| Abd paracentesis w/imaging (49083) |
$1,124.40 |
$1,874 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,101.60 |
$1,836 |
1.3× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure |
$643.20 |
$1,072 |
0.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,246.80 |
$2,078 |
0.4× |
| Amputate Metacarpal Bone (26910) |
$1,434 |
$2,390 |
0.5× |
| Amputation follow-up surgery (27594) |
$785.40 |
$1,309 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$750 |
$1,250 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,690.20 |
$2,817 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$765 |
$1,275 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$780.60 |
$1,301 |
0.3× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,643.40 |
$2,739 |
0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$1,344.60 |
$2,241 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,506.60 |
$2,511 |
0.5× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$1,793.40 |
$2,989 |
0.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$100.20 |
$167 |
0.0× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,065 |
$1,775 |
0.2× |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
$64.20–$463.20 |
$107–$772 |
varies |
| Application finger splint static (29130) |
$203.40 |
$339 |
1.6× |
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines |
$105.60–$203.40 |
$176–$339 |
varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$147.60 |
$246 |
0.6× |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
$77.40–$203.40 |
$129–$339 |
varies |
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure |
$1,161.60 |
$1,936 |
0.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$158.40 |
$264 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$78.60 |
$131 |
0.6× |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
$75.96–$203.40 |
$126.60–$339 |
varies |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
$90.60–$203.40 |
$151–$339 |
varies |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$1,023.60 |
$1,706 |
0.2× |
| Apply long arm cast (29065) |
$145.80 |
$243 |
0.6× |
| Apply Short Leg Cast (29405) |
$113.40 |
$189 |
0.4× |
| Apply short leg cast (29425) |
$133.20 |
$222 |
0.5× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$43.20–$133.80 |
$72–$223 |
varies |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,365.60 |
$2,276 |
0.5× |
Artery-vein autograft (36825)
unusually low: confirm this is the full procedure |
$1,903.80 |
$3,173 |
0.4× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines |
$109.80–$790.20 |
$183–$1,317 |
varies |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
$265.80–$489.60 |
$443–$816 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 9 matching MRF lines |
$73.20–$637.80 |
$122–$1,063 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 5 matching MRF lines |
$265.80–$1,023.60 |
$443–$1,706 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines |
$109.80–$373.20 |
$183–$622 |
varies |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,492.60 |
$5,821 |
0.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$1,820.40 |
$3,034 |
0.6× |
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure |
$1,286.40 |
$2,144 |
0.1× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$1,935 |
$3,225 |
0.6× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$1,330.20 |
$2,217 |
0.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$947.40 |
$1,579 |
0.3× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$1,815 |
$3,025 |
0.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,635.60 |
$2,726 |
0.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,637.40 |
$2,729 |
0.5× |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,421 |
$4,035 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$1,502.40 |
$2,504 |
0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,530.60 |
$2,551 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,085.60 |
$3,476 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,812.60 |
$3,021 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,603.20 |
$2,672 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,234.40 |
$3,724 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,416 |
$2,360 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,064 |
$3,440 |
0.3× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$1,059 |
$1,765 |
0.3× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,416 |
$2,360 |
0.5× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure |
$1,644.60 |
$2,741 |
0.2× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure |
$4,007.40 |
$6,679 |
0.3× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure |
$3,287.40 |
$5,479 |
0.5× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$1,923.60 |
$3,206 |
0.6× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$1,811.40 |
$3,019 |
0.6× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$2,224.80 |
$3,708 |
0.7× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$860.40 |
$1,434 |
0.6× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$808.80 |
$1,348 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$537 |
$895 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$633 |
$1,055 |
0.2× |
Arthrt w/synvct kne ant&post w/pop area (27335)
likely a partial charge, not the full procedure |
$1,440 |
$2,400 |
0.2× |
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines |
$752.40–$1,504.20 |
$1,254–$2,507 |
varies |
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines |
$752.40–$1,504.20 |
$1,254–$2,507 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$144 |
$240 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$429.60 |
$716 |
0.2× |
Av fistula revision (36833)
unusually low: confirm this is the full procedure |
$1,591.80 |
$2,653 |
0.3× |
Av Fistula Revision Open (36832)
likely a partial charge, not the full procedure |
$1,269.60 |
$2,116 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$260.40 |
$434 |
1.4× |
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure |
$1,002 |
$1,670 |
0.1× |
| Biopsy Abdominal Mass (49180) |
$2,041.80 |
$3,403 |
1.3× |
| Biopsy bone open deep (20245) |
$2,340 |
$3,900 |
0.9× |
| Biopsy bone open superficial (20240) |
$351 |
$585 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$2,928 |
$4,880 |
1.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$931.20 |
$1,552 |
0.6× |
| Biopsy of breast; open, incisional (19101) |
$507 |
$845 |
0.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,022.40 |
$1,704 |
0.7× |
| Biopsy of rectum (45100) |
