| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$42,295.60 |
$70,492.67 |
12.1× |
| Abd paracentesis w/imaging (49083) |
$1,664.21 |
$2,773.68 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,884.02 |
$3,140.04 |
2.1× |
| Abdomen Surgery Procedure (22999) |
$21,483.64 |
$35,806.07 |
88.0× |
| Ablate inf turbinate submuc (30802) |
$17,119.23 |
$28,532.05 |
11.1× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$12,377.48 |
$20,629.13 |
1.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$10,866.20 |
$18,110.33 |
5.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$10,892.55 |
$18,154.25 |
3.1× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$13,859.84 |
$23,099.74 |
6.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$27,004.02 |
$45,006.70 |
13.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$17,011.80 |
$28,353 |
5.3× |
| Amputate Metacarpal Bone (26910) |
$8,590.32 |
$14,317.20 |
2.7× |
| Amputation toe interphalangeal joint (28825) |
$9,484.07 |
$15,806.78 |
2.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$12,288.61 |
$20,481.01 |
3.8× |
| Ankle Arthroscopy/Surgery (29892) |
$19,666.55 |
$32,777.59 |
2.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$25,935.52 |
$43,225.88 |
21.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$19,770.27 |
$32,950.46 |
16.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$16,463.87 |
$27,439.79 |
6.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$26,215.88 |
$43,693.13 |
5.3× |
| Application finger splint static (29130) |
$211.95 |
$353.25 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$401.04 |
$668.40 |
2.5× |
| Application Long Leg Splint (29505) |
$485.79 |
$809.65 |
3.0× |
| Application of rigid total contact leg cast (29445) |
$459.49 |
$765.82 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$419.61 |
$699.35 |
3.2× |
| Application short leg splint calf foot (29515) |
$481.19 |
$801.98 |
3.0× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$727.16–$816.31 |
$1,211.93–$1,360.52 |
varies |
| Arterial puncture (36600) |
$191.20 |
$318.66 |
1.5× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$6,829.47 |
$11,382.45 |
0.5× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure |
$224.06 |
$373.44 |
0.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$21,319.82 |
$35,533.04 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$836.59 |
$1,394.31 |
2.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$954.55 |
$1,590.92 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$816.19 |
$1,360.32 |
2.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$977.13 |
$1,628.55 |
3.2× |
| Arthrodesis ankle open (27870) |
$53,472.39 |
$89,120.66 |
4.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$16,790.55 |
$27,984.24 |
2.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$23,293.49 |
$38,822.49 |
3.2× |
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure |
$75.20 |
$125.33 |
0.0× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$24,489.63 |
$40,816.06 |
1.9× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$40,840.36 |
$68,067.27 |
2.4× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$32,596.81 |
$54,328.02 |
2.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$29,077.72 |
$48,462.86 |
9.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$8,599.65 |
$14,332.75 |
2.7× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$8,599.65 |
$14,332.75 |
1.2× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$25,403.24 |
$42,338.73 |
7.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$30,247.39 |
$50,412.32 |
9.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$19,543.45 |
$32,572.42 |
6.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$12,730.27 |
$21,217.12 |
3.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$22,895.25 |
$38,158.76 |
3.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$11,009.84 |
$18,349.73 |
3.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$22,644.07 |
$37,740.11 |
7.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$25,064.23 |
$41,773.72 |
7.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$13,097.42 |
$21,829.03 |
1.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$9,904.75 |
$16,507.92 |
3.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$12,202.53 |
$20,337.55 |
3.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$22,800.13 |
$38,000.21 |
3.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,301.44 |
$15,502.40 |
1.3× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$4,917.01 |
$8,195.02 |
3.1× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$10,682.31 |
$17,803.84 |
3.3× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$8,980.31 |
$14,967.19 |
2.8× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$53,528.04 |
$89,213.40 |
4.2× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$39,323.74 |
$65,539.56 |
3.1× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$8,866.72 |
$14,777.88 |
1.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$40,995.39 |
$68,325.65 |
5.7× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$27,277.42 |
$45,462.37 |
8.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$20,031.45 |
$33,385.75 |
6.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$19,484.43 |
$32,474.05 |
6.0× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$9,234.57 |
$15,390.94 |
2.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$5,130.63 |
$8,551.05 |
3.2× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$8,980.31 |
$14,967.19 |
2.8× |
| Aspirate pleura w/ imaging (32555) |
$1,335.76 |
$2,226.27 |
2.2× |
| Aspirate Pleura W/O Imaging (32554) |
$3,082.48 |
$5,137.46 |
5.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$14,891.37 |
$24,818.96 |
7.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$617.85 |
$1,029.75 |
3.1× |
| Axillary lymphadenectomy; complete (38745) |
$20,761.56 |
$34,602.59 |
3.5× |
| Biopsy Abdominal Mass (49180) |
$2,906.87 |
$4,844.79 |
1.8× |
| Biopsy bone open superficial (20240) |
$8,730.14 |
$14,550.24 |
3.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,636.76 |
$4,394.61 |
1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$378.08 |
$630.13 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$2,553.11 |
$4,255.19 |
1.6× |
| Biopsy Muscle Superficial (20200) |
$10,872.82 |
$18,121.36 |
6.6× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$14,675.27 |
$24,458.79 |
4.5× |
| Biopsy of breast; open, incisional (19101) |
$17,275.56 |
$28,792.60 |
4.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$3,596.51 |
$5,994.19 |
2.2× |
| Biopsy of penis (54100) |
$7,674.58 |
$12,790.97 |
4.7× |
| Biopsy of rectum (45100) |
$14,645.93 |
$24,409.89 |
5.3× |
| Biopsy of upper nose/throat (42806) |
$7,996.72 |
$13,327.87 |
2.4× |
| Biopsy Oropharynx (42800) |
$5,233.52 |
$8,722.53 |
3.4× |
| Biopsy Pleura Percutaneous Needle (32400) |
$4,266.90 |
$7,111.51 |
2.6× |
| Biopsy Salivary Gland Needle (42400) |
$736.74 |
$1,227.90 |
1.1× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$3,354.41 |
$5,590.69 |
2.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,826.02 |
$4,710.04 |
1.7× |
| Biopsy soft tissue neck/thorax (21550) |
$699.26 |
$1,165.43 |
0.4× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$146.76 |
$244.60 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$7,625.76 |
$12,709.60 |
2.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,482.68 |
$2,471.14 |
2.1× |
| Bladder Irrigation (51700) |
$997.38 |
$1,662.31 |
4.0× |
| Bladder Scan (51798) |
$210.20 |
$350.34 |
3.6× |
| Blood Transfusion Service (36430) |
$910.92 |
$1,518.20 |
2.1× |
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure |
$75.20 |
$125.33 |
0.0× |
| Bone Marrow Biopsy (38221) |
$9,681.08 |
$16,135.14 |
5.9× |
| Bone Marrow; Aspiration Only (38220) |
$538.98 |
$898.30 |
0.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,431.01 |
$4,051.69 |
1.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$32,587.13 |
$54,311.89 |
8.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$5,430.81 |
$9,051.35 |
3.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,229.15 |
$5,381.91 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$1,724.25 |
$2,873.75 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,519.40 |
$5,865.66 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$4,977.04 |
$8,295.07 |
3.0× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$15,655.94 |
$26,093.23 |
4.5× |
| Bx/exc lymph node open deep axillary node (38525) |
$17,491.90 |
$29,153.17 |
4.5× |
| Bx/exc lymph node open superficial (38500) |
$2,677.38 |
$4,462.30 |
0.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,636.84 |
$7,728.07 |
1.4× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$12,148.17 |
$20,246.95 |
7.6× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$7,196.72 |
$11,994.54 |
2.2× |
| Carpal Tunnel Surgery (64721) |
$16,391.30 |
$27,318.84 |
8.5× |
| Carpectomy All Bones Proximal Row (25215) |
$24,660.11 |
$41,100.18 |
7.6× |
| Change Cystostomy Tube Simple (51705) |
$537.70 |
$896.16 |
2.2× |
| Change of Windpipe Airway (31502) |
