| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$17,034.17 |
— |
0.8× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$23,694.95 |
— |
2.6× |
| Acne surgery (10040) |
$463 |
$463 |
1.8× |
| Acromiopl/Acromionect Partial (23130) |
$17,034.17 |
— |
4.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$8,687.53 |
— |
3.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$18,198.93 |
— |
4.1× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$11,371.26 |
— |
4.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$16,704.64 |
— |
6.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$12,750.32 |
— |
5.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$15,246.05 |
— |
5.9× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$17,034.17 |
— |
1.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$12,956.92 |
— |
3.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$11,371.26 |
— |
2.8× |
| Amputate Metacarpal Bone (26910) |
$15,246.05 |
— |
3.7× |
| Amputation metatarsal with toe single (28810) |
$12,043.75 |
— |
2.9× |
| Amputation toe interphalangeal joint (28825) |
$12,043.75 |
— |
2.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$12,043.75 |
— |
2.9× |
| Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905) |
$23,694.95 |
— |
2.6× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$23,694.95 |
— |
5.8× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$4,600.98 |
— |
12.0× |
| Ankle Arthroscopy/Surgery (29892) |
$17,034.17 |
— |
1.9× |
| Anterior Tibial Tubercleplasty (27418) |
$17,034.17 |
— |
1.9× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$4,600.98 |
— |
22.7× |
| Application cast elbow finger short arm (29075) |
$4,600.98 |
— |
13.2× |
| Application Cast Finger (29086) |
$284.08 |
— |
1.4× |
Application Cast Shoulder Spica (29055) range across 2 matching MRF lines |
$917–$1,418 |
$917–$1,418 |
varies |
| Application Finger Splint Dynamic (29131) |
$284.08 |
— |
3.9× |
Application finger splint static (29130) range across 4 matching MRF lines |
$284.08–$333.66 |
— |
varies |
| Application Hip Spica Cast 1 Leg (29305) |
$4,600.98 |
— |
13.2× |
Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$284.08–$851.92 |
— |
varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$17,369.28 |
— |
49.7× |
| Application Long Leg Splint (29505) |
$4,600.98 |
— |
22.7× |
| Application multiplane external fixation system (20692) |
$15,246.05 |
— |
1.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$4,600.98 |
— |
13.2× |
| Application of long leg cast (29345) |
$4,600.98 |
— |
13.2× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$18,198.93 |
— |
0.5× |
| Application of rigid total contact leg cast (29445) |
$4,600.98 |
— |
13.2× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$4,600.98 |
— |
13.2× |
| Application Patellar Tendon Bearing Cast (29435) |
$4,600.98 |
— |
13.2× |
| Application risser jacket localizer body only (29010) |
$4,600.98 |
— |
13.2× |
| Application Short Arm Splint Dynamic (29126) |
$502.21 |
— |
3.0× |
Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$284.08–$464.99 |
— |
varies |
| Application short leg splint calf foot (29515) |
$4,600.98 |
— |
22.7× |
| Application uniplane external fixation system (20690) |
$17,034.17 |
— |
1.9× |
| Apply hand/wrist cast (29085) |
$64,780.46 |
— |
319.4× |
| Apply long arm cast (29065) |
$4,600.98 |
— |
13.2× |
| Apply Short Leg Cast (29405) |
$4,600.98 |
— |
13.2× |
| Apply short leg cast (29425) |
$4,600.98 |
— |
13.2× |
| Arrest Epiphyseal Distal Femur (27475) |
$17,034.17 |
— |
1.9× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$23,694.95 |
— |
5.8× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$15,246.05 |
— |
3.7× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$15,246.05 |
— |
1.7× |
| Arterial puncture (36600) |
$375 |
$375 |
2.3× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$90,392.67 |
— |
5.6× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$23,694.95 |
— |
1.5× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$17,034.17 |
— |
1.9× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$23,694.95 |
— |
1.5× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$23,694.95 |
— |
1.5× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$23,694.95 |
— |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$4,318.90 |
— |
11.3× |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$160.12 |
— |
0.4× |
| Arthrodesis ankle open (27870) |
$23,694.95 |
— |
1.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$17,034.17 |
— |
1.9× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$23,694.95 |
— |
2.6× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$15,246.05 |
— |
3.7× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$135,171.15 |
— |
4.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$135,171.15 |
— |
6.2× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
$52,283.23 |
— |
2.4× |
| Arthrodesis subtalar (28725) |
$23,694.95 |
— |
1.5× |
| Arthrodesis triple (28715) |
$23,694.95 |
— |
1.5× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$23,694.95 |
— |
2.6× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$135,171.15 |
— |
4.0× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
$25,066.78 |
— |
1.1× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$17,034.17 |
— |
1.9× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) |
$52,283.23 |
— |
3.3× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$100,725.19 |
— |
4.6× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$71,134.65 |
— |
3.3× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$23,694.95 |
— |
1.5× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$23,694.95 |
— |
2.6× |
| Arthroplasty Ankle (27700) |
$17,034.17 |
— |
1.9× |
| Arthroplasty ankle revision total ankle (27703) |
$106,582.87 |
— |
4.9× |
| Arthroplasty Ankle W/Implant (27702) |
$85,163.62 |
— |
2.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$90,118.92 |
— |
4.1× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$90,118.92 |
— |
5.6× |
| Arthroplasty interphalangeal joint each (26535) |
$16,704.64 |
— |
4.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$16,704.64 |
— |
4.1× |
| Arthroplasty Patella W/Prosthesis (27438) |
$23,694.95 |
— |
1.5× |
| Arthroplasty radial head (24365) |
$16,704.64 |
— |
1.0× |
| Arthroplasty Radial Head W/Implant (24366) |
$25,066.78 |
— |
1.6× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$25,066.78 |
— |
1.1× |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
$25,066.78 |
— |
1.6× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$25,066.78 |
— |
1.1× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) |
$16,704.64 |
— |
1.0× |
| Arthroplasty, patella; without prosthesis (27437) |
$17,034.17 |
— |
1.9× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$17,034.17 |
— |
8.5× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$15,246.05 |
— |
3.7× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$33,437.94 |
— |
8.2× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$23,694.95 |
— |
2.6× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$15,246.05 |
— |
3.7× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$15,246.05 |
— |
3.7× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$23,694.95 |
— |
5.8× |
| Arthroscopy hip w/femoroplasty (29914) |
$23,694.95 |
— |
2.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$15,246.05 |
— |
3.7× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$23,694.95 |
— |
1.5× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$15,246.05 |
— |
3.7× |
Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$15,246.05–$17,369.28 |
— |
varies |
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) range across 2 matching MRF lines |
$15,246.05–$17,093.88 |
— |
varies |
| Arthroscopy shoulder distal claviculectomy (29824) |
$23,694.95 |
— |
5.8× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$23,694.95 |
— |
2.6× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$15,246.05 |
— |
3.7× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$15,246.05 |
— |
3.7× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$23,694.95 |
— |
5.8× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$23,694.95 |
— |
2.6× |
Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$15,246.05–$17,093.88 |
— |
varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$17,034.17 |
— |
4.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$17,034.17 |
— |
4.2× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) |
$15,246.05 |
— |
3.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$23,694.95 |
— |
5.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$15,246.05 |
— |
3.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$23,694.95 |
— |
2.6× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$15,246.05 |
— |
3.7× |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
$12,043.75 |
— |
2.9× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$15,246.05 |
