Procedures & surgery prices at Mountain View Hospital

Idaho Falls, ID · every code in this section with a posted price and a Medicare benchmark.

2503 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) $4,600 $4,600 1.3×
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $4,185 $4,185 1.2×
Abd paracentesis w/imaging (49083) $1,518 $1,518 1.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,319 $1,319 1.5×
Abdomen Surgery Procedure (22999) $2,855 $2,855 11.7×
Ablate inf turbinate submuc (30802) $2,575 $2,575 1.7×
Ablation 1/> Liver Tumor Perq Cryoablation (47383) $6,800 $6,800 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $5,600 $5,600 0.3×
Ablation renal tumor unilateral perq cryotherapy (50593) $7,883.50 $7,883.50 0.8×
Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) $8,222 $8,222 0.8×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $6,800 $6,800 0.9×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,801 $3,801 2.3×
Abltj 1/> lvr tum prq rf (47382) $7,800 $7,800 1.3×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,421 $1,421 0.9×
Acne surgery (10040) $850 $850 4.3×
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) $4,120 $4,120 1.3×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,000 $1,000 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,884 $2,884 1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,991 $2,991 0.9×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $1,628.50 $1,628.50 0.8×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,700 $1,700 0.8×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $2,080 $2,080 1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,648 $1,648 0.8×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,833 $1,833 0.9×
Amniocentesis diagnostic (59000) $315 $315 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,818 $1,818 0.6×
Amputate metacarpal bone (26910) $3,090 $3,090 1.0×
Amputation Finger/Thumb (26951) $2,575 $2,575 0.8×
Amputation foot transmetarsal (28805) $3,296 $3,296 1.0×
Amputation metatarsal with toe single (28810) $3,348 $3,348 1.0×
Amputation toe interphalangeal joint (28825) $2,472 $2,472 0.8×
Amputation toe metatarsophalangeal joint (28820) $3,335 $3,335 1.0×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $3,500 $3,500 1.1×
Amputation, leg, through tibia and fibula; (27880) $5,000 $5,000 0.7×
Amputation, leg, through tibia and fibula; re-amputation Facility (27886) $4,429 $4,429 1.4×
Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) $3,090 $3,090 1.0×
Analyze spine infus pump (62367) $358 $358 1.2×
Anoscopy diagnostic (46600) $317 $317 2.4×
Anoscopy W/Rmvl Foreign Body (46608) $3,953 $3,953 4.3×
Anoscopy; with biopsy, single or multiple (46606) $935 $935 0.8×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $5,300 $5,300 4.5×
Anrct xm surg req anes general spi/edrl dx (45990) $1,311 $1,311 0.5×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) $5,957 $5,957 1.2×
Anterior tibial tubercleplasty (27418) $4,378.50 $4,378.50 0.6×
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,524 $2,524 0.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $600 $600 0.4×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $245 $245 1.5×
Appl Multlay Comprs Arm/Hand (29584) $97 $97 0.6×
Application cast elbow finger short arm (29075) $1,250 $1,250 4.5×
Application cast shoulder hand long arm (29065) $1,250 $1,250 4.5×
Application Finger Splint Dynamic (29131) $205 $205 3.5×
Application finger splint static (29130) $297 $297 2.3×
Application Hip Spica Cast 1 Leg (29305) $632 $632 2.3×
Application long arm splint shoulder hand (29105) $472.50 $472.50 2.9×
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure		 $3,296 $3,296 0.3×
Application of long leg cast (29345) $1,275 $1,275 4.6×
Application of rigid total contact leg cast (29445) $348 $348 1.3×
Application Short Arm Splint Dynamic (29126) $117.96 $117.96 0.9×
Application short arm splint forearm-hand static (29125) $367 $367 2.8×
Application uniplane external fixation system (20690) $4,581 $4,581 0.6×
Application, cast; figure-of-eight Facility (29049) $1,250 $1,250 4.5×
Apply long leg splint (29505) $893 $893 5.6×
Apply short leg cast (29405) $1,164 $1,164 4.2×
Apply short leg splint (29515) $714 $714 4.4×
Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) $3,330 $3,330 0.6×
Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475) $4,580 $4,580 0.6×
Arterial puncture (36600) $152 $152 1.2×
Arteriovenous Anastomosis Open Direct (36821) $8,600 $8,600 2.8×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $4,250 $4,250 0.8×
