| Abd paracentesis w/imaging (49083) |
$2,001.34 |
$6,671.14 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$3,456.60 |
$11,522 |
3.8× |
| Abrasion single lesion (15786) |
$9,815.76 |
$32,719.19 |
48.8× |
| Acne Surgery (10040) |
$10,462.18 |
$34,873.94 |
52.1× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$9,145.49 |
$30,484.96 |
2.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,306.28 |
$7,687.62 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,927.71 |
$6,425.70 |
0.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,409.11 |
$8,030.35 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,430.43 |
$4,768.09 |
0.7× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,988.30 |
$6,627.65 |
1.0× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$9,193.11 |
$30,643.70 |
1.3× |
| Amniocentesis diagnostic (59000) |
$301.50 |
$1,005 |
0.3× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$18,662.94 |
$62,209.79 |
5.7× |
| Amputate lower leg at knee (27598) |
$15,010.25 |
$50,034.18 |
4.6× |
| Amputate Thigh,Re-Amputatn (27596) |
$19,046.77 |
$63,489.23 |
5.8× |
| Amputation Finger/Thumb (26951) |
$2,310.21 |
$7,700.69 |
0.7× |
| Amputation Foot Midtarsal (28800) |
$15,839.03 |
$52,796.75 |
4.8× |
| Amputation metatarsal with toe single (28810) |
$2,271.73 |
$7,572.42 |
0.7× |
| Amputation of finger/thumb (26952) |
$2,088.61 |
$6,962.02 |
0.6× |
| Amputation Of Foot At Ankle (27889) |
$12,042.98 |
$40,143.27 |
1.7× |
| Amputation thigh through femur any level (27590) |
$19,046.77 |
$63,489.23 |
5.8× |
| Amputation toe interphalangeal joint (28825) |
$3,079.26 |
$10,264.20 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,233.85 |
$7,446.16 |
0.7× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$15,708.13 |
$52,360.42 |
4.8× |
| Amputation, foot; transmetatarsal (28805) |
$2,965.38 |
$9,884.60 |
0.9× |
| Amputation, leg, through tibia and fibula; (27880) |
$18,662.94 |
$62,209.79 |
2.6× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$18,662.94 |
$62,209.79 |
5.7× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) |
$18,662.94 |
$62,209.79 |
5.7× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Other Surgical Services (27591) |
$19,046.77 |
$63,489.23 |
5.8× |
| Analyze infusn pump+reprogram (62368) |
$225.90 |
$753 |
0.7× |
| Analyze spine infus pump (62367) |
$218.40 |
$728 |
0.7× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$10,481.84 |
$34,939.45 |
3.2× |
| Anoscopy diagnostic (46600) |
$71.40 |
$238 |
0.5× |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
$11,375.33 |
$37,917.75 |
25.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$11,375.33 |
$37,917.75 |
4.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$3,506.47 |
$11,688.23 |
0.7× |
| Anterior Tibial Tubercleplasty (27418) |
$11,431.89 |
$38,106.29 |
1.6× |
| Appendectomy (44950) |
$10,707.20 |
$35,690.66 |
1.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$384.18 |
$1,280.60 |
2.4× |
| Application Finger Splint Dynamic (29131) |
$53.10 |
$177 |
0.9× |
| Application finger splint static (29130) |
$107.10 |
$357 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$150 |
$500 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$124.50 |
$415 |
0.8× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$10,958.65 |
$36,528.84 |
1.5× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$514.74 |
$1,715.80 |
1.8× |
| Application of thigh brace (20663) |
$32,224.73 |
$107,415.76 |
9.8× |
| Application Short Arm Splint Dynamic (29126) |
$85.50 |
$285 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$150 |
$500 |
1.1× |
| Application short leg splint calf foot (29515) |
$124.50 |
$415 |
0.8× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$12,947.43 |
$43,158.10 |
4.0× |
| Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) |
$12,947.43 |
$43,158.10 |
1.8× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) |
$12,947.43 |
$43,158.10 |
1.8× |
| Arterial puncture (36600) |
$85.50 |
$285 |
0.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,090.06 |
$13,633.51 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$782.10 |
$2,607 |
2.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$210.30 |
$701 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$532.91 |
$1,776.38 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$796.50 |
$2,655 |
2.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$2,279.32 |
$7,597.76 |
7.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$6,494.79 |
$21,649.29 |
0.9× |
| Arthroplasty Ankle W/Implant (27702) |
$21,613.83 |
$72,046.11 |
0.8× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$27,082.07 |
$90,273.57 |
1.5× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$14,946.40 |
$49,821.32 |
1.2× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
$16,125.27 |
$53,750.89 |
1.3× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$11,052.60 |
$36,841.98 |
1.5× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$23,134.02 |
$77,113.41 |
14.4× |
| Arthroscopy ankle; ext debridem (29898) |
$10,422.57 |
$34,741.90 |
3.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,904.83 |
$13,016.11 |
1.2× |
| Arthroscopy of joint (29999) |
$4,588.33 |
$15,294.43 |
18.6× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,193.15 |
$7,310.51 |
0.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$2,950.18 |
$9,833.92 |
0.9× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$2,089.93 |
$6,966.42 |
0.6× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$2,637.29 |
$8,790.96 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,988.56 |
$9,961.86 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$6,628.77 |
$22,095.91 |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,370.26 |
$24,567.50 |
2.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,161.39 |
$23,871.31 |
1.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$8,509.84 |
$28,366.12 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,208.24 |
$14,027.46 |
1.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$5,548.67 |
$18,495.56 |
1.7× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$8,759.44 |
$29,198.12 |
2.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$9,510.80 |
$31,702.69 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,992.65 |
$29,975.50 |
1.2× |
| Arthrotomy Elbow W/Synovial Biopsy Only (24100) |
$46,203.47 |
$154,011.58 |
14.1× |
Arthrotomy hip w/drainage (27030)
likely a partial charge, not the full procedure |
$1,618.50 |
$5,395 |
0.2× |
| Arthrotomy W/Synovectomy Hip Joint (27054) |
$12,225.19 |
$40,750.62 |
3.7× |
| Arthrotomy, elbow; with synovectomy (24102) |
$46,203.47 |
$154,011.58 |
14.1× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$16,125.27 |
$53,750.89 |
4.9× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$7,710.12 |
$25,700.42 |
2.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,740.76 |
$9,135.85 |
0.8× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,999.29 |
$6,664.30 |
0.6× |
| Aspir/inj thyroid cyst (60300) |
$607.50 |
$2,025 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$188.10 |
$627 |
0.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,134.60 |
$3,782 |
0.5× |
| Av fistula revision (36833) |
$2,792.40 |
$9,308 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$894.53 |
$2,981.78 |
4.5× |
| Beta amyloid, ab42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass… (0412U) |
$354.30 |
$1,181 |
0.5× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$13,724.09 |
$45,746.97 |
2.1× |
| Biliary Endoscopy Percut,Dil Strict (47555) |
$19,381.72 |
$64,605.74 |
3.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$19,381.72 |
$64,605.74 |
1.8× |
| Biopsy Bone Open Deep (20245) |
$1,491.30 |
$4,971 |
0.5× |
| Biopsy bone open superficial (20240) |
$2,432.40 |
$8,108 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$984.90 |
$3,283 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$549.90 |
$1,833 |
0.3× |
| Biopsy muscle deep (20205) |
$1,511.21 |
$5,037.38 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$1,286.70 |
$4,289 |
0.8× |
| Biopsy Muscle Superficial (20200) |
$1,375.50 |
$4,585 |
0.8× |
| Biopsy of bowel (44100) |
$12,435.69 |
$41,452.31 |
13.7× |
| Biopsy of penis (54100) |
$1,410.84 |
$4,702.80 |
0.9× |
| Biopsy of uterus lining (58100) |
$4,531.34 |
$15,104.45 |
22.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,388.29 |
$17,960.96 |
1.4× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,116.60 |
$3,722 |
0.7× |
| Biopsy Salivary Gland,Needle (42400) |
$598.20 |
$1,994 |
0.8× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,193.02 |
$7,310.06 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$901.50 |
$3,005 |
0.5× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$5,327.39 |
$17,757.95 |
1.6× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$41,041.46 |
$136,804.87 |
14.1× |
| Biopsy/removal lymph nodes (38525) |
$8,160.47 |
$27,201.58 |
2.1× |
| Bl exchange/transfuse nb (36450) |
$11,427.90 |
$38,093 |
25.9× |
| Bl push transfuse 2 yr/< (36440) |
$11,633.07 |
$38,776.90 |
26.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$2,792.43 |
$9,308.10 |
4.0× |
| Bladder Irrigation Simple (51700) |
$191.40 |
$638 |
0.8× |
| Bladder Scan (51798) |
$7,622.37 |
$25,407.91 |
129.0× |
| Blood patch (62273) |
$616.50 |
$2,055 |
0.9× |
| Blood transfusion service (36430) |
$450 |
$1,500 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$319.20 |
$1,064 |
0.7× |
| Bone graft with microvascular anastomosis; metatarsal Other Surgical Services (20957) |
$8,740.69 |
$29,135.62 |
1.2× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) |
$11,816 |
$39,386.65 |
1.6× |
| Bone graft, any donor area; major or large (20902) |
$10,662.75 |
$35,542.51 |
1.5× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$10,662.75 |
$35,542.51 |
1.5× |
| Bone marrow aspiration only (38220) |
$3,722.21 |
$12,407.37 |
2.3× |
| Bone Marrow Biopsy (38221) |
$1,335.30 |
$4,451 |
0.8× |
| Bone/skin graft metatarsal (20972) |
$8,740.69 |
$29,135.62 |
1.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$5,512.13 |
$18,373.78 |
3.1× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$3,793.80 |
$12,646 |
2.1× |
| Brnchsc removal bronchial valve initial (31648) |
$3,793.80 |
$12,646 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$5,062.05 |
$16,873.50 |
1.4× |
| Bronch ebus samplng 1/2 node (31652) |
$4,965.53 |
$16,551.76 |
1.3× |
| Bronch ebus samplng 3/> node (31653) |
$5,566 |
$18,553.33 |
1.5× |
| Bronchial Valve Init Insert (31647) |
$4,800 |
$16,000 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,261.65 |
$7,538.83 |
1.3× |
| Bronchoscopy Balloon Occlusion (31634) |
$6,742.80 |
$22,476 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,263.30 |
$14,211 |
1.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$4,498.70 |
$14,995.67 |
2.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,431.90 |
$4,773 |
0.8× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,146 |
$3,820 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$315 |
$1,050 |
0.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$5,409.04 |
$18,030.12 |
1.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$4,993.32 |
$16,644.42 |
2.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$598.50 |
$1,995 |
0.4× |
| Bx anorectal wall anal approach (45100) |
$2,573.44 |
$8,578.13 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$1,193.10 |
$3,977 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$1,116.60 |
$3,722 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$858.90 |
$2,863 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,335.30 |
$4,451 |
0.8× |
| Bx prostate transrectal us gid w/MRI fus gdn 1st (55708) |
$1,882.44 |
$6,274.79 |
0.5× |
| Bx prst8 trct us guided (55707) |
$1,477.84 |
$4,926.13 |
0.4× |
| Bx/exc lymph node needle superficial (38505) |
$1,852.68 |
$6,175.60 |
1.1× |
| Canthotomy Separate Procedure (67715) |
$1,897.20 |
$6,324 |
0.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$10,762.39 |
$35,874.64 |
3.3× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$6,116.48 |
$20,388.28 |
1.9× |
| Cathj rmvl temp dev ischmc rmdlg bldr neck&prst8 (53866) |
$1,217.25 |
$4,057.50 |
4.9× |
| Cautery Cervix Electro/Thermal (57510) |
$4,272.59 |
$14,241.95 |
1.3× |
| Cessj Therapy Cath Removal (37214) |
$1,170.90 |
$3,903 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$7,558.74 |
$25,195.80 |
10.8× |
| Change Cystostomy Tube Simple (51705) |
$189.90 |
$633 |
0.8× |
| Change Ureter Stent, Percut (50382) |
$1,166.52 |
$3,888.40 |
0.6× |
| Chemical Cautery Tissue (17250) |
$228.71 |
$762.35 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$2,255.65 |
$7,518.84 |
3.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,417.36 |
$4,724.54 |
2.0× |
| Chemodenerv Musc Migraine (64615) |
$1,027.41 |
$3,424.70 |
3.3× |
| Chemodenerv Musc Neck Dyston (64616) |
$1,165.11 |
$3,883.71 |
3.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$2,232.90 |
$7,443 |
3.2× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$1,366.05 |
$4,553.50 |
4.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$801.39 |
$2,671.30 |
2.6× |
| Chest tube placement (32551) |
$1,471.05 |
$4,903.50 |
0.9× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$87.30 |
$291 |
0.7× |
| Chromotubation of oviduct, including materials (58350) |
$4,617.22 |
$15,390.70 |
0.9× |
