| Abd paracentesis w/imaging (49083) |
$438.04 |
$932 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$438.04 |
$932 |
0.5× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$5,060.95 |
$10,767.98 |
0.5× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$4,649.71 |
$9,893 |
0.7× |
| Acne surgery (10040) |
$71.91 |
$153 |
0.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,210.25 |
$2,575 |
0.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,459.35 |
$3,105 |
0.8× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,459.35 |
$3,105 |
0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,301.90 |
$2,770 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$2,156.75 |
$4,588.84 |
0.7× |
| Anal/Urinary Muscle Study (51784) |
$89.30 |
$190 |
0.7× |
| Anoscopy diagnostic (46600) |
$58.75 |
$125 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,282.16 |
$2,728 |
1.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,211.19 |
$2,577 |
1.1× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,885.80 |
$6,140 |
1.1× |
| Anterior Tibial Tubercleplasty (27418) |
$9,413.35 |
$20,028.41 |
1.4× |
| Apheresis Platelets (36513) |
$1,438.67 |
$3,061 |
3.5× |
| Application cast elbow finger short arm (29075) |
$205.39 |
$437 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$3.29 |
$7 |
0.1× |
| Application finger splint static (29130) |
$92.59 |
$197 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$92.59 |
$197 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$194.58 |
$414 |
0.7× |
| Application Long Leg Splint (29505) |
$92.59 |
$197 |
0.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$181.89 |
$387 |
0.7× |
| Application of long leg cast (29345) |
$205.39 |
$437 |
0.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$205.39 |
$437 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$85.54 |
$182 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$92.59 |
$197 |
0.7× |
| Application short leg splint calf foot (29515) |
$92.59 |
$197 |
0.6× |
| Apply long arm cast (29065) |
$205.39 |
$437 |
0.8× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$92.59–$185.18 |
$197–$394 |
varies |
| Apply Short Leg Cast (29405) |
$205.39 |
$437 |
0.8× |
| Apply short leg cast (29425) |
$205.39 |
$437 |
0.8× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$3,626.05 |
$7,715 |
0.7× |
| Arterial puncture (36600) |
$47.47 |
$101 |
0.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,818.45 |
$3,869.05 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$223.72–$447.44 |
$476–$952 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$223.72–$447.44 |
$476–$952 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$302.68–$605.36 |
$644–$1,288 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$223.72–$447.44 |
$476–$952 |
varies |
| Arthrodesis ankle open (27870) |
$25,384.25 |
$54,009.04 |
2.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$10,563.58 |
$22,475.70 |
1.6× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$15,177.58 |
$32,292.73 |
0.9× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$4,560.89 |
$9,704.02 |
1.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,511.93 |
$5,344.54 |
0.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$2,573.79 |
$5,476.14 |
0.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,831.44 |
$6,024.33 |
0.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$8,105.01 |
$17,244.70 |
2.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$8,887.54 |
$18,909.65 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,682.44 |
$16,345.62 |
2.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,777.19 |
$10,164.23 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,333.45 |
$7,092.45 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,507.46 |
$7,462.68 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$9,098.38 |
$19,358.26 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,531.82 |
$18,152.81 |
1.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$9,459.91 |
$20,127.47 |
0.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$9,362.21 |
$19,919.60 |
1.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$2,739.39 |
$5,828.48 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$449.79 |
$957 |
0.8× |
| Aspirate Pleura W/O Imaging (32554) |
$449.79 |
$957 |
0.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$851.17 |
$1,811 |
3.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,749.34 |
$3,722 |
0.9× |
Av Fistula Revision Open (36832)
unusually low: confirm this is the full procedure |
$2,302.61 |
$4,899.18 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$77.08 |
$164 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$844.59 |
$1,797 |
0.5× |
| Biopsy bone trocar/needle deep (20225) |
$501.02 |
$1,066 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$301.23 |
$640.91 |
0.2× |
| Biopsy external ear (69100) |
$299.86 |
$638 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$1,300.96 |
$2,768 |
0.8× |
| Biopsy Muscle Superficial (20200) |
$1,471.46 |
$3,130.77 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$2,161.53 |
$4,599 |
0.6× |
| Biopsy of liver, needle; percutaneous (47000) |
$844.59 |
$1,797 |
0.5× |
| Biopsy of penis (54100) |
$1,696.70 |
$3,610 |
1.1× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,696.70 |
$3,610 |
1.1× |
| Biopsy Salivary Gland Needle (42400) |
$1,217.30 |
$2,590 |
1.8× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$636.85 |
$1,355 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$1,528.44 |
$3,252 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$594.08 |
$1,264 |
0.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$298.45 |
$635 |
0.3× |
| Biopsy, vestibule of mouth (40808) |
$126.90 |
$270 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$2,534.47 |
$5,392.48 |
0.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$264.14 |
$562 |
0.4× |
| Bladder Irrigation (51700) |
$176.72 |
$376 |
0.8× |
| Bladder Scan (51798) |
$53.11 |
$113 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$282 |
$600 |
1.0× |
| Blood Transfusion Service (36430) |
$303.15 |
$645 |
0.7× |
| Blood/Lymph System Procedure (38999) |
$5,060.95 |
$10,767.98 |
12.3× |
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines |
$301.23–$602.46 |
$640.91–$1,281.82 |
varies |
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines |
$183.30–$366.60 |
$390–$780 |
varies |
| Brnchsc Brushing/Protected Brushings (31623) |
$725.21 |
$1,543 |
0.4× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$2,462.33 |
$5,239 |
0.7× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$2,462.33 |
$5,239 |
0.7× |
| Bronchoscopy W/Biopsy(S) (31625) |
$906.16 |
$1,928 |
0.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$697.01 |
$1,483 |
0.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$906.16 |
$1,928 |
0.3× |
| Bronchoscopy/Needle Bx Each (31629) |
$940.18 |
$2,000.39 |
0.3× |
| Bx breast 1st lesion strtctc (19081) |
$1,696.70 |
$3,610 |
1.1× |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
$1,308.01–$2,616.02 |
$2,783–$5,566 |
varies |
| Bx breast needle core w/o imaging guidance spx (19100) |
$401.85 |
$855 |
0.3× |
| Bx Cervix (57500) |
$594.08 |
$1,264 |
0.7× |
| Bx/exc lymph node open deep axillary node (38525) |
$2,898.02 |
$6,166 |
0.8× |
| Bx/exc lymph node open superficial (38500) |
$1,985.75 |
$4,225 |
0.5× |
| Canthotomy Separate Procedure (67715) |
$2,392.30 |
$5,090 |
1.1× |
| Carpal Tunnel Surgery (64721) |
$1,051.25 |
$2,236.70 |
0.6× |
| Cataract surg w/iol 1 stage (66983) |
$2,904.27 |
$6,179.30 |
1.4× |
| Cataract surgery complex (66982) |
$3,679.03 |
$7,827.72 |
1.7× |
| Catheter aspiration nasotracheal spx (31720) |
$62.98 |
$134 |
0.3× |
| Cautery Cervix Electro/Thermal (57510) |
$2,282.32 |
$4,856 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$611.94 |
$1,302 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$176.72 |
$376 |
0.8× |
| Change of Windpipe Airway (31502) |
$124.08 |
$264 |
0.6× |
| Chemical Cautery Tissue (17250) |
$134.89 |
$287 |
0.7× |
| Chemical peel nonfacial epidermal (15792) |
$117.97 |
$251 |
0.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$376.47 |
$801 |
0.6× |
| Chemodenerv 1 extremity 1-4 (64642) |
$376.47 |
$801 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$302.68 |
$644 |
1.1× |
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines |
$250.04–$500.08 |
$532–$1,064 |
varies |
| Chemodenerv trunk musc 1-5 (64646) |
$376.47 |
$801 |
0.6× |
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines |
$210.09–$420.18 |
$447–$894 |
varies |
| Chest tube placement (32551) |
$416.89 |
$887 |
0.3× |
| Circumcision 28 days or older (54161) |
$1,347.10 |
$2,866.16 |
0.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,416.58 |
