| Abd paracentesis w/imaging (49083) |
$1,384.88 |
$1,846.50 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,527.75 |
$2,037 |
1.7× |
| Abdomen Surgery Procedure (22999) |
$295.50 |
$394 |
1.2× |
| Abortion (59841) |
$3,777.75 |
$5,037 |
1.2× |
| Acetabuloplasty resection femoral head (27122) |
$18,828.75 |
$25,105 |
2.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$4,164.75 |
$5,553 |
1.3× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,266.88 |
$3,022.50 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,653.75 |
$6,205 |
1.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,582.50 |
$2,110 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,466 |
$3,288 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,299.50 |
$3,066 |
1.1× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,467.50 |
$3,290 |
1.2× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$9,244.50 |
$12,326 |
1.3× |
| Amniocentesis therapeutic (59001) |
$502.50 |
$670 |
1.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$4,164.75 |
$5,553 |
1.3× |
| Amputate metacarpal bone (26910) |
$8,328 |
$11,104 |
2.6× |
| Amputation Finger/Thumb (26951) |
$4,001.25 |
$5,335 |
1.2× |
| Amputation foot transmetarsal (28805) |
$4,164.75 |
$5,553 |
1.3× |
| Amputation metatarsal with toe single (28810) |
$4,164.75 |
$5,553 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$4,001.25 |
$5,335 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,083 |
$5,444 |
1.3× |
| Amputation, leg, through tibia and fibula; (27880) |
$9,314.25 |
$12,419 |
1.3× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$2,325.75 |
$3,101 |
0.7× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$4,380.75 |
$5,841 |
1.4× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$4,380.75 |
$5,841 |
1.4× |
| Anoscopy Ablation Lesion (46615) |
$4,200 |
$5,600 |
1.5× |
| Anoscopy diagnostic (46600) |
$191.25 |
$255 |
1.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,845 |
$2,460 |
1.6× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,896.38 |
$2,528.50 |
1.6× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$4,200 |
$5,600 |
1.5× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$4,200 |
$5,600 |
1.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,200 |
$5,600 |
1.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$6,625.50 |
$8,834 |
1.3× |
| Anterior tibial tubercleplasty (27418) |
$7,389.75 |
$9,853 |
1.0× |
| Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) |
$6,625.50 |
$8,834 |
1.3× |
| Appendectomy (44950) |
$4,958.25 |
$6,611 |
0.8× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$198 |
$264 |
1.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$229.50 |
$306 |
1.4× |
| Appl Multlay Comprs Arm/Hand (29584) |
$93 |
$124 |
0.6× |
| Application cast elbow finger short arm (29075) |
$473.25 |
$631 |
1.7× |
| Application cast shoulder hand long arm (29065) |
$552.75 |
$737 |
2.0× |
| Application finger splint static (29130) |
$156 |
$208 |
1.2× |
| Application Hip Spica Cast 1 Leg (29305) |
$333 |
$444 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$213 |
$284 |
1.3× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$18,828.75 |
$25,105 |
1.5× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$361.50 |
$482 |
1.3× |
| Application of long leg cast (29345) |
$463.50 |
$618 |
1.7× |
| Application of rigid total contact leg cast (29445) |
$445.50 |
$594 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$168 |
$224 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$326.25 |
$435 |
2.5× |
| Application uniplane external fixation system (20690) |
$8,273.62 |
$11,031.50 |
1.2× |
| Apply Hand/Wrist Cast (29085) |
$221.25 |
$295 |
1.4× |
| Apply long leg splint (29505) |
$326.25 |
$435 |
2.0× |
| Apply short leg cast (29405) |
$575.25 |
$767 |
2.1× |
| Apply short leg splint (29515) |
$326.25 |
$435 |
2.0× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475) |
$9,577.50 |
$12,770 |
1.3× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Facility (27477) |
$7,389.75 |
$9,853 |
1.0× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$9,021.75 |
$12,029 |
1.3× |
| Arterial puncture (36600) |
$175.50 |
$234 |
1.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,161 |
$5,548 |
1.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,130.25 |
$9,507 |
1.3× |
| Artery-vein autograft (36825) |
$7,130.25 |
$9,507 |
1.3× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$10,068 |
$13,424 |
0.8× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$17,758.50 |
$23,678 |
1.4× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$9,972.75 |
$13,297 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$388.50 |
$518 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$963 |
$1,284 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$581.25 |
$775 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$412.88 |
$550.50 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$388.50 |
$518 |
1.3× |
| Arthrodesis ankle open (27870) |
$18,828.75 |
$25,105 |
1.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,389.75 |
$9,853 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,607.50 |
$8,810 |
0.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$3,723.75 |
$4,965 |
1.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$24,263.25 |
$32,351 |
1.4× |
| Arthrodesis triple (28715) |
$18,828.75 |
$25,105 |
1.5× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$24,261.75 |
$32,349 |
0.9× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$18,458.25 |
$24,611 |
0.7× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$22,875 |
$30,500 |
0.9× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) |
$9,314.25 |
$12,419 |
0.5× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$16,745.25 |
$22,327 |
1.0× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
$10,062.75 |
$13,417 |
0.6× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure |
$1,890.75 |
$2,521 |
0.1× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$16,745.25 |
$22,327 |
1.3× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$7,389.75 |
$9,853 |
1.0× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$17,758.50 |
$23,678 |
1.4× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$9,577.50 |
$12,770 |
1.3× |
| Arthrodesis; subtalar (28725) |
$10,173 |
$13,564 |
0.8× |
| Arthroplasty Ankle W/Implant (27702) |
$17,231.62 |
$22,975.50 |
0.6× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,268.50 |
$24,358 |
1.1× |
| Arthroplasty interphalangeal joint each (26535) |
$3,916.50 |
$5,222 |
1.2× |
| Arthroplasty patella w/prosthesis (27438) |
$18,828.75 |
$25,105 |
1.5× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) |
$18,828.75 |
$25,105 |
1.5× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,997.50 |
$5,330 |
1.2× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$18,268.50 |
$24,358 |
1.4× |
| Arthroplasty, radial head; with implant Facility (24366) |
$18,828.75 |
$25,105 |
1.5× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$9,442.88 |
$12,590.50 |
1.6× |
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
unusually low: confirm this is the full procedure |
$9,314.25 |
$12,419 |
0.3× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$18,828.75 |
$25,105 |
1.5× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$6,607.50 |
$8,810 |
0.9× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$2,166 |
$2,888 |
1.4× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$2,596.50 |
$3,462 |
1.6× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$7,389.75 |
$9,853 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$3,723.75 |
$4,965 |
1.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$4,001.25 |
$5,335 |
1.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,417 |
$4,556 |
1.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$4,083 |
$5,444 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$3,790.88 |
$5,054.50 |
1.2× |
| Arthroscopy, elbow, surgical; synovectomy, partial Facility (29835) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$7,389.75 |
$9,853 |
1.0× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) |
$7,389.75 |
$9,853 |
1.0× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$7,389.75 |
$9,853 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,122.75 |
$5,497 |
1.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,723.75 |
$4,965 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,209.25 |
$4,279 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,098.75 |
$9,465 |
1.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,063.75 |
$8,085 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,083 |
$5,444 |
1.3× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,607.50 |
$8,810 |
0.9× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$4,164.75 |
$5,553 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,360 |
$8,480 |
0.9× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$4,083 |
$5,444 |
1.3× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$8,328 |
$11,104 |
2.6× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$2,166 |
$2,888 |
1.4× |
| Arthrotomy w/synovectomy ankle (27625) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrotomy wrist joint with synovectomy (25105) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$4,157.25 |
$5,543 |
1.3× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$4,079.25 |
$5,439 |
1.3× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$4,157.25 |
$5,543 |
1.3× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$4,160.25 |
$5,547 |
1.3× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$6,746.25 |
$8,995 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,723.75 |
$4,965 |
1.2× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$4,164.75 |
$5,553 |
1.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,166 |
$2,888 |
1.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,616.12 |
$4,821.50 |
1.1× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$4,347 |
$5,796 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$925.88 |
$1,234.50 |
1.5× |
| Aspiration and injection for treatment of bone cyst (20615) |
$921.75 |
$1,229 |
1.3× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,054.50 |
$1,406 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,891.12 |
$2,521.50 |
0.9× |
| Augmentation lower jaw bone (21127) |
$7,584.75 |
$10,113 |
1.3× |
| Av fistula revision (36833) |
$7,130.25 |
$9,507 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$308.25 |
$411 |
1.6× |
| Axillary lymphadenectomy; complete (38745) |
$8,487.75 |
$11,317 |
1.4× |
| Biopsy bone open deep (20245) |
$3,769.88 |
$5,026.50 |
1.3× |
| Biopsy bone open superficial (20240) |
$3,552.75 |
$4,737 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$2,127 |
$2,836 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,681.38 |
$4,908.50 |
2.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,131 |
$1,508 |
1.2× |
| Biopsy external ear (69100) |
$375.75 |
$501 |
1.6× |
| Biopsy muscle deep (20205) |
$3,552.75 |
$4,737 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$2,172.75 |
$2,897 |
1.3× |
| Biopsy Nail Unit Separate Procedure (11755) |
$844.50 |
$1,126 |
1.2× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$4,788 |
$6,384 |
1.5× |
| Biopsy of breast; open, incisional (19101) |
$5,540.25 |
$7,387 |
1.4× |
| Biopsy of eyelid lining (68100) |
$3,501.75 |
$4,669 |
1.5× |
| Biopsy of lip (40490) |
$375.75 |
$501 |
1.6× |
| Biopsy of mouth lesion (40808) |
$806.25 |
$1,075 |
1.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,309.25 |
$7,079 |
1.4× |
| Biopsy Oropharynx (42800) |
$2,353.50 |
$3,138 |
1.5× |
| Biopsy Salivary Gland,Needle (42400) |
$1,099.50 |
$1,466 |
1.6× |
| Biopsy soft tissue back,superf (21920) |
$2,076.75 |
$2,769 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$2,127 |
$2,836 |
1.3× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,625.50 |
$4,834 |
1.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,105.25 |
$2,807 |
1.3× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,862.50 |
$5,150 |
1.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$4,614 |
$6,152 |
1.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,131 |
$1,508 |
1.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,108.88 |
$1,478.50 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$5,376.75 |
$7,169 |
1.4× |
| Biopsy/removal lymph nodes (38510) |
$5,431.50 |
$7,242 |
1.4× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$3,939 |
$5,252 |
1.2× |
| Bl exchange/transfuse nb (36450) |
$735 |
$980 |
1.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$842.25 |
$1,123 |
1.2× |
| Bladder Irrigation Simple (51700) |
$458.25 |
$611 |
1.9× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,529.75 |
$3,373 |
1.2× |
| Blepharoplasty, Upper Eyelid (15822) |
$2,763.38 |
$3,684.50 |
1.4× |
| Blepharotomy drain absc eyelid (67700) |
$462 |
$616 |
1.5× |
| Blood patch (62273) |
$1,080.38 |
$1,440.50 |
1.5× |
| Blood transfusion service (36430) |
$808.50 |
$1,078 |
1.9× |
| Blood/Lymph System Procedure (38999) |
$709.50 |
$946 |
1.6× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$6,581.25 |
$8,775 |
0.9× |
| Bone marrow aspiration only (38220) |
$2,383.12 |
$3,177.50 |
1.5× |
| Bone Marrow Biopsy (38221) |
$2,431.12 |
$3,241.50 |
1.5× |
| Breast augmentation with implant (19325) |
$16,037.62 |
$21,383.50 |
2.0× |
| Breast surgery procedure (19499) |
$5,020.50 |
$6,694 |
1.3× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$2,602.12 |
$3,469.50 |
1.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,154 |
$2,872 |
1.2× |
| Brnchsc removal bronchial valve initial (31648) |
$6,279.75 |
$8,373 |
1.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,654.25 |
$3,539 |
1.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,654.25 |
$3,539 |
1.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,536.88 |
$3,382.50 |
1.6× |
| Bx anorectal wall anal approach (45100) |
$4,200 |
$5,600 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$2,431.50 |
$3,242 |
1.5× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$3,669 |
$4,892 |
1.3× |
| Bx/exc lymph node needle superficial (38505) |
$2,383.50 |
$3,178 |
1.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,164.75 |
$5,553 |
1.3× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$4,326 |
$5,768 |
1.3× |
| Capsulorrhaphy, anterior, any type; with bone block Facility (23460) |
$9,030.75 |
$12,041 |
1.3× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$7,389.75 |
$9,853 |
1.0× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$7,389.75 |
$9,853 |
1.0× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$9,157.50 |
$12,210 |
1.3× |
| Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) |
$9,157.50 |
$12,210 |
1.3× |
| Carpectomy All Bones Proximal Row (25215) |
$4,164.75 |
$5,553 |
1.3× |
| Cartilage graft; nasal septum Facility (20912) |
$4,071.75 |
$5,429 |
1.2× |
| Casting/strapping procedure (29799) |
$169.50 |
$226 |
1.1× |
| Cataract surgery complex (66982) |
$3,225.75 |
$4,301 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$278.25 |
$371 |
1.3× |
| Cauterization,cervix,electro/thermal (57510) |
$4,614 |
$6,152 |
1.4× |
| Ceramides (0119U) |
$157.05 |
$209.40 |
1.9× |
| Cerclage cervix pregnancy vaginal (59320) |
$4,614 |
$6,152 |
1.4× |
| Cervical lymphadenectomy (complete) (38720) |