| Circum 28 days or older (54161) |
$1,950.26 |
$6,500.86 |
0.9× |
| Circumcision (54150) |
$1,601.70 |
$5,339 |
0.8× |
| Circumcision Neonate (54160) |
$2,570.19 |
$8,567.29 |
3.7× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$10,826.40 |
$36,088 |
35.2× |
| Claviculectomy; partial (23120) |
$9,769.49 |
$32,564.98 |
3.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,856.09 |
$6,186.95 |
1.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$17,762.63 |
$59,208.77 |
71.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$17,762.63 |
$59,208.77 |
11.0× |
| Closed treatment of broken top of shin bone at knee (27538) |
$7,755.62 |
$25,852.05 |
31.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$6,074.70 |
$20,249 |
24.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$195.60 |
$652 |
0.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$6,074.70 |
$20,249 |
24.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$6,074.70 |
$20,249 |
24.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$6,074.70 |
$20,249 |
24.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,206.45 |
$7,354.84 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$7,755.62 |
$25,852.05 |
4.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$17,762.63 |
$59,208.77 |
71.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$2,628.23 |
$8,760.78 |
10.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$251.40 |
$838 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$11,267.13 |
$37,557.10 |
45.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$4,378.78 |
$14,595.94 |
2.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,315.34 |
$7,717.80 |
9.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$11,309.11 |
$37,697.02 |
7.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$9,532.36 |
$31,774.54 |
2.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$9,532.36 |
$31,774.54 |
38.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$7,755.62 |
$25,852.05 |
4.8× |
| Colonoscopy flex w/rem forcep (45384) |
$2,572.79 |
$8,575.95 |
2.1× |
| Colonoscopy for bleeding (44391) |
$12,552.20 |
$41,840.67 |
10.5× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$10,739.70 |
$35,799 |
9.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,515.72 |
$5,052.40 |
1.3× |
| Colonoscopy stoma w/balloon dilation (44405) |
$12,558.60 |
$41,862 |
10.5× |
| Colonoscopy stoma w/biopsy (44389) |
$900 |
$3,000 |
0.8× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$12,242.25 |
$40,807.50 |
10.2× |
| Colonoscopy stoma w/snare (44394) |
$839.10 |
$2,797 |
0.7× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$597 |
$1,990 |
0.5× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$11,530.11 |
$38,433.70 |
9.6× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$13,800.30 |
$46,001 |
14.8× |
| Colonoscopy thru stoma (44388) |
$1,870.13 |
$6,233.75 |
2.0× |
| Colonoscopy w/ablation (45388) |
$10,739.70 |
$35,799 |
9.0× |
| Colonoscopy w/band ligation (45398) |
$1,331.10 |
$4,437 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$687.90 |
$2,293 |
0.6× |
| Colonoscopy w/ndl aspir/bx (44407) |
$13,800.30 |
$46,001 |
11.5× |
| Colonoscopy w/resection (45390) |
$1,786.50 |
$5,955 |
0.6× |
| Colonoscopy w/stent plcmt (44402) |
$13,800.30 |
$46,001 |
2.3× |
Colonoscopy w/stent plcmt (45389)
unusually low: confirm this is the full procedure |
$2,863.80 |
$9,546 |
0.5× |
| Colporrhaphy suture injury vagina (57200) |
$4,494.16 |
$14,980.54 |
1.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$11,800.66 |
$39,335.53 |
38.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$4,369.62 |
$14,565.41 |
14.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,850.47 |
$9,501.55 |
2.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,318.80 |
$4,396 |
1.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,957.95 |
$9,859.82 |
2.5× |
| Comp multiplane ext fixation (20696) |
$27,646.47 |
$92,154.91 |
1.0× |
| Complex Drainage, Wound (10180) |
$2,857.31 |
$9,524.37 |
1.0× |
| Complex Uroflowmetry (51741) |
$117.60 |
$392 |
0.5× |
| Conization of cervix (57520) |
$1,878.78 |
$6,262.59 |
0.6× |
| Conization of cervix (57522) |
$2,353.80 |
$7,846.01 |
0.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$92.40 |
$308 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$204.90 |
$683 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$116.70 |
$389 |
0.9× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$20,087.58 |
$66,958.60 |
1.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$5,855.40 |
$19,518 |
3.5× |
| Correction hammertoe (28285) |
$4,344.74 |
$14,482.47 |
1.3× |
| Correction of bunion (28298) |
$8,740.69 |
$29,135.62 |
1.2× |
| Correction of bunion (28292) |
$8,740.69 |
$29,135.62 |
2.7× |
| Correction of bunion (28299) |
$8,740.69 |
$29,135.62 |
1.2× |
| Correction of bunion (28297) |
$13,177.68 |
$43,925.59 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,156.72 |
$20,522.41 |
1.9× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$8,740.69 |
$29,135.62 |
2.7× |
| Cross-over vein graft (34520) |
$17,870.41 |
$59,568.04 |
3.2× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$6,657.94 |
$22,193.13 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$115.80 |
$386 |
0.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$114.30 |
$381 |
0.5× |
| Curettage postpartum (59160) |
$2,409.90 |
$8,033.01 |
0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,434.58 |
$4,781.94 |
0.7× |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
$11,281.98 |
$37,606.61 |
3.2× |
| Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) |
$5,910.11 |
$19,700.35 |
1.1× |
| Cysto insj temp dev ischmc rmdlg bldr neck&prst8 (53865) |
$5,311.25 |
$17,704.17 |
0.6× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$10,487.33 |
$34,957.75 |
3.0× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,780.98 |
$5,936.59 |
0.5× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$3,128.61 |
$10,428.71 |
0.6× |
| Cysto w/destruction of lesions (52214) |
$3,542.36 |
$11,807.87 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$2,285.79 |
$7,619.29 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$5,390.32 |
$17,967.72 |
2.6× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$10,487.33 |
$34,957.75 |
3.0× |
| Cysto w/ureter stricture tx (52341) |
$10,487.33 |
$34,957.75 |
3.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,554.36 |
$15,181.20 |
1.3× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$7,591.23 |
$25,304.10 |
2.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,932.89 |
$9,776.31 |
0.8× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$10,487.33 |
$34,957.75 |
3.0× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure |
$1,787.05 |
$5,956.83 |
0.3× |
| Cysto/uretero w/lithotripsy (52356) |
$6,258.14 |
$20,860.47 |
1.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,249.66 |
$17,498.87 |
1.0× |
| Cystolithotomy w rem stone wo vn res (51050) |
$5,200.02 |
$17,333.41 |
1.0× |
| Cystometrogram w/vp (51728) |
$333.60 |
$1,112 |
0.5× |
| Cystometrogram W/Vp&Up (51729) |
$434.40 |
$1,448 |
0.6× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$7,480.10 |
$24,933.68 |
0.8× |
| Cystoscopy and treatment (52330) |
$10,487.33 |
$34,957.75 |
3.0× |
| Cystoscopy stone removal (52325) |
$9,479.96 |
$31,599.88 |
1.8× |
| Cystoscopy w/biopsy (52204) |
$1,797.05 |
$5,990.16 |
0.9× |
| Cystoscopy w/complex removal stone & stent (52315) |
$7,842.02 |
$26,140.06 |
3.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,575.47 |
$5,251.57 |
0.8× |
| Cystoscopy,insert ureteral stent (52332) |
$5,024.60 |
$16,748.67 |
1.4× |
| Cystourethroscopy (52000) |
$1,551.72 |
$5,172.39 |
2.2× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,795.87 |
$5,986.23 |
0.9× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$8,893.01 |
$29,643.37 |
2.5× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$13,649.16 |
$45,497.20 |
19.5× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$4,495.49 |
$14,984.97 |
1.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,143.96 |
$10,479.87 |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$2,386.64 |
$7,955.45 |
0.7× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$2,472.31 |
$8,241.04 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$510 |
$1,700 |
1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$15,971.93 |
$53,239.77 |
5.5× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$4,938.53 |
$16,461.78 |
1.5× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$9,974.46 |
$33,248.19 |
3.0× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$9,974.46 |
$33,248.19 |
3.0× |
| Dcmprn fasct leg post compartment only (27601) |
$9,974.46 |
$33,248.19 |
3.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$9,559.95 |
$31,866.51 |
13.5× |
| Debride nail 1-5 (11720) |
$225 |
$750 |
3.8× |
| Debride nail 6 or more (11721) |
$58.80 |
$196 |
1.0× |
| Debride skin musc at fx site (11011) |
$21,370.97 |
$71,236.58 |
30.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$360.58 |
$1,201.94 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$3,521.81 |
$11,739.35 |
4.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,775.49 |
$5,918.31 |
1.1× |
| Declot vascular device (36593) |
$709.88 |
$2,366.25 |
2.1× |
| Decomp forearm,1 compart,w/o debride (25020) |
$4,938.53 |
$16,461.78 |
3.1× |
| Decompress forearm 1 space (25023) |
$4,938.53 |
$16,461.78 |
1.5× |
| Decompress forearm 2 spaces (25025) |
$4,938.53 |
$16,461.78 |
3.1× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$23,937.03 |
$79,790.09 |
14.9× |
| Decompression of forearm (24495) |
$4,938.53 |
$16,461.78 |
0.7× |
| Decompression of tibia nerve (28035) |
$2,585.20 |
$8,617.36 |
1.3× |
| Delivery placenta separate procedure (59414) |
$1,050 |
$3,500 |
0.3× |
| Dermabrasion regional other than face (15782) |
$9,815.76 |
$32,719.19 |
3.4× |
| Dermabrasion superficial any site (15783) |
$9,815.76 |
$32,719.19 |
24.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,416.30 |
$4,721 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$5,402.70 |
$18,009 |
2.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$2,964.44 |
$9,881.47 |
14.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,870.59 |
$9,568.64 |
3.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$14,466.19 |
$48,220.63 |
20.5× |
| Diagnostic sigmoidoscopy (45330) |
$898.91 |
$2,996.36 |
1.0× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$13,649.16 |
$45,497.20 |
3.9× |
| Dilate urethra stricture (53620) |
$1,009.20 |
$3,364 |
1.4× |
| Dilate Urethra Stricture (53600) |
$191.70 |
$639 |
0.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,787.33 |
$19,291.11 |
1.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,037.07 |
$6,790.24 |
2.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$13,649.16 |
$45,497.20 |
102.4× |
| Drain/inj small joint/bursa w/us (20604) |
$195 |
$650 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,321.20 |
$4,404 |
0.8× |
| Drainage mouth roof lesion (42000) |
$183.30 |
$611 |
0.8× |
| Drainage of deep rectal abscess (45020) |
$6,075.05 |
$20,250.17 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$3,501.41 |
$11,671.35 |
2.1× |
| Drainage of pelvic abscess (45000) |
$6,075.05 |
$20,250.17 |
5.1× |
| Drainage of scrotal wall abscess (55100) |
$7,875.47 |
$26,251.56 |
4.8× |
| Draw blood off venous device (36591) |
$81.60 |
$272 |
0.6× |
| Dressing change under anesthesia (15852) |
$497.40 |
$1,658 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$405.15 |
$1,350.50 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$245.70 |
$819 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$181.37 |
$604.57 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$27 |
$90 |
0.9× |
| Dstrj lesion anus simple surg excision (46922) |
$3,098.26 |
$10,327.55 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$2,982.06 |
$9,940.20 |
1.0× |
| Dx gastr intub w/asp specs (43755) |
$9,879.26 |
$32,930.85 |
76.7× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$934.80 |
$3,116 |
0.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$12,385.20 |
$41,284.01 |
6.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,102.27 |
$7,007.57 |
1.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,257.90 |
$4,193 |
0.7× |
| Egd Endo Mucosal Resection (43254) |
$11,774.78 |
$39,249.25 |
6.1× |
| Egd endoscopic stent place (43266) |
$4,599.60 |
$15,332 |
0.8× |
| Egd flexible foreign body removal (43247) |
$2,021.21 |
$6,737.37 |
2.2× |
| Egd guide wire insertion (43248) |
$1,725.02 |
$5,750.05 |
1.9× |
| Egd injection varices (43243) |
$1,027.20 |
$3,424 |
0.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$12,101.35 |
$40,337.83 |
6.3× |
| Egd place gastrostomy tube (43246) |
$1,452 |
$4,840 |
0.8× |
| Egd rem tumr/polyp forcep (43250) |
$12,201.19 |
$40,670.62 |
6.3× |
| Egd remove lesion snare (43251) |
$2,607.50 |
$8,691.67 |
1.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,831.55 |
$9,438.50 |
1.5× |
| Egd tube/cath insertion (43241) |
$12,385.20 |
$41,284.01 |
6.4× |
| Egd us exam duodenum/jejunum (43259) |
$12,101.35 |
$40,337.83 |
6.3× |
| Egd us fine needle bx/aspir (43242) |
$12,101.35 |
$40,337.83 |
6.3× |
| Egd us transmural injxn/mark (43253) |
$10,971.91 |
$36,573.04 |
5.7× |
| Egd Varices Ligation (43244) |
$1,913.58 |
$6,378.60 |
1.0× |
| Egd w/transmural drain cyst (43240) |