— |
1.7× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$11,371.26 |
— |
2.8× |
| Arthrotomy wrist joint with synovectomy (25105) |
$15,246.05 |
— |
3.7× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$15,246.05 |
— |
3.7× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 3 matching MRF lines |
$85,336.13–$96,229.12 |
— |
varies |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$11,371.26 |
— |
2.8× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$79,504.85 |
— |
5.0× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$18,919.91 |
— |
2.1× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$16,704.64 |
— |
4.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$23,694.95 |
— |
2.6× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$23,694.95 |
— |
1.5× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$23,694.95 |
— |
5.8× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$15,246.05 |
— |
3.7× |
Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$15,246.05–$17,369.28 |
— |
varies |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$15,246.05 |
— |
3.7× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$17,034.17 |
— |
1.9× |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$15,246.05–$17,369.28 |
— |
varies |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$15,246.05 |
— |
3.7× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$15,246.05 |
— |
3.7× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$12,956.92 |
— |
6.5× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$12,956.92 |
— |
3.2× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$15,246.05 |
— |
3.7× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$17,034.17 |
— |
4.2× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$12,043.75 |
— |
2.9× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$17,034.17 |
— |
1.9× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$15,246.05 |
— |
3.7× |
Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$4,600.98–$8,431.35 |
— |
varies |
| Autologous Chondrocyte Implantation Knee (27412) |
$23,694.95 |
— |
2.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$4,600.98 |
— |
18.4× |
| Biopsy bone open deep (20245) |
$12,750.32 |
— |
3.5× |
| Biopsy bone open superficial (20240) |
$12,043.75 |
— |
3.3× |
| Biopsy bone trocar/needle deep (20225) |
$8,687.53 |
— |
4.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$8,687.53 |
— |
4.2× |
| Biopsy muscle percutaneous needle (20206) |
$8,687.53 |
— |
4.2× |
| Biopsy Muscle Superficial (20200) |
$8,687.53 |
— |
4.2× |
| Biopsy of foot joint lining (28050) |
$13,928.97 |
— |
3.4× |
| Biopsy of nerve (64795) |
$12,043.75 |
— |
4.9× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$12,043.75 |
— |
3.3× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$8,687.53 |
— |
4.2× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$12,043.75 |
— |
3.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$8,687.53 |
— |
4.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$12,043.75 |
— |
3.3× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$8,687.53 |
— |
4.2× |
| Blood Transfusion Service (36430) |
$52,283.23 |
— |
94.9× |
| Bone Graft Any Donor Area Major/Large (20902) |
$15,246.05 |
— |
1.7× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$15,246.05 |
— |
1.7× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$16,704.64 |
— |
1.8× |
| Breast Reduction (19318) |
$17,369.28 |
— |
2.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$13,927.94 |
— |
3.4× |
| Capsular contracture release (23020) |
$15,246.05 |
— |
3.7× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
$16,704.64 |
— |
1.8× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$12,750.32 |
— |
6.4× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$12,750.32 |
— |
3.1× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$15,246.05 |
— |
3.7× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$23,694.95 |
— |
2.6× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$23,694.95 |
— |
2.6× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$23,694.95 |
— |
2.6× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$17,034.17 |
— |
1.9× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$12,750.32 |
— |
6.4× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$25,794.60 |
— |
12.9× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$15,246.05 |
— |
3.7× |
| Capsulotomy wrist (25085) |
$12,750.32 |
— |
3.1× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$65,507.70 |
— |
16.0× |
| Carpal Tunnel Surgery (64721) |
$12,043.75 |
— |
4.9× |
| Carpectomy All Bones Proximal Row (25215) |
$15,246.05 |
— |
3.7× |
| Cerv artific diskectomy (22856) |
$23,694.95 |
— |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$4,156.53 |
— |
4.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$5,014.18 |
— |
5.7× |
Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$3,325.23–$4,600.98 |
— |
varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$1,108.41 |
— |
2.9× |
| Chemodenerv trunk musc 1-5 (64646) |
$4,433.64 |
— |
5.0× |
| Chemodenerv trunk musc 6/> (64647) |
$1,108.41 |
— |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$8,687.53 |
— |
4.3× |
| Claviculectomy partial (23120) |
$17,034.17 |
— |
4.2× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$12,956.92 |
— |
3.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$13,928.97 |
— |
45.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$4,600.98 |
— |
14.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$12,750.32 |
— |
41.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$8,687.53 |
— |
4.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$12,750.32 |
— |
41.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$4,600.98 |
— |
2.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$13,928.97 |
— |
45.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$8,687.53 |
— |
4.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$8,687.53 |
— |
4.3× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$23,694.95 |
— |
77.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$8,687.53 |
— |
4.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$23,694.95 |
— |
77.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$8,687.53 |
— |
4.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$8,687.53 |
— |
4.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$8,687.53 |
— |
4.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$23,694.95 |
— |
77.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$14,526.05 |
— |
47.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$17,034.17 |
— |
55.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$12,956.92 |
— |
42.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$12,750.32 |
— |
6.4× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$12,750.32 |
— |
6.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$8,687.53 |
— |
4.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$14,526.05 |
— |
7.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$4,600.98 |
— |
14.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$12,750.32 |
— |
36.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$4,600.98 |
— |
14.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$8,687.53 |
— |
4.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$8,687.53 |
— |
4.3× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$4,600.98 |
— |
14.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$4,600.98 |
— |
14.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$8,687.53 |
— |
4.3× |
| Coccygectomy, primary (27080) |
$19,530.21 |
— |
4.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$8,687.53 |
— |
52.3× |
| Collection of venous blood by venipuncture (36415) |
$161.15 |
— |
17.3× |
| Construct thumb replacement (26550) |
$15,246.05 |
— |
3.7× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$80,432.48 |
— |
5.0× |
Correction hammertoe (28285) range across 2 matching MRF lines |
$17,034.17–$27,329.74 |
— |
varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$15,246.05 |
— |
3.7× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$15,246.05 |
— |
3.7× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$17,034.17–$17,093.88 |
— |
varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$17,034.17 |
— |
1.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$17,034.17 |
— |
4.2× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$15,809.93 |
— |
1.7× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$18,919.91 |
— |
4.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$11,371.26 |
— |
3.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$11,371.26 |
— |
12.9× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$17,093.88 |
— |
4.2× |
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) range across 2 matching MRF lines |
$17,093.88–$18,919.40 |
— |
varies |
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) range across 2 matching MRF lines |
