Procedures & surgery prices at Idaho Falls Community Hospital (Idaho Falls, ID)

2451 codes. Prices are the hospital's own posted facility charges.

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Procedure	Cash price	Gross charge	× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322)	$4,600	$4,600	1.3×
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324)	$4,185	$4,185	1.2×
Abd paracentesis w/imaging (49083)	$1,518	$1,518	1.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)	$1,319	$1,319	1.5×
Ablate inf turbinate submuc (30802)	$2,575	$2,575	1.7×
Ablation 1/> Liver Tumor Perq Cryoablation (47383)	$6,800	$6,800	0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure	$5,600	$5,600	0.3×
Ablation renal tumor unilateral perq cryotherapy (50593)	$8,500	$8,500	0.8×
Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994)	$8,222	$8,222	0.8×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983)	$6,800	$6,800	0.9×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660)	$3,801	$3,801	2.3×
Abltj 1/> lvr tum prq rf (47382)	$7,800	$7,800	1.3×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)	$1,421	$1,421	0.9×
Acne surgery (10040)	$850	$850	4.3×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130)	$4,120	$4,120	1.3×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)	$2,000	$2,000	1.0×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)	$2,884	$2,884	1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)	$2,991	$2,991	0.9×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061)	$1,751	$1,751	0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)	$1,700	$1,700	0.8×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060)	$2,080	$2,080	1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)	$2,107	$2,107	1.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)	$1,833	$1,833	0.9×
Amniocentesis diagnostic (59000)	$315	$315	0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)	$1,818	$1,818	0.6×
Amputate metacarpal bone (26910)	$3,090	$3,090	1.0×
Amputation Finger/Thumb (26951)	$3,875	$3,875	1.2×
Amputation foot transmetarsal (28805)	$3,296	$3,296	1.0×
Amputation metatarsal with toe single (28810)	$3,348	$3,348	1.0×
Amputation toe interphalangeal joint (28825)	$2,472	$2,472	0.8×
Amputation toe metatarsophalangeal joint (28820)	$3,335	$3,335	1.0×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888)	$3,500	$3,500	1.1×
Amputation, leg, through tibia and fibula; (27880)	$5,000	$5,000	0.7×
Amputation, leg, through tibia and fibula; re-amputation Facility (27886)	$4,429	$4,429	1.4×
Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884)	$3,090	$3,090	1.0×
Anoscopy diagnostic (46600)	$565	$565	4.3×
Anoscopy W/Rmvl Foreign Body (46608)	$3,953	$3,953	4.3×
Anoscopy; with biopsy, single or multiple (46606)	$935	$935	0.8×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604)	$5,300	$5,300	4.5×
Anrct xm surg req anes general spi/edrl dx (45990)	$1,748	$1,748	0.6×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)	$5,957	$5,957	1.2×
Anterior tibial tubercleplasty (27418)	$5,838	$5,838	0.8×
Appendectomy (44950) unusually low: confirm this is the full procedure	$2,524	$2,524	0.4×
Appl cranial tong/strtctc frame w/removal spx (20660)	$800	$800	0.5×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581)	$174	$174	1.1×
Appl Multlay Comprs Arm/Hand (29584)	$97	$97	0.6×
Application cast elbow finger short arm (29075)	$1,250	$1,250	4.5×
Application cast shoulder hand long arm (29065)	$1,250	$1,250	4.5×
Application Finger Splint Dynamic (29131)	$205	$205	3.5×
Application finger splint static (29130)	$371	$371	2.8×
Application Hip Spica Cast 1 Leg (29305)	$632	$632	2.3×
Application long arm splint shoulder hand (29105)	$714	$714	4.4×
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) likely a partial charge, not the full procedure	$3,296	$3,296	0.3×
Application of long leg cast (29345)	$1,275	$1,275	4.6×
Application short arm splint forearm-hand static (29125)	$706.50	$706.50	5.4×
Application uniplane external fixation system (20690)	$4,581	$4,581	0.6×
Application, cast; figure-of-eight Facility (29049)	$1,250	$1,250	4.5×
Apply long leg splint (29505)	$714	$714	4.4×
Apply short leg cast (29405)	$1,250	$1,250	4.5×
Apply short leg splint (29515)	$714	$714	4.4×
Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180)	$3,330	$3,330	0.6×
Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475)	$4,580	$4,580	0.6×
Arterial puncture (36600)	$152	$152	1.2×
Arteriovenous Anastomosis Open Direct (36821)	$8,600	$8,600	2.8×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818)	$4,250	$4,250	0.8×
Artery-vein autograft (36825)	$8,800	$8,800	1.6×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)	$8,452	$8,452	0.7×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) unusually low: confirm this is the full procedure	$4,120	$4,120	0.3×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) unusually low: confirm this is the full procedure	$3,914	$3,914	0.3×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)	$13,035	$13,035	1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)	$1,171.50	$1,171.50	3.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)	$1,916	$1,916	2.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)	$752	$752	2.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)	$1,313	$1,313	4.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)	$1,030	$1,030	3.4×
Arthrodesis ankle open (27870)	$8,973	$8,973	0.7×
Arthrodesis great toe interphalangeal joint (28755) unusually low: confirm this is the full procedure	$3,296	$3,296	0.5×
Arthrodesis great toe metatarsophalangeal joint (28750)	$7,672	$7,672	1.1×
Arthrodesis interphalangeal jt w/wo int fixj (26860)	$4,500	$4,500	1.4×
Arthrodesis pantalar (28705) likely a partial charge, not the full procedure	$4,500	$4,500	0.3×
Arthrodesis sacroiliac joint percutaneous (27279) unusually low: confirm this is the full procedure	$6,386	$6,386	0.4×
Arthrodesis triple (28715)	$7,159	$7,159	0.6×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure	$7,000	$7,000	0.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) unusually low: confirm this is the full procedure	$7,450	$7,450	0.4×
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Facility (26844) unusually low: confirm this is the full procedure	$3,502	$3,502	0.5×
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842)	$3,927	$3,927	0.5×
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)	$27,410	$27,410	1.0×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830)	$7,575	$7,575	1.1×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532)	$7,950	$7,950	0.6×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) unusually low: confirm this is the full procedure	$8,104	$8,104	0.5×
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852)	$4,200	$4,200	0.6×
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) likely a partial charge, not the full procedure	$7,210	$7,210	0.3×
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) unusually low: confirm this is the full procedure	$8,220	$8,220	0.5×
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) unusually low: confirm this is the full procedure	$5,552.25	$5,552.25	0.3×
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610) unusually low: confirm this is the full procedure	$5,650	$5,650	0.3×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) unusually low: confirm this is the full procedure	$7,210	$7,210	0.4×
Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282)	$4,120	$4,120	1.3×
Arthrodesis, tibiofibular joint, proximal or distal Facility (27871) unusually low: confirm this is the full procedure	$5,665	$5,665	0.4×
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)	$4,120	$4,120	0.6×
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) unusually low: confirm this is the full procedure	$4,120	$4,120	0.3×
Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825)	$8,112	$8,112	1.1×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)	$7,107	$7,107	0.6×
Arthrodesis; subtalar (28725)	$13,035	$13,035	1.0×
Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure	$4,429	$4,429	0.2×
Arthroplasty glenohumeral joint total shoulder (23472)	$9,261.50	$9,261.50	0.5×
Arthroplasty interphalangeal joint each (26535)	$5,947	$5,947	1.8×
Arthroplasty patella w/prosthesis (27438) unusually low: confirm this is the full procedure	$4,433	$4,433	0.3×
Arthroplasty radial head (24365) unusually low: confirm this is the full procedure	$4,120	$4,120	0.3×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) unusually low: confirm this is the full procedure	$6,355	$6,355	0.4×
Arthroplasty with prosthetic replacement; distal radius Facility (25441) unusually low: confirm this is the full procedure	$5,981	$5,981	0.5×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442) unusually low: confirm this is the full procedure	$5,981	$5,981	0.3×
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) unusually low: confirm this is the full procedure	$4,397	$4,397	0.3×
Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447)	$5,853	$5,853	1.8×
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)	$13,560	$13,560	1.1×
Arthroplasty, radial head; with implant Facility (24366) unusually low: confirm this is the full procedure	$6,162	$6,162	0.5×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240)	$6,180	$6,180	1.1×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)	$15,861	$15,861	0.6×
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889)	$7,803	$7,803	0.6×
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892)	$8,606	$8,606	1.2×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851)	$5,538	$5,538	3.5×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850)	$2,987	$2,987	1.9×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)	$6,788	$6,788	0.5×
Arthroscopy Hip W/Femoroplasty (29914)	$7,803	$7,803	1.1×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)	$4,609	$4,609	1.4×
Arthroscopy knee synovectomy 2/>compartments (29876)	$3,251	$3,251	1.0×
Arthroscopy knee synovectomy limited spx (29875)	$5,071	$5,071	1.6×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)	$4,528	$4,528	1.4×
Arthroscopy shoulder distal claviculectomy (29824)	$4,263	$4,263	1.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898)	$3,947	$3,947	1.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897)	$4,017	$4,017	1.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895)	$4,017	$4,017	1.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899)	$7,210	$7,210	1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894)	$3,811	$3,811	1.2×
Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891)	$5,810	$5,810	1.8×
Arthroscopy, elbow, surgical; debridement, extensive Facility (29838)	$4,841	$4,841	1.5×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)	$3,629	$3,629	0.5×
Arthroscopy, elbow, surgical; synovectomy, partial Facility (29835)	$3,500	$3,500	1.1×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834)	$3,511	$3,511	1.1×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)	$7,519	$7,519	1.0×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)	$5,047	$5,047	0.7×
Arthroscopy, hip, surgical; with synovectomy Facility (29863)	$7,519	$7,519	2.3×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886)	$3,512	$3,512	1.1×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887)	$4,395	$4,395	0.6×
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871)	$3,810	$3,810	1.2×
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) unusually low: confirm this is the full procedure	$5,871	$5,871	0.5×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)	$5,150	$5,150	0.7×
Arthroscopy, knee, surgical; with lateral release (29873)	$4,536	$4,536	1.4×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880)	$5,572	$5,572	1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)	$4,572	$4,572	1.4×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)	$6,118.20	$6,118.20	1.9×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901)	$3,296	$3,296	1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)	$9,145	$9,145	1.3×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)	$9,237	$9,237	1.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)	$5,025	$5,025	1.6×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)	$8,859	$8,859	1.2×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821)	$5,070	$5,070	1.6×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)	$8,527	$8,527	1.2×
Arthroscopy, temporomandibular joint, surgical Facility (29804)	$4,700	$4,700	1.5×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)	$5,442	$5,442	1.7×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847)	$4,635	$4,635	0.6×
Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845)	$4,326	$4,326	1.3×
Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844)	$4,738	$4,738	1.5×
Arthrotomy ankle w/expl drainage/removal fb (27610)	$3,817	$3,817	1.2×
Arthrotomy w/synovectomy ankle (27625)	$4,223	$4,223	1.3×
Arthrotomy wrist joint with synovectomy (25105)	$5,047	$5,047	1.6×
Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage… (23101)	$4,167	$4,167	1.3×
Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107)	$3,188	$3,188	1.0×
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000)	$3,296	$3,296	1.0×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040)	$3,296	$3,296	1.0×
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) unusually low: confirm this is the full procedure	$3,296	$3,296	0.5×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)	$4,200	$4,200	0.6×
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020)	$2,369	$2,369	0.7×
Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612)	$3,399	$3,399	1.1×
Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040)	$3,296	$3,296	1.0×
Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626)	$3,500	$3,500	1.1×
Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334)	$3,090	$3,090	1.0×
Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Facility (23105)	$4,017	$4,017	0.6×
Arthrp intercarpal/carp/mtcrpl jt suspension (25448)	$5,262	$5,262	1.6×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332)	$5,885	$5,885	1.8×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)	$9,947	$9,947	1.4×
Arthrs knee debridement/shaving artclr crtlg (29877)	$5,408	$5,408	1.7×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)	$4,635	$4,635	1.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)	$1,765	$1,765	1.1×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101)	$3,870	$3,870	1.2×
Aspirate pleura w/ imaging (32555)	$2,388.14	$2,388.14	3.9×
Aspirate/Inj Ganglion Cyst (20612)	$385	$385	1.3×
Aspiration and/or injection thyroid cyst (60300)	$1,125	$1,125	1.6×
Aspiration bladder insert suprapubic catheter (51102)	$2,310	$2,310	1.1×
Aspiration bladder needle (51100)	$725	$725	2.9×
Augmentation, mandibular body or angle; prosthetic material Facility (21125) unusually low: confirm this is the full procedure	$2,678	$2,678	0.5×
Autochondrocyte implant knee (27412)	$9,500	$9,500	1.3×
Av fistula revision (36833)	$9,000	$9,000	1.6×
Av Fuse Uppr Arm Basilic (36819)	$10,500	$10,500	1.9×
Avulsion nail plate partial/complete simple 1 (11730)	$571	$571	2.9×
Axillary lymphadenectomy; complete (38745)	$5,500	$5,500	0.9×
Axillary lymphadenectomy; superficial Facility (38740)	$5,940	$5,940	1.0×
Biopsy bone open deep (20245)	$2,678	$2,678	0.9×
Biopsy bone open superficial (20240)	$2,884	$2,884	1.0×
Biopsy bone trocar/needle deep (20225)	$1,915	$1,915	1.2×
Biopsy Bone Trocar/Needle Superficial (20220)	$1,749	$1,749	1.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500)	$883	$883	1.0×
Biopsy External Auditory Canal (69105)	$1,339	$1,339	0.9×
Biopsy external ear (69100)	$999	$999	4.3×
Biopsy Forearm Soft Tissues,Deep (25066)	$2,627	$2,627	0.9×
Biopsy intranasal (30100)	$1,133	$1,133	0.7×
Biopsy muscle deep (20205)	$3,302	$3,302	1.2×
Biopsy muscle percutaneous needle (20206)	$2,012	$2,012	1.2×
Biopsy Muscle Superficial (20200)	$2,311.50	$2,311.50	1.4×
Biopsy Nail Unit Separate Procedure (11755)	$1,313	$1,313	1.9×
Biopsy Nasopharynx Visible Lesion Simple (42804)	$1,854	$1,854	0.6×
Biopsy Nerve (64795)	$2,178	$2,178	1.1×
Biopsy of breast; open, incisional (19101)	$3,238	$3,238	0.8×
Biopsy of floor of mouth (41108)	$500	$500	0.3×
Biopsy of mouth lesion (40808)	$1,133	$1,133	2.1×
Biopsy of palate, uvula (42100)	$845	$845	0.6×
Biopsy of penis (54105)	$3,000	$3,000	1.0×
Biopsy of penis (54100)	$2,500	$2,500	1.5×
Biopsy of tear sac (68525)	$2,266	$2,266	1.0×
Biopsy of tongue (41100)	$1,133	$1,133	2.1×
Biopsy of urethra (53200)	$2,565	$2,565	1.2×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520)	$4,190	$4,190	1.1×
Biopsy or excision of lymph node(s); open, superficial (38500)	$4,231	$4,231	1.1×
Biopsy Oropharynx (42800)	$1,545	$1,545	1.0×
Biopsy Salivary Gland Incisional (42405)	$3,296	$3,296	2.2×
Biopsy Salivary Gland,Needle (42400)	$1,188	$1,188	1.7×
Biopsy soft tissue leg/ankle area superficial (27613)	$1,742	$1,742	1.1×
Biopsy soft tissue neck/thorax (21550)	$2,809	$2,809	1.7×
Biopsy soft tissue pelvis&hip area superficial (27040)	$1,750	$1,750	1.1×
Biopsy Soft Tissue Shoulder Deep (23066)	$2,678	$2,678	0.9×
Biopsy Soft Tissue Shoulder Superficial (23065)	$1,062	$1,062	0.7×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324)	$3,000	$3,000	1.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)	$1,442	$1,442	0.9×
Biopsy testis incisional separate procedure (54505)	$3,000	$3,000	0.9×
Biopsy Tongue Posterior One-Third (41105)	$1,467.50	$1,467.50	0.4×
Biopsy Vaginal Mucosa Extensive (57105)	$2,289	$2,289	0.7×
Biopsy Vaginal Mucosa Simple (57100)	$750	$750	0.8×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)	$750	$750	0.8×
Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712)	$3,011	$3,011	0.9×
Biopsy/removal lymph nodes (38525)	$3,458.25	$3,458.25	0.9×
Biopsy/removal lymph nodes (38510)	$3,381	$3,381	0.9×
Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806)	$3,000	$3,000	0.9×
Bl exchange/transfuse nb (36450)	$1,000	$1,000	2.3×
Bl push transfuse 2 yr/< (36440)	$800	$800	1.8×
Bladder instillation anticarcinogenic agent (51720)	$464	$464	0.7×
Blepharoplasty lower eyelid (15820)	$4,230	$4,230	2.1×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)	$1,893	$1,893	0.9×
Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821)	$2,524	$2,524	1.2×
Blepharoplasty, Upper Eyelid (15822)	$3,090	$3,090	1.5×
Blepharotomy drain absc eyelid (67700)	$1,683	$1,683	5.4×
Blood patch (62273)	$1,751	$1,751	2.5×
Blood transfusion service (36430)	$1,030	$1,030	2.4×
Bone graft with microvascular anastomosis; iliac crest Facility (20956)	$9,000	$9,000	1.3×
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)	$4,161	$4,161	0.6×
Bone marrow aspiration only (38220)	$599	$599	0.4×
Bone Marrow Biopsy (38221)	$1,749	$1,749	1.1×
Bone marrow harvest allogen (38230)	$4,120	$4,120	2.7×
Bone Marrow Harvest Autolog (38232)	$5,260	$5,260	1.2×
Breast augmentation with implant (19325)	$4,656	$4,656	0.6×
Breast Reduction (19318)	$10,256.25	$10,256.25	1.6×
Breast surgery procedure (19499)	$4,005	$4,005	1.0×
Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625)	$1,545	$1,545	0.9×
Brnchsc Brushing/Protected Brushings (31623)	$1,648	$1,648	0.9×
Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628)	$1,700	$1,700	0.5×
Bronch ebus samplng 1/2 node (31652)	$2,800	$2,800	0.8×
Bronch ebus samplng 3/> node (31653)	$3,000	$3,000	0.8×
Bronchosc dx w/w/o fluor&wash (31622)	$3,155.50	$3,155.50	1.8×
Bronchoscopy needle bx trachea main stem&/bron (31629)	$2,009	$2,009	0.5×
Bronchoscopy w/markers (31626) likely a partial charge, not the full procedure	$2,000	$2,000	0.3×
Bronchoscopy W/Removal Foreign Body (31635)	$3,193	$3,193	1.8×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645)	$3,025.50	$3,025.50	1.7×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646)	$2,700	$2,700	7.0×
Bronchoscopy w/tumor excise (31640)	$4,500	$4,500	1.2×
Bronchoscopy,Diagnostic W Lavage (31624)	$1,648	$1,648	0.9×
Bx abdl/retroperitoneal mass prq needle (49180)	$1,749	$1,749	1.1×
Bx anorectal wall anal approach (45100)	$2,745	$2,745	1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066)	$2,060	$2,060	0.7×
Bx breast 1st lesion strtctc (19081)	$1,645	$1,645	1.0×
Bx breast 1st lesion us imag (19083)	$1,833	$1,833	1.1×
Bx breast needle core w/o imaging guidance spx (19100)	$1,288	$1,288	0.8×
Bx Low Leg Soft Tissue,Deep (27614)	$2,600	$2,600	0.9×
Bx Prostate Transperineal Ultrasound-Guided (55709)	$2,750	$2,750	0.8×
Bx/exc lymph node needle superficial (38505)	$1,982	$1,982	1.2×
Canthoplasty (67950)	$2,777	$2,777	1.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)	$3,348	$3,348	1.0×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520)	$1,803	$1,803	0.6×
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462)	$4,120	$4,120	0.6×
Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455)	$8,437	$8,437	1.2×
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466)	$5,974	$5,974	0.8×
Capsulotomy wrist (25085)	$2,884	$2,884	0.9×
Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262)	$6,215	$6,215	0.9×