$11,774.78 |
$39,249.25 |
1.9× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$31,792.05 |
$105,973.50 |
103.3× |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
$31,792.05 |
$105,973.50 |
103.3× |
| Embedded ip cath exit-site (49436) |
$13,468.21 |
$44,894.02 |
7.0× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$9,025.91 |
$30,086.37 |
1.6× |
Emblc/thrmbc femoral popliteal aorto-iliac art (34201)
unusually low: confirm this is the full procedure |
$2,139 |
$7,130 |
0.4× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$179.70 |
$599 |
1.4× |
| Endoscopic Injection/Implant (51715) |
$2,483.40 |
$8,278 |
0.7× |
| Endoscopic us exam esoph (43237) |
$10,796.88 |
$35,989.61 |
5.6× |
| Endoscopy of bowel pouch (44385) |
$12,411.60 |
$41,371.99 |
13.3× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,234.50 |
$4,115 |
0.6× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$1,706.40 |
$5,688 |
0.5× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$1,750.80 |
$5,836 |
0.6× |
| Endovenous rf 1st vein (36475) |
$1,691.70 |
$5,639 |
0.5× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,224.50 |
$7,415 |
1.1× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$1,402.20 |
$4,674 |
0.4× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,007.10 |
$3,357 |
0.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,403.10 |
$4,677 |
0.7× |
| Epidural lysis on single day (62264) |
$9,448.50 |
$31,495 |
10.7× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur (27185) |
$14,226.84 |
$47,422.81 |
4.3× |
| Epiphyseal Arrest Dist Rad or Ulna (25450) |
$10,111.65 |
$33,705.51 |
3.1× |
| Ercp Duct Stent Placement (43274) |
$10,660.57 |
$35,535.23 |
1.8× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,815.40 |
$12,718 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$5,095.49 |
$16,984.95 |
1.3× |
| Ercp lithotripsy calculi (43265) |
$14,149.70 |
$47,165.66 |
2.3× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$9,739.64 |
$32,465.47 |
2.5× |
| Ercp remove forgn body duct (43275) |
$5,305.64 |
$17,685.48 |
2.8× |
| Ercp sphincter pressure meas (43263) |
$1,601.40 |
$5,338 |
0.8× |
| Ercp Stent Exchange W/Dilate (43276) |
$8,896.34 |
$29,654.47 |
1.5× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$12,465.47 |
$41,551.56 |
3.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,363.40 |
$7,878 |
0.6× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$11,070.01 |
$36,900.04 |
2.9× |
| Escharotomy initial incision (16035) |
$309.30 |
$1,031 |
0.8× |
| Esoph optical endomicroscopy (43206) |
$12,411.60 |
$41,371.99 |
6.5× |
| Esoph scope w/submucous inj (43201) |
$18,673.20 |
$62,244 |
9.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,178.11 |
$7,260.35 |
2.4× |
| Esophagoscop mucosal resect (43211) |
$12,411.60 |
$41,371.99 |
6.5× |
| Esophagoscopy flex biopsy (43202) |
$1,450.50 |
$4,835 |
0.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,547.40 |
$5,158 |
0.8× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$12,411.60 |
$41,371.99 |
13.7× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$12,463.43 |
$41,544.75 |
13.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$655.50 |
$2,185 |
0.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$12,411.60 |
$41,371.99 |
6.5× |
| Esophagoscopy lesion ablate (43229) |
$2,817.90 |
$9,393 |
0.7× |
| Esophagoscopy Rigid Balloon (43195) |
$12,411.60 |
$41,371.99 |
3.2× |
| Esophagoscopy rigid trnso dx (43191) |
$1,486.80 |
$4,956 |
0.8× |
| Esophagoscopy Transoral Stent Placement (43212) |
$12,411.60 |
$41,371.99 |
2.0× |
| Esophagoscopy w/us needle bx (43232) |
$12,463.43 |
$41,544.75 |
6.5× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$18,673.20 |
$62,244 |
9.7× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$1,547.40 |
$5,158 |
0.8× |
| Esophagoscp rig trnso biopsy (43193) |
$846.60 |
$2,822 |
0.4× |
| Esophagus Surg Procedure Unlisted (43499) |
$588 |
$1,960 |
0.6× |
| Evacuate mole of uterus (59870) |
$3,420.46 |
$11,401.53 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$81.60 |
$272 |
0.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,770.40 |
$5,901.33 |
1.1× |
| Exc abd les sc 3 cm/> (22903) |
$2,796.71 |
$9,322.38 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,993.38 |
$6,644.60 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,851.63 |
$9,505.43 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,524.07 |
$8,413.57 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,522.84 |
$8,409.46 |
1.5× |
| Exc back les sc < 3 cm (21930) |
$2,415.35 |
$8,051.16 |
1.5× |
| Exc back tum deep < 5 cm (21932) |
$4,053.94 |
$13,513.14 |
1.4× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$6,008.18 |
$20,027.26 |
1.8× |
| Exc face les sbq 2 cm/> (21012) |
$2,566.10 |
$8,553.65 |
1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,964.50 |
$9,881.65 |
4.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$11,588.35 |
$38,627.83 |
7.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,915.44 |
$6,384.80 |
1.2× |
| Exc forearm les sc < 3 cm (25075) |
$3,612.61 |
$12,042.04 |
2.2× |
| Exc frenum labial/buccal (40819) |
$1,236.90 |
$4,123 |
0.8× |
| Exc hand les sc < 1.5 cm (26115) |
$2,135.27 |
$7,117.55 |
1.3× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$11,364.04 |
$37,880.12 |
5.5× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$11,364.04 |
$37,880.12 |
3.9× |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
$11,364.04 |
$37,880.12 |
3.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,098.07 |
$6,993.56 |
1.3× |
| Exc neck tum deep < 5 cm (21556) |
$5,439.65 |
$18,132.15 |
1.9× |
| Exc rect tum transanal part (45171) |
$18,406.90 |
$61,356.33 |
6.6× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$10,112.57 |
$33,708.55 |
4.9× |
| Exc Sacr Press Ulc Bone & Suture (15933) |
$10,112.57 |
$33,708.55 |
3.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,257.93 |
$7,526.44 |
1.4× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,362.42 |
$7,874.74 |
0.8× |
| Exc skin abd (15830) |
$6,181.65 |
$20,605.49 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,150.50 |
$7,168.34 |
3.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,628.05 |
$8,760.16 |
6.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$2,463.98 |
$8,213.25 |
3.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,871.47 |
$6,238.23 |
2.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,248.74 |
$7,495.80 |
1.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,259.70 |
$7,532.33 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,417.87 |
$8,059.57 |
1.5× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,151.34 |
$7,171.12 |
1.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,068.05 |
$10,226.83 |
1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,695.06 |
$5,650.20 |
1.0× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$3,770.10 |
$12,567 |
1.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,333.51 |
$7,778.36 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$9,371.18 |
$31,237.28 |
3.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,897.40 |
$9,658 |
2.4× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$2,312.10 |
$7,707 |
0.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$2,481.89 |
$8,272.98 |
3.5× |
| Exc troc pres ulc & bone flap clos (15953) |
$11,676.90 |
$38,923.01 |
3.3× |
| Exc troc pres ulc & bone prim clo (15951) |
$11,676.90 |
$38,923.01 |
4.0× |
| Exc trochanteric pr ulcer w/skin flap closure (15952) |
$11,676.90 |
$38,923.01 |
5.7× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$11,676.90 |
$38,923.01 |
7.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,389.91 |
$7,966.36 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,533.83 |
$8,446.11 |
0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,545.22 |
$5,150.74 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,770.10 |
$12,567 |
1.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,045.59 |
$10,151.96 |
1.8× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$13,529.68 |
$45,098.92 |
4.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$13,529.68 |
$45,098.92 |
4.7× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$9,371.18 |
$31,237.28 |
3.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$10,764.75 |
$35,882.50 |
6.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$23,699.62 |
$78,998.74 |
8.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,118.80 |
$7,062.68 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,427.89 |
$8,092.96 |
1.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$18,989.02 |
$63,296.74 |
6.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$16,515.02 |
$55,050.06 |
5.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$9,371.18 |
$31,237.28 |
3.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$9,859.10 |
$32,863.67 |
3.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,419.59 |
$8,065.31 |
1.5× |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
$9,859.10 |
$32,863.67 |
1.4× |
| Exchange transfusion, blood; other than newborn (36455) |
$11,427.90 |
$38,093 |
25.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,833.68 |
$6,112.28 |
1.1× |
| Excise excess skin & tissue (15839) |
$5,439.65 |
$18,132.15 |
1.9× |
| Excise excessive skin arm (15836) |
$7,501.23 |
$25,004.11 |
2.6× |
| Excise lesion testis (54512) |
$9,362.27 |
$31,207.55 |
2.7× |
| Excision bone cyst/bnign tumor superficial (27065) |
$11,676.90 |
$38,923.01 |
1.6× |
| Excision Breast Lesion (19125) |
$22,350.98 |
$74,503.25 |
5.7× |
| Excision Distal Ulna Partial/Complete (25240) |
$10,111.65 |
$33,705.51 |
3.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$3,770.10 |
$12,567 |
1.3× |
| Excision hand/finger tendon (26415) |
$4,475.77 |
$14,919.23 |
1.4× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$2,561.52 |
$8,538.39 |
0.9× |
| Excision Lactiferous Duct Fistula (19112) |
$22,350.98 |
$74,503.25 |
5.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,351.47 |
$7,838.24 |
1.5× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$568.80 |
$1,896 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$4,170.64 |
$13,902.13 |
5.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$2,323.15 |
$7,743.83 |
5.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,582.49 |
$8,608.30 |
3.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,486.73 |
$8,289.10 |
3.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$2,520.30 |
$8,401.01 |
3.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,402.36 |
$8,007.86 |
3.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,828.01 |
$6,093.37 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$16,092 |
$53,640 |
9.7× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$16,092 |
$53,640 |
22.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$16,092 |
$53,640 |
22.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,346.93 |
$7,823.10 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,394.65 |
$4,648.82 |
0.8× |
| Excision of Epiphyseal Bar (20150) |
$10,371.43 |
$34,571.43 |
3.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$2,397.42 |
$7,991.41 |
1.5× |
| Excision of hydrocele; unilateral (55040) |
$1,852.10 |
$6,173.67 |
0.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$6,041.72 |
$20,139.05 |
1.8× |
| Excision of lesion of tongue without closure (41110) |
$2,312.10 |
$7,707 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,333.26 |
$7,777.52 |
1.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,450.38 |
$8,167.93 |
1.5× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,635.44 |
$8,784.81 |
1.6× |
| Excision of nail fold toe (11765) |
$327.90 |
$1,093 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,391.94 |
$7,973.14 |
0.8× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) |
$18,406.90 |
$61,356.33 |
6.6× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,229.86 |
$7,432.88 |
0.8× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,260.07 |
$7,533.58 |
1.1× |
| Excision of tongue lesion (41112) |
$2,312.10 |
$7,707 |
0.7× |
| Excision of tongue lesion (41114) |
$2,312.10 |
$7,707 |
0.7× |
| Excision of Umbilicus (49250) |
$2,289.07 |
$7,630.22 |
0.6× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$14,576.20 |
$48,587.33 |
2.4× |
| Excision olecranon bursa (24105) |
$5,400.05 |
$18,000.16 |
1.6× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$12,947.43 |
$43,158.10 |
4.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$10,112.57 |
$33,708.55 |
3.5× |
| Excision Prepatellar Bursa (27340) |
$4,650.35 |
$15,501.18 |
1.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,359.40 |
$7,864.65 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,413.55 |
$8,045.15 |
1.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,678.76 |
$12,262.54 |
2.2× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$2,338.32 |
$7,794.39 |
1.5× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$10,112.57 |
$33,708.55 |
3.5× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$3,770.10 |
$12,567 |
1.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,887.26 |
$6,290.87 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,153.43 |
$7,178.10 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$5,439.65 |
$18,132.15 |
1.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,562.62 |