$15,246.05–$17,093.88 |
— |
varies |
| Dcmprn fasct leg post compartment only (27601) |
$17,034.17 |
— |
4.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$8,431.35 |
— |
9.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$8,687.53 |
— |
4.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$8,431.35 |
— |
16.6× |
| Decomp forearm,1 compart,w/o debride (25020) |
$15,246.05 |
— |
7.6× |
| Decompress Spinal Cord Lmbr (63056) |
$52,283.23 |
— |
5.8× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$15,246.05 |
— |
3.7× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$17,034.17 |
— |
4.2× |
| Decompression of leg (27892) |
$15,246.05 |
— |
3.7× |
| Decompression of tibia nerve (28035) |
$12,956.92 |
— |
5.3× |
| Deep Muscle Biopsy (20205) |
$12,750.32 |
— |
3.5× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$12,956.92 |
— |
5.0× |
| Destroy cerv/thor facet jnt (64633) |
$12,043.75 |
— |
4.9× |
| Destroy lumb/sac facet jnt (64635) |
$15,809.93 |
— |
6.5× |
| Destruct B9 Lesion 1-14 (17110) |
$311 |
$311 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$5,014.18 |
— |
4.5× |
Destruction by neurolytic agent; pudendal nerve (64630) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$12,043.75 |
— |
4.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$1,155 |
$1,155 |
2.3× |
| Destruction premalignant lesion 1st (17000) |
$649 |
$649 |
2.6× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$23,694.95 |
— |
3.4× |
| Drain Cerebro Spinal Fluid (62272) |
$5,014.18 |
— |
5.7× |
| Drain Hand Tendon Sheath (26020) |
$12,956.92 |
— |
3.2× |
| Drain Spinal Cord Cyst (62268) |
$5,014.18 |
— |
4.5× |
Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| Drainage Finger Abscess Complicated (26011) |
$8,687.53 |
— |
4.2× |
| Drainage of finger abscess simple (26010) |
$592 |
$592 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$8,687.53 |
— |
4.2× |
| Draw Blood Off Venous Device (36591) |
$6,396.34 |
— |
38.5× |
| Dressing Change Under Anesthesia (15852) |
$4,600.98 |
— |
5.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$5,014.18 |
— |
4.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$5,014.18 |
— |
4.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$8,687.53 |
— |
2.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$5,014.18 |
— |
5.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$8,224.97 |
— |
21.5× |
| Epidural Blood Patch (62273) |
$5,014.18 |
— |
5.7× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$18,198.93 |
— |
8.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$18,198.93 |
— |
8.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$8,687.53 |
— |
4.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$12,750.32 |
— |
14.4× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$18,198.93 |
— |
5.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$8,029.51 |
— |
9.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$8,029.51 |
— |
9.1× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$8,687.53 |
— |
4.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$8,029.51 |
— |
9.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$12,750.32 |
— |
14.4× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$17,034.17 |
— |
1.9× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$18,198.93 |
— |
5.0× |
| Exc ganglion wrist recurrent (25112) |
$12,956.92 |
— |
6.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$8,687.53 |
— |
4.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$8,687.53 |
— |
9.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$8,687.53 |
— |
4.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$8,687.53 |
— |
4.2× |
| Exc hand tum deep < 1.5 cm (26116) |
$8,687.53 |
— |
4.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$12,750.32 |
— |
6.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$12,750.32 |
— |
6.4× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$12,750.32 |
— |
5.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$12,750.32 |
— |
5.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$12,750.32 |
— |
5.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$18,198.93 |
— |
5.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$11,371.26 |
— |
12.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$12,043.75 |
— |
3.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$11,371.26 |
— |
5.5× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$12,043.75 |
— |
3.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$12,043.75 |
— |
3.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$8,687.53 |
— |
4.2× |
| Exc tendon shth lesion leg/ankle (27630) |
$12,750.32 |
— |
3.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$18,198.93 |
— |
5.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$18,198.93 |
— |
5.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$12,750.32 |
— |
25.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$8,687.53 |
— |
9.8× |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$8,687.53–$11,371.26 |
— |
varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$11,371.26 |
— |
3.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$12,750.32 |
— |
6.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$11,371.26 |
— |
3.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$18,198.93 |
— |
5.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$11,371.26 |
— |
3.1× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$12,671.81 |
— |
3.5× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$12,750.32 |
— |
3.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$8,687.53 |
— |
4.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$18,919.40 |
— |
5.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$17,034.17 |
— |
4.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$8,687.53 |
— |
4.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$12,750.32 |
— |
3.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$12,750.32 |
— |
3.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$18,198.93 |
— |
5.0× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$23,694.95 |
— |
2.6× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$17,034.17 |
— |
1.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$12,043.75 |
— |
2.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$12,043.75 |
— |
6.0× |
Excise intraspinal lesion (63267) range across 2 matching MRF lines |
$18,198.93–$34,173.71 |
— |
varies |
| Excise intraspinl lesion crv (63265) |
$23,694.95 |
— |
2.6× |
| Excise tendon forearm/wrist (25109) |
$12,923.86 |
— |
3.2× |
| Excise Wrist Tendon Sheath (25118) |
$12,043.75 |
— |
6.0× |
| Excision Distal Ulna Partial/Complete (25240) |
$15,246.05 |
— |
3.7× |
| Excision lesion meniscus/capsule knee (27347) |
$12,956.92 |
— |
3.2× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$16,704.64 |
— |
4.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$12,750.32 |
— |
6.4× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$12,750.32 |
— |
5.2× |
| Excision olecranon bursa (24105) |
$12,750.32 |
— |
3.1× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) |
$17,034.17 |
— |
1.9× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$15,246.05 |
— |
3.7× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$17,034.17 |
— |
1.9× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$17,034.17 |
— |
1.9× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$12,043.75 |
— |
2.9× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$23,694.95 |
— |
2.6× |
| Excision prepatellar bursa (27340) |
$12,750.32 |
— |
3.1× |
| Excision Radial Head (24130) |
$17,034.17 |
— |
4.2× |
| Excision synovial cyst popliteal space (27345) |
$12,956.92 |
— |
3.2× |
| Excision tendon finger flexor/extensor each (26180) |
$12,750.32 |
— |
6.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$18,198.93 |
— |
8.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$12,750.32 |
— |
3.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$19,742.70 |
— |
9.6× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$12,043.75 |
— |
5.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$17,034.17 |
— |
4.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$85,336.13 |
— |
23.5× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$12,750.32 |
— |
6.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$18,198.93 |
— |
5.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$18,198.93 |
— |
5.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$11,371.26 |
— |
5.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$15,246.05 |
— |
3.7× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$8,687.53 |
— |
4.3× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$15,246.05 |
— |
3.7× |
Excision; trochanteric bursa or calcification (27062) range across 2 matching MRF lines |
$15,809.93–$20,952.65 |
— |
varies |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$15,246.05 |
— |
3.9× |
| Exploration of knee joint (27310) |