$492.60 |
$821 |
0.2× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,041.60 |
$1,736 |
0.7× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$288 |
$480 |
0.2× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$848.40 |
$1,414 |
0.3× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$261.60 |
$436 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$97.80 |
$163 |
0.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$188.40 |
$314 |
0.3× |
| Bladder Irrigation (51700) |
$369.60 |
$616 |
1.6× |
| Bladder Scan (51798) |
$50.40 |
$84 |
0.9× |
| Blood Transfusion Service (36430) |
$511.20 |
$852 |
1.2× |
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure |
$1,033.20 |
$1,722 |
0.2× |
| Bone Marrow Harvest Autolog (38232) |
$331.20 |
$552 |
0.1× |
| Bone Marrow; Aspiration Only (38220) |
$118.20 |
$197 |
0.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$544.20 |
$907 |
0.3× |
| Bronchoscopy Clear Airways (31645) |
$348 |
$580 |
0.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$589.80 |
$983 |
0.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$1,837.20 |
$3,062 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$4,746.60 |
$7,911 |
3.1× |
| Bx breast 1st lesion us imag (19083) |
$1,954.80 |
$3,258 |
1.3× |
| Bx/exc lymph node open deep axillary node (38525) |
$658.20 |
$1,097 |
0.2× |
| Bx/exc lymph node open superficial (38500) |
$385.80 |
$643 |
0.1× |
| Canthotomy Separate Procedure (67715) |
$2,663.40 |
$4,439 |
1.2× |
| Carpal Tunnel Surgery (64721) |
$1,185 |
$1,975 |
0.6× |
| Catheter aspiration nasotracheal spx (31720) |
$261.60 |
$436 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$417.60 |
$696 |
1.8× |
Chest tube placement (32551)
range across 3 matching MRF lines |
$1,953.60–$3,906.60 |
$3,256–$6,511 |
varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$815.40 |
$1,359 |
0.2× |
| Circumcision 28 days or older (54161) |
$452.40 |
$754 |
0.2× |
| Circumcision Neonate (54160) |
$366 |
$610 |
0.6× |
| Circumcision w/clamp/oth dev w/block (54150) |
$323.40 |
$539 |
0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,788.40 |
$6,314 |
2.5× |
| Claviculectomy partial (23120) |
$988.80 |
$1,648 |
0.3× |
| Clear outer ear canal (69200) |
$186.60 |
$311 |
1.5× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$991.80 |
$1,653 |
0.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$287.40 |
$479 |
0.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$287.40 |
$479 |
1.2× |
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines |
$287.40–$349.80 |
$479–$583 |
varies |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$287.40 |
$479 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$975 |
$1,625 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$274.20 |
$457 |
1.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$330.60 |
$551 |
1.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$232.80 |
$388 |
1.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,827.20 |
$4,712 |
1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$648 |
$1,080 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$182.40 |
$304 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,827.20 |
$4,712 |
12.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$287.40 |
$479 |
1.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$252 |
$420 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$200.40 |
$334 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,000.80 |
$1,668 |
0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$205.80 |
$343 |
0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,000.80 |
$1,668 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$213 |
$355 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$200.40 |
$334 |
0.9× |
| Closed tx septal&nose fx (21337) |
$3,151.20 |
$5,252 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,721 |
$4,535 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$345 |
$575 |
1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$264.60 |
$441 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$177 |
$295 |
0.8× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$507.60 |
$846 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,827.20 |
$4,712 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$287.40 |
$479 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,827.20 |
$4,712 |
1.9× |
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines |
$287.40–$574.20 |
$479–$957 |
varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$326.40 |
$544 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$287.40 |
$479 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$240.60 |
$401 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$287.40 |
$479 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$162 |
$270 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$288 |
$480 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,976.40 |
$3,294 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,000.80 |
$1,668 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$247.20 |
$412 |
1.1× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$346.80 |
$578 |
0.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,788.40 |
$6,314 |
2.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$287.40 |
$479 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$114 |
$190 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$108 |
$180 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,788.40 |
$6,314 |
2.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$223.20 |
$372 |
1.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$429 |
$715 |
1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,788.40 |
$6,314 |
2.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,827.20 |
$4,712 |
1.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$243.60 |
$406 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,827.20 |
$4,712 |
10.8× |
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines |
$287.40–$297 |
$479–$495 |
varies |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,788.40 |
$6,314 |
2.5× |
| Cltx Medial Ankle Fx (27760) |
$246 |
$410 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$287.40 |
$479 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$231.60 |
$386 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,827.20 |
$4,712 |
1.9× |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines |
$265.20–$287.40 |
$442–$479 |
varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$518.40 |
$864 |
