| Abd paracentesis w/imaging (49083) |
$2,099.82 |
$3,230.50 |
2.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,030.90 |
$1,586 |
1.2× |
| Ablate inf turbinate submuc (30802) |
$3,618.89 |
$5,567.52 |
2.4× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$5,904.44 |
$9,083.74 |
0.6× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,967.30 |
$7,642 |
0.3× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$9,835.98 |
$15,132.28 |
1.0× |
| Ablation ther 1+ pulm tumors perq cryoablation (32994) |
$10,401.30 |
$16,002 |
1.0× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$4,884.10 |
$7,514 |
0.7× |
| Abltj 1/> lvr tum prq rf (47382) |
$7,573.38 |
$11,651.35 |
1.3× |
| Amniocentesis diagnostic (59000) |
$756.60 |
$1,164 |
0.8× |
| Amputation of penis; partial (54120) |
$4,728.98 |
$7,275.36 |
1.4× |
| Ankle arthroscopy (29899) |
$19,011.08 |
$29,247.81 |
2.7× |
| Ankle arthroscopy/surgery (29892) |
$9,921.37 |
$15,263.65 |
1.4× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$16,023.20 |
$24,651.07 |
5.1× |
| Ankle scope,part synovectomy (29895) |
$4,888.01 |
$7,520.01 |
1.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$8,012.32 |
$12,326.64 |
1.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$211.25 |
$325 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$293.15 |
$451 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$250.58 |
$385.50 |
1.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$542.75 |
$835 |
2.0× |
| Application Short Arm Splint Dynamic (29126) |
$248.95 |
$383 |
1.9× |
| Application short leg splint calf foot (29515) |
$243.10 |
$374 |
1.5× |
| Apply/remove halo cranial (20661) |
$2,089.75 |
$3,215 |
1.3× |
| Arterial puncture (36600) |
$125.78 |
$193.50 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$6,542.54 |
$10,065.44 |
2.1× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$10,192.43 |
$15,680.66 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$41.60 |
$64 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$468.65 |
$721 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$122.52 |
$188.50 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$527.80 |
$812 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$31.20 |
$48 |
0.1× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$10,608.30 |
$16,320.46 |
1.5× |
| Arthroscopy ankle; ext debridem (29898) |
$9,460.65 |
$14,554.85 |
3.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,692.67 |
$7,219.50 |
1.5× |
| Arthroscopy of joint (29999) |
$13,085.92 |
$20,132.19 |
54.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$13,439.73 |
$20,676.51 |
4.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$8,679.13 |
$13,352.51 |
2.7× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) |
$6,554.19 |
$10,083.37 |
0.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$6,202.61 |
$9,542.48 |
2.0× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,729.29 |
$7,275.83 |
1.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$4,633.62 |
$7,128.65 |
1.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$4,518.66 |
$6,951.79 |
1.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,535.82 |
$6,978.18 |
1.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,202.61 |
$9,542.48 |
2.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,623.79 |
$7,113.52 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$9,088.59 |
$13,982.45 |
2.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,928.94 |
$10,659.91 |
2.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$6,663.31 |
$10,251.25 |
2.1× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$7,255.12 |
$11,161.73 |
2.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$4,527.40 |
$6,965.23 |
1.4× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$6,267.14 |
$9,641.75 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,863.07 |
$12,097.03 |
1.1× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body High Cost/Complex Surgery (29904) |
$8,068.61 |
$12,413.25 |
2.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,938.58 |
$4,520.90 |
1.5× |
| Aspiration bladder needle (51100) |
$13,967.65 |
$21,488.69 |
57.7× |
| Av Fuse Uppr Arm Basilic (36819) |
$11,438.02 |
$17,596.95 |
2.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$226.20 |
$348 |
1.2× |
Biliary Endoscopy Percut,Dil Strict (47555)
unusually low: confirm this is the full procedure |
$2,293.85 |
$3,529 |
0.4× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure |
$3,588 |
$5,520 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$1,272.05 |
$1,957 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,136.20 |
$1,748 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,110.20 |
$1,708 |
0.7× |
| Biopsy of floor of mouth (41108) |
$4,269.75 |
$6,568.84 |
2.7× |
| Biopsy of mouth lesion (40808) |
$492.70 |
$758 |
0.9× |
| Biopsy of tongue (41100) |
$4,108.92 |
$6,321.41 |
7.9× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$7,703.29 |
$11,851.21 |
2.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$7,439.07 |
$11,444.72 |
2.0× |
| Biopsy Oropharynx (42800) |
$5,379.11 |
$8,275.55 |
3.6× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$2,842.45 |
$4,373 |
1.8× |
| Biopsy pleura percutaneous needle (32400) |
$3,142.49 |
$4,834.60 |
2.0× |
| Biopsy Salivary Gland Incisional (42405) |
$3,715.70 |
$5,716.46 |
2.5× |
| Biopsy Salivary Gland,Needle (42400) |
$2,034.82 |
$3,130.50 |
3.0× |
| Biopsy soft tissue neck/thorax (21550) |
$3,428.10 |
$5,274 |
2.1× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,562.60 |
$2,404 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,692.95 |
$4,143 |
1.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$2,419.68 |
$3,722.58 |
2.7× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$1,562.60 |
$2,404 |
1.0× |
| Biopsy/removal lymph nodes (38525) |
$10,302.25 |
$15,849.62 |
2.7× |
| Biopsy/removal lymph nodes (38510) |
$7,879.42 |
$12,122.18 |
2.1× |
| Bl exchange/transfuse nb (36450) |
$701.35 |
$1,079 |
1.6× |
| Bl push transfuse 2 yr/< (36440) |
$537.55 |
$827 |
1.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$2,681.20 |
$4,124.93 |
4.0× |
| Bladder Irrigation Simple (51700) |
$1,696.65 |
$2,610.23 |
7.0× |
| Bladder Scan (51798) |
$165.75 |
$255 |
2.9× |
| Blood patch (62273) |
$1,298.42 |
$1,997.56 |
1.9× |
| Blood transfusion service (36430) |
$577.85 |
$889 |
1.4× |
| Bone marrow aspiration only (38220) |
$542.10 |
$834 |
0.3× |
| Bone Marrow Biopsy (38221) |
$315.25 |
$485 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$13,312.56 |
$20,480.86 |
7.7× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$15,071.24 |
$23,186.52 |
4.2× |
| Bronch ebus samplng 1/2 node (31652) |
$13,629.90 |
$20,969.07 |
3.8× |
| Bronch ebus samplng 3/> node (31653) |
$15,551.36 |
$23,925.17 |
4.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,879.15 |
$2,891 |
1.1× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$14,237.67 |
$21,904.11 |
3.9× |
| Bronchoscopy W/Biopsy(S) (31625) |
$16,964.30 |
$26,098.92 |
9.8× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,231.75 |
$1,895 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$3,149.90 |
$4,846 |
1.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$13,423.44 |
$20,651.45 |
3.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$7,256.43 |
$11,163.74 |
4.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,633.70 |
$4,051.85 |
1.6× |
| Bx anorectal wall anal approach (45100) |
$3,100.50 |
$4,770 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$2,597.40 |
