Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines |
$2,070–$4,500 |
$2,300–$5,000 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$6,750 |
$7,500 |
6.0× |
| Abdomen Surgery Procedure (22999) |
$15,300 |
$17,000 |
49.7× |
| Ablate inf turbinate submuc (30802) |
$2,916 |
$3,240 |
1.5× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$12,870 |
$14,300 |
1.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$11,700 |
$13,000 |
0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$15,300 |
$17,000 |
0.7× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$11,700 |
$13,000 |
1.3× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$4,950 |
$5,500 |
2.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$3,510 |
$3,900 |
1.8× |
| Abrasion single lesion (15786) |
$549 |
$610 |
2.2× |
| Acne surgery (10040) |
$405 |
$450 |
1.6× |
| Adding Walker Previously Applied Cast (29440) |
$405 |
$450 |
2.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$3,150 |
$3,500 |
1.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,645 |
$4,050 |
1.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,140 |
$4,600 |
0.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$3,402 |
$3,780 |
1.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,645 |
$4,050 |
1.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$3,600 |
$4,000 |
1.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$4,009.50 |
$4,455 |
1.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$4,050 |
$4,500 |
1.6× |
Allogeneic lymphocyte infusions (38242)
range across 2 matching MRF lines |
$11,610–$18,000 |
$12,900–$20,000 |
varies |
| Amniocentesis diagnostic (59000) |
$2,358 |
$2,620 |
2.1× |
| Amniocentesis therapeutic (59001) |
$2,070 |
$2,300 |
5.4× |
| Amputate Metacarpal Bone (26910) |
$5,229 |
$5,810 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$6,480 |
$7,200 |
1.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$6,489 |
$7,210 |
1.6× |
| Anal/Urinary Muscle Study (51784) |
$900 |
$1,000 |
5.6× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$5,040 |
$5,600 |
1.5× |
| Anoscopy Ablation Lesion (46615) |
$4,950 |
$5,500 |
1.4× |
| Anoscopy Control Bleeding (46614) |
$3,780 |
$4,200 |
2.5× |
| Anoscopy diagnostic (46600) |
$1,260 |
$1,400 |
7.6× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$4,050 |
$4,500 |
2.7× |
| Anoscopy remove lesion (46610) |
$4,050 |
$4,500 |
1.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$3,780 |
$4,200 |
3.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$4,050 |
$4,500 |
2.7× |
| Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments… (22837) |
$14,400 |
$16,000 |
0.7× |
Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments Facility (22836)
unusually low: confirm this is the full procedure |
$10,800 |
$12,000 |
0.5× |
| Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes… (0224U) |
$216 |
$240 |
4.2× |
| Apheresis Platelets (36513) |
$3,942 |
$4,380 |
7.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$486 |
$540 |
2.4× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$607.50 |
$675 |
1.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$450 |
$500 |
2.2× |
| Application cast elbow finger short arm (29075) |
$517.50 |
$575 |
1.5× |
| Application Cast Shoulder Spica (29055) |
$634.50 |
$705 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$513 |
$570 |
7.0× |
| Application finger splint static (29130) |
$513 |
$570 |
3.1× |
| Application Hip Spica Cast 1 Leg (29305) |
$607.50 |
$675 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$517.50 |
$575 |
2.6× |
| Application Long Leg Cast Brace (29358) |
$670.50 |
$745 |
1.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$670.50 |
$745 |
1.9× |
| Application Long Leg Splint (29505) |
$517.50 |
$575 |
2.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$670.50 |
$745 |
1.9× |
| Application of long leg cast (29345) |
$670.50 |
$745 |
1.9× |
| Application of rigid total contact leg cast (29445) |
$756 |
$840 |
2.2× |
| Application Patellar Tendon Bearing Cast (29435) |
$450 |
$500 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$517.50 |
$575 |
3.1× |
| Application short arm splint forearm-hand static (29125) |
$517.50 |
$575 |
3.1× |
| Application short leg splint calf foot (29515) |
$535.50 |
$595 |
2.6× |
| Application, cast; figure-of-eight Facility (29049) |
$450 |
$500 |
1.3× |
| Apply hand/wrist cast (29085) |
$517.50 |
$575 |
2.6× |
| Apply long arm cast (29065) |
$517.50 |
$575 |
1.5× |
| Apply Multlay Comprs Lwr Leg (29581) |
$495 |
$550 |
2.4× |
| Apply Short Leg Cast (29405) |
$522 |
$580 |
1.5× |
| Apply short leg cast (29425) |
$540 |
$600 |
1.5× |
| Apply shoulder cast,plastr velpeau (29058) |
$585 |
$650 |
1.7× |
| Arterial puncture (36600) |
$252 |
$280 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,080 |
$1,200 |
2.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,710 |
$1,900 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,080 |
$1,200 |
2.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,530 |
$1,700 |
4.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$913.50 |
$1,015 |
2.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$9,000 |
$10,000 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$20,700 |
$23,000 |
0.9× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$4,230 |
$4,700 |
1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,794.50 |
$3,105 |
1.4× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$5,850 |
$6,500 |
1.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,916 |
$3,240 |
1.5× |
| Aspirate pleura w/ imaging (32555) |
$1,980 |
$2,200 |
2.5× |
| Aspirate Pleura W/O Imaging (32554) |
$1,710 |
$1,900 |
2.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$810 |
$900 |
2.1× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$1,579.50 |
$1,755 |
1.8× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,800 |
$2,000 |
2.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,780 |
$4,200 |
1.4× |
| Aspiration Bladder Needle (51100) |
$1,093.50 |
$1,215 |
3.5× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,620 |
$1,800 |
1.5× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$2,790 |
$3,100 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$540 |
$600 |
2.2× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$8,640 |
$9,600 |
1.1× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$13,945.50 |
$15,495 |
1.1× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$11,700 |
$13,000 |
0.9× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$8,649 |
$9,610 |
1.1× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$8,100 |
$9,000 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$3,600 |
$4,000 |
1.7× |
| Biopsy bone open superficial (20240) |
$4,252.50 |
$4,725 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$3,510 |
$3,900 |
1.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,330 |
$3,700 |
1.6× |
| Biopsy External Auditory Canal (69105) |
$3,240 |
$3,600 |
1.7× |
Biopsy external ear (69100)
range across 2 matching MRF lines |
$585–$1,080 |
$650–$1,200 |
varies |
| Biopsy muscle percutaneous needle (20206) |
$3,600 |
$4,000 |
1.7× |
| Biopsy nail unit (11755) |
$1,170 |
$1,300 |
1.3× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$3,780 |
$4,200 |
0.9× |
| Biopsy of breast; open, incisional (19101) |
$4,770 |
$5,300 |
1.0× |
| Biopsy of conjunctiva (68100) |
$4,320 |
$4,800 |
1.5× |
| Biopsy of cornea (65410) |
$3,060 |
$3,400 |
1.0× |
| Biopsy of floor of mouth (41108) |
$2,286 |
$2,540 |
1.1× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$1,530 |
$1,700 |
1.4× |
| Biopsy of lacrimal gland (68510) |
$4,374 |
$4,860 |
1.5× |
| Biopsy of lip (40490) |
$495 |
$550 |
1.7× |
| Biopsy of liver, needle; percutaneous (47000) |
$4,050 |
$4,500 |
2.0× |
| Biopsy of palate, uvula (42100) |
$2,340 |
$2,600 |
1.2× |
| Biopsy of penis (54100) |
$3,159 |
$3,510 |
1.5× |
| Biopsy of rectum (45100) |
$4,738.50 |
$5,265 |
1.4× |
| Biopsy of urethra (53200) |
$3,870 |
$4,300 |
1.5× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$4,500 |
$5,000 |
0.9× |
| Biopsy Oropharynx (42800) |
$2,880 |
$3,200 |
1.5× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,916 |
$3,240 |
1.4× |
| Biopsy Salivary Gland Incisional (42405) |
$4,050 |
$4,500 |
2.1× |
| Biopsy Salivary Gland Needle (42400) |
$1,863 |
$2,070 |
2.1× |
| Biopsy soft tissue back/flank deep (21925) |
$1,791 |
$1,990 |
0.9× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$2,250 |
$2,500 |
1.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$2,070 |
$2,300 |
1.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$3,510 |
$3,900 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,794.50 |
$3,105 |
1.4× |
| Biopsy soft tissue neck/thorax (21550) |
$3,037.50 |
$3,375 |
1.5× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$2,673 |
$2,970 |
1.3× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$2,700 |
$3,000 |
1.3× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$2,160 |
$2,400 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,916 |
$3,240 |
1.4× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,340 |
$2,600 |
1.1× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$3,037.50 |
$3,375 |
1.5× |
| Biopsy Testis Needle Separate Procedure (54500) |
$3,780 |
$4,200 |
1.0× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$2,268 |
$2,520 |
3.4× |
| Biopsy Tongue Posterior One-Third (41105) |
$4,981.50 |
$5,535 |
1.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$4,239 |
$4,710 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,822.50 |
$2,025 |
1.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$2,128.50 |
$2,365 |
1.9× |
| Biopsy, vestibule of mouth (40808) |
$1,080 |
$1,200 |
1.6× |
| Biopsy/removal lymph nodes (38510) |
$7,650 |
$8,500 |
1.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$2,700 |
$3,000 |
3.1× |
| Bladder Irrigation (51700) |
$540 |
$600 |
1.7× |
| Bladder Scan (51798) |
$270 |
$300 |
3.7× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$7,893 |
$8,770 |
4.1× |
| Blepharoplasty Lower Eyelid (15820) |
$3,600 |
$4,000 |
1.4× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$4,320 |
$4,800 |
1.7× |
| Blepharoplasty upper eyelid (15822) |
$3,600 |
$4,000 |
1.4× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$5,400 |
$6,000 |
2.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$990 |
$1,100 |
2.5× |
| Blood Transfusion Service (36430) |
$3,645 |
$4,050 |
6.6× |
Blood/Lymph System Procedure (38999)
range across 6 matching MRF lines |
$1,800–$58,500 |
$2,000–$65,000 |
varies |
| Bone Graft Any Donor Area Minor/Small (20900) |
$9,000 |
$10,000 |
1.0× |
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines |
$3,856.50–$6,300 |
$4,285–$7,000 |
varies |
| Bone marrow harvest allogen (38230) |
$4,500 |
$5,000 |
2.3× |
| Bone Marrow; Aspiration Only (38220) |
$3,690 |
$4,100 |
1.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,150 |
$3,500 |
1.4× |
| Bronchoscopy Clear Airways (31645) |
$2,992.50 |
$3,325 |
1.3× |
| Bronchoscopy Dilate W/Stent (31631) |
$7,650 |
$8,500 |
0.9× |
| Bronchoscopy Reclear Airway (31646) |
$2,889 |
$3,210 |
5.9× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,564 |
$3,960 |
1.6× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$3,510 |
$3,900 |
1.0× |
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines |
$4,950–$5,850 |
$5,500–$6,500 |
varies |
| Bx breast 1st lesion strtctc (19081) |
$4,581 |
$5,090 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$4,036.50 |
$4,485 |
2.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,250 |
$2,500 |
1.1× |
| Bx Cervix (57500) |
$1,620 |
$1,800 |
1.4× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$6,480 |
$7,200 |
1.5× |
| Bx/exc lymph node open superficial (38500) |
$6,444 |
$7,160 |
1.3× |
| Canthotomy Separate Procedure (67715) |
$3,888 |
$4,320 |
1.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,680 |
$5,200 |
1.1× |
| Car-t admn autologous (38228) |
$4,500 |
$5,000 |
10.9× |
Catheter aspiration nasotracheal spx (31720)
range across 4 matching MRF lines |
$175.50–$405 |
$195–$450 |
varies |
| Catheterization with bronchial brush biopsy Facility (31717) |
$364.50 |
$405 |
0.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$972 |
$1,080 |
2.6× |
| Cautery Cervix Electro/Thermal (57510) |
$3,780 |
$4,200 |
0.9× |
| Cerclage cervix pregnancy vaginal (59320) |
$4,981.50 |
$5,535 |
1.2× |
| Cessj Therapy Cath Removal (37214) |
$4,230 |
$4,700 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$1,440 |
$1,600 |
1.7× |
| Change Cystostomy Tube Simple (51705) |
$846 |
$940 |
2.7× |
| Change of Windpipe Airway (31502) |
$1,080 |
$1,200 |
3.7× |
| Change ureter stent percut (50382) |
$4,041 |
$4,490 |
1.5× |
| Chemical Cautery Tissue (17250) |
$495 |
$550 |
2.0× |
| Chemical exfoliation for acne (17360) |
$540 |
$600 |
2.2× |
| Chemical peel face dermal (15789) |
$1,854 |
$2,060 |
2.0× |
| Chemical peel nonfacial epidermal (15792) |
$990 |
$1,100 |
1.1× |
| Chemical peel, facial; epidermal (15788) |
$850.50 |
$945 |
1.7× |
| Chemical Pleurodesis (32560) |
$1,701 |
$1,890 |
2.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$2,250 |