Carbonic anhydrase VI (CA VI),paraotid specific/secretory protein (PSP) and salivary protein (SP1 IgG,IgM,IgA… (0472U)	$240	$240	8.6×
Carpectomy All Bones Proximal Row (25215)	$4,635	$4,635	1.4×
Cartilage graft; nasal septum Facility (20912)	$3,120	$3,120	0.9×
Casting/strapping procedure (29799)	$412	$412	2.6×
Cataract surgery complex (66982)	$2,226	$2,226	1.0×
Catheter Aspiration Nasotracheal Spx (31720)	$130	$130	0.6×
Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and… (53866)	$973	$973	3.9×
Cauterization,cervix,electro/thermal (57510)	$1,628	$1,628	0.5×
Cerclage cervix pregnancy vaginal (59320)	$2,847	$2,847	0.9×
Cervical lymphadenectomy (complete) (38720)	$3,901	$3,901	0.6×
Cessj Therapy Cath Removal (37214)	$3,000	$3,000	1.0×
Change Cystostomy Tube Complicated (51710)	$1,431.50	$1,431.50	2.1×
Change of cystostomy tube simple (51705)	$648.50	$648.50	2.6×
Change Ureter Stent, Percut (50382)	$5,000	$5,000	2.4×
Chemical cautery tissue (17250)	$500	$500	2.5×
Chemodenerv musc migraine (64615)	$400	$400	1.3×
Chemodenerv Musc Neck Dyston (64616)	$1,030	$1,030	3.4×
Chemodenervation internal anal sphincter (46505)	$2,665	$2,665	2.3×
Chemodenervation of one extremity; 1-4 muscle(s) (64642)	$1,245	$1,245	1.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)	$225	$225	0.7×
Cholecystostomy,Percutaneous, Complete (47490)	$3,350	$3,350	0.9×
Chromotubation oviduct (58350)	$3,908	$3,908	0.8×
Circum 28 days or older (54161)	$4,145.75	$4,145.75	2.0×
Circumcision (54150)	$2,700	$2,700	1.3×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055)	$1,211	$1,211	4.0×
Claviculectomy partial (23120)	$5,952	$5,952	1.8×
Closed Rx Acetabular Fx,Manipulatn (27222)	$12,153.50	$12,153.50	49.9×
Closed Rx Humer Epicondylr Fx,Manip (24565)	$8,710.50	$8,710.50	5.5×
Closed Rx Humeral Supracondylar Fx (24530)	$1,493.50	$1,493.50	6.1×
Closed Rx Mandible Fx+Manipulatn (21451)	$6,787	$6,787	4.4×
Closed Rx Radial Shaft Fx (25500)	$1,195	$1,195	4.9×
Closed Rx Spontaneous Hip Disloc (27256)	$1,493.50	$1,493.50	6.1×
Closed Rx Tibia Shaft Fx (27750)	$1,493.50	$1,493.50	6.1×
Closed Rx Tibial Plateau Fx (27530)	$1,195	$1,195	4.9×
Closed Treat Vert Body Fract (22310)	$1,153	$1,153	4.7×
Closed treat wrist dislocation (25660)	$1,493.50	$1,493.50	6.1×
Closed Treatment Coccygeal Fracture (27200)	$1,195	$1,195	4.9×
Closed Treatment Nasal Fracture W/Stabilization (21320)	$7,057.50	$7,057.50	2.2×
Closed treatment of calcaneal fracture; without manipulation (28400)	$1,195	$1,195	4.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)	$1,493.50	$1,493.50	6.1×
Closed treatment of fracture of orbit, except blowout; without manipulation (21400)	$3,231	$3,231	6.1×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252)	$8,710.50	$8,710.50	5.5×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560)	$1,195	$1,195	4.9×
Closed treatment of patellar fracture, without manipulation (27520)	$1,493.50	$1,493.50	6.1×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560)	$1,493.50	$1,493.50	6.1×
Closed treatment of sternoclavicular dislocation; without manipulation (23520)	$8,710.50	$8,710.50	5.5×
Closed treatment of talus fracture; without manipulation (28430)	$1,493.50	$1,493.50	6.1×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600)	$3,090	$3,090	12.7×
Closed treatment of trimalleolar ankle fracture with manipulation (27818)	$8,710.50	$8,710.50	5.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535)	$1,288	$1,288	5.3×
Closed Treatment Sternum Fracture (21820)	$1,195	$1,195	4.9×
Closed Treatment Ulnar Styloid Fracture (25650)	$1,493.50	$1,493.50	6.1×
Closed tx ankle dislocation w/o anesthesia (27840)	$1,195	$1,195	4.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)	$6,969	$6,969	4.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)	$1,195	$1,195	4.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405)	$3,429	$3,429	14.1×
Closed tx carpal scaphoid fracture w/manj (25624)	$6,969	$6,969	4.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)	$1,792	$1,792	7.4×
Closed tx fx orbit except blowout w/manipulation (21401)	$8,483.50	$8,483.50	5.5×
Closed tx knee dislocation w/anesthesia (27552)	$8,710.50	$8,710.50	5.5×
Closed tx knee dislocation w/o anesthesia (27550)	$1,493.50	$1,493.50	6.1×
Closed tx lunate dislocation w/manipulation (25690)	$5,520	$5,520	3.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450)	$1,512	$1,512	2.8×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)	$5,097	$5,097	0.9×
Closed tx metatarsal fracture w/o manipulation (28470)	$922.50	$922.50	3.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)	$2,189	$2,189	1.4×
Closed tx nasal fracture w/o stabilization (21315)	$4,318.50	$4,318.50	2.8×
Closed tx patellar dislocation w/anesthesia (27562)	$2,121.50	$2,121.50	8.7×
Closed tx patellar dislocation w/o anesthesia (27560)	$1,195	$1,195	4.9×
Closed tx radial head/neck fx w/manipulation (24655)	$6,969	$6,969	4.4×
Closed tx radial head/neck fx w/o manipulation (24650)	$1,493.50	$1,493.50	6.1×
Closed tx radial shaft fracture w/manipulation (25505)	$6,969	$6,969	4.4×
Closed tx radial&ulnar shaft fractures w/manj (25565)	$6,969	$6,969	4.4×
Closed Tx Scapular Fracture W/O Manipulation (23570)	$1,493.50	$1,493.50	6.1×
Closed tx septal&nose fx (21337)	$2,750	$2,750	0.8×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)	$1,493.50	$1,493.50	6.1×
Closed tx talotarsal joint dislc w/o anes (28570)	$285	$285	1.2×
Closed Tx Talus Fracture W/Manipulation (28435)	$8,710.50	$8,710.50	5.5×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605)	$3,090	$3,090	12.7×
Closed tx temporomandibular dislc comp 1st/sbsq (21485)	$8,483.50	$8,483.50	5.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480)	$1,195	$1,195	4.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)	$6,969	$6,969	4.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)	$1,493.50	$1,493.50	6.1×
Closed tx ulnar shaft fracture w/o manipulation (25530)	$1,493.50	$1,493.50	6.1×
Closure of cystostomy (separate procedure) Facility (51880)	$5,300	$5,300	1.5×
Closure of gastrostomy, surgical (43870)	$2,834	$2,834	0.7×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830)	$972	$972	4.2×
Closure of lacrimal fistula (separate procedure) Facility (68770)	$2,781	$2,781	1.2×
Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300)	$4,000	$4,000	1.3×
Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760)	$515	$515	1.6×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520)	$3,000	$3,000	0.6×
Closure of vesicovaginal fistula; vaginal approach Facility (57320)	$4,695	$4,695	0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545)	$1,500	$1,500	6.2×
Clsd tx clavicular fracture w/o manipulation (23500)	$1,493.50	$1,493.50	6.1×
Clsd tx pelvic ring fx w/manipulation w/anes (27198)	$1,697	$1,697	7.0×
Clsd tx pelvic ring fx w/o manipulation (27197)	$1,195	$1,195	4.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)	$6,969	$6,969	4.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)	$1,493.50	$1,493.50	6.1×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)	$1,195	$1,195	4.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)	$8,710.50	$8,710.50	5.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)	$1,622.50	$1,622.50	1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635)	$8,710.50	$8,710.50	5.5×
Cltx dstl fibular fx lat malls w/manj (27788)	$1,195	$1,195	4.9×
Cltx dstl fibular fx lat malls w/o manj (27786)	$1,493.50	$1,493.50	6.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)	$518	$518	2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)	$726	$726	3.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)	$1,545	$1,545	6.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)	$6,969	$6,969	4.4×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432)	$2,884	$2,884	1.8×
Cltx fem fx dstl end medial/lat condyle w/manj (27510)	$1,606	$1,606	1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508)	$1,493.50	$1,493.50	6.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)	$6,969	$6,969	4.4×
Cltx fx grt toe phlx/phlg w/manj (28495)	$1,493.50	$1,493.50	6.1×
Cltx fx grt toe phlx/phlg w/o manj (28490)	$1,493.50	$1,493.50	6.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)	$1,195	$1,195	4.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)	$1,370	$1,370	5.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)	$4,310	$4,310	2.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824)	$2,060	$2,060	8.5×
Cltx hip dislocation traumatic w/o anesthesia (27250)	$1,195	$1,195	4.9×
Cltx humeral condylar fx medial/lat w/o mnpj (24576)	$1,545	$1,545	6.3×
Cltx humeral condylar fx medial/lateral w/manj (24577)	$8,710.50	$8,710.50	5.5×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505)	$6,969	$6,969	4.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)	$8,710.50	$8,710.50	5.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)	$1,697	$1,697	6.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)	$1,195	$1,195	4.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)	$12,094	$12,094	7.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)	$1,250	$1,250	4.5×
Cltx iphal jt dislc w/manj w/o anes (26770)	$1,195	$1,195	4.9×
Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440)	$2,331	$2,331	0.7×
Cltx Medial Malleolus Fx W/O Manipulation (27760)	$1,493.50	$1,493.50	6.1×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762)	$6,969	$6,969	4.4×
Cltx metacarpal fx w/manipulation each bone (26605)	$1,087	$1,087	4.5×
Cltx metacarpal fx w/o manipulation each bone (26600)	$1,009.50	$1,009.50	4.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705)	$6,969	$6,969	4.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700)	$1,195	$1,195	4.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)	$6,969	$6,969	4.4×
Cltx metatarsophlngl jt dislc w/o anes (28630)	$1,195	$1,195	4.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)	$500	$500	2.1×
Cltx post ankle fx w/mnpj (27768)	$1,000	$1,000	0.6×
Cltx post hip arthrp dislc req anes (27266)	$6,969	$6,969	4.4×
Cltx post hip arthrp dislc w/o anes (27265)	$1,493.50	$1,493.50	6.1×
Cltx prox fibula/shft fx w/manj (27781)	$6,969	$6,969	4.4×
Cltx prox fibula/shft fx w/o manj (27780)	$1,493.50	$1,493.50	6.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)	$6,969	$6,969	4.4×
Cltx prox tibfib jt dislc req anes (27831)	$17,399.50	$17,399.50	5.4×
Cltx prox tibfib jt dislc w/o anes (27830)	$1,493.50	$1,493.50	6.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)	$1,195	$1,195	4.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)	$1,725	$1,725	1.1×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675)	$450	$450	0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)	$6,969	$6,969	4.4×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503)	$467	$467	0.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545)	$2,900	$2,900	0.9×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752)	$6,969	$6,969	4.4×
Cltx trimalleolar ankle fx w/o manipulation (27816)	$1,493.50	$1,493.50	6.1×
Colonoscopy flex w/blln dilat (45386)	$1,050	$1,050	0.9×
Colonoscopy flex w/inj submuc (45381)	$1,114.50	$1,114.50	0.9×
Colonoscopy flex w/rem forcep (45384)	$1,949	$1,949	1.6×
Colonoscopy Flexible With Decompression - Colonoscopy (45393)	$2,400	$2,400	2.0×
Colonoscopy Flx With Endoscopic Stent Placement (45389)	$11,650	$11,650	1.9×
Colonoscopy Stoma Ablation Lesion (44401)	$2,400	$2,400	2.0×
Colonoscopy Stoma Control Bleeding (44391)	$1,100	$1,100	0.9×
Colonoscopy stoma w/balloon dilation (44405)	$1,450	$1,450	1.2×
Colonoscopy stoma w/biopsy (44389)	$1,050	$1,050	0.9×
Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404)	$2,400	$2,400	2.0×
Colonoscopy Through Stoma With Decompression (44408)	$1,850	$1,850	2.0×
Colonoscopy thru stoma (44388)	$811.50	$811.50	0.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)	$1,550	$1,550	1.3×
Colonoscopy w/ablation (45388)	$2,080	$2,080	1.8×
Colonoscopy w/band ligation (45398)	$1,390.50	$1,390.50	1.2×
Colonoscopy w/fb removal (45379)	$1,050	$1,050	0.9×
Colonoscopy, flexible; with control of bleeding, any method (45382)	$1,392	$1,392	1.2×
Colonoscopy, flexible; with endoscopic mucosal resection (45390)	$2,060	$2,060	0.8×
Colpocleisis (le fort type) (57120)	$3,605	$3,605	0.7×
Colpoperineorrhaphy non ob (57210)	$7,296.50	$7,296.50	2.3×
Colpopexy vaginal intraperitoneal approach (57283)	$6,438	$6,438	0.9×
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) unusually low: confirm this is the full procedure	$3,413.25	$3,413.25	0.5×
Colporrhaphy Suture Injury Vagina (57200)	$2,163	$2,163	0.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)	$1,200	$1,200	4.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)	$443	$443	1.5×
Colposcopy cervix vag eltrd conization cervix (57461)	$1,649	$1,649	0.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)	$1,751	$1,751	0.5×
Colposcopy entire vagina w/cervix if present (57420)	$350	$350	1.2×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456)	$335	$335	1.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)	$1,300	$1,300	1.4×
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)	$3,193	$3,193	0.6×
Combined anteroposterior colporrhaphy; (57260)	$4,131	$4,131	0.8×
Conization of cervix (57520)	$3,000	$3,000	0.9×
Conization of cervix (57522)	$2,861	$2,861	0.9×
Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Facility (68326)	$2,200	$2,200	0.6×
Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750)	$3,500	$3,500	0.9×
Construction of artificial vagina; with graft Facility (57292)	$8,003	$8,003	1.6×
Contour cranial bone lesion (21181)	$4,310	$4,310	0.7×
Contour of face bone lesion (21029)	$4,785	$4,785	1.5×
Contrast Inj Cent Ven Cath, Inc Flouro (36598)	$330	$330	1.6×
Control Nasal Hemorrhage Anterior Complex (30903)	$565	$565	4.3×
Control Nasal Hemorrhage Anterior Simple (30901)	$848	$848	6.5×
Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972)	$2,800	$2,800	0.9×
Control Oropharyngeal Hemorrhage Simple (42960)	$1,285	$1,285	2.4×
Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962)	$4,782	$4,782	1.5×
Conversion ext bil drg cath (47535)	$2,500	$2,500	0.7×
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132)	$9,500	$9,500	0.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)	$2,025	$2,025	1.1×
Convert nephrostomy catheter (50434)	$5,625	$5,625	2.7×
Coracoacromial ligament release, with or without acromioplasty Facility (23415)	$5,150	$5,150	0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)	$2,577	$2,577	1.6×
Coronoidectomy (separate procedure) Facility (21070)	$9,042	$9,042	1.5×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435)	$3,815	$3,815	1.1×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420)	$4,044	$4,044	1.2×
Correction eyelid w/implant (67912)	$2,106	$2,106	0.9×
Correction hammertoe (28285)	$3,399	$3,399	1.1×
Correction of bunion (28298)	$4,523	$4,523	0.6×
Correction of bunion (28292)	$5,255	$5,255	1.6×
Correction of bunion (28299)	$4,635	$4,635	0.6×
Correction of bunion (28297) unusually low: confirm this is the full procedure	$4,120	$4,120	0.3×
Correction of everted punctum, cautery (68705)	$541	$541	1.7×
Correction of lid retraction (67911)	$2,550	$2,550	1.1×
Correction Trichiasis Epilation Forceps Only (67820)	$620	$620	4.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)	$4,551	$4,551	1.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295)	$3,605	$3,605	1.1×
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)	$8,800	$8,800	1.6×
Cryosurgical Ablation Fibroadenoma, Each (19105)	$6,708	$6,708	1.7×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970)	$2,316	$2,316	9.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)	$626	$626	4.8×
Curettage postpartum (59160)	$7,564.50	$7,564.50	2.4×
Curette/treat cornea (65436)	$2,814	$2,814	1.2×
Cysto Bladder W/Ureteral Catheterization (52005)	$1,661.25	$1,661.25	0.8×
Cysto calibration dilat urtl strix/stenosis (52281)	$3,388.50	$3,388.50	1.6×
Cysto w fulg of minor lesions <0.5cm (52224)	$2,796	$2,796	0.8×
Cysto w/destruction of lesions (52214)	$3,605	$3,605	1.0×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)	$4,170	$4,170	0.8×
Cysto w/insert ureteral stent (52332)	$6,290.95	$6,290.95	1.8×
Cysto w/irrig & evac multple obstructing clots (52001)	$2,060	$2,060	0.6×
Cysto w/removal of tumors small (52234)	$3,786	$3,786	1.1×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300)	$2,215	$2,215	0.6×
Cysto W/Simple Removal Stone & Stent (52310)	$3,986.50	$3,986.50	1.9×
Cysto w/ureter stricture tx (52341)	$4,252	$4,252	1.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352)	$3,337.75	$3,337.75	1.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344)	$3,914	$3,914	1.1×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)	$3,781.75	$3,781.75	0.7×
Cysto/uretero w/lithotripsy (52356)	$11,502.75	$11,502.75	2.2×
Cysto/uretero w/up stricture (52345)	$4,250	$4,250	1.2×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)	$4,171.50	$4,171.50	0.8×
Cystolithotomy (51050)	$4,120	$4,120	0.8×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)	$5,264	$5,264	0.6×
Cystoscopy implant stent (52282)	$3,900	$3,900	1.1×
Cystoscopy inject material (52327)	$4,148	$4,148	0.8×
Cystoscopy,Dir Vis Int Urethrotomy (52276)	$3,245	$3,245	1.6×
Cystostomy Cystotomy W/Drainage (51040)	$4,511	$4,511	2.2×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045)	$1,000	$1,000	0.5×
Cystouretero & or pyeloscope (52351)	$3,090	$3,090	0.9×
Cystourethroscopy (52000)	$1,364	$1,364	2.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330)	$3,914	$3,914	1.1×
Cystourethroscopy inj chemodenervation bladder (52287)	$2,163	$2,163	1.0×
Cystourethroscopy w/dest &/rmvl med bladder tum (52235)	$2,935.50	$2,935.50	0.8×
Cystourethroscopy w/dil bladder general anesth (52260)	$1,363.50	$1,363.50	0.7×
Cystourethroscopy w/rmvl ureteral calculus (52320)	$4,130	$4,130	1.2×
Cystourethroscopy with biopsy (52204)	$3,441	$3,441	1.7×
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) unusually low: confirm this is the full procedure	$3,641	$3,641	0.4×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402)	$3,914	$3,914	1.1×
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346)	$4,379	$4,379	0.8×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)	$2,935.50	$2,935.50	0.6×
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315)	$4,120	$4,120	2.0×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277)	$4,380	$4,380	1.3×
Cystourethroscopy, with steroid injection into stricture Facility (52283)	$3,914	$3,914	1.9×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007)	$3,914	$3,914	1.1×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355)	$3,500	$3,500	0.7×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301)	$4,130	$4,130	1.2×
Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342)	$4,130	$4,130	1.2×
Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720)	$2,761	$2,761	0.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)	$7,078.50	$7,078.50	2.5×
Dcmprn fasct leg ant&/lat&pst cmprt (27602)	$2,575	$2,575	0.8×
Dcmprn fasct leg post compartment only (27601)	$2,369	$2,369	0.7×
Debride Assoc Open Fx/Disloc Skin/Subq (11010)	$2,306	$2,306	3.3×
Debride nail 1-5 (11720)	$297	$297	5.1×
Debride nail 6 or more (11721)	$297	$297	5.1×
Debride skin musc at fx site (11011)	$2,306	$2,306	3.3×
Debride tissue/muscle (11043)	$1,657.50	$1,657.50	2.3×
Debridement Mastoidectomy Cavity Cmplx (69222)	$1,545	$1,545	2.9×
Debridement Mastoidectomy Cavity Simple (69220)	$1,545	$1,545	7.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)	$753	$753	1.9×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044)	$4,635	$4,635	2.8×
Declot vascular device (36593)	$484	$484	1.5×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024)	$3,350	$3,350	1.0×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023)	$3,296	$3,296	1.0×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498)	$3,400	$3,400	2.1×
Decompression of lower leg (27600)	$2,575	$2,575	0.8×
Decompression Of Tibia Nerve (28035)	$2,987	$2,987	1.5×
Decompression; plantar digital nerve Facility (64726)	$1,648	$1,648	0.9×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630)	$2,369	$2,369	1.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620)	$3,000	$3,000	1.5×
Delivery placenta separate procedure (59414)	$12,529	$12,529	3.9×
Denervation of hip joint (27035)	$4,429	$4,429	1.4×
Derma-fat-fascia graft (15770)	$2,546	$2,546	0.7×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130)	$2,780	$2,780	1.4×
Destroy cerv/thor facet jnt (64633)	$3,029	$3,029	1.6×
Destroy internal hemorrhoids (46930)	$2,300	$2,300	1.9×
Destroy lumb/sac facet jnt (64635)	$2,415	$2,415	1.3×
Destruc,Ciliary Body,Cyclophotocoag (66710)	$2,369	$2,369	1.0×
Destruction Benign Lesions 15/> (17111)	$2,060	$2,060	10.4×
Destruction Benign Lesions Up To 14 (17110)	$613.50	$613.50	3.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640)	$2,014	$2,014	2.3×
Destruction Lesions Vulva Extensive (56515)	$3,672	$3,672	1.8×
Destruction Lesions Vulva Simple (56501)	$1,390.50	$1,390.50	0.7×
Destruction neurolytic agt genicular nerve w/img (64624)	$2,576	$2,576	1.3×
Destruction of lesion of lid margin (up to 1 cm) (67850)	$775	$775	0.8×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917)	$2,318	$2,318	0.8×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065)	$2,742	$2,742	1.3×
