| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$7,478.25 |
$33,992.06 |
2.3× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$10,425.73 |
$47,389.66 |
3.2× |
| Abd paracentesis w/imaging (49083) |
$988.24 |
$4,492 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$527.78 |
$2,399 |
0.6× |
| Ablate inf turbinate submuc (30802) |
$4,955.15 |
$22,523.39 |
3.4× |
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure |
$4,447.52 |
$20,216 |
0.5× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,335.32 |
$19,706 |
0.3× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$3,893.56 |
$17,698 |
0.6× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$976.36 |
$4,438 |
0.6× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$5,287.36 |
$24,033.46 |
3.7× |
| Acetabuloplasty resection femoral head (27122) |
$19,751.34 |
$89,778.84 |
2.9× |
| Acne surgery (10040) |
$120.34 |
$547 |
0.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$10,153.44 |
$46,152 |
5.3× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$9,046.74 |
$41,121.55 |
4.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$9,311.50 |
$42,325.02 |
2.8× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$10,303.87 |
$46,835.78 |
5.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$8,692.73 |
$39,512.40 |
4.5× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$6,459.61 |
$29,361.88 |
3.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$10,645.62 |
$48,389.17 |
5.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$9,350.61 |
$42,502.78 |
4.9× |
| Allogeneic lymphocyte infusions (38242) |
$1,068.10 |
$4,855 |
0.7× |
| Amniocentesis diagnostic (59000) |
$482.90 |
$2,195 |
0.6× |
| Amniocentesis therapeutic (59001) |
$171.16 |
$778 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,678.82 |
$7,631 |
0.6× |
| Amputate Metacarpal Bone (26910) |
$12,715.24 |
$57,796.56 |
4.2× |
| Amputation foot transmetarsal (28805) |
$5,879 |
$26,722.73 |
1.9× |
| Amputation metatarsal with toe single (28810) |
$4,246.20 |
$19,300.91 |
1.4× |
| Amputation thigh through femur any level (27590) |
$11,825.97 |
$53,754.40 |
3.9× |
| Amputation toe interphalangeal joint (28825) |
$4,491.54 |
$20,416.11 |
1.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,103.26 |
$23,196.63 |
1.7× |
| Amputation, leg, through tibia and fibula; (27880) |
$4,137.65 |
$18,807.52 |
0.6× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$4,486.35 |
$20,392.48 |
1.5× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$6,303.55 |
$28,652.50 |
2.1× |
| Anal/Urinary Muscle Study (51784) |
$126.72 |
$576 |
1.1× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$548.90 |
$2,495 |
0.6× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$1,686.52 |
$7,666 |
0.7× |
| Anoscopy Ablation Lesion (46615) |
$1,686.52 |
$7,666 |
0.7× |
| Anoscopy Control Bleeding (46614) |
$708.84 |
$3,222 |
0.6× |
| Anoscopy diagnostic (46600) |
$86.46 |
$393 |
0.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$4,401.25 |
$20,005.66 |
4.0× |
| Anoscopy remove lesion (46610) |
$1,686.52 |
$7,666 |
0.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$548.90 |
$2,495 |
0.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$4,228.43 |
$19,220.14 |
3.8× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$2,885.47 |
$13,115.77 |
2.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$3,103.61 |
$14,107.30 |
1.2× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$9,798.45 |
$44,538.43 |
2.1× |
| Anterior Tibial Tubercleplasty (27418) |
$14,448.28 |
$65,673.99 |
2.1× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$1,956.12 |
$8,891.47 |
13.0× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$4,157.81 |
$18,899.14 |
16.0× |
| Application cast elbow finger short arm (29075) |
$6,242.13 |
$28,373.32 |
24.1× |
| Application Cast Finger (29086) |
$95.04 |
$432 |
0.6× |
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines |
$35.86–$170.50 |
$163–$775 |
varies |
| Application finger splint static (29130) |
$392.92 |
$1,786 |
3.2× |
| Application Halo Type Body Cast (29000) |
$4,942.85 |
$22,467.50 |
19.1× |
| Application Hip Spica Cast 1 Leg (29305) |
$3,597.65 |
$16,352.97 |
13.9× |
| Application long arm splint shoulder hand (29105) |
$95.04 |
$432 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$160.16 |
$728 |
0.6× |
| Application Long Leg Splint (29505) |
$298.76 |
$1,358 |
2.0× |
| Application multiplane external fixation system (20692) |
$19,826.23 |
$90,119.21 |
1.7× |
| Application of cylinder cast (thigh to ankle) (29365) |
$160.16 |
$728 |
0.6× |
| Application of long leg cast (29345) |
$640.64 |
$2,912 |
2.5× |
| Application of rigid total contact leg cast (29445) |
$287.76 |
$1,308 |
1.1× |
| Application Patellar Tendon Bearing Cast (29435) |
$160.16 |
$728 |
0.6× |
| Application risser jacket localizer body only (29010) |
$4,864.29 |
$22,110.41 |
18.8× |
| Application Short Arm Splint Dynamic (29126) |
$77.66 |
$353 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$3,364.24 |
$15,292 |
27.3× |
| Application short leg splint calf foot (29515) |
$6,029.37 |
$27,406.22 |
40.0× |
| Application uniplane external fixation system (20690) |
$19,444.10 |
$88,382.26 |
2.9× |
| Apply hand/wrist cast (29085) |
$95.04 |
$432 |
0.6× |
| Apply long arm cast (29065) |
$3,094.96 |
$14,068 |
11.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$108.02 |
$491 |
0.7× |
| Apply Short Leg Cast (29405) |
$3,665.11 |
$16,659.61 |
14.1× |
| Apply short leg cast (29425) |
$5,402.82 |
$24,558.27 |
20.8× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$6,312.49 |
$28,693.15 |
1.3× |
| Arrest Epiphyseal Distal Femur (27475) |
$8,653.87 |
$39,335.77 |
1.3× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$4,806.17 |
$21,846.23 |
1.6× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$11,165.94 |
$50,754.29 |
1.7× |
| Arterial puncture (36600) |
$78.32 |
$356 |
0.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$8,525.53 |
$38,752.43 |
2.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$9,385.80 |
$42,662.75 |
1.8× |
| Artery-vein autograft (36825) |
$12,952.07 |
$58,873.04 |
2.5× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$14,206.76 |
$64,576.20 |
1.2× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$14,354.90 |
$65,249.54 |
1.2× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$29,046.35 |
$132,028.86 |
2.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,947.21 |
$8,850.95 |
6.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$292.60 |
$1,330 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$669.46 |
$3,043 |
2.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$292.60 |
$1,330 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$292.60 |
$1,330 |
1.0× |
| Arthrodesis ankle open (27870) |
$26,985.20 |
$122,659.99 |
2.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$10,967.12 |
$49,850.55 |
1.6× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$13,077.55 |
$59,443.40 |
1.9× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$25,333.53 |
$115,152.42 |
1.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$27,882.20 |
$126,737.29 |
1.7× |
Arthrodesis Posterior/Posterolateral Thoracic (22610)
likely a partial charge, not the full procedure |
$747.78 |
$3,399 |
0.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$12,465.85 |
$56,662.95 |
0.8× |
| Arthrodesis subtalar (28725) |
$26,202.58 |
$119,102.62 |
2.2× |
| Arthrodesis triple (28715) |
$35,100.02 |
$159,545.53 |
3.0× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$25,733.18 |
$116,969.01 |
1.0× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$44,469.37 |
$202,133.52 |
2.7× |
| Arthroplasty Ankle W/Implant (27702) |
$25,943.94 |
$117,927.01 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$15,607.09 |
$70,941.30 |
1.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$11,949.53 |
$54,316.06 |
8.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$13,386.21 |
$60,846.41 |
4.4× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$28,089.10 |
$127,677.74 |
4.2× |
| Arthroscopy hip w/femoroplasty (29914) |
$13,934.30 |
$63,337.72 |
2.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$5,552.44 |
$25,238.37 |
1.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,626.78 |
$16,485.35 |
1.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$8,696.04 |
$39,527.45 |
2.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$10,977.38 |
$49,897.16 |
1.6× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$26,048.33 |
$118,401.48 |
3.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$16,219.75 |
$73,726.15 |
5.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$9,798.29 |
$44,537.70 |
3.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$8,738.21 |
$39,719.13 |
1.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$9,842.73 |
$44,739.69 |
3.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$13,269.15 |
$60,314.31 |
4.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,809.39 |
$30,951.76 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,037.38 |
$41,079.01 |
1.3× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$4,769.80 |
$21,680.91 |
1.6× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$6,137.10 |
$27,895.93 |
2.0× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$345.62 |
$1,571 |
0.1× |
| Arthrotomy wrist joint with synovectomy (25105) |
$2,816.90 |
$12,804.11 |
0.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$14,280.67 |
$64,912.15 |
1.2× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$11,483.61 |
$52,198.24 |
3.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$12,966.40 |
$58,938.19 |
1.9× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$11,739.12 |
$53,359.65 |
3.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$9,618.61 |
$43,720.94 |
3.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$9,899.60 |
$44,998.16 |
3.3× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$15,145.62 |
$68,843.71 |
5.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$964.48 |
$4,384 |
0.6× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$1,873.08 |
$8,514 |
0.6× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$29,932.34 |
$136,056.08 |
9.9× |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
$495.88–$505.12 |
$2,254–$2,296 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$495.88 |
$2,254 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$177.98 |
$809 |
0.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$472.56 |
$2,148 |
0.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$680.90 |
$3,095 |
0.4× |
| Av fistula revision (36833) |
$11,300.68 |
$51,366.75 |
2.2× |
| Av Fistula Revision Open (36832) |
$10,346.91 |
$47,031.39 |
2.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$8,336.26 |
$37,892.11 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$2,278.93 |
$10,358.79 |
12.3× |
| Axillary lymphadenectomy; complete (38745) |
$7,235.34 |
$32,887.90 |
1.3× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure |
$2,614.70 |
$11,885 |
0.4× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$2,105.62 |
$9,571 |
0.2× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure |
$2,105.62 |
$9,571 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$1,193.50 |
$5,425 |
0.8× |
| Biopsy bone open deep (20245) |
$9,660.59 |
$43,911.77 |
3.6× |
| Biopsy bone open superficial (20240) |
$6,405.23 |
$29,114.70 |
2.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,447.06 |
$11,123 |
1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,649.33 |
$16,587.85 |
2.4× |
| Biopsy muscle percutaneous needle (20206) |
$2,788.57 |
$12,675.33 |
1.8× |
| Biopsy of conjunctiva (68100) |
$3,389.60 |
$15,407.29 |
1.5× |
| Biopsy of floor of mouth (41108) |
$976.36 |
$4,438 |
0.6× |
| Biopsy of lacrimal gland (68510) |
$11,089 |
$50,404.56 |
5.0× |
| Biopsy of lip (40490) |
$2,070.15 |
$9,409.79 |
9.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,335.08 |
$10,614 |
1.5× |
| Biopsy of rectum (45100) |
$3,919.58 |
$17,816.29 |
1.5× |
| Biopsy Oropharynx (42800) |
$1,378.30 |
$6,265 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,000.56 |
$4,548 |
0.7× |
| Biopsy Salivary Gland Incisional (42405) |
$2,109.14 |
$9,587 |
1.5× |
| Biopsy Salivary Gland Needle (42400) |
$322.30 |
$1,465 |
0.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$549.56 |
$2,498 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$549.56 |
$2,498 |
0.4× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$746.24 |
$3,392 |
0.5× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$577.94 |
$2,627 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$528.88 |
$2,404 |
0.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$3,647.66 |
$16,580.26 |
4.3× |
| Biopsy, vestibule of mouth (40808) |
$512.60 |
$2,330 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$6,406.67 |
$29,121.22 |
1.8× |
| Bladder Irrigation (51700) |
$2,717.26 |
$12,351.20 |
11.7× |
| Bladder Scan (51798) |
$866.80 |
$3,940 |
15.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,750.22 |
$12,501 |
1.9× |
| Blepharotomy drainage abscess eyelid (67700) |
$399.74 |
$1,817 |
1.4× |
| Blood Transfusion Service (36430) |
$693.22 |
$3,151 |
1.7× |
| Bone Graft Any Donor Area Major/Large (20902) |
$14,938.72 |
$67,903.28 |
2.2× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$8,857.84 |
$40,262.91 |
1.3× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$21,047.14 |
$95,668.80 |
3.1× |
| Bone Marrow Biopsy (38221) |
$1,441.66 |
$6,553 |
0.9× |
| Bone Marrow Harvest Autolog (38232) |
$19,034.14 |
$86,518.82 |
4.7× |
| Bone Marrow; Aspiration Only (38220) |
$4,656.52 |
$21,166 |
3.0× |
| Breast augmentation with implant (19325) |
$16,182.96 |
$73,558.89 |
2.1× |
| Breast Reduction (19318) |
$11,246.48 |
$51,120.36 |
1.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$8,337.65 |
$37,898.40 |
5.1× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$7,946.35 |
$36,119.78 |
2.3× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$8,482.39 |
$38,556.30 |
2.5× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,019.48 |
$4,634 |
0.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,718.23 |
$21,446.49 |
1.4× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$1,019.48 |
$4,634 |
0.6× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$2,843.99 |
$12,927.22 |
0.8× |
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure |
$3,180.76 |
$14,458 |
0.5× |
| Bronchoscopy Dilate W/Stent (31631) |
$5,907.03 |
$26,850.14 |
0.9× |
| Bronchoscopy W/Biopsy(S) (31625) |
$7,205.92 |
$32,754.20 |
4.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,338.14 |
$19,718.81 |
2.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$8,393.82 |
$38,153.74 |
2.4× |
| Bronchoscopy/Needle Bx Each (31629) |
$8,492.63 |
$38,602.87 |
2.5× |
| Bx breast 1st lesion mr imag (19085) |
$1,192.40 |
$5,420 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$803.44 |
$3,652 |
0.5× |
| Bx breast 1st lesion us imag (19083) |
$1,466.50 |
$6,665.90 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$25,680.17 |
$116,728.03 |
16.8× |
| Bx Cervix (57500) |
$4,251.79 |
$19,326.31 |
5.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$8,155.14 |
$37,068.82 |
2.2× |
| Bx/exc lymph node open superficial (38500) |
$9,362 |
$42,554.54 |
2.6× |
Canthoplasty (67950)
range across 2 matching MRF lines |
$5,849.83–$7,012.66 |
$26,590.13–$31,875.71 |
varies |
| Canthotomy Separate Procedure (67715) |
$7,033.28 |
$31,969.44 |
3.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$10,501.06 |
$47,732.10 |
3.5× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$20,190.39 |
$91,774.48 |
6.7× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$21,934.89 |
$99,704.06 |
14.7× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$13,885.36 |
$63,115.26 |
4.6× |
| Carpal Tunnel Surgery (64721) |
$8,666.07 |
$39,391.21 |
4.8× |
| Cataract surgery complex (66982) |
$3,953.64 |
$17,971.11 |
1.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,702.96 |
$16,831.62 |
1.2× |
| Cerv artific diskectomy (22856) |
$10,811.84 |
$49,144.75 |
0.7× |
| Cessj Therapy Cath Removal (37214) |
$2,106.50 |
$9,575 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$392.48 |
$1,784 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$344.96 |
$1,568 |
1.5× |
| Change of Windpipe Airway (31502) |
$6,324.26 |
$28,746.62 |
28.8× |
| Change ureter stent percut (50382) |
$2,817.10 |
$12,805 |
1.5× |
| Chemical Cautery Tissue (17250) |
$1,361.21 |
$6,187.31 |
7.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$523.38 |
$2,379 |
0.8× |
| Chemodenerv 1 extremity 1-4 (64642) |
$3,310.98 |
$15,049.92 |
5.1× |
