| Abd paracentesis w/imaging (49083) |
$2,182.54 |
$3,637.56 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$550.10 |
$916.83 |
0.6× |
| Ablate inf turbinate submuc (30802) |
$14,867.61 |
$24,779.35 |
8.8× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$16,976.81 |
$28,294.68 |
10.0× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$5,677.13 |
$9,461.88 |
2.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$18,631.78 |
$31,052.97 |
4.8× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$5,849.28 |
$9,748.81 |
2.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$15,340.27 |
$25,567.12 |
6.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$10,913.05 |
$18,188.42 |
4.8× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$10,002.19 |
$16,670.31 |
4.4× |
| Amputation Finger/Thumb (26951) |
$5,956.82 |
$9,928.04 |
1.7× |
| Amputation Foot Midtarsal (28800) |
$29,162.62 |
$48,604.37 |
8.2× |
| Amputation metatarsal with toe single (28810) |
$15,419.34 |
$25,698.90 |
4.3× |
| Amputation of finger/thumb (26952) |
$19,679.66 |
$32,799.43 |
5.5× |
| Amputation toe interphalangeal joint (28825) |
$12,618.19 |
$21,030.31 |
3.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$15,205 |
$25,341.67 |
4.3× |
| Anoscopy control bleeding (46614) |
$14,589.29 |
$24,315.49 |
11.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$18,882.50 |
$31,470.83 |
6.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$15,133.22 |
$25,222.03 |
2.8× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$705.90 |
$1,176.50 |
4.0× |
| Application finger splint static (29130) |
$274.06 |
$456.78 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$350.09 |
$583.49 |
2.0× |
| Application long leg splint thigh ankle/toes (29505) |
$340.44 |
$567.41 |
1.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$1,548.77 |
$2,581.29 |
5.1× |
| Application short arm splint forearm-hand static (29125) |
$349.13 |
$581.89 |
2.4× |
| Application short leg splint calf foot (29515) |
$349.13 |
$581.89 |
2.0× |
| Arterial puncture (36600) |
$163.41 |
$272.35 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$863.32 |
$1,438.86 |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,026.05 |
$1,710.09 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$874.15 |
$1,456.91 |
2.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$894.47 |
$1,490.78 |
2.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$5,466.29 |
$9,110.48 |
16.3× |
| Arthrodesis ankle open (27870) |
$37,873.87 |
$63,123.11 |
2.7× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$20,492.72 |
$34,154.54 |
1.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$14,849.67 |
$24,749.45 |
1.9× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low: confirm this is the full procedure |
$13,286.62 |
$22,144.36 |
0.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$47,421.07 |
$79,035.11 |
6.0× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$13,624.04 |
$22,706.73 |
0.7× |
| Arthrodesis; subtalar (28725) |
$22,008.12 |
$36,680.19 |
1.6× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$75.30 |
$125.50 |
0.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$17,154.55 |
$28,590.92 |
2.2× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$10,688.79 |
$17,814.64 |
0.8× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$24,054.46 |
$40,090.77 |
6.7× |
| Arthroscopy of joint (29999) |
$11,209.70 |
$18,682.83 |
41.6× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$17,374.40 |
$28,957.33 |
4.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$34,700.40 |
$57,834 |
9.7× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$16,326.41 |
$27,210.69 |
4.6× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$14,203.01 |
$23,671.69 |
4.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$18,799.78 |
$31,332.97 |
5.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$15,258.02 |
$25,430.03 |
4.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$12,381.49 |
$20,635.82 |
1.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$21,272.76 |
$35,454.60 |
2.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$10,661.48 |
$17,769.13 |
3.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$12,087.02 |
$20,145.04 |
3.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$9,586.41 |
$15,977.35 |
2.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$15,907.01 |
$26,511.69 |
2.0× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$5,855.34 |
$9,758.90 |
1.6× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,694.41 |
$2,824.01 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$11,359.68 |
$18,932.81 |
3.2× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$9,165.87 |
$15,276.45 |
2.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$7,192.41 |
$11,987.35 |
4.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$755.09 |
$1,258.48 |
2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$275.01 |
$458.35 |
1.3× |
| Biopsy bone open superficial (20240) |
$9,420.43 |
$15,700.72 |
3.0× |
| Biopsy bone trocar/needle deep (20225) |
$4,087.64 |
$6,812.73 |
2.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$4,123.06 |
$6,871.76 |
2.3× |
| Biopsy Breast Open Incisional (19101) |
$9,970.93 |
$16,618.22 |
2.3× |
| Biopsy muscle percutaneous needle (20206) |
$2,976 |
$4,960 |
1.6× |
| Biopsy of nail unit (11755) |
$2,258.41 |
$3,764.01 |
2.9× |
| Biopsy of tongue (41100) |
$12,287.69 |
$20,479.48 |
20.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$10,913.05 |
$18,188.42 |
2.6× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$4,152.67 |
$6,921.11 |
2.3× |
| Biopsy soft tissue neck/thorax (21550) |
$3,906.14 |
$6,510.23 |
2.2× |
| Biopsy/removal lymph nodes (38525) |
$22,380.05 |
$37,300.08 |
5.2× |
| Biopsy/removal lymph nodes (38510) |
$13,167.58 |
$21,945.97 |
3.1× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$5,249.66 |
$8,749.43 |
6.9× |
| Bladder Irrigation Simple (51700) |
$724.51 |
$1,207.51 |
2.7× |
| Blood patch (62273) |
$688.45 |
$1,147.42 |
0.9× |
| Blood transfusion service (36430) |
$1,567.04 |
$2,611.74 |
3.3× |
| Bone Marrow Biopsy (38221) |
$3,929.03 |
$6,548.39 |
2.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$4,834.86 |
$8,058.11 |
2.5× |
| Bronch ebus samplng 1/2 node (31652) |
$4,880.42 |
$8,134.03 |
1.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$14,516.44 |
$24,194.07 |
7.5× |
| Bronchoscopy W/Biopsy(S) (31625) |
$7,505.95 |
$12,509.92 |
3.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$12,454.50 |
$20,757.50 |
6.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$5,624.35 |
$9,373.92 |
1.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$7,616.78 |
$12,694.63 |
3.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,857.70 |
$6,429.50 |
2.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,786.14 |
$6,310.23 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$5,906.86 |
$9,844.77 |
3.3× |
| Bx/exc lymph node needle superficial (38505) |
$1,960.05 |
$3,266.75 |
1.1× |
| Canthotomy Separate Procedure (67715) |
$5,866.26 |
$9,777.10 |
2.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$16,775.36 |
$27,958.93 |
4.7× |
| Change Cystostomy Tube Simple (51705) |
$759.40 |
$1,265.66 |
2.8× |