Destruction of lesion, conjunctiva (68135)	$836	$836	0.4×
Destruction of skin lesions (17106)	$299	$299	0.7×
Destruction Vaginal Lesions Simple (57061)	$1,761	$1,761	0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328)	$1,765	$1,765	2.5×
Diagnostic sigmoidoscopy (45330)	$1,082	$1,082	1.2×
Dilat female urethra general/cndj spinal anes (53665)	$2,369	$2,369	1.1×
Dilat rct strix spx under anes oth/thn local (45910)	$2,781	$2,781	2.4×
Dilate Urethra Stricture (53620)	$4,417	$4,417	6.4×
Dilate urethra stricture (53600)	$1,040.50	$1,040.50	4.2×
Dilation and curettage (58120)	$2,283	$2,283	0.7×
Dilation esoph unguided sound/bougie 1/mult pass (43450)	$4,611	$4,611	5.1×
Dilation esophagus over guide wire (43453)	$690	$690	0.4×
Dilation Nasolacrimal Duct (68801)	$231	$231	0.5×
Dilation of anal sphincter (45905)	$2,827	$2,827	2.4×
Dilation of cervical canal (57800)	$1,854	$1,854	0.6×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605)	$2,060	$2,060	0.6×
Dilation of vagina (57400)	$2,300	$2,300	0.7×
Dilation Salivary Duct (42650)	$1,545	$1,545	1.0×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045)	$8,075	$8,075	1.5×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011)	$8,000	$8,000	1.5×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)	$4,700	$4,700	0.7×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975)	$1,800	$1,800	1.0×
Dissection, deep jugular node(s) Facility (38542)	$6,300	$6,300	1.1×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838)	$5,400	$5,400	1.0×
Drain Ext Ear Absc/Blood,Complic (69005)	$7,298	$7,298	4.5×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800)	$2,237	$2,237	3.2×
Drain Spinal Cord Cyst (62268)	$1,036.50	$1,036.50	1.2×
Drain/inj small joint/bursa w/us (20604)	$1,313	$1,313	4.3×
Drainage Abscess Parotid Simple (42300)	$3,452	$3,452	2.3×
Drainage abscess/hematoma nasal int approach (30000)	$690.75	$690.75	3.0×
Drainage Abscess/Hematoma Nasal Septum (30020)	$637.50	$637.50	1.2×
Drainage external auditory canal abscess (69020)	$3,074	$3,074	4.4×
Drainage External Ear Abscess/Hematoma Simple (69000)	$3,074	$3,074	4.4×
Drainage Finger Abscess Complicated (26011)	$4,699	$4,699	2.9×
Drainage Finger Abscess Simple (26010)	$936	$936	4.7×
Drainage Mouth Roof Lesion (42000)	$1,094	$1,094	4.7×
Drainage of gum lesion (41800)	$783	$783	6.0×
Drainage of hematoma/fluid (10140)	$2,301	$2,301	1.4×
Drainage of hydrocele (55000)	$751	$751	1.1×
Drainage of mouth lesion (41017)	$1,500	$1,500	0.5×
Drainage of ovarian cyst(s) (58800)	$2,173	$2,173	0.7×
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080)	$2,983	$2,983	4.3×
Drainage of salivary cyst (42409)	$2,500	$2,500	0.8×
Drainage of scrotal wall abscess (55100)	$4,393.50	$4,393.50	2.7×
Drainage of throat abscess (42725)	$5,347	$5,347	0.9×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805)	$3,700	$3,700	1.2×
Drainage tendon sheath digit&/palm each (26020)	$2,369	$2,369	0.7×
Draw blood off venous device (36591)	$170.50	$170.50	1.3×
Dressing change under anesthesia (15852)	$881	$881	1.2×
Drg absc cst hmtma vestibule mouth comp (40801)	$2,585	$2,585	4.9×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300)	$2,060	$2,060	0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)	$1,666	$1,666	4.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)	$936	$936	4.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)	$611.50	$611.50	3.1×
Dstrj Les/Scar Vestibule Mouth Physical Meths (40820)	$1,493	$1,493	0.5×
Dstrj lesion anus simple surg excision (46922)	$2,678	$2,678	1.0×
Dstrj lesion anus smpl eltrdsiccation (46910)	$1,736	$1,736	0.9×
Dstrj lesion penis simple surg excision (54060)	$1,998	$1,998	1.0×
Dx bone marrow bx & aspir (38222)	$2,412	$2,412	0.8×
Dx gastr intub w/asp spec (43754)	$150	$150	0.7×
Dx Laryngoscopy Excl Nb (31525)	$3,348	$3,348	1.9×
Dx laryngoscopy w/oper scope (31526)	$3,296	$3,296	1.9×
Ear Cartilage Graft (21235)	$3,251	$3,251	0.6×
Eardrum revision (69450)	$4,570	$4,570	1.4×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270)	$2,413	$2,413	1.3×
Egd Balloon Dil Esoph30 Mm/> (43233)	$1,061	$1,061	0.6×
Egd balloon dilation esophagus <30 mm diam (43249)	$1,545	$1,545	0.8×
Egd band ligation esophgeal/gastric varices (43244)	$1,100	$1,100	0.6×
Egd control bleeding any (43255)	$1,912	$1,912	1.0×
Egd dilate stricture (43245)	$1,024.50	$1,024.50	0.5×
Egd endo mucosal resection (43254)	$1,803	$1,803	1.0×
Egd endoscopic stent place (43266) unusually low: confirm this is the full procedure	$2,200	$2,200	0.4×
Egd flex removal lesion(s) by hot biopsy forceps (43250)	$1,082	$1,082	0.6×
Egd flexible foreign body removal (43247)	$1,096.50	$1,096.50	1.2×
Egd guide wire insertion (43248)	$2,142.35	$2,142.35	2.4×
Egd intrmural us needle aspirate/biopsy esophags (43238)	$1,082	$1,082	0.6×
Egd place gastrostomy tube (43246)	$1,706	$1,706	0.9×
Egd remove lesion snare (43251)	$1,004.25	$1,004.25	0.5×
Egd tube/cath insertion (43241)	$975	$975	0.5×
Elbow arthroscopy (29830)	$4,681	$4,681	1.4×
Elbow Arthroscopy/Surgery (29837)	$3,399	$3,399	1.1×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)	$1,725	$1,725	5.7×
Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369)	$361	$361	1.2×
Emblc/thrmbc femoral popliteal aorto-iliac art (34201)	$14,766	$14,766	2.7×
EMG anal/urethral sphincter (51785)	$250	$250	1.0×
Endocervical Curettage (57505)	$845	$845	0.9×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)	$4,825	$4,825	1.0×
Endometrial Biopsy (58100)	$876	$876	4.4×
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356)	$10,977	$10,977	2.2×
Endoscopic plantar fasciotomy (29893)	$3,193	$3,193	1.0×
Endoscopic us exam esoph (43237)	$1,600	$1,600	0.8×
Endoscopy bowel pouch/biop (44386)	$1,082	$1,082	1.2×
Endoscopy of bowel pouch (44385)	$1,050	$1,050	1.1×
Endoscopy Upper Small Intestine (44360)	$1,150	$1,150	0.6×
Endovenous laser, 1st vein (36478)	$4,272	$4,272	1.4×
Enterorrhaphy single perforation (44602)	$7,063	$7,063	1.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376)	$1,200	$1,200	0.6×
Enucleation of eye; with implant, muscles not attached to implant Facility (65103)	$3,680	$3,680	0.9×
Ep Relocate Skin Pocket Implantable Defibrillator (33223)	$5,500	$5,500	2.7×
Epididymectomy bilateral (54861)	$3,500	$3,500	1.0×
Epididymectomy unilateral (54860)	$3,103	$3,103	0.9×
Epidural lysis on single day (62264)	$1,370	$1,370	1.6×
Episiotomy or vaginal repair (59300)	$2,885	$2,885	0.9×
Ercp Duct Stent Placement (43274)	$6,500	$6,500	1.1×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260)	$2,297	$2,297	0.6×
Ercp ea duct/ampulla dilate (43277)	$4,370	$4,370	1.1×
Ercp lithotripsy calculi (43265)	$6,500	$6,500	1.1×
Ercp remove calculi/debris biliary/pancreas duct (43264)	$1,776.75	$1,776.75	0.5×
Ercp remove forgn body duct (43275)	$4,120	$4,120	2.2×
Ercp Stent Exchange W/Dilate (43276)	$3,090	$3,090	0.5×
Ercp W/Biopsy Single/Multiple (43261)	$4,000	$4,000	1.1×
Ercp w/sphincterotomy/papillotomy (43262)	$2,575	$2,575	0.7×
Esophagogastroduodenoscopy submucosal injection (43236)	$811.50	$811.50	0.9×
Esophagoscopy control bleed (43227)	$1,100	$1,100	0.6×
Esophagoscopy flex balloon dilat <30 mm diam (43220)	$1,082	$1,082	0.6×
Esophagoscopy flexible guide wire dilation (43226)	$1,100	$1,100	0.6×
Esophagoscopy flexible transnasal with biopsy (43198)	$1,875	$1,875	2.1×
Esophagoscopy Flexible Transoral Diagnostic (43200)	$1,106	$1,106	1.2×
Esophagoscopy Retro Balloon (43213)	$2,388	$2,388	1.3×
Esophagoscopy rig transoral removal foreign body (43194)	$2,050	$2,050	1.1×
Esophagoscopy rigid transoral with biopsy (43193)	$2,050	$2,050	1.1×
Esophagoscopy rigid trnso dx (43191)	$2,162	$2,162	1.1×
Esophagoscopy transoral stent placement (43212)	$11,650	$11,650	1.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)	$1,950	$1,950	1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)	$1,082	$1,082	0.6×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)	$4,000	$4,000	0.7×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205)	$1,100	$1,100	0.6×
Evacuation of subungual hematoma (11740)	$565	$565	4.3×
Evisceration of ocular contents; with implant Facility (65093)	$4,020	$4,020	1.0×
Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113)	$2,678	$2,678	1.6×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)	$2,678	$2,678	1.6×
Exc abdl tum deep 5 cm/> (22901)	$2,575	$2,575	0.9×
Exc arm/elbow les sc < 3 cm (24075)	$1,934	$1,934	1.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)	$567	$567	0.8×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420)	$3,367	$3,367	2.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)	$1,494	$1,494	0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424)	$2,389	$2,389	1.5×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402)	$773	$773	1.1×
Exc back les sc < 3 cm (21930)	$2,330	$2,330	1.4×
Exc back tum deep < 5 cm (21932)	$2,575	$2,575	0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)	$515	$515	0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)	$1,060	$1,060	0.6×
Exc forearm les sc 3 cm/> (25071)	$3,708	$3,708	2.3×
Exc Frenum Labial/Buccal (40819)	$1,841	$1,841	1.2×
Exc ganglion wrist recurrent (25112)	$2,976	$2,976	1.9×
Exc hydrocele sprmatic cord uni spx (55500)	$2,788	$2,788	0.8×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810)	$2,000	$2,000	0.6×
Exc lesion tendon sheath/capsule w/synvct foot (28090)	$2,611	$2,611	1.6×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)	$2,266	$2,266	1.4×
Exc lesion/tumor dentoalveolar strux w/o rpr (41825)	$1,442	$1,442	0.4×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510)	$3,090	$3,090	0.9×
Exc neck tum deep < 5 cm (21556)	$2,678	$2,678	0.9×
Exc neurofibroma/neurolemmoma major prph nrv (64790)	$2,056	$2,056	1.1×
Exc neuroma cutan nrv surgly identifiable (64774)	$2,256	$2,256	1.2×
Exc neuroma hand/foot xcp digital nerve (64782)	$2,056	$2,056	1.1×
Exc neuroma major peripheral nrv xcp sciatic (64784)	$2,060	$2,060	1.1×
Exc Rct Tum Incl Muscularis Propria (45172)	$3,090	$3,090	1.1×
Exc rect tum transanal part (45171)	$3,031	$3,031	1.1×
Exc skin abd (15830) unusually low: confirm this is the full procedure	$2,990	$2,990	0.5×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421)	$2,060	$2,060	2.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401)	$1,648	$1,648	4.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)	$845	$845	1.2×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444)	$927	$927	0.6×
Exc Skin Benig >4 Cm Face,Facial (11446)	$2,938	$2,938	1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426)	$3,296	$3,296	1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)	$3,502	$3,502	2.1×
Exc Skin Malig >4 Cm Face,Facial (11646)	$2,880	$2,880	1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626)	$3,708	$3,708	1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)	$1,854	$1,854	1.1×
Exc thigh/knee les sc 3 cm/> (27337)	$2,766	$2,766	1.0×
Exc thigh/knee tum dep 5cm/> (27339)	$2,472	$2,472	0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)	$2,357	$2,357	1.4×
Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116)	$2,575	$2,575	1.6×
Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115)	$2,060	$2,060	1.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)	$2,337.75	$2,337.75	0.8×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933)	$3,296	$3,296	1.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014)	$2,781	$2,781	1.0×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)	$1,700	$1,700	1.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076)	$2,060	$2,060	1.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076)	$2,318	$2,318	0.8×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)	$3,193	$3,193	1.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)	$2,601	$2,601	0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)	$2,781	$2,781	1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902)	$1,937	$1,937	1.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)	$2,833	$2,833	1.0×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045)	$1,747	$1,747	0.6×
Exc tumor soft tissue forearm &/wrist subq <3cm (25075)	$2,905	$2,905	1.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634)	$3,914	$3,914	1.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618)	$2,781	$2,781	1.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)	$3,573	$3,573	1.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)	$2,060	$2,060	1.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)	$1,545	$1,545	0.5×
Exc tumor soft tissue shoulder subfascial 5 cm/> (23073)	$3,090	$3,090	1.1×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)	$1,538	$1,538	0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)	$3,479	$3,479	1.2×
Exc urethral diverticulum spx female (53230) unusually low: confirm this is the full procedure	$2,215	$2,215	0.4×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)	$2,317.50	$2,317.50	0.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)	$2,369	$2,369	1.5×
Exc/fulguration urethral caruncle (53265)	$2,500	$2,500	1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)	$2,500	$2,500	0.7×
Exchange intraocular lens (66986)	$2,757	$2,757	1.2×
Exchange nephrostomy cath (50435)	$3,000	$3,000	1.5×
Exchng absc/cst drg cath rad gid spx (49423)	$2,250	$2,250	1.2×
Excise cutaneous neurofibroma (64788)	$2,112	$2,112	1.1×
Excise excessive skin arm (15836)	$2,000	$2,000	0.7×
Excise Inferior Turbinate (30130)	$1,931.25	$1,931.25	0.6×
Excise lesion testis (54512)	$3,121	$3,121	0.9×
Excise mandible lesion (21040)	$3,450	$3,450	1.1×
Excise pharynx lesion (42808)	$2,678	$2,678	0.8×
Excise Wrist Tendon Sheath (25118)	$3,348	$3,348	2.1×
Excise/repair mouth lesion (40812)	$1,663	$1,663	1.1×
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966)	$2,210	$2,210	0.9×
Excision Aural Polyp (69540)	$1,442	$1,442	0.9×
Excision Bone Mandible (21025)	$5,097	$5,097	0.9×
Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810)	$4,633	$4,633	1.4×
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815)	$5,986	$5,986	1.0×
Excision Breast Lesion (19125)	$4,070	$4,070	1.1×
Excision Chalazion Single (67800)	$700	$700	2.2×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125)	$6,952	$6,952	1.2×
Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240)	$5,452	$5,452	1.7×
Excision exostosis(es), external auditory canal Facility (69140)	$4,482	$4,482	0.8×
Excision external ear partial simple repair (69110)	$2,616	$2,616	0.9×
Excision Facial Bone (21026)	$5,201	$5,201	0.9×
Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Facility (26390)	$4,635	$4,635	0.6×
Excision H/P/P/U Simple/Intermediate Repair (11470)	$2,575	$2,575	0.9×
Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450)	$3,296	$3,296	1.1×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)	$2,472	$2,472	0.9×
Excision hydrocele bilateral (55041)	$4,031	$4,031	1.1×
Excision interdigital morton neuroma single each (28080)	$3,049	$3,049	1.9×
Excision Lesion Cornea Xcp Pterygium (65400)	$2,025	$2,025	2.1×
Excision Lesion Floor Mouth (41116)	$2,318	$2,318	0.7×
Excision lesion meniscus/capsule knee (27347)	$2,472	$2,472	0.8×
Excision lesion mouth roof (42104)	$3,124	$3,124	1.0×
Excision lesion tendon sheath forearm&/wrist (25110)	$2,472	$2,472	1.6×
Excision Lingual Frenum Frenectomy (41115)	$766	$766	0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)	$823	$823	1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)	$462	$462	0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)	$1,437.50	$1,437.50	3.6×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603)	$1,030	$1,030	1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)	$1,545	$1,545	2.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)	$876	$876	1.3×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641)	$1,545	$1,545	2.2×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642)	$1,545	$1,545	2.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)	$1,060	$1,060	0.6×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644)	$1,906	$1,906	1.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)	$876	$876	0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)	$1,000	$1,000	1.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)	$876	$876	1.3×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623)	$1,545	$1,545	0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)	$2,781	$2,781	1.7×
Excision Multiple External Papillae/Tags Anus (46230)	$3,121	$3,121	1.1×
Excision nasal polyp extensive (30115)	$2,575	$2,575	0.8×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441)	$515	$515	0.7×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442)	$840	$840	1.2×
Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046)	$4,738	$4,738	0.8×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) unusually low: confirm this is the full procedure	$2,833	$2,833	0.5×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066)	$4,532	$4,532	1.4×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) unusually low: confirm this is the full procedure	$2,800	$2,800	0.4×
Excision of cervical stump, vaginal approach; Facility (57550)	$6,726	$6,726	1.4×
Excision of chalazion; multiple, different lids (67805)	$700	$700	2.2×
Excision of chalazion; multiple, same lid (67801)	$1,350	$1,350	1.4×
Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808)	$2,637	$2,637	1.1×
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200)	$7,779	$7,779	1.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111)	$2,961	$2,961	1.9×
Excision of hydrocele unilateral (55040)	$3,605	$3,605	1.0×
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840)	$1,262.25	$1,262.25	1.3×
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814)	$2,163	$2,163	0.7×
Excision of lesion of spermatic cord (separate procedure) (55520)	$2,615.25	$2,615.25	0.8×
Excision of lesion of tongue with closure; posterior one-third Facility (41113)	$2,637	$2,637	0.8×
Excision of lesion of tongue with closure; with local tongue flap Facility (41114)	$3,605	$3,605	1.1×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)	$5,600	$5,600	1.0×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826)	$3,090	$3,090	0.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422)	$1,953	$1,953	1.2×
Excision of lesion, conjunctiva; over 1 cm Facility (68115)	$2,110	$2,110	0.9×
Excision of lesion, conjunctiva; up to 1 cm (68110)	$2,266	$2,266	1.0×
Excision of local lesion of epididymis (54830)	$3,120	$3,120	0.9×
Excision of mucosa of vestibule of mouth as donor graft Facility (40818)	$824	$824	1.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776)	$2,884	$2,884	1.5×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)	$5,851	$5,851	1.0×
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410)	$4,449	$4,449	0.8×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)	$4,841	$4,841	0.8×
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) unusually low: confirm this is the full procedure	$4,044	$4,044	0.4×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111)	$4,083	$4,083	0.8×
Excision of pilonidal cyst or sinus; simple (11770)	$3,399	$3,399	1.2×
Excision of rib, partial Facility (21600) unusually low: confirm this is the full procedure	$3,300	$3,300	0.5×
Excision of single external papilla or tag, anus (46220)	$2,113	$2,113	1.8×
Excision of spermatocele, with or without epididymectomy Facility (54840)	$2,575	$2,575	1.2×
Excision of sublingual gland (42450)	$3,605	$3,605	0.6×
Excision of sublingual salivary cyst (ranula) Facility (42408)	$3,000	$3,000	0.9×
Excision of submandibular (submaxillary) gland Facility (42440)	$7,664	$7,664	1.3×
Excision of thrombosed hemorrhoid, external (46320)	$3,429	$3,429	2.9×
Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281)	$5,766	$5,766	1.0×
Excision of tongue lesion (41112)	$3,092	$3,092	0.9×
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500)	$5,232	$5,232	0.9×
Excision of vaginal cyst or tumor (57135)	$2,060	$2,060	0.6×
Excision of vaginal septum (57130)	$2,477	$2,477	0.8×
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530)	$3,121	$3,121	0.9×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)	$3,479	$3,479	0.5×
Excision olecranon bursa (24105)	$3,296	$3,296	1.0×
Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Facility (25136)	$3,765	$3,765	0.5×
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135)	$4,167	$4,167	0.6×
Excision or curettage of bone cyst or benign tumor of femur; (27355)	$4,551	$4,551	1.4×
Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356)	$14,527	$14,527	1.1×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156)	$3,589	$3,589	0.5×
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120)	$3,901	$3,901	1.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100)	$2,636	$2,636	0.8×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102)	$4,120	$4,120	0.6×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) unusually low: confirm this is the full procedure	$3,296	$3,296	0.5×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637)	$4,000	$4,000	0.6×
Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870)	$3,348	$3,348	0.6×