$2,088.01 |
$3,480.02 |
8.9× |
| Change ureter stent percut (50382) |
$15,454.14 |
$25,756.90 |
7.5× |
| Chemical Cautery Tissue (17250) |
$675.47 |
$1,125.79 |
3.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$17,398.19 |
$28,996.98 |
24.9× |
| Chemodenervation of internal anal sphincter (46505) |
$16,653.20 |
$27,755.34 |
14.1× |
| Chest tube placement (32551) |
$2,120.50 |
$3,534.18 |
1.4× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,447.35 |
$4,078.92 |
1.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$8,185.78 |
$13,642.97 |
2.3× |
| Circumcision 28 days or older (54161) |
$16,902.50 |
$28,170.84 |
8.2× |
| Circumcision w/clamp/oth dev w/block (54150) |
$16,420.04 |
$27,366.74 |
7.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,100.50 |
$1,834.16 |
0.7× |
| Claviculectomy partial (23120) |
$12,179.41 |
$20,299.01 |
3.8× |
| Clear outer ear canal (69200) |
$228.02 |
$380.04 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$481.19 |
$801.98 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$740.86 |
$1,234.76 |
3.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$12,258.36 |
$20,430.60 |
8.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$14,295.82 |
$23,826.36 |
4.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$51.55 |
$85.92 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$504.59 |
$840.99 |
2.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$531.09 |
$885.16 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$415.36 |
$692.27 |
1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$419.61 |
$699.35 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,634.87 |
$6,058.11 |
2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$790.01 |
$1,316.69 |
3.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$686.41 |
$1,144.01 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$627.38 |
$1,045.64 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$759.98 |
$1,266.64 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$635.29 |
$1,058.82 |
2.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$741.79 |
$1,236.31 |
2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$336.27 |
$560.45 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$464.03 |
$773.39 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$667.94 |
$1,113.24 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$535.15 |
$891.92 |
2.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$26,642.94 |
$44,404.90 |
16.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$554.14 |
$923.57 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$740.86 |
$1,234.76 |
3.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,794.82 |
$2,991.36 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$141.86 |
$236.43 |
0.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$145.37 |
$242.28 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$38.14 |
$63.57 |
4.1× |
| Colonoscopy thru stoma (44388) |
$10,041.08 |
$16,735.14 |
10.9× |
| Colonoscopy w/ablation (45388) |
$2,795.20 |
$4,658.66 |
2.4× |
| Colonoscopy W/Resection (45390) |
$9,727.87 |
$16,213.12 |
3.5× |
| Colonoscopy w/submucosal inj (45381) |
$5,264.89 |
$8,774.82 |
4.4× |
| Colpocleisis (le fort type) (57120) |
$33,833.97 |
$56,389.95 |
6.8× |
| Colporrhaphy (57200) |
$12,919.82 |
$21,533.03 |
4.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$8,212.99 |
$13,688.32 |
41.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$12,626.12 |
$21,043.53 |
3.9× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$15,038.75 |
$25,064.59 |
4.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$4,133.53 |
$6,889.22 |
3.5× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$12,666.62 |
$21,111.03 |
10.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$5,424.91 |
$9,041.51 |
4.6× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$13,865.29 |
$23,108.82 |
4.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$433.30 |
$722.17 |
3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$359.93 |
$599.88 |
2.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$5,506.10 |
$9,176.84 |
2.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,675.69 |
$6,126.15 |
2.2× |
| Correction hammertoe (28285) |
$18,158.78 |
$30,264.63 |
5.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$17,133.66 |
$28,556.10 |
5.3× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$12,935.74 |
$21,559.57 |
4.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$21,319.82 |
$35,533.04 |
1.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$12,849.11 |
$21,415.18 |
1.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$18,230.74 |
$30,384.56 |
5.6× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$18,873.80 |
$31,456.33 |
2.6× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$23,508.59 |
$39,180.99 |
10.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$2,444.47 |
$4,074.12 |
18.6× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$17,432.88 |
$29,054.80 |
5.3× |
| Curettage postpartum (59160) |
$16,913.93 |
$28,189.89 |
5.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$18,298.85 |
$30,498.08 |
8.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$18,136.58 |
$30,227.64 |
8.8× |
| Cysto w/destruction of lesions (52214) |
$18,109.40 |
$30,182.34 |
5.2× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$19,286.04 |
$32,143.40 |
3.6× |
| Cysto w/insert ureteral stent (52332) |
$17,655.59 |
$29,425.99 |
5.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$12,616.88 |
$21,028.13 |
3.6× |
| Cysto w/removal of lesions small (52224) |
$16,312.78 |
$27,187.96 |
4.7× |
| Cysto w/removal of tumors small (52234) |
$21,277.04 |
$35,461.73 |
6.1× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$7,787.59 |
$12,979.31 |
2.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$15,152.03 |
$25,253.39 |
7.3× |
| Cysto w/ureter stricture tx (52341) |
$6,360.72 |
$10,601.20 |
1.8× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$35,190.85 |
$58,651.42 |
6.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$14,419.94 |
$24,033.24 |
4.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$17,893.52 |
$29,822.54 |
5.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$15,884.40 |
$26,474.01 |
4.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$19,388.51 |
$32,314.18 |
3.7× |
| Cysto/uretero w/lithotripsy (52356) |
$22,461.53 |
$37,435.88 |
4.2× |
| Cysto/uretero w/up stricture (52345) |
$7,081.24 |
$11,802.07 |
2.0× |
| Cystoscopy implant stent (52282) |
$18,799.24 |
$31,332.06 |
5.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$16,188.04 |
$26,980.07 |
7.8× |
| Cystourethroscopy (52000) |
$15,807.84 |
$26,346.41 |
22.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$15,219.14 |
$25,365.23 |
7.4× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$22,656.18 |
$37,760.30 |
6.5× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$17,175.88 |
$28,626.47 |
3.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$8,409.01 |
$14,015.02 |
4.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$15,292.01 |
$25,486.68 |
4.4× |
| Cystourethroscopy with biopsy (52204) |
$17,968.72 |
$29,947.86 |
8.7× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$21,763.07 |
$36,271.79 |
10.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$29,159.18 |
$48,598.63 |
10.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$851.42 |
$1,419.03 |
1.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,823.72 |
$6,372.87 |
2.3× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$11,516.62 |
$19,194.37 |
21.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,084.40 |
$1,807.34 |
2.7× |
| Declot vascular device (36593) |
$298.58 |
$497.63 |
0.9× |
| Decompression of tibia nerve (28035) |
$18,390.85 |
$30,651.41 |
9.5× |
| Deep Muscle Biopsy (20205) |
$17,087.29 |
$28,478.81 |
5.9× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$18,309.74 |
$30,516.24 |
9.0× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$21,932.77 |
$36,554.61 |
10.7× |
| Destruct B9 Lesion 1-14 (17110) |
$10,123.40 |
$16,872.34 |
51.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$10,038 |
$16,730 |
8.5× |
| Diagnostic sigmoidoscopy (45330) |
$8,497.11 |
$14,161.85 |
9.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$14,206.78 |
$23,677.97 |
4.4× |
| Dissection, deep jugular node(s) Facility (38542) |
$26,715.04 |
$44,525.06 |
4.5× |
| Drain Cerebro Spinal Fluid (62272) |
$1,116.94 |
$1,861.56 |
1.6× |
| Drain Hand Tendon Sheath (26020) |
$7,252.33 |
$12,087.21 |
2.2× |
| Drain penis lesion (54015) |
$25,445.29 |
$42,408.82 |
15.6× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$25,107.95 |
$41,846.58 |
15.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$700.57 |
$1,167.62 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$781.51 |
$1,302.51 |
0.5× |
| Drainage of finger abscess simple (26010) |
$794.47 |
$1,324.12 |
4.0× |
| Drainage of gum lesion (41800) |
$805.70 |
$1,342.84 |
6.1× |
| Drainage of hematoma/fluid (10140) |
$17,603.14 |
$29,338.58 |
10.8× |
| Drainage of palmar bursa single bursa (26025) |
