| Abd paracentesis w/imaging (49083) |
$2,659.70 |
$2,659.70 |
2.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$3,189 |
$3,189 |
3.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$4,914.85 |
$4,914.85 |
1.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$4,943.50 |
$4,943.50 |
2.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,503.75 |
$2,503.75 |
0.7× |
| Amputation Finger/Thumb (26951) |
$3,179.60 |
$3,179.60 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$6,793.50 |
$6,793.50 |
2.1× |
| Amputation of penis; partial (54120) |
$8,062.95 |
$8,062.95 |
2.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,661.76 |
$2,661.76 |
0.8× |
| Amputation, foot; transmetatarsal (28805) |
$6,528.63 |
$6,528.63 |
2.0× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$5,007.50 |
$5,007.50 |
1.5× |
| Ankle arthroscopy/surgery (29892) |
$3,798.60 |
$3,798.60 |
0.5× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$3,972.78 |
$3,972.78 |
1.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$5,007.50 |
$5,007.50 |
1.8× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$3,399.61 |
$3,399.61 |
0.7× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$1,890.24 |
$1,890.24 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$387.90 |
$387.90 |
2.9× |
| Application short leg splint calf foot (29515) |
$454.20 |
$454.20 |
2.8× |
| Apply short leg cast (29405) |
$857.90 |
$857.90 |
3.1× |
| Arterial puncture (36600) |
$393.64 |
$393.64 |
2.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$2,727 |
$2,727 |
8.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$5,575.86 |
$5,575.86 |
18.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$854.30 |
$854.30 |
2.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$4,691.60 |
$4,691.60 |
15.2× |
| Arthrodesis ankle open (27870) |
$9,790.14 |
$9,790.14 |
0.8× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
unusually low: confirm this is the full procedure |
$5,682.74 |
$5,682.74 |
0.4× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,741.10 |
$1,741.10 |
0.2× |
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure |
$5,138.10 |
$5,138.10 |
0.3× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$10,142.25 |
$10,142.25 |
0.6× |
Arthrodesis tibiofibular joint proximal or distal (27871)
likely a partial charge, not the full procedure |
$3,104.85 |
$3,104.85 |
0.2× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$54,515 |
$54,515 |
2.0× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,686.13 |
$2,686.13 |
0.4× |
| Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) |
$14,311.62 |
$14,311.62 |
0.8× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$17,613.72 |
$17,613.72 |
1.0× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
$8,161.85 |
$8,161.85 |
0.6× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$4,203.55 |
$4,203.55 |
0.3× |
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure |
$9,384.72 |
$9,384.72 |
0.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$23,012.54 |
$23,012.54 |
1.3× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$19,415.04 |
$19,415.04 |
1.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$8,486.85 |
$8,486.85 |
1.2× |
| Arthroscopy ankle; ext debridem (29898) |
$3,597.12 |
$3,597.12 |
1.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$9,513.27 |
$9,513.27 |
2.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,485.77 |
$3,485.77 |
1.1× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,738.62 |
$5,738.62 |
1.7× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$5,126.40 |
$5,126.40 |
1.6× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$6,614.90 |
$6,614.90 |
2.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,548.40 |
$2,548.40 |
0.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,007.50 |
$5,007.50 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,281.15 |
$7,281.15 |
2.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,009.85 |
$4,009.85 |
0.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$15,256.90 |
$15,256.90 |
2.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,566.90 |
$6,566.90 |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,736.25 |
$4,736.25 |
1.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$5,121.76 |
$5,121.76 |
1.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,760 |
$8,760 |
1.2× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$5,629.25 |
$5,629.25 |
1.7× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$4,603.75 |
$4,603.75 |
2.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$635.60 |
$635.60 |
3.2× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$3,874.95 |
$3,874.95 |
3.2× |
| Biopsy of penis (54100) |
$3,146.30 |
$3,146.30 |
1.9× |
| Bladder Scan (51798) |
$50.37 |
$50.37 |
0.8× |
| Blepharoplasty upper eyelid (15822) |
$10,443.35 |
$10,443.35 |
5.0× |
| Blood transfusion service (36430) |
$430.50 |
$430.50 |
1.0× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) |
$5,926.90 |
$5,926.90 |
0.8× |
| Bone graft, any donor area; major or large (20902) |
$4,803.06 |
$4,803.06 |
0.7× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
unusually low: confirm this is the full procedure |
$2,848.60 |
$2,848.60 |
0.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$6,258 |
$6,258 |
3.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$5,095.90 |
$5,095.90 |
2.9× |
| Bronchoscopy W/Biopsy(S) (31625) |
$3,576 |
$3,576 |
2.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,576 |
$3,576 |
2.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,576 |
$3,576 |
2.0× |
| Bx prostate transrectal us gid w/MRI fus gdn 1st (55708) |
$12,394 |
$12,394 |