$8,826.75 |
$11,769 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$1,803 |
$2,404 |
2.6× |
| Change of cystostomy tube simple (51705) |
$368.25 |
$491 |
1.5× |
| Chemodenervation internal anal sphincter (46505) |
$1,845 |
$2,460 |
1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$460.50 |
$614 |
1.5× |
| Chromotubation oviduct (58350) |
$8,197.88 |
$10,930.50 |
1.7× |
| Circum 28 days or older (54161) |
$2,864.25 |
$3,819 |
1.4× |
| Circumcision (54150) |
$4,953.75 |
$6,605 |
2.4× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$460.50 |
$614 |
1.5× |
| Claviculectomy partial (23120) |
$4,083 |
$5,444 |
1.3× |
| Claviculectomy; total (23125) |
$4,164.75 |
$5,553 |
1.3× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$321.75 |
$429 |
1.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$306.75 |
$409 |
1.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$520.50 |
$694 |
2.1× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,896.75 |
$2,529 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$521.25 |
$695 |
2.1× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,166 |
$2,888 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$309.75 |
$413 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$321.75 |
$429 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$136.50 |
$182 |
0.6× |
| Closed treat wrist dislocation (25660) |
$213 |
$284 |
0.9× |
| Closed Treatment Coccygeal Fracture (27200) |
$306.75 |
$409 |
1.3× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,025.25 |
$5,367 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,769.25 |
$2,359 |
7.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$271.50 |
$362 |
1.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,003.25 |
$2,671 |
1.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$96.75 |
$129 |
0.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$180.75 |
$241 |
0.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$321.75 |
$429 |
1.3× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,081.25 |
$2,775 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$271.50 |
$362 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$309.75 |
$413 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$522 |
$696 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,175.25 |
$1,567 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$309.75 |
$413 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,166 |
$2,888 |
1.4× |
| Closed tx femoral fracture prox head w manip (27268) |
$4,851.75 |
$6,469 |
3.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$529.50 |
$706 |
2.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$529.50 |
$706 |
2.2× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,191 |
$1,588 |
0.7× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$165.75 |
$221 |
0.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$7,554 |
$10,072 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$309.75 |
$413 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,174.75 |
$4,233 |
2.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,978.50 |
$2,638 |
1.3× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,190.25 |
$5,587 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$315.75 |
$421 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$521.25 |
$695 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,081.25 |
$2,775 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$405 |
$540 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,081.25 |
$2,775 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,043 |
$2,724 |
1.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$83.25 |
$111 |
0.3× |
| Closed tx septal&nose fx (21337) |
$4,190.25 |
$5,587 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$552.75 |
$737 |
2.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,081.25 |
$2,775 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$309.75 |
$413 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$157.50 |
$210 |
0.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$168.75 |
$225 |
0.7× |
| Closure of gastrostomy, surgical (43870) |
$4,737 |
$6,316 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$361.50 |
$482 |
1.5× |
| Closure of lacrimal fistula (separate procedure) Facility (68770) |
$3,501.75 |
$4,669 |
1.5× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$4,614 |
$6,152 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$389.25 |
$519 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,081.25 |
$2,775 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$522 |
$696 |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,968 |
$2,624 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$147 |
$196 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$309.75 |
$413 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$309.75 |
$413 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$309.75 |
$413 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$314.25 |
$419 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$309.75 |
$413 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,166 |
$2,888 |
1.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$321.75 |
$429 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$309.75 |
$413 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,166 |
$2,888 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$368.25 |
$491 |
1.5× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$197.25 |
$263 |
0.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$307.50 |
$410 |
0.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$741 |
$988 |
0.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$346.50 |
$462 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$278.25 |
$371 |
1.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,043.75 |
$2,725 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$521.25 |
$695 |
2.1× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$4,157.25 |
$5,543 |
1.3× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$338.25 |
$451 |
1.4× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$309.75 |
$413 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,166 |
$2,888 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$521.25 |
$695 |
2.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,890.75 |
$2,521 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$273.75 |
$365 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$309.75 |
$413 |
1.3× |
| Cltx post ankle fx w/mnpj (27768) |
$2,051.25 |
$2,735 |
1.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$623.25 |
$831 |
2.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$309.75 |
$413 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$584.25 |
$779 |
2.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,043.75 |
$2,725 |
1.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$108 |
$144 |
0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,344.38 |
$1,792.50 |
0.8× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$695.25 |
$927 |
0.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$306.75 |
$409 |
1.3× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$4,164.75 |
$5,553 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,081.25 |
$2,775 |
1.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$306.75 |
$409 |
1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$489 |
$652 |
2.0× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$4,159.50 |
$5,546 |
1.3× |
| Colonoscopy flex w/blln dilat (45386) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy flex w/inj submuc (45381) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy flex w/rem forcep (45384) |
$1,826.25 |
$2,435 |
1.5× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy stoma w/biopsy (44389) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy thru stoma (44388) |
$1,389 |
$1,852 |
1.5× |
| Colonoscopy w/ablation (45388) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy w/band ligation (45398) |
$1,809 |
$2,412 |
1.5× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy w/fb removal (45379) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,845 |
$2,460 |
1.6× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,481.50 |
$4,642 |
1.3× |
| Colpocleisis (le fort type) (57120) |
$6,625.50 |
$8,834 |
1.3× |
| Colpoperineorrhaphy non ob (57210) |
$4,614 |
$6,152 |
1.4× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$8,962.50 |
$11,950 |
1.2× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$9,615 |
$12,820 |
1.3× |
| Colporrhaphy Suture Injury Vagina (57200) |
$4,432.50 |
$5,910 |
1.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$400.50 |
$534 |
1.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,614 |
$6,152 |
1.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$4,614 |
$6,152 |
1.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$966.75 |
$1,289 |
1.1× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$6,843 |
$9,124 |
2.1× |
| Colpotomy; with exploration (57000) |
$4,614 |
$6,152 |
1.4× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$6,625.50 |
$8,834 |
1.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,429 |
$8,572 |
1.3× |
| Conization of cervix (57520) |
$4,614 |
$6,152 |
1.4× |
| Conization of cervix (57522) |
$4,614 |
$6,152 |
1.4× |
| Contour of face bone lesion (21029) |
$4,190.25 |
$5,587 |
1.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$341.25 |
$455 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$191.25 |
$255 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$191.25 |
$255 |
1.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$774.75 |
$1,033 |
1.5× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$4,693.88 |
$6,258.50 |
1.4× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132)
unusually low: confirm this is the full procedure |
$6,235.50 |
$8,314 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,431.50 |
$3,242 |
1.5× |
| Coronoidectomy (separate procedure) Facility (21070) |
$7,554 |
$10,072 |
1.3× |
| Correction hammertoe (28285) |
$4,041.75 |
$5,389 |
1.3× |
| Correction of bunion (28298) |
$7,389.75 |
$9,853 |
1.0× |
| Correction of bunion (28292) |
$4,164.75 |
$5,553 |
1.3× |
| Correction of bunion (28299) |
$7,935.38 |
$10,580.50 |
1.1× |
| Correction of bunion (28297) |
$7,389.75 |
$9,853 |
0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,164.75 |
$5,553 |
1.3× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$4,164.75 |
$5,553 |
1.3× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$7,130.25 |
$9,507 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$191.25 |
$255 |
1.5× |
| Curettage postpartum (59160) |
$4,330.50 |
$5,774 |
1.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,575.12 |
$3,433.50 |
1.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$5,506.88 |
$7,342.50 |
2.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$4,335 |
$5,780 |
1.2× |
| Cysto w/insert ureteral stent (52332) |
$5,094 |
$6,792 |
1.5× |
| Cysto w/removal of tumors small (52234) |
$4,247.25 |
$5,663 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,981.25 |
$3,975 |
1.4× |
| Cysto w/ureter stricture tx (52341) |
$5,617.50 |
$7,490 |
1.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$11,665.50 |
$15,554 |
3.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,567.38 |
$8,756.50 |
1.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$6,485.25 |
$8,647 |
1.2× |
| Cysto/uretero w/lithotripsy (52356) |
$4,546.12 |
$6,061.50 |
0.9× |
| Cysto/uretero w/up stricture (52345) |
$4,248 |
$5,664 |
1.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$6,357.75 |
$8,477 |
1.2× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) |
$7,354.50 |
$9,806 |
0.8× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$5,506.88 |
$7,342.50 |
2.7× |
| Cystostomy Cystotomy W/Drainage (51040) |
$5,506.88 |
$7,342.50 |
2.7× |
| Cystouretero & or pyeloscope (52351) |
$4,993.88 |
$6,658.50 |
1.4× |
| Cystourethroscopy (52000) |
$1,067.25 |
$1,423 |
1.5× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$1,825.88 |
$2,434.50 |
0.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,922.75 |
$3,897 |
1.4× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$4,247.25 |
$5,663 |
1.2× |
| Cystourethroscopy with biopsy (52204) |
$3,332.25 |
$4,443 |
1.6× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,981.25 |
$3,975 |
1.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$6,357.75 |
$8,477 |
1.2× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$3,683.25 |
$4,911 |
1.8× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$5,396.25 |
$7,195 |
2.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,979.50 |
$5,306 |
1.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$4,164.75 |
$5,553 |
1.3× |
| Dcmprn fasct leg post compartment only (27601) |
$4,326 |
$5,768 |
1.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,013.25 |
$1,351 |
1.4× |
| Debride nail 1-5 (11720) |
$95.25 |
$127 |
1.6× |
| Debride skin musc at fx site (11011) |
$1,054.50 |
$1,406 |
1.5× |
| Debride tissue/muscle (11043) |
$879.75 |
$1,173 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$497.25 |
$663 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$235.50 |
$314 |
0.1× |
| Declot vascular device (36593) |
$533.25 |
$711 |
1.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$2,051.25 |
$2,735 |
1.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$4,164.75 |
$5,553 |
1.3× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$9,157.50 |
$12,210 |
1.3× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$2,004.75 |
$2,673 |
1.3× |
| Decompression of leg (27894) |
$4,157.25 |
$5,543 |
1.3× |
| Decompression of leg (27892) |
$4,157.25 |
$5,543 |
1.3× |
| Decompression of lower leg (27600) |
$4,164.75 |
$5,553 |
1.3× |
| Decompression Of Tibia Nerve (28035) |
$2,671.88 |
$3,562.50 |
1.4× |
| Decompression; plantar digital nerve Facility (64726) |
$2,527.50 |
$3,370 |
1.3× |
| Delivery placenta separate procedure (59414) |
$4,062 |
$5,416 |
1.3× |
| Dermabrasion segmental face (15781) |
$1,054.50 |
$1,406 |
1.5× |
| Destroy internal hemorrhoids (46930) |
$1,809 |
$2,412 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$308.25 |
$411 |
1.6× |
| Destruction Lesions Vulva Simple (56501) |
$1,582.50 |
$2,110 |
0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$320.25 |
$427 |
1.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$320.25 |
$427 |
1.6× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$617.25 |
$823 |
1.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$320.25 |
$427 |
1.6× |
| Destruction of skin lesions (17106) |
$339 |
$452 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$1,197.38 |
$1,596.50 |
1.3× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$806.25 |
$1,075 |
1.5× |
| Dilation and curettage (58120) |
$4,614 |
$6,152 |
1.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,384.50 |
$1,846 |
1.5× |
| Dilation Nasolacrimal Duct (68801) |
$438.75 |
$585 |
1.0× |
| Dilation of anal sphincter (45905) |
$1,845 |
$2,460 |
1.6× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$6,865.50 |
$9,154 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,054.50 |
$1,406 |
1.5× |
| Drain penis lesion (54015) |
$2,412.75 |
$3,217 |
1.5× |
| Drain shoulder bursa (23031) |
$3,624 |
$4,832 |
1.3× |
| Drainage Abscess Parotid Simple (42300) |