| Chemical Cautery Tissue (17250) |
$1,077.91 |
$1,796.51 |
4.9× |
| Chest tube placement (32551) |
$16,012.81 |
$26,688.02 |
9.3× |
| Circum 28 days or older (54161) |
$24,542.67 |
$40,904.45 |
10.7× |
| Circumcision (54150) |
$7,876.26 |
$13,127.11 |
3.4× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$4,981.36 |
$8,302.27 |
14.9× |
| Claviculectomy; partial (23120) |
$14,389.83 |
$23,983.06 |
4.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$714.11 |
$1,190.18 |
0.4× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,395.01 |
$2,325.01 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$437.68 |
$729.47 |
0.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$4,437.66 |
$7,396.10 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$698.27 |
$1,163.78 |
0.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$560.93 |
$934.89 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$214.86 |
$358.10 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$722.92 |
$1,204.87 |
2.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,162.22 |
$1,937.03 |
0.7× |
| Closed tx septal&nose fx (21337) |
$7,296.36 |
$12,160.60 |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,525.61 |
$5,876.02 |
2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$550.10 |
$916.83 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$356.33 |
$593.89 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$875.44 |
$1,459.07 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,137.21 |
$1,895.35 |
4.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,500.11 |
$5,833.51 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$716.09 |
$1,193.49 |
2.7× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$12,186.64 |
$20,311.07 |
6.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$421.58 |
$702.64 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$644.03 |
$1,073.39 |
2.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$514.11 |
$856.85 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$6,917.88 |
$11,529.80 |
25.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$16,029.71 |
$26,716.19 |
9.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$644.49 |
$1,074.16 |
2.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$508.11 |
$846.85 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$517.17 |
$861.95 |
1.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,115.44 |
$1,859.07 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$987.52 |
$1,645.87 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$739.36 |
$1,232.27 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$14,554.76 |
$24,257.94 |
11.1× |
| Colonoscopy stoma w/balloon dilation (44405) |
$3,691.95 |
$6,153.26 |
2.8× |
| Colonoscopy stoma w/biopsy (44389) |
$7,394.44 |
$12,324.06 |
5.7× |
| Colonoscopy stoma w/snare (44394) |
$5,536.57 |
$9,227.62 |
4.2× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$4,231.56 |
$7,052.60 |
4.2× |
| Colonoscopy thru stoma (44388) |
$7,280.20 |
$12,133.67 |
7.2× |
| Colonoscopy w/ablation (45388) |
$6,522.16 |
$10,870.27 |
5.0× |
| Colonoscopy w/band ligation (45398) |
$4,541.93 |
$7,569.88 |
3.5× |
| Colonoscopy w/resection (45390) |
$2,296.95 |
$3,828.24 |
0.8× |
| Colporrhaphy suture injury vagina (57200) |
$27,180.39 |
$45,300.65 |
7.7× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$3,491.43 |
$5,819.05 |
2.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$3,378.68 |
$5,631.13 |
2.6× |
| Complex Cystometrogram (51726) |
$7,658.86 |
$12,764.77 |
28.1× |
| Conization of cervix (57520) |
$8,859.01 |
$14,765.02 |
2.5× |
| Conization of cervix (57522) |
$8,635.45 |
$14,392.41 |
2.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,445.81 |
$2,409.68 |
9.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$740.81 |
$1,234.68 |
5.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,866.65 |
$8,111.09 |
2.7× |
| Correction hammertoe (28285) |
$16,254.32 |
$27,090.53 |
4.5× |
| Correction of bunion (28298) |
$24,707.31 |
$41,178.85 |
3.1× |
| Correction of bunion (28292) |
$20,464.58 |
$34,107.64 |
5.7× |
| Correction of bunion (28297) |
$34,735.19 |
$57,891.99 |
2.5× |
| Create eardrum opening (69436) |
$4,379.11 |
$7,298.52 |
2.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$584.52 |
$974.20 |
4.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$5,020.87 |
$8,368.12 |
2.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$8,596.06 |
$14,326.78 |
2.2× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$44,876.98 |
$74,794.96 |
7.7× |
| Cysto w/destruction of lesions (52214) |
$10,256.67 |
$17,094.46 |
2.7× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$14,658.96 |
$24,431.60 |
2.5× |
| Cysto w/removal of tumors small (52234) |
$7,808.07 |
$13,013.45 |
2.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$17,444.80 |
$29,074.66 |
7.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$24,220.63 |
$40,367.72 |
6.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$5,734.13 |
$9,556.89 |
1.5× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$10,360.16 |
$17,266.93 |
2.7× |
| Cysto/uretero w/lithotripsy (52356) |
$35,021.71 |
$58,369.52 |
6.0× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$16,367.06 |
$27,278.44 |
2.8× |
| Cystoscopy implant stent (52282) |
$5,276.77 |
$8,794.62 |
1.4× |
| Cystoscopy w/biopsy (52204) |
$14,834.23 |
$24,723.71 |
6.5× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$14,643.98 |
$24,406.64 |
6.4× |
| Cystoscopy,insert ureteral stent (52332) |
$15,380.84 |
$25,634.74 |
4.0× |
| Cystourethroscopy (52000) |
$20,532.87 |
$34,221.45 |
27.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$9,689.42 |
$16,149.04 |
4.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$41,138.63 |
$68,564.39 |
10.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$15,950.93 |
$26,584.88 |
4.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$52,576.96 |
$87,628.27 |
13.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$6,430.36 |
$10,717.26 |
2.0× |
| Debride nail 1-5 (11720) |
$2,920.57 |
$4,867.62 |
45.3× |
| Debride nail 6 or more (11721) |
$931.72 |
$1,552.88 |
14.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,696.05 |
$2,826.75 |
3.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$5,197.54 |
$8,662.57 |
6.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$5,163.94 |
$8,606.57 |
2.9× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$26,913.85 |
$44,856.42 |
11.9× |
| Destroy cerv/thor facet jnt (64633) |
$7,019.75 |
$11,699.59 |
3.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,691.86 |
$4,486.44 |
1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$5,201.32 |
$8,668.87 |
2.4× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$17,164.09 |
$28,606.81 |
8.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$3,776.15 |
$6,293.59 |
4.9× |
| Diagnostic sigmoidoscopy (45330) |
$5,942.38 |
$9,903.97 |
5.8× |
| Dilate Urethra Stricture (53600) |
$28,128.39 |
$46,880.65 |
103.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$18,729.33 |
$31,215.55 |
5.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$886.70 |
$1,477.83 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$3.12 |
$5.20 |
0.0× |
| Drainage of gum lesion (41800) |
