| Ablate inf turbinate submuc (30802) |
$2,337.98 |
$5,783 |
1.5× |
| Anterior Tibial Tubercleplasty (27418) |
$10,933.92 |
$24,034 |
1.5× |
| Apheresis Platelets (36513) |
$1,150 |
$2,300 |
2.6× |
| Arterial puncture (36600) |
$76 |
$152 |
0.6× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$19,345.78 |
$125,398 |
1.5× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$19,345.78 |
$36,944 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$462.53 |
$2,550 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$462.53 |
$1,800 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$462.53 |
$2,550 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$462.53 |
$2,550 |
1.5× |
| Arthrodesis ankle open (27870) |
$19,345.78 |
$75,560 |
1.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$10,933.92 |
$25,939 |
1.5× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$10,933.92 |
$25,939 |
1.5× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$40,886.50 |
$55,260 |
1.5× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$26,420.57 |
$71,025 |
1.5× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$26,420.57 |
$51,131 |
1.5× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$40,886.50 |
$81,773 |
1.5× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroplasty Ankle W/Implant (27702) |
$40,886.50 |
$55,260 |
1.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$26,420.57 |
$177,563 |
1.5× |
| Arthroplasty Patella W/Prosthesis (27438) |
$19,345.78 |
$50,159 |
1.5× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$19,345.78 |
$38,663 |
1.5× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$4,930.37 |
$12,816 |
1.5× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$4,930.37 |
$12,816 |
1.5× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$4,930.37 |
$12,816 |
1.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,930.37 |
$25,474 |
1.5× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$19,345.78 |
$36,944 |
1.5× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$4,930.37 |
$22,643 |
1.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,930.37 |
$22,643 |
1.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$4,930.37 |
$28,304 |
1.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$10,933.92 |
$28,613 |
1.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$4,930.37 |
$17,354 |
1.5× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$10,933.92 |
$25,524 |
1.5× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$10,933.92 |
$24,382 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,930.37 |
$22,643 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,930.37 |
$13,099 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$10,933.92 |
$28,192 |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$10,933.92 |
$24,034 |
1.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$4,930.37 |
$13,099 |
1.5× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$18,000 |
$78,288 |
1.4× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$4,930.37 |
$13,099 |
1.5× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$19,345.78 |
$38,663 |
1.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$10,933.92 |
$24,034 |
1.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,930.37 |
$36,575 |
1.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,930.37 |
$13,099 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$302.32 |
$2,550 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,488.69 |
$6,230 |
1.5× |
| Bladder Scan (51798) |
$137.50 |
$275 |
2.3× |
| Blepharoplasty upper eyelid (15822) |
$3,109.02 |
$7,719 |
1.5× |
Blood Transfusion Service (36430) range across 3 matching MRF lines |
$520–$1,470.50 |
$1,040–$2,941 |
varies |
| Bone Graft Any Donor Area Major/Large (20902) |
$10,933.92 |
$25,939 |
1.5× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$2,422.98 |
$6,266 |
1.5× |
| Carpal Tunnel Surgery (64721) |
$2,942.44 |
$8,098 |
1.5× |
| Cerv artific diskectomy (22856) |
$26,420.57 |
$87,591 |
1.5× |
| Claviculectomy partial (23120) |
$4,930.37 |
$12,816 |
1.5× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$4,930.37 |
$12,816 |
1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,995.85 |
$12,939 |
1.5× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,422.98 |
$6,355 |
1.5× |