$2,500 |
2.6× |
| Chemodenerv 1 extremity 1-4 (64642) |
$2,250 |
$2,500 |
2.6× |
| Chemodenerv Eccrine Glands (64650) |
$2,250 |
$2,500 |
5.9× |
| Chemodenerv Musc Migraine (64615) |
$2,610 |
$2,900 |
6.8× |
| Chemodenerv musc neck dyston (64616) |
$2,430 |
$2,700 |
6.3× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$2,430 |
$2,700 |
6.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$2,070 |
$2,300 |
2.3× |
| Chemodenerv trunk musc 6/> (64647) |
$2,340 |
$2,600 |
2.7× |
| Chemodenervation eccrine glands oth area per day (64653) |
$2,250 |
$2,500 |
5.9× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$1,890 |
$2,100 |
2.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$2,430 |
$2,700 |
6.3× |
| Chest tube placement (32551) |
$2,160 |
$2,400 |
1.1× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$3,690 |
$4,100 |
1.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$6,367.50 |
$7,075 |
1.4× |
| Chorionic Villus Sampling (59015) |
$1,530 |
$1,700 |
1.3× |
| Circumcision 28 days or older (54161) |
$4,770 |
$5,300 |
1.8× |
| Circumcision Neonate (54160) |
$2,070 |
$2,300 |
2.4× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,610 |
$2,900 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,980 |
$2,200 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,794.50 |
$3,105 |
1.4× |
| Clear outer ear canal (69200) |
$540 |
$600 |
3.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$1,111.50 |
$1,235 |
3.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$675 |
$750 |
2.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,115 |
$2,350 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,336.50 |
$1,485 |
4.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$972 |
$1,080 |
3.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$630 |
$700 |
2.0× |
| Closed Treatment Sternum Fracture (21820) |
$607.50 |
$675 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,093.50 |
$1,215 |
3.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,035 |
$1,150 |
3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,322 |
$2,580 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$972 |
$1,080 |
3.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,620 |
$1,800 |
5.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$850.50 |
$945 |
2.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,655 |
$2,950 |
1.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$850.50 |
$945 |
2.8× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$3,690 |
$4,100 |
0.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$972 |
$1,080 |
3.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$3,159 |
$3,510 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,093.50 |
$1,215 |
3.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,520 |
$2,800 |
1.3× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,916 |
$3,240 |
1.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$2,065.50 |
$2,295 |
3.1× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$7,380 |
$8,200 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$850.50 |
$945 |
2.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,610 |
$2,900 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,037.50 |
$3,375 |
1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,050 |
$4,500 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,968 |
$5,520 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$729 |
$810 |
2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$972 |
$1,080 |
3.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$850.50 |
$945 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,524.50 |
$2,805 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$675 |
$750 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,340 |
$2,600 |
1.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$850.50 |
$945 |
2.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,628 |
$2,920 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$850.50 |
$945 |
2.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$729 |
$810 |
2.4× |
| Closed tx septal&nose fx (21337) |
$4,410 |
$4,900 |
1.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$972 |
$1,080 |
3.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$607.50 |
$675 |
2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,037.50 |
$3,375 |
1.5× |
| Closed tx talus fracture w/o manipulation (28430) |
$850.50 |
$945 |
2.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$670.50 |
$745 |
2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$540 |
$600 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,160 |
$2,400 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$918 |
$1,020 |
3.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$850.50 |
$945 |
2.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$657 |
$730 |
2.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,408.50 |
$1,565 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,075.50 |
$1,195 |
3.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$706.50 |
$785 |
2.3× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,722.50 |
$3,025 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$792 |
$880 |
2.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,098 |
$1,220 |
1.6× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$657 |
$730 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,520 |
$2,800 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$990 |
$1,100 |
3.2× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,980 |
$2,200 |
1.0× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$630 |
$700 |
1.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$850.50 |
$945 |
2.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,295 |
$2,550 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,250 |
$2,500 |
1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$850.50 |
$945 |
2.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,160 |
$2,400 |
1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$850.50 |
$945 |
2.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$972 |
$1,080 |
3.2× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,458 |
$1,620 |
4.7× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$3,037.50 |
$3,375 |
1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,458 |
$1,620 |
4.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,093.50 |
$1,215 |
3.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,093.50 |
$1,215 |
3.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$850.50 |
$945 |
2.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,215 |
$1,350 |
3.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,412 |
$2,680 |
1.2× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,736 |
$3,040 |
1.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,916 |
$3,240 |
1.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,035 |
$1,150 |
3.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$972 |
$1,080 |
3.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,916 |
$3,240 |
1.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$693 |
$770 |
2.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$630 |
$700 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$702 |
$780 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$630 |
$700 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,299.50 |
$2,555 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$994.50 |
$1,105 |
3.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$850.50 |
$945 |
2.8× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$1,093.50 |
$1,215 |
3.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,160 |
$2,400 |
1.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,916 |
$3,240 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$972 |
$1,080 |
3.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$850.50 |
$945 |
2.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,610 |
$2,900 |
1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,610 |
$2,900 |
1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$913.50 |
$1,015 |
3.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,209.50 |
$2,455 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$625.50 |
$695 |
2.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,170 |
$1,300 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,134 |
$1,260 |
3.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,493 |
$2,770 |
1.2× |
| Cltx Medial Ankle Fx (27760) |
$972 |
$1,080 |
3.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,093.50 |
$1,215 |
3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$850.50 |
$945 |
2.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,070 |
$2,300 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,250 |
$2,500 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,156.50 |
$1,285 |
3.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$729 |
$810 |
2.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,916 |
$3,240 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,215 |
$1,350 |
3.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,848.50 |
$3,165 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$972 |
$1,080 |
3.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,191.50 |
$2,435 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$607.50 |
$675 |
2.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$688.50 |
$765 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$711 |
$790 |
2.3× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$2,610 |
$2,900 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,443.50 |
$2,715 |
1.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,362.50 |
$2,625 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,695.50 |
$2,995 |
1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$850.50 |
$945 |
2.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,673 |
$2,970 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,170 |
$1,300 |
3.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$607.50 |
$675 |
2.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$850.50 |
$945 |
2.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,093.50 |
$1,215 |
3.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$913.50 |
$1,015 |
3.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,650.50 |
$2,945 |
1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$607.50 |
$675 |
2.0× |
| Coccygectomy, primary (27080) |
$6,300 |
$7,000 |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$364.50 |
$405 |
2.2× |
| Collection of venous blood by venipuncture (36415) |
$63 |
$70 |
6.7× |
| Colporrhaphy (57200) |
$7,533 |
$8,370 |
1.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$1,080 |
$1,200 |
2.8× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$1,080 |
$1,200 |
2.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$1,080 |
$1,200 |
4.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$1,080 |
$1,200 |
2.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$5,103 |
$5,670 |
1.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,780 |
$4,200 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,080 |
$1,200 |
2.8× |
| Colposcopy of vulva (56820) |
$459 |
$510 |
1.8× |
| Colposcopy Vulva W/Biopsy (56821) |
$630 |
$700 |
1.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$2,128.50 |
$2,365 |
1.9× |
| Complex Cystometrogram (51726) |
$2,250 |
$2,500 |
7.2× |
| Complex drainage wound (10180) |
$3,780 |
$4,200 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,981.50 |
$5,535 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$481.50 |
$535 |
2.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$373.50 |
$415 |
2.2× |
| Control oropharyngeal hemorrhage simple (42960) |
$967.50 |
$1,075 |
1.4× |
| Conversion ext bil drg cath (47535) |
$6,300 |
$7,000 |
1.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,991.50 |
$4,435 |
1.7× |
| Convert Nephrostomy Catheter (50434) |
$3,420 |
$3,800 |
1.3× |
| Cordocentesis (59012) |
$2,880 |
$3,200 |
7.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,617 |
$5,130 |
2.2× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$832.50 |
$925 |
1.5× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$4,500 |
$5,000 |
1.0× |
| Correction of lid retraction (67911) |
$4,410 |
$4,900 |
1.5× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$270 |
$300 |
1.6× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$1,620 |
$1,800 |
1.3× |
| Create Eardrum Opening (69433) |
$1,080 |
$1,200 |
1.6× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$13,072.50 |
$14,525 |
1.1× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$405 |
$450 |
5.5× |
| Csf shunt reprogram (62252) |
$900 |
$1,000 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$477 |
$530 |
2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$598.50 |
$665 |
2.0× |
| Curettage postpartum (59160) |
$5,467.50 |
$6,075 |
1.4× |
| Curette/treat cornea (65435) |
$1,917 |
$2,130 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,676.50 |
$4,085 |
1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,960 |
$4,400 |
1.5× |