$15,246.05 |
— |
3.7× |
| Exploration of spinal fusion (22830) |
$135,171.15 |
— |
14.9× |
| Explore treat shoulder joint (23107) |
$17,034.17 |
— |
1.9× |
| Explore/Treat Elbow Joint (24101) |
$15,246.05 |
— |
3.7× |
| Explore/Treat Knee Joint (27331) |
$15,246.05 |
— |
3.7× |
| Fasciectomy Palm Only (26121) |
$15,246.05 |
— |
3.7× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$23,694.95 |
— |
5.8× |
Fasciotomy Iliotibial Open (27305) range across 2 matching MRF lines |
$12,043.75–$14,526.05 |
— |
varies |
| Fasciotomy palmar open partial (26045) |
$15,246.05 |
— |
3.7× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$12,750.32 |
— |
3.1× |
| Fasciotomy, foot and/or toe (28008) |
$17,034.17 |
— |
4.2× |
| Fasciotomy, hip or thigh, any type (27025) |
$23,694.95 |
— |
5.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$15,246.05 |
— |
3.7× |
| Fna bx w/us gdn 1st les (10005) |
$8,431.35 |
— |
9.5× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$12,750.32 |
— |
5.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$8,687.53 |
— |
3.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$11,371.26 |
— |
4.4× |
| Fuse hand bones with graft (25825) |
$23,694.95 |
— |
2.6× |
| Fusion Finger Joint (26860) |
$15,246.05 |
— |
3.7× |
| Fusion of foot bones (28740) |
$23,694.95 |
— |
2.6× |
| Fusion of hand bones (25820) |
$17,034.17 |
— |
1.9× |
| Fusion of hand joint (26843) |
$17,034.17 |
— |
1.9× |
| Fusion of knuckle (26850) |
$17,034.17 |
— |
1.9× |
| Fusion of knuckle joint (26516) |
$15,246.05 |
— |
3.7× |
| Fusion of knuckle joints (26518) |
$15,246.05 |
— |
1.7× |
| Fusion of knuckle with graft (26852) |
$17,034.17 |
— |
1.9× |
| Fusion/graft of hand joint (26844) |
$17,034.17 |
— |
1.9× |
Gastrocnemius recession (27687) range across 2 matching MRF lines |
$17,093.88–$23,694.95 |
— |
varies |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$18,198.93 |
— |
7.1× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$52,283.23 |
— |
11.8× |
| Grafting of autologous soft tiss by direct exc (15769) |
$18,198.93 |
— |
4.1× |
| Guide Cathet Fluid Drainage (10030) |
$8,029.51 |
— |
9.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$23,694.95 |
— |
2.6× |
| Hand tendon reconstruction (26500) |
$17,034.17 |
— |
1.9× |
| Hip arthro acetabuloplasty (29915) |
$23,694.95 |
— |
2.6× |
| Hip arthro w/labral repair (29916) |
$23,694.95 |
— |
2.6× |
| I&d abscess simple (10060) |
$4,600.98 |
— |
18.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$12,750.32 |
— |
3.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$12,043.75 |
— |
3.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$12,043.75 |
— |
2.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$12,043.75 |
— |
3.3× |
| Implant neuroelectrodes (63650) |
$23,694.95 |
— |
3.0× |
Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$8,687.53–$11,302.52 |
— |
varies |
| Incise tendon(s) & muscle(s) (23406) |
$17,034.17 |
— |
1.9× |
| Incise Wrist/Forearm Tendon (25290) |
$17,034.17 |
— |
4.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$12,043.75 |
— |
3.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$8,687.53 |
— |
4.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$4,600.98 |
— |
9.1× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$23,694.95 |
— |
2.6× |
| Incision bone cortex foot (28005) |
$12,750.32 |
— |
3.1× |
| Incision extensor tendon sheath wrist (25000) |
$12,750.32 |
— |
6.4× |
| Incision of fibula (27707) |
$15,246.05 |
— |
3.7× |
| Incision of Foot Tendon (28234) |
$17,034.17 |
— |
8.5× |
| Incision of hip tendon (27001) |
$15,246.05 |
— |
3.7× |
Incision of tibia & fibula (27709) range across 2 matching MRF lines |
$15,246.05–$23,694.95 |
— |
varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$5,014.18 |
— |
4.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$5,014.18 |
— |
4.5× |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$5,014.18 |
— |
4.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$5,014.18 |
— |
5.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$5,014.18 |
— |
4.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$5,014.18 |
— |
5.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$5,014.18 |
— |
5.7× |
| Injection anesthetic agent suprascapular nerve (64418) |
$5,014.18 |
— |
5.7× |
| Injection enzyme palmar fascial cord (20527) |
$592 |
$592 |
1.5× |
| Injection Into Brain Canal (61055) |
$4,600.98 |
— |
12.0× |
| Injection single tendon origin/insertion (20551) |
$8,431.35 |
— |
22.0× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$4,600.98–$8,431.35 |
— |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$4,961.96 |
— |
13.0× |
Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$5,014.18 |
— |
4.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$5,014.18 |
— |
5.7× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$1,274 |
$1,274 |
5.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$4,600.98 |
— |
18.4× |
| Insert Drug Implant Device (11981) |
$17,034.17 |
— |
102.6× |
| Insert non-tunnel cv cath (36556) |
$8,687.53 |
— |
2.2× |
| Insert Temp Bladder Cath (51702) |
$85,336.13 |
— |
513.8× |
| Insert tissue expander(s) (11960) |
$15,246.05 |
— |
3.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$85,336.13 |
— |
513.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$15,424.33 |
— |
7.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$8,687.53 |
— |
4.4× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$23,694.95 |
— |
2.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$65,074.87 |
— |
1.7× |
| Knee arthroscopy/drainage (29871) |
$15,246.05 |
— |
3.7× |
| Knee Arthroscopy/Surgery (29874) |
$15,246.05 |
— |
3.7× |
| Lam facetec & foramot lumbar (63047) |
$52,283.23 |
— |
5.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$52,283.23 |
— |
5.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$52,283.23 |
— |
5.8× |
| Laminotomy Single Lumbar (63042) |
$23,694.95 |
— |
2.6× |
| Late closure of wound (13160) |
$11,371.26 |
— |
2.6× |
| Lateral retinacular release open (27425) |
$18,919.91 |
— |
4.6× |
| Lengthen radius or ulna (25391) |
$16,704.64 |
— |
1.0× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$17,034.17 |
— |
1.9× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$16,704.64 |
— |
4.1× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$11,371.26 |
— |
2.8× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$18,198.93 |
— |
4.5× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$23,694.95 |
— |
2.6× |
| Ligamentous reconstruction knee intra-articular (27428) |
$23,694.95 |
— |
1.5× |
| Low Back Disk Surgery (63030) |
$52,283.23 |
— |
5.8× |
| Lumbar spine fusion combined (22633) |
$135,171.15 |
— |
4.0× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$592 |
$592 |
1.9× |
| Manipulation Elbow Under Anesthesia (24300) |
$12,648.91 |
— |
6.3× |
| Manipulation hip joint general anesthesia (27275) |
$8,687.53 |
— |
4.3× |
Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$8,687.53–$64,780.46 |
— |
varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$8,687.53 |
— |
4.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$8,687.53 |
— |
4.3× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$12,750.32 |
— |
5.0× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$17,034.17 |
— |
1.9× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$15,246.05 |
— |
3.4× |
| Muscle-skin graft trunk (15734) |
$52,283.23 |
— |
11.8× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$17,034.17 |
— |
1.9× |
| Myelography Lumbar Injection (62305) |
$12,648.91 |
— |
12.9× |
| Myelography Lumbar Injection (62304) |
$12,648.91 |
— |
12.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$12,648.91 |
— |
12.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$12,648.91 |
— |
12.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$5,014.18 |
— |
5.7× |
| N block inj intercost sng (64420) |
$5,014.18 |
— |
5.7× |
N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| N Block Inj Pudendal (64430) |
$5,014.18 |
— |
4.5× |
| N Block Lumbar/Thoracic (64520) |
$5,014.18 |
— |
4.5× |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) |
$23,694.95 |
— |
2.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$19,742.70 |
— |
9.8× |
| Neck spine disk surgery (63020) |
$52,283.23 |
— |
5.8× |
| Neck spine fusion (22600) |
$25,066.78 |
— |
1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$131 |
$131 |
3.6× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$16,704.64 |
— |
1.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$16,704.64 |
— |
1.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
$16,704.64 |
— |
1.5× |
| Nerve Pedicle Transfer First Stage (64905) |
$16,704.64 |
— |
1.5× |
| Nerve repair w/conduit each nerve (64910) |
$16,704.64 |
— |
1.5× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$16,704.64 |
— |
1.5× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$12,750.32 |
— |