$2,353.50 |
$3,138 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,013.25 |
$1,351 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$2,127 |
$2,836 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$123 |
$164 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$291.75 |
$389 |
1.2× |
| Drainage of gum lesion (41800) |
$191.25 |
$255 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,335.50 |
$3,114 |
1.4× |
| Drainage of lymph node abscess or lymphadenitis; extensive Facility (38305) |
$4,142.25 |
$5,523 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$2,025.75 |
$2,701 |
1.2× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,981.25 |
$3,975 |
1.4× |
| Drainage of throat abscess (42725) |
$8,633.25 |
$11,511 |
1.5× |
| Drainage tendon sheath digit&/palm each (26020) |
$4,164.75 |
$5,553 |
1.3× |
| Draw blood off venous device (36591) |
$217.50 |
$290 |
1.7× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$4,142.25 |
$5,523 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$693.75 |
$925 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$351.75 |
$469 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$308.25 |
$411 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
$4,200 |
$5,600 |
1.5× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$1,582.50 |
$2,110 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$2,344.50 |
$3,126 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$2,993.25 |
$3,991 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,550 |
$3,400 |
1.5× |
| Ear Cartilage Graft (21235) |
$7,554 |
$10,072 |
1.3× |
| Eardrum revision (69450) |
$4,788 |
$6,384 |
1.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,337.75 |
$3,117 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,219.62 |
$2,959.50 |
1.2× |
| Egd control bleeding any (43255) |
$2,626.50 |
$3,502 |
1.4× |
| Egd dilate stricture (43245) |
$2,219.62 |
$2,959.50 |
1.2× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$2,219.62 |
$2,959.50 |
1.2× |
| Egd flexible foreign body removal (43247) |
$1,356.75 |
$1,809 |
1.5× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,626.50 |
$3,502 |
1.4× |
| Egd place gastrostomy tube (43246) |
$2,626.50 |
$3,502 |
1.4× |
| Egd remove lesion snare (43251) |
$2,575.12 |
$3,433.50 |
1.4× |
| Egd tube/cath insertion (43241) |
$2,314.50 |
$3,086 |
1.2× |
| Elbow Arthroscopy/Surgery (29837) |
$4,326.75 |
$5,769 |
1.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$6,625.50 |
$8,834 |
1.3× |
| Endometrial Biopsy (58100) |
$297.38 |
$396.50 |
1.5× |
| Endoscopic plantar fasciotomy (29893) |
$3,817.50 |
$5,090 |
1.2× |
| Endoscopy bowel pouch/biop (44386) |
$1,485.75 |
$1,981 |
1.6× |
| Endovenous laser, 1st vein (36478) |
$4,161 |
$5,548 |
1.3× |
| Enterorrhaphy single perforation (44602) |
$4,737 |
$6,316 |
1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,368.50 |
$3,158 |
1.2× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Facility (25450) |
$4,326 |
$5,768 |
1.3× |
| Episiotomy or vaginal repair (59300) |
$3,657 |
$4,876 |
1.1× |
| Ercp remove forgn body duct (43275) |
$2,575.50 |
$3,434 |
1.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,412.25 |
$1,883 |
1.6× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$2,626.50 |
$3,502 |
1.4× |
| Esophagoscopy flexible guide wire dilation (43226) |
$2,626.50 |
$3,502 |
1.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,132.50 |
$1,510 |
1.3× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$2,626.50 |
$3,502 |
1.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,626.50 |
$3,502 |
1.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,523.75 |
$3,365 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$191.25 |
$255 |
1.5× |
| Evisceration of ocular contents; with implant Facility (65093) |
$5,485.50 |
$7,314 |
1.4× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,798.50 |
$2,398 |
1.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,127 |
$2,836 |
1.3× |
| Exc abdl tum deep 5 cm/> (22901) |
$3,624 |
$4,832 |
1.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,127 |
$2,836 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,054.50 |
$1,406 |
1.5× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,047.12 |
$2,729.50 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,430.75 |
$3,241 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,430.75 |
$3,241 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$888 |
$1,184 |
1.3× |
| Exc back les sc < 3 cm (21930) |
$2,127 |
$2,836 |
1.3× |
| Exc back tum deep < 5 cm (21932) |
$3,624 |
$4,832 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,013.25 |
$1,351 |
1.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,430.75 |
$3,241 |
1.5× |
| Exc forearm les sc 3 cm/> (25071) |
$2,127 |
$2,836 |
1.3× |
| Exc Frenum Labial/Buccal (40819) |
$2,307.38 |
$3,076.50 |
1.5× |
| Exc ganglion wrist recurrent (25112) |
$2,123.62 |
$2,831.50 |
1.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$5,094 |
$6,792 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,123.62 |
$2,831.50 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,166 |
$2,888 |
1.4× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$7,599 |
$10,132 |
2.3× |
| Exc neck tum deep < 5 cm (21556) |
$3,624 |
$4,832 |
1.3× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$3,114.75 |
$4,153 |
1.6× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,114.75 |
$4,153 |
1.6× |
| Exc rect tum transanal part (45171) |
$4,200 |
$5,600 |
1.5× |
| Exc skin abd (15830) |
$9,234 |
$12,312 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,033.88 |
$1,378.50 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$617.25 |
$823 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,248.75 |
$1,665 |
1.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,430.75 |
$3,241 |
1.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$4,142.25 |
$5,523 |
1.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,142.25 |
$5,523 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,430.75 |
$3,241 |
1.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,185.25 |
$4,247 |
1.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,142.25 |
$5,523 |
1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,058 |
$2,744 |
1.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,298.88 |
$4,398.50 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,430.75 |
$3,241 |
1.5× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,902 |
$2,536 |
1.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,085.38 |
$2,780.50 |
1.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,552.75 |
$4,737 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,552.75 |
$4,737 |
1.2× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$3,624 |
$4,832 |
1.3× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$2,076.75 |
$2,769 |
1.3× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,127 |
$2,836 |
1.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,624 |
$4,832 |
1.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,140.38 |
$5,520.50 |
1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,378.75 |
$4,505 |
1.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,624 |
$4,832 |
1.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,127 |
$2,836 |
1.3× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,545.25 |
$4,727 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,099 |
$4,132 |
1.1× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,127 |
$2,836 |
1.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$3,545.25 |
$4,727 |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,127 |
$2,836 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,669 |
$4,892 |
1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,127 |
$2,836 |
1.3× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,669 |
$4,892 |
1.3× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$5,661.75 |
$7,549 |
2.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,790.50 |
$5,054 |
1.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,240.38 |
$4,320.50 |
1.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,164.75 |
$5,553 |
1.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,938 |
$2,584 |
1.2× |
| Exchange nephrostomy cath (50435) |
$3,018.38 |
$4,024.50 |
1.5× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,740.50 |
$3,654 |
1.4× |
| Excise cutaneous neurofibroma (64788) |
$2,616.75 |
$3,489 |
1.4× |
| Excise Inferior Turbinate (30130) |
$4,788 |
$6,384 |
1.5× |
| Excise lesion testis (54512) |
$4,311.75 |
$5,749 |
1.2× |
| Excise mandible lesion (21040) |
$4,190.25 |
$5,587 |
1.3× |
| Excise pharynx lesion (42808) |
$4,788 |
$6,384 |
1.5× |
| Excise Wrist Tendon Sheath (25118) |
$2,166 |
$2,888 |
1.4× |
| Excision Bone Mandible (21025) |
$7,584.75 |
$10,113 |
1.3× |
| Excision Breast Lesion (19125) |
$3,978.75 |
$5,305 |
1.0× |
| Excision Chalazion Single (67800) |
$462 |
$616 |
1.5× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$4,164.75 |
$5,553 |
1.3× |
| Excision Facial Bone (21026) |
$7,554 |
$10,072 |
1.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,414.75 |
$4,553 |
1.2× |
| Excision interdigital morton neuroma single each (28080) |
$2,123.62 |
$2,831.50 |
1.3× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,404.75 |
$1,873 |
1.4× |
| Excision lesion meniscus/capsule knee (27347) |
$4,164.75 |
$5,553 |
1.3× |
| Excision lesion mouth roof (42104) |
$3,876 |
$5,168 |
1.2× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$2,166 |
$2,888 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,353.50 |
$3,138 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,054.50 |
$1,406 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,054.50 |
$1,406 |
1.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$648 |
$864 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$933.75 |
$1,245 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$894 |
$1,192 |
1.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,054.50 |
$1,406 |
1.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,430.75 |
$3,241 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,430.75 |
$3,241 |
1.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,200 |
$5,600 |
1.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,054.50 |
$1,406 |
1.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,054.50 |
$1,406 |
1.5× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$7,323.75 |
$9,765 |
1.3× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$9,609 |
$12,812 |
1.6× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$7,554 |
$10,072 |
1.3× |
| Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally… (21049) |
$7,554 |
$10,072 |
1.3× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$4,086 |
$5,448 |
1.3× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
$6,625.50 |
$8,834 |
1.3× |
| Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) |
$6,625.50 |
$8,834 |
1.3× |
| Excision of chalazion; multiple, different lids (67805) |
$462 |
$616 |
1.5× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$4,377 |
$5,836 |
1.9× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$3,545.25 |
$4,727 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,885.50 |
$2,514 |
1.2× |
| Excision of hydrocele unilateral (55040) |
$4,860.75 |
$6,481 |
1.4× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,404.75 |
$1,873 |
1.4× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$5,094 |
$6,792 |
1.5× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$4,788 |
$6,384 |
1.5× |
| Excision of lesion of tongue without closure (41110) |
$1,717.50 |
$2,290 |
0.5× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$4,788 |
$6,384 |
1.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,383.12 |
$3,177.50 |
1.5× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$3,632.25 |
$4,843 |
1.5× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$3,501.75 |
$4,669 |
1.5× |
| Excision of local lesion of epididymis (54830) |
$5,094 |
$6,792 |
1.5× |
| Excision of malignant tumor of mandible; Facility (21044) |
$7,584.75 |
$10,113 |
1.3× |
| Excision of maxillary torus palatinus (21032) |
$4,190.25 |
$5,587 |
1.3× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$3,114.75 |
$4,153 |
1.6× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$8,633.25 |
$11,511 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,487.50 |
$4,650 |
1.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,845 |
$2,460 |
1.6× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$4,954.50 |
$6,606 |
2.4× |
| Excision of sublingual gland (42450) |
$8,633.25 |
$11,511 |
1.5× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$8,633.25 |
$11,511 |
1.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,334.62 |
$1,779.50 |
1.1× |
| Excision of tongue lesion (41112) |
$4,788 |
$6,384 |
1.5× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$8,487.75 |
$11,317 |
1.4× |
| Excision of vaginal cyst or tumor (57135) |
$4,523.25 |
$6,031 |
1.4× |
| Excision of vaginal septum (57130) |
$4,523.25 |
$6,031 |
1.4× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$5,094 |
$6,792 |
1.5× |
| Excision olecranon bursa (24105) |
$3,723.75 |
$4,965 |
1.2× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$4,164.75 |
$5,553 |
1.3× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$4,164.75 |
$5,553 |
1.3× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$4,164.75 |
$5,553 |
1.3× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25125) |
$2,051.25 |
$2,735 |
1.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$4,164.75 |
$5,553 |
1.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) |
$9,683.25 |
$12,911 |
1.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) |
$8,499.75 |
$11,333 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$9,157.50 |
$12,210 |
1.3× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$7,098.75 |
$9,465 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) |
$7,389.75 |
$9,853 |
1.0× |
| Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870) |
$8,633.25 |
$11,511 |
1.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,487.50 |
$4,650 |
1.2× |
| Excision prepatellar bursa (27340) |
$4,164.75 |
$5,553 |
1.3× |
| Excision radial head (24130) |
$4,164.75 |
$5,553 |
1.3× |
| Excision soft tissue lesion, external auditory canal (69145) |
$6,900 |
$9,200 |
2.4× |
| Excision Synovial Cyst Popliteal Space (27345) |
$4,157.25 |
$5,543 |
1.3× |
| Excision tendon finger flexor/extensor each (26180) |
$2,166 |
$2,888 |
1.4× |
| Excision Torus Mandibularis (21031) |
$4,190.25 |
$5,587 |
1.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,127 |
$2,836 |
1.3× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,624 |
$4,832 |
1.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,085.38 |
$2,780.50 |
1.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,127 |
$2,836 |
1.3× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,127 |
$2,836 |
1.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,085.38 |
$2,780.50 |
1.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$4,142.25 |
$5,523 |
1.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,624 |
$4,832 |
1.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$2,127 |
$2,836 |
1.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$3,414.75 |
$4,553 |