Artery-vein autograft (36825) $8,800 $8,800 1.6×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $8,452 $8,452 0.7×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure		 $2,935.50 $2,935.50 0.2×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $14,235 $14,235 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $474.50 $474.50 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $500 $500 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $752 $752 2.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $994.50 $994.50 3.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $652.75 $652.75 2.2×
Arthrodesis ankle open (27870) $8,973 $8,973 0.7×
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure		 $2,472 $2,472 0.3×
Arthrodesis great toe metatarsophalangeal joint (28750) $8,272 $8,272 1.2×
Arthrodesis interphalangeal jt w/wo int fixj (26860) $4,500 $4,500 1.4×
Arthrodesis pantalar (28705)
likely a partial charge, not the full procedure		 $4,500 $4,500 0.3×
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure		 $6,386 $6,386 0.4×
Arthrodesis triple (28715) $8,699 $8,699 0.7×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $7,000 $7,000 0.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556)
unusually low: confirm this is the full procedure		 $7,450 $7,450 0.4×
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Facility (26844)
unusually low: confirm this is the full procedure		 $3,502 $3,502 0.5×
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) $3,927 $3,927 0.5×
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low: confirm this is the full procedure		 $12,770 $12,770 0.5×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $7,575 $7,575 1.1×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) $7,950 $7,950 0.6×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533)
unusually low: confirm this is the full procedure		 $8,104 $8,104 0.5×
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) $4,200 $4,200 0.6×
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure		 $7,210 $7,210 0.3×
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600)
unusually low: confirm this is the full procedure		 $8,220 $8,220 0.5×
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure		 $7,403 $7,403 0.4×
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610)
unusually low: confirm this is the full procedure		 $5,650 $5,650 0.3×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
unusually low: confirm this is the full procedure		 $7,210 $7,210 0.4×
Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) $4,120 $4,120 1.3×
Arthrodesis, tibiofibular joint, proximal or distal Facility (27871)
unusually low: confirm this is the full procedure		 $5,665 $5,665 0.4×
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) $4,120 $4,120 0.6×
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) $8,112 $8,112 1.1×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $7,107 $7,107 0.6×
Arthrodesis; subtalar (28725) $14,315 $14,315 1.1×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $5,029 $5,029 0.2×
Arthroplasty glenohumeral joint total shoulder (23472) $9,561.50 $9,561.50 0.6×
Arthroplasty interphalangeal joint each (26535) $5,947 $5,947 1.8×
Arthroplasty patella w/prosthesis (27438)
unusually low: confirm this is the full procedure		 $4,433 $4,433 0.3×
Arthroplasty radial head (24365)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446)
unusually low: confirm this is the full procedure		 $6,355 $6,355 0.4×
Arthroplasty with prosthetic replacement; distal radius Facility (25441)
unusually low: confirm this is the full procedure		 $5,981 $5,981 0.5×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442)
unusually low: confirm this is the full procedure		 $5,981 $5,981 0.3×
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442)
unusually low: confirm this is the full procedure		 $4,397 $4,397 0.3×
Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) $5,970.50 $5,970.50 1.8×
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) $14,160 $14,160 1.1×
Arthroplasty, radial head; with implant Facility (24366)
unusually low: confirm this is the full procedure		 $6,162 $6,162 0.5×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) $6,180 $6,180 1.1×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
unusually low: confirm this is the full procedure		 $12,050.50 $12,050.50 0.4×
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) $8,923 $8,923 0.7×
