| Abd paracentesis w/imaging (49083) |
$592.88 |
$2,371.50 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$689.25 |
$2,757 |
0.8× |
| Acne surgery (10040) |
$254.94 |
$1,019.75 |
1.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,370.72 |
$17,482.86 |
1.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,680.47 |
$14,721.88 |
1.8× |
| Amniocentesis diagnostic (59000) |
$686.31 |
$2,745.25 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,722.12 |
$10,888.49 |
0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,711.54 |
$10,846.17 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$2,458.50 |
$9,834 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$2,571.10 |
$10,284.41 |
0.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,441.88 |
$9,767.50 |
0.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,356.61 |
$9,426.43 |
0.8× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$7,557.72 |
$30,230.89 |
1.5× |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
$89.63–$314.56 |
$358.50–$1,258.25 |
varies |
| Application Cast Finger (29086) |
$180.13 |
$720.50 |
1.1× |
| Application finger splint static (29130) |
$73.81 |
$295.25 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$180.13 |
$720.50 |
1.1× |
| Application Long Leg Splint (29505) |
$180.13 |
$720.50 |
1.1× |
| Application of long leg cast (29345) |
$314.56 |
$1,258.25 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$239.63 |
$958.50 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$185.69 |
$742.75 |
1.4× |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$113.69–$187.38 |
$454.75–$749.50 |
varies |
| Application uniplane external fixation system (20690) |
$4,391.60 |
$17,566.38 |
0.6× |
| Apply long arm cast (29065) |
$314.56 |
$1,258.25 |
1.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$137.31 |
$549.25 |
0.8× |
| Apply Short Leg Cast (29405) |
$314.56 |
$1,258.25 |
1.1× |
| Apply short leg cast (29425) |
$187.25 |
$749 |
0.7× |
Arterial puncture (36600)
range across 6 matching MRF lines |
$70.19–$73 |
$280.75–$292 |
varies |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,096.51 |
$16,386.02 |
1.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$6,208.99 |
$24,835.96 |
1.1× |
| Artery-vein autograft (36825) |
$7,192.48 |
$28,769.90 |
1.3× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$15,374.53 |
$61,498.13 |
1.2× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 9 matching MRF lines |
$297.63–$578.25 |
$1,190.50–$2,313 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$64.75–$297.63 |
$259–$1,190.50 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$211.69 |
$846.75 |
0.7× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$15,982.66 |
$63,930.65 |
0.9× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$5,265.56 |
$21,062.23 |
0.7× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$9,394.93 |
$37,579.71 |
0.5× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,514.65 |
$14,058.61 |
1.1× |
| Arthroplasty radial head (24365) |
$6,995.99 |
$27,983.96 |
0.5× |
| Arthroplasty Radial Head W/Implant (24366) |
$9,650.02 |
$38,600.08 |
0.8× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$3,659.11 |
$14,636.45 |
1.1× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$3,475.13 |
$13,900.53 |
1.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,323.39 |
$17,293.55 |
1.3× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$8,461.27 |
$33,845.07 |
1.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,478.84 |
$13,915.34 |
1.1× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$5,936.93 |
$23,747.70 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,775.90 |
$15,103.61 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,734.89 |
$18,939.56 |
1.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$10,019.93 |
$40,079.73 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,192.69 |
$20,770.74 |
1.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$6,298.06 |
$25,192.22 |
1.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,154.16 |
$28,616.64 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,765.41 |
$39,061.65 |
1.3× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$7,179.30 |
$28,717.21 |
2.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$16,783.87 |
$67,135.47 |
1.3× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$15,253.01 |
$61,012.05 |
1.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$6,824.91 |
$27,299.65 |
0.9× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,088.60 |
$12,354.38 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,978.77 |
$11,915.08 |
0.9× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,487.09 |
$13,948.35 |
1.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,730 |
$6,920 |
1.1× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$2,546.17 |
$10,184.66 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$1,198.60 |
$4,794.40 |
1.9× |
| Aspirate Pleura W/O Imaging (32554) |
$953.20 |
$3,812.78 |
1.5× |
| Aspirate/Inj Ganglion Cyst (20612) |
$211.63 |
$846.50 |
0.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,661.96 |
$14,647.85 |
1.7× |
| Aspiration Bladder Needle (51100) |
$301.19 |
$1,204.75 |
1.2× |
| Av fistula revision (36833) |
$7,366.65 |
$29,466.61 |
1.3× |
| Av Fistula Revision Open (36832) |
$4,751.69 |
$19,006.75 |
0.9× |
| Av Fuse Uppr Arm Basilic (36819) |
$4,484.73 |
$17,938.90 |
0.8× |
| Av fusion/forearm vein (36820) |
$4,207.73 |
$16,830.93 |
0.8× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines |
$250.44–$254.94 |
$1,001.75–$1,019.75 |
varies |
| Axillary lymphadenectomy; complete (38745) |
$5,402.78 |
$21,611.10 |
0.9× |
| Biopsy Abdominal Mass (49180) |
$121.69 |
$486.75 |
0.1× |
| Biopsy bone open deep (20245) |
$5,028.01 |
$20,112.02 |
1.7× |
| Biopsy bone open superficial (20240) |
$2,843.29 |
$11,373.17 |
1.0× |
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines |
$1,653–$2,046.94 |
$6,612–$8,187.75 |
varies |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$961.88 |
$3,847.50 |
0.6× |
| Biopsy External Auditory Canal (69105) |
$2,227.95 |
$8,911.78 |
1.4× |
| Biopsy nail unit (11755) |
$2,123.49 |
$8,493.95 |
3.0× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$1,302.34 |
$5,209.37 |
0.4× |
| Biopsy of breast; open, incisional (19101) |
$5,197.63 |
$20,790.50 |
1.3× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,620.97 |
$10,483.87 |
1.6× |
| Biopsy Salivary Gland Needle (42400) |
$812 |
$3,248 |
1.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,723.79 |
$10,895.15 |
1.6× |
| Biopsy soft tissue neck/thorax (21550) |
$5,247.02 |
$20,988.06 |
3.2× |
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)
range across 2 matching MRF lines |
$1,164.19–$1,210.81 |
$4,656.75–$4,843.25 |
varies |
| Biopsy Vaginal Mucosa Simple (57100) |
$3,170.50 |
$12,682 |
3.4× |
| Biopsy/removal lymph nodes (38510) |
$3,051.57 |
$12,206.27 |
0.8× |
| Bladder Irrigation (51700) |
$301.19 |
$1,204.75 |
1.2× |
Bladder Scan (51798)
range across 2 matching MRF lines |
$66.31–$68.81 |
$265.25–$275.25 |
varies |