$17,223.77 |
$28,706.29 |
5.3× |
| Draw Blood Off Venous Device (36591) |
$322.59 |
$537.65 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$3,399.47 |
$5,665.78 |
8.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$1,760.71 |
$2,934.51 |
8.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$592.95 |
$988.25 |
3.0× |
| Dstrj Lesion Anus Extensive (46924) |
$17,474.76 |
$29,124.61 |
6.4× |
| Dstrj lesion anus simple surg excision (46922) |
$20,106.02 |
$33,510.03 |
7.3× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$11,247.36 |
$18,745.60 |
5.5× |
| Dstrj lesion penis simple surg excision (54060) |
$14,568.60 |
$24,281 |
7.1× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,546.38 |
$2,577.30 |
0.5× |
| Dx Bronchoscope/Lavage (31624) |
$6,774.98 |
$11,291.64 |
3.8× |
| Dx Bronchoscope/Wash (31622) |
$5,271.78 |
$8,786.31 |
3.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$19,814.96 |
$33,024.94 |
11.2× |
| Dx laryngoscopy w/oper scope (31526) |
$15,071.58 |
$25,119.30 |
8.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,630.39 |
$2,717.31 |
2.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$6,396.08 |
$10,660.13 |
3.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$11,807.24 |
$19,678.74 |
6.2× |
| Egd control bleeding any (43255) |
$9,268.07 |
$15,446.79 |
4.9× |
| Egd dilation gastric/duodenal stricture (43245) |
$14,735.77 |
$24,559.61 |
7.8× |
| Egd Endoscopic Stent Place (43266) |
$15,001.52 |
$25,002.53 |
2.5× |
| Egd Flexible Foreign Body Removal (43247) |
$6,694.28 |
$11,157.14 |
7.5× |
| Egd guide wire insertion (43248) |
$6,470.30 |
$10,783.83 |
7.2× |
| Egd lesion ablation (43270) |
$6,135.70 |
$10,226.17 |
3.2× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$45,472.13 |
$75,786.88 |
4.3× |
| Egd place gastrostomy tube (43246) |
$11,919.24 |
$19,865.40 |
6.3× |
| Egd remove lesion snare (43251) |
$5,810.42 |
$9,684.04 |
3.1× |
| Egd Varices Ligation (43244) |
$6,783.28 |
$11,305.46 |
3.6× |
| Egd W/Thrml Txmnt Gerd (43257) |
$6,889.90 |
$11,483.16 |
1.8× |
| Egd W/Transmural Drain Cyst (43240) |
$11,794.83 |
$19,658.05 |
2.0× |
| Endoscopic injection/implant (51715) |
$14,684.32 |
$24,473.86 |
4.2× |
| Endoscopic plantar fasciotomy (29893) |
$18,955.48 |
$31,592.46 |
5.9× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$7,434.49 |
$12,390.82 |
2.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$7,304.72 |
$12,174.54 |
2.3× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$28,607.18 |
$47,678.64 |
4.8× |
| Ercp duct stent placement (43274) |
$16,136.72 |
$26,894.54 |
2.7× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$11,052.33 |
$18,420.55 |
2.9× |
| Ercp ea duct/ampulla dilate (43277) |
$15,533.61 |
$25,889.35 |
4.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$24,875.32 |
$41,458.87 |
6.5× |
| Ercp remove forgn body duct (43275) |
$18,699.52 |
$31,165.88 |
9.8× |
| Ercp Stent Exchange W/Dilate (43276) |
$14,334.18 |
$23,890.30 |
2.4× |
| Ercp,Sphincterotomy (43262) |
$19,277.32 |
$32,128.87 |
5.1× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$11,213.99 |
$18,689.99 |
12.5× |
| Esophagoscopy Rigid Balloon (43195) |
$19,195.18 |
$31,991.97 |
5.0× |
| Esophagoscp Guide Wire Dilat (43196) |
$23,406.32 |
$39,010.53 |
12.3× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$28,552.90 |
$47,588.17 |
4.9× |
| Evacuate mole of uterus (59870) |
$17,019.19 |
$28,365.31 |
5.3× |
| Evacuation of subungual hematoma (11740) |
$257.62 |
$429.37 |
2.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$21,877.37 |
$36,462.29 |
13.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$14,494.33 |
$24,157.22 |
8.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$8,955.15 |
$14,925.25 |
5.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$18,095.53 |
$30,159.22 |
25.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$17,966.18 |
$29,943.64 |
11.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$12,404.16 |
$20,673.60 |
7.6× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$16,599.61 |
$27,666.02 |
5.8× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$34,336.16 |
$57,226.93 |
5.9× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$15,923.13 |
$26,538.55 |
4.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$11,877.65 |
$19,796.08 |
16.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$13,982.25 |
$23,303.76 |
8.6× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$16,543.19 |
$27,571.99 |
10.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$14,629.04 |
$24,381.73 |
20.9× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$26,721.52 |
$44,535.86 |
3.7× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$17,437.36 |
$29,062.27 |
10.7× |
| Exc Frenum Labial/Buccal (40819) |
$5,829.40 |
$9,715.67 |
3.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$14,950.01 |
$24,916.69 |
21.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$18,420.68 |
$30,701.14 |
11.3× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$14,395.04 |
$23,991.74 |
8.8× |
| Exc hand tum deep < 1.5 cm (26116) |
$16,102.24 |
$26,837.07 |
9.8× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$9,802.07 |
$16,336.78 |
2.8× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$8,397.16 |
$13,995.26 |
2.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$14,575.88 |
$24,293.14 |
9.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$5,327.39 |
$8,878.99 |
3.3× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$17,767.63 |
$29,612.71 |
5.4× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$15,797.12 |
$26,328.54 |
4.8× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$54,140.31 |
$90,233.85 |
9.2× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$14,904.65 |
$24,841.08 |
5.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$10,314.37 |
$17,190.62 |
14.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$6,213.49 |
$10,355.81 |
3.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$11,619.44 |
$19,365.73 |
4.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$23,753.08 |
$39,588.47 |
14.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$14,806.38 |
$24,677.31 |
5.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$6,322.56 |
$10,537.60 |
3.9× |
| Exc tendon shth lesion leg/ankle (27630) |
$11,702.58 |
$19,504.30 |
3.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$16,915.43 |
$28,192.39 |
5.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$16,758.42 |
$27,930.70 |
14.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$14,171.23 |
$23,618.72 |
35.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$26,861.23 |
$44,768.72 |
38.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$15,117.47 |
$25,195.78 |
9.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$19,296.84 |
$32,161.40 |
6.7× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$34,363.45 |
$57,272.42 |
21.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$29,072.80 |
$48,454.66 |
10.1× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$8,490.80 |
$14,151.33 |
3.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$20,440.16 |
$34,066.93 |
12.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$9,439.93 |
$15,733.22 |
3.3× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$20.48 |
$34.13 |
0.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$19,211.43 |
$32,019.05 |
6.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$40.25 |
$67.09 |
0.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$9,800.95 |
$16,334.92 |
6.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$32,439.65 |
$54,066.09 |
11.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$22,355.50 |
$37,259.16 |
13.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$16,953.24 |
$28,255.40 |
5.9× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$19,909.85 |
$33,183.09 |
6.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$11,617.15 |
$19,361.91 |
4.0× |
| Exc urethral diverticulum spx female (53230) |
$23,249.87 |
$38,749.78 |
4.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,829.89 |
$8,049.81 |
1.5× |
| Exc/fulguration urethral caruncle (53265) |
$23,424.84 |
$39,041.40 |
11.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$511.66 |
$852.77 |
0.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,722.62 |
$2,871.03 |
0.8× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$15,358.82 |
$25,598.04 |
4.7× |
| Excision Distal Ulna Partial/Complete (25240) |
$18,169.12 |
$30,281.86 |
5.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$7,490 |
$12,483.33 |
2.6× |
| Excision inferior turbinate partial/complete (30130) |
$20,677.18 |
$34,461.96 |
6.3× |
| Excision lesion mouth roof (42104) |
$12,931.40 |
$21,552.33 |
3.9× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$7,720.43 |
$12,867.38 |
4.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$5,829.40 |
$9,715.67 |
3.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$10,888.67 |
$18,147.79 |
15.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$11,458.98 |
$19,098.30 |
28.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$19,331.81 |