$3,996 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$1,346.80 |
$2,072 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$858.65 |
$1,321 |
0.5× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$6,219.16 |
$9,567.94 |
1.8× |
| Bx prostate transperineal ultrasound-guided (55709) |
$7,527.72 |
$11,581.11 |
2.2× |
| Bx prostate transperineal us gid w/MRI fus gdn 1 (55710) |
$7,951.66 |
$12,233.33 |
2.3× |
| Bx prostate transrectal us gid w/MRI fus gdn 1st (55708) |
$8,482.60 |
$13,050.16 |
2.5× |
| Bx prst8 trct us guided (55707) |
$8,272.61 |
$12,727.10 |
2.4× |
| Bx vulva/perineum 1 lesion (56605) |
$3,937.06 |
$6,057.01 |
4.4× |
| Bx/exc lymph node needle superficial (38505) |
$2,283.12 |
$3,512.50 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$144.30 |
$222 |
0.7× |
| Cautery Cervix Electro/Thermal (57510) |
$5,754.48 |
$8,853.04 |
1.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,365.23 |
$5,177.27 |
1.1× |
| Cessj Therapy Cath Removal (37214) |
$2,206.75 |
$3,395 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$12,137.93 |
$18,673.74 |
18.0× |
| Change Cystostomy Tube Simple (51705) |
$2,374.58 |
$3,653.19 |
9.8× |
| Change g-tube to g-j perc (49446) |
$1,256.45 |
$1,933 |
0.7× |
| Change Ureter Stent, Percut (50382) |
$2,822.30 |
$4,342 |
1.4× |
| Chemical Cautery Tissue (17250) |
$264.55 |
$407 |
1.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$126.10 |
$194 |
0.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$286.32 |
$440.50 |
0.4× |
| Chemodenerv Musc Migraine (64615) |
$156 |
$240 |
0.5× |
| Chemodenerv Musc Neck Dyston (64616) |
$147.88 |
$227.50 |
0.5× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$89.05 |
$137 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$138.45 |
$213 |
0.5× |
| Chest tube placement (32551) |
$1,084.85 |
$1,669 |
0.7× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$460.20 |
$708 |
3.6× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,093.96 |
$4,759.94 |
1.5× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,301.65 |
$3,541 |
0.7× |
| Chromotubation of oviduct, including materials (58350) |
$7,258.89 |
$11,167.52 |
1.5× |
| Circum 28 days or older (54161) |
$3,817.88 |
$5,873.66 |
1.9× |
| Circumcision (54150) |
$608.40 |
$936 |
0.3× |
| Circumcision Neonate (54160) |
$617.93 |
$950.66 |
0.9× |
| Closure of vagina (57120) |
$5,416.56 |
$8,333.17 |
1.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$2,911.49 |
$4,479.22 |
2.5× |
| Colonoscopy stoma w/biopsy (44389) |
$2,749.31 |
$4,229.71 |
2.4× |
| Colonoscopy stoma w/snare (44394) |
$3,037.12 |
$4,672.49 |
2.6× |
| Colonoscopy thru stoma (44388) |
$2,681.90 |
$4,126 |
3.0× |
| Colonoscopy w/ablation (45388) |
$2,975.70 |
$4,578 |
2.6× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$11,986.68 |
$18,441.05 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$5,648.57 |
$8,690.11 |
1.8× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$4,542.45 |
$6,988.38 |
1.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$3,116.20 |
$4,794.16 |
2.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$3,429.86 |
$5,276.71 |
3.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$3,963.24 |
$6,097.30 |
3.4× |
| Complete replacement picc rs&i (36584) |
$1,265.55 |
$1,947 |
0.8× |
| Complex Drainage, Wound (10180) |
$2,116.40 |
$3,256 |
0.8× |
| Conization of cervix (57520) |
$3,852.15 |
$5,926.39 |
1.2× |
| Conization of cervix (57522) |
$4,703.42 |
$7,236.03 |
1.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$388.70 |
$598 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$2,575.79 |
$3,962.76 |
20.0× |
| Control nose/throat bleeding (42972) |
$16,419.24 |
$25,260.37 |
5.1× |
| Conversion ext bil drg cath (47535) |
$3,781.05 |
$5,817 |
1.1× |
| Convert nephrostomy catheter (50434) |
$1,675.70 |
$2,578 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,821.42 |
$5,879.10 |
2.4× |
| Create eardrum opening (69436) |
$2,342.29 |
$3,603.53 |
1.6× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$15,278.60 |
$23,505.54 |
2.8× |
| Curettage postpartum (59160) |
$3,777.64 |
$5,811.75 |
1.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$5,798.26 |
$8,920.40 |
2.9× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$6,475.26 |
$9,961.94 |
1.2× |
| Cysto w/destruction of lesions (52214) |
$4,775.97 |
$7,347.64 |
1.4× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$8,683.56 |
$13,359.32 |
1.7× |
| Cysto w/removal of tumors small (52234) |
$4,918.76 |
$7,567.32 |
1.4× |
| Cysto w/renal stricture tx (52343) |
$18,331.22 |
$28,201.88 |
5.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$5,638.74 |
$8,674.98 |
2.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$5,014.02 |
$7,713.88 |
1.5× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,971.01 |
$9,186.17 |
1.1× |
| Cysto/uretero w/lithotripsy (52356) |
$11,311.56 |
$17,402.40 |
2.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$10,865.58 |
$16,716.27 |
2.1× |
| Cystometrogram w/vp (51728) |
$802.10 |
$1,234 |
1.2× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$11,250.54 |
$17,308.53 |
1.2× |
| Cystoscopy and treatment (52290) |
$4,529.78 |
$6,968.90 |
2.2× |
| Cystoscopy implant stent (52282) |
$6,803.86 |
$10,467.48 |
2.0× |
| Cystoscopy w/biopsy (52204) |
$3,985.40 |
$6,131.39 |
2.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$3,979.80 |
$6,122.77 |
2.0× |
| Cystoscopy,insert ureteral stent (52332) |
$5,526.26 |
$8,501.94 |
1.6× |
| Cystourethroscopy (52000) |
$2,887.13 |
$4,441.74 |
4.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$4,466.24 |
$6,871.14 |
2.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,908.31 |
$6,012.78 |
1.9× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$5,391.29 |
$8,294.29 |
1.6× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,771.60 |
$7,340.92 |
2.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$3,971.03 |
$6,109.27 |
1.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$5,769.46 |
$8,876.10 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$636.35 |
$979 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$875.55 |
$1,347 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,219.40 |
$1,876 |
0.8× |
| Declot vascular device (36593) |
$263.90 |
$406 |
0.8× |
| Delivery placenta separate procedure (59414) |
$1,842.10 |
$2,834 |
0.6× |
| Destroy cerv/thor facet jnt (64633) |
$2,568.11 |
$3,950.94 |
1.4× |
| Destroy lumb/sac facet jnt (64635) |
$2,598.70 |
$3,998 |
1.4× |
| Destruction anal lesion(s) (46924) |
$5,952.89 |
$9,158.30 |
2.2× |
| Destruction Lesions Vulva Extensive (56515) |
$5,952.89 |
$9,158.30 |
3.0× |
| Destruction Lesions Vulva Simple (56501) |
$6,183.84 |
$9,513.60 |
3.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,314.49 |
$3,560.75 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$177.45 |
$273 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,768.66 |
$2,721.02 |
2.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,617.92 |
$2,489.10 |
1.8× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,926.60 |
$2,964 |
1.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,988.43 |
$6,136.04 |
1.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,710.18 |
$4,169.52 |
3.1× |
| Dilation Esophagus Guide Wire (43453) |
$3,281.28 |
$5,048.13 |
1.8× |
| Dilation of anal sphincter (45905) |
$2,366 |
$3,640 |
2.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,157.90 |
$3,319.85 |
1.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$3,255.75 |
$5,008.85 |
2.0× |
| Drain/inj small joint/bursa w/us (20604) |
$64.35 |