5.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$12,043.75 |
— |
4.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$12,043.75 |
— |
4.9× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$23,694.95 |
— |
9.7× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$12,043.75 |
— |
4.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$2,414 |
$2,414 |
5.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$5,014.18 |
— |
4.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$4,600.98 |
— |
12.0× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$8,431.35–$11,302.52 |
— |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$8,431.35 |
— |
9.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$5,014.18 |
— |
5.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$8,224.97 |
— |
7.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$8,431.35 |
— |
9.6× |
| Occipital Nerve Block (64405) |
$1,296 |
$1,296 |
3.4× |
| Open Repair of Rotator Cuff Acute (23410) |
$16,704.64 |
— |
1.8× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$23,694.95 |
— |
1.5× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) |
$52,283.23 |
— |
3.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$23,694.95 |
— |
2.6× |
| Open treatment calcaneal fracture (28415) |
$23,694.95 |
— |
2.6× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$23,694.95 |
— |
1.5× |
| Open treatment fracture distal tibia only (27827) |
$23,694.95 |
— |
1.5× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$23,694.95 |
— |
2.6× |
| Open Treatment Humeral Condylar Fracture (24579) |
$23,694.95 |
— |
1.5× |
| Open Treatment Lunate Dislocation (25695) |
$17,034.17 |
— |
1.9× |
| Open Treatment Medial Malleolus Fracture (27766) |
$23,694.95 |
— |
2.6× |
| Open treatment metacarpophalangeal dislocation (26715) |
$23,694.95 |
— |
5.8× |
| Open treatment metatarsal fracture each (28485) |
$23,694.95 |
— |
2.6× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$23,694.95 |
— |
2.6× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$23,694.95 |
— |
2.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$23,694.95 |
— |
2.6× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$16,704.64 |
— |
1.8× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$16,704.64 |
— |
1.0× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$23,694.95 |
— |
2.6× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$23,694.95 |
— |
1.5× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$16,704.64 |
— |
1.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$23,694.95 |
— |
2.6× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$23,694.95 |
— |
2.6× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$18,198.93 |
— |
2.0× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$17,034.17 |
— |
1.9× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$15,246.05 |
— |
3.7× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$17,034.17 |
— |
1.9× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$23,694.95 |
— |
2.6× |
| Open treatment of ulnar styloid fracture (25652) |
$23,694.95 |
— |
2.6× |
| Open treatment posterior malleolus fracture (27769) |
$23,694.95 |
— |
2.6× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$23,694.95 |
— |
2.6× |
| Open Treatment Proximal Humeral Fracture (23615) |
$23,694.95 |
— |
1.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$23,694.95 |
— |
2.6× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$23,694.95 |
— |
2.6× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$23,694.95 |
— |
2.6× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$15,809.93 |
— |
3.9× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$23,694.95 |
— |
5.8× |
| Open tx carpal scaphoid navicular fracture (25628) |
$23,694.95 |
— |
2.6× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$23,694.95 |
— |
5.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$23,694.95 |
— |
2.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$12,956.92 |
— |
3.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$23,694.95 |
— |
2.6× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$16,704.64 |
— |
1.0× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$12,750.32 |
— |
3.1× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$23,694.95 |
— |
1.5× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$23,694.95 |
— |
1.5× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$16,704.64 |
— |
1.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$23,694.95 |
— |
5.8× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$12,956.92 |
— |
3.2× |
| Open Tx Radial Head/Neck Fracture (24665) |
$23,694.95 |
— |
2.6× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$23,694.95 |
— |
1.5× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$23,694.95 |
— |
2.6× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$16,704.64 |
— |
1.8× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
$12,750.32 |
— |
1.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$23,694.95 |
— |
2.6× |
| Open tx ulnar fx proximal end (24685) |
$23,694.95 |
— |
2.6× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$15,246.05 |
— |
3.7× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$23,694.95 |
— |
5.8× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$23,694.95 |
— |
2.6× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$23,694.95 |
— |
2.6× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$65,507.70 |
— |
7.2× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$23,694.95 |
— |
1.5× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$16,704.64 |
— |
1.8× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$23,694.95 |
— |
1.5× |
| Ostc prtl exostc/condylc metar head (28288) |
$12,750.32 |
— |
3.1× |
| Ostectomy calcaneus (28118) |
$12,956.92 |
— |
3.2× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$12,750.32 |
— |
3.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$12,750.32 |
— |
3.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$13,927.94 |
— |
3.4× |
| Osteochondral allograft knee open (27415) |
$23,694.95 |
— |
1.5× |
| Osteochondral knee autograft (27416) |
$18,198.93 |
— |
2.0× |
| Osteochondral talus autogrft (28446) |
$23,694.95 |
— |
2.6× |
| Osteoplasty Humerus (24420) |
$17,034.17 |
— |
1.9× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$16,704.64 |
— |
1.8× |
| Osteoplasty, femur; lengthening Facility (27466) |
$23,694.95 |
— |
2.6× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$23,694.95 |
— |
2.6× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
$23,694.95 |
— |
1.5× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$23,694.95 |
— |
2.6× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$23,694.95 |
— |
2.6× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$23,694.95 |
— |
2.6× |
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$12,043.75–$23,694.95 |
— |
varies |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$23,694.95 |
— |
2.6× |
| Osteotomy Clavicle W Bone Graft (23485) |
$23,694.95 |
— |
1.5× |
| Osteotomy Metacarpal Each (26565) |
$15,809.93 |
— |
3.9× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
$135,171.15 |
— |
14.9× |
| Osteotomy Phalanx Finger Each (26567) |
$15,809.93 |
— |
3.9× |
| Osteotomy radius distal third (25350) |
$17,034.17 |
— |
1.9× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$17,034.17 |
— |
4.2× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$23,694.95 |
— |
2.6× |
| Osteotomy Tibia (27705) |
$17,034.17 |
— |
1.9× |
| Osteotomy Ulna (25360) |
$17,034.17 |
— |
1.9× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$17,034.17 |
— |
1.9× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$23,694.95 |
— |
2.6× |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
$23,694.95 |
— |
2.6× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$23,694.95 |
— |
2.6× |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) |
$23,694.95 |
— |
2.6× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) |
$23,694.95 |
— |
2.6× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$23,694.95 |
— |
2.6× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$35,708.27 |
— |
3.9× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$12,956.92 |
— |
1.4× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$55,194.57 |
— |
7.5× |
| Part exc bone femur prox tibia (27360) |
$15,809.93 |
— |
3.9× |
| Part remv talus or calcaneus (28120) |
$18,919.91 |
— |
4.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$17,034.17 |
— |
1.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$17,034.17 |
— |
1.9× |
| Partial Excision Bone Humerus (24140) |
$15,246.05 |
— |
3.7× |
| Partial excision bone olecranon process (24147) |
$17,034.17 |
— |
4.2× |
| Partial Excision Bone Radius (25151) |
$15,246.05 |
— |
3.7× |
| Partial Excision Bone Ulna (25150) |
$15,246.05 |
— |
3.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$12,750.32 |
— |
6.4× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$12,750.32 |