| Chemodenerv Musc Migraine (64615) |
$181.72 |
$826 |
0.6× |
| Chemodenerv musc neck dyston (64616) |
$1,652.20 |
$7,510 |
5.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$2,807.86 |
$12,763 |
9.9× |
| Chemodenervation eccrine glands oth area per day (64653) |
$177.98 |
$809 |
0.6× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$2,746.14 |
$12,482.47 |
4.2× |
| Chemodenervation of internal anal sphincter (46505) |
$4,165.07 |
$18,932.13 |
3.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$889.57 |
$4,043.50 |
3.1× |
| Chest tube placement (32551) |
$13,255 |
$60,250 |
9.1× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$4,079.82 |
$18,544.64 |
2.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$1,269.62 |
$5,771 |
0.4× |
Ciliary body dstrj cyclophotocoag transsceral (66710)
range across 2 matching MRF lines |
$2,603.22–$2,798.27 |
$11,832.84–$12,719.40 |
varies |
| Circumcision 28 days or older (54161) |
$3,801.09 |
$17,277.70 |
2.0× |
| Circumcision Neonate (54160) |
$10,982.36 |
$49,919.83 |
17.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$3,654.61 |
$16,611.85 |
1.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,000.09 |
$13,636.77 |
2.0× |
| Clear outer ear canal (69200) |
$161.04 |
$732 |
1.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$144.54 |
$657 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$144.54 |
$657 |
0.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$3,820.72 |
$17,366.92 |
2.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$2,937.25 |
$13,351.13 |
12.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$144.54 |
$657 |
0.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$144.54 |
$657 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$342.32 |
$1,556 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$964.48 |
$4,384 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$144.54 |
$657 |
0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$144.54 |
$657 |
0.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$964.48 |
$4,384 |
0.6× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,827.68 |
$31,034.93 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,036.19 |
$13,800.85 |
2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$4,054.21 |
$18,428.24 |
2.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,886.77 |
$13,121.66 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$144.54 |
$657 |
0.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$144.54 |
$657 |
0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$964.48 |
$4,384 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$144.54 |
$657 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,163.76 |
$14,380.71 |
2.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$144.54 |
$657 |
0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,150.44 |
$14,320.19 |
2.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$144.54 |
$657 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$328.90 |
$1,495 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$6,982.63 |
$31,739.23 |
4.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$144.54 |
$657 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$144.54 |
$657 |
0.6× |
| Closure Gastrostomy Surg (43870) |
$6,106.82 |
$27,758.26 |
1.7× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$5,163.33 |
$23,469.68 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$335.72 |
$1,526 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$548.46 |
$2,493 |
2.4× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$5,336.83 |
$24,258.34 |
2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$359.26 |
$1,633 |
0.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$548.46 |
$2,493 |
2.4× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$964.48 |
$4,384 |
0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$144.54 |
$657 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$8,275.23 |
$37,614.66 |
36.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$144.54 |
$657 |
0.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$144.54 |
$657 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$144.54 |
$657 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,628.26 |
$16,492.08 |
2.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$971.96 |
$4,418 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,548.58 |
$20,675.37 |
3.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$548.46 |
$2,493 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$517.44 |
$2,352 |
2.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$964.48 |
$4,384 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$144.54 |
$657 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$342.32 |
$1,556 |
1.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$4,494.93 |
$20,431.50 |
3.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$5,254.94 |
$23,886.07 |
3.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$581.02 |
$2,641 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$548.46 |
$2,493 |
2.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$7,509.90 |
$34,135.89 |
5.0× |
| Cltx Medial Ankle Fx (27760) |
$144.54 |
$657 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$144.54 |
$657 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$342.32 |
$1,556 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$2,285.10 |
$10,386.84 |
10.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$144.54 |
$657 |
0.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$21,846.58 |
$99,302.65 |
14.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$141.46 |
$643 |
0.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$14,231.11 |
$64,686.85 |
9.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$144.54 |
$657 |
0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$342.32 |
$1,556 |
0.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$144.54 |
$657 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$342.76 |
$1,558 |
1.5× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$964.48 |
$4,384 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$335.72 |
$1,526 |
0.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$144.54 |
$657 |
0.6× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$144.54 |
$657 |
0.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$144.54 |
$657 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$964.48 |
$4,384 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$144.54 |
$657 |
0.6× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$10,731.66 |
$48,780.29 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$59.18 |
$269 |
0.5× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$427.46–$496.32 |
$1,943–$2,256 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$766.92 |
$3,486 |
0.7× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$723.80 |
$3,290 |
0.7× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$843.26 |
$3,833 |
0.8× |
| Colonoscopy thru stoma (44388) |
$816.20 |
$3,710 |
0.9× |
| Colonoscopy w/ablation (45388) |
$903.32 |
$4,106 |
0.8× |
| Colonoscopy W/Band Ligation (45398) |
$857.34 |
$3,897 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$948.42 |
$4,311 |
0.9× |
| Colonoscopy W/Resection (45390) |
$857.34 |
$3,897 |
0.3× |
| Colonoscopy w/stent plcmt (45389) |
$3,496.90 |
$15,895 |
0.6× |
| Colonoscopy w/submucosal inj (45381) |
$1,051.16 |
$4,778 |
0.9× |
| Colpocleisis (le fort type) (57120) |
$5,241.19 |
$23,823.60 |
1.1× |
| Colpopexy extraperitoneal (57282) |
$12,422.53 |
$56,466.03 |
1.8× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$10,259.44 |
$46,633.83 |
1.5× |
| Colporrhaphy (57200) |
$15,124.06 |
$68,745.73 |
5.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$3,015.23 |
$13,705.57 |
16.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$3,633.55 |
$16,516.12 |
12.9× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$948.42 |
$4,311 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,051.16 |
$4,778 |
0.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,294.93 |
$10,431.48 |
2.1× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$766.92 |
$3,486 |
0.7× |
| Combined anteroposterior colporrhaphy; (57260) |
$8,984.32 |
$40,837.81 |
1.9× |
| Complex Cystometrogram (51726) |
$648.56 |
$2,948 |
2.8× |
| Complex drainage wound (10180) |
$822.80 |
$3,740 |
0.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,462.82 |
$15,740.07 |
1.2× |
| Conization of cervix (57520) |
$3,347.96 |
$15,218.01 |
1.1× |
| Conjunctival Flap Total (68362) |
$8,089.27 |
$36,769.40 |
3.7× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$2,912.63 |
$13,239.21 |
1.3× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$6,468.13 |
$29,400.59 |
2.9× |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
$5,622.99 |
$25,559.03 |
2.6× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$3,805.38 |
$17,297.19 |
1.2× |
| Contour of face bone lesion (21029) |
$4,186.05 |
$19,027.48 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,981.96 |
$9,008.90 |
16.1× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$1,679–$2,295.97 |
$7,631.81–$10,436.25 |
varies |
| Control oropharyngeal hemorrhage simple (42960) |
$318.34 |
$1,447 |
0.6× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$18,489.25 |
$84,042.04 |
1.6× |
| Conversion ext bil drg cath (47535) |
$2,218.92 |
$10,086 |
0.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,546.60 |
$7,030 |
0.9× |
| Convert Nephrostomy Catheter (50434) |
$534.60 |
$2,430 |
0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,193.50 |
$5,425 |
0.8× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$5,622.99 |
$25,559.03 |
13.6× |
| Corneal Transplant,Penetrat,Aphakia (65750) |
$10,295.15 |
$46,796.15 |
2.1× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$3,328.22 |
$15,128.26 |
1.0× |
| Correction hammertoe (28285) |
$11,496.27 |
$52,255.79 |
3.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$16,771.77 |
$76,235.34 |
5.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$10,501.06 |
$47,732.10 |
1.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$13,077.55 |
$59,443.40 |
4.3× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$4,300.13 |
$19,546.04 |
2.0× |
| Create Eardrum Opening (69433) |
$380.60 |
$1,730 |
0.8× |
| Create Tear Sac-Nasal Fistula (68720) |
$3,180.25 |
$14,455.70 |
0.9× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$10,977.58 |
$49,898.11 |
2.1× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$36.52 |
$166 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$284.68 |
$1,294 |
2.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$136.62 |
$621 |
0.6× |
| Curettage postpartum (59160) |
$3,209.29 |
$14,587.68 |
1.1× |
| Curette/treat cornea (65435) |
$8,089.27 |
$36,769.40 |
8.8× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,739.24 |
$21,542.02 |
2.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,457.58 |
$15,716.26 |
1.8× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$4,467.02 |
$20,304.62 |
0.9× |
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines |
$3,498.76–$3,999.78 |
$15,903.45–$18,180.82 |
varies |
| Cysto w/removal of tumors small (52234) |
$4,065.66 |
$18,480.29 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,520.51 |
$11,456.85 |
1.3× |
| Cysto w/up stricture tx (52342) |
$3,133.63 |
$14,243.78 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,619.98 |
$25,545.36 |
1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,643.90 |
$21,108.64 |
1.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,041.04 |
$13,822.93 |
0.9× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,412.31 |
$20,055.95 |
1.4× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,202.01 |
$14,554.59 |
0.6× |
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines |
$5,955.12–$6,517.33 |
$27,068.74–$29,624.21 |
varies |
| Cystometrogram W/Vp (51728) |
$402.16 |
$1,828 |
0.6× |
| Cystometrogram W/Vp&Up (51729) |
$5,239.94 |
$23,817.91 |
8.1× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$5,978.54 |
$27,175.16 |
0.7× |
| Cystoscopy implant stent (52282) |
$12,074.68 |
$54,884.91 |
3.7× |
| Cystoscopy inject material (52327) |
$5,735.92 |
$26,072.35 |
1.2× |
| Cystourethroscopy (52000) |
$4,758.31 |
$21,628.67 |
7.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,846.96 |
$22,031.62 |
2.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$4,267.70 |
$19,398.65 |
1.3× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,081.99 |
$23,099.96 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,264.73 |
$14,839.66 |
1.7× |
| Cystourethroscopy with biopsy (52204) |
$3,974.72 |
$18,066.93 |
2.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$3,483.15 |
$15,832.49 |
1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,658.46 |
$21,174.84 |
1.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$5,359.90 |
$24,363.18 |
8.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$863.94 |
$3,927 |
1.3× |
| Debride nail 1-5 (11720) |
$82.28 |
$374 |
1.5× |
| Debride nail 6 or more (11721) |
$82.28 |
$374 |
1.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$6,941.49 |
$31,552.21 |
4.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$2,167.23 |
$9,851.03 |
11.7× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$1,182.94–$3,432.93 |
$5,377–$15,604.22 |
varies |
| Declot vascular device (36593) |
$220 |
$1,000 |
0.7× |
| Decompress Spinal Cord Lmbr (63056) |
$8,515.52 |
$38,706.90 |
1.3× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$1,014.64 |
$4,612 |
0.7× |
| Deep Muscle Biopsy (20205) |
$3,609.06 |
$16,404.81 |
1.3× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$5,731.60 |
$26,052.75 |
3.0× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$8,444.34 |
$38,383.37 |
4.4× |
| Delivery of placenta (59414) |
$664.40 |
$3,020 |
0.2× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$12,212.62 |
$55,511.89 |
3.7× |
| Dermabrasion segmental face (15781) |
$2,305.03 |
$10,477.42 |
3.5× |
| Destr penis lesion(s) (54065) |
$4,165.65 |
$18,934.77 |
2.2× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$2,047.54 |
$9,307 |
2.5× |
| Destroy lumb/sac facet jnt (64635) |
$9,071.07 |
$41,232.13 |
5.0× |
| Destruct B9 Lesion 1-14 (17110) |
$271.70 |
$1,235 |
1.5× |
| Destruction Benign Lesions 15/> (17111) |
$1,765.57 |
$8,025.31 |
9.5× |
| Destruction Lesions Vulva Extensive (56515) |
$2,888.32 |
$13,128.74 |
1.5× |
| Destruction Lesions Vulva Simple (56501) |
$4,124.19 |
$18,746.34 |
2.2× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$3,301.91 |
$15,008.67 |
11.2× |
| Destruction of lesion, conjunctiva (68135) |
$3,841.91 |
$17,463.24 |
1.7× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$4,702.81 |
$21,376.39 |
1.3× |
| Destruction of skin lesions (17106) |
$239.58 |
$1,089 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$122.54 |
$557 |
0.7× |
| Diagnostic anoscopy (46601) |
$80.08 |
$364 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$2,329.53 |
$10,588.79 |
2.7× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$2,102.24 |
$9,555.65 |
1.9× |
| Dilat Xst Trc New Access Rcs (50437) |
$2,093.96 |
$9,518 |
0.6× |
| Dilate Esophagus 1/Mult Pass (43450) |
$737 |
$3,350 |
0.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,203.83 |
$14,562.88 |
1.1× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$429 |
$1,950 |
0.9× |
| Dilation And Curettage Of Cervical Stump (57558) |
$3,266.11 |
$14,845.97 |
1.1× |
| Dilation Esophagus Guide Wire (43453) |
$737 |
$3,350 |
0.4× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$4,061.85 |
$18,462.97 |
9.8× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$4,377.94 |
$19,899.74 |
1.3× |
| Dilation Salivary Duct (42650) |
$2,107.67 |
$9,580.30 |
1.5× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$18,797.50 |
$85,443.17 |
2.8× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$793.27 |
$3,605.78 |
0.5× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$11,888.98 |
$54,040.83 |
2.2× |
| Drain Cerebro Spinal Fluid (62272) |
$2,330.39 |
$10,592.66 |
3.6× |
| Drain/inj small joint/bursa w/us (20604) |
$177.98 |
$809 |
0.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$6,315.54 |
$28,706.98 |
12.6× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$952.60 |
$4,330 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$422.62 |
$1,921 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$976.36 |
$4,438 |
0.6× |
| Drainage of finger abscess simple (26010) |
$370.48 |
$1,684 |
2.0× |
| Drainage of gum lesion (41800) |
$18,101.61 |
$82,280.06 |
146.8× |
| Drainage of hematoma/fluid (10140) |
$2,977.26 |
$13,533 |
1.9× |
| Drainage of mouth lesion (41017) |