| Cysto w/complex removal stone & stent (52315) |
$3,960 |
$4,400 |
1.5× |
| Cysto w/destruction of lesions (52214) |
$5,400 |
$6,000 |
1.2× |
| Cysto w/insert ureteral stent (52332) |
$4,770 |
$5,300 |
1.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,500 |
$5,000 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$5,238 |
$5,820 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$5,593.50 |
$6,215 |
1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,960 |
$4,400 |
1.5× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,761 |
$5,290 |
1.1× |
| Cystometrogram W/Up (51727) |
$2,430 |
$2,700 |
2.8× |
| Cystometrogram W/Vp (51728) |
$2,430 |
$2,700 |
2.8× |
| Cystometrogram W/Vp&Up (51729) |
$2,430 |
$2,700 |
2.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,240 |
$3,600 |
1.2× |
| Cystourethroscopy (52000) |
$3,240 |
$3,600 |
3.7× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,600 |
$4,000 |
1.4× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$3,420 |
$3,800 |
3.9× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$5,593.50 |
$6,215 |
1.3× |
| Cystourethroscopy with biopsy (52204) |
$4,153.50 |
$4,615 |
1.6× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$3,168 |
$3,520 |
1.2× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$3,780 |
$4,200 |
1.4× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$4,860 |
$5,400 |
1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,080 |
$1,200 |
2.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,690 |
$4,100 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,701 |
$1,890 |
1.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,822.50 |
$2,025 |
2.1× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$7,650 |
$8,500 |
3.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,458 |
$1,620 |
1.6× |
| Debride nail 1-5 (11720) |
$180 |
$200 |
2.4× |
| Debride nail 6 or more (11721) |
$270 |
$300 |
3.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,916 |
$3,240 |
1.4× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$1,620 |
$1,800 |
2.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$585 |
$650 |
2.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$720 |
$800 |
1.4× |
| Declot vascular device (36593) |
$1,440 |
$1,600 |
3.5× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$3,420 |
$3,800 |
1.3× |
| Delivery of placenta (59414) |
$3,780 |
$4,200 |
0.9× |
| Dermabrasion total face (15780) |
$3,510 |
$3,900 |
1.0× |
| Destr penis lesion(s) (54065) |
$2,610 |
$2,900 |
1.0× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,903.50 |
$2,115 |
1.7× |
| Destroy cerv/thor facet jnt (64633) |
$3,420 |
$3,800 |
1.4× |
| Destroy lumb/sac facet jnt (64635) |
$3,420 |
$3,800 |
1.4× |
| Destruc retinal lesn,photocoag (67210) |
$1,521 |
$1,690 |
2.2× |
| Destruct B9 Lesion 1-14 (17110) |
$540 |
$600 |
2.2× |
| Destruction Benign Lesions 15/> (17111) |
$720 |
$800 |
2.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$4,318.20 |
$4,798 |
3.9× |
| Destruction Lesions Vulva Extensive (56515) |
$3,888 |
$4,320 |
1.5× |
| Destruction Lesions Vulva Simple (56501) |
$2,695.50 |
$2,995 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$630 |
$700 |
2.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$720 |
$800 |
2.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$900 |
$1,000 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$1,219.50 |
$1,355 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$1,440 |
$1,600 |
1.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$720 |
$800 |
2.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$900 |
$1,000 |
3.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$1,080 |
$1,200 |
4.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$1,260 |
$1,400 |
2.5× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$1,440 |
$1,600 |
2.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$508.50 |
$565 |
2.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$540 |
$600 |
2.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$657 |
$730 |
2.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$720 |
$800 |
2.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$900 |
$1,000 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$1,062 |
$1,180 |
2.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$630 |
$700 |
2.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,600 |
$4,000 |
1.5× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$2,160 |
$2,400 |
1.7× |
| Destruction of rectal tumor transanal approach (45190) |
$4,050 |
$4,500 |
1.2× |
| Destruction of skin lesions (17106) |
$900 |
$1,000 |
1.8× |
| Destruction Premalignant Lesion 15/> (17004) |
$810 |
$900 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$630 |
$700 |
2.5× |
| Destruction Vaginal Lesions Extensive (57065) |
$5,589 |
$6,210 |
1.4× |
| Destruction Vaginal Lesions Simple (57061) |
$5,224.50 |
$5,805 |
1.3× |
| Diagnostic anoscopy (46601) |
$1,620 |
$1,800 |
2.9× |
| Diagnostic sigmoidoscopy (45330) |
$3,240 |
$3,600 |
2.8× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$450 |
$500 |
1.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$630 |
$700 |
3.9× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$409.50 |
$455 |
2.5× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$360 |
$400 |
2.2× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
$630 |
$700 |
2.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$6,030 |
$6,700 |
1.4× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,065.50 |
$2,295 |
1.8× |
| Dilate Urethra Stricture (53620) |
$1,620 |
$1,800 |
1.9× |
| Dilate Urethra Stricture (53600) |
$630 |
$700 |
2.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,310 |
$5,900 |
1.3× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$2,610 |
$2,900 |
3.9× |
| Dilation Cervical Canal (57800) |
$4,500 |
$5,000 |
1.1× |
| Dilation Esophagus Guide Wire (43453) |
$3,168 |
$3,520 |
1.3× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$1,170 |
$1,300 |
2.1× |
| Dilation of vagina (57400) |
$3,690 |
$4,100 |
0.9× |
| Dilation Salivary Duct (42650) |
$2,070 |
$2,300 |
1.1× |
| Drain Cerebro Spinal Fluid (62272) |
$3,330 |
$3,700 |
3.8× |
| Drain Hand Tendon Sheath (26020) |
$4,320 |
$4,800 |
1.1× |
| Drain penis lesion (54015) |
$3,420 |
$3,800 |
1.7× |
| Drain Spinal Cord Cyst (62268) |
$1,620 |
$1,800 |
1.5× |
| Drain/inj small joint/bursa w/us (20604) |
$1,278 |
$1,420 |
3.3× |
| Drainage abscess parotid simple (42300) |
$2,916 |
$3,240 |
1.5× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$985.50 |
$1,095 |
1.5× |
| Drainage external auditory canal abscess (69020) |
$1,260 |
$1,400 |
1.4× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,565 |
$2,850 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,260 |
$1,400 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$2,619 |
$2,910 |
1.3× |
| Drainage Mouth Roof Lesion (42000) |
$679.50 |
$755 |
2.3× |
| Drainage of eye (65800) |
$3,465 |
$3,850 |
1.2× |
| Drainage of finger abscess simple (26010) |
$850.50 |
$945 |
3.4× |
| Drainage of gum lesion (41800) |
$607.50 |
$675 |
3.7× |
| Drainage of hematoma/fluid (10140) |
$2,916 |
$3,240 |
1.4× |
Drainage of hydrocele (55000)
range across 2 matching MRF lines |
$1,507.50–$4,050 |
$1,675–$4,500 |
varies |
| Drainage of mouth lesion (41006) |
$1,980 |
$2,200 |
1.0× |
| Drainage of mouth lesion (41017) |
$3,690 |
$4,100 |
0.9× |
| Drainage of nose lesion (30000) |
$531 |
$590 |
1.8× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$4,374 |
$4,860 |
1.7× |
| Drainage of rectal abscess (45005) |
$2,308.50 |
$2,565 |
1.5× |
| Drainage of salivary cyst (42409) |
$3,627 |
$4,030 |
0.9× |
| Drainage of salivary gland (42320) |
$1,980 |
$2,200 |
2.9× |
| Drainage of salivary gland (42305) |
$3,735 |
$4,150 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$2,902.50 |
$3,225 |
1.4× |
| Drainage of scrotum (54700) |
$3,330 |
$3,700 |
1.3× |
| Draw Blood Off Venous Device (36591) |
$364.50 |
$405 |
2.2× |
| Dressing Change Under Anesthesia (15852) |
$990 |
$1,100 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,080 |
$1,200 |
1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,080 |
$1,200 |
1.2× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$1,800 |
$2,000 |
2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$810 |
$900 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$630 |
$700 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$450 |
$500 |
1.8× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,350 |
$1,500 |
1.5× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$5,008.50 |
$5,565 |
1.2× |
| Dstrj Lesion Anus Extensive (46924) |
$4,410 |
$4,900 |
1.3× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$2,250 |
$2,500 |
4.4× |
| Dstrj lesion anus simple cryosurgery (46916) |
$1,093.50 |
$1,215 |
4.4× |
| Dstrj lesion anus simple surg excision (46922) |
$3,960 |
$4,400 |
1.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,880 |
$3,200 |
1.1× |
| Dstrj lesion choroid pc 1/> sess (67220) |
$2,970 |
$3,300 |
4.3× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$850.50 |
$945 |
1.7× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$508.50 |
$565 |
2.0× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$2,943 |
$3,270 |
1.1× |
| Dstrj lesion penis simple laser (54057) |
$3,159 |
$3,510 |
1.2× |
| Dstrj lesion penis simple surg excision (54060) |
$3,159 |
$3,510 |
1.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$1,368 |
$1,520 |
2.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,430 |
$2,700 |
2.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$3,037.50 |
$3,375 |
2.8× |
| Dx Bone Marrow Bx & Aspir (38222) |
$6,300 |
$7,000 |
1.7× |
| Dx Bronchoscope/Lavage (31624) |
$2,880 |
$3,200 |
1.3× |
| Dx Bronchoscope/Wash (31622) |
$2,700 |
$3,000 |
1.2× |
| Dx gastr intub w/asp spec (43754) |
$630 |
$700 |
2.3× |
| Dx gastr intub w/asp specs (43755) |
$405 |
$450 |
2.5× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,880 |
$3,200 |
1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$3,420 |
$3,800 |
3.9× |
| Egd Flexible Foreign Body Removal (43247) |
$2,794.50 |
$3,105 |
2.5× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$3,037.50 |
$3,375 |
1.3× |
| Egd place gastrostomy tube (43246) |
$3,402 |
$3,780 |
1.4× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$846 |
$940 |
2.2× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$720 |
$800 |
1.9× |
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)
range across 2 matching MRF lines |
$585–$720 |
$650–$800 |
varies |
| Electrical stimulation bone healing noninvasive (20974) |
$184.50 |
$205 |
1.9× |
| Electro-Uroflowmetry First (51741) |
$1,120.50 |
$1,245 |
4.2× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$990 |
$1,100 |
1.1× |
| Endocervical curettage (57505) |
$2,065.50 |
$2,295 |
1.8× |
| Endometrial Biopsy (58100) |
$1,944 |
$2,160 |
7.7× |
| Endoscopy upper small intestine w/biopsy (44361) |
$3,258 |
$3,620 |
1.4× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$15,300 |
$17,000 |
1.1× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$4,950 |
$5,500 |
1.3× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$4,711.50 |
$5,235 |
1.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$5,130 |
$5,700 |
1.3× |
| Endoven ther chem adhes 1st (36482) |
$9,211.50 |
$10,235 |
1.3× |
| Epidural Blood Patch (62273) |
$3,330 |
$3,700 |
3.8× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$6,750 |
$7,500 |
0.9× |
| Ercp duct stent placement (43274) |
$6,300 |
$7,000 |
0.8× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,680 |
$5,200 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,590 |
$5,100 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$5,220 |
$5,800 |
1.1× |
| Ercp remove forgn body duct (43275) |
$4,459.50 |
$4,955 |
1.9× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,300 |
$7,000 |
0.8× |
| Ercp,Sphincterotomy (43262) |
$4,410 |
$4,900 |
0.9× |
| Escharotomy; initial incision (16035) |
$792 |
$880 |
1.6× |
| Esophagoscop Stent Placement (43212) |
$7,200 |
$8,000 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,920.50 |
$3,245 |
1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$2,187 |
$2,430 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$234 |
$260 |
1.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,880 |
$3,200 |
1.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,700 |
$3,000 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,080 |
$1,200 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,240 |
$3,600 |
1.6× |
| Exc Back Les Sc < 3 Cm (21930) |
$3,420 |
$3,800 |
1.7× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$5,310 |
$5,900 |
1.5× |
| Exc back tum deep < 5 cm (21932) |
$5,040 |
$5,600 |
1.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$1,737 |
$1,930 |
2.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,809 |
$2,010 |
2.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$2,700 |
$3,000 |
1.3× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$3,060 |
$3,400 |
1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,980 |
$2,200 |
2.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$2,160 |