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) $8,606 $8,606 1.2×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $5,538 $5,538 3.5×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) $2,987 $2,987 1.9×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $6,788 $6,788 0.5×
Arthroscopy Hip W/Femoroplasty (29914) $21,456.25 $21,456.25 3.0×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $4,609 $4,609 1.4×
Arthroscopy knee synovectomy 2/>compartments (29876) $3,251 $3,251 1.0×
Arthroscopy knee synovectomy limited spx (29875) $5,071 $5,071 1.6×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,528 $4,528 1.4×
Arthroscopy shoulder distal claviculectomy (29824) $3,937.20 $3,937.20 1.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) $2,960.25 $2,960.25 0.9×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) $3,012.75 $3,012.75 0.9×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) $4,017 $4,017 1.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899) $7,210 $7,210 1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) $3,811 $3,811 1.2×
Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) $5,810 $5,810 1.8×
Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) $4,841 $4,841 1.5×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $3,629 $3,629 0.5×
Arthroscopy, elbow, surgical; synovectomy, partial Facility (29835) $3,500 $3,500 1.1×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $2,633.25 $2,633.25 0.8×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $7,519 $7,519 1.0×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $5,047 $5,047 0.7×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $7,519 $7,519 2.3×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) $3,512 $3,512 1.1×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) $4,395 $4,395 0.6×
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $5,406.50 $5,406.50 1.7×
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867)
unusually low: confirm this is the full procedure		 $5,871 $5,871 0.5×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $5,150 $5,150 0.7×
Arthroscopy, knee, surgical; with lateral release (29873) $4,536 $4,536 1.4×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) $5,572 $5,572 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,187.25 $3,187.25 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $6,118.20 $6,118.20 1.9×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) $3,296 $3,296 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $9,445 $9,445 1.3×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $8,533.80 $8,533.80 1.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $5,025 $5,025 1.6×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,576.25 $7,576.25 1.1×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $5,070 $5,070 1.6×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,274.40 $7,274.40 1.0×
Arthroscopy, temporomandibular joint, surgical Facility (29804) $4,700 $4,700 1.5×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $5,442 $5,442 1.7×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $4,635 $4,635 0.6×
Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) $4,326 $4,326 1.3×
Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) $4,738 $4,738 1.5×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,817 $3,817 1.2×
Arthrotomy w/synovectomy ankle (27625) $3,167.25 $3,167.25 1.0×
Arthrotomy wrist joint with synovectomy (25105) $5,047 $5,047 1.6×
Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage… (23101) $4,167 $4,167 1.3×
Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) $3,188 $3,188 1.0×
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) $3,296 $3,296 1.0×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $3,296 $3,296 1.0×
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $4,200 $4,200 0.6×
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) $2,369 $2,369 0.7×
Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) $2,549.25 $2,549.25 0.8×
Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) $3,296 $3,296 1.0×
Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) $2,625 $2,625 0.8×
Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) $3,090 $3,090 1.0×
Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Facility (23105) $4,017 $4,017 0.6×
Arthrp intercarpal/carp/mtcrpl jt suspension (25448) $5,262 $5,262 1.6×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $5,885 $5,885 1.8×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $8,386.80 $8,386.80 1.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,867 $4,867 1.5×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $4,635 $4,635 1.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,765 $1,765 1.1×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $3,870 $3,870 1.2×