3.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,689.16 |
$1,689.16 |
0.5× |
| Capsular Contracture Release (23020) |
$4,973.26 |
$4,973.26 |
1.5× |
| Cataract surgery complex (66982) |
$5,939.18 |
$5,939.18 |
2.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$434.60 |
$434.60 |
2.0× |
| Cerv artific diskectomy (22856) |
$33,737.26 |
$33,737.26 |
1.9× |
| Cessj Therapy Cath Removal (37214) |
$10,344.04 |
$10,344.04 |
3.3× |
| Chemodenervation internal anal sphincter (46505) |
$2,503.75 |
$2,503.75 |
2.1× |
| Chest tube placement (32551) |
$2,512.10 |
$2,512.10 |
1.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$267 |
$267 |
2.0× |
| Circum 28 days or older (54161) |
$5,009.90 |
$5,009.90 |
2.4× |
| Circumcision (54150) |
$5,925.49 |
$5,925.49 |
2.8× |
| Claviculectomy; partial (23120) |
$4,741.83 |
$4,741.83 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$4,238.80 |
$4,238.80 |
2.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$9,916.90 |
$9,916.90 |
6.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$738.60 |
$738.60 |
3.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$768.70 |
$768.70 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$768.70 |
$768.70 |
3.1× |
| Coccygectomy Primary (27080) |
$8,133 |
$8,133 |
2.5× |
| Colonoscopy flex w/rem forcep (45384) |
$3,606.80 |
$3,606.80 |
3.0× |
| Colonoscopy stoma w/biopsy (44389) |
$3,350.60 |
$3,350.60 |
2.8× |
| Colonoscopy thru stoma (44388) |
$2,697.85 |
$2,697.85 |
2.9× |
| Colonoscopy w/ablation (45388) |
$3,567.80 |
$3,567.80 |
3.0× |
| Colonoscopy w/band ligation (45398) |
$3,874.96 |
$3,874.96 |
3.2× |
| Colonoscopy w/fb removal (45379) |
$3,488.90 |
$3,488.90 |
2.9× |
| Colonoscopy w/resection (45390) |
$9,012.67 |
$9,012.67 |
3.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
unusually low: confirm this is the full procedure |
$3,399.60 |
$3,399.60 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$3,518.10 |
$3,518.10 |
2.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$3,488.90 |
$3,488.90 |
2.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$3,518.10 |
$3,518.10 |
2.9× |
| Complex Drainage, Wound (10180) |
$11,454 |
$11,454 |
3.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$25.86 |
$25.86 |
0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$303.40 |
$303.40 |
2.3× |
| Correction hammertoe (28285) |
$2,454.49 |
$2,454.49 |
0.7× |
| Correction of bunion (28298) |
$5,925.80 |
$5,925.80 |
0.8× |
| Correction of bunion (28292) |
$3,926.68 |
$3,926.68 |
1.2× |
| Correction of bunion (28299) |
$5,129.63 |
$5,129.63 |
0.7× |
| Correction of bunion (28297) |
$6,832.22 |
$6,832.22 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,743.30 |
$3,743.30 |
1.1× |
| Create eardrum opening (69436) |
$3,277.84 |
$3,277.84 |
2.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,810.50 |
$3,810.50 |
1.8× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$3,082.76 |
$3,082.76 |
0.6× |
| Cysto w/destruction of lesions (52214) |
$1,565.05 |
$1,565.05 |
0.4× |
| Cysto w/removal of tumors small (52234) |
$3,462.95 |
$3,462.95 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,771.65 |
$2,771.65 |
1.3× |
| Cysto w/ureter stricture tx (52341) |
$2,661.25 |
$2,661.25 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,669.16 |
$1,669.16 |
0.5× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,115.66 |
$2,115.66 |
0.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,130.10 |
$3,130.10 |
0.6× |
| Cysto/uretero w/lithotripsy (52356) |
$4,155.80 |
$4,155.80 |
0.8× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,532.58 |
$3,532.58 |
0.7× |
Cystolithotomy w rem stone wo vn res (51050)
likely a partial charge, not the full procedure |
$1,598.80 |
$1,598.80 |
0.3× |
| Cystoscopy w/biopsy (52204) |
$4,575 |
$4,575 |
2.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$3,486.68 |
$3,486.68 |
1.7× |
| Cystoscopy,insert ureteral stent (52332) |
$3,127.73 |
$3,127.73 |
0.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,550.42 |
$4,550.42 |
2.2× |
| Cystourethro cut ejacul duct (52402) |
$3,130.10 |
$3,130.10 |
0.9× |
| Cystourethroscopy (52000) |
$2,503.75 |
$2,503.75 |
3.6× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,485.50 |
$2,485.50 |
1.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$1,565.05 |
$1,565.05 |
2.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,568.48 |
$1,568.48 |
0.7× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,621.39 |
$1,621.39 |
0.5× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,793.45 |
$2,793.45 |
1.3× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$1,953.22 |
$1,953.22 |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,780.89 |
$4,780.89 |
1.4× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,084.82 |
$3,084.82 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,650.30 |
$2,650.30 |
6.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,768.80 |
$1,768.80 |
2.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$4,291.31 |
$4,291.31 |
2.6× |
| Declot vascular device (36593) |
$1,161 |
$1,161 |
3.5× |
| Decompression of tibia nerve (28035) |
$4,175.12 |
$4,175.12 |
2.1× |
| Diagnostic sigmoidoscopy (45330) |
$2,675.30 |
$2,675.30 |
2.9× |
| Dil urethra,female,subsequent (53661) |
$6,677.58 |
$6,677.58 |
50.0× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$2,774.65 |
$2,774.65 |
0.8× |
| Dilate Urethra Stricture (53600) |
$5,806.73 |
$5,806.73 |
23.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,791.10 |
$2,791.10 |
3.1× |
| Drain shoulder lesion (23030) |
$9,610.40 |
$9,610.40 |
3.3× |
| Drainage Finger Abscess Simple (26010) |
$651.20 |
$651.20 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$2,503.47 |
$2,503.47 |
