Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
$1,142.81–$2,886.18 |
$3,809.37–$9,620.60 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$6,643.20 |
$22,144 |
7.3× |
| Abrasion single lesion (15786) |
$9,815.76 |
$32,719.19 |
48.8× |
| Acne surgery (10040) |
$10,462.18 |
$34,873.94 |
52.1× |
| Acromiopl/Acromionect Partial (23130) |
$10,245.55 |
$34,151.83 |
3.1× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,330.62 |
$7,768.73 |
1.1× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,584.74 |
$8,615.81 |
1.3× |
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 3 matching MRF lines |
$1,397.26–$2,366.65 |
$4,657.54–$7,888.83 |
varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,755.48 |
$12,518.27 |
1.8× |
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines |
$2,274.20–$2,526.74 |
$7,580.68–$8,422.48 |
varies |
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines |
$1,430.43–$2,035.38 |
$4,768.09–$6,784.60 |
varies |
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 3 matching MRF lines |
$1,880.73–$2,040.39 |
$6,269.10–$6,801.29 |
varies |
| Amniocentesis diagnostic (59000) |
$301.50 |
$1,005 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$8,226.44 |
$27,421.45 |
2.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,857.58 |
$9,525.25 |
0.9× |
| Amputate Metacarpal Bone (26910) |
$10,444.69 |
$34,815.63 |
3.2× |
| Amputate Thigh,Re-Amputatn (27596) |
$19,046.77 |
$63,489.23 |
5.8× |
| Amputation Foot Midtarsal (28800) |
$16,238.63 |
$54,128.75 |
5.0× |
| Amputation foot transmetarsal (28805) |
$2,989.16 |
$9,963.87 |
0.9× |
| Amputation metatarsal with toe single (28810) |
$2,271.73 |
$7,572.42 |
0.7× |
| Amputation thigh through femur any level (27590) |
$19,046.77 |
$63,489.23 |
5.8× |
| Amputation toe interphalangeal joint (28825) |
$2,877.86 |
$9,592.85 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,077.80 |
$6,925.99 |
0.6× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$16,310.84 |
$54,369.48 |
5.0× |
| Amputation, leg, through tibia and fibula; (27880) |
$18,560.05 |
$61,866.84 |
2.6× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$18,560.05 |
$61,866.84 |
5.7× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$18,560.05 |
$61,866.84 |
5.7× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$18,560.05 |
$61,866.84 |
5.7× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$18,560.05 |
$61,866.84 |
5.7× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
$19,046.77 |
$63,489.23 |
5.8× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$19,046.77 |
$63,489.23 |
5.8× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$28,928.74 |
$96,429.14 |
94.0× |
| Anal/Urinary Muscle Study (51784) |
$179.70 |
$599 |
1.4× |
| Ankle disarticulation (27889) |
$17,357.98 |
$57,859.92 |
2.4× |
| Anorectal myomectomy (45108) |
$18,406.90 |
$61,356.33 |
6.6× |
| Anoscopy diagnostic (46600) |
$71.40 |
$238 |
0.5× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$11,453.75 |
$38,179.17 |
4.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$3,506.47 |
$11,688.23 |
0.7× |
| Anterior Tibial Tubercleplasty (27418) |
$11,431.89 |
$38,106.29 |
1.6× |
| Appendectomy (44950) |
$15,066.05 |
$50,220.16 |
2.3× |
| 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 (29505) |
$124.50 |
$415 |
0.8× |
| Application multiplane external fixation system (20692) |
$11,358.24 |
$37,860.81 |
0.9× |
| Application of halo, including removal; femoral Facility (20663) |
$32,224.73 |
$107,415.76 |
9.8× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$27,646.47 |
$92,154.91 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$307.80 |
$1,026 |
1.1× |
| 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× |
| Application uniplane external fixation system (20690) |
$10,958.65 |
$36,528.84 |
1.5× |
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines |
$252.13–$393.87 |
$840.43–$1,312.89 |
varies |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$12,947.43 |
$43,158.10 |
4.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$12,947.43 |
$43,158.10 |
4.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$12,947.43 |
$43,158.10 |
4.0× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$12,947.43 |
$43,158.10 |
1.8× |
| Arterial puncture (36600) |
$85.50 |
$285 |
0.6× |
Arteriovenous Anastomosis Open Direct (36821)
range across 2 matching MRF lines |
$3,187.59–$5,464.17 |
$10,625.30–$18,213.91 |
varies |
| Artery-vein autograft (36825) |
$2,927.29 |
$9,757.63 |
0.5× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$22,104.50 |
$73,681.68 |
1.7× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$16,548.99 |
$55,163.29 |
1.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines |
$726.60–$1,068.89 |
$2,422–$3,562.98 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$210.30 |
$701 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$571.08 |
$1,903.60 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$761.75 |
$2,539.17 |
2.5× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$1,653.93–$2,753.14 |
$5,513.11–$9,177.14 |
varies |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines |
$6,342.13–$6,774.91 |
$21,140.43–$22,583.02 |
varies |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$6,307.43 |
$21,024.76 |
1.9× |
| Arthrodesis subtalar (28725) |
$16,710.84 |
$55,702.80 |
1.3× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$10,111.65 |
$33,705.51 |
1.4× |
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines |
$17,100.71–$26,126.95 |
$57,002.38–$87,089.84 |
varies |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$23,392.78 |
$77,975.94 |
1.3× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$12,374.30 |
$41,247.68 |
1.0× |
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines |
$6,090.06–$6,744.56 |
$20,300.19–$22,481.85 |
varies |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
$16,125.27 |
$53,750.89 |
1.3× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$23,134.02 |
$77,113.41 |
14.4× |
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines |
$9,293.35–$10,387.01 |
$30,977.83–$34,623.37 |
varies |
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines |
$1,811.60–$2,193.15 |
$6,038.67–$7,310.51 |
varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$2,814.74 |
$9,382.45 |
0.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,700.96 |
$9,003.20 |
0.8× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,904.83 |
$13,016.11 |
1.2× |
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines |
$8,279.96–$8,644.21 |
$27,599.86–$28,814.02 |
varies |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines |
$6,939.58–$9,963.60 |
$23,131.94–$33,212.01 |
varies |
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines |
$2,894.39–$3,025.06 |
$9,647.97–$10,083.54 |
varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$7,179.43 |
$23,931.43 |
2.2× |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines |
$4,783.34–$10,449.78 |
$15,944.45–$34,832.60 |
varies |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
$6,171.72–$9,200.25 |
$20,572.40–$30,667.49 |
varies |
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines |
$3,972.50–$4,904.22 |
$13,241.68–$16,347.40 |
varies |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines |
$5,116.74–$6,256.71 |
$17,055.79–$20,855.70 |
varies |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines |
$9,328.84–$10,009.67 |
$31,096.14–$33,365.57 |
varies |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
$9,043.75–$9,200.90 |
$30,145.83–$30,669.66 |
varies |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,570.10 |
$11,900.33 |
1.1× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$49,884.89 |
$166,282.95 |
15.2× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$46,203.47 |
$154,011.58 |
14.1× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure |
$1,618.50 |
$5,395 |
0.2× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$16,125.27 |
$53,750.89 |
4.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$18,366.38 |
$61,221.25 |
1.4× |
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines |
$7,151.52–$7,583.18 |
$23,838.39–$25,277.25 |
varies |
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines |
$13,266.04–$13,442.42 |
$44,220.12–$44,808.08 |
varies |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$12,957.05 |
$43,190.17 |
1.8× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines |
$9,542.69–$10,418.26 |
$31,808.98–$34,727.52 |
varies |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$10,481.84 |
$34,939.45 |
3.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,089.93 |
$6,966.42 |
0.6× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$6,628.77 |
$22,095.91 |
2.0× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$46,203.47 |
$154,011.58 |
14.1× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$2,685.30 |
$8,951 |
0.8× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$16,125.27 |
$53,750.89 |
4.9× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$16,125.27 |
$53,750.89 |
2.2× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,999.29 |
$6,664.30 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$714.87 |
$2,382.89 |
1.1× |
| Aspirate Pleura W/O Imaging (32554) |
$1,134.68 |
$3,782.28 |
1.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$188.10 |
$627 |
0.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$607.50 |
$2,025 |
0.9× |
| 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) |
$984.22 |
$3,280.73 |
4.9× |
| Beta amyloid ab42/40 imprcip (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 ndsc prq t-tube dilat strix w/stent (47556) |
$19,408.10 |
$64,693.67 |
1.8× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$19,408.10 |
$64,693.67 |
3.0× |
| Biopsy Abdominal Mass (49180) |
$598.50 |
$1,995 |
0.4× |
| 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 percutaneous needle (20206) |
$1,286.70 |
$4,289 |
0.8× |
| Biopsy Muscle Superficial (20200) |
$1,375.50 |
$4,585 |
0.8× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$12,613.05 |
$42,043.50 |
13.9× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,295.57 |
$7,651.90 |
1.4× |
| Biopsy of penis (54100) |
$1,410.84 |
$4,702.80 |
0.9× |
| Biopsy of rectum (45100) |
$2,573.44 |
$8,578.13 |
0.9× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$1,477.84 |
$4,926.13 |
0.4× |
| Biopsy Salivary Gland Needle (42400) |
$598.20 |
$1,994 |
0.8× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$41,041.46 |
$136,804.87 |
14.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$4,883.39 |
$16,277.95 |
3.0× |
| 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× |
| Bladder instillation anticarcinogenic agent (51720) |
$2,792.43 |
$9,308.10 |
4.0× |
| Bladder Irrigation (51700) |
$191.40 |
$638 |
0.8× |
| Bladder Scan (51798) |
$8,018.47 |
$26,728.22 |
135.7× |
| Blood Transfusion Service (36430) |
$450 |
$1,500 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$319.20 |
$1,064 |
0.7× |
| Bone Graft Any Donor Area Major/Large (20902) |
$10,549.15 |
$35,163.82 |
1.5× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$10,549.15 |
$35,163.82 |
1.5× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
$9,903.93 |
$33,013.11 |
1.4× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$11,010.01 |
$36,700.04 |
1.5× |
| Bone Marrow Biopsy (38221) |
$1,335.30 |
$4,451 |
0.8× |
| Bone Marrow; Aspiration Only (38220) |
$4,057.68 |
$13,525.60 |
2.5× |
| Breast augmentation with implant (19325) |
$10,405.37 |
$34,684.56 |
1.3× |
| Breast Reduction (19318) |
$7,981.37 |
$26,604.56 |
1.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$5,621.85 |
$18,739.50 |
3.2× |
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 3 matching MRF lines |
$2,643–$5,855.40 |
$8,810–$19,518 |
varies |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$5,468.51 |
$18,228.38 |
1.5× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$3,793.80 |
$12,646 |
2.1× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$4,562.60 |
$15,208.67 |
1.2× |
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)
range across 3 matching MRF lines |
$4,956.85–$5,932.50 |
$16,522.83–$19,775 |
varies |
| Bronchial Valve Init Insert (31647) |
$4,800 |
$16,000 |
0.7× |
| Bronchoscopy Balloon Occlusion (31634) |
$6,742.80 |
$22,476 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,166.90 |
$7,223 |
1.2× |
| Bronchoscopy Reclear Airway (31646) |
$315 |
$1,050 |
0.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$6,024.40 |
$20,081.33 |
3.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,431.90 |
$4,773 |
0.8× |
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines |
$5,608.80–$6,106.11 |
$18,696–$20,353.69 |
varies |
| Bronchoscopy/Needle Bx Each (31629) |