$32,219.69 |
27.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$5,776.82 |
$9,628.03 |
8.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$14,854.91 |
$24,758.18 |
9.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$24,929.65 |
$41,549.42 |
8.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$6,462.83 |
$10,771.39 |
4.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$9,248.38 |
$15,413.97 |
5.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$17,891.92 |
$29,819.87 |
11.2× |
| Excision of hydrocele; bilateral (55041) |
$24,274.22 |
$40,457.04 |
6.8× |
| Excision of hydrocele; unilateral (55040) |
$26,401.22 |
$44,002.03 |
7.4× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$6,448.39 |
$10,747.31 |
3.3× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$20,328.83 |
$33,881.39 |
3.5× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$27,036.08 |
$45,060.14 |
4.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$16,061.26 |
$26,768.78 |
5.6× |
| Excision of single external papilla or tag, anus (46220) |
$9,135.24 |
$15,225.40 |
7.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$24,856.28 |
$41,427.14 |
4.2× |
| Excision of vaginal cyst or tumor (57135) |
$14,804.99 |
$24,674.99 |
4.6× |
| Excision olecranon bursa (24105) |
$25,638.56 |
$42,730.93 |
7.9× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$21,870.01 |
$36,450.02 |
7.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$19,479.05 |
$32,465.08 |
6.8× |
| Excision spermatocele w/wo epididymectomy (54840) |
$21,003.35 |
$35,005.59 |
10.1× |
| Excision tendon palm flexor/extensor single each (26170) |
$7,252.33 |
$12,087.21 |
4.6× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$30,575.45 |
$50,959.09 |
5.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$19,424.94 |
$32,374.91 |
11.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$16,817.33 |
$28,028.88 |
5.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$18,672.80 |
$31,121.34 |
11.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$15,391.24 |
$25,652.06 |
9.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$10,073.11 |
$16,788.51 |
6.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$17,583.47 |
$29,305.79 |
6.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$8,615.63 |
$14,359.39 |
5.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$16,861.02 |
$28,101.70 |
5.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$17,545.34 |
$29,242.23 |
6.1× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$22,893.82 |
$38,156.36 |
7.1× |
| Excision/destruction lesion pharynx any method (42808) |
$11,559.37 |
$19,265.61 |
3.5× |
| Exploration maxillary sinus (31020) |
$20,385.02 |
$33,975.03 |
6.2× |
| Exploration Penetrating Wound Spx Neck (20100) |
$26,345.35 |
$43,908.91 |
49.3× |
| External cephalic version (59412) |
$7,778.08 |
$12,963.46 |
2.4× |
| Fasciectomy Palm Only (26121) |
$17,249.22 |
$28,748.70 |
5.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$7,025.54 |
$11,709.24 |
2.2× |
| Fasciotomy, foot and/or toe (28008) |
$16,434.24 |
$27,390.40 |
5.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$9,811.18 |
$16,351.96 |
3.0× |
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines |
$1,038.32–$1,111.01 |
$1,730.54–$1,851.68 |
varies |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$710.78–$760.54 |
$1,184.64–$1,267.56 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$477.14 |
$795.23 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$1,596.13 |
$2,660.22 |
6.8× |
| Fna bx w/us gdn 1st les (10005) |
$1,817.11 |
$3,028.52 |
2.6× |
| Foreskin manipulation (54450) |
$17,261.86 |
$28,769.77 |
69.8× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$10,425.80 |
$17,376.34 |
3.2× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$13,653.81 |
$22,756.34 |
6.7× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$12,411.39 |
$20,685.65 |
6.1× |
| Fuse hand bones with graft (25825) |
$42,679.90 |
$71,133.16 |
5.9× |
| Fusion Finger Joint (26860) |
$13,514.73 |
$22,524.55 |
4.2× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$197.37 |
$328.96 |
0.0× |
| Fusion of knuckle (26850) |
$22,908.68 |
$38,181.13 |
3.2× |
| Fusion of knuckle with graft (26852) |
$17,698.65 |
$29,497.75 |
2.5× |
| Fusion/graft of hand joint (26844) |
$23,317.98 |
$38,863.30 |
3.2× |
| Gastrocnemius recession (27687) |
$224.06 |
$373.44 |
0.1× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$2,201.93 |
$3,669.89 |
1.2× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$17,166.73 |
$28,611.22 |
2.9× |
| Guide Cathet Fluid Drainage (10030) |
$2,151.64 |
$3,586.07 |
3.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$17,168.70 |
$28,614.50 |
6.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$17,268.22 |
$28,780.36 |
6.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$19,623.14 |
$32,705.24 |
7.1× |
| Hysteroscopy Biopsy (58558) |
$19,085.98 |
$31,809.98 |
6.0× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$14,248.64 |
$23,747.73 |
2.9× |
| Hysteroscopy Dx Sep Proc (58555) |
$10,988.71 |
$18,314.51 |
3.4× |
| Hysteroscopy Endometrial Ablation (58563) |
$23,934.01 |
$39,890.02 |
4.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$27,714.38 |
$46,190.64 |
5.6× |
| I&d abscess peritonsillar (42700) |
$4,322.02 |
$7,203.37 |
18.4× |
| I&d abscess simple (10060) |
$758.09 |
$1,263.48 |
3.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,941.90 |
$11,569.83 |
2.4× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$20,511.06 |
$34,185.10 |
7.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$21,005.69 |
$35,009.48 |
6.5× |
| I&d perianal abscess superficial (46050) |
$2,043.52 |
$3,405.87 |
2.2× |
| I&d pilonidal cyst complicated (10081) |
$785.50 |
$1,309.16 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$1,014.35 |
$1,690.59 |
1.4× |
| Image Cath Fluid Colxn Visc (49405) |
$3,681.29 |
$6,135.49 |
2.3× |
| Image Cath Fluid Peri/Retro (49406) |
$7,819.11 |
$13,031.85 |
4.8× |
| Implant cochlear device (69930) |
$71,685.89 |
$119,476.49 |
2.2× |
| Implant Neuroelectrodes (64561) |
$25,153.87 |
$41,923.11 |
4.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$20,937.35 |
$34,895.59 |
1.1× |
| Implant temple bone w/stimul (69714) |
$27,488.74 |
$45,814.57 |
2.2× |
| Incise finger tendon sheath (26055) |
$14,330.68 |
$23,884.47 |
9.0× |
| Incise Wrist/Forearm Tendon (25290) |
$26,593.69 |
$44,322.81 |
8.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$788.56 |
$1,314.26 |
2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,172.83 |
$5,288.04 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,086.83 |
$1,811.38 |
2.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,321.67 |
$2,202.78 |
6.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$812.13 |
$1,353.55 |
2.7× |
| Incision extensor tendon sheath wrist (25000) |
$13,745.48 |
$22,909.13 |
8.6× |
| Incision of eardrum (69421) |
$11,650.46 |
$19,417.44 |
3.5× |
| Incision of eardrum (69420) |
$10,705.05 |
$17,841.75 |
45.7× |
| Incision of fibula (27707) |
$20,069.71 |
$33,449.52 |
6.2× |
| Incision of labial frenum (frenotomy) (40806) |
$9,888.82 |
$16,481.36 |
18.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$10,816.19 |
$18,026.98 |
7.0× |
| Incision of rectal abscess (46040) |
$28,191.46 |
$46,985.77 |
23.8× |
| Incisional biopsy skin single lesion (11106) |
$7,254.74 |
$12,091.24 |
9.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$485.74 |
$809.56 |
2.4× |
| Inj W/Fluor Eval Cv Device (36598) |
$210.75 |
$351.25 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$4,917.01 |
$8,195.02 |
16.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$27,213.12 |
$45,355.19 |
38.9× |
| Injection for identification of sentinel node (38792) |
$15,923.13 |
$26,538.55 |
40.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$920.11 |
$1,533.52 |
3.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,642.84 |
$4,404.73 |
3.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$3,422.05 |
$5,703.41 |
4.9× |
| Ins cath ren art 1st bilat (36252) |
$9,791.79 |
$16,319.66 |
3.1× |
| Ins endovas vena cava filtr (37191) |
$3,458.56 |
$5,764.26 |
0.6× |
| Insert 1 Electrode Pm-Defib (33216) |
$4,159.05 |
$6,931.75 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$10,383.23 |
$17,305.38 |
81.5× |
| Insert cervical dilator (59200) |
$5,568.10 |
$9,280.17 |
18.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,346.24 |
$5,577.06 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$3,979.63 |
$6,632.71 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$411.35 |
$685.58 |
3.1× |
| Insert tun ip cath perc (49418) |
$15,029.62 |
$25,049.37 |
4.2× |
| Insert tunneled cv cath (36561) |
$6,087.75 |
$10,146.25 |
1.9× |
| Insert Uro/Ves Nck Sphincter (53445) |
$59,586.64 |
$99,311.06 |
2.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$393.94 |
$656.58 |
3.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$8,895.02 |
$14,825.04 |
2.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$19,666.73 |
$32,777.88 |
2.4× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$11,089.57 |