1.5× |
| Draw blood off venous device (36591) |
$267 |
$267 |
2.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$6,233.50 |
$6,233.50 |
3.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,282.10 |
$5,282.10 |
2.7× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$5,640 |
$5,640 |
2.9× |
| Egd endoscopic stent place (43266) |
$16,621.30 |
$16,621.30 |
2.7× |
| Egd flexible foreign body removal (43247) |
$2,799.10 |
$2,799.10 |
3.1× |
| Egd guide wire insertion (43248) |
$2,791.10 |
$2,791.10 |
3.1× |
| Egd injection varices (43243) |
$3,855 |
$3,855 |
2.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$5,519.20 |
$5,519.20 |
2.9× |
| Egd place gastrostomy tube (43246) |
$5,546.20 |
$5,546.20 |
2.9× |
| Egd rem tumr/polyp forcep (43250) |
$5,546.20 |
$5,546.20 |
2.9× |
| Egd remove lesion snare (43251) |
$2,778.95 |
$2,778.95 |
1.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$5,340.20 |
$5,340.20 |
2.8× |
| Egd tube/cath insertion (43241) |
$5,519.20 |
$5,519.20 |
2.9× |
| Egd Varices Ligation (43244) |
$2,778.95 |
$2,778.95 |
1.4× |
| Endoscopic Injection/Implant (51715) |
$3,942.90 |
$3,942.90 |
1.1× |
| Endoscopic Plantar Fasciotomy (29893) |
$5,101.40 |
$5,101.40 |
1.6× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$7,254 |
$7,254 |
3.5× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$12,558.30 |
$12,558.30 |
3.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$9,926.70 |
$9,926.70 |
2.6× |
| Esoph scope w/submucous inj (43201) |
$3,855 |
$3,855 |
2.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,081.23 |
$3,081.23 |
3.4× |
| Esophagoscopy flex biopsy (43202) |
$5,518.30 |
$5,518.30 |
2.9× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,513.78 |
$1,513.78 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,380.20 |
$3,380.20 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,711.20 |
$3,711.20 |
2.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,508.55 |
$2,508.55 |
1.5× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$7,507.90 |
$7,507.90 |
4.5× |
| Exc hand les sc < 1.5 cm (26115) |
$3,247.80 |
$3,247.80 |
2.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,634.26 |
$1,634.26 |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$3,752.27 |
$3,752.27 |
1.9× |
| Exc skin abd (15830) |
$8,351.30 |
$8,351.30 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,503.75 |
$2,503.75 |
3.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,557.70 |
$1,557.70 |
3.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,506.84 |
$2,506.84 |
3.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,570.17 |
$1,570.17 |
0.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$3,059.36 |
$3,059.36 |
4.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,660.05 |
$4,660.05 |
1.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$6,296.50 |
$6,296.50 |
2.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,887.97 |
$3,887.97 |
1.3× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,645 |
$3,645 |
1.2× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$4,424.51 |
$4,424.51 |
1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,319 |
$2,319 |
1.4× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$6,260.10 |
$6,260.10 |
1.8× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$7,021.20 |
$7,021.20 |
2.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$3,366.64 |
$3,366.64 |
2.1× |
| Excise excess skin tissue,thigh (15832) |
$7,363.70 |
$7,363.70 |
2.5× |
| Excise excessive skin buttck (15835) |
$3,031.62 |
$3,031.62 |
1.0× |
| Excise excessive skin hip (15834) |
$3,031.62 |
$3,031.62 |
1.0× |
| Excision hydrocele bilateral (55041) |
$3,529.02 |
$3,529.02 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,753.24 |
$1,753.24 |
1.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$18.90 |
$18.90 |
0.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,681.24 |
$2,681.24 |
3.8× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$6,150.35 |
$6,150.35 |
3.8× |
| Excision of hydrocele; unilateral (55040) |
$5,275.40 |
$5,275.40 |
1.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$4,489.91 |
$4,489.91 |
1.4× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$3,118.66 |
$3,118.66 |
1.9× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$4,245.10 |
$4,245.10 |
2.2× |
| Excision of neuroma; sciatic nerve (64786) |
$3,097.30 |
$3,097.30 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,357.96 |
$4,357.96 |
1.5× |
| Excision olecranon bursa (24105) |
$6,842.80 |
$6,842.80 |
2.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,716.06 |
$2,716.06 |
0.8× |
| Excision Prepatellar Bursa (27340) |
$6,347 |
$6,347 |
1.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,007.50 |
$5,007.50 |
3.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$4,511.85 |
$4,511.85 |
2.8× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$5,007.50 |
$5,007.50 |
1.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,052.23 |
$3,052.23 |
1.0× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$7,575.41 |
$7,575.41 |
2.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$6,793.50 |
$6,793.50 |
2.1× |
| Explore/treat ankle joint (27620) |
$3,350.42 |
$3,350.42 |
1.0× |
| Fasciotomy foot and/or toe (28008) |
$3,239.50 |
$3,239.50 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,134.80 |
$3,134.80 |
1.0× |
| Fix ectropion,entensv lid repair (67917) |
$3,843.60 |
$3,843.60 |
1.6× |
| Fixation of knee joint (27570) |
$3,053.60 |
$3,053.60 |
1.9× |
| Fixation of shoulder (23700) |
$3,945.10 |
$3,945.10 |
2.4× |
| Flap; neurovascular pedicle (15750) |
$1,887.70 |
$1,887.70 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,681.23 |
$2,681.23 |
1.3× |