$4,263.30 |
$14,211 |
1.1× |
| 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 prst8 trct us w/MRI fus 1 (55708) |
$1,826.94 |
$6,089.80 |
0.5× |
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines |
$6,413.67–$8,487.09 |
$21,378.89–$28,290.31 |
varies |
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines |
$2,835.17–$6,193.58 |
$9,450.58–$20,645.26 |
varies |
| Canthotomy Separate Procedure (67715) |
$1,897.20 |
$6,324 |
0.8× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
$12,225.19 |
$40,750.62 |
1.7× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$3,267.76 |
$10,892.53 |
2.0× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$6,116.48 |
$20,388.28 |
1.9× |
Carpal Tunnel Surgery (64721)
range across 4 matching MRF lines |
$2,196.71–$10,393.01 |
$7,322.38–$34,643.36 |
varies |
| Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) |
$1,219.20 |
$4,064 |
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 of Windpipe Airway (31502) |
$10,268.40 |
$34,228 |
43.3× |
| Change ureter stent percut (50382) |
$1,166.52 |
$3,888.40 |
0.6× |
| Chemical Cautery Tissue (17250) |
$215.39 |
$717.95 |
1.1× |
| Chemical Pleurodesis (32560) |
$540 |
$1,800 |
0.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$2,352.73 |
$7,842.44 |
3.3× |
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines |
$1,403.70–$1,501.87 |
$4,679–$5,006.23 |
varies |
| Chemodenerv Musc Migraine (64615) |
$1,036.04 |
$3,453.45 |
3.4× |
Chemodenerv musc neck dyston (64616)
range across 3 matching MRF lines |
$704.10–$1,872.60 |
$2,347–$6,242 |
varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$1,552.65 |
$5,175.50 |
5.1× |
| Chemodenerv trunk musc 1-5 (64646) |
$2,232.90 |
$7,443 |
3.2× |
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines |
$704.73–$869.10 |
$2,349.09–$2,897 |
varies |
Chest tube placement (32551)
range across 2 matching MRF lines |
$1,458–$6,357.50 |
$4,860–$21,191.67 |
varies |
| Chg onc prst8 ca alys all PSA structural isoforms (0359U) |
$243.90 |
$813 |
0.3× |
| Circumcision 28 days or older (54161) |
$2,097.05 |
$6,990.16 |
1.0× |
| Circumcision Neonate (54160) |
$2,607.71 |
$8,692.37 |
3.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,601.70 |
$5,339 |
0.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$7,755.62 |
$25,852.05 |
4.8× |
Claviculectomy partial (23120)
range across 2 matching MRF lines |
$10,065.47–$10,193.13 |
$33,551.57–$33,977.10 |
varies |
| Clear outer ear canal (69200) |
$102 |
$340 |
0.8× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$2,001.54 |
$6,671.80 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$17,762.63 |
$59,208.77 |
71.9× |
| 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 Treatment Ulnar Styloid Fracture (25650) |
$9,157.47 |
$30,524.91 |
37.1× |
| 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× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,585.72 |
$5,285.73 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$6,074.70 |
$20,249 |
24.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$16,590.41 |
$55,301.38 |
67.1× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$1,584.07–$2,301.83 |
$5,280.23–$7,672.78 |
varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$7,755.62 |
$25,852.05 |
4.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$17,762.63 |
$59,208.77 |
11.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$17,762.63 |
$59,208.77 |
71.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,628.23 |
$8,760.78 |
9.4× |
| 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) |
$230.40 |
$768 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,185.04 |
$10,616.81 |
2.0× |
| 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× |
| Collect Blood From Catheter Venous Nos (36592) |
$87.30 |
$291 |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$12.30 |
$41 |
1.3× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$10,739.70 |
$35,799 |
9.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$12,552.20 |
$41,840.67 |
10.5× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,619.40 |
$5,398 |
1.4× |
| Colonoscopy stoma w/balloon dilation (44405) |
$12,943.68 |
$43,145.60 |
10.8× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$12,489.38 |
$41,631.27 |
10.4× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
$13,971.23 |
$46,570.75 |
2.3× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$11,630.42 |
$38,768.05 |
9.7× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$13,971.23 |
$46,570.75 |
15.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$597 |
$1,990 |
0.5× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$900 |
$3,000 |
0.8× |
| Colonoscopy thru stoma (44388) |
$1,773.24 |
$5,910.80 |
1.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$839.10 |
$2,797 |
0.7× |
| 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) |
$13,971.23 |
$46,570.75 |
11.7× |
| Colonoscopy W/Resection (45390) |
$1,786.50 |
$5,955 |
0.6× |
Colonoscopy w/stent plcmt (45389)
unusually low: confirm this is the full procedure |
$2,863.80 |
$9,546 |
0.5× |
| Colonoscopy w/submucosal inj (45381) |
$2,908.70 |
$9,695.65 |
2.4× |
| Colporrhaphy (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 Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$4,369.62 |
$14,565.41 |
14.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$3,179.40 |
$10,598 |
2.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$2,043.70 |
$6,812.33 |
1.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,456.43 |
$8,188.10 |
2.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$8,056.58 |
$26,855.27 |
1.6× |
| Complex drainage wound (10180) |
$2,857.31 |
$9,524.37 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$2,018.82 |
$6,729.39 |
0.6× |
| Conization of cervix (57520) |
$1,878.78 |
$6,262.59 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$204.90 |
$683 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$116.70 |
$389 |
0.9× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$20,855.42 |
$69,518.06 |
1.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$5,855.40 |
$19,518 |
3.5× |
| Correction hammertoe (28285) |
$3,961.37 |
$13,204.55 |
1.2× |
| 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) |
$9,903.93 |
$33,013.11 |
3.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$13,177.68 |
$43,925.59 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$9,903.93 |
$33,013.11 |
1.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$9,903.93 |
$33,013.11 |
3.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$9,903.93 |
$33,013.11 |
1.4× |
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
range across 3 matching MRF lines |
$5,556.29–$11,471.03 |
$18,520.98–$38,236.75 |
varies |
| Csf shunt reprogram (62252) |
$2,579.10 |
$8,597 |
8.4× |
| 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) |
$1,185.30 |
$3,951 |
0.4× |
Cysto Bladder W/Ureteral Catheterization (52005)
range across 3 matching MRF lines |
$1,158.90–$1,553.81 |
$3,863–$5,179.38 |
varies |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,609.81 |
$5,366.02 |
0.8× |
| Cysto w/complex removal stone & stent (52315) |
$8,492.38 |
$28,307.94 |
4.1× |
| Cysto w/destruction of lesions (52214) |
$2,462.03 |
$8,206.78 |
0.7× |
| Cysto w/insert ureteral stent (52332) |
$5,160.75 |
$17,202.50 |
1.5× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,258.24 |
$14,194.12 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$2,449.37 |
$8,164.55 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,460.65 |
$4,868.83 |
0.7× |
| Cysto w/up stricture tx (52342) |
$10,638.84 |
$35,462.81 |
3.0× |
| Cysto w/ureter stricture tx (52341) |
$10,638.84 |
$35,462.81 |
3.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$4,351.97 |
$14,506.58 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,346.74 |
$14,489.12 |
1.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,932.89 |
$9,776.31 |
0.8× |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 4 matching MRF lines |
$1,843.19–$2,353.35 |
$6,143.97–$7,844.50 |
varies |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,334.22 |
$11,114.05 |
0.6× |
| Cysto/uretero w/lithotripsy (52356) |
$6,605.38 |
$22,017.93 |
1.2× |
| Cysto/uretero w/up stricture (52345) |
$10,638.84 |
$35,462.81 |
3.0× |
| Cystolithotomy (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) |
$6,791.37 |
$22,637.91 |
0.7× |
| Cystoscopy and radiotracer (52250) |
$8,893.01 |
$29,643.37 |
2.5× |
| Cystouretero W/Congen Repr (52400) |
$11,695.21 |
$38,984.02 |
3.3× |
| Cystouretero w/renal strict (52346) |
$10,638.84 |
$35,462.81 |
2.0× |
| Cystourethroscopy (52000) |
$1,622.04 |
$5,406.79 |
2.3× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$9,120.16 |
$30,400.52 |
1.7× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$10,638.84 |
$35,462.81 |
3.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,814.92 |
$6,049.74 |
0.9× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$13,649.16 |
$45,497.20 |
19.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$2,470.19 |
$8,233.95 |
0.7× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$3,201.40 |
$10,671.32 |
0.6× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,143.96 |
$10,479.87 |
0.9× |
| Cystourethroscopy with biopsy (52204) |
$1,789.11 |
$5,963.71 |
0.9× |
| Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) |
$5,377.50 |
$17,925 |
0.6× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$10,638.84 |
$35,462.81 |
3.0× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$7,422.68 |
$24,742.28 |
2.1× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$1,303.67 |
$4,345.56 |
0.6× |
| 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× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$9,687.19 |
$32,290.62 |
13.7× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$20,934.19 |
$69,780.64 |
29.5× |
| 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× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,913.51 |
$9,711.70 |
3.9× |
| Debride nail 1-5 (11720) |
$225 |
$750 |
3.8× |
| Debride nail 6 or more (11721) |
$58.80 |
$196 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,585.26 |
$5,284.21 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$368.18 |
$1,227.28 |
0.9× |
| Declot vascular device (36593) |
$770.01 |
$2,566.71 |
2.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$4,938.53 |
$16,461.78 |
3.1× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$24,201.93 |
$80,673.09 |
15.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$4,938.53 |
$16,461.78 |
3.1× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$4,938.53 |
$16,461.78 |
1.5× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$4,938.53 |
$16,461.78 |
0.7× |
Decompression of tibia nerve (28035)
range across 2 matching MRF lines |
$2,322.23–$2,848.18 |
$7,740.78–$9,493.93 |
varies |
| Deep Muscle Biopsy (20205) |
$1,511.21 |
$5,037.38 |
0.5× |
| Delivery of placenta (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× |
| Destruct B9 Lesion 1-14 (17110) |
$2,964.44 |
$9,881.47 |
14.8× |
| Diagnostic anoscopy (46601) |
$11,453.75 |
$38,179.17 |
25.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,077.96 |
$3,593.21 |
1.2× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$13,649.16 |
$45,497.20 |
102.4× |
| Dilat Xst Trc New Access Rcs (50437) |
$10,786.26 |
$35,954.21 |
3.1× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,038.26 |
$6,794.21 |
2.2× |
| 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) |
$6,373.37 |
$21,244.56 |
2.0× |
| Dilation Esophagus Guide Wire (43453) |
$11,458.80 |
$38,196 |
6.0× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$13,649.16 |
$45,497.20 |
3.9× |
| Disarticulation At Knee (27598) |
$15,010.25 |
$50,034.18 |
4.6× |
| Drain Cerebro Spinal Fluid (62272) |
$602.40 |
$2,008 |
0.9× |
| 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 hematoma/fluid (10140) |
$3,196.77 |
$10,655.91 |
1.9× |
| Drainage of rectal abscess (45020) |
$6,075.05 |
$20,250.17 |
2.2× |
| Drainage of rectal abscess (45005) |
$6,075.05 |
$20,250.17 |
5.1× |
| Drainage of scrotal wall abscess (55100) |
$3,554.23 |
$11,847.44 |
2.1× |
| Drainage of scrotum (54700) |
$1,585.06 |
$5,283.53 |
0.8× |
| 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) |
$168.90 |
$563 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$261.63 |
$872.09 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$3,721.76 |
$12,405.88 |
1.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,793.43 |
$9,311.43 |
3.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,982.06 |
$9,940.20 |
1.0× |
Dx Bronchoscope/Lavage (31624)
range across 4 matching MRF lines |
$2,384.94–$5,267.50 |
$7,949.80–$17,558.32 |
varies |
| Dx Bronchoscope/Wash (31622) |
$1,927.44 |