Aspirate pleura w/ imaging (32555) $2,388.14 $2,388.14 3.9×
Aspirate/Inj Ganglion Cyst (20612) $250 $250 0.8×
Aspiration and/or injection thyroid cyst (60300) $1,125 $1,125 1.6×
Aspiration bladder insert suprapubic catheter (51102) $2,060 $2,060 1.0×
Aspiration bladder needle (51100) $725 $725 2.9×
Augmentation, mandibular body or angle; prosthetic material Facility (21125)
unusually low: confirm this is the full procedure		 $2,678 $2,678 0.5×
Autochondrocyte implant knee (27412) $9,500 $9,500 1.3×
Av fistula revision (36833) $9,000 $9,000 1.6×
Av Fuse Uppr Arm Basilic (36819) $10,500 $10,500 1.9×
Avulsion nail plate partial/complete simple 1 (11730) $200 $200 1.0×
Axillary lymphadenectomy; complete (38745) $5,500 $5,500 0.9×
Axillary lymphadenectomy; superficial Facility (38740) $5,940 $5,940 1.0×
Biopsy bone open deep (20245) $2,678 $2,678 0.9×
Biopsy bone open superficial (20240) $4,015.50 $4,015.50 1.4×
Biopsy bone trocar/needle deep (20225) $1,887 $1,887 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $1,749 $1,749 1.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $662.25 $662.25 0.7×
Biopsy External Auditory Canal (69105) $856.50 $856.50 0.6×
Biopsy external ear (69100) $999 $999 4.3×
Biopsy Forearm Soft Tissues,Deep (25066) $2,627 $2,627 0.9×
Biopsy intranasal (30100) $1,133 $1,133 0.7×
Biopsy muscle deep (20205) $3,302 $3,302 1.2×
Biopsy muscle percutaneous needle (20206) $2,012 $2,012 1.2×
Biopsy Muscle Superficial (20200) $2,311.50 $2,311.50 1.4×
Biopsy Nail Unit Separate Procedure (11755) $1,313 $1,313 1.9×
Biopsy Nasopharynx Visible Lesion Simple (42804) $1,854 $1,854 0.6×
Biopsy Nerve (64795) $2,178 $2,178 1.1×
Biopsy of breast; open, incisional (19101) $3,238 $3,238 0.8×
Biopsy of floor of mouth (41108) $478.50 $478.50 0.3×
Biopsy of lip (40490) $212 $212 0.9×
Biopsy of mouth lesion (40808) $772.50 $772.50 1.4×
Biopsy of palate, uvula (42100) $551 $551 0.4×
Biopsy of penis (54105) $3,000 $3,000 1.0×
Biopsy of penis (54100) $2,500 $2,500 1.5×
Biopsy of tear sac (68525) $2,266 $2,266 1.0×
Biopsy of tongue (41100) $731.50 $731.50 1.4×
Biopsy of urethra (53200) $2,565 $2,565 1.2×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $4,190 $4,190 1.1×
Biopsy or excision of lymph node(s); open, superficial (38500) $2,939.50 $2,939.50 0.8×
Biopsy Oropharynx (42800) $2,060 $2,060 1.3×
Biopsy Salivary Gland Incisional (42405) $2,472 $2,472 1.6×
Biopsy Salivary Gland,Needle (42400) $1,188 $1,188 1.7×
Biopsy soft tissue leg/ankle area superficial (27613) $2,441 $2,441 1.5×
Biopsy soft tissue neck/thorax (21550) $2,809 $2,809 1.7×
Biopsy soft tissue pelvis&hip area superficial (27040) $1,750 $1,750 1.1×
Biopsy Soft Tissue Shoulder Deep (23066) $2,678 $2,678 0.9×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,062 $1,062 0.7×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,000 $3,000 1.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,442 $1,442 0.9×
Biopsy testis incisional separate procedure (54505) $3,000 $3,000 0.9×
Biopsy Tongue Posterior One-Third (41105) $1,467.50 $1,467.50 0.4×
Biopsy Vaginal Mucosa Extensive (57105) $2,289 $2,289 0.7×
Biopsy Vaginal Mucosa Simple (57100) $562.50 $562.50 0.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $750 $750 0.8×
Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712) $3,011 $3,011 0.9×
Biopsy/removal lymph nodes (38525) $4,611 $4,611 1.2×
Biopsy/removal lymph nodes (38510) $3,381 $3,381 0.9×
Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) $3,000 $3,000 0.9×
Bl exchange/transfuse nb (36450) $1,000 $1,000 2.3×
Bl push transfuse 2 yr/< (36440) $800 $800 1.8×
Bladder instillation anticarcinogenic agent (51720) $348 $348 0.5×
Bladder Irrigation Simple (51700) $263 $263 1.1×
Blepharoplasty lower eyelid (15820) $4,230 $4,230 2.1×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,208.50 $2,208.50 1.1×
Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) $2,524 $2,524 1.2×
Blepharoplasty, Upper Eyelid (15822) $3,090 $3,090 1.5×
Blepharotomy drain absc eyelid (67700) $1,593.50 $1,593.50 5.1×
Blood patch (62273) $1,751 $1,751 2.5×
Blood transfusion service (36430) $1,030 $1,030 2.4×
Bone graft with microvascular anastomosis; iliac crest Facility (20956) $9,000 $9,000 1.3×
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