2.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,070.40 |
$1,784 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$287.40 |
$479 |
1.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,788.40 |
$6,314 |
2.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$290.40 |
$484 |
1.3× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,788.40 |
$6,314 |
1.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$287.40 |
$479 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$287.40 |
$479 |
1.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$295.20 |
$492 |
1.3× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$312.60 |
$521 |
1.4× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$303.60 |
$506 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,000.80 |
$1,668 |
0.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$155.40 |
$259 |
1.2× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$12–$17.40 |
$20–$29 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$928.80 |
$1,548 |
0.8× |
| Colonoscopy thru stoma (44388) |
$519.60 |
$866 |
0.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$850.20 |
$1,417 |
0.8× |
| Colonoscopy w/ablation (45388) |
$928.80 |
$1,548 |
0.8× |
| Colonoscopy W/Band Ligation (45398) |
$867 |
$1,445 |
0.8× |
| Colonoscopy w/submucosal inj (45381) |
$664.80 |
$1,108 |
0.6× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$109.20 |
$182 |
0.6× |
| Colposcopy entire vagina w/cervix if present (57420) |
$126 |
$210 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$867 |
$1,445 |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,250.40 |
$2,084 |
1.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$875.40 |
$1,459 |
0.8× |
| Complex drainage wound (10180) |
$374.40 |
$624 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$311.40 |
$519 |
2.5× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$155.40–$311.40 |
$259–$519 |
varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,052.60 |
$3,421 |
1.3× |
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
unusually low: confirm this is the full procedure |
$1,871.40 |
$3,119 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$155.40 |
$259 |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$293.40 |
$489 |
1.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$406.20 |
$677 |
0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$409.20 |
$682 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$633 |
$1,055 |
0.2× |
| Cysto w/insert ureteral stent (52332) |
$673.80 |
$1,123 |
0.2× |
| Cysto w/removal of lesions small (52224) |
$664.80 |
$1,108 |
0.2× |
| Cysto w/removal of tumors small (52234) |
$690.60 |
$1,151 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$477 |
$795 |
0.2× |
Cysto w/ureteroscopy w/lithotripsy (52353)
unusually low: confirm this is the full procedure |
$1,840.80 |
$3,068 |
0.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,403.40 |
$2,339 |
0.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$866.40 |
$1,444 |
0.3× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$972 |
$1,620 |
0.2× |
| Cysto/uretero w/lithotripsy (52356) |
$2,775 |
$4,625 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,112.40 |
$1,854 |
0.6× |
| Cystourethroscopy (52000) |
$293.40 |
$489 |
0.4× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$1,246.80 |
$2,078 |
0.4× |
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
unusually low: confirm this is the full procedure |
$1,562.40 |
$2,604 |
0.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$768.60 |
$1,281 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$435.60 |
$726 |
0.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$832.80 |
$1,388 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$66.60 |
$111 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,207.80 |
$2,013 |
0.4× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$735.60 |
$1,226 |
1.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$956.40 |
$1,594 |
0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$264 |
$440 |
0.4× |
| Debride nail 1-5 (11720) |
$96 |
$160 |
1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$427.80 |
$713 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$145.80 |
$243 |
0.4× |
| Declot vascular device (36593) |
$431.40 |
$719 |
1.4× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$1,257.60 |
$2,096 |
0.4× |
| Destruct B9 Lesion 1-14 (17110) |
$124.20 |
$207 |
0.7× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$384.60 |
$641 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$189 |
$315 |
0.2× |
| Dilat female urethra general/cndj spinal anes (53665) |
$121.80 |
$203 |
0.1× |
| Dilate Esophagus 1/Mult Pass (43450) |
$246.60 |
$411 |
0.3× |
| Dilation Esophagus Guide Wire (43453) |
$220.20 |
$367 |
0.1× |
| Disarticulation At Knee (27598) |
$1,656 |
$2,760 |
0.5× |
| Drain Cerebro Spinal Fluid (62272) |
$917.40 |
$1,529 |
1.4× |
| Drain Hand Tendon Sheath (26020) |
$745.80 |
$1,243 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$465.60 |
$776 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$864 |
$1,440 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,470 |
$2,450 |
0.9× |
| Drainage of finger abscess simple (26010) |
$307.80 |
$513 |
1.6× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$117.60–$2,052.60 |
$196–$3,421 |
varies |
| Drainage of palmar bursa single bursa (26025) |
$960 |
$1,600 |
0.3× |
| Drainage of rectal abscess (45005) |
$345.60 |
$576 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$1,526.40 |
$2,544 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$155.40 |
$259 |
1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,440.60 |
$2,401 |
2.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$249.60 |
$416 |
0.4× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$272.40 |
$454 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.60 |
$326 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$267 |
$445 |
0.1× |
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines |
$3,292.20–$6,585 |
$5,487–$10,975 |
varies |
| Dx Bronchoscope/Lavage (31624) |
$399 |
$665 |
0.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$927 |
$1,545 |
1.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$570 |
$950 |
0.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,017 |
$1,695 |
0.6× |
| Egd control bleeding any (43255) |
$711 |
$1,185 |
0.4× |
| Egd dilation gastric/duodenal stricture (43245) |
$607.20 |
$1,012 |
0.3× |
| Egd guide wire insertion (43248) |
$549 |
$915 |
0.6× |
| Egd lesion ablation (43270) |