$99 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$3,618.21 |
$5,566.48 |
5.3× |
| Drainage of hematoma/fluid (10140) |
$1,493.70 |
$2,298 |
0.9× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$1,355.90 |
$2,086 |
0.5× |
| Draw blood off venous device (36591) |
$86.45 |
$133 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$336.05 |
$517 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$278.85 |
$429 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$245.70 |
$378 |
1.3× |
| Dry Needling 3+ Muscles (20561) |
$53.62 |
$82.50 |
1.9× |
| Dstrj lesion anus simple surg excision (46922) |
$5,332.73 |
$8,204.20 |
2.0× |
| Dx bone marrow bx & aspir (38222) |
$4,614.58 |
$1,943.50 |
1.6× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$3,734.70 |
$5,745.69 |
2.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,781.65 |
$2,741 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,449.72 |
$5,307.26 |
1.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$3,157.83 |
$4,858.20 |
1.7× |
| Egd flexible foreign body removal (43247) |
$3,203.13 |
$4,927.89 |
3.6× |
| Egd guide wire insertion (43248) |
$4,553.60 |
$7,005.54 |
5.2× |
| Egd place gastrostomy tube (43246) |
$3,242.54 |
$4,988.53 |
1.7× |
| Egd remove lesion snare (43251) |
$4,167.28 |
$6,411.20 |
2.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$4,764.45 |
$7,329.92 |
2.6× |
| Egd tube/cath insertion (43241) |
$387.40 |
$596 |
0.2× |
| Egd Varices Ligation (43244) |
$3,272.23 |
$5,034.20 |
1.8× |
| Elbow arthroscopy/surgery (29837) |
$8,679.13 |
$13,352.51 |
2.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$141.70 |
$218 |
0.5× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$5,357.20 |
$8,241.84 |
1.1× |
| Endoscopic Injection/Implant (51715) |
$4,609.44 |
$7,091.44 |
1.4× |
| Endoscopic Plantar Fasciotomy (29893) |
$4,684.93 |
$7,207.58 |
1.5× |
| Endoscopy of bowel pouch (44385) |
$3,155.64 |
$4,854.84 |
3.5× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,952.86 |
$3,004.40 |
1.1× |
| Endoven ther chem adhes 1st (36482) |
$4,713.80 |
$7,252 |
0.9× |
| Endovenous rf 1st vein (36475) |
$4,070.30 |
$6,262 |
1.3× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,456.65 |
$2,241 |
0.7× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,121.60 |
$3,264 |
0.6× |
| Epididymectomy unilateral (54860) |
$4,153.31 |
$6,389.71 |
1.2× |
| Ercp Duct Stent Placement (43274) |
$6,459.41 |
$9,937.56 |
1.1× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,588.18 |
$7,058.74 |
1.2× |
| Ercp ea duct/ampulla dilate (43277) |
$5,503.84 |
$8,467.45 |
1.5× |
| Ercp lithotripsy calculi (43265) |
$9,248.95 |
$14,229.16 |
1.6× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$6,653.71 |
$10,236.47 |
1.8× |
| Ercp remove forgn body duct (43275) |
$6,083.39 |
$9,359.06 |
3.3× |
| Ercp Stent Exchange W/Dilate (43276) |
$11,015.59 |
$16,947.06 |
1.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$5,495.07 |
$8,453.96 |
1.5× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$6,620.63 |
$10,185.59 |
1.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$4,831.79 |
$7,433.53 |
5.5× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,453.40 |
$2,236 |
1.7× |
| Evacuate mole of uterus (59870) |
$4,815.28 |
$7,408.12 |
1.5× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$7,753.44 |
$11,928.37 |
1.4× |
| Exc frenum labial/buccal (40819) |
$1,493.70 |
$2,298 |
1.0× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$4,091.07 |
$6,293.96 |
1.3× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$5,952.64 |
$9,157.91 |
3.1× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,410.84 |
$3,708.99 |
1.3× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$7,731.99 |
$11,895.37 |
1.3× |
| Exc rect tum transanal part (45171) |
$6,111.81 |
$9,402.79 |
2.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$644.15 |
$991 |
1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$5,687.34 |
$8,749.76 |
4.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,138.66 |
$3,290.24 |
0.6× |
| Exchange nephrostomy cath (50435) |
$2,150.20 |
$3,308 |
1.1× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,350.70 |
$2,078 |
0.7× |
| Excise Inferior Turbinate (30130) |
$4,174.66 |
$6,422.55 |
1.3× |
| Excise lesion testis (54512) |
$4,153.31 |
$6,389.71 |
1.2× |
| Excise Neurofibroma Extensive (64792) |
$4,067.95 |
$6,258.39 |
1.2× |
| Excise parotid gland/lesion (42420) |
$8,944.73 |
$13,761.13 |
1.6× |
| Excise pharynx lesion (42808) |
$4,089.73 |
$6,291.89 |
1.3× |
| Excise/repair mouth lesion (40812) |
$2,739.64 |
$4,214.83 |
1.8× |
| Excision Chalazion Single (67800) |
$4,171.04 |
$6,416.99 |
13.6× |
| Excision lesion mouth roof (42104) |
$2,851.77 |
$4,387.34 |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$719.55 |
$1,107 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,641.60 |
$5,602.46 |
1.4× |
| Excision of bartholin's gland or cyst (56740) |
$4,011.03 |
$6,170.82 |
1.3× |
| Excision of hydrocele; unilateral (55040) |
$4,279.74 |
$6,584.22 |
1.2× |
| Excision of lesion of tongue without closure (41110) |
$2,769.83 |
$4,261.27 |
0.9× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$4,091.07 |
$6,293.96 |
1.3× |
| Excision of local lesion of epididymis (54830) |
$4,333.25 |
$6,666.54 |
1.3× |
| Excision of mouth lesion (41116) |
$3,593.77 |
$5,528.88 |
1.1× |
| Excision of mouth lesion (40816) |
$5,298.48 |
$8,151.51 |
1.6× |
| Excision of nail fold toe (11765) |
$276.90 |
$426 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$6,687.13 |
$10,287.89 |
5.8× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$4,336.55 |
$6,671.61 |
2.1× |
| Excision of submandibular (submaxillary) gland (42440) |
$6,452.45 |
$9,926.84 |
1.1× |
| Excision of vaginal cyst or tumor (57135) |
$4,292.17 |
$6,603.34 |
1.4× |
| Excision of vaginal septum (57130) |
$2,755.54 |
$4,239.30 |
0.9× |
| Excision or fulguration; urethral caruncle (53265) |
$4,815.27 |
$7,408.11 |
2.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,807.37 |
$4,319.03 |
1.0× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$3,933.40 |
$6,051.39 |
1.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,797.60 |
$4,304 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,795.90 |
$4,301.38 |
0.9× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,608.80 |
$5,552 |
2.3× |
| Explore parathyroid glands (60500) |
$7,758.53 |
$11,936.20 |
1.4× |
| External Cephalic Version (59412) |
$1,092.65 |
$1,681 |
0.3× |
| Fetal Contraction Stress Test (59020) |
$455 |
$700 |
2.3× |
| Fetal non-stress test (59025) |
$747.05 |
$1,149.30 |
3.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,747.85 |
$2,689 |
2.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$923.32 |
$1,420.50 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$200.20 |
$308 |
0.9× |
| Frenulotomy of penis (54164) |
$22,357.08 |
$34,395.51 |
11.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$1,305.26 |
$2,008.08 |
6.2× |
| Glossectomy; less than one-half tongue (41120) |
$6,084.97 |
$9,361.49 |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$943.15 |
$1,451 |
1.4× |
| Hemorrhoidectomy (46255) |
$5,530.21 |
$8,508.01 |
2.1× |
| Hysteroscopy ablation (58563) |
$5,829.10 |
$8,967.85 |
1.2× |
| Hysteroscopy biopsy (58558) |
$5,002.07 |
$7,695.49 |
1.6× |
| Hysteroscopy dx sep proc (58555) |
$4,372.12 |
$6,726.34 |
1.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,417.29 |
$8,334.29 |
1.1× |
| I&D Abscess Peritonsillar (42700) |
$6,089.90 |
$9,369.07 |
26.5× |
| I&d abscess simple (10060) |
$317.20 |
$488 |