$358.16 |
$596.93 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$13,935.16 |
$23,225.27 |
7.7× |
| Drainage of pelvic abscess (45000) |
$449.12 |
$748.54 |
0.3× |
| Draw blood off venous device (36591) |
$267.93 |
$446.55 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$567.18 |
$945.30 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$684.84 |
$1,141.40 |
3.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$587.35 |
$978.91 |
2.7× |
| Dstrj lesion anus simple surg excision (46922) |
$13,882.25 |
$23,137.08 |
4.6× |
| Dx bone marrow bx & aspir (38222) |
$4,793.64 |
$7,989.40 |
1.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$7,852.95 |
$13,088.25 |
3.7× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$5,536.57 |
$9,227.62 |
2.6× |
| Egd endoscopic stent place (43266) |
$6,385.89 |
$10,643.15 |
1.0× |
| Egd flexible foreign body removal (43247) |
$5,626.93 |
$9,378.22 |
5.7× |
| Egd guide wire insertion (43248) |
$8,415.35 |
$14,025.59 |
8.5× |
| Egd place gastrostomy tube (43246) |
$9,441.07 |
$15,735.12 |
4.5× |
| Egd rem tumr/polyp forcep (43250) |
$2,589.45 |
$4,315.75 |
1.2× |
| Egd remove lesion snare (43251) |
$6,726.02 |
$11,210.03 |
3.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$14,168.23 |
$23,613.72 |
6.8× |
| Egd Varices Ligation (43244) |
$3,957.75 |
$6,596.25 |
1.9× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$10,857.64 |
$18,096.07 |
2.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$10,549.58 |
$17,582.64 |
4.7× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$15,077.70 |
$25,129.50 |
3.7× |
| Ercp Duct Stent Placement (43274) |
$13,534.76 |
$22,557.93 |
2.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$11,978.28 |
$19,963.80 |
2.8× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$10,299.63 |
$17,166.05 |
2.4× |
| Ercp remove forgn body duct (43275) |
$3,457.45 |
$5,762.42 |
1.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$34,984.72 |
$58,307.86 |
19.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$9,232.83 |
$15,388.05 |
5.1× |
| Exc abd les sc 3 cm/> (22903) |
$12,098.44 |
$20,164.07 |
3.8× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$13,792.81 |
$22,988.01 |
4.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,831.93 |
$8,053.22 |
2.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$9,593.07 |
$15,988.46 |
5.3× |
| Exc back les sc < 3 cm (21930) |
$14,517.96 |
$24,196.60 |
8.0× |
| Exc back tum deep < 5 cm (21932) |
$13,857.27 |
$23,095.45 |
4.4× |
| Exc face les sbq 2 cm/> (21012) |
$13,489.06 |
$22,481.77 |
7.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$5,717.27 |
$9,528.79 |
3.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$14,276.70 |
$23,794.50 |
7.9× |
| Exc forearm les sc 3 cm/> (25071) |
$10,463.62 |
$17,439.37 |
5.8× |
| Exc forearm les sc < 3 cm (25075) |
$5,264.52 |
$8,774.20 |
2.9× |
| Exc hand les sc < 1.5 cm (26115) |
$4,526.36 |
$7,543.93 |
2.5× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$2,523.82 |
$4,206.37 |
0.7× |
| Exc neck tum deep < 5 cm (21556) |
$8,119.56 |
$13,532.61 |
2.6× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$12,879.10 |
$21,465.17 |
2.0× |
| Exc Rect Tum Transanal Full (45172) |
$10,609.94 |
$17,683.23 |
3.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$16,779.90 |
$27,966.50 |
9.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,983.94 |
$3,306.56 |
2.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$3,379.94 |
$5,633.23 |
4.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$6,832.97 |
$11,388.29 |
8.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$19,466.53 |
$32,444.22 |
10.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$14,178.23 |
$23,630.39 |
4.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$214.86 |
$358.10 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$5,747.37 |
$9,578.96 |
3.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$8,243.13 |
$13,738.55 |
2.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$7,280.93 |
$12,134.88 |
2.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,449.57 |
$7,415.95 |
2.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$7,803.95 |
$13,006.58 |
2.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$16,108.86 |
$26,848.10 |
5.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$14,723.74 |
$24,539.57 |
4.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$10,721.92 |
$17,869.86 |
5.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$11,348.98 |
$18,914.96 |
6.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$12,103.51 |
$20,172.52 |
3.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$9,655.48 |
$16,092.46 |
3.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$14,820.21 |
$24,700.35 |
8.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$15,426.44 |
$25,710.73 |
4.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$9,438.13 |
$15,730.22 |
2.6× |
| Exchange nephrostomy cath (50435) |
$2,671.99 |
$4,453.32 |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$9,875.79 |
$16,459.65 |
5.6× |
| Excise excess skin & tissue (15839) |
$21,966.64 |
$36,611.07 |
6.9× |
| Excise Inferior Turbinate (30130) |
$8,470.84 |
$14,118.06 |
2.3× |
| Excise parotid gland/lesion (42410) |
$27,529.04 |
$45,881.73 |
4.3× |
| Excise parotid gland/lesion (42425) |
$36,699.79 |
$61,166.31 |
5.7× |
| Excise parotid gland/lesion (42420) |
$27,765.68 |
$46,276.13 |
4.3× |
| Excise pharynx lesion (42808) |
$4,295.83 |
$7,159.71 |
1.2× |
| Excise/repair mouth lesion (40812) |
$11,969.52 |
$19,949.20 |
7.1× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$79.86 |
$133.10 |
0.0× |
| Excision brach clft cyst,superficial (42810) |
$17,923.16 |
$29,871.94 |
4.9× |
| Excision Breast Lesion (19125) |
$7,007.59 |
$11,679.32 |
1.6× |
| Excision external ear partial simple repair (69110) |
$9,136.94 |
$15,228.24 |
2.9× |
| Excision lesion mouth roof (42104) |
$8,057.30 |
$13,428.84 |
2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$6,047.42 |
$10,079.04 |
7.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$8,194.11 |
$13,656.85 |
10.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$5,623.43 |
$9,372.39 |
7.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$6,467.61 |
$10,779.35 |
3.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$8,862.44 |
$14,770.73 |
2.9× |
| Excision of bartholin's gland or cyst (56740) |
$11,851.11 |
$19,751.85 |
3.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$6,101.72 |
$10,169.53 |
7.9× |
| Excision of hydrocele; unilateral (55040) |
$29,102.71 |
$48,504.52 |
7.4× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$7,233.87 |
$12,056.45 |
2.0× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$13,459.46 |
$22,432.44 |
3.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$13,141.70 |
$21,902.83 |
7.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$5,192.30 |
$8,653.83 |
2.9× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$13,532.02 |
$22,553.37 |
7.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$9,745.64 |
$16,242.74 |
3.1× |
| Excision of sublingual gland (42450) |
$14,787.01 |
$24,645.02 |
2.3× |
| Excision of tongue lesion (41112) |
$12,357.89 |
$20,596.48 |
3.4× |
| Excision olecranon bursa (24105) |