$703.20 |
$1,172 |
0.4× |
| Egd place gastrostomy tube (43246) |
$757.20 |
$1,262 |
0.4× |
| Egd remove lesion snare (43251) |
$669.60 |
$1,116 |
0.4× |
| Egd Varices Ligation (43244) |
$679.20 |
$1,132 |
0.4× |
Emblc/thrmbc ax brach innominate subcla art (34101)
likely a partial charge, not the full procedure |
$1,521.60 |
$2,536 |
0.3× |
| Endometrial Biopsy (58100) |
$89.40 |
$149 |
0.5× |
| Endoscopy Upper Small Intestine (44360) |
$543.60 |
$906 |
0.3× |
| Endoscopy upper small intestine w/biopsy (44361) |
$618.60 |
$1,031 |
0.3× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$4,138.20 |
$6,897 |
1.4× |
| Enterorrhaphy single perforation (44602) |
$1,472.40 |
$2,454 |
0.4× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$1,014 |
$1,690 |
0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$627 |
$1,045 |
0.3× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$460.20 |
$767 |
0.3× |
| Epidural Blood Patch (62273) |
$881.40 |
$1,469 |
1.3× |
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure |
$993 |
$1,655 |
0.2× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$744 |
$1,240 |
0.2× |
| Ercp ea duct/ampulla dilate (43277) |
$1,029 |
$1,715 |
0.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,164.60 |
$1,941 |
0.3× |
| Ercp remove forgn body duct (43275) |
$1,026 |
$1,710 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$860.40 |
$1,434 |
0.2× |
| Ercp,Sphincterotomy (43262) |
$1,047 |
$1,745 |
0.3× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$692.40 |
$1,154 |
0.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$431.40 |
$719 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$145.20 |
$242 |
1.2× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,109.40 |
$1,849 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$598.20 |
$997 |
0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$187.80 |
$313 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$337.80 |
$563 |
0.2× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$1,470.60 |
$2,451 |
0.5× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$898.80 |
$1,498 |
0.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$510.60 |
$851 |
0.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$336.60 |
$561 |
0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$243 |
$405 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$301.20 |
$502 |
0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$724.20 |
$1,207 |
0.5× |
| Exc ganglion wrist recurrent (25112) |
$807 |
$1,345 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$144 |
$240 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$276 |
$460 |
0.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$543.60 |
$906 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$719.40 |
$1,199 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$308.40 |
$514 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$383.40 |
$639 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$523.80 |
$873 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$434.40 |
$724 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$657.60 |
$1,096 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$552 |
$920 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,440 |
$2,400 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$271.80 |
$453 |
0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$309 |
$515 |
0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$574.80 |
$958 |
0.2× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$749.40 |
$1,249 |
0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$708 |
$1,180 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$981.60 |
$1,636 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$699.60 |
$1,166 |
0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$471.60 |
$786 |
0.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$832.20 |
$1,387 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$558 |
$930 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$525.60 |
$876 |
0.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$463.20 |
$772 |
0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$390 |
$650 |
0.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$1,003.20 |
$1,672 |
0.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$537.60 |
$896 |
0.2× |
| Excision Infected Graft Extremity (35903) |
$1,577.40 |
$2,629 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$257.40 |
$429 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$336.60 |
$561 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$344.40 |
$574 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$583.80 |
$973 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$336 |
$560 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$220.20 |
$367 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$336.60 |
$561 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$408.60 |
$681 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$593.40 |
$989 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$250.80 |
$418 |
0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$699 |
$1,165 |
0.5× |
| Excision of hydrocele; bilateral (55041) |
$1,246.80 |
$2,078 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$941.40 |
$1,569 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$480.60 |
$801 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$220.80 |
$368 |
0.2× |
| Excision olecranon bursa (24105) |
$644.40 |
$1,074 |
0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$1,051.80 |
$1,753 |
0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$839.40 |
$1,399 |
0.3× |
| Excision prepatellar bursa (27340) |
$749.40 |
$1,249 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$928.80 |
$1,548 |
0.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$518.40 |
$864 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$563.40 |
$939 |
0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$695.40 |
$1,159 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$733.80 |
$1,223 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$622.80 |
$1,038 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$864 |
$1,440 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$627.60 |
$1,046 |
0.4× |
| Exploration of knee joint (27310) |
$1,306.80 |
$2,178 |
0.4× |
| Exploratory elbow surgery (24000) |
$1,140 |
$1,900 |
0.4× |
| Explore/Treat Knee Joint (27331) |
$1,356 |
$2,260 |
0.4× |
| Fasciotomy palmar percutaneous (26040) |
$596.40 |
$994 |
0.4× |
| Fetal non-stress test (59025) |