$18,482.61 |
3.1× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$25,924.37 |
$43,207.29 |
5.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$17,845.15 |
$29,741.92 |
5.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$3,629.21 |
$6,048.68 |
2.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,069.30 |
$6,782.17 |
1.3× |
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure |
$2,146.48 |
$3,577.46 |
0.1× |
| Insrt heart pm atrial & vent (33208) |
$19,870.55 |
$33,117.58 |
1.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$9,581.87 |
$15,969.78 |
3.5× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,225.20 |
$5,375.34 |
2.4× |
| Intro cath dialysis circuit (36901) |
$25,673.82 |
$42,789.70 |
16.5× |
| Intubation endotracheal emergency procedure (31500) |
$956.40 |
$1,594 |
4.1× |
| Knee Arthroscopy/Surgery (29874) |
$20,529.56 |
$34,215.93 |
6.3× |
| Lam facetec & foramot lumbar (63047) |
$40,050.03 |
$66,750.05 |
5.6× |
| Lap insert tunnel ip cath (49324) |
$17,363.50 |
$28,939.17 |
2.9× |
| Lap paraesoph her rpr w/mesh (43282) |
$46,701.50 |
$77,835.83 |
4.4× |
| Lap paraesophag hern repair (43281) |
$48,681.44 |
$81,135.73 |
4.6× |
| Laparo-vag hyst incl t/o (58552) |
$31,029.17 |
$51,715.29 |
2.9× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$33,055.46 |
$55,092.43 |
5.5× |
| Laparoscopy fulguration oviducts (58670) |
$22,729.58 |
$37,882.64 |
3.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$39,681.13 |
$66,135.21 |
6.6× |
| Laparoscopy surgical orchiectomy (54690) |
$28,962.66 |
$48,271.11 |
4.8× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$32,896.17 |
$54,826.95 |
3.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$19,666.76 |
$32,777.94 |
3.3× |
| Laparoscopy, surgical, appendectomy (44970) |
$29,241.66 |
$48,736.10 |
4.9× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$45,631.57 |
$76,052.61 |
4.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$44,570.87 |
$74,284.78 |
11.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$27,278.50 |
$45,464.17 |
4.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$39,928.29 |
$66,547.16 |
6.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$7,821.47 |
$13,035.79 |
1.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$19,689.41 |
$32,815.68 |
3.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$28,081.13 |
$46,801.88 |
4.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$42,905.99 |
$71,509.98 |
11.2× |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
$27,896.70 |
$46,494.50 |
4.7× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$18,251.05 |
$30,418.41 |
3.0× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$17,730.67 |
$29,551.12 |
4.8× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$17,077.48 |
$28,462.47 |
4.6× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$22,909.80 |
$38,183.01 |
6.2× |
| Laryngoscopy flexible diagnostic (31575) |
$6,409.27 |
$10,682.12 |
32.4× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$70.55 |
$117.59 |
0.0× |
| Laryngoscopy W/Biopsy (31535) |
$18,357.38 |
$30,595.63 |
5.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$21,438.97 |
$35,731.62 |
5.8× |
| Larynscop w/tumr exc + scope (31541) |
$17,343.69 |
$28,906.15 |
4.7× |
| Laser vaporization of prostate (52648) |
$28,495.63 |
$47,492.72 |
5.4× |
| Late closure of wound (13160) |
$9,158.79 |
$15,264.66 |
2.6× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$18,533.23 |
$30,888.71 |
2.6× |
| Ligation of hemorrhoids (46946) |
$21,471.55 |
$35,785.91 |
7.8× |
| Ligation or biopsy temporal artery (37609) |
$16,556.35 |
$27,593.91 |
10.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$26,173.28 |
$43,622.14 |
7.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$18,382.27 |
$30,637.11 |
5.3× |
| Lithotripsy, extracorporeal shock wave (50590) |
$15,737.04 |
$26,228.40 |
4.5× |
| Low Back Disk Surgery (63030) |
$37,535.29 |
$62,558.82 |
5.2× |
| Lyse chest fibrin init day (32561) |
$684.57 |
$1,140.95 |
1.1× |
| Lysis Intranasal Synechia (30560) |
$16,832.15 |
$28,053.58 |
31.5× |
| Manipulation Ankle Under General Anesthesia (27860) |
$12,063.41 |
$20,105.69 |
3.7× |
| Manipulation knee joint under general anesthesia (27570) |
$11,945.97 |
$19,909.95 |
7.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$11,948 |
$19,913.34 |
7.5× |
| Mast mod rad (19307) |
$49,855.96 |
$83,093.26 |
7.6× |
| Mastectomy partial (19301) |
$20,753.46 |
$34,589.09 |
5.4× |
| Mastectomy simple complete (19303) |
$25,623.90 |
$42,706.50 |
3.9× |
| Maternity Care Procedure (59899) |
$9,435.36 |
$15,725.60 |
47.1× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$20,328.83 |
$33,881.39 |
5.8× |
| Muscle-skin graft trunk (15734) |
$21,347 |
$35,578.34 |
6.1× |
| Myringoplasty (69620) |
$5,775.09 |
$9,625.15 |
1.8× |
| N Block Inj Plantar Digit (64455) |
$726.17 |
$1,210.28 |
2.4× |
| N Block Inj Pudendal (64430) |
$9,268.11 |
$15,446.85 |
10.6× |
| Nasal Endoscopy Dx (31231) |
$2,339.63 |
$3,899.38 |
11.8× |
| Nasal surgery procedure (30999) |
$26,982.41 |
$44,970.68 |
115.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$7,583.40 |
$12,638.99 |
2.1× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$8,307.66 |
$13,846.10 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$20,198.69 |
$33,664.49 |
11.5× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$18,303.27 |
$30,505.45 |
10.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$22,111.39 |
$36,852.31 |
12.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$7,803.57 |
$13,005.95 |
1.1× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$8,376.57 |
$13,960.96 |
1.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$11,993.24 |
$19,988.74 |
1.7× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$9,302.81 |
$15,504.69 |
1.3× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$10,486.18 |
$17,476.97 |
1.5× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$11,312.70 |
$18,854.50 |
1.6× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$7,516.55 |
$12,527.59 |
1.1× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$20,093.45 |
$33,489.09 |
11.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$20,914.69 |
$34,857.82 |
13.1× |
| Needle Biopsy Lymph Nodes (38505) |
$2,511.68 |
$4,186.13 |
1.5× |
| Needle Biopsy Pancreas (48102) |
$81.17 |
$135.29 |
0.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$14,157.86 |
$23,596.44 |
7.3× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$14,590.45 |
$24,317.41 |
7.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$856.88 |
$1,428.13 |
2.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,558.46 |
$4,264.10 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$815.06 |
$1,358.43 |
0.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$2,272.30 |
$3,787.17 |
3.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,199.14 |
$1,998.57 |
1.7× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$32,423.92 |
$54,039.86 |
4.6× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$12,582 |
$20,970 |
1.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$24,282.49 |
$40,470.82 |
6.3× |
| Open Implantation Nea Sacral Nerve (64581) |
$17,662.44 |
$29,437.40 |
2.8× |
| Open Repair of Rotator Cuff Acute (23410) |
$12,327.48 |
$20,545.81 |
1.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,346.04 |
$10,576.74 |
0.9× |
| Open treatment calcaneal fracture (28415) |
$27,213.12 |
$45,355.19 |
3.8× |
| Open treatment interphalangeal joint dislocation (28675) |
$16,790.55 |
$27,984.24 |
5.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$257.63 |
$429.39 |
0.0× |
| Open treatment metatarsal fracture each (28485) |
$16,994.54 |
$28,324.24 |
2.4× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$33,102.72 |
$55,171.20 |
4.6× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$26,969.74 |
$44,949.57 |
3.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$37,731.40 |
$62,885.66 |
5.3× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$30,596.99 |
$50,994.99 |
4.3× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$24,810.68 |
$41,351.13 |
3.5× |
| Open treatment of ulnar styloid fracture (25652) |
$14,207.24 |
$23,678.73 |
2.0× |
| Open treatment posterior malleolus fracture (27769) |
$32,413.08 |
$54,021.80 |
4.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$38,329.22 |
$63,882.03 |
5.3× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$28,476.33 |
$47,460.55 |
8.8× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$8,003.84 |
$13,339.74 |
2.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$25,800.35 |
$43,000.59 |
3.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$37,094.87 |
$61,824.78 |
5.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$22,684.64 |
$37,807.73 |
3.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$10,372.95 |
$17,288.25 |
3.2× |
| Open tx interphalangeal joint dislocation (26785) |
$18,910.94 |
$31,518.23 |
5.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$22,431.49 |
$37,385.81 |
6.9× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$14,463.23 |
$24,105.39 |
4.5× |