Excision or fulguration of carcinoma of urethra Facility (53220)	$2,575	$2,575	0.7×
Excision or fulguration; Skene's glands Facility (53270)	$3,451	$3,451	1.0×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260)	$2,540	$2,540	0.7×
Excision pilonidal cyst/sinus complicated (11772)	$2,508	$2,508	0.9×
Excision prepatellar bursa (27340)	$3,811	$3,811	1.2×
Excision radial head (24130)	$3,500	$3,500	1.1×
Excision soft tissue lesion, external auditory canal (69145)	$1,793	$1,793	0.6×
Excision Synovial Cyst Popliteal Space (27345)	$3,966	$3,966	1.2×
Excision Torus Mandibularis (21031)	$3,500	$3,500	1.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931)	$2,575	$2,575	1.6×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)	$2,601	$2,601	0.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)	$1,950	$1,950	1.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)	$3,085	$3,085	1.9×
Excision tumor soft tissue shoulder subq <3cm (23075)	$2,060	$2,060	1.3×
Excision tumor soft tissue thigh/knee subq <3cm (27327)	$2,575	$2,575	1.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839)	$3,090	$3,090	1.1×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832)	$2,635	$2,635	0.9×
Excision, lesion of palate, uvula; with local flap closure Facility (42107)	$3,863	$3,863	0.7×
Excision, lesion of palate, uvula; with simple primary closure Facility (42106)	$3,123	$3,123	1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)	$3,090	$3,090	1.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012)	$1,943.50	$1,943.50	1.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)	$1,545	$1,545	0.9×
Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073)	$2,575	$2,575	0.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)	$2,575	$2,575	0.9×
Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619)	$2,198	$2,198	0.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)	$2,938	$2,938	1.0×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045)	$2,554	$2,554	0.9×
Excision,Ben Tumor,Maxilla,Intra-Oral (21048)	$4,017	$4,017	0.7×
Excision/curettage cyst/tumor carpal bones (25130)	$3,090	$3,090	1.0×
Excision/curettage cyst/tumor metacarpal (26200)	$1,906	$1,906	1.2×
Excision/destruction intranasal lesion int appr (30117)	$2,601	$2,601	0.8×
Excision/surgical planing skin nose rhinophyma (30120)	$4,000	$4,000	1.2×
Excision/Transposition Pterygium W/Grafg (65426)	$3,296	$3,296	1.4×
Excision; trochanteric bursa or calcification (27062)	$4,120	$4,120	1.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)	$6,500	$6,500	1.2×
Expl retroperitoneum w/wo bx spx (49010)	$7,606	$7,606	1.2×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248)	$4,801.50	$4,801.50	3.0×
Explo/Drain Breast Abscess (19020)	$2,987	$2,987	1.8×
Exploration maxillary sinus (31020)	$2,250	$2,250	0.7×
Exploration Of Hip Joint (27033)	$4,429	$4,429	0.6×
Exploration of knee joint (27310)	$4,635	$4,635	1.4×
Exploration of middle ear (69440)	$3,863	$3,863	1.2×
Exploration of spinal fusion (22830)	$5,315	$5,315	0.7×
Exploration penetrating wound spx chest (20101)	$3,200	$3,200	1.6×
Exploration penetrating wound spx extremity (20103)	$1,375	$1,375	0.8×
Explore & Treat Metacarpo-Phal Jt (26075)	$2,000	$2,000	0.6×
Explore eye socket,drainage (67405)	$3,837	$3,837	1.6×
Explore for undescended testis (54550)	$3,513	$3,513	1.0×
Explore inner ear (69806)	$5,500	$5,500	0.9×
Explore inner ear (69805)	$4,805	$4,805	0.8×
Explore Parathyroid Glands (60500)	$6,550	$6,550	1.1×
Explore/biopsy eye socket (67400)	$2,163	$2,163	0.6×
Explore/irrigate tear ducts (68840)	$500	$500	1.6×
Explore/Treat Elbow Joint (24101)	$3,296	$3,296	1.0×
Explore/treat eye socket (67412)	$2,106	$2,106	0.9×
Explore/treat hand joint (26070)	$2,000	$2,000	1.3×
Explore/Treat Knee Joint (27331)	$3,500	$3,500	1.1×
Extensive Retinopathy 1/> Sess Preterm Infant (67229)	$733	$733	1.3×
External cephalic version (59412)	$2,666	$2,666	0.8×
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018)	$1,905	$1,905	1.2×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922)	$2,400	$2,400	1.2×
Fasciectomy Palm Only (26121)	$3,399	$3,399	1.1×
Fasciectomy Plantar Fascia Partial Spx (28060)	$3,502	$3,502	1.1×
Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062)	$3,104	$3,104	1.0×
Fasciotomy foot and/or toe (28008)	$3,947	$3,947	1.2×
Fasciotomy Iliotibial Open (27305)	$3,121	$3,121	1.0×
Fasciotomy palmar open partial (26045)	$3,090	$3,090	1.0×
Fasciotomy, hip or thigh, any type (27025)	$4,429	$4,429	1.4×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)	$4,841	$4,841	1.5×
Fetal contraction stress test (59020)	$881	$881	4.4×
Fetal non-stress test (59025)	$659	$659	3.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)	$1,650	$1,650	2.4×
Fine needle aspiration bx w/us gdn 1st lesion (10005)	$1,076	$1,076	1.5×
Fine needle aspiration without imaging guidance (10021)	$317	$317	0.8×
Fix Entropion,Extensv Lid Repair (67924)	$2,163	$2,163	0.9×
Fixation of shoulder (23700)	$1,750	$1,750	1.1×
Fluid pressure muscle (20950)	$425	$425	0.6×
Fluoro exam of g/colon tube (49465)	$465	$465	2.0×
Follow-up surgery of eye (66250)	$2,000	$2,000	0.9×
Forehead flap w/vasc pedicle (15731)	$2,266	$2,266	0.6×
Foreskin manipulation (54450)	$666	$666	2.7×
Fracture nasal inferior turbinate(s), therapeutic (30930)	$2,369	$2,369	0.7×
Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520)	$2,341	$2,341	0.7×
Frenulotomy of penis (54164)	$2,627.90	$2,627.90	1.3×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240)	$1,931	$1,931	0.9×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)	$2,385	$2,385	1.2×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)	$1,926	$1,926	0.9×
Fusion of finger tendons (26471)	$2,000	$2,000	0.6×
Fusion of foot bones (28740)	$5,636	$5,636	0.8×
Fusion of hand bones (25820)	$4,429	$4,429	0.6×
Fusion of hand joint (26843)	$4,700	$4,700	0.7×
Fusion of knuckle (26850) unusually low: confirm this is the full procedure	$3,251	$3,251	0.5×
Fusion of thumb (26841)	$7,811	$7,811	1.1×
Fusion of wrist joint (25800)	$7,107	$7,107	1.0×
Fusion/graft of finger joint (26862)	$3,800	$3,800	1.2×
Gastric Intubation/Aspiration, Therapeutic (43753)	$721	$721	3.4×
Gastrocnemius recession (27687)	$3,997	$3,997	1.2×
Gastrostomy opn w/o constj gstr tube spx (43830)	$4,440	$4,440	2.3×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120)	$4,120	$4,120	0.7×
Genioplasty; sliding osteotomy, single piece Facility (21121)	$2,215.50	$2,215.50	0.7×
Gingivectomy, excision gingiva, each quadrant (41820)	$3,000	$3,000	0.9×
Glaucoma surgery (66170)	$2,369	$2,369	1.0×
Glossectomy; less than one-half tongue Facility (41120)	$4,700	$4,700	0.8×
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753)	$3,000	$3,000	1.1×
Graft Bone Nasal/Maxillary/Malar Areas (21210)	$5,370	$5,370	0.9×
Graft Composite W/Primary Closure Donor Area (15760)	$2,475	$2,475	1.2×
Grafting of autologous fat by lipo 25 cc or less (15773)	$4,300	$4,300	2.1×
Grafting of autologous fat by lipo 50 cc or less (15771)	$1,339	$1,339	0.4×
Grafting Of Autologous Soft Tiss By Direct Exc (15769)	$1,545	$1,545	0.4×
Guide Cathet Fluid Drainage (10030)	$1,323	$1,323	1.9×
Gum graft (41870)	$4,000	$4,000	2.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)	$7,803	$7,803	1.1×
Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289)	$3,947	$3,947	1.2×
Hem vw factor&clgn iii bndg (0279U)	$394	$394	34.2×
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160)	$2,884	$2,884	0.9×
Hemorrhoidectomy (46255)	$7,781	$7,781	2.8×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)	$2,926	$2,926	1.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261)	$2,627	$2,627	1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262)	$3,090	$3,090	1.1×
Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946)	$2,300	$2,300	0.8×
Hemorrhoidopexy by stapling (46947)	$3,090	$3,090	1.1×
Hip arthro acetabuloplasty (29915)	$8,240	$8,240	1.1×
Hip arthro w/labral repair (29916)	$8,899.20	$8,899.20	1.2×
Hymenotomy Simple Incision (56442)	$2,781	$2,781	0.9×
Hyoid myotomy and suspension Facility (21685)	$5,812	$5,812	1.0×
Hysteroscopy biopsy (58558)	$3,500.60	$3,500.60	1.1×
Hysteroscopy div/rescj intrauterine septum (58560)	$3,708	$3,708	0.8×
Hysteroscopy Lysis Intrauterine Adhesions (58559)	$3,500	$3,500	0.7×
Hysteroscopy removal leiomyomata (58561)	$5,957	$5,957	1.2×
Hysteroscopy w endometrial ablation (58563)	$5,330.25	$5,330.25	1.1×
Hysteroscopy, diagnostic (separate procedure) (58555)	$2,601	$2,601	0.8×
Hysteroscopy, surgical; with removal of impacted foreign body (58562)	$2,318	$2,318	0.7×
I&d absc rtrphrngl/parapharyngeal intraoral (42720)	$1,957	$1,957	0.6×
I&D Abscess Peritonsillar (42700)	$656.50	$656.50	2.8×
I&d abscess simple (10060)	$906	$906	4.6×
I&D Below Fascia Foot 1 Bursal Space (28002)	$2,500	$2,500	1.6×
I&d deep absc bursa/hematoma thigh/knee region (27301)	$3,296	$3,296	1.1×
I&D Deep Absc/Hematoma Neck/Chest (21501)	$2,516	$2,516	0.9×
I&d epididymis tstis&/scrotal space (54700)	$3,121	$3,121	1.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)	$2,500	$2,500	0.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990)	$3,090	$3,090	1.0×
I&d pilonidal cyst simple (10080)	$1,000	$1,000	1.4×
I&d shoulder deep abscess/hematoma (23030)	$1,957	$1,957	0.7×
I&d submucosal abscess rectum (45005)	$3,506	$3,506	3.0×
I&D Upper Arm/Elbow Bursa (23931)	$2,350	$2,350	1.4×
I&d vulva/perineal abscess (56405)	$653.50	$653.50	2.2×
Ileoscopy stoma w/balloon dilation (44381)	$1,301	$1,301	0.7×
Ileoscopy thru stoma (44380)	$1,133	$1,133	1.3×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382)	$1,635	$1,635	1.8×
Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384)	$3,605	$3,605	1.9×
Image Cath Fluid Colxn Visc (49405)	$1,042.50	$1,042.50	0.6×
Image Cath Fluid Peri/Retro (49406)	$2,982.85	$2,982.85	1.8×
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340)	$7,133	$7,133	0.9×
Implant cochlear device (69930) likely a partial charge, not the full procedure	$7,857	$7,857	0.2×
Implant neuroelectrodes (63650)	$7,995.95	$7,995.95	1.3×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) likely a partial charge, not the full procedure	$4,100	$4,100	0.2×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) unusually low: confirm this is the full procedure	$5,200	$5,200	0.4×
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) unusually low: confirm this is the full procedure	$5,852	$5,852	0.5×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351)	$6,850	$6,850	1.0×
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350)	$5,507.92	$5,507.92	0.6×
Incise external hemorrhoid (46083)	$1,114	$1,114	4.5×
Incise finger tendon sheath (26055)	$2,890	$2,890	1.8×
Incise wrist/forearm tendon (25290)	$4,120	$4,120	1.3×
Incision & drainage abscess complicated/multiple (10061)	$1,853	$1,853	4.6×
Incision & drainage leg/ankle abscess/hematoma (27603)	$2,175	$2,175	0.8×
Incision & drainage pilonidal cyst complicated (10081)	$2,037	$2,037	2.9×
Incision & removal foreign body subq tiss compl (10121)	$4,803	$4,803	2.9×
Incision & removal foreign body subq tiss simple (10120)	$1,001	$1,001	2.5×
Incision and drainage of bartholin's gland abscess (56420)	$1,985.50	$1,985.50	9.9×
Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020)	$12,388	$12,388	4.5×
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060)	$2,700	$2,700	1.0×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023)	$2,200	$2,200	0.8×
Incision and drainage perianal abscess superficial (46050)	$3,057.50	$3,057.50	3.3×
Incision and drainage, complex, postoperative wound infection (10180)	$4,875	$4,875	1.7×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) unusually low: confirm this is the full procedure	$3,100	$3,100	0.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)	$3,605	$3,605	0.5×
Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930)	$3,500	$3,500	1.2×
Incision bone cortex foot (28005)	$2,500	$2,500	0.8×
Incision bone cortex hand/finger (26034)	$2,060	$2,060	1.3×
Incision extensor tendon sheath wrist (25000)	$3,486	$3,486	2.2×
Incision of conjunctiva, drainage of cyst (68020)	$300	$300	0.3×
Incision of eardrum (69421)	$1,906	$1,906	0.6×
Incision of eardrum (69420)	$1,470	$1,470	6.3×
Incision of eyelid fold (67715)	$2,276	$2,276	1.0×
Incision of fibula (27707)	$3,425	$3,425	1.1×
Incision of labial frenum (frenotomy) (40806)	$850	$850	1.6×
Incision of lingual frenum (frenotomy) (41010)	$1,841	$1,841	1.2×
Incision of rectal abscess (46045)	$2,781	$2,781	1.0×
Incision of rectal abscess (46040)	$3,409	$3,409	2.9×
Incision of tibia (27705)	$7,730	$7,730	1.1×
Incision of urethra (53010)	$4,000	$4,000	0.8×
Incision of urethra (53020)	$2,266	$2,266	1.1×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035)	$3,000	$3,000	1.9×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935)	$3,438	$3,438	1.1×
Incisional biopsy eyelid skin & lid margin (67810)	$309	$309	1.0×
Incisional biopsy skin single lesion (11106)	$2,060	$2,060	2.8×
Initial tx 1st degree burn local tx (16000)	$253	$253	1.3×
Inj paravert f jnt c/t 1 lev (64490)	$2,566.50	$2,566.50	2.9×
Inj tendon sheath/ligament (20550)	$955.50	$955.50	3.2×
Inj therapeutic carpal tunnel (20526)	$436.50	$436.50	1.4×
Inj,Anes Agent,Brachial Plexus,Single (64415)	$1,955.50	$1,955.50	2.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)	$2,060	$2,060	2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)	$2,014	$2,014	2.3×
Inject Nerv Blck,Axillary Nerv (64417)	$1,807.50	$1,807.50	2.1×
Inject Nerv Blck,Celiac Plexus (64530)	$2,053	$2,053	2.3×
Inject Nerv Blck,Intercost,Multpl (64421)	$2,014	$2,014	2.3×
Inject Nerv Blck,Intercostal,One (64420)	$1,343	$1,343	1.9×
Inject Nerv Blck,Paravert Sympath (64520)	$1,955	$1,955	2.2×
Inject Rx Celiac Plexus Nerve (64680)	$1,535	$1,535	1.8×
Inject Tendon Origin/Insert (20551)	$835.50	$835.50	2.8×
Injection aa&/strd brach plex cont nfs cath img (64416)	$2,060	$2,060	2.4×
Injection aa&/strd genicular nrv branches w/img (64454)	$1,550	$1,550	2.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451)	$2,393	$2,393	3.4×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450)	$2,595.50	$2,595.50	3.7×
Injection aa&/strd pudendal nerve (64430)	$1,499	$1,499	1.7×
Injection aa&/strd trigeminal nerve each branch (64400)	$863	$863	2.8×
Injection anesthetic agent femoral nerve single (64447)	$1,096	$1,096	1.6×
Injection anesthetic agent suprascapular nerve (64418)	$1,751	$1,751	2.5×
Injection for identification of sentinel node (38792)	$437	$437	1.1×
Injection into skin lesions (11900)	$403.50	$403.50	2.0×
Injection Rx Extremity Pseudoaneurysm (36002)	$796	$796	1.3×
Injection single/mlt trigger point 1/2 muscles (20552)	$483.50	$483.50	1.6×
Injection single/mlt trigger point 3/> muscles (20553)	$957.50	$957.50	3.2×
Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446)	$2,060	$2,060	2.4×
Injection, anesthetic agent; vagus nerve (64408)	$618	$618	2.0×
Ins cath ren art 1st bilat (36252)	$6,500	$6,500	2.1×
Ins cath ren art 1st unilat (36251)	$6,500	$6,500	2.1×
Ins cath ren art 2nd+ bilat (36254)	$6,500	$6,500	2.1×
Ins cath ren art 2nd+ unilat (36253)	$6,500	$6,500	1.2×
Ins endovas vena cava filtr (37191)	$7,700	$7,700	1.4×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)	$19,000	$19,000	1.8×
Ins/Rep Subq Defibrillator (33270)	$48,000	$48,000	1.5×
Insert and remove bone pin (20650)	$3,193	$3,193	1.0×
Insert Bladder Cath Complex (51703)	$721	$721	5.7×
Insert cath pleura w/ image (32557)	$1,732.50	$1,732.50	1.1×
Insert cath pleura w/o image (32556)	$7,871	$7,871	4.2×
Insert Drug Implant Device (11981)	$375	$375	2.9×
Insert eye socket implant (67550)	$5,025	$5,025	1.3×
Insert gastrostomy tube percutaneous (49440)	$2,822	$2,822	1.5×
Insert heart pm atrial (33206)	$19,000	$19,000	1.8×
Insert heart pm ventricular (33207)	$19,000	$19,000	1.8×
Insert hepatic shunt (tips) (37182)	$24,000	$24,000	1.3×
Insert non-tunnel cv cath (36556)	$2,044	$2,044	0.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)	$2,221.50	$2,221.50	1.4×
Insert pulse gen dual leads (33213)	$10,740	$10,740	1.0×
Insert pulse gen mult leads (33221)	$24,500	$24,500	1.3×
Insert pulse gen sngl lead (33212)	$19,750	$19,750	2.4×
Insert spine infusion device (62360) likely a partial charge, not the full procedure	$3,605	$3,605	0.2×
Insert subq implantable defib electrode (33271)	$14,443.95	$14,443.95	1.8×
Insert Temp Bladder Cath (51702)	$155	$155	1.2×
Insert testicular prosthesis (54660)	$3,605	$3,605	0.7×
Insert tun ip cath perc (49418)	$3,588	$3,588	1.0×
Insert tunneled cv cath (36561)	$4,783	$4,783	1.5×
Insert,Non-Indwelling Bladder Catheter (51701)	$357.50	$357.50	2.7×
Insert/ replace infusn pump,programmable (62362)	$21,321	$21,321	1.2×
Insertion indwelling tunneled pleural catheter (32550)	$4,061.50	$4,061.50	1.1×
Insertion Nasal Septal Prosthesis Button (30220)	$2,060	$2,060	1.3×
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) unusually low: confirm this is the full procedure	$6,500	$6,500	0.3×
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867)	$9,000	$9,000	0.5×
Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985)	$2,200	$2,200	1.0×
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) likely a partial charge, not the full procedure	$5,665	$5,665	0.3×
Insertion of penile prosthesis; inflatable (self-contained) Facility (54401) unusually low: confirm this is the full procedure	$6,180	$6,180	0.3×
Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) unusually low: confirm this is the full procedure	$4,700	$4,700	0.4×
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) likely a partial charge, not the full procedure	$6,300	$6,300	0.2×
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) likely a partial charge, not the full procedure	$4,000	$4,000	0.1×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) unusually low: confirm this is the full procedure	$4,757	$4,757	0.4×
Insertion picc w/rs&i < 5 yr (36572)	$1,457.50	$1,457.50	2.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)	$12,500	$12,500	1.5×
Insertion/rplcmt peripheral/gastric npgr (64590)	$23,000	$23,000	1.2×
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)	$9,410.52	$9,410.52	1.2×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)	$9,410.52	$9,410.52	1.2×
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)	$14,000	$14,000	1.4×
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)	$21,250	$21,250	1.0×
Insj picc rs&i 5 yr+ (36573)	$2,447	$2,447	1.6×
Insj prph ctr vad w/subq port age 5 yr/> (36571)	$2,765	$2,765	0.9×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)	$6,695	$6,695	0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)	$4,264.50	$4,264.50	1.4×
Insj/rplcmt breast implant sep day mastectomy (19342)	$5,150	$5,150	0.6×
Insj/rplcmt defib w/lead(s) (33249)	$24,500	$24,500	0.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)	$24,348	$24,348	3.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)	$24,348	$24,348	3.0×
Insrt pulse gen w/dual leads (33230)	$24,500	$24,500	1.1×
Insrt pulse gen w/mult leads (33231)	$24,500	$24,500	0.8×
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure	$7,699.25	$7,699.25	0.3×
Install spinal shunt (63741)	$5,000	$5,000	0.6×
Int hrhc by ligation single hroid w/o img gdn (46945)	$2,447	$2,447	0.9×
Interdental Fixation (21110)	$525	$525	0.3×
Intraoral i&d tongue/floor lingual (41000)	$2,300	$2,300	4.3×
Intraoral i&d tongue/floor submental space (41007)	$2,401	$2,401	1.6×
Intraoral i&d tongue/floor submndblr space (41008)	$2,000	$2,000	0.6×
Intro cath dialysis circuit (36901)	$4,500	$4,500	2.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)	$16,000	$16,000	1.4×
Intro cath dialysis circuit w/trluml balo angiop (36902)	$13,750	$13,750	2.4×
Intubation endotracheal emergency procedure (31500)	$889.50	$889.50	3.8×
Irrigation of corpora cavernosa for priapism (54220)	$760	$760	3.1×
Island pedicle flap graft (15740)	$1,990	$1,990	1.0×
IV injection test vascular flow flap/graft (15860)	$225	$225	0.5×
Kidney endoscopy (50575)	$4,120	$4,120	0.8×
Kidney endoscopy (50570)	$2,258	$2,258	0.6×
Knee Arthroscopy/Surgery (29885)	$4,635	$4,635	0.6×
Knee Arthroscopy/Surgery (29874)	$3,641	$3,641	1.1×
Knee Arthroscopy/Surgery (29879)	$4,829	$4,829	1.5×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Facility (63265)	$7,991	$7,991	1.1×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267)	$5,175.75	$5,175.75	0.7×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266)	$7,700	$7,700	1.1×
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) likely a partial charge, not the full procedure	$4,799	$4,799	0.3×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003)	$7,475	$7,475	1.0×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)	$6,386	$6,386	0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005)	$6,500	$6,500	0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017)	$7,500	$7,500	1.0×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)	$7,000	$7,000	1.0×
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012)	$7,500	$7,500	1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)	$8,366	$8,366	1.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)	$6,592	$6,592	0.9×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)	$6,592	$6,592	0.9×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020)	$4,800	$4,800	0.7×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)	$10,441	$10,441	1.5×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042)	$8,122	$8,122	1.1×