$8,542.07 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$23,937.03 |
$79,790.09 |
8.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$4,015.87 |
$13,386.24 |
2.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,172.92 |
$10,576.40 |
1.0× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$10,111.65 |
$33,705.51 |
3.1× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$11,536.73 |
$38,455.76 |
3.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$12,006.40 |
$40,021.33 |
5.8× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$10,279.50 |
$34,264.99 |
1.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,649.77 |
$5,499.22 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$3,376.66 |
$11,255.52 |
2.0× |
| Exploration of knee joint (27310) |
$2,832.29 |
$9,440.95 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$4,067.65 |
$13,558.84 |
2.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,685.30 |
$8,951 |
0.8× |
| Explore limb vessels (35860) |
$9,025.91 |
$30,086.37 |
2.9× |
| Explore/irrigate tear ducts (68840) |
$1,071.37 |
$3,571.23 |
3.4× |
| Explore/treat ankle joint (27620) |
$2,687.36 |
$8,957.87 |
0.8× |
| Explore/treat ankle joint (27610) |
$49,884.89 |
$166,282.95 |
15.2× |
| Explore/treat elbow joint (24101) |
$46,203.47 |
$154,011.58 |
14.1× |
| External Cephalic Version (59412) |
$2,159.40 |
$7,198 |
0.7× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$4,205.68 |
$14,018.95 |
0.8× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$9,463.16 |
$31,543.85 |
2.9× |
| Fasciotomy Iliotibial Open (27305) |
$3,116.82 |
$10,389.40 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,540 |
$8,466.67 |
0.8× |
| Fetal Contraction Stress Test (59020) |
$4,153.50 |
$13,845 |
20.5× |
| Fetal non-stress test (59025) |
$214.50 |
$715 |
1.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$11,426.70 |
$38,089 |
16.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,894.64 |
$9,648.80 |
4.1× |
| Fine needle aspiration without imaging guidance (10021) |
$314.40 |
$1,048 |
0.8× |
| Fix ectropion,entensv lid repair (67917) |
$2,975.23 |
$9,917.44 |
1.2× |
| Fixation of knee joint (27570) |
$1,336.72 |
$4,455.75 |
0.8× |
| Fixation of shoulder (23700) |
$1,222.73 |
$4,075.75 |
0.8× |
| Fna bx w/fluor gdn 1st les (10007) |
$11,426.70 |
$38,089 |
16.1× |
| Fna bx w/mr gdn 1st les (10011) |
$11,426.70 |
$38,089 |
16.1× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other… (20969) |
$11,816 |
$39,386.65 |
1.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,312.11 |
$11,040.38 |
1.6× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,735.63 |
$9,118.78 |
1.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,886.74 |
$12,955.79 |
1.9× |
| Fuse hand bones with graft (25825) |
$8,427.07 |
$28,090.22 |
1.2× |
| Fusion Finger Joint (26860) |
$2,988.22 |
$9,960.72 |
0.9× |
| Fusion of foot bones (28730) |
$16,548.99 |
$55,163.29 |
1.3× |
| Fusion of foot bones (28735) |
$22,104.50 |
$73,681.68 |
1.7× |
| Fusion of foot bones (28740) |
$15,929.36 |
$53,097.88 |
2.2× |
| Fusion of knuckle (26850) |
$9,644.06 |
$32,146.86 |
1.3× |
| Fusion of knuckle joint (26516) |
$6,922.52 |
$23,075.05 |
2.1× |
| Fusion radioulnar jnt/ulna (25830) |
$10,111.65 |
$33,705.51 |
1.4× |
| Fusion/graft of finger joint (26862) |
$4,850.35 |
$16,167.83 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$9,879.26 |
$32,930.85 |
45.7× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$24,396.77 |
$81,322.57 |
6.3× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,909.30 |
$9,697.68 |
1.5× |
Glossectomy; less than one-half tongue (41120)
unusually low: confirm this is the full procedure |
$2,312.10 |
$7,707 |
0.4× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$4,058.20 |
$13,527.32 |
1.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$8,740.69 |
$29,135.62 |
1.2× |
| Harvest cultured skin graft (15040) |
$10,943.09 |
$36,476.97 |
5.3× |
| Hemiarthroplasty Hip Partial (27125) |
$19,370.28 |
$64,567.61 |
1.5× |
| Hemorrhoidectomy (46255) |
$3,191.26 |
$10,637.53 |
1.1× |
| Hemorrhoidectomy external complete (46250) |
$3,130.07 |
$10,433.58 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$8,873.48 |
$29,578.27 |
3.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$8,873.48 |
$29,578.27 |
3.2× |
| Hysteroscopy ablation (58563) |
$4,164.20 |
$13,880.68 |
0.8× |
| Hysteroscopy biopsy (58558) |
$3,235.60 |
$10,785.34 |
1.0× |
| Hysteroscopy dx sep proc (58555) |
$2,513.99 |
$8,379.96 |
0.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$3,478.67 |
$11,595.55 |
0.7× |
| I&d abscess simple (10060) |
$2,424.18 |
$8,080.60 |
12.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,854.70 |
$16,182.33 |
1.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,332.89 |
$11,109.64 |
1.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,585.06 |
$5,283.53 |
0.8× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$15,178.44 |
$50,594.80 |
4.6× |
| I&d perianal abscess superficial (46050) |
$9,227.78 |
$30,759.25 |
9.9× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$9,252.41 |
$30,841.38 |
3.3× |
| I&d submucosal abscess rectum (45005) |
$6,075.05 |
$20,250.17 |
5.1× |
| I&D Upper Arm/Elbow Bursa (23931) |
$4,640.28 |
$15,467.61 |
2.8× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$618.90 |
$2,063 |
0.7× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$661.50 |
$2,205 |
0.7× |
| Image Cath Fluid Colxn Visc (49405) |
$643.50 |
$2,145 |
0.4× |
| Image Cath Fluid Peri/Retro (49406) |
$13,331.19 |
$44,437.29 |
8.1× |
| Immediate breast prosthesis (19340) |
$37,340.92 |
$124,469.72 |
4.6× |
| Implant neuroelectrodes (63650) |
$13,503.30 |
$45,011.01 |
2.1× |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
$18,534.22 |
$61,780.73 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,672.55 |
$5,575.18 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,988.74 |
$9,962.47 |
7.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,745.29 |
$19,150.95 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,597.68 |
$8,658.92 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,695.28 |
$5,650.93 |
4.2× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$49,884.89 |
$166,282.95 |
15.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$162.60 |
$542 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$1,537.74 |
$5,125.80 |
1.0× |
| Incision labial frenum frenotomy (40806) |
$413.70 |
$1,379 |
0.8× |
| Incision of lingual frenum (41010) |
$540 |
$1,800 |
0.3× |
| Incision of metatarsal (28308) |
$9,602.99 |
$32,009.96 |
2.9× |
| Incision of metatarsal (28307) |
$8,740.69 |
$29,135.62 |
1.2× |
| Incision of metatarsals (28309) |
$8,740.69 |
$29,135.62 |
1.2× |
| Incision of rectal abscess (46045) |
$18,784.50 |
$62,615 |
6.8× |
| Incision of rectal abscess (46040) |
$2,544.13 |
$8,480.43 |
2.1× |
| Incision of windpipe (31601) |
$43,545.96 |
$145,153.20 |
7.3× |
| Incision of windpipe (31610) |
$43,545.96 |
$145,153.20 |
7.3× |
| Incision thrombosed hemorrhoid external (46083) |
$8,873.48 |
$29,578.27 |
35.5× |
| Incisional biopsy skin single lesion (11106) |
$314.40 |
$1,048 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$481.20 |
$1,604 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$2,147.58 |
$7,158.60 |
7.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$9,362.25 |
$31,207.49 |
10.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$473.40 |
$1,578 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$15,390.65 |
$51,302.16 |
21.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$780.30 |
$2,601 |
0.9× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$176.70 |
$589 |
0.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$314.85 |
$1,049.50 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,273.64 |
$7,578.80 |
2.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$3,662.70 |
$12,209 |
5.2× |
| Inject Tendon Origin/Insert (20551) |
$113.70 |
$379 |
0.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$622.50 |
$2,075 |
0.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$13,889.18 |
$46,297.28 |
19.6× |
| Injection anes other peripheral nerve/branch (64450) |
$798.30 |
$2,661 |
1.1× |
| Injection peyronie disease (54200) |
$2,665.20 |
$8,884 |
10.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$504.60 |
$1,682 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$130.50 |
$435 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$514.80 |
$1,716 |
1.7× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$762.60 |
$2,542 |
0.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$911.66 |
$3,038.88 |
3.0× |
| Ins cath ren art 1st bilat (36252) |
$10,334.04 |
$34,446.78 |
3.3× |
| Ins cath ren art 1st unilat (36251) |
$12,232.53 |
$40,775.10 |
3.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$1,362.90 |
$4,543 |
0.4× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,927.60 |
$13,092 |
0.7× |
| Ins endovas vena cava filtr (37191) |
$4,542 |
$15,140 |
0.8× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$6,540 |
$21,800 |
0.6× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$9,989.70 |
$33,299 |
1.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$12,444.72 |
$41,482.39 |
1.2× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$9,989.70 |
$33,299 |
1.0× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$4,719 |
$15,730 |
0.6× |
| Ins/Rep Subq Defibrillator (33270) |
$25,733.10 |
$85,777 |
0.8× |
| Insert 1 electrode pm-defib (33216) |
$5,326.50 |
$17,755 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$139.20 |
$464 |
1.1× |
| Insert cervical dilator (59200) |
$249 |
$830 |
0.8× |
| Insert Drug Implant Device (11981) |
$1,685.87 |
$5,619.58 |
12.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,542 |
$5,140 |
0.8× |
| Insert nasal septal button (30220) |
$1,144.80 |
$3,816 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$12,369 |
$41,230 |
3.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$20,033.29 |
$66,777.64 |
6.3× |
| Insert pacing lead & connect (33224) |
$9,989.70 |
$33,299 |
1.0× |
| Insert picc cath (36569) |
$1,271.03 |
$4,236.77 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$11,651.37 |
$38,837.89 |
7.4× |
| Insert picvad cath (36570) |
$11,778.27 |
$39,260.90 |
3.7× |
| Insert pulse gen mult leads (33221) |
$17,876.40 |
$59,588 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$729.57 |
$2,431.90 |
5.5× |
| Insert tun ip cath perc (49418) |
$10,948.80 |
$36,496 |
3.1× |
| Insert tunneled cv cath (36561) |
$2,607.70 |
$8,692.32 |
0.8× |
| Insert Tunneled Cv Cath With Pump (36563) |
$14,895.33 |
$49,651.11 |
2.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$12,643.20 |
$42,144 |
2.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$10,433.03 |
$34,776.78 |
78.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,866.17 |
$6,220.57 |
0.5× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement (53855) |
$8,388.64 |
$27,962.14 |
4.0× |
| Insertion of cannula (36810) |
$2,748.90 |
$9,163 |
0.9× |
| Insertion of defibrillator electrode (33271) |
$5,571.90 |
$18,573 |
0.7× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$2,709.13 |
$9,030.42 |
0.8× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$20,070.34 |
$66,901.14 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$11,477.50 |
$38,258.32 |
7.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$11,477.50 |
$38,258.32 |
18.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$13,457.18 |
$44,857.28 |
1.6× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$7,715.10 |
$25,717 |
0.9× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$22,130.10 |
$73,767 |
1.0× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$1,806.15 |
$6,020.50 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$11,778.27 |
$39,260.90 |
3.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,585.70 |
$8,619 |
0.8× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$15,993.43 |
$53,311.42 |
2.9× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$15,993.43 |
$53,311.42 |
5.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,097.63 |
$20,325.42 |
1.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,874.20 |
$29,580.69 |
1.1× |
| Insj/rplcmt defib w/lead(s) (33249) |
$37,057.48 |
$123,524.93 |
1.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,000 |
$20,000 |
0.7× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$28,403.90 |
$94,679.67 |
3.4× |
Insrt pulse gen w/dual leads (33230)
unusually low: confirm this is the full procedure |
$10,783.50 |
$35,945 |
0.5× |
| Insrt pulse gen w/mult leads (33231) |
$31,542 |
$105,140 |
1.0× |
| Insrt/redo spine n generator (63685) |
$23,310.61 |
$77,702.04 |
0.8× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$17,706.06 |
$59,020.20 |
11.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$17,706.06 |
$59,020.20 |
1.5× |
| Intro Gastrointestinal Tube (44500) |
$315.90 |
$1,053 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$12,521.81 |
$41,739.35 |
52.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$201 |
$670 |
0.8× |
| Kidney endoscopy (50572) |
$10,487.33 |
$34,957.75 |
15.0× |
| Kidney endoscopy (50553) |
$10,487.33 |
$34,957.75 |
2.0× |
| Kidney endoscopy (50551) |
$10,487.33 |
$34,957.75 |
2.0× |
| Kidney endoscopy & treatment (50580) |
$9,479.96 |
$31,599.88 |
1.8× |
| Knee arthroscopy/surgery (29883) |
$7,179.43 |
$23,931.43 |
2.2× |
| Knee arthroscopy/surgery (29876) |