| Fusion Finger Joint (26860) |
$7,256.20 |
$7,256.20 |
2.2× |
Fusion of foot bones (28715)
unusually low: confirm this is the full procedure |
$4,169.56 |
$4,169.56 |
0.3× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$3,743.04 |
$3,743.04 |
0.3× |
| Fusion of foot bones (28735) |
$10,101.13 |
$10,101.13 |
0.8× |
| Fusion of foot bones (28740) |
$4,846.20 |
$4,846.20 |
0.7× |
| Gastrocnemius Recession (27687) |
$3,782.60 |
$3,782.60 |
1.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$1,425.55 |
$1,425.55 |
0.4× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure |
$3,377.56 |
$3,377.56 |
0.5× |
| Hemorrhoidectomy (46255) |
$5,048.27 |
$5,048.27 |
1.8× |
| I&d abscess simple (10060) |
$999.42 |
$999.42 |
5.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$7,528.81 |
$7,528.81 |
2.6× |
| Image Cath Fluid Peri/Retro (49406) |
$3,318 |
$3,318 |
2.0× |
| Incise finger tendon sheath (26055) |
$2,285.90 |
$2,285.90 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$3,380.20 |
$3,380.20 |
8.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,720.16 |
$3,720.16 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$3,514.14 |
$3,514.14 |
8.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$591.60 |
$591.60 |
2.9× |
| Incision bone cortex foot (28005) |
$1,937.08 |
$1,937.08 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$3,187.76 |
$3,187.76 |
2.0× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
unusually low: confirm this is the full procedure |
$2,591.94 |
$2,591.94 |
0.4× |
Incision of heel bone (28300)
unusually low: confirm this is the full procedure |
$2,188.43 |
$2,188.43 |
0.3× |
| Incision of metatarsal (28308) |
$2,727 |
$2,727 |
0.8× |
| Incision of tibia (27705) |
$4,423.70 |
$4,423.70 |
0.6× |
| Incision of tibia & fibula (27709) |
$18,839.42 |
$18,839.42 |
1.5× |
| Incision thrombosed hemorrhoid external (46083) |
$800.90 |
$800.90 |
3.2× |
| Inj tendon sheath/ligament (20550) |
$3,583.33 |
$3,583.33 |
11.6× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,260 |
$1,260 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$4,501.87 |
$4,501.87 |
14.6× |
| Ins cath ren art 1st bilat (36252) |
$10,138.08 |
$10,138.08 |
3.2× |
| Ins cath ren art 1st unilat (36251) |
$10,926.94 |
$10,926.94 |
3.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$9,172 |
$9,172 |
2.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$19,564 |
$19,564 |
3.5× |
| Ins endovas vena cava filtr (37191) |
$18,209.57 |
$18,209.57 |
3.3× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$34,603.70 |
$34,603.70 |
3.3× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$36,113.30 |
$36,113.30 |
3.4× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$34,393.60 |
$34,393.60 |
3.3× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$26,106.80 |
$26,106.80 |
2.5× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$22,711.50 |
$22,711.50 |
2.7× |
| Ins/Rep Subq Defibrillator (33270) |
$111,617.30 |
$111,617.30 |
3.5× |
| Insert 1 electrode pm-defib (33216) |
$28,558.40 |
$28,558.40 |
3.4× |
| Insert Bladder Cath Complex (51703) |
$975.90 |
$975.90 |
7.5× |
| Insert non-tunnel cv cath (36556) |
$10,861.20 |
$10,861.20 |
3.4× |
| Insert pacing lead & connect (33224) |
$27,696.30 |
$27,696.30 |
2.6× |
| Insert pulse gen mult leads (33221) |
$63,143.30 |
$63,143.30 |
3.3× |
| Insert Temp Bladder Cath (51702) |
$369.40 |
$369.40 |
2.8× |
| Insert tunneled cv cath (36561) |
$7,920.50 |
$7,920.50 |
2.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$413.25 |
$413.25 |
3.1× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$2,793.42 |
$2,793.42 |
0.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$28,558.40 |
$28,558.40 |
3.4× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$29,095 |
$29,095 |
3.5× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$44,670 |
$44,670 |
2.0× |
| Insj inflatable urethral/bladder neck sphincter (53445) |
$12,599.34 |
$12,599.34 |
0.6× |
| Insj multi-component inflatable penile prosth (54405) |
$11,179.24 |
$11,179.24 |
0.5× |
Insj tun vad req 2 cath 2 sits w/subq port (36566)
likely a partial charge, not the full procedure |
$1,391.54 |
$1,391.54 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,344 |
$6,344 |
2.0× |
Insj/rplcmt breast implant sep day mastectomy (19342)
likely a partial charge, not the full procedure |
$1,185.70 |
$1,185.70 |
0.1× |
| Insj/rplcmt defib w/lead(s) (33249) |
$63,064 |
$63,064 |
2.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$28,312.95 |
$28,312.95 |
3.4× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$16,598 |
$16,598 |
2.0× |
| Insrt pulse gen w/dual leads (33230) |
$44,670 |
$44,670 |
2.0× |
| Insrt pulse gen w/mult leads (33231) |
$63,064 |
$63,064 |
2.0× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$4.80 |
$4.80 |
0.0× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$4,793.60 |
$4,793.60 |
3.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$34,852.70 |
$34,852.70 |
3.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$17,202.40 |
$17,202.40 |
3.0× |
| Intro Gastrointestinal Tube (44500) |
$1,822 |
$1,822 |
2.0× |
| Intubation endotracheal emergency procedure (31500) |
$603.10 |
$603.10 |
2.5× |
| Island pedicle flap graft (15740) |
$2,955.75 |
$2,955.75 |
1.4× |
| Kidney endoscopy (50551) |
$3,530.70 |
$3,530.70 |
0.7× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$22,389.09 |
$22,389.09 |
3.1× |
| Lap ing hernia repair init (49650) |
$4,188.50 |
$4,188.50 |
0.7× |
| Laparoscopy appendectomy (44970) |
$4,176.38 |
$4,176.38 |
0.7× |
Laparoscopy Remove Adnexa (58661)
unusually low: confirm this is the full procedure |
$2,503.75 |
$2,503.75 |