$2,400 |
2.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,880 |
$3,200 |
3.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,060 |
$3,400 |
1.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$3,240 |
$3,600 |
1.6× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$3,465 |
$3,850 |
1.7× |
| Exc Frenum Labial/Buccal (40819) |
$1,719 |
$1,910 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,736 |
$3,040 |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,880 |
$3,200 |
3.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,060 |
$3,400 |
1.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,632.50 |
$2,925 |
1.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,410 |
$4,900 |
1.0× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$2,916 |
$3,240 |
2.3× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$3,960 |
$4,400 |
1.0× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$4,459.50 |
$4,955 |
1.1× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$3,510 |
$3,900 |
1.7× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$4,761 |
$5,290 |
1.2× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$3,627 |
$4,030 |
0.9× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$3,627 |
$4,030 |
0.9× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$5,656.50 |
$6,285 |
1.4× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$5,850 |
$6,500 |
1.4× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$3,330 |
$3,700 |
1.4× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$5,953.50 |
$6,615 |
1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,890 |
$2,100 |
2.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,420 |
$3,800 |
1.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,960 |
$4,400 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,700 |
$3,000 |
1.3× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$3,600 |
$4,000 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$2,610 |
$2,900 |
1.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,780 |
$4,200 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,560.50 |
$2,845 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,680 |
$5,200 |
1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,997 |
$3,330 |
2.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,530 |
$1,700 |
3.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,710 |
$1,900 |
1.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,070 |
$2,300 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,770 |
$5,300 |
1.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$4,140 |
$4,600 |
1.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,465 |
$3,850 |
1.7× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$4,950 |
$5,500 |
1.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$4,981.50 |
$5,535 |
1.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$7,110 |
$7,900 |
2.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,050 |
$4,500 |
1.1× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,400 |
$6,000 |
1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,050 |
$4,500 |
2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,320 |
$4,800 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$4,495.50 |
$4,995 |
1.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$3,465 |
$3,850 |
1.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,510 |
$3,900 |
1.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,700 |
$3,000 |
1.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,680 |
$5,200 |
1.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$5,310 |
$5,900 |
1.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$7,209 |
$8,010 |
1.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,645 |
$4,050 |
1.4× |
| Exchange Transfusion (36455) |
$2,700 |
$3,000 |
4.9× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$3,280.50 |
$3,645 |
1.4× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$3,780 |
$4,200 |
0.9× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$3,780 |
$4,200 |
0.9× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$3,780 |
$4,200 |
2.0× |
| Excis urethral prolapse (53275) |
$6,300 |
$7,000 |
1.4× |
| Excise mandible lesion (21040) |
$4,950 |
$5,500 |
1.2× |
| Excise oral mucosa for graft (40818) |
$913.50 |
$1,015 |
1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$2,187 |
$2,430 |
2.5× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$4,050 |
$4,500 |
1.4× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$4,050 |
$4,500 |
1.4× |
| Excision Aural Polyp (69540) |
$2,340 |
$2,600 |
1.2× |
| Excision Bone Mandible (21025) |
$7,110 |
$7,900 |
1.0× |
| Excision Chalazion Multiple Same Lid (67801) |
$2,385 |
$2,650 |
1.9× |
| Excision Chalazion Single (67800) |
$990 |
$1,100 |
2.5× |
| Excision External Ear Partial Simple Repair (69110) |
$4,230 |
$4,700 |
1.2× |
| Excision Facial Bone (21026) |
$7,470 |
$8,300 |
1.0× |
| Excision gum each quadrant (41820) |
$4,140 |
$4,600 |
1.0× |
| Excision inferior turbinate partial/complete (30130) |
$4,500 |
$5,000 |
1.1× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$4,140 |
$4,600 |
1.4× |
| Excision lesion mouth roof (42104) |
$3,766.50 |
$4,185 |
0.9× |
| Excision Lesion Tongue W/O Closure (41110) |
$4,441.50 |
$4,935 |
1.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,610 |
$2,900 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,485 |
$1,650 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,795.50 |
$1,995 |
2.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$2,065.50 |
$2,295 |
4.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,295 |
$2,550 |
2.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,458 |
$1,620 |
1.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,610 |
$2,900 |
1.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,600 |
$4,000 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,890 |
$2,100 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,980 |
$2,200 |
2.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,070 |
$2,300 |
2.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,150 |
$3,500 |
1.5× |
| Excision Maxillary Torus Palatinus (21032) |
$4,050 |
$4,500 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,738.50 |
$5,265 |
1.4× |
| Excision nasal polyp(s) simple (30110) |
$1,890 |
$2,100 |
1.0× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$7,200 |
$8,000 |
1.0× |
| Excision of chalazion; multiple, different lids (67805) |
$1,237.50 |
$1,375 |
3.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,059 |
$4,510 |
2.0× |
| Excision of osseous tuberosities, dentoalveolar structures (41823) |
$6,570 |
$7,300 |
0.9× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$8,550 |
$9,500 |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,510 |
$3,900 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$2,619 |
$2,910 |
1.8× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$4,410 |
$4,900 |
1.1× |
| Excision of vaginal cyst or tumor (57135) |
$4,662 |
$5,180 |
1.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$6,030 |
$6,700 |
1.7× |
| Excision Torus Mandibularis (21031) |
$5,490 |
$6,100 |
1.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,320 |
$4,800 |
2.1× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$4,410 |
$4,900 |
1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,510 |
$3,900 |
1.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,500 |
$5,000 |
2.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$3,780 |
$4,200 |
1.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$3,330 |
$3,700 |
0.9× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$6,525 |
$7,250 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,850 |
$6,500 |
1.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,700 |
$3,000 |
1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$6,030 |
$6,700 |
1.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,050 |
$4,500 |
1.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$4,374 |
$4,860 |
2.1× |
| Excision/destruction intranasal lesion int appr (30117) |
$5,490 |
$6,100 |
1.3× |
| Excision/destruction lesion pharynx any method (42808) |
$6,120 |
$6,800 |
1.5× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$3,780 |
$4,200 |
1.3× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$5,040 |
$5,600 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$4,050 |
$4,500 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$261 |
$290 |
0.1× |
| Explore eye socket,drainage (67405) |
$4,140 |
$4,600 |
1.4× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$4,320 |
$4,800 |
1.1× |
| Fasciotomy palmar percutaneous (26040) |
$5,220 |
$5,800 |
2.6× |
| Fasciotomy, foot and/or toe (28008) |
$4,590 |
$5,100 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$945 |
$1,050 |
3.7× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$1,444.50 |
$1,605 |
3.8× |
| Fetal non-stress test (59025) |
$1,278 |
$1,420 |
5.1× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$1,530 |
$1,700 |
4.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,250 |
$2,500 |
2.5× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$3,150 |
$3,500 |
3.6× |
| Fine needle aspiration without imaging guidance (10021) |
$1,620 |
$1,800 |
3.2× |
| Fluid Pressure Muscle (20950) |
$1,345.50 |
$1,495 |
1.5× |
| Fluoro exam of g/colon tube (49465) |
$720 |
$800 |
2.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$2,250 |
$2,500 |
2.5× |
| Fna bx w/us gdn 1st les (10005) |
$2,250 |
$2,500 |
2.5× |
| Forehead flap w/vasc pedicle (15731) |
$5,220 |
$5,800 |
1.2× |
| Foreskin manipulation (54450) |
$540 |
$600 |
1.7× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,860 |
$5,400 |
1.2× |
| Frenulotomy of penis (54164) |
$4,455 |
$4,950 |
1.7× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$3,159 |
$3,510 |
1.2× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,880 |
$3,200 |
1.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,402 |
$3,780 |
1.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,420 |
$3,800 |
1.3× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$3,420 |
$3,800 |
1.3× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$7,650 |
$8,500 |
1.0× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$7,650 |
$8,500 |
1.0× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$7,110 |
$7,900 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$1,791 |
$1,990 |
2.0× |
| Hair xplant punch grft 1-15 (15775) |
$1,156.50 |
$1,285 |
2.3× |
| Hair xplant punch grft >15 (15776) |
$1,584 |
$1,760 |
3.1× |
Head Surgery Procedure (21499)
range across 2 matching MRF lines |
$450–$1,080 |
$500–$1,200 |
varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,860 |
$5,400 |
1.4× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$7,380 |
$8,200 |
2.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$5,103 |
$5,670 |
1.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$2,070 |
$2,300 |
1.8× |
| Hysteroscopy Biopsy (58558) |
$6,210 |
$6,900 |
1.5× |
| Hysteroscopy Dx Sep Proc (58555) |
$5,310 |
$5,900 |
1.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,490 |
$6,100 |
1.4× |
| I&d abscess peritonsillar (42700) |
$652.50 |
$725 |
2.2× |
| I&d abscess simple (10060) |
$742.50 |
$825 |
3.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,050 |
$4,500 |
1.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,960 |
$4,400 |
1.1× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$4,680 |
$5,200 |
1.4× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$1,215 |
$1,350 |
1.8× |
| I&d perianal abscess superficial (46050) |
$1,921.50 |
$2,135 |
1.7× |
| I&d pilonidal cyst complicated (10081) |
$1,561.50 |
$1,735 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$1,080 |
$1,200 |
1.2× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,555 |
$3,950 |
1.0× |
| I&d thyroglossal duct cyst infected (60000) |
$1,980 |
$2,200 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,870 |
$4,300 |
1.1× |
| Icd Pocket Revision (33223) |
$4,410 |
$4,900 |
1.7× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$2,430 |
$2,700 |
2.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$2,065.50 |
$2,295 |
1.8× |
| Image Cath Fluid Colxn Visc (49405) |
$2,700 |
$3,000 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$2,880 |
$3,200 |
1.4× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,880 |
$3,200 |
1.4× |
| Implant neuroelectrodes (63650) |
$11,250 |
$12,500 |
1.4× |
| Implant Neuroelectrodes (64561) |
$8,055 |
$8,950 |
1.0× |
| Impression & Preparation Auricular Prosthesis (21086) |
$5,643 |
$6,270 |
1.4× |
| Impression & Preparation Nasal Prosthesis (21087) |
$7,290 |
$8,100 |
1.0× |
| Impression & Preparation Oral Surgical Splint (21085) |
$2,043 |
$2,270 |
6.9× |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
$5,940 |
$6,600 |
1.4× |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
$5,814 |
$6,460 |
1.4× |
| Impression and custom preparation; facial prosthesis Facility (21088) |
$5,580 |
$6,200 |
1.3× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$5,670 |
$6,300 |
1.4× |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
$7,110 |