| Collection of venous blood by venipuncture (36415) |
$15.50 |
$31 |
1.7× |
| Correction hammertoe (28285) |
$4,930.37 |
$13,099 |
1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$19,345.78 |
$38,663 |
1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$10,933.92 |
$24,034 |
1.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,376.93 |
$16,590 |
1.5× |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) |
$10,933.92 |
$24,329 |
1.5× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,422.98 |
$5,730 |
1.5× |
| Decompress Spinal Cord Lmbr (63056) |
$10,933.92 |
$25,939 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$2,942.44 |
$7,774 |
1.5× |
| Destroy lumb/sac facet jnt (64635) |
$2,942.44 |
$7,762 |
1.5× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,682.01 |
$6,888 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,488.69 |
$4,925 |
1.5× |
| Endoscopic plantar fasciotomy (29893) |
$4,930.37 |
$13,099 |
1.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,488.69 |
$6,465 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,488.69 |
$6,477 |
1.5× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$8,920.21 |
$23,604 |
1.5× |
| Exc ganglion wrist recurrent (25112) |
$2,422.98 |
$6,397 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,488.69 |
$6,456 |
1.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,488.69 |
$4,925 |
1.5× |
| Exc hand tum deep < 1.5 cm (26116) |
$2,488.69 |
$6,488 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,422.98 |
$6,266 |
1.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,376.93 |
$11,438 |
1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,376.93 |
$8,295 |
1.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,376.93 |
$11,290 |
1.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,488.69 |
$4,499 |
1.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,376.93 |
$10,526 |
1.5× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$10,933.92 |
$24,034 |
1.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,930.37 |
$14,352 |
1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,422.98 |
$6,181 |
1.5× |
| Excise intraspinal lesion (63267) |
$10,933.92 |
$25,939 |
1.5× |
| Excise Wrist Tendon Sheath (25118) |
$2,422.98 |
$6,395 |
1.5× |
| Excision Distal Ulna Partial/Complete (25240) |
$4,930.37 |
$13,099 |
1.5× |
| Excision lesion mouth roof (42104) |
$4,995.85 |
$12,905 |
1.5× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$2,422.98 |
$6,412 |
1.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,422.98 |
$6,408 |
1.5× |
| Excision olecranon bursa (24105) |
$4,930.37 |
$12,816 |
1.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$4,930.37 |
$13,099 |
1.5× |
| Excision Radial Head (24130) |
$4,930.37 |
$13,099 |
1.5× |
| Excision soft tissue lesion, external auditory canal (69145) |
$4,376.93 |
$11,429 |
1.5× |
| Excision tendon finger flexor/extensor each (26180) |
$2,422.98 |
$6,395 |
1.5× |
| Excision tendon palm flexor/extensor single each (26170) |
$2,422.98 |
$6,412 |
1.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,488.69 |
$6,483 |
1.5× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$2,422.98 |
$6,254 |
1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,376.93 |
$11,303 |
1.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$4,930.37 |
$13,099 |
1.5× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$2,422.98 |
$4,873 |
1.5× |
| Exploration of spinal fusion (22830) |
$10,933.92 |
$25,000 |
1.5× |
| Fasciectomy Palm Only (26121) |
$4,930.37 |
$12,816 |
1.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$4,930.37 |
$13,099 |
1.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,930.37 |
$16,200 |
1.5× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,995.85 |
$12,023 |
1.5× |
| Fuse hand bones with graft (25825) |
$10,933.92 |
$24,034 |
1.5× |
| Fusion of foot bones (28740) |
$10,933.92 |
$25,939 |
1.5× |
| Fusion of knuckle with graft (26852) |
$10,933.92 |
$24,034 |
1.5× |
| Gastrocnemius recession (27687) |
$4,930.37 |
$19,813 |
1.5× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$8,920.21 |
$23,433 |
1.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$10,933.92 |
$24,034 |
1.5× |
| Hip arthro w/labral repair (29916) |
$10,933.92 |
$64,435 |
1.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,376.93 |
$11,260 |