Blood Transfusion Service (36430)
range across 3 matching MRF lines |
$53.38–$435.50 |
$213.50–$1,742 |
varies |
| Bone Marrow Biopsy (38221) |
$901.32 |
$3,605.26 |
0.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,582.73 |
$6,330.90 |
0.9× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$4,683.06 |
$18,732.25 |
1.3× |
| Bronchoscopy Clear Airways (31645) |
$525.31 |
$2,101.25 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,921.86 |
$7,687.43 |
1.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,633.62 |
$10,534.47 |
0.7× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$2,903.26 |
$11,613.05 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,542 |
$6,168 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$2,670.70 |
$10,682.81 |
1.6× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$3,876.81 |
$15,507.22 |
1.1× |
| Bx/exc lymph node open deep axillary node (38525) |
$5,802.38 |
$23,209.50 |
1.5× |
| Bx/exc lymph node open superficial (38500) |
$5,666.09 |
$22,664.34 |
1.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,499.90 |
$13,999.58 |
1.1× |
| Capsulotomy wrist (25085) |
$11,505.96 |
$46,023.85 |
3.5× |
| Carpal Tunnel Surgery (64721) |
$1,993.94 |
$7,975.76 |
1.0× |
| Cataract surgery complex (66982) |
$2,489.49 |
$9,957.94 |
1.1× |
| Cerv artific diskectomy (22856) |
$15,010.29 |
$60,041.15 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$2,601.95 |
$10,407.80 |
10.4× |
| Change of Windpipe Airway (31502) |
$182.81 |
$731.25 |
0.8× |
| Chemical Cautery Tissue (17250) |
$156.88 |
$627.50 |
0.8× |
| Chemodenervation of internal anal sphincter (46505) |
$4,271.50 |
$17,085.99 |
3.6× |
| Chest tube placement (32551) |
$689.25 |
$2,757 |
0.4× |
| Circumcision 28 days or older (54161) |
$2,770.52 |
$11,082.06 |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,776.81 |
$11,107.25 |
1.7× |
| Clear outer ear canal (69200) |
$185.69 |
$742.75 |
1.4× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$2,148.09 |
$8,592.34 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$267.19 |
$1,068.75 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$267.19 |
$1,068.75 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$301.25 |
$1,205 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,052.80 |
$8,211.20 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$314.81 |
$1,259.25 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$3,506.47 |
$14,025.86 |
14.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,848.25 |
$7,393 |
1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$1,997.80 |
$7,991.20 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,004.69 |
$4,018.75 |
4.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$330.50 |
$1,322 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$389.06 |
$1,556.25 |
0.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,794.19 |
$7,176.75 |
1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,176.11 |
$4,704.42 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$254.31 |
$1,017.25 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$182.81 |
$731.25 |
0.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$910.81 |
$3,643.25 |
1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$109.38 |
$437.50 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,328.92 |
$9,315.67 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$368.06 |
$1,472.25 |
1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,620.75 |
$6,483 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$301.25 |
$1,205 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$301.25 |
$1,205 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$299.81 |
$1,199.25 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,246.99 |
$8,987.95 |
1.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$301.25 |
$1,205 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,627.31 |
$6,509.25 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$301.25 |
$1,205 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$256.94 |
$1,027.75 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$301.25 |
$1,205 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,848.25 |
$7,393 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$377.81 |
$1,511.25 |
1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,976.69 |
$7,906.75 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$305.31 |
$1,221.25 |
1.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$296.56 |
$1,186.25 |
1.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$488.44 |
$1,953.75 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$238.13 |
$952.50 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$338.25 |
$1,353 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$251.31 |
$1,005.25 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,848.25 |
$7,393 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$284.19 |
$1,136.75 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$154.23 |
$616.91 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,817.78 |
$7,271.10 |
7.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,544.38 |
$6,177.50 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$395.69 |
$1,582.75 |
1.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,902.38 |
$7,609.50 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,339.31 |
$9,357.25 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$149 |
$596 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,004.69 |
$4,018.75 |
0.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$488.19 |
$1,952.75 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$554.94 |
$2,219.75 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,004.69 |
$4,018.75 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$111.06 |
$444.25 |
0.8× |
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines |
$7.38–$8.69 |
$29.50–$34.75 |
varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,290.83 |
$5,163.33 |
1.1× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,295.65 |
$5,182.61 |
1.1× |
| Colonoscopy thru stoma (44388) |
$921.38 |
$3,685.51 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,295.65 |
$5,182.61 |
1.1× |
| Colonoscopy w/ablation (45388) |
$945.90 |
$3,783.59 |
0.8× |
| Colonoscopy w/submucosal inj (45381) |
$3,145.50 |
$12,581.99 |
2.6× |
| Colpopexy extraperitoneal (57282) |
$9,761.53 |
$39,046.12 |
1.3× |
| Colporrhaphy (57200) |
$3,486.22 |
$13,944.86 |
1.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,599.31 |
$10,397.25 |
0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$2,597.14 |
$10,388.57 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,407.23 |
$5,628.91 |
1.2× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,219.01 |
$4,876.05 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,651.82 |
$6,607.26 |
1.4× |
| Combined anteroposterior colporrhaphy; (57260) |
$7,215.56 |
$28,862.25 |
1.4× |
| Complex drainage wound (10180) |
$5,352.17 |
$21,408.67 |
1.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$2,452.31 |
$9,809.23 |
0.8× |