1.6× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,531.10 |
$3,894 |
0.8× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,442.35 |
$2,219 |
1.6× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,912.99 |
$4,481.53 |
3.3× |
| Image Cath Fluid Colxn Visc (49405) |
$3,435.96 |
$5,286.10 |
2.1× |
| Image Cath Fluid Peri/Retro (49406) |
$2,505.13 |
$3,854.04 |
1.6× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,703.65 |
$2,621 |
1.1× |
| Implant cochlear device (69930) |
$48,737.15 |
$74,980.23 |
1.5× |
| Implant neuroelectrodes (63650) |
$5,601.91 |
$8,618.33 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$433.55 |
$667 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,333.20 |
$5,128 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$503.75 |
$775 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$653.90 |
$1,006 |
2.2× |
| Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) |
$39,500.10 |
$60,769.38 |
0.9× |
| Incision labial frenum frenotomy (40806) |
$2,267.38 |
$3,488.28 |
4.3× |
| Incision of eardrum (69421) |
$2,039.60 |
$3,137.85 |
0.6× |
| Incision of lingual frenum (41010) |
$1,753.04 |
$2,696.98 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$387.40 |
$596 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,185.83 |
$1,824.35 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$117 |
$180 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$7,863.07 |
$12,097.03 |
9.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$16,567.29 |
$25,488.14 |
24.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,361.69 |
$2,094.91 |
1.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$4,759.13 |
$7,321.74 |
16.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$4,065.20 |
$6,254.15 |
4.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,532.77 |
$2,358.11 |
1.8× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$893.21 |
$1,374.17 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,465.78 |
$2,255.04 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,461.18 |
$2,247.97 |
2.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,123.86 |
$3,267.48 |
2.5× |
| Inject Nerv Blck,Pudendal (64430) |
$1,436.61 |
$2,210.17 |
1.7× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,593.15 |
$2,451 |
1.9× |
| Inject Sinus Tract Theraputic (20500) |
$1,121.25 |
$1,725 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,175.12 |
$1,807.88 |
1.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,186.05 |
$1,824.70 |
1.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$10,210.30 |
$15,708.15 |
14.9× |
| Injection anes other peripheral nerve/branch (64450) |
$4,848 |
$7,458.47 |
7.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,526.35 |
$2,348.23 |
1.8× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$438.10 |
$674 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$266.18 |
$409.50 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$442 |
$680 |
1.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$135.85 |
$209 |
0.7× |
| Ins cath ren art 1st bilat (36252) |
$8,210.28 |
$12,631.20 |
2.7× |
| Ins cath ren art 1st unilat (36251) |
$9,887.44 |
$15,211.44 |
3.2× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,397.95 |
$9,843 |
2.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,621.15 |
$5,571 |
0.7× |
| Ins endovas vena cava filtr (37191) |
$6,683.75 |
$10,282.70 |
1.2× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$9,894.07 |
$15,221.65 |
1.0× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$7,615.40 |
$11,716 |
0.8× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$11,376.90 |
$17,502.93 |
1.1× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$7,536.10 |
$11,594 |
0.7× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$5,656.30 |
$8,702 |
0.7× |
| Ins vag brachytx device (57156) |
$4,326.08 |
$6,655.50 |
14.7× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$10,457.20 |
$16,088 |
0.3× |
| Insert 1 electrode pm-defib (33216) |
$4,449.34 |
$6,845.15 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$169 |
$260 |
1.4× |
| Insert cervical dilator (59200) |
$237.25 |
$365 |
0.8× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$1,664 |
$2,560 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$4,270.55 |
$6,570.08 |
2.3× |
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure |
$5,714.15 |
$8,791 |
0.3× |
| Insert nasal septal button (30220) |
$4,192.87 |
$6,450.57 |
2.8× |
| Insert non-tunnel cv cath (36556) |
$1,359.15 |
$2,091 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,422.20 |
$2,188 |
0.5× |
Insert pacing lead & connect (33224)
likely a partial charge, not the full procedure |
$1,565.20 |
$2,408 |
0.2× |
| Insert pessary/other device (57160) |
$11,182.92 |
$17,204.49 |
57.1× |
| Insert picc cath (36569) |
$2,498.92 |
$3,844.50 |
1.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,257.75 |
$1,935 |
0.8× |
| Insert picvad cath (36570) |
$2,129.40 |
$3,276 |
0.7× |
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure |
$7,151.95 |
$11,003 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$8,870.50 |
$13,646.92 |
68.8× |
| Insert tun ip cath perc (49418) |
$4,536.35 |
$6,979 |
1.3× |
| Insert tunneled cv cath (36561) |
$3,562.62 |
$5,480.96 |
1.2× |
| Insert Tunneled Cv Cath With Pump (36563) |
$3,437.20 |
$5,288 |
0.6× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$1,402.05 |
$2,157 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$9,964.71 |
$15,330.32 |
77.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,690.14 |
$5,677.14 |
1.1× |
| Insertion of defibrillator electrode (33271) |
$7,619.30 |
$11,722 |
1.0× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$2,951.78 |
$4,541.20 |
1.6× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$4,327.70 |
$6,658 |
1.2× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$26,269.28 |
$40,414.27 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,736.89 |
$4,210.60 |
1.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,719.29 |
$14,952.76 |
1.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$2,200.25 |
$3,385 |
0.5× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,171.05 |
$6,417 |
0.5× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
unusually low: confirm this is the full procedure |
$8,366.80 |
$12,872 |
0.4× |
| Insj inflatable urethral/bladder neck sphincter (53445) |
$38,241.57 |
$58,833.19 |
1.9× |
| Insj multi-component inflatable penile prosth (54405) |
$24,660.92 |
$37,939.88 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,113.15 |
$3,251 |
0.7× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,868.45 |
$4,413 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,171.32 |
$3,340.50 |
0.7× |
| Insj/rplcmt defib w/lead(s) (33249) |
$22,002.12 |
$33,849.42 |
0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,022.85 |
$6,189 |
0.5× |
Insrt pulse gen w/dual leads (33230)
unusually low: confirm this is the full procedure |
$7,306.65 |
$11,241 |
0.3× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$8,004.75 |
$12,315 |
0.3× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$2,473.15 |
$3,804.85 |
1.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$11,175.86 |
$17,193.62 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$6,435.57 |
$9,900.88 |
1.2× |
| Intro Gastrointestinal Tube (44500) |
$787.15 |
$1,211 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$489.45 |
$753 |
2.1× |
| Kidney endoscopy (50570) |
$12,261.96 |
$18,864.55 |
3.6× |
| Knee arthroscopy/surgery (29883) |
$4,617.73 |