0.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,646.95 |
$4,646.95 |
0.8× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
unusually low: confirm this is the full procedure |
$3,954.45 |
$3,954.45 |
0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,611.57 |
$3,611.57 |
0.6× |
| Laser vaporization surgery prostate, complete (52648) |
$10,772 |
$10,772 |
2.0× |
| Late closure of wound (13160) |
$7,150.70 |
$7,150.70 |
2.0× |
| Lateral retinacular release open (27425) |
$12,426.94 |
$12,426.94 |
3.8× |
| Ligation of a-v fistula (37607) |
$1,391.53 |
$1,391.53 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,056.44 |
$2,056.44 |
0.6× |
| Lithotripsy (50590) |
$4,843.50 |
$4,843.50 |
1.4× |
| Liver Biopsy (47000) |
$3,318 |
$3,318 |
2.0× |
| Nerve Pedicle Xfer,First Stage (64905) |
$4,705.36 |
$4,705.36 |
0.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,793.60 |
$2,793.60 |
1.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$11,076.55 |
$11,076.55 |
1.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,138.71 |
$5,138.71 |
0.7× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$2,793.22 |
$2,793.22 |
0.4× |
Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420)
likely a partial charge, not the full procedure |
$2,185.40 |
$2,185.40 |
0.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$11,972.90 |
$11,972.90 |
1.6× |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
$3,974 |
$3,974 |
0.5× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$16,705.80 |
$16,705.80 |
1.3× |
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure |
$2,731.76 |
$2,731.76 |
0.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$9,407.49 |
$9,407.49 |
2.9× |
| Open tx carpal scaphoid navicular fracture (25628) |
$14,955.80 |
$14,955.80 |
2.1× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$10,132.60 |
$10,132.60 |
1.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$5,647.92 |
$5,647.92 |
1.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,296.09 |
$6,296.09 |
1.9× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$4,820.88 |
$4,820.88 |
1.5× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
unusually low: confirm this is the full procedure |
$3,396.75 |
$3,396.75 |
0.5× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
unusually low: confirm this is the full procedure |
$2,904.48 |
$2,904.48 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,059.30 |
$6,059.30 |
1.8× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$9,984.30 |
$9,984.30 |
0.8× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,713.49 |
$1,713.49 |
0.2× |
| Open/Perq Place Stent Same (37238) |
$33,815.94 |
$33,815.94 |
2.9× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$36,460.04 |
$36,460.04 |
3.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,558.64 |
$6,558.64 |
1.8× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$1,390.86 |
$1,390.86 |
0.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,651.22 |
$1,651.22 |
0.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$2,105.96 |
$2,105.96 |
0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,709.20 |
$3,709.20 |
1.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure |
$2,948.58 |
$2,948.58 |
0.4× |
| Osteotomy Fibula (27707) |
$5,264.90 |
$5,264.90 |
1.6× |
| Osteotomy Phalanx Finger Each (26567) |
$2,681.23 |
$2,681.23 |
0.8× |
| Osteotomy Radius Distal Third (25350) |
$6,437.13 |
$6,437.13 |
0.9× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
unusually low: confirm this is the full procedure |
$3,515.80 |
$3,515.80 |
0.5× |
| Partial excision bone metacarpal (26230) |
$2,848.60 |
$2,848.60 |
0.9× |
| Partial excision bone talus/calcaneus (28120) |
$1,616.79 |
$1,616.79 |
0.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,174.60 |
$4,174.60 |
1.3× |
| Partial Removal Foot Fascia (28060) |
$3,096.85 |
$3,096.85 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,175.24 |
$2,175.24 |
0.7× |
| Penis plastic surgery (54360) |
$5,895.80 |
$5,895.80 |
1.7× |
| Percut Mech Thrombectomy, Venous (37187) |
$39,133.50 |
$39,133.50 |
3.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$6,344 |
$6,344 |
2.0× |
| Peri-implant capsulectomy breast complete (19371) |
$10,614.50 |
$10,614.50 |
2.7× |
| Pericardiocentesis W/Imaging (33016) |
$5,808.90 |
$5,808.90 |
3.7× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,395.07 |
$3,395.07 |
1.0× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,419.45 |
$4,419.45 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$21,303.90 |
$21,303.90 |
2.9× |
| Place Cath Subclavian Art (36225) |
$10,329.30 |
$10,329.30 |
3.3× |
| Place Cath Thoracic Aorta (36221) |
$10,602.62 |
$10,602.62 |
3.3× |
| Place Cath Vertebral Art (36226) |
$18,653.70 |
$18,653.70 |
3.3× |
| Placement of needle for intraosseous infusion (36680) |
$1,571 |
$1,571 |
3.5× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$3,909.80 |
$3,909.80 |
1.2× |
| Prim art mech thrombectomy (37184) |
$56,823.90 |
$56,823.90 |
3.1× |
| Prostatectomy (turp) (52601) |
$4,379.05 |
$4,379.05 |
0.8× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
unusually low: confirm this is the full procedure |
$2,773.20 |
$2,773.20 |
0.4× |
| Puncture Aspiration (10160) |
$1,378.70 |
$1,378.70 |
3.4× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$6,955 |
$6,955 |
1.0× |
| Realignment extensor tendon hand each tendon (26437) |
$3,447.24 |
$3,447.24 |
1.0× |
| Reconstruct Shoulder Joint (23470) |
$14,299.54 |
$14,299.54 |
1.1× |
| Reconstruct wrist joint (25445) |
$7,240 |
$7,240 |
1.0× |
| Reduction of Large Breast (19318) |
$9,509.20 |
$9,509.20 |
1.4× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$14,889.08 |
$14,889.08 |
2.0× |