| Conization of cervix (57520) |
$3,859.85 |
$15,439.40 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$182.81 |
$731.25 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$1,610.68 |
$6,442.70 |
12.1× |
| Control oropharyngeal hemorrhage simple (42960) |
$1,651.81 |
$6,607.25 |
3.1× |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 5 matching MRF lines |
$578.25–$1,961.56 |
$2,313–$7,846.25 |
varies |
| Correction hammertoe (28285) |
$3,059.80 |
$12,239.18 |
0.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,563.75 |
$10,254.99 |
0.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,148.92 |
$12,595.69 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,915.36 |
$15,661.45 |
1.2× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$6,879.32 |
$27,517.27 |
1.2× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$12,280.64 |
$49,122.54 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$182.81 |
$731.25 |
1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$236.88 |
$947.50 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,110.86 |
$12,443.44 |
1.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,333.47 |
$9,333.87 |
1.1× |
| Cysto w/destruction of lesions (52214) |
$2,873.41 |
$11,493.65 |
0.8× |
| Cysto w/insert ureteral stent (52332) |
$5,079.15 |
$20,316.59 |
1.4× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,080.55 |
$8,322.19 |
0.6× |
| Cysto w/removal of lesions small (52224) |
$3,421.27 |
$13,685.08 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,020.35 |
$12,081.40 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,869.52 |
$7,478.09 |
0.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,977.27 |
$19,909.09 |
1.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$5,596.56 |
$22,386.23 |
1.6× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,057.47 |
$16,229.89 |
1.1× |
| Cysto/uretero w/lithotripsy (52356) |
$5,694.36 |
$22,777.44 |
1.1× |
| Cysto/uretero w/up stricture (52345) |
$5,424.43 |
$21,697.73 |
1.5× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,359.90 |
$13,439.60 |
1.6× |
| Cystourethroscopy (52000) |
$1,925.70 |
$7,702.79 |
2.8× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$2,417.51 |
$9,670.02 |
0.7× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,127.65 |
$8,510.58 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,606.56 |
$14,426.25 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$3,735.40 |
$14,941.59 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,046.93 |
$8,187.70 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,959.79 |
$11,839.17 |
1.4× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,233.98 |
$8,935.91 |
1.1× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,316.50 |
$9,266.01 |
1.1× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$1,964.31 |
$7,857.25 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,841.06 |
$7,364.25 |
4.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,226.91 |
$8,907.62 |
0.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,425.06 |
$9,700.24 |
3.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,136.86 |
$8,547.44 |
2.9× |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$73.81–$79.06 |
$295.25–$316.25 |
varies |
| Debride nail 6 or more (11721) |
$56.69 |
$226.75 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,318.80 |
$9,275.21 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$3,472.16 |
$13,888.62 |
8.5× |
| Declot vascular device (36593) |
$261.88 |
$1,047.50 |
0.8× |
| Delivery of placenta (59414) |
$2,600.31 |
$10,401.25 |
0.8× |
| Destruct B9 Lesion 1-14 (17110) |
$1,412.43 |
$5,649.71 |
7.0× |
| Destruction Lesions Vulva Simple (56501) |
$2,598.02 |
$10,392.06 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,128.56 |
$4,514.22 |
1.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,371.64 |
$9,486.54 |
0.7× |
| Drain Cerebro Spinal Fluid (62272) |
$525.06 |
$2,100.25 |
0.7× |
| Drain Hand Tendon Sheath (26020) |
$3,304.85 |
$13,219.40 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,686.13 |
$10,744.52 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$2,089.84 |
$8,359.35 |
2.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,219.69 |
$4,878.75 |
0.7× |
| Drainage of finger abscess simple (26010) |
$228.19 |
$912.75 |
1.1× |
| Drainage of gum lesion (41800) |
$185.13 |
$740.50 |
1.4× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$929.25–$1,997.44 |
$3,717–$7,989.75 |
varies |
| Drainage of scrotal wall abscess (55100) |
$1,219.69 |
$4,878.75 |
0.7× |
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines |
$31.88–$111.06 |
$127.50–$444.25 |
varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$228.19 |
$912.75 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$2,416.06 |
$9,664.25 |
12.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$156.88–$205.88 |
$627.50–$823.50 |
varies |
| Dstrj Lesion Anus Extensive (46924) |
$3,838.92 |
$15,355.67 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$3,802.67 |
$15,210.66 |
1.4× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,939.50 |
$11,758 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,727.28 |
$6,909.13 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,264.77 |
$5,059.09 |
0.7× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,787.58 |
$15,150.33 |
2.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,405.08 |
$5,620.30 |
0.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,902.88 |
$11,611.53 |
1.5× |
| Egd cautery tumor polyp (43250) |
$2,435.30 |
$9,741.18 |
1.3× |
| Egd control bleeding any (43255) |
$2,286.39 |
$9,145.55 |
1.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,381.10 |
$5,524.38 |
0.7× |
| Egd Flexible Foreign Body Removal (43247) |
$3,285.08 |
$13,140.33 |
3.6× |
| Egd guide wire insertion (43248) |
$596.06 |
$2,384.25 |
0.7× |
| Egd lesion ablation (43270) |
$2,113.59 |
$8,454.37 |
1.1× |
| Egd place gastrostomy tube (43246) |
$2,379.97 |
$9,519.89 |
1.2× |
| Egd remove lesion snare (43251) |
$1,913.46 |
$7,653.82 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,365.11 |
$17,460.43 |
0.9× |
| Endoscopic injection/implant (51715) |
$5,056.74 |
$20,226.95 |
1.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$1,247.13 |
$4,988.50 |
0.4× |
| Epidural Blood Patch (62273) |
$163.44 |
$653.75 |
0.2× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$2,628.01 |
$10,512.02 |
1.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$727.01 |
$2,908.03 |
0.8× |
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines |
$56.31–$70.31 |
$225.25–$281.25 |
varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,199.60 |
$8,798.39 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$4,050.95 |
$16,203.81 |
5.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,499.50 |
$13,997.99 |
2.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,109.15 |
$12,436.60 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$2,815.90 |
$11,263.59 |
4.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$2,302.24 |
$9,208.96 |
3.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$3,478.41 |