$7,459.91 |
$12,433.19 |
2.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$20,422.98 |
$34,038.30 |
6.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$24,371.11 |
$40,618.52 |
13.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$9,793.64 |
$16,322.73 |
5.4× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$14,849.45 |
$24,749.09 |
8.5× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$15,628.75 |
$26,047.91 |
4.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,791.92 |
$7,986.53 |
2.7× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$15,448.78 |
$25,747.96 |
4.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,755.13 |
$9,591.88 |
1.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$16,224.83 |
$27,041.38 |
5.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$18,887.23 |
$31,478.71 |
10.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$8,180.03 |
$13,633.38 |
2.3× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$9,794.09 |
$16,323.49 |
2.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$10,688.15 |
$17,813.59 |
3.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$31,091.46 |
$51,819.10 |
13.8× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$21,006.70 |
$35,011.16 |
3.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$16,071.09 |
$26,785.15 |
9.1× |
| Exploration penetrating wound spx extremity (20103) |
$15,246.82 |
$25,411.36 |
8.5× |
| Explore limb vessels (35860) |
$19,485.13 |
$32,475.21 |
5.6× |
| Explore parathyroid glands (60500) |
$6,727.02 |
$11,211.70 |
1.0× |
| Explore treat shoulder joint (23107) |
$23,616.50 |
$39,360.83 |
3.0× |
| External Cephalic Version (59412) |
$5,244.10 |
$8,740.17 |
1.5× |
| Fasciotomy foot and/or toe (28008) |
$12,595.15 |
$20,991.92 |
3.5× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$14,631.66 |
$24,386.10 |
4.1× |
| Fasciotomy palmar open partial (26045) |
$6,410.03 |
$10,683.38 |
1.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$18,000.56 |
$30,000.93 |
5.0× |
| Fetal Contraction Stress Test (59020) |
$811.98 |
$1,353.30 |
3.7× |
| Fetal non-stress test (59025) |
$643.92 |
$1,073.21 |
2.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$3,819.29 |
$6,365.49 |
4.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,175.29 |
$3,625.49 |
2.8× |
| Fixation of knee joint (27570) |
$9,087.46 |
$15,145.77 |
5.2× |
| Fixation of shoulder (23700) |
$6,077.59 |
$10,129.32 |
3.5× |
| Fna bx w/mr gdn 1st les (10011) |
$129.06 |
$215.10 |
0.2× |
| Forehead flap w/vasc pedicle (15731) |
$13,454.29 |
$22,423.81 |
3.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$11,462.28 |
$19,103.80 |
3.2× |
| Frenulotomy of penis (54164) |
$18,167.16 |
$30,278.60 |
8.0× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$10,167.02 |
$16,945.03 |
4.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$9,171.14 |
$15,285.23 |
4.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$6,153.48 |
$10,255.80 |
2.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$8,194.11 |
$13,656.85 |
3.6× |
| Fusion of foot bones (28730) |
$19,734.78 |
$32,891.30 |
1.4× |
| Fusion of foot bones (28740) |
$19,954.16 |
$33,256.94 |
2.5× |
| Glossectomy; less than one-half tongue (41120) |
$12,643.10 |
$21,071.84 |
2.0× |
| Graft ear crtlg autogenous nose/ear (21235) |
$9,443.65 |
$15,739.42 |
1.5× |
| Guide Cathet Fluid Drainage (10030) |
$972.29 |
$1,620.49 |
1.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$20,260.94 |
$33,768.24 |
2.6× |
| Hemorrhoidectomy (46255) |
$17,215.31 |
$28,692.19 |
5.7× |
| Hysteroscopy ablation (58563) |
$16,159.32 |
$26,932.21 |
3.0× |
| Hysteroscopy biopsy (58558) |
$14,322.76 |
$23,871.27 |
4.1× |
| Hysteroscopy dx sep proc (58555) |
$31,004.15 |
$51,673.58 |
8.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$14,691.80 |
$24,486.34 |
4.2× |
| I&D Abscess Peritonsillar (42700) |
$1,456.87 |
$2,428.11 |
5.6× |
| I&d abscess simple (10060) |
$406.22 |
$677.04 |
1.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$66,528.72 |
$110,881.20 |
21.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$8,152.35 |
$13,587.25 |
2.3× |
| I&d perianal abscess superficial (46050) |
$8,402.61 |
$14,004.35 |
8.3× |
| I&d pilonidal cyst simple (10080) |
$3,322.42 |
$5,537.37 |
4.3× |
| Image Cath Fluid Colxn Visc (49405) |
$2,290.11 |
$3,816.85 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$5,520.43 |
$9,200.72 |
3.1× |
| Implant neuroelectrodes (63650) |
$103,758.91 |
$172,931.51 |
14.9× |
| Incise finger tendon sheath (26055) |
$9,246.44 |
$15,410.73 |
5.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$443.54 |
$739.24 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$879.20 |
$1,465.34 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$13,151.35 |
$21,918.91 |
7.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,015.06 |
$1,691.77 |
2.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$949.24 |
$1,582.07 |
4.3× |
| Incision bone cortex foot (28005) |
$9,420.43 |
$15,700.72 |
2.6× |
| Incision extensor tendon sheath wrist (25000) |
$5,195.08 |
$8,658.47 |
3.0× |
| Incision labial frenum frenotomy (40806) |
$4,756 |
$7,926.67 |
8.1× |
| Incision of eardrum (69421) |
$10,401.14 |
$17,335.23 |
2.9× |
| Incision of metatarsal (28308) |
$70.20 |
$117 |
0.0× |
| Incision of rectal abscess (46040) |
$17,862.98 |
$29,771.63 |
13.7× |
| Incision thrombosed hemorrhoid external (46083) |
$695.02 |
$1,158.37 |
2.5× |
| Incisional biopsy skin single lesion (11106) |
$19,771.59 |
$32,952.65 |
24.5× |
| Initial tx 1st degree burn local tx (16000) |
$517.56 |
$862.60 |
2.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,072.10 |
$3,453.50 |
2.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$12,889.50 |
$21,482.50 |
13.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$14,415.19 |
$24,025.32 |
18.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,246.68 |
$3,744.46 |
2.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$8,647.29 |
$14,412.15 |
8.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$12,127.89 |
$20,213.15 |
15.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$888.58 |
$1,480.96 |
2.7× |
| Injection anes other peripheral nerve/branch (64450) |
$1,373.50 |
$2,289.17 |
1.8× |
| Injection for identification of sentinel node (38792) |
$3,100.74 |
$5,167.90 |
7.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$9,018.52 |
$15,030.86 |
13.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,845.26 |
$3,075.43 |
5.5× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$5,555.29 |
$9,258.81 |
5.7× |
| Ins endovas vena cava filtr (37191) |
$13,253.90 |
$22,089.83 |
2.2× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$42,342.20 |
$70,570.33 |
3.7× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$42,474.11 |
$70,790.19 |
3.7× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$44,393.81 |
$73,989.69 |
3.9× |
| Insert Bladder Cath Complex (51703) |
$295.22 |
$492.04 |
2.1× |
| Insert nasal septal button (30220) |
$5,598.81 |
$9,331.35 |
3.3× |
| Insert non-tunnel cv cath (36556) |
$4,345.64 |
$7,242.73 |
1.3× |
| Insert picc cath (36569) |
$6,775.77 |
$11,292.95 |
3.9× |
| Insert Temp Bladder Cath (51702) |
$190.26 |
$317.10 |
1.3× |
| Insert tun ip cath perc (49418) |