$5,141.66 |
1.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,695.76 |
$3,608 |
1.1× |
| Clear outer ear canal (69200) |
$58.75 |
$125 |
0.5× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$1,693.80 |
$3,603.83 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$113.74 |
$242 |
0.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,721.14 |
$3,662 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$266.49 |
$567 |
1.2× |
| Closed Treatment Sternum Fracture (21820) |
$1,090.87 |
$2,321 |
4.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$419.24 |
$892 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$135.36 |
$288 |
0.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,721.14 |
$3,662 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$145.23 |
$309 |
0.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,721.14 |
$3,662 |
1.1× |
| Closed tx mandibular fracture w/manipulation (21451) |
$565.41 |
$1,203 |
0.4× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$568.70 |
$1,210 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$265.55 |
$565 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,721.14 |
$3,662 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$146.17 |
$311 |
0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$264.14 |
$562 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$279.18 |
$594 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,668.50 |
$3,550 |
1.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$1,090.87 |
$2,321 |
4.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$385.40 |
$820 |
0.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$588.51 |
$1,252.15 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$101.05 |
$215 |
0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$265.55 |
$565 |
1.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$299.86 |
$638 |
1.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$456.37 |
$971 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$265.55 |
$565 |
1.2× |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines |
$1,335.74–$1,721.14 |
$2,842–$3,662 |
varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$145.23 |
$309 |
0.6× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$171.55 |
$365 |
0.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,422.36 |
$3,026.29 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,721.14 |
$3,662 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$113.74 |
$242 |
0.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,675.55 |
$3,565 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$145.23 |
$309 |
0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$135.36 |
$288 |
0.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$265.55 |
$565 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$265.55 |
$565 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$419.24 |
$892 |
0.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$3,141.95 |
$6,685 |
2.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,675.55 |
$3,565 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$265.55 |
$565 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$293.75 |
$625 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$265.55 |
$565 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,623.38 |
$3,454 |
1.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,721.14 |
$3,662 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$135.36 |
$288 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$145.23 |
$309 |
0.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,451.36 |
$3,088 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$146.17 |
$311 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$278.24 |
$592 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$145.23 |
$309 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$264.61 |
$563 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$113.74 |
$242 |
0.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,721.14 |
$3,662 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,451.36 |
$3,088 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$145.23 |
$309 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$146.17 |
$311 |
0.6× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,417.05 |
$3,015 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$419.24 |
$892 |
0.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,721.14 |
$3,662 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,721.14 |
$3,662 |
1.1× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$266.49 |
$567 |
1.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$446.50 |
$950 |
1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$385.40 |
$820 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$50.29 |
$107 |
0.4× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$3.76–$6.11 |
$8–$13 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$1,020.37 |
$2,171 |
0.9× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,020.37 |
$2,171 |
0.9× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,020.37 |
$2,171 |
0.9× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,020.37 |
$2,171 |
0.9× |
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure |
$1,020.37 |
$2,171 |
0.2× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$1,020.37 |
$2,171 |
0.9× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,020.37 |
$2,171 |
0.9× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,020.37 |
$2,171 |
1.2× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$795.71 |
$1,693 |
0.7× |
| Colonoscopy thru stoma (44388) |
$795.71 |
$1,693 |
0.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$795.71 |
$1,693 |
0.7× |
| Colonoscopy w/ablation (45388) |
$981.83 |
$2,089 |
0.9× |
| Colonoscopy W/Band Ligation (45398) |
$1,020.37 |
$2,171 |
0.9× |
| Colonoscopy w/fb removal (45379) |
$795.71 |
$1,693 |
0.7× |
| Colonoscopy w/ndl aspir/bx (44407) |
$1,020.37 |
$2,171 |
0.9× |
| Colonoscopy W/Resection (45390) |
$1,020.37 |
$2,171 |
0.4× |
| Colonoscopy w/stent plcmt (45389) |
$3,086.02 |
$6,566 |
0.5× |
| Colonoscopy w/submucosal inj (45381) |
$795.71 |
$1,693 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$298.45 |
$635 |
1.1× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$255.68 |
$544 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$133.95 |
$285 |
0.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$298.45 |
$635 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$298.45 |
$635 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$298.45 |
$635 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$795.71 |
$1,693 |
0.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$795.71 |
$1,693 |
0.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$795.71 |
$1,693 |
0.7× |
| Complex Cystometrogram (51726) |
$264.14 |
$562 |
1.1× |
| Complex drainage wound (10180) |
$1,694.82 |
$3,606 |
0.6× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$1,861.81 |
$3,961.29 |
0.6× |
| Conization of cervix (57520) |
$2,663.02 |
$5,666 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$101.05 |
$215 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$101.05 |
$215 |
0.8× |
| Conversion ext bil drg cath (47535) |
$2,691.22 |
$5,726 |
0.8× |
| Convert Nephrostomy Catheter (50434) |
$648.13 |
$1,379 |
0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,765.79 |
$3,757 |
1.1× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$93.06 |
$198 |
0.2× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$84.13 |
$179 |
0.7× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$3,818.40 |
$8,124.26 |
0.7× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$1,090.87 |
$2,321 |
4.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$93.53 |
$199 |
0.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$851.17 |
$1,811 |
3.9× |
| Curette/treat cornea (65435) |
$795.71 |
$1,693 |
0.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,900.33 |
$6,170.91 |
1.5× |
| Cysto w/destruction of lesions (52214) |
$3,315.22 |
$7,053.67 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,364.65 |
$7,158.82 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,333.24 |
$7,092 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$2,171.46 |
$4,620.14 |
0.7× |
| Cysto w/removal of tumors small (52234) |
$3,967.88 |
$8,442.29 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,234.22 |
$2,626 |
0.6× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$4,580.56 |
$9,745.88 |
0.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,798.85 |
$5,955 |
0.9× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,127.86 |
$8,782.68 |
1.3× |
| Cysto/uretero w/lithotripsy (52356) |
$4,212.53 |
$8,962.83 |
0.8× |