$13,913.62 |
2.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,463.80 |
$9,855.20 |
3.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$2,885.74 |
$11,542.95 |
4.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,033.03 |
$8,132.10 |
2.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,466.06 |
$13,864.24 |
2.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,966.69 |
$7,866.76 |
1.2× |
| Exc ganglion wrist recurrent (25112) |
$1,624.82 |
$6,499.27 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,447.01 |
$9,788.02 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,493.82 |
$9,975.26 |
3.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,428.33 |
$9,713.33 |
1.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,189.32 |
$8,757.26 |
1.3× |
| Exc hand tum deep < 1.5 cm (26116) |
$2,200.69 |
$8,802.75 |
1.3× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$3,317.19 |
$13,268.75 |
1.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$2,960.08 |
$11,840.30 |
1.1× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$3,496.26 |
$13,985.03 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,335.81 |
$9,343.23 |
3.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,341.44 |
$13,365.77 |
2.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,259.69 |
$13,038.77 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,352.34 |
$9,409.37 |
1.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$3,136.93 |
$12,547.70 |
1.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,398.10 |
$13,592.39 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,423.43 |
$13,693.70 |
2.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,901.73 |
$11,606.90 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$2,384.69 |
$9,538.75 |
5.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$2,080.85 |
$8,323.38 |
2.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,836.05 |
$11,344.19 |
1.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,504.62 |
$10,018.47 |
0.9× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,702.02 |
$10,808.08 |
0.9× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$2,097.14 |
$8,388.56 |
1.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,813.07 |
$11,252.29 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,232.17 |
$16,928.67 |
2.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,559.10 |
$10,236.38 |
1.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,105.88 |
$12,423.52 |
1.1× |
| Exc urethral diverticulum spx female (53230) |
$6,930.82 |
$27,723.27 |
1.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,118.43 |
$4,473.71 |
1.6× |
| Excision External Ear Partial Simple Repair (69110) |
$2,348.13 |
$9,392.50 |
0.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,806.65 |
$7,226.60 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$2,709.49 |
$10,837.94 |
3.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$3,235.71 |
$12,942.82 |
7.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$3,813.69 |
$15,254.77 |
5.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,580.60 |
$10,322.40 |
3.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,554.02 |
$14,216.08 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$3,645.59 |
$14,582.37 |
5.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$3,760.76 |
$15,043.03 |
5.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,927.04 |
$11,708.15 |
1.1× |
| Excision of bartholin's gland or cyst (56740) |
$2,283.99 |
$9,135.97 |
0.7× |
| Excision of extraparenchymal lesion of testis (54512) |
$3,543.80 |
$14,175.20 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,093.67 |
$8,374.68 |
1.3× |
| Excision of local lesion of epididymis (54830) |
$3,172.47 |
$12,689.88 |
0.9× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$5,576.38 |
$22,305.53 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,064.30 |
$12,257.18 |
1.1× |
| Excision of single external papilla or tag, anus (46220) |
$2,611.65 |
$10,446.59 |
2.2× |
| Excision of submandibular (submaxillary) gland (42440) |
$4,321.59 |
$17,286.34 |
0.7× |
| Excision of tonsil tags (42860) |
$1,970.53 |
$7,882.10 |
0.6× |
| Excision of vaginal cyst or tumor (57135) |
$2,629.84 |
$10,519.36 |
0.8× |
| Excision olecranon bursa (24105) |
$3,451.96 |
$13,807.85 |
1.1× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,377.32 |
$9,509.28 |
0.8× |
| Excision prepatellar bursa (27340) |
$2,397.90 |
$9,591.60 |
0.7× |
| Excision spermatocele w/wo epididymectomy (54840) |
$1,925.13 |
$7,700.50 |
0.9× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$4,133.20 |
$16,532.80 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,979.66 |
$11,918.65 |
1.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$219.50 |
$878 |
0.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,877.45 |
$11,509.79 |
1.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,859.20 |
$11,436.80 |
1.0× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$2,222.86 |
$8,891.43 |
1.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,534.12 |
$10,136.47 |
0.8× |
| Excision/destruction lesion pharynx any method (42808) |
$2,718.30 |
$10,873.21 |
0.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,982.25 |
$7,929 |
1.0× |
| Exploration of knee joint (27310) |
$2,419.27 |
$9,677.09 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$2,277.70 |
$9,110.79 |
1.4× |
| Fasciectomy Palm Only (26121) |
$2,614.97 |
$10,459.88 |
0.8× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$2,393.37 |
$9,573.47 |
0.7× |
| Fasciotomy palmar open partial (26045) |
$2,727.61 |
$10,910.45 |
0.8× |
| Fasciotomy, foot and/or toe (28008) |
$1,991.30 |
$7,965.20 |
0.6× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,376.79 |
$9,507.16 |
0.7× |
| Fetal non-stress test (59025) |
$184.56 |
$738.25 |
0.9× |
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 3 matching MRF lines |
$578.25–$812 |
$2,313–$3,248 |
varies |
| Fine needle aspiration without imaging guidance (10021) |
$239.31 |
$957.25 |
0.6× |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
$601.44–$812 |
$2,405.75–$3,248 |
varies |
| Foreskin manipulation (54450) |
$1,528.06 |
$6,112.25 |
6.1× |
| Fuse hand bones with graft (25825) |
$6,203.47 |
$24,813.89 |
0.9× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$2,755.88 |
$11,023.50 |
1.4× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$3,864.53 |
$15,458.12 |
0.7× |
Guide Cathet Fluid Drainage (10030)
range across 3 matching MRF lines |
$248.75–$918.44 |
$995–$3,673.75 |
varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,037.42 |
$16,149.67 |
1.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,758.17 |
$15,032.69 |
1.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$2,382.41 |
$9,529.65 |
2.6× |
| Hereditary breast cancerûrelated disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary… (0129U) |
$1,042 |
$4,168 |
0.8× |
| Hysteroscopy Biopsy (58558) |
$3,842.22 |
$15,368.89 |
1.2× |
| Hysteroscopy Dx Sep Proc (58555) |
$2,251.31 |
$9,005.24 |
0.7× |
| Hysteroscopy Endometrial Ablation (58563) |