| Open Tx Radial Head/Neck Fracture (24665) |
$18,927.33 |
$31,545.55 |
2.6× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$13,089.86 |
$21,816.44 |
1.8× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$39,526.26 |
$65,877.09 |
5.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$22,684.64 |
$37,807.73 |
3.2× |
| Open tx ulnar fx proximal end (24685) |
$22,926.97 |
$38,211.61 |
3.2× |
| Open/Perq Place Stent 1St (37236) |
$7,969.08 |
$13,281.80 |
0.7× |
| Open/Perq Place Stent Same (37238) |
$29,239.63 |
$48,732.72 |
2.6× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$558.11 |
$930.18 |
0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$27,989.73 |
$46,649.55 |
3.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$31,330.61 |
$52,217.69 |
4.4× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$47,889.94 |
$79,816.56 |
3.8× |
| Orchiectomy radical tumor inguinal approach (54530) |
$47,306.08 |
$78,843.46 |
13.3× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$22,200.01 |
$37,000.01 |
6.3× |
| Ostc prtl exostc/condylc metar head (28288) |
$4,959.84 |
$8,266.39 |
1.5× |
| Ostectomy calcaneus (28118) |
$10,301.35 |
$17,168.92 |
3.2× |
| Osteochondral talus autogrft (28446) |
$10,428.31 |
$17,380.51 |
1.5× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$22,172.02 |
$36,953.36 |
3.1× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,859.38 |
$13,098.96 |
1.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$14,404.83 |
$24,008.04 |
4.4× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$10,702.53 |
$17,837.55 |
1.5× |
| Osteotomy Metacarpal Each (26565) |
$149.19 |
$248.65 |
0.0× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure |
$197.37 |
$328.96 |
0.0× |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
$12,664.18 |
$21,106.96 |
1.8× |
| Palatopharyngoplasty (42145) |
$23,098.22 |
$38,497.04 |
3.9× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$42,947.14 |
$71,578.57 |
7.3× |
| Partial excision bone metacarpal (26230) |
$16,651.15 |
$27,751.92 |
5.1× |
| Partial excision bone olecranon process (24147) |
$9,146.11 |
$15,243.52 |
2.8× |
| Partial excision of lip (40520) |
$24,737.93 |
$41,229.89 |
7.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$5,467.83 |
$9,113.05 |
3.4× |
| Partial removal of fibula (27641) |
$9,234.57 |
$15,390.94 |
2.9× |
| Partial removal of penis (54120) |
$36,880.93 |
$61,468.21 |
10.6× |
| Partial removal of thyroid (60220) |
$42,077.04 |
$70,128.41 |
7.0× |
| Partial removal of tongue (41120) |
$18,934.10 |
$31,556.84 |
3.2× |
| Partial thyroid excision (60212) |
$42,641.73 |
$71,069.55 |
7.1× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$33,761.84 |
$56,269.73 |
5.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$20,622.78 |
$34,371.30 |
6.4× |
| Penile Injection (54235) |
$408.60 |
$681 |
1.7× |
| Perc Cryo Ablate Renal Tum (50593) |
$26,551.49 |
$44,252.48 |
2.5× |
| Perc Rf Ablate Renal Tumor (50592) |
$21,914.44 |
$36,524.06 |
3.7× |
| Peritoneal Lavage (49084) |
$17,419.83 |
$29,033.05 |
19.4× |
| Perq dev breast 1st us imag (19285) |
$1,701.84 |
$2,836.40 |
2.4× |
| Perq device breast 1st imag (19281) |
$888.33 |
$1,480.56 |
0.5× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$42,872.68 |
$71,454.47 |
4.6× |
| Place Cath Subclavian Art (36225) |
$12,191.55 |
$20,319.25 |
3.9× |
| Place Rt Device/Marker Pros (55876) |
$14,142.50 |
$23,570.84 |
10.3× |
| Placement of needle for intraosseous infusion (36680) |
$35,293.22 |
$58,822.03 |
79.8× |
| Placement of seton (46020) |
$18,390.53 |
$30,650.89 |
6.7× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$5,322.37 |
$8,870.61 |
2.6× |
| Plmt Nephroureteral Catheter (50433) |
$4,506.25 |
$7,510.41 |
1.3× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$20,826.11 |
$34,710.19 |
6.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$10,421.96 |
$17,369.93 |
3.8× |
| Prostate laser enucleation (52649) |
$48,521.03 |
$80,868.39 |
9.1× |
| Prq skel fixj metar fx w/manj (28476) |
$7,584.58 |
$12,640.97 |
2.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$9,439.93 |
$15,733.22 |
2.9× |
| Punch biopsy skin single lesion (11104) |
$3,782.53 |
$6,304.22 |
9.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$631.16 |
$1,051.93 |
1.6× |
| Puncture Aspiration Cyst Breast (19000) |
$408.64 |
$681.07 |
0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$7,058.40 |
$11,763.99 |
4.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,108.34 |
$6,847.23 |
1.3× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$4,917.01 |
$8,195.02 |
1.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$27,197.39 |
$45,328.99 |
9.5× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$4,959.84 |
$8,266.39 |
1.5× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$7,525.69 |
$12,542.82 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$24,283.45 |
$40,472.42 |
7.0× |
| Re-explore parathyroids (60502) |
$56,492.60 |
$94,154.34 |
9.6× |
| Realignment extensor tendon hand each tendon (26437) |
$10,564.40 |
$17,607.33 |
3.3× |
| Reconstruct cleft palate (42220) |
$20,670.04 |
$34,450.07 |
3.5× |
| Reconstruct elbow med ligmnt (24346) |
$13,522.70 |
$22,537.84 |
1.1× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$9,551.24 |
$15,918.73 |
2.9× |
| Reconstruction Tongue Fold (41520) |
$11,828.66 |
$19,714.44 |
3.6× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$5,634.77 |
$9,391.29 |
1.7× |
| Rem Endovas Vena Cava Filter (37193) |
$10,514.23 |
$17,523.71 |
3.4× |
| Removal Anal Seton Other Marker (46030) |
$7,021.01 |
$11,701.68 |
5.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$12,469.10 |
$20,781.84 |
3.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$212.30 |
$353.84 |
3.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$12,453.14 |
$20,755.24 |
213.2× |
| Removal Implant Deep (20680) |
$16,692.37 |
$27,820.62 |
5.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$23,483.26 |
$39,138.77 |
14.4× |
| Removal implantable contraceptive capsules (11976) |
$11,451.30 |
$19,085.51 |
16.3× |
| Removal of adenoids (42835) |
$9,231.04 |
$15,385.06 |
2.8× |
| Removal of adenoids (42831) |
$15,662.16 |
$26,103.61 |
4.8× |
| Removal of adenoids (42830) |
$12,855.67 |
$21,426.12 |
3.9× |
| Removal of anal fissure (46200) |
$5,593.32 |
$9,322.20 |
2.0× |
| Removal of ankle implant (27704) |
$12,676.68 |
$21,127.80 |
3.9× |
| Removal of foreign body from pharynx (42809) |
$56.74 |
$94.56 |
0.1× |
| Removal of kidney stone (50081) |
$46,278.69 |
$77,131.15 |
4.9× |
| Removal of nail bed (11750) |
$6,639.75 |
$11,066.26 |
16.5× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$36,785.65 |
$61,309.42 |
5.1× |
| Removal of sesamoid bone (28315) |
$10,066.07 |
$16,776.79 |
3.1× |
| Removal of sperm cord lesion (55520) |
$12,874.41 |
$21,457.35 |
3.7× |
| Removal of testis (54520) |
$27,204.73 |
$45,341.21 |
7.8× |
| Removal of thyroid (60271) |
$75,272.89 |
$125,454.82 |
12.8× |
| Removal of tonsils (42825) |
$14,711.14 |
$24,518.56 |
2.5× |
| Removal of tonsils (42826) |
$14,380.15 |
$23,966.91 |
4.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$16,512.26 |
$27,520.44 |
5.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$380.10 |
$633.50 |
1.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,753.93 |
$2,923.22 |
2.5× |
| Removal Submand Stone,Complicated (42335) |
$19,730.80 |
$32,884.66 |
6.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$13,543.13 |
$22,571.89 |
8.5× |
| Remove Ankle Joint Lining (27626) |
$10,381.47 |
$17,302.46 |
3.2× |
| Remove drug implant device (11982) |
$11,946.08 |
$19,910.14 |
27.0× |
| Remove foreign body from eye (65205) |
$359.26 |
$598.77 |
2.7× |
| Remove Intrauterine Device (58301) |
$679.16 |
$1,131.93 |
2.3× |
| Remove intrvas foreign body (37197) |
$12,686.11 |
$21,143.52 |
4.1× |
| Remove Lower Leg Bone Lesion (27635) |
$11,654.08 |
$19,423.47 |
3.6× |
| Remove Nasal Foreign Body (30300) |
$411.35 |
$685.58 |
3.1× |
| Remove palate/lesion (42120) |
$16,398.93 |
$27,331.55 |
2.8× |
| Remove Peritoneal Foreign Body (49402) |
$32,484.81 |
$54,141.35 |
9.2× |
| Remove renal tube w/fluoro (50389) |
$3,168.25 |
$5,280.42 |
4.6× |
| Remove Tendon Sheath Lesion (26160) |
$15,429.68 |
$25,716.13 |
9.7× |
| Remove vc lesion w/scope (31545) |
$19,592.25 |
$32,653.75 |
5.3× |
| Remove wrist joint cartilage (25107) |
$15,229.06 |
$25,381.77 |
4.7× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$2,790.43 |
$4,650.72 |
0.1× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$2,591.81 |
$4,319.68 |
0.1× |
| Remv&replc cvd gen sing lead (33262) |
$52,870.38 |
$88,117.30 |
2.4× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$4,192.67 |
$6,987.78 |
0.4× |
| Renal Biopsy Perq (50200) |
$3,906.66 |
$6,511.10 |
2.4× |
| Repair Achilles Tendon (27650) |
$25,272.10 |
$42,120.17 |
3.5× |
| Repair brow ptosis (67900) |
$10,037.23 |
$16,728.72 |
4.3× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$10,682.31 |
$17,803.84 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$7,599.85 |
$12,666.42 |
18.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$6,910.27 |
$11,517.12 |