| Cystometrogram W/Up (51727) |
$264.14 |
$562 |
0.4× |
| Cystometrogram W/Vp (51728) |
$264.14 |
$562 |
0.4× |
| Cystometrogram W/Vp&Up (51729) |
$264.14 |
$562 |
0.4× |
| Cystourethroscopy (52000) |
$623.69 |
$1,327 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,950.53 |
$4,150.06 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$6,020.55 |
$12,809.69 |
1.8× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$3,347.24 |
$7,121.79 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,170.76 |
$4,618.63 |
1.1× |
| Cystourethroscopy with biopsy (52204) |
$3,097.71 |
$6,590.87 |
1.6× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,333.24 |
$7,092 |
1.0× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$1,108.10 |
$2,357.66 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$603.48 |
$1,284 |
1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,873.58 |
$6,114 |
1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$228.89 |
$487 |
0.3× |
| Debride nail 1-5 (11720) |
$71.91 |
$153 |
1.3× |
| Debride nail 6 or more (11721) |
$71.91 |
$153 |
1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,666.15 |
$3,545 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$244.87 |
$521 |
0.6× |
| Declot vascular device (36593) |
$188.47 |
$401 |
0.6× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,465.93 |
$3,119 |
1.8× |
| Destruc retinal lesn,photocoag (67210) |
$463.42 |
$986 |
0.9× |
| Destruct B9 Lesion 1-14 (17110) |
$77.08 |
$164 |
0.4× |
| Destruction Benign Lesions 15/> (17111) |
$117.50 |
$250 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$219.96 |
$468 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$219.96 |
$468 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$219.96 |
$468 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$219.96 |
$468 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$219.96 |
$468 |
0.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$134.89 |
$287 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$121.26 |
$258 |
0.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$121.26 |
$258 |
0.6× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$121.26 |
$258 |
0.3× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$219.96 |
$468 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$219.96 |
$468 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$121.26 |
$258 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$121.26 |
$258 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$121.26 |
$258 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$219.96 |
$468 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$219.96 |
$468 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$134.89 |
$287 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,125.34 |
$4,522 |
1.2× |
| Destruction of skin lesions (17106) |
$214.79 |
$457 |
0.6× |
| Destruction Premalignant Lesion 15/> (17004) |
$214.79 |
$457 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$77.08 |
$164 |
0.4× |
| Destruction Vaginal Lesions Simple (57061) |
$1,362.08 |
$2,898.04 |
0.5× |
| Diagnostic anoscopy (46601) |
$170.14 |
$362 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$504.78 |
$1,074 |
0.6× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$2,674.77 |
$5,691 |
2.4× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$160.27 |
$341 |
1.3× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$112.80 |
$240 |
0.9× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$112.80 |
$240 |
0.9× |
| Dilate Esophagus 1/Mult Pass (43450) |
$482.22 |
$1,026 |
0.6× |
| Dilate Urethra Stricture (53600) |
$255.21 |
$543 |
1.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,019.85 |
$4,297.55 |
0.7× |
| Drain Cerebro Spinal Fluid (62272) |
$437.57 |
$931 |
0.7× |
| Drainage abscess parotid simple (42300) |
$1,076.77 |
$2,291 |
0.7× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,090.87 |
$2,321 |
2.2× |
| Drainage external auditory canal abscess (69020) |
$295.16 |
$628 |
0.4× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,043.87 |
$2,221 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$127.37 |
$271 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$838.95 |
$1,785 |
0.5× |
| Drainage Mouth Roof Lesion (42000) |
$235.94 |
$502 |
1.1× |
| Drainage of eye (65800) |
$2,357.99 |
$5,017 |
1.1× |
| Drainage of finger abscess simple (26010) |
$127.37 |
$271 |
0.7× |
| Drainage of gum lesion (41800) |
$127.37 |
$271 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,102.62 |
$2,346 |
0.7× |
| Drainage of mouth lesion (41017) |
$564.94 |
$1,202 |
0.2× |
| Drainage of nose lesion (30000) |
$299.86 |
$638 |
1.4× |
| Drainage of salivary gland (42320) |
$299.86 |
$638 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$954.10 |
$2,030 |
0.6× |
| Drainage of scrotum (54700) |
$1,842.40 |
$3,920 |
0.9× |
| Draw Blood Off Venous Device (36591) |
$54.05 |
$115 |
0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$107.16 |
$228 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$134.89 |
$287 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$134.89 |
$287 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$134.89 |
$287 |
0.7× |
| Dstrj Extensive Retinopathy (67227) |
$1,809.50 |
$3,850 |
0.5× |
| Dstrj lesion anus simple cryosurgery (46916) |
$182.36 |
$388 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$1,444.66 |
$3,073.75 |
0.6× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$1,420.19 |
$3,021.69 |
0.7× |
| Dstrj lesion choroid pc 1/> sess (67220) |
$511.36 |
$1,088 |
1.0× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$71.91 |
$153 |
0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$71.91 |
$153 |
0.4× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$219.96 |
$468 |
0.6× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
$582.33–$1,164.66 |
$1,239–$2,478 |
varies |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,666.15 |
$3,545 |
0.6× |
| Dx Bronchoscope/Lavage (31624) |
$906.16 |
$1,928 |
0.5× |
| Dx Bronchoscope/Wash (31622) |
$653.30 |
$1,390 |
0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$772.68 |
$1,644 |
1.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$764.22 |
$1,626 |
0.4× |
| Egd cautery tumor polyp (43250) |
$764.22 |
$1,626 |
0.4× |
| Egd control bleeding any (43255) |
$764.22 |
$1,626 |
0.4× |
| Egd dilation gastric/duodenal stricture (43245) |
$764.22 |
$1,626 |
0.4× |
| Egd Endoscopic Stent Place (43266) |
$3,064.87 |
$6,521 |
0.5× |
| Egd Flexible Foreign Body Removal (43247) |
$764.22 |
$1,626 |
0.9× |
| Egd guide wire insertion (43248) |
$764.22 |
$1,626 |
0.9× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$764.22 |
$1,626 |
0.4× |
| Egd lesion ablation (43270) |
$1,833.47 |
$3,901 |
1.0× |
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
unusually low: confirm this is the full procedure |
$4,466.88 |
$9,504 |
0.5× |
| Egd place gastrostomy tube (43246) |
$596.43 |
$1,269 |
0.3× |
| Egd remove lesion snare (43251) |
$764.22 |
$1,626 |
0.4× |
| Egd Varices Ligation (43244) |
$764.22 |
$1,626 |
0.4× |
| Egd W/Thrml Txmnt Gerd (43257) |
$3,391.05 |
$7,215 |
0.9× |
| Electro-Uroflowmetry First (51741) |
$89.30 |
$190 |
0.4× |
| Endocervical curettage (57505) |
$594.08 |
$1,264 |
0.7× |
| Endometrial Biopsy (58100) |
$133.95 |
$285 |
0.7× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$2,916.82 |
$6,206 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,684.64 |
$5,712 |
0.9× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,344.67 |
$2,861 |
0.8× |
| Epidural Blood Patch (62273) |
$325.24 |
$692 |
0.5× |
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure |
$2,390.42 |
$5,086 |
0.4× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$1,974.94 |
$4,202 |
0.5× |
| Ercp ea duct/ampulla dilate (43277) |
$2,448.23 |
$5,209 |
0.7× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,447.76 |
$5,208 |
0.7× |
| Ercp remove forgn body duct (43275) |
$3,103.41 |
$6,603 |
1.7× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,557.75 |
$11,825 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$1,974.94 |
$4,202 |
0.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$764.22 |
$1,626 |
0.9× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,833.47 |
$3,901 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$2,008.78 |
$4,274 |
1.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,001.10 |
$2,130 |
1.2× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
unusually low: confirm this is the full procedure |
$2,514.50 |
$5,350 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$47.47 |
$101 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,223.88 |
$2,604 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$381.17 |