unusually low: confirm this is the full procedure		 $3,120.75 $3,120.75 0.4×
Bone marrow aspiration only (38220) $400 $400 0.2×
Bone Marrow Biopsy (38221) $1,749 $1,749 1.1×
Bone marrow harvest allogen (38230) $4,120 $4,120 2.7×
Bone Marrow Harvest Autolog (38232) $5,260 $5,260 1.2×
Breast augmentation with implant (19325) $4,656 $4,656 0.6×
Breast Reduction (19318) $10,048.75 $10,048.75 1.5×
Breast surgery procedure (19499) $4,005 $4,005 1.0×
Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) $1,158.75 $1,158.75 0.7×
Brnchsc Brushing/Protected Brushings (31623) $1,442 $1,442 0.8×
Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) $1,700 $1,700 0.5×
Bronch ebus samplng 1/2 node (31652) $2,800 $2,800 0.8×
Bronch ebus samplng 3/> node (31653) $3,000 $3,000 0.8×
Bronchosc dx w/w/o fluor&wash (31622) $3,155.50 $3,155.50 1.8×
Bronchoscopy needle bx trachea main stem&/bron (31629) $2,009 $2,009 0.5×
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure		 $1,500 $1,500 0.2×
Bronchoscopy W/Removal Foreign Body (31635) $3,193 $3,193 1.8×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $3,025.50 $3,025.50 1.7×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $2,700 $2,700 7.0×
Bronchoscopy w/tumor excise (31640) $4,500 $4,500 1.2×
Bronchoscopy,Diagnostic W Lavage (31624) $1,442 $1,442 0.8×
Bx abdl/retroperitoneal mass prq needle (49180) $1,749 $1,749 1.1×
Bx anorectal wall anal approach (45100) $2,745 $2,745 1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,060 $2,060 0.7×
Bx breast 1st lesion strtctc (19081) $2,056.25 $2,056.25 1.3×
Bx breast 1st lesion us imag (19083) $1,833 $1,833 1.1×
Bx breast needle core w/o imaging guidance spx (19100) $1,288 $1,288 0.8×
Bx Low Leg Soft Tissue,Deep (27614) $2,600 $2,600 0.9×
Bx Prostate Transperineal Ultrasound-Guided (55709) $2,750 $2,750 0.8×
Bx/exc lymph node needle superficial (38505) $1,982 $1,982 1.2×
Canthoplasty (67950) $2,082.75 $2,082.75 0.9×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,511 $2,511 0.8×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,803 $1,803 0.6×
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) $4,120 $4,120 0.6×
Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) $8,437 $8,437 1.2×
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) $5,974 $5,974 0.8×
Capsulotomy wrist (25085) $2,884 $2,884 0.9×
Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) $6,215 $6,215 0.9×
Carpectomy All Bones Proximal Row (25215) $3,476.25 $3,476.25 1.1×
Cartilage graft; nasal septum Facility (20912) $2,340 $2,340 0.7×
Casting/strapping procedure (29799) $412 $412 2.6×
Cataract surgery complex (66982) $2,226 $2,226 1.0×
Catheter Aspiration Nasotracheal Spx (31720) $130 $130 0.6×
Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and… (53866) $973 $973 3.9×
Cauterization,cervix,electro/thermal (57510) $1,628 $1,628 0.5×
Cerclage cervix pregnancy vaginal (59320) $2,847 $2,847 0.9×
Cervical lymphadenectomy (complete) (38720) $3,901 $3,901 0.6×
Cessj Therapy Cath Removal (37214) $3,000 $3,000 1.0×
Change Cystostomy Tube Complicated (51710) $1,288 $1,288 1.9×
Change of cystostomy tube simple (51705) $503 $503 2.0×
Change Ureter Stent, Percut (50382) $5,000 $5,000 2.4×
Chemical cautery tissue (17250) $500 $500 2.5×
Chemodenerv 1 extrem 5/> mus (64644) $250 $250 0.4×
Chemodenerv musc migraine (64615) $394.50 $394.50 1.3×
Chemodenerv Musc Neck Dyston (64616) $472 $472 1.6×
Chemodenerv trunk musc 1-5 (64646) $300 $300 0.4×
Chemodenervation internal anal sphincter (46505) $2,665 $2,665 2.3×
Chemodenervation of one extremity; 1-4 muscle(s) (64642) $767.50 $767.50 1.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $260 $260 0.9×
Cholecystostomy,Percutaneous, Complete (47490) $3,350 $3,350 0.9×
Chromotubation oviduct (58350) $2,931 $2,931 0.6×
Circum 28 days or older (54161) $4,145.75 $4,145.75 2.0×
Circumcision (54150) $2,700 $2,700 1.3×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $1,211 $1,211 4.0×
Claviculectomy partial (23120) $5,952 $5,952 1.8×
Closed Rx Acetabular Fx,Manipulatn (27222) $12,153.50 $12,153.50 49.9×
Closed Rx Humer Epicondylr Fx,Manip (24565) $8,710.50 $8,710.50 5.5×
Closed Rx Humeral Supracondylar Fx (24530) $1,493.50 $1,493.50 6.1×
Closed Rx Mandible Fx+Manipulatn (21451) $6,787 $6,787 4.4×
Closed Rx Radial Shaft Fx (25500) $1,195 $1,195 4.9×
Closed Rx Spontaneous Hip Disloc (27256) $1,493.50 $1,493.50 6.1×
Closed Rx Tibia Shaft Fx (27750) $1,493.50 $1,493.50 6.1×
Closed Rx Tibial Plateau Fx (27530) $1,195 $1,195 4.9×
Closed Treat Vert Body Fract (22310) $1,153 $1,153 4.7×