$3,379.42 |
$13,517.67 |
0.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,391.98 |
$9,567.91 |
0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,263.24 |
$17,052.95 |
0.9× |
| I&d abscess peritonsillar (42700) |
$2,450.31 |
$9,801.22 |
10.3× |
| I&d abscess simple (10060) |
$3,782.64 |
$15,130.54 |
18.8× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,941.75 |
$7,767 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,311.55 |
$9,246.19 |
0.8× |
| I&d perianal abscess superficial (46050) |
$2,359.41 |
$9,437.62 |
2.5× |
| I&d pilonidal cyst complicated (10081) |
$231.44 |
$925.75 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$228.19 |
$912.75 |
0.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$676 |
$2,704 |
0.7× |
| Image Cath Fluid Peri/Retro (49406) |
$2,027.25 |
$8,109 |
1.2× |
| Incise external hemorrhoid (46083) |
$301.19 |
$1,204.75 |
1.2× |
| Incise finger tendon sheath (26055) |
$1,959.73 |
$7,838.90 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,176.21 |
$8,704.83 |
5.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,653.06 |
$6,612.25 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,865.50 |
$7,462 |
4.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$184.56 |
$738.25 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$318.63 |
$1,274.50 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,938.96 |
$7,755.83 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,110.62 |
$8,442.46 |
1.4× |
| Incision of rectal abscess (46040) |
$2,049.56 |
$8,198.25 |
1.7× |
| Incision of urethra (53020) |
$1,844.17 |
$7,376.68 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$2,660.63 |
$10,642.50 |
3.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$138.81 |
$555.25 |
0.7× |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
$177.94–$371.19 |
$711.75–$1,484.75 |
varies |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$296.63 |
$1,186.50 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$525.06 |
$2,100.25 |
0.7× |
| Inner ear surgery proc unlisted (69949) |
$2,294.91 |
$9,179.63 |
9.7× |
| Ins endovas vena cava filtr (37191) |
$4,079.80 |
$16,319.18 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$2,174.71 |
$8,698.84 |
16.9× |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
$1,885–$1,960.44 |
$7,540–$7,841.75 |
varies |
| Insert non-tunnel cv cath (36556) |
$3,801.83 |
$15,207.32 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$185.69 |
$742.75 |
1.4× |
| Insert tunneled cv cath (36561) |
$2,798.48 |
$11,193.92 |
0.9× |
| Insert tunneled cv cath (36563) |
$4,648.44 |
$18,593.74 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$185.69 |
$742.75 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,801.17 |
$11,204.66 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$897.13 |
$3,588.50 |
0.6× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,306.39 |
$13,225.55 |
0.9× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$2,849.18 |
$11,396.73 |
0.5× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$2,321.55 |
$9,286.18 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,978.27 |
$11,913.09 |
0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,090.22 |
$4,360.88 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,197.65 |
$12,790.58 |
1.0× |
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure |
$6,945.63 |
$27,782.53 |
0.2× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
unusually low: confirm this is the full procedure |
$15,298.11 |
$61,192.45 |
0.5× |
| Intranasal Biopsy (30100) |
$2,390.22 |
$9,560.86 |
1.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,668.67 |
$10,674.69 |
0.8× |
| Intro cath dialysis circuit (36901) |
$2,829.24 |
$11,316.97 |
1.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$8,601.84 |
$34,407.34 |
0.7× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$7,333.41 |
$29,333.63 |
1.3× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$179.88–$224.94 |
$719.50–$899.75 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$301.19 |
$1,204.75 |
1.2× |
| Lap insert tunnel ip cath (49324) |
$4,755.31 |
$19,021.24 |
0.8× |
| Lap paraesophag hern repair (43281) |
$11,292.83 |
$45,171.31 |
1.1× |
| Laparo-vag hyst incl t/o (58552) |
$6,346.29 |
$25,385.17 |
0.6× |
| Laparoscopy fulguration oviducts (58670) |
$3,034.41 |
$12,137.64 |
0.5× |
| Laparoscopy salpingostomy (58673) |
$5,707.39 |
$22,829.55 |
0.5× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$4,579.20 |
$18,316.78 |
0.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$7,840.07 |
$31,360.29 |
0.7× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$6,908.75 |
$27,635 |
0.6× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$3,869.32 |
$15,477.29 |
0.6× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,736.51 |
$26,946.05 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$6,685.73 |
$26,742.92 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,242.15 |
$24,968.60 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$7,759.53 |
$31,038.11 |
0.7× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$7,658.64 |
$30,634.56 |
0.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,136.91 |
$24,547.63 |
1.0× |
| Laparoscopy, Tubal Block (58671) |
$4,069.24 |
$16,276.95 |
0.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,069.38 |
$16,277.53 |
0.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,618.50 |
$22,473.98 |
0.9× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$2,747.26 |
$10,989.05 |
0.7× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$2,761.68 |
$11,046.70 |
0.7× |
| Laryngoscopy W/Biopsy (31535) |
$4,410.92 |
$17,643.69 |
1.2× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$3,067.76 |
$12,271.05 |
0.8× |
| Larynscop w/tumr exc + scope (31541) |
$3,232.63 |
$12,930.51 |
0.9× |
| Laser vaporization of prostate (52648) |
$8,354.60 |
$33,418.40 |
1.6× |
| Late closure of wound (13160) |
$1,304.50 |
$5,218 |
0.4× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$6,758.97 |
$27,035.87 |
0.9× |
| Ligamentous reconstruction knee intra-articular (27428) |
$9,139.84 |
$36,559.34 |
0.7× |
| Ligation of a-v fistula (37607) |
$4,162.07 |
$16,648.27 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$3,917.25 |
$15,669 |
2.4× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$4,003.99 |
$16,015.97 |
1.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,088.33 |
$12,353.31 |
0.9× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,306.92 |
$17,227.67 |
1.2× |
| Low Back Disk Surgery (63030) |
$6,776.46 |
$27,105.83 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,925.13 |
$7,700.50 |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$1,576.92 |
$6,307.67 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,023.38 |
$8,093.52 |
1.3× |
| Mast mod rad (19307) |
$5,545.17 |
$22,180.67 |
0.8× |
| Mastectomy for gynecomastia (19300) |
$3,107.93 |
$12,431.70 |
0.8× |
| Mastectomy partial (19301) |
$7,157.82 |
$28,631.27 |
1.8× |
| Mastectomy simple complete (19303) |
$6,616.35 |