| Release palm contracture (26121) |
$2,715.54 |
$2,715.54 |
0.8× |
| Relocation of skin pocket for pacemaker (33222) |
$6,312.20 |
$6,312.20 |
3.0× |
| Rem endovas vena cava filter (37193) |
$8,310.60 |
$8,310.60 |
2.6× |
| Removal fb intranasal (30300) |
$925.10 |
$925.10 |
6.9× |
| Removal foreign body foot subcutaneous (28190) |
$4,771.92 |
$4,771.92 |
6.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,843.60 |
$3,843.60 |
2.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$6,661 |
$6,661 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$1,524.60 |
$1,524.60 |
25.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$3,277.84 |
$3,277.84 |
55.3× |
| Removal Implant Deep (20680) |
$3,553.14 |
$3,553.14 |
1.2× |
| Removal Implant From Finger/Hand (26320) |
$3,054 |
$3,054 |
1.8× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$13,139 |
$13,139 |
3.5× |
| Removal Intact Mammary Implant (19328) |
$1,537.93 |
$1,537.93 |
0.4× |
| Removal of adenoids (42835) |
$1,794.01 |
$1,794.01 |
0.5× |
| Removal of anal fissure (46200) |
$2,508.55 |
$2,508.55 |
0.9× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$3,133.13 |
$3,133.13 |
1.9× |
| Removal of finger lesion (26210) |
$4,174.60 |
$4,174.60 |
2.6× |
| Removal of heel bone (28118) |
$4,633.08 |
$4,633.08 |
1.4× |
| Removal of heel spur (28119) |
$5,430.40 |
$5,430.40 |
1.7× |
Removal of kidney stone (50081)
unusually low: confirm this is the full procedure |
$4,646.81 |
$4,646.81 |
0.5× |
| Removal of kneecap (27350) |
$5,218.45 |
$5,218.45 |
0.7× |
| Removal of nail bed (11750) |
$3,650.78 |
$3,650.78 |
8.9× |
| Removal of sesamoid bone (28315) |
$3,887.08 |
$3,887.08 |
1.2× |
| Removal of sperm cord lesion (55520) |
$2,811.64 |
$2,811.64 |
0.8× |
| Removal of tonsils (42825) |
$3,340.75 |
$3,340.75 |
0.6× |
| Removal of urethra (53210) |
$3,130.10 |
$3,130.10 |
0.9× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$6,084.55 |
$6,084.55 |
2.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,380.20 |
$3,380.20 |
1.0× |
| Removal ppm generator only (33233) |
$10,562.90 |
$10,562.90 |
1.3× |
| Removal subq cardiac rhythm monitor (33286) |
$2,370.10 |
$2,370.10 |
3.3× |
| Remove anal fist subq (46270) |
$3,096.68 |
$3,096.68 |
1.1× |
| Remove bladder stone (52318) |
$3,583.70 |
$3,583.70 |
1.0× |
| Remove femur lesion/bursa (27062) |
$2,757.02 |
$2,757.02 |
0.8× |
| Remove finger bone (26185) |
$5,916.70 |
$5,916.70 |
3.7× |
| Remove intrvas foreign body (37197) |
$6,344 |
$6,344 |
2.0× |
| Remove knee cyst (27347) |
$3,909.80 |
$3,909.80 |
1.2× |
| Remove prostate regrowth (52630) |
$5,256.79 |
$5,256.79 |
1.0× |
| Remove radius head implant (24164) |
$5,762.67 |
$5,762.67 |
1.8× |
| Remove wrist joint cartilage (25107) |
$11,440.19 |
$11,440.19 |
3.5× |
| Remove wrist joint implant (25449) |
$39,156 |
$39,156 |
5.4× |
| Remove wrist tendon lesion (25111) |
$3,045.60 |
$3,045.60 |
1.9× |
| Remove&replace pm gen singl (33227) |
$27,725.84 |
$27,725.84 |
3.3× |
| Remv&replc cvd gen dual lead (33263) |
$76,385 |
$76,385 |
3.4× |
| Remv&replc cvd gen mult lead (33264) |
$110,638 |
$110,638 |
3.5× |
| Remv&replc cvd gen sing lead (33262) |
$73,767.82 |
$73,767.82 |
3.3× |
| Remv&replc pm gen dual lead (33228) |
$33,789.26 |
$33,789.26 |
3.2× |
| Remv&replc pm gen mult leads (33229) |
$65,809.80 |
$65,809.80 |
3.4× |
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)
unusually low: confirm this is the full procedure |
$2,503.75 |
$2,503.75 |
0.5× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$3,117.33 |
$3,117.33 |
0.4× |
| Repair brow defect (67900) |
$9,201.24 |
$9,201.24 |
3.9× |
Repair collat ankle ligmnt,secondary (27698)
unusually low: confirm this is the full procedure |
$3,299.36 |
$3,299.36 |
0.5× |
| Repair elbow deb/attch open (24359) |
$4,638 |
$4,638 |
1.4× |
| Repair Entropion Suture (67921) |
$4,311.80 |
$4,311.80 |
1.8× |
| Repair eyelid defect (67924) |
$13,524.45 |
$13,524.45 |
5.7× |
| Repair finger tendon (26432) |
$3,380.20 |
$3,380.20 |
2.1× |
| Repair hallux rigidus (28289) |
$4,904.34 |
$4,904.34 |
1.5× |
| Repair incomplete circumcision (54163) |
$5,023.39 |
$5,023.39 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,557.70 |
$1,557.70 |
3.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,124.10 |
$1,124.10 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$3,059.36 |
$3,059.36 |
7.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,503.75 |
$2,503.75 |
6.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,139.10 |
$1,139.10 |
2.8× |
| Repair lead pace-defib dual (33220) |
$13,831.30 |
$13,831.30 |
3.7× |
| Repair lead pace-defib one (33218) |
$13,831.30 |
$13,831.30 |
3.7× |
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure |
$3,604 |
$3,604 |
0.5× |
| Repair of ankle ligament (27695) |
$3,949.90 |
$3,949.90 |
0.5× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,290.65 |
$6,290.65 |
0.9× |
| Repair Of Foot Tendon (28208) |
$3,693.30 |
$3,693.30 |
1.1× |
| Repair of hydrocele (55060) |
$6,988.30 |
$6,988.30 |
2.0× |
| Repair of leg tendon each (27658) |
$3,642.08 |
$3,642.08 |
1.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$9,944.41 |
$9,944.41 |
1.4× |
| Repair of thigh musc (27385) |
$10,186.90 |
$10,186.90 |
1.4× |
| Repair of tibia (27720) |
$6,338.05 |
$6,338.05 |
0.9× |
| Repair rectum & vagina (57250) |
$3,562.90 |
$3,562.90 |
0.7× |
| Repair rotator cuff acute (23410) |
$6,031.10 |
$6,031.10 |
0.8× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,606.84 |
$1,606.84 |
0.2× |
| Repair tympanic membrane (69610) |
$3,277.84 |
$3,277.84 |
2.1× |
| Repair wrist joints (25447) |
$5,611 |
$5,611 |
1.7× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$2,719.23 |
$2,719.23 |
0.8× |
| Repair/graft wrist bone (25440) |
$21,098.55 |
$21,098.55 |
2.9× |
| Reposition pacing-defib lead (33215) |
$10,329.30 |
$10,329.30 |
3.3× |
| Revis reconst shoulder joint (23473) |
$8,416.58 |
$8,416.58 |
0.7× |
| Revise arm/leg nerve (64708) |
$1,988 |
$1,988 |
1.0× |
| Revise finger joint each (26140) |
$2,550.71 |
$2,550.71 |
1.6× |
| Revise knuckle with implant (26531) |
$8,040.35 |
$8,040.35 |
1.1× |
| Revise median n/carpal tunnel surg (64721) |
$3,318.80 |
$3,318.80 |
1.7× |
| Revise reconst elbow joint (24370) |
$19,697.69 |
$19,697.69 |
1.5× |
| Revise ulnar nerve at elbow (64718) |
$5,587.69 |
$5,587.69 |
2.8× |
| Revise ulnar nerve at wrist (64719) |
$7,176.56 |
$7,176.56 |
3.7× |
| Revise vag graft via vagina (57295) |
$3,884.88 |
$3,884.88 |
1.2× |
| Revision of ankle joint (27700) |
$5,007.56 |
$5,007.56 |
0.7× |
Revision of big toe (28310)
likely a partial charge, not the full procedure |
$1,785.80 |
$1,785.80 |
0.2× |
| Revision of foot (28116) |
$6,828.72 |
$6,828.72 |
2.1× |
| Revision of penis (54300) |
$2,503.75 |
$2,503.75 |
0.7× |
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure |
$1,168.78 |
$1,168.78 |
0.2× |
| Revision of toe (28312) |
$3,395.63 |
$3,395.63 |
1.0× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$30,785.42 |
$30,785.42 |
1.7× |
| Revision of upper eyelid (15823) |
$8,094.58 |
$8,094.58 |
3.9× |
| Revision of urethra (53450) |
$3,133.19 |
$3,133.19 |
0.9× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$5,629.25 |
$5,629.25 |
1.6× |
| Revision peri-implant capsule breast (19370) |
$1,975.84 |
$1,975.84 |
0.5× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$1,565.05 |
$1,565.05 |
0.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$1,586.98 |
$1,586.98 |
0.5× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$20,011.25 |
$20,011.25 |
3.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$18,522.10 |
$18,522.10 |
3.2× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$64,453.10 |
$64,453.10 |
3.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$61,964.20 |
$61,964.20 |
3.4× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$64,453.10 |
$64,453.10 |
3.5× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$40,588.80 |
$40,588.80 |
3.5× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$39,133.50 |
$39,133.50 |
3.4× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$40,588.80 |
$40,588.80 |
3.5× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$40,588.80 |
$40,588.80 |
3.5× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$20,011.25 |
$20,011.25 |
3.5× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$18,737.63 |
$18,737.63 |
3.3× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$40,588.80 |
$40,588.80 |
3.5× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$39,133.50 |
$39,133.50 |
3.4× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$40,588.80 |
$40,588.80 |
3.5× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$39,133.50 |
$39,133.50 |
3.4× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$64,453.10 |
$64,453.10 |
3.5× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$59,013.50 |
$59,013.50 |
3.2× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$64,453.10 |
$64,453.10 |
3.5× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$56,823.90 |
$56,823.90 |
3.1× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$64,453.10 |
$64,453.10 |
3.5× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$59,013.50 |
$59,013.50 |
3.2× |
| Rmvl & rplcmt inflatable penile prosth same sess (54410) |
$12,102.97 |
$12,102.97 |
0.6× |
| Rmvl & rplcmt non-nfltbl/nfltbl penile prosthesi (54416) |
$16,437.90 |
$16,437.90 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,404 |
$2,404 |
2.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$12,725.80 |
$12,725.80 |
3.4× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$12,725.80 |
$12,725.80 |
3.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,498.40 |
$3,498.40 |
2.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,163 |
$3,163 |
2.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,012.30 |
$5,012.30 |
0.8× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$5,048.78 |
$5,048.78 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,503.75 |
$2,503.75 |
0.7× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$8,668.80 |
$8,668.80 |
1.3× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$3,597.52 |
$3,597.52 |
0.5× |
Rpr non/malunion metarsal w/wo bone graft (28322)
unusually low: confirm this is the full procedure |
$3,157.50 |
$3,157.50 |
0.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,863.90 |
$1,863.90 |
3.0× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$11,102 |
$11,102 |
3.5× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$5,535 |
$5,535 |
3.5× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$61,964.20 |
$61,964.20 |
3.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,720.40 |
$2,720.40 |
2.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,599.10 |
$3,599.10 |
3.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$3,874.50 |
$3,874.50 |
3.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,675.30 |
$2,675.30 |
2.9× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$2,677.40 |
$2,677.40 |
2.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,050 |
$1,050 |
2.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$501.85 |
$501.85 |
2.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$566.20 |
$566.20 |
2.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,267.70 |
$1,267.70 |
3.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$676.10 |
$676.10 |