— |
6.4× |
| Partial removal of fibula (27641) |
$17,034.17 |
— |
4.2× |
| Partial removal of radius (24145) |
$17,034.17 |
— |
1.9× |
| Partial removal of scapula (23190) |
$17,034.17 |
— |
4.2× |
| Partial removal of tibia (27640) |
$15,246.05 |
— |
3.7× |
| Partial removal of toe (28160) |
$12,750.32 |
— |
3.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$12,648.91 |
— |
3.1× |
| Patellectomy or hemipatellectomy (27350) |
$15,246.05 |
— |
1.7× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$15,809.93 |
— |
9.2× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$12,043.75 |
— |
2.9× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$12,043.75 |
— |
1.3× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$12,043.75 |
— |
6.0× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$12,750.32 |
— |
3.1× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$17,369.28 |
— |
3.6× |
| Perq Cervicothoracic Inject (22510) |
$18,198.93 |
— |
4.5× |
| Perq Lumbosacral Injection (22511) |
$18,198.93 |
— |
4.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$8,224.97 |
— |
9.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$12,671.81 |
— |
3.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$23,694.95 |
— |
2.6× |
| Perq Vertebral Augmentation (22513) |
$23,694.95 |
— |
2.6× |
| Pin Finger Dislocation (26776) |
$12,043.75 |
— |
2.9× |
| Pin hand dislocation (26676) |
$12,043.75 |
— |
2.9× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$23,694.95 |
— |
2.6× |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
$18,198.93 |
— |
2.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$5,014.18 |
— |
5.7× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$23,694.95 |
— |
3.0× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$17,034.17 |
— |
15.4× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$12,043.75 |
— |
2.9× |
| Prq skel fixj femoral fx prox end neck (27235) |
$17,034.17 |
— |
1.9× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$12,750.32 |
— |
3.1× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$17,034.17 |
— |
1.9× |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) |
$12,750.32 |
— |
1.4× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$17,034.17 |
— |
1.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$12,750.32 |
— |
3.1× |
| Punch biopsy skin single lesion (11104) |
$17,034.17 |
— |
33.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$4,600.98 |
— |
9.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$5,014.18 |
— |
5.7× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$17,034.17 |
— |
1.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$12,956.92 |
— |
6.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$12,956.92 |
— |
3.2× |
| Rad resect elbow caps/sr bone w rels (24149) |
$17,034.17 |
— |
1.9× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$12,750.32 |
— |
3.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$23,694.95 |
— |
6.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$18,198.93 |
— |
5.0× |
| Radical styloidectomy separate procedure (25230) |
$15,246.05 |
— |
3.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$18,919.91 |
— |
7.8× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$23,694.95 |
— |
5.8× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$18,919.91 |
— |
4.6× |
| Rcnstj Dislocating Patella (27420) |
$17,034.17 |
— |
1.9× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$23,694.95 |
— |
2.6× |
| Realignment extensor tendon hand each tendon (26437) |
$12,750.32 |
— |
3.1× |
| Realignment of knee (27457) |
$18,198.93 |
— |
2.0× |
| Realignment of knee (27455) |
$23,694.95 |
— |
2.6× |
| Reconstruct elbow joint (24360) |
$17,034.17 |
— |
1.9× |
| Reconstruct elbow med ligmnt (24346) |
$16,704.64 |
— |
1.0× |
Reconstruct extra finger (26587) range across 2 matching MRF lines |
$15,809.93–$20,952.65 |
— |
varies |
| Reconstruct Finger Joint (26548) |
$15,246.05 |
— |
3.7× |
| Reconstruct ulna/radioulnar (25337) |
$17,034.17 |
— |
1.9× |
| Reconstruction Nail Bed W/Graft (11762) |
$8,687.53 |
— |
3.4× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$18,919.91 |
— |
2.1× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$17,034.17 |
— |
1.9× |
Reconstruction Toe Polydactyly (28344) range across 2 matching MRF lines |
$12,956.92–$17,369.28 |
— |
varies |
| Reinforce tibia (27745) |
$65,507.70 |
— |
7.2× |
| Reinsert spinal fixation (22849) |
$69,037.46 |
— |
4.3× |
| Release foot/toe nerve (64726) |
$12,043.75 |
— |
4.9× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$15,246.05 |
— |
3.7× |
| Release of big toe (28240) |
$12,043.75 |
— |
2.9× |
| Relieve Pressure on Nerve(S) (64722) |
$15,246.05 |
— |
6.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$18,919.91 |
— |
5.2× |
| Removal foreign body foot deep (28192) |
$8,687.53 |
— |
4.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$8,029.51 |
— |
9.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$11,371.26 |
— |
3.1× |
Removal Implant Deep (20680) range across 2 matching MRF lines |
$12,750.32–$17,093.88 |
— |
varies |
| Removal Implant Superficial Separate Procedure (20670) |
$8,687.53 |
— |
4.2× |
| Removal intact breast implant (19328) |
$15,246.05 |
— |
3.1× |
| Removal of ankle implant (27704) |
$15,246.05 |
— |
3.7× |
| Removal of anterior instrumentation (22855) |
$55,194.57 |
— |
6.1× |
| Removal of bone lesion (23140) |
$12,956.92 |
— |
3.2× |
| Removal of humerus lesion (23150) |
$15,246.05 |
— |
3.7× |
| Removal of humerus lesion (23156) |
$17,034.17 |
— |
1.9× |
| Removal of implant from finger or hand (26320) |
$8,687.53 |
— |
4.2× |
| Removal of ischial bursa (27060) |
$15,809.93 |
— |
1.7× |
| Removal of knee prosthesis (27488) |
$23,694.95 |
— |
1.5× |
| Removal of nail bed (11750) |
$4,600.98 |
— |
9.1× |
| Removal of posterior segmental instrumentation Facility (22852) |
$52,283.23 |
— |
5.8× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$12,671.81 |
— |
1.4× |
| Removal of sesamoid bone (28315) |
$12,956.92 |
— |
3.2× |
| Removal of tendon for graft (20924) |
$17,034.17 |
— |
1.9× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
$55,194.57 |
— |
6.1× |
| Removal of wrist bone (25210) |
$15,246.05 |
— |
3.7× |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
$15,246.05 |
— |
3.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$4,600.98 |
— |
13.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$15,629.29 |
— |
62.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$8,687.53 |
— |
3.4× |
| Removal, under anesthesia, of external fixation system (20694) |
$8,687.53 |
— |
4.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$4,600.98 |
— |
13.2× |
| Remove & graft wrist lesion (25136) |
$17,034.17 |
— |
1.9× |
| Remove & graft wrist lesion (25135) |
$15,246.05 |
— |
1.7× |
| Remove Ankle Joint Lining (27626) |
$15,246.05 |
— |
3.7× |
| Remove drug implant device (11982) |
$4,600.98 |
— |
8.3× |
| Remove elbow joint implant (24160) |
$15,246.05 |
— |
3.7× |
| Remove Elbow Joint Lining (24102) |
$15,246.05 |
— |
3.7× |
| Remove femur lesion/graft (27356) |
$15,246.05 |
— |
1.0× |
| Remove finger bone (26185) |
$12,956.92 |
— |
6.5× |
| Remove Forearm Foreign Body (25248) |
$12,043.75 |
— |
6.0× |
| Remove Hand Bone Lesion (26200) |
$8,687.53 |
— |
4.3× |
| Remove humerus lesion (24110) |
$12,043.75 |
— |
2.9× |
| Remove knee joint lining (27334) |
$15,246.05 |
— |
3.7× |
| Remove Lower Leg Bone Lesion (27635) |
$15,246.05 |
— |
3.7× |
| Remove part lumbar vertebra (22102) |
$135,171.15 |
— |
14.9× |
| Remove part of neck vertebra (22110) |
$23,694.95 |
— |
2.6× |
| Remove radius head implant (24164) |
$15,246.05 |
— |
3.7× |
| Remove Skin Nerve Lesion (64774) |
$12,043.75 |
— |
4.9× |
| Remove spine eltrd plate (63662) |
$18,919.91 |
— |
4.3× |
| Remove spine fixation device (22850) |
$23,694.95 |
— |
2.6× |
| Remove sympathetic nerves (64821) |
$15,246.05 |
— |
3.7× |
| Remove Tendon Sheath Lesion (26160) |
$12,750.32 |
— |
6.4× |
| Remove tissue expander (11971) |
$12,043.75 |
— |
3.3× |
| Remove wrist joint cartilage (25107) |
$15,246.05 |
— |
3.7× |
| Remove/graft finger lesion (26215) |
$12,750.32 |
— |
3.1× |
| Remove/graft foot lesion (28102) |
$23,694.95 |
— |
2.6× |
| Remove/graft foot lesion (28107) |
$23,694.95 |
— |
2.6× |
| Remove/graft forearm lesion (25126) |
$15,246.05 |
— |
3.7× |
| Remove/graft forearm lesion (25125) |
$17,034.17 |
— |
8.5× |
| Remove/graft leg bone lesion (27637) |
$65,507.70 |
— |
7.2× |
| Remove/Insert Drug Implant (11983) |
$4,600.98 |
— |
8.3× |
| Repair Achilles Tendon (27650) |
$16,704.64 |
— |
1.8× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$15,246.05 |
— |
3.9× |
| Repair blood vessel direct neck (35201) |
$23,694.95 |
— |
3.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$15,246.05 |
— |
3.9× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$17,034.17 |
— |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$12,750.32 |
— |