$14,885.57 |
$24,809.29 |
3.8× |
| Insert tunneled cv cath (36561) |
$11,589.08 |
$19,315.14 |
3.4× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$1,150.60 |
$1,917.67 |
0.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$14,868.87 |
$24,781.45 |
3.8× |
| Insertion of brain neurostimulator pulse with connection to single (61885) |
$24,077.78 |
$40,129.64 |
0.7× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$16,413.65 |
$27,356.09 |
4.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$4,951.82 |
$8,253.03 |
2.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$23,368.12 |
$38,946.87 |
2.6× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$9,153.74 |
$15,256.24 |
0.3× |
| Insrt/redo spine n generator (63685) |
$51,876.16 |
$86,460.26 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$2,689.59 |
$4,482.65 |
10.4× |
| Knee arthroscopy/surgery (29876) |
$20,073.42 |
$33,455.70 |
5.6× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$46,024.40 |
$76,707.34 |
2.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$47,890.66 |
$79,817.77 |
6.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$46,212.62 |
$77,021.03 |
5.8× |
| Lap ing hernia repair init (49650) |
$69,747.66 |
$116,246.10 |
10.6× |
| Laparoscopy appendectomy (44970) |
$29,107.07 |
$48,511.79 |
4.4× |
| Laparoscopy Remove Adnexa (58661) |
$15,015.18 |
$25,025.30 |
2.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$30,144.62 |
$50,241.03 |
2.6× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$37,963.54 |
$63,272.57 |
5.7× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$13,187.26 |
$21,978.78 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$65,252.80 |
$108,754.67 |
5.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$34,343.62 |
$57,239.37 |
5.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$23,521.02 |
$39,201.70 |
3.6× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$11,821.42 |
$19,702.37 |
1.8× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$54,544.52 |
$90,907.54 |
4.7× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$10,467.36 |
$17,445.60 |
2.6× |
| Laryngoscope w/vc inj (31570) |
$6,636.11 |
$11,060.19 |
1.6× |
| Laryngoscopy w/biopsy (31535) |
$9,830.98 |
$16,384.96 |
2.4× |
| Laryngoscopy w/bx op scope (31536) |
$11,450.06 |
$19,083.43 |
2.8× |
| Laryngoscopy w/exc of tumor (31540) |
$11,545.16 |
$19,241.94 |
2.8× |
| Laryngoscopy with biopsy (31576) |
$9,362.33 |
$15,603.89 |
4.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$13,806.35 |
$23,010.58 |
7.1× |
| Larynscop w/tumr exc + scope (31541) |
$12,583.94 |
$20,973.24 |
3.1× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$30,616.28 |
$51,027.14 |
5.2× |
| Late closure of wound (13160) |
$19,485.13 |
$32,475.21 |
5.0× |
| Ligation of hemorrhoid(s) (46221) |
$3,492.16 |
$5,820.26 |
3.4× |
| Ligation or biopsy temporal artery (37609) |
$11,807.29 |
$19,678.82 |
6.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$15,055.45 |
$25,092.41 |
3.9× |
| Lithotripsy (50590) |
$62,544.73 |
$104,241.21 |
16.2× |
| Liver Biopsy (47000) |
$4,873.87 |
$8,123.11 |
2.7× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$13,030.52 |
$21,717.53 |
5.7× |
| Marsup Bartholin Gland Cyst (56440) |
$5,032.57 |
$8,387.61 |
1.4× |
| Mast mod rad (19307) |
$43,544.66 |
$72,574.44 |
6.0× |
| Mastectomy partial (19301) |
$19,509.61 |
$32,516.02 |
4.6× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$10,212.17 |
$17,020.28 |
1.4× |
| Mastectomy simple complete (19303) |
$11,604.83 |
$19,341.38 |
1.6× |
| Mastopexy (19316) |
$10,457.54 |
$17,429.24 |
1.4× |
| Metatarsectomy (28140) |
$17,460.31 |
$29,100.52 |
4.9× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$14,832.85 |
$24,721.42 |
3.8× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$10,460.22 |
$17,433.71 |
1.3× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$664.28 |
$1,107.13 |
3.0× |
| Nasal surgery procedure (30999) |
$17,047.39 |
$28,412.32 |
65.9× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$4,996.34 |
$8,327.23 |
0.6× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$11,946.96 |
$19,911.60 |
1.5× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$8,623.05 |
$14,371.75 |
1.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$16,976.81 |
$28,294.68 |
4.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$9,936.17 |
$16,560.28 |
1.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$10,635.57 |
$17,725.95 |
1.4× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$28,511 |
$47,518.34 |
3.7× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$10,465.85 |
$17,443.08 |
1.4× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$11,947.77 |
$19,912.95 |
1.5× |
| Nerve repair w/allograft (64910) |
$5,517.70 |
$9,196.17 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,018.71 |
$1,697.85 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,296.63 |
$2,161.05 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,099.62 |
$3,499.36 |
2.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,061.79 |
$3,436.31 |
2.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$10,066.06 |
$16,776.77 |
13.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,068.79 |
$10,114.66 |
1.4× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$60,642.05 |
$101,070.09 |
1.8× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$21,090.59 |
$35,150.98 |
2.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$12,127.89 |
$20,213.15 |
1.5× |
| Open treatment interphalangeal joint dislocation (28675) |
$18,514.09 |
$30,856.81 |
5.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$19,193.35 |
$31,988.91 |
2.4× |
| Open treatment metatarsal fracture each (28485) |
$24,458.10 |
$40,763.51 |
3.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$38,042.81 |
$63,404.69 |
4.8× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$48,259.28 |
$80,432.14 |
3.4× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$29,607.34 |
$49,345.57 |
3.7× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$12,465.80 |
$20,776.34 |
0.9× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$15,033.99 |
$25,056.66 |
1.9× |
| Open treatment of ulnar styloid fracture (25652) |
$7,068.34 |
$11,780.57 |
0.9× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$13,968.16 |
$23,280.26 |
3.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,305.36 |
$8,842.26 |
1.5× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$25,577.76 |
$42,629.61 |
3.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$24,937.76 |
$41,562.94 |
7.0× |
| Open tx interphalangeal joint dislocation (26785) |
$500.52 |
$834.20 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$27,651.91 |
$46,086.52 |
7.7× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$9,790.43 |
$16,317.39 |
1.2× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$15,778.29 |
$26,297.15 |
2.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$25,875.69 |
$43,126.15 |
7.2× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$17,217.66 |
$28,696.10 |
1.2× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$29,178.83 |
$48,631.38 |
2.1× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$19,443.74 |
$32,406.24 |