$7,104.20 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$21,431.40 |
$32,971.39 |
3.0× |
| Lap ing hernia repair init (49650) |
$14,323.48 |
$22,036.13 |
2.4× |
| Lap insert tunnel ip cath (49324) |
$6,513.44 |
$10,020.68 |
1.1× |
| Laparo new ureter/bladder (50947) |
$22,777.85 |
$35,042.84 |
2.2× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$10,192.43 |
$15,680.66 |
1.0× |
| Laparoscopy appendectomy (44970) |
$8,190.38 |
$12,600.58 |
1.4× |
| Laparoscopy biopsy (49321) |
$8,603.64 |
$13,236.37 |
1.5× |
| Laparoscopy gastrostomy (43653) |
$6,903.31 |
$10,620.47 |
1.2× |
| Laparoscopy Remove Adnexa (58661) |
$8,777.57 |
$13,503.95 |
1.5× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$10,175.08 |
$15,653.97 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$18,214.68 |
$28,022.58 |
1.8× |
| Laparoscopy w/lysis of adhesions (58660) |
$7,314.25 |
$11,252.70 |
1.2× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,713.90 |
$10,329.08 |
1.1× |
| Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when… (55869) |
$19,896.27 |
$30,609.64 |
1.9× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$24,113.30 |
$37,097.39 |
2.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,964.22 |
$10,714.19 |
1.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$19,677.81 |
$30,273.56 |
1.9× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$9,261.13 |
$14,247.89 |
1.6× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$22,760.26 |
$35,015.78 |
2.2× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$18,706.80 |
$28,779.70 |
1.8× |
| Laparoscopy, surgical, splenectomy (38120) |
$21,255.22 |
$32,700.34 |
2.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$20,561.34 |
$31,632.83 |
2.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,215.51 |
$12,639.24 |
1.4× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$23,323.73 |
$35,882.66 |
2.3× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$17,998.58 |
$27,690.12 |
1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$14,912.23 |
$22,941.90 |
2.5× |
| Laparoscopy, surgical; urethral suspension for stress incontinence (51990) |
$27,973.19 |
$43,035.67 |
4.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$11,313.76 |
$17,405.79 |
1.9× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$7,179.54 |
$11,045.44 |
1.9× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$28,124.25 |
$43,268.08 |
2.7× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$19,394.58 |
$29,837.82 |
1.9× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$16,562.31 |
$25,480.47 |
1.6× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$10,987.16 |
$16,903.32 |
1.9× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$6,474.07 |
$9,960.11 |
1.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$3,937.28 |
$6,057.35 |
1.1× |
| Laryngoscope w/vc inj (31570) |
$3,377.63 |
$5,196.36 |
0.9× |
| Laryngoscopy Flexible Diagnostic (31575) |
$299.65 |
$461 |
1.5× |
| Laryngoscopy w/biopsy (31535) |
$4,906.91 |
$7,549.09 |
1.4× |
| Laryngoscopy w/bx op scope (31536) |
$3,777.52 |
$5,811.57 |
1.0× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$4,013.29 |
$6,174.30 |
2.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,758.90 |
$2,706 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,285.51 |
$6,593.09 |
1.2× |
| Laser repair to improve eye fluid flow (65855) |
$828.75 |
$1,275 |
1.6× |
| Laser surgery, anal lesion(s) (46917) |
$4,499.50 |
$6,922.31 |
1.7× |
| Laser vaporization surgery prostate, complete (52648) |
$6,822.11 |
$10,495.55 |
1.3× |
| Late closure of wound (13160) |
$4,084.88 |
$6,284.43 |
1.2× |
| Ligation of a-v fistula (37607) |
$5,026.35 |
$7,732.84 |
1.6× |
| Ligation of hemorrhoid(s) (46221) |
$4,664.19 |
$7,175.68 |
5.2× |
| Ligation or biopsy temporal artery (37609) |
$5,756.88 |
$8,856.74 |
3.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$10,545.99 |
$16,224.60 |
3.1× |
| Lithotripsy (50590) |
$8,772.82 |
$13,496.64 |
2.6× |
| Liver Biopsy (47000) |
$2,359.96 |
$3,630.70 |
1.5× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$207.35 |
$319 |
0.3× |
| Lyse Chest Fibrin Init Day (32561) |
$1,092 |
$1,680 |
1.8× |
| Lyse Chest Fibrin Subq Day (32562) |
$951.60 |
$1,464 |
1.6× |
| Lysis of labial adhesions (56441) |
$5,091.39 |
$7,832.91 |
1.6× |
| Marsup Bartholin Gland Cyst (56440) |
$4,342.40 |
$6,680.62 |
1.4× |
| Measure Kidney Pressure Thru Tube (50396) |
$597.35 |
$919 |
0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,048.45 |
$1,613 |
0.7× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$2,113.15 |
$3,251 |
0.7× |
| Myelography Lumbar Injection (62305) |
$3,341.62 |
$5,140.96 |
4.4× |
| Myelography Lumbar Injection (62304) |
$1,758.04 |
$2,704.68 |
2.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,619.46 |
$2,491.47 |
2.1× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$575.90 |
$886 |
0.8× |
| Myringoplasty (69620) |
$2,355.67 |
$3,624.11 |
0.7× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$2,527.41 |
$3,888.33 |
13.1× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$9,365.91 |
$14,409.09 |
1.4× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$9,054.12 |
$13,929.42 |
1.3× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$5,642.53 |
$8,680.81 |
0.8× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$7,708.91 |
$11,859.86 |
2.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$8,487.97 |
$13,058.42 |
4.9× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$8,818.26 |
$13,566.55 |
1.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$7,708.91 |
$11,859.86 |
1.1× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$8,818.26 |
$13,566.55 |
1.3× |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
$5,177.57 |
$7,965.50 |
1.4× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$3,028.67 |
$4,659.49 |
1.8× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$4,969.18 |
$7,644.90 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,435.42 |
$5,285.26 |
2.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$7,828.25 |
$12,043.46 |
1.1× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,376.90 |
$11,349.08 |
1.1× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$9,780.84 |
$15,047.45 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$401.70 |
$618 |
0.9× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$4,473.15 |
$6,881.77 |
0.8× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,606.15 |
$2,471 |
1.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,280.04 |
$5,046.21 |
2.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$52.32 |
$80.50 |
1.9× |
| Nerve repair w/allograft (64910) |
$14,028.78 |
$21,582.74 |
1.7× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
$14,302.43 |
$22,003.74 |
1.7× |
| Neuroplasty digital 1/both same digit (64702) |
$2,284.37 |
$3,514.42 |
1.2× |
| Neuroplasty; nerve of hand or foot (64704) |
$6,030.79 |
$9,278.14 |
3.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$590.85 |
$909 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,731.36 |
$2,663.64 |
2.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,518.08 |
$2,335.50 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,804.10 |
$4,314 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,187.20 |
$1,826.46 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,459.13 |
$2,244.82 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,601.22 |
$2,463.41 |
2.3× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$3,515.20 |
$5,408 |
1.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,843.40 |
$2,836 |