$1,969.66 |
$8,953 |
0.6× |
| Drainage of rectal abscess (45005) |
$3,264.63 |
$14,839.25 |
2.9× |
| Drainage of salivary cyst (42409) |
$3,298.05 |
$14,991.15 |
1.1× |
| Drainage of scrotal wall abscess (55100) |
$4,553.67 |
$20,698.51 |
3.0× |
| Drainage of scrotum (54700) |
$4,307.94 |
$19,581.53 |
2.2× |
| Draw Blood Off Venous Device (36591) |
$59.18 |
$269 |
0.5× |
| Dressing Change Under Anesthesia (15852) |
$2,067.04 |
$9,395.65 |
3.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$328.90 |
$1,495 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$2,897.99 |
$13,172.69 |
7.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$2,690.36 |
$12,228.89 |
14.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$2,030.58 |
$9,229.91 |
10.9× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,742.22 |
$7,919.20 |
2.5× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$4,119.27 |
$18,723.95 |
1.3× |
| Dstrj Lesion Anus Extensive (46924) |
$3,481.54 |
$15,825.19 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$4,195.62 |
$19,070.99 |
1.6× |
| Dstrj lesion choroid pc 1/> sess (67220) |
$2,731.42 |
$12,415.53 |
5.4× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$6,005.24 |
$27,296.56 |
3.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$624.36 |
$2,838 |
0.8× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,252.24 |
$5,692 |
0.5× |
| Dx Bronchoscope/Lavage (31624) |
$7,684.87 |
$34,931.22 |
4.7× |
| Dx Bronchoscope/Wash (31622) |
$6,475.89 |
$29,435.86 |
3.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,380.70 |
$15,366.84 |
2.1× |
| Dx laryngoscopy w/oper scope (31526) |
$4,457.44 |
$20,261.08 |
2.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$617.98 |
$2,809 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,162.04 |
$5,282 |
0.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,076.22 |
$9,437.37 |
1.2× |
| Egd cautery tumor polyp (43250) |
$940.50 |
$4,275 |
0.5× |
| Egd control bleeding any (43255) |
$940.50 |
$4,275 |
0.5× |
| Egd dilation gastric/duodenal stricture (43245) |
$940.50 |
$4,275 |
0.5× |
| Egd endo mucosal resection (43254) |
$940.50 |
$4,275 |
0.5× |
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure |
$1,195.92 |
$5,436 |
0.2× |
| Egd Flexible Foreign Body Removal (43247) |
$1,521.35 |
$6,915.21 |
1.8× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$1,173.04 |
$5,332 |
0.7× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
$554.18 |
$2,519 |
0.7× |
| Egd guide wire insertion (43248) |
$2,819.32 |
$12,815.07 |
3.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$940.50 |
$4,275 |
0.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$955.90 |
$4,345 |
0.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$8,151.77 |
$37,053.51 |
4.6× |
| Egd lesion ablation (43270) |
$737 |
$3,350 |
0.4× |
| Egd Optical Endomicroscopy (43252) |
$1,142.90 |
$5,195 |
0.6× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$6,204 |
$28,200 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,722.57 |
$7,829.86 |
1.0× |
| Egd remove lesion snare (43251) |
$940.50 |
$4,275 |
0.5× |
| Egd us exam duodenum/jejunum (43259) |
$940.50 |
$4,275 |
0.5× |
| Egd Varices Ligation (43244) |
$940.50 |
$4,275 |
0.5× |
| Egd W/Thrml Txmnt Gerd (43257) |
$2,300.32 |
$10,456 |
0.6× |
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure |
$1,195.92 |
$5,436 |
0.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$179.30 |
$815 |
0.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$179.30 |
$815 |
0.6× |
| Electro-Uroflowmetry First (51741) |
$126.72 |
$576 |
0.6× |
| Endoscopic us exam esoph (43237) |
$955.90 |
$4,345 |
0.5× |
| Endoscopy Upper Small Intestine (44360) |
$905.30 |
$4,115 |
0.5× |
| Endoscopy upper small intestine w/biopsy (44361) |
$905.30 |
$4,115 |
0.5× |
Endovasc Temp Balloon Occlus,Head/Nck (61623)
unusually low: confirm this is the full procedure |
$4,139.08 |
$18,814 |
0.4× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$1,896.84 |
$8,622 |
0.6× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,210.12 |
$10,046 |
0.8× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$2,419.99 |
$10,999.95 |
0.8× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$905.30 |
$4,115 |
0.5× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,142.90 |
$5,195 |
0.6× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$1,142.90 |
$5,195 |
0.6× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$905.30 |
$4,115 |
0.5× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
$3,423.42 |
$15,561 |
0.6× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$1,142.90 |
$5,195 |
0.6× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,162.04 |
$5,282 |
0.7× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$1,142.90 |
$5,195 |
0.6× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$1,162.04 |
$5,282 |
0.7× |
| Epidural Blood Patch (62273) |
$469.70 |
$2,135 |
0.7× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$10,304.95 |
$46,840.66 |
3.4× |
| Episiotomy or vaginal repair (59300) |
$1,457.50 |
$6,625 |
0.5× |
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure |
$1,995.62 |
$9,071 |
0.4× |
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure |
$1,995.62 |
$9,071 |
0.4× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$1,995.62 |
$9,071 |
0.6× |
| Ercp ea duct/ampulla dilate (43277) |
$1,995.62 |
$9,071 |
0.6× |
Ercp remove calculi/debris biliary/pancreas duct (43264)
range across 2 matching MRF lines |
$6,637.81–$8,366.32 |
$30,171.85–$38,028.75 |
varies |
| Ercp remove forgn body duct (43275) |
$2,018.06 |
$9,173 |
1.1× |
| Ercp Stent Exchange W/Dilate (43276) |
$7,041.31 |
$32,005.95 |
1.3× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,300.32 |
$10,456 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,995.62 |
$9,071 |
0.6× |
| Ercp w/pressure measurement sphincter of oddi (43263) |
$1,142.90 |
$5,195 |
0.6× |
| Ercp,Sphincterotomy (43262) |
$6,435.92 |
$29,254.18 |
1.8× |
| Esoph Optical Endomicroscopy (43206) |
$1,142.90 |
$5,195 |
0.6× |
| Esoph Scope W/Submucous Inj (43201) |
$1,142.90 |
$5,195 |
0.6× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$3,809.82 |
$17,317.35 |
4.5× |
| Esophagosc Dilate Balloon 30 (43214) |
$4,380.30 |
$19,910.44 |
2.5× |
| Esophagoscop Mucosal Resect (43211) |
$1,142.90 |
$5,195 |
0.6× |
| Esophagoscop Stent Placement (43212) |
$3,423.42 |
$15,561 |
0.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,874.95 |
$13,067.97 |
1.6× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$1,142.90 |
$5,195 |
0.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$895.62 |
$4,071 |
0.3× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,162.04 |
$5,282 |
0.7× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$3,116.27 |
$14,164.85 |
1.8× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$589.60 |
$2,680 |
0.7× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$589.60 |
$2,680 |
0.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$544.50 |
$2,475 |
0.6× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,162.04 |
$5,282 |
0.7× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$1,162.04 |
$5,282 |
0.7× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$1,162.04 |
$5,282 |
0.7× |
| Esophagoscopy Retro Balloon (43213) |
$1,162.04 |
$5,282 |
0.7× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$2,107.47 |
$9,579.42 |
1.2× |
| Esophagoscopy Rigid Balloon (43195) |
$4,864.42 |
$22,111.02 |
1.4× |
| Esophagoscopy rigid trnso dx (43191) |
$3,805.38 |
$17,297.19 |
2.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,162.04 |
$5,282 |
0.7× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$4,683.61 |
$21,289.15 |
2.6× |
| Esophagoscp Guide Wire Dilat (43196) |
$3,939.99 |
$17,909.05 |
2.2× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$6,737.92 |
$30,626.90 |
1.2× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$3,598.96 |
$16,358.89 |
2.0× |
| Esophagoscp Rig Trnso Inject (43192) |
$3,598.96 |
$16,358.89 |
2.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$1,162.04 |
$5,282 |
0.7× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,142.90 |
$5,195 |
0.6× |
| Ethmoidectomy Intranasal Anterior (31200) |
$11,565.83 |
$52,571.94 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$85.36 |
$388 |
0.7× |
| Exc abdl tum deep 5 cm/> (22901) |
$5,464.97 |
$24,840.78 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,121.92 |
$18,736 |
2.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$3,794.13 |
$17,246.04 |
5.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,299.83 |
$14,999.24 |
2.2× |
| Exc Back Les Sc < 3 Cm (21930) |
$6,400.80 |
$29,094.53 |
4.2× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$4,748.77 |
$21,585.32 |
1.8× |
| Exc back tum deep < 5 cm (21932) |
$3,689.79 |
$16,771.78 |
1.4× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) |
$5,932.57 |
$26,966.23 |
1.1× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$5,734.98 |
$26,068.10 |
1.0× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$4,253.15 |
$19,332.52 |
1.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,991.97 |
$27,236.23 |
1.7× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$2,482.53 |
$11,284.21 |
1.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$7,580.32 |
$34,456.01 |
11.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$7,588.01 |
$34,490.94 |
11.6× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$5,153.74 |
$23,426.07 |
3.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$4,282.79 |
$19,467.22 |
6.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$4,349.51 |
$19,770.49 |
6.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$4,198.36 |
$19,083.44 |
6.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$4,714.48 |
$21,429.47 |
3.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$5,175.17 |
$23,523.48 |
3.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$4,140.72 |
$18,821.46 |
2.7× |
| Exc Frenum Labial/Buccal (40819) |
$1,173.23 |
$5,332.86 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,674.05 |
$16,700.23 |
2.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$4,035.77 |
$18,344.42 |
6.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,667.18 |
$16,669.01 |
2.4× |
| Exc hand tum deep < 1.5 cm (26116) |
$2,954.91 |
$13,431.40 |
1.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,747.46 |
$17,033.92 |
1.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$2,535.13 |
$11,523.30 |
2.7× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$15,216.66 |
$69,166.62 |
5.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$5,073.45 |
$23,061.14 |
1.7× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$3,056.15 |
$13,891.59 |
1.0× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$6,519.29 |
$29,633.13 |
2.1× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$8,450.80 |
$38,412.71 |
4.7× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$8,437.26 |
$38,351.19 |
1.5× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$3,764.49 |
$17,111.33 |
1.5× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$3,698.80 |
$16,812.72 |
1.4× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$4,963.37 |
$22,560.78 |
1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,826.42 |
$17,392.82 |
5.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$4,714.67 |
$21,430.31 |
3.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$6,209.82 |
$28,226.47 |
2.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,145.60 |
$18,843.65 |
2.7× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$7,888.78 |
$35,858.08 |
2.9× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$5,275.54 |
$23,979.75 |
3.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$8,727.77 |
$39,671.68 |
3.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$8,776.94 |
$39,895.19 |
5.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,071.32 |
$18,505.98 |
1.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$5,590.39 |
$25,410.86 |
2.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$5,026.53 |
$22,847.87 |
4.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$3,330.48 |
$15,138.53 |
8.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$3,961.67 |
$18,007.60 |
6.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$4,227.04 |
$19,213.83 |
2.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,360.70 |
$19,821.36 |
1.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$4,779.94 |
$21,727.02 |
1.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$4,982.34 |
$22,646.99 |
3.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$5,608.75 |
$25,494.32 |
2.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,306.39 |
$19,574.52 |
2.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$4,517.84 |
$20,535.64 |
3.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$4,709.92 |
$21,408.71 |
1.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,190.98 |
$14,504.44 |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$8,029.11 |
$36,495.96 |
3.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,085.69 |
$18,571.32 |
2.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,644.78 |
$21,112.62 |
1.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,121.92 |
$18,736 |
1.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,218.92 |
$10,086 |
0.7× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$607.07–$1,174.35 |
$2,759.42–$5,337.96 |
varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,332.54 |
$6,057 |
0.7× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$2,975.10 |
$13,523.16 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$3,843.38 |
$17,469.92 |
2.7× |
| Excise intraspinal lesion (63267) |
$7,764.36 |
$35,292.53 |
1.2× |
| Excise mandible lesion (21040) |
$5,553.32 |
$25,242.36 |
1.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$5,868.38 |
$26,674.45 |
8.9× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$5,730.48 |
$26,047.64 |
2.6× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$3,847.54 |
$17,488.84 |
1.7× |
| Excision Aural Polyp (69540) |
$5,694 |
$25,881.84 |
4.0× |
| Excision Chalazion Single (67800) |
$2,408.81 |
$10,949.14 |
8.2× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$3,501.66 |
$15,916.65 |
0.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$6,889.58 |
$31,316.29 |
2.6× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$6,277.87 |
$28,535.76 |
2.3× |
Excision inferior turbinate partial/complete (30130)
range across 2 matching MRF lines |
$6,448.95–$8,341.93 |
$29,313.41–$37,917.86 |
varies |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$3,223.63 |
$14,652.85 |
1.5× |
| Excision lesion conjunctiva > 1 cm (68115) |
$4,651.94 |
$21,145.16 |
2.1× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$5,937.20 |
$26,987.27 |
6.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,080.96 |
$9,458.91 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$18,213.23 |
$82,787.43 |
27.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$532.40 |
$2,420 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$5,083.54 |
$23,106.98 |
13.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$7,824.45 |
$35,565.66 |
11.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$3,958.35 |
$17,992.50 |
6.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$9,311.50 |
$42,325.02 |
6.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$8,109.37 |
$36,860.79 |
3.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$239.58 |
$1,089 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$4,866.43 |
$22,120.14 |
7.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$10,010.41 |
$45,501.85 |
6.5× |
| Excision nasal polyp(s) simple (30110) |
$14,915.82 |
$67,799.20 |
10.4× |
| Excision of bartholin's gland or cyst (56740) |
$5,757.33 |
$26,169.66 |
1.9× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$11,192.17 |
$50,873.49 |
2.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$10,435.49 |
$47,434.05 |
1.6× |
| Excision of chalazion; multiple, different lids (67805) |
$2,217.90 |
$10,081.37 |
7.5× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$9,083.57 |
$41,288.96 |
3.0× |
Excision of extraparenchymal lesion of testis (54512)
range across 2 matching MRF lines |
$6,734.40–$7,268.66 |
$30,610.89–$33,039.38 |
varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$5,439.61 |
$24,725.50 |
3.7× |
| Excision of hydrocele; bilateral (55041) |
$4,132.44 |
$18,783.81 |
1.2× |
| Excision of hydrocele; unilateral (55040) |
$5,530.29 |
$25,137.66 |
1.7× |
| Excision of lingual tonsil (42870) |
$6,603.76 |
$30,017.08 |
1.2× |
| Excision of local lesion of epididymis (54830) |
$7,076.77 |