2.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$12,253.87 |
$20,423.12 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$25,003.61 |
$41,672.68 |
6.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$18,410.53 |
$30,684.21 |
5.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$23,955.62 |
$39,926.03 |
6.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$6,185.06 |
$10,308.43 |
1.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$14,849.67 |
$24,749.45 |
1.9× |
| Osteotomy Clavicle W Bone Graft (23485) |
$32,513.15 |
$54,188.58 |
2.3× |
| Osteotomy Phalanx Finger Each (26567) |
$9,502.72 |
$15,837.87 |
2.7× |
| Osteotomy Radius Distal Third (25350) |
$8,585.05 |
$14,308.42 |
1.1× |
| Partial excision bone talus/calcaneus (28120) |
$16,017.26 |
$26,695.43 |
4.5× |
| Partial Excision Bone Tibia (27640) |
$11,454.30 |
$19,090.51 |
3.2× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$15,079.73 |
$25,132.89 |
4.2× |
| Partial removal of thyroid (60220) |
$18,707.12 |
$31,178.54 |
2.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$20,393.72 |
$33,989.53 |
5.7× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$15,174.26 |
$25,290.43 |
1.5× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$2,873.15 |
$4,788.59 |
0.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$5,976.99 |
$9,961.64 |
1.7× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$17,215.27 |
$28,692.12 |
4.8× |
| Peri-implant capsulectomy breast complete (19371) |
$21,392.22 |
$35,653.70 |
5.0× |
| Perq dev breast 1st us imag (19285) |
$12,770.82 |
$21,284.70 |
16.5× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,240.72 |
$2,067.87 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$2,866.47 |
$4,777.45 |
10.5× |
| Place Cath Thoracic Aorta (36221) |
$12,950.31 |
$21,583.84 |
3.8× |
| Place Cath Vertebral Art (36226) |
$17,227.35 |
$28,712.25 |
2.8× |
| Plastic repair of canaliculi (68700) |
$1,539.74 |
$2,566.23 |
0.6× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$16,578.20 |
$27,630.34 |
2.5× |
| Proctosigmoidoscopy w/bx (45305) |
$3,481.33 |
$5,802.22 |
2.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$4,480.63 |
$7,467.72 |
4.4× |
| Prostate Saturation Sampling (55706) |
$11,064.27 |
$18,440.45 |
2.9× |
| Prostatectomy (turp) (52601) |
$26,257.50 |
$43,762.50 |
4.5× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$19,125.38 |
$31,875.64 |
2.7× |
| Punch biopsy skin single lesion (11104) |
$2,880.47 |
$4,800.78 |
6.5× |
| Puncture Aspiration (10160) |
$749.40 |
$1,249 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$973.31 |
$1,622.19 |
1.3× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$15,307.73 |
$25,512.89 |
4.8× |
| Rad resect tumor soft tiss neck/ant thorax <5cm (21557) |
$19,261.76 |
$32,102.94 |
6.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$6,164.05 |
$10,273.42 |
2.9× |
| Realignment extensor tendon hand each tendon (26437) |
$17,324.83 |
$28,874.72 |
4.8× |
Rebuild outer ear canal (69310)
likely a partial charge, not the full procedure |
$1,539.74 |
$2,566.23 |
0.2× |
| Reconstruc toe deform,soft tissue (28313) |
$10,303.98 |
$17,173.30 |
2.9× |
| Reconstruct finger joint (26545) |
$13,532.68 |
$22,554.47 |
3.8× |
| Reconstruct lip with flap (40525) |
$25,107.42 |
$41,845.70 |
6.9× |
| Reconstruction tongue fold (41520) |
$8,375.84 |
$13,959.73 |
2.3× |
| Reduce testis torsion (54600) |
$24,077.03 |
$40,128.38 |
6.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$36,712.93 |
$61,188.22 |
4.6× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$5,015.96 |
$8,359.94 |
1.4× |
| Release palm contracture (26121) |
$5,976.99 |
$9,961.64 |
1.7× |
| Release wrist/forearm tendon (25295) |
$5,126.72 |
$8,544.54 |
1.4× |
| Relocation of skin pocket for pacemaker (33222) |
$8,459.06 |
$14,098.43 |
3.8× |
| Rem endovas vena cava filter (37193) |
$13,874.11 |
$23,123.52 |
4.0× |
| Removal fb intranasal (30300) |
$326.62 |
$544.36 |
2.2× |
| Removal foreign body foot deep (28192) |
$12,901.82 |
$21,503.04 |
7.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,242.36 |
$2,070.60 |
1.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$14,807.56 |
$24,679.26 |
8.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$9,376.92 |
$15,628.20 |
2.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$222.28 |
$370.46 |
3.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$4,354.39 |
$7,257.32 |
67.6× |
| Removal Implant Deep (20680) |
$20,409 |
$34,015 |
6.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$719.05 |
$1,198.42 |
0.9× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$37,858.65 |
$63,097.76 |
9.3× |
| Removal of adenoids (42835) |
$8,342.67 |
$13,904.45 |
2.3× |
| Removal of adenoids (42831) |
$9,124.56 |
$15,207.60 |
2.5× |
| Removal of adenoids (42830) |
$8,305.23 |
$13,842.05 |
2.3× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$8,800.62 |
$14,667.70 |
1.1× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$20,215.90 |
$33,693.16 |
11.5× |
| Removal of heel bone (28118) |
$33,851.01 |
$56,418.35 |
9.5× |
| Removal of heel spur (28119) |
$31,192.94 |
$51,988.24 |
8.7× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$5,645.28 |
$9,408.80 |
8.2× |
| Removal of intrauterine device (iud) (58301) |
$9,460.07 |
$15,766.78 |
28.4× |
| Removal of larynx lesion (31300) |
$16,443.77 |
$27,406.28 |
4.5× |
| Removal of nail bed (11750) |
$1,591.71 |
$2,652.85 |
3.6× |
| Removal of posterior segmental instrumentation (22852) |
$28,486.72 |
$47,477.87 |
3.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$3,883.83 |
$6,473.05 |
17.7× |
| Removal of sperm cord lesion (55520) |
$12,035.80 |
$20,059.67 |
3.1× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$8,316.19 |
$13,860.32 |
3.9× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$14,240.66 |
$23,734.44 |
3.7× |
| Removal of tonsils (42826) |
$11,441.49 |
$19,069.15 |
3.2× |
| Removal ppm generator only (33233) |
$42,681.95 |
$71,136.58 |
4.7× |
| Removal subq cardiac rhythm monitor (33286) |
$1,217.46 |
$2,029.10 |
1.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$4,981.33 |
$8,302.22 |
2.2× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$19,535.30 |
$32,558.83 |
5.7× |
| Remove & replace indwell ureteral stent trurthrl (50385) |
$7,658.86 |
$12,764.77 |
3.4× |
| Remove anal fist subq (46270) |
$12,686.14 |
$21,143.57 |
4.2× |
| Remove bladder stone (52318) |
$20,043.30 |
$33,405.50 |
5.2× |
| Remove Eyelid Foreign Body (67938) |
$782.72 |
$1,304.54 |
2.3× |
| Remove femur lesion/bursa (27062) |
$14,631.66 |
$24,386.10 |
4.1× |
| Remove foreign body from eye (65210) |
$1,158.43 |
$1,930.71 |
2.4× |
| Remove in/ex hem groups 2+ (46260) |
$15,436.99 |
$25,728.32 |
5.1× |
| Remove palate/lesion (42120) |
$14,295.74 |
$23,826.24 |
2.2× |
| Remove prostate regrowth (52630) |
$10,555.45 |
$17,592.41 |
1.8× |
| Remove renal tube w/fluoro (50389) |
$5,734.13 |
$9,556.89 |
7.5× |
| Remove thyroid duct lesion (60280) |
$5,694.07 |
$9,490.11 |
0.9× |
| Remove tissue expander (11971) |
$9,563.78 |
$15,939.64 |
3.0× |
| Remove vc lesion w/scope (31545) |
$10,544.27 |
$17,573.78 |
2.6× |
| Remove wrist tendon lesion (25111) |
$19,751.65 |
$32,919.42 |
11.2× |
| Remove&replace pm gen singl (33227) |
$23,963.08 |
$39,938.46 |