$7,900 |
1.0× |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
$7,659 |
$8,510 |
1.0× |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
$5,580 |
$6,200 |
1.3× |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
$5,580 |
$6,200 |
1.3× |
| Impression&Preparation Surg Obturator Prosthes (21076) |
$2,880 |
$3,200 |
1.5× |
| Incise external hemorrhoid (46083) |
$877.50 |
$975 |
2.8× |
| Incise finger tendon sheath (26055) |
$2,610 |
$2,900 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,098 |
$1,220 |
2.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,510 |
$3,900 |
1.0× |
| Incision & drainage leg/ankle infected bursa (27604) |
$4,140 |
$4,600 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,890 |
$2,100 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$810 |
$900 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$508.50 |
$565 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$756 |
$840 |
2.0× |
| Incision Drainage Lacrimal Sac (68420) |
$3,780 |
$4,200 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$2,610 |
$2,900 |
1.3× |
| Incision of eardrum (69420) |
$585 |
$650 |
2.0× |
Incision of labial frenum (frenotomy) (40806)
range across 2 matching MRF lines |
$810–$1,080 |
$900–$1,200 |
varies |
| Incision of lingual frenum (frenotomy) (41010) |
$2,736 |
$3,040 |
1.4× |
| Incision of rectal abscess (46040) |
$3,150 |
$3,500 |
2.1× |
| Incision of urethra (53020) |
$5,040 |
$5,600 |
1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,430 |
$2,700 |
1.2× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$990 |
$1,100 |
2.5× |
| Incisional biopsy skin single lesion (11106) |
$990 |
$1,100 |
1.1× |
| Induced abortion dilation and curettage (59840) |
$4,981.50 |
$5,535 |
1.2× |
| Induced abortion, by dilation and evacuation (59841) |
$4,981.50 |
$5,535 |
1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$481.50 |
$535 |
1.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,160 |
$2,400 |
2.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$760.50 |
$845 |
2.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,250 |
$2,500 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,430 |
$2,700 |
2.2× |
| Inject Intravitreal Pharmcologic (67028) |
$720 |
$800 |
1.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$675 |
$750 |
1.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,430 |
$2,700 |
2.2× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$2,295 |
$2,550 |
2.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$3,150 |
$3,500 |
3.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,250 |
$2,500 |
2.0× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$2,250 |
$2,500 |
2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$3,663 |
$4,070 |
4.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$2,250 |
$2,500 |
2.6× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$2,250 |
$2,500 |
2.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$1,170 |
$1,300 |
3.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$2,070 |
$2,300 |
2.3× |
| Injection for identification of sentinel node (38792) |
$927 |
$1,030 |
1.9× |
| Injection Into Brain Canal (61055) |
$1,026 |
$1,140 |
2.7× |
| Injection medication/other subst tenon capsule (67515) |
$900 |
$1,000 |
2.3× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$2,250 |
$2,500 |
1.9× |
| Injection procedure for peyronie disease (54200) |
$603 |
$670 |
1.9× |
| Injection single tendon origin/insertion (20551) |
$855 |
$950 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$792 |
$880 |
2.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$913.50 |
$1,015 |
2.4× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$2,070 |
$2,300 |
1.1× |
| Injection therapeutic carpal tunnel (20526) |
$675 |
$750 |
1.8× |
| Injection Turbinate Therapeutic (30200) |
$1,440 |
$1,600 |
2.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,250 |
$2,500 |
2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$2,250 |
$2,500 |
2.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$2,070 |
$2,300 |
2.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$810 |
$900 |
3.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$675 |
$750 |
2.7× |
| Injx anterior chamber eye air/liquid spx (66020) |
$5,400 |
$6,000 |
1.9× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$5,400 |
$6,000 |
1.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$2,610 |
$2,900 |
2.4× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$2,880 |
$3,200 |
2.6× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$2,700 |
$3,000 |
2.4× |
| Ins cath ren art 1st bilat (36252) |
$7,074 |
$7,860 |
1.8× |
| Ins cath ren art 1st unilat (36251) |
$6,138 |
$6,820 |
1.6× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,850 |
$6,500 |
1.5× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,974 |
$8,860 |
1.1× |
| Ins endovas vena cava filtr (37191) |
$9,000 |
$10,000 |
1.3× |
| Ins Vag Brachytx Device (57156) |
$990 |
$1,100 |
2.6× |
| Ins/Rep Subq Defibrillator (33270) |
$43,200 |
$48,000 |
1.1× |
| Insert 1 Electrode Pm-Defib (33216) |
$11,700 |
$13,000 |
1.1× |
| Insert and remove bone pin (20650) |
$5,467.50 |
$6,075 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$585 |
$650 |
3.6× |
| Insert cath pleura w/ image (32557) |
$2,812.50 |
$3,125 |
1.4× |
| Insert cath pleura w/o image (32556) |
$2,722.50 |
$3,025 |
1.1× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$3,991.50 |
$4,435 |
2.7× |
| Insert cervical dilator (59200) |
$2,250 |
$2,500 |
5.9× |
| Insert Drug Implant Device (11981) |
$720 |
$800 |
4.3× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,991.50 |
$4,435 |
1.7× |
| Insert Heart Pm Atrial (33206) |
$13,500 |
$15,000 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$13,500 |
$15,000 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$16,645.50 |
$18,495 |
0.7× |
| Insert Nasal Septal Button (30220) |
$4,320 |
$4,800 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$3,870 |
$4,300 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$13,500 |
$15,000 |
1.0× |
| Insert pessary/other device (57160) |
$450 |
$500 |
1.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,677.50 |
$2,975 |
1.4× |
| Insert pulse gen dual leads (33213) |
$15,300 |
$17,000 |
1.2× |
| Insert pulse gen mult leads (33221) |
$21,600 |
$24,000 |
0.9× |
Insert Pulse Gen Sngl Lead (33212)
range across 2 matching MRF lines |
$6,930–$14,400 |
$7,700–$16,000 |
varies |
| Insert Temp Bladder Cath (51702) |
$463.50 |
$515 |
2.8× |
| Insert tun ip cath perc (49418) |
$6,772.50 |
$7,525 |
1.5× |
| Insert tunneled cv cath (36561) |
$4,410 |
$4,900 |
1.1× |
| Insert tunneled cv cath (36563) |
$6,570 |
$7,300 |
0.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,110 |
$7,900 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$405 |
$450 |
2.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,467.50 |
$6,075 |
1.2× |
| Insertion of cannula (36800) |
$6,300 |
$7,000 |
0.9× |
| Insertion of pin-retained palatal prosthesis Facility (42281) |
$6,660 |
$7,400 |
0.9× |
| Insertion phrenic nerve stimulator system (33276) |
$52,200 |
$58,000 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,240 |
$3,600 |
1.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$16,650 |
$18,500 |
1.6× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$5,953.50 |
$6,615 |
1.3× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$8,505 |
$9,450 |
1.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$5,850 |
$6,500 |
0.9× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$11,700 |
$13,000 |
1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,870 |
$4,300 |
1.0× |
| Insj Picc Rs&I <5 Yr (36572) |
$2,583 |
$2,870 |
3.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,855.50 |
$5,395 |
1.2× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,780 |
$4,200 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,677.50 |
$2,975 |
1.4× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$21,870 |
$24,300 |
1.4× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$10,800 |
$12,000 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,346 |
$5,940 |
1.4× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$7,110 |
$7,900 |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$4,410 |
$4,900 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,410 |
$4,900 |
1.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,500 |
$45,000 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$12,150 |
$13,500 |
1.2× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$13,500 |
$15,000 |
1.3× |
| Insrt heart pm atrial & vent (33208) |
$17,100 |
$19,000 |
1.3× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$27,000 |
$30,000 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$36,000 |
$40,000 |
0.9× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$35,100 |
$39,000 |
1.3× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,230 |
$4,700 |
1.2× |
| Interdental fixation (21110) |
$3,208.50 |
$3,565 |
1.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,060 |
$3,400 |
1.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$2,065.50 |
$2,295 |
4.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$2,160 |
$2,400 |
4.3× |
| Intranasal Biopsy (30100) |
$1,980 |
$2,200 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,350 |
$1,500 |
2.0× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$792 |
$880 |
2.7× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,980 |
$2,200 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,464 |
$4,960 |
1.1× |
| Intro cath dialysis circuit (36901) |
$2,430 |
$2,700 |
1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$14,850 |
$16,500 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$8,100 |
$9,000 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$1,440 |
$1,600 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$1,620 |
$1,800 |
5.5× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
$3,240 |
$3,600 |
4.7× |
| Iridotomy/irridectomy laser surg per session (66761) |
$1,458 |
$1,620 |
2.1× |
| Irrigation maxillary sinus (31000) |
$540 |
$600 |
1.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$652.50 |
$725 |
2.1× |
| Labyrinthotomy Transcanal (69801) |
$2,088 |
$2,320 |
1.1× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$4,320 |
$4,800 |
0.9× |
| Laryngoscopy diagnostic (31505) |
$1,170 |
$1,300 |
4.7× |
| Laryngoscopy flexible diagnostic (31575) |
$2,250 |
$2,500 |
9.0× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,700 |
$3,000 |
1.2× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,960 |
$4,400 |
1.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$2,610 |
$2,900 |
5.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$2,610 |
$2,900 |
5.3× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$4,140 |
$4,600 |
0.9× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$4,140 |
$4,600 |
16.6× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$2,470.50 |
$2,745 |
5.1× |
| Laryngoscopy W/Biopsy (31535) |
$4,320 |
$4,800 |
0.9× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$4,320 |
$4,800 |
0.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,590 |
$5,100 |
2.1× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$2,061 |
$2,290 |
4.2× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$1,458 |
$1,620 |
2.1× |
| Late closure of wound (13160) |
$3,060 |
$3,400 |
0.7× |
| Lateral Canthopexy (21282) |
$4,680 |
$5,200 |
1.1× |
| Ligation of a-v fistula (37607) |
$5,467.50 |
$6,075 |
1.4× |
| Ligation Of Inf Vena Cava (37619) |
$7,947 |
$8,830 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$3,037.50 |
$3,375 |
1.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,318 |
$7,020 |
1.4× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
$144 |
$160 |
4.0× |
| Lyse chest fibrin init day (32561) |
$1,579.50 |
$1,755 |
2.0× |
| Lysis Intranasal Synechia (30560) |
$2,070 |
$2,300 |
3.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,645 |
$4,050 |
1.4× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$3,330 |
$3,700 |
1.7× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$2,340 |
$2,600 |
2.7× |
| Marsupialization of bartholin's gland cyst (56440) |
$5,580 |
$6,200 |
1.4× |
Maternity Care Procedure (59899)
range across 2 matching MRF lines |
$387–$630 |
$430–$700 |
varies |
| Maxillary impression for palatal prosthesis Facility (42280) |
$864 |
$960 |
1.3× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,340 |
$2,600 |
1.2× |
| Mech remov tunneled cv cath (36595) |
$3,780 |
$4,200 |
1.0× |
| Medial Canthopexy Separate Procedure (21280) |
$4,252.50 |
$4,725 |
1.0× |
| Middle ear surgery proc unlisted (69799) |
$810 |
$900 |
2.7× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$5,220 |
$5,800 |
1.2× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$2,700 |
$3,000 |
2.9× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$2,700 |
$3,000 |
2.9× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) |
$28,800 |
$32,000 |
2.1× |
| Multifetal Pregnancy Reduction (59866) |
$2,700 |
$3,000 |
7.1× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$5,580 |
$6,200 |
1.3× |