$26,465.41 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$86.25 |
$345 |
0.1× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$4,685.87 |
$18,743.46 |
0.8× |
| Mediastinoscpy w/lmph nod bx (39402) |
$4,848.59 |
$19,394.37 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,055.94 |
$4,223.75 |
1.3× |
| Myelography Lumbar Injection (62304) |
$1,055.94 |
$4,223.75 |
1.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,055.94 |
$4,223.75 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,055.94 |
$4,223.75 |
1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$267.25 |
$1,069 |
0.6× |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
unusually low: confirm this is the full procedure |
$2,858.51 |
$11,434.04 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$3,080.10 |
$12,320.38 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,679.24 |
$10,716.97 |
1.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$5,196.49 |
$20,785.96 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$5,506.70 |
$22,026.80 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$5,995.45 |
$23,981.79 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$4,841.94 |
$19,367.74 |
0.7× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$8,167.39 |
$32,669.55 |
1.2× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$5,028.50 |
$20,113.98 |
0.7× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$6,456.88 |
$25,827.53 |
0.9× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$4,823.89 |
$19,295.57 |
0.7× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$2,140.12 |
$8,560.49 |
2.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,676.15 |
$10,704.59 |
1.7× |
| Needle Biopsy Lymph Nodes (38505) |
$2,008.40 |
$8,033.60 |
1.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,090.99 |
$8,363.95 |
1.1× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$421.25 |
$1,685 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$281.25 |
$1,125 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$296.63 |
$1,186.50 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$72 |
$288 |
0.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$4,329.18 |
$17,316.70 |
0.6× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$5,356.97 |
$21,427.89 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,738.58 |
$10,954.31 |
0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,128.30 |
$28,513.20 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,616.84 |
$26,467.34 |
0.9× |
| Open treatment metatarsal fracture each (28485) |
$4,624.98 |
$18,499.92 |
0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,311.92 |
$33,247.66 |
1.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$2,596.45 |
$10,385.80 |
0.8× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$7,580.91 |
$30,323.65 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,115.35 |
$48,461.39 |
0.9× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,778.34 |
$7,113.35 |
0.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$5,149.81 |
$20,599.25 |
0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$6,523.02 |
$26,092.08 |
0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,259.25 |
$13,037 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$6,966.33 |
$27,865.31 |
1.0× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$21,197.62 |
$84,790.46 |
1.6× |
| Open tx interphalangeal joint dislocation (26785) |
$3,333.63 |
$13,334.50 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,605.78 |
$10,423.12 |
0.8× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$6,333.55 |
$25,334.18 |
1.9× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$8,145.42 |
$32,581.69 |
1.1× |
| Open tx ulnar fx proximal end (24685) |
$5,500.62 |
$22,002.49 |
0.8× |
| Open/Perq Place Stent Same (37238) |
$7,803.59 |
$31,214.37 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,772.96 |
$27,091.83 |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,730.68 |
$30,922.70 |
1.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$14,542.11 |
$58,168.42 |
1.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,333.29 |
$17,333.16 |
1.2× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$4,324.97 |
$17,299.86 |
1.2× |
| Osteochondral knee autograft (27416) |
$4,940.88 |
$19,763.52 |
0.7× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$4,427.79 |
$17,711.15 |
0.9× |
| Palatopharyngoplasty (42145) |
$4,105.45 |
$16,421.80 |
0.7× |
| Partial removal of thyroid (60220) |
$4,840.55 |
$19,362.18 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,295.47 |
$9,181.87 |
0.7× |
| Pelvic examination under anesthesia (other than local) (57410) |
$1,377.20 |
$5,508.78 |
0.4× |
| Pericardiocentesis W/Imaging (33016) |
$2,038.88 |
$8,155.50 |
1.3× |
| Perq dev breast 1st us imag (19285) |
$844.50 |
$3,378 |
1.2× |
Perq device breast 1st imag (19281)
range across 3 matching MRF lines |
$183.44–$477.25 |
$733.75–$1,909 |
varies |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$7,820.47 |
$31,281.86 |
0.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,359.11 |
$13,436.44 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$8,047 |
$32,187.98 |
0.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,914.13 |
$19,656.50 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,721.48 |
$26,885.90 |
0.9× |
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure |
$3,100.08 |
$12,400.30 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$185.69 |
$742.75 |
0.4× |
| Placement of seton (46020) |
$2,960 |
$11,840 |
1.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,797.25 |
$7,189 |
0.9× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$5,245.44 |
$20,981.75 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$619.76 |
$2,479.05 |
0.7× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$810.70 |
$3,242.78 |
0.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,400.24 |
$9,600.96 |
0.7× |
| Prq skel fixj metar fx w/manj (28476) |
$5,019.36 |
$20,077.45 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$3,286.71 |
$13,146.82 |
8.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$228.19 |
$912.75 |
0.6× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$4,105.45 |
$16,421.80 |
0.7× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$4,183.96 |
$16,735.82 |
1.3× |
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure |
$3,056.25 |
$12,225 |
0.4× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$5,124.80 |
$20,499.20 |
1.5× |
| Removal foreign body foot deep (28192) |
$2,486.81 |
$9,947.25 |
1.5× |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
$106.63–$887 |
$426.50–$3,548 |
varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,121.02 |
$8,484.06 |
1.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,240.19 |
$8,960.75 |
0.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,514.70 |
$6,058.80 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$77.94 |
$311.75 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$1,503.64 |
$6,014.55 |
25.4× |
| Removal Implant Deep (20680) |
$2,379.34 |
$9,517.35 |