2.7× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$4,569.94 |
$7,616.56 |
2.5× |
| Remv Ext Canal Foreign Body (69200) |
$222.28 |
$370.46 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$382.28 |
$637.14 |
2.6× |
| Remv&replc cvd gen dual lead (33263) |
$48,873.20 |
$81,455.33 |
2.0× |
| Remv&replc cvd gen mult lead (33264) |
$52,898.12 |
$88,163.53 |
1.5× |
| Remv&replc cvd gen sing lead (33262) |
$60,252.15 |
$100,420.25 |
2.5× |
| Remv&replc pm gen dual lead (33228) |
$31,621.46 |
$52,702.44 |
2.8× |
| Remv&replc pm gen mult leads (33229) |
$40,010.24 |
$66,683.74 |
1.9× |
| Renal biopsy (50200) |
$8,931.49 |
$14,885.82 |
5.0× |
| Repair achilles tendon (27650) |
$16,429.42 |
$27,382.38 |
2.1× |
| Repair arm tendon/muscle (24341) |
$15,105.93 |
$25,176.54 |
1.9× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$5,912.04 |
$9,853.40 |
1.7× |
| Repair collat ankle ligmnt,secondary (27698) |
$25,994.91 |
$43,324.85 |
3.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$6,101.72 |
$10,169.53 |
7.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$18,743.04 |
$31,238.40 |
42.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$5,747.37 |
$9,578.96 |
12.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$22,153.25 |
$36,922.09 |
49.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$4,430.29 |
$7,383.82 |
5.5× |
| Repair elbow deb/attch open (24359) |
$8,086.06 |
$13,476.78 |
2.3× |
| Repair elbow perc (24357) |
$10,460.22 |
$17,433.71 |
2.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$6,961.39 |
$11,602.31 |
4.0× |
| Repair finger/hand tendon (26350) |
$13,400.97 |
$22,334.95 |
3.7× |
| Repair forearm tendon/muscle (25270) |
$18,815.97 |
$31,359.95 |
5.3× |
| Repair forearm tendon/muscle (25274) |
$26,105.80 |
$43,509.66 |
7.3× |
| Repair hallux rigidus (28289) |
$15,730.84 |
$26,218.06 |
4.4× |
| Repair hand tendon (26410) |
$18,815.97 |
$31,359.95 |
10.7× |
| Repair incomplete circumcision (54163) |
$16,334.16 |
$27,223.60 |
7.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$30,934.22 |
$51,557.04 |
7.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$26,903.35 |
$44,838.91 |
6.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$6,153.48 |
$10,255.80 |
13.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$769.50 |
$1,282.50 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$532.18 |
$886.97 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$9,593.07 |
$15,988.46 |
11.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$581.12 |
$968.53 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$467.35 |
$778.92 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$837.98 |
$1,396.63 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$11,988.60 |
$19,981 |
27.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$6,797.75 |
$11,329.59 |
15.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,071.08 |
$1,785.13 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$495.28 |
$825.47 |
1.1× |
| Repair lumbar hernia (49540) |
$26,263.81 |
$43,773.02 |
4.0× |
| Repair of ankle ligament (27695) |
$27,370.99 |
$45,618.31 |
3.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$31,558.09 |
$52,596.82 |
4.5× |
| Repair of eardrum structures (69631) |
$14,567.84 |
$24,279.74 |
2.3× |
| Repair of leg tendon each (27658) |
$30,964.20 |
$51,607 |
8.7× |
| Repair of nail bed (11760) |
$11,911.85 |
$19,853.08 |
14.8× |
| Repair of nasal septum (30520) |
$10,688.15 |
$17,813.59 |
3.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$8,647.29 |
$14,412.15 |
1.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$7,322.77 |
$12,204.61 |
0.9× |
| Repair of shoulder (23420) |
$15,105.93 |
$25,176.54 |
1.9× |
| Repair of tibia (27720) |
$17,906.24 |
$29,843.73 |
2.3× |
| Repair rectum & vagina (57250) |
$18,514.84 |
$30,858.06 |
3.4× |
| Repair rotator cuff acute (23410) |
$32,020.79 |
$53,367.98 |
4.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$38,589.02 |
$64,315.04 |
4.9× |
Repair shoulder capsule (23465)
likely a partial charge, not the full procedure |
$735.57 |
$1,225.95 |
0.1× |
| Repair wrist joints (25447) |
$26,810.78 |
$44,684.64 |
7.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$14,075.61 |
$23,459.36 |
3.9× |
| Replace duod/jej tube perc (49451) |
$2,390.96 |
$3,984.94 |
2.4× |
| Replace g/c tube perc (49450) |
$4,252.86 |
$7,088.10 |
4.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$5,283.68 |
$8,806.13 |
5.3× |
| Reposition pacing-defib lead (33215) |
$10,015.34 |
$16,692.24 |
2.9× |
| Rerepair ing hernia blocked (49521) |
$31,873.43 |
$53,122.38 |
4.5× |
| Rerepair ing hernia reduce (49520) |
$43,334 |
$72,223.33 |
11.1× |
| Resect Inferior Turbinate (30140) |
$12,334.77 |
$20,557.96 |
3.4× |
| Revise arm/leg nerve (64708) |
$8,311.52 |
$13,852.53 |
3.9× |
| Revise external ear (69300) |
$4,795.47 |
$7,992.46 |
1.3× |
| Revise median n/carpal tunnel surg (64721) |
$11,188.19 |
$18,646.99 |
5.2× |
| Revise ulnar nerve at elbow (64718) |
$7,783.12 |
$12,971.87 |
3.6× |
| Revision of iris (66761) |
$1,832.72 |
$3,054.54 |
3.1× |
| Revision of reconstructed breast (19380) |
$44,034.65 |
$73,391.08 |
6.1× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$35,440.61 |
$59,067.68 |
1.9× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$13,609.20 |
$22,682 |
1.0× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$22,535.87 |
$37,559.79 |
5.9× |
| Revision peri-implant capsule breast (19370) |
$9,970.93 |
$16,618.22 |
2.3× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$34,707.14 |
$57,845.24 |
5.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$382.28 |
$637.14 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$149.94 |
$249.90 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$17,450.87 |
$29,084.79 |
13.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$18,300.51 |
$30,500.85 |
5.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$4,790.48 |
$7,984.13 |
2.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$4,210.65 |
$7,017.75 |
6.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$28,499.54 |
$47,499.23 |
8.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,505.24 |
$4,175.40 |
0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$16,876.73 |
$28,127.88 |
2.6× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$16,361.06 |
$27,268.44 |
2.3× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$14,858.90 |
$24,764.83 |
2.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$20,074.88 |
$33,458.13 |
5.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$16,663.51 |
$27,772.51 |
2.5× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$5,912.04 |
$9,853.40 |
1.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$38,287.32 |
$63,812.20 |
4.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,751.11 |
$4,585.18 |
4.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,950.96 |
$3,251.60 |
3.3× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$11,827.77 |
$19,712.95 |
1.5× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$33,662.28 |
$56,103.80 |
4.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$19,132.06 |
$31,886.77 |
5.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$20,407.93 |
$34,013.21 |