| Muscle-skin graft trunk (15734) |
$5,580 |
$6,200 |
1.3× |
| Myelography Lumbar Injection (62305) |
$2,610 |
$2,900 |
2.7× |
| Myelography Lumbar Injection (62304) |
$2,340 |
$2,600 |
2.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$2,340 |
$2,600 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$2,340 |
$2,600 |
2.4× |
| N Block Inj Celiac Pelus (64530) |
$1,800 |
$2,000 |
1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$2,250 |
$2,500 |
2.6× |
| N block inj intercost sng (64420) |
$2,070 |
$2,300 |
2.3× |
| N Block Inj Paracervical (64435) |
$2,250 |
$2,500 |
2.6× |
| N Block Inj Plantar Digit (64455) |
$810 |
$900 |
2.1× |
| N Block Inj Pudendal (64430) |
$2,722.50 |
$3,025 |
2.5× |
| N Block Lumbar/Thoracic (64520) |
$3,330 |
$3,700 |
3.0× |
| Nasal Endoscopy Dx (31231) |
$513 |
$570 |
2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$810 |
$900 |
1.5× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$972 |
$1,080 |
2.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,500 |
$5,000 |
1.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$7,740 |
$8,600 |
0.9× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$6,750 |
$7,500 |
0.9× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
$6,750 |
$7,500 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$2,718 |
$3,020 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$3,600 |
$4,000 |
1.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,790 |
$3,100 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$7,740 |
$8,600 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$7,740 |
$8,600 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$7,740 |
$8,600 |
0.9× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$7,560 |
$8,400 |
0.9× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$7,740 |
$8,600 |
0.9× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$2,250 |
$2,500 |
1.0× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$990 |
$1,100 |
3.2× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,692 |
$1,880 |
1.5× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$2,065.50 |
$2,295 |
1.8× |
Neck spine fusion (22600)
likely a partial charge, not the full procedure |
$3,645 |
$4,050 |
0.2× |
| Needle Biopsy Lymph Nodes (38505) |
$3,600 |
$4,000 |
1.7× |
| Needle Biopsy Pancreas (48102) |
$3,280.50 |
$3,645 |
1.6× |
| Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor… (0105U) |
$909 |
$1,010 |
1.0× |
| Neuroeltrd Stim Post Tibial (64566) |
$630 |
$700 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$675 |
$750 |
1.6× |
| Nipple/areola reconstruction (19350) |
$5,310 |
$5,900 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,430 |
$2,700 |
2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$2,520 |
$2,800 |
6.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$6,750 |
$7,500 |
1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$7,465.50 |
$8,295 |
1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,160 |
$2,400 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$2,520 |
$2,800 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,700 |
$3,000 |
3.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,340 |
$2,600 |
2.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$2,250 |
$2,500 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,160 |
$2,400 |
2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,970 |
$3,300 |
3.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,710 |
$1,900 |
1.5× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$3,870 |
$4,300 |
1.5× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$4,590 |
$5,100 |
1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$2,340 |
$2,600 |
2.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$2,340 |
$2,600 |
2.7× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$792 |
$880 |
1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$1,125 |
$1,250 |
2.2× |
| Njx Sclrsnt Spider Veins (36468) |
$630 |
$700 |
1.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,740 |
$8,600 |
0.9× |
| Obstructive material removal from gi tube (49460) |
$1,980 |
$2,200 |
1.7× |
| Occipital Nerve Block (64405) |
$2,520 |
$2,800 |
6.6× |
| Open bone biopsy (20251) |
$8,100 |
$9,000 |
0.9× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$33,030 |
$36,700 |
0.6× |
| Open treatment metacarpophalangeal dislocation (26715) |
$4,950 |
$5,500 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,950 |
$5,500 |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$4,950 |
$5,500 |
1.2× |
| Open/Perq Place Stent 1St (37236) |
$14,850 |
$16,500 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$17,100 |
$19,000 |
1.2× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$3,883.50 |
$4,315 |
1.0× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$5,850 |
$6,500 |
1.2× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$6,075 |
$6,750 |
2.0× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$7,110 |
$7,900 |
1.0× |
| Osteoplasty, facial bones; reduction (21209) |
$7,110 |
$7,900 |
1.0× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$3,186 |
$3,540 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,794.50 |
$3,105 |
1.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,780 |
$4,200 |
0.9× |
| Partial removal of toe (28160) |
$4,981.50 |
$5,535 |
1.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,981.50 |
$5,535 |
1.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$5,103 |
$5,670 |
1.3× |
| Penile Injection (54235) |
$567 |
$630 |
1.8× |
| Perc Cryo Ablate Renal Tum (50593) |
$13,500 |
$15,000 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,308.50 |
$2,565 |
1.3× |
| Perc Rf Ablate Renal Tumor (50592) |
$9,450 |
$10,500 |
1.3× |
| Percut Ablate Liver Rf (47382) |
$10,831.50 |
$12,035 |
1.4× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$15,300 |
$17,000 |
1.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,430 |
$2,700 |
2.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,230 |
$4,700 |
1.1× |
| Pericardiocentesis W/Imaging (33016) |
$3,960 |
$4,400 |
2.0× |
| Peritoneal Lavage (49084) |
$3,150 |
$3,500 |
2.8× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$20,700 |
$23,000 |
0.9× |
| Perq av fistula creation uxtr single access (36836) |
$22,500 |
$25,000 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$5,467.50 |
$6,075 |
1.3× |
| Perq dev breast 1st mr guide (19287) |
$4,950 |
$5,500 |
5.6× |
| Perq dev breast 1st strtctc (19283) |
$3,060 |
$3,400 |
3.5× |
| Perq dev breast 1st us imag (19285) |
$4,095 |
$4,550 |
4.6× |
| Perq device breast 1st imag (19281) |
$3,825 |
$4,250 |
1.9× |
| Perq dilation xst trc endourologic px w/img (50436) |
$5,670 |
$6,300 |
1.3× |
| Perq Lumbosacral Injection (22511) |
$5,467.50 |
$6,075 |
1.3× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$12,546 |
$13,940 |
1.1× |
| Perq p-art revsc 1 nm nt uni (33900) |
$17,100 |
$19,000 |
1.2× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$26,100 |
$29,000 |
1.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$27,900 |
$31,000 |
1.9× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$19,800 |
$22,000 |
1.4× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$8,910 |
$9,900 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$2,097 |
$2,330 |
2.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$14,850 |
$16,500 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$8,100 |
$9,000 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$11,790 |
$13,100 |
1.3× |
| Perq Vertebral Augmentation (22513) |
$13,365 |
$14,850 |
1.5× |
| Phleb Veins - Extrem 20+ (37766) |
$4,810.50 |
$5,345 |
1.2× |
| Photopheresis extracorporeal (36522) |
$12,600 |
$14,000 |
2.3× |
| Place Cath Subclavian Art (36225) |
$8,370 |
$9,300 |
2.1× |
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines |
$6,030–$6,178.50 |
$6,700–$6,865 |
varies |
| Place Cath Vertebral Art (36226) |
$8,730 |
$9,700 |
1.3× |
| Place Duod/Jej Tube Perc (49441) |
$3,991.50 |
$4,435 |
1.7× |
| Place Rt Device/Marker Pros (55876) |
$2,673 |
$2,970 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$720 |
$800 |
1.3× |
| Placement of seton (46020) |
$5,800.50 |
$6,445 |
1.7× |
| Plastic Repair Canaliculi (68700) |
$4,320 |
$4,800 |
1.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,112.50 |
$10,125 |
1.2× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,930 |
$7,700 |
0.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$9,000 |
$10,000 |
1.2× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,780 |
$4,200 |
1.4× |
| Plmt Nephroureteral Catheter (50433) |
$4,684.50 |
$5,205 |
1.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$6,480 |
$7,200 |
1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$5,490 |
$6,100 |
1.2× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,507 |
$7,230 |
1.5× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$8,550 |
$9,500 |
1.2× |
| Prim art mech thrombectomy (37184) |
$20,700 |
$23,000 |
0.9× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$670.50 |
$745 |
1.7× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$3,888 |
$4,320 |
1.3× |
| Probing nasolacrimal duct (68810) |
$801 |
$890 |
2.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$3,780 |
$4,200 |
3.3× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$3,780 |
$4,200 |
2.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$5,134.50 |
$5,705 |
1.5× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$4,050 |
$4,500 |
2.7× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$1,458 |
$1,620 |
2.1× |
| Prostatotomy external drg abscess simple (55720) |
$4,680 |
$5,200 |
1.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,552.50 |
$1,725 |
1.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$8,599.50 |
$9,555 |
1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,300 |
$7,000 |
1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,400 |
$6,000 |
1.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,950 |
$5,500 |
1.2× |
| Pseudoaneurysm Injection Trt (36002) |
$1,458 |
$1,620 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$972 |
$1,080 |
1.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$900 |
$1,000 |
1.8× |
| Puncture Aspiration Cyst Breast (19000) |
$1,944 |
$2,160 |
2.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$2,700 |
$3,000 |
3.1× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$2,700 |
$3,000 |
4.9× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,741.50 |
$1,935 |
2.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$4,950 |
$5,500 |
1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$5,040 |
$5,600 |
2.1× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) |
$7,200 |
$8,000 |
1.0× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,880 |
$3,200 |
1.1× |
| Redo Endovas Vena Cava Filtr (37192) |
$4,590 |
$5,100 |
1.2× |
| Release of big toe (28240) |
$3,690 |
$4,100 |
0.9× |
| Relocation Pocket Pacemaker (33222) |
$4,410 |
$4,900 |
1.7× |
| Rem Endovas Vena Cava Filter (37193) |
$6,300 |
$7,000 |
1.6× |
| Removal Anal Seton Other Marker (46030) |
$3,159 |
$3,510 |
2.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$2,700 |
$3,000 |
2.4× |
| Removal Embedded Foreign Body Eyelid (67938) |
$792 |
$880 |
2.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,690 |
$4,100 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$2,160 |
$2,400 |
1.0× |
| Removal foreign body foot deep (28192) |
$3,159 |
$3,510 |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,822.50 |
$2,025 |
2.1× |
| Removal foreign body jawbone (41806) |
$2,155.50 |
$2,395 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,250 |
$2,500 |
1.1× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,690 |
$4,100 |
0.9× |
| Removal Foreign Body Scrotum (55120) |
$2,655 |
$2,950 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,690 |
$4,100 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$198 |
$220 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$211.50 |
$235 |
2.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$5,103 |
$5,670 |
1.3× |
| Removal Implant Deep (20680) |
$3,510 |
$3,900 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,610 |
$2,900 |
1.3× |
| Removal implantable contraceptive capsules (11976) |
$1,080 |
$1,200 |
1.2× |
| Removal of a lesion from the floor of the mouth (41116) |
$4,761 |
$5,290 |
1.2× |
| Removal of foreign body from pharynx (42809) |
$787.50 |
$875 |
1.4× |
| Removal of implant from finger or hand (26320) |
$2,160 |
$2,400 |
1.0× |
| Removal of intranasal lesion (30118) |
$4,500 |
$5,000 |
1.1× |
| Removal of kidney stone (50081) |
$13,950 |
$15,500 |
1.2× |
| Removal of nail bed (11750) |
$1,458 |
$1,620 |
2.9× |
| Removal of residual cervix (57550) |
$7,200 |
$8,000 |
1.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,981.50 |
$5,535 |
1.3× |
| Removal or bivalving full arm or full leg cast (29705) |
$612 |
$680 |
1.8× |
| Removal Pacemaker Electrode (33235) |
$8,100 |
$9,000 |
1.7× |
| Removal parotid stone (42340) |
$3,870 |
$4,300 |
0.9× |
| Removal peritoneal-venous shunt (49429) |
$3,780 |
$4,200 |
1.0× |
| Removal phrenic nerve stimulator system (33278) |
$18,000 |