$811 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,528.44 |
$3,252 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,528.44 |
$3,252 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$2,487.74 |
$5,293.06 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$399.97 |
$851 |
0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$399.97 |
$851 |
0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,419.87 |
$3,021 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$381.17 |
$811 |
0.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$381.17 |
$811 |
0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$716.75 |
$1,525 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$716.75 |
$1,525 |
0.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$716.75 |
$1,525 |
0.5× |
| Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) |
$1,076.77 |
$2,291 |
0.7× |
| Exc Frenum Labial/Buccal (40819) |
$1,581.08 |
$3,364 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$716.75 |
$1,525 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$716.75 |
$1,525 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$716.75 |
$1,525 |
0.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,280.37 |
$2,724.19 |
0.8× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,118.51 |
$2,379.81 |
0.7× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$667.87 |
$1,421 |
0.7× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$471.41 |
$1,003 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$716.75 |
$1,525 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,528.44 |
$3,252 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,042.62 |
$4,346 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,528.44 |
$3,252 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,042.62 |
$4,346 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,419.87 |
$3,021 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,255.06 |
$4,798 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,419.87 |
$3,021 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$667.37 |
$1,419.93 |
0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$381.17 |
$811 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$381.17 |
$811 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,528.44 |
$3,252 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,839.51 |
$3,913.86 |
0.7× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$1,825.98 |
$3,885.06 |
0.7× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,777.26 |
$3,781.41 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,555.68 |
$3,309.96 |
0.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,221.53 |
$2,599 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,466.44 |
$3,120.09 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,691.22 |
$5,726 |
0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$648.13 |
$1,379 |
0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$716.75 |
$1,525 |
1.1× |
| Excision Chalazion Multiple Same Lid (67801) |
$667.87 |
$1,421 |
0.7× |
| Excision Chalazion Single (67800) |
$282 |
$600 |
1.0× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$2,541.76 |
$5,408 |
0.9× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$1,577.45 |
$3,356.28 |
0.6× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$1,357.36 |
$2,888 |
0.6× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$900.52 |
$1,916 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,581.08 |
$3,364 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$381.17 |
$811 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$381.17 |
$811 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$717.22 |
$1,526 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$399.97 |
$851 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$667.40 |
$1,420 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,877.18 |
$3,994 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$716.75 |
$1,525 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$367.07 |
$781 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$716.75 |
$1,525 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,419.87 |
$3,021 |
0.9× |
| Excision of chalazion; multiple, different lids (67805) |
$282 |
$600 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,161.52 |
$2,471.32 |
0.8× |
| Excision of hydrocele; unilateral (55040) |
$1,826.01 |
$3,885.12 |
0.5× |
Excision of osseous tuberosities, dentoalveolar structures (41823)
likely a partial charge, not the full procedure |
$1,547.71 |
$3,293 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,668.86 |
$3,550.76 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$1,866.01 |
$3,970.23 |
1.7× |
| Excision of vaginal cyst or tumor (57135) |
$3,243 |
$6,900 |
1.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$1,846.25 |
$3,928.20 |
0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$1,751.61 |
$3,726.83 |
0.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,220.12 |
$2,596 |
0.5× |
| Excision spermatocele w/wo epididymectomy (54840) |
$1,257.55 |
$2,675.63 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,748.40 |
$3,720 |
1.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,884.94 |
$4,010.51 |
1.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,485.70 |
$3,161.06 |
1.0× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$2,597.50 |
$5,526.59 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$1,709.86 |
$3,638 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$199.75 |
$425 |
0.1× |
| Fasciotomy, foot and/or toe (28008) |
$3,141.95 |
$6,685 |
1.0× |
| Fetal non-stress test (59025) |
$205.39 |
$437 |
1.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,292.97 |
$2,751 |
2.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$1,292.97 |
$2,751 |
2.0× |
| Fine needle aspiration without imaging guidance (10021) |
$132.54 |
$282 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$114.68 |
$244 |
0.5× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,292.97 |
$2,751 |
2.0× |
| Fna bx w/us gdn 1st les (10005) |
$1,292.97 |
$2,751 |
2.0× |
| Foreskin manipulation (54450) |
$283.88 |
$604 |
1.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,212.60 |
$2,580 |
0.6× |
| Fusion Finger Joint (26860) |
$3,933.67 |
$8,369.51 |
1.3× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$258.50 |
$550 |
7.1× |
| Guide Cathet Fluid Drainage (10030) |
$768.92 |
$1,636 |
1.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,804.40 |
$3,839.14 |
0.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,917.18 |
$4,079.10 |
0.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,903.89 |
$4,050.83 |
0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$877.49 |
$1,867 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$2,179.86 |
$4,638 |
0.7× |
| Hysteroscopy Endometrial Ablation (58563) |
$2,330.62 |
$4,958.77 |
0.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$3,381.48 |
$7,194.63 |
0.7× |
| I&d abscess peritonsillar (42700) |
$126.90 |
$270 |
0.6× |
| I&d abscess simple (10060) |
$127.37 |
$271 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,439.14 |
$3,062 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,144.06 |
$2,434.16 |
0.4× |
| I&d forearm/wrist bursa (25031) |
$2,527.66 |
$5,378 |
1.7× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$386.81 |
$823 |
0.8× |
| I&d perianal abscess superficial (46050) |
$271.19 |
$577 |
0.3× |
| I&d pilonidal cyst complicated (10081) |
$791.95 |
$1,685 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$127.37 |
$271 |
0.2× |
| Icd Pocket Revision (33223) |
$2,120.64 |
$4,512 |
1.1× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$1,101.21 |
$2,343 |
0.6× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$971.49 |
$2,067 |
1.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$921.20 |
$1,960 |
1.1× |
| Image Cath Fluid Colxn Visc (49405) |
$1,300.96 |
$2,768 |
0.8× |
| Image Cath Fluid Peri/Retro (49406) |
$1,581.08 |
$3,364 |
1.0× |
| Incise external hemorrhoid (46083) |
$176.72 |
$376 |
0.8× |
| Incise finger tendon sheath (26055) |
$963.74 |
$2,050.50 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$127.37 |
$271 |
0.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,941.57 |
$4,131 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,528.44 |
$3,252 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$244.87 |
$521 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$133.95 |
$285 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$133.95 |
$285 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$1,651.63 |
$3,514.10 |
1.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,581.08 |
$3,364 |
1.1× |
| Incision of rectal abscess (46040) |
$2,093.85 |
$4,455 |