1.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,376.93 |
$11,442 |
1.5× |
| Implant cochlear device (69930) |
$49,683.56 |
$101,311 |
1.5× |
| Implant neuroelectrodes (63650) |
$9,603.05 |
$26,065 |
1.5× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) |
$19,345.78 |
$39,927 |
1.5× |
| Incise finger tendon sheath (26055) |
$2,422.98 |
$6,402 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$612.55 |
$2,550 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,376.93 |
$11,307 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,488.69 |
$5,998 |
1.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$10,933.92 |
$25,000 |
1.5× |
| Incision bone cortex foot (28005) |
$4,930.37 |
$12,816 |
1.5× |
| Incision extensor tendon sheath wrist (25000) |
$2,422.98 |
$6,403 |
1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,332.75 |
$3,564 |
1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,200 |
$3,563 |
1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$462.53 |
$1,800 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,063.65 |
$2,856 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$462.53 |
$6,426 |
1.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,332.75 |
$2,625 |
1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,063.65 |
$3,000 |
1.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,063.65 |
$2,768 |
1.5× |
| Inner ear surgery proc unlisted (69949) |
$356.89 |
$1,800 |
1.5× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$46,497.47 |
$310,656 |
1.5× |
| Knee Arthroscopy/Surgery (29874) |
$4,930.37 |
$13,099 |
1.5× |
Lam facetec & foramot lumbar (63047) range across 2 matching MRF lines |
$10,933.92 |
$25,939–$28,057 |
1.5× |
| Laminotomy Single Lumbar (63042) |
$10,933.92 |
$25,939 |
1.5× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,682.01 |
$6,897 |
1.5× |
| Late closure of wound (13160) |
$5,339.81 |
$7,228 |
1.5× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$10,933.92 |
$25,939 |
1.5× |
| Ligamentous reconstruction knee intra-articular (27428) |
$19,345.78 |
$38,663 |
1.5× |
| Low Back Disk Surgery (63030) |
$10,933.92 |
$28,120 |
1.5× |
| Lumbar spine fusion combined (22633) |
$40,886.50 |
$88,781 |
1.5× |
| Manipulation Elbow Under Anesthesia (24300) |
$2,422.98 |
$6,461 |
1.5× |
| Manipulation knee joint under general anesthesia (27570) |
$2,422.98 |
$4,873 |
1.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,422.98 |
$6,401 |
1.5× |
| Mastoidectomy; complete (69502) |
$8,920.21 |
$22,724 |
1.5× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$4,995.85 |
$12,924 |
1.5× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$5,339.81 |
$14,637 |
1.5× |
| N Block Lumbar/Thoracic (64520) |
$1,332.75 |
$2,550 |
1.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$5,618 |
$14,228 |
1.5× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$10,634.43 |
$25,211 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$2,682.01 |
$6,892 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$2,682.01 |
$6,891 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$10,634.43 |
$20,801 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$10,634.43 |
$20,801 |
1.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$10,634.43 |
$24,063 |
1.5× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$10,634.43 |
$24,071 |
1.5× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$10,634.43 |
$24,590 |
1.5× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$10,634.43 |
$26,390 |
1.5× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$10,634.43 |
$24,013 |
1.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$10,634.43 |
$25,527 |
1.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,422.98 |
$6,399 |
1.5× |
| Neck spine disk surgery (63020) |
$10,933.92 |
$28,301 |
1.5× |
| Neck spine fusion (22600) |
$26,420.57 |
$46,963 |
1.5× |
| Nerve repair w/conduit each nerve (64910) |
$13,223.76 |
$17,101 |
1.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,942.44 |
$10,526 |
1.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,942.44 |
$14,035 |
1.5× |
| Nipple/areola reconstruction (19350) |
$5,899.91 |
$15,092 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,332.75 |
$3,566 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,200 |
$2,768 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,063.65 |