25.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$8,431.35 |
— |
16.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$12,750.32 |
— |
25.1× |
| Repair Elbow Perc (24357) |
$18,198.93 |
— |
4.5× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$15,246.05 |
— |
3.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$12,956.92 |
— |
6.5× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$15,246.05 |
— |
3.7× |
| Repair finger deformity (26590) |
$15,809.93 |
— |
7.9× |
| Repair Finger Tendon (26433) |
$12,750.32 |
— |
3.1× |
| Repair Finger/Hand Tendon (26350) |
$15,246.05 |
— |
3.7× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$23,694.95 |
— |
5.8× |
| Repair Foot Dislocation (28615) |
$23,694.95 |
— |
2.6× |
| Repair Forearm Tendon Sheath (25275) |
$15,246.05 |
— |
3.7× |
| Repair forearm tendon/muscle (25265) |
$15,246.05 |
— |
3.7× |
| Repair Hallux Rigidus (28289) |
$12,750.32 |
— |
3.1× |
| Repair Hand Joint (26540) |
$12,956.92 |
— |
3.2× |
| Repair Hand Tendon (26410) |
$23,694.95 |
— |
11.8× |
| Repair humerus with graft (24435) |
$23,694.95 |
— |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$12,750.32 |
— |
25.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$9,082.14 |
— |
17.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$9,082.14 |
— |
9.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$17,034.17 |
— |
33.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$12,750.32 |
— |
25.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$90,118.92 |
— |
97.7× |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$4,600.98–$12,750.32 |
— |
varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$6,936.60 |
— |
13.7× |
| Repair Leg Fascia Defect (27656) |
$12,043.75 |
— |
2.9× |
| Repair lower leg epiphyses (27734) |
$15,246.05 |
— |
3.7× |
| Repair lower leg tendons (27676) |
$17,034.17 |
— |
1.9× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$23,694.95 |
— |
1.5× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$23,694.95 |
— |
1.5× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$23,694.95 |
— |
2.6× |
| Repair of biceps tendon (24340) |
$17,034.17 |
— |
1.9× |
| Repair of fibula epiphysis (27732) |
$15,246.05 |
— |
3.7× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$23,694.95 |
— |
2.6× |
| Repair of metatarsals (28322) |
$17,034.17 |
— |
1.9× |
| Repair of nail bed (11760) |
$12,956.92 |
— |
14.0× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$23,694.95 |
— |
2.6× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$23,694.95 |
— |
2.6× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) range across 2 matching MRF lines |
$17,034.17–$17,093.88 |
— |
varies |
| Repair of Ruptured Tendon (24342) |
$17,034.17 |
— |
1.9× |
| Repair of shoulder (23420) |
$18,919.91 |
— |
2.1× |
| Repair of web finger (26562) |
$15,246.05 |
— |
3.7× |
| Repair of web finger (26560) |
$8,687.53 |
— |
4.3× |
| Repair of web finger (26561) |
$15,246.05 |
— |
3.7× |
| Repair radius & ulna (25415) |
$23,694.95 |
— |
2.6× |
| Repair Rotator Cuff Chronic (23412) |
$18,919.91 |
— |
2.1× |
| Repair secondary achilles tendon w/wo graft (27654) |
$17,034.17 |
— |
1.9× |
| Repair shoulder capsule (23462) |
$18,919.91 |
— |
2.1× |
| Repair shoulder capsule (23466) |
$18,919.91 |
— |
2.1× |
| Repair Spica/Body/Jacket Cast (29720) |
$4,600.98 |
— |
22.7× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$12,750.32 |
— |
3.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$17,034.17 |
— |
1.9× |
| Repair webbed toe(s) (28345) |
$12,956.92 |
— |
6.5× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$17,034.17 |
— |
1.9× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$23,694.95 |
— |
2.6× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$23,694.95 |
— |
2.6× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$17,034.17 |
— |
1.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$17,034.17 |
— |
1.9× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$15,246.05 |
— |
3.7× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$17,034.17 |
— |
4.2× |
| Repair/graft achilles tendon (27652) |
$17,034.17 |
— |
1.9× |
| Repair/Graft Wrist Bone (25440) |
$17,034.17 |
— |
1.9× |
| Repair/Revise Wrist Joint (25320) |
$17,034.17 |
— |
1.9× |
| Replace elbow joint (24363) |
$90,118.92 |
— |
4.1× |
| Reposition Venous Catheter (36597) |
$8,687.53 |
— |
4.4× |
| Repr elbow lat ligmnt w/tiss (24343) |
$15,246.05 |
— |
3.7× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$17,034.17 |
— |
1.9× |
| Resect enlarged toe (28341) |
$12,956.92 |
— |
3.2× |
| Resect enlarged toe tissue (28340) |
$12,956.92 |
— |
3.2× |
| Resect forarm/wrist tum 3cm> (25078) |
$18,198.93 |
— |
5.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$12,750.32 |
— |
3.1× |
| Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) |
$65,087.26 |
— |
4.1× |
| Revis reconst shoulder joint (23473) |
$65,087.26 |
— |
4.1× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$65,087.26 |
— |
4.1× |
| Revise Hand/Foot Nerve (64704) |
$12,043.75 |
— |
4.9× |
| Revise knuckle joint (26530) |
$18,919.91 |
— |
2.1× |
| Revise lower leg tendon (27690) |
$17,034.17 |
— |
1.9× |
| Revise Lower Leg Tendons (27686) |
$17,034.17 |
— |
4.2× |
| Revise palsy hand tendon(s) (25315) |
$17,034.17 |
— |
1.9× |
| Revise radius & ulna (25365) |
$16,704.64 |
— |
1.0× |
| Revise reconst elbow joint (24371) |
$65,087.26 |
— |
3.0× |
| Revise thumb tendon (26496) |
$15,246.05 |
— |
3.7× |
| Revise ulnar nerve at wrist (64719) |
$12,043.75 |
— |
4.9× |
| Revise Wrist/Forearm Tendon (25280) |
$15,246.05 |
— |
3.7× |
| Revise/Implant Finger Joint (26536) |
$17,034.17 |
— |
1.9× |
| Revise/Repair Finger/Toe Nerve (64702) |
$12,043.75 |
— |
4.9× |
| Revision of big toe (28310) |
$12,750.32 |
— |
1.4× |
| Revision of foot (28116) |
$17,034.17 |
— |
4.2× |
| Revision of foot and ankle (28262) |
$17,034.17 |
— |
1.9× |
| Revision of foot bones (28737) |
$23,694.95 |
— |
1.5× |
Revision of foot fascia (28250) range across 2 matching MRF lines |
$16,704.64–$17,093.88 |
— |
varies |
| Revision of humerus (24400) |
$17,034.17 |
— |
1.9× |
| Revision of knee joint (27442) |
$16,704.64 |
— |
1.0× |
Revision of lower leg tendon (27685) range across 2 matching MRF lines |
$17,093.88–$65,507.70 |
— |
varies |
| Revision of neck muscle (21720) |
$12,750.32 |
— |
3.1× |
| Revision of toe (28312) |
$12,750.32 |
— |
3.1× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$83,205.05 |
— |
5.2× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
$106,582.87 |
— |
11.8× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$23,694.95 |
— |
3.0× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$83,205.05 |
— |
5.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$83,205.05 |
— |
3.8× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$83,205.05 |
— |
5.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$15,246.05 |
— |
3.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$15,246.05 |
— |
3.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$12,750.32 |
— |
3.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$8,687.53 |
— |
4.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$18,919.91 |
— |
7.8× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$17,034.17 |
— |
1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$15,424.33 |
— |
7.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$5,014.18 |
— |
6.4× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$4,600.98 |
— |
13.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$8,687.53 |
— |
4.4× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$15,246.05 |
— |
1.9× |
| Rpr blood vessel direct lower extremity (35226) |
$62,842.56 |
— |
71.1× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$17,034.17 |
— |
4.2× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$15,246.05 |
— |
1.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$17,034.17 |
— |
1.9× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$23,694.95 |
— |
2.6× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$17,034.17 |
— |
1.9× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$17,034.17 |
— |
4.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$15,246.05 |
— |
3.7× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$15,246.05 |
— |
3.7× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$17,034.17 |
— |
1.9× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
$23,694.95 |
— |
2.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$15,246.05 |
— |
3.7× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$15,246.05 |
— |
1.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$15,246.05 |
— |
3.7× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$15,246.05 |
— |
3.7× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
$17,034.17 |
— |
1.9× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$15,246.05 |
— |
3.7× |
| Sever cranial nerve (64771) |
$12,043.75 |
— |
4.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$622 |