Lap ing hernia repair init (49650)	$9,772.12	$9,772.12	1.6×
Lap insert tunnel ip cath (49324)	$4,100	$4,100	0.7×
Lap paraesoph her rpr w/mesh (43282)	$10,479	$10,479	1.0×
Lap paraesophag hern repair (43281)	$10,479	$10,479	1.0×
Lap revision perm ip cath (49325)	$6,155	$6,155	1.0×
Laparoscopic surgical splenectomy (38120)	$7,622	$7,622	0.7×
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)	$5,332	$5,332	0.9×
Laparoscopy appendectomy (44970)	$6,753	$6,753	1.1×
Laparoscopy biopsy (49321)	$5,895	$5,895	1.0×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)	$10,440	$10,440	1.0×
Laparoscopy tubal block (58671)	$5,201	$5,201	0.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)	$12,717.40	$12,717.40	1.2×
Laparoscopy w/rmvl adnexal structures (58661)	$9,624.06	$9,624.06	1.6×
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867)	$9,094	$9,094	0.9×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)	$5,300	$5,300	0.9×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674)	$6,087	$6,087	0.6×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)	$9,912.90	$9,912.90	0.9×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)	$5,665	$5,665	0.9×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)	$10,174	$10,174	1.0×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774)	$5,356	$5,356	1.4×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772)	$4,500	$4,500	1.2×
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)	$6,031	$6,031	1.0×
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541)	$6,100	$6,100	0.6×
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)	$10,000	$10,000	1.0×
Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550)	$5,150	$5,150	0.9×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)	$9,476	$9,476	0.9×
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572)	$9,373	$9,373	0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)	$9,476	$9,476	1.6×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)	$9,476	$9,476	0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553)	$7,210	$7,210	0.7×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)	$9,279	$9,279	0.9×
Laparoscopy, surgical; ablation of renal cysts Facility (50541)	$5,668	$5,668	0.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)	$6,159.40	$6,159.40	1.0×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) unusually low: confirm this is the full procedure	$5,100	$5,100	0.5×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)	$4,578	$4,578	0.8×
Laparoscopy, surgical; orchiectomy Facility (54690)	$5,200	$5,200	0.9×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)	$10,394	$10,394	1.7×
Laparoscopy, surgical; pyeloplasty Facility (50544)	$6,633	$6,633	0.6×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)	$10,076	$10,076	1.7×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)	$5,150	$5,150	0.9×
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947)	$6,000	$6,000	0.6×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948)	$7,500	$7,500	0.7×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990)	$5,150	$5,150	0.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) unusually low: confirm this is the full procedure	$5,200	$5,200	0.5×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573) unusually low: confirm this is the full procedure	$5,200	$5,200	0.5×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)	$6,695	$6,695	0.6×
Laparoscopy, surgical; with fimbrioplasty Facility (58672)	$4,841	$4,841	0.8×
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)	$5,390.05	$5,390.05	0.9×
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)	$5,572	$5,572	0.9×
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673)	$8,526	$8,526	0.8×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)	$7,827.50	$7,827.50	1.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)	$16,245.44	$16,245.44	2.7×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)	$7,500	$7,500	0.7×
Laps surg gastrostomy w/o constj gstr tube spx (43653)	$5,150	$5,150	0.9×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)	$4,167.75	$4,167.75	0.7×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)	$7,164.95	$7,164.95	1.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)	$4,839	$4,839	0.8×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)	$5,023	$5,023	1.4×
Laryngoplasty, medialization, unilateral Facility (31591)	$8,500	$8,500	1.5×
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584)	$7,100	$7,100	1.2×
Laryngoscope Injection Vocal Cord Therapeutic (31570)	$3,608	$3,608	1.0×
Laryngoscopy diagnostic (31505)	$288	$288	1.5×
Laryngoscopy Direct Aspiration (31515)	$3,505	$3,505	9.1×
Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528)	$3,752	$3,752	1.0×
Laryngoscopy flexible diagnostic (31575)	$542	$542	2.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)	$3,828	$3,828	2.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)	$1,184	$1,184	3.1×
Laryngoscopy w/biopsy (31535)	$3,502	$3,502	1.0×
Laryngoscopy w/bx op scope (31536)	$3,610	$3,610	1.0×
Laryngoscopy w/exc of tumor (31540)	$3,608	$3,608	1.0×
Laryngoscopy W/Foreign Body Removal (31530)	$2,636	$2,636	1.5×
Larynscop w/tumr exc + scope (31541)	$2,318	$2,318	0.6×
Late closure of wound (13160)	$3,090	$3,090	0.9×
Lateral canthopexy (21282)	$1,900	$1,900	0.6×
Lateral retinacular release open (27425)	$3,090	$3,090	1.0×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)	$7,514	$7,514	1.0×
Ligamentous reconstruction knee intra-articular (27428)	$8,400	$8,400	0.7×
Ligation major artery abdomen (37617)	$8,755	$8,755	1.6×
Ligation of hemorrhoid(s) (46221)	$2,162	$2,162	2.4×
Ligation Of Neck Artery (37615)	$6,000	$6,000	1.9×
Ligation or biopsy temporal artery (37609)	$2,511.25	$2,511.25	1.5×
Litholapaxy comp/lg > 2.5 cm (52318)	$4,378	$4,378	1.3×
Litholapaxy smpl/sm <2.5 cm (52317)	$3,914	$3,914	1.1×
Lithotripsy (50590)	$11,252.75	$11,252.75	3.2×
Liver Biopsy (47000)	$1,700	$1,700	1.0×
Lower jaw bone graft (21215)	$6,000	$6,000	1.0×
Lrt iad 18bct/8vir&7arg RNA (0528U)	$1,270	$1,270	2.0×
Lysis Intranasal Synechia (30560)	$541	$541	1.0×
Lysis of labial adhesions (56441)	$2,300	$2,300	0.7×
Lysis/excision penile postcircumcision adhesions (54162)	$2,984	$2,984	1.4×
Malar augmentation, prosthetic material Facility (21270)	$6,411	$6,411	1.1×
Manipulation knee joint under general anesthesia (27570)	$1,957	$1,957	1.2×
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860)	$1,700	$1,700	0.5×
Manipulation spine requiring anesthesia (22505)	$2,000	$2,000	1.3×
Manipulation, elbow, under anesthesia (24300)	$1,663	$1,663	1.0×
Manipulation, finger joint, under anesthesia, each joint (26340)	$1,000	$1,000	0.6×
Manipulation, wrist, under anesthesia (25259)	$2,500	$2,500	1.6×
Marsupialization Bartholins Gland Cyst (56440)	$2,884	$2,884	0.9×
Marsupialization of urethral diverticulum, male or female Facility (53240)	$2,700	$2,700	0.8×
Mast mod rad (19307)	$8,086	$8,086	1.2×
Mastectomy for gynecomastia (19300)	$3,605	$3,605	0.9×
Mastectomy partial (19301)	$5,150	$5,150	1.3×
Mastectomy simple complete (19303)	$8,196.25	$8,196.25	1.2×
Mastoidectomy (69501)	$4,532	$4,532	0.8×
Mastoidectomy; complete (69502)	$4,396	$4,396	0.8×
Mastoidectomy; modified radical Facility (69505)	$5,300	$5,300	0.9×
Mastoidectomy; radical (69511)	$6,345	$6,345	1.1×
Mastopexy (19316)	$3,399	$3,399	0.5×
Metatarsectomy (28140)	$2,716	$2,716	0.8×
Musc myocutaneous/fasciocutaneous flap uxtr (15736)	$2,500	$2,500	1.2×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733)	$4,084	$4,084	1.2×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738)	$2,472	$2,472	0.7×
Muscle-skin graft trunk (15734)	$3,605	$3,605	1.0×
Myelography Lumbar Injection (62305)	$1,586	$1,586	2.0×
Myelography Lumbar Injection (62304)	$1,396	$1,396	1.8×
Myelography Via Lumbar Injection Rs&I Cervical (62302)	$1,396	$1,396	1.8×
Myelography via lumbar injection rs&i thoracic (62303)	$1,396	$1,396	1.8×
Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145)	$4,000	$4,000	1.3×
Myringoplasty (69620)	$2,487.45	$2,487.45	0.8×
N Block Inj Ilio-Ing/Hypogi (64425)	$3,177	$3,177	4.6×
N Block Inj, Plantar Digit (64455)	$330.50	$330.50	1.1×
Nasal endoscopy dx (31231)	$487	$487	2.5×
Nasal surgery procedure (30999)	$457	$457	2.0×
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)	$4,103	$4,103	0.6×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)	$3,553.50	$3,553.50	1.0×
Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235)	$3,870	$3,870	2.2×
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)	$3,553.50	$3,553.50	0.5×
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)	$3,605	$3,605	0.5×
Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240)	$2,578	$2,578	1.5×
Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239)	$5,223	$5,223	1.4×
Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241)	$3,399	$3,399	1.9×
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) unusually low: confirm this is the full procedure	$3,348	$3,348	0.5×
Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243)	$13,390	$13,390	2.3×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242)	$13,390	$13,390	2.3×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237)	$2,881	$2,881	1.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)	$2,239.50	$2,239.50	1.3×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) unusually low: confirm this is the full procedure	$2,884	$2,884	0.4×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)	$5,227	$5,227	0.7×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)	$5,201	$5,201	0.7×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)	$3,605	$3,605	0.5×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) unusually low: confirm this is the full procedure	$3,250	$3,250	0.5×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) unusually low: confirm this is the full procedure	$2,961.25	$2,961.25	0.4×
Nasal/sinus ndsc total with sphenoidotomy (31257)	$4,441.88	$4,441.88	0.6×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)	$6,444	$6,444	0.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752)	$375	$375	0.8×
Ndsc njx implt matrl urt&/bldr nck (51715)	$3,612	$3,612	1.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)	$5,201	$5,201	3.3×
Needle biopsy of pancreas (48102)	$1,749	$1,749	1.1×
Needle insertion w/o injection 1 or 2 muscles (20560)	$372	$372	13.0×
Needle insertion w/o injection 3 or more muscles (20561)	$300	$300	10.5×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) unusually low: confirm this is the full procedure	$3,399	$3,399	0.4×
Nerve pedicle transfer; first stage Facility (64905) unusually low: confirm this is the full procedure	$3,670	$3,670	0.4×
Nerve repair w/allograft (64910) unusually low: confirm this is the full procedure	$3,358	$3,358	0.4×
Nerve repair w/nerve allograft first strand (64912)	$5,600	$5,600	0.6×
Neuroplasty &/transposition ulnar nerve wrist (64719)	$2,614	$2,614	1.4×
Neuroplasty and/or transposition; median nerve at carpal tunnel (64721)	$2,665.70	$2,665.70	1.4×
Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713)	$2,678	$2,678	1.4×
Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712)	$2,472	$2,472	1.3×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)	$3,296	$3,296	1.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)	$1,129.50	$1,129.50	2.7×
Nipple exploration (19110)	$3,600	$3,600	0.9×
Nipple/areola reconstruction (19350)	$4,000	$4,000	1.0×
Njx aa&/strd sciatic nerve (64445)	$1,275.50	$1,275.50	1.8×
Njx c/p/a cavernosa w/pharmacologic agt (54235)	$523	$523	2.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)	$1,500	$1,500	0.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)	$3,000	$3,000	0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)	$2,493	$2,493	2.9×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321)	$2,132	$2,132	3.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320)	$1,777	$1,777	2.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324)	$1,700	$1,700	1.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327)	$1,854	$1,854	2.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323)	$2,078	$2,078	3.0×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431)	$1,137	$1,137	1.7×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430)	$1,500	$1,500	2.2×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) unusually low: confirm this is the full procedure	$2,591.10	$2,591.10	0.4×
Occipital Nerve Block (64405)	$1,075	$1,075	3.5×
Ocular reconst transplant (65780)	$3,880	$3,880	1.0×
Omntc epiploectomy rescj omentum spx (49255)	$3,650	$3,650	0.6×
Onc prst8 ca alys all PSA structural isoforms (0359U)	$630	$630	0.8×
Open biopsy/excision inguinofemoral nodes (38531)	$3,090	$3,090	0.8×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) likely a partial charge, not the full procedure	$8,424.50	$8,424.50	0.2×
Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Facility (64575) unusually low: confirm this is the full procedure	$3,811	$3,811	0.3×
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581)	$3,771	$3,771	0.6×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) unusually low: confirm this is the full procedure	$10,462	$10,462	0.3×
Open nasoethmoid fx w/o fixj (21338)	$4,300	$4,300	0.7×
Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446)	$7,725	$7,725	1.1×
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) unusually low: confirm this is the full procedure	$6,000	$6,000	0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)	$6,450	$6,450	0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)	$6,650	$6,650	0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)	$6,650	$6,650	0.5×
Open Treatment Bimalleolar Ankle Fracture (27814)	$5,569	$5,569	0.8×
Open treatment calcaneal fracture (28415)	$7,803	$7,803	1.1×
Open treatment fracture distal tibia only (27827)	$13,560	$13,560	1.1×
Open Treatment Medial Malleolus Fracture (27766)	$7,885	$7,885	1.1×
Open treatment metacarpophalangeal dislocation (26715)	$2,958	$2,958	0.9×
Open treatment metatarsal fracture each (28485)	$7,803	$7,803	1.1×
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550)	$6,557	$6,557	0.9×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)	$7,730	$7,730	1.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)	$7,885	$7,885	1.1×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365)	$5,768	$5,768	1.0×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470)	$7,500	$7,500	1.3×
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432)	$7,500	$7,500	1.3×
Open treatment of depressed frontal sinus fracture Facility (21343)	$5,849	$5,849	1.0×
Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360)	$5,512.50	$5,512.50	0.9×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)	$3,090	$3,090	0.5×
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) unusually low: confirm this is the full procedure	$3,500	$3,500	0.5×
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) unusually low: confirm this is the full procedure	$4,635	$4,635	0.4×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269)	$5,665	$5,665	0.8×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)	$7,806	$7,806	1.1×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)	$5,871	$5,871	0.8×
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408)	$6,050	$6,050	1.0×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407)	$6,200	$6,200	1.1×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)	$4,750	$4,750	0.8×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)	$6,598	$6,598	0.9×
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630)	$4,944	$4,944	0.7×
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) unusually low: confirm this is the full procedure	$5,852	$5,852	0.5×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) unusually low: confirm this is the full procedure	$5,150	$5,150	0.4×
Open treatment of lunate dislocation Facility (25695) unusually low: confirm this is the full procedure	$3,000	$3,000	0.4×
Open treatment of mandibular condylar fracture Facility (21465)	$6,065	$6,065	1.0×
Open treatment of mandibular fracture; with interdental fixation Facility (21462)	$4,608.50	$4,608.50	0.8×
Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Facility (21445) unusually low: confirm this is the full procedure	$2,800	$2,800	0.5×
Open treatment of nasal fracture; uncomplicated Facility (21325)	$2,884	$2,884	0.9×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335)	$4,540	$4,540	1.4×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336)	$2,575	$2,575	0.8×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346)	$4,635	$4,635	0.8×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)	$6,334	$6,334	1.1×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)	$5,722	$5,722	1.0×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385)	$6,334	$6,334	1.1×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423)	$5,300	$5,300	0.9×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422)	$4,120	$4,120	0.7×
Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566)	$3,962	$3,962	0.6×
Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832)	$4,841	$4,841	0.7×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)	$4,600	$4,600	0.6×
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) unusually low: confirm this is the full procedure	$4,500	$4,500	0.4×
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)	$6,461	$6,461	0.9×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)	$4,120	$4,120	0.6×
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670)	$4,584	$4,584	0.6×
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) unusually low: confirm this is the full procedure	$4,635	$4,635	0.4×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) unusually low: confirm this is the full procedure	$2,678	$2,678	0.4×
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555)	$3,760	$3,760	0.5×
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) unusually low: confirm this is the full procedure	$4,635	$4,635	0.4×
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)	$7,510	$7,510	1.0×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)	$6,625	$6,625	0.9×
Open treatment of ulnar styloid fracture (25652)	$5,150	$5,150	0.7×
Open treatment posterior malleolus fracture (27769)	$4,551	$4,551	0.6×
Open Treatment Proximal Humeral Fracture (23615)	$13,656	$13,656	1.1×
Open treatment talus fracture (28445)	$4,326	$4,326	0.6×
Open treatment tarsometatarsal joint dislocation (28615)	$5,201	$5,201	0.7×
Open tx articular fracture mcp/ip joint ea (26746)	$3,090	$3,090	1.0×
Open tx carpal bone fracture oth/thn scaphoid ea (25645)	$5,630	$5,630	1.7×
Open tx carpal scaphoid navicular fracture (25628)	$5,768	$5,768	0.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)	$7,803	$7,803	1.1×
Open Tx Distal Phalangeal Fracture Each (26765)	$4,523	$4,523	1.4×
Open Tx Distal Tibiofibular Joint Disruption (27829)	$6,731	$6,731	0.9×
Open tx fracture phalanx/phalanges not great toe (28525)	$4,120	$4,120	1.3×
Open Tx Humeral Epicondylar Fracture (24575)	$6,670	$6,670	0.5×
Open tx humeral supracondylar fracture w/o xtn (24545)	$7,910	$7,910	0.6×
Open tx interphalangeal joint dislocation (26785)	$2,640	$2,640	0.8×
Open Tx Metacarpal Fracture Single Ea Bone (26615)	$5,267.50	$5,267.50	1.6×
Open tx metatarsophalangeal joint dislocation (28645)	$4,120	$4,120	1.3×
Open tx phalangeal shaft fracture prox/middle ea (26735)	$4,551	$4,551	1.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)	$4,172	$4,172	0.6×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)	$7,510	$7,510	1.0×
Open tx ulnar fx proximal end (24685)	$4,291.50	$4,291.50	0.6×
Open/Perq Place Stent Same (37238)	$16,000	$16,000	1.4×
Open/Perq Placement Intravascular Stent Initial (37236)	$16,000	$16,000	1.4×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)	$7,821	$7,821	1.1×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)	$7,730	$7,730	1.1×
Optx dstl radl x-artic fx/epiphysl sep (25607)	$7,802	$7,802	1.1×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)	$5,356	$5,356	0.7×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) unusually low: confirm this is the full procedure	$5,773	$5,773	0.5×
Optx tibial fx prox bicondylar w/wo int fixj (27536)	$6,000	$6,000	0.8×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414)	$3,708	$3,708	1.0×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Facility (67413)	$3,853	$3,853	1.6×
Orchiectomy partial (54522)	$3,120	$3,120	0.9×
Orchiectomy radical tumor inguinal approach (54530)	$3,708	$3,708	1.0×
Ostc compl all metar heads w/prtl prox phalangc (28114)	$4,900	$4,900	1.5×
Ostectomy calcaneus (28118)	$2,781	$2,781	0.9×
Ostectomy complete 1st metatarsal head (28111)	$2,369	$2,369	0.7×
Ostectomy complete 5th metatarsal head (28113)	$2,472	$2,472	0.8×
Ostectomy of sternum, partial Facility (21620)	$2,500	$2,500	0.8×
Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112)	$2,884	$2,884	0.9×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)	$4,065	$4,065	1.3×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288)	$3,425	$3,425	1.1×