$32,167.12 |
2.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$12,490.44 |
$56,774.71 |
2.3× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$11,455.67 |
$52,071.23 |
2.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,248.69 |
$19,312.25 |
1.6× |
| Excision of single external papilla or tag, anus (46220) |
$2,861.44 |
$13,006.53 |
2.6× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$5,903.98 |
$26,836.29 |
1.9× |
| Excision of submandibular (submaxillary) gland (42440) |
$10,763.96 |
$48,927.10 |
2.0× |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
$5,769.76 |
$26,226.19 |
1.1× |
| Excision of vaginal cyst or tumor (57135) |
$3,314.70 |
$15,066.84 |
1.1× |
| Excision olecranon bursa (24105) |
$4,262.03 |
$19,372.86 |
1.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$12,886.24 |
$58,573.80 |
4.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$5,832.12 |
$26,509.62 |
2.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$4,695.38 |
$21,342.62 |
1.7× |
| Excision prepatellar bursa (27340) |
$9,554.08 |
$43,427.64 |
3.2× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$12,514.84 |
$56,885.65 |
2.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,434.82 |
$15,612.81 |
1.3× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$6,290.36 |
$28,592.54 |
1.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,291.52 |
$19,506.91 |
2.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$5,679.70 |
$25,816.82 |
3.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,932.18 |
$22,418.99 |
3.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$4,237.50 |
$19,261.38 |
2.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$11,719.78 |
$53,271.73 |
4.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,269.94 |
$19,408.83 |
1.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,940.79 |
$27,003.60 |
2.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,895.71 |
$22,253.23 |
1.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$8,640.58 |
$39,275.36 |
3.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$4,092.76 |
$18,603.44 |
2.7× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$18,969.50 |
$86,225 |
6.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,828.62 |
$17,402.83 |
1.2× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$4,171.11 |
$18,959.57 |
1.9× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$2,103.27 |
$9,560.31 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,091.82 |
$18,599.18 |
2.1× |
| Explo/Drain Breast Abscess (19020) |
$3,282.48 |
$14,920.36 |
2.1× |
| Exploration of knee joint (27310) |
$13,514.41 |
$61,429.15 |
4.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,717.97 |
$7,808.95 |
1.1× |
| Extensive ear canal surgery (69150) |
$4,481.41 |
$20,370.04 |
0.8× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$5,613.53 |
$25,516.04 |
11.0× |
| External cephalic version (59412) |
$664.40 |
$3,020 |
0.2× |
| Extraction of lens (66920) |
$7,194.76 |
$32,703.47 |
3.4× |
| Eye surgery procedure (67299) |
$2,847.86 |
$12,944.82 |
1.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$11,082.11 |
$50,373.23 |
3.7× |
| Fasciotomy Iliotibial Open (27305) |
$11,951.74 |
$54,326.11 |
3.9× |
| Fasciotomy palmar open partial (26045) |
$7,378.42 |
$33,538.27 |
2.4× |
| Fasciotomy, foot and/or toe (28008) |
$11,730.27 |
$53,319.39 |
3.9× |
| Fetal Contraction Stress Test (59020) |
$171.16 |
$778 |
0.9× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$188.76 |
$858 |
0.7× |
| Fetal non-stress test (59025) |
$171.16 |
$778 |
0.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$422.62 |
$1,921 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$4,923.53 |
$22,379.67 |
13.1× |
| Fluoro exam of g/colon tube (49465) |
$152.02 |
$691 |
0.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$422.62 |
$1,921 |
0.6× |
| Fna bx w/us gdn 1st les (10005) |
$574.20 |
$2,610 |
0.9× |
| Forehead flap w/vasc pedicle (15731) |
$14,814.54 |
$67,338.84 |
4.5× |
| Foreskin manipulation (54450) |
$143 |
$650 |
0.6× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$5,580.32 |
$25,365.08 |
1.8× |
| Frenulotomy of penis (54164) |
$4,313.08 |
$19,604.90 |
2.2× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$8,947.45 |
$40,670.24 |
4.7× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$7,012.66 |
$31,875.71 |
3.7× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$1,869.68 |
$8,498.54 |
0.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$10,303.87 |
$46,835.78 |
5.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$6,971.76 |
$31,689.81 |
3.6× |
| Fusion of foot bones (28740) |
$26,202.58 |
$119,102.62 |
3.9× |
| Fusion of knuckle (26850) |
$11,483.61 |
$52,198.24 |
1.7× |
| Gastrocnemius recession (27687) |
$9,082.64 |
$41,284.73 |
3.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$7,830.33 |
$35,592.43 |
4.4× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$50,708.80 |
$230,494.55 |
9.2× |
| Goniotomy (65820) |
$3,820.59 |
$17,366.31 |
1.0× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$9,207.51 |
$41,852.34 |
1.7× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$35,006.04 |
$159,118.37 |
6.4× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$9,843.78 |
$44,744.45 |
5.1× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$13,771.01 |
$62,595.51 |
4.2× |
| Grafting of autologous soft tiss by direct exc (15769) |
$9,986.41 |
$45,392.76 |
3.0× |
| Guide Cathet Fluid Drainage (10030) |
$182.82 |
$831 |
0.3× |
| Head Surgery Procedure (21499) |
$6,827.31 |
$31,033.21 |
31.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,424.82 |
$20,112.82 |
1.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,454.11 |
$15,700.51 |
1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,431.99 |
$29,236.32 |
2.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$838.64 |
$3,812 |
1.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$4,842.30 |
$22,010.45 |
1.9× |
| Hemorrhoidopexy by stapling (46947) |
$4,069.83 |
$18,499.24 |
1.6× |
| Hip arthro w/labral repair (29916) |
$20,157.24 |
$91,623.84 |
3.0× |
| Hymenotomy Simple Incision (56442) |
$1,869.34 |
$8,497 |
0.6× |
| Hyoid myotomy and suspension Facility (21685) |
$10,703.37 |
$48,651.69 |
2.0× |
| Hysteroscopy Biopsy (58558) |
$3,705.39 |
$16,842.66 |
1.2× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$5,185.58 |
$23,570.84 |
1.1× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,902.09 |
$17,736.77 |
1.3× |
| Hysteroscopy Endometrial Ablation (58563) |
$4,064.69 |
$18,475.85 |
0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,206.67 |
$14,575.79 |
1.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,241.85 |
$19,281.13 |
0.9× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$1,585.32 |
$7,206 |
0.5× |
| I&d abscess peritonsillar (42700) |
$5,385.42 |
$24,479.18 |
24.5× |
| I&d abscess simple (10060) |
$388.74 |
$1,767 |
2.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,896.10 |
$13,164.09 |
1.1× |
| I&d perianal abscess superficial (46050) |
$4,270.45 |
$19,411.12 |
5.0× |
| I&d pilonidal cyst complicated (10081) |
$4,223.65 |
$19,198.42 |
6.4× |
| I&d pilonidal cyst simple (10080) |
$4,724.79 |
$21,476.32 |
7.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,477.20 |
$20,350.93 |
1.7× |
| Icd Pocket Revision (33223) |
$1,645.38 |
$7,479 |
0.9× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$1,142.90 |
$5,195 |
0.6× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$950.84 |
$4,322 |
1.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$657.80 |
$2,990 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,400.52 |
$6,366 |
0.9× |
| Image Cath Fluid Peri/Retro (49406) |
$1,400.52 |
$6,366 |
0.9× |
| Immediate breast prosthesis (19340) |
$13,959.93 |
$63,454.22 |
1.8× |
| Implant cochlear device (69930) |
$22,321.20 |
$101,460.02 |
0.7× |
| Implant Neuroelectrodes (64561) |
$16,077.64 |
$73,080.19 |
2.7× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$16,077.64 |
$73,080.19 |
0.9× |
| Implant Spine Infusion Pump (62362) |
$21,286.04 |
$96,754.73 |
1.3× |
| Implant temple bone w/stimul (69714) |
$12,327.38 |
$56,033.56 |
1.0× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$22,184.32 |
$100,837.83 |
1.3× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$13,039.55 |
$59,270.67 |
1.1× |
| Impression & Preparation Oral Surgical Splint (21085) |
$35,006.04 |
$159,118.37 |
159.5× |
| Incise external hemorrhoid (46083) |
$323.84 |
$1,472 |
1.4× |
| Incise finger tendon sheath (26055) |
$3,074.76 |
$13,976.20 |
2.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$4,090.67 |
$18,593.96 |
10.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$7,102.34 |
$32,283.37 |
2.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,341.47 |
$19,733.95 |
2.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$2,216.51 |
$10,075.03 |
5.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$128.26 |
$583 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$3,939.02 |
$17,904.65 |
14.0× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$9,008.52 |
$40,947.84 |
1.3× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$8,535.90 |
$38,799.54 |
1.3× |
| Incision bone cortex foot (28005) |
$5,741.05 |
$26,095.70 |
1.9× |
Incision of eardrum (69421)
range across 2 matching MRF lines |
$3,077.66–$4,574.93 |
$13,989.35–$20,795.15 |
varies |
| Incision of Foot Tendon (28234) |
$12,394.15 |
$56,337.06 |
8.3× |
| Incision of hip tendon (27001) |
$14,852.20 |
$67,509.99 |
4.9× |
| Incision of labial frenum (frenotomy) (40806) |
$1,340.28 |
$6,092.20 |
2.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,945.74 |
$8,844.29 |
1.4× |
| Incision of rectal abscess (46040) |
$4,238.30 |
$19,264.99 |
3.8× |
| Incision of tibia & fibula (27709) |
$19,518.72 |
$88,721.44 |
1.6× |
| Incision of urethra (53020) |
$5,862.32 |
$26,646.90 |
3.0× |
| Incisional biopsy skin single lesion (11106) |
$399.96 |
$1,818 |
0.6× |
| Induced abortion, by dilation and evacuation (59841) |
$7,448.14 |
$33,855.19 |
2.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$2,194.98 |
$9,977.16 |
11.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,422.96 |
$6,468 |
1.7× |
| Inj W/Fluor Eval Cv Device (36598) |
$206.36 |
$938 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$620.40 |
$2,820 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$177.98 |
$809 |
0.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$547.58 |
$2,489 |
0.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$710.82 |
$3,231 |
0.9× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$11,035.69 |
$50,162.25 |
13.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$14,949.20 |
$67,950.89 |
22.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$415.36 |
$1,888 |
0.6× |
| Injection for identification of sentinel node (38792) |
$9,310.43 |
$42,320.15 |
25.1× |
| Injection medication/other subst tenon capsule (67515) |
$10,184.26 |
$46,292.11 |
34.6× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$1,972.96 |
$8,968.01 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$448.58 |
$2,039.02 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$249.70 |
$1,135 |
0.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$8,432.98 |
$38,331.75 |
10.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$14,050.41 |
$63,865.52 |
21.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$12,966.44 |
$58,938.37 |
19.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$207.68 |
$944 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$1,597.45 |
$7,261.12 |
8.6× |
| Injx anterior chamber eye air/liquid spx (66020) |
$3,923.83 |
$17,835.58 |
1.8× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$8,030.46 |
$36,502.08 |
9.8× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$1,219.02 |
$5,541 |
1.5× |
| Inner ear surgery proc unlisted (69949) |
$6,523.74 |
$29,653.36 |
29.7× |
| Ins cath ren art 1st bilat (36252) |
$5,531.24 |
$25,142 |
1.9× |
| Ins cath ren art 1st unilat (36251) |
$5,275.60 |
$23,980 |
1.8× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,531.24 |
$25,142 |
1.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,275.60 |
$23,980 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,608.48 |
$34,584 |
1.5× |
| Ins Vag Brachytx Device (57156) |
$356.18 |
$1,619 |
1.3× |
| Ins/Rep Subq Defibrillator (33270) |
$27,389.78 |
$124,499 |
0.9× |
| Insert 1 Electrode Pm-Defib (33216) |
$9,893.28 |
$44,969.45 |
1.3× |
| Insert and remove bone pin (20650) |
$1,955.36 |
$8,888 |
0.6× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$5,695.92 |
$25,890.55 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$3,925.90 |
$17,845.01 |
32.9× |
| Insert cath pleura w/ image (32557) |
$736.58 |
$3,348.10 |
0.5× |
| Insert cath pleura w/o image (32556) |
$10,206.35 |
$46,392.48 |
5.7× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$708.84 |
$3,222 |
0.6× |
| Insert Drug Implant Device (11981) |
$36,801.61 |
$167,280.06 |
298.5× |
| Insert eye socket implant (67550) |
$3,378.88 |
$15,358.54 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,517.18 |
$6,896.28 |
0.9× |
| Insert Heart Pm Atrial (33206) |
$19,625.98 |
$89,209 |
2.0× |
| Insert Heart Pm Ventricular (33207) |
$19,625.98 |
$89,209 |
2.0× |
| Insert hepatic shunt (tips) (37182) |
$9,661.74 |
$43,917 |
0.6× |
| Insert multi-comp penis pros (54405) |
$22,054.84 |
$100,249.28 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$5,122.94 |
$23,286.07 |
1.8× |
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure |
$3,103.98 |
$14,109 |
0.3× |
| Insert pulse gen dual leads (33213) |
$14,338.72 |
$65,176 |
1.5× |
| Insert pulse gen mult leads (33221) |
$9,262 |
$42,100 |
0.5× |
| Insert Pulse Gen Sngl Lead (33212) |
$15,055.92 |
$68,436 |
2.0× |
| Insert semi-rigid prosthesis (54400) |
$17,095.18 |
$77,705.36 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$11,458.98 |
$52,086.27 |
93.0× |
| Insert tissue expander(s) (11960) |
$7,688.19 |
$34,946.34 |
2.3× |
| Insert tun ip cath perc (49418) |
$2,904.66 |
$13,203 |
0.9× |
| Insert tunneled cv cath (36561) |
$4,195.87 |
$19,072.13 |
1.4× |
| Insert tunneled cv cath (36563) |
$2,768.26 |
$12,583 |
0.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$2,768.26 |
$12,583 |
0.5× |
| Insert Uro/Ves Nck Sphincter (53445) |
$19,799.83 |
$89,999.23 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$149.82 |
$681 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$709.06 |
$3,223 |
0.2× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
$9,977.29 |
$45,351.34 |
1.2× |
| Insertion phrenic nerve stimulator system (33276) |
$45,037.08 |
$204,714 |
1.1× |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines |
$1,216.50–$1,468.36 |
$5,529.54–$6,674.35 |
varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,401.67 |
$47,280.30 |
1.4× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$4,726.53 |
$21,484.23 |
1.4× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$3,072.96 |
$13,968 |
0.6× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$15,856.23 |
$72,073.78 |
3.4× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,948.51 |
$40,675.03 |
1.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,638.78 |
$7,449 |
0.6× |
| Insj Picc Rs&I <5 Yr (36572) |
$520.52 |
$2,366 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,987.27 |
$22,669.41 |
1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$3,990.94 |
$18,140.64 |
2.7× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$5,943.74 |
$27,017 |
0.8× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$14,749.38 |
$67,042.63 |
5.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$13,023.15 |
$59,196.14 |
4.5× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$9,242.76 |
$42,012.53 |
1.2× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$35,809.08 |
$162,768.56 |
1.2× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$27,125.78 |
$123,299.02 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,016.66 |
$22,803 |
0.7× |
| Insrt heart pm atrial & vent (33208) |
$19,625.98 |
$89,209 |
2.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$30,614.98 |
$139,159 |
1.5× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$29,157.26 |
$132,533 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$24,743.84 |
$112,472 |
1.2× |
| Insrt/Redo Neurostim 1 Array (61885) |
$35,121.89 |
$159,644.97 |
1.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$5,013.58 |
$22,789.02 |
1.9× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$920.04 |
$4,182 |
0.7× |
| Intranasal Biopsy (30100) |
$2,804.63 |
$12,748.32 |
2.0× |
| Intraoral i&d tongue/floor submental space (41007) |
$899.58 |
$4,089 |
0.6× |