1.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,624 |
$4,832 |
1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$3,545.25 |
$4,727 |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,624 |
$4,832 |
1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,417 |
$4,556 |
1.2× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$7,554 |
$10,072 |
1.3× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,647.62 |
$4,863.50 |
1.1× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$2,166 |
$2,888 |
1.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,788 |
$6,384 |
1.5× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$3,501.75 |
$4,669 |
1.5× |
| Excision; trochanteric bursa or calcification (27062) |
$4,157.25 |
$5,543 |
1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,621.25 |
$3,495 |
1.3× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$6,151.50 |
$8,202 |
1.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,081.25 |
$2,775 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$2,430.75 |
$3,241 |
1.5× |
| Exploration maxillary sinus (31020) |
$3,939 |
$5,252 |
1.2× |
| Exploration of knee joint (27310) |
$4,164.75 |
$5,553 |
1.3× |
| Exploration of middle ear (69440) |
$3,905.25 |
$5,207 |
1.2× |
| Exploration of spinal fusion (22830) |
$5,613.75 |
$7,485 |
0.8× |
| Exploration penetrating wound spx chest (20101) |
$2,621.25 |
$3,495 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$885.75 |
$1,181 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$4,164.75 |
$5,553 |
1.3× |
| Explore eye socket,drainage (67405) |
$3,501.75 |
$4,669 |
1.5× |
| Explore Parathyroid Glands (60500) |
$10,981.88 |
$14,642.50 |
1.9× |
| Explore/Treat Elbow Joint (24101) |
$4,035 |
$5,380 |
1.2× |
| Explore/treat hand joint (26070) |
$2,166 |
$2,888 |
1.4× |
| Explore/Treat Knee Joint (27331) |
$4,164.75 |
$5,553 |
1.3× |
| External cephalic version (59412) |
$4,614 |
$6,152 |
1.4× |
| Eye surgery procedure (66999) |
$3,099 |
$4,132 |
1.4× |
| Fasciectomy Palm Only (26121) |
$4,164.75 |
$5,553 |
1.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,633 |
$4,844 |
1.1× |
| Fasciotomy foot and/or toe (28008) |
$4,164.75 |
$5,553 |
1.3× |
| Fasciotomy palmar open partial (26045) |
$4,164.75 |
$5,553 |
1.3× |
| Fasciotomy palmar percutaneous (26040) |
$2,166 |
$2,888 |
1.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,083 |
$5,444 |
1.3× |
| Fetal contraction stress test (59020) |
$288.75 |
$385 |
1.4× |
| Fetal non-stress test (59025) |
$288.75 |
$385 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,056.75 |
$1,409 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$593.25 |
$791 |
1.5× |
| Fix Entropion,Extensv Lid Repair (67924) |
$3,501.75 |
$4,669 |
1.5× |
| Fixation contralateral testis separate procedure (54620) |
$5,094 |
$6,792 |
1.5× |
| Fixation of shoulder (23700) |
$1,938 |
$2,584 |
1.2× |
| Fluid pressure muscle (20950) |
$225.75 |
$301 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$419.25 |
$559 |
1.8× |
| Forearm or wrist surgery (25999) |
$321.75 |
$429 |
1.3× |
| Foreskin manipulation (54450) |
$564.75 |
$753 |
2.3× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,788 |
$6,384 |
1.5× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
$9,157.50 |
$12,210 |
1.3× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,529.75 |
$3,373 |
1.2× |
| Fusion of foot bones (28740) |
$7,389.75 |
$9,853 |
1.0× |
| Fusion of hand bones (25820) |
$8,504.25 |
$11,339 |
1.2× |
Fusion of hand joint (26843)
likely a partial charge, not the full procedure |
$1,854.75 |
$2,473 |
0.3× |
| Fusion of knuckle (26850) |
$7,389.75 |
$9,853 |
1.0× |
| Fusion of thumb (26841) |
$7,389.75 |
$9,853 |
1.0× |
| Fusion of toes (28280) |
$4,157.25 |
$5,543 |
1.3× |
| Fusion of wrist joint (25800) |
$9,577.50 |
$12,770 |
1.3× |
| Fusion/graft of finger joint (26862) |
$4,381.50 |
$5,842 |
1.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$239.25 |
$319 |
1.1× |
| Gastric restrictive procedure, open; removal of subcutaneous port component only Facility (43887) |
$2,368.50 |
$3,158 |
1.2× |
| Gastrocnemius recession (27687) |
$4,083 |
$5,444 |
1.3× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$7,554 |
$10,072 |
1.3× |
| Genioplasty; sliding osteotomy, single piece Facility (21121) |
$4,157.25 |
$5,543 |
1.3× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) |
$4,190.25 |
$5,587 |
1.3× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$7,554 |
$10,072 |
1.3× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$1,339.50 |
$1,786 |
0.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,389.75 |
$9,853 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$4,083 |
$5,444 |
1.3× |
| Hemiarthroplasty hip partial (27125) |
$18,828.75 |
$25,105 |
1.5× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$4,164.75 |
$5,553 |
1.3× |
| Hemorrhoidectomy (46255) |
$4,200 |
$5,600 |
1.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,549 |
$4,732 |
1.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,517.50 |
$4,690 |
1.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$3,800.25 |
$5,067 |
1.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$4,200 |
$5,600 |
1.5× |
| Hip arthro acetabuloplasty (29915) |
$7,389.75 |
$9,853 |
1.0× |
| Hip arthro w/labral repair (29916) |
$7,389.75 |
$9,853 |
1.0× |
| Hyoid myotomy and suspension Facility (21685) |
$7,554 |
$10,072 |
1.3× |
| Hysteroscopy biopsy (58558) |
$4,476.38 |
$5,968.50 |
1.4× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$6,495.38 |
$8,660.50 |
1.3× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$6,625.50 |
$8,834 |
1.3× |
| Hysteroscopy removal leiomyomata (58561) |
$6,495.38 |
$8,660.50 |
1.3× |
| Hysteroscopy w endometrial ablation (58563) |
$6,558 |
$8,744 |
1.3× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$4,566 |
$6,088 |
1.4× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,566 |
$6,088 |
1.4× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$4,788 |
$6,384 |
1.5× |
| I&D Abscess Peritonsillar (42700) |
$361.50 |
$482 |
1.5× |
| I&d abscess simple (10060) |
$314.25 |
$419 |
1.6× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,166 |
$2,888 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,481.50 |
$4,642 |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,552.75 |
$4,737 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,545.50 |
$3,394 |
1.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,723.75 |
$4,965 |
1.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,164.75 |
$5,553 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$1,054.50 |
$1,406 |
1.5× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,481.50 |
$4,642 |
1.2× |
| I&d submucosal abscess rectum (45005) |
$1,773 |
$2,364 |
1.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,043.75 |
$2,725 |
1.3× |
| I&d vulva/perineal abscess (56405) |
$483 |
$644 |
1.6× |
| Image Cath Fluid Peri/Retro (49406) |
$2,430.75 |
$3,241 |
1.5× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$9,234 |
$12,312 |
1.1× |
| Implant cochlear device (69930) |
$52,641 |
$70,188 |
1.6× |
| Implant neuroelectrodes (63650) |
$7,666.50 |
$10,222 |
1.2× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$17,912.25 |
$23,883 |
1.4× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$21,952.88 |
$29,270.50 |
1.7× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$7,244.25 |
$9,659 |
0.8× |
| Impression & Preparation Oral Surgical Splint (21085) |
$63.75 |
$85 |
0.3× |
| Incise external hemorrhoid (46083) |
$386.25 |
$515 |
1.6× |
| Incise finger tendon sheath (26055) |
$1,930.50 |
$2,574 |
1.2× |
| Incise wrist/forearm tendon (25290) |
$4,164.75 |
$5,553 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$593.25 |
$791 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,481.50 |
$4,642 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,013.25 |
$1,351 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,335.50 |
$3,114 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$545.25 |
$727 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$291.75 |
$389 |
1.5× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$3,549 |
$4,732 |
1.3× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$3,378.75 |
$4,505 |
1.2× |
| Incision and drainage perianal abscess superficial (46050) |
$1,389 |
$1,852 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,979.50 |
$5,306 |
1.4× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$3,624 |
$4,832 |
1.3× |
| Incision bone cortex foot (28005) |
$4,164.75 |
$5,553 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$2,081.25 |
$2,775 |
1.3× |
| Incision of eardrum (69421) |
$4,788 |
$6,384 |
1.5× |
| Incision of eyelid fold (67715) |
$1,469.25 |
$1,959 |
0.6× |
| Incision of labial frenum (frenotomy) (40806) |
$651 |
$868 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,353.50 |
$3,138 |
1.5× |
| Incision of lymph channels (38308) |
$5,540.25 |
$7,387 |
1.4× |
| Incision of rectal abscess (46045) |
$4,200 |
$5,600 |
1.5× |
| Incision of rectal abscess (46040) |
$1,773 |
$2,364 |
1.5× |
| Incision of tibia (27705) |
$9,159.75 |
$12,213 |
1.3× |
| Incision of tibia & fibula (27709) |
$18,662.25 |
$24,883 |
1.5× |
| Incision&drainage bursa foot (28001) |
$4,005 |
$5,340 |
2.5× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$4,157.25 |
$5,543 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$753.75 |
$1,005 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$221.25 |
$295 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,491 |
$1,988 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$356.25 |
$475 |
1.2× |
| Inj therapeutic carpal tunnel (20526) |
$388.50 |
$518 |
1.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,387.50 |
$1,850 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,387.50 |
$1,850 |
1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,491 |
$1,988 |
1.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,430.25 |
$1,907 |
1.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,359.75 |
$1,813 |
1.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,080.38 |
$1,440.50 |
1.5× |
| Inject Tendon Origin/Insert (20551) |
$404.25 |
$539 |
1.3× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,000.88 |
$1,334.50 |
1.1× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$571.50 |
$762 |
0.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,150.50 |
$1,534 |
1.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,059 |
$1,412 |
1.5× |
| Injection aa&/strd pudendal nerve (64430) |
$1,374 |
$1,832 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$442.50 |
$590 |
1.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,048.50 |
$1,398 |
1.5× |
| Injection for identification of sentinel node (38792) |
$579.75 |
$773 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$602.25 |
$803 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$602.25 |
$803 |
2.0× |
| Injection(s) spider veins (36468) |
$617.25 |
$823 |
1.5× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$503.25 |
$671 |
0.6× |
| Insert and remove bone pin (20650) |
$1,095.75 |
$1,461 |
0.3× |
| Insert cath pleura w/ image (32557) |
$2,062.50 |
$2,750 |
1.3× |
| Insert cath pleura w/o image (32556) |
$3,542.25 |
$4,723 |
1.9× |
| Insert cervical dilator (59200) |
$502.50 |
$670 |
1.7× |
| Insert gastrostomy tube percutaneous (49440) |
$2,626.50 |
$3,502 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$4,079.25 |
$5,439 |
1.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,062.50 |
$2,750 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$195 |
$260 |
1.5× |
| Insert testicular prosthesis (54660) |
$3,825 |
$5,100 |
0.7× |
| Insert tunneled cv cath (36561) |
$4,038 |
$5,384 |
1.3× |
| Insert Tunneled Cv Cath With Pump (36563) |
$7,130.25 |
$9,507 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$195 |
$260 |
1.5× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$7,851 |
$10,468 |
0.4× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$25,299.38 |
$33,732.50 |
1.2× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$3,225.75 |
$4,301 |
1.4× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$25,299.38 |
$33,732.50 |
1.2× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Facility (25430) |
$4,164.75 |
$5,553 |
1.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$964.88 |
$1,286.50 |
1.6× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$34,065 |
$45,420 |
1.8× |
| Insj picc rs&i 5 yr+ (36573) |
$2,305.12 |
$3,073.50 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,161 |
$5,548 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,161 |
$5,548 |
1.3× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,695.50 |
$11,594 |
1.1× |
| Insrt/redo spine n generator (63685) |
$36,707.25 |
$48,943 |
1.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,200 |
$5,600 |
1.5× |
| Interdental Fixation (21110) |
$2,059.50 |
$2,746 |
1.3× |
| Interdental Wiring Other Than Fracture (21497) |
$2,059.50 |
$2,746 |
1.3× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,788 |
$6,384 |
1.5× |
| Intro Gastrointestinal Tube (44500) |
$1,356.75 |
$1,809 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$329.25 |
$439 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$478.50 |
$638 |
1.9× |
| Knee Arthroscopy/Surgery (29885) |
$7,389.75 |
$9,853 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,916.12 |
$5,221.50 |
1.2× |
| Knee Arthroscopy/Surgery (29879) |
$4,164.75 |
$5,553 |
1.3× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$8,445 |
$11,260 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$9,021.75 |
$12,029 |
1.3× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$9,159.75 |
$12,213 |
1.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$8,193.75 |
$10,925 |
1.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,445 |
$11,260 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$9,079.50 |
$12,106 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,358 |
$11,144 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$8,445 |
$11,260 |
1.2× |
| Lap ing hernia repair init (49650) |
$8,794.50 |
$11,726 |
1.5× |
| Lap insert tunnel ip cath (49324) |
$8,487.75 |
$11,317 |
1.4× |
| Lap paraesoph her rpr w/mesh (43282) |
$15,130.50 |
$20,174 |
1.4× |
| Lap paraesophag hern repair (43281) |
$14,246.25 |
$18,995 |
1.4× |
| Lap revision perm ip cath (49325) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopic surgical splenectomy (38120) |
$14,246.25 |
$18,995 |
1.4× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$8,320.88 |
$11,094.50 |
1.4× |
| Laparoscopy appendectomy (44970) |
$8,235.38 |
$10,980.50 |
1.4× |
| Laparoscopy biopsy (49321) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$13,965.75 |
$18,621 |
1.3× |
| Laparoscopy tubal block (58671) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,821 |
$18,428 |
1.3× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$8,235.38 |
$10,980.50 |
1.4× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$13,347.75 |
$17,797 |
1.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$14,246.25 |
$18,995 |
1.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$13,965.75 |
$18,621 |
1.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$4,737 |
$6,316 |
1.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$4,476 |
$5,968 |
1.2× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$8,320.88 |
$11,094.50 |
1.4× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$14,246.25 |
$18,995 |
1.4× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,475.50 |
$16,634 |
1.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$12,648.38 |
$16,864.50 |
1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$14,098.50 |
$18,798 |
1.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$14,246.25 |
$18,995 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,235.38 |
$10,980.50 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,869.25 |
$9,159 |
0.7× |
| Laparoscopy, surgical; orchiectomy Facility (54690) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical; with fimbrioplasty Facility (58672) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$8,487.75 |
$11,317 |
1.4× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$8,487.75 |
$11,317 |
1.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$8,320.88 |
$11,094.50 |
1.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,960.50 |
$10,614 |
1.3× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$14,246.25 |
$18,995 |
1.4× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$8,487.75 |
$11,317 |
1.4× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$8,320.88 |
$11,094.50 |
1.4× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$8,320.88 |
$11,094.50 |
1.4× |
| Laryngoscopy flexible diagnostic (31575) |
$282 |
$376 |
1.4× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,654.25 |
$3,539 |
1.5× |
| Laryngoscopy w/biopsy (31535) |
$5,401.50 |
$7,202 |
1.5× |
| Laryngoscopy w/bx op scope (31536) |
$5,401.50 |
$7,202 |
1.5× |
| Laryngoscopy w/exc of tumor (31540) |
$5,401.50 |
$7,202 |
1.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,909.50 |
$2,546 |
1.1× |
| Late closure of wound (13160) |
$2,480.25 |
$3,307 |
0.7× |
| Lateral canthopexy (21282) |
$4,157.25 |
$5,543 |
1.3× |
| Lateral retinacular release open (27425) |
$4,326 |
$5,768 |
1.3× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$4,161 |
$5,548 |
1.3× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$6,607.50 |
$8,810 |
0.9× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$16,497 |
$21,996 |
1.3× |
| Ligamentous reconstruction knee intra-articular (27428) |
$18,828.75 |
$25,105 |
1.5× |
| Ligate leg veins open (37761) |
$4,161 |
$5,548 |
1.3× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$4,161 |
$5,548 |
1.3× |
| Ligation of a-v fistula (37607) |
$4,089 |
$5,452 |
1.3× |
| Ligation of hemorrhoid(s) (46221) |
$1,197.38 |
$1,596.50 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$2,335.50 |
$3,114 |
1.4× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$6,666.38 |
$8,888.50 |
1.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$8,560.50 |
$11,414 |
2.5× |
| Liver Biopsy (47000) |
$2,431.50 |
$3,242 |
1.5× |
| Lower jaw bone graft (21215) |
$7,554 |
$10,072 |
1.3× |
| Lysis of labial adhesions (56441) |
$4,614 |
$6,152 |
1.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$5,617.50 |
$7,490 |
2.7× |
| Malar augmentation, prosthetic material Facility (21270) |
$7,554 |
$10,072 |
1.3× |
| Manipulat Palm Cord Post Inj (26341) |
$282.75 |
$377 |
1.2× |
| Manipulation knee joint under general anesthesia (27570) |
$2,123.62 |
$2,831.50 |
1.3× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$4,164.75 |
$5,553 |
1.3× |
| Manipulation spine requiring anesthesia (22505) |
$2,166 |
$2,888 |
1.4× |
| Manipulation, elbow, under anesthesia (24300) |
$2,004.75 |
$2,673 |
1.3× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$3,852.75 |
$5,137 |
2.4× |
| Marsupialization Bartholins Gland Cyst (56440) |
$4,614 |
$6,152 |
1.4× |
| Mast mod rad (19307) |
$9,234 |
$12,312 |
1.4× |
| Mastectomy for gynecomastia (19300) |
$6,907.88 |
$9,210.50 |
1.8× |
| Mastectomy partial (19301) |
$5,741.25 |
$7,655 |
1.5× |
| Mastectomy simple complete (19303) |
$9,379.50 |
$12,506 |
1.4× |
| Mediastinoscpy w/lmph nod bx (39402) |
$8,487.75 |
$11,317 |
1.4× |
| Metatarsectomy (28140) |
$4,164.75 |
$5,553 |
1.3× |
| Middle ear surgery proc unlisted (69799) |
$375.75 |
$501 |
1.6× |
| Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Facility (24301) |
$9,157.50 |
$12,210 |
1.3× |
| Myelography Lumbar Injection (62305) |
$1,118.25 |
$1,491 |
1.4× |
| Myelography Lumbar Injection (62304) |
$1,118.25 |
$1,491 |
1.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,118.25 |
$1,491 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,095.38 |
$1,460.50 |
1.4× |
| Myringoplasty (69620) |
$4,788 |
$6,384 |
1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$955.50 |
$1,274 |
1.4× |
| Nasal endoscopy dx (31231) |
$249.75 |
$333 |
1.3× |
| Nasal surgery procedure (30999) |
$361.50 |
$482 |
1.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$5,401.50 |
$7,202 |
1.5× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$8,965.50 |
$11,954 |
1.3× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$8,965.50 |
$11,954 |
1.3× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$3,318 |
$4,424 |
1.9× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$4,459.50 |
$5,946 |
1.2× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) |
$2,654.25 |
$3,539 |
1.5× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$8,965.50 |
$11,954 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,654.25 |
$3,539 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,654.25 |
$3,539 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$8,965.50 |
$11,954 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$8,965.50 |
$11,954 |
1.3× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$9,570 |
$12,760 |
1.4× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$8,965.50 |
$11,954 |
1.3× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$8,965.50 |
$11,954 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$430.12 |
$573.50 |
1.0× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$5,094 |
$6,792 |
1.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,123.62 |
$2,831.50 |
1.3× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Facility (64892) |
$7,244.25 |
$9,659 |
0.8× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
$8,455.50 |
$11,274 |
1.0× |
| Nerve repair w/allograft (64910) |
$8,593.50 |
$11,458 |
1.0× |
| Nerve repair w/nerve allograft first strand (64912) |
$8,481 |
$11,308 |
1.0× |
| Neurectomy, intrinsic musculature of foot Facility (28055) |
$3,813.75 |
$5,085 |
2.0× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$3,114.75 |
$4,153 |
1.6× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,053.62 |
$4,071.50 |
1.6× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$3,053.62 |
$4,071.50 |
1.6× |
| Nipple exploration (19110) |
$5,431.50 |
$7,242 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$1,097.25 |
$1,463 |
1.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,430.25 |
$1,907 |
1.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$5,171.25 |
$6,895 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,430.25 |
$1,907 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,126.12 |
$1,501.50 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,266.38 |
$1,688.50 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,430.25 |
$1,907 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,101.75 |
$1,469 |
1.6× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,581.75 |
$2,109 |
2.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$617.25 |
$823 |
1.5× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$8,965.50 |
$11,954 |
1.3× |
| Occlude fallopian tube(s) (58615) |
$4,523.25 |
$6,031 |
1.4× |
| Omntc epiploectomy rescj omentum spx (49255) |
$4,958.25 |
$6,611 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$5,540.25 |
$7,387 |
1.4× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446) |
$7,389.75 |
$9,853 |
1.0× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$7,389.75 |
$9,853 |
1.0× |
| Open thrombect av fistula (36831) |
$7,130.25 |
$9,507 |
1.3× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$18,828.75 |
$25,105 |
1.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,098.75 |
$9,465 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$6,607.50 |
$8,810 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$18,458.25 |
$24,611 |
1.5× |
| Open treatment greater trochanteric fracture (27248) |
$5,721.75 |
$7,629 |
0.8× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,843.75 |
$5,125 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,098.75 |
$9,465 |
1.0× |
| Open treatment metacarpophalangeal dislocation (26715) |
$4,989.75 |
$6,653 |
1.5× |
| Open treatment metatarsal fracture each (28485) |
$6,607.50 |
$8,810 |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$7,169.25 |
$9,559 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$6,726.75 |
$8,969 |
0.9× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$9,021.75 |
$12,029 |
1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,853 |
$11,804 |
1.2× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$7,554 |
$10,072 |
1.3× |
Open treatment of depressed frontal sinus fracture Facility (21343)
likely a partial charge, not the full procedure |
$175.50 |
$234 |
0.0× |
| Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360) |
$7,775.25 |
$10,367 |
1.3× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) |
$7,389.75 |
$9,853 |
0.6× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$7,244.25 |
$9,659 |
1.0× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$7,389.75 |
$9,853 |
0.6× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$530.25 |
$707 |
0.0× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$7,584.75 |
$10,113 |
1.3× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$9,246.75 |
$12,329 |
1.3× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$18,458.25 |
$24,611 |
1.5× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$24,263.25 |
$32,351 |
1.9× |
| Open treatment of lunate dislocation Facility (25695) |
$7,389.75 |
$9,853 |
1.0× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$4,157.25 |
$5,543 |
1.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$4,157.25 |
$5,543 |
1.3× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$4,164.75 |
$5,553 |
1.3× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) |
$7,584.75 |
$10,113 |
1.3× |
| Open treatment of orbital floor blowout fracture; combined approach Facility (21387) |
$7,584.75 |
$10,113 |
1.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$7,584.75 |
$10,113 |
1.3× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$7,554 |
$10,072 |
1.3× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$8,819.25 |
$11,759 |
1.2× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$24,263.25 |
$32,351 |
1.4× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$18,828.75 |
$25,105 |
1.5× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$7,389.75 |
$9,853 |
1.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$7,389.75 |
$9,853 |
1.0× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$9,157.50 |
$12,210 |
1.3× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$9,157.50 |
$12,210 |
1.3× |
| Open treatment of sternum fracture with or without skeletal fixation Facility (21825) |
$7,389.75 |
$9,853 |
1.0× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$18,828.75 |
$25,105 |
1.5× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$7,389.75 |
$9,853 |
1.0× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$7,389.75 |
$9,853 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$7,389.75 |
$9,853 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$7,389.75 |
$9,853 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$18,458.25 |
$24,611 |
1.5× |
| Open treatment talus fracture (28445) |
$6,063.75 |
$8,085 |
0.8× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$7,389.75 |
$9,853 |
1.0× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$4,164.75 |
$5,553 |
1.3× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$3,976.88 |
$5,302.50 |
1.2× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,244.25 |
$9,659 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,098.75 |
$9,465 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,083 |
$5,444 |
1.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,244.25 |
$9,659 |
1.0× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$4,164.75 |
$5,553 |
1.3× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$16,836.38 |
$22,448.50 |
1.3× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$18,828.75 |
$25,105 |
1.5× |
| Open tx interphalangeal joint dislocation (26785) |
$4,164.75 |
$5,553 |
1.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,083 |
$5,444 |
1.3× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$2,310 |
$3,080 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,164.75 |
$5,553 |
1.3× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,389.75 |
$9,853 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,244.25 |
$9,659 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,244.25 |
$9,659 |
1.0× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Facility (26492) |
$4,157.25 |
$5,543 |
1.3× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$4,989.75 |
$6,653 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,244.25 |
$9,659 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,430.12 |
$8,573.50 |
0.9× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,244.25 |
$9,659 |
1.0× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$7,389.75 |
$9,853 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$18,828.75 |
$25,105 |
1.5× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$4,175.25 |
$5,567 |
0.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,763.25 |
$6,351 |
1.3× |
| Ostectomy calcaneus (28118) |
$3,723.75 |
$4,965 |
1.2× |
| Ostectomy complete 5th metatarsal head (28113) |
$4,164.75 |
$5,553 |
1.3× |
| Ostectomy of sternum, partial Facility (21620) |
$3,174.75 |
$4,233 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,164.75 |
$5,553 |
1.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,164.75 |
$5,553 |
1.3× |
| Osteochondral allograft, knee, open (27415) |
$18,828.75 |
$25,105 |
1.5× |
| Osteochondral knee autograft (27416) |
$7,389.75 |
$9,853 |
1.0× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$7,554 |
$10,072 |
1.3× |
Osteoplasty, femur; shortening (excluding 64876) Facility (27465)
unusually low: confirm this is the full procedure |
$3,162 |
$4,216 |
0.4× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$9,157.50 |
$12,210 |
1.3× |
| Osteot shrt corrj prox phalanx 1st toe (28310) |
$9,157.50 |
$12,210 |
1.3× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$8,559.75 |
$11,413 |
1.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$4,001.25 |
$5,335 |
1.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,389.75 |
$9,853 |
1.0× |
| Osteotomy radius distal third (25350) |
$7,389.75 |
$9,853 |
1.0× |
| Osteotomy talus (28302) |
$9,157.50 |
$12,210 |
1.3× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$7,389.75 |
$9,853 |
1.0× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$9,079.50 |
$12,106 |
1.3× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$13,423.88 |
$17,898.50 |
1.1× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$6,040.50 |
$8,054 |
0.8× |
| Osteotomy, mandible, segmental; Facility (21198) |
$7,554 |
$10,072 |
1.3× |