5.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$5,081.08 |
$8,468.46 |
3.9× |
| Shldr arthroscop,lyse adhesns (29825) |
$8,444.01 |
$14,073.36 |
2.4× |
| Shoulder arthroscopy (29805) |
$46,797.12 |
$77,995.20 |
13.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$7,174.93 |
$11,958.22 |
7.1× |
| Simple biopsy of growth of throat behind nose (42804) |
$2,662.31 |
$4,437.18 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$12,982.80 |
$21,638 |
29.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$507.97 |
$846.62 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$555.66 |
$926.10 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$596.14 |
$993.57 |
2.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$551.75 |
$919.58 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$495.28 |
$825.47 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$52.56 |
$87.60 |
0.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$575.27 |
$958.78 |
2.6× |
| Skin splt grft trnk/arm/leg (15100) |
$5,358.62 |
$8,931.03 |
2.4× |
| Skin sub graft face/nk/hf/g (15275) |
$6,956.39 |
$11,593.99 |
8.6× |
| Skin sub graft trnk/arm/leg (15271) |
$6,956.39 |
$11,593.99 |
8.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$5,248.63 |
$8,747.72 |
2.3× |
| Skin tissue rearrangement (14040) |
$8,564.96 |
$14,274.94 |
3.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$17,041.83 |
$28,403.05 |
4.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$17,412.87 |
$29,021.45 |
2.9× |
| Slitting of prepuce (54001) |
$23,452.27 |
$39,087.11 |
10.3× |
| Small bowel endoscopy (44376) |
$10,859.68 |
$18,099.47 |
5.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$534.64 |
$891.06 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,877.61 |
$3,129.35 |
4.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$189.84 |
$316.40 |
0.4× |
| Sphincterotomy (46080) |
$15,897.64 |
$26,496.07 |
5.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,187.91 |
$1,979.85 |
1.5× |
| Spinal Puncture Therapeutic (62272) |
$3,340.57 |
$5,567.62 |
4.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$52,609.79 |
$87,682.99 |
15.3× |
| Strapping knee (29530) |
$216.72 |
$361.20 |
1.5× |
| Strapping unna boot (29580) |
$478.88 |
$798.14 |
2.7× |
| Suprahyoid lymphadenectomy (38700) |
$11,417.72 |
$19,029.53 |
1.6× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$10,279.75 |
$17,132.91 |
2.8× |
| Suspension of testis (54640) |
$24,222.07 |
$40,370.11 |
6.2× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$38,397.63 |
$63,996.05 |
4.8× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$10,705.85 |
$17,843.08 |
2.9× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$6,215.86 |
$10,359.77 |
2.9× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$5,511.03 |
$9,185.06 |
3.1× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$59,052.24 |
$98,420.40 |
1.9× |
| Tenodesis long tendon biceps (23430) |
$7,974.27 |
$13,290.46 |
1.0× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$4,226.22 |
$7,043.71 |
1.2× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$5,015.96 |
$8,359.94 |
1.4× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,953.64 |
$6,589.40 |
2.3× |
| Tenotomy elbow lateral/medial debride open (24358) |
$16,227.11 |
$27,045.18 |
4.5× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$3,781.93 |
$6,303.22 |
4.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,475.67 |
$2,459.46 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,490.31 |
$2,483.85 |
2.2× |
| Throat Surgery Procedure (42999) |
$3,415.94 |
$5,693.24 |
13.2× |
| Thrombolytic Therapy, Stroke (37195) |
$504.57 |
$840.95 |
1.4× |
| Thyroid biopsy (60100) |
$1,907.49 |
$3,179.15 |
2.5× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$17,274.16 |
$28,790.27 |
2.7× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$10,291.45 |
$17,152.41 |
4.6× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$6,101.72 |
$10,169.53 |
2.7× |
| Tissue expander placement breast reconstruction (19357) |
$16,599.18 |
$27,665.30 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$10,402.12 |
$17,336.87 |
2.9× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$451.10 |
$751.84 |
0.0× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$259.42 |
$432.37 |
0.0× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$18,610.57 |
$31,017.62 |
8.7× |
| Transplant forearm tendon (25312) |
$10,451.62 |
$17,419.37 |
2.9× |
| Transplant forearm tendon (25310) |
$5,745.70 |
$9,576.17 |
1.6× |
| Transplant hand tendon (26480) |
$6,458.89 |
$10,764.82 |
1.8× |
| Treat clavicle dislocation (23552) |
$43,683.11 |
$72,805.18 |
5.5× |
| Treat ectopic pregnancy (59151) |
$35,610.71 |
$59,351.19 |
5.4× |
| Treat Finger Fracture Each (26727) |
$17,764.14 |
$29,606.90 |
5.0× |
| Treat fx distal radial (25606) |
$14,658.45 |
$24,430.75 |
4.1× |
| Treat fx rad extra-articul (25607) |
$24,070.75 |
$40,117.92 |
3.0× |
| Treat heel fracture (28415) |
$37,905.57 |
$63,175.95 |
4.8× |
| Treat lower leg fracture (27828) |
$73,700.32 |
$122,833.87 |
5.3× |
| Treat Metatarsal Fracture (28475) |
$793.72 |
$1,322.86 |
2.9× |
| Treat scapula fracture (23585) |
$13,797.08 |
$22,995.13 |
1.7× |
| Treat toe fracture (28525) |
$21,590.40 |
$35,984 |
6.0× |
| Treat ulnar fracture (24685) |
$36,599.70 |
$60,999.50 |
4.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,218.16 |
$2,030.27 |
4.5× |
| Treatment mouth roof lesion (42160) |
$21,106.19 |
$35,176.99 |
5.8× |
| Treatment of ankle fracture (27822) |
$30,833.09 |
$51,388.49 |
3.9× |
| Treatment of ankle fracture (27792) |
$26,206.04 |
$43,676.73 |
3.3× |
| Treatment of fibula fracture (27784) |
$13,633.08 |
$22,721.80 |
1.7× |
| Trim skin lesion (11055) |
$554.14 |
$923.57 |
2.5× |
| Trim skin lesions 2 to 4 (11056) |
$1,108.28 |
$1,847.14 |
5.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$263.87 |
$439.79 |
4.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$13,077.19 |
$21,795.32 |
3.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$13,660.79 |
$22,767.99 |
3.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,408.50 |
$2,347.51 |
1.7× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$28,079.91 |
$46,799.85 |
4.3× |
| Unlisted laparoscopy procedure, rectum (45499) |
$24,800.82 |
$41,334.69 |
3.8× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$37,539.91 |
$62,566.51 |
5.7× |
| Unlisted Procedure Breast (19499) |
$3,825.99 |
$6,376.65 |
0.9× |
| Unlisted procedure colon (45399) |
$2,917.73 |
$4,862.89 |
2.9× |
| Unlisted procedure humerus/elbow (24999) |
$15,792.73 |
$26,321.21 |
58.6× |
| Unlisted Procedure Small Intestine (44799) |
$5,057.57 |
$8,429.28 |
5.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$5,940.49 |
$9,900.82 |
6.0× |
| Unlisted procedure, hands or fingers (26989) |
$8,852.12 |
$14,753.53 |
32.9× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$32,536.69 |
$54,227.82 |
2.8× |
| Vasc embolize/occlude organ (37243) |
$15,146.63 |
$25,244.38 |
1.2× |
| Vbac delivery only (59612) |
$7,813.34 |
$13,022.24 |
2.2× |
| Venipuncture (36415) |
$46.70 |
$77.83 |
5.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,639.18 |
$7,731.96 |
1.3× |
| Wound Prep F/N/Hf/G (15004) |
$10,167.02 |
$16,945.03 |
22.9× |