| Intro cath dialysis circuit (36901) |
$663.52 |
$3,016 |
0.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$9,459.12 |
$42,996 |
0.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$4,680.50 |
$21,275 |
0.9× |
| Intro Gastrointestinal Tube (44500) |
$6,732.48 |
$30,602.20 |
8.0× |
| Intubation endotracheal emergency procedure (31500) |
$793.98 |
$3,609 |
3.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$3,328.22 |
$15,128.26 |
14.4× |
| Island pedicle flap graft (15740) |
$10,982.36 |
$49,919.83 |
5.7× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$7,365.46 |
$33,479.38 |
1.9× |
| Keratoplasty Penetrating Pseudophakia (65755) |
$7,341.88 |
$33,372.18 |
1.9× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$9,048.47 |
$41,129.43 |
2.4× |
| Knee Arthroscopy/Surgery (29874) |
$5,514.94 |
$25,067.90 |
1.8× |
| Labyrinthotomy Transcanal (69801) |
$1,074.04 |
$4,882 |
0.7× |
| Lam facetec & foramot lumbar (63047) |
$10,976.63 |
$49,893.78 |
1.6× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$9,091.03 |
$41,322.86 |
1.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$16,878.51 |
$76,720.51 |
2.5× |
| Laminotomy Single Lumbar (63042) |
$7,936.92 |
$36,076.92 |
1.2× |
| Lap insert tunnel ip cath (49324) |
$7,832.21 |
$35,600.97 |
1.4× |
| Lap paraesoph her rpr w/mesh (43282) |
$12,477.34 |
$56,715.16 |
1.3× |
| Lap paraesophag hern repair (43281) |
$12,400.63 |
$56,366.51 |
1.3× |
| Lap revision perm ip cath (49325) |
$5,584.95 |
$25,386.15 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$9,437.18 |
$42,896.27 |
1.0× |
| Laparoscope proc ureter (50949) |
$10,808.09 |
$49,127.69 |
1.9× |
| Laparoscopic myomectomy (58545) |
$9,964.58 |
$45,293.53 |
1.8× |
| Laparoscopy aspiration (49322) |
$11,325.34 |
$51,478.83 |
2.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,998.48 |
$31,811.27 |
1.2× |
| Laparoscopy fulguration oviducts (58670) |
$4,766.86 |
$21,667.54 |
0.9× |
| Laparoscopy gastrostomy (43653) |
$7,665.13 |
$34,841.52 |
1.4× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines |
$7,705.23–$12,274.53 |
$35,023.77–$55,793.33 |
varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,818.26 |
$49,173.92 |
1.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,447.47 |
$47,488.49 |
1.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,533.16 |
$25,150.71 |
1.0× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$6,920.86 |
$31,458.45 |
0.7× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,389.97 |
$29,045.30 |
1.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$12,520.86 |
$56,912.99 |
1.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,505.20 |
$52,296.38 |
1.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,189.78 |
$50,862.65 |
1.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$12,155.40 |
$55,251.82 |
2.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$6,343.73 |
$28,835.14 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,465.71 |
$24,844.15 |
1.0× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$9,637.76 |
$43,808.01 |
1.7× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$8,419.74 |
$38,271.53 |
0.9× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$8,936.55 |
$40,620.67 |
0.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$8,135.50 |
$36,979.56 |
1.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$11,265.22 |
$51,205.53 |
1.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$11,199.09 |
$50,904.96 |
1.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$7,111.74 |
$32,326.10 |
1.3× |
| Laparoscopy, Tubal Block (58671) |
$6,188.38 |
$28,129.01 |
1.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,008.57 |
$22,766.24 |
0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,753.09 |
$35,241.31 |
1.4× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$5,456 |
$24,800.02 |
1.5× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$10,810.29 |
$49,137.69 |
1.1× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$21,146.36 |
$96,119.81 |
2.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$10,592.63 |
$48,148.30 |
1.9× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$11,570.89 |
$52,594.94 |
1.2× |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
$4,014.26 |
$18,246.65 |
0.6× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,597.43 |
$20,897.42 |
1.3× |
| Laryngoplasty Medialization Unliateral (31591) |
$5,366.69 |
$24,394.03 |
1.0× |
| Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) |
$6,960.61 |
$31,639.15 |
1.3× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$3,794.96 |
$17,249.82 |
1.1× |
| Laryngoscopy and dilation (31528) |
$4,450.17 |
$20,228.06 |
1.3× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$3,819.14 |
$17,359.74 |
1.1× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$3,971.16 |
$18,050.75 |
1.1× |
| Laryngoscopy flexible diagnostic (31575) |
$238.04 |
$1,082 |
1.3× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$3,471.36 |
$15,778.93 |
1.0× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$3,467.28 |
$15,760.36 |
2.1× |
Laryngoscopy Flexible W/Injection Agmntj Uni (31574)
range across 2 matching MRF lines |
$3,447.64–$4,657.84 |
$15,671.08–$21,172.02 |
varies |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$381.92 |
$1,736 |
1.1× |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
$3,097.04 |
$14,077.45 |
0.9× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$3,568.40 |
$16,220.02 |
9.8× |
| Laryngoscopy W/Biopsy (31535) |
$3,472.85 |
$15,785.66 |
1.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$3,700.95 |
$16,822.49 |
1.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,156.81 |
$18,894.57 |
2.5× |
| Larynscop w/tumr exc + scope (31541) |
$5,585.41 |
$25,388.21 |
1.6× |
| Laser Surgery Anal Lesions (46917) |
$3,792.17 |
$17,237.12 |
1.5× |
| Laser treatment of retina (67040) |
$4,863.37 |
$22,106.24 |
1.3× |
| Late closure of wound (13160) |
$7,102.34 |
$32,283.37 |
2.2× |
| Lateral Canthopexy (21282) |
$10,645.62 |
$48,389.17 |
3.5× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$13,154.72 |
$59,794.19 |
2.0× |
| Ligation of a-v fistula (37607) |
$6,334.77 |
$28,794.41 |
2.2× |
| Ligation or biopsy temporal artery (37609) |
$4,797.65 |
$21,807.49 |
3.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,300.54 |
$24,093.37 |
1.6× |
| Lithotripsy, extracorporeal shock wave (50590) |
$2,641.36 |
$12,006.18 |
0.8× |
Low Back Disk Surgery (63030)
range across 2 matching MRF lines |
$9,533.07–$10,201.81 |
$43,332.15–$46,371.88 |
varies |
Lumbar spine fusion combined (22633)
range across 2 matching MRF lines |
$24,458.76–$25,872.78 |
$111,176.18–$117,603.56 |
varies |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,177.77 |
$9,898.95 |
1.1× |
| Male sling procedure (53440) |
$32,670.69 |
$148,503.15 |
2.7× |
| Manipulation Elbow Under Anesthesia (24300) |
$6,018.35 |
$27,356.14 |
4.0× |
| Manipulation hip joint general anesthesia (27275) |
$3,903.91 |
$17,745.06 |
2.6× |
| Manipulation knee joint under general anesthesia (27570) |
$2,349.67 |
$10,680.30 |
1.6× |
| Manipulation spine requiring anesthesia (22505) |
$3,991.10 |
$18,141.38 |
2.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$9,059.87 |
$41,181.23 |
6.1× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,923.71 |
$17,835.05 |
1.3× |
| Mast mod rad (19307) |
$10,964.35 |
$49,837.96 |
1.8× |
| Mastectomy for gynecomastia (19300) |
$5,431.43 |
$24,688.34 |
1.5× |
| Mastectomy partial (19301) |
$9,612.86 |
$43,694.80 |
2.6× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$21,133.76 |
$96,062.53 |
3.4× |
| Mastectomy simple complete (19303) |
$11,959.09 |
$54,359.49 |
1.9× |
| Mastoidectomy; complete (69502) |
$8,261.70 |
$37,553.16 |
1.5× |
| Mastopexy (19316) |
$10,193.94 |
$46,336.08 |
1.7× |
| Maternity Care Procedure (59899) |
$171.16 |
$778 |
0.9× |
| Mech remov tunneled cv cath (36595) |
$636.90 |
$2,895 |
0.2× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$5,854.84 |
$26,612.93 |
1.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$6,847.39 |
$31,124.52 |
1.2× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$6,063.33 |
$27,560.57 |
2.0× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$3,727.41 |
$16,942.79 |
1.1× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$11,035.61 |
$50,161.87 |
3.4× |
| Myelography Lumbar Injection (62305) |
$911.68 |
$4,144 |
1.3× |
| Myelography Lumbar Injection (62304) |
$911.68 |
$4,144 |
1.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$911.68 |
$4,144 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$911.68 |
$4,144 |
1.3× |
| Myringoplasty (69620) |
$3,714.45 |
$16,883.86 |
1.2× |
| N Block Inj Celiac Pelus (64530) |
$623.92 |
$2,836 |
0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$6,861.87 |
$31,190.34 |
10.5× |
| N block inj intercost sng (64420) |
$363.88 |
$1,654 |
0.6× |
| N Block Inj Plantar Digit (64455) |
$177.98 |
$809 |
0.6× |
| N Block Inj Pudendal (64430) |
$4,051.39 |
$18,415.39 |
4.9× |
| N Block Lumbar/Thoracic (64520) |
$623.92 |
$2,836 |
0.8× |
| Nasal Endoscopy Dx (31231) |
$2,485.44 |
$11,297.47 |
13.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$1,781.93 |
$8,099.70 |
4.3× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$6,693.28 |
$30,424.02 |
18.5× |
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines |
$8,274.53–$8,847.72 |
$37,611.50–$40,216.89 |
varies |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 2 matching MRF lines |
$6,639.31–$15,289.36 |
$30,178.67–$69,497.08 |
varies |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) |
$4,111.14 |
$18,687 |
0.6× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$4,111.14 |
$18,687 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$5,207.74 |
$23,671.54 |
3.2× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$6,369.14 |
$28,950.62 |
3.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,948.91 |
$8,858.68 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$4,111.14 |
$18,687 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$3,475.51 |
$15,797.78 |
0.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$4,111.14 |
$18,687 |
0.6× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$9,967.88 |
$45,308.53 |
1.5× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines |
$13,488.53–$13,489.27 |
$61,311.51–$61,314.88 |
varies |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$9,967.88 |
$45,308.53 |
1.5× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) |
$6,544.50 |
$29,747.74 |
4.0× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines |
$5,496.04–$8,548.50 |
$24,981.98–$38,856.83 |
varies |
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines |
$10,341.41–$15,289.36 |
$47,006.42–$69,497.08 |
varies |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines |
$7,252.85–$15,206.21 |
$32,967.52–$69,119.15 |
varies |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$1,019.48 |
$4,634 |
0.6× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$548.90 |
$2,495 |
0.6× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$548.90 |
$2,495 |
0.6× |
| Neck spine fusion (22600) |
$14,572.84 |
$66,240.17 |
0.9× |
| Needle Biopsy Lymph Nodes (38505) |
$525.80 |
$2,390 |
0.3× |
| Needle Biopsy Pancreas (48102) |
$1,193.50 |
$5,425 |
0.8× |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) |
$27,030.26 |
$122,864.83 |
3.3× |
Nerve Pedicle Transfer First Stage (64905)
unusually low: confirm this is the full procedure |
$3,353.66 |
$15,243.93 |
0.4× |
Nerve pedicle transfer; second stage Facility (64907)
unusually low: confirm this is the full procedure |
$2,624.29 |
$11,928.58 |
0.3× |
| Neurofilament light chain ultrsens ia serum/csf (0443U) |
$160.16 |
$728 |
1.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$6,775.86 |
$30,799.35 |
3.7× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$13,168.26 |
$59,855.72 |
7.3× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$9,013.91 |
$40,972.34 |
5.0× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$641.74 |
$2,917 |
1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$487.74 |
$2,217 |
1.2× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$880 |
$4,000 |
0.4× |
| Nipple/areola reconstruction (19350) |
$8,645.24 |
$39,296.55 |
2.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$744.92 |
$3,386 |
0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$322.52 |
$1,466 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,218.92 |
$10,086 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,218.92 |
$10,086 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$699.82 |
$3,181 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$491.92 |
$2,236 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$491.92 |
$2,236 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$3,364.79 |
$15,294.51 |
5.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$619.74 |
$2,817 |
0.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$534.60 |
$2,430 |
0.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$5,740.13 |
$26,091.52 |
8.9× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$521.62 |
$2,371 |
1.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$521.62 |
$2,371 |
1.4× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines |
$8,298–$15,289.36 |
$37,718.18–$69,497.08 |
varies |
| Obstructive material removal from gi tube (49460) |
$353.10 |
$1,605 |
0.4× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$209.66–$2,376.15 |
$953–$10,800.68 |
varies |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$5,141.91 |
$23,372.32 |
1.4× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$10,413.74 |
$47,335.18 |
1.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$7,449.10 |
$33,859.55 |
2.1× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$46,337.04 |
$210,622.92 |
1.1× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$29,307.77 |
$133,217.13 |
1.0× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$14,036.20 |
$63,800.90 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$10,061.38 |
$45,733.56 |
1.5× |
| Open treatment calcaneal fracture (28415) |
$12,924.56 |
$58,748.01 |
1.9× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$13,908.49 |
$63,220.40 |
1.2× |
| Open treatment fracture distal tibia only (27827) |
$8,252.70 |
$37,512.26 |
0.7× |
| Open Treatment Humeral Condylar Fracture (24579) |
$9,124.94 |
$41,477.01 |
0.8× |
| Open Treatment Medial Malleolus Fracture (27766) |
$11,615.58 |
$52,798.07 |
1.7× |
| Open treatment metacarpophalangeal dislocation (26715) |
$5,803.44 |
$26,379.27 |
1.9× |
| Open treatment metatarsal fracture each (28485) |
$13,077.55 |
$59,443.40 |
1.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,181.27 |
$41,733.05 |
1.4× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$8,625.81 |
$39,208.23 |
1.6× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$24,304.32 |
$110,474.19 |
4.4× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$11,532.26 |
$52,419.38 |
2.1× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$7,705.22 |
$35,023.72 |
1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$23,124.86 |
$105,113.01 |
1.9× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$16,288.44 |
$74,038.35 |
3.0× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$20,250.13 |
$92,046.06 |
3.0× |
| Open treatment posterior malleolus fracture (27769) |
$14,231.11 |
$64,686.85 |
2.1× |
| Open Treatment Proximal Humeral Fracture (23615) |
$10,771.65 |
$48,962.05 |
0.9× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$27,201.84 |
$123,644.71 |
4.0× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$7,289.25 |
$33,132.95 |
2.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$12,378.54 |
$56,266.11 |
1.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,921.58 |
$22,370.81 |
1.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$12,893.87 |
$58,608.52 |
1.9× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$6,715.30 |
$30,524.10 |
0.6× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$4,658.46 |
$21,174.84 |
1.5× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$7,403.24 |
$33,651.07 |
0.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$22,488.97 |
$102,222.60 |
1.9× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$7,984.81 |
$36,294.59 |
1.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$9,470.65 |
$43,048.41 |
3.1× |
| Open Tx Radial Head/Neck Fracture (24665) |
$7,180.72 |
$32,639.63 |
1.1× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$22,170.16 |
$100,773.47 |
3.3× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$10,297.07 |
$46,804.85 |
1.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$12,893.87 |