$236.40 |
$394 |
1.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,471.80 |
$2,453 |
2.2× |
| Fluoro exam of g/colon tube (49465) |
$319.80 |
$533 |
1.4× |
| Fna bx w/us gdn 1st les (10005) |
$933 |
$1,555 |
1.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$1,527.60 |
$2,546 |
0.4× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$1,243.20 |
$2,072 |
0.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$841.20 |
$1,402 |
0.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$604.80 |
$1,008 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,120.20 |
$1,867 |
0.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$939.60 |
$1,566 |
0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$366.60 |
$611 |
0.4× |
| I&d abscess peritonsillar (42700) |
$292.80 |
$488 |
1.3× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$81–$321.60 |
$135–$536 |
varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$511.20 |
$852 |
0.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,074 |
$1,790 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$578.40 |
$964 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,001.40 |
$1,669 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,188.60 |
$1,981 |
0.4× |
| I&d perianal abscess superficial (46050) |
$1,156.80 |
$1,928 |
1.3× |
| I&d pilonidal cyst complicated (10081) |
$593.40 |
$989 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$234 |
$390 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$437.40 |
$729 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$493.20 |
$822 |
0.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$375 |
$625 |
0.4× |
| Image Cath Fluid Peri/Retro (49406) |
$3,244.80 |
$5,408 |
2.1× |
| Incise external hemorrhoid (46083) |
$445.20 |
$742 |
1.9× |
| Incise finger tendon sheath (26055) |
$661.20 |
$1,102 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$524.40 |
$874 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$792.60 |
$1,321 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,209.60 |
$2,016 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$480.60 |
$801 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$369.60 |
$616 |
1.3× |
| Incision bone cortex foot (28005) |
$730.80 |
$1,218 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$688.20 |
$1,147 |
0.5× |
| Incision of rectal abscess (46040) |
$1,425 |
$2,375 |
1.3× |
| Incision of urethra (53020) |
$183 |
$305 |
0.1× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$1,558.20 |
$2,597 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$179.40 |
$299 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$195.60 |
$326 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$178.80 |
$298 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$67.80 |
$113 |
0.2× |
| Injection for identification of sentinel node (38792) |
$616.80 |
$1,028 |
1.6× |
| Injection single tendon origin/insertion (20551) |
$49.80 |
$83 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$65.40 |
$109 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$60 |
$100 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$306 |
$510 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$2,160 |
$3,600 |
0.7× |
| Ins cath ren art 1st unilat (36251) |
$4,485.60 |
$7,476 |
1.5× |
| Ins endovas vena cava filtr (37191) |
$6,673.80 |
$11,123 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$193.80 |
$323 |
1.6× |
| Insert cath pleura w/ image (32557) |
$1,953.60 |
$3,256 |
1.3× |
| Insert cath pleura w/o image (32556) |
$614.40 |
$1,024 |
0.3× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,889.40 |
$3,149 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,974.40 |
$6,624 |
1.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,953.60 |
$3,256 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$155.40 |
$259 |
1.2× |
| Insert tun ip cath perc (49418) |
$5,635.20 |
$9,392 |
1.7× |
| Insert tunneled cv cath (36561) |
$4,174.80 |
$6,958 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$155.40 |
$259 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,611.60 |
$7,686 |
1.4× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$731.40 |
$1,219 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,497.80 |
$4,163 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,325 |
$18,875 |
1.5× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$930.60 |
$1,551 |
0.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,974.40 |
$6,624 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,236.60 |
$2,061 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,953.60 |
$3,256 |
1.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$1,288.80 |
$2,148 |
0.4× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,139.60 |
$8,566 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,173 |
$6,955 |
1.4× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$56,131.20 |
$93,552 |
1.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,325 |
$18,875 |
1.5× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$283.80 |
$473 |
0.0× |
| Insrt heart pm atrial & vent (33208) |
$10,355.40 |
$17,259 |
1.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$299.40 |
$499 |
0.1× |
| Intro cath dialysis circuit (36901) |
$1,156.80 |
$1,928 |
0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$16,460.40 |
$27,434 |
1.5× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$8,148.60 |
$13,581 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$415.80 |
$693 |
1.9× |
| Knee arthroscopy/drainage (29871) |
$1,341 |
$2,235 |
0.4× |
| Knee Arthroscopy/Surgery (29874) |
$1,567.20 |
$2,612 |
0.5× |
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure |
$1,257.60 |
$2,096 |
0.2× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure |
$1,644 |
$2,740 |
0.3× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$1,123.20 |
$1,872 |
0.2× |
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure |
$1,398.60 |
$2,331 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,020.20 |
$3,367 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,144.40 |
$3,574 |
0.2× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure |
$1,107 |
$1,845 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,205.40 |
$2,009 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$1,051.80 |
$1,753 |
0.2× |
| Laryngoscopy diagnostic (31505) |
$228 |
$380 |
1.2× |
| Laryngoscopy flexible diagnostic (31575) |
$336 |
$560 |
1.8× |
| Late closure of wound (13160) |
$1,327.20 |
$2,212 |
0.4× |
| Lateral retinacular release open (27425) |
$1,536 |
$2,560 |