3.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$852 |
$852 |
4.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,495.60 |
$1,495.60 |
7.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$566.20 |
$566.20 |
2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$624 |
$624 |
3.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$18,263.59 |
$18,263.59 |
3.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$9,884.69 |
$9,884.69 |
3.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$13,809.40 |
$13,809.40 |
2.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$3,316.40 |
$3,316.40 |
0.7× |
| Slitting of prepuce (54001) |
$5,007.50 |
$5,007.50 |
2.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$566.20 |
$566.20 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$931.95 |
$931.95 |
2.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,482 |
$1,482 |
2.1× |
| Suction assisted lipectomy; trunk (15877) |
$1,209.46 |
$1,209.46 |
0.3× |
| Suspension of testis (54640) |
$3,508.10 |
$3,508.10 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
$4,557.64 |
$4,557.64 |
0.6× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,852.78 |
$2,852.78 |
1.8× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$55,747.80 |
$55,747.80 |
2.9× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$9,931.30 |
$9,931.30 |
3.1× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$10,239.10 |
$10,239.10 |
3.1× |
| Tenodesis long tendon biceps (23430) |
$7,415.25 |
$7,415.25 |
1.0× |
| Tenolysis flexor foot multiple tendons (28222) |
$3,510.60 |
$3,510.60 |
1.1× |
| Tenolysis flexor foot single tendon (28220) |
$2,690.54 |
$2,690.54 |
1.7× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$3,093.98 |
$3,093.98 |
0.9× |
| Tenotomy adductor hip percutaneous spx (27000) |
$2,910.39 |
$2,910.39 |
1.8× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,937.06 |
$1,937.06 |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,657.32 |
$1,657.32 |
1.0× |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
$2,905.60 |
$2,905.60 |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,837.80 |
$2,837.80 |
1.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,427.03 |
$1,427.03 |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,860.50 |
$2,860.50 |
1.8× |
| Ther Apheresis,Platelets (36513) |
$2,808.40 |
$2,808.40 |
6.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$36.40 |
$36.40 |
0.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,898.50 |
$1,898.50 |
3.0× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$18,653.70 |
$18,653.70 |
3.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,673.80 |
$6,673.80 |
2.1× |
| Thrombolytic Art Therapy (37211) |
$18,976.80 |
$18,976.80 |
3.4× |
| Thrombolytic Venous Therapy (37212) |
$11,102 |
$11,102 |
3.5× |
| Thyroid biopsy (60100) |
$2,312.31 |
$2,312.31 |
3.3× |
Tissue expander placement breast reconstruction (19357)
unusually low: confirm this is the full procedure |
$4,605.65 |
$4,605.65 |
0.3× |
| Total hip arthroplasty (27130) |
$18,294.83 |
$18,294.83 |
1.4× |
| Total knee arthroplasty (27447) |
$17,293.19 |
$17,293.19 |
1.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$3,117 |
$3,117 |
2.0× |
| Transplant hand tendon (26480) |
$10,725.79 |
$10,725.79 |
3.3× |
| Transurethral incision of prostate (52450) |
$3,130.10 |
$3,130.10 |
0.9× |
| Transurethral resection of bladder neck (52500) |
$2,431.48 |
$2,431.48 |
0.7× |
| Treat Finger Fracture Each (26727) |
$4,836.60 |
$4,836.60 |
1.5× |
| Treat fx rad extra-articul (25607) |
$8,043.70 |
$8,043.70 |
1.1× |
| Treat heel fracture (28415) |
$8,479.50 |
$8,479.50 |
1.2× |
| Treat scapula fracture (23585) |
$13,695.32 |
$13,695.32 |
1.9× |
| Treat toe fracture (28525) |
$1,792.43 |
$1,792.43 |
0.5× |
| Treat ulnar fracture (24685) |
$13,312.40 |
$13,312.40 |
1.8× |
| Treatment of ankle fracture (27822) |
$5,067.83 |
$5,067.83 |
0.7× |
| Treatment of ankle fracture (27792) |
$5,058.01 |
$5,058.01 |
0.7× |
| Treatment of penis lesion (54110) |
$3,039.25 |
$3,039.25 |
0.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$18,737.63 |
$18,737.63 |
3.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$18,737.63 |
$18,737.63 |
3.3× |
| Trurl rescj postop bladder neck contracture (52640) |
$1,565.05 |
$1,565.05 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,087.30 |
$2,087.30 |
2.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,138 |
$1,138 |
2.8× |
| Unlisted Cardiac Surgery (33999) |
$1,880 |
$1,880 |
3.0× |
| Unlisted laparoscopic procedure liver (47379) |
$11,503.64 |
$11,503.64 |
1.9× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$3,529.02 |
$3,529.02 |
0.6× |
| Unlisted laparoscopy procedure, stomach (43659) |
$3,611.57 |
$3,611.57 |
0.6× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,705.85 |
$6,705.85 |
1.1× |
| Unlisted procedure femur or knee (27599) |
$9,351.64 |
$9,351.64 |
37.7× |
| Unlisted procedure foot or toes (28899) |
$1,847.76 |
$1,847.76 |
7.5× |
| Unlisted procedure leg/ankle (27899) |
$2,934.24 |
$2,934.24 |
11.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,727 |
$2,727 |
11.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,880 |
$1,880 |
3.0× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$33,470.40 |
$33,470.40 |
3.2× |
| Vaginal delivery only (59409) |
$3,654.60 |
$3,654.60 |
1.1× |
| Vasc embolize/occlude artery (37242) |
$36,378.40 |
$36,378.40 |
2.0× |
| Vasectomy (55250) |
$4,120.92 |
$4,120.92 |
2.0× |
| Venipuncture (36415) |
$19.25 |
$19.25 |
2.1× |
| Wrist arthroscop,excis triang cart (29846) |
$5,189.19 |
$5,189.19 |
1.6× |
Xfer single deep low leg tendon (27691)
unusually low: confirm this is the full procedure |
$3,441.40 |
$3,441.40 |
0.5× |