$58,608.52 |
1.9× |
| Open tx ulnar fx proximal end (24685) |
$11,319.40 |
$51,451.80 |
1.7× |
| Open/Perq Place Stent 1St (37236) |
$10,441.20 |
$47,460 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$10,441.20 |
$47,460 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$10,922.92 |
$49,649.65 |
1.6× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,358.06 |
$28,900.28 |
0.9× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$16,024.20 |
$72,837.29 |
2.4× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$5,600.17 |
$25,455.31 |
1.5× |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
$17,769.05 |
$80,768.40 |
8.1× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$11,089 |
$50,404.56 |
3.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$12,112.92 |
$55,058.74 |
3.3× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$11,565.83 |
$52,571.94 |
3.2× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$5,820.47 |
$26,456.69 |
1.8× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$11,510.37 |
$52,319.86 |
3.8× |
| Ostectomy calcaneus (28118) |
$9,044.18 |
$41,109.90 |
3.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$16,771.77 |
$76,235.34 |
5.5× |
| Osteochondral talus autogrft (28446) |
$19,573.66 |
$88,971.18 |
2.9× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$15,139.41 |
$68,815.50 |
2.3× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
$43,293.33 |
$196,787.86 |
3.6× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$20,716.58 |
$94,166.26 |
3.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$15,773.23 |
$71,696.52 |
5.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$21,934.89 |
$99,704.06 |
3.3× |
| Osteotomy radius distal third (25350) |
$12,676.48 |
$57,620.37 |
1.9× |
| Osteotomy talus (28302) |
$19,573.66 |
$88,971.18 |
2.9× |
| Osteotomy Tibia (27705) |
$13,078.51 |
$59,447.78 |
1.9× |
| Osteotomy Ulna (25360) |
$15,111.79 |
$68,689.94 |
2.2× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$16,379.99 |
$74,454.50 |
2.4× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$12,771.46 |
$58,052.11 |
1.9× |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Facility (27151) |
$19,175.31 |
$87,160.50 |
2.9× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$28,393.64 |
$129,061.99 |
4.2× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$7,822.87 |
$35,558.52 |
1.7× |
| Palatop cl palate soft&/hard palate only (42200) |
$17,177.75 |
$78,080.70 |
3.1× |
| Palatopharyngoplasty (42145) |
$10,358.03 |
$47,081.95 |
1.9× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$23,415.18 |
$106,432.64 |
7.6× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$10,268.37 |
$46,674.40 |
1.9× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$10,428.68 |
$47,403.10 |
1.9× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$16,258.51 |
$73,902.32 |
5.3× |
| Part exc bone femur prox tibia (27360) |
$24,343.87 |
$110,653.95 |
8.0× |
| Part remv talus or calcaneus (28120) |
$24,343.87 |
$110,653.95 |
8.0× |
| Partial excision bone olecranon process (24147) |
$4,262.03 |
$19,372.86 |
1.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,824.51 |
$12,838.70 |
0.9× |
| Partial removal of fibula (27641) |
$14,476.25 |
$65,801.15 |
4.8× |
Partial removal of thyroid (60220)
range across 2 matching MRF lines |
$8,875.22–$16,203.12 |
$40,341.91–$73,650.53 |
varies |
| Partial removal of tibia (27640) |
$9,335.83 |
$42,435.60 |
3.1× |
| Partial removal of tongue (41120) |
$8,221.51 |
$37,370.48 |
1.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,038.85 |
$22,903.87 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,148.02 |
$23,400.10 |
1.7× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) |
$2,726.46 |
$12,393 |
1.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,437.50 |
$15,625.01 |
1.1× |
| Penile Injection (54235) |
$3,328.22 |
$15,128.26 |
14.4× |
| Penis plastic surgery (54360) |
$4,742 |
$21,554.54 |
1.5× |
| Perc Cryo Ablate Renal Tum (50593) |
$6,441.16 |
$29,278 |
0.7× |
| Perc Rf Ablate Renal Tumor (50592) |
$5,301.12 |
$24,096 |
0.9× |
| Percut Ablate Liver Rf (47382) |
$4,759.70 |
$21,635 |
0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$10,123.96 |
$46,018 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$486.20 |
$2,210 |
0.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,599.22 |
$25,451 |
1.9× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$5,538.41 |
$25,174.57 |
1.8× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$5,133.45 |
$23,333.87 |
0.8× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$7,089.06 |
$32,222.99 |
2.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,060.40 |
$4,820 |
0.7× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,654.03 |
$16,609.25 |
1.2× |
| Peritoneal Lavage (49084) |
$494.12 |
$2,246 |
0.6× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$3,815.02 |
$17,341 |
0.2× |
| Perq Cervicothoracic Inject (22510) |
$2,808.74 |
$12,767 |
0.9× |
| Perq dev breast 1st us imag (19285) |
$993.70 |
$4,516.81 |
1.5× |
Perq device breast 1st imag (19281)
range across 2 matching MRF lines |
$327.58–$329.56 |
$1,489–$1,498 |
varies |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,093.96 |
$9,518 |
0.6× |
| Perq Lumbosacral Injection (22511) |
$2,808.74 |
$12,767 |
0.9× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$6,384.20 |
$29,019.09 |
0.7× |
| Perq p-art revsc 1 nm nt uni (33900) |
$7,082.68 |
$32,194 |
0.7× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$11,461.34 |
$52,097 |
0.7× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$7,082.68 |
$32,194 |
0.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$4,379.54 |
$19,907 |
0.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,314.11 |
$19,609.58 |
1.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$9,459.12 |
$42,996 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,680.50 |
$21,275 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,095.22 |
$32,251 |
1.1× |
| Perq Vertebral Augmentation (22513) |
$6,757.30 |
$30,715 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$2,706.22 |
$12,301 |
0.9× |
| Photopheresis extracorporeal (36522) |
$3,091.44 |
$14,052 |
0.8× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
$6,335.81 |
$28,799.15 |
6.9× |
| Place Cath Subclavian Art (36225) |
$2,666.62 |
$12,121 |
0.9× |
| Place Cath Thoracic Aorta (36221) |
$2,666.62 |
$12,121 |
0.9× |
| Place Cath Vertebral Art (36226) |
$4,359.74 |
$19,817 |
0.8× |
| Place Duod/Jej Tube Perc (49441) |
$1,546.60 |
$7,030 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$291.94 |
$1,327 |
0.7× |
| Placement of seton (46020) |
$4,248.06 |
$19,309.37 |
1.7× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$12,293.53 |
$55,879.67 |
2.2× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$4,071.10 |
$18,505 |
0.7× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$4,071.10 |
$18,505 |
0.7× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$4,071.10 |
$18,505 |
0.7× |
| Plmt expandable cath brst following prtl mast (19296) |
$6,715.28 |
$30,524 |
0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,988.48 |
$9,038.56 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$1,535.82 |
$6,981 |
0.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$2,286.90 |
$10,395 |
0.7× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$2,286.90 |
$10,395 |
0.7× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,286.90 |
$10,395 |
0.7× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$4,785.55 |
$21,752.52 |
0.9× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$8,134.98 |
$36,977.19 |
1.8× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$5,599.22 |
$25,451 |
0.3× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$3,180.25 |
$14,455.70 |
1.4× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$3,565.13 |
$16,205.13 |
1.6× |
| Probing nasolacrimal duct (68810) |
$3,864.18 |
$17,564.47 |
13.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$4,758.31 |
$21,628.67 |
5.5× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$708.84 |
$3,222 |
0.6× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$1,693.56 |
$7,698 |
0.7× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$708.84 |
$3,222 |
0.6× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
$708.84 |
$3,222 |
0.6× |
| Proctosgmdsc rigid w/dilation (45303) |
$800.80 |
$3,640 |
0.7× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$1,693.56 |
$7,698 |
0.7× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$1,686.52 |
$7,666 |
0.7× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$2,367.29 |
$10,760.41 |
2.1× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$1,686.52 |
$7,666 |
0.7× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
$3,423.42 |
$15,561 |
0.6× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$2,919.94 |
$13,272.45 |
5.7× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$14,274.04 |
$64,882 |
2.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$240.68 |
$1,094 |
0.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,218.92 |
$10,086 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,218.92 |
$10,086 |
0.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$5,258.67 |
$23,903.06 |
1.7× |
| Prq skel fixj femoral fx prox end neck (27235) |
$9,224.47 |
$41,929.42 |
1.4× |
| Prq skel fixj metar fx w/manj (28476) |
$5,402.82 |
$24,558.27 |
1.8× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$4,208.94 |
$19,131.55 |
0.6× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$4,787.28 |
$21,760.36 |
1.6× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
$9,044.18 |
$41,109.90 |
1.3× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$8,225.74 |
$37,389.71 |
1.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$8,380.69 |
$38,094.03 |
2.8× |
| Pseudoaneurysm Injection Trt (36002) |
$303.38 |
$1,379 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$526.97 |
$2,395.33 |
1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,308.34 |
$5,947 |
3.5× |
| Puncture Aspiration Cyst Breast (19000) |
$956.28 |
$4,346.74 |
1.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$12,566.44 |
$57,120.19 |
19.2× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$24,439.35 |
$111,087.97 |
3.6× |
| Rad resect elbow caps/sr bone w rels (24149) |
$6,762.15 |
$30,737.06 |
1.0× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$5,617.04 |
$25,532.02 |
2.1× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$7,458.46 |
$33,902.09 |
2.8× |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
$9,082.65 |
$41,284.77 |
3.4× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$7,970.91 |
$36,231.41 |
3.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$8,211.05 |
$37,322.94 |
3.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$5,098.40 |
$23,174.56 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$7,844.81 |
$35,658.25 |
2.9× |
| Radical resection of tumor, femur or knee Facility (27365) |
$5,409.75 |
$24,589.79 |
1.8× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$14,050.41 |
$63,865.52 |
4.6× |
| Rcnstj Dislocating Patella (27420) |
$9,420.80 |
$42,821.81 |
1.4× |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
$36,316.57 |
$165,075.34 |
6.6× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$9,082.64 |
$41,284.73 |
1.4× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$4,412.09 |
$20,054.95 |
1.4× |
| Realignment of knee (27457) |
$12,813.29 |
$58,242.23 |
1.9× |
| Realignment of knee (27455) |
$5,608.79 |
$25,494.50 |
0.8× |
| Reconst lwr jaw w/fixation (21196) |
$36,316.57 |
$165,075.34 |
6.6× |
| Reconstr lwr jaw segment (21198) |
$19,444.10 |
$88,382.26 |
3.5× |
| Reconstruct cleft palate (42220) |
$13,898.66 |
$63,175.71 |
2.5× |
| Reconstruct cleft palate (42210) |
$18,264.03 |
$83,018.32 |
3.3× |
| Reconstruct extra finger (26587) |
$5,192.75 |
$23,603.41 |
1.7× |
| Reconstruct upper jaw bone (21206) |
$16,254.28 |
$73,883.10 |
3.0× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$36,316.57 |
$165,075.34 |
6.6× |
| Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) |
$49,476.65 |
$224,893.87 |
9.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$11,063.95 |
$50,290.66 |
1.6× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$7,750.48 |
$35,229.46 |
1.4× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$35,006.04 |
$159,118.37 |
6.4× |
| Reconstruction of throat (42950) |
$3,399.40 |
$15,451.83 |
0.6× |
| Reconstruction of urethra (54326) |
$11,525.73 |
$52,389.70 |
3.5× |
| Reconstruction Toe Polydactyly (28344) |
$4,593.76 |
$20,880.71 |
1.5× |
| Reinsert spinal fixation (22849) |
$11,902.10 |
$54,100.45 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$1,645.38 |
$7,479 |
0.9× |
| Rem Endovas Vena Cava Filter (37193) |
$7,326.22 |
$33,301 |
2.5× |
| Removal Anal Seton Other Marker (46030) |
$3,754.49 |
$17,065.88 |
3.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$491.92 |
$2,236 |
0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,469.90 |
$15,772.29 |
1.3× |
| Removal foreign body foot deep (28192) |
$4,316.66 |
$19,621.19 |
2.8× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$3,172.78 |
$14,421.75 |
4.8× |
| Removal foreign body jawbone (41806) |
$4,519.44 |
$20,542.91 |
3.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$960.30 |
$4,365 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$5,046.73 |
$22,939.67 |
1.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,874.05 |
$8,518.42 |
0.6× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$157.96–$170.50 |
$718–$775 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$1,750.23–$3,209.18 |
$7,955.57–$14,587.19 |
varies |
| Removal Implant Deep (20680) |
$14,616.16 |
$66,437.07 |
5.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$6,137.01 |
$27,895.52 |
4.0× |
| Removal intact breast implant (19328) |
$9,455.33 |
$42,978.77 |
2.6× |
| Removal of a lesion from the floor of the mouth (41116) |
$5,419.22 |
$24,632.84 |
1.8× |
| Removal of adenoids (42835) |
$4,289.10 |
$19,495.89 |
1.4× |
| Removal of adenoids (42831) |
$3,833.98 |
$17,427.18 |
1.2× |
| Removal of adenoids (42830) |
$3,536.66 |
$16,075.72 |
1.2× |
| Removal of adenoids (42836) |
$4,265.41 |
$19,388.21 |
1.4× |
| Removal of anal fissure (46200) |
$4,515.21 |
$20,523.70 |
1.8× |
| Removal of anterior instrumentation (22855) |
$8,968.24 |
$40,764.71 |
1.3× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$6,175.03 |
$28,068.33 |
2.0× |
| Removal of epiglottis (31420) |
$6,420.06 |
$29,182.07 |
1.2× |
| Removal of eye (65110) |
$6,019.67 |
$27,362.15 |
1.7× |
| Removal of foreign body from pharynx (42809) |
$121.66 |
$553 |
0.3× |
| Removal of heel spur (28119) |
$9,082.46 |
$41,283.89 |
3.0× |
| Removal of humerus lesion (23150) |
$4,361.98 |
$19,827.18 |
1.4× |
| Removal of kidney stone (50081) |
$9,537.69 |
$43,353.12 |
1.1× |
| Removal of mammary implant material (19330) |
$21,171.65 |
$96,234.79 |
5.8× |
| Removal of nail bed (11750) |
$3,075.01 |
$13,977.30 |
8.2× |
| Removal of sesamoid bone (28315) |
$8,100.56 |
$36,820.75 |
2.7× |
| Removal of sperm cord lesion (55520) |
$9,296.22 |
$42,255.53 |
2.8× |
Removal of testis (54520)
range across 2 matching MRF lines |
$5,658.74–$7,077.55 |
$25,721.56–$32,170.70 |
varies |
| Removal of thyroid (60271) |
$11,544.36 |
$52,474.35 |
2.1× |
| Removal of tonsils (42825) |
$3,526.13 |
$16,027.86 |
0.6× |
| Removal of tonsils (42826) |
$4,363.22 |
$19,832.84 |
1.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$6,292.33 |
$28,601.51 |
2.2× |
| Removal of wrist bone (25210) |
$11,483.61 |
$52,198.24 |
3.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$881.54 |
$4,007 |
3.4× |
| Removal Pacemaker Electrode (33235) |
$12,920.61 |
$58,730.05 |
3.7× |
| Removal ppm generator only (33233) |
$43,966.92 |
$199,849.63 |
5.7× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$5,500.95 |
$25,004.33 |
2.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$3,633.47 |
$16,515.77 |
19.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$737.29 |
$3,351.30 |
1.1× |
| Removal Submand Stone,Complicated (42335) |
$6,361.69 |
$28,916.77 |
2.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,175.47 |
$9,888.48 |
1.1× |
| Removal sweat gland lesion (11450) |
$4,046.34 |
$18,392.45 |
1.5× |
| Removal, under anesthesia, of external fixation system (20694) |
$5,510.85 |
$25,049.33 |
3.7× |
| Remove Ankle Joint Lining (27626) |
$9,082.64 |
$41,284.73 |
3.0× |
| Remove cerclage suture (59871) |
$2,067.34 |
$9,397 |
0.7× |
| Remove drug implant device (11982) |
$3,076.67 |
$13,984.86 |
7.4× |
| Remove ear lesion (69550) |
$9,342.30 |
$42,465.02 |
1.7× |