0.5× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$682.80 |
$1,138 |
0.2× |
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure |
$1,962 |
$3,270 |
0.3× |
| Ligate/strip long leg vein (37722) |
$1,359 |
$2,265 |
0.5× |
| Ligation of a-v fistula (37607) |
$3,817.20 |
$6,362 |
1.3× |
| Ligation of hemorrhoids (46946) |
$298.20 |
$497 |
0.1× |
| Ligation or biopsy temporal artery (37609) |
$506.40 |
$844 |
0.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$931.20 |
$1,552 |
0.3× |
| Lithotripsy, extracorporeal shock wave (50590) |
$1,966.20 |
$3,277 |
0.6× |
| Manipulation Elbow Under Anesthesia (24300) |
$614.40 |
$1,024 |
0.4× |
| Manipulation knee joint under general anesthesia (27570) |
$367.20 |
$612 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,418 |
$4,030 |
0.4× |
| Mastectomy partial (19301) |
$1,122.60 |
$1,871 |
0.3× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$1,903.20 |
$3,172 |
0.3× |
| Myelography Lumbar Injection (62304) |
$633 |
$1,055 |
0.9× |
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines |
$1,944–$1,954.80 |
$3,240–$3,258 |
varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.60 |
$56 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$33.60 |
$56 |
1.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,549.80 |
$2,583 |
0.8× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,072.20 |
$1,787 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,483.20 |
$2,472 |
0.2× |
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure |
$2,193 |
$3,655 |
0.2× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$1,941 |
$3,235 |
0.2× |
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure |
$1,242.60 |
$2,071 |
0.2× |
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure |
$1,126.20 |
$1,877 |
0.2× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$1,499.40 |
$2,499 |
0.1× |
| Open treatment interphalangeal joint dislocation (28675) |
$825.60 |
$1,376 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,143.60 |
$1,906 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,003.20 |
$1,672 |
0.1× |
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure |
$1,431.60 |
$2,386 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure |
$1,302.60 |
$2,171 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,103.40 |
$1,839 |
0.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
unusually low: confirm this is the full procedure |
$2,226 |
$3,710 |
0.3× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure |
$2,458.20 |
$4,097 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure |
$2,421.60 |
$4,036 |
0.2× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$1,427.40 |
$2,379 |
0.5× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure |
$1,959 |
$3,265 |
0.2× |
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure |
$1,218.60 |
$2,031 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$1,540.20 |
$2,567 |
0.1× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,156.20 |
$1,927 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,146.60 |
$1,911 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,063.20 |
$1,772 |
0.3× |
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure |
$1,194 |
$1,990 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,208.40 |
$2,014 |
0.2× |
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure |
$2,157.60 |
$3,596 |
0.2× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,181.40 |
$1,969 |
0.1× |
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure |
$1,602.60 |
$2,671 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,141.20 |
$1,902 |
0.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$1,247.40 |
$2,079 |
0.4× |
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure |
$1,293 |
$2,155 |
0.1× |
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure |
$1,675.80 |
$2,793 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$1,691.40 |
$2,819 |
0.2× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,224 |
$2,040 |
0.2× |
| Open/Perq Place Stent 1St (37236) |
$17,764.20 |
$29,607 |
1.6× |
| Open/Perq Place Stent Same (37238) |
$17,764.20 |
$29,607 |
1.6× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,179.60 |
$1,966 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure |
$1,314.60 |
$2,191 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$2,464.20 |
$4,107 |
0.4× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$1,567.20 |
$2,612 |
0.1× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure |
$1,924.20 |
$3,207 |
0.3× |
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure |
$2,129.40 |
$3,549 |
0.2× |
Osteochondral knee autograft (27416)
unusually low: confirm this is the full procedure |
$2,502 |
$4,170 |
0.4× |
| Part remv talus or calcaneus (28120) |
$798.60 |
$1,331 |
0.3× |
| Partial excision bone olecranon process (24147) |
$1,307.40 |
$2,179 |
0.4× |
| Partial Excision Bone Radius (25151) |
$1,341 |
$2,235 |
0.4× |
| Partial removal of penis (54120) |
$1,050.60 |
$1,751 |
0.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,953.60 |
$3,256 |
1.3× |
| Peritoneal Lavage (49084) |
$207.60 |
$346 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$1,099.80 |
$1,833 |
1.7× |
Perq device breast 1st imag (19281)
range across 3 matching MRF lines |
$861.60–$1,099.80 |
$1,436–$1,833 |
varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$336 |
$560 |
0.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,179.60 |
$1,966 |
0.4× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure |
$3,753 |
$6,255 |
0.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$8,143.80 |
$13,573 |
1.5× |
| Pin hand dislocation (26676) |
$1,005.60 |
$1,676 |
0.3× |
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines |
$4,568.40–$9,136.80 |
$7,614–$15,228 |
varies |
| Place Cath Thoracic Aorta (36221) |
$4,568.40 |
$7,614 |
1.5× |
| Place Cath Vertebral Art (36226) |
$7,491.60 |
$12,486 |
1.4× |
| Place Duod/Jej Tube Perc (49441) |
$798 |
$1,330 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$375 |
$625 |
0.9× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$5,746.20 |
$9,577 |
0.3× |
| Proctopexy Perineal Approach (45541) |
$1,616.40 |
$2,694 |
0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$119.40 |
$199 |
0.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$193.20 |
$322 |
0.2× |
Prosthesis Removal Humeral/Glenoid Component (23334)
likely a partial charge, not the full procedure |
$1,631.40 |
$2,719 |
0.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$603.60 |
$1,006 |
0.2× |