$622 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$11,371.26 |
— |
45.4× |
| Shorten radius & ulna (25392) |
$15,246.05 |
— |
1.7× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$12,750.32 |
— |
3.1× |
| Shoulder Arthroscopy/Surgery (29825) |
$23,694.95 |
— |
5.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$17,034.17 |
— |
68.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$79,504.85 |
— |
317.4× |
| Skin Full Grft Face/Genit/Hf (15240) |
$12,750.32 |
— |
5.0× |
| Skin sub graft face/nk/hf/g (15275) |
$8,687.53 |
— |
9.4× |
| Skin sub graft trnk/arm/leg (15271) |
$11,371.26 |
— |
12.3× |
| Skin sub grft t/arm/lg child (15273) |
$15,246.05 |
— |
5.9× |
| Skin Tissue Procedure (17999) |
$18,198.93 |
— |
72.7× |
| Spinal puncture lumbar diagnostic (62270) |
$5,014.18 |
— |
5.7× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$15,246.05 |
— |
3.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$8,687.53 |
— |
3.4× |
| Strapping Unna Boot (29580) |
$248 |
$248 |
1.2× |
| Subtalar arthro w/deb (29906) |
$18,198.93 |
— |
4.5× |
| Suction Lipectomy Lwr Extrem (15879) |
$15,246.05 |
— |
3.4× |
| Surgery to stop leg growth (27479) |
$17,034.17 |
— |
1.9× |
| Surgery to stop leg growth (27477) |
$15,246.05 |
— |
1.7× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$16,704.64 |
— |
3.9× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$16,704.64 |
— |
3.9× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$15,246.05 |
— |
6.3× |
| Suture infrapatellar tendon primary (27380) |
$17,034.17 |
— |
1.9× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$17,034.17 |
— |
1.9× |
Suture of quadriceps or hamstring muscle rupture primary (27385) range across 2 matching MRF lines |
$17,034.17–$17,093.88 |
— |
varies |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$17,034.17 |
— |
1.9× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$12,956.92 |
— |
5.3× |
| Sympathectomy; ulnar artery (64822) |
$15,246.05 |
— |
3.7× |
| Synovectomy carpometacarpal joint (26130) |
$12,750.32 |
— |
3.1× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$15,246.05 |
— |
3.7× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$15,246.05 |
— |
3.7× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$12,750.32 |
— |
6.4× |
| Tangential biopsy skin single lesion (11102) |
$649 |
$649 |
1.3× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$17,034.17 |
— |
4.2× |
| Tendon transfer with graft (26492) |
$15,246.05 |
— |
3.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$15,246.05 |
— |
3.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$16,704.64 |
— |
4.1× |
| Tenodesis distal joint each (26474) |
$8,687.53 |
— |
4.3× |
| Tenodesis long tendon biceps (23430) |
$16,704.64 |
— |
1.8× |
| Tenodesis proximal interphalangeal joint each (26471) |
$11,371.26 |
— |
2.8× |
| Tenodesis Wrist Extensors Fingers (25301) |
$15,246.05 |
— |
3.7× |
| Tenodesis Wrist Flexors Fingers (25300) |
$15,246.05 |
— |
3.7× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$23,694.95 |
— |
5.8× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$15,246.05 |
— |
3.7× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$12,750.32 |
— |
6.4× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$15,246.05 |
— |
3.7× |
| Tenolysis Triceps (24332) |
$15,246.05 |
— |
3.7× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$15,246.05 |
— |
3.7× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$12,043.75 |
— |
2.9× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$12,750.32 |
— |
3.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$12,043.75 |
— |
6.0× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$12,750.32 |
— |
6.4× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$12,750.32 |
— |
6.4× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$15,246.05 |
— |
3.7× |
| Tenotomy Hip Abd/Ext Open (27006) |
$17,093.88 |
— |
4.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$17,034.17 |
— |
8.5× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$12,043.75 |
— |
2.9× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$12,043.75 |
— |
6.0× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$12,750.32 |
— |
3.1× |
| Tenotomy shoulder area single tendon (23405) |
$17,034.17 |
— |
1.9× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
$17,093.88 |
— |
1.9× |
| Tenotomy, hip flexor(s), open (27005) |
$23,694.95 |
— |
5.8× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$12,750.32 |
— |
3.1× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$12,043.75 |
— |
2.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$12,750.32 |
— |
6.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$5,014.18 |
— |
5.7× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$23,694.95 |
— |
1.5× |
| Thumb fusion with graft (26842) |
$17,034.17 |
— |
1.9× |
| Tnot elbow lateral/medial debride open (24358) |
$18,198.93 |
— |
4.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$18,198.93 |
— |
4.5× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$25,066.78 |
— |
1.1× |
Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$79,504.85–$92,389.56 |
— |
varies |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$15,246.05 |
— |
6.3× |
| Transfer of iliopsoas muscle (27110) |
$17,034.17 |
— |
1.9× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$15,246.05 |
— |
3.7× |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
$17,034.17 |
— |
1.9× |
| Transplant hand tendon (26480) |
$15,246.05 |
— |
3.7× |
| Transplant of thigh tendon (27396) |
$17,034.17 |
— |
1.9× |
| Transplant/graft hand tendon (26483) |
$17,034.17 |
— |
4.2× |
| Transplant/graft palm tendon (26489) |
$15,246.05 |
— |
3.7× |
| Treat ankle fracture (28445) |
$23,694.95 |
— |
2.6× |
| Treat Big Toe Fracture (28505) |
$12,750.32 |
— |
3.1× |
| Treat elbow fracture (24586) |
$23,694.95 |
— |
1.5× |
| Treat Elbow Fracture (24635) |
$23,694.95 |
— |
2.6× |
| Treat Finger Fracture Each (26727) |
$18,919.91 |
— |
4.6× |
| Treat forearm bone lesion (25035) |
$17,034.17 |
— |
1.9× |
| Treat fracture radius/ulna (25575) |
$23,694.95 |
— |
2.6× |
| Treat Fx Rad Extra-Articul (25607) |
$23,694.95 |
— |
2.6× |
| Treat kneecap dislocation (27566) |
$23,694.95 |
— |
2.6× |
| Treat Kneecap Fracture (27524) |
$23,694.95 |
— |
2.6× |
| Treat lower leg bone lesion (27607) |
$12,043.75 |
— |
2.9× |
| Treat scapula fracture (23585) |
$23,694.95 |
— |
2.6× |
| Treat thumb fracture (26665) |
$23,694.95 |
— |
5.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$17,034.17 |
— |
8.5× |
| Treatment of ankle fracture (27823) |
$23,694.95 |
— |
2.6× |
| Treatment of foot infection (28003) |
$12,750.32 |
— |
3.1× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$23,694.95 |
— |
2.6× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$23,694.95 |
— |
5.8× |
| Treatment of tibia fracture (27756) |
$17,034.17 |
— |
1.9× |
| Trim skin lesion (11055) |
$11,371.26 |
— |
45.4× |
| Trim skin lesions 2 to 4 (11056) |
$982 |
$982 |
3.9× |
| Trimming Nondystrophic Nails Any Number (11719) |
$215 |
$215 |
2.9× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$23,694.95 |
— |
1.5× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$12,750.32 |
— |
6.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$12,750.32 |
— |
6.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$4,600.98 |
— |
5.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$17,034.17 |
— |
55.3× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$23,694.95 |
— |
1.5× |
| Unlisted procedure arthroscopy (29999) |
$23,694.95 |
— |
77.0× |
| Unlisted procedure excision pressure ulcer (15999) |
$12,750.32 |
— |
14.4× |
| Unlisted procedure femur or knee (27599) |
$11,371.26 |
— |
36.9× |
Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$11,371.26–$17,034.17 |
— |
varies |
| Unlisted procedure forearm or wrist (25999) |
$17,034.17 |
— |
55.3× |
| Unlisted Procedure Hands/Fingers (26989) |
$4,600.98 |
— |
14.9× |
| Unlisted procedure humerus/elbow (24999) |
$17,034.17 |
— |
55.3× |
| Unlisted Procedure Leg/Ankle (27899) |
$8,687.53 |
— |
28.2× |
| Unlisted Procedure Muscskeletal System General (20999) |
$15,809.93 |
— |
51.3× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$8,431.35–$11,371.26 |
— |
varies |
| Unlisted procedure pelvis/hip joint (27299) |
$11,371.26 |
— |
36.9× |
| Unlisted procedure shoulder (23929) |
$4,600.98 |
— |
14.9× |
| Unlisted procedure spine (22899) |
$11,371.26 |
— |
36.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$90,392.67 |
— |
115.4× |
| Wedge excision skin nail fold (11765) |
$6,936.60 |
— |
13.7× |
| Wedging of cast (29740) |
$4,600.98 |
— |
13.2× |
| Wound Prep F/N/Hf/G (15004) |
$11,371.26 |
— |
22.4× |
| Wound Prep Trk/Arm/Leg (15002) |
$12,956.92 |
— |
14.0× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$15,246.05 |
— |
3.7× |
Xfer Single Deep Low Leg Tendon (27691) range across 2 matching MRF lines |
$17,034.17–$17,369.28 |
— |
varies |