| Remove Elbow Joint Lining (24102) |
$4,256.36 |
$19,347.09 |
1.4× |
| Remove Elctrd Transvenously (33244) |
$15,932.56 |
$72,420.72 |
4.6× |
| Remove eye/attach implant (65105) |
$4,863.62 |
$22,107.37 |
1.3× |
| Remove foreign body from eye (65205) |
$271.70 |
$1,235 |
2.2× |
| Remove groin lymph nodes (38760) |
$8,052.35 |
$36,601.58 |
1.3× |
| Remove Intrauterine Device (58301) |
$4,030.90 |
$18,322.28 |
14.3× |
| Remove intrvas foreign body (37197) |
$2,676.30 |
$12,165 |
0.9× |
| Remove iris and lesion (66600) |
$2,607.75 |
$11,853.43 |
0.7× |
| Remove Lower Leg Bone Lesion (27635) |
$12,612.55 |
$57,329.79 |
4.2× |
| Remove lung catheter (32552) |
$736.78 |
$3,349 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$114.40 |
$520 |
0.9× |
| Remove palate/lesion (42120) |
$7,924.55 |
$36,020.68 |
1.4× |
| Remove part lumbar vertebra (22102) |
$11,494.87 |
$52,249.42 |
1.7× |
| Remove Peritoneal Foreign Body (49402) |
$3,126.68 |
$14,212.19 |
0.9× |
| Remove prostate regrowth (52630) |
$3,755.88 |
$17,072.16 |
0.8× |
| Remove Pulse Generator (33241) |
$1,925.22 |
$8,751 |
0.6× |
| Remove renal tube w/fluoro (50389) |
$3,543.93 |
$16,108.76 |
5.5× |
| Remove Skin Nerve Lesion (64774) |
$3,440.19 |
$15,637.22 |
1.9× |
| Remove thyroid lesion (60200) |
$12,393.42 |
$56,333.71 |
2.2× |
| Remove tissue expander (11971) |
$7,902.43 |
$35,920.14 |
2.9× |
| Remove&replace pm gen singl (33227) |
$27,912.22 |
$126,873.73 |
3.6× |
| Remove/graft forearm lesion (25126) |
$8,544.93 |
$38,840.57 |
2.8× |
| Remove/Insert Drug Implant (11983) |
$37,401.15 |
$170,005.24 |
90.4× |
| Remv&replc cvd gen dual lead (33263) |
$37,165.94 |
$168,936.07 |
1.8× |
| Remv&replc cvd gen mult lead (33264) |
$30,614.98 |
$139,159 |
1.1× |
| Remv&replc cvd gen sing lead (33262) |
$30,614.98 |
$139,159 |
1.5× |
| Remv&replc pm gen dual lead (33228) |
$29,798.49 |
$135,447.66 |
3.1× |
| Remv&replc pm gen mult leads (33229) |
$26,242.70 |
$119,285 |
1.5× |
| Renal Biopsy Perq (50200) |
$3,634.40 |
$16,520 |
2.4× |
| Reopen fallopian tube (58350) |
$7,216.92 |
$32,804.18 |
1.6× |
| Repair Achilles Tendon (27650) |
$6,369.81 |
$28,953.67 |
0.9× |
| Repair Anorectal Fistula Plug (46707) |
$5,548.77 |
$25,221.70 |
2.2× |
| Repair Bladder-Vagina Lesion (57320) |
$11,435.10 |
$51,977.73 |
2.5× |
Repair brow ptosis (67900)
range across 2 matching MRF lines |
$3,291.91–$8,672.11 |
$14,963.25–$39,418.69 |
varies |
| Repair Choanal Atresia Intranasal (30540) |
$3,452.35 |
$15,692.50 |
0.6× |
| Repair choanal atresia; transpalatine Facility (30545) |
$10,257.96 |
$46,627.08 |
1.9× |
| Repair cleft lip/nasal (40720) |
$6,797.77 |
$30,898.94 |
2.2× |
| Repair cleft lip/nasal (40702) |
$14,661.36 |
$66,642.54 |
2.7× |
| Repair cleft lip/nasal (40700) |
$10,877.33 |
$49,442.41 |
2.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$17,846.56 |
$81,120.74 |
2.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$481.80 |
$2,190 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$3,375.62 |
$15,343.72 |
4.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$4,176.83 |
$18,985.61 |
11.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$10,595.93 |
$48,163.34 |
28.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$6,113.60 |
$27,789.10 |
16.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$8,305.27 |
$37,751.21 |
12.1× |
| Repair detached retina (67105) |
$3,119.41 |
$14,179.15 |
6.1× |
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines |
$5,225.13–$7,564.79 |
$23,750.57–$34,385.40 |
varies |
Repair Entropion Extensive (67924)
range across 2 matching MRF lines |
$2,796.55–$3,519.80 |
$12,711.59–$15,999.11 |
varies |
| Repair extensor tendon finger w/o graft each (26418) |
$4,935.92 |
$22,436.02 |
3.3× |
| Repair Fistula Oromaxillary (30580) |
$6,357.81 |
$28,899.15 |
1.2× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$10,485.10 |
$47,659.55 |
3.5× |
| Repair Foot Dislocation (28615) |
$24,787.34 |
$112,669.75 |
3.7× |
| Repair Hand Tendon (26410) |
$12,433.50 |
$56,515.90 |
8.3× |
| Repair humerus with graft (24435) |
$24,435 |
$111,068.19 |
2.1× |
| Repair incomplete circumcision (54163) |
$3,928.53 |
$17,856.96 |
2.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$7,740.72 |
$35,185.09 |
2.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$8,914.21 |
$40,519.12 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$4,092.32 |
$18,601.46 |
10.9× |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines |
$5,310.01–$6,009.75 |
$24,136.39–$27,317.03 |
varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$5,317.22 |
$24,169.17 |
14.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$3,024.39 |
$13,747.21 |
8.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$8,753.53 |
$39,788.76 |
12.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$3,754.77 |
$17,067.15 |
10.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$4,866.43 |
$22,120.14 |
12.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$5,275.54 |
$23,979.75 |
7.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$8,915.52 |
$40,525.08 |
23.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$3,988.64 |
$18,130.17 |
10.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$3,439.16 |
$15,632.53 |
9.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$8,334.31 |
$37,883.25 |
12.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$6,165.36 |
$28,024.35 |
16.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$7,760.04 |
$35,272.90 |
4.1× |
| Repair Lead Pace-Defib One (33218) |
$2,235.86 |
$10,163 |
0.6× |
| Repair lower leg tendons (27676) |
$20,901.47 |
$95,006.66 |
3.1× |
| Repair mouth/nose fistula (30600) |
$8,692.73 |
$39,512.40 |
1.6× |
| Repair nasal septal perforations (30630) |
$13,113.46 |
$59,606.64 |
4.3× |
| Repair Nasal Vestibular Stenosis (30465) |
$11,403.88 |
$51,835.84 |
2.1× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$9,648.26 |
$43,855.74 |
0.8× |
| Repair Nonunion Hand (26546) |
$8,804.49 |
$40,020.41 |
1.3× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$27,609.57 |
$125,498.06 |
2.3× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$7,628.62 |
$34,675.56 |
1.6× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$19,846.65 |
$90,212.06 |
3.0× |
| Repair of hammertoe (28286) |
$12,136.57 |
$55,166.23 |
4.0× |
| Repair of hydrocele (55060) |
$7,521.93 |
$34,190.59 |
2.3× |
| Repair of metatarsals (28322) |
$21,934.89 |
$99,704.06 |
3.3× |
| Repair of nail bed (11760) |
$4,921.58 |
$22,370.81 |
7.2× |
| Repair of rectocele (45560) |
$10,270.48 |
$46,684.02 |
4.0× |
| Repair of web finger (26561) |
$9,279.41 |
$42,179.14 |
3.1× |
| Repair of windpipe defect (31825) |
$5,744.30 |
$26,110.45 |
1.9× |
| Repair palate (42235) |
$9,655.96 |
$43,890.74 |
1.8× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$8,948.65 |
$40,675.68 |
1.5× |
| Repair retinal detach cplx (67113) |
$5,937.94 |
$26,990.62 |
1.2× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$7,941.94 |
$36,099.72 |
2.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$11,510.37 |
$52,319.86 |
3.8× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,026.82 |
$31,940.11 |
1.0× |
| Repair Toe Dislocation (28645) |
$16,771.77 |
$76,235.34 |
5.5× |
| Repair tongue laceration (41252) |
$791.56 |
$3,598 |
3.6× |
| Repair tongue laceration (41250) |
$240.46 |
$1,093 |
0.6× |
| Repair Tooth Socket (41874) |
$7,325.92 |
$33,299.63 |
2.4× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$8,380.69 |
$38,094.03 |
1.2× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$34,619.16 |
$157,359.84 |
5.1× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$12,378.54 |
$56,266.11 |
1.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$788.47 |
$3,583.94 |
0.9× |
| Replace G-J Tube Perc (49452) |
$1,313.42 |
$5,970.08 |
1.6× |
| Replace g/c tube perc (49450) |
$706.88 |
$3,213.08 |
0.8× |
| Replace/Revise Brain Shunt (62230) |
$10,579.08 |
$48,086.72 |
1.3× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$8,333.51 |
$37,879.61 |
1.2× |
| Reposition L Ventric Lead (33226) |
$19,625.98 |
$89,209 |
6.7× |
| Reposition Pacing-Defib Lead (33215) |
$5,016.66 |
$22,803 |
1.7× |
| Reposition Venous Catheter (36597) |
$4,371.45 |
$19,870.22 |
3.0× |
| Rerepair ing hernia reduce (49520) |
$7,127.72 |
$32,398.75 |
2.1× |
| Resect back tum < 5 cm (21935) |
$9,128.93 |
$41,495.13 |
3.4× |
| Resect hip/pelv tum 5 cm/> (27059) |
$8,718.66 |
$39,630.27 |
3.2× |
| Resect hip/pelv tum < 5 cm (27049) |
$9,887.51 |
$44,943.22 |
3.7× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$3,742.77 |
$17,012.59 |
1.4× |
| Resect thigh/knee tum < 5 cm (27329) |
$6,113.60 |
$27,789.10 |
2.3× |
| Revis reconst shoulder joint (23473) |
$20,088.79 |
$91,312.67 |
1.7× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$19,869.54 |
$90,316.08 |
1.7× |
| Revise external ear (69300) |
$6,903.91 |
$31,381.42 |
2.2× |
| Revise Hand/Foot Nerve (64704) |
$23,098.44 |
$104,992.90 |
12.8× |
| Revise penis/urethra (54328) |
$6,579.03 |
$29,904.67 |
2.0× |
| Revise penis/urethra (54332) |
$12,270.29 |
$55,774.04 |
3.8× |
| Revise radius & ulna (25365) |
$18,969.50 |
$86,225 |
1.6× |
| Revise ulnar nerve at wrist (64719) |
$7,976.27 |
$36,255.78 |
4.4× |
| Revise Wrist/Forearm Tendon (25280) |
$7,498.05 |
$34,082.06 |
2.5× |
| Revise/remove neuroelectrode (61880) |
$27,345.61 |
$124,298.25 |
8.4× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$3,838.63 |
$17,448.34 |
1.3× |
| Revision of eyelid (67880) |
$3,847.54 |
$17,488.84 |
1.7× |
| Revision of foot and ankle (28262) |
$9,133.24 |
$41,514.73 |
1.4× |
| Revision of foot fascia (28250) |
$17,846.56 |
$81,120.74 |
5.9× |
| Revision of lower leg tendon (27685) |
$26,985.20 |
$122,659.99 |
8.9× |
| Revision of penis (54300) |
$6,280.90 |
$28,549.53 |
1.9× |
| Revision of penis (54304) |
$7,870.91 |
$35,776.88 |
2.4× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$11,488.89 |
$52,222.23 |
2.3× |
| Revision of reconstructed breast (19380) |
$9,455.33 |
$42,978.77 |
1.5× |
| Revision of scrotum (55180) |
$12,514.98 |
$56,886.29 |
2.5× |
| Revision Peri-Implant Capsule Breast (19370) |
$10,193.94 |
$46,336.08 |
2.8× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) |
$33,286.93 |
$151,304.23 |
3.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
range across 2 matching MRF lines |
$14,236.95–$15,510.79 |
$64,713.42–$70,503.57 |
varies |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$30,107.67 |
$136,853.05 |
1.9× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$8,809.75 |
$40,044.31 |
0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$9,030.78 |
$41,049 |
1.7× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$14,699.05 |
$66,813.86 |
4.5× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$36,039.39 |
$163,815.43 |
3.5× |
| Rhinoplasty primary w/major septal repair (30420) |
$14,305.06 |
$65,023.02 |
2.6× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$10,645.62 |
$48,389.17 |
3.2× |
| Rib cartilage graft (21230) |
$10,325.48 |
$46,933.98 |
1.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,461.24 |
$6,642 |
0.8× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,514.49 |
$6,884.03 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$1,827.96 |
$8,308.93 |
4.4× |
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines |
$2,314.80–$2,928.38 |
$10,521.80–$13,310.82 |
varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$240.46 |
$1,093 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$4,396.60 |
$19,984.55 |
4.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,799.95 |
$12,727.04 |
1.8× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$2,768.38 |
$12,583.54 |
1.3× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$2,784.63 |
$12,657.41 |
1.3× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$5,179.76 |
$23,544.38 |
2.4× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$2,508.44 |
$11,402 |
0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,163.04 |
$9,832 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,532.86 |
$6,967.56 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$614.90 |
$2,795 |
1.1× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$7,657.56 |
$34,807.08 |
3.6× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$3,276.97 |
$14,895.31 |
1.5× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$2,996.85 |
$13,622.05 |
11.6× |
| Rmvl/revj sling stress incontinence (57287) |
$2,895.52 |
$13,161.47 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$1,517.18 |
$6,896.28 |
6.6× |
| Rplc gtube revj gstrst trc (43763) |
$194.48 |
$884 |
0.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$632.50 |
$2,875 |
0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,597.86 |
$7,263 |
1.1× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$1,469.38 |
$6,679 |
0.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,469.38 |
$6,679 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,902.16 |
$26,828.02 |
2.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,597.86 |
$7,263 |
0.5× |
| Rplcmt/irrigation ventricular catheter (62225) |
$8,967.83 |
$40,762.87 |
2.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$9,633.92 |
$43,790.56 |
1.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$8,286.45 |
$37,665.70 |
2.5× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$8,243.81 |
$37,471.88 |
1.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,470.15 |
$29,409.79 |
1.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$10,235.39 |
$46,524.49 |
1.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$6,299.99 |
$28,636.31 |
1.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,430.45 |
$38,320.22 |
1.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,096.14 |
$32,255.18 |
1.3× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$6,143.32 |
$27,924.18 |
1.7× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
$3,882.61 |
$17,648.24 |
1.8× |
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 2 matching MRF lines |
$2,918.04–$4,978.82 |
$13,263.84–$22,631 |
varies |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$5,031.97 |
$22,872.60 |
2.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$566.06 |
$2,573 |
0.4× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$5,940.79 |
$27,003.60 |
2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$307.12 |
$1,396 |
1.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$5,485.63 |
$24,934.66 |
0.8× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$5,196.25 |
$23,619.32 |
1.6× |
| Rpr ing hernia init reduce (49500) |
$6,689.57 |
$30,407.13 |
1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$141.02 |
$641 |
0.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$318.34 |
$1,447 |
0.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$892.76 |
$4,058 |
0.6× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$19,846.65 |
$90,212.06 |
3.0× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$4,190.21 |
$19,046.42 |
0.8× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$5,546.95 |
$25,213.43 |
1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$566.06 |
$2,573 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,521.61 |
$29,643.68 |
2.2× |
| Sclerotx Fluid Collection (49185) |
$3,080.90 |
$14,004.10 |
2.0× |
| Scrotoplasty Simple (55175) |
$12,790.40 |
$58,138.20 |
3.9× |
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines |
$6,454.80–$18,043.32 |
$29,339.98–$82,015.11 |
varies |
Severing tarsorrhaphy (67710)
range across 2 matching MRF lines |
$1,946.36–$3,291.91 |
$8,847.10–$14,963.25 |
varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$744.48 |
$3,384 |
0.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$744.48 |
$3,384 |
0.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$240.68 |
$1,094 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$377.30 |
$1,715 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$8,696.04 |
$39,527.45 |
2.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$119.68 |
$544 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$240.68 |
$1,094 |
0.6× |
| Sigmoidoscopy & decompress (45337) |
$744.48 |
$3,384 |
0.9× |
| Sigmoidoscopy & Polypectomy (45333) |
$744.48 |
$3,384 |
0.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$766.92 |
$3,486 |
0.7× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$931.70 |
$4,235 |
0.8× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$744.04 |
$3,382 |
0.7× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$898.48 |
$4,084 |
0.8× |
| Sigmoidoscopy w/fb removal (45332) |
$356.84 |
$1,622 |
0.3× |
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure |
$861.96 |
$3,918 |
0.2× |
| Sigmoidoscopy W/Resection (45349) |
$898.48 |
$4,084 |
0.3× |
| Sigmoidoscopy W/Ultrasound (45341) |
$744.04 |
$3,382 |
0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,414.63 |
$6,430.12 |
1.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$744.48 |
$3,384 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$307.12 |
$1,396 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$307.12 |
$1,396 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$307.12 |
$1,396 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$307.12 |
$1,396 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$2,562.34 |
$11,646.98 |
13.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$307.12 |
$1,396 |
1.7× |
| Skin Full Grft Face/Genit/Hf (15240) |
$8,309.26 |
$37,769.36 |
4.3× |
| Skin sub graft face/nk/hf/g (15275) |
$7,924.55 |
$36,020.68 |
11.6× |
| Skin sub graft trnk/arm/leg (15271) |
$6,029.37 |
$27,406.22 |
8.8× |
| Skin sub grft t/arm/lg child (15273) |
$6,639.77 |
$30,180.76 |
3.5× |
| Skin Tissue Procedure (17999) |
$3,001.21 |
$13,641.87 |
16.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$2,666.62 |
$12,121 |
0.5× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$2,666.62 |
$12,121 |
0.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$4,359.74 |
$19,817 |
0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,496.01 |
$43,163.68 |
2.0× |
| Small bowel endoscopy (44384) |
$1,142.90 |
$5,195 |
0.6× |
| Small bowel endoscopy (44366) |
$905.30 |
$4,115 |
0.5× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,142.90 |
$5,195 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$3,423.42 |
$15,561 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$381.70 |
$1,735 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$307.12 |
$1,396 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$307.12 |
$1,396 |
0.8× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$5,851.08 |
$26,595.83 |
2.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,778.65 |
$17,175.69 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$3,553.68 |
$16,153.11 |
5.4× |
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines |
$4,069.51–$8,607.56 |
$18,497.77–$39,125.26 |
varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$9,446.14 |
$42,937.01 |
4.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,706.22 |
$12,301 |
0.9× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$7,188.19 |
$32,673.61 |
1.3× |
| Sternal debridement (21627) |
$6,321.13 |
$28,732.42 |
2.1× |
| Strabismus Any Superior Oblique Muscle (67318) |
$4,116 |
$18,709.09 |
1.9× |
Strabismus Recession/Rescj 1 Hrzntl Musc (67311)
range across 2 matching MRF lines |
$3,222.78–$5,603.64 |
$14,649.02–$25,471.07 |
varies |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$3,271.89 |
$14,872.22 |
1.5× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$4,592.45 |
$20,874.78 |
1.3× |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
$4,738.98 |
$21,540.80 |
2.2× |
| Strapping ankle (29540) |
$95.04 |
$432 |
0.6× |
| Strapping elbow or wrist (29260) |
$35.86 |
$163 |
0.7× |
Strapping hand/finger (29280)
range across 2 matching MRF lines |
$35.86–$184.14 |
$163–$837 |
varies |
| Strapping knee (29530) |
$77.66 |
$353 |
0.6× |
| Strapping shoulder (29240) |
$77.66 |
$353 |
0.6× |
| Strapping Unna Boot (29580) |
$167.20 |
$760 |
1.1× |
| Subconjunctival injection (68200) |
$2,079.04 |
$9,450.18 |
5.0× |
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines |
$8,298–$12,321.91 |
$37,718.18–$56,008.66 |
varies |
| Suction assisted lipectomy; trunk (15877) |
$14,614.32 |
$66,428.74 |
4.5× |
| Suction Lipectomy Lwr Extrem (15879) |
$11,719.78 |
$53,271.73 |
3.6× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$5,653.37 |
$25,697.14 |
1.8× |
| Surg Implnt Neuroelect,Epidural (63655) |
$27,125.78 |
$123,299.02 |
1.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$3,903.68 |
$17,743.98 |
0.7× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$3,361.62 |
$15,280.07 |
1.3× |
| Surg tx anal fistula subq (46270) |
$3,613.18 |
$16,423.55 |
1.4× |
| Surgery to stop leg growth (27479) |
$11,123.14 |
$50,559.71 |
1.7× |
| Surgery to stop leg growth (27477) |
$6,785.74 |
$30,844.26 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,143.11 |
$14,286.86 |
1.2× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$1,433.30 |
$6,515 |
0.7× |
| Suture infrapatellar tendon primary (27380) |
$7,746.26 |
$35,210.29 |
1.2× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$12,813.94 |
$58,245.18 |
1.9× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$8,336.34 |
$37,892.46 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$148.06 |
$673 |
0.4× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$24,637.58 |
$111,989 |
0.9× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$20,522.40 |
$93,283.65 |
1.1× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$1,896.84 |
$8,622 |
0.6× |
Temporary Closure Eyelids Suture (67875)
range across 2 matching MRF lines |
$5,263.71–$5,310.38 |
$23,925.94–$24,138.09 |
varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$7,828.12 |
$35,582.36 |
2.6× |
| Tenolysis flexor foot single tendon (28220) |
$8,063.45 |
$36,652.04 |
5.4× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,764.10 |
$12,564.08 |
1.9× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$12,816.50 |
$58,256.80 |
4.2× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$12,449.85 |
$56,590.23 |
4.1× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$20,190.39 |
$91,774.48 |
6.7× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$21,934.89 |
$99,704.06 |
7.2× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$29,046.35 |
$132,028.86 |
9.6× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,431.43 |
$6,506.50 |
1.0× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$14,852.20 |
$67,509.99 |
4.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$5,482.86 |
$24,922.11 |
3.7× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$3,273.60 |
$14,880 |
0.8× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,998.26 |
$9,083 |
1.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$498.30 |
$2,265 |
0.8× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,998.26 |
$9,083 |
1.4× |
| Therapeutic plasma exchange (36514) |
$1,998.26 |
$9,083 |
1.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$14,338.28 |
$65,174 |
0.8× |
| Thromblytic art/ven therapy (37213) |
$2,106.50 |
$9,575 |
0.7× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$944.02 |
$4,291 |
0.2× |
| Thrombolytic Therapy Stroke (37195) |
$391.82 |
$1,781 |
1.3× |
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines |
$944.02–$1,086.14 |
$4,291–$4,937 |
varies |
| Thyroid biopsy (60100) |
$529.10 |
$2,405 |
0.8× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$9,202.29 |
$41,828.60 |
1.7× |
| Thyroidectomy, total or complete (60240) |
$13,033.73 |
$59,244.25 |
2.3× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$12,433.70 |
$56,516.82 |
2.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$5,501.45 |
$25,006.61 |
2.9× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$13,710.26 |
$62,319.37 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,861.06 |
$22,095.74 |
1.6× |
| Tooth extraction (41899) |
$4,816.59 |
$21,893.61 |
21.9× |
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines |
$14,334.27–$14,946.90 |
$65,155.76–$67,940.47 |
varies |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$8,499.34 |
$38,633.37 |
1.5× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$3,214.20 |
$14,610 |
0.6× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$7,225.98 |
$32,845.36 |
14.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$136.62 |
$621 |
0.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$806.30 |
$3,665 |
0.6× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$1,193.50 |
$5,425 |
0.2× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$1,877.92 |
$8,536 |
0.6× |
| Transfer skin pedicle flap (15650) |
$4,787.33 |
$21,760.57 |
2.5× |
Transoral lower esophageal myotomy (43497)
unusually low: confirm this is the full procedure |
$2,175.58 |
$9,889 |
0.4× |
| Transur electr resection of prostate (52601) |
$7,074.44 |
$32,156.54 |
1.4× |
| Transurethral resection bladder neck (52500) |
$3,974.72 |
$18,066.93 |
1.2× |
| Treat ankle fracture (28445) |
$15,665.54 |
$71,206.99 |
2.3× |
| Treat Big Toe Fracture (28505) |
$7,288.51 |
$33,129.58 |
2.4× |
| Treat ectopic pregnancy (59151) |
$4,409.36 |
$20,042.55 |
0.8× |
| Treat Elbow Fracture (24635) |
$7,382.30 |
$33,555.90 |
1.1× |
| Treat Finger Fracture Each (26727) |
$4,442.68 |
$20,194.01 |
1.5× |
| Treat fracture radius/ulna (25575) |
$11,416.50 |
$51,893.17 |
1.7× |
| Treat Fx Rad Extra-Articul (25607) |
$8,487.65 |
$38,580.23 |
1.3× |
| Treat humerus fracture (24500) |
$345.62 |
$1,571 |
1.5× |
| Treat Humerus Fracture (24505) |
$359.26 |
$1,633 |
0.2× |
| Treat humerus fracture (23600) |
$342.32 |
$1,556 |
1.5× |
| Treat knee fracture (27532) |
$1,955.36 |
$8,888 |
0.6× |
| Treat Knee Fracture(S) (27538) |
$144.54 |
$657 |
0.6× |
| Treat Kneecap Fracture (27524) |
$8,588.21 |
$39,037.30 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$372.24 |
$1,692 |
1.6× |
| Treat metacarpal fracture (26607) |
$1,955.36 |
$8,888 |
0.6× |
| Treat Thumb Fracture (26645) |
$964.48 |
$4,384 |
0.6× |
| Treat toe dislocation (28630) |
$2,551.12 |
$11,596 |
11.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$964.26 |
$4,383 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$144.54 |
$657 |
0.6× |
| Treatment extensive retinopathy photocoagulation (67228) |
$4,227.27 |
$19,214.85 |
8.3× |
| Treatment of ankle fracture (27823) |
$15,212.27 |
$69,146.70 |
2.3× |
| Treatment of foot infection (28003) |
$10,927.10 |
$49,668.63 |
3.6× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$8,107.28 |
$36,851.26 |
2.7× |
| Treatment of tibia fracture (27756) |
$6,243.51 |
$28,379.57 |
0.9× |
| Trim skin lesion (11055) |
$135.52 |
$616 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$135.52 |
$616 |
0.7× |
| Trluml Balo Angiop 1St Art (37246) |
$4,680.50 |
$21,275 |
0.9× |
| Trluml Balo Angiop 1St Vein (37248) |
$4,680.50 |
$21,275 |
0.9× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$1,101.98 |
$5,009 |
0.8× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,514.50 |
$15,975.01 |
1.4× |
| Tx Gastro Intub W/Asp (43753) |
$2,655.30 |
$12,069.55 |
13.3× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$13,883.21 |
$63,105.48 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,024.75 |
$13,748.86 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,087.38 |
$14,033.56 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,458.63 |
$15,721.04 |
1.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$7,553.80 |
$34,335.47 |
5.1× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$37,629.10 |
$171,041.36 |
25.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$5,215.58 |
$23,707.19 |
7.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$11,986.08 |
$54,482.16 |
1.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,253.17 |
$10,241.70 |
1.6× |
| Tympanoplasty (69631) |
$7,601.47 |
$34,552.15 |
1.4× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$10,849.15 |
$49,314.32 |
2.0× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$12,354.21 |
$56,155.52 |
2.3× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$12,124.39 |
$55,110.88 |
2.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$13,708.61 |
$62,311.87 |
2.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$11,466.67 |
$52,121.21 |
2.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$12,516.34 |
$56,892.46 |
2.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$8,064.38 |
$36,656.26 |
1.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$10,725.46 |
$48,752.09 |
2.0× |
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines |
$2,279.16–$2,649 |
$10,359.80–$12,040.93 |
varies |
| Unlisted Cardiac Surgery (33999) |
$555.50 |
$2,525 |
1.0× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$3,399.31 |
$15,451.40 |
18.1× |
| Unlisted laparoscopic procedure liver (47379) |
$8,532.56 |
$38,784.38 |
1.5× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$4,132.64 |
$18,784.72 |
0.7× |
| Unlisted laparoscopy procedure stomach (43659) |
$15,883.49 |
$72,197.67 |
2.8× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$9,242.45 |
$42,011.12 |
1.7× |
| Unlisted laparoscopy procedure, bladder (51999) |
$6,894.58 |
$31,339.01 |
1.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$7,222.04 |
$32,827.46 |
1.3× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$7,568.58 |
$34,402.62 |
1.4× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$8,813.68 |
$40,062.17 |
1.6× |
| Unlisted laparoscopy procedure, uterus (58578) |
$5,987.42 |
$27,215.56 |
1.1× |
| Unlisted procedure anus (46999) |
$4,033.22 |
$18,332.82 |
4.7× |
| Unlisted procedure arthroscopy (29999) |
$6,581.42 |
$29,915.55 |
28.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$8,759.78 |
$39,817.20 |
58.2× |
| Unlisted Procedure Esophagus (43499) |
$564.96 |
$2,568 |
0.7× |
| Unlisted procedure femur or knee (27599) |
$22,025.38 |
$100,115.38 |
96.4× |
| Unlisted Procedure Intestine (44799) |
$1,347.06 |
$6,123 |
1.6× |
| Unlisted procedure larynx (31599) |
$4,024.76 |
$18,294.36 |
18.3× |
| Unlisted Procedure Leg/Ankle (27899) |
$27,832.68 |
$126,512.19 |
121.8× |
| Unlisted Procedure Muscskeletal System General (20999) |
$21,113.41 |
$95,970.04 |
92.4× |
| Unlisted procedure nervous system (64999) |
$11,890.16 |
$54,046.17 |
41.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$15,842.84 |
$72,012.90 |
69.3× |
| Unlisted procedure spine (22899) |
$10,744.38 |
$48,838.07 |
47.0× |
| Unlisted procedure stomach (43999) |
$690.80 |
$3,140 |
0.8× |
| Unlisted Procedure Trachea Bronchi (31899) |
$2,969.81 |
$13,499.13 |
16.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$478.06 |
$2,173 |
0.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$442.20 |
$2,010 |
0.5× |
| Unlisted Procedure, Urinary System (53899) |
$160.60 |
$730 |
0.7× |
| Unlisted px female genital system nonobstetrical (58999) |
$9,242.45 |
$42,011.12 |
49.3× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$2,107.67 |
$9,580.30 |
9.6× |
| Upgrade of pacemaker system (33214) |
$19,625.98 |
$89,209 |
2.0× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$2,036.21 |
$9,255.50 |
0.6× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$20,865.73 |
$94,844.25 |
6.4× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$14,215.22 |
$64,614.65 |
2.9× |
Uvulectomy excision of uvula (42140)
range across 2 matching MRF lines |
$5,044.78–$6,454.80 |
$22,930.84–$29,339.98 |
varies |
| Vag hyst complex (58290) |
$11,445.83 |
$52,026.51 |
1.7× |
| Vag hyst incl t/o complex (58291) |
$8,101.05 |
$36,822.94 |
1.7× |
| Vag hyst w/t/o & vag repair (58263) |
$9,244.57 |
$42,020.76 |
2.0× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$1,869.34 |
$8,497 |
0.6× |
| Vaginal delivery only (59409) |
$3,301.81 |
$15,008.24 |
1.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$9,863.43 |
$44,833.79 |
2.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$10,151.46 |
$46,143.01 |
2.2× |
| Vasc embolize/occlude artery (37242) |
$10,123.96 |
$46,018 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$10,123.96 |
$46,018 |
0.9× |
| Vasc Embolize/Occlude Organ (37243) |
$10,630.18 |
$48,319 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$10,123.96 |
$46,018 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,576.70 |
$11,712.27 |
1.3× |
| Venous Cutdown >1 Y/O (36425) |
$9,521.99 |
$43,281.76 |
23.0× |
| Venous Mech Thrombectomy (37187) |
$5,599.22 |
$25,451 |
0.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,386.52 |
$10,847.80 |
0.8× |
| Vit for membrane dissect (67043) |
$5,364.43 |
$24,383.79 |
1.4× |
| Vitrectomy mechanical pars plana (67036) |
$5,797.58 |
$26,352.63 |
1.5× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,300.26 |
$19,546.64 |
1.1× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$5,545.90 |
$25,208.63 |
1.4× |
| Vulvectomy simple partial (56620) |
$3,080.86 |
$14,003.93 |
1.0× |
| Wedge excision skin nail fold (11765) |
$296.34 |
$1,347 |
0.8× |
| Wedging of cast (29740) |
$160.16 |
$728 |
0.6× |
| Windowing of cast (29730) |
$95.04 |
$432 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$6,639.77 |
$30,180.76 |
17.6× |
| Wound Prep Trk/Arm/Leg (15002) |
$6,925.53 |
$31,479.67 |
10.1× |
| Xfer Single Deep Low Leg Tendon (27691) |
$17,846.56 |
$81,120.74 |
2.7× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$3,565.10 |
$16,205 |
0.6× |