$6,424.79 |
1.1× |
| Dx gastr intub w/asp specs (43755) |
$8,997.39 |
$29,991.30 |
69.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,432.50 |
$4,775 |
0.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$14,754.28 |
$49,180.94 |
20.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$12,366.76 |
$41,222.52 |
6.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,205.32 |
$7,351.08 |
1.1× |
| Egd cautery tumor polyp (43250) |
$12,358.37 |
$41,194.57 |
6.4× |
| Egd control bleeding any (43255) |
$2,556.11 |
$8,520.35 |
1.3× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,176 |
$3,920 |
0.6× |
| Egd endo mucosal resection (43254) |
$11,915.96 |
$39,719.86 |
6.2× |
| Egd Endoscopic Stent Place (43266) |
$4,599.60 |
$15,332 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$2,163.11 |
$7,210.35 |
2.4× |
| Egd guide wire insertion (43248) |
$1,757.16 |
$5,857.19 |
1.9× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,027.20 |
$3,424 |
0.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$12,136.24 |
$40,454.14 |
6.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$12,136.24 |
$40,454.14 |
6.3× |
| Egd lesion ablation (43270) |
$934.80 |
$3,116 |
0.5× |
| Egd Optical Endomicroscopy (43252) |
$12,441.68 |
$41,472.26 |
6.5× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$11,915.96 |
$39,719.86 |
1.1× |
| Egd place gastrostomy tube (43246) |
$1,488.90 |
$4,963 |
0.8× |
| Egd remove lesion snare (43251) |
$2,622.68 |
$8,742.25 |
1.4× |
| Egd Tube/Cath Insertion (43241) |
$12,441.68 |
$41,472.26 |
6.5× |
| Egd us exam duodenum/jejunum (43259) |
$12,136.24 |
$40,454.14 |
6.3× |
| Egd us transmural injxn/mark (43253) |
$10,663.04 |
$35,543.47 |
5.5× |
| Egd Varices Ligation (43244) |
$1,924.80 |
$6,416 |
1.0× |
| Egd W/Thrml Txmnt Gerd (43257) |
$11,915.96 |
$39,719.86 |
3.1× |
| Egd W/Transmural Drain Cyst (43240) |
$11,915.96 |
$39,719.86 |
2.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$28,928.74 |
$96,429.14 |
94.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$225.90 |
$753 |
0.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$218.40 |
$728 |
0.7× |
| Electro-Uroflowmetry First (51741) |
$117.60 |
$392 |
0.5× |
| Embedded ip cath exit-site (49436) |
$16,456.06 |
$54,853.52 |
8.6× |
| 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× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$18,425.74 |
$61,419.13 |
3.3× |
| Endometrial Biopsy (58100) |
$101.70 |
$339 |
0.5× |
| Endoscopic injection/implant (51715) |
$2,632.60 |
$8,775.32 |
0.7× |
| Endoscopic us exam esoph (43237) |
$10,663.04 |
$35,543.47 |
5.5× |
| Endoscopy of ureter (50953) |
$10,638.84 |
$35,462.81 |
3.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,234.50 |
$4,115 |
0.6× |
| Endoscopy upper small intestine w/biopsy (44361) |
$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× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$1,691.70 |
$5,639 |
0.5× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$1,234.50 |
$4,115 |
0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,234.50 |
$4,115 |
0.6× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$1,542.90 |
$5,143 |
0.8× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$1,234.50 |
$4,115 |
0.6× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (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 Blood Patch (62273) |
$616.50 |
$2,055 |
0.9× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$14,226.84 |
$47,422.81 |
4.3× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$10,111.65 |
$33,705.51 |
3.1× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$15,125.49 |
$50,418.29 |
2.5× |
| Ercp duct stent placement (43274) |
$11,694.23 |
$38,980.76 |
1.9× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,813.10 |
$12,710.33 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$5,095.49 |
$16,984.95 |
1.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$10,303.69 |
$34,345.64 |
2.7× |
| Ercp remove forgn body duct (43275) |
$5,305.64 |
$17,685.48 |
2.8× |
| Ercp Stent Exchange W/Dilate (43276) |
$8,079.39 |
$26,931.31 |
1.3× |
| 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/pressure measurement sphincter of oddi (43263) |
$1,601.40 |
$5,338 |
0.8× |
| Ercp,Sphincterotomy (43262) |
$12,238.44 |
$40,794.81 |
3.2× |
| Esc i p ulcer w ostect & flap (15946) |
$12,297.58 |
$40,991.93 |
6.0× |
| Escharotomy; initial incision (16035) |
$309.30 |
$1,031 |
0.8× |
| Esoph Optical Endomicroscopy (43206) |
$12,459.63 |
$41,532.10 |
6.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$2,183.82 |
$7,279.41 |
2.4× |
| Esophagosc Dilate Balloon 30 (43214) |
$9,190.02 |
$30,633.40 |
4.8× |
| Esophagoscop Mucosal Resect (43211) |
$12,459.63 |
$41,532.10 |
6.5× |
| Esophagoscop Stent Placement (43212) |
$12,449.96 |
$41,499.86 |
2.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$11,458.80 |
$38,196 |
6.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,817.90 |
$9,393 |
0.7× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$11,458.80 |
$38,196 |
6.0× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$12,459.63 |
$41,532.10 |
13.7× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$11,379.56 |
$37,931.85 |
12.5× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$655.50 |
$2,185 |
0.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$12,459.63 |
$41,532.10 |
6.5× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$11,379.56 |
$37,931.85 |
5.9× |
| Esophagoscopy Retro Balloon (43213) |
$9,190.02 |
$30,633.40 |
4.8× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$1,547.40 |
$5,158 |
0.8× |
| Esophagoscopy Rigid Balloon (43195) |
$12,459.63 |
$41,532.10 |
3.2× |
| Esophagoscopy rigid trnso dx (43191) |
$1,486.80 |
$4,956 |
0.8× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,450.50 |
$4,835 |
0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,547.40 |
$5,158 |
0.8× |
| Esophagoscp Guide Wire Dilat (43196) |
$11,458.80 |
$38,196 |
6.0× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$846.60 |
$2,822 |
0.4× |
| 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 abdl tum deep 5 cm/> (22901) |
$3,770.10 |
$12,567 |
1.3× |
Exc arm/elbow les sc < 3 cm (24075)
range across 4 matching MRF lines |
$1,613.97–$3,975.62 |
$5,379.90–$13,252.05 |
varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,964.50 |
$9,881.65 |
4.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,485.70 |
$8,285.67 |
1.5× |
| Exc Back Les Sc < 3 Cm (21930) |
$2,580.51 |
$8,601.70 |
1.6× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,389.91 |
$7,966.36 |
0.8× |
| Exc back tum deep < 5 cm (21932) |
$4,053.94 |
$13,513.14 |
1.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$22,350.98 |
$74,503.25 |
5.7× |
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines |
$2,251.07–$3,096.31 |
$7,503.58–$10,321.02 |
varies |
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines |
$2,110.85–$2,719.52 |
$7,036.18–$9,065.07 |
varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,828.01 |
$6,093.37 |
1.1× |
Exc Face Les Sbq 2 Cm/> (21012)
range across 3 matching MRF lines |
$2,184.19–$2,871.22 |
$7,280.63–$9,570.72 |
varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,964.50 |
$9,881.65 |
4.2× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$4,475.77 |
$14,919.23 |
0.6× |
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines |
$1,358.17–$2,403.80 |
$4,527.24–$8,012.67 |
varies |
| Exc Frenum Labial/Buccal (40819) |
$1,236.90 |
$4,123 |
0.8× |
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines |
$2,155.83–$2,397.42 |
$7,186.11–$7,991.41 |
varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,450.38 |
$8,167.93 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,150.50 |
$7,168.34 |
3.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,340.75 |
$7,802.49 |
1.4× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,993.97 |
$6,646.57 |
1.2× |
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines |
$2,279.37–$2,635.44 |
$7,597.89–$8,784.81 |
varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,982.70 |
$6,609 |
1.2× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$2,312.10 |
$7,707 |
0.7× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$2,312.10 |
$7,707 |
0.7× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$2,312.10 |
$7,707 |
0.7× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$18,406.90 |
$61,356.33 |
6.6× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,362.42 |
$7,874.74 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,751.35 |
$5,837.82 |
2.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,472.67 |
$8,242.23 |
1.5× |
| 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) |
$2,161.01 |
$7,203.35 |
1.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$2,346.93 |
$7,823.10 |
1.4× |
| 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) |
$1,849.13 |
$6,163.78 |
1.1× |
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines |
$1,838.65–$10,244.78 |
$6,128.84–$34,149.26 |
varies |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,333.51 |
$7,778.36 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,435.97 |
$8,119.91 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,651.49 |
$8,838.31 |
2.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,975.37 |
$6,584.57 |
4.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$2,281.79 |
$7,605.95 |
3.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,521.68 |
$8,405.60 |
1.5× |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 3 matching MRF lines |
$2,256.66–$2,304.72 |
$7,522.20–$7,682.40 |
varies |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$5,439.65 |
$18,132.15 |
1.9× |
| 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)
range across 2 matching MRF lines |
$1,381.64–$1,675.76 |
$4,605.45–$5,585.86 |
varies |
| 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) |
$3,076.86 |
$10,256.20 |
1.9× |
| 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 Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines |
$3,447.51–$3,777.71 |
$11,491.71–$12,592.38 |
varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$5,439.65 |
$18,132.15 |
1.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$9,852.60 |
$32,842 |
3.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$11,028.06 |
$36,760.21 |
6.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,999.98 |
$6,666.61 |
0.7× |
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines |
$2,081.95–$2,715.53 |
$6,939.84–$9,051.76 |
varies |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$20,358.47 |
$67,861.58 |
7.0× |
| 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) |
$9,327.19 |
$31,090.64 |
3.2× |
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines |
$1,677.05–$2,211.01 |
$5,590.17–$7,370.03 |
varies |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$5,866.57 |
$19,555.22 |
1.7× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$11,536.73 |
$38,455.76 |
1.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$10,370.45 |
$34,568.15 |
3.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,419.59 |
$8,065.31 |
1.5× |
| Exchange Transfusion (36455) |
$11,427.90 |
$38,093 |
25.9× |
| Exchange Transfusion Blood Newborn (36450) |
$11,427.90 |
$38,093 |
25.9× |
| Excise breast duct fistula (19112) |
$22,350.98 |
$74,503.25 |
5.7× |
| Excise excessive skin arm (15836) |
$7,501.23 |
$25,004.11 |
2.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$2,292.60 |
$7,642 |
3.2× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$3,129.63 |
$10,432.11 |
1.3× |
| Excision Distal Ulna Partial/Complete (25240) |
$10,111.65 |
$33,705.51 |
3.1× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$5,439.65 |
$18,132.15 |
1.9× |
| Excision H/P/P/U Complex Repair (11471) |
$3,770.10 |
$12,567 |
1.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,770.10 |
$12,567 |
1.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,561.52 |
$8,538.39 |
0.9× |
| Excision lesion meniscus/capsule knee (27347) |
$15,381.89 |
$51,272.98 |
4.7× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$2,338.32 |
$7,794.39 |
1.5× |
| Excision Lesion Tongue W/O Closure (41110) |
$2,312.10 |
$7,707 |
0.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,515.66 |
$8,385.53 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$3,047.80 |
$10,159.33 |
4.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$3,018.48 |
$10,061.60 |
4.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$2,296.97 |
$7,656.58 |
5.6× |
| 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 2.1-3.0 Cm (11643) |
$2,151.34 |
$7,171.12 |
1.3× |
| 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) |
$2,796.50 |
$9,321.67 |
3.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$16,092 |