$2,742 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,200 |
$2,770 |
1.7× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$10,634.43 |
$26,811 |
1.5× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$10,634.43 |
$26,423 |
1.5× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$66,370.79 |
$73,611 |
1.5× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$46,497.47 |
$295,863 |
1.5× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$19,345.78 |
$30,000 |
1.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$10,933.92 |
$25,939 |
1.5× |
| Open Treatment Humeral Condylar Fracture (24579) |
$19,345.78 |
$78,288 |
1.5× |
| Open treatment metatarsal fracture each (28485) |
$10,933.92 |
$24,034 |
1.5× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$10,933.92 |
$72,850 |
1.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$10,933.92 |
$25,939 |
1.5× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$19,345.78 |
$36,448 |
1.5× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$10,933.92 |
$25,000 |
1.5× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$10,933.92 |
$24,034 |
1.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$10,933.92 |
$24,034 |
1.5× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,930.37 |
$13,099 |
1.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$10,933.92 |
$25,939 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,930.37 |
$12,816 |
1.5× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$10,933.92 |
$28,415 |
1.5× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$10,933.92 |
$25,939 |
1.5× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$19,345.78 |
$25,000 |
1.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,930.37 |
$12,816 |
1.5× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,930.37 |
$12,816 |
1.5× |
| Open Tx Radial Head/Neck Fracture (24665) |
$10,933.92 |
$25,939 |
1.5× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$19,345.78 |
$75,236 |
1.5× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$10,933.92 |
$25,000 |
1.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$10,933.92 |
$25,939 |
1.5× |
| Open tx ulnar fx proximal end (24685) |
$10,933.92 |
$38,382 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$10,933.92 |
$24,034 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$10,933.92 |
$37,590 |
1.5× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$19,345.78 |
$73,889 |
1.5× |
| Ostectomy calcaneus (28118) |
$4,930.37 |
$12,816 |
1.5× |
| Osteochondral talus autogrft (28446) |
$10,933.92 |
$24,034 |
1.5× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$10,933.92 |
$25,939 |
1.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$4,930.37 |
$13,099 |
1.5× |
| Osteotomy Clavicle W Bone Graft (23485) |
$19,345.78 |
$73,889 |
1.5× |
| Palatopharyngoplasty (42145) |
$8,920.21 |
$12,715 |
1.5× |
| Part remv talus or calcaneus (28120) |
$4,930.37 |
$14,152 |
1.5× |
| Partial excision bone metacarpal (26230) |
$4,930.37 |
$13,099 |
1.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,422.98 |
$6,266 |
1.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,422.98 |
$6,405 |
1.5× |
| Partial removal of fibula (27641) |
$4,930.37 |
$13,099 |
1.5× |
| Partial removal of tibia (27640) |
$4,930.37 |
$12,816 |
1.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,930.37 |
$12,816 |
1.5× |
| Patellectomy or hemipatellectomy (27350) |
$10,933.92 |
$26,821 |
1.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,930.37 |
$13,099 |
1.5× |
| Perq Vertebral Augmentation (22513) |
$10,933.92 |
$25,939 |
1.5× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$4,930.37 |
$12,816 |
1.5× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$2,422.98 |
$5,994 |
1.5× |
| Radical styloidectomy separate procedure (25230) |
$4,930.37 |
$13,099 |
1.5× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$4,930.37 |
$13,099 |
1.5× |
| Rcnstj Dislocating Patella (27420) |
$10,933.92 |
$26,459 |
1.5× |
| Reconstruct elbow med ligmnt (24346) |
$19,345.78 |
$38,663 |
1.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$10,933.92 |
$24,039 |
1.5× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$8,920.21 |
$23,310 |
1.5× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$4,930.37 |
$13,099 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$88.89 |