Closed treat wrist dislocation (25660) $1,493.50 $1,493.50 6.1×
Closed Treatment Coccygeal Fracture (27200) $1,195 $1,195 4.9×
Closed Treatment Nasal Fracture W/Stabilization (21320) $2,276 $2,276 0.7×
Closed treatment of calcaneal fracture; without manipulation (28400) $1,195 $1,195 4.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,493.50 $1,493.50 6.1×
Closed treatment of fracture of orbit, except blowout; without manipulation (21400) $3,231 $3,231 6.1×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $8,710.50 $8,710.50 5.5×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) $1,195 $1,195 4.9×
Closed treatment of patellar fracture, without manipulation (27520) $1,493.50 $1,493.50 6.1×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $1,493.50 $1,493.50 6.1×
Closed treatment of sternoclavicular dislocation; without manipulation (23520) $8,710.50 $8,710.50 5.5×
Closed treatment of talus fracture; without manipulation (28430) $1,493.50 $1,493.50 6.1×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $3,090 $3,090 12.7×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $8,710.50 $8,710.50 5.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,288 $1,288 5.3×
Closed Treatment Sternum Fracture (21820) $1,195 $1,195 4.9×
Closed Treatment Ulnar Styloid Fracture (25650) $1,493.50 $1,493.50 6.1×
Closed tx ankle dislocation w/o anesthesia (27840) $1,493.50 $1,493.50 6.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $6,969 $6,969 4.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,195 $1,195 4.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $3,429 $3,429 14.1×
Closed tx carpal scaphoid fracture w/manj (25624) $6,969 $6,969 4.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,818.14 $1,818.14 7.5×
Closed tx fx orbit except blowout w/manipulation (21401) $8,483.50 $8,483.50 5.5×
Closed tx knee dislocation w/anesthesia (27552) $8,710.50 $8,710.50 5.5×
Closed tx knee dislocation w/o anesthesia (27550) $1,493.50 $1,493.50 6.1×
Closed tx lunate dislocation w/manipulation (25690) $5,520 $5,520 3.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,512 $1,512 2.8×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $5,097 $5,097 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $922.50 $922.50 3.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,189 $2,189 1.4×
Closed tx nasal fracture w/o stabilization (21315) $4,318.50 $4,318.50 2.8×
Closed tx patellar dislocation w/anesthesia (27562) $2,121.50 $2,121.50 8.7×
Closed tx patellar dislocation w/o anesthesia (27560) $1,493.50 $1,493.50 6.1×
Closed tx radial head/neck fx w/manipulation (24655) $6,969 $6,969 4.4×
Closed tx radial head/neck fx w/o manipulation (24650) $1,493.50 $1,493.50 6.1×
Closed tx radial shaft fracture w/manipulation (25505) $6,969 $6,969 4.4×
Closed tx radial&ulnar shaft fractures w/manj (25565) $6,969 $6,969 4.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $1,493.50 $1,493.50 6.1×
Closed tx septal&nose fx (21337) $2,500 $2,500 0.8×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $1,493.50 $1,493.50 6.1×
Closed tx talotarsal joint dislc w/o anes (28570) $285 $285 1.2×
Closed Tx Talus Fracture W/Manipulation (28435) $8,710.50 $8,710.50 5.5×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $3,090 $3,090 12.7×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $8,483.50 $8,483.50 5.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,195 $1,195 4.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $6,969 $6,969 4.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,493.50 $1,493.50 6.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,493.50 $1,493.50 6.1×
Closure of cystostomy (separate procedure) Facility (51880) $5,300 $5,300 1.5×
Closure of gastrostomy, surgical (43870) $2,125.50 $2,125.50 0.6×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $972 $972 4.2×
Closure of lacrimal fistula (separate procedure) Facility (68770) $2,781 $2,781 1.2×
Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) $4,000 $4,000 1.3×
Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) $515 $515 1.6×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $3,000 $3,000 0.6×
Closure of vesicovaginal fistula; vaginal approach Facility (57320) $4,695 $4,695 0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,500 $1,500 6.2×
Clsd tx clavicular fracture w/o manipulation (23500) $1,493.50 $1,493.50 6.1×
Clsd tx pelvic ring fx w/manipulation w/anes (27198) $1,697 $1,697 7.0×
Clsd tx pelvic ring fx w/o manipulation (27197) $1,195 $1,195 4.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $6,969 $6,969 4.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,493.50 $1,493.50 6.1×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,195 $1,195 4.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $8,710.50 $8,710.50 5.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,622.50 $1,622.50 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $8,710.50 $8,710.50 5.5×
Cltx dstl fibular fx lat malls w/manj (27788) $1,195 $1,195 4.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,195 $1,195 4.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $518 $518 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $726 $726 3.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,545 $1,545 6.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,695 $4,695 3.0×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,884 $2,884 1.8×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,606 $1,606 1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $1,493.50 $1,493.50 6.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $6,969 $6,969 4.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $1,493.50 $1,493.50 6.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $1,195 $1,195 4.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,499 $1,499 6.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $1,370 $1,370 5.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,472 $2,472 1.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $2,060 $2,060 8.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,493.50 $1,493.50 6.1×
Cltx humeral condylar fx medial/lat w/o mnpj (24576) $1,545 $1,545 6.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $8,710.50 $8,710.50 5.5×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $6,969 $6,969 4.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $8,710.50 $8,710.50 5.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,697 $1,697 6.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,195 $1,195 4.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $12,094 $12,094 7.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,250 $1,250 4.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,195 $1,195 4.9×
Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) $2,331 $2,331 0.7×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $1,493.50 $1,493.50 6.1×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $8,710.50 $8,710.50 5.5×
Cltx metacarpal fx w/manipulation each bone (26605) $1,195 $1,195 4.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,009.50 $1,009.50 4.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $6,969 $6,969 4.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $1,195 $1,195 4.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $6,969 $6,969 4.4×
Cltx metatarsophlngl jt dislc w/o anes (28630) $1,195 $1,195 4.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $500 $500 2.1×
Cltx post ankle fx w/mnpj (27768) $1,000 $1,000 0.6×
Cltx post hip arthrp dislc req anes (27266) $6,969 $6,969 4.4×
Cltx post hip arthrp dislc w/o anes (27265) $1,493.50 $1,493.50 6.1×
Cltx prox fibula/shft fx w/manj (27781) $4,984.50 $4,984.50 3.1×
Cltx prox fibula/shft fx w/o manj (27780) $1,493.50 $1,493.50 6.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,969 $6,969 4.4×
Cltx prox tibfib jt dislc req anes (27831) $17,399.50 $17,399.50 5.4×
Cltx prox tibfib jt dislc w/o anes (27830) $1,493.50 $1,493.50 6.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $697.50 $697.50 2.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,725 $1,725 1.1×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $450 $450 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $6,969 $6,969 4.4×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $467 $467 0.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $2,900 $2,900 0.9×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $6,969 $6,969 4.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,493.50 $1,493.50 6.1×
Collect Blood From Catheter Venous Nos (36592) $214 $214 1.6×
Colonoscopy flex w/blln dilat (45386) $1,050 $1,050 0.9×
Colonoscopy flex w/inj submuc (45381) $1,486 $1,486 1.3×
Colonoscopy flex w/rem forcep (45384) $1,949 $1,949 1.6×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $2,400 $2,400 2.0×
Colonoscopy Flx With Endoscopic Stent Placement (45389) $11,650 $11,650 1.9×
Colonoscopy Stoma Ablation Lesion (44401) $2,400 $2,400 2.0×
Colonoscopy Stoma Control Bleeding (44391) $1,100 $1,100 0.9×
Colonoscopy stoma w/balloon dilation (44405) $1,450 $1,450 1.2×
Colonoscopy stoma w/biopsy (44389) $1,050 $1,050 0.9×
Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) $2,400 $2,400 2.0×
Colonoscopy Through Stoma With Decompression (44408) $1,850 $1,850 2.0×
Colonoscopy thru stoma (44388) $1,082 $1,082 1.2×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,550 $1,550 1.3×
Colonoscopy w/ablation (45388) $2,080 $2,080 1.8×
Colonoscopy w/band ligation (45398) $1,854 $1,854 1.6×
Colonoscopy w/fb removal (45379) $1,050 $1,050 0.9×
Colonoscopy, flexible; with control of bleeding, any method (45382) $1,044 $1,044 0.9×
Colonoscopy, flexible; with endoscopic mucosal resection (45390) $2,060 $2,060 0.8×
Colpocleisis (le fort type) (57120) $2,703.75 $2,703.75 0.5×
Colpoperineorrhaphy non ob (57210) $7,296.50 $7,296.50 2.3×
Colpopexy vaginal intraperitoneal approach (57283) $6,438 $6,438 0.9×
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
unusually low: confirm this is the full procedure		 $3,413.25 $3,413.25 0.5×
Colporrhaphy Suture Injury Vagina (57200) $3,202.50 $3,202.50 1.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,200 $1,200 4.0×
Colposcopy cervix upper/adjacent vagina (57452) $160 $160 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $443 $443 1.5×
Colposcopy cervix vag eltrd conization cervix (57461) $1,649 $1,649 0.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,751 $1,751 0.5×
Colposcopy entire vagina w/cervix if present (57420) $333 $333 1.1×
Colposcopy vulva (56820) $160 $160 0.8×
Colposcopy vulva w/biopsy (56821) $160 $160 0.5×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $316 $316 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $808 $808 0.9×
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) $3,193 $3,193 0.6×
Combined anteroposterior colporrhaphy; (57260) $4,131 $4,131 0.8×
Complex Uroflowmetry (51741) $162 $162 0.8×
Conization of cervix (57520) $3,000 $3,000 0.9×
Conization of cervix (57522) $2,861 $2,861 0.9×
Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Facility (68326) $2,200 $2,200 0.6×
Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) $3,500 $3,500 0.9×
Construction of artificial vagina; with graft Facility (57292) $8,003 $8,003 1.6×
Contour cranial bone lesion (21181) $4,310 $4,310 0.7×
Contour of face bone lesion (21029) $4,785 $4,785 1.5×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $330 $330 1.6×
Control Nasal Hemorrhage Anterior Complex (30903) $485.50 $485.50 3.7×
Control Nasal Hemorrhage Anterior Simple (30901) $657 $657 5.0×
Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972) $2,800 $2,800 0.9×
Control Oropharyngeal Hemorrhage Simple (42960) $1,763 $1,763 3.3×
Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) $4,532 $4,532 1.4×
Conversion ext bil drg cath (47535) $2,500 $2,500 0.7×
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) $9,500 $9,500 0.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,025 $2,025 1.1×
Convert nephrostomy catheter (50434) $5,625 $5,625 2.7×
Coracoacromial ligament release, with or without acromioplasty Facility (23415) $5,150 $5,150 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,577 $2,577 1.6×
Coronoidectomy (separate procedure) Facility (21070) $9,042 $9,042 1.5×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,815 $3,815 1.1×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $4,044 $4,044 1.2×
Correction eyelid w/implant (67912) $2,106 $2,106 0.9×
Correction hammertoe (28285) $3,399 $3,399 1.1×
Correction of bunion (28298) $4,823 $4,823 0.7×
Correction of bunion (28292) $5,255 $5,255 1.6×
Correction of bunion (28299) $4,635 $4,635 0.6×
Correction of bunion (28297)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Correction of everted punctum, cautery (68705) $541 $541 1.7×
Correction of lid retraction (67911) $2,550 $2,550 1.1×
Correction Trichiasis Epilation Forceps Only (67820) $620 $620 4.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,551 $4,551 1.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,605 $3,605 1.1×
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) $8,800 $8,800 1.6×
Cryosurgical Ablation Fibroadenoma, Each (19105) $6,708 $6,708 1.7×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $2,316 $2,316 9.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $626 $626 4.8×
Curettage postpartum (59160) $7,564.50 $7,564.50 2.4×
Curette/treat cornea (65436) $2,814 $2,814 1.2×
Cysto Bladder W/Ureteral Catheterization (52005) $2,215 $2,215 1.1×
Cysto calibration dilat urtl strix/stenosis (52281) $1,818 $1,818 0.9×
Cysto w fulg of minor lesions <0.5cