| Ligation or biopsy temporal artery (37609) |
$3,798.04 |
$18,990.18 |
2.2× |
| Ligation salivary duct, intraoral Facility (42665) |
$4,070.45 |
$20,352.23 |
1.2× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$12,477.47 |
$62,387.34 |
3.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$16,328.91 |
$81,644.55 |
4.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$13,307.96 |
$66,539.79 |
3.6× |
| Lithotripsy (50590) |
$9,447.63 |
$47,238.15 |
2.6× |
| Liver Biopsy (47000) |
$2,516.69 |
$12,583.43 |
1.5× |
| Lyse chest fibrin init day (32561) |
$1,975.91 |
$9,879.55 |
3.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$2,100.21 |
$10,501.05 |
3.2× |
| Lysis Intranasal Synechia (30560) |
$11,341.40 |
$56,707.02 |
20.1× |
| Lysis of labial adhesions (56441) |
$3,826.79 |
$19,133.97 |
1.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,988.71 |
$14,943.54 |
1.4× |
| Male sling procedure (53440) |
$47,840.44 |
$239,202.18 |
3.5× |
| Manipulation knee joint under general anesthesia (27570) |
$3,091.73 |
$15,458.66 |
1.8× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$7,820.76 |
$39,103.82 |
2.3× |
| Manipulation, elbow, under anesthesia (24300) |
$16,191.27 |
$80,956.34 |
9.6× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$11,863.10 |
$59,315.50 |
7.1× |
| Manipulation, wrist, under anesthesia (25259) |
$5,527.87 |
$27,639.35 |
3.3× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$281.20 |
$1,406 |
0.4× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
$65.40 |
$327 |
0.5× |
| Marsupialization Bartholins Gland Cyst (56440) |
$3,665.30 |
$18,326.51 |
1.1× |
| Mast mod rad (19307) |
$19,523.85 |
$97,619.23 |
2.8× |
| Mastectomy for gynecomastia (19300) |
$6,348.95 |
$31,744.73 |
1.6× |
| Mastectomy partial (19301) |
$13,010.79 |
$65,053.95 |
3.2× |
| Mastectomy simple complete (19303) |
$25,829.93 |
$129,149.65 |
3.7× |
| Mastopexy (19316) |
$16,971.06 |
$84,855.32 |
2.4× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$987 |
$4,935 |
0.6× |
| Mech remov tunneled cv cath (36595) |
$3,243.78 |
$16,218.88 |
1.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$16,298.14 |
$81,490.72 |
2.6× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
$8,278.95 |
$41,394.74 |
1.3× |
| Metatarsectomy (28140) |
$11,978.87 |
$59,894.34 |
3.5× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$15,746.01 |
$78,730.07 |
4.3× |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
$35,205.41 |
$176,027.05 |
2.6× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
$31,599.17 |
$157,995.85 |
9.2× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$9,056.20 |
$45,281.02 |
4.2× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$12,349.88 |
$61,749.41 |
3.3× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$8,516.42 |
$42,582.11 |
2.3× |
| Muscle-skin graft trunk (15734) |
$14,981.76 |
$74,908.82 |
4.0× |
| Myelography Lumbar Injection (62305) |
$6,195 |
$30,974.99 |
7.6× |
| Myelography Lumbar Injection (62304) |
$3,856.99 |
$19,284.95 |
4.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$3,710.70 |
$18,553.49 |
4.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$3,274.19 |
$16,370.95 |
4.0× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$7,943.54 |
$39,717.69 |
2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$7,601.07 |
$38,005.35 |
10.3× |
| Nasal endoscopy dx (31231) |
$5,855.04 |
$29,275.18 |
28.1× |
| Nasal surgery procedure (30999) |
$5,473.20 |
$27,365.98 |
22.1× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$9,478.70 |
$47,393.50 |
1.3× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$11,278.20 |
$56,391 |
2.9× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$13,913.67 |
$69,568.34 |
1.9× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$11,481.18 |
$57,405.92 |
1.6× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$7,200.58 |
$36,002.92 |
3.9× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$4,351.38 |
$21,756.91 |
1.1× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$13,422.43 |
$67,112.14 |
1.8× |
| Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243) |
$10,780.59 |
$53,902.93 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$6,088.39 |
$30,441.93 |
3.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$5,660.93 |
$28,304.64 |
3.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$9,749.72 |
$48,748.58 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$8,037.43 |
$40,187.16 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$12,889.79 |
$64,448.94 |
1.7× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$12,284.16 |
$61,420.80 |
1.7× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$13,913.67 |
$69,568.34 |
1.9× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$13,578.89 |
$67,894.44 |
1.8× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$10,919.94 |
$54,599.72 |
1.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$543.50 |
$2,717.51 |
1.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$10,816.87 |
$54,084.37 |
2.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,672.32 |
$28,361.60 |
3.4× |
| Needle biopsy of pancreas (48102) |
$580.20 |
$2,901 |
0.3× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Facility (64892) |
$23,753.77 |
$118,768.86 |
2.6× |
| Nerve pedicle transfer; first stage Facility (64905) |
$17,266.27 |
$86,331.37 |
1.9× |
| Nerve repair w/allograft (64910) |
$17,084.53 |
$85,422.65 |
1.9× |
| Nerve repair w/nerve allograft first strand (64912) |
$16,946.42 |
$84,732.12 |
1.8× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$8,965.43 |
$44,827.16 |
4.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$4,282.65 |
$21,413.26 |
2.1× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$4,270.57 |
$21,352.85 |
2.1× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$17,239.59 |
$86,197.96 |
8.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$184.40 |
$922 |
0.4× |
| Nipple exploration (19110) |
$3,648.09 |
$18,240.43 |
0.9× |
| Nipple/areola reconstruction (19350) |
$6,947.01 |
$34,735.03 |
1.7× |
| Njx aa&/strd sciatic nerve (64445) |
$12,617.18 |
$63,085.88 |
17.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$367.40 |
$1,837 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,341.06 |
$6,705.30 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,300 |
$6,500 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,586.80 |
$7,934 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$5,235.61 |
$26,178.05 |
5.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$791.26 |
$3,956.30 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$797.98 |
$3,989.90 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$4,005.90 |
$20,029.51 |
4.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$975.06 |
$4,875.30 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$2,826.65 |
$14,133.26 |
3.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$996.84 |
$4,984.20 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$831.10 |
$4,155.50 |
1.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$1,201.17 |
$6,005.85 |
2.8× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$13,204.39 |
$66,021.94 |
1.8× |
| Ob pe sflt-1/plgf ia srm/pls (0524U) |
$69 |
$345 |
0.5× |
| Obstructive material removal from gi tube (49460) |
$385.34 |
$1,926.68 |
0.4× |
| Occipital Nerve Block (64405) |
$755.73 |
$3,778.65 |
2.4× |
| Omntc epiploectomy rescj omentum spx (49255) |
$27,390.33 |
$136,951.64 |
4.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$10,041.16 |
$50,205.80 |
2.5× |
| Open bone biopsy (20251) |
$16,167.75 |
$80,838.74 |
2.1× |
| Open bone biopsy (20250) |
$16,550.04 |
$82,750.20 |
4.8× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$64,833.83 |
$324,169.14 |
1.4× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$27,553 |
$137,765 |
4.1× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$41,752.88 |
$208,764.39 |
1.3× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446) |
$10,096.69 |
$50,483.43 |
1.3× |
| Open thrombect av fistula (36831) |
$11,306.56 |
$56,532.79 |
1.9× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$42,463.48 |
$212,317.41 |
3.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$15,680.09 |
$78,400.43 |
2.1× |
| Open treatment calcaneal fracture (28415) |
$13,072.32 |
$65,361.62 |
1.7× |
| Open treatment fracture distal tibia only (27827) |
$13,723.22 |
$68,616.09 |
1.0× |
| Open treatment greater trochanteric fracture (27248) |
$15,978.16 |
$79,890.78 |
2.1× |
| Open treatment interphalangeal joint dislocation (28675) |
$6,505.41 |
$32,527.03 |
1.9× |
| Open Treatment Medial Malleolus Fracture (27766) |
$19,855.51 |
$99,277.53 |
2.6× |
| Open treatment metacarpophalangeal dislocation (26715) |
$9,495.92 |
$47,479.59 |
2.8× |
| Open treatment metatarsal fracture each (28485) |
$11,386.48 |
$56,932.41 |
1.5× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
$27,106.89 |
$135,534.45 |
3.6× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$10,011.31 |
$50,056.54 |
1.3× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$19,622.58 |
$98,112.91 |
2.6× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$42,723.50 |
$213,617.48 |
5.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$11,604.80 |
$58,024.01 |
1.5× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$14,353.61 |
$71,768.07 |
2.3× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$11,886.90 |
$59,434.49 |
1.9× |
| Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360) |
$30,119.63 |
$150,598.15 |
4.9× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$7,628.24 |
$38,141.20 |
1.2× |
| Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) |
$14,204.34 |
$71,021.70 |
1.9× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) |
$28,248.92 |
$141,244.62 |
2.1× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$16,516.06 |
$82,580.31 |
2.2× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$22,984.70 |
$114,923.48 |
3.0× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$15,790.95 |
$78,954.73 |
2.1× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$6,637.58 |
$33,187.90 |
1.1× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$13,823.08 |
$69,115.41 |
1.8× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$14,892.31 |
$74,461.55 |
1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$22,681.54 |
$113,407.69 |
1.7× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$24,279.08 |
$121,395.42 |
3.2× |
| Open treatment of lunate dislocation Facility (25695) |
$11,263.22 |
$56,316.11 |
1.5× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$11,641.27 |
$58,206.37 |
1.9× |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) |
$30,119.63 |
$150,598.15 |
4.9× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$6,460.32 |
$32,301.60 |
1.0× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$14,637.36 |
$73,186.79 |
2.4× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$21,177.85 |
$105,889.23 |
2.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$13,109.21 |
$65,546.05 |
1.7× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$22,992.61 |
$114,963.03 |
1.7× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$12,037.48 |
$60,187.40 |
1.6× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$9,386.64 |
$46,933.21 |
1.2× |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) |
$19,061.11 |
$95,305.54 |
2.5× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$14,345.89 |
$71,729.46 |
1.9× |
| Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) |
$13,198.04 |
$65,990.21 |
1.0× |
| Open treatment of sternoclavicular dislocation, acute or chronic; Facility (23530) |
$8,583.53 |
$42,917.65 |
1.1× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$21,577.22 |
$107,886.08 |
2.8× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) |
$14,550.49 |
$72,752.44 |
1.9× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$19,855.51 |
$99,277.53 |
1.5× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$36,956.58 |
$184,782.90 |
4.9× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$11,567.66 |
$57,838.30 |
1.5× |
| Open treatment of ulnar styloid fracture (25652) |
$11,235.67 |
$56,178.36 |
1.5× |
| Open Treatment Proximal Humeral Fracture (23615) |
$15,800.55 |
$79,002.74 |
1.2× |
| Open treatment talus fracture (28445) |
$14,082.53 |
$70,412.67 |
1.9× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$11,954.47 |
$59,772.36 |
1.6× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$6,123.35 |
$30,616.75 |
1.8× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$6,338.17 |
$31,690.85 |
1.9× |
| Open tx carpal scaphoid navicular fracture (25628) |
$11,612.70 |
$58,063.52 |
1.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$14,616.40 |
$73,082.01 |
1.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,300.84 |
$26,504.22 |
1.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$12,442.21 |
$62,211.07 |
1.6× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$4,480.61 |
$22,403.03 |
1.3× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$11,072.56 |
$55,362.78 |
0.8× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$17,791.88 |
$88,959.40 |
1.3× |
| Open tx interphalangeal joint dislocation (26785) |
$3,647.90 |
$18,239.50 |
1.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$7,166.58 |
$35,832.92 |
2.1× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$19,579.04 |
$97,895.21 |
5.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$7,204.06 |
$36,020.29 |
2.1× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$9,250.74 |
$46,253.70 |
1.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$19,711.15 |
$98,555.76 |
2.6× |
| Open tx ulnar fx proximal end (24685) |
$11,175.42 |
$55,877.10 |
1.5× |
| Open/Perq Place Stent Same (37238) |
$44,303.72 |
$221,518.62 |
3.7× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$13,463.68 |
$67,318.42 |
1.1× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$12,406.97 |
$62,034.85 |
3.6× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$10,945.59 |
$54,727.94 |
1.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$11,163.06 |
$55,815.32 |
1.5× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$10,824.22 |
$54,121.09 |
1.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$10,677.08 |
$53,385.41 |
1.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$17,251.16 |
$86,255.79 |
1.3× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$18,411.84 |
$92,059.22 |
2.4× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$5,392.99 |
$26,964.93 |
1.3× |
| Orchiectomy partial (54522) |
$9,363.21 |
$46,816.05 |
2.5× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,468.50 |
$32,342.51 |
1.7× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$16,695.39 |
$83,476.96 |
4.5× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$21,044.15 |
$105,220.75 |
6.2× |
| Ostectomy calcaneus (28118) |
$16,284.99 |
$81,424.95 |
4.8× |
| Ostectomy complete 1st metatarsal head (28111) |
$6,317.50 |
$31,587.50 |
1.8× |
| Ostectomy complete 5th metatarsal head (28113) |
$4,190.94 |
$20,954.70 |
1.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$9,693.37 |
$48,466.86 |
2.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$7,955.57 |
$39,777.84 |
2.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$8,539.82 |
$42,699.11 |
2.5× |
| Osteochondral allograft, knee, open (27415) |
$29,932.14 |
$149,660.71 |
2.2× |
| Osteochondral knee autograft (27416) |
$21,421.28 |
$107,106.40 |
2.8× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$50,040.69 |
$250,203.45 |
6.6× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$16,041.42 |
$80,207.11 |
2.1× |
| Osteot shrt corrj prox phalanx 1st toe (28310) |
$9,061.71 |
$45,308.55 |
1.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$13,866.77 |
$69,333.83 |
1.8× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$13,996.82 |
$69,984.12 |
4.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$21,286.82 |
$106,434.09 |
2.8× |
| Osteotomy Metacarpal Each (26565) |
$11,341.50 |
$56,707.48 |
3.3× |
| Osteotomy Phalanx Finger Each (26567) |
$29,147.86 |
$145,739.28 |
8.5× |
| Osteotomy radius distal third (25350) |
$13,303.59 |
$66,517.94 |
1.8× |
| Osteotomy talus (28302) |
$11,794.77 |
$58,973.84 |
1.6× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$20,465.90 |
$102,329.49 |
2.7× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$13,649.88 |
$68,249.42 |
1.8× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$15,586.07 |
$77,930.36 |
1.2× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$27,219.97 |
$136,099.84 |
3.6× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$32,043.58 |
$160,217.90 |
4.2× |
| Osteotomy, mandible, segmental; with genioglossus advancement (21199) |
$35,394.77 |
$176,973.86 |
5.7× |
| Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Facility (21206) |
$23,046.59 |
$115,232.93 |
3.7× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$36,484.15 |
$182,420.74 |
4.8× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$41,251.84 |
$206,259.20 |
5.4× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$14,841.70 |
$74,208.50 |
2.0× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$35,215.94 |
$176,079.69 |
2.6× |
| Ovarian cystectomy (58925) |
$12,196.10 |
$60,980.50 |
2.3× |
| P-mastectomy w/ln removal (19302) |
$20,307.10 |
$101,535.48 |
2.9× |
| Palatopharyngoplasty (42145) |
$8,482 |
$42,410 |
1.4× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$8,857.88 |
$44,289.42 |
1.4× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$17,039.78 |
$85,198.88 |
4.9× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$14,679.49 |
$73,397.47 |
2.4× |
| Palatoplasty for cleft palate; secondary lengthening procedure Facility (42220) |
$9,907.37 |
$49,536.87 |
1.6× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$7,969.44 |
$39,847.19 |
2.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$12,840.85 |
$64,204.25 |
3.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$9,479.81 |
$47,399.03 |
2.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$8,714.80 |
$43,574 |
2.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$8,994.45 |
$44,972.25 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$9,674.73 |
$48,373.63 |
2.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$14,768.37 |
$73,841.87 |
4.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$8,290.19 |
$41,450.96 |
2.4× |
| Partial excision bone tibia (27640) |
$5,562.35 |
$27,811.73 |
1.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,704.40 |
$18,522 |
2.2× |
| Partial excision of lip (40520) |
$3,888.97 |
$19,444.84 |
1.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$3,524.90 |
$17,624.50 |
2.1× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$8,947.22 |
$44,736.09 |
2.6× |
| Partial hymenectomy or revision (56700) |
$3,439.79 |
$17,198.96 |
1.0× |
| Partial removal of hand bone (26230) |
$5,627.76 |
$28,138.79 |
1.6× |
| Partial removal of thyroid (60220) |
$13,427.52 |
$67,137.61 |
2.1× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$15,010.07 |
$75,050.35 |
2.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,473.68 |
$27,368.42 |
1.6× |
| Patellectomy or hemipatellectomy (27350) |
$25,620.12 |
$128,100.62 |
3.4× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,926.94 |
$19,634.70 |
1.2× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$8,504.56 |
$42,522.79 |
1.3× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$4,654.60 |
$23,273 |
0.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,741.15 |
$8,705.76 |
2.4× |
| Percut Mech Thrombectomy, Venous (37187) |
$44,562.91 |
$222,814.53 |
3.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$1,446.60 |
$7,233 |
0.4× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) |
$47,529.39 |
$237,646.95 |
4.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$11,453.72 |
$57,268.59 |
1.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$4,399.15 |
$21,995.77 |
1.3× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$6,391.08 |
$31,955.40 |
0.8× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$5,298.40 |
$26,491.99 |
1.6× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$27,143.42 |
$135,717.10 |
7.9× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$5,490.17 |
$27,450.83 |
1.6× |
| Percutaneous treatment of mandibular fracture, with external fixation Facility (21452) |
$17,347.90 |
$86,739.50 |
2.8× |
| Pericardiocentesis W/Imaging (33016) |
$34,598.47 |
$172,992.33 |
21.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$8,155.62 |
$40,778.08 |
2.4× |
| Peritoneal Lavage (49084) |
$7,758.26 |
$38,791.32 |
8.2× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$6,051 |
$30,255 |
0.3× |
| Perq av fistula creation uxtr sep access sites (36837) |
$17,307.99 |
$86,539.94 |
0.9× |
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure |
$5,105.60 |
$25,528 |
0.3× |
| Perq dev breast 1st mr guide (19287) |
$15,213.21 |
$76,066.04 |
20.6× |
| Perq dev breast 1st strtctc (19283) |
$4,505.16 |
$22,525.78 |
6.1× |
| Perq dev breast 1st us imag (19285) |
$1,147.20 |
$5,736 |
1.6× |
| Perq device breast 1st imag (19281) |
$1,044.80 |
$5,224 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$17,936.02 |
$89,680.08 |
4.9× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$17,811.59 |
$89,057.97 |
4.8× |
Perq p-art revsc 1 nm nt uni (33900)
unusually low: confirm this is the full procedure |
$3,720.70 |
$18,603.50 |
0.3× |
Perq p-art revsc st 1st abnor connj unilateral (33902)
likely a partial charge, not the full procedure |
$3,720.70 |
$18,603.50 |
0.2× |
Perq p-art revsc st 1st abnormal connj bilateral (33903)
unusually low: confirm this is the full procedure |
$3,720.70 |
$18,603.50 |
0.3× |
Perq p-art revsc st 1st nml native connj bi (33901)
unusually low: confirm this is the full procedure |
$3,720.70 |
$18,603.50 |
0.3× |
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
likely a partial charge, not the full procedure |
$1,771 |
$8,855 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$214 |
$1,070 |
0.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,977.62 |
$9,888.08 |
2.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$5,564.30 |
$27,821.49 |
1.6× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$17,911.53 |
$89,557.66 |
0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,374.31 |
$51,871.56 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$14,563 |
$72,814.98 |
2.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,525.90 |
$67,629.51 |
1.8× |
| Perq Vertebral Augmentation (22513) |
$13,671.85 |
$68,359.27 |
1.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,501.02 |
$17,505.10 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$1,302.40 |
$6,512 |
0.4× |
| Phleb veins - extrem 20+ (37766) |
$12,262.05 |
$61,310.26 |
3.7× |
| Photopheresis, extracorporeal (36522) |
$2,313.40 |
$11,567 |
0.5× |
| Picc line placement (36569) |
$13,647.59 |
$68,237.97 |
8.3× |
| Pin hand dislocation (26676) |
$6,536.63 |
$32,683.16 |
1.9× |
| Place Cath Subclavian Art (36225) |
$21,042.27 |
$105,211.37 |
6.4× |
| Place Cath Thoracic Aorta (36221) |
$10,750.81 |
$53,754.05 |
3.3× |
| Place Cath Vertebral Art (36226) |
$19,472.06 |
$97,360.29 |
3.4× |
| Place duod/jej tube perc (49441) |
$1,968.60 |
$9,843 |
1.0× |
| Placement of seton (46020) |
$4,655.22 |
$23,276.10 |
1.6× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$7,268.63 |
$36,343.15 |
3.6× |
| Plastic operation on penis to correct angulation Facility (54360) |
$7,797.29 |
$38,986.46 |
2.1× |
| Plastic Repair Introitus (56800) |
$3,809.25 |
$19,046.24 |
1.1× |
| Plastic repair of canaliculi (68700) |
$2,999.20 |
$14,996 |
1.2× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) |
$9,266.96 |
$46,334.78 |
1.5× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) |
$10,512.61 |
$52,563.06 |
3.0× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500) |
$21,065.69 |
$105,328.44 |
3.4× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure |
$2,613.80 |
$13,069 |
0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$11,535.81 |
$57,679.06 |
1.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$12,424.38 |
$62,121.90 |
2.0× |
Plmt bile duct stent prq new access w/sep cath (47540)
unusually low: confirm this is the full procedure |
$2,769.80 |
$13,849 |
0.4× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$9,055.66 |
$45,278.30 |
6.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,923.49 |
$19,617.45 |
1.8× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,254.55 |
$16,272.77 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,842.70 |
$29,213.51 |
1.6× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,053.91 |
$15,269.56 |
0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,485.52 |
$17,427.61 |
0.9× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$224.20 |
$1,156 |
0.7× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$19,024.39 |
$95,121.97 |
3.6× |
| Prim art mech thrombectomy (37184) |
$37,693.54 |
$188,467.69 |
2.0× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$4,039.65 |
$20,198.26 |
1.6× |
| Probe nasolacrimal duct (68810) |
$132.40 |
$662 |
0.4× |
| Probe nl duct w/balloon (68816) |
$7,852.08 |
$39,260.41 |
3.2× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$2,920.49 |
$14,602.45 |
1.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$4,613.51 |
$23,067.56 |
4.8× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$2,031.90 |
$10,159.48 |
0.7× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$9,716.42 |
$48,582.10 |
1.3× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$19,460.84 |
$97,304.21 |
1.5× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$15,146.58 |
$75,732.88 |
2.0× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$13,778.86 |
$68,894.30 |
24.0× |
| Prostate Saturation Sampling (55706) |
$7,927.40 |
$39,637.02 |
2.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$6,790.62 |
$33,953.10 |
9.2× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$14,932.58 |
$74,662.89 |
2.2× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$11,125.80 |
$55,629.02 |
1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$1,274.20 |
$6,371 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,020.70 |
$10,103.50 |
0.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,125.60 |
$20,628.02 |
1.2× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$5,822.15 |
$29,110.73 |
1.7× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$3,650.99 |
$18,254.96 |
1.1× |
| Prq skel fixj metar fx w/manj (28476) |
$8,494.21 |
$42,471.05 |
2.5× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$5,159.03 |
$25,795.14 |
1.5× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$5,587.77 |
$27,938.87 |
0.7× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$5,631.32 |
$28,156.62 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$5,759.15 |
$28,795.77 |
13.6× |
| Puncture Aspiration Cyst Breast (19000) |
$665.40 |
$3,327 |
0.9× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$951.12 |
$4,755.60 |
2.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$849 |
$4,245 |
1.2× |
| Puncture/clear windpipe (31612) |
$6,933.55 |
$34,667.76 |
2.0× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$18,695.99 |
$93,479.95 |
2.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$7,095.84 |
$35,479.20 |
2.1× |
| Rad resect elbow caps/sr bone w rels (24149) |
$27,086.21 |
$135,431.03 |
3.6× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$9,058.15 |
$45,290.77 |
3.0× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$4,003.26 |
$20,016.30 |
2.4× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$11,890.82 |
$59,454.11 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Facility (22905) |
$7,510.18 |
$37,550.91 |
2.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$12,077.24 |
$60,386.21 |
4.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$11,973.83 |
$59,869.17 |
3.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$6,014.44 |
$30,072.18 |
2.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$7,372.31 |
$36,861.57 |
2.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$6,593.31 |
$32,966.54 |
2.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$17,144.05 |
$85,720.27 |
5.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$9,234.75 |
$46,173.73 |
3.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$5,700.21 |
$28,501.06 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Facility (26118) |
$6,853.57 |
$34,267.83 |
2.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Facility (26117) |
$5,329.83 |
$26,649.15 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$11,858.64 |
$59,293.20 |
3.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$7,161.89 |
$35,809.44 |
2.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Facility (23078) |
$12,052.56 |
$60,262.78 |
4.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Facility (27364) |
$6,205.54 |
$31,027.72 |
2.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$6,494.07 |
$32,470.33 |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$11,641.64 |
$58,208.22 |
3.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$9,967.49 |
$49,837.43 |
3.3× |
| Radical resection of tumor; metatarsal Facility (28173) |
$7,936.91 |
$39,684.56 |
2.3× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$11,394.11 |
$56,970.54 |
6.8× |
| Radical styloidectomy separate procedure (25230) |
$12,474.86 |
$62,374.32 |
3.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$418.10 |
$2,090.50 |
0.2× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$7,755.48 |
$38,777.41 |
2.3× |
| Rcnstj Dislocating Patella (27420) |
$31,531.78 |
$157,658.92 |
4.2× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$8,240.41 |
$41,202.06 |
1.1× |
| Re-explore parathyroids (60502) |
$12,874.34 |
$64,371.69 |
2.1× |
| Realignment extensor tendon hand each tendon (26437) |
$10,148.06 |
$50,740.31 |
3.0× |
| Reconstruct extra finger (26587) |
$12,302.14 |
$61,510.70 |
3.6× |
| Reconstruct Finger Joint (26548) |
$4,531.99 |
$22,659.96 |
1.3× |
| Reconstruct Shoulder Joint (23470) |
$25,653.84 |
$128,269.22 |
1.9× |
| Reconstruct ulna/radioulnar (25337) |
$8,778.17 |
$43,890.84 |
1.2× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$9,330.72 |
$46,653.60 |
1.2× |
| Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346) |
$13,923.69 |
$69,618.47 |
1.0× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft Facility (21142) |
$25,997.20 |
$129,985.98 |
4.2× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Facility (21143) |
$16,510.83 |
$82,554.14 |
2.7× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$35,394.77 |
$176,973.86 |
5.7× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$18,224.78 |
$91,123.91 |
2.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$3,898.87 |
$19,494.35 |
1.6× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$75,737.08 |
$378,685.41 |
12.3× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196) |
$25,997.20 |
$129,985.98 |
4.2× |
| Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500) |
$5,208.15 |
$26,040.75 |
0.7× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$7,719.87 |
$38,599.36 |
2.3× |
| Reconstruction of throat (42950) |
$8,179.22 |
$40,896.08 |
1.3× |
| Reconstruction of urethra (54326) |
$7,005.60 |
$35,027.98 |
1.9× |
| Reconstruction Toe Polydactyly (28344) |
$8,206.24 |
$41,031.19 |
2.4× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$7,122.56 |
$35,612.81 |
2.1× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$7,708.14 |
$38,540.71 |
2.3× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) |
$31,601.84 |
$158,009.21 |
9.2× |
| Reduce testis torsion (54600) |
$6,042.83 |
$30,214.15 |
1.6× |
| Reinforce humerus (24498) |
$14,865.66 |
$74,328.31 |
1.1× |
| Reinforce tibia (27745) |
$48,862.74 |
$244,313.69 |
6.4× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$13,129.02 |
$65,645.11 |
1.7× |
| Reinsertion of spinal fixation device Facility (22849) |
$18,995.75 |
$94,978.77 |
1.4× |
| Release finger contracture (26525) |
$7,399.70 |
$36,998.51 |
4.4× |
| Release of big toe (28240) |
$13,072.03 |
$65,360.13 |
3.8× |
| Release of thenar muscle(s) (eg, thumb contracture) Facility (26508) |
$20,323.26 |
$101,616.30 |
5.9× |
| Release or recession, hamstring, proximal Facility (27097) |
$22,805.17 |
$114,025.85 |
6.7× |
| Release wrist/forearm tendon (25295) |
$7,639.78 |
$38,198.90 |
2.2× |
| Relocation of skin pocket for pacemaker (33222) |
$5,130.82 |
$25,654.11 |
2.4× |
| Rem Endovas Vena Cava Filter (37193) |
$7,340.15 |
$36,700.73 |
2.2× |
| Removal Anal Seton Other Marker (46030) |
$11,618.34 |
$58,091.72 |
9.3× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$34,565.79 |
$172,828.94 |
1.6× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$44,928.22 |
$224,641.12 |
2.1× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$22,709.62 |
$113,548.08 |
1.0× |
| Removal biliary drg cath (47537) |
$447.45 |
$2,237.24 |
0.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,385.12 |
$26,925.60 |
1.8× |
| Removal Foreign Body Foot Complicated (28193) |
$5,636.36 |
$28,181.80 |
3.3× |
| Removal foreign body foot deep (28192) |
$5,725.90 |
$28,629.51 |
3.3× |
| Removal foreign body foot subcutaneous (28190) |
$5,475.59 |
$27,377.96 |
7.4× |
| Removal foreign body intranasal (30300) |
$3,414.10 |
$17,070.50 |
24.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$5,633.56 |
$28,167.80 |
3.3× |
| Removal foreign body shoulder subcutaneous (23330) |
$7,624.63 |
$38,123.14 |
4.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$5,353.78 |
$26,768.88 |
1.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,276.21 |
$26,381.04 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$88.10 |
$440.50 |
1.4× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$5,732.75 |
$28,663.77 |
1.7× |
| Removal implant deep (20680) |
$9,606.09 |
$48,030.46 |
3.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,718.45 |
$23,592.27 |
2.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$806.17 |
$4,030.85 |
1.1× |
| Removal Intact Mammary Implant (19328) |
$14,812.44 |
$74,062.19 |
3.6× |
| Removal of adenoids (42835) |
$5,328.48 |
$26,642.39 |
1.5× |
| Removal of adenoids (42831) |
$5,937.94 |
$29,689.69 |
1.7× |
| Removal of adenoids (42830) |
$4,323.39 |
$21,616.96 |
1.2× |
| Removal of adenoids (42836) |
$5,669.18 |
$28,345.88 |
1.6× |
| Removal of anal fissure (46200) |
$4,337.75 |
$21,688.74 |
1.5× |
| Removal of ankle implant (27704) |
$8,300.81 |
$41,504.03 |
2.4× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$21,418.71 |
$107,093.53 |
2.8× |
| Removal of arm foreign body (24200) |
$4,025.23 |
$20,126.16 |
2.3× |
| Removal of bone for graft (20902) |
$21,797.76 |
$108,988.82 |
2.9× |
| Removal of breast capsule (19371) |
$34,411.99 |
$172,059.94 |
8.4× |
| Removal of cervix (57530) |
$20,801.67 |
$104,008.34 |
4.0× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$13,535 |
$67,674.99 |
3.8× |
| Removal of esophageal sphincter augmentation device (43285) |
$17,088.73 |
$85,443.63 |
2.7× |
| Removal of eye (65110) |
$8,360.39 |
$41,801.97 |
2.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$3,193.45 |
$15,967.23 |
2.6× |
| Removal of finger lesion (26210) |
$5,732.63 |
$28,663.15 |
3.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$2,881.37 |
$14,406.85 |
6.2× |
| Removal of heel spur (28119) |
$15,123.67 |
$75,618.33 |
4.4× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$13,588.95 |
$67,944.75 |
3.8× |
| Removal of implant from finger or hand (26320) |
$5,147.20 |
$25,736.01 |
3.0× |
| Removal of implant material (19330) |
$11,870.73 |
$59,353.67 |
2.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$325.90 |
$1,629.50 |
0.5× |
| Removal of infusion pump (36262) |
$4,405.88 |
$22,029.41 |
1.1× |
| Removal of iud (58301) |
$5,395.20 |
$26,976.01 |
17.0× |
| Removal of kidney stone (50081) |
$18,048.37 |
$90,241.87 |
1.8× |
| Removal of kidney stone (50080) |
$20,141.47 |
$100,707.33 |
2.0× |
| Removal of knee cartilage (27332) |
$11,607.61 |
$58,038.06 |
3.4× |
| Removal of nail bed (11750) |
$2,868.48 |
$14,342.41 |
6.8× |
| Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of… (54415) |
$6,959.62 |
$34,798.12 |
1.9× |
| Removal of nose (30160) |
$18,807.09 |
$94,035.43 |
3.0× |
| Removal of nose lesion (30124) |
$3,964.05 |
$19,820.23 |
2.4× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Facility (24160) |
$18,409.47 |
$92,047.34 |
5.4× |
| Removal of salivary stone (42330) |
$5,414.81 |
$27,074.05 |
1.6× |
| Removal of sesamoid bone (28315) |
$13,866.77 |
$69,333.83 |
4.1× |
| Removal of skin wrinkles (15829) |
$8,141.53 |
$40,707.65 |
2.2× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$14,932.32 |
$74,661.60 |
4.9× |
| Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod… (26392) |
$8,491.48 |
$42,457.41 |
1.1× |
| Removal of tail bone (27080) |
$5,646.04 |
$28,230.19 |
1.7× |
| Removal Of Tendon Lesion (27630) |
$8,108.03 |
$40,540.15 |
2.4× |
| Removal of testis (54520) |
$6,870.58 |
$34,352.90 |
1.9× |
| Removal of thyroid (60271) |
$20,190.86 |
$100,954.32 |
3.3× |
| Removal of tonsils (42825) |
$5,657.40 |
$28,286.98 |
0.9× |
| Removal of tonsils (42826) |
$4,221.64 |
$21,108.19 |
1.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,096.98 |
$20,484.89 |
1.2× |
| Removal of urethra (53210) |
$1,441.20 |
$7,206 |
0.4× |
| Removal of wrist bone (25210) |
$5,298.53 |
$26,492.66 |
1.6× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$4,149.92 |
$20,749.62 |
1.2× |
| Removal ppm generator only (33233) |
$20,406.07 |
$102,030.33 |
2.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$7,624.63 |
$38,123.14 |
2.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$3,961.91 |
$19,809.53 |
18.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,906.34 |
$14,531.68 |
3.9× |
| Removal Submand Stone,Complicated (42335) |
$8,437.96 |
$42,189.82 |
2.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,208.66 |
$16,043.30 |
1.5× |
| Removal, under anesthesia, of external fixation system (20694) |
$13,886.21 |
$69,431.03 |
8.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$4,304.97 |
$21,524.85 |
14.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$2,425.60 |
$12,128 |
8.3× |
| Remove anal fist subq (46270) |
$4,787.34 |
$23,936.69 |
1.7× |
| Remove cerclage suture (59871) |
$2,319 |
$11,595 |
0.7× |
| Remove drug implant device (11982) |
$1,257 |
$6,285 |
2.7× |
| Remove Elbow Joint Lining (24102) |
$4,514.74 |
$22,573.70 |
1.3× |
| Remove elbow lesion (24120) |
$14,137 |
$70,685 |
4.1× |
| Remove ext hem groups 2+ (46250) |
$7,164.63 |
$35,823.17 |
2.5× |
| Remove humerus lesion (24110) |
$22,258.83 |
$111,294.17 |
6.5× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$15,931.77 |
$79,658.86 |
7.3× |
| Remove intrvas foreign body (37197) |
$6,148.33 |
$30,741.64 |
1.9× |
| Remove Lower Leg Bone Lesion (27635) |
$13,093.92 |
$65,469.61 |
3.8× |
| Remove muti-comp penis pros (54406) |
$7,401.58 |
$37,007.90 |
2.0× |
| Remove palate/lesion (42120) |
$13,048.58 |
$65,242.91 |
2.1× |
| Remove Peritoneal Foreign Body (49402) |
$20,784.58 |
$103,922.90 |
5.6× |
| Remove Pilonidal Cyst Exten (11771) |
$5,965.50 |
$29,827.51 |
2.0× |
| Remove Prostate Regrowth (52630) |
$9,084.69 |
$45,423.43 |
1.6× |
| Remove pulse generator (33241) |
$38,676.56 |
$193,382.78 |
9.9× |
| Remove renal tube w/fluoro (50389) |
$635.30 |
$3,176.51 |
0.9× |
| Remove spine eltrd perq aray (63661) |
$7,227.30 |
$36,136.51 |
3.5× |
| Remove spine eltrd plate (63662) |
$7,380.06 |
$36,900.30 |
2.0× |
| Remove Tendon Sheath Lesion (26160) |
$3,720.30 |
$18,601.50 |
2.2× |
| Remove thyroid duct lesion (60280) |
$7,860.37 |
$39,301.86 |
1.2× |
| Remove tissue expander (11971) |
$7,205.35 |
$36,026.76 |
2.4× |
| Remove tumor hip/pelvis (27049) |
$4,175.95 |
$20,879.77 |
1.4× |
| Remove ureter stent, percut (50384) |
$1,256.80 |
$6,284 |
0.6× |
| Remove uro sphincter (53446) |
$17,768.98 |
$88,844.88 |
3.2× |
| Remove vagina gland lesion (56740) |
$4,639.73 |
$23,198.64 |
1.4× |
| Remove vc lesion w/scope (31545) |
$4,621.44 |
$23,107.18 |
1.2× |
| Remove&replace pm gen singl (33227) |
$10,541.35 |
$52,706.75 |
1.2× |
| Remove/graft finger lesion (26215) |
$10,975.85 |
$54,879.26 |
3.2× |
| Remove/Insert Drug Implant (11983) |
$201.20 |
$1,006 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$3,106.83 |
$15,534.15 |
22.4× |
| Remv&replc cvd gen dual lead (33263) |
$27,634.34 |
$138,171.70 |
1.2× |
| Remv&replc cvd gen mult lead (33264) |
$32,747.15 |
$163,735.74 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$23,953.02 |
$119,765.08 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,341.77 |
$51,708.87 |
0.9× |
| Remv&replc pm gen mult leads (33229) |
$14,421.63 |
$72,108.15 |
0.7× |
| Remv/revisn shldr/hip spica cast (29710) |
$121.80 |
$609 |
0.4× |
| Renal Biopsy Percutaneous (50200) |
$2,264.10 |
$11,320.52 |
1.3× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$15,599.61 |
$77,998.05 |
4.2× |
| Repair achilles tendon (27650) |
$14,080.28 |
$70,401.38 |
1.9× |
| Repair anal fistula (46288) |
$7,645.82 |
$38,229.11 |
2.6× |
| Repair anorectal fistula w/plug (46707) |
$11,199.66 |
$55,998.32 |
3.9× |
| Repair arm/leg nerve (64857) |
$9,150.53 |
$45,752.66 |
2.6× |
| Repair blood vessel direct hand finger (35207) |
$16,347.63 |
$81,738.16 |
5.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$13,546.38 |
$67,731.91 |
4.1× |
| Repair blood vessel lesion (35190) |
$16,116.57 |
$80,582.83 |
2.8× |
| Repair brow defect (67900) |
$4,228.94 |
$21,144.70 |
1.7× |
| Repair Choanal Atresia Intranasal (30540) |
$5,996.25 |
$29,981.24 |
1.0× |
| Repair clitoris (56805) |
$1,271.20 |
$6,356 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$4,159.38 |
$20,796.92 |
5.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$13,098.18 |
$65,490.91 |
17.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$4,503.77 |
$22,518.84 |
10.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$5,933.86 |
$29,669.28 |
14.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$4,501.22 |
$22,506.12 |
10.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$5,955.13 |
$29,775.63 |
14.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$8,804.67 |
$44,023.36 |
11.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$4,762.22 |
$23,811.08 |
6.2× |
| Repair Ectropion Extensive (67917) |
$4,296.04 |
$21,480.20 |
1.7× |
| Repair Entropion Suture (67921) |
$3,282.32 |
$16,411.62 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$5,557.39 |
$27,786.93 |
3.3× |
| Repair eyelid defect (67916) |
$3,649.73 |
$18,248.65 |
1.5× |
| Repair eyelid defect (67904) |
$2,995.06 |
$14,975.30 |
1.2× |
| Repair eyelid defect (67903) |
$2,812.11 |
$14,060.55 |
1.1× |
| Repair eyelid defect (67901) |
$3,123.01 |
$15,615.04 |
1.3× |
| Repair Eyelid Wound (67935) |
$4,904.89 |
$24,524.43 |
2.0× |
| Repair eyelid wound (67930) |
$4,960.31 |
$24,801.57 |
2.0× |
| Repair Fibula Nonunion (27726) |
$18,413.55 |
$92,067.76 |
2.4× |
| Repair Finger Tendon (26433) |
$3,537.56 |
$17,687.81 |
1.0× |
| Repair Fistula Oromaxillary (30580) |
$5,378.71 |
$26,893.54 |
0.9× |
| Repair fistula; oronasal Facility (30600) |
$4,348.57 |
$21,742.84 |
0.7× |
| Repair Forearm Tendon Sheath (25275) |
$15,585.85 |
$77,929.23 |
4.6× |
| Repair forearm tendon/muscle (25260) |
$4,038.62 |
$20,193.12 |
1.2× |
| Repair hand joint with graft (26542) |
$9,390.61 |
$46,953.06 |
2.7× |
| Repair hand tendon (26410) |
$5,069.08 |
$25,345.41 |
3.0× |
| Repair incomplete circumcision (54163) |
$3,407.21 |
$17,036.03 |
1.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$8,372.01 |
$41,860.05 |
2.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$5,461.33 |
$27,306.64 |
1.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$13,341.51 |
$66,707.55 |
3.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$8,050.46 |
$40,252.29 |
2.2× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$7,054.50 |
$35,272.48 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$5,621.29 |
$28,106.45 |
13.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$4,826.98 |
$24,134.88 |
11.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$3,417.71 |
$17,088.54 |
8.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$3,958.16 |
$19,790.78 |
5.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$4,491.32 |
$22,456.59 |
10.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$6,413.62 |
$32,068.11 |
15.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$5,758.21 |
$28,791.05 |
7.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$8,191.33 |
$40,956.67 |
3.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$5,806.35 |
$29,031.77 |
13.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$4,930.73 |
$24,653.67 |
11.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$5,875.62 |
$29,378.12 |
13.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$6,166.92 |
$30,834.62 |
8.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$5,503.25 |
$27,516.23 |
13.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$5,900.22 |
$29,501.12 |
2.7× |
| Repair intrinsic muscles hand each muscle (26591) |
$18,587.11 |
$92,935.53 |
5.4× |
| Repair lead pace-defib dual (33220) |
$35,910.87 |
$179,554.36 |
9.2× |
| Repair lead pace-defib one (33218) |
$31,912.54 |
$159,562.72 |
8.2× |
| Repair lower leg tendons (27676) |
$11,213.73 |
$56,068.64 |
1.5× |
| Repair Lower Leg Tendons (27675) |
$10,864.13 |
$54,320.63 |
3.2× |
| Repair lumbar hernia (49540) |
$20,568.07 |
$102,840.37 |
3.3× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$11,395.82 |
$56,979.10 |
1.5× |
| Repair nasal septal perforations (30630) |
$23,188.19 |
$115,940.97 |
6.7× |
| Repair Nasal Stenosis (30465) |
$6,155.80 |
$30,778.99 |
1.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$15,941.32 |
$79,706.61 |
2.4× |
| Repair of arm tendon (24320) |
$9,063.03 |
$45,315.13 |
1.2× |
| Repair of biceps tendon (24340) |
$20,783.27 |
$103,916.37 |
2.7× |
| Repair of component(s) of a multi-component, inflatable penile prosthesis Facility (54408) |
$7,669.25 |
$38,346.25 |
1.4× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$11,043.93 |
$55,219.65 |
2.1× |
| Repair of eye wound (65275) |
$4,079.62 |
$20,398.10 |
1.0× |
| Repair of foot bones (28320) |
$17,518.62 |
$87,593.10 |
1.3× |
| Repair of hammertoe (28286) |
$14,678.71 |
$73,393.56 |
4.3× |
| Repair of humerus (24430) |
$20,488.31 |
$102,441.56 |
1.5× |
| Repair of hydrocele (55060) |
$5,531.39 |
$27,656.96 |
1.5× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$6,826.57 |
$34,132.87 |
1.9× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$10,953.35 |
$54,766.76 |
2.0× |
| Repair of knee cartilage (27403) |
$11,780.25 |
$58,901.27 |
1.6× |
| Repair of leg tendon each (27664) |
$11,568.25 |
$57,841.24 |
1.5× |
| Repair of leg tendon each (27658) |
$17,607.72 |
$88,038.58 |
5.2× |
| Repair of nail bed (11760) |
$4,528.71 |
$22,643.57 |
5.9× |
| Repair of nasal septum (30520) |
$9,045.05 |
$45,225.26 |
2.6× |
| Repair of nasolabial fistula Facility (42260) |
$13,739.01 |
$68,695.05 |
2.2× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$24,311.31 |
$121,556.54 |
1.8× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$24,704.50 |
$123,522.51 |
3.3× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$16,047.27 |
$80,236.34 |
2.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$11,174.09 |
$55,870.46 |
1.5× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$18,432.75 |
$92,163.74 |
2.4× |
| Repair of rectocele (45560) |
$9,391.43 |
$46,957.15 |
3.2× |
| Repair of rectum (45505) |
$5,567.88 |
$27,839.38 |
1.9× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$10,738.36 |
$53,691.79 |
1.4× |
| Repair of shoulder (23420) |
$16,396.26 |
$81,981.32 |
2.2× |
| Repair of tibia (27720) |
$14,395.87 |
$71,979.36 |
1.9× |
| Repair of web finger (26562) |
$17,397.74 |
$86,988.69 |
5.1× |
| Repair of web finger (26560) |
$14,620.65 |
$73,103.23 |
8.7× |
| Repair of web finger (26561) |
$12,075.81 |
$60,379.07 |
3.5× |
| Repair paravag defect vag (57285) |
$10,904.01 |
$54,520.07 |
1.4× |
| Repair Profundus Tendon,Primary (26370) |
$6,308.63 |
$31,543.16 |
1.8× |
| Repair radius & ulna (25415) |
$17,331.92 |
$86,659.59 |
2.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$8,440.82 |
$42,204.09 |
1.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$7,783.08 |
$38,915.42 |
2.1× |
| Repair rotator cuff acute (23410) |
$10,006.11 |
$50,030.57 |
1.3× |
| Repair salivary duct (42505) |
$8,437.96 |
$42,189.82 |
1.4× |
| Repair secondary achilles tendon w/wo graft (27654) |
$16,284.99 |
$81,424.95 |
2.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$7,569.74 |
$37,848.72 |
2.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$13,823.08 |
$69,115.41 |
1.8× |
| Repair tooth socket (41874) |
$6,260.46 |
$31,302.31 |
1.8× |
| Repair uro sphincter (53449) |
$12,205.72 |
$61,028.61 |
1.2× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$24,613.49 |
$123,067.46 |
3.2× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49492) |
$1,498 |
$7,490 |
0.4× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$5,691.67 |
$28,458.36 |
0.9× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$13,168.79 |
$65,843.94 |
1.7× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$18,625.99 |
$93,129.95 |
2.5× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$11,210.64 |
$56,053.19 |
1.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$31,380.66 |
$156,903.29 |
4.1× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$28,190.07 |
$140,950.35 |
3.7× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$27,662.20 |
$138,311 |
3.7× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$5,682.18 |
$28,410.90 |
1.7× |
| Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28210) |
$11,101.45 |
$55,507.25 |
1.5× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$13,547.53 |
$67,737.67 |
1.8× |
| Repair/graft achilles tendon (27652) |
$17,868.81 |
$89,344.05 |
2.4× |
| Repair/graft finger tendon (26420) |
$3,926.70 |
$19,633.50 |
1.1× |
| Repair/graft wrist bone (25440) |
$9,071.14 |
$45,355.72 |
1.2× |
| Repair/revise wrist joint (25320) |
$16,246.81 |
$81,234.06 |
2.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,666.42 |
$8,332.08 |
1.8× |
| Replace elbow joint (24363) |
$27,136.17 |
$135,680.84 |
1.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$746 |
$3,729.98 |
0.8× |
| Replace Tissue Expander (11970) |
$14,568.76 |
$72,843.82 |
1.9× |
| Replace tunneled cv cath (36578) |
$11,197.43 |
$55,987.15 |
3.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,723.92 |
$8,619.58 |
1.8× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$38,144.26 |
$190,721.28 |
9.8× |
| Reposition cv cath w/fluoro (36597) |
$1,508.40 |
$7,542 |
0.9× |
| Reposition gastric feeding tube thru duodenum (43761) |
$683.40 |
$3,417 |
2.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$9,040.20 |
$45,201 |
2.6× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$6,178 |
$30,890 |
1.9× |
| Resect forarm/wrist tum 3cm> (25078) |
$11,261.24 |
$56,306.20 |
3.7× |
| Resect hip/pelv tum 5 cm/> (27059) |
$6,982.07 |
$34,910.37 |
2.3× |
| Resect leg/ankle tum < 5 cm (27615) |
$7,944.06 |
$39,720.30 |
2.6× |
| Resect shoulder tumor < 5 cm (23077) |
$7,622.12 |
$38,110.60 |
2.5× |
| Resection of lip, more than one-fourth, without reconstruction Facility (40530) |
$8,540.31 |
$42,701.53 |
2.5× |
| Resection of scrotum (55150) |
$3,951.76 |
$19,758.78 |
1.1× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$4,345.51 |
$21,727.57 |
1.3× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$5,739.67 |
$28,698.35 |
1.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$8,065.74 |
$40,328.70 |
2.2× |
| Revis reconst shoulder joint (23473) |
$21,605.36 |
$108,026.80 |
1.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$20,759.96 |
$103,799.81 |
1.5× |
| Revise eye muscle(s) (67318) |
$5,022.85 |
$25,114.23 |
2.0× |
| Revise eye socket implant (67560) |
$3,440.95 |
$17,204.76 |
0.8× |
| Revise finger/toe nerve (64702) |
$11,863.10 |
$59,315.50 |
5.8× |
| Revise Hand/Foot Nerve (64704) |
$17,639.83 |
$88,199.15 |
8.7× |
| Revise knuckle joint (26530) |
$12,007.35 |
$60,036.75 |
1.6× |
| Revise knuckle with implant (26531) |
$11,743.07 |
$58,715.37 |
1.5× |
| Revise Lower Leg Tendon (27691) |
$20,132.95 |
$100,664.77 |
2.7× |
| Revise Lower Leg Tendons (27686) |
$16,453.31 |
$82,266.55 |
4.8× |
| Revise penis/urethra (54328) |
$8,406.92 |
$42,034.62 |
2.3× |
| Revise penis/urethra (54332) |
$8,378.12 |
$41,890.62 |
2.3× |
| Revise penis/urethra (54336) |
$8,316.18 |
$41,580.91 |
2.3× |
| Revise reconst elbow joint (24370) |
$20,706.90 |
$103,534.50 |
1.5× |
| Revise reconst elbow joint (24371) |
$32,514.18 |
$162,570.88 |
1.8× |
| Revise spine eltrd perq aray (63663) |
$14,059.88 |
$70,299.42 |
2.1× |
| Revise Spine Eltrd Plate (63664) |
$78,967.77 |
$394,838.84 |
6.8× |
| Revise thumb tendon (26490) |
$29,147.86 |
$145,739.28 |
8.5× |
| Revise thumb tendon (26496) |
$15,150.51 |
$75,752.54 |
4.4× |
| Revise ulnar nerve at elbow (64718) |
$9,502.06 |
$47,510.30 |
4.7× |
| Revise vag graft via vagina (57295) |
$4,013.69 |
$20,068.43 |
1.2× |
| Revise wrist/forearm tendon (25280) |
$10,137.10 |
$50,685.49 |
3.0× |
| Revise/Implant Finger Joint (26536) |
$9,104.66 |
$45,523.32 |
1.2× |
| Revise/Remove Neuroreceiver (63688) |
$7,309.27 |
$36,546.36 |
2.0× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$18,604.13 |
$93,020.65 |
2.4× |
| Revision eyelid unlisted (67999) |
$4,535.68 |
$22,678.39 |
13.7× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$18,619.34 |
$93,096.70 |
1.0× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$3,282.78 |
$16,413.90 |
1.4× |
| Revision of cervix (57700) |
$3,882 |
$19,410 |
1.1× |
| Revision of colostomy simple (44340) |
$11,689.93 |
$58,449.64 |
3.2× |
| Revision of eyelid (67880) |
$2,695.20 |
$13,476 |
1.1× |
| Revision of eyelid (67961) |
$4,078.28 |
$20,391.40 |
1.6× |
| Revision of foot (28116) |
$10,293.96 |
$51,469.81 |
3.0× |
| Revision of humerus (24400) |
$22,681.35 |
$113,406.74 |
3.0× |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
$26,454.56 |
$132,272.82 |
6.8× |
| Revision of iris (66761) |
$264.40 |
$1,322 |
0.5× |
| Revision of lower leg tendon (27685) |
$16,280.91 |
$81,404.57 |
4.8× |
| Revision of nose (30430) |
$19,687.94 |
$98,439.70 |
3.2× |
| Revision of nose (30462) |
$7,566.71 |
$37,833.54 |
1.2× |
| Revision of nose (30460) |
$10,512.61 |
$52,563.06 |
1.7× |
| Revision of nose (30435) |
$21,654.19 |
$108,270.96 |
3.5× |
| Revision of penis (54300) |
$3,775.05 |
$18,875.26 |
1.0× |
| Revision of penis (54304) |
$3,940.71 |
$19,703.56 |
1.1× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$9,905.07 |
$49,525.35 |
1.8× |
| Revision of reconstructed breast (19380) |
$20,432.32 |
$102,161.59 |
2.9× |
Revision of scrotum (55180)
unusually low: confirm this is the full procedure |
$2,114.40 |
$10,572 |
0.4× |
| Revision of scrotum (55175) |
$8,476.67 |
$42,383.33 |
2.3× |
Revision of tips (37183)
unusually low: confirm this is the full procedure |
$2,732.05 |
$13,660.27 |
0.5× |
| Revision of toe (28312) |
$10,515.16 |
$52,575.81 |
3.1× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$18,022.73 |
$90,113.65 |
1.3× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$43,723.04 |
$218,615.18 |
2.4× |
| Revision of tracheostomy scar (31830) |
$12,456.61 |
$62,283.04 |
3.6× |
| Revision of urethra (53460) |
$3,475.57 |
$17,377.84 |
0.9× |
| Revision of urethra (57220) |
$17,459.21 |
$87,296.03 |
3.3× |
| Revision of urethra (53450) |
$4,086.08 |
$20,430.40 |
1.1× |
| Revision or removal of intracranial neurostimulator electrodes Facility (61880) |
$46,795.70 |
$233,978.49 |
12.8× |
| Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) |
$6,627.80 |
$33,138.98 |
0.6× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$15,851.89 |
$79,259.46 |
1.4× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$13,471.87 |
$67,359.36 |
2.3× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$16,721.27 |
$83,606.36 |
1.2× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$46,175.85 |
$230,879.24 |
3.4× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$13,750.33 |
$68,751.64 |
1.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$10,260.10 |
$51,300.52 |
2.8× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$4,746.20 |
$23,731 |
0.8× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$19,434.34 |
$97,171.69 |
3.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$28,952.87 |
$144,764.36 |
1.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$30,185.51 |
$150,927.56 |
1.6× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$10,888.60 |
$54,443 |
0.6× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$39,585.19 |
$197,925.94 |
2.1× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$23,571.69 |
$117,858.43 |
2.0× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$21,836.71 |
$109,183.55 |
1.8× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$40,110.13 |
$200,550.64 |
3.3× |
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
unusually low: confirm this is the full procedure |
$4,330.20 |
$21,651 |
0.4× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$4,391.20 |
$21,956 |
0.7× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$4,391.20 |
$21,956 |
0.7× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$9,344.20 |
$46,721 |
0.8× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$28,952.87 |
$144,764.36 |
2.4× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$40,110.13 |
$200,550.64 |
3.3× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$19,434.34 |
$97,171.69 |
1.6× |
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
likely a partial charge, not the full procedure |
$5,431.20 |
$27,156 |
0.3× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$30,185.51 |
$150,927.56 |
1.6× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$10,531.20 |
$52,656 |
0.6× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$10,531.20 |
$52,656 |
0.6× |
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
unusually low: confirm this is the full procedure |
$9,379.20 |
$46,896 |
0.5× |
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
unusually low: confirm this is the full procedure |
$9,379.20 |
$46,896 |
0.5× |
| Rhinectomy; partial (30150) |
$20,200.79 |
$101,003.93 |
3.3× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$7,829.58 |
$39,147.91 |
1.3× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$16,676.10 |
$83,380.52 |
2.7× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) |
$13,257.42 |
$66,287.10 |
2.1× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$9,695.59 |
$48,477.95 |
2.6× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$11,673.51 |
$58,367.54 |
3.2× |
| Rib cartilage graft (21230) |
$10,595.24 |
$52,976.18 |
1.7× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$3,221 |
$16,105.02 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$5,637.44 |
$28,187.20 |
1.9× |
| Rmvl of subq defibrillator (33272) |
$5,949.76 |
$29,748.81 |
1.5× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,990.52 |
$19,952.61 |
2.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$3,990.52 |
$19,952.61 |
1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$42,908.43 |
$214,542.17 |
11.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$10,292.72 |
$51,463.59 |
2.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,149.46 |
$5,747.31 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$297.80 |
$1,489 |
0.5× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$10,698.70 |
$53,493.49 |
2.7× |
| Rplc gtube revj gstrst trc (43763) |
$342 |
$1,710 |
1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$16,185.13 |
$80,925.64 |
9.8× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$1,506 |
$7,530 |
0.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,161.95 |
$5,809.74 |
0.7× |
Rplcmt compl tun ctr vad w/subq pmp (36583)
unusually low: confirm this is the full procedure |
$2,028.40 |
$10,142 |
0.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,022.08 |
$15,110.40 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,690.11 |
$13,450.53 |
0.8× |
| Rplcmt/Irrigation Ventricular Catheter (62225) |
$8,779.36 |
$43,896.80 |
2.5× |
| Rplcmt/revj csf shunt valve/cath shunt sys (62230) |
$9,190.56 |
$45,952.80 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$16,074.42 |
$80,372.08 |
2.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$12,982.99 |
$64,914.95 |
3.5× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$16,024.74 |
$80,123.70 |
2.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$14,814.82 |
$74,074.12 |
2.3× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$15,212.75 |
$76,063.76 |
4.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$16,324.37 |
$81,621.86 |
2.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$14,955.98 |
$74,779.89 |
2.4× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$4,240.50 |
$21,202.50 |
1.0× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$929.80 |
$4,649 |
1.3× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$9,626.36 |
$48,131.81 |
2.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,210.84 |
$16,054.20 |
2.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$20,270.50 |
$101,352.50 |
2.7× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$5,447.55 |
$27,237.76 |
1.5× |
| Rpr non-union mtcrpl/phalanx (26546) |
$8,728.53 |
$43,642.67 |
1.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$14,634.70 |
$73,173.49 |
4.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$7,594.22 |
$37,971.09 |
2.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$186.40 |
$932 |
0.3× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$5,014.50 |
$25,072.50 |
1.5× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$6,071.95 |
$30,359.73 |
1.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$9,870.95 |
$49,354.75 |
2.9× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$1,448.40 |
$7,242 |
0.4× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$14,128.69 |
$70,643.47 |
4.3× |
| Sclerotx Fluid Collection (49185) |
$1,041.94 |
$5,209.70 |
0.6× |
| Scrotal exploration (55110) |
$7,599.60 |
$37,998.02 |
2.1× |
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134)
likely a partial charge, not the full procedure |
$2,085.80 |
$10,429 |
0.3× |
| Sesamoidectomy, thumb or finger (separate procedure) Facility (26185) |
$5,567.31 |
$27,836.56 |
3.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$3,087.02 |
$15,435.10 |
3.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,470.51 |
$17,352.53 |
2.8× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$3,396.55 |
$16,982.75 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$212.40 |
$1,062 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$222.20 |
$1,111 |
1.1× |
| Shoulder arthroscopy (29820) |
$18,243.67 |
$91,218.35 |
2.4× |
| Shoulder arthroscopy (29805) |
$6,958.76 |
$34,793.79 |
2.0× |
| Shoulder Arthroscopy/Surgery (29819) |
$11,788.02 |
$58,940.08 |
3.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$9,124.20 |
$45,621.01 |
2.7× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$1,279.40 |
$6,397 |
0.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,435.60 |
$7,178 |
1.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$4,297.50 |
$21,487.50 |
3.4× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$3,172.36 |
$15,861.80 |
3.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$3,084.82 |
$15,424.11 |
2.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,682.63 |
$8,413.14 |
1.7× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,493.84 |
$7,469.19 |
1.2× |
| Sigmoidoscopy place stent (45347) |
$6,104.16 |
$30,520.80 |
1.0× |
| Sigmoidoscopy w/biopsy (45331) |
$2,024.72 |
$10,123.60 |
2.1× |
| Sigmoidoscopy w/fb removal (45332) |
$2,641.42 |
$13,207.10 |
2.1× |
| Sigmoidoscopy w/us guide bx (45342) |
$3,935.61 |
$19,678.05 |
3.1× |
| Simple Cystometrogram (51725) |
$112.20 |
$561 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$381.50 |
$1,907.50 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$524.81 |
$2,624.06 |
2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$734.80 |
$3,674 |
3.5× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$9,565.38 |
$47,826.91 |
1.5× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
$16,526.76 |
$82,633.81 |
2.7× |
| Skin splt grft trnk/arm/leg (15100) |
$6,964.73 |
$34,823.66 |
3.2× |
| Skin sub graft face/nk/hf/g (15275) |
$14,935.63 |
$74,678.15 |
19.4× |
| Skin sub graft trnk/arm/leg (15271) |
$10,340.14 |
$51,700.69 |
13.4× |
| Skin sub grft t/arm/lg child (15273) |
$11,605.91 |
$58,029.55 |
5.4× |
| Skin Tissue Procedure (17999) |
$6,031.10 |
$30,155.51 |
28.8× |
| Skin tissue rearrangement (14040) |
$8,134 |
$40,670.01 |
3.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$5,760.56 |
$28,802.78 |
1.6× |
| Skn sub grft f/n/hf/g child (15277) |
$1,646.04 |
$8,230.20 |
0.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$19,253.86 |
$96,269.29 |
3.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,305.51 |
$21,527.57 |
1.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$20,905.08 |
$104,525.38 |
3.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$12,686.92 |
$63,434.58 |
2.4× |
| Small Bowel Endoscopy (44373) |
$3,583.01 |
$17,915.04 |
1.8× |
| Small bowel endoscopy (44366) |
$3,561.40 |
$17,806.99 |
1.8× |
| Small bowel endoscopy (44364) |
$4,707.06 |
$23,535.28 |
2.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,965.72 |
$14,828.62 |
1.5× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,856.78 |
$14,283.91 |
1.4× |
| Small bowel endoscopy/biopsy (44377) |
$4,243.39 |
$21,216.93 |
2.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$4,817.92 |
$24,089.60 |
2.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$2,180.73 |
$10,903.64 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$725.20 |
$3,626 |
3.5× |
| Sperm washing for artificial insemination Facility (58323) |
$80.20 |
$401 |
0.4× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$19,453.07 |
$97,265.36 |
6.7× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,317.64 |
$21,588.20 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,098.48 |
$6,413.90 |
1.5× |
| Spinal Puncture Therapeutic (62272) |
$741.30 |
$3,706.50 |
1.0× |
| Spine Surgery Procedure Unlisted (22899) |
$285.59 |
$1,427.95 |
1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$10,133.55 |
$50,667.74 |
3.1× |
| Stimulus evoked response (51792) |
$34.80 |
$174 |
0.6× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$4,493.13 |
$22,465.64 |
1.8× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$4,950.28 |
$24,751.39 |
2.0× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$4,883.59 |
$24,417.94 |
1.2× |
| Strapping ankle (29540) |
$6,246.50 |
$31,232.51 |
36.8× |
| Strapping elbow or wrist (29260) |
$70.40 |
$352 |
1.1× |
| Strapping hand/finger (29280) |
$62 |
$310 |
1.0× |
| Strapping toes (29550) |
$21.80 |
$109 |
0.4× |
| Strapping unna boot (29580) |
$386.80 |
$1,934 |
2.3× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$62.30 |
$311.50 |
0.1× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) |
$18,138.43 |
$90,692.14 |
5.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$13,204.39 |
$66,021.94 |
3.8× |
| Suction assisted lipectomy lower extremity (15879) |
$17,304.56 |
$86,522.79 |
4.7× |
| Suction Assisted Lipectomy Trunk (15877) |
$15,965.49 |
$79,827.44 |
4.3× |
| Suction assisted lipectomy; head and neck (15876) |
$10,120.10 |
$50,600.48 |
2.7× |
| Suction assisted lipectomy; upper extremity (15878) |
$16,732.90 |
$83,664.52 |
7.8× |
| Suprahyoid lymphadenectomy (38700) |
$17,079.38 |
$85,396.88 |
2.5× |
| Surgery of breast capsule (19370) |
$14,615.19 |
$73,075.96 |
3.6× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$12,958.75 |
$64,793.75 |
3.8× |
| Surgical closure tracheostomy or fistula; with plastic repair Facility (31825) |
$6,212.26 |
$31,061.29 |
1.8× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$6,934.59 |
$34,672.95 |
2.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$5,638.91 |
$28,194.54 |
1.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$11,734.21 |
$58,671.04 |
4.0× |
| Suspension of testis (54640) |
$7,730.51 |
$38,652.54 |
2.1× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$15,766.82 |
$78,834.10 |
4.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$9,778.41 |
$48,892.06 |
4.8× |
| Suture infrapatellar tendon primary (27380) |
$14,852.58 |
$74,262.92 |
2.0× |
| Suture of 1 nerve ulnar motor (64836) |
$16,347.63 |
$81,738.16 |
4.6× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$14,844.96 |
$74,224.81 |
4.2× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$16,947.09 |
$84,735.46 |
2.2× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$10,857.93 |
$54,289.66 |
1.4× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$26,108.01 |
$130,540.06 |
3.4× |
| Suture/repair testicular injury (54670) |
$7,353.74 |
$36,768.69 |
2.0× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$3,648.50 |
$18,242.50 |
2.2× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$23,409.77 |
$117,048.86 |
6.9× |
| Synovectomy; metatarsophalangeal joint, each Facility (28072) |
$9,104.66 |
$45,523.29 |
2.7× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,851.48 |
$19,257.40 |
2.3× |
| Talectomy (astragalectomy) Facility (28130) |
$20,105.31 |
$100,526.53 |
2.7× |
| Tangential biopsy skin single lesion (11102) |
$1,737.80 |
$8,689 |
4.1× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$23,152.37 |
$115,761.83 |
1.2× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$1,492.40 |
$7,462 |
0.5× |
| Temporary Closure Eyelids Suture (67875) |
$10,470.25 |
$52,351.24 |
10.1× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) |
$14,540.26 |
$72,701.30 |
1.9× |
| Tendon lengthening, upper arm or elbow, each tendon Facility (24305) |
$14,451.46 |
$72,257.30 |
4.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$8,533.21 |
$42,666.05 |
2.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$8,317.66 |
$41,588.30 |
2.4× |
| Tenodesis long tendon biceps (23430) |
$22,532.07 |
$112,660.36 |
3.0× |
| Tenolysis extensor foot single tendon (28225) |
$7,499.94 |
$37,499.70 |
2.2× |
| Tenolysis extensor tendon hand/finger each (26445) |
$7,399.70 |
$36,998.51 |
2.2× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$4,277.46 |
$21,387.31 |
1.3× |
| Tenolysis flexor foot single tendon (28220) |
$5,336.72 |
$26,683.61 |
3.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$7,399.70 |
$36,998.51 |
4.4× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$21,333.29 |
$106,666.43 |
6.2× |
| Tenolysis Triceps (24332) |
$4,270.81 |
$21,354.05 |
1.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$28,954.36 |
$144,771.79 |
8.5× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$3,564.06 |
$17,820.30 |
1.0× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$12,481.22 |
$62,406.10 |
7.4× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$14,033.29 |
$70,166.47 |
4.1× |
| Tenotomy Hip Flexor Open (27005) |
$14,620.68 |
$73,103.40 |
4.3× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$9,693.37 |
$48,466.86 |
5.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$795.90 |
$3,979.50 |
0.5× |
| Tenotomy shoulder area single tendon (23405) |
$23,267.69 |
$116,338.47 |
3.1× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$12,950.11 |
$64,750.54 |
3.8× |
| Tenotomy, adductor of hip, open Facility (27001) |
$16,695.72 |
$83,478.58 |
4.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$7,693.37 |
$38,466.86 |
4.6× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$9,816.05 |
$49,080.26 |
2.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$582.80 |
$2,914 |
0.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,165.60 |
$5,828 |
0.7× |
| Ther Apheresis,Platelets (36513) |
$1,176.20 |
$5,881 |
2.6× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,062.75 |
$20,313.75 |
2.5× |
| Ther Apheresis,White Blood Cells (36511) |
$1,188.20 |
$5,941 |
0.7× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$642.48 |
$3,212.40 |
0.9× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure |
$3,924.35 |
$19,621.77 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,234.10 |
$6,170.50 |
1.9× |
| Thoracoscopy w/bx nodule (32608) |
$14,367.21 |
$71,836.07 |
1.3× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$18,446.73 |
$92,233.65 |
2.9× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$20,415.27 |
$102,076.33 |
3.5× |
| Throat Surgery Procedure (42999) |
$8,376.77 |
$41,883.86 |
33.9× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$1,092.40 |
$5,462 |
0.3× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$1,599 |
$7,995 |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$176.60 |
$883 |
0.5× |
| Thrombolytic Venous Therapy (37212) |
$1,599 |
$7,995 |
0.5× |
| Thymectomy, partial or total; transcervical approach (separate procedure) Facility (60520) |
$17,710.85 |
$88,554.24 |
2.9× |
| Thyroid biopsy (60100) |
$1,101.75 |
$5,508.75 |
1.5× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$12,911.28 |
$64,556.42 |
2.1× |
| Thyroidectomy, total or complete (60240) |
$17,528.25 |
$87,641.26 |
2.8× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$21,028.92 |
$105,144.59 |
3.4× |
| Tibial Arthroscopy/Surgery (29855) |
$11,332.95 |
$56,664.77 |
1.5× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$4,795.47 |
$23,977.35 |
2.2× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$45,915.90 |
$229,579.49 |
3.2× |
| Tnot elbow lateral/medial debride open (24358) |
$7,739.88 |
$38,699.41 |
2.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$9,031.10 |
$45,155.51 |
2.6× |
| Tongue and mouth surg unlisted (41599) |
$5,734.25 |
$28,671.24 |
23.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,197.14 |
$20,985.68 |
1.2× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$24,139.24 |
$120,696.22 |
1.3× |
| Total hip arthroplasty (27130) |
$22,786.70 |
$113,933.50 |
1.7× |
| Total Knee Arthroplasty (27447) |
$22,926.73 |
$114,633.66 |
1.7× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$12,775.37 |
$63,876.84 |
2.0× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$4,215.06 |
$21,075.29 |
1.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$7,485.72 |
$37,428.58 |
13.3× |
| Tracheostoma revision; complex, with flap rotation Facility (31614) |
$8,275.28 |
$41,376.40 |
1.3× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$5,143.43 |
$25,717.15 |
1.5× |
| Tracheotomy tube change (31502) |
$248.40 |
$1,242 |
1.0× |
| Transcatheter biopsy (37200) |
$6,251.61 |
$31,258.06 |
1.1× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$12,474.86 |
$62,374.32 |
6.1× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$9,278.68 |
$46,393.38 |
4.6× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$8,647.10 |
$43,235.50 |
2.5× |
| Transfer of tendon to restore intrinsic function; ring and small finger Facility (26497) |
$7,258.50 |
$36,292.50 |
2.1× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$15,461.21 |
$77,306.06 |
2.0× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$5,364.01 |
$26,820.04 |
1.6× |
| Transoral Lower Esophageal Myotomy (43497) |
$6,637.32 |
$33,186.61 |
1.0× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$15,554.04 |
$77,770.19 |
2.1× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$12,725.03 |
$63,625.15 |
1.7× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$7,958.12 |
$39,790.61 |
1.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$8,263.22 |
$41,316.10 |
1.5× |
| Transplant hand tendon (26480) |
$5,782.64 |
$28,913.22 |
1.7× |
| Transplant palm tendon (26485) |
$13,027.92 |
$65,139.61 |
3.8× |
| Transplant/graft hand tendon (26483) |
$15,912.28 |
$79,561.39 |
4.7× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$17,624.46 |
$88,122.30 |
1.8× |
| Transur electr resection of prostate (52601) |
$10,101.53 |
$50,507.65 |
1.8× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Facility (53852) |
$7,122 |
$35,610 |
1.9× |
| Transurethral incision of prostate (52450) |
$6,484.54 |
$32,422.70 |
1.8× |
| Transurethral resection bladder neck (52500) |
$6,800.78 |
$34,003.92 |
1.8× |
| Treat Big Toe Fracture (28505) |
$6,127.90 |
$30,639.52 |
1.8× |
| Treat elbow dislocation (24615) |
$16,026.94 |
$80,134.71 |
2.1× |
| Treat elbow fracture (24586) |
$10,568.31 |
$52,841.55 |
0.8× |
| Treat Elbow Fracture (24635) |
$10,751.44 |
$53,757.18 |
1.4× |
| Treat fracture radius/ulna (25575) |
$14,107.03 |
$70,535.17 |
1.9× |
| Treat Hand Dislocation (26685) |
$7,719.42 |
$38,597.10 |
2.3× |
| Treat Knee Fracture (27535) |
$11,780.25 |
$58,901.27 |
1.6× |
| Treat Knee Fracture (27540) |
$14,243.46 |
$71,217.32 |
1.9× |
| Treat Kneecap Fracture (27524) |
$9,903.48 |
$49,517.41 |
1.3× |
| Treat Lower Leg Fracture (27828) |
$19,178.12 |
$95,890.58 |
1.4× |
| Treat radius fracture (24665) |
$13,817.20 |
$69,085.98 |
1.8× |
| Treat scapula fracture (23585) |
$20,438.98 |
$102,194.92 |
2.7× |
| Treat Thigh Fracture (27245) |
$27,988.07 |
$139,940.33 |
3.7× |
| Treat thumb fracture (26665) |
$4,430.62 |
$22,153.10 |
1.3× |
| Treat/graft heel fracture (28420) |
$34,705.75 |
$173,528.76 |
2.6× |
| Treatment extensive retinopathy photocoagulation (67228) |
$7,614.41 |
$38,072.05 |
13.3× |
| Treatment mouth roof lesion (42160) |
$6,510.92 |
$32,554.60 |
1.9× |
| Treatment of fibula fracture (27784) |
$17,681.21 |
$88,406.04 |
2.3× |
| Treatment of heel fracture (28406) |
$8,883.75 |
$44,418.73 |
1.2× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$3,382.42 |
$16,912.08 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$2,999.92 |
$14,999.58 |
0.9× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$9,716.42 |
$48,582.10 |
2.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$11,146.52 |
$55,732.62 |
43.3× |
| Trim skin lesion (11055) |
$279.60 |
$1,398 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$696.60 |
$3,483 |
3.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$215.80 |
$1,079 |
3.5× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$19,165.71 |
$95,828.53 |
3.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$15,841.36 |
$79,206.81 |
2.7× |
| Trurl drainage prostatic abscess (52700) |
$10,455.98 |
$52,279.92 |
2.8× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$7,214.68 |
$36,073.42 |
2.0× |
| Trurl rescj postop bladder neck contracture (52640) |
$7,200.80 |
$36,003.98 |
2.0× |
| Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) |
$17,896.40 |
$89,481.99 |
1.8× |
| Tube thoracostomy includes water seal (32551) |
$378.40 |
$1,892 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$11,461.62 |
$57,308.10 |
4.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$12,865.02 |
$64,325.10 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,377.03 |
$16,885.15 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$8,165.28 |
$40,826.41 |
4.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$4,855.30 |
$24,276.50 |
2.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$3,814.89 |
$19,074.43 |
4.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$981.80 |
$4,909 |
2.3× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$9,697.47 |
$48,487.37 |
0.7× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$6,039.78 |
$30,198.89 |
1.6× |
| Unlisted Cardiac Surgery (33999) |
— |
$2 |
— |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$15,406.63 |
$77,033.16 |
62.3× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$4,544.40 |
$22,722 |
21.5× |
| Unlisted laparoscopic procedure liver (47379) |
$12,567.33 |
$62,836.63 |
2.0× |
| Unlisted laparoscopic procedure, ureter (50949) |
$15,589.38 |
$77,946.88 |
2.5× |
| Unlisted laparoscopy procedure stomach (43659) |
$21,683.32 |
$108,416.60 |
3.4× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$18,562.32 |
$92,811.58 |
2.9× |
| Unlisted laparoscopy procedure, appendix (44979) |
$14,769.11 |
$73,845.54 |
2.3× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$17,264.07 |
$86,320.35 |
2.7× |
| Unlisted laparoscopy procedure, bladder (51999) |
$15,810.54 |
$79,052.68 |
2.5× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$32,080.95 |
$160,404.77 |
5.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$15,321.30 |
$76,606.50 |
2.4× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$18,223.12 |
$91,115.59 |
2.9× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$15,011.12 |
$75,055.58 |
2.4× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$14,154.80 |
$70,774.02 |
2.2× |
| Unlisted laparoscopy procedure, rectum (45499) |
$11,667.78 |
$58,338.90 |
1.8× |
| Unlisted laparoscopy procedure, renal (50549) |
$33,322.64 |
$166,613.20 |
5.3× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$13,310.81 |
$66,554.06 |
2.1× |
| Unlisted laparoscopy procedure, spleen (38129) |
$13,042.80 |
$65,214.02 |
2.1× |
| Unlisted laparoscopy procedure, uterus (58578) |
$13,159.79 |
$65,798.95 |
2.1× |
| Unlisted musculoskeletal procedure head (21499) |
$8,414.59 |
$42,072.97 |
34.0× |
| Unlisted Procedure Accessory Sinuses (31299) |
$5,866.59 |
$29,332.97 |
23.7× |
| Unlisted procedure anus (46999) |
$4,525.39 |
$22,626.96 |
4.7× |
| Unlisted procedure arthroscopy (29999) |
$17,654.32 |
$88,271.59 |
68.5× |
| Unlisted Procedure Biliary Tract (47999) |
$8,052.73 |
$40,263.67 |
8.5× |
| Unlisted procedure colon (45399) |
$4,018.85 |
$20,094.23 |
4.1× |
| Unlisted procedure dentoalveolar structures (41899) |
$6,260.46 |
$31,302.31 |
25.3× |
| Unlisted Procedure Endocrine System (60699) |
$14,631.69 |
$73,158.46 |
2.3× |
| Unlisted Procedure Esophagus (43499) |
$3,578.97 |
$17,894.83 |
3.8× |
| Unlisted procedure excision pressure ulcer (15999) |
$6,480.05 |
$32,400.26 |
8.8× |
| Unlisted procedure femur or knee (27599) |
$5,063.45 |
$25,317.25 |
19.7× |
| Unlisted procedure foot or toes (28899) |
$12,043.32 |
$60,216.62 |
46.8× |
| Unlisted procedure humerus/elbow (24999) |
$9,683.93 |
$48,419.65 |
37.6× |
| Unlisted procedure larynx (31599) |
$16,691.47 |
$83,457.36 |
67.5× |
| Unlisted procedure liver (47399) |
$17,388.86 |
$86,944.29 |
23.5× |
| Unlisted Procedure Male Genital System (55899) |
$4,087.71 |
$20,438.56 |
15.7× |
| Unlisted Procedure Muscskeletal System General (20999) |
$13,876.79 |
$69,383.93 |
53.9× |
| Unlisted procedure neck or thorax (21899) |
$7,450 |
$37,249.98 |
30.1× |
| Unlisted procedure nervous system (64999) |
$21,374.98 |
$106,874.92 |
66.7× |
| Unlisted procedure palate uvula (42299) |
$5,823.14 |
$29,115.69 |
23.5× |
| Unlisted procedure pancreas (48999) |
$4,425.55 |
$22,127.77 |
6.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$17,351.15 |
$86,755.75 |
67.4× |
| Unlisted procedure rectum (45999) |
$1,797.80 |
$8,989 |
1.9× |
| Unlisted procedure shoulder (23929) |
$24,399.58 |
$121,997.91 |
94.7× |
| Unlisted Procedure Small Intestine (44799) |
$3,471.05 |
$17,355.24 |
3.7× |
| Unlisted Procedure Trachea Bronchi (31899) |
$4,241.41 |
$21,207.07 |
20.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$8,662.25 |
$43,311.27 |
13.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$8,598.46 |
$42,992.29 |
9.1× |
| Unlisted procedure, hands or fingers (26989) |
$4,734.96 |
$23,674.82 |
18.4× |
| Unlisted procedure, lacrimal system (68899) |
$4,274.78 |
$21,373.88 |
12.9× |
| Unlisted procedure, leg or ankle (27899) |
$14,355.82 |
$71,779.11 |
55.7× |
| Unlisted procedure, maternity care and delivery (59899) |
$1,641.20 |
$8,206 |
7.8× |
| Unlisted procedure, orbit (67599) |
$8,625.48 |
$43,127.41 |
26.0× |
| Unlisted procedure, stomach (43999) |
$6,415.43 |
$32,077.14 |
6.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$5,947.76 |
$29,738.82 |
28.2× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$4,217.56 |
$21,087.79 |
17.1× |
| Upgrade of pacemaker system (33214) |
$10,595.86 |
$52,979.32 |
1.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$19,629.76 |
$98,148.82 |
3.5× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976)
unusually low: confirm this is the full procedure |
$2,114.40 |
$10,572 |
0.4× |
| Ureteral endoscopy via ureterostomy (50951) |
$1,441.20 |
$7,206 |
0.4× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$10,185.63 |
$50,928.14 |
2.8× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$6,803.33 |
$34,016.65 |
1.8× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$7,439.95 |
$37,199.73 |
1.3× |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) |
$1,441.20 |
$7,206 |
0.4× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$17,829.30 |
$89,146.49 |
3.2× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$10,214.06 |
$51,070.28 |
1.8× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$7,222.86 |
$36,114.31 |
1.3× |
| Urine flow measurement (51736) |
$57.80 |
$289 |
0.4× |
| Urology Surgery Procedure (53899) |
$7,545.85 |
$37,729.26 |
28.9× |
| Us urine capacity measure (51798) |
$84.40 |
$422 |
1.4× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$3,841.68 |
$19,208.42 |
1.1× |
| Uvulectomy excision of uvula (42140) |
$5,605.29 |
$28,026.46 |
1.6× |
| Vag hyst complex (58290) |
$22,954.52 |
$114,772.60 |
3.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$16,262.22 |
$81,311.11 |
3.1× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$10,610.44 |
$53,052.20 |
2.0× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$23,088.14 |
$115,440.68 |
4.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$14,094.55 |
$70,472.75 |
2.7× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$6,442.17 |
$32,210.83 |
1.9× |
Vaginoplasty for intersex state Facility (57335)
unusually low: confirm this is the full procedure |
$2,084.20 |
$10,421 |
0.4× |
| Vasc embolize/occlude artery (37242) |
$20,398.02 |
$101,990.10 |
1.1× |
| Vasc Embolize/Occlude Bleed (37244) |
$24,199.29 |
$120,996.47 |
2.0× |
| Vasc embolize/occlude organ (37243) |
$12,804.25 |
$64,021.25 |
1.1× |
| Vasc embolize/occlude venous (37241) |
$15,710.77 |
$78,553.86 |
1.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,354.51 |
$16,772.55 |
1.5× |
| Venipuncture (36415) |
$6,420.41 |
$32,102.06 |
687.4× |
| Vulvectomy Simple Partial (56620) |
$4,394.13 |
$21,970.67 |
1.3× |
| Vulvectomy simple; complete (56625) |
$6,089.11 |
$30,445.54 |
1.8× |
| Vulvectomy, radical, partial; Facility (56630) |
$12,660.25 |
$63,301.27 |
2.4× |
| Wedge excision skin nail fold (11765) |
$2,808.54 |
$14,042.71 |
6.6× |
| Wedging of cast (29740) |
$121.80 |
$609 |
0.4× |
| Windowing of cast (29730) |
$71.60 |
$358 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$8,226.23 |
$41,131.16 |
19.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$6,353.92 |
$31,769.58 |
8.2× |