Osteochondral allograft, knee, open (27415)	$11,629	$11,629	0.9×
Osteochondral knee autograft (27416)	$5,462	$5,462	0.8×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208)	$4,805	$4,805	0.8×
Osteoplasty, radius OR ulna; shortening Facility (25390)	$7,730	$7,730	1.1×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) unusually low: confirm this is the full procedure	$5,000	$5,000	0.4×
Osteot shrt corrj prox phalanx 1st toe (28310) unusually low: confirm this is the full procedure	$2,500	$2,500	0.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306) unusually low: confirm this is the full procedure	$2,369	$2,369	0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)	$3,641	$3,641	1.1×
Osteotomy calcaneus w/wo internal fixation (28300)	$4,532	$4,532	0.6×
Osteotomy Metacarpal Each (26565)	$4,193	$4,193	1.3×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214)	$6,650	$6,650	0.9×
Osteotomy Phalanx Finger Each (26567)	$4,563	$4,563	1.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)	$4,538	$4,538	0.6×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)	$5,200	$5,200	0.7×
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)	$8,500	$8,500	0.7×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)	$7,806	$7,806	1.1×
Osteotomy, mandible, segmental; Facility (21198)	$4,635	$4,635	0.8×
Osteotomy, mandible, segmental; with genioglossus advancement (21199)	$4,800	$4,800	0.8×
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457)	$4,223	$4,223	0.6×
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455)	$6,905	$6,905	1.0×
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305)	$4,500	$4,500	0.6×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309)	$7,735	$7,735	1.1×
Ovarian cystectomy (58925)	$5,002	$5,002	1.0×
P-mastectomy w/ln removal (19302)	$7,137	$7,137	1.1×
Palatopharyngoplasty (42145)	$3,426	$3,426	0.6×
Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200)	$6,695	$6,695	1.1×
Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210)	$5,500	$5,500	0.9×
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225)	$4,893	$4,893	0.8×
Part Remv Femur/Prox Tib/Fib (27360)	$3,399	$3,399	1.1×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140)	$5,050	$5,050	1.6×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147)	$3,901	$3,901	1.2×
Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150)	$5,293	$5,293	1.6×
Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641)	$3,605	$3,605	1.1×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120)	$3,708	$3,708	1.1×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122)	$3,193	$3,193	1.0×
Partial excision bone clavicle (23180) unusually low: confirm this is the full procedure	$3,188	$3,188	0.4×
Partial excision bone tibia (27640)	$4,899	$4,899	1.5×
Partial Excision Distal Phalanx Finger (26236)	$3,705.50	$3,705.50	2.3×
Partial excision of lip (40520)	$2,250	$2,250	0.7×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102)	$5,784	$5,784	0.8×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100)	$6,798	$6,798	0.9×
Partial Excision Proximal/Middle Phalanx Finger (26235)	$1,854	$1,854	1.2×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070)	$4,000	$4,000	1.2×
Partial hymenectomy or revision (56700)	$3,868	$3,868	1.2×
Partial removal of hand bone (26230)	$1,854	$1,854	0.6×
Partial removal of scapula (23190)	$3,296	$3,296	1.0×
Partial removal of thyroid (60220)	$7,032	$7,032	1.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)	$8,533	$8,533	1.4×
Partical Excision Bone Phalanx Toe (28124)	$2,340	$2,340	0.7×
Patellectomy or hemipatellectomy (27350)	$4,635	$4,635	0.6×
Pelvic examination under anesthesia (other than local) (57410)	$2,575	$2,575	0.8×
Penile venous occlusive procedure Facility (37790)	$4,044	$4,044	1.2×
Perc Radiofreq Ablate Renal Tumor (50592)	$7,800	$7,800	1.3×
Percut Drain/Inject Renal Cyst (50390)	$1,015	$1,015	1.5×
Percut Mech Thrombectomy, Venous (37187)	$9,000	$9,000	0.8×
Percut Mech Thrombectomy, Venous, Repeat (37188)	$5,000	$5,000	1.6×
Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671)	$2,900	$2,900	0.9×
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)	$4,378	$4,378	0.6×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496)	$2,575	$2,575	0.8×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) unusually low: confirm this is the full procedure	$2,884	$2,884	0.4×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566)	$3,296	$3,296	2.1×
Percutaneous skeletal fixation of metacarpal fracture, each bone (26608)	$4,173	$4,173	1.3×
Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706)	$3,233	$3,233	1.0×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636)	$3,752	$3,752	1.2×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546)	$2,860	$2,860	1.8×
Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606)	$3,605	$3,605	1.1×
Percutaneous skeletal fixation of ulnar styloid fracture (25651)	$3,090	$3,090	1.0×
Pericardiocentesis W/Imaging (33016)	$7,547.70	$7,547.70	4.9×
Perineoplasty rpr perineum nonobstetrical spx (56810)	$3,228	$3,228	1.0×
Peritoneal Lavage (49084)	$1,432	$1,432	1.6×
Perq dev breast 1st strtctc (19283)	$763	$763	1.1×
Perq dev breast 1st us imag (19285)	$763	$763	1.1×
Perq device breast 1st imag (19281)	$763	$763	0.5×
Perq dilation xst trc endourologic px w/img (50436)	$6,500	$6,500	1.9×
Perq dilation xst trc new access renal coltj sys (50437)	$4,395	$4,395	1.3×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)	$5,893	$5,893	1.0×
Perq replacement gtube not req revj gstrst trc (43762)	$600	$600	2.4×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)	$1,076	$1,076	1.5×
Perq skel fixj distal radial fx/epiphysl sep (25606)	$13,920	$13,920	4.3×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)	$22,000	$22,000	1.2×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)	$18,000	$18,000	1.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)	$11,300	$11,300	2.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)	$9,000	$9,000	1.3×
Perq Vertebral Augmentation (22513)	$15,910	$15,910	2.2×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511)	$5,027.50	$5,027.50	1.6×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510)	$5,027.50	$5,027.50	1.6×
Phalangectomy toe each toe (28150)	$2,500	$2,500	0.8×
Phleb veins - extrem 20+ (37766)	$5,125	$5,125	1.6×
Picc line placement (36569)	$3,628.50	$3,628.50	2.3×
Pin hand dislocation (26676)	$2,884	$2,884	0.9×
Place Amniotic Membrane Ocular Surface Sutured (65779)	$2,500	$2,500	0.6×
Place Cath Subclavian Art (36225)	$3,500	$3,500	1.1×
Place Cath Thoracic Aorta (36221)	$6,000	$6,000	1.9×
Place Cath Vertebral Art (36226)	$7,000	$7,000	1.3×
Place duod/jej tube perc (49441)	$1,956	$1,956	1.0×
Placement of needle for intraosseous infusion (36680)	$1,117.50	$1,117.50	2.5×
Placement of seton (46020)	$2,912	$2,912	1.1×
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300)	$3,875	$3,875	2.0×
Plastic operation on penis to correct angulation Facility (54360)	$5,000	$5,000	1.4×
Plastic Repair Introitus (56800)	$2,300	$2,300	0.7×
Plastic repair of canaliculi (68700)	$2,163	$2,163	0.9×
Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700)	$5,845	$5,845	1.0×
Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720)	$4,805	$4,805	1.5×
Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500)	$3,597	$3,597	0.6×
Plastic Repair Of Urethrocele (57230)	$5,000	$5,000	1.6×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)	$3,400	$3,400	0.5×
Plmt Bile Duct Stent Prq Existing Access (47538)	$4,000	$4,000	0.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)	$4,000	$4,000	0.7×
Plmt bile duct stent prq new access w/sep cath (47540)	$4,000	$4,000	0.7×
Plmt interstitial dev radiat tx prostate 1/mult (55876)	$1,339	$1,339	1.0×
Plmt nephrostomy cath prq new access rs&i (50432)	$3,000	$3,000	1.5×
Plmt nephroureteral cath prq new access rs&i (50433)	$3,500	$3,500	1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)	$5,625	$5,625	1.6×
Plmt urtrl stent prq pre-existing nfros tract (50693)	$5,967.50	$5,967.50	1.7×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)	$5,625	$5,625	1.6×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)	$5,722	$5,722	1.2×
Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure	$5,500	$5,500	0.3×
Probe Nasolac Duct,Insert Tube/Stent (68815)	$1,699.50	$1,699.50	0.7×
Probe nasolacrimal duct (68810)	$1,683	$1,683	5.4×
Probe nl duct w/balloon (68816)	$2,101	$2,101	0.9×
Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811)	$2,879	$2,879	1.2×
Proctopexy Perineal Approach (45541)	$4,000	$4,000	1.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)	$1,000	$1,000	1.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)	$2,750	$2,750	1.0×
Prostate Saturation Sampling (55706)	$1,442	$1,442	0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267)	$1,153	$1,153	1.6×
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561)	$8,191	$8,191	1.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)	$3,193	$3,193	0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)	$3,500	$3,500	1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)	$2,500	$2,500	0.7×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)	$2,575	$2,575	0.8×
Prq Skel Fixj Iphal Jt Dislc W/Manj (26776)	$3,605	$3,605	1.1×
Prq skel fixj metar fx w/manj (28476)	$3,193	$3,193	1.0×
Prq skel fixj phlngl shft fx prox/middle px/f/t (26727)	$4,611	$4,611	1.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)	$7,985	$7,985	1.1×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650)	$3,605	$3,605	1.1×
Punch biopsy skin single lesion (11104)	$345	$345	0.9×
Puncture Aspiration Cyst Breast (19000)	$830	$830	1.2×
Puncture aspiration of abscess hematoma bulla or cyst (10160)	$1,058	$1,058	2.6×
Puncture shunt tube/reservoir aspiration/inj px (61070)	$912	$912	1.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461)	$2,888	$2,888	4.1×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)	$4,120	$4,120	0.6×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116)	$2,266	$2,266	0.7×
Rad resect elbow caps/sr bone w rels (24149)	$3,605	$3,605	0.5×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558)	$3,090	$3,090	1.1×
Radical excision external auditory canal lesion; without neck dissection Facility (69150)	$3,241	$3,241	0.6×
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115)	$2,421	$2,421	1.5×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844)	$6,334	$6,334	1.1×
Radical resection of tumor, distal phalanx of finger Facility (26262)	$2,400	$2,400	1.5×
Radical styloidectomy separate procedure (25230)	$3,554	$3,554	1.1×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)	$3,500	$3,500	1.8×
Rcnstj angular dfrm toe soft tiss px only (28313)	$3,296	$3,296	1.0×
Rcnstj Dislocating Patella (27420)	$4,997	$4,997	0.7×
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)	$4,162	$4,162	0.6×
Realignment extensor tendon hand each tendon (26437)	$3,090	$3,090	1.0×
Reconstruct Finger Joint (26548)	$4,120	$4,120	1.3×
Reconstruct ulna/radioulnar (25337)	$4,635	$4,635	0.6×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320)	$5,500	$5,500	0.9×
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344)	$7,575	$7,575	1.1×
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346)	$13,300	$13,300	1.0×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146)	$9,523	$9,523	1.6×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147)	$6,000	$6,000	1.0×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Facility (21143)	$10,000	$10,000	1.7×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141)	$7,210	$7,210	1.2×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145)	$6,551	$6,551	1.1×
Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151)	$9,220	$9,220	1.6×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)	$5,735	$5,735	0.8×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)	$5,202	$5,202	0.9×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975)	$2,500	$2,500	1.1×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973)	$2,920	$2,920	1.2×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971)	$2,350	$2,350	1.0×
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial Facility (21248)	$5,000	$5,000	0.9×
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246)	$5,150	$5,150	0.9×
Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196)	$6,551	$6,551	1.1×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193)	$6,100	$6,100	1.0×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502)	$4,080	$4,080	1.3×
Reconstruction of throat (42950)	$4,017	$4,017	0.7×
Reconstruction of urethra (54326)	$5,100	$5,100	1.5×
Reconstruction Toe Polydactyly (28344)	$2,472	$2,472	0.8×
Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545)	$3,500	$3,500	1.1×
Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541)	$4,120	$4,120	1.3×
Reduce testis torsion (54600)	$2,575	$2,575	0.7×
Reinforce tibia (27745)	$7,600	$7,600	1.1×
Reinforce/graft eye wall (67255)	$2,500	$2,500	0.6×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342)	$7,885	$7,885	1.1×
Reinsertion of spinal fixation device Facility (22849)	$6,500	$6,500	0.5×
Release elbow joint (24006)	$4,800	$4,800	1.5×
Release finger contracture (26525)	$3,000	$3,000	1.9×
Release of big toe (28240)	$2,500	$2,500	0.8×
Release wrist/forearm tendon (25295)	$2,884	$2,884	0.9×
Relieve inner eye pressure (65820)	$2,379	$2,379	0.6×
Relieve pressure on nerve(s) (64722)	$2,895	$2,895	1.5×
Relocation of skin pocket for pacemaker (33222)	$5,500	$5,500	2.7×
Rem Endovas Vena Cava Filter (37193)	$5,800	$5,800	1.9×
Removal Anal Seton Other Marker (46030)	$1,854	$1,854	1.6×
Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) unusually low: confirm this is the full procedure	$6,798	$6,798	0.3×
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) unusually low: confirm this is the full procedure	$8,000	$8,000	0.4×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) likely a partial charge, not the full procedure	$5,488	$5,488	0.3×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) likely a partial charge, not the full procedure	$5,708	$5,708	0.3×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) likely a partial charge, not the full procedure	$4,384	$4,384	0.2×
Removal biliary drg cath (47537)	$1,000	$1,000	1.1×
Removal entire oi implt skl perq attachment esp (69726)	$6,384	$6,384	2.0×
Removal Foreign Body Deep Thigh/Knee (27372)	$3,000	$3,000	1.0×
Removal Foreign Body Foot Complicated (28193)	$9,123	$9,123	5.6×
Removal foreign body foot deep (28192)	$7,298	$7,298	4.5×
Removal foreign body foot subcutaneous (28190)	$2,037	$2,037	2.9×
Removal foreign body intranasal (30300)	$565	$565	4.3×
Removal foreign body muscle/tendon sheath simple (20520)	$1,179	$1,179	0.7×
Removal Foreign Body Pelvis/Hip Deep (27087)	$4,337.50	$4,337.50	1.3×
Removal foreign body pharynx (42809)	$963.50	$963.50	2.2×
Removal foreign body shoulder subcutaneous (23330)	$1,800	$1,800	1.1×
Removal foreign body upper arm/elbow deep (24201)	$1,931.25	$1,931.25	0.7×
Removal foreign body, intranasal; requiring general anesthesia (30310)	$1,841	$1,841	0.6×
Removal impacted cerumen irrigation/lvg unilat (69209)	$371	$371	6.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)	$335	$335	5.7×
Removal impacted vag fb spx w/anes oth/thn local (57415)	$12,529	$12,529	3.9×
Removal implant deep (20680)	$3,671.95	$3,671.95	1.3×
Removal Implant Superficial Separate Procedure (20670)	$3,015	$3,015	1.8×
Removal Implantable Contraceptive Capsules (11976)	$476	$476	0.7×
Removal Intact Mammary Implant (19328)	$3,605	$3,605	0.9×
Removal of adenoids (42835)	$2,730	$2,730	0.8×
Removal of adenoids (42831)	$3,072	$3,072	0.9×
Removal of adenoids (42830)	$4,350	$4,350	1.3×
Removal of adenoids (42836)	$2,781	$2,781	0.8×
Removal of anal fissure (46200)	$3,605	$3,605	1.3×
Removal of anterior instrumentation (eg, dwyer device) (22855)	$7,136	$7,136	1.0×
Removal of arm foreign body (24200)	$984	$984	0.6×
Removal of blood clot, anterior segment of eye Facility (65930)	$2,550	$2,550	1.1×
Removal of bone for graft (20902) unusually low: confirm this is the full procedure	$3,090	$3,090	0.4×
Removal of bone lesion (23140)	$2,575	$2,575	0.8×
Removal of breast capsule (19371)	$5,914	$5,914	1.5×
Removal of cervix (57530)	$3,399	$3,399	0.7×
Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435)	$750	$750	0.8×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570)	$5,100	$5,100	1.5×
Removal of embedded foreign body, eyelid (67938)	$773	$773	2.5×
Removal of esophageal sphincter augmentation device (43285) unusually low: confirm this is the full procedure	$2,472	$2,472	0.4×
Removal of eye (65101)	$3,296	$3,296	0.8×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915)	$3,749.50	$3,749.50	3.2×
Removal of finger lesion (26210)	$2,964	$2,964	1.9×
Removal of foreign body in scrotum (55120)	$2,575	$2,575	1.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220)	$1,847	$1,847	4.2×
Removal of heel spur (28119)	$4,017	$4,017	1.2×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)	$14,886	$14,886	1.2×
Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584)	$4,889	$4,889	1.4×
Removal of implant from finger or hand (26320)	$2,575	$2,575	1.6×
Removal of implant material (19330)	$4,129	$4,129	1.1×
Removal of implanted material, anterior segment of eye Facility (65920)	$2,472	$2,472	1.1×
Removal of indwelling tunneled pleural catheter with cuff (32552)	$968	$968	1.6×
Removal of intranasal lesion (30118)	$4,038	$4,038	1.2×
Removal of iud (58301)	$233	$233	0.8×
Removal of kidney stone (50081)	$9,270	$9,270	1.0×
Removal of kidney stone (50080)	$6,600	$6,600	0.7×
Removal of knee cartilage (27332)	$4,000	$4,000	1.2×
Removal Of Knee Prosthesis (27488) unusually low: confirm this is the full procedure	$6,077	$6,077	0.5×
Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852)	$3,200	$3,200	0.8×
Removal of nail bed (11750)	$1,348	$1,348	3.4×
Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) unusually low: confirm this is the full procedure	$3,193	$3,193	0.4×
Removal of posterior segmental instrumentation Facility (22852)	$4,120	$4,120	0.6×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)	$12,250	$12,250	1.7×
Removal of salivary stone (42330)	$2,850	$2,850	0.9×
Removal of sesamoid bone (28315)	$3,090	$3,090	1.0×
Removal of subdeltoid calcareous deposits, open Facility (23000)	$1,957	$1,957	0.7×
Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod… (26392)	$5,480	$5,480	0.8×
Removal of tail bone (27080)	$4,635	$4,635	1.4×
Removal Of Tendon Lesion (27630)	$4,223	$4,223	1.3×
Removal of testis (54520)	$2,926	$2,926	0.8×
Removal of thyroid (60271)	$6,500	$6,500	1.1×
Removal of tonsils (42825)	$4,350	$4,350	0.7×
Removal of tonsils (42826)	$3,773.50	$3,773.50	1.2×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864)	$8,858	$8,858	1.2×
Removal of tunneled intraperitoneal catheter (49422)	$2,488.50	$2,488.50	0.8×
Removal of wrist bone (25210)	$3,090	$3,090	1.0×
Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711)	$4,710	$4,710	1.4×
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287)	$7,416	$7,416	2.3×
Removal ppm generator only (33233)	$7,280	$7,280	0.9×
Removal shoulder foreign body deep subfascial/im (23333)	$3,193	$3,193	1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200)	$927	$927	4.7×
Removal subcutaneous cardiac rhythm monitor (33286)	$7,585	$7,585	10.8×
Removal Submand Stone,Complicated (42335)	$2,250	$2,250	0.7×
Removal Sutures/Staples Requiring Anesthesia (15851)	$552	$552	0.3×
Removal, under anesthesia, of external fixation system (20694)	$2,472	$2,472	1.6×
Removal/bivalving gauntlet boot/body cast (29700)	$1,250	$1,250	4.5×
Remove anal fist subq (46270)	$3,176	$3,176	1.2×
Remove brain canal fluid (61050)	$1,211	$1,211	4.0×
Remove drug implant device (11982)	$1,149	$1,149	2.6×
Remove ear lesion (69550)	$6,845	$6,845	1.2×
Remove Elbow Joint Lining (24102)	$3,399	$3,399	1.1×
Remove elbow lesion (24120)	$4,120	$4,120	1.3×
Remove ext hem groups 2+ (46250)	$3,251	$3,251	1.2×
Remove eye/attach implant (65105)	$4,841	$4,841	1.2×
Remove foreign body from eye (65235)	$1,854	$1,854	0.8×
Remove humerus lesion (24110)	$3,500	$3,500	1.1×
Remove intrvas foreign body (37197)	$3,500	$3,500	1.1×
Remove Lower Leg Bone Lesion (27635)	$3,914	$3,914	1.2×
Remove muti-comp penis pros (54406)	$4,533	$4,533	1.3×
Remove palate/lesion (42120)	$4,771	$4,771	0.8×
Remove Peritoneal Foreign Body (49402)	$5,500	$5,500	1.6×
Remove Pilonidal Cyst Exten (11771)	$3,145	$3,145	1.1×
Remove Prostate Regrowth (52630)	$3,876	$3,876	0.7×
Remove pulse generator (33241)	$7,280	$7,280	2.0×
Remove renal tube w/fluoro (50389)	$824	$824	1.2×
Remove spine eltrd perq aray (63661)	$2,369	$2,369	1.2×
Remove spine eltrd plate (63662)	$5,000	$5,000	1.4×
Remove Tendon Sheath Lesion (26160)	$2,678	$2,678	1.7×
Remove thyroid duct lesion (60280)	$4,766	$4,766	0.8×
Remove tissue expander (11971)	$3,024	$3,024	1.1×
Remove ureter stent, percut (50384)	$3,033	$3,033	1.5×
Remove vagina gland lesion (56740)	$2,575	$2,575	0.8×
Remove vc lesion w/scope (31545)	$5,023	$5,023	1.4×
Remove&replace pm gen singl (33227)	$18,000	$18,000	2.2×