1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,528.44 |
$3,252 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$282 |
$600 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$388.22 |
$826 |
0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$77.08 |
$164 |
0.4× |
| Inj W/Fluor Eval Cv Device (36598) |
$222.31 |
$473 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,817.02 |
$3,866 |
2.2× |
| Inject Intravitreal Pharmcologic (67028) |
$282 |
$600 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$238.76 |
$508 |
0.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$830.96 |
$1,768 |
1.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$830.49 |
$1,767 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$772.68 |
$1,644 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$772.68 |
$1,644 |
1.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$629.33 |
$1,339 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$830.49 |
$1,767 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$671.63 |
$1,429 |
1.0× |
| Injection enzyme palmar fascial cord (20527) |
$260.85 |
$555 |
0.9× |
| Injection for identification of sentinel node (38792) |
$173.43 |
$369 |
0.5× |
| Injection medication/other subst tenon capsule (67515) |
$240.17 |
$511 |
0.8× |
| Injection single tendon origin/insertion (20551) |
$223.72 |
$476 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$223.72 |
$476 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$223.72 |
$476 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$223.72 |
$476 |
0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$325.24 |
$692 |
0.4× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$346.86–$693.72 |
$738–$1,476 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$295.16–$590.32 |
$628–$1,256 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$77.08 |
$164 |
0.4× |
| Injx anterior chamber eye air/liquid spx (66020) |
$2,256.47 |
$4,801 |
1.0× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$1,106.37 |
$2,353.97 |
0.5× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$934.83 |
$1,989 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$2,370.68 |
$5,044 |
0.8× |
| Ins cath ren art 1st unilat (36251) |
$2,370.68 |
$5,044 |
0.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,272.93 |
$11,219 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$3,513.72 |
$7,476 |
0.7× |
| Ins/Rep Subq Defibrillator (33270) |
$40,592.49 |
$86,367 |
1.4× |
| Insert 1 Electrode Pm-Defib (33216) |
$9,446.06 |
$20,098 |
1.2× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$4,747.69 |
$10,101.47 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$99.22 |
$211.10 |
0.8× |
| Insert cath pleura w/o image (32556) |
$1,492.72 |
$3,176 |
0.8× |
| Insert Drug Implant Device (11981) |
$52.64 |
$112 |
0.4× |
| Insert eye socket implant (67550) |
$3,323.84 |
$7,072 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,764.38 |
$3,754 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$12,855.91 |
$27,353 |
1.3× |
| Insert Heart Pm Ventricular (33207) |
$12,672.61 |
$26,963 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$791.95 |
$1,685 |
0.3× |
| Insert pessary/other device (57160) |
$133.95 |
$285 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$812.63 |
$1,729 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$58.75 |
$125 |
0.5× |
| Insert tunneled cv cath (36561) |
$3,081.32 |
$6,556 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$320.07 |
$681 |
2.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$6,422.55 |
$13,665 |
1.9× |
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215)
unusually low: confirm this is the full procedure |
$3,540.04 |
$7,532 |
0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,352.19 |
$2,877 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,182.23 |
$17,409 |
1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$900.52 |
$1,916 |
0.3× |
| Insj Picc Rs&I <5 Yr (36572) |
$766.57 |
$1,631 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,265.09 |
$6,947 |
1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$975.25 |
$2,075 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,212.76 |
$4,708 |
0.8× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$38,272.10 |
$81,430 |
1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,736.82 |
$12,206 |
0.7× |
| Insrt heart pm atrial & vent (33208) |
$12,049.39 |
$25,637 |
1.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$568.23 |
$1,209 |
1.1× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$251.92 |
$536 |
1.1× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,076.77 |
$2,291 |
0.3× |
| Intro cath dialysis circuit (36901) |
$845.53 |
$1,799 |
0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,049.86 |
$25,638 |
1.1× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$5,961.95 |
$12,685 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$214.79 |
$457 |
1.0× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
$429.58 |
$914 |
0.8× |
| Iridotomy/irridectomy laser surg per session (66761) |
$463.42 |
$986 |
0.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$148.05 |
$315 |
0.6× |
| Island pedicle flap graft (15740) |
$1,212.60 |
$2,580 |
0.6× |
Lap insert tunnel ip cath (49324)
unusually low: confirm this is the full procedure |
$2,045.70 |
$4,352.56 |
0.4× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$4,102.01 |
$8,727.69 |
0.4× |
Lap revision perm ip cath (49325)
unusually low: confirm this is the full procedure |
$2,305.10 |
$4,904.46 |
0.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$3,117.64 |
$6,633.27 |
0.6× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure |
$4,808.05 |
$10,229.90 |
0.5× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$3,274.17 |
$6,966.33 |
0.6× |
| Laparoscopy, surgical, appendectomy (44970) |
$4,133.25 |
$8,794.15 |
0.7× |
| Laparoscopy, surgical, splenectomy (38120) |
$7,185.63 |
$15,288.58 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,434.79 |
$7,308.07 |
0.6× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$3,514.49 |
$7,477.64 |
0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,632.21 |
$7,728.11 |
0.6× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$3,003.77 |
$6,391 |
0.9× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$1,568.86 |
$3,338 |
0.9× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$1,568.86 |
$3,338 |
0.9× |
| Laryngoscopy W/Biopsy (31535) |
$2,484.89 |
$5,287 |
0.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,847.26 |
$6,058 |
1.7× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$463.42 |
$986 |
0.9× |
| Laser treatment of retina (67040) |
$3,249.20 |
$6,913.19 |
0.8× |
| Laser vaporization of prostate (52648) |
$5,122.12 |
$10,898.12 |
1.0× |
| Late closure of wound (13160) |
$2,476.57 |
$5,269.29 |
0.8× |
| Ligation of a-v fistula (37607) |
$2,088.68 |
$4,444 |
0.7× |
| Ligation of hemorrhoids (46946) |
$1,232.81 |
$2,623 |
0.5× |
| Lip Surgery Procedure (40799) |
$200.22 |
$426 |
0.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,831.90 |
$6,025.33 |
0.9× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,611.95 |
$7,685 |
1.1× |
| Manipulation knee joint under general anesthesia (27570) |
$1,721.14 |
$3,662 |
1.1× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$852.58 |
$1,814 |
0.6× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$5,666.69 |
$12,056.78 |
3.8× |
| Marsupialization of bartholin's gland cyst (56440) |
$1,233.12 |
$2,623.65 |
0.4× |
| Mast mod rad (19307) |
$4,690.17 |
$9,979.09 |
0.8× |
| Mastectomy partial (19301) |
$3,945.83 |
$8,395.39 |
1.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$5,363.11 |
$11,410.87 |
0.9× |
| Mastectomy simple complete (19303) |
$4,713.63 |
$10,029 |
0.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,214.95 |
$2,585 |
0.8× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$3,897.24 |
$8,292 |
0.7× |
| Mediastinoscpy w/lmph nod bx (39402) |
$3,897.24 |
$8,292 |
0.7× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,350.16 |
$7,128 |
1.0× |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines |
$305.03–$610.06 |
$649–$1,298 |
varies |
| N block inj intercost sng (64420) |
$784.43 |
$1,669 |
1.2× |
| N Block Inj Plantar Digit (64455) |
$197.40 |
$420 |
0.7× |
| N Block Inj Pudendal (64430) |
$2,052.68 |
$4,367.40 |
2.5× |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
$851.17–$1,702.34 |
$1,811–$3,622 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$102.93 |
$219 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$6,012.24 |
$12,792 |
0.9× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$6,012.24 |
$12,792 |
0.9× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$6,012.24 |
$12,792 |
0.9× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$6,012.24 |