| Osteotomy, mandible, segmental; with genioglossus advancement (21199) |
$7,554 |
$10,072 |
1.3× |
| Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Facility (21206) |
$7,584.75 |
$10,113 |
1.3× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$7,389.75 |
$9,853 |
1.0× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455) |
$5,172 |
$6,896 |
0.7× |
| Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) |
$9,157.50 |
$12,210 |
1.3× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$9,157.50 |
$12,210 |
1.3× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$7,389.75 |
$9,853 |
1.0× |
| Ovarian cystectomy (58925) |
$6,625.50 |
$8,834 |
1.3× |
| P-mastectomy w/ln removal (19302) |
$8,959.12 |
$11,945.50 |
1.4× |
| Palatopharyngoplasty (42145) |
$8,633.25 |
$11,511 |
1.5× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$7,329 |
$9,772 |
1.3× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$8,633.25 |
$11,511 |
1.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$3,679.88 |
$4,906.50 |
1.1× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$4,157.25 |
$5,543 |
1.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$4,164.75 |
$5,553 |
1.3× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$3,790.88 |
$5,054.50 |
1.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$4,001.25 |
$5,335 |
1.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,790.88 |
$5,054.50 |
1.2× |
| Partial excision bone tibia (27640) |
$4,164.75 |
$5,553 |
1.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,081.25 |
$2,775 |
1.3× |
| Partial excision of lip (40520) |
$4,788 |
$6,384 |
1.5× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$7,389.75 |
$9,853 |
1.0× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,602.75 |
$2,137 |
1.0× |
| Partial hymenectomy or revision (56700) |
$4,523.25 |
$6,031 |
1.4× |
| Partial removal of hand bone (26230) |
$4,078.50 |
$5,438 |
1.3× |
| Partial removal of thyroid (60220) |
$8,320.88 |
$11,094.50 |
1.4× |
| Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60212) |
$8,487.75 |
$11,317 |
1.4× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$8,487.75 |
$11,317 |
1.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,164.75 |
$5,553 |
1.3× |
| Patellectomy or hemipatellectomy (27350) |
$7,389.75 |
$9,853 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$4,523.25 |
$6,031 |
1.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,054.50 |
$1,406 |
1.5× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$5,143.50 |
$6,858 |
1.6× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$9,157.50 |
$12,210 |
1.3× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$4,037.25 |
$5,383 |
1.2× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$9,157.50 |
$12,210 |
1.3× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$2,051.25 |
$2,735 |
1.3× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,723.75 |
$4,965 |
1.2× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
$7,389.75 |
$9,853 |
1.0× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$2,166 |
$2,888 |
1.4× |
| Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456) |
$7,389.75 |
$9,853 |
1.0× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$4,381.50 |
$5,842 |
1.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,085.25 |
$5,447 |
1.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$4,614 |
$6,152 |
1.4× |
| Perq dev breast 1st us imag (19285) |
$1,099.50 |
$1,466 |
1.6× |
| Perq device breast 1st imag (19281) |
$1,318.12 |
$1,757.50 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$467.25 |
$623 |
1.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,083 |
$5,444 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,098.75 |
$9,465 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$8,130 |
$10,840 |
1.1× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,165.50 |
$5,554 |
1.3× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$4,165.50 |
$5,554 |
1.3× |
| Picc line placement (36569) |
$2,022 |
$2,696 |
1.3× |
| Pin hand dislocation (26676) |
$4,326 |
$5,768 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$256.50 |
$342 |
0.6× |
| Placement of seton (46020) |
$3,202.50 |
$4,270 |
1.2× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) |
$4,788 |
$6,384 |
1.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,111 |
$4,148 |
1.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$6,429 |
$8,572 |
1.3× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$3,501.75 |
$4,669 |
1.5× |
| Probe nasolacrimal duct (68810) |
$462 |
$616 |
1.5× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$2,959.12 |
$3,945.50 |
1.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,416.75 |
$1,889 |
1.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$4,200 |
$5,600 |
1.5× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$3,345 |
$4,460 |
1.2× |
| Prostate Saturation Sampling (55706) |
$6,567.38 |
$8,756.50 |
1.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,099.50 |
$1,466 |
1.6× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$19,236.75 |
$25,649 |
3.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,164.75 |
$5,553 |
1.3× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$4,077 |
$5,436 |
1.3× |
| Prq skel fixj metar fx w/manj (28476) |
$4,164.75 |
$5,553 |
1.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$4,164.75 |
$5,553 |
1.3× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$7,244.25 |
$9,659 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$4,164.75 |
$5,553 |
1.3× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$7,389.75 |
$9,853 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$491.25 |
$655 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,054.50 |
$1,406 |
1.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$605.25 |
$807 |
1.5× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$955.50 |
$1,274 |
1.4× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$955.50 |
$1,274 |
1.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$5,461.12 |
$7,281.50 |
1.7× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$2,175 |
$2,900 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$7,926.75 |
$10,569 |
2.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$3,669 |
$4,892 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$3,414.75 |
$4,553 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Facility (27364) |
$3,534 |
$4,712 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$3,669 |
$4,892 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$3,669 |
$4,892 |
1.3× |
| Radical resection of tumor; clavicle Facility (23200) |
$8,418.75 |
$11,225 |
1.2× |
| Radical styloidectomy separate procedure (25230) |
$4,164.75 |
$5,553 |
1.3× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$4,083 |
$5,444 |
1.3× |
| Rcnstj Dislocating Patella (27420) |
$7,389.75 |
$9,853 |
1.0× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$7,389.75 |
$9,853 |
1.0× |
| Re-explore parathyroids (60502) |
$8,633.25 |
$11,511 |
1.5× |
| Realignment extensor tendon hand each tendon (26437) |
$4,083 |
$5,444 |
1.3× |
| Reconstruct extra finger (26587) |
$4,085.25 |
$5,447 |
1.3× |
| Reconstruct Finger Joint (26548) |
$4,164.75 |
$5,553 |
1.3× |
| Reconstruct Shoulder Joint (23470) |
$25,192.50 |
$33,590 |
2.0× |
| Reconstruct ulna/radioulnar (25337) |
$7,389.75 |
$9,853 |
1.0× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
$7,554 |
$10,072 |
1.3× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft Facility (21142) |
$7,554 |
$10,072 |
1.3× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
$7,554 |
$10,072 |
1.3× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Facility (21143) |
$7,554 |
$10,072 |
1.3× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$7,554 |
$10,072 |
1.3× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$7,554 |
$10,072 |
1.3× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$6,607.50 |
$8,810 |
0.9× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$7,329 |
$9,772 |
1.3× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196) |
$9,442.88 |
$12,590.50 |
1.6× |
| Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation Facility (21195) |
$7,584.75 |
$10,113 |
1.3× |
| Reconstruction Toe Polydactyly (28344) |
$4,157.25 |
$5,543 |
1.3× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$4,161 |
$5,548 |
1.3× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$4,164.75 |
$5,553 |
1.3× |
| Reduce testis torsion (54600) |
$4,382.25 |
$5,843 |
1.3× |
| Reinforce tibia (27745) |
$9,990.38 |
$13,320.50 |
1.4× |
| Reinforce ulna (25491) |
$16,497 |
$21,996 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$7,098.75 |
$9,465 |
1.0× |
| Reinsertion of spinal fixation device Facility (22849) |
$24,263.25 |
$32,351 |
1.9× |
| Release elbow joint (24006) |
$4,077.75 |
$5,437 |
1.3× |
| Release finger contracture (26525) |
$2,175 |
$2,900 |
1.4× |
| Release of big toe (28240) |
$4,157.25 |
$5,543 |
1.3× |
| Release wrist/forearm tendon (25295) |
$3,392.25 |
$4,523 |
1.0× |
| Relieve pressure on nerve(s) (64722) |
$5,130 |
$6,840 |
2.7× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$48,096 |
$64,128 |
2.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,624 |
$4,832 |
1.3× |
| Removal Foreign Body Foot Complicated (28193) |
$2,127 |
$2,836 |
1.3× |
| Removal foreign body foot deep (28192) |
$1,902 |
$2,536 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$885.75 |
$1,181 |
1.3× |
| Removal foreign body intranasal (30300) |
$260.25 |
$347 |
2.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,043.75 |
$2,725 |
1.3× |
| Removal foreign body pharynx (42809) |
$421.50 |
$562 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,624 |
$4,832 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$95.25 |
$127 |
1.6× |
| Removal implant deep (20680) |
$3,481.50 |
$4,642 |
1.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,043.75 |
$2,725 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,054.50 |
$1,406 |
1.5× |
| Removal Intact Mammary Implant (19328) |
$6,907.88 |
$9,210.50 |
1.8× |
| Removal of adenoids (42835) |
$4,788 |
$6,384 |
1.5× |
| Removal of adenoids (42831) |
$4,788 |
$6,384 |
1.5× |
| Removal of adenoids (42830) |
$4,788 |
$6,384 |
1.5× |
| Removal of anal fissure (46200) |
$4,200 |
$5,600 |
1.5× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$6,261.75 |
$8,349 |
0.9× |
| Removal of arm foreign body (24200) |
$2,127 |
$2,836 |
1.3× |
| Removal of bone for graft (20902) |
$9,201 |
$12,268 |
1.3× |
| Removal of bone lesion (23140) |
$4,164.75 |
$5,553 |
1.3× |
| Removal of cervix (57530) |
$6,495.38 |
$8,660.50 |
1.3× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,350 |
$1,800 |
1.4× |
| Removal of embedded foreign body, eyelid (67938) |
$462 |
$616 |
1.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,809 |
$2,412 |
1.5× |
| Removal of finger lesion (26210) |
$2,166 |
$2,888 |
1.4× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$462 |
$616 |
1.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$421.50 |
$562 |
1.0× |
| Removal of heel spur (28119) |
$4,164.75 |
$5,553 |
1.3× |
| Removal of implant from finger or hand (26320) |
$1,986 |
$2,648 |
1.2× |
| Removal of implant material (19330) |
$5,540.25 |
$7,387 |
1.4× |
| Removal of infusion pump (36262) |
$5,259.75 |
$7,013 |
1.4× |
| Removal of iud (58301) |
$492.75 |
$657 |
1.6× |
| Removal of kidney stone (50081) |
$19,250.62 |
$25,667.50 |
2.1× |
| Removal of kidney stone (50080) |
$25,455.75 |
$33,941 |
2.7× |
| Removal of nail bed (11750) |
$588 |
$784 |
1.5× |
| Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) |
$18,828.75 |
$25,105 |
2.6× |
| Removal of posterior segmental instrumentation Facility (22852) |
$18,828.75 |
$25,105 |
2.6× |
| Removal of salivary stone (42330) |
$4,788 |
$6,384 |
1.5× |
| Removal of sesamoid bone (28315) |
$4,164.75 |
$5,553 |
1.3× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$3,624 |
$4,832 |
1.3× |
| Removal of tail bone (27080) |
$4,989.75 |
$6,653 |
1.5× |
| Removal Of Tendon Lesion (27630) |
$4,164.75 |
$5,553 |
1.3× |
| Removal of testis (54520) |
$4,993.88 |
$6,658.50 |
1.4× |
| Removal of thyroid (60271) |
$8,633.25 |
$11,511 |
1.5× |
| Removal of tonsils (42825) |
$8,633.25 |
$11,511 |
1.5× |
| Removal of tonsils (42826) |
$4,645.50 |
$6,194 |
1.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,161 |
$5,548 |
1.3× |
| Removal of wrist bone (25210) |
$4,164.75 |
$5,553 |
1.3× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711) |
$4,788 |
$6,384 |
1.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$4,523.25 |
$6,031 |
1.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$3,624 |
$4,832 |
1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$247.50 |
$330 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$755.25 |
$1,007 |
1.1× |
| Removal Submand Stone,Complicated (42335) |
$4,788 |
$6,384 |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,275.50 |
$3,034 |
1.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,968 |
$2,624 |
1.2× |
| Remove anal fist subq (46270) |
$4,117.50 |
$5,490 |
1.5× |
| Remove brain canal fluid (61050) |
$460.50 |
$614 |
1.5× |
| Remove cerclage suture (59871) |
$2,280.75 |
$3,041 |
0.7× |
| Remove drug implant device (11982) |
$438.75 |
$585 |
1.0× |
| Remove ext hem groups 2+ (46250) |
$4,117.50 |
$5,490 |
1.5× |
| Remove eye/attach implant (65105) |
$5,485.50 |
$7,314 |
1.4× |
| Remove foreign body from eye (65235) |
$3,225.75 |
$4,301 |
1.4× |
| Remove humerus lesion (24110) |
$4,164.75 |
$5,553 |
1.3× |
| Remove Lower Leg Bone Lesion (27635) |
$4,001.25 |
$5,335 |
1.2× |
| Remove palate/lesion (42120) |
$7,119 |
$9,492 |
1.2× |
| Remove Peritoneal Foreign Body (49402) |
$4,958.25 |
$6,611 |
1.4× |
| Remove Pilonidal Cyst Exten (11771) |
$3,487.50 |
$4,650 |
1.2× |
| Remove Prostate Regrowth (52630) |
$6,800.25 |
$9,067 |
1.3× |
| Remove renal tube w/fluoro (50389) |
$1,018.50 |
$1,358 |
1.5× |
| Remove spine eltrd perq aray (63661) |
$3,114.75 |
$4,153 |
1.6× |
| Remove Tendon Sheath Lesion (26160) |
$2,166 |
$2,888 |
1.4× |
| Remove tumor hip/pelvis (27049) |
$3,669 |
$4,892 |
1.3× |
| Remove vagina gland lesion (56740) |
$4,614 |
$6,152 |
1.4× |
| Remove/graft finger lesion (26215) |
$6,424.50 |
$8,566 |
2.0× |
| Remove/Insert Drug Implant (11983) |
$438.75 |
$585 |
1.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,430.75 |
$3,241 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$260.25 |
$347 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$191.25 |
$255 |
1.5× |
| Remv&replc pm gen dual lead (33228) |
$14,456.25 |
$19,275 |
1.4× |
| Remv/revisn shldr/hip spica cast (29710) |
$375.75 |
$501 |
1.4× |
| Repair achilles tendon (27650) |
$7,098.75 |
$9,465 |
1.0× |
| Repair arm/leg nerve (64857) |
$10,938.75 |
$14,585 |
3.2× |
| Repair blood vessel direct hand finger (35207) |
$4,362 |
$5,816 |
1.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,161 |
$5,548 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$879.75 |
$1,173 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$879.75 |
$1,173 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$593.25 |
$791 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$879.75 |
$1,173 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$931.50 |
$1,242 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$879.75 |
$1,173 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$879.75 |
$1,173 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$879.75 |
$1,173 |
1.2× |
| Repair detached retina (67110) |
$3,225.75 |
$4,301 |
1.4× |
| Repair Ectropion Extensive (67917) |
$3,501.75 |
$4,669 |
1.5× |
| Repair Entropion Suture (67921) |
$3,501.75 |
$4,669 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,287.88 |
$3,050.50 |
1.4× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$4,164.75 |
$5,553 |
1.3× |
| Repair eyelid defect (67916) |
$3,501.75 |
$4,669 |
1.5× |
| Repair Eyelid Wound (67935) |
$2,901.75 |
$3,869 |
1.2× |
| Repair Fibula Nonunion (27726) |
$7,389.75 |
$9,853 |
1.0× |
| Repair Finger Tendon (26433) |
$4,164.75 |
$5,553 |
1.3× |
| Repair Fistula Oromaxillary (30580) |
$8,633.25 |
$11,511 |
1.5× |
| Repair forearm tendon/muscle (25260) |
$4,001.25 |
$5,335 |
1.2× |
| Repair hand joint with graft (26542) |
$4,157.25 |
$5,543 |
1.3× |
| Repair hand tendon (26410) |
$2,081.25 |
$2,775 |
1.3× |
| Repair incomplete circumcision (54163) |
$2,502 |
$3,336 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,958.25 |
$6,611 |
1.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,958.25 |
$6,611 |
1.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,958.25 |
$6,611 |
1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,860.75 |
$6,481 |
1.4× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$4,958.25 |
$6,611 |
1.4× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$4,958.25 |
$6,611 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$593.25 |
$791 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$593.25 |
$791 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$593.25 |
$791 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$593.25 |
$791 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$593.25 |
$791 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$593.25 |
$791 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$593.25 |
$791 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$879.75 |
$1,173 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$593.25 |
$791 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$593.25 |
$791 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$879.75 |
$1,173 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$329.25 |
$439 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$593.25 |
$791 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$593.25 |
$791 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$593.25 |
$791 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$879.75 |
$1,173 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$791.62 |
$1,055.50 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,430.75 |
$3,241 |
1.2× |
| Repair Leg Fascia Defect (27656) |
$5,677.50 |
$7,570 |
1.8× |
| Repair lower leg tendons (27676) |
$7,389.75 |
$9,853 |
1.0× |
| Repair Lower Leg Tendons (27675) |
$3,723.75 |
$4,965 |
1.2× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$7,244.25 |
$9,659 |
1.0× |
| Repair Mouth Laceration (40831) |
$945 |
$1,260 |
1.8× |
| Repair nasal septal perforations (30630) |
$4,788 |
$6,384 |
1.5× |
| Repair Nasal Stenosis (30465) |
$8,633.25 |
$11,511 |
1.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$4,862.25 |
$6,483 |
0.8× |
| Repair of biceps tendon (24340) |
$9,030.75 |
$12,041 |
1.3× |
| Repair of defect with autograft; radius OR ulna Facility (25425) |
$9,157.50 |
$12,210 |
1.3× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$6,625.50 |
$8,834 |
1.3× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$4,077 |
$5,436 |
1.3× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$4,157.25 |
$5,543 |
1.3× |
| Repair of eye wound (65280) |
$5,812.50 |
$7,750 |
1.1× |
| Repair of eye wound (65275) |
$5,485.50 |
$7,314 |
1.4× |
| Repair of eye wound (65270) |
$3,501.75 |
$4,669 |
1.5× |
| Repair of foot bones (28320) |
$16,497 |
$21,996 |
1.3× |
| Repair of hammertoe (28286) |
$4,157.25 |
$5,543 |
1.3× |
| Repair of humerus (24430) |
$18,087.75 |
$24,117 |
1.4× |
| Repair of iris, ciliary body (as for iridodialysis) Facility (66680) |
$3,225.75 |
$4,301 |
1.4× |
| Repair of knee cartilage (27403) |
$7,389.75 |
$9,853 |
1.0× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$3,501.75 |
$4,669 |
1.5× |
| Repair of leg tendon each (27664) |
$7,389.75 |
$9,853 |
1.0× |
| Repair of leg tendon each (27658) |
$3,723.75 |
$4,965 |
1.2× |
| Repair of nail bed (11760) |
$879.75 |
$1,173 |
1.2× |
| Repair of nasal septum (30520) |
$3,905.62 |
$5,207.50 |
1.2× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
$7,775.25 |
$10,367 |
1.3× |
| Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary… (25431) |
$7,389.75 |
$9,853 |
1.0× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$18,458.25 |
$24,611 |
1.5× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$9,157.50 |
$12,210 |
1.3× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$7,389.75 |
$9,853 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$9,157.50 |
$12,210 |
1.3× |
| Repair of rectocele (45560) |
$4,200 |
$5,600 |
1.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$7,950.75 |
$10,601 |
1.1× |
| Repair of shoulder (23420) |
$7,389.75 |
$9,853 |
1.0× |
| Repair of tibia (27720) |
$7,389.75 |
$9,853 |
1.0× |
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372)
unusually low: confirm this is the full procedure |
$2,422.50 |
$3,230 |
0.3× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$4,157.25 |
$5,543 |
1.3× |
| Repair Profundus Tendon,Primary (26370) |
$4,164.75 |
$5,553 |
1.3× |
| Repair radius & ulna (25415) |
$7,098.75 |
$9,465 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,958.25 |
$6,611 |
0.8× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$4,958.25 |
$6,611 |
1.4× |
| Repair rotator cuff acute (23410) |
$7,244.25 |
$9,659 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,098.75 |
$9,465 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$4,380.75 |
$5,841 |
1.4× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,098.75 |
$9,465 |
1.0× |
| Repair tongue laceration (41252) |
$375.75 |
$501 |
1.6× |
| Repair Tongue Laceration (41250) |
$375 |
$500 |
0.8× |
| Repair tympanic membrane (69610) |
$2,353.50 |
$3,138 |
1.5× |
| Repair webbed toe(s) (28345) |
$2,051.25 |
$2,735 |
1.3× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$8,841.75 |
$11,789 |
1.5× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$7,389.75 |
$9,853 |
1.0× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$7,389.75 |
$9,853 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,244.25 |
$9,659 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$6,607.50 |
$8,810 |
0.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Facility (27409) |
$7,389.75 |
$9,853 |
1.0× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$7,098.75 |
$9,465 |
1.0× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$4,157.25 |
$5,543 |
1.3× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$4,164.75 |
$5,553 |
1.3× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$6,792 |
$9,056 |
0.9× |
| Repair/graft achilles tendon (27652) |
$9,021.75 |
$12,029 |
1.3× |
| Repair/graft finger tendon (26420) |
$4,164.75 |
$5,553 |
1.3× |
| Repair/graft wrist bone (25440) |
$7,389.75 |
$9,853 |
1.0× |
| Repair/revise wrist joint (25320) |
$8,675.25 |
$11,567 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$3,984.75 |
$5,313 |
4.4× |
| Replace elbow joint (24363) |
$24,263.25 |
$32,351 |
1.4× |
| Replace Tissue Expander (11970) |
$8,445 |
$11,260 |
1.2× |
| Replace tunneled cv cath (36578) |
$3,942 |
$5,256 |
1.3× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$3,225.75 |
$4,301 |
1.4× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,164.75 |
$5,553 |
1.3× |
| Resect radius/ulnar tumor (25170) |
$7,389.75 |
$9,853 |
1.0× |
| Resect shoulder tumor < 5 cm (23077) |
$3,669 |
$4,892 |
1.3× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$4,381.50 |
$5,842 |
1.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$4,157.25 |
$5,543 |
1.3× |
| Revis reconst shoulder joint (23473) |
$18,828.75 |
$25,105 |
1.5× |
| Revise finger/toe nerve (64702) |
$5,130 |
$6,840 |
2.7× |
| Revise Hand/Foot Nerve (64704) |
$3,114.75 |
$4,153 |
1.6× |
| Revise knuckle joint (26530) |
$7,244.25 |
$9,659 |
1.0× |
| Revise knuckle with implant (26531) |
$9,079.50 |
$12,106 |
1.3× |
| Revise Lower Leg Tendon (27691) |
$7,389.75 |
$9,853 |
1.0× |
| Revise Lower Leg Tendons (27686) |
$4,164.75 |
$5,553 |
1.3× |
| Revise spine eltrd perq aray (63663) |
$5,304 |
$7,072 |
0.8× |
| Revise Spine Eltrd Plate (63664) |
$19,634.25 |
$26,179 |
1.8× |
| Revise ulnar nerve at elbow (64718) |
$2,992.50 |
$3,990 |
1.6× |
| Revise vag graft via vagina (57295) |
$4,523.25 |
$6,031 |
1.4× |
| Revise/Implant Finger Joint (26536) |
$8,844.38 |
$11,792.50 |
1.2× |
| Revise/Remove Neuroreceiver (63688) |
$4,917.75 |
$6,557 |
1.4× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$8,962.50 |
$11,950 |
1.2× |
| Revision of arthroplasty, including removal of implant, wrist joint Facility (25449) |
$7,389.75 |
$9,853 |
1.0× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$4,866.75 |
$6,489 |
1.4× |
| Revision of foot (28116) |
$3,616.12 |
$4,821.50 |
1.1× |
| Revision of lower leg tendon (27685) |
$4,164.75 |
$5,553 |
1.3× |
| Revision of nose (30462) |
$7,323.75 |
$9,765 |
1.3× |
| Revision of penis (54300) |
$3,295.50 |
$4,394 |
0.9× |
| Revision of reconstructed breast (19380) |
$9,234 |
$12,312 |
1.4× |
| Revision of scrotum (55175) |
$4,335 |
$5,780 |
1.2× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$8,633.25 |
$11,511 |
1.5× |
| Revision of toe (28312) |
$4,164.75 |
$5,553 |
1.3× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$10,173 |
$13,564 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$10,173 |
$13,564 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$18,828.75 |
$25,105 |
1.1× |
| Revision of ulna (25360) |
$7,389.75 |
$9,853 |
1.0× |
| Revision of urethra (57220) |
$6,625.50 |
$8,834 |
1.3× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$7,130.25 |
$9,507 |
1.3× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$10,197.75 |
$13,597 |
0.8× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$10,173 |
$13,564 |
0.8× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$8,633.25 |
$11,511 |
1.5× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) |
$7,329 |
$9,772 |
1.3× |
| Rib cartilage graft (21230) |
$7,584.75 |
$10,113 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,412.25 |
$1,883 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$260.25 |
$347 |
2.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$156 |
$208 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,481.50 |
$4,642 |
1.2× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$3,225.75 |
$4,301 |
1.4× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$3,225.75 |
$4,301 |
1.4× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,114.75 |
$4,153 |
1.6× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$7,244.25 |
$9,659 |
2.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,981.50 |
$2,642 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$944.25 |
$1,259 |
1.5× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$3,225.75 |
$4,301 |
1.4× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$3,225.75 |
$4,301 |
1.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,161 |
$5,548 |
1.3× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$2,123.62 |
$2,831.50 |
1.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,847.50 |
$9,130 |
1.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,766.62 |
$6,355.50 |
1.3× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,862.25 |
$6,483 |
0.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$7,153.50 |
$9,538 |
1.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,766.62 |
$6,355.50 |
1.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,766.62 |
$6,355.50 |
0.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,013.62 |
$9,351.50 |
1.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,920.75 |
$2,561 |
2.7× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,001.25 |
$5,335 |
1.2× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$6,607.50 |
$8,810 |
0.9× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,958.25 |
$6,611 |
1.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$303.75 |
$405 |
0.4× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$5,812.50 |
$7,750 |
1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,353.50 |
$3,138 |
1.5× |
| Rpr non-union mtcrpl/phalanx (26546) |
$7,389.75 |
$9,853 |
1.0× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$900 |
$1,200 |
1.7× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$5,485.50 |
$7,314 |
1.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,083 |
$5,444 |
1.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$4,001.25 |
$5,335 |
1.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$4,164.75 |
$5,553 |
1.3× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$4,164.75 |
$5,553 |
1.3× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$7,389.75 |
$9,853 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$8,084.25 |
$10,779 |
2.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$4,164.75 |
$5,553 |
1.3× |
| Scrotal exploration (55110) |
$4,167.75 |
$5,557 |
1.2× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$3,078.75 |
$4,105 |
1.0× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$3,225.75 |
$4,301 |
1.4× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$3,225.75 |
$4,301 |
1.4× |
| Shoulder arthroscopy (29820) |
$8,504.25 |
$11,339 |
1.2× |
| Shoulder arthroscopy (29805) |
$4,164.75 |
$5,553 |
1.3× |
| Shoulder Arthroscopy/Surgery (29819) |
$3,723.75 |
$4,965 |
1.2× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,164.75 |
$5,553 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$258 |
$344 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,845 |
$2,460 |
1.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,416.75 |
$1,889 |
1.5× |
| Sigmoidoscopy w/biopsy (45331) |
$1,416.75 |
$1,889 |
1.5× |
| Sigmoidoscopy w/fb removal (45332) |
$1,845 |
$2,460 |
1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$361.50 |
$482 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$308.25 |
$411 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$308.25 |
$411 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$366.75 |
$489 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$399.75 |
$533 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$308.25 |
$411 |
1.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$391.50 |
$522 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$308.25 |
$411 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$153.75 |
$205 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$308.25 |
$411 |
1.6× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030) |
$7,323.75 |
$9,765 |
1.3× |
| Skin splt grft trnk/arm/leg (15100) |
$2,529.75 |
$3,373 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$4,876.50 |
$6,502 |
6.7× |
| Skin Tissue Procedure (17999) |
$308.25 |
$411 |
1.6× |
| Skin tissue rearrangement (14040) |
$2,430.75 |
$3,241 |
1.2× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,653.75 |
$6,205 |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$6,300 |
$8,400 |
1.3× |
| Slitting of prepuce (54001) |
$2,981.25 |
$3,975 |
1.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$2,337.75 |
$3,117 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$314.25 |
$419 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$593.25 |
$791 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$593.25 |
$791 |
1.5× |
| Snip incision lacrimal punctum (68440) |
$462 |
$616 |
1.5× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,117.50 |
$5,490 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,080.38 |
$1,440.50 |
1.5× |
| Spinal Puncture Therapeutic (62272) |
$1,080.38 |
$1,440.50 |
1.5× |
| Spine Surgery Procedure Unlisted (22899) |
$306.75 |
$409 |
1.3× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$8,633.25 |
$11,511 |
1.5× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$2,959.12 |
$3,945.50 |
1.3× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$5,485.50 |
$7,314 |
1.4× |
| Strapping ankle (29540) |
$56.25 |
$75 |
0.4× |
| Strapping elbow or wrist (29260) |
$69 |
$92 |
1.2× |
| Strapping hand/finger (29280) |
$171 |
$228 |
2.9× |
| Strapping knee (29530) |
$67.50 |
$90 |
0.5× |
| Strapping shoulder (29240) |
$119.25 |
$159 |
0.9× |
| Strapping thorax (29200) |
$202.50 |
$270 |
1.3× |
| Strapping toes (29550) |
$77.25 |
$103 |
1.3× |
| Strapping unna boot (29580) |
$134.25 |
$179 |
0.8× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$4,960.50 |
$6,614 |
1.5× |
| Subtalar Arthro W/Deb (29906) |
$4,164.75 |
$5,553 |
1.3× |
| Suction assisted lipectomy; head and neck (15876) |
$4,653.75 |
$6,205 |
1.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$7,323.75 |
$9,765 |
1.3× |
| Surgery of breast capsule (19370) |
$5,540.25 |
$7,387 |
1.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,209.25 |
$4,279 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,549 |
$4,732 |
1.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$4,200 |
$5,600 |
1.5× |
| Suspension of testis (54640) |
$4,860.75 |
$6,481 |
1.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,114.75 |
$4,153 |
1.6× |
| Suture infrapatellar tendon primary (27380) |
$7,244.25 |
$9,659 |
1.0× |
| Suture of 1 nerve ulnar motor (64836) |
$7,101.75 |
$9,469 |
2.1× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$7,244.25 |
$9,659 |
2.1× |
| Suture of facial nerve; extracranial Facility (64864) |
$7,244.25 |
$9,659 |
0.8× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$7,389.75 |
$9,853 |
1.0× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$3,225.75 |
$4,301 |
1.4× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$7,389.75 |
$9,853 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$9,079.50 |
$12,106 |
1.3× |
| Suture pharynx for wound or injury Facility (42900) |
$2,467.50 |
$3,290 |
1.6× |
| Suture/repair testicular injury (54670) |
$3,837.38 |
$5,116.50 |
1.1× |
| Synovectomy tendon sheath foot extensor (28088) |
$4,160.25 |
$5,547 |
1.3× |
| Synovectomy, carpometacarpal joint Facility (26130) |
$4,164.75 |
$5,553 |
1.3× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$4,083 |
$5,444 |
1.3× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$8,928 |
$11,904 |
1.2× |
| Synovectomy; metatarsophalangeal joint, each Facility (28072) |
$3,996 |
$5,328 |
1.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,166 |
$2,888 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$320.25 |
$427 |
0.8× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) |
$9,244.50 |
$12,326 |
1.3× |
| Tendon lengthening, upper arm or elbow, each tendon Facility (24305) |
$4,989.75 |
$6,653 |
1.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,844.50 |
$5,126 |
1.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$4,164.75 |
$5,553 |
1.3× |
| Tenodesis long tendon biceps (23430) |
$6,573 |
$8,764 |
0.9× |
| Tenolysis extensor tendon hand/finger each (26445) |
$4,164.75 |
$5,553 |
1.3× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,166 |
$2,888 |
1.4× |
| Tenolysis Triceps (24332) |
$4,085.25 |
$5,447 |
1.3× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$4,157.25 |
$5,543 |
1.3× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$4,164.75 |
$5,553 |
1.3× |
| Tenotomy flexor finger open each tendon (26455) |
$2,166 |
$2,888 |
1.4× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$2,166 |
$2,888 |
1.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,175 |
$2,900 |
1.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,166 |
$2,888 |
1.4× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$4,164.75 |
$5,553 |
1.3× |
| Tenotomy shoulder area single tendon (23405) |
$7,389.75 |
$9,853 |
1.0× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$2,166 |
$2,888 |
1.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,166 |
$2,888 |
1.4× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$4,083 |
$5,444 |
1.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,968 |
$2,624 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$907.50 |
$1,210 |
1.5× |
| Throat Surgery Procedure (42999) |
$441 |
$588 |
1.9× |
| Thyroid biopsy (60100) |
$1,099.50 |
$1,466 |
1.6× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$8,633.25 |
$11,511 |
1.5× |
| Thyroidectomy, total or complete (60240) |
$8,320.88 |
$11,094.50 |
1.4× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$8,633.25 |
$11,511 |
1.5× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$9,932.25 |
$13,243 |
0.7× |
| Tnot elbow lateral/medial debride open (24358) |
$3,723.75 |
$4,965 |
1.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,723.75 |
$4,965 |
1.2× |
| Tongue and mouth surg unlisted (41599) |
$361.50 |
$482 |
1.5× |
| Tongue suspension (41512) |
$8,633.25 |
$11,511 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,788 |
$6,384 |
1.5× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$9,314.25 |
$12,419 |
0.5× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$24,263.25 |
$32,351 |
1.4× |
| Total hip arthroplasty (27130) |
$18,268.50 |
$24,358 |
1.4× |
| Total Knee Arthroplasty (27447) |
$13,929 |
$18,572 |
1.1× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$8,487.75 |
$11,317 |
1.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$4,614 |
$6,152 |
1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$955.50 |
$1,274 |
0.6× |
| Transfer of tendon to restore intrinsic function; ring and small finger Facility (26497) |
$4,164.75 |
$5,553 |
1.3× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$17,835 |
$23,780 |
2.5× |
| Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Facility (26489) |
$4,381.50 |
$5,842 |
1.4× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$8,445 |
$11,260 |
1.2× |
| Transplant hand tendon (26480) |
$4,164.75 |
$5,553 |
1.3× |
| Transplant/graft hand tendon (26483) |
$4,157.25 |
$5,543 |
1.3× |
| Transur electr resection of prostate (52601) |
$4,663.12 |
$6,217.50 |
0.9× |
| Transurethral resection bladder neck (52500) |
$4,335 |
$5,780 |
1.2× |
| Treat Big Toe Fracture (28505) |
$4,164.75 |
$5,553 |
1.3× |
| Treat clavicle dislocation (23540) |
$83.25 |
$111 |
0.3× |
| Treat clavicle fracture (23505) |
$882 |
$1,176 |
0.6× |
| Treat elbow fracture (24586) |
$20,236.50 |
$26,982 |
1.6× |
| Treat Elbow Fracture (24635) |
$9,157.50 |
$12,210 |
1.3× |
| Treat fracture radius/ulna (25575) |
$7,389.75 |
$9,853 |
1.0× |
| Treat Hand Dislocation (26685) |
$4,085.25 |
$5,447 |
1.3× |
| Treat humerus fracture (24500) |
$623.25 |
$831 |
2.6× |
| Treat humerus fracture (23600) |
$304.12 |
$405.50 |
1.2× |
| Treat knee fracture (27532) |
$4,001.25 |
$5,335 |
1.2× |
| Treat Knee Fracture (27535) |
$7,244.25 |
$9,659 |
1.0× |
| Treat Knee Fracture (27540) |
$7,389.75 |
$9,853 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,389.75 |
$9,853 |
1.0× |
| Treat Lower Leg Bone Lesion (27607) |
$4,157.25 |
$5,543 |
1.3× |
| Treat Lower Leg Fracture (27828) |
$18,458.25 |
$24,611 |
1.5× |
| Treat Metatarsal Fracture (28475) |
$271.50 |
$362 |
1.1× |
| Treat radius fracture (24665) |
$7,389.75 |
$9,853 |
1.0× |
| Treat scapula fracture (23585) |
$7,244.25 |
$9,659 |
1.0× |
| Treat Thigh Fracture (27245) |
$7,389.75 |
$9,853 |
1.0× |
| Treat Thumb Dislocation (26641) |
$321.75 |
$429 |
1.3× |
| Treat thumb fracture (26665) |
$4,164.75 |
$5,553 |
1.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,081.25 |
$2,775 |
1.3× |
| Treat wrist bone fracture (25622) |
$315.75 |
$421 |
1.3× |
| Treat Wrist Bone Fracture (25630) |
$127.50 |
$170 |
0.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,189.50 |
$1,586 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$284.25 |
$379 |
1.2× |
| Treatment extensive retinopathy photocoagulation (67228) |
$900 |
$1,200 |
1.7× |
| Treatment of fibula fracture (27784) |
$7,244.25 |
$9,659 |
1.0× |
| Treatment of foot infection (28003) |
$3,467.62 |
$4,623.50 |
1.1× |
| Treatment of heel fracture (28406) |
$7,389.75 |
$9,853 |
1.0× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$7,389.75 |
$9,853 |
1.0× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$4,386.75 |
$5,849 |
1.4× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$4,614 |
$6,152 |
1.4× |
| Treatment of nose fracture (21330) |
$7,554 |
$10,072 |
1.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$306.75 |
$409 |
1.3× |
| Treatment of tibia fracture (27756) |
$7,389.75 |
$9,853 |
1.0× |
| Trim skin lesion (11055) |
$258 |
$344 |
1.3× |
| Trim skin lesions over 4 (11057) |
$320.25 |
$427 |
1.6× |
| Trurl rescj postop bladder neck contracture (52640) |
$5,235 |
$6,980 |
1.5× |
| Tubal ligation (58600) |
$4,614 |
$6,152 |
1.4× |
| Tube thoracostomy includes water seal (32551) |
$2,232.75 |
$2,977 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,526.50 |
$4,702 |
1.3× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$16,497 |
$21,996 |
1.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,432.50 |
$5,910 |
1.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,051.25 |
$2,735 |
1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,081.25 |
$2,775 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$879.75 |
$1,173 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$497.25 |
$663 |
1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,166 |
$2,888 |
1.4× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$18,828.75 |
$25,105 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$8,633.25 |
$11,511 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$8,633.25 |
$11,511 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$8,633.25 |
$11,511 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$8,633.25 |
$11,511 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$8,633.25 |
$11,511 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$8,633.25 |
$11,511 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$8,544 |
$11,392 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$8,633.25 |
$11,511 |
1.5× |
| Tympanostomy general anesthesia (69436) |
$2,307.38 |
$3,076.50 |
1.5× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$4,258.50 |
$5,678 |
1.2× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$330 |
$440 |
1.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$303 |
$404 |
1.5× |
| Unlisted laparoscopic procedure liver (47379) |
$8,320.88 |
$11,094.50 |
1.4× |
| Unlisted laparoscopy procedure stomach (43659) |
$7,810.50 |
$10,414 |
1.3× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$8,692.12 |
$11,589.50 |
1.5× |
| Unlisted laparoscopy procedure, appendix (44979) |
$8,487.75 |
$11,317 |
1.4× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$7,287.75 |
$9,717 |
1.2× |
| Unlisted laparoscopy procedure, bladder (51999) |
$8,487.75 |
$11,317 |
1.4× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$8,320.88 |
$11,094.50 |
1.4× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$8,487.75 |
$11,317 |
1.4× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$8,487.75 |
$11,317 |
1.4× |
| Unlisted laparoscopy procedure, rectum (45499) |
$7,479.75 |
$9,973 |
1.3× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$7,231.50 |
$9,642 |
1.2× |
| Unlisted laparoscopy procedure, uterus (58578) |
$8,320.88 |
$11,094.50 |
1.4× |
| Unlisted musculoskeletal procedure head (21499) |
$330 |
$440 |
1.4× |
| Unlisted Procedure Accessory Sinuses (31299) |
$375.75 |
$501 |
1.6× |
| Unlisted procedure anus (46999) |
$1,416.75 |
$1,889 |
1.5× |
| Unlisted procedure arthroscopy (29999) |
$287.62 |
$383.50 |
1.2× |
| Unlisted procedure colon (45399) |
$1,416.75 |
$1,889 |
1.5× |
| Unlisted Procedure Conjunctiva (68399) |
$462 |
$616 |
1.5× |
| Unlisted procedure dentoalveolar structures (41899) |
$358.50 |
$478 |
1.5× |
| Unlisted Procedure Esophagus (43499) |
$1,356.75 |
$1,809 |
1.5× |
| Unlisted Procedure External Ear (69399) |
$156 |
$208 |
0.7× |
| Unlisted procedure femur or knee (27599) |
$473.62 |
$631.50 |
1.9× |
| Unlisted procedure foot or toes (28899) |
$321.75 |
$429 |
1.3× |
| Unlisted procedure humerus/elbow (24999) |
$289.50 |
$386 |
1.2× |
| Unlisted Procedure Male Genital System (55899) |
$2,006.25 |
$2,675 |
8.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$309.75 |
$413 |
1.3× |
| Unlisted procedure nervous system (64999) |
$442.50 |
$590 |
1.5× |
| Unlisted procedure pelvis/hip joint (27299) |
$321.75 |
$429 |
1.3× |
| Unlisted procedure rectum (45999) |
$1,389.38 |
$1,852.50 |
1.5× |
| Unlisted procedure shoulder (23929) |
$321.75 |
$429 |
1.3× |
| Unlisted Procedure Small Intestine (44799) |
$1,412.25 |
$1,883 |
1.6× |
| Unlisted Procedure Trachea Bronchi (31899) |
$297.75 |
$397 |
1.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$944.25 |
$1,259 |
1.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,356.75 |
$1,809 |
1.5× |
| Unlisted procedure, hands or fingers (26989) |
$309.75 |
$413 |
1.3× |
| Unlisted procedure, lacrimal system (68899) |
$444 |
$592 |
1.4× |
| Unlisted procedure, leg or ankle (27899) |
$321.75 |
$429 |
1.3× |
| Unlisted procedure, maternity care and delivery (59899) |
$243.75 |
$325 |
1.2× |
| Unlisted procedure, stomach (43999) |
$1,412.25 |
$1,883 |
1.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$291.75 |
$389 |
1.5× |
| Urology Surgery Procedure (53899) |
$458.25 |
$611 |
1.9× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$4,614 |
$6,152 |
1.4× |
| Uvulectomy excision of uvula (42140) |
$4,788 |
$6,384 |
1.5× |
| Vag hyst complex (58290) |
$9,715.50 |
$12,954 |
1.3× |
| Vaginal delivery only (59409) |
$4,614 |
$6,152 |
1.4× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$4,614 |
$6,152 |
1.4× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$6,625.50 |
$8,834 |
1.3× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$6,625.50 |
$8,834 |
1.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$6,558 |
$8,744 |
1.3× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$4,614 |
$6,152 |
1.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,733 |
$3,644 |
1.3× |
| Venipuncture (36415) |
$27.75 |
$37 |
3.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,788 |
$6,384 |
1.5× |
| Vestibuloplasty Anterior (40840) |
$8,633.25 |
$11,511 |
1.5× |
| Vulvectomy Simple Partial (56620) |
$4,523.25 |
$6,031 |
1.4× |
| Wedge excision skin nail fold (11765) |
$593.25 |
$791 |
1.5× |
| Wedging of cast (29740) |
$375.75 |
$501 |
1.4× |
| Wound Prep F/N/Hf/G (15004) |
$783.75 |
$1,045 |
2.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,997 |
$3,996 |
4.1× |
| Wrist arthroscopy (29840) |
$4,381.50 |
$5,842 |
1.4× |