Remove/graft finger lesion (26215)	$2,700	$2,700	0.8×
Remove/Insert Drug Implant (11983)	$1,030	$1,030	2.3×
Remv Ext Canal F.B.,Gen Anesth (69205)	$2,260	$2,260	1.4×
Remv Ext Canal Foreign Body (69200)	$706.50	$706.50	5.4×
Remv F.B.,Eye,Superf Conjunc (65205)	$634.50	$634.50	4.8×
Remv&replc cvd gen dual lead (33263)	$24,500	$24,500	1.1×
Remv&replc cvd gen mult lead (33264)	$24,500	$24,500	0.8×
Remv&replc cvd gen sing lead (33262)	$24,500	$24,500	1.1×
Remv&replc pm gen dual lead (33228)	$18,000	$18,000	1.7×
Remv&replc pm gen mult leads (33229)	$24,500	$24,500	1.3×
Renal Biopsy Percutaneous (50200)	$1,749	$1,749	1.1×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574)	$3,223	$3,223	0.9×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)	$4,500	$4,500	0.8×
Repair achilles tendon (27650)	$5,919	$5,919	0.8×
Repair anal fistula (46288)	$2,781	$2,781	1.0×
Repair blood vessel direct hand finger (35207)	$9,000	$9,000	2.9×
Repair blood vessel direct neck (35201)	$5,700	$5,700	1.0×
Repair Blood Vessel Direct Upper Extremity (35206)	$5,000	$5,000	1.6×
Repair blood vessel with graft other than vein; upper extremity Facility (35266)	$7,360	$7,360	1.3×
Repair brow defect (67900)	$3,251	$3,251	1.4×
Repair Choanal Atresia Intranasal (30540)	$7,375	$7,375	1.3×
Repair cleft hand deformity (26580)	$4,802	$4,802	1.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)	$1,554	$1,554	2.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)	$1,229	$1,229	1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)	$1,073.50	$1,073.50	2.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)	$721	$721	1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)	$1,551	$1,551	3.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)	$540	$540	1.3×
Repair complex trunk 1.1-2.5 cm (13100)	$1,796	$1,796	2.5×
Repair complex trunk 2.6-7.5 cm (13101)	$2,060	$2,060	2.8×
Repair Ectropion Extensive (67917)	$4,088.75	$4,088.75	1.7×
Repair ectropion suture (67914)	$2,106	$2,106	0.9×
Repair Entropion Suture (67921)	$2,200	$2,200	0.9×
Repair extensor tendon finger w/o graft each (26418)	$4,530	$4,530	2.9×
Repair eyelid defect (67916)	$2,658	$2,658	1.1×
Repair eyelid defect (67908)	$2,047.50	$2,047.50	0.9×
Repair eyelid defect (67923)	$2,215	$2,215	0.9×
Repair eyelid defect (67904)	$2,575	$2,575	1.1×
Repair eyelid defect (67903)	$2,700	$2,700	1.1×
Repair eyelid defect (67901)	$2,200	$2,200	0.9×
Repair Eyelid Wound (67935)	$2,880	$2,880	1.2×
Repair eyelid wound (67930)	$4,155	$4,155	1.8×
Repair Fibula Nonunion (27726)	$5,665	$5,665	0.8×
Repair Finger Tendon (26433)	$2,060	$2,060	0.6×
Repair Fistula Oromaxillary (30580)	$7,518	$7,518	1.3×
Repair fistula; oronasal Facility (30600)	$6,695	$6,695	1.1×
Repair Forearm Tendon Sheath (25275)	$4,120	$4,120	1.3×
Repair forearm tendon/muscle (25260)	$2,475	$2,475	0.8×
Repair hand tendon (26410)	$1,803	$1,803	1.1×
Repair incomplete circumcision (54163)	$2,678	$2,678	1.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)	$2,987	$2,987	0.8×
Repair initial femoral hernia, any age; reducible (49550)	$2,987	$2,987	0.8×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)	$4,021	$4,021	1.1×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501)	$2,609.25	$2,609.25	0.7×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500)	$4,017	$4,017	0.6×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055)	$1,344	$1,344	3.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)	$386	$386	1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)	$1,026	$1,026	2.6×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056)	$1,666	$1,666	4.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)	$1,633	$1,633	4.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)	$1,042.50	$1,042.50	2.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)	$1,666	$1,666	4.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)	$2,562	$2,562	3.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)	$1,271	$1,271	3.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)	$1,011	$1,011	2.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)	$1,471.50	$1,471.50	2.0×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047)	$8,219	$8,219	4.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)	$515	$515	1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031)	$1,011	$1,011	2.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)	$1,018	$1,018	2.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)	$1,531	$1,531	2.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)	$1,026	$1,026	2.6×
Repair intermediate s/a/t/e >30.0 cm (12037)	$8,219	$8,219	4.0×
Repair Laceration Palate >2 Cm/Complex (42182)	$5,000	$5,000	0.9×
Repair lead pace-defib dual (33220)	$7,280.34	$7,280.34	2.0×
Repair lead pace-defib one (33218)	$7,280.34	$7,280.34	2.0×
Repair Leg Fascia Defect (27656)	$3,605	$3,605	1.1×
Repair lower leg tendons (27676)	$4,326	$4,326	0.6×
Repair Lower Leg Tendons (27675)	$2,575	$2,575	0.8×
Repair lumbar hernia (49540)	$4,120	$4,120	0.7×
Repair medial collateral ligament, elbow, with local tissue Facility (24345) unusually low: confirm this is the full procedure	$3,296	$3,296	0.5×
Repair Mouth Laceration (40831)	$1,754	$1,754	3.3×
Repair nasal septal perforations (30630)	$3,012.75	$3,012.75	0.9×
Repair Nasal Stenosis (30465)	$5,330.25	$5,330.25	0.9×
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)	$6,000	$6,000	0.9×
Repair of biceps tendon (24340)	$7,085	$7,085	1.0×
Repair of component(s) of a multi-component, inflatable penile prosthesis Facility (54408)	$8,000	$8,000	1.5×
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)	$3,605	$3,605	0.7×
Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428)	$3,193	$3,193	1.0×
Repair of foot bones (28320) unusually low: confirm this is the full procedure	$4,400	$4,400	0.3×
Repair of humerus (24430)	$6,695	$6,695	0.5×
Repair of hydrocele (55060)	$2,575	$2,575	0.7×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340)	$4,735	$4,735	1.4×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348)	$4,000	$4,000	0.8×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344)	$7,235	$7,235	0.8×
Repair of knee cartilage (27403) unusually low: confirm this is the full procedure	$2,472	$2,472	0.3×
Repair of leg tendon each (27664) unusually low: confirm this is the full procedure	$2,575	$2,575	0.4×
Repair of leg tendon each (27658)	$3,502	$3,502	1.1×
Repair of nail bed (11760)	$1,513	$1,513	2.1×
Repair of nasal septum (30520)	$3,375.82	$3,375.82	1.0×
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468)	$6,180	$6,180	1.1×
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435)	$7,575	$7,575	0.6×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)	$7,725	$7,725	1.1×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)	$7,210	$7,210	1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)	$7,218	$7,218	1.0×
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724)	$6,000	$6,000	0.8×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)	$7,885	$7,885	1.1×
Repair of shoulder (23420)	$8,240	$8,240	1.1×
Repair of sperm duct (55400)	$3,218.75	$3,218.75	0.9×
Repair of tibia (27720)	$6,077	$6,077	0.8×
Repair of traumatic corporeal tear(s) (54437)	$3,600	$3,600	1.0×
Repair of urethra injury (53502)	$2,540	$2,540	0.7×
Repair of web finger (26560)	$2,060	$2,060	1.3×
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372) unusually low: confirm this is the full procedure	$3,142	$3,142	0.4×
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) unusually low: confirm this is the full procedure	$3,090	$3,090	0.4×
Repair oval window fistula Facility (69666)	$4,532	$4,532	1.4×
Repair paravag defect lap (57423) unusually low: confirm this is the full procedure	$4,150	$4,150	0.4×
Repair paravag defect vag (57285)	$4,551	$4,551	0.6×
Repair radius & ulna (25415)	$8,500	$8,500	1.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure	$3,090	$3,090	0.5×
Repair recurrent inguinal hernia, any age; reducible (49520)	$4,150	$4,150	1.2×
Repair rotator cuff acute (23410)	$7,148	$7,148	1.0×
Repair round window fistula Facility (69667)	$4,738	$4,738	1.4×
Repair salivary duct (42505)	$5,441	$5,441	0.9×
Repair secondary achilles tendon w/wo graft (27654)	$7,223	$7,223	1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)	$3,417	$3,417	1.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)	$7,803	$7,803	1.1×
Repair tongue laceration (41252)	$1,008.50	$1,008.50	4.3×
Repair Tongue Laceration (41250)	$681.50	$681.50	1.5×
Repair tooth socket (41874)	$2,500	$2,500	0.8×
Repair tympanic membrane (69610)	$2,163	$2,163	1.4×
Repair webbed toe(s) (28345)	$3,000	$3,000	1.9×
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)	$5,768	$5,768	0.8×
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) unusually low: confirm this is the full procedure	$3,090	$3,090	0.4×
Repair, primary, disrupted ligament, ankle; collateral (27695)	$5,669	$5,669	0.8×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)	$5,549	$5,549	0.8×
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407)	$6,000	$6,000	0.8×
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)	$5,665	$5,665	0.8×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272)	$3,708	$3,708	1.1×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274)	$4,120	$4,120	1.3×
Repair/graft achilles tendon (27652)	$7,500	$7,500	1.0×
Repair/graft finger tendon (26420)	$3,090	$3,090	1.0×
Repair/graft wrist bone (25440)	$11,602	$11,602	1.6×
Repair/revise wrist joint (25320)	$6,037	$6,037	0.8×
Repair/transpose nerve (64856)	$6,459	$6,459	0.7×
Repeat control of nosebleed (30906)	$1,282	$1,282	5.5×
Replace duodenostomy/jejunostomy tube perq (49451)	$1,250	$1,250	1.4×
Replace gastrostomy/cecostomy tube percutaneous (49450)	$1,147	$1,147	1.3×
Replace Tissue Expander (11970)	$5,831	$5,831	0.8×
Replace tunneled cv cath (36578)	$2,500	$2,500	0.8×
Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to… (69717)	$5,638	$5,638	0.8×
Replacement gastro-jejunostomy tube percutaneous (49452)	$942.50	$942.50	1.1×
Repos Previously Implanted Subq Implantable Dfb (33273)	$14,443.95	$14,443.95	3.9×
Reposition cv cath w/fluoro (36597)	$2,086.50	$2,086.50	1.3×
Reposition gastric feeding tube thru duodenum (43761)	$1,150	$1,150	4.7×
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825)	$2,500	$2,500	1.1×
Repr elbow lat ligmnt w/tiss (24343)	$3,188	$3,188	1.0×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192)	$7,000	$7,000	2.2×
Resection of scrotum (55150)	$3,000	$3,000	0.9×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153)	$4,948	$4,948	1.5×
Resection, partial or complete, phalangeal base, each toe (28126)	$3,000	$3,000	0.9×
Rev/rmv prph sac/gstr npg/r (64595)	$3,348	$3,348	1.0×
Revis reconst shoulder joint (23473)	$12,747	$12,747	1.0×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)	$8,500	$8,500	0.7×
Revise external ear (69300)	$3,219	$3,219	1.0×
Revise eye socket implant (67560)	$3,932	$3,932	1.0×
Revise eyelashes (67825)	$618	$618	2.0×
Revise finger/toe nerve (64702)	$2,024	$2,024	1.0×
Revise graft w/vein (35884)	$9,511	$9,511	1.7×
Revise Hand/Foot Nerve (64704)	$2,575	$2,575	1.3×
Revise knuckle with implant (26531)	$4,551	$4,551	0.6×
Revise Lower Leg Tendon (27691)	$5,538	$5,538	0.8×
Revise Lower Leg Tendons (27686)	$3,350	$3,350	1.0×
Revise penis/urethra (54328)	$4,000	$4,000	1.1×
Revise penis/urethra (54332)	$4,880	$4,880	1.4×
Revise spine eltrd perq aray (63663)	$7,725	$7,725	1.2×
Revise Spine Eltrd Plate (63664) likely a partial charge, not the full procedure	$2,250	$2,250	0.2×
Revise ulnar nerve at elbow (64718)	$3,251	$3,251	1.7×
Revise vag graft via vagina (57295)	$4,429	$4,429	1.4×
Revise/graft eyelid lining (68328)	$3,837	$3,837	1.6×
Revise/graft eyelid lining (68320)	$3,000	$3,000	1.3×
Revise/Implant Finger Joint (26536)	$4,219	$4,219	0.6×
Revise/Remove Neuroreceiver (63688)	$3,605	$3,605	1.0×
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426)	$5,000	$5,000	0.7×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861)	$12,434	$12,434	0.7×
Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601)	$4,948	$4,948	0.8×
Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185)	$2,550	$2,550	1.1×
Revision of colostomy simple (44340)	$3,025	$3,025	0.9×
Revision of eyelid (67880)	$1,751	$1,751	0.7×
Revision of eyelid (67961)	$1,683	$1,683	0.7×
Revision of foot (28116)	$4,120	$4,120	1.3×
Revision of lower leg tendon (27685)	$4,223	$4,223	1.3×
Revision of nose (30430)	$4,100	$4,100	0.7×
Revision of nose (30460)	$6,952	$6,952	1.2×
Revision of nose (30450)	$7,433	$7,433	1.3×
Revision of penis (54300)	$4,185	$4,185	1.2×
Revision of penis (54304)	$4,250	$4,250	1.2×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352)	$6,273	$6,273	1.2×
Revision of reconstructed breast (19380)	$7,180	$7,180	1.1×
Revision of scrotum (55180)	$3,000	$3,000	0.6×
Revision of scrotum (55175)	$2,091	$2,091	0.6×
Revision of spinal shunt (63744)	$3,900	$3,900	1.2×
Revision of stapedectomy or stapedotomy Facility (69662)	$4,532	$4,532	0.8×
Revision of tips (37183)	$9,827	$9,827	1.7×
Revision of toe (28312)	$2,266	$2,266	0.7×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)	$14,886	$14,886	1.2×
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)	$7,284	$7,284	0.6×
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)	$10,300	$10,300	0.6×
Revision of tracheostomy scar (31830)	$4,300	$4,300	1.3×
Revision of ulna (25360)	$4,429	$4,429	0.6×
Revision of urethra (53460)	$1,776.75	$1,776.75	0.5×
Revision of urethra (53450)	$1,854	$1,854	0.5×
Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) unusually low: confirm this is the full procedure	$3,348	$3,348	0.3×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583)	$7,500	$7,500	0.7×
Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832)	$9,000	$9,000	1.6×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)	$8,700	$8,700	0.7×
Revj tot hip arthrp fem only w/wo algrft (27138) unusually low: confirm this is the full procedure	$5,600	$5,600	0.4×
Revj/rmvl neurostimulator pulse generator (61888)	$13,644	$13,644	1.2×
Revj/rmvl peripheral neurostimulator electrode (64585)	$3,973	$3,973	1.2×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)	$14,443.50	$14,443.50	2.6×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)	$9,629	$9,629	1.7×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)	$27,000	$27,000	1.5×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)	$24,000	$24,000	1.3×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)	$37,500	$37,500	2.1×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)	$25,000	$25,000	1.4×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)	$27,000	$27,000	2.4×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)	$18,000	$18,000	1.6×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)	$15,900	$15,900	2.8×
Revsc evasc ivt angiop uni sf les 1st vsl (37254)	$10,600	$10,600	1.9×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)	$24,000	$24,000	2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)	$16,000	$16,000	1.4×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)	$24,000	$24,000	2.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)	$16,000	$16,000	1.4×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)	$27,000	$27,000	1.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)	$24,000	$24,000	1.3×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)	$37,500	$37,500	2.1×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)	$25,000	$25,000	1.4×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)	$24,000	$24,000	1.3×
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410)	$7,000	$7,000	1.2×
Rhinoplasty, primary; including major septal repair Facility (30420)	$4,326	$4,326	0.7×
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400)	$7,134	$7,134	1.2×
Rib cartilage graft (21230)	$6,000	$6,000	1.0×
Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387)	$3,750	$3,750	1.8×
Rmvl embedded fb vestibule mouth comp (40805)	$2,585	$2,585	4.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)	$4,041	$4,041	4.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)	$706.50	$706.50	5.4×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210)	$2,309.50	$2,309.50	5.2×
Rmvl foreign body muscle/tendon sheath deep/comp (20525)	$8,376	$8,376	2.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)	$2,315	$2,315	0.8×
Rmvl Lens Material Aspir Tq 1/> Stages (66840)	$1,545	$1,545	0.7×
Rmvl Lens Material Phacofragmentation Aspir (66850)	$3,200	$3,200	1.4×
Rmvl of subq defibrillator (33272)	$14,443.95	$14,443.95	3.9×
Rmvl Previously Implted Ithcl/Edrl Cath (62355)	$1,236	$1,236	0.6×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365)	$3,090	$3,090	0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)	$7,280	$7,280	2.0×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235)	$7,280	$7,280	2.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)	$1,748	$1,748	1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)	$1,723.50	$1,723.50	2.8×
Rmvl Vitreous Ant Appr Partial Removal (67005)	$2,318	$2,318	1.0×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010)	$4,300	$4,300	1.9×
Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244)	$7,280	$7,280	2.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)	$3,400	$3,400	2.2×
Rplcmt compl prph ctr vad w/subq port (36585)	$2,928.96	$2,928.96	0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)	$1,218	$1,218	0.8×
Rplcmt compl tun ctr vad w/subq port (36582)	$3,538.50	$3,538.50	1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581)	$3,486	$3,486	1.1×
Rplcmt/revj csf shunt valve/cath shunt sys (62230)	$5,501	$5,501	0.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)	$7,150	$7,150	1.2×
Rpr aa hernia 1st < 3 cm reducible (49591)	$4,413	$4,413	1.2×
Rpr aa hernia recr 3-10 cm reducible (49615)	$6,399	$6,399	1.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)	$6,200	$6,200	1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)	$4,843	$4,843	1.4×
Rpr aa hrn 1st 3-10 rdc (49593)	$5,000	$5,000	0.8×
Rpr aa hrn 1st < 3 ncr/strn (49592)	$6,750	$6,750	1.1×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902)	$3,000	$3,000	0.8×
Rpr Blood Vessel Direct Lower Extremity (35226)	$5,046	$5,046	7.2×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540)	$4,841	$4,841	1.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)	$2,350	$2,350	1.5×
Rpr flexor tendon leg secondary w/o graft each (27659)	$7,735	$7,735	1.1×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046)	$1,666	$1,666	2.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652)	$2,585	$2,585	4.9×
Rpr Lip Full Thickness Vermilion Only (40650)	$2,585	$2,585	4.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)	$3,855	$3,855	2.5×
Rpr non-union mtcrpl/phalanx (26546) unusually low: confirm this is the full procedure	$2,703.75	$2,703.75	0.4×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)	$3,700	$3,700	0.6×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)	$3,872	$3,872	1.2×
Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270)	$3,090	$3,090	1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)	$913	$913	1.5×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426)	$3,090	$3,090	1.0×
Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350)	$3,296	$3,296	1.0×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)	$4,635	$4,635	0.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)	$3,605	$3,605	1.1×
Rpsg prev implted car ven sys l ventr eltrd (33226)	$7,280	$7,280	2.3×
Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215)	$7,280	$7,280	2.3×
Sclerotx Fluid Collection (49185)	$854	$854	0.5×
Scrotal exploration (55110)	$2,575	$2,575	0.7×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620)	$7,000	$7,000	1.2×
Sesamoidectomy, thumb or finger (separate procedure) Facility (26185)	$1,969	$1,969	1.2×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875)	$2,500	$2,500	1.1×
Severing of tarsorrhaphy (67710)	$836	$836	0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335)	$1,082	$1,082	1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)	$1,082	$1,082	0.9×
Sgmdsc Flx With Endoscopic Mucosal Resection (45349)	$4,008	$4,008	1.5×
Shave skin lesion 0.5 cm/< (11300)	$376	$376	0.9×
Shave skin lesion 0.5 cm/< (11305)	$515	$515	2.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)	$515	$515	2.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)	$150	$150	0.8×
Shoulder arthroscopy (29820)	$9,279	$9,279	1.3×
Shoulder arthroscopy (29805)	$3,500	$3,500	1.1×
Shoulder Arthroscopy/Surgery (29819)	$5,510	$5,510	1.7×
Shoulder Arthroscopy/Surgery (29825)	$5,755	$5,755	1.8×
Shoulder prosthesis removal (23334)	$3,605	$3,605	0.5×
Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340)	$1,945	$1,945	0.6×
Sigmoidoscopy & decompress (45337)	$1,000	$1,000	1.1×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)	$2,400	$2,400	2.0×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334)	$1,030	$1,030	0.9×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340)	$1,050	$1,050	0.9×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333)	$1,500	$1,500	1.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350)	$1,236	$1,236	1.0×
Sigmoidoscopy place stent (45347)	$11,650	$11,650	1.9×