$53,640 |
9.7× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$11,676.90 |
$38,923.01 |
1.6× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$10,351.63 |
$34,505.43 |
3.2× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$4,475.77 |
$14,919.23 |
1.4× |
| Excision of extraparenchymal lesion of testis (54512) |
$9,362.27 |
$31,207.55 |
2.7× |
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines |
$1,811.29–$1,947.17 |
$6,037.62–$6,490.57 |
varies |
Excision of hydrocele; unilateral (55040)
range across 2 matching MRF lines |
$1,654.09–$2,064.29 |
$5,513.64–$6,880.97 |
varies |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,451.10 |
$8,170.33 |
0.8× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$18,406.90 |
$61,356.33 |
6.6× |
Excision olecranon bursa (24105)
range across 2 matching MRF lines |
$2,755.57–$7,075.17 |
$9,185.24–$23,583.90 |
varies |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$10,111.65 |
$33,705.51 |
1.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$11,536.73 |
$38,455.76 |
3.5× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$10,370.45 |
$34,568.15 |
1.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,585.90 |
$8,619.65 |
0.9× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,694.40 |
$8,981.33 |
0.9× |
| Excision prepatellar bursa (27340) |
$4,633.19 |
$15,443.97 |
1.4× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$6,181.65 |
$20,605.49 |
0.9× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,359.40 |
$7,864.65 |
0.8× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,260.07 |
$7,533.58 |
1.1× |
| Excision tendon palm flexor/extensor single each (26170) |
$4,475.77 |
$14,919.23 |
2.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,624.09 |
$8,746.96 |
1.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$9,848.21 |
$32,827.38 |
3.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$11,588.35 |
$38,627.83 |
7.0× |
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines |
$1,737.93–$2,691.97 |
$5,793.09–$8,973.23 |
varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$3,678.76 |
$12,262.54 |
2.2× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$12,297.58 |
$40,991.93 |
3.5× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$12,297.58 |
$40,991.93 |
6.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$13,538.93 |
$45,129.75 |
6.6× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$13,538.93 |
$45,129.75 |
4.7× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$13,538.93 |
$45,129.75 |
4.7× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$11,676.90 |
$38,923.01 |
3.3× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$11,676.90 |
$38,923.01 |
7.1× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$11,676.90 |
$38,923.01 |
5.7× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$11,676.90 |
$38,923.01 |
3.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,462.11 |
$8,207.02 |
0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$3,255.28 |
$10,850.93 |
2.0× |
| 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 pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,649.49 |
$8,831.62 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$24,201.93 |
$80,673.09 |
8.3× |
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines |
$3,168.63–$3,501.78 |
$10,562.09–$11,672.61 |
varies |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,172.92 |
$10,576.40 |
1.0× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,788.38 |
$5,961.25 |
1.1× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$10,111.65 |
$33,705.51 |
3.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$12,418.43 |
$41,394.78 |
6.0× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$10,180.09 |
$33,933.64 |
1.8× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$9,025.91 |
$30,086.37 |
2.9× |
| Explo/Drain Breast Abscess (19020) |
$2,685.93 |
$8,953.11 |
1.6× |
| Exploration of knee joint (27310) |
$2,832.29 |
$9,440.95 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$6,130.46 |
$20,434.88 |
3.7× |
| Explore/Treat Elbow Joint (24101) |
$46,203.47 |
$154,011.58 |
14.1× |
| External cephalic version (59412) |
$2,159.40 |
$7,198 |
0.7× |
| Fasciectomy Palm Only (26121) |
$8,218.77 |
$27,395.91 |
2.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$9,848.21 |
$32,827.38 |
3.0× |
| Fasciotomy Iliotibial Open (27305) |
$2,473.77 |
$8,245.91 |
0.8× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$9,848.21 |
$32,827.38 |
3.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,577.54 |
$11,925.12 |
1.1× |
| 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/mr gdn 1st lesion (10011) |
$11,426.70 |
$38,089 |
16.1× |
| Fine needle aspiration without imaging guidance (10021) |
$314.40 |
$1,048 |
0.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$11,426.70 |
$38,089 |
16.1× |
| Fna bx w/us gdn 1st les (10005) |
$2,616.15 |
$8,720.50 |
3.7× |
| Foreskin manipulation (54450) |
$186.30 |
$621 |
0.7× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$9,903.93 |
$33,013.11 |
1.4× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
$11,816 |
$39,386.65 |
1.6× |
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 3 matching MRF lines |
$2,621.58–$2,826.78 |
$8,738.59–$9,422.61 |
varies |
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 3 matching MRF lines |
$3,168.19–$5,163.16 |
$10,560.62–$17,210.53 |
varies |
| 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 (28740)
range across 3 matching MRF lines |
$6,672.43–$17,969.45 |
$22,241.44–$59,898.18 |
varies |
| Fusion of knuckle joint (26516) |
$6,922.52 |
$23,075.05 |
2.1× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$21,899.91 |
$72,999.71 |
5.7× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$2,909.30 |
$9,697.68 |
1.5× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
$11,861.40 |
$39,538 |
13.1× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$10,189.34 |
$33,964.46 |
2.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$9,903.93 |
$33,013.11 |
1.4× |
| Hemiarthroplasty hip partial (27125) |
$19,511.77 |
$65,039.23 |
1.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,529.72 |
$11,765.72 |
1.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$8,873.48 |
$29,578.27 |
3.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,301.58 |
$11,005.26 |
1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$8,873.48 |
$29,578.27 |
3.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$8,873.48 |
$29,578.27 |
3.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$4,058.82 |
$13,529.41 |
1.5× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$8,873.48 |
$29,578.27 |
3.2× |
| Hysteroscopy Biopsy (58558) |
$3,143.93 |
$10,479.77 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$2,513.99 |
$8,379.96 |
0.8× |
| Hysteroscopy Endometrial Ablation (58563) |
$4,212.42 |
$14,041.40 |
0.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,272.10 |
$7,573.65 |
0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,204.10 |
$14,013.66 |
0.8× |
| I&d abscess simple (10060) |
$2,680.07 |
$8,933.56 |
13.3× |
| 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) |
$3,824.93 |
$12,749.77 |
1.3× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$18,784.50 |
$62,615 |
6.8× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$9,252.41 |
$30,841.38 |
3.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$12,396.95 |
$41,323.15 |
3.8× |
| I&d perianal abscess superficial (46050) |
$9,227.78 |
$30,759.25 |
9.9× |
| I&d pilonidal cyst simple (10080) |
$4,406.57 |
$14,688.58 |
6.2× |
| Icd Pocket Revision (33223) |
$2,224.50 |
$7,415 |
1.1× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$661.50 |
$2,205 |
0.7× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$618.90 |
$2,063 |
0.7× |
| Image Cath Fluid Colxn Visc (49405) |
$643.50 |
$2,145 |
0.4× |
| Image Cath Fluid Peri/Retro (49406) |
$7,695.30 |
$25,651 |
4.7× |
| Immediate breast prosthesis (19340) |
$36,693.97 |
$122,313.22 |
4.5× |
| Implant neuroelectrodes (63650) |
$11,483.84 |
$38,279.47 |
1.8× |
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines |
$5,884.50–$17,686.27 |
$19,615–$58,954.23 |
varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$20,296.17 |
$67,653.90 |
1.0× |
| Incise external hemorrhoid (46083) |
$8,873.48 |
$29,578.27 |
35.5× |
| Incise finger tendon sheath (26055) |
$1,679.66 |
$5,598.88 |
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) |
$2,948.28 |
$9,827.59 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,713.03 |
$5,710.11 |
4.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$162.60 |
$542 |
0.8× |
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines |
$1,728.53–$1,742.31 |
$5,761.77–$5,807.69 |
varies |
| Incision of Foot Tendon (28234) |
$2,390.81 |
$7,969.35 |
1.5× |
| Incision of labial frenum (frenotomy) (40806) |
$413.70 |
$1,379 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$540 |
$1,800 |
0.3× |
| Incision of rectal abscess (46040) |
$8,835.95 |
$29,453.15 |
7.4× |
| Incisional biopsy skin single lesion (11106) |
$314.40 |
$1,048 |
0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$481.20 |
$1,604 |
0.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$92.40 |
$308 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$473.40 |
$1,578 |
0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$780.30 |
$2,601 |
0.9× |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
$2,048.83–$2,246.33 |
$6,829.44–$7,487.75 |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$13,366.80 |
$44,556 |
15.1× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$13,366.80 |
$44,556 |
15.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,633.20 |
$8,777.33 |
3.0× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$13,366.80 |
$44,556 |
15.1× |
| 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) |
$13,838.50 |
$46,128.33 |
19.6× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$13,366.80 |
$44,556 |
15.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$13,366.80 |
$44,556 |
43.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$13,366.80 |
$44,556 |
15.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$13,366.80 |
$44,556 |
18.9× |
| Injection Into Brain Canal (61055) |
$10,826.40 |
$36,088 |
35.2× |
| Injection procedure for peyronie disease (54200) |
$2,665.20 |
$8,884 |
10.7× |
| Injection single tendon origin/insertion (20551) |
$113.70 |
$379 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$130.50 |
$435 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$520.05 |
$1,733.50 |
1.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$9,544.41 |
$31,814.71 |
10.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$15,065.79 |
$50,219.31 |
21.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,491.90 |
$4,973 |
2.1× |
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines |
$6,658.08–$14,009.99 |
$22,193.59–$46,699.97 |
varies |
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines |
$11,291.34–$13,173.72 |
$37,637.80–$43,912.40 |
varies |
| 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/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 cath pleura w/ image (32557) |
$1,333.80 |
$4,446 |
0.8× |
| Insert cath pleura w/o image (32556) |
$1,530.90 |
$5,103 |
0.8× |
| Insert cervical dilator (59200) |
$249 |
$830 |
0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,542 |
$5,140 |
0.8× |
| Insert Heart Pm Atrial (33206) |
$9,989.70 |
$33,299 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$6,540 |
$21,800 |
0.6× |
| Insert Nasal Septal Button (30220) |
$1,144.80 |
$3,816 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$12,076.89 |
$40,256.30 |
3.8× |
| Insert Pacing Lead & Connect (33224) |
$9,989.70 |
$33,299 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$11,399.60 |
$37,998.68 |
7.2× |
| Insert prost urethral stent (53855) |
$8,388.64 |
$27,962.14 |
4.0× |
| Insert pulse gen dual leads (33213) |
$9,989.70 |
$33,299 |
1.0× |
| Insert pulse gen mult leads (33221) |
$17,876.40 |
$59,588 |
0.9× |
| Insert Pulse Gen Sngl Lead (33212) |
$4,719 |
$15,730 |
0.6× |
| Insert spine infusion device (62360) |
$18,534.22 |
$61,780.73 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$2,939.70 |
$9,799 |
22.1× |
| Insert tun ip cath perc (49418) |
$10,948.80 |
$36,496 |
3.1× |
| Insert tunneled cv cath (36561) |
$2,601.18 |
$8,670.61 |
0.8× |
| Insert tunneled cv cath (36563) |
$14,597.46 |
$48,658.20 |
2.6× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$12,695.58 |
$42,318.60 |
2.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$5,298.50 |
$17,661.67 |
39.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,866.17 |
$6,220.57 |
0.5× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$2,748.90 |