$1,800 |
1.5× |
| Removal Implant Deep (20680) |
$4,376.93 |
$11,201 |
1.5× |
| Removal of adenoids (42831) |
$4,995.85 |
$12,893 |
1.5× |
| Removal of adenoids (42830) |
$4,995.85 |
$12,924 |
1.5× |
| Removal of anterior instrumentation (22855) |
$10,933.92 |
$25,000 |
1.5× |
| Removal of posterior segmental instrumentation Facility (22852) |
$10,933.92 |
$30,822 |
1.5× |
| Removal of skin wrinkles (15829) |
$5,339.81 |
$14,668 |
1.5× |
| Removal of tonsils (42825) |
$8,920.21 |
$23,701 |
1.5× |
| Removal of tonsils (42826) |
$4,995.85 |
$12,970 |
1.5× |
| Removal of wrist bone (25210) |
$4,930.37 |
$13,099 |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,109.02 |
$7,322 |
1.5× |
| Remove Ankle Joint Lining (27626) |
$4,930.37 |
$12,816 |
1.5× |
| Remove Forearm Foreign Body (25248) |
$2,422.98 |
$6,408 |
1.5× |
| Remove Lower Leg Bone Lesion (27635) |
$4,930.37 |
$16,403 |
1.5× |
| Remove spine eltrd plate (63662) |
$5,268.06 |
$13,663 |
1.5× |
| Remove Tendon Sheath Lesion (26160) |
$2,422.98 |
$6,400 |
1.5× |
| Remove wrist joint cartilage (25107) |
$4,930.37 |
$13,099 |
1.5× |
| Remove/graft leg bone lesion (27637) |
$10,933.92 |
$24,034 |
1.5× |
| Repair Achilles Tendon (27650) |
$10,933.92 |
$39,688 |
1.5× |
| Repair arm/leg nerve (64857) |
$5,147.57 |
$45,602 |
1.5× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$10,933.92 |
$37,590 |
1.5× |
| Repair Finger/Hand Tendon (26350) |
$4,930.37 |
$12,816 |
1.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$4,930.37 |
$13,099 |
1.5× |
| Repair Foot Dislocation (28615) |
$10,933.92 |
$37,590 |
1.5× |
| Repair forearm tendon/muscle (25265) |
$4,930.37 |
$13,099 |
1.5× |
| Repair Hallux Rigidus (28289) |
$4,930.37 |
$12,816 |
1.5× |
| Repair Hand Joint (26540) |
$4,930.37 |
$13,099 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$612.55 |
$1,800 |
1.5× |
| Repair lower leg tendons (27676) |
$10,933.92 |
$24,837 |
1.5× |
| Repair nasal septal perforations (30630) |
$4,995.85 |
$12,160 |
1.5× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$19,345.78 |
$38,663 |
1.5× |
| Repair of metatarsals (28322) |
$10,933.92 |
$24,034 |
1.5× |
| Repair of nail bed (11760) |
$1,113.66 |
$5,242 |
1.5× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$10,933.92 |
$24,034 |
1.5× |
| Repair of Ruptured Tendon (24342) |
$10,933.92 |
$24,034 |
1.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$10,933.92 |
$25,939 |
1.5× |
| Repair shoulder capsule (23462) |
$10,933.92 |
$24,034 |
1.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$4,930.37 |
$12,816 |
1.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$10,933.92 |
$25,939 |
1.5× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$10,933.92 |
$24,034 |
1.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$10,933.92 |
$24,034 |
1.5× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
$10,933.92 |
$27,362 |
1.5× |
| Repair/Revise Wrist Joint (25320) |
$10,933.92 |
$25,939 |
1.5× |
| Replace elbow joint (24363) |
$26,420.57 |
$55,260 |
1.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,930.37 |
$12,737 |
1.5× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$10,933.92 |
$24,034 |
1.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$19,345.78 |
$56,949 |
1.5× |
| Revise external ear (69300) |
$4,995.85 |
$12,993 |
1.5× |
| Revise Spine Eltrd Plate (63664) |
$16,790.21 |
$58,995 |
1.5× |
| Revise Wrist/Forearm Tendon (25280) |
$4,930.37 |
$13,099 |
1.5× |
| Revision of foot (28116) |
$4,930.37 |
$16,982 |
1.5× |
| Revision of lower leg tendon (27685) |
$4,930.37 |
$13,099 |
1.5× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$9,603.05 |
$19,721 |
1.5× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$26,420.57 |
$38,879 |
1.5× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$19,345.78 |
$51,589 |
1.5× |
| Rhinoplasty primary w/major septal repair (30420) |
$8,920.21 |
$22,798 |
1.5× |
| Rhinoplasty Secondary Major Revision (30450) |
$8,920.21 |
$22,549 |
1.5× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$8,920.21 |
$23,393 |
1.5× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,942.44 |
$7,752 |
1.5× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$9,754.98 |
$21,445 |
1.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,109.61 |
$20,376 |