$2,820.89 |
$9,402.98 |
0.9× |
| Knee arthroscopy/surgery (29851) |
$23,134.02 |
$77,113.41 |
14.4× |
| Lap ing hernia repair init (49650) |
$5,251.92 |
$17,506.37 |
0.9× |
| Lap insert tunnel ip cath (49324) |
$3,285.11 |
$10,950.36 |
0.5× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) |
$9,592.43 |
$31,974.78 |
0.9× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$7,772.36 |
$25,907.87 |
0.7× |
| Laparoscopy appendectomy (44970) |
$7,942.99 |
$26,476.64 |
1.3× |
| Laparoscopy biopsy (49321) |
$4,221.66 |
$14,072.20 |
0.7× |
| Laparoscopy gastrostomy (43653) |
$4,687.19 |
$15,623.97 |
0.8× |
| Laparoscopy Remove Adnexa (58661) |
$5,345.76 |
$17,819.19 |
0.9× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$7,460.77 |
$24,869.23 |
0.7× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,126.09 |
$40,420.31 |
1.1× |
| Laparoscopy Tubal Cautery (58670) |
$3,614.72 |
$12,049.06 |
0.6× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,670.51 |
$15,568.36 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,134.38 |
$13,781.25 |
0.7× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
$11,774.78 |
$39,249.25 |
1.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
$11,774.78 |
$39,249.25 |
1.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$11,774.78 |
$39,249.25 |
3.0× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$9,973.46 |
$33,244.88 |
0.9× |
| Laparoscopy, surgical, splenectomy (38120) |
$25,663.99 |
$85,546.62 |
2.4× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$6,274.66 |
$20,915.52 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,138.81 |
$17,129.36 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$15,931.93 |
$53,106.43 |
1.5× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$8,427.74 |
$28,092.46 |
0.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,727.69 |
$22,425.64 |
1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,168.06 |
$17,226.86 |
0.9× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$11,774.78 |
$39,249.25 |
3.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,467.30 |
$21,557.67 |
1.1× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$8,379.43 |
$27,931.43 |
0.8× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$6,804.76 |
$22,682.54 |
1.1× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$13,468.21 |
$44,894.02 |
2.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$150 |
$500 |
0.8× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$7,010.48 |
$23,368.25 |
3.9× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$7,010.48 |
$23,368.25 |
3.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$13,420.78 |
$44,735.92 |
34.3× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$13,420.78 |
$44,735.92 |
67.1× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,432.50 |
$4,775 |
0.8× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$9,645.95 |
$32,153.17 |
1.8× |
| Late closure of wound (13160) |
$2,851.85 |
$9,506.18 |
0.8× |
| Lengthen metacarpal/finger (26568) |
$6,008.18 |
$20,027.26 |
0.8× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$12,283.60 |
$40,945.32 |
1.7× |
| Ligate leg veins radical (37760) |
$1,350.60 |
$4,502 |
0.4× |
| Ligate/strip long leg vein (37722) |
$1,089.30 |
$3,631 |
0.3× |
| Ligate/strip short leg vein (37718) |
$2,723.10 |
$9,077 |
0.9× |
| Ligation or biopsy temporal artery (37609) |
$2,496.68 |
$8,322.28 |
1.5× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,410.90 |
$4,703 |
0.4× |
| Ligatn perforators,subfasc,open, incl u/s, 1 leg (37761) |
$8,885.77 |
$29,619.23 |
2.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,100.34 |
$13,667.79 |
1.2× |
| Lithotripsy (50590) |
$1,759.86 |
$5,866.21 |
0.5× |
| Liver Biopsy (47000) |
$2,229.40 |
$7,431.33 |
1.3× |
| Lyse Chest Fibrin Init Day (32561) |
$407.40 |
$1,358 |
0.6× |
| Lyse Chest Fibrin Subq Day (32562) |
$407.40 |
$1,358 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$2,111.40 |
$7,038 |
1.3× |
| Marsup Bartholin Gland Cyst (56440) |
$1,675.51 |
$5,585.03 |
0.5× |
| Mast mod rad (19307) |
$23,835.80 |
$79,452.66 |
3.6× |
| Mastectomy gynecomastia (19300) |
$22,350.98 |
$74,503.25 |
5.7× |
| Mastectomy partial (19301) |
$7,464 |
$24,880 |
1.9× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$9,911.71 |
$33,039.02 |
1.5× |
| Mastectomy simple complete (19303) |
$10,083.10 |
$33,610.36 |
1.5× |
| Mastopexy (19316) |
$7,030.08 |
$23,433.62 |
1.1× |
| Mediastinoscopy Includes Mediastinal Mass Biopsy (39401) |
$9,756.81 |
$32,522.69 |
1.6× |
| Mediastinoscpy w/lmph nod bx (39402) |
$9,756.81 |
$32,522.69 |
1.6× |
| Metatarsectomy (28140) |
$8,740.69 |
$29,135.62 |
2.7× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$16,092 |
$53,640 |
21.7× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$9,913.31 |
$33,044.36 |
13.4× |
| Musculoskeletal surgery (20999) |
$14,702.53 |
$49,008.43 |
59.5× |
| Nasal surgery procedure (30999) |
$21,169.50 |
$70,565 |
89.2× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,350 |
$4,500 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,177.80 |
$3,926 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$10,498.05 |
$34,993.50 |
23.5× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$630 |
$2,100 |
0.7× |
| Ndsc ureterotomy urtrl cathj w/wo dilat ureter (50972) |
$10,487.33 |
$34,957.75 |
3.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,053.20 |
$6,844 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$90 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$188.70 |
$629 |
0.5× |
| Nipple exploration (19110) |
$22,350.98 |
$74,503.25 |
5.7× |
| Nipple/areola reconstruction (19350) |
$2,537.69 |
$8,458.97 |
0.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$627.30 |
$2,091 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,620.80 |
$8,736 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,111.70 |
$7,039 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$410.40 |
$1,368 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$567.90 |
$1,893 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$831.30 |
$2,771 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$9,448.50 |
$31,495 |
10.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$410.40 |
$1,368 |
0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$711.60 |
$2,372 |
0.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$137.10 |
$457 |
0.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$164.70 |
$549 |
0.4× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$29,130.92 |
$97,103.06 |
4.5× |
Onc pan-tumor DNA&RNA next-generation sequencing (0211U)
unusually low: confirm this is the full procedure |
$3,000 |
$10,000 |
0.4× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,891.20 |
$12,970.66 |
1.0× |
| Open bone biopsy (20251) |
$17,766.90 |
$59,223 |
2.4× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$22,359.08 |
$74,530.25 |
3.1× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$7,440.41 |
$24,801.36 |
1.0× |
Open thrombect av fistula (36831)
unusually low: confirm this is the full procedure |
$2,043.60 |
$6,812 |
0.4× |
| Open tratment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$13,528.79 |
$45,095.96 |
4.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,179.59 |
$30,598.63 |
1.3× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,457.52 |
$18,191.74 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$9,325.50 |
$31,084.99 |
1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,591.99 |
$28,639.97 |
1.2× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) |
$18,735.44 |
$62,451.45 |
2.6× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$18,735.44 |
$62,451.45 |
1.5× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$17,704.36 |
$59,014.52 |
2.4× |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
$18,735.44 |
$62,451.45 |
1.5× |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
$17,255.43 |
$57,518.09 |
2.4× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$17,255.43 |
$57,518.09 |
2.4× |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
$13,528.79 |
$45,095.96 |
4.1× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$13,385.16 |
$44,617.19 |
1.0× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$17,794.41 |
$59,314.71 |
2.4× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$17,013 |
$56,710 |
2.3× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$17,591.99 |
$58,639.95 |
2.4× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
$17,449.72 |
$58,165.72 |
5.3× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
$15,763.23 |
$52,544.11 |
4.8× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
$13,528.79 |
$45,095.96 |
4.1× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$17,794.41 |
$59,314.71 |
2.4× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$17,794.41 |
$59,314.71 |
2.4× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$17,591.99 |
$58,639.95 |
1.4× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$9,455.45 |
$31,518.18 |
1.3× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$10,525.63 |
$35,085.44 |
1.4× |
| Open treatment of ulnar styloid fracture (25652) |
$9,733.06 |
$32,443.54 |
1.3× |
| Open Treatment Radial Shaft Fracture (25515) |
$5,934.18 |
$19,780.61 |
0.8× |
| Open tx carpal scaphoid navicular fracture (25628) |
$13,134.22 |
$43,780.73 |
1.8× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$10,952.11 |
$36,507.03 |
1.5× |
| Open Tx Femoral Fracture Proximal End He (27269) |
$17,449.72 |
$58,165.72 |
2.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$9,056.81 |
$30,189.35 |
2.8× |
| Open tx interphalangeal joint dislocation (26785) |
$6,130.46 |
$20,434.88 |
1.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,405.05 |
$21,350.15 |
2.0× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$9,417.67 |
$31,392.23 |
1.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,300.18 |
$17,667.28 |
1.6× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$13,389.47 |
$44,631.58 |
1.0× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$22,359.08 |
$74,530.25 |
3.1× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$15,878.38 |
$52,927.93 |
1.2× |
| Open/Perq Place Stent Same (37238) |
$12,590.88 |
$41,969.61 |
1.1× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$15,703.44 |
$52,344.81 |
1.4× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$20,445.31 |
$68,151.02 |
2.8× |
| Optx post ankle fx (27769) |
$5,648.20 |
$18,827.32 |
0.8× |
| Orchiectomy radical tumor w/abdominal expl (54535) |
$20,787.58 |
$69,291.92 |
5.9× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$8,740.69 |
$29,135.62 |
2.7× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,329.87 |
$11,099.57 |
1.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$8,740.69 |
$29,135.62 |
2.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$3,690.16 |
$12,300.52 |
1.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,861.26 |
$19,537.53 |
1.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,646.08 |
$8,820.28 |
0.8× |
| Osteoplasty, femur; shortening (excluding 64876) (27465) |
$17,587.04 |
$58,623.48 |
2.4× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$10,111.65 |
$33,705.51 |
1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$6,497.99 |
$21,659.95 |
0.9× |
| Osteotomy Phalanx Finger Each (26567) |
$6,008.18 |
$20,027.26 |
1.8× |
| Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) |
$17,449.72 |
$58,165.72 |
2.4× |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
$15,927.66 |
$53,092.20 |
2.2× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip (27147) |
$13,528.79 |
$45,095.96 |
1.9× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft, (eg, sofield type procedure) (27454) |
$21,367.43 |
$71,224.76 |
2.9× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712) |
$16,902.14 |
$56,340.48 |
1.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$12,947.43 |
$43,158.10 |
4.0× |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$11,427.90 |
$38,093 |
25.9× |
| Partial Excision Bone Olecranon Process (24147) |
$1,778.94 |
$5,929.79 |
0.5× |
| Partial excision bone talus/calcaneus (28120) |
$11,536.73 |
$38,455.76 |
3.5× |
| Partial Excision Bone Tibia (27640) |
$12,947.43 |
$43,158.10 |
4.0× |
| Partial Excision Bone Ulna (25150) |
$10,111.65 |
$33,705.51 |
3.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,183.59 |
$7,278.64 |
1.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,659.44 |
$15,531.48 |
1.4× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,846.27 |
$6,154.23 |
1.1× |
| Partial Removal Foot Fascia (28060) |
$9,463.16 |
$31,543.85 |
2.9× |
| Partial removal of ulna (25119) |
$10,111.65 |
$33,705.51 |
3.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,463.32 |
$8,211.08 |
0.8× |
| Percut Drain/Inject Renal Cyst (50390) |
$258 |
$860 |
0.4× |
| Percut Mech Thrombectomy, Venous (37187) |
$41,388.41 |
$137,961.35 |
3.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$19,496.35 |
$64,987.82 |
6.2× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$7,997.13 |
$26,657.10 |
1.1× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$2,628.23 |
$8,760.78 |
0.8× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,001.54 |
$6,671.80 |
0.6× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$22,155.69 |
$73,852.30 |
6.8× |
| Peri-implant capsulectomy breast complete (19371) |
$8,318.61 |
$27,728.71 |
2.1× |