$12,792 |
0.9× |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
$470–$940 |
$1,000–$2,000 |
varies |
| Needle Biopsy Pancreas (48102) |
$434.28 |
$924 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32.90 |
$70 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$48.41 |
$103 |
1.8× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$329 |
$700 |
1.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,590.78 |
$3,384.64 |
0.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,243.62 |
$2,646.01 |
0.7× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$694.66 |
$1,478 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$954.10 |
$2,030 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$223.25 |
$475 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$434.75 |
$925 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,691.22 |
$5,726 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$789.13 |
$1,679 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$626.51 |
$1,333 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$626.51 |
$1,333 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$789.60 |
$1,680 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$789.13 |
$1,679 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$626.51 |
$1,333 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$789.60 |
$1,680 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$648.13 |
$1,379 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$648.13 |
$1,379 |
1.0× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$312.55–$625.10 |
$665–$1,330 |
varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,464.62 |
$15,882.16 |
1.1× |
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure |
$3,726.61 |
$7,928.96 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$3,165.82 |
$6,735.79 |
0.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,619.16 |
$14,083.31 |
1.0× |
Open treatment of mandibular fracture with external fixation Facility (21454)
likely a partial charge, not the full procedure |
$1,547.71 |
$3,293 |
0.3× |
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure |
$5,766.98 |
$12,270.16 |
0.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$5,739.77 |
$12,212.27 |
0.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,187.55 |
$15,292.66 |
1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,498.68 |
$7,444 |
1.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,160.03 |
$15,234.10 |
1.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$1,409.30 |
$2,998.52 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,269.79 |
$6,957 |
1.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,795.31 |
$8,075.12 |
1.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$9,079.57 |
$19,318.23 |
1.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$6,986.62 |
$14,865.14 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$5,543.19 |
$11,794.02 |
0.8× |
| Open/Perq Place Stent 1St (37236) |
$11,272.95 |
$23,985 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,272.95 |
$23,985 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$5,860.70 |
$12,469.58 |
0.9× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$6,984.59 |
$14,860.82 |
0.6× |
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
unusually low: confirm this is the full procedure |
$4,861.97 |
$10,344.61 |
0.4× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$37,498.96 |
$79,785.02 |
5.5× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$4,027.18 |
$8,568.47 |
0.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,668.50 |
$3,550 |
1.1× |
| Partial removal of thyroid (60220) |
$2,922.38 |
$6,217.84 |
0.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$3,115.35 |
$6,628.41 |
0.6× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,322.73 |
$4,941.98 |
0.8× |
| Penile Injection (54235) |
$166.38 |
$354 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$635.44 |
$1,352 |
1.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$1,604.69 |
$3,414.23 |
0.5× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$1,305.88 |
$2,778.47 |
0.4× |
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines |
$485.51–$1,441.49 |
$1,033–$3,067 |
varies |
| Peritoneal Lavage (49084) |
$971.49 |
$2,067 |
1.1× |
| Perq dev breast 1st strtctc (19283) |
$785.37 |
$1,671 |
1.2× |
| Perq dev breast 1st us imag (19285) |
$121.26 |
$258 |
0.2× |
| Perq device breast 1st imag (19281) |
$121.26 |
$258 |
0.1× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$8,952.67 |
$19,048.24 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$594.08 |
$1,264 |
0.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,232.85 |
$2,623.09 |
0.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,049.86 |
$25,638 |
1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,961.95 |
$12,685 |
1.1× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
$867.15 |
$1,845 |
0.9× |
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines |
$2,421.91–$4,843.82 |
$5,153–$10,306 |
varies |
| Place Cath Thoracic Aorta (36221) |
$2,421.91 |
$5,153 |
0.8× |
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines |
$3,960.69–$7,921.38 |
$8,427–$16,854 |
varies |
| Place Rt Device/Marker Pros (55876) |
$1,072.07 |
$2,281 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$132.54 |
$282 |
0.3× |
| Placement of seton (46020) |
$1,992.34 |
$4,239.02 |
0.8× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure |
$2,691.22 |
$5,726 |
0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,090.57 |
$10,831 |
0.9× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,177.05 |
$11,015 |
0.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$5,177.05 |
$11,015 |
0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,862.14 |
$3,962 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$1,862.14 |
$3,962 |
0.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$2,773 |
$5,900 |
0.8× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$2,773 |
$5,900 |
0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,773 |
$5,900 |
0.8× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$3,571.53 |
$7,599 |
0.2× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$171.55 |
$365 |
0.6× |
| Probing nasolacrimal duct (68810) |
$282 |
$600 |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$778.85 |
$1,657.13 |
0.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$807.46 |
$1,718 |
0.7× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$463.42 |
$986 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,691.22 |
$5,726 |
0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,691.22 |
$5,726 |
0.8× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,343.51 |
$2,858.53 |
0.4× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$1,470.16 |
$3,128 |
0.5× |
| Prtl Exchange Transfuse Nb (36456) |
$438.04 |
$932 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$149.93 |
$319 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$127.37 |
$271 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$759.99 |
$1,617 |
1.2× |
| Pvb thoracic cont infusion (64463) |
$723.33 |
$1,539 |
1.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$723.33 |
$1,539 |
1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$1,734.56 |
$3,690.56 |
0.6× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$6,682.38 |
$14,217.82 |
1.0× |
| Reduction of rectal prolapse (45900) |
$547.08 |
$1,164 |
0.6× |
| Relocation Pocket Pacemaker (33222) |
$2,005.96 |
$4,268 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,537.69 |
$7,527 |
1.2× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$596.90 |
$1,270 |
0.7× |
| Removal Embedded Foreign Body Eyelid (67938) |
$68.15 |
$145 |
0.2× |
| Removal foreign body foot deep (28192) |
$1,360.65 |
$2,895 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$716.75 |
$1,525 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$381.17 |
$811 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72.38 |
$154 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58.75 |
$125 |
1.1× |
| Removal Implant Deep (20680) |
$1,599.75 |
$3,403.71 |
0.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,528.44 |
$3,252 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$253.80 |
$540 |
0.6× |
| Removal of kidney stone (50081) |
$6,911 |
$14,704.25 |
0.8× |
| Removal of nail bed (11750) |
$399.97 |
$851 |
1.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$92.59 |
$197 |
0.4× |
| Removal ppm generator only (33233) |
$9,446.06 |
$20,098 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$77.08 |
$164 |
0.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,519.51 |
$3,233 |
2.3× |
| Removal sweat gland lesion (11450) |
$1,755.25 |