1.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$9,109.61 |
$10,845 |
1.5× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$10,933.92 |
$37,590 |
1.5× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$8,920.21 |
$17,776 |
1.5× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$8,920.21 |
$20,777 |
1.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$4,930.37 |
$12,816 |
1.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,930.37 |
$12,737 |
1.5× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$4,995.85 |
$12,770 |
1.5× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,930.37 |
$22,643 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,113.66 |
$10,292 |
1.5× |
| Skin Tissue Procedure (17999) |
$302.32 |
$2,625 |
1.5× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$8,920.21 |
$21,388 |
1.5× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$8,920.21 |
$21,615 |
1.5× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$4,995.85 |
$12,675 |
1.5× |
| Subtalar arthro w/exc (29905) |
$10,933.92 |
$24,034 |
1.5× |
| Surg Implnt Neuroelect,Epidural (63655) |
$29,232.78 |
$104,214 |
1.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$8,920.21 |
$17,776 |
1.5× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$8,920.21 |
$17,776 |
1.5× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,942.44 |
$14,035 |
1.5× |
| Suture infrapatellar tendon primary (27380) |
$10,933.92 |
$25,939 |
1.5× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$10,933.92 |
$24,314 |
1.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,422.98 |
$6,390 |
1.5× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$4,930.37 |
$13,099 |
1.5× |
| Tenodesis long tendon biceps (23430) |
$10,933.92 |
$24,034 |
1.5× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$4,930.37 |
$12,816 |
1.5× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$4,930.37 |
$12,816 |
1.5× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$4,930.37 |
$13,099 |
1.5× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$2,422.98 |
$6,407 |
1.5× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$19,345.78 |
$38,663 |
1.5× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$20,765.63 |
$52,280 |
1.5× |
| Tnot elbow lateral/medial debride open (24358) |
$4,930.37 |
$35,000 |
1.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,930.37 |
$12,816 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,995.85 |
$12,975 |
1.5× |
| Total Knee Arthroplasty (27447) |
$19,345.78 |
$38,663 |
1.5× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$2,942.44 |
$7,639 |
1.5× |
| Transplant hand tendon (26480) |
$4,930.37 |
$13,099 |
1.5× |
| Treat Big Toe Fracture (28505) |
$4,930.37 |
$12,816 |
1.5× |
| Treat Elbow Fracture (24635) |
$10,933.92 |
$24,034 |
1.5× |
| Treat Finger Fracture Each (26727) |
$4,930.37 |
$12,816 |
1.5× |
| Treat fracture radius/ulna (25575) |
$10,933.92 |
$25,939 |
1.5× |
| Treat Kneecap Fracture (27524) |
$10,933.92 |
$24,034 |
1.5× |
| Treat thumb fracture (26665) |
$4,930.37 |
$13,099 |
1.5× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,422.98 |
$6,461 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,113.66 |
$2,443 |
1.5× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$19,345.78 |
$38,663 |
1.5× |
| Tympanoplasty (69631) |
$8,920.21 |
$23,187 |
1.5× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$8,920.21 |
$23,163 |
1.5× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$8,920.21 |
$21,743 |
1.5× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$8,920.21 |
$22,724 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$8,920.21 |
$21,885 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$8,920.21 |
$21,902 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$8,920.21 |
$20,703 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$8,920.21 |
$21,774 |
1.5× |
| Tympanostomy general anesthesia (69436) |
$2,337.98 |
$5,740 |
1.5× |
| Unlisted procedure arthroscopy (29999) |
$371.69 |
$3,213 |
1.5× |
| Unlisted procedure foot or toes (28899) |
$371.69 |
$2,550 |
1.5× |
| Unlisted procedure forearm or wrist (25999) |
$371.69 |
$1,800 |
1.5× |
| Unlisted procedure humerus/elbow (24999) |
$371.69 |
$1,800 |
1.5× |
| Unlisted procedure nervous system (64999) |
$462.53 |
$2,550 |
1.5× |
| Unlisted procedure shoulder (23929) |
$371.69 |
$1,800 |
1.5× |