| Pericardiocentesis W/Imaging (33016) |
$1,645.20 |
$5,484 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$9,911.71 |
$33,039.02 |
14.0× |
| Perq dev breast 1st us imag (19285) |
$599.40 |
$1,998 |
0.8× |
| Perq device breast 1st imag (19281) |
$548.40 |
$1,828 |
0.3× |
| Perq dilation xst trc endourologic px w/img (50436) |
$10,661.99 |
$35,539.95 |
3.0× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$10,661.99 |
$35,539.95 |
3.0× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$3,657.30 |
$12,191 |
2.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,530.90 |
$5,103 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$2,682.20 |
$8,940.67 |
10.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$515.10 |
$1,717 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,330.40 |
$7,768 |
0.7× |
| Phleb Veins - Extrem 20+ (37766) |
$1,261.80 |
$4,206 |
0.4× |
| Pin finger fracture each (26756) |
$2,584.33 |
$8,614.42 |
0.8× |
| Place Cath Subclavian Art (36225) |
$10,146.46 |
$33,821.52 |
3.2× |
| Place Cath Thoracic Aorta (36221) |
$1,603.50 |
$5,345 |
0.5× |
Place Cath Vertebral Art (36226)
unusually low: confirm this is the full procedure |
$1,917.90 |
$6,393 |
0.3× |
| Place gastrostomy tube (43831) |
$11,861.40 |
$39,538 |
13.1× |
| Place ndl musc/tis for rt (20555) |
$2,507.10 |
$8,357 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$251.70 |
$839 |
0.6× |
| Placement of seton (46020) |
$3,003.89 |
$10,012.96 |
1.1× |
Plmt expandable cath brst following prtl mast (19296)
unusually low: confirm this is the full procedure |
$3,669.90 |
$12,233 |
0.4× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$6,072.04 |
$20,240.12 |
4.4× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$18,662.94 |
$62,209.79 |
5.7× |
| PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) |
$19,046.77 |
$63,489.23 |
5.8× |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
$10,487.33 |
$34,957.75 |
2.0× |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$11,774.78 |
$39,249.25 |
1.1× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$1,124.10 |
$3,747 |
0.5× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$9,827.82 |
$32,759.41 |
1.6× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$14,104.25 |
$47,014.17 |
2.3× |
| Preputial Stretching (54450) |
$186.30 |
$621 |
0.7× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$8,268.30 |
$27,561 |
0.5× |
| Probe nl duct w/balloon (68816) |
$1,182.73 |
$3,942.43 |
0.5× |
| Proctosigmoidoscopy (45303) |
$8,833.50 |
$29,445 |
7.4× |
| Proctosigmoidoscopy w/bx (45305) |
$417 |
$1,390 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$8,833.50 |
$29,445 |
3.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$726.30 |
$2,421 |
0.8× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
$15,046.12 |
$50,153.74 |
2.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) |
$15,174.36 |
$50,581.19 |
2.1× |
| Prostatectomy (turp) (52601) |
$3,848.73 |
$12,829.09 |
0.7× |
| Prosthesis removal humeral and glenoid component (23335) |
$33,465.80 |
$111,552.67 |
4.6× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$12,590.02 |
$41,966.74 |
2.0× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$1,834.47 |
$6,114.89 |
0.6× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$16,665.35 |
$55,551.16 |
2.3× |
| Punch biopsy skin single lesion (11104) |
$2,921.65 |
$9,738.82 |
7.2× |
| Puncture Aspiration (10160) |
$261.60 |
$872 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$590.10 |
$1,967 |
0.8× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,817.21 |
$6,057.36 |
0.6× |
| Rad resec prox/mid phalanx (26260) |
$6,008.18 |
$20,027.26 |
1.8× |
Rad resec tonsil/pillars,clos local (42844)
unusually low: confirm this is the full procedure |
$2,312.10 |
$7,707 |
0.4× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$8,218.77 |
$27,395.91 |
2.8× |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
$9,371.18 |
$31,237.28 |
3.2× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$16,607.41 |
$55,358.02 |
5.7× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$9,502.81 |
$31,676.03 |
3.3× |
| Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) |
$9,371.18 |
$31,237.28 |
3.2× |
| Radial styloidectomy (25230) |
$3,421.75 |
$11,405.82 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$3,770.10 |
$12,567 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) |
$3,770.10 |
$12,567 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
$16,607.41 |
$55,358.02 |
5.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
$9,502.81 |
$31,676.03 |
3.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
$8,218.77 |
$27,395.91 |
2.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater (27059) |
$16,515.02 |
$55,050.06 |
5.7× |
| Radical resection of tumor, radius or ulna (25170) |
$10,111.65 |
$33,705.51 |
1.4× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
$11,536.73 |
$38,455.76 |
3.5× |
| Radical Resection Tumor Metatarsal (28173) |
$8,740.69 |
$29,135.62 |
2.7× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$11,536.73 |
$38,455.76 |
1.6× |
| Realignment extensor tendon hand each tendon (26437) |
$9,076.49 |
$30,254.97 |
2.8× |
| Realignment of knee (27455) |
$17,591.99 |
$58,639.95 |
2.4× |
| Rechanneling of artery (35321) |
$9,025.91 |
$30,086.37 |
1.6× |
| Reconstruct Shoulder Joint (23470) |
$12,374.30 |
$41,247.68 |
1.0× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$4,884.46 |
$16,281.52 |
1.5× |
| Reduce testis torsion (54600) |
$4,559.07 |
$15,196.90 |
1.3× |
| Reduction of Large Breast (19318) |
$7,754.11 |
$25,847.02 |
1.2× |
| Reinforce tibia (27745) |
$18,989.84 |
$63,299.47 |
2.6× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$6,017.56 |
$20,058.52 |
0.8× |
| Release elbow joint (24006) |
$46,203.47 |
$154,011.58 |
14.1× |
| Release forearm/hand exten tendon (26449) |
$4,851.76 |
$16,172.52 |
1.5× |
| Release hip flexion contracture (27036) |
$12,225.19 |
$40,750.62 |
1.7× |
| Release i-p jt contracture (26525) |
$3,267.76 |
$10,892.53 |
2.0× |
| Release palm contracture (26121) |
$8,218.77 |
$27,395.91 |
2.5× |
| Relocation of skin pocket for pacemaker (33222) |
$1,382.40 |
$4,608 |
0.7× |
| Rem endovas vena cava filter (37193) |
$5,871.22 |
$19,570.73 |
1.9× |
| Removal Anal Seton Other Marker (46030) |
$984 |
$3,280 |
0.8× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$14,356.92 |
$47,856.39 |
0.7× |
| Removal fb intranasal (30300) |
$112.50 |
$375 |
0.8× |
| Removal foreign body foot deep (28192) |
$1,195.20 |
$3,984 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$1,785.74 |
$5,952.48 |
2.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,505.58 |
$8,351.94 |
1.5× |
| Removal foreign body pharynx (42809) |
$249.60 |
$832 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$46.80 |
$156 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$45.90 |
$153 |
0.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,847.42 |
$6,158.05 |
0.6× |
| Removal Implant Deep (20680) |
$3,321.74 |
$11,072.46 |
1.1× |
| Removal Implant From Finger/Hand (26320) |
$3,091.15 |
$10,303.84 |
1.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$827.40 |
$2,758 |
0.5× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,253.30 |
$7,511 |
0.6× |
| Removal of anal fissure (46200) |
$2,691.91 |
$8,973.03 |
1.0× |
| Removal of anorectal lesion (45108) |
$18,406.90 |
$61,356.33 |
6.6× |
| Removal of arm foreign body (24200) |
$549.60 |
$1,832 |
0.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$12,548.82 |
$41,829.40 |
7.8× |
| Removal of finger lesion (26210) |
$1,712.78 |
$5,709.25 |
1.1× |
| Removal of heel bone (28118) |
$6,197.70 |
$20,659.01 |
1.9× |
| Removal of heel spur (28119) |
$4,329.04 |
$14,430.14 |
1.3× |
| Removal of hip prosthesis (27090) |
$16,850.82 |
$56,169.41 |
2.3× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$16,850.82 |
$56,169.41 |
1.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$504 |
$1,680 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$2,610.65 |
$8,702.15 |
8.6× |
| Removal of kidney stone (50081) |
$12,981.40 |
$43,271.34 |
1.4× |
| Removal of knee cartilage (27333) |
$16,125.27 |
$53,750.89 |
4.9× |
| Removal of knee cartilage (27332) |
$16,125.27 |
$53,750.89 |
4.9× |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
$15,289 |
$50,963.32 |
1.2× |
| Removal of lens material (66852) |
$3,454.50 |
$11,515 |
0.8× |
| Removal of nail bed (11750) |
$2,220.01 |
$7,400.04 |
5.5× |
| Removal of palm tendon each (26170) |
$4,475.77 |
$14,919.23 |
2.8× |
| Removal Of Peritoneal-Venous Shunt (49429) |
$13,468.21 |
$44,894.02 |
4.3× |
| Removal of pressure sore (15999) |
$10,654.75 |
$35,515.82 |
15.0× |
| Removal of sesamoid bone (28315) |
$6,777.14 |
$22,590.46 |
2.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$2,929.87 |
$9,766.22 |
14.6× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$1,234.50 |
$4,115 |
0.6× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,882.75 |
$9,609.16 |
1.5× |
| Removal of testis (54520) |
$2,109.32 |
$7,031.07 |
0.6× |
| Removal of wrist bone (25210) |
$3,421.75 |
$11,405.82 |
1.0× |
| Removal ppm generator only (33233) |
$39,234.51 |
$130,781.70 |
4.7× |
| Removal subq cardiac rhythm monitor (33286) |
$1,862.64 |
$6,208.80 |
2.6× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,062.24 |
$13,540.81 |
1.3× |
| Remove & replace indwell ureteral stent trurthrl (50385) |
$1,119.44 |
$3,731.45 |
0.5× |
| Remove anal fist subq (46270) |
$2,950.87 |
$9,836.22 |
1.1× |
| Remove bladder stone (52318) |
$2,275.52 |
$7,585.07 |
0.6× |
| Remove drug implant device (11982) |
$3,418.80 |
$11,396.01 |
7.6× |
| Remove elbow lesion (24120) |
$10,111.65 |
$33,705.51 |
3.1× |
| Remove femur lesion/bursa (27062) |
$3,759.87 |
$12,532.90 |
1.1× |
| Remove hip pressure sore (15941) |
$11,364.04 |
$37,880.12 |
3.9× |
| Remove hip pressure sore (15945) |
$11,364.04 |
$37,880.12 |
5.5× |
| Remove in/ex hem groups 2+ (46260) |
$3,235.12 |
$10,783.74 |
1.2× |
| Remove in/ex hem grp w/fistu (46258) |
$8,873.48 |
$29,578.27 |
3.2× |
| Remove in/ex hem grps w/fist (46262) |
$8,873.48 |
$29,578.27 |
3.2× |
| Remove intrvas foreign body (37197) |
$1,708.50 |
$5,695 |
0.5× |
| Remove knee cyst (27347) |
$15,381.89 |
$51,272.98 |
4.7× |
| Remove knee joint lining (27335) |
$16,125.27 |
$53,750.89 |
2.2× |
| Remove Pilonidal Cyst Exten (11771) |
$10,112.57 |
$33,708.55 |
3.5× |
| Remove prostate regrowth (52630) |
$3,593.14 |
$11,977.14 |
0.7× |
| Remove sacrum pressure sore (15937) |
$10,112.57 |
$33,708.55 |
4.9× |
| Remove shoulder joint lining (23105) |
$6,125.11 |
$20,417.02 |
0.8× |
| Remove spine infusion device (62365) |
$17,912.48 |
$59,708.26 |
5.2× |
| Remove thigh pressure sore (15956) |
$11,676.90 |
$38,923.01 |
5.7× |
| Remove thigh pressure sore (15958) |
$11,676.90 |
$38,923.01 |
3.3× |
| Remove tumor hip/pelvis (27049) |
$16,515.02 |
$55,050.06 |
5.7× |
| Remove wrist tendon lesion (25111) |
$1,948.82 |
$6,496.06 |
1.2× |
| Remove&replace pm gen singl (33227) |
$8,562.30 |
$28,541 |
1.0× |
| Remove/graft bone lesion (24126) |
$10,111.65 |
$33,705.51 |
1.4× |
| Remove/graft bone lesion (24125) |
$10,111.65 |
$33,705.51 |
3.1× |
| Remove/graft foot lesion (28102) |
$11,536.73 |
$38,455.76 |
1.6× |
| Remove/graft foot lesion (28107) |
$9,859.10 |
$32,863.67 |
1.4× |
| Remove/graft foot lesion (28103) |
$11,536.73 |
$38,455.76 |
1.6× |
| Remove/graft forearm lesion (25126) |
$10,111.65 |
$33,705.51 |
3.1× |
| Remove/graft forearm lesion (25125) |
$10,111.65 |
$33,705.51 |
6.3× |
| Remove/graft leg bone lesion (27637) |
$12,947.43 |
$43,158.10 |
1.8× |
| Remv Ext Canal Foreign Body (69200) |
$102 |
$340 |
0.8× |
| Remv&replc cvd gen dual lead (33263) |
$32,978.89 |
$109,929.63 |
1.5× |
| Remv&replc cvd gen mult lead (33264) |
$36,744.54 |
$122,481.80 |
1.2× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$10,783.50 |
$35,945 |
0.5× |
| Remv&replc pm gen dual lead (33228) |
$12,284.06 |
$40,946.85 |
1.2× |
| Remv&replc pm gen mult leads (33229) |
$25,877.90 |
$86,259.65 |
1.3× |
| Renal biopsy (50200) |
$702.60 |
$2,342 |
0.4× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562) |
$8,427.74 |
$28,092.46 |
0.9× |
| Repair achilles tendon (27650) |
$5,318.48 |
$17,728.28 |
0.7× |
| Repair arm tendon/muscle (24341) |
$8,400.17 |
$28,000.56 |
1.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,327.82 |
$17,759.40 |
1.7× |
| Repair blood vessel lesion (35184) |
$14,507.21 |
$48,357.35 |
4.6× |
| Repair blood vessel lesion (35190) |
$14,507.21 |
$48,357.35 |
2.6× |
| Repair collat ankle ligmnt,secondary (27698) |
$11,560.46 |
$38,534.86 |
1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$15,595.50 |
$51,985 |
21.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$15,595.50 |
$51,985 |
38.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,310.21 |
$7,700.69 |
5.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$5,088.85 |
$16,962.83 |
12.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$6,750.75 |
$22,502.49 |
9.1× |
| Repair elbow deb/attch open (24359) |
$3,256.85 |
$10,856.15 |
1.0× |
| Repair finger tendon (26432) |
$1,652.84 |
$5,509.45 |
1.0× |
| Repair finger tendon (26433) |
$3,458.27 |
$11,527.58 |
1.1× |
| Repair finger/hand tendon (26350) |
$4,724.28 |
$15,747.60 |
1.4× |
| Repair forearm tendon sheath (25275) |
$5,447.60 |
$18,158.66 |
1.7× |
| Repair forearm tendon/muscle (25265) |