$20,000 |
4.1× |
| Removal ppm generator only (33233) |
$11,340 |
$12,600 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$540 |
$600 |
2.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$5,850 |
$6,500 |
6.6× |
| Removal Submand Stone,Complicated (42335) |
$5,224.50 |
$5,805 |
1.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,150 |
$3,500 |
1.2× |
| Removal sweat gland lesion (11450) |
$3,690 |
$4,100 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$540 |
$600 |
1.5× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$3,523.50 |
$3,915 |
1.4× |
| Remove brain canal fluid (61050) |
$2,250 |
$2,500 |
5.9× |
| Remove Brain Cavity Fluid (61020) |
$1,827 |
$2,030 |
1.7× |
| Remove cerclage suture (59871) |
$3,150 |
$3,500 |
0.8× |
| Remove cranial cavity fluid (61000) |
$1,260 |
$1,400 |
1.4× |
| Remove drug implant device (11982) |
$720 |
$800 |
1.3× |
| Remove Elctrd Transvenously (33244) |
$7,650 |
$8,500 |
1.6× |
| Remove foreign body from eye (65205) |
$486 |
$540 |
2.9× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$4,140 |
$4,600 |
1.6× |
| Remove Intrauterine Device (58301) |
$630 |
$700 |
1.7× |
| Remove intrvas foreign body (37197) |
$6,300 |
$7,000 |
1.6× |
| Remove lung catheter (32552) |
$1,822.50 |
$2,025 |
2.3× |
| Remove Nasal Foreign Body (30300) |
$427.50 |
$475 |
2.6× |
| Remove Peritoneal Foreign Body (49402) |
$5,710.50 |
$6,345 |
1.3× |
| Remove Pulse Generator (33241) |
$11,520 |
$12,800 |
2.5× |
| Remove renal tube w/fluoro (50389) |
$2,011.50 |
$2,235 |
2.3× |
| Remove Shoulder Foreign Body (23330) |
$3,159 |
$3,510 |
1.5× |
| Remove Skin Nerve Lesion (64774) |
$2,520 |
$2,800 |
1.0× |
| Remove ureter stent percut (50384) |
$3,280.50 |
$3,645 |
1.3× |
| Remove&replace pm gen singl (33227) |
$18,000 |
$20,000 |
1.7× |
| Remove/Insert Drug Implant (11983) |
$972 |
$1,080 |
1.7× |
| Remv&replc cvd gen dual lead (33263) |
$36,000 |
$40,000 |
1.3× |
| Remv&replc cvd gen mult lead (33264) |
$40,500 |
$45,000 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$33,300 |
$37,000 |
1.2× |
| Remv&replc pm gen dual lead (33228) |
$19,800 |
$22,000 |
1.5× |
| Remv&replc pm gen mult leads (33229) |
$23,400 |
$26,000 |
1.0× |
| Renal Biopsy Perq (50200) |
$3,510 |
$3,900 |
1.7× |
| Repair brow ptosis (67900) |
$5,400 |
$6,000 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,458 |
$1,620 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,759.50 |
$1,955 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,530 |
$1,700 |
3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,710 |
$1,900 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,458 |
$1,620 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,620 |
$1,800 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,336.50 |
$1,485 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,579.50 |
$1,755 |
1.7× |
| Repair detached retina (67105) |
$4,950 |
$5,500 |
7.2× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$4,410 |
$4,900 |
1.5× |
| Repair Ectropion Suture (67914) |
$3,780 |
$4,200 |
1.3× |
| Repair Elbow Perc (24357) |
$5,580 |
$6,200 |
1.4× |
| Repair Entropion Extensive (67924) |
$5,130 |
$5,700 |
1.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,673 |
$2,970 |
1.3× |
| Repair Eyelid Wound (67935) |
$4,153.50 |
$4,615 |
1.4× |
| Repair finger deformity (26590) |
$2,610 |
$2,900 |
1.3× |
| Repair Finger Tendon (26433) |
$4,770 |
$5,300 |
1.2× |
| Repair Finger/Hand Tendon (26350) |
$5,940 |
$6,600 |
1.5× |
| Repair Fistula Oromaxillary (30580) |
$7,020 |
$7,800 |
0.9× |
| Repair gum (41872) |
$4,617 |
$5,130 |
1.1× |
| Repair Hand Tendon (26410) |
$2,673 |
$2,970 |
1.3× |
| Repair incomplete circumcision (54163) |
$3,780 |
$4,200 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,440 |
$1,600 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,701 |
$1,890 |
3.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,822.50 |
$2,025 |
3.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,944 |
$2,160 |
3.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,340 |
$2,600 |
4.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,215 |
$1,350 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,485 |
$1,650 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,665 |
$1,850 |
3.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,845 |
$2,050 |
2.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,700 |
$3,000 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,890 |
$2,100 |
3.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,458 |
$1,620 |
2.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,579.50 |
$1,755 |
3.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$2,070 |
$2,300 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,755 |
$1,950 |
3.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,970 |
$3,300 |
1.2× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,960 |
$4,400 |
1.0× |
| Repair Laceration Palate </2 Cm (42180) |
$1,156.50 |
$1,285 |
1.7× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$6,390 |
$7,100 |
0.9× |
| Repair lead pace-defib dual (33220) |
$7,650 |
$8,500 |
1.6× |
| Repair Lead Pace-Defib One (33218) |
$6,750 |
$7,500 |
1.4× |
| Repair mouth/nose fistula (30600) |
$7,020 |
$7,800 |
0.9× |
| Repair of nail bed (11760) |
$1,201.50 |
$1,335 |
1.3× |
| Repair of rectum (45505) |
$3,127.50 |
$3,475 |
0.9× |
| Repair Spica/Body/Jacket Cast (29720) |
$360 |
$400 |
1.8× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$9,000 |
$10,000 |
1.0× |
| Repair tongue laceration (41252) |
$855 |
$950 |
2.9× |
| Repair tongue laceration (41250) |
$720 |
$800 |
1.3× |
| Repair webbed toe(s) (28345) |
$2,430 |
$2,700 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$3,330 |
$3,700 |
2.9× |
| Replace G-J Tube Perc (49452) |
$3,330 |
$3,700 |
2.9× |
| Replace g/c tube perc (49450) |
$3,330 |
$3,700 |
2.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$8,100 |
$9,000 |
1.7× |
| Reposition Gastrostomy Tube (43761) |
$1,080 |
$1,200 |
3.5× |
| Reposition L Ventric Lead (33226) |
$5,310 |
$5,900 |
1.3× |
| Reposition Pacing-Defib Lead (33215) |
$6,750 |
$7,500 |
1.7× |
| Reposition Venous Catheter (36597) |
$2,160 |
$2,400 |
1.1× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$12,600 |
$14,000 |
2.9× |
| Retrobulbar injection (67500) |
$990 |
$1,100 |
2.5× |
| Revise eyelashes (67825) |
$990 |
$1,100 |
2.5× |
| Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering,… (22838) |
$15,300 |
$17,000 |
0.7× |
| Revision of eyelid (67880) |
$4,050 |
$4,500 |
1.4× |
| Revision of lower leg tendon (27685) |
$4,950 |
$5,500 |
1.2× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$3,870 |
$4,300 |
1.3× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$10,935 |
$12,150 |
1.5× |
| Revj/rpr oprative wound anterior segment (66250) |
$3,766.50 |
$4,185 |
1.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$4,131 |
$4,590 |
1.6× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$4,009.50 |
$4,455 |
1.4× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,890 |
$2,100 |
1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$886.50 |
$985 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,260 |
$1,400 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$720 |
$800 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$297 |
$330 |
1.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$850.50 |
$945 |
1.5× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$1,116 |
$1,240 |
2.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$3,487.50 |
$3,875 |
2.3× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$2,236.50 |
$2,485 |
1.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$4,050 |
$4,500 |
1.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$3,330 |
$3,700 |
0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,250 |
$2,500 |
1.1× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$8,550 |
$9,500 |
1.8× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$11,700 |
$13,000 |
2.7× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$11,700 |
$13,000 |
2.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$7,200 |
$8,000 |
1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,601 |
$2,890 |
1.3× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
$1,458–$1,466.10 |
$1,620–$1,629 |
varies |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$36,000 |
$40,000 |
0.9× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$29,700 |
$33,000 |
2.1× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$540 |
$600 |
1.5× |
| Rplc Gtube No Revj Trc (43762) |
$1,080 |
$1,200 |
3.5× |
| Rplc gtube revj gstrst trc (43763) |
$1,260 |
$1,400 |
4.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$6,750 |
$7,500 |
1.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,907 |
$3,230 |
1.5× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,870 |
$4,300 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,240 |
$3,600 |
1.6× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$6,390 |
$7,100 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,832 |
$6,480 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,832 |
$6,480 |
1.5× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$3,240 |
$3,600 |
1.1× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$4,050 |
$4,500 |
1.4× |
| Rpr blood vessel direct lower extremity (35226) |
$4,500 |
$5,000 |
5.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,457 |
$2,730 |
1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$972 |
$1,080 |
3.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,944 |
$2,160 |
2.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$729 |
$810 |
2.5× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$3,474 |
$3,860 |
1.2× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$3,060 |
$3,400 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,070 |
$2,300 |
3.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,822.50 |
$2,025 |
2.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,650.50 |
$2,945 |
1.4× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$7,380 |
$8,200 |
1.0× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
$5,184 |
$5,760 |
1.8× |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
$4,050 |
$4,500 |
1.4× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$5,760 |
$6,400 |
1.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$5,760 |
$6,400 |
1.4× |
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines |
$1,458–$1,665 |
$1,620–$1,850 |
varies |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,770 |
$5,300 |
1.2× |
| Sclerotx Fluid Collection (49185) |
$1,791 |
$1,990 |
0.9× |
| Scrotoplasty Simple (55175) |
$6,030 |
$6,700 |
1.4× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$1,098 |
$1,220 |
1.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$585 |
$650 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$450 |
$500 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$936 |
$1,040 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$405 |
$450 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$495 |
$550 |
2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$675 |
$750 |
2.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$810 |
$900 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$540 |
$600 |
2.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$810 |
$900 |
1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$675 |
$750 |
2.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$895.50 |
$995 |
1.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$805.50 |
$895 |
3.2× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$3,627 |
$4,030 |
0.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$3,780 |
$4,200 |
2.5× |
| Sigmoidoscopy w/fb removal (45332) |
$3,780 |
$4,200 |
2.5× |
| Sigmoidoscopy w/plcmt stent (45347) |
$8,721 |
$9,690 |
1.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$4,122 |
$4,580 |
3.6× |
| Simple Cystometrogram (51725) |
$1,080 |
$1,200 |
3.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,215 |
$1,350 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$607.50 |
$675 |
2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$729 |
$810 |
2.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,579.50 |
$1,755 |
3.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$850.50 |
$945 |
3.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$1,944 |
$2,160 |
7.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$607.50 |
$675 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,336.50 |
$1,485 |
5.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$850.50 |
$945 |
3.4× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$6,660 |
$7,400 |
0.9× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$6,660 |
$7,400 |
0.9× |
| Skin Full Grft Face/Genit/Hf (15240) |
$3,420 |
$3,800 |
1.3× |
| Skin Pinch Graft (15050) |
$1,093.50 |
$1,215 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$3,420 |
$3,800 |
3.7× |
| Skin sub graft trnk/arm/leg (15271) |
$3,420 |
$3,800 |
3.7× |
| Skin sub grft t/arm/lg child (15273) |
$5,220 |
$5,800 |
2.0× |
Skin Tissue Procedure (17999)