$3,734.58 |
0.6× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,026.17 |
$4,311 |
1.4× |
| Remove drug implant device (11982) |
$49.82 |
$106 |
0.1× |
| Remove Elctrd Transvenously (33244) |
$3,545.21 |
$7,543 |
1.0× |
| Remove foreign body from eye (65235) |
$2,369.74 |
$5,042 |
1.1× |
| Remove foreign body from eye (65205) |
$84.13 |
$179 |
0.7× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$556.01 |
$1,183 |
0.3× |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
$112.33–$133.95 |
$239–$285 |
varies |
| Remove Nasal Foreign Body (30300) |
$58.75 |
$125 |
0.5× |
| Remove prostate regrowth (52630) |
$3,791.48 |
$8,066.98 |
0.8× |
| Remove Pulse Generator (33241) |
$3,545.21 |
$7,543 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$678.68 |
$1,444 |
1.0× |
| Remove ureter stent percut (50384) |
$1,516.69 |
$3,227 |
0.8× |
| Remove&replace pm gen singl (33227) |
$10,077.74 |
$21,442 |
1.3× |
| Remove/Insert Drug Implant (11983) |
$49.82 |
$106 |
0.1× |
| Remv&replc cvd gen dual lead (33263) |
$28,480.12 |
$60,596 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$39,904.41 |
$84,903 |
1.4× |
| Remv&replc cvd gen sing lead (33262) |
$28,075.45 |
$59,735 |
1.4× |
| Remv&replc pm gen dual lead (33228) |
$12,672.61 |
$26,963 |
1.3× |
| Remv&replc pm gen mult leads (33229) |
$23,005.56 |
$48,948 |
1.3× |
| Renal Biopsy Perq (50200) |
$844.59 |
$1,797 |
0.5× |
| Repair Achilles Tendon (27650) |
$6,954.67 |
$14,797.18 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$388.22 |
$826 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$388.22 |
$826 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$249.10 |
$530 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$364.72 |
$776 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$248.63 |
$529 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$274.48 |
$584 |
0.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$367.54 |
$782 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$367.54 |
$782 |
0.5× |
| Repair Detached Retina (67101) |
$1,809.50 |
$3,850 |
0.8× |
| Repair detached retina (67105) |
$463.42 |
$986 |
0.9× |
| Repair Elbow Perc (24357) |
$4,164.67 |
$8,861 |
1.4× |
| Repair Entropion Extensive (67924) |
$792.07 |
$1,685.26 |
0.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,668.50 |
$3,550 |
1.1× |
| Repair Finger/Hand Tendon (26350) |
$2,961 |
$6,300 |
1.0× |
| Repair Hand Tendon (26410) |
$1,724.20 |
$3,668.52 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,652.99 |
$3,516.99 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$249.10 |
$530 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$118.44 |
$252 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$118.44 |
$252 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$412.66 |
$878 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$596.90 |
$1,270 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$118.44 |
$252 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$118.44 |
$252 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$118.44 |
$252 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$192.42 |
$409.41 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$119.38 |
$254 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$282.47 |
$601 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$192.42 |
$409.41 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$118.44 |
$252 |
0.3× |
| Repair of nail bed (11760) |
$119.85 |
$255 |
0.2× |
| Repair of Ruptured Tendon (24342) |
$4,582.18 |
$9,749.31 |
0.7× |
| Repair retinal detach cplx (67113) |
$3,508.41 |
$7,464.70 |
0.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,905.13 |
$14,691.77 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,081.63 |
$4,429 |
0.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$5,203.78 |
$11,071.88 |
0.8× |
| Repair tongue laceration (41252) |
$568.23 |
$1,209 |
2.6× |
| Repair tongue laceration (41250) |
$126.90 |
$270 |
0.3× |
| Repair Tooth Socket (41874) |
$2,180.33 |
$4,639 |
0.7× |
| Repair/Revise Wrist Joint (25320) |
$4,728.72 |
$10,061.11 |
0.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$851.17 |
$1,811 |
1.0× |
| Replace G-J Tube Perc (49452) |
$918.85 |
$1,955 |
1.1× |
| Replace g/c tube perc (49450) |
$479.40 |
$1,020 |
0.6× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$1,825.74 |
$3,884.55 |
0.5× |
| Reposition Gastrostomy Tube (43761) |
$286.23 |
$609 |
1.2× |
| Reposition Venous Catheter (36597) |
$1,214.95 |
$2,585 |
0.8× |
| Rerepair ing hernia reduce (49520) |
$2,290.28 |
$4,872.94 |
0.7× |
| Retrobulbar injection (67500) |
$171.55 |
$365 |
0.6× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$2,865.51 |
$6,096.82 |
0.2× |
| Revise eyelashes (67825) |
$282 |
$600 |
1.0× |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure |
$3,554.60 |
$7,562.97 |
0.3× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$6,202.77 |
$13,197.38 |
2.9× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$30,974.60 |
$65,903.40 |
1.9× |
| Revj/rpr oprative wound anterior segment (66250) |
$1,406.24 |
$2,992 |
0.6× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,593.30 |
$3,390 |
0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$918.85 |
$1,955 |
1.1× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,739.47 |
$3,701 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$149.93 |
$319 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$149.93 |
$319 |
1.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$147.58 |
$314 |
0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,500 |
$3,191.50 |
0.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,253.03 |
$9,049 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,114.84 |
$2,372 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$556.95 |
$1,185 |
1.0× |
| Rmvl/revj sling stress incontinence (57287) |
$2,179.28 |
$4,636.76 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$209.62 |
$446 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$209.62 |
$446 |
0.9× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,904.60 |
$6,180 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$900.52 |
$1,916 |
0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,913.84 |
$4,072 |
0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,063.96 |
$8,646.73 |
0.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$1,712.72 |
$3,644.08 |
0.5× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$5,789.88 |
$12,318.89 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$3,187.01 |
$6,780.87 |
0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$118.44 |
$252 |
0.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$404.67 |
$861 |
1.8× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$3,318.13 |
$7,059.86 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$543.79 |
$1,157 |
1.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$542.85 |
$1,155 |
1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$673.98 |
$1,434 |
0.5× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$3,864.22 |
$8,221.74 |
1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$2,851.96 |
$6,068 |
0.9× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$1,350.60 |
$2,873.61 |
0.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,569.06 |
$3,338.42 |
0.5× |
| Scleral Reinforcement Spx W/Graft (67255) |
$2,918.01 |
$6,208.54 |
0.8× |
| Sclerotx Fluid Collection (49185) |
$1,164.19 |
$2,477 |
0.8× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$405.61 |
$863 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$610.06 |
$1,298 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,022.72 |
$2,176 |
0.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$77.08 |
$164 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$77.08 |
$164 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$77.08 |
$164 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$77.08 |
$164 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$77.08 |
$164 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$226.54 |
$482 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$77.08 |
$164 |
0.2× |
| Shoulder arthroscopy diagnostic (29805) |
$7,862.50 |
$16,728.73 |
2.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$77.08 |
$164 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$77.08 |
$164 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$77.08 |
$164 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$134.89 |
$287 |
0.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,460.76 |
$3,108 |
1.3× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,282.16 |
$2,728 |
1.2× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,069.25 |
$2,275 |
1.0× |
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure |
$1,460.76 |
$3,108 |
0.3× |
| Sigmoidoscopy W/Resection (45349) |
$1,069.25 |
$2,275 |
0.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$608.65 |
$1,295 |
0.7× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,282.16 |
$2,728 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$118.44 |
$252 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$118.44 |
$252 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$118.44 |
$252 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$118.44 |
$252 |
0.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$218.08 |
$464 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$118.44 |
$252 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$118.44 |
$252 |
0.6× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,210.72 |
$2,576 |
0.6× |
Skin Tissue Procedure (17999)
range across 2 matching MRF lines |
$31.49–$1,090.87 |
$67–$2,321 |
varies |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
$2,421.91–$4,843.82 |
$5,153–$10,306 |
varies |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
$2,421.91–$4,843.82 |
$5,153–$10,306 |
varies |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
$3,960.69–$7,921.38 |
$8,427–$16,854 |
varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,054.30 |
$8,626.17 |
0.9× |
| Small bowel endoscopy (44384) |
$1,101.21 |
$2,343 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$118.44 |
$252 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$118.44 |
$252 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,465.93 |
$3,119 |
3.9× |
| Sphincterotomy anal division sphincter spx (46080) |
$1,367.60 |
$2,909.79 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$346.86 |
$738 |
0.5× |
| Strapping ankle (29540) |
$92.59 |
$197 |
0.6× |
| Strapping hand/finger (29280) |
$92.59 |
$197 |
1.7× |
| Strapping knee (29530) |
$92.59 |
$197 |
0.7× |
| Strapping shoulder (29240) |
$92.59 |
$197 |
0.7× |
| Strapping toes (29550) |
$92.59 |
$197 |
1.7× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$92.59–$185.18 |
$197–$394 |
varies |
| Subconjunctival injection (68200) |
$84.13 |
$179 |
0.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$334.17 |
$711 |
0.8× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$1,585.78 |
$3,374 |
0.7× |
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure |
$2,182.10 |
$4,642.77 |
0.3× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$16,042.64 |
$34,133.27 |
2.4× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,706.90 |
$3,631.70 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$149.93 |
$319 |
0.4× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$36,268.49 |
$77,167 |
1.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$32,314.38 |
$68,754 |
1.8× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$4,867.79 |
$10,357 |
1.7× |
| Tenotomy Hip Abd/Ext Open (27006) |
$5,162.48 |
$10,984 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$3,141.95 |
$6,685 |
1.0× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$3,141.95 |
$6,685 |
1.0× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$3,096.36 |
$6,588 |
0.5× |
| Tenotomy, hip flexor(s), open (27005) |
$1,676.49 |
$3,567 |
0.6× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,438.67 |
$3,061 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$772.68 |
$1,644 |
1.2× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,438.67 |
$3,061 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,438.67 |
$3,061 |
1.0× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$3,450.27 |
$7,341 |
0.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$18,264.20 |
$38,860 |
1.1× |
| Thrombolytic Art Therapy (37211) |
$4,850.87 |
$10,321 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$368.01 |
$783 |
1.2× |
| Thyroidectomy, total or complete (60240) |
$4,668.43 |
$9,932.83 |
0.8× |
| Tooth extraction (41899) |
$84.60 |
$180 |
0.4× |
| Total Knee Arthroplasty (27447) |
$8,796.16 |
$18,715.23 |
0.7× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$1,257.31 |
$2,675.12 |
0.3× |
| Trabeculoplasty by laser surgery (65855) |
$463.42 |
$986 |
0.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$822.03 |
$1,749 |
1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$568.23 |
$1,209 |
2.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$880.78 |
$1,874 |
0.6× |
| Transfusion Intrauterine Fetal (36460) |
$463.42 |
$986 |
1.1× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$2,899.90 |
$6,170 |
0.6× |
| Transur electr resection of prostate (52601) |
$5,616.53 |
$11,950.06 |
1.1× |
| Treat ectopic pregnancy (59151) |
$3,373.31 |
$7,177.25 |
0.6× |
| Treat Finger Fracture Each (26727) |
$1,272.99 |
$2,708.49 |
0.4× |
| Treat fracture radius/ulna (25575) |
$7,775.42 |
$16,543.44 |
1.2× |
| Treat Fx Rad Extra-Articul (25607) |
$5,767.40 |
$12,271.06 |
0.9× |
| Treat Humerus Fracture (24505) |
$1,675.55 |
$3,565 |
1.1× |
| Treat humerus fracture (23600) |
$1,090.87 |
$2,321 |
4.7× |
| Treat Kneecap Fracture (27524) |
$6,852.71 |
$14,580.23 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$146.17 |
$311 |
0.6× |
| Treat metacarpal fracture (26607) |
$3,498.68 |
$7,444 |
1.1× |
| Treat Thumb Dislocation (26641) |
$123.14 |
$262 |
0.5× |
| Treat toe dislocation (28630) |
$146.17 |
$311 |
0.6× |
| Treat Vaginal Bleeding (57180) |
$119.85 |
$255 |
0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,668.50 |
$3,550 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$113.74 |
$242 |
0.5× |
| Treatment extensive retinopathy photocoagulation (67228) |
$463.42 |
$986 |
0.9× |
| Treatment of ankle fracture (27823) |
$9,414.75 |
$20,031.39 |
1.4× |
| Trim skin lesion (11055) |
$77.08 |
$164 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$77.08 |
$164 |
0.4× |
| Trim skin lesions over 4 (11057) |
$77.08 |
$164 |
0.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$39.01 |
$83 |
0.7× |
| Trluml Balo Angiop 1St Art (37246) |
$5,961.95 |
$12,685 |
1.1× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,961.95 |
$12,685 |
1.1× |
| Trnsplj Don-Drv Cll-Fr Dna (0118U) |
$1,159.96 |
$2,468 |
0.4× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,150.72 |
$4,576 |
0.7× |
| Tx Gastro Intub W/Asp (43753) |
$133.48 |
$284 |
0.7× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$8,909.01 |
$18,955.33 |
1.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,899.43 |
$6,169 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$394.80 |
$840 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$275.42 |
$586 |
0.7× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$8,870.08 |
$18,872.51 |
0.7× |
| Unlisted procedure anus (46999) |
$3,215.27 |
$6,841 |
3.7× |
Unlisted Procedure Biliary Tract (47999)
range across 3 matching MRF lines |
$760.93–$4,164.67 |
$1,619–$8,861 |
varies |
Unlisted procedure colon (45399)
range across 2 matching MRF lines |
$1,134.58–$3,264.15 |
$2,414–$6,945 |
varies |
Unlisted Procedure Endocrine System (60699)
likely a partial charge, not the full procedure |
$1,360.65 |
$2,895 |
0.2× |
| Unlisted procedure femur or knee (27599) |
$9,287.51 |
$19,760.67 |
40.4× |
Unlisted Procedure Intestine (44799)
range across 5 matching MRF lines |
$227.48–$1,725.37 |
$484–$3,671 |
varies |
| Unlisted procedure lungs and pleura (32999) |
$163.09 |
$347 |
0.3× |
Unlisted procedure nervous system (64999)
range across 5 matching MRF lines |
$197.87–$784.43 |
$421–$1,669 |
varies |
| Unlisted procedure pancreas (48999) |
$3,044.19 |
$6,477 |
4.6× |
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines |
$159.80–$261.79 |
$340–$557 |
varies |
Unlisted procedure stomach (43999)
range across 2 matching MRF lines |
$1,090.87–$1,697.64 |
$2,321–$3,612 |
varies |
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines |
$47.47–$4,420.35 |
$101–$9,405 |
varies |
| Urine Flow Measurement (51736) |
$95.88 |
$204 |
0.8× |
| Vaginal delivery only (59409) |
$3,243 |
$6,900 |
1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,357.35 |
$2,887.98 |
0.7× |
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure |
$3,022.10 |
$6,430 |
0.3× |
| Vitrectomy mechanical pars plana (67036) |
$3,094.22 |
$6,583.45 |
0.8× |
| Vitrectomy pars plana remove int memb retina (67042) |
$2,414.51 |
$5,137.25 |
0.6× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$1,969.74 |
$4,190.94 |
0.5× |
| Vulvectomy simple partial (56620) |
$2,013.58 |
$4,284.22 |
0.7× |
| Wedge excision skin nail fold (11765) |
$113.27 |
$241 |
0.3× |
| Windowing of cast (29730) |
$85.54 |
$182 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$274.48 |
$584 |
0.7× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$6,034.67 |
$12,839.73 |
1.2× |
| Xtroral I&D Floor Masticator Space (41018) |
$456.37 |
$971 |
0.3× |