$9,163 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$11,335.44 |
$37,784.80 |
7.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$13,493.83 |
$44,979.44 |
1.6× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$2,680.11 |
$8,933.69 |
0.7× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$7,715.10 |
$25,717 |
0.9× |
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985)
range across 2 matching MRF lines |
$1,780.20–$1,832.10 |
$5,934–$6,107 |
varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$19,823.82 |
$66,079.40 |
6.3× |
| Insj Picc Rs&I <5 Yr (36572) |
$11,335.44 |
$37,784.80 |
18.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$11,518.28 |
$38,394.26 |
3.6× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$11,518.28 |
$38,394.26 |
3.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,357.72 |
$4,525.74 |
0.9× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$5,571.90 |
$18,573 |
0.7× |
| 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) |
$15,765.16 |
$52,550.53 |
2.8× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$15,765.16 |
$52,550.53 |
5.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,965.53 |
$19,885.09 |
1.9× |
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 3 matching MRF lines |
$8,327.13–$10,405.37 |
$27,757.09–$34,684.56 |
varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$34,494.83 |
$114,982.75 |
1.1× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$21,799.37 |
$72,664.57 |
0.7× |
| 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 heart pm atrial & vent (33208) |
$12,712.16 |
$42,373.85 |
1.2× |
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 Pulse Gen W/Singl Lead (33240) |
$22,130.10 |
$73,767 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$15,595.50 |
$51,985 |
38.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$15,595.50 |
$51,985 |
38.3× |
| Intro cath dialysis circuit (36901) |
$1,266.60 |
$4,222 |
0.8× |
| 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) |
$8,352.76 |
$27,842.52 |
35.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$201 |
$670 |
0.8× |
| Kidney endoscopy (50553) |
$10,638.84 |
$35,462.81 |
2.0× |
| Kidney endoscopy (50551) |
$10,638.84 |
$35,462.81 |
2.0× |
| Knee Arthroscopy/Surgery (29850) |
$23,134.02 |
$77,113.41 |
14.4× |
| Lap insert tunnel ip cath (49324) |
$3,549.75 |
$11,832.51 |
0.6× |
| Lap paraesophag hern repair (43281) |
$9,879.16 |
$32,930.54 |
0.9× |
| Lap replace gastr adj device (43773) |
$11,915.96 |
$39,719.86 |
2.0× |
| Lap revision perm ip cath (49325) |
$16,456.06 |
$54,853.52 |
2.7× |
| Laparo-vag hyst incl t/o (58552) |
$7,428.55 |
$24,761.82 |
0.7× |
| Laparoscopy aspiration (49322) |
$6,467.30 |
$21,557.67 |
1.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$4,414.55 |
$14,715.18 |
0.7× |
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines |
$2,935.10–$3,003.06 |
$9,783.65–$10,010.19 |
varies |
| Laparoscopy gastrostomy (43653) |
$4,687.19 |
$15,623.97 |
0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$7,805.21 |
$26,017.38 |
1.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,126.09 |
$40,420.31 |
1.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$7,560.17 |
$25,200.56 |
0.7× |
Laparoscopy w/rmvl adnexal structures (58661)
range across 4 matching MRF lines |
$3,914.38–$6,154.98 |
$13,047.94–$20,516.59 |
varies |
| Laparoscopy, surgical, appendectomy (44970) |
$8,025.89 |
$26,752.96 |
1.3× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$11,915.96 |
$39,719.86 |
1.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$11,915.96 |
$39,719.86 |
3.1× |
| Laparoscopy, surgical, splenectomy (38120) |
$25,365 |
$84,549.99 |
2.4× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$6,274.66 |
$20,915.52 |
0.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,804.76 |
$22,682.54 |
1.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$9,592.43 |
$31,974.78 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,929.74 |
$16,432.46 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$8,900.92 |
$29,669.72 |
0.8× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$8,427.74 |
$28,092.46 |
0.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,689.26 |
$18,964.19 |
0.9× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$4,078.94 |
$13,596.45 |
0.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,525.53 |
$15,085.10 |
0.7× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 3 matching MRF lines |
$4,200.87–$7,598.42 |
$14,002.89–$25,328.07 |
varies |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$11,915.96 |
$39,719.86 |
3.1× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$7,382.13 |
$24,607.11 |
0.7× |
| 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× |
| Late closure of wound (13160) |
$2,851.85 |
$9,506.18 |
0.8× |
| Lateral retinacular release open (27425) |
$7,040.32 |
$23,467.73 |
2.1× |
| Lengthen metacarpal/finger (26568) |
$6,008.18 |
$20,027.26 |
0.8× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$1,350.60 |
$4,502 |
0.4× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$1,846.80 |
$6,156 |
0.6× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$11,161.64 |
$37,205.47 |
1.5× |
| Ligate leg veins open (37761) |
$9,161.72 |
$30,539.08 |
2.9× |
| 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) |
$3,757.85 |
$12,526.18 |
2.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$1,410.90 |
$4,703 |
0.4× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$2,484.81 |
$8,282.71 |
0.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,466.37 |
$14,887.89 |
1.3× |
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines |
$1,634.66–$1,856.14 |
$5,448.88–$6,187.14 |
varies |
| 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 knee joint under general anesthesia (27570)
range across 3 matching MRF lines |
$1,254–$1,542.60 |
$4,180–$5,142 |
varies |
| Manipulation wrist under anesthesia (25259) |
$2,111.40 |
$7,038 |
1.3× |
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 3 matching MRF lines |
$1,222.73–$1,442.58 |
$4,075.75–$4,808.60 |
varies |
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines |
$1,658.36–$1,692.66 |
$5,527.86–$5,642.20 |
varies |
| Mast mod rad (19307) |
$36,693.97 |
$122,313.22 |
5.5× |
| Mastectomy for gynecomastia (19300) |
$22,350.98 |
$74,503.25 |
5.7× |
| Mastectomy partial (19301) |
$7,745.11 |
$25,817.02 |
2.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$9,911.71 |
$33,039.02 |
1.5× |
Mastectomy simple complete (19303)
range across 2 matching MRF lines |
$9,543.14–$10,795.79 |
$31,810.46–$35,985.96 |
varies |
Mastopexy (19316)
range across 2 matching MRF lines |
$4,682.16–$10,405.37 |
$15,607.20–$34,684.56 |
varies |
| Maternity Care Procedure (59899) |
$5,570.81 |
$18,569.35 |
27.5× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (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) |
$9,903.93 |
$33,013.11 |
3.0× |
| Mohs micrographic h/n/h/f/g 1st stage 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× |
| Muscle-skin graft trunk (15734) |
$6,615.56 |
$22,051.88 |
1.9× |
| N Block Inj Celiac Pelus (64530) |
$13,366.80 |
$44,556 |
15.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$863.10 |
$2,877 |
1.2× |
| N block inj intercost sng (64420) |
$3,662.70 |
$12,209 |
5.2× |
| N Block Inj Paracervical (64435) |
$13,366.80 |
$44,556 |
18.9× |
| N Block Inj Plantar Digit (64455) |
$176.70 |
$589 |
0.6× |
| N Block Inj Pudendal (64430) |
$13,366.80 |
$44,556 |
15.1× |
| N Block Lumbar/Thoracic (64520) |
$13,366.80 |
$44,556 |
15.1× |
| Nasal surgery procedure (30999) |
$21,169.50 |
$70,565 |
89.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$9,591.28 |
$31,970.92 |
21.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,177.80 |
$3,926 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,350 |
$4,500 |
0.8× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$12,459.63 |
$41,532.10 |
13.4× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$630 |
$2,100 |
0.7× |
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 3 matching MRF lines |
$2,082.10–$2,820.83 |
$6,940.34–$9,402.76 |
varies |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
$1,917.45–$3,364.80 |
$6,391.50–$11,216 |
varies |
| Needle Biopsy Pancreas (48102) |
$1,116.60 |
$3,722 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$90 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$27 |
$90 |
0.9× |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines |
$2,583.35–$2,681.49 |
$8,611.16–$8,938.29 |
varies |
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines |
$2,069.83–$2,106.21 |
$6,899.44–$7,020.71 |
varies |
| 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)
range across 3 matching MRF lines |
$2,111.70–$2,362.80 |
$7,039–$7,876 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$762.60 |
$2,542 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$421.84 |
$1,406.14 |
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) |
$425.33 |
$1,417.77 |
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× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$634.20–$1,134.53 |
$2,114–$3,781.78 |
varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$8,900.92 |
$29,669.72 |
1.4× |
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)
range across 2 matching MRF lines |
$3,047.60–$4,734.80 |
$10,158.65–$15,782.66 |
varies |
| 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 Repair of Rotator Cuff Acute (23410) |
$8,581.40 |
$28,604.67 |
1.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 3 matching MRF lines |
$7,080.17–$11,090.63 |
$23,600.57–$36,968.78 |
varies |
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines |
$9,020.79–$9,915.63 |
$30,069.29–$33,052.10 |
varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$12,207.33 |
$40,691.09 |
0.9× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$3,077.35 |
$10,257.84 |
0.2× |
| Open treatment greater trochanteric fracture (27248) |
$17,542.23 |
$58,474.11 |
2.4× |
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines |
$5,406.18–$5,500.96 |
$18,020.61–$18,336.53 |
varies |
| Open treatment metatarsal fracture each (28485) |
$9,325.50 |
$31,084.99 |
1.3× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$10,295.61 |
$34,318.69 |
1.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,780.65 |
$32,602.18 |
1.3× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
$18,735.44 |
$62,451.45 |
2.6× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$17,449.72 |
$58,165.72 |
2.4× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$20,445.31 |
$68,151.02 |
2.8× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$18,735.44 |
$62,451.45 |
1.5× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$15,416.58 |
$51,388.59 |
2.1× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$17,542.23 |
$58,474.11 |
2.4× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$13,528.79 |
$45,095.96 |
4.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$22,359.08 |
$74,530.25 |
3.1× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$22,359.08 |
$74,530.25 |
3.1× |
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
unusually low: confirm this is the full procedure |
$2,257.20 |
$7,524 |
0.3× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
$17,449.72 |
$58,165.72 |
5.3× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
$17,449.72 |
$58,165.72 |
2.4× |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
$16,687.95 |
$55,626.49 |
2.3× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$15,903.38 |
$53,011.27 |
4.9× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$13,528.79 |
$45,095.96 |
4.1× |
| 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 sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$10,295.61 |
$34,318.69 |
1.4× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$6,587.39 |
$21,957.96 |
0.9× |
| Open treatment of ulnar styloid fracture (25652) |
$11,379.19 |
$37,930.62 |
1.6× |
| Open treatment posterior malleolus fracture (27769) |
$5,648.20 |
$18,827.32 |
0.8× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$5,797.43 |
$19,324.78 |
0.8× |
| Open Treatment Proximal Humeral Fracture (23615) |
$10,263.93 |
$34,213.10 |
0.8× |
| Open Treatment Radial Shaft Fracture (25515) |
$13,130.27 |
$43,767.55 |
1.8× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$5,554.38 |
$18,514.60 |
1.7× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines |
$5,393.96–$8,341.21 |
$17,979.87–$27,804.02 |
varies |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,152.92 |
$7,176.39 |
0.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$12,254.90 |
$40,849.68 |
1.7× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$18,735.44 |
$62,451.45 |