Prq skel fixj femoral fx prox end neck (27235)
unusually low: confirm this is the full procedure |
$2,148.60 |
$3,581 |
0.3× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure |
$1,248 |
$2,080 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$1,029 |
$1,715 |
0.3× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure |
$1,208.40 |
$2,014 |
0.2× |
| Pseudoaneurysm Injection Trt (36002) |
$384.60 |
$641 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$490.20 |
$817 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$496.20 |
$827 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$814.20 |
$1,357 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$4,579.20 |
$7,632 |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$864 |
$1,440 |
1.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$802.20 |
$1,337 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$108.60 |
$181 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$110.40 |
$184 |
2.0× |
| Removal Implant Deep (20680) |
$1,706.40 |
$2,844 |
0.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$864 |
$1,440 |
0.6× |
| Removal of anal fissure (46200) |
$598.80 |
$998 |
0.2× |
Removal of hip prosthesis; (separate procedure) Facility (27090)
likely a partial charge, not the full procedure |
$1,464 |
$2,440 |
0.2× |
| Removal of nail bed (11750) |
$551.40 |
$919 |
1.4× |
| Removal of sperm cord lesion (55520) |
$690.60 |
$1,151 |
0.2× |
| Removal of testis (54520) |
$753.60 |
$1,256 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$781.80 |
$1,303 |
0.3× |
| Removal of wrist bone (25210) |
$1,071 |
$1,785 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$105.60 |
$176 |
0.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$864 |
$1,440 |
1.3× |
| Removal sweat gland lesion (11450) |
$577.20 |
$962 |
0.2× |
| Removal, under anesthesia, of external fixation system (20694) |
$655.20 |
$1,092 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$45.60 |
$76 |
0.2× |
| Remove foreign body from eye (65205) |
$262.80 |
$438 |
2.1× |
| Remove knee joint lining (27334) |
$1,771.20 |
$2,952 |
0.6× |
| Remove Lower Leg Bone Lesion (27635) |
$1,311.60 |
$2,186 |
0.4× |
| Remove lung catheter (32552) |
$839.40 |
$1,399 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$315.60 |
$526 |
2.5× |
| Remove Tendon Sheath Lesion (26160) |
$236.40 |
$394 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$339 |
$565 |
0.8× |
| Remv&replc pm gen mult leads (33229) |
$17,317.20 |
$28,862 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,954.80 |
$3,258 |
1.3× |
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure |
$1,411.80 |
$2,353 |
0.2× |
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure |
$1,680 |
$2,800 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$942.60 |
$1,571 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$942.60 |
$1,571 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$442.20 |
$737 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$942.60 |
$1,571 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$442.20 |
$737 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$454.80 |
$758 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,288.80 |
$2,148 |
0.9× |
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure |
$879.60 |
$1,466 |
0.1× |
| Repair Hand Tendon (26410) |
$1,230 |
$2,050 |
0.8× |
| Repair initial femoral hernia, any age; reducible (49550) |
$996 |
$1,660 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,242 |
$2,070 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$301.20 |
$502 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$301.20 |
$502 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$327.60 |
$546 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$327.60 |
$546 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$327.60 |
$546 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$301.20 |
$502 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$301.20 |
$502 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$327.60 |
$546 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$889.20 |
$1,482 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$301.20 |
$502 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$301.20 |
$502 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$735.60 |
$1,226 |
0.4× |
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure |
$1,851 |
$3,085 |
0.2× |
| Repair of hydrocele (55060) |
$837 |
$1,395 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,305 |
$2,175 |
0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$727.80 |
$1,213 |
0.2× |
| Repair Toe Dislocation (28645) |
$597 |
$995 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,492.80 |
$2,488 |
0.2× |
| Replace g/c tube perc (49450) |
$490.80 |
$818 |
0.6× |
| Reposition Gastrostomy Tube (43761) |
$1,614.60 |
$2,691 |
6.9× |
| Reposition Venous Catheter (36597) |
$105 |
$175 |
0.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,390.20 |
$2,317 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$1,296.60 |
$2,161 |
0.4× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$1,377 |
$2,295 |
0.4× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$1,518.60 |
$2,531 |
0.5× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
unusually low: confirm this is the full procedure |
$3,990.60 |
$6,651 |
0.3× |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
unusually low: confirm this is the full procedure |
$4,365 |
$7,275 |
0.4× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$640.80 |
$1,068 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$5,250 |
$8,750 |
0.4× |
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure |
$4,520.40 |
$7,534 |
0.3× |
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure |
$3,383.40 |
$5,639 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$203.40 |
$339 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$292.20 |
$487 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$292.20 |
$487 |
2.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$170.40 |
$284 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$329.40 |
$549 |
0.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$733.80 |
$1,223 |
0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,954.80 |
$3,258 |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,953.60 |
$3,256 |
1.3× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
$175.80–$353.40 |
$293–$589 |
varies |
| Rplc Gtube No Revj Trc (43762) |
$369.60 |
$616 |
1.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$582 |