range across 6 matching MRF lines |
$266.40–$12,150 |
$296–$13,500 |
varies |
| Skn sub grft f/n/hf/g child (15277) |
$3,420 |
$3,800 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,630 |
$10,700 |
1.4× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$7,119 |
$7,910 |
1.8× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$11,700 |
$13,000 |
1.7× |
| Slitting of prepuce (54001) |
$4,320 |
$4,800 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$729 |
$810 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,093.50 |
$1,215 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,215 |
$1,350 |
2.4× |
| Snip Incision Lacrimal Punctum (68440) |
$792 |
$880 |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$3,330 |
$3,700 |
3.8× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,050 |
$4,500 |
0.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$3,150 |
$3,500 |
1.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$6,376.50 |
$7,085 |
1.6× |
| Strapping ankle (29540) |
$450 |
$500 |
2.2× |
| Strapping elbow or wrist (29260) |
$351 |
$390 |
4.8× |
| Strapping hand/finger (29280) |
$328.50 |
$365 |
4.5× |
| Strapping Hip (29520) |
$315 |
$350 |
1.9× |
| Strapping knee (29530) |
$607.50 |
$675 |
3.7× |
| Strapping shoulder (29240) |
$540 |
$600 |
3.3× |
| Strapping thorax (29200) |
$292.50 |
$325 |
1.4× |
| Strapping toes (29550) |
$315 |
$350 |
4.3× |
| Strapping Unna Boot (29580) |
$405 |
$450 |
2.0× |
| Subconjunctival injection (68200) |
$792 |
$880 |
1.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$900 |
$1,000 |
1.6× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$450 |
$500 |
1.8× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$990 |
$1,100 |
1.1× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$1,530 |
$1,700 |
1.7× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$1,440 |
$1,600 |
1.6× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$1,080 |
$1,200 |
1.2× |
| Suction assisted lipectomy; trunk (15877) |
$3,510 |
$3,900 |
0.8× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$810 |
$900 |
2.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$7,110 |
$7,900 |
1.0× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$6,660 |
$7,400 |
0.9× |
| Surg tx anal fistula subq (46270) |
$5,224.50 |
$5,805 |
1.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,320 |
$4,800 |
1.2× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$3,420 |
$3,800 |
1.2× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,510 |
$3,900 |
1.4× |
| Suture pharynx for wound or injury (42900) |
$2,022.30 |
$2,247 |
1.0× |
| T-cell depletion of harvest (38210) |
$7,200 |
$8,000 |
13.1× |
| Tangential biopsy skin single lesion (11102) |
$765 |
$850 |
1.5× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$855 |
$950 |
0.9× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$1,260 |
$1,400 |
1.4× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$33,300 |
$37,000 |
0.9× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$47,700 |
$53,000 |
2.0× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$10,800 |
$12,000 |
2.7× |
| Temporary Closure Eyelids Suture (67875) |
$2,340 |
$2,600 |
1.9× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$3,870 |
$4,300 |
1.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,510 |
$3,900 |
1.7× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$4,140 |
$4,600 |
2.1× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$4,320 |
$4,800 |
1.1× |
| Tenotomy shoulder area single tendon (23405) |
$8,640 |
$9,600 |
1.0× |
| Thaw preserved stem cells (38208) |
$1,800 |
$2,000 |
3.3× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$8,100 |
$9,000 |
1.5× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,500 |
$5,000 |
2.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$2,610 |
$2,900 |
3.0× |
| Therapeutic Apheresis White Blood Cells (36511) |
$3,780 |
$4,200 |
1.9× |
| Therapeutic plasma exchange (36514) |
$6,196.50 |
$6,885 |
3.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$18,000 |
$20,000 |
1.1× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$7,200 |
$8,000 |
1.0× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$6,570 |
$7,300 |
1.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$20,700 |
$23,000 |
0.9× |
| Thromblytic art/ven therapy (37213) |
$4,549.50 |
$5,055 |
1.2× |
| Thrombolytic Art Therapy (37211) |
$7,200 |
$8,000 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$900 |
$1,000 |
2.2× |
| Thrombolytic Venous Therapy (37212) |
$5,850 |
$6,500 |
1.5× |
| Thyroid biopsy (60100) |
$2,160 |
$2,400 |
2.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$3,402 |
$3,780 |
1.3× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$4,500 |
$5,000 |
1.0× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$2,700 |
$3,000 |
1.0× |
| Tooth extraction (41899) |
$810 |
$900 |
2.7× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$9,112.50 |
$10,125 |
1.4× |
| Trabeculoplasty by laser surgery (65855) |
$1,336.50 |
$1,485 |
1.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$2,790 |
$3,100 |
4.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$2,700 |
$3,000 |
9.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,700 |
$3,000 |
1.4× |
| Tracheostomy planned (31600) |
$4,410 |
$4,900 |
1.1× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$1,350 |
$1,500 |
3.5× |
| Transcatheter biopsy (37200) |
$7,200 |
$8,000 |
1.0× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$4,050 |
$4,500 |
1.0× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$12,150 |
$13,500 |
1.3× |
| Transfusion Intrauterine Fetal (36460) |
$1,620 |
$1,800 |
2.9× |
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
likely a partial charge, not the full procedure |
$4.50 |
$5 |
0.0× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$14,400 |
$16,000 |
1.2× |
| Treat Dental Ridge Fracture (21440) |
$4,950 |
$5,500 |
1.2× |
| Treat dental ridge fracture (21445) |
$7,380 |
$8,200 |
1.0× |
| Treat humerus fracture (24500) |
$850.50 |
$945 |
2.8× |
| Treat Humerus Fracture (24505) |
$2,308.50 |
$2,565 |
1.2× |
| Treat humerus fracture (23600) |
$1,035 |
$1,150 |
3.4× |
| Treat knee fracture (27532) |
$4,410 |
$4,900 |
1.1× |
| Treat Knee Fracture(S) (27538) |
$1,336.50 |
$1,485 |
4.3× |
| Treat Knuckle Dislocation (26700) |
$972 |
$1,080 |
3.2× |
| Treat Metatarsal Fracture (28475) |
$913.50 |
$1,015 |
3.0× |
| Treat Tail Bone Fracture (27200) |
$607.50 |
$675 |
2.0× |
| Treat Thumb Dislocation (26641) |
$729 |
$810 |
2.4× |
| Treat Thumb Fracture (26645) |
$2,488.50 |
$2,765 |
1.2× |
| Treat toe dislocation (28630) |
$544.50 |
$605 |
1.8× |
| Treat vagina infection (57150) |
$306 |
$340 |
4.2× |
| Treat Vaginal Bleeding (57180) |
$553.50 |
$615 |
2.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,610 |
$2,900 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,003.50 |
$1,115 |
3.3× |
| Treatment extensive retinopathy photocoagulation (67228) |
$1,579.50 |
$1,755 |
2.3× |
| Treatment mouth roof lesion (42160) |
$4,558.50 |
$5,065 |
1.1× |
| Treatment of anal fissure (46940) |
$4,410 |
$4,900 |
1.3× |
| Trim skin lesion (11055) |
$630 |
$700 |
2.5× |
| Trim skin lesions 2 to 4 (11056) |
$720 |
$800 |
2.9× |
| Trim skin lesions over 4 (11057) |
$855 |
$950 |
3.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$162 |
$180 |
2.2× |
| Trluml Balo Angiop 1St Art (37246) |
$8,550 |
$9,500 |
1.2× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,200 |
$8,000 |
1.0× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$2,848.50 |
$3,165 |
5.2× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$3,001.50 |
$3,335 |
5.5× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$2,569.50 |
$2,855 |
4.7× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$3,001.50 |
$3,335 |
5.5× |
| Trnspl prepj hematop progen tum cell deplj (38211) |
$7,200 |
$8,000 |
13.1× |
Trnsplj allogeneic hematopoietic cells per donor (38240)
range across 3 matching MRF lines |
$41,400–$63,000 |
$46,000–$70,000 |
varies |
Trnsplj autologous hematopoietic cells per donor (38241)
range across 3 matching MRF lines |
$11,610–$18,000 |
$12,900–$20,000 |
varies |
| Trnsplj Hematopoietic Cell Boost (38243) |
$14,400 |
$16,000 |
7.4× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$2,340 |
$2,600 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$720 |
$800 |
2.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,410 |
$4,900 |
1.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,310 |
$5,900 |
1.3× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$5,220 |
$5,800 |
1.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$3,330 |
$3,700 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,260 |
$1,400 |
1.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,080 |
$1,200 |
2.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,250 |
$2,500 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$895.50 |
$995 |
2.9× |
| Umbilical cord occlud w/us (59072) |
$2,520 |
$2,800 |
6.6× |
Unlisted Cardiac Surgery (33999)
range across 22 matching MRF lines |
$5,400–$31,500 |
$6,000–$35,000 |
varies |
| Unlisted fetal invasive px w/ultrasound (59897) |
$3,105 |
$3,450 |
12.3× |
| Unlisted Procedure Accessory Sinuses (31299) |
$1,080 |
$1,200 |
3.7× |
| Unlisted Procedure Biliary Tract (47999) |
$4,500 |
$5,000 |
4.0× |
| Unlisted procedure breast (19499) |
$5,580 |
$6,200 |
1.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$360 |
$400 |
1.8× |
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines |
$6,750–$7,785 |
$7,500–$8,650 |
varies |
| Unlisted Procedure External Ear (69399) |
$540 |
$600 |
1.8× |
| Unlisted Procedure Intestine (44799) |
$2,970 |
$3,300 |
2.6× |
Unlisted Procedure Leg/Ankle (27899)
range across 3 matching MRF lines |
$540–$1,980 |
$600–$2,200 |
varies |
| Unlisted procedure liver (47399) |
$4,500 |
$5,000 |
5.1× |
| Unlisted procedure lungs and pleura (32999) |
$9,900 |
$11,000 |
12.6× |
| Unlisted Procedure Male Genital System (55899) |
$810 |
$900 |
2.6× |
| Unlisted Procedure Muscskeletal System General (20999) |
$4,050 |
$4,500 |
13.2× |
| Unlisted procedure neck or thorax (21899) |
$9,000 |
$10,000 |
30.4× |
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines |
$2,160–$3,420 |
$2,400–$3,800 |
varies |
| Unlisted Procedure Palate Uvula (42299) |
$2,700 |
$3,000 |
9.1× |
| Unlisted procedure pancreas (48999) |
$3,420 |
$3,800 |
3.9× |
| Unlisted procedure pelvis/hip joint (27299) |
$4,500 |
$5,000 |
14.6× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$900 |
$1,000 |
3.0× |
| Unlisted Procedure Rectum (45999) |
$5,310 |
$5,900 |
4.6× |
| Unlisted procedure shoulder (23929) |
$3,510 |
$3,900 |
11.4× |
| Unlisted procedure spine (22899) |
$5,400 |
$6,000 |
17.5× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$3,060 |
$3,400 |
10.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$1,620 |
$1,800 |
6.5× |
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines |
$3,150–$4,500 |
$3,500–$5,000 |
varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,510 |
$3,900 |
3.1× |
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines |
$3,150–$3,600 |
$3,500–$4,000 |
varies |
| Unlisted procedure, vestibule of mouth (40899) |
$630 |
$700 |
2.1× |
| Unlisted px female genital system nonobstetrical (58999) |
$2,700 |
$3,000 |
10.7× |
Unlisted Px Salivary Glands/Ducts (42699)
range across 2 matching MRF lines |
$810–$1,980 |
$900–$2,200 |
varies |
| Upgrade of pacemaker system (33214) |
$18,000 |
$20,000 |
1.4× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$5,850 |
$6,500 |
1.3× |
| Urinary Reflex Study (51792) |
$720 |
$800 |
9.8× |
Urine Flow Measurement (51736)
range across 2 matching MRF lines |
$126–$585 |
$140–$650 |
varies |
| Vaginal delivery only (59409) |
$8,100 |
$9,000 |
2.0× |
| Vasc embolize/occlude artery (37242) |
$21,600 |
$24,000 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$18,900 |
$21,000 |
1.3× |
| Vasc Embolize/Occlude Organ (37243) |
$16,200 |
$18,000 |
1.1× |
| Vasc embolize/occlude venous (37241) |
$15,300 |
$17,000 |
1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,320 |
$4,800 |
1.7× |
| Vein Access Cutdown < 1 Yr (36420) |
$229.50 |
$255 |
1.4× |
| Venous Cutdown >1 Y/O (36425) |
$229.50 |
$255 |
0.4× |
| Venous Mech Thrombectomy (37187) |
$12,600 |
$14,000 |
0.9× |
| Ventricular puncture previous burr hole w/inj (61026) |
$4,320 |
$4,800 |
4.9× |
| Vestibuloplasty Anterior (40840) |
$6,750 |
$7,500 |
0.9× |
| Wash harvest stem cells (38209) |
$1,980 |
$2,200 |
3.6× |
| Wedge excision skin nail fold (11765) |
$810 |
$900 |
1.6× |
| Wedging of cast (29740) |
$540 |
$600 |
1.5× |
| Wedging of clubfoot cast (29750) |
$540 |
$600 |
1.5× |
| Windowing of cast (29730) |
$360 |
$400 |
1.8× |
| Wound Prep F/N/Hf/G (15004) |
$1,215 |
$1,350 |
2.4× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,880 |
$3,200 |
3.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$2,070 |
$2,300 |
1.1× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$1,336.50 |
$1,485 |
2.0× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$6,660 |
$7,400 |
0.9× |
| Xtroral I&D Floor Masticator Space (41018) |
$1,980 |
$2,200 |
1.0× |