17.2× |
| Repair Ectropion Extensive (67917) |
$10,037.23 |
$16,728.72 |
4.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$14,463.23 |
$24,105.39 |
9.1× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$8,599.65 |
$14,332.75 |
2.7× |
| Repair Foot Dislocation (28615) |
$21,940.51 |
$36,567.51 |
3.1× |
| Repair Forearm Tendon Sheath (25275) |
$24,589.25 |
$40,982.09 |
7.6× |
| Repair Hallux Rigidus (28289) |
$24,253.22 |
$40,422.04 |
7.5× |
| Repair Hand Joint (26540) |
$24,388.16 |
$40,646.93 |
7.5× |
| Repair Hand Tendon (26410) |
$15,940.96 |
$26,568.27 |
10.0× |
| Repair humerus with graft (24435) |
$50,549.90 |
$84,249.83 |
4.0× |
| Repair incomplete circumcision (54163) |
$14,653.72 |
$24,422.87 |
7.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$37,177.15 |
$61,961.91 |
10.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$856.72 |
$1,427.87 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$644.54 |
$1,074.23 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$345.50 |
$575.83 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$433.55 |
$722.58 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$882.14 |
$1,470.24 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$325.02 |
$541.70 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$3,528.98 |
$5,881.64 |
8.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$362.62 |
$604.37 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$879.77 |
$1,466.29 |
2.2× |
| Repair nasal septal perforations (30630) |
$40,325.42 |
$67,209.03 |
12.3× |
| Repair Nonunion Hand (26546) |
$20,267.63 |
$33,779.38 |
2.8× |
| Repair of biceps tendon (24340) |
$17,883.84 |
$29,806.40 |
2.5× |
| Repair of hammertoe (28286) |
$4,636.84 |
$7,728.07 |
1.4× |
| Repair of metatarsals (28322) |
$11,606.02 |
$19,343.37 |
1.6× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$35,394.14 |
$58,990.24 |
4.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$18,163.44 |
$30,272.40 |
2.5× |
| Repair of Ruptured Tendon (24342) |
$28,287.66 |
$47,146.10 |
3.9× |
| Repair of shoulder (23420) |
$12,055.53 |
$20,092.56 |
1.7× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$28,810.82 |
$48,018.03 |
4.5× |
| Repair Rotator Cuff Chronic (23412) |
$11,057 |
$18,428.33 |
1.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,746.81 |
$16,244.68 |
1.4× |
| Repair shoulder capsule (23462) |
$24,430.05 |
$40,716.76 |
3.4× |
| Repair Toe Dislocation (28645) |
$4,959.84 |
$8,266.39 |
1.5× |
| Repair tongue laceration (41252) |
$895.08 |
$1,491.80 |
3.8× |
| Repair tongue laceration (41250) |
$358.46 |
$597.44 |
0.8× |
| Repair webbed toe(s) (28345) |
$8,890.38 |
$14,817.30 |
5.6× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$9,800.95 |
$16,334.92 |
1.4× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$10,955.62 |
$18,259.37 |
1.5× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$32,842.08 |
$54,736.80 |
10.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,986.31 |
$3,310.51 |
2.2× |
| Replace G-J Tube Perc (49452) |
$3,387.30 |
$5,645.50 |
3.8× |
| Replace g/c tube perc (49450) |
$2,700.70 |
$4,501.16 |
3.0× |
| Reposition Gastrostomy Tube (43761) |
$849.77 |
$1,416.29 |
3.4× |
| Repr elbow lat ligmnt w/tiss (24343) |
$334.90 |
$558.16 |
0.1× |
| Rerepair ing hernia reduce (49520) |
$30,833.42 |
$51,389.04 |
8.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$18,717.44 |
$31,195.74 |
5.4× |
| Revis reconst shoulder joint (23473) |
$47,200.73 |
$78,667.89 |
3.7× |
| Revise Hand/Foot Nerve (64704) |
$16,396.72 |
$27,327.87 |
8.5× |
| Revise lower leg tendon (27690) |
$10,381.47 |
$17,302.46 |
1.4× |
| Revise ulnar nerve at wrist (64719) |
$9,848.16 |
$16,413.59 |
5.1× |
| Revise Wrist/Forearm Tendon (25280) |
$9,551.24 |
$15,918.73 |
2.9× |
| Revise/Implant Finger Joint (26536) |
$27,371.63 |
$45,619.38 |
3.8× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$19,674.53 |
$32,790.89 |
5.6× |
| Revision of foot (28116) |
$8,321.75 |
$13,869.59 |
2.6× |
| Revision of knee joint (27442) |
$29,568.97 |
$49,281.61 |
2.3× |
| Revision of lower leg tendon (27685) |
$4,636.84 |
$7,728.07 |
1.4× |
| Revision of toe (28312) |
$7,859.38 |
$13,098.96 |
2.4× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$10,192.63 |
$16,987.72 |
1.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$17,863.05 |
$29,771.75 |
5.2× |
| Rhinoplasty primary w/major septal repair (30420) |
$28,022.35 |
$46,703.92 |
4.8× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$3,119.24 |
$5,198.73 |
1.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$12,639.26 |
$21,065.44 |
7.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$444.10 |
$740.17 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$277.87 |
$463.12 |
2.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$14,890.04 |
$24,816.73 |
12.6× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$34,098.10 |
$56,830.17 |
4.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$4,464.33 |
$7,440.55 |
2.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,988.87 |
$3,314.79 |
3.2× |
| Rmvl/revj sling stress incontinence (57287) |
$21,234.47 |
$35,390.79 |
6.6× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$32,747.20 |
$54,578.66 |
10.0× |
| Rplc Gtube No Revj Trc (43762) |
$651.23 |
$1,085.39 |
2.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$7,755.61 |
$12,926.02 |
2.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$20,630.99 |
$34,384.99 |
6.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$24,439.90 |
$40,733.17 |
4.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$24,592.52 |
$40,987.53 |
6.9× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$32,473.03 |
$54,121.71 |
5.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$38,548.13 |
$64,246.88 |
6.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$21,850.92 |
$36,418.20 |
6.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$26,966.89 |
$44,944.81 |
4.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$19,175.85 |
$31,959.75 |
3.2× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$12,676.68 |
$21,127.80 |
3.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$678.76 |
$1,131.26 |
3.4× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$10,381.47 |
$17,302.46 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$348.29 |
$580.48 |
0.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$30,374.14 |
$50,623.56 |
9.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$329.47 |
$549.12 |
0.5× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$6,448.39 |
$10,747.31 |
2.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$14,463.23 |
$24,105.39 |
4.5× |
| Sclerotx Fluid Collection (49185) |
$2,063.37 |
$3,438.95 |
1.3× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$14,237.74 |
$23,729.57 |
4.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$6,131.62 |
$10,219.37 |
6.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$19,417.30 |
$32,362.16 |
16.4× |
| Shoulder arthroscopy (29820) |
$12,191.95 |
$20,319.92 |
1.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$12,327.48 |
$20,545.81 |
3.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$6,949.69 |
$11,582.81 |
5.9× |
| Sigmoidoscopy w/plcmt stent (45347) |
$4,853.76 |
$8,089.60 |
0.8× |
| Sigmoidoscopy W/Resection (45349) |
$13,716.63 |
$22,861.06 |
5.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$7,558.79 |
$12,597.98 |
8.2× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$4,459.70 |
$7,432.83 |
3.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$357.52 |
$595.87 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$384.41 |
$640.68 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$439.22 |
$732.03 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$356.97 |
$594.95 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$362.80 |
$604.67 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$449.21 |
$748.68 |
2.3× |
| Skin Full Grft Face/Genit/Hf (15240) |
$7,629.40 |
$12,715.66 |
3.7× |
| Skin sub graft face/nk/hf/g (15275) |
$3,437.06 |
$5,728.43 |
4.7× |
| Skin sub graft trnk/arm/leg (15271) |
$3,527.60 |
$5,879.34 |
4.8× |
| Skn sub grft f/n/hf/g child (15277) |
$5,446.52 |
$9,077.54 |
2.7× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$10,395.90 |
$17,326.50 |
1.9× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$13,952.76 |
$23,254.60 |
4.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$19,696.87 |
$32,828.12 |
4.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$372.09 |
$620.15 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$472.20 |
$787 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$876.29 |
$1,460.49 |
2.2× |
| Sphincterotomy anal division sphincter spx (46080) |
$14,616.11 |
$24,360.18 |
5.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,619.65 |
$2,699.42 |
2.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$10,872.82 |
$18,121.36 |
3.1× |
| Strapping knee (29530) |
$240.90 |
$401.50 |
1.8× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$805.12–$830.87 |
$1,341.86–$1,384.78 |
varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$18,239.64 |