$8,400.17 |
$28,000.56 |
2.6× |
| Repair hallux rigidus (28289) |
$6,069.03 |
$20,230.10 |
1.9× |
| Repair humerus with graft (24435) |
$12,947.43 |
$43,158.10 |
1.0× |
| Repair incomplete circumcision (54163) |
$2,570.19 |
$8,567.29 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$16,470.18 |
$54,900.61 |
4.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$9,738.85 |
$32,462.84 |
2.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$9,738.85 |
$32,462.84 |
2.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$6,144.88 |
$20,482.94 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$15,595.50 |
$51,985 |
38.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$15,595.50 |
$51,985 |
38.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$2,219.16 |
$7,397.21 |
5.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$15,595.50 |
$51,985 |
38.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$15,595.50 |
$51,985 |
38.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$15,595.50 |
$51,985 |
38.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$15,595.50 |
$51,985 |
38.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$2,265.91 |
$7,553.04 |
5.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$2,290.48 |
$7,634.93 |
5.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$2,094.19 |
$6,980.64 |
5.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,833.10 |
$6,110.33 |
4.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,455.54 |
$4,851.81 |
3.6× |
| Repair lead pace-defib one (33218) |
$1,617.30 |
$5,391 |
0.4× |
| Repair lower leg epiphyses (27734) |
$12,947.43 |
$43,158.10 |
4.0× |
| Repair of ankle ligament (27695) |
$9,766.19 |
$32,553.97 |
1.3× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,125.77 |
$20,419.23 |
0.8× |
| Repair of foot bones (28320) |
$7,432.49 |
$24,774.96 |
0.6× |
| Repair of humerus (24430) |
$11,711.99 |
$39,039.95 |
0.9× |
| Repair of leg epiphyses (27742) |
$12,947.43 |
$43,158.10 |
4.0× |
| Repair of nail bed (11760) |
$2,563.19 |
$8,543.96 |
3.5× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$7,430.69 |
$24,768.96 |
1.0× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$17,539.31 |
$58,464.36 |
2.4× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$17,794.41 |
$59,314.71 |
2.4× |
| Repair of nonunion or malunion, tibia; with sliding graft (27722) |
$17,794.41 |
$59,314.71 |
2.4× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$10,118.75 |
$33,729.18 |
1.4× |
| Repair of thigh musc (27385) |
$7,876.99 |
$26,256.64 |
1.1× |
| Repair of tibia (27720) |
$17,794.41 |
$59,314.71 |
2.4× |
| Repair of vagina (57260) |
$8,056.58 |
$26,855.27 |
1.6× |
| Repair radius & ulna (25415) |
$22,359.08 |
$74,530.25 |
3.1× |
| Repair rectum & vagina (57250) |
$4,510.74 |
$15,035.80 |
0.9× |
| Repair rotator cuff acute (23410) |
$8,053.89 |
$26,846.31 |
1.1× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,177.57 |
$20,591.90 |
0.8× |
| Repair umbilical lesion (49600) |
$13,468.21 |
$44,894.02 |
3.8× |
| Repair webbed toe(s) (28345) |
$9,463.16 |
$31,543.85 |
5.9× |
| Repair wrist joints (25447) |
$6,136.25 |
$20,454.18 |
1.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$10,481.84 |
$34,939.45 |
3.2× |
| Repair/graft radius & ulna (25420) |
$22,359.08 |
$74,530.25 |
3.1× |
| Replace duod/jej tube perc (49451) |
$409.20 |
$1,364 |
0.5× |
| Replace g/c tube perc (49450) |
$384.90 |
$1,283 |
0.4× |
| Replace Tissue Expander (11970) |
$12,367.90 |
$41,226.33 |
1.7× |
| Reposition gastrostomy tube (43761) |
$231.60 |
$772 |
0.9× |
| Reposition pacing-defib lead (33215) |
$4,600.45 |
$15,334.82 |
1.5× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$2,579.10 |
$8,597 |
8.4× |
| Rerepair fem hernia reduce (49555) |
$9,738.85 |
$32,462.84 |
2.7× |
| Rerepair ing hernia blocked (49521) |
$16,470.18 |
$54,900.61 |
2.5× |
| Rerepair ing hernia reduce (49520) |
$5,471.17 |
$18,237.22 |
1.5× |
| Resect distal finger tumor (26262) |
$6,008.18 |
$20,027.26 |
3.7× |
| Resect enlarged toe tissue (28340) |
$2,257.20 |
$7,524 |
0.7× |
| Resect leg/ankle tum < 5 cm (27615) |
$9,371.18 |
$31,237.28 |
3.2× |
| Resection of elbow joint (arthrectomy) (24155) |
$46,203.47 |
$154,011.58 |
14.1× |
| Resection of scrotum (55150) |
$1,585.06 |
$5,283.53 |
0.4× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$8,859.55 |
$29,531.83 |
2.7× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,368.65 |
$7,895.49 |
0.7× |
| Revis reconst shoulder joint (23473) |
$24,941.33 |
$83,137.78 |
1.9× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$24,941.33 |
$83,137.78 |
1.9× |
| Revise arm/leg nerve (64708) |
$2,112.40 |
$7,041.32 |
1.1× |
| Revise hand/finger tendon (26390) |
$4,475.77 |
$14,919.23 |
0.6× |
| Revise head/neck of femur (27179) |
$17,449.72 |
$58,165.72 |
2.4× |
| Revise hernia & sperm veins (55540) |
$18,147.19 |
$60,490.62 |
5.1× |
| Revise knuckle with implant (26531) |
$12,957.05 |
$43,190.17 |
1.8× |
| Revise leg vein (37700) |
$1,846.80 |
$6,156 |
0.6× |
| Revise median n/carpal tunnel surg (64721) |
$2,251.84 |
$7,506.14 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$2,514 |
$8,380.01 |
1.3× |
| Revise ulnar nerve at wrist (64719) |
$2,578.02 |
$8,593.40 |
1.3× |
| Revise/implant finger joint (26536) |
$10,264.64 |
$34,215.46 |
1.4× |
| Revision of eyelid (67961) |
$3,129.63 |
$10,432.11 |
1.3× |
| Revision of hip bones (27156) |
$13,528.79 |
$45,095.96 |
1.9× |
| Revision of leg vein (37780) |
$1,776.90 |
$5,923 |
0.6× |
| Revision of lower leg tendon (27685) |
$5,721.45 |
$19,071.50 |
1.7× |
| Revision of reconstructed breast (19380) |
$9,027.62 |
$30,092.07 |
1.4× |
| Revision of scrotum (55175) |
$2,639.63 |
$8,798.78 |
0.7× |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
$15,515.42 |
$51,718.07 |
1.2× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$22,184.91 |
$73,949.71 |
1.7× |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
$21,331.10 |
$71,103.65 |
1.7× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$13,516.65 |
$45,055.50 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$7,554.06 |
$25,180.20 |
0.6× |
| Revision of upper eyelid (15823) |
$3,050.33 |
$10,167.78 |
1.5× |
| Revision of wrist joint (25455) |
$10,111.65 |
$33,705.51 |
3.1× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$2,882.75 |
$9,609.16 |
0.8× |
| Revision peri-implant capsule breast (19370) |
$8,361.39 |
$27,871.31 |
2.1× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$12,300.26 |
$41,000.87 |
1.9× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$1,644.97 |
$5,483.23 |
0.5× |
| Revj Fem Anast Bpg Grn Opn W/Nonautog Patch Grf (35883) |
$16,818.30 |
$56,061.01 |
3.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$1,644.97 |
$5,483.23 |
0.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$31,292.46 |
$104,308.18 |
5.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$31,696.92 |
$105,656.41 |
1.7× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$9,287.70 |
$30,959 |
0.8× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$9,287.70 |
$30,959 |
0.8× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$12,258.85 |
$40,862.82 |
2.2× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$25,174.08 |
$83,913.60 |
2.2× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$28,538.14 |
$95,127.14 |
2.5× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$27,700.39 |
$92,334.62 |
1.5× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$14,748.60 |
$49,162 |
0.8× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$14,748.60 |
$49,162 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$32,142.83 |
$107,142.75 |
26.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,094.10 |
$3,647 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$11,676.90 |
$38,923.01 |
4.0× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$5,935.41 |
$19,784.68 |
1.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,006.60 |
$10,022 |
0.8× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$16,100.75 |
$53,669.15 |
4.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,855.89 |
$6,186.30 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,670.13 |
$8,900.44 |
4.2× |
| Rplc gtube revj gstrst trc (43763) |
$268.80 |
$896 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,333.80 |
$4,446 |
0.8× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$21,021.18 |
$70,070.59 |
3.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,751.35 |
$15,837.84 |
1.5× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$16,470.18 |
$54,900.61 |
2.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,521.12 |
$15,070.41 |
0.7× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,780.71 |
$22,602.35 |
1.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,464.68 |
$14,882.26 |
0.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,677.06 |
$18,923.54 |
1.6× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$7,051.40 |
$23,504.67 |
1.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$5,248.95 |
$17,496.50 |
0.9× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$5,319.89 |
$17,732.95 |
1.5× |
| Rpr blood vessel direct lower extremity (35226) |
$5,456.87 |
$18,189.55 |
7.7× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$5,133.47 |
$17,111.55 |
1.6× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$11,369.68 |
$37,898.93 |
1.6× |
| Rpr hern preemie reduc (49491) |
$16,470.18 |
$54,900.61 |
2.7× |
| Rpr ing hern premie blocked (49492) |
$16,470.18 |
$54,900.61 |
4.6× |
| Rpr ing hernia baby blocked (49496) |
$16,470.18 |
$54,900.61 |
4.6× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$16,470.18 |
$54,900.61 |
4.6× |
| Rpr ing hernia init blocked (49501) |
$16,470.18 |
$54,900.61 |
4.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$779.10 |
$2,597 |
0.5× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$12,392.54 |
$41,308.47 |
1.7× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,673.90 |
$8,913 |
0.8× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,333.80 |
$4,446 |
0.8× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$14,748.60 |
$49,162 |
0.8× |
| Saphenopopliteal Vein Anastomosis (34530) |
$17,870.41 |
$59,568.04 |
5.7× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$1,801.20 |
$6,004 |
0.9× |
| Sclerotx Fluid Collection (49185) |
$1,265.40 |
$4,218 |
0.8× |
| Scrotal exploration (55110) |
$1,745.43 |
$5,818.10 |
0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,966.80 |
$6,556 |
2.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,549.60 |
$5,165.33 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$16,092 |
$53,640 |
80.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$16,092 |
$53,640 |
80.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$16,092 |
$53,640 |
80.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$10,171.70 |
$33,905.68 |
25.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$14,800.01 |
$49,333.38 |
36.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$5,865.61 |
$19,552.04 |
1.8× |
| Shorten radius & ulna (25392) |
$10,111.65 |
$33,705.51 |
1.4× |
| Shoulder prosthesis removal (23334) |
$33,465.80 |
$111,552.67 |
4.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$9,913.31 |
$33,044.36 |
49.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$9,913.31 |
$33,044.36 |
24.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$9,913.31 |
$33,044.36 |
49.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,031.90 |
$3,439.67 |
0.9× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$11,375.33 |
$37,917.75 |
12.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$2,434.35 |
$8,114.50 |
2.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,651.61 |
$5,505.36 |
1.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$2,664.60 |
$8,882 |
2.9× |
| Sigmoidoscopy w/fb removal (45332) |
$660.90 |
$2,203 |
0.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$10,512.38 |
$35,041.26 |
8.8× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (45347)
unusually low: confirm this is the full procedure |
$2,863.80 |
$9,546 |
0.5× |
| Simple Cystometrogram (51725) |
$8,388.64 |
$27,962.14 |
33.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$10,094.50 |
$33,648.33 |
50.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$10,094.50 |
$33,648.33 |
50.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$10,094.50 |
$33,648.33 |
50.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$10,094.50 |
$33,648.33 |
50.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$10,094.50 |
$33,648.33 |
50.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$3,480.09 |
$11,600.31 |
17.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$8,285.75 |
$27,619.17 |
41.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$8,285.75 |
$27,619.17 |
41.2× |
| Skin pinch graft (15050) |
$10,943.09 |
$36,476.97 |
14.8× |
| Skin splt grft trnk/arm/leg (15100) |
$3,033.66 |
$10,112.21 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$1,791.08 |
$5,970.25 |
2.4× |
| Skin sub graft trnk/arm/leg (15271) |
$2,276.57 |
$7,588.56 |
3.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,685.40 |
$5,618 |
0.8× |
| Skin Tissue Procedure (17999) |
$81 |
$270 |
0.4× |
| Skin tissue rearrangement (14040) |
$3,882.68 |
$12,942.26 |
1.9× |
| Skn sub grft f/n/hf/g child (15277) |
$12,301.80 |
$41,005.99 |
6.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$4,476.90 |