0.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$788.59 |
$3,154.37 |
0.5× |
| Removal implantable contraceptive capsules (11976) |
$1,802.20 |
$7,208.81 |
2.5× |
| Removal of adenoids (42830) |
$2,294 |
$9,176.01 |
0.7× |
| Removal of foreign body from pharynx (42809) |
$352.38 |
$1,409.50 |
0.8× |
| Removal of implant from finger or hand (26320) |
$5,027.56 |
$20,110.25 |
3.0× |
| Removal of mammary implant material (19330) |
$3,014.20 |
$12,056.79 |
0.8× |
| Removal of nail bed (11750) |
$2,047.92 |
$8,191.66 |
5.0× |
| Removal of sesamoid bone (28315) |
$3,565.19 |
$14,260.75 |
1.1× |
| Removal of tendon for graft (20924) |
$3,857.97 |
$15,431.88 |
0.5× |
| Removal of thyroid (60271) |
$6,075.98 |
$24,303.92 |
1.0× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$992.51 |
$3,970.05 |
0.2× |
| Removal of tonsils (42826) |
$2,495.44 |
$9,981.76 |
0.8× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,935.73 |
$11,742.93 |
0.9× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,599.19 |
$10,396.74 |
1.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$180.13 |
$720.50 |
0.6× |
| Remove foreign body from eye (65205) |
$142.19 |
$568.75 |
1.1× |
| Remove Intrauterine Device (58301) |
$1,635.46 |
$6,541.85 |
5.4× |
| Remove Lower Leg Bone Lesion (27635) |
$3,138.24 |
$12,552.97 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$192.56 |
$770.25 |
1.4× |
| Remove prostate regrowth (52630) |
$2,904.74 |
$11,618.96 |
0.5× |
| Remove Tendon Sheath Lesion (26160) |
$2,162.61 |
$8,650.44 |
1.3× |
| Remove wrist joint cartilage (25107) |
$11,391.80 |
$45,567.20 |
3.5× |
| Remove/replace penis prosth (54410) |
$23,733.96 |
$94,935.83 |
1.1× |
Renal Biopsy Perq (50200)
range across 2 matching MRF lines |
$1,482.69–$1,542 |
$5,930.75–$6,168 |
varies |
| Repair Achilles Tendon (27650) |
$4,350.86 |
$17,403.43 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,522.75 |
$14,091 |
1.1× |
| Repair blood vessel lesion (35236) |
$9,331.59 |
$37,326.35 |
1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$2,471.45 |
$9,885.78 |
3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$2,175.75 |
$8,703 |
5.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,610.58 |
$10,442.33 |
6.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$744.19 |
$2,976.75 |
1.8× |
| Repair Elbow Perc (24357) |
$3,665 |
$14,660 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,466.02 |
$9,864.06 |
1.5× |
| Repair Fistula Oromaxillary (30580) |
$3,909.75 |
$15,639 |
0.7× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$2,355.27 |
$9,421.06 |
0.7× |
| Repair Hallux Rigidus (28289) |
$1,734.65 |
$6,938.58 |
0.5× |
| Repair Hand Joint (26540) |
$4,182.60 |
$16,730.39 |
1.3× |
| Repair humerus with graft (24435) |
$21,062.04 |
$84,248.17 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,651.47 |
$18,605.87 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$491.06 |
$1,964.25 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$491.06 |
$1,964.25 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$491.06 |
$1,964.25 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$491.06 |
$1,964.25 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$491.06 |
$1,964.25 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$491.06 |
$1,964.25 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$744.19 |
$2,976.75 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$491.06 |
$1,964.25 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$3,221.06 |
$12,884.23 |
7.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$3,535.18 |
$14,140.72 |
8.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$491.06 |
$1,964.25 |
1.2× |
| Repair of biceps tendon (24340) |
$5,084.34 |
$20,337.34 |
0.7× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,514.14 |
$26,056.55 |
0.9× |
| Repair of hydrocele (55060) |
$2,705.87 |
$10,823.49 |
0.8× |
| Repair of nail bed (11760) |
$2,420.99 |
$9,683.95 |
3.3× |
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure |
$3,297.45 |
$13,189.80 |
0.5× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,553.81 |
$18,215.24 |
0.7× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure |
$3,260.55 |
$13,042.20 |
0.4× |
| Repair tongue laceration (41250) |
$249.69 |
$998.75 |
0.6× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$9,166.43 |
$36,665.73 |
1.3× |
| Repair/graft achilles tendon (27652) |
$8,213.09 |
$32,852.34 |
1.1× |
| Repair/Revise Wrist Joint (25320) |
$4,348.93 |
$17,395.70 |
0.6× |
| Replace g/c tube perc (49450) |
$671.94 |
$2,687.75 |
0.7× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,942.55 |
$11,770.20 |
0.9× |
| Rerepair ing hernia reduce (49520) |
$3,981.96 |
$15,927.84 |
1.1× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,145.07 |
$12,580.27 |
0.9× |
| Revise finger joint each (26140) |
$2,251.88 |
$9,007.53 |
1.4× |
| Revise/Implant Finger Joint (26536) |
$4,932.82 |
$19,731.26 |
0.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,145.07 |
$12,580.27 |
0.9× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,577.33 |
$6,309.33 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$142.19 |
$568.75 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$142.19 |
$568.75 |
1.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,889.69 |
$7,558.76 |
1.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,431.75 |
$13,727 |
1.2× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$2,693.36 |
$10,773.44 |
1.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,100.88 |
$4,403.50 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,169.31 |
$4,677.24 |
0.7× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
$687.50–$914.50 |
$2,750–$3,658 |
varies |
| Rplc Gtube No Revj Trc (43762) |
$377.88 |
$1,511.50 |
1.5× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,256.95 |
$13,027.81 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$914.50 |
$3,658 |
0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,574.14 |
$10,296.55 |
0.8× |
| Rpr blood vessel direct lower extremity (35226) |
$1,394.06 |
$5,576.25 |
2.0× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$6,187.01 |
$24,748.02 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$205.88 |
$823.50 |
1.0× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$3,192.96 |
$12,771.82 |
0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$630.50 |
$2,522 |
1.2× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,905.56 |
$15,622.23 |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,303.18 |
$13,212.72 |
1.0× |
| Scrotal exploration (55110) |
$3,371.30 |
$13,485.19 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$2,688.56 |
$10,754.25 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,533.81 |
$10,135.22 |
2.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$156.88 |
$627.50 |
0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,062.89 |
$8,251.56 |
1.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,455.01 |
$9,820.04 |
2.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$216.63 |
$866.50 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$254.94 |
$1,019.75 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$254.94 |
$1,019.75 |
1.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$509.31 |
$2,037.25 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$254.94 |
$1,019.75 |
1.3× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$109–$254.94 |
$436–$1,019.75 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$245.31 |
$981.25 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$138.81 |
$555.25 |
0.7× |
| Skin Full Grft Face/Genit/Hf (15240) |
$3,846.96 |
$15,387.85 |
1.9× |
| Skin sub graft face/nk/hf/g (15275) |
$2,280.50 |
$9,122 |
3.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,280.50 |
$9,122 |
3.1× |
| Skin sub grft t/arm/lg child (15273) |
$2,563.69 |
$10,254.75 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$2,280.50 |
$9,122 |
1.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$8,721.27 |
$34,885.07 |
1.7× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
$138.81–$254.94 |
$555.25–$1,019.75 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$205.88 |
$823.50 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$309.81 |
$1,239.25 |
0.8× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,656.22 |
$10,624.86 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$3,584.18 |
$14,336.70 |
5.1× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$2,007.26 |
$8,029.05 |
0.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$3,281.45 |
$13,125.78 |
1.6× |
| Strapping ankle (29540) |
$44.13 |
$176.50 |
0.3× |
| Strapping elbow or wrist (29260) |
$79.06 |
$316.25 |
1.3× |
| Strapping knee (29530) |
$77.94 |
$311.75 |
0.6× |
| Strapping shoulder (29240) |
$73.81 |
$295.25 |
0.6× |
| Strapping Unna Boot (29580) |
$137.31 |
$549.25 |
0.8× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,968.57 |
$11,874.29 |
0.9× |
| Surg tx anal fistula subq (46270) |
$3,401.31 |
$13,605.25 |
1.2× |
| Suture infrapatellar tendon primary (27380) |
$6,301.71 |
$25,206.85 |
0.9× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,916.98 |
$31,667.92 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$143.06 |
$572.25 |
0.4× |
| Tenodesis long tendon biceps (23430) |
$5,820.25 |
$23,280.99 |
0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,941.75 |
$7,767 |
1.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,455.75 |
$9,823 |
1.5× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,339.31 |
$9,357.25 |
0.7× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$3,665 |
$14,660 |
1.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,941.75 |
$7,767 |
1.2× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$7,420.57 |
$29,682.28 |
1.3× |
Thrmbc/Nfs Dialysis Circuit (36906)
unusually low: confirm this is the full procedure |
$8,398.30 |
$33,593.21 |
0.5× |
| Thrombolytic Therapy Stroke (37195) |
$353.38 |
$1,413.50 |
1.1× |
| Thyroid biopsy (60100) |
$2,207.09 |
$8,828.37 |
3.1× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$4,082.66 |
$16,330.65 |
2.0× |
| Tnot elbow lateral/medial debride open (24358) |
$3,479.94 |
$13,919.77 |
1.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,519.70 |
$14,078.80 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,089.14 |
$8,356.57 |
0.6× |
| Tooth extraction (41899) |
$5,092.88 |
$20,371.51 |
21.5× |
| Total Knee Arthroplasty (27447) |
$16,610.01 |
$66,440.02 |
1.3× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$2,732.16 |
$10,928.65 |
0.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$306.81 |
$1,227.25 |
1.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$910.81 |
$3,643.25 |
0.6× |
| Transplant/graft hand tendon (26483) |
$3,403.09 |
$13,612.36 |
1.0× |
| Transplant/graft palm tendon (26489) |
$3,525.88 |
$14,103.52 |
1.1× |
| Transur electr resection of prostate (52601) |
$5,079.24 |
$20,316.94 |
0.9× |
| Transurethral resection bladder neck (52500) |
$2,568.31 |
$10,273.25 |
0.7× |
| Treat Big Toe Fracture (28505) |
$642.81 |
$2,571.25 |
0.2× |
| Treat ectopic pregnancy (59151) |
$8,108.81 |
$32,435.23 |
1.3× |
| Treat Finger Fracture Each (26727) |
$2,114.89 |
$8,459.57 |
0.6× |
| Treat fracture radius/ulna (25575) |
$4,156.99 |
$16,627.95 |
0.6× |
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure |
$3,209.50 |
$12,838 |
0.4× |
| Treat Humerus Fracture (24505) |
$441.69 |
$1,766.75 |
0.3× |
| Treat knee fracture (27532) |
$1,848.25 |
$7,393 |
0.6× |
| Treat Kneecap Fracture (27524) |
$9,825.53 |
$39,302.11 |
1.4× |
| Treat Knuckle Dislocation (26700) |
$298.31 |
$1,193.25 |
1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$910.31 |
$3,641.25 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$273.44 |
$1,093.75 |
1.1× |
| Treatment of tibia fracture (27756) |
$9,354.33 |
$37,417.33 |
1.3× |
| Trim skin lesion (11055) |
$105.75 |
$423 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$156.88 |
$627.50 |
0.8× |
| Trim skin lesions over 4 (11057) |
$156.88 |
$627.50 |
0.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$56.31 |
$225.25 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,012 |
$12,047.99 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$185.69 |
$742.75 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,020.29 |
$12,081.15 |
0.9× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,369.85 |
$9,479.38 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,972.35 |
$7,889.41 |
2.7× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,716.01 |
$10,864.04 |
1.7× |
| Tympanoplasty (69631) |
$3,384.05 |
$13,536.20 |
0.6× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$3,989.64 |
$15,958.55 |
0.7× |
| Tympanostomy general anesthesia (69436) |
$1,651.94 |
$6,607.76 |
1.1× |
| Unlisted laparoscopic procedure liver (47379) |
$9,412.25 |
$37,649 |
1.6× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$5,903.62 |
$23,614.47 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$180.13 |
$720.50 |
1.1× |
| Unlisted procedure femur or knee (27599) |
$2,405.34 |
$9,621.36 |
9.7× |
| Unlisted Procedure Male Genital System (55899) |
$159.56 |
$638.25 |
0.6× |
| Unlisted procedure nervous system (64999) |
$3,435.65 |
$13,742.61 |
11.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$6,549.11 |
$26,196.44 |
26.5× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$2,671.88 |
$10,687.50 |
11.3× |
| Unlisted Procedure Rectum (45999) |
$623.31 |
$2,493.25 |
0.7× |
| Unlisted px female genital system nonobstetrical (58999) |
$184.56 |
$738.25 |
0.9× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
unusually low: confirm this is the full procedure |
$2,341.88 |
$9,367.51 |
0.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,258.76 |
$21,035.04 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,000 |
$12,000 |
1.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,360.79 |
$5,443.15 |
0.4× |
| Vulvectomy simple partial (56620) |
$2,904.42 |
$11,617.66 |
0.9× |
| Wedge excision skin nail fold (11765) |
$205.88 |
$823.50 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$793 |
$3,172 |
1.9× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,355.88 |
$9,423.50 |
3.2× |