$30,399.40 |
5.6× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$7,502.68 |
$12,504.47 |
1.3× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$15,018.84 |
$25,031.40 |
2.6× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$16,967.65 |
$28,279.41 |
6.2× |
| Surg tx anal fistula subq (46270) |
$19,623.48 |
$32,705.80 |
7.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$20,270.02 |
$33,783.36 |
7.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$24,092.82 |
$40,154.70 |
12.5× |
| Suture infrapatellar tendon primary (27380) |
$26,708.38 |
$44,513.97 |
3.7× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$34,817.17 |
$58,028.61 |
4.8× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$34,851.38 |
$58,085.63 |
4.9× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$17,481.90 |
$29,136.49 |
2.4× |
| Suture/repair testicular injury (54670) |
$20,111.27 |
$33,518.79 |
5.8× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$9,786.95 |
$16,311.58 |
3.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$4,959.84 |
$8,266.39 |
1.5× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$6,902.91 |
$11,504.86 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$7,116.50 |
$11,860.84 |
4.5× |
| Tangential biopsy skin single lesion (11102) |
$7,862.58 |
$13,104.30 |
19.5× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$79,111.25 |
$131,852.08 |
2.8× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$49,090.36 |
$81,817.27 |
2.6× |
| Temple bone implant revision (69717) |
$24,181.10 |
$40,301.83 |
3.4× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$9,096.88 |
$15,161.47 |
2.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$15,519.82 |
$25,866.36 |
4.8× |
| Tenodesis long tendon biceps (23430) |
$10,030.42 |
$16,717.36 |
1.4× |
| Tenodesis proximal interphalangeal joint each (26471) |
$19,132.73 |
$31,887.88 |
5.9× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$15,715.86 |
$26,193.11 |
4.9× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$10,702.53 |
$17,837.55 |
3.3× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$4,272.77 |
$7,121.29 |
1.3× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$12,616.67 |
$21,027.79 |
3.9× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$13,602.36 |
$22,670.61 |
8.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,630.39 |
$2,717.31 |
2.3× |
| Therapeutic plasma exchange (36514) |
$3,510.50 |
$5,850.83 |
2.3× |
| Thyroid biopsy (60100) |
$1,224.45 |
$2,040.75 |
1.7× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$19,089.98 |
$31,816.63 |
3.3× |
| Thyroidectomy, total or complete (60240) |
$49,049.83 |
$81,749.71 |
8.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$19,316.93 |
$32,194.89 |
9.5× |
| Tnot elbow lateral/medial debride open (24358) |
$302.83 |
$504.71 |
0.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$20,530.06 |
$34,216.76 |
6.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$14,510.29 |
$24,183.82 |
4.4× |
| Total Knee Arthroplasty (27447) |
$40,114.62 |
$66,857.70 |
3.2× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$23,498.87 |
$39,164.78 |
3.9× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$25,292.20 |
$42,153.67 |
4.8× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$11,094.13 |
$18,490.22 |
3.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$2,088.01 |
$3,480.02 |
3.9× |
| Tracheostomy planned (31600) |
$478.64 |
$797.73 |
0.1× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$7,680.28 |
$12,800.47 |
4.0× |
| Transfer skin pedicle flap (15650) |
$10,763.32 |
$17,938.88 |
5.3× |
| Transplant hand tendon (26480) |
$19,207.78 |
$32,012.96 |
5.9× |
| Transplant of thigh tendon (27396) |
$11,654.08 |
$19,423.47 |
1.6× |
| Transur electr resection of prostate (52601) |
$38,885.02 |
$64,808.37 |
7.3× |
| Transurethral incision of prostate (52450) |
$14,988.31 |
$24,980.52 |
4.3× |
| Transurethral resection bladder neck (52500) |
$18,191.99 |
$30,319.98 |
5.2× |
| Treat Big Toe Fracture (28505) |
$15,660.52 |
$26,100.87 |
4.8× |
| Treat ectopic pregnancy (59151) |
$26,745.63 |
$44,576.05 |
4.5× |
| Treat elbow fracture (24586) |
$37,625.18 |
$62,708.64 |
3.0× |
| Treat Finger Fracture Each (26727) |
$14,207.24 |
$23,678.73 |
4.4× |
| Treat Fx Rad Extra-Articul (25607) |
$15,021.58 |
$25,035.97 |
2.1× |
| Treat Kneecap Fracture (27524) |
$13,915.15 |
$23,191.91 |
1.9× |
| Treat Knuckle Dislocation (26700) |
$757.90 |
$1,263.16 |
3.1× |
| Treat midfoot fracture (28456) |
$7,584.58 |
$12,640.97 |
1.1× |
| Treat scapula fracture (23585) |
$38,159.59 |
$63,599.32 |
5.3× |
| Treat/graft heel fracture (28420) |
$72,342.73 |
$120,571.22 |
5.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$239.54 |
$399.23 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$813.64 |
$1,356.07 |
3.3× |
| Treatment of anal fissure (46940) |
$7,254.74 |
$12,091.24 |
2.6× |
| Treatment of foot infection (28003) |
$12,577.24 |
$20,962.08 |
3.9× |
| Trim skin lesion (11055) |
$374.99 |
$624.99 |
1.9× |
| Trluml Balo Angiop 1St Art (37246) |
$3,709.47 |
$6,182.46 |
0.7× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,011.67 |
$11,686.11 |
1.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$19,305.23 |
$32,175.39 |
5.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$19,617.20 |
$32,695.33 |
7.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$18,177.23 |
$30,295.38 |
5.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$15,115.86 |
$25,193.10 |
4.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$3,413.59 |
$5,689.32 |
2.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,354.99 |
$5,591.65 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$657.03 |
$1,095.05 |
0.9× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$26,762.54 |
$44,604.23 |
2.1× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$11,608.60 |
$19,347.67 |
7.6× |
| Tympanoplasty (69631) |
$14,622.88 |
$24,371.47 |
2.5× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$38,126.23 |
$63,543.72 |
6.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$29,832.35 |
$49,720.58 |
5.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$38,126.23 |
$63,543.72 |
6.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$58,783.50 |
$97,972.50 |
10.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$18,335.73 |
$30,559.55 |
3.1× |
| Tympanostomy general anesthesia (69436) |
$334.54 |
$557.57 |
0.2× |
| Unlisted laparoscopic procedure liver (47379) |
$15,039.22 |
$25,065.37 |
2.5× |
| Unlisted laparoscopy procedure stomach (43659) |
$30,625.93 |
$51,043.22 |
5.1× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$34,254.80 |
$57,091.34 |
5.7× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$41,038 |
$68,396.66 |
6.9× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$36,796.75 |
$61,327.92 |
6.1× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$20,857.39 |
$34,762.31 |
3.5× |
| Unlisted procedure anus (46999) |
$1,938.21 |
$3,230.35 |
2.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$389.43 |
$649.05 |
2.4× |
| Unlisted Procedure Esophagus (43499) |
$12,862.72 |
$21,437.86 |
14.3× |
| Unlisted procedure foot or toes (28899) |
$4,829.89 |
$8,049.81 |
19.8× |
| Unlisted procedure forearm or wrist (25999) |
$20,429.02 |
$34,048.37 |
83.7× |
| Unlisted procedure larynx (31599) |
$70.55 |
$117.59 |
0.3× |
| Unlisted Procedure Leg/Ankle (27899) |
$4,829.89 |
$8,049.81 |
19.8× |
| Unlisted procedure neck or thorax (21899) |
$14,914.41 |
$24,857.35 |
63.6× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$8,144.87 |
$13,574.78 |
34.7× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$18,602.12 |
$31,003.54 |
79.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$26,057.43 |
$43,429.05 |
131.9× |
| Unlisted Procedure, Urinary System (53899) |
$9,136.69 |
$15,227.82 |
36.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$12,919.82 |
$21,533.03 |
64.6× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$10,715.63 |
$17,859.39 |
2.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$10,715.63 |
$17,859.39 |
3.1× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$30,319.20 |
$50,532 |
5.7× |
| Uvulectomy excision of uvula (42140) |
$6,928.41 |
$11,547.36 |
2.1× |
| Vasc embolize/occlude artery (37242) |
$49,975.13 |
$83,291.88 |
2.8× |
| Vasc Embolize/Occlude Bleed (37244) |
$17,699.54 |
$29,499.24 |
1.5× |
| Vasc Embolize/Occlude Organ (37243) |
$44,313.22 |
$73,855.36 |
3.9× |
| Vasc embolize/occlude venous (37241) |
$65,403.61 |
$109,006.02 |
5.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$14,388.34 |
$23,980.56 |
7.0× |
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure |
$37.34 |
$62.24 |
0.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$12,226.36 |
$20,377.28 |
3.7× |
| Vulvectomy simple partial (56620) |
$16,924.13 |
$28,206.88 |
5.3× |
| Wound Prep F/N/Hf/G (15004) |
$12,411.39 |
$20,685.65 |
30.8× |
| Wound Prep Trk/Arm/Leg (15002) |
$5,363.12 |
$8,938.54 |
7.3× |
| Wrist arthroscopy (29840) |
$15,229.06 |
$25,381.77 |
4.7× |
| Xfer Single Deep Low Leg Tendon (27691) |
$10,702.53 |
$17,837.55 |
1.5× |