$14,923 |
0.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$1,806 |
$6,020 |
0.6× |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
unusually low: confirm this is the full procedure |
$1,839.90 |
$6,133 |
0.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,817.61 |
$19,392.02 |
1.2× |
| Small bowel endoscopy (44366) |
$13,906.82 |
$46,356.08 |
7.2× |
| Small bowel endoscopy (44376) |
$1,234.50 |
$4,115 |
0.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,234.50 |
$4,115 |
0.6× |
| Small bowel endoscopy/biopsy (44377) |
$1,234.50 |
$4,115 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$72 |
$240 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$8,285.75 |
$27,619.17 |
20.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$8,285.75 |
$27,619.17 |
20.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,273.67 |
$4,245.57 |
1.8× |
| Spinal Puncture Therapeutic (62272) |
$602.40 |
$2,008 |
0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,261.20 |
$4,204 |
0.4× |
| Stimulus evoked response (51792) |
$8,388.64 |
$27,962.14 |
142.0× |
| Stop growth prox/dist tibia/fibula (27740) |
$12,947.43 |
$43,158.10 |
4.0× |
| Strapping ankle (29540) |
$134.10 |
$447 |
0.8× |
| Strapping elbow/wrist (29260) |
$46.80 |
$156 |
0.8× |
| Strapping hand/finger (29280) |
$45 |
$150 |
0.8× |
| Strapping knee (29530) |
$54.90 |
$183 |
0.4× |
| Strapping shoulder (29240) |
$60.30 |
$201 |
0.5× |
| Strapping thorax (29200) |
$59.40 |
$198 |
0.4× |
| Strapping unna boot (29580) |
$331.44 |
$1,104.78 |
2.0× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$256.50 |
$855 |
0.6× |
| Suction assisted lipectomy upper extremity (15878) |
$7,501.23 |
$25,004.11 |
3.6× |
| Surgery to stop leg growth (27477) |
$12,947.43 |
$43,158.10 |
1.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,639.04 |
$8,796.81 |
0.9× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$6,231.49 |
$20,771.62 |
0.9× |
| Suture Eyelid Wound,Full Thick (67935) |
$722.40 |
$2,408 |
0.3× |
| Synovectomy; metatarsophalangeal joint, each (28072) |
$14,277.38 |
$47,591.27 |
4.4× |
| Talectomy (astragalectomy) (28130) |
$11,536.73 |
$38,455.76 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$2,114.51 |
$7,048.37 |
5.2× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$27,899.92 |
$92,999.73 |
1.4× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,487 |
$8,290 |
0.8× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$2,836.34 |
$9,454.47 |
0.9× |
| Tenodesis long tendon biceps (23430) |
$9,697.71 |
$32,325.70 |
1.3× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,267.76 |
$10,892.53 |
1.0× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$2,344.67 |
$7,815.56 |
0.7× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$4,851.76 |
$16,172.52 |
3.0× |
| Tenotomy elbow lateral/medial debride open (24358) |
$2,449.42 |
$8,164.73 |
0.7× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$4,475.77 |
$14,919.23 |
1.4× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,465.97 |
$8,219.90 |
1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,080 |
$3,600 |
0.7× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$4,475.77 |
$14,919.23 |
2.8× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,625.90 |
$8,752.99 |
1.6× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$7,555.50 |
$25,185 |
1.7× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,217.70 |
$4,059 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$710.30 |
$2,367.67 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,190.55 |
$3,968.49 |
1.9× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$10,279.50 |
$34,264.99 |
1.8× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$10,242.08 |
$34,140.26 |
1.8× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$17,237.21 |
$57,457.36 |
3.1× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$1,212 |
$4,040 |
0.4× |
| Thrombolytic Art Therapy (37211) |
$3,927.60 |
$13,092 |
0.7× |
| Thrombolytic Therapy, Stroke (37195) |
$252 |
$840 |
0.8× |
| Thrombolytic Venous Therapy (37212) |
$13,064.73 |
$43,549.09 |
4.1× |
| Thyroid biopsy (60100) |
$997.54 |
$3,325.14 |
1.4× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,330.62 |
$7,768.73 |
1.1× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,490.42 |
$8,301.41 |
1.2× |
| Tissue expander placement breast reconstruction (19357) |
$18,318.45 |
$61,061.49 |
1.3× |
| Total hip arthroplasty (27130) |
$17,908.13 |
$59,693.78 |
1.4× |
| Total knee arthroplasty (27447) |
$16,126.85 |
$53,756.17 |
1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$20,251.30 |
$67,504.34 |
37.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$463.20 |
$1,544 |
2.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$43,545.96 |
$145,153.20 |
28.0× |
| Tracheostomy planned (31600) |
$2,637.60 |
$8,792 |
0.8× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$6,091.60 |
$20,305.32 |
1.1× |
| Transplant forearm tendon (25310) |
$2,911.21 |
$9,704.03 |
0.9× |
| Transplant hand tendon (26480) |
$7,917.01 |
$26,390.03 |
2.4× |
| Transurethral resection of bladder neck (52500) |
$2,361.33 |
$7,871.10 |
0.7× |
| Treat clavicle dislocation (23532) |
$10,194.18 |
$33,980.60 |
1.4× |
| Treat clavicle dislocation (23552) |
$10,194.18 |
$33,980.60 |
1.4× |
| Treat ectopic pregnancy (59151) |
$4,789.84 |
$15,966.14 |
0.8× |
| Treat elbow fracture (24586) |
$12,339.06 |
$41,130.19 |
1.0× |
| Treat elbow fracture (24635) |
$22,359.08 |
$74,530.25 |
3.1× |
| Treat elbow fracture (24587) |
$22,359.08 |
$74,530.25 |
1.7× |
| Treat finger dislocation (26775) |
$2,628.23 |
$8,760.78 |
9.4× |
| Treat Finger Fracture Each (26727) |
$2,481.07 |
$8,270.24 |
0.8× |
| Treat fracture of radius (25526) |
$22,359.08 |
$74,530.25 |
3.1× |
| Treat fracture radius/ulna (25575) |
$15,312.31 |
$51,041.02 |
2.1× |
| Treat fx distal radial (25606) |
$10,438.14 |
$34,793.79 |
3.2× |
| Treat fx rad extra-articul (25607) |
$10,393.01 |
$34,643.36 |
1.4× |
| Treat hand dislocation (26685) |
$5,047.60 |
$16,825.34 |
1.5× |
| Treat heel fracture (28415) |
$9,468.21 |
$31,560.70 |
1.3× |
Treat humerus fracture (23616)
unusually low: confirm this is the full procedure |
$7,892.40 |
$26,308 |
0.4× |
| Treat knee fracture (27532) |
$7,755.62 |
$25,852.05 |
2.4× |
| Treat lower leg fracture (27826) |
$15,770.13 |
$52,567.10 |
2.2× |
| Treat lower leg fracture (27828) |
$12,363.98 |
$41,213.25 |
1.0× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$3,077.35 |
$10,257.84 |
0.2× |
| Treat pleurodesis w/agent (32560) |
$540 |
$1,800 |
0.9× |
| Treat radius fracture (24665) |
$15,878.38 |
$52,927.93 |
2.2× |
Treat sesamoid bone fracture (28531)
unusually low: confirm this is the full procedure |
$2,257.20 |
$7,524 |
0.3× |
| Treat slipped epiphysis (27181) |
$16,687.95 |
$55,626.49 |
2.3× |
| Treat toe fracture (28525) |
$9,056.81 |
$30,189.35 |
2.8× |
| Treat ulnar fracture (24685) |
$24,519.31 |
$81,731.03 |
3.4× |
| Treatment of ankle fracture (27822) |
$9,129.08 |
$30,430.27 |
1.3× |
| Treatment of ankle fracture (27792) |
$6,298.24 |
$20,994.16 |
0.9× |
| Treatment of fibula fracture (27784) |
$5,797.43 |
$19,324.78 |
0.8× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$17,255.43 |
$57,518.09 |
2.4× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$17,255.43 |
$57,518.09 |
2.4× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,420.46 |
$11,401.53 |
1.1× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$14,226.84 |
$47,422.81 |
4.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$6,074.70 |
$20,249 |
24.6× |
| Treatment of thigh fracture (27513) |
$18,735.44 |
$62,451.45 |
1.5× |
| Treatment of tibia fracture (27759) |
$17,532.90 |
$58,442.99 |
1.4× |
| Treatment of tibia fracture (27756) |
$16,098.98 |
$53,663.26 |
2.2× |
| Trim skin lesion (11055) |
$304.53 |
$1,015.10 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$161.40 |
$538 |
0.8× |
| Trim skin lesions over 4 (11057) |
$10,943.09 |
$36,476.97 |
54.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$395.23 |
$1,317.44 |
6.7× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$21,034.24 |
$70,114.12 |
3.7× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$27,440.14 |
$91,467.14 |
4.8× |
| Trurl rescj postop bladder neck contracture (52640) |
$11,281.98 |
$37,606.61 |
3.2× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$15,827.50 |
$52,758.34 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,689.59 |
$8,965.30 |
0.8× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,867.53 |
$6,225.10 |
0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$17,762.63 |
$59,208.77 |
11.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,479.05 |
$4,930.18 |
2.0× |
| Unlisted Cardiac Surgery (33999) |
$237.30 |
$791 |
0.4× |
| Unlisted fetal invasive procedure, including ultrasound guidance (59897) |
$4,090.27 |
$13,634.23 |
20.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$1,968 |
$6,560 |
9.7× |
| Unlisted laparoscopic procedure liver (47379) |
$5,034.25 |
$16,780.82 |
0.8× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$12,838.50 |
$42,794.99 |
2.1× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$12,161.20 |
$40,537.33 |
2.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$3,132.07 |
$10,440.23 |
0.5× |
| Unlisted laparoscopy procedure, stomach (43659) |
$5,678.34 |
$18,927.81 |
0.9× |
| Unlisted laparoscopy procedure, uterus (58578) |
$3,557.30 |
$11,857.66 |
0.6× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$4,421.64 |
$14,738.79 |
0.7× |
| Unlisted Procedure Biliary Tract (47999) |
$650.70 |
$2,169 |
0.7× |
| Unlisted Procedure Breast (19499) |
$8,294.12 |
$27,647.08 |
2.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$134.10 |
$447 |
0.8× |
| Unlisted procedure colon (45399) |
$646.20 |
$2,154 |
0.7× |
| Unlisted procedure femur or knee (27599) |
$867.60 |
$2,892 |
3.5× |
| Unlisted procedure humerus/elbow (24999) |
$7,920.74 |
$26,402.47 |
32.1× |
| Unlisted procedure larynx (31599) |
$21,169.50 |
$70,565 |
89.2× |
| Unlisted procedure leg/ankle (27899) |
$17,348.64 |
$57,828.80 |
70.2× |
| Unlisted procedure liver (47399) |
$4,090.27 |
$13,634.23 |
5.8× |
| Unlisted Procedure Lungs & Pleura (32999) |
$18,309.10 |
$61,030.34 |
29.1× |
| Unlisted procedure maternity care & delivery (59899) |
$5,507.05 |
$18,356.83 |
27.2× |
| Unlisted procedure neck or thorax (21899) |
$31,260.12 |
$104,200.40 |
131.8× |
| Unlisted Procedure Nervous System (64999) |
$437.40 |
$1,458 |
1.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$3,218.94 |
$10,729.79 |
13.0× |
| Unlisted Procedure Rectum (45999) |
$3,833.47 |
$12,778.24 |
4.1× |
| Unlisted procedure shoulder (23929) |
$712.20 |
$2,374 |
2.9× |
| Unlisted Procedure Small Intestine (44799) |
$5,822.70 |
$19,409 |
6.4× |
| Unlisted Procedure Trachea Bronchi (31899) |
$688.80 |
$2,296 |
3.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,840.85 |
$9,469.50 |
4.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$20,377.79 |
$67,925.97 |
22.4× |
| Unlisted procedure, forearm or wrist (25999) |
$1,978.62 |
$6,595.39 |
8.0× |
| Unlisted procedure, hands or fingers (26989) |
$3,606.26 |
$12,020.85 |
14.6× |
| Unlisted procedure, male genital system (55899) |
$2,538.44 |
$8,461.46 |
10.1× |
| Unlisted procedure, stomach (43999) |
$661.20 |
$2,204 |
0.7× |
| Unlisted px female genital system nonobstetrical (58999) |
$10,058.73 |
$33,529.11 |
49.7× |
| Unlisted Vascular Endoscopy Proc (37501) |
$9,097.41 |
$30,324.71 |
14.5× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$6,727.50 |
$22,425 |
0.6× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$11,774.78 |
$39,249.25 |
3.0× |
| Uppr gi opticl endomicrscopy (43252) |
$12,385.20 |
$41,284.01 |
6.4× |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
$10,487.33 |
$34,957.75 |
3.0× |
| Urology Surgery Procedure (53899) |
$7,822.56 |
$26,075.20 |
31.3× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$6,573.62 |
$21,912.05 |
1.3× |
| Vag hyst complex (58290) |
$6,573.62 |
$21,912.05 |
0.9× |
| Vag hyst w/enterocele repair (58270) |
$6,573.62 |
$21,912.05 |
1.3× |
| Vaginal delivery only (59409) |
$4,090.27 |
$13,634.23 |
1.3× |
| Vaginal hysterectomy (58260) |
$5,070.03 |
$16,900.10 |
1.0× |
| Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of… (58292) |
$6,573.62 |
$21,912.05 |
0.9× |
| Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele (58294) |
$6,573.62 |
$21,912.05 |
1.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$6,602.24 |
$22,007.47 |
1.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$6,573.62 |
$21,912.05 |
1.3× |
| Vasc embolize/occlude artery (37242) |
$11,084.73 |
$36,949.10 |
0.6× |
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure |
$3,789.60 |
$12,632 |
0.3× |
Vasc embolize/occlude organ (37243)
unusually low: confirm this is the full procedure |
$3,789.60 |
$12,632 |
0.3× |
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure |
$3,789.60 |
$12,632 |
0.3× |
| Vasectomy (55250) |
$3,048.27 |
$10,160.89 |
1.5× |
| Vbac delivery only (59612) |
$4,090.27 |
$13,634.23 |
1.3× |
| Venipuncture (36415) |
$12.30 |
$41 |
1.3× |
| Wound Prep F/N/Hf/G (15004) |
$6,125.68 |
$20,418.93 |
15.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$12,441.14 |
$41,470.48 |
16.8× |
| Wrist arthroscop,excis triang cart (29846) |
$3,570.10 |
$11,900.33 |
1.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$19,496.35 |
$64,987.82 |
12.4× |