2.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,786.20 |
$2,748 |
2.6× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$509.60 |
$784 |
1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$783.90 |
$1,206 |
2.0× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$8,818.26 |
$13,566.55 |
1.3× |
| Obstructive material removal from gi tube (49460) |
$728 |
$1,120 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,147.61 |
$9,457.86 |
1.6× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$41,281.24 |
$63,509.60 |
1.4× |
| Open/Perq Place Stent Same (37238) |
$12,944.64 |
$19,914.83 |
1.2× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,194.26 |
$17,221.94 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$5,187.65 |
$7,981 |
1.5× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$16,545 |
$25,453.84 |
3.4× |
| Paravaginal defect repair vaginal approach (57285) |
$8,412.20 |
$12,941.85 |
1.2× |
| Partial removal of thyroid (60220) |
$7,295.29 |
$11,223.53 |
1.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$6,038 |
$9,289.23 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,502.50 |
$3,850 |
1.9× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$5,465.20 |
$8,408 |
0.9× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$5,344.30 |
$8,222 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$3,371.94 |
$5,187.60 |
4.9× |
| Percut Mech Thrombectomy, Venous (37187) |
$13,206.61 |
$20,317.86 |
1.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,123.55 |
$3,267 |
0.7× |
| Pericardiocentesis W/Imaging (33016) |
$26,475.58 |
$40,731.66 |
17.4× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$4,338.75 |
$6,675 |
0.2× |
| Perq av fistula creation uxtr sep access sites (36837) |
$13,115.70 |
$20,178 |
0.7× |
| Perq av fistula creation uxtr single access (36836) |
$15,631.87 |
$24,049.03 |
0.9× |
| Perq dev breast 1st mr guide (19287) |
$2,332.20 |
$3,588 |
3.4× |
| Perq dev breast 1st strtctc (19283) |
$1,438.45 |
$2,213 |
2.1× |
| Perq dev breast 1st us imag (19285) |
$889.20 |
$1,368 |
1.3× |
| Perq device breast 1st imag (19281) |
$722.80 |
$1,112 |
0.5× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$5,413.20 |
$8,328 |
1.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,712.42 |
$2,634.50 |
1.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,467.50 |
$9,950 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$172.25 |
$265 |
0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,019.85 |
$1,569 |
1.5× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$18,103.15 |
$27,851 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$8,532.99 |
$13,127.68 |
0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,330.21 |
$11,277.24 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$5,562.05 |
$8,557 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,565.30 |
$8,562 |
0.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,965.95 |
$4,563 |
0.9× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,244.80 |
$4,992 |
1.0× |
| Place Cath Subclavian Art (36225) |
$12,855.52 |
$19,777.73 |
4.2× |
| Place Cath Thoracic Aorta (36221) |
$8,645.32 |
$13,300.50 |
2.8× |
| Place Cath Vertebral Art (36226) |
$5,791.50 |
$8,910 |
1.1× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$2,479.81 |
$3,815.10 |
1.8× |
| Placement of seton (46020) |
$4,634.17 |
$7,129.49 |
1.7× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$3,797.95 |
$5,843 |
0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$3,864.90 |
$5,946 |
0.7× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$3,852.55 |
$5,927 |
0.7× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$4,997.85 |
$7,689 |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$9,693.01 |
$14,912.33 |
7.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,707.47 |
$7,242.26 |
2.3× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$10,624.68 |
$16,345.66 |
3.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,262.74 |
$8,096.52 |
1.5× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,852.20 |
$4,388 |
0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,450.20 |
$5,308 |
1.0× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$14,120.77 |
$21,724.26 |
2.4× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$6,658.92 |
$10,244.49 |
1.1× |
| Prim art mech thrombectomy (37184) |
$25,766.94 |
$39,641.45 |
1.5× |
| Probe nasolacrimal duct (68815) |
$5,177.57 |
$7,965.50 |
2.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,139.45 |
$1,753 |
1.3× |
| Prostate Saturation Sampling (55706) |
$6,413.93 |
$9,867.58 |
1.9× |
| Prostatectomy (turp) (52601) |
$6,110.84 |
$9,401.29 |
1.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$729.30 |
$1,122 |
1.1× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$26,269.28 |
$40,414.27 |
4.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,438.80 |
$3,752 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,977 |
$4,580 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$265.85 |
$409 |
0.7× |
| Puncture Aspiration (10160) |
$302.90 |
$466 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$493.35 |
$759 |
0.7× |
| Re-explore parathyroids (60502) |
$9,823.32 |
$15,112.80 |
1.7× |
| Rebuild eardrum structures (69636) |
$5,228.59 |
$8,043.99 |
0.9× |
| Reconstruct lip with flap (40525) |
$4,222.13 |
$6,495.58 |
1.3× |
| Reconstruction tongue fold (41520) |
$2,258.61 |
$3,474.78 |
0.7× |
| Relocation of skin pocket for pacemaker (33222) |
$1,248.65 |
$1,921 |
0.6× |
| Rem endovas vena cava filter (37193) |
$4,677.50 |
$7,196.15 |
1.5× |
| Removal biliary drg cath (47537) |
$811.52 |
$1,248.50 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,223.36 |
$3,420.55 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$2,657.04 |
$4,087.75 |
46.5× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$19,068.30 |
$29,335.84 |
5.3× |
| Removal of adenoids (42831) |
$4,488.40 |
$6,905.23 |
1.4× |
| Removal of adenoids (42830) |
$2,566.55 |
$3,948.54 |
0.8× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$8,689.43 |
$13,368.35 |
2.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$984.75 |
$1,515 |
1.6× |
| Removal of intrauterine device (iud) (58301) |
$4,449.05 |
$6,844.70 |
15.1× |
| Removal of kidney stone (50081) |
$19,357.86 |
$29,781.33 |
2.1× |
| Removal of nail bed (11750) |
$596.05 |
$917 |
1.5× |
| Removal of salivary stone (42335) |
$5,520.20 |
$8,492.61 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$219.70 |
$338 |
1.1× |
| Removal of thyroid lesion (60200) |
$5,323.89 |
$8,190.60 |
0.9× |
| Removal of tonsils (42825) |
$2,979.01 |
$4,583.09 |
0.5× |
| Removal of tonsils (42826) |
$3,618.35 |
$5,566.70 |
1.1× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$7,942.23 |
$12,218.82 |
2.5× |
| Removal ppm generator only (33233) |
$19,569.42 |
$30,106.80 |
2.4× |
| Removal subq cardiac rhythm monitor (33286) |
$1,907.66 |
$2,934.86 |
2.8× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,162.20 |
$1,788 |
0.6× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$3,551.19 |
$5,463.37 |
1.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$207.35 |
$319 |
0.8× |
| Remove anal fist subq (46270) |
$4,345.39 |
$6,685.22 |
1.6× |
| Remove bladder stone (52318) |
$11,883.75 |
$18,282.69 |
3.5× |
| Remove Brain Cavity Fluid (61020) |
$676.65 |
$1,041 |
0.8× |
| Remove by ligat int hem grps (46946) |
$4,325.33 |
$6,654.35 |
1.6× |
| Remove cerclage suture (59871) |
$3,290.95 |
$5,063 |
1.0× |
| Remove digit nerve lesion (64776) |
$2,136.61 |
$3,287.09 |
1.1× |
| Remove ear lesion (69550) |