$970 |
0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$799.20 |
$1,332 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,974.40 |
$6,624 |
1.3× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,386.60 |
$2,311 |
0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$694.20 |
$1,157 |
0.2× |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure |
$1,426.20 |
$2,377 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,209 |
$2,015 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,093.80 |
$1,823 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$835.20 |
$1,392 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,096.80 |
$1,828 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$930 |
$1,550 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$864 |
$1,440 |
1.3× |
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure |
$732 |
$1,220 |
0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$327.60 |
$546 |
1.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$309 |
$515 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$434.40 |
$724 |
0.4× |
| Shoulder arthroscopy diagnostic (29805) |
$895.20 |
$1,492 |
0.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,671 |
$2,785 |
0.5× |
| Sigmoidoscopy & decompress (45337) |
$453 |
$755 |
0.5× |
| Sigmoidoscopy & Polypectomy (45333) |
$401.40 |
$669 |
0.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$261.60 |
$436 |
0.3× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$397.20 |
$662 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$327.60 |
$546 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$301.20 |
$502 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$327.60 |
$546 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$327.60 |
$546 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$301.20 |
$502 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$327.60 |
$546 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$196.20 |
$327 |
0.3× |
| Skin sub grft t/arm/lg child (15273) |
$541.20 |
$902 |
0.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,136.80 |
$15,228 |
1.7× |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
$3,974.40–$7,950 |
$6,624–$13,250 |
varies |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
$7,491.60–$14,983.20 |
$12,486–$24,972 |
varies |
| Small bowel endoscopy (44366) |
$570 |
$950 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$301.20 |
$502 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$327.60 |
$546 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$327.60 |
$546 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$881.40 |
$1,469 |
1.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$1,511.40 |
$2,519 |
0.5× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$1,017.60 |
$1,696 |
0.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,284 |
$2,140 |
0.4× |
| Surg tx anal fistula subq (46270) |
$568.80 |
$948 |
0.2× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,209.60 |
$2,016 |
0.2× |
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure |
$1,347.60 |
$2,246 |
0.2× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,606.80 |
$2,678 |
0.2× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,329 |
$2,215 |
0.2× |
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
likely a partial charge, not the full procedure |
$995.40 |
$1,659 |
0.2× |
| Thrombolytic Art Therapy (37211) |
$3,369.60 |
$5,616 |
0.6× |
| Thrombolytic Therapy Stroke (37195) |
$426.60 |
$711 |
1.4× |
| Thyroid biopsy (60100) |
$864 |
$1,440 |
1.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,272 |
$2,120 |
0.4× |
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure |
$3,774.60 |
$6,291 |
0.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,881 |
$3,135 |
8.5× |
| Tracheostomy planned (31600) |
$709.80 |
$1,183 |
0.2× |
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure |
$1,758.60 |
$2,931 |
0.3× |
| Transurethral resection bladder neck (52500) |
$1,084.20 |
$1,807 |
0.3× |
| Treat Big Toe Fracture (28505) |
$720.60 |
$1,201 |
0.2× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,300.40 |
$3,834 |
0.2× |
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure |
$1,486.80 |
$2,478 |
0.2× |
| Treat Finger Fracture Each (26727) |
$2,152.20 |
$3,587 |
0.7× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,672.20 |
$2,787 |
0.2× |
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure |
$1,179.60 |
$1,966 |
0.2× |
| Treat humerus fracture (24500) |
$340.80 |
$568 |
1.5× |
| Treat Humerus Fracture (24505) |
$287.40 |
$479 |
0.2× |
| Treat humerus fracture (23600) |
$278.40 |
$464 |
1.2× |
| Treat knee fracture (27532) |
$3,931.20 |
$6,552 |
1.3× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$1,519.20 |
$2,532 |
0.2× |
| Treat Knuckle Dislocation (26700) |
$196.80 |
$328 |
0.9× |
| Treat lower leg bone lesion (27607) |
$1,171.20 |
$1,952 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$287.40 |
$479 |
1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,827.20 |
$4,712 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$287.40 |
$479 |
1.2× |
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure |
$1,929.60 |
$3,216 |
0.3× |
| Treatment of foot infection (28003) |
$807.60 |
$1,346 |
0.3× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,321.40 |
$3,869 |
0.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$145.20 |
$242 |
2.6× |
| Trluml Balo Angiop 1St Art (37246) |
$8,143.80 |
$13,573 |
1.5× |
| Trluml Balo Angiop 1St Vein (37248) |
$8,143.80 |
$13,573 |
1.5× |
| Trurl drainage prostatic abscess (52700) |
$748.20 |
$1,247 |
0.2× |
| Tx Gastro Intub W/Asp (43753) |
$463.20 |
$772 |
2.3× |
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure |
$2,601 |
$4,335 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,827.20 |
$4,712 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$775.80 |
$1,293 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$183.60 |
$306 |
0.8× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$2,213.40 |
$3,689 |
0.2× |
| Unlisted Procedure Endocrine System (60699) |
$7,222.80 |
$12,038 |
1.3× |
| Unlisted Procedure Male Genital System (55899) |
$202.20 |
$337 |
0.9× |
| Vasc embolize/occlude artery (37242) |
$17,063.40 |
$28,439 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$16,918.20 |
$28,197 |
1.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$457.20 |
$762 |
0.2× |
| Venous Mech Thrombectomy (37187) |
$5,746.20 |
$9,577 |
0.5× |
| Wound Prep Trk/Arm/Leg (15002) |
$602.40 |
$1,004 |
0.9× |