1.5× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$18,735.44 |
$62,451.45 |
1.5× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$9,056.81 |
$30,189.35 |
2.8× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$17,717.78 |
$59,059.26 |
2.4× |
| Open tx interphalangeal joint dislocation (26785) |
$6,130.46 |
$20,434.88 |
1.9× |
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines |
$6,160.67–$6,728.97 |
$20,535.56–$22,429.90 |
varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$5,300.18 |
$17,667.28 |
1.6× |
| Open Tx Radial Head/Neck Fracture (24665) |
$15,878.38 |
$52,927.93 |
2.2× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$15,878.38 |
$52,927.93 |
1.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$17,717.78 |
$59,059.26 |
2.4× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 3 matching MRF lines |
$8,479.48–$9,663.87 |
$28,264.92–$32,212.90 |
varies |
| Open tx ulnar fx proximal end (24685) |
$24,519.31 |
$81,731.03 |
3.4× |
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines |
$12,254.68–$20,584.88 |
$40,848.93–$68,616.25 |
varies |
| Open/Perq Place Stent Same (37238) |
$12,590.88 |
$41,969.61 |
1.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,440.41 |
$24,801.36 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$11,494.05 |
$38,313.51 |
1.6× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$17,704.36 |
$59,014.52 |
2.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$12,859.33 |
$42,864.43 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$17,717.78 |
$59,059.26 |
2.4× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$17,443.82 |
$58,146.08 |
1.4× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$20,457.83 |
$68,192.78 |
5.8× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$9,903.93 |
$33,013.11 |
3.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$2,649.31 |
$8,831.02 |
0.8× |
| Ostectomy calcaneus (28118) |
$6,270.85 |
$20,902.82 |
1.9× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,690.16 |
$12,300.52 |
1.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,320.07 |
$11,066.91 |
1.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$9,903.93 |
$33,013.11 |
3.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,392.88 |
$17,976.26 |
1.6× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$10,111.65 |
$33,705.51 |
1.4× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$17,972.33 |
$59,907.77 |
2.5× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$9,903.93 |
$33,013.11 |
1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$6,497.99 |
$21,659.95 |
0.9× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$9,602.99 |
$32,009.96 |
2.9× |
| Osteotomy Phalanx Finger Each (26567) |
$6,008.18 |
$20,027.26 |
1.8× |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
$17,449.72 |
$58,165.72 |
2.4× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$15,927.66 |
$53,092.20 |
2.2× |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) |
$13,528.79 |
$45,095.96 |
1.9× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) |
$13,528.79 |
$45,095.96 |
1.9× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$21,367.43 |
$71,224.76 |
2.9× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$9,903.93 |
$33,013.11 |
1.4× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$16,902.14 |
$56,340.48 |
1.3× |
| Part exc bone femur prox tibia (27360) |
$12,947.43 |
$43,158.10 |
4.0× |
| Part remv talus or calcaneus (28120) |
$11,536.73 |
$38,455.76 |
3.5× |
| Partial excision bone olecranon process (24147) |
$1,778.94 |
$5,929.79 |
0.5× |
| Partial Excision Bone Ulna (25150) |
$10,111.65 |
$33,705.51 |
3.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,123.87 |
$7,079.58 |
1.3× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,846.27 |
$6,154.23 |
1.1× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,113.50 |
$7,045.01 |
0.7× |
| Partial removal of tibia (27640) |
$12,947.43 |
$43,158.10 |
4.0× |
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure |
$2,312.10 |
$7,707 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,463.32 |
$8,211.08 |
0.8× |
| Penile Injection (54235) |
$130.80 |
$436 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$258 |
$860 |
0.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$20,023.13 |
$66,743.78 |
6.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,645.20 |
$5,484 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$2,330.40 |
$7,768 |
0.7× |
| 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) |
$10,786.26 |
$35,954.21 |
3.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$515.10 |
$1,717 |
0.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$10,438.14 |
$34,793.79 |
3.2× |
| Phleb Veins - Extrem 20+ (37766) |
$1,261.80 |
$4,206 |
0.4× |
| Pin Finger Dislocation (26776) |
$2,628.23 |
$8,760.78 |
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 ndl musc/tis for rt (20555) |
$2,507.10 |
$8,357 |
0.8× |
| Place Rt Device/Marker Pros (55876) |
$5,853.04 |
$19,510.14 |
4.2× |
| Placement of needle for intraosseous infusion (36680) |
$251.70 |
$839 |
0.6× |
Plmt expandable cath brst following prtl mast (19296)
unusually low: confirm this is the full procedure |
$3,669.90 |
$12,233 |
0.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,765.42 |
$15,884.74 |
1.0× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$8,268.30 |
$27,561 |
0.5× |
Probe lacrimal canaliculi w/wo irrigation (68840)
range across 3 matching MRF lines |
$845.11–$1,126.81 |
$2,817.02–$3,756.02 |
varies |
| Probe nl duct w/balloon (68816) |
$1,182.73 |
$3,942.43 |
0.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$726.30 |
$2,421 |
0.8× |
| Proctosgmdsc rigid w/dilation (45303) |
$8,833.50 |
$29,445 |
7.4× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$417 |
$1,390 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$8,833.50 |
$29,445 |
3.2× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$46,448.89 |
$154,829.62 |
3.6× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$15,174.36 |
$50,581.19 |
2.1× |
| Prostate laser enucleation (52649) |
$9,645.95 |
$32,153.17 |
1.8× |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
$33,814.10 |
$112,713.67 |
4.7× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$9,448.50 |
$31,495 |
10.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,645.82 |
$8,819.40 |
0.8× |
| Prq skel fixj femoral fx prox end neck (27235) |
$7,997.13 |
$26,657.10 |
1.1× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$1,834.47 |
$6,114.89 |
0.6× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$4,249.48 |
$14,164.93 |
0.6× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$16,954.76 |
$56,515.86 |
2.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$4,886.24 |
$16,287.48 |
1.5× |
| Prtl Exchange Transfuse Nb (36456) |
$11,427.90 |
$38,093 |
25.9× |
| Pseudoaneurysm Injection Trt (36002) |
$504.60 |
$1,682 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$2,036.78 |
$6,789.25 |
5.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$261.60 |
$872 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$590.10 |
$1,967 |
0.8× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$11,630.30 |
$38,767.66 |
26.3× |
| Pvb thoracic cont infusion (64463) |
$13,366.80 |
$44,556 |
18.9× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$13,366.80 |
$44,556 |
18.9× |
| Rad resect hand tumor 3 cm/> (26118) |
$8,218.77 |
$27,395.91 |
2.8× |
| 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) |
$9,852.60 |
$32,842 |
3.4× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$3,770.10 |
$12,567 |
1.3× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844)
unusually low: confirm this is the full procedure |
$2,312.10 |
$7,707 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$3,770.10 |
$12,567 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$14,827.22 |
$49,424.08 |
5.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$9,811.76 |
$32,705.86 |
3.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$9,811.76 |
$32,705.86 |
3.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$9,619.03 |
$32,063.43 |
3.3× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$7,999.43 |
$26,664.76 |
5.0× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
$7,999.43 |
$26,664.76 |
2.4× |
| 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) Facility (28171) |
$11,536.73 |
$38,455.76 |
3.5× |
| Radical Resection Tumor Metatarsal (28173) |
$9,903.93 |
$33,013.11 |
3.0× |
| Radical styloidectomy separate procedure (25230) |
$3,421.75 |
$11,405.82 |
1.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$12,236.11 |
$40,787.04 |
1.7× |
Rdctj torsion tstis w/wo fixj clat testis (54600)
range across 2 matching MRF lines |
$4,397.35–$4,559.07 |
$14,657.82–$15,196.90 |
varies |
| Realignment extensor tendon hand each tendon (26437) |
$12,991.29 |
$43,304.31 |
4.0× |
| Realignment of knee (27455) |
$17,443.82 |
$58,146.08 |
2.4× |
| Reinforce hip bones (27187) |
$15,257.03 |
$50,856.78 |
2.1× |
| Reinforce humerus (24498) |
$46,448.89 |
$154,829.62 |
3.6× |
| Reinforce tibia (27745) |
$18,989.84 |
$63,299.47 |
2.6× |
| Release of shoulder ligament (23415) |
$18,838.19 |
$62,793.95 |
2.6× |
| Relocation Pocket 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 foreign body foot deep (28192) |
$2,391.24 |
$7,970.79 |
1.4× |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
$1,693.07–$1,878.42 |
$5,643.56–$6,261.41 |
varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,505.58 |
$8,351.94 |
1.5× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$9,615.45 |
$32,051.49 |
2.9× |
| 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) |
$5,437.19 |
$18,123.98 |
1.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$827.40 |
$2,758 |
0.5× |
| Removal of anal fissure (46200) |
$2,691.91 |
$8,973.03 |
1.0× |
| Removal of bladder cyst (51500) |
$14,446.76 |
$48,155.86 |
2.4× |
| Removal of foot joint lining (28072) |
$14,277.38 |
$47,591.27 |
4.4× |
| Removal of foreign body from pharynx (42809) |
$249.60 |
$832 |
0.6× |
| Removal of heel spur (28119) |
$2,249.63 |
$7,498.78 |
0.7× |
| Removal of hip joint lining (27054) |
$12,225.19 |
$40,750.62 |
3.7× |
| Removal of hip prosthesis; (separate procedure) Facility (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 implant from finger or hand (26320) |
$3,091.15 |
$10,303.84 |
1.9× |
| Removal of kidney stone (50081) |
$9,698.64 |
$32,328.81 |
1.0× |
| Removal of knee prosthesis (27488) |
$17,099.55 |
$56,998.50 |
1.3× |
| Removal of lens material (66852) |
$3,454.50 |
$11,515 |
0.8× |
Removal of mammary implant material (19330)
range across 2 matching MRF lines |
$7,567.64–$8,490.37 |
$25,225.45–$28,301.23 |
varies |
| Removal of nail bed (11750) |
$979.27 |
$3,264.24 |
2.4× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$33,814.10 |
$112,713.67 |
4.7× |
| Removal of sesamoid bone (28315) |
$2,791.88 |
$9,306.28 |
0.9× |
| Removal of testis (54520) |
$2,669.52 |
$8,898.41 |
0.8× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,062.24 |
$13,540.81 |
1.3× |
| Removal of wrist bone (25210) |
$3,421.75 |
$11,405.82 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$16,100.75 |
$53,669.15 |
4.3× |
| Removal peritoneal-venous shunt (49429) |
$16,456.06 |
$54,853.52 |
5.2× |
| Removal ppm generator only (33233) |
$39,234.51 |
$130,781.70 |
4.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$2,468.74 |
$8,229.12 |
12.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,892.74 |
$6,309.12 |
2.7× |
| Removal sweat gland lesion (11450) |
$2,229.86 |
$7,432.88 |
0.8× |
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines |
$11,561.05–$12,441.14 |
$38,536.82–$41,470.48 |
varies |
| Removal/bivalving gauntlet boot/body cast (29700) |
$225 |
$750 |
0.8× |
Remove & Replace Indwell Ureteral Stent Trurthrl (50385)
range across 2 matching MRF lines |
$1,053.90–$1,184.97 |
$3,513–$3,949.90 |
varies |
Remove drug implant device (11982)
range across 2 matching MRF lines |
$2,961.83–$3,410.90 |
$9,872.77–$11,369.66 |
varies |
| Remove Elbow Joint Lining (24102) |
$46,203.47 |
$154,011.58 |
14.1× |
| Remove elbow lesion (24120) |
$10,111.65 |
$33,705.51 |
3.1× |
| Remove Elctrd Transvenously (33244) |
$1,402.20 |
$4,674 |
0.4× |
| Remove Forearm Foreign Body (25248) |
$2,499.12 |
$8,330.39 |
1.6× |
| Remove hip pressure sore (15941) |
$12,297.58 |
$40,991.93 |
4.2× |
| Remove hip pressure sore (15940) |
$12,297.58 |
$40,991.93 |
4.2× |
| Remove Intrauterine Device (58301) |
$2,827.86 |
$9,426.21 |
9.3× |
| Remove intrvas foreign body (37197) |
$1,708.50 |
$5,695 |
0.5× |
| Remove knee joint lining (27334) |
$16,125.27 |
$53,750.89 |
4.9× |
| Remove Lower Leg Bone Lesion (27635) |
$12,947.43 |
$43,158.10 |
4.0× |
| Remove lung catheter (32552) |
$504 |
$1,680 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$112.50 |
$375 |
0.8× |
| Remove prostate regrowth (52630) |
$3,506.95 |
$11,689.83 |
0.7× |
| Remove Pulse Generator (33241) |
$2,253.30 |
$7,511 |
0.6× |
| Remove sacrum pressure sore (15937) |
$13,538.93 |
$45,129.75 |
6.6× |
| Remove shoulder joint lining (23105) |
$6,125.11 |
$20,417.02 |
0.8× |
| Remove Skin Nerve Lesion (64774) |
$9,567.59 |
$31,891.97 |
4.9× |
Remove Tendon Sheath Lesion (26160)
range across 3 matching MRF lines |
$1,764.05–$2,129.51 |
$5,880.16–$7,098.35 |
varies |
| Remove thigh pressure sore (15951) |
$11,676.90 |
$38,923.01 |
4.0× |
| Remove thigh pressure sore (15956) |
$11,676.90 |
$38,923.01 |
5.7× |
| Remove&replace pm gen singl (33227) |
$8,562.30 |
$28,541 |
1.0× |
| Remove/graft bone lesion (24125) |
$10,111.65 |
$33,705.51 |
3.1× |
| Remove/graft finger lesion (26215) |
$7,999.43 |
$26,664.76 |
2.4× |
| Remove/graft foot lesion (28102) |
$11,536.73 |
$38,455.76 |
1.6× |
| Remove/graft foot lesion (28107) |
$10,370.45 |
$34,568.15 |
1.4× |
| 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&replc cvd gen dual lead (33263) |
$32,978.89 |
$109,929.63 |
1.5× |
| Remv&replc cvd gen mult lead (33264) |
$20,203.20 |
$67,344 |
0.6× |
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) |
$12,266.32 |
$40,887.72 |
1.2× |
| Remv&replc pm gen mult leads (33229) |
$12,397.50 |
$41,325 |
0.6× |
| Renal Biopsy Perq (50200) |
$702.60 |
$2,342 |
0.4× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$9,120.16 |
$30,400.52 |
1.7× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$10,638.84 |
$35,462.81 |
15.2× |
| Renal scope w/tumor resect (50562) |
$8,427.74 |
$28,092.46 |
0.9× |
Reopen fallopian tube (58350)
range across 3 matching MRF lines |
$3,945.62–$4,164.35 |
$13,152.05–$13,881.15 |
varies |
Repair Achilles Tendon (27650)
range across 2 matching MRF lines |
$4,354.96–$6,197.70 |
$14,516.54–$20,659.01 |
varies |
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines |
$4,450.95–$7,849.60 |
$14,836.50–$26,165.34 |
varies |
| Repair blood vessel lesion (35190) |
$19,385.44 |
$64,618.12 |
3.5× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$11,223.49 |
$37,411.63 |
1.5× |
| 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) |
$4,720.83 |
$15,736.11 |
11.6× |
| Repair Ectropion Extensive (67917) |
$2,975.23 |
$9,917.44 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$7,205.83 |
$24,019.44 |
4.5× |
| Repair Eyelid Wound (67935) |
$722.40 |
$2,408 |
0.3× |
| 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 Flexor Tendon Leg Primary W/O Graft Each (27658) |
$12,236.11 |
$40,787.04 |
3.7× |
| 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 Hand Joint (26540) |
$4,724.28 |
$15,747.60 |
1.4× |
| Repair humerus with graft (24435) |
$12,947.43 |
$43,158.10 |
1.0× |
| Repair incomplete circumcision (54163) |
$2,607.71 |
$8,692.37 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$16,595.69 |
$55,318.95 |
4.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$9,662.66 |
$32,208.86 |
2.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$9,662.66 |
$32,208.86 |
2.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,638.34 |
$18,794.45 |
1.6× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$16,595.69 |
$55,318.95 |
4.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$3,514.35 |
$11,714.50 |
8.6× |
| 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 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 2.6-7.5 cm (12042) |
$2,045 |
$6,816.66 |
5.0× |
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines |
$2,578.46–$4,007.61 |
$8,594.85–$13,358.70 |
varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,591.73 |
$5,305.76 |
3.9× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines |
$1,828.63–$2,813.70 |
$6,095.44–$9,379 |
varies |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines |
$1,548.40–$2,130.19 |
$5,161.34–$7,100.63 |
varies |
| 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 Non/Malunion Humerus W/O Graft (24430) |
$11,711.99 |
$39,039.95 |
0.9× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$17,717.78 |
$59,059.26 |
2.4× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,125.77 |
$20,419.23 |
0.8× |
| Repair of metatarsals (28322) |
$8,083.44 |
$26,944.81 |
1.1× |
| Repair of nail bed (11760) |
$2,620.84 |
$8,736.13 |
3.5× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$22,359.08 |
$74,530.25 |
3.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,430.69 |
$24,768.96 |
1.0× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$17,473.14 |
$58,243.81 |
2.4× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
$17,717.78 |
$59,059.26 |
2.4× |
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines |
$5,753.17–$6,289.51 |
$19,177.22–$20,965.04 |
varies |
| Repair radius & ulna (25415) |
$22,359.08 |
$74,530.25 |
3.1× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$9,586.46 |
$31,954.88 |
2.7× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$9,738.85 |
$32,462.84 |
2.7× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$16,595.69 |
$55,318.95 |
2.6× |
Repair Rotator Cuff Chronic (23412)
range across 3 matching MRF lines |
$8,261.38–$10,605.94 |
$27,537.94–$35,353.13 |
varies |
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines |
$6,177.57–$6,490.27 |
$20,591.90–$21,634.23 |
varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$8,400.17 |
$28,000.56 |
1.2× |
| Repair umbilical lesion (49600) |
$15,754.08 |
$52,513.61 |
4.4× |
| Repair webbed toe(s) (28345) |
$9,848.21 |
$32,827.38 |
6.1× |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
$19,385.44 |
$64,618.12 |
6.1× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$16,595.69 |
$55,318.95 |
4.6× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$16,595.69 |
$55,318.95 |
2.7× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 3 matching MRF lines |
$8,603.82–$10,472.76 |
$28,679.40–$34,909.20 |
varies |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$409.20 |
$1,364 |
0.5× |
| Replace g/c tube perc (49450) |
$384.90 |
$1,283 |
0.4× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$13,247.20 |
$44,157.34 |
1.8× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,006.60 |
$10,022 |
0.8× |
| Reposition Gastrostomy Tube (43761) |
$231.60 |
$772 |
0.9× |
| Reposition L Ventric Lead (33226) |
$2,673.90 |
$8,913 |
0.8× |
| Reposition Pacing-Defib Lead (33215) |
$5,903.27 |
$19,677.55 |
1.9× |
| Reposition Venous Catheter (36597) |
$1,333.80 |
$4,446 |
0.8× |
| Rerepair ing hernia reduce (49520) |
$4,030.70 |
$13,435.65 |
1.1× |
| Resect back tum < 5 cm (21935) |
$14,827.22 |
$49,424.08 |
5.1× |
| Resect enlarged toe tissue (28340) |
$2,257.20 |
$7,524 |
0.7× |
| Resect hip/pelv tum 5 cm/> (27059) |
$16,515.02 |
$55,050.06 |
5.7× |
| Resect hip/pelv tum < 5 cm (27049) |
$16,515.02 |
$55,050.06 |
5.7× |
| Resect leg/ankle tum < 5 cm (27615) |
$9,619.03 |
$32,063.43 |
3.3× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$18,838.19 |
$62,793.95 |
6.5× |
| Resect shoulder tumor < 5 cm (23077) |
$18,838.19 |
$62,793.95 |
6.5× |
| Resection of elbow joint (arthrectomy) Facility (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 Facility (28153) |
$8,859.55 |
$29,531.83 |
2.7× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,334.15 |
$7,780.50 |
0.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$2,174.76 |
$7,249.21 |
0.6× |
| Revis reconst shoulder joint (23473) |
$27,333.68 |
$91,112.25 |
2.1× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$27,333.68 |
$91,112.25 |
2.1× |
| Revise hernia & sperm veins (55540) |
$18,010.31 |
$60,034.38 |
5.0× |
| Revise knuckle joint (26530) |
$11,466.63 |
$38,222.11 |
1.6× |
Revise ulnar nerve at wrist (64719)
range across 3 matching MRF lines |
$2,578.02–$3,439.73 |
$8,593.40–$11,465.76 |
varies |
| Revise/Implant Finger Joint (26536) |
$10,264.64 |
$34,215.46 |
1.4× |
| Revision of leg vein (37780) |
$1,776.90 |
$5,923 |
0.6× |
Revision of lower leg tendon (27685)
range across 2 matching MRF lines |
$2,791.88–$8,651.02 |
$9,306.28–$28,836.73 |
varies |
| Revision of reconstructed breast (19380) |
$9,189.65 |
$30,632.17 |
1.4× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$15,515.42 |
$51,718.07 |
1.2× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$21,331.10 |
$71,103.65 |
1.7× |
| Revision of wrist joint (25450) |
$10,111.65 |
$33,705.51 |
3.1× |
Revision Peri-Implant Capsule Breast (19370)
range across 3 matching MRF lines |
$5,454.07–$16,177.33 |
$18,180.24–$53,924.43 |
varies |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$16,818.30 |
$56,061.01 |
3.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$12,300.26 |
$41,000.87 |
1.9× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$22,494.97 |
$74,983.22 |
1.7× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$14,677.85 |
$48,926.16 |
0.8× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$9,609.17 |
$32,030.58 |
0.7× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$2,882.75 |
$9,609.16 |
0.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$2,174.76 |
$7,249.21 |
0.6× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$4,579.20 |
$15,264 |
0.8× |
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines |
$25,433.80–$30,065.09 |
$84,779.33–$100,216.98 |
varies |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$14,748.60 |
$49,162 |
0.8× |
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 2 matching MRF lines |
$30,542.16–$32,851.69 |
$101,807.19–$109,505.63 |
varies |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$14,748.60 |
$49,162 |
0.8× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$17,152.43 |
$57,174.76 |
1.5× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$9,287.70 |
$30,959 |
0.8× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$4,579.20 |
$15,264 |
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 cplx les 1st vsl (37260) |
$9,287.70 |
$30,959 |
0.8× |
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 4 matching MRF lines |
$23,477.11–$37,305.26 |
$78,257.02–$124,350.85 |
varies |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$9,287.70 |
$30,959 |
0.8× |
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines |
$17,183.78–$34,400.13 |
$57,279.28–$114,667.11 |
varies |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$14,748.60 |
$49,162 |
0.8× |
| 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 Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$549.60 |
$1,832 |
0.3× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,006.60 |
$10,022 |
0.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,882.75 |
$9,609.16 |
1.5× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$17,912.48 |
$59,708.26 |
5.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,006.60 |
$10,022 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,853.33 |
$6,177.75 |
1.2× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
$1,519.12–$3,356.37 |
$5,063.73–$11,187.90 |
varies |
| Rplc Gtube No Revj Trc (43762) |
$2,350.44 |
$7,834.80 |
9.4× |
| 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 aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,555.97 |
$15,186.56 |
0.8× |
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 3 matching MRF lines |
$3,364.73–$10,125.65 |
$11,215.75–$33,752.16 |
varies |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$5,431.16 |
$18,103.85 |
0.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,139.37 |
$20,464.58 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$5,319.89 |
$17,732.95 |
1.5× |
Rpr aa hrn 1st 3-10 rdc (49593)
range across 3 matching MRF lines |
$4,798.10–$8,095.88 |
$15,993.65–$26,986.26 |
varies |
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines |
$4,395.26–$7,007.78 |
$14,650.86–$23,359.26 |
varies |
| Rpr blood vessel direct lower extremity (35226) |
$19,385.44 |
$64,618.12 |
27.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$10,094.50 |
$33,648.33 |
50.2× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$10,472.76 |
$34,909.20 |
1.4× |
| Rpr ing hern premie blocked (49492) |
$16,595.69 |
$55,318.95 |
4.6× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$16,595.69 |
$55,318.95 |
4.6× |
| Rpr ing hernia init reduce (49500) |
$16,595.69 |
$55,318.95 |
2.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$779.10 |
$2,597 |
0.5× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$17,717.78 |
$59,059.26 |
2.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$10,481.84 |
$34,939.45 |
3.2× |
| Sclerotx Fluid Collection (49185) |
$1,265.40 |
$4,218 |
0.8× |
| Scrotal exploration (55110) |
$1,745.43 |
$5,818.10 |
0.5× |
| Scrotoplasty Simple (55175) |
$2,639.63 |
$8,798.78 |
0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,854.60 |
$6,182 |
2.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,664.60 |
$8,882 |
2.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$14,800.01 |
$49,333.38 |
36.3× |
| 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× |
| Shorten radius & ulna (25392) |
$10,111.65 |
$33,705.51 |
1.4× |
| Shoulder arthroscopy (29820) |
$5,309.14 |
$17,697.12 |
0.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$5,865.61 |
$19,552.04 |
1.8× |
| 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 & Polypectomy (45333) |
$2,664.60 |
$8,882 |
2.9× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,602.60 |
$5,342 |
1.3× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$10,641.31 |
$35,471.04 |
8.9× |
| Sigmoidoscopy w/fb removal (45332) |
$660.90 |
$2,203 |
0.6× |
Sigmoidoscopy w/plcmt stent (45347)
unusually low: confirm this is the full procedure |
$2,863.80 |
$9,546 |
0.5× |
| Sigmoidoscopy W/Ultrasound (45341) |
$11,453.75 |
$38,179.17 |
12.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,501.07 |
$5,003.55 |
1.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,030.35 |
$3,434.50 |
0.9× |
| 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 >30.0 Cm (12018) |
$10,094.50 |
$33,648.33 |
50.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$2,874.85 |
$9,582.84 |
14.3× |
| 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 Full Grft Face/Genit/Hf (15240) |
$2,546.88 |
$8,489.60 |
1.2× |
| Skin graft, harvest cultured tissue (15040) |
$10,943.09 |
$36,476.97 |
5.3× |
| Skin Pinch Graft (15050) |
$10,943.09 |
$36,476.97 |
14.8× |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
$1,598.70–$8,014.71 |
$5,329–$26,715.71 |
varies |
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines |
$1,890.42–$8,743.77 |
$6,301.39–$29,145.91 |
varies |
| Skin sub grft t/arm/lg child (15273) |
$1,685.40 |
$5,618 |
0.8× |
| Skin Tissue Procedure (17999) |
$81 |
$270 |
0.4× |
| 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× |
| 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) |
$1,258.80 |
$4,196 |
1.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,261.20 |
$4,204 |
0.4× |
| Strapping ankle (29540) |
$134.10 |
$447 |
0.8× |
| Strapping elbow or 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)
range across 4 matching MRF lines |
$183.86–$393.37 |
$612.86–$1,311.22 |
varies |
| Subcutaneous Hormone Pellet Implantation (11980) |
$256.50 |
$855 |
0.6× |
| Suction assisted lipectomy; upper extremity (15878) |
$7,501.23 |
$25,004.11 |
3.6× |
| Surg tx anal fistula subq (46270) |
$3,257.17 |
$10,857.22 |
1.2× |
| Surgery to stop leg growth (27479) |
$12,947.43 |
$43,158.10 |
1.8× |
| Surgery to stop leg growth (27477) |
$12,947.43 |
$43,158.10 |
1.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,274.20 |
$7,580.65 |
0.8× |
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines |
$4,421.18–$9,027.83 |
$14,737.25–$30,092.77 |
varies |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$6,231.49 |
$20,771.62 |
0.9× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$10,111.65 |
$33,705.51 |
3.1× |
| Talectomy (astragalectomy) Facility (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 Ldls Pm (33274) |
$27,359.81 |
$91,199.35 |
1.4× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$2,487 |
$8,290 |
0.8× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$2,836.34 |
$9,454.47 |
0.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,911.21 |
$9,704.03 |
0.9× |
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines |
$9,921.66–$9,966.09 |
$33,072.20–$33,220.30 |
varies |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$4,851.76 |
$16,172.52 |
1.5× |
| 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× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$3,267.76 |
$10,892.53 |
1.0× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$4,475.77 |
$14,919.23 |
2.8× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$4,475.77 |
$14,919.23 |
1.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,080 |
$3,600 |
0.7× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$7,555.50 |
$25,185 |
1.7× |
| Therapeutic plasma exchange (36514) |
$1,217.70 |
$4,059 |
0.8× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$10,180.09 |
$33,933.64 |
1.8× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$10,150.87 |
$33,836.24 |
1.8× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$15,761.35 |
$52,537.82 |
5.0× |
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
unusually low: confirm this is the full procedure |
$2,043.60 |
$6,812 |
0.4× |
| Thromblytic art/ven therapy (37213) |
$1,212 |
$4,040 |
0.4× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$9,025.91 |
$30,086.37 |
1.6× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$17,631.10 |
$58,770.32 |
3.2× |
| 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) |
$1,017.36 |
$3,391.20 |
1.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,402.01 |
$8,006.71 |
1.2× |
Tissue Expander Placement Breast Reconstruction (19357)
range across 2 matching MRF lines |
$6,161.27–$25,207.59 |
$20,537.57–$84,025.31 |
varies |
| Tnot elbow lateral/medial debride open (24358) |
$2,449.42 |
$8,164.73 |
0.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,256.85 |
$10,856.15 |
1.0× |
| Total Knee Arthroplasty (27447) |
$19,052.90 |
$63,509.66 |
1.5× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$5,861.24 |
$19,537.46 |
1.1× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$20,341.64 |
$67,805.47 |
37.7× |
| 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 Fenestration W/Skin Flaps (31610) |
$43,545.96 |
$145,153.20 |
7.3× |
| Tracheostomy planned (31600) |
$2,637.60 |
$8,792 |
0.8× |
| Tracheostomy Planned Under 2 Years Spx (31601) |
$43,545.96 |
$145,153.20 |
7.3× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$10,444.69 |
$34,815.63 |
5.1× |
Transplant hand tendon (26480)
range across 2 matching MRF lines |
$2,911.21–$12,922.81 |
$9,704.03–$43,076.03 |
varies |
| Transrectal Drainage of Pelvic Abscess (45000) |
$6,075.05 |
$20,250.17 |
5.1× |
| Transur electr resection of prostate (52601) |
$3,787.71 |
$12,625.70 |
0.7× |
| Transurethral resection bladder neck (52500) |
$2,194.60 |
$7,315.34 |
0.6× |
| Treat Big Toe Fracture (28505) |
$9,056.81 |
$30,189.35 |
2.8× |
| 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 Fracture Each (26727) |
$2,481.07 |
$8,270.24 |
0.8× |
| Treat fracture radius/ulna (25575) |
$15,312.31 |
$51,041.02 |
2.1× |
| Treat Fx Rad Extra-Articul (25607) |
$10,393.01 |
$34,643.36 |
1.4× |
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 Knee Fracture(S) (27538) |
$7,755.62 |
$25,852.05 |
31.4× |
| Treat Kneecap Fracture (27524) |
$17,013 |
$56,710 |
2.3× |
| Treat lower leg bone lesion (27607) |
$49,884.89 |
$166,282.95 |
15.2× |
| Treat lower leg dislocation (27832) |
$17,443.82 |
$58,146.08 |
2.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,520.46 |
$5,068.20 |
0.9× |
| Treatment of ankle fracture (27823) |
$9,455.45 |
$31,518.18 |
1.3× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$17,542.23 |
$58,474.11 |
2.4× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$14,226.84 |
$47,422.81 |
4.3× |
| Treatment of tibia fracture (27756) |
$16,098.98 |
$53,663.26 |
2.2× |
| Trim skin lesion (11055) |
$260.96 |
$869.87 |
1.3× |
| 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 Nondystrophic Nails Any Number (11719) |
$395.23 |
$1,317.44 |
6.7× |
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines |
$18,300.07–$24,382.53 |
$61,000.22–$81,275.09 |
varies |
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines |
$13,491.88–$41,388.41 |
$44,972.94–$137,961.35 |
varies |
| Trurl rescj postop bladder neck contracture (52640) |
$11,695.21 |
$38,984.02 |
3.3× |
| Tx Gastro Intub W/Asp (43753) |
$8,997.39 |
$29,991.30 |
41.6× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines |
$13,907.32–$15,827.50 |
$46,357.73–$52,758.34 |
varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,796.56 |
$9,321.86 |
0.9× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$17,542.23 |
$58,474.11 |
2.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,910.86 |
$6,369.54 |
0.6× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,420.46 |
$11,401.53 |
1.1× |
| 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× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$6,074.70 |
$20,249 |
24.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$17,532.90 |
$58,442.99 |
1.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$2,289.07 |
$7,630.22 |
0.6× |
| Unlisted Cardiac Surgery (33999) |
$237.30 |
$791 |
0.4× |
| Unlisted fetal invasive px w/ultrasound (59897) |
$4,134.92 |
$13,783.08 |
20.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$1,968 |
$6,560 |
9.7× |
| Unlisted laparoscopic procedure liver (47379) |
$4,826.40 |
$16,088.01 |
0.8× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$9,827.82 |
$32,759.41 |
1.6× |
| Unlisted laparoscopy procedure stomach (43659) |
$5,678.34 |
$18,927.81 |
0.9× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$4,421.64 |
$14,738.79 |
0.7× |
| 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, intestine (except rectum) (44238) |
$14,387.36 |
$47,957.87 |
2.4× |
| Unlisted procedure arthroscopy (29999) |
$6,185.54 |
$20,618.46 |
25.0× |
| 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 Esophagus (43499) |
$588 |
$1,960 |
0.6× |
| Unlisted procedure excision pressure ulcer (15999) |
$10,531.25 |
$35,104.18 |
14.8× |
| Unlisted procedure femur or knee (27599) |
$1,254 |
$4,180 |
5.1× |
| Unlisted procedure forearm or wrist (25999) |
$7,430.69 |
$24,768.96 |
30.1× |
| Unlisted Procedure Hands/Fingers (26989) |
$3,606.26 |
$12,020.85 |
14.6× |
| Unlisted procedure humerus/elbow (24999) |
$7,920.74 |
$26,402.47 |
32.1× |
| Unlisted Procedure Intestine (44799) |
$729.60 |
$2,432 |
0.8× |
| Unlisted procedure larynx (31599) |
$21,169.50 |
$70,565 |
89.2× |
| Unlisted Procedure Leg/Ankle (27899) |
$17,351.52 |
$57,838.41 |
70.2× |
| Unlisted procedure liver (47399) |
$4,134.92 |
$13,783.08 |
5.8× |
| Unlisted procedure lungs and pleura (32999) |
$19,262.16 |
$64,207.20 |
30.7× |
| Unlisted Procedure Male Genital System (55899) |
$2,538.44 |
$8,461.46 |
10.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$14,702.53 |
$49,008.43 |
59.5× |
| Unlisted procedure neck or thorax (21899) |
$31,260.12 |
$104,200.40 |
131.8× |
| Unlisted procedure nervous system (64999) |
$2,963.10 |
$9,877 |
9.6× |
| 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 stomach (43999) |
$661.20 |
$2,204 |
0.7× |
| Unlisted Procedure Trachea Bronchi (31899) |
$688.80 |
$2,296 |
3.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$520.50 |
$1,735 |
0.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,797.51 |
$9,325.04 |
3.1× |
| Unlisted Procedure, Urinary System (53899) |
$8,582.88 |
$28,609.60 |
34.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$10,058.73 |
$33,529.11 |
49.7× |
| Unlisted vascular endoscopy procedure (37501) |
$9,334.82 |
$31,116.06 |
14.9× |
| Upgrade of pacemaker system (33214) |
$6,727.50 |
$22,425 |
0.6× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$10,638.84 |
$35,462.81 |
3.0× |
| Urinary Reflex Study (51792) |
$8,388.64 |
$27,962.14 |
142.0× |
| Vag hyst complex (58290) |
$6,573.62 |
$21,912.05 |
0.9× |
| Vag hyst incl t/o complex (58291) |
$6,573.62 |
$21,912.05 |
1.3× |
| Vag hyst w/t/o & vag repair (58263) |
$6,573.62 |
$21,912.05 |
1.3× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$4,134.92 |
$13,783.08 |
1.3× |
| Vaginal delivery only (59409) |
$4,134.92 |
$13,783.08 |
1.3× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,070.03 |
$16,900.10 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$6,573.62 |
$21,912.05 |
1.3× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$6,573.62 |
$21,912.05 |
0.9× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (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× |
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines |
$7,601.11–$14,568.35 |
$25,337.03–$48,561.18 |
varies |
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 uni/bi spx w/postop semen exams (55250) |
$3,207.63 |
$10,692.10 |
1.5× |
| Venous Mech Thrombectomy (37187) |
$40,207.28 |
$134,024.26 |
3.5× |
| Wedge excision skin nail fold (11765) |
$327.90 |
$1,093 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$7,791.40 |
$25,971.32 |
19.1× |
| Wound Prep Trk/Arm/Leg (15002) |
$9,016.82 |
$30,056.06 |
12.2× |
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
range across 2 matching MRF lines |
$4,211.48–$4,220.30 |
$14,038.25–$14,067.67 |
varies |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$20,023.13 |
$66,743.78 |
12.7× |