Sigmoidoscopy w/biopsy (45331)	$960	$960	1.0×
Sigmoidoscopy w/fb removal (45332)	$1,000	$1,000	0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)	$1,666	$1,666	4.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)	$800	$800	4.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)	$854.50	$854.50	4.3×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017)	$1,666	$1,666	4.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)	$2,648.50	$2,648.50	13.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015)	$936	$936	4.7×
Simple repair f/e/e/n/l/m >30.0 cm (12018)	$936	$936	4.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)	$225	$225	1.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)	$936	$936	4.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)	$656.50	$656.50	3.3×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084)	$7,725	$7,725	1.3×
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075)	$6,592	$6,592	1.1×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)	$7,160	$7,160	1.2×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030)	$7,744	$7,744	1.3×
Skin splt grft trnk/arm/leg (15100)	$3,605	$3,605	1.8×
Skin sub graft face/nk/hf/g (15275)	$817	$817	1.1×
Skin sub graft trnk/arm/leg (15271)	$2,251	$2,251	3.1×
Skin Tissue Procedure (17999)	$425	$425	2.1×
Skin tissue rearrangement (14040)	$1,758.75	$1,758.75	0.9×
Skn splt a-grft fac/nck/hf/g (15120)	$2,622	$2,622	0.7×
Skn sub grft f/n/hf/g child (15277)	$1,140	$1,140	0.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)	$8,000	$8,000	1.5×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222)	$8,000	$8,000	2.6×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)	$7,000	$7,000	1.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)	$7,672.60	$7,672.60	1.6×
Slitting of prepuce (54001)	$2,369	$2,369	1.1×
Small Bowel Endoscopy (44373)	$1,400	$1,400	0.7×
Small bowel endoscopy (44366)	$1,400	$1,400	0.7×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361)	$1,000	$1,000	0.5×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) unusually low: confirm this is the full procedure	$2,416	$2,416	0.4×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372)	$1,400	$1,400	0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)	$850.50	$850.50	4.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)	$1,666	$1,666	4.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)	$1,083	$1,083	2.7×
Snip incision lacrimal punctum (68440)	$541	$541	1.7×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750)	$3,817	$3,817	1.4×
Sphincterotomy anal division sphincter spx (46080)	$2,472	$2,472	0.9×
Spinal puncture lumbar diagnostic (62270)	$1,030	$1,030	1.5×
Spinal Puncture Therapeutic (62272)	$3,177	$3,177	4.6×
Spine Surgery Procedure Unlisted (22899)	$12,468	$12,468	51.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)	$4,500	$4,500	1.4×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661)	$5,812	$5,812	1.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)	$5,201	$5,201	0.9×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311)	$3,328	$3,328	1.4×
Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312)	$2,642	$2,642	0.7×
Strapping ankle (29540)	$714	$714	4.4×
Strapping elbow or wrist (29260)	$212.50	$212.50	3.6×
Strapping hand/finger (29280)	$212.50	$212.50	3.6×
Strapping knee (29530)	$565	$565	4.3×
Strapping shoulder (29240)	$565	$565	4.3×
Strapping toes (29550)	$371	$371	6.4×
Strapping unna boot (29580)	$408	$408	2.5×
Subconjunctival injection (68200)	$213	$213	0.5×
Subcutaneous Injection Filling Material 1 Cc/< (11950)	$361	$361	1.8×
Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530)	$2,378	$2,378	0.7×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)	$8,357.62	$8,357.62	2.6×
Subtalar Arthro W/Deb (29906)	$3,523	$3,523	1.1×
Suction assisted lipectomy lower extremity (15879)	$2,500	$2,500	0.7×
Suction Assisted Lipectomy Trunk (15877)	$2,369	$2,369	0.7×
Suction assisted lipectomy; head and neck (15876)	$2,575	$2,575	0.7×
Suction assisted lipectomy; upper extremity (15878)	$2,500	$2,500	1.2×
Suprahyoid lymphadenectomy (38700)	$4,120	$4,120	0.6×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)	$3,500	$3,500	0.6×
Surg nasopharyngoscopy dilat eustachian tube uni (69705)	$3,000	$3,000	0.5×
Surgery of breast capsule (19370)	$6,500	$6,500	1.7×
Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822)	$5,684	$5,684	1.8×
Surgical closure tracheostomy or fistula; with plastic repair Facility (31825)	$4,000	$4,000	1.2×
Surgical closure tracheostomy or fistula; without plastic repair (31820)	$4,283	$4,283	1.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275)	$2,369	$2,369	0.9×
Suspension of testis (54640)	$4,635	$4,635	1.3×
Suture 1 Nerve Median Motor Thenar (64835)	$3,635	$3,635	1.1×
Suture digital nerve hand/foot 1 nerve (64831)	$4,120	$4,120	2.1×
Suture infrapatellar tendon primary (27380) unusually low: confirm this is the full procedure	$3,250	$3,250	0.5×
Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834)	$3,500	$3,500	1.0×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)	$3,788	$3,788	0.5×
Suture of quadriceps or hamstring muscle rupture; primary (27385)	$7,803	$7,803	1.1×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) unusually low: confirm this is the full procedure	$2,575	$2,575	0.4×
Suture of; brachial plexus Facility (64861)	$3,502	$3,502	1.8×
Suture/repair testicular injury (54670)	$2,628	$2,628	0.8×
Synovectomy tendon sheath foot extensor (28088)	$2,436	$2,436	0.8×
Synovectomy, carpometacarpal joint Facility (26130)	$1,900	$1,900	0.6×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119)	$3,554	$3,554	1.1×
Synovectomy, tendon sheath, foot; flexor Facility (28086)	$2,950	$2,950	0.9×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) unusually low: confirm this is the full procedure	$2,450	$2,450	0.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)	$1,931.25	$1,931.25	1.2×
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)	$32,000	$32,000	1.1×
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)	$22,000	$22,000	1.2×
Tcat removal perm leadless pm right ventr w/img (33275)	$12,185	$12,185	3.9×
Temporary Closure Eyelids Suture (67875)	$891	$891	0.9×
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924)	$3,641	$3,641	0.5×
Tendon lengthening, upper arm or elbow, each tendon Facility (24305)	$3,300	$3,300	1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)	$7,293	$7,293	2.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312)	$5,202	$5,202	1.6×
Tenodesis at wrist; extensors of fingers Facility (25301)	$3,350	$3,350	1.0×
Tenodesis long tendon biceps (23430)	$4,263	$4,263	0.6×
Tenolysis extensor foot single tendon (28225)	$4,490	$4,490	1.4×
Tenolysis extensor tendon hand/finger each (26445)	$2,406	$2,406	0.7×
Tenolysis Flexor Foot Multiple Tendons (28222)	$2,500	$2,500	0.8×
Tenolysis flexor foot single tendon (28220)	$2,000	$2,000	1.3×
Tenolysis flexor tendon palm/finger each tendon (26440)	$1,692	$1,692	1.1×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)	$4,635	$4,635	1.4×
Tenolysis Triceps (24332)	$3,500	$3,500	1.1×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681)	$3,296	$3,296	1.0×
Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442)	$3,500	$3,500	1.1×
Tenotomy Adductor Hip Percutaneous Spx (27000)	$2,493	$2,493	1.6×
Tenotomy Elbow Lateral/Medial Percutaneous (24357)	$3,348	$3,348	1.0×
Tenotomy flexor finger open each tendon (26455)	$2,730	$2,730	1.7×
Tenotomy Hip Flexor Open (27005)	$3,605	$3,605	1.1×
Tenotomy open extensor foot/toe each tendon (28234)	$2,472	$2,472	1.6×
Tenotomy percutaneous single each digit (26060)	$2,060	$2,060	1.3×
Tenotomy Percutaneous Toe Single Tendon (28010)	$3,399	$3,399	2.1×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)	$2,485	$2,485	1.6×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)	$2,493	$2,493	0.8×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307)	$4,120	$4,120	1.3×
Tenotomy shoulder area single tendon (23405)	$4,230	$4,230	0.6×
Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006)	$4,120	$4,120	1.3×
Tenotomy, extensor, hand or finger, open, each tendon Facility (26460)	$2,750	$2,750	1.7×
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391)	$2,575	$2,575	0.8×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232)	$2,318	$2,318	1.5×
Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606)	$3,451	$3,451	1.1×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)	$2,688	$2,688	1.7×
Ther Apheresis,Plasma Pheresis (36514)	$3,500	$3,500	2.3×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329)	$1,700	$1,700	2.4×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)	$7,000	$7,000	0.6×
Thoracentesis needle/cath pleura w/o imaging (32554)	$3,290	$3,290	5.3×
Throat Surgery Procedure (42999)	$773	$773	3.3×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213)	$3,000	$3,000	1.0×
Thrombolytic Art Therapy (37211) unusually low: confirm this is the full procedure	$2,500	$2,500	0.5×
Thrombolytic Venous Therapy (37212)	$2,500	$2,500	0.8×
Thyroid biopsy (60100)	$756.50	$756.50	1.1×
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260)	$7,757	$7,757	1.3×
Thyroidectomy, total or complete (60240)	$9,557	$9,557	1.6×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)	$9,785	$9,785	1.7×
Tibial Arthroscopy/Surgery (29855)	$5,170	$5,170	0.7×
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357)	$8,008	$8,008	0.6×
Tnot elbow lateral/medial debride open (24358)	$3,950	$3,950	1.2×
Tnot elbow lateral/medial debride open tdn rpr (24359)	$3,950	$3,950	1.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821)	$2,714	$2,714	0.8×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) unusually low: confirm this is the full procedure	$7,500	$7,500	0.4×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856)	$8,883.75	$8,883.75	0.5×
Total hip arthroplasty (27130)	$11,087.15	$11,087.15	0.9×
Total Knee Arthroplasty (27447)	$13,333.90	$13,333.90	1.1×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)	$9,044	$9,044	1.5×
Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720)	$2,936	$2,936	0.9×
Tracheostomy emergency cricothyroid membrane (31605)	$1,094	$1,094	4.7×
Tracheostomy Emergency Procedure Transtracheal (31603)	$6,787	$6,787	4.4×
Tracheotomy tube change (31502)	$659.50	$659.50	2.8×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070)	$315	$315	1.0×
Transcatheter biopsy (37200)	$4,500	$4,500	0.8×
Transection or avulsion of other spinal nerve, extradural Facility (64772)	$3,090	$3,090	1.6×
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690)	$4,120	$4,120	0.6×
Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650)	$1,966.50	$1,966.50	1.0×
Translum Dil Eye Canal (66174)	$3,900	$3,900	1.0×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055)	$7,500	$7,500	1.0×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056)	$5,562	$5,562	0.8×
Transperineal plmt biodegradable matrl 1/mlt njx (55874)	$4,635	$4,635	0.9×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)	$6,180	$6,180	1.2×
Transplant hand tendon (26480)	$3,605	$3,605	1.1×
Transplant/graft hand tendon (26483)	$2,554	$2,554	0.8×
Transur electr resection of prostate (52601)	$5,562	$5,562	1.0×
Transurethral incision of prostate (52450)	$4,200	$4,200	1.2×
Transurethral resection bladder neck (52500)	$2,266	$2,266	0.7×
Treat Big Toe Fracture (28505)	$4,326	$4,326	1.3×
Treat clavicle dislocation (23540)	$1,493.50	$1,493.50	6.1×
Treat clavicle fracture (23505)	$8,710.50	$8,710.50	5.5×
Treat elbow dislocation (24615)	$7,000	$7,000	1.0×
Treat elbow fracture (24586) unusually low: confirm this is the full procedure	$4,326	$4,326	0.3×
Treat Elbow Fracture (24635)	$4,367	$4,367	0.6×
Treat fracture radius/ulna (25575)	$4,635	$4,635	0.6×
Treat Hand Dislocation (26685)	$3,800	$3,800	1.2×
Treat humerus fracture (24500)	$1,493.50	$1,493.50	6.1×
Treat humerus fracture (23600)	$1,493.50	$1,493.50	6.1×
Treat knee fracture (27532)	$3,296	$3,296	1.0×
Treat Knee Fracture (27535)	$5,665	$5,665	0.8×
Treat Knee Fracture (27540)	$5,150	$5,150	0.7×
Treat Kneecap Fracture (27524)	$7,159	$7,159	1.0×
Treat Lower Leg Bone Lesion (27607)	$2,472	$2,472	0.8×
Treat Lower Leg Fracture (27828) unusually low: confirm this is the full procedure	$4,120	$4,120	0.3×
Treat Metatarsal Fracture (28475)	$1,013	$1,013	4.2×
Treat radius fracture (24665)	$6,155	$6,155	0.9×
Treat scapula fracture (23585)	$7,144	$7,144	1.0×
Treat shoulder blade fx (23575)	$8,710.50	$8,710.50	5.5×
Treat skull fracture (62000)	$11,839	$11,839	3.6×
Treat Thigh Fracture (27245)	$6,500	$6,500	0.9×
Treat thumb fracture (26665)	$4,635	$4,635	1.4×
Treat Thumb Fx/Disloc,Manip (26645)	$669	$669	0.4×
Treat Vaginal Bleeding (57180)	$484	$484	2.4×
Treat wrist bone fracture (25622)	$1,493.50	$1,493.50	6.1×
Treat Wrist Bone Fracture (25630)	$1,493.50	$1,493.50	6.1×
Treat wrist fracture (25685)	$7,000	$7,000	1.0×
Treatment closed elbow dislocation req anes (24605)	$6,969	$6,969	4.4×
Treatment closed elbow dislocation w/o anes (24600)	$1,493.50	$1,493.50	6.1×
Treatment mouth roof lesion (42160)	$1,493	$1,493	0.5×
Treatment of fibula fracture (27784)	$4,120	$4,120	0.6×
Treatment of foot infection (28003)	$2,500	$2,500	0.8×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)	$6,200	$6,200	0.9×
Treatment of missed abortion, completed surgically; first trimester (59820)	$3,685.05	$3,685.05	1.2×
Treatment of missed abortion, completed surgically; second trimester (59821)	$2,167	$2,167	0.7×
Treatment of nose fracture (21330)	$3,142	$3,142	0.5×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176)	$5,300	$5,300	1.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450)	$1,195	$1,195	4.9×
Treatment of tibia fracture (27756) unusually low: confirm this is the full procedure	$3,000	$3,000	0.4×
Trim skin lesion (11055)	$235.50	$235.50	1.2×
Trim skin lesions 2 to 4 (11056)	$134	$134	0.7×
Trim skin lesions over 4 (11057)	$465	$465	2.3×
Trimming Of Nondystrophic Nails, Any Number (11719)	$297	$297	5.1×
Trlml balo angiop open/perq img s&i 1st art (37246)	$15,000	$15,000	2.7×
Trlml balo angiop open/perq w/img s&i 1st vein (37248)	$15,000	$15,000	2.7×
Trnspl Prepj Hematop Progen Concentration Plsm (38215)	$462	$462	1.1×
Trnsplj autologous hematopoietic cells per donor (38241)	$3,902	$3,902	2.5×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854)	$3,000	$3,000	0.9×
Trurl rescj postop bladder neck contracture (52640)	$5,739	$5,739	1.6×
Trurl Robotic-Assisted Waterjet Resection Prst8 (52597)	$12,078	$12,078	1.3×
Tubal ligation (58600)	$3,700	$3,700	1.2×
Tube thoracostomy includes water seal (32551)	$1,600	$1,600	1.0×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280)	$2,884	$2,884	1.1×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) unusually low: confirm this is the full procedure	$4,326	$4,326	0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812)	$7,911	$7,911	2.5×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)	$2,100	$2,100	1.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)	$8,710.50	$8,710.50	5.5×
Tx Superficial Wound Dehiscence Simple Closure (12020)	$1,249	$1,249	1.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)	$6,969	$6,969	4.4×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) unusually low: confirm this is the full procedure	$5,768	$5,768	0.5×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635)	$4,948	$4,948	0.8×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636)	$7,489	$7,489	1.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646)	$4,738	$4,738	0.8×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)	$5,250	$5,250	0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643)	$5,946	$5,946	1.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)	$5,250	$5,250	0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)	$5,196	$5,196	0.9×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)	$4,635	$4,635	0.8×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)	$4,145.75	$4,145.75	0.7×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)	$7,748	$7,748	1.3×
Tympanostomy (69433)	$927	$927	1.7×
Tympanostomy general anesthesia (69436)	$1,610	$1,610	1.1×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250)	$2,678	$2,678	0.8×
Unlisted Cardiac Surgery (33999)	$4,000	$4,000	6.5×
Unlisted craniofacial & maxillofacial procedure (21299)	$1,400	$1,400	6.0×
Unlisted hysteroscopy procedure, uterus (58579)	$3,605	$3,605	18.0×
Unlisted laparoscopic procedure liver (47379)	$3,090	$3,090	0.5×
Unlisted laparoscopic procedure, ureter (50949)	$5,202	$5,202	0.9×
Unlisted laparoscopy procedure stomach (43659)	$5,253	$5,253	0.9×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)	$6,789	$6,789	1.1×
Unlisted laparoscopy procedure, appendix (44979)	$5,837	$5,837	1.0×
Unlisted laparoscopy procedure, biliary tract (47579)	$5,253	$5,253	0.9×
Unlisted laparoscopy procedure, bladder (51999)	$3,708	$3,708	0.6×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) unusually low: confirm this is the full procedure	$2,364	$2,364	0.4×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)	$7,210	$7,210	1.2×
Unlisted laparoscopy procedure, lymphatic system (38589)	$6,180	$6,180	1.0×
Unlisted laparoscopy procedure, oviduct, ovary (58679)	$3,152	$3,152	0.5×
Unlisted laparoscopy procedure, rectum (45499)	$6,500	$6,500	1.1×
Unlisted laparoscopy procedure, spermatic cord (55559)	$7,774	$7,774	1.3×
Unlisted laparoscopy procedure, spleen (38129)	$4,635	$4,635	0.8×
Unlisted laparoscopy procedure, uterus (58578)	$5,665	$5,665	0.9×
Unlisted musculoskeletal procedure head (21499)	$3,090	$3,090	13.2×
Unlisted Procedure Accessory Sinuses (31299)	$2,369	$2,369	10.1×
Unlisted procedure anus (46999)	$1,330	$1,330	1.4×
Unlisted procedure arthroscopy (29999)	$5,605	$5,605	23.0×
Unlisted Procedure Biliary Tract (47999)	$3,100	$3,100	3.5×
Unlisted Procedure Conjunctiva (68399)	$1,385	$1,385	4.4×
Unlisted procedure dentoalveolar structures (41899)	$4,200	$4,200	17.9×
Unlisted Procedure Esophagus (43499)	$1,751	$1,751	2.0×
Unlisted procedure excision pressure ulcer (15999)	$705	$705	1.0×
Unlisted Procedure External Ear (69399)	$4,120	$4,120	17.6×
Unlisted procedure humerus/elbow (24999)	$2,678	$2,678	11.0×
Unlisted Procedure Muscskeletal System General (20999)	$3,719.50	$3,719.50	15.3×
Unlisted procedure nervous system (64999)	$1,051	$1,051	3.5×
Unlisted procedure rectum (45999)	$1,000	$1,000	1.1×
Unlisted Procedure Small Intestine (44799)	$4,150	$4,150	4.6×
Unlisted Procedure Trachea Bronchi (31899)	$1,728	$1,728	8.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999)	$3,413	$3,413	3.8×
Unlisted procedure, lacrimal system (68899)	$1,030	$1,030	3.3×
Unlisted procedure, leg or ankle (27899)	$1,679	$1,679	6.9×
Unlisted procedure, maternity care and delivery (59899)	$1,806	$1,806	9.0×
Unlisted procedure, temporal bone, middle fossa approach (69979)	$3,500	$3,500	15.0×
Unlisted Px Salivary Glands/Ducts (42699)	$3,955	$3,955	16.9×
Upgrade of pacemaker system (33214)	$13,360	$13,360	1.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)	$4,120	$4,120	0.8×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957)	$4,120	$4,120	0.8×
Ureteral endoscopy via ureterostomy (50951)	$1,726	$1,726	0.5×
Urethrectomy, total, including cystostomy; male Facility (53215)	$3,605	$3,605	0.7×
Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500)	$2,678	$2,678	0.8×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410)	$5,150	$5,150	1.0×
Urology Surgery Procedure (53899)	$1,726	$1,726	7.0×
Us urine capacity measure (51798)	$184	$184	3.2×
Uterine Evacuation & Curettage Hydatidiform Mole (59870)	$2,178	$2,178	0.7×
Uvulectomy excision of uvula (42140)	$1,442	$1,442	0.4×
Vag hyst complex (58290) unusually low: confirm this is the full procedure	$3,605	$3,605	0.5×
Vaginal delivery only (59409)	$12,529	$12,529	3.9×
Vaginal Delivery Only, After Previous Cesarean Delivery (59612)	$7,460	$7,460	2.3×
Vaginal hysterectomy, for uterus 250 g or less; (58260)	$5,508	$5,508	1.1×
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263)	$5,693	$5,693	1.2×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)	$7,290	$7,290	1.5×
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291)	$6,180	$6,180	1.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)	$6,227	$6,227	1.3×
Vasc embolize/occlude artery (37242)	$16,000	$16,000	0.9×
Vasc Embolize/Occlude Bleed (37244)	$16,000	$16,000	1.4×
Vasc embolize/occlude organ (37243)	$16,000	$16,000	1.4×
Vasc embolize/occlude venous (37241)	$16,000	$16,000	1.4×
Vasectomy uni/bi spx w/postop semen exams (55250)	$2,537.50	$2,537.50	1.2×
Venipuncture (36415)	$21	$21	2.2×
Ventilating tube removal requiring general anesthesia (69424)	$1,442	$1,442	0.4×
Vestibuloplasty Anterior (40840) unusually low: confirm this is the full procedure	$2,678	$2,678	0.5×
Vitrectomy mechanical pars plana (67036)	$4,300	$4,300	1.1×
Vulvectomy Simple Partial (56620)	$2,317.50	$2,317.50	0.7×
Wedge excision skin nail fold (11765)	$1,666	$1,666	4.1×
Wound Prep F/N/Hf/G (15004)	$425.25	$425.25	1.1×
Wound prep trk/arm/leg 1st 100 sq cm (15002)	$800	$800	1.1×
Wrist arthroscopy (29840)	$3,296	$3,296	1.0×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)	$3,362	$3,362	0.6×