$5,036.65 |
$7,748.70 |
0.9× |
| Remove in/ex hem groups 2+ (46260) |
$6,196.18 |
$9,532.58 |
2.3× |
| Remove intrvas foreign body (37197) |
$3,474.58 |
$5,345.50 |
1.1× |
| Remove muti-comp penis pros (54406) |
$11,366.37 |
$17,486.73 |
3.3× |
| Remove renal tube w/fluoro (50389) |
$785.50 |
$1,208.46 |
1.2× |
| Remove skin nerve lesion (64774) |
$5,923.83 |
$9,113.59 |
3.1× |
| Remove thyroid duct lesion (60280) |
$8,114.56 |
$12,483.94 |
1.4× |
| Remove Ureter Stent, Percut (50384) |
$2,231.45 |
$3,433 |
1.1× |
| Remove vc lesion w/scope (31545) |
$3,943.84 |
$6,067.44 |
1.1× |
| Remove&replace pm gen singl (33227) |
$8,515.51 |
$13,100.78 |
1.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,258.53 |
$3,474.66 |
1.4× |
| Remv&replc cvd gen dual lead (33263) |
$18,503.31 |
$28,466.63 |
0.9× |
| Remv&replc cvd gen mult lead (33264) |
$22,621.68 |
$34,802.58 |
0.7× |
| Remv&replc cvd gen sing lead (33262) |
$16,332.64 |
$25,127.14 |
0.8× |
| Remv&replc pm gen dual lead (33228) |
$9,239.07 |
$14,213.96 |
0.9× |
| Remv&replc pm gen mult leads (33229) |
$13,555.26 |
$20,854.26 |
0.7× |
| Renal biopsy (50200) |
$4,058.92 |
$6,244.50 |
2.5× |
| Repair arm/leg nerve (64857) |
$10,320.68 |
$15,877.97 |
3.1× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$4,808.98 |
$7,398.43 |
1.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,848.26 |
$5,920.40 |
1.3× |
| Repair brow defect (67900) |
$6,338.83 |
$9,752.04 |
2.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$5,102.90 |
$7,850.61 |
7.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$3,549.77 |
$5,461.18 |
9.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$4,636.89 |
$7,133.67 |
11.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$7,439.07 |
$11,444.72 |
18.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$6,190.52 |
$9,523.88 |
8.6× |
| Repair eyelid defect (67904) |
$3,357.30 |
$5,165.08 |
1.5× |
| Repair incomplete circumcision (54163) |
$3,617.85 |
$5,565.93 |
1.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,937.14 |
$12,210.99 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$3,832.50 |
$5,896.16 |
9.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$3,853.13 |
$5,927.89 |
9.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$2,346.50 |
$3,610 |
6.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$3,686.15 |
$5,671 |
9.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$4,347.44 |
$6,688.37 |
11.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$4,381.83 |
$6,741.27 |
11.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$6,135.22 |
$9,438.80 |
15.6× |
| Repair lead pace-defib one (33218) |
$2,378.35 |
$3,659 |
0.7× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$8,456.32 |
$13,009.72 |
1.3× |
| Repair of eardrum structures (69631) |
$4,891.44 |
$7,525.29 |
0.9× |
| Repair of hydrocele (55060) |
$3,956.16 |
$6,086.40 |
1.2× |
| Repair of nasal septum (30520) |
$4,649.69 |
$7,153.37 |
1.4× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$13,197.72 |
$20,304.19 |
2.3× |
| Repair of vagina (57260) |
$12,152.82 |
$18,696.65 |
2.5× |
| Repair rectum & vagina (57250) |
$7,104.57 |
$10,930.11 |
1.5× |
| Repair tympanic membrane (69610) |
$2,303.49 |
$3,543.83 |
1.5× |
| Replace duod/jej tube perc (49451) |
$1,245.64 |
$1,916.38 |
1.4× |
| Replace g/c tube perc (49450) |
$1,216.40 |
$1,871.38 |
1.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,214.12 |
$1,867.88 |
1.4× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,126.15 |
$3,271 |
0.6× |
| Reposition gastrostomy tube (43761) |
$728 |
$1,120 |
3.0× |
| Reposition pacing-defib lead (33215) |
$3,240.99 |
$4,986.14 |
1.1× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$4,002.70 |
$6,158 |
1.3× |
| Rerepair ing hernia blocked (49521) |
$6,978.78 |
$10,736.58 |
1.1× |
| Rerepair ing hernia reduce (49520) |
$7,150.22 |
$11,000.34 |
2.1× |
| Resect Inferior Turbinate (30140) |
$4,649.69 |
$7,153.37 |
1.4× |
| Revise arm/leg nerve (64708) |
$4,124.78 |
$6,345.82 |
2.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,326.82 |
$3,579.73 |
1.2× |
| Revise middle ear & mastoid (69644) |
$6,891.75 |
$10,602.70 |
1.2× |
| Revise middle ear bone (69660) |
$4,445.60 |
$6,839.39 |
0.8× |
| Revise ulnar nerve at elbow (64718) |
$3,363.58 |
$5,174.74 |
1.8× |
| Revise ulnar nerve at wrist (64719) |
$5,523.53 |
$8,497.74 |
2.9× |
| Revise vag graft via vagina (57295) |
$4,640.38 |
$7,139.05 |
1.5× |
| Revision of colostomy simple (44340) |
$5,463.58 |
$8,405.51 |
1.6× |
| Revision of iris (66761) |
$828.75 |
$1,275 |
1.6× |
| Revision of tips (37183) |
$5,714.15 |
$8,791 |
1.0× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$10,641.29 |
$16,371.22 |
3.1× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$10,613.38 |
$16,328.27 |
2.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$19,754.42 |
$30,391.41 |
5.8× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$13,831.58 |
$21,279.35 |
2.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$11,466.02 |
$17,640.04 |
2.1× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$12,998.05 |
$19,997 |
0.7× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$12,714.36 |
$19,560.56 |
0.7× |
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
unusually low: confirm this is the full procedure |
$8,580 |
$13,200 |
0.5× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$27,401.60 |
$42,156.30 |
2.5× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$27,315.80 |
$42,024.30 |
2.4× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$5,864.30 |
$9,022 |
0.5× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$14,002.30 |
$21,542 |
1.3× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$5,171.40 |
$7,956 |
0.9× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$23,241.26 |
$35,755.78 |
4.2× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$19,339.65 |
$29,753.30 |
1.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$25,254.96 |
$38,853.78 |
2.3× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$29,557.32 |
$45,472.80 |
2.6× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$9,241.90 |
$14,218.30 |
0.8× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$14,002.30 |
$21,542 |
0.8× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$11,628.79 |
$17,890.44 |
0.7× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$14,002.30 |
$21,542 |
0.8× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$14,002.30 |
$21,542 |
0.8× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$10,644.40 |
$16,376 |
0.6× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$14,206.40 |
$21,856 |
0.8× |
| Rmvl & rplcmt inflatable penile prosth same sess (54410) |
$24,641.32 |
$37,909.72 |
1.2× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$1,705.60 |
$2,624 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,547 |
$2,380 |
1.3× |
| Rmvl of subq defibrillator (33272) |
$5,628.35 |
$8,659 |
1.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,024.75 |
$3,115 |
0.6× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$30,748.20 |
$47,304.92 |
8.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,462.52 |
$3,788.48 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$537.88 |
$827.50 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$763.75 |
$1,175 |
3.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$732.55 |
$1,127 |
0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,614.72 |
$5,561.10 |
2.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,896.17 |
$5,994.10 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,357.88 |
$3,627.50 |
0.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$12,444.23 |
$19,144.97 |
2.1× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$11,728.05 |
$18,043.15 |
1.9× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$12,216.72 |
$18,794.96 |
2.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,847.97 |
$8,996.87 |
1.7× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$7,192.74 |
$11,065.75 |
1.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$11,839.69 |
$18,214.91 |
2.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,075.75 |
$1,655 |
0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$521.95 |
$803 |
0.9× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$1,906.45 |
$2,933 |
0.6× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$986.70 |
$1,518 |
0.6× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$12,998.05 |
$19,997 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$1,349.40 |
$2,076 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$3,848.36 |
$5,920.56 |
4.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,579.33 |
$3,968.20 |
2.2× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$255.45 |
$393 |
0.6× |
| Shldr arthroscop,lyse adhesns (29825) |
$4,626.11 |
$7,117.10 |
1.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,610.45 |
$4,016.07 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$364 |
$560 |
1.9× |
| Sinus endo w/balloon dil (31296) |
$7,162.79 |
$11,019.67 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$549.90 |
$846 |
0.8× |
| Skin sub graft trnk/arm/leg (15271) |
$524.55 |
$807 |
0.7× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,320.15 |
$2,031 |
0.7× |
| Skin Tissue Procedure (17999) |
$237.25 |
$365 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,320.15 |
$2,031 |
0.7× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,181.90 |
$14,126 |
1.7× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,224.64 |
$9,576.38 |
2.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$4,241.25 |
$6,525 |
0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$7,684.95 |
$11,823 |
1.6× |
| Small Bowel Endoscopy (44373) |
$1,261 |
$1,940 |
0.7× |
| Small bowel endoscopy (44366) |
$3,024.66 |
$4,653.32 |
1.6× |
| Small bowel endoscopy (44376) |
$1,904.50 |
$2,930 |
1.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$4,696.82 |
$7,225.87 |
2.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$393.25 |
$605 |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$884 |
$1,360 |
1.3× |
| Spinal Puncture Therapeutic (62272) |
$1,316.25 |
$2,025 |
1.9× |
| Strapping unna boot (29580) |
$386.42 |
$594.50 |
2.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,983 |
$9,204.61 |
1.0× |
| Suspension of testis (54640) |
$4,153.31 |
$6,389.71 |
1.2× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$6,018.64 |
$9,259.44 |
3.2× |
| Suture of; brachial plexus (64861) |
$3,755.67 |
$5,777.96 |
2.0× |
| Tangential biopsy skin single lesion (11102) |
$273.65 |
$421 |
0.7× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$28,593.30 |
$43,989.70 |
1.5× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,059.20 |
$3,168 |
1.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,676.68 |
$2,579.50 |
2.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$845 |
$1,300 |
1.4× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,006.55 |
$3,087 |
0.7× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,089.75 |
$3,215 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$842.40 |
$1,296 |
2.6× |
| Thrombolytic Venous Therapy (37212) |
$2,107.30 |
$3,242 |
0.7× |
| Thyroid biopsy (60100) |
$791.70 |
$1,218 |
1.2× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$8,609.08 |
$13,244.74 |
1.5× |
| Thyroidectomy, total or complete (60240) |
$10,694.50 |
$16,453.07 |
1.8× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$11,665.76 |
$17,947.33 |
2.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,556.70 |
$5,471.84 |
1.1× |
| Trach Tube Change (31502) |
$1,600.56 |
$2,462.40 |
7.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,475.50 |
$2,270 |
2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$908.05 |
$1,397 |
0.6× |
| Tracheostomy planned (31600) |
$2,480.40 |
$3,816 |
0.8× |
| Transcatheter biopsy (37200) |
$3,207.10 |
$4,934 |
0.6× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$3,313.67 |
$5,097.95 |
1.8× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$9,652.16 |
$14,849.47 |
1.9× |
| Transurethral incision of prostate (52450) |
$4,092.79 |
$6,296.60 |
1.2× |
| Treat ectopic pregnancy (59151) |
$7,020.05 |
$10,800.08 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$13,647.56 |
$20,996.24 |
2.5× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,955.74 |
$21,470.36 |
2.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,089.57 |
$6,291.65 |
1.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,975.19 |
$6,115.67 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,206.06 |
$3,393.94 |
3.1× |
| Unlisted Cardiac Surgery (33999) |
$5,489.90 |
$8,446 |
9.0× |
| Unlisted laparoscopic procedure liver (47379) |
$8,603.64 |
$13,236.37 |
1.5× |
| Unlisted laparoscopy procedure, appendix (44979) |
$6,322.02 |
$9,726.18 |
1.1× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$10,057.79 |
$15,473.52 |
1.7× |
| Unlisted laparoscopy procedure, stomach (43659) |
$16,338.06 |
$25,135.48 |
2.8× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$7,429.57 |
$11,430.11 |
1.3× |
| Unlisted procedure anus (46999) |
$4,716.22 |
$7,255.73 |
5.2× |
| Unlisted Procedure Breast (19499) |
$104 |
$160 |
0.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$3,372.69 |
$5,188.76 |
14.7× |
Unlisted Procedure Endocrine System (60699)
likely a partial charge, not the full procedure |
$1,383.20 |
$2,128 |
0.2× |
| Unlisted procedure maternity care & delivery (59899) |
$347.10 |
$534 |
1.8× |
| Unlisted Procedure Nervous System (64999) |
$3,753.75 |
$5,775 |
12.6× |
| Unlisted Procedure Rectum (45999) |
$18,088.92 |
$27,829.11 |
20.1× |
| Unlisted Procedure Small Intestine (44799) |
$4,691.21 |
$7,217.25 |
5.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$1,603.55 |
$2,467 |
8.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$704.60 |
$1,084 |
1.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,466.75 |
$3,795 |
2.8× |
| Unlisted procedure, stomach (43999) |
$83.20 |
$128 |
0.1× |
| Unlisted px female genital system nonobstetrical (58999) |
$3,875.42 |
$5,962.18 |
19.8× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$7,738.25 |
$11,905 |
0.8× |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
$2,493.40 |
$3,836 |
0.7× |
| Urology Surgery Procedure (53899) |
$2,099.18 |
$3,229.50 |
8.7× |
| Vaginal delivery only (59409) |
$204.75 |
$315 |
0.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$10,319.63 |
$15,876.36 |
2.1× |
| Vasc embolize/occlude artery (37242) |
$10,075.71 |
$15,501.10 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$6,650.80 |
$10,232 |
0.6× |
| Vasc embolize/occlude organ (37243) |
$11,213.72 |
$17,251.87 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$6,650.80 |
$10,232 |
0.6× |
| Venipuncture (36415) |
$9.75 |
$15 |
1.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,355.67 |
$3,624.11 |
0.7× |
| Vulvectomy simple partial (56620) |
$6,160.86 |
$9,478.25 |
2.0× |
| Vulvectomy simple; complete (56625) |
$4,032.44 |
$6,203.76 |
1.3× |
| Wrist arthroscop,excis triang cart (29846) |
$5,687.92 |
$8,750.64 |
1.8× |
| Wrist arthroscopy (29840) |
$9,902.69 |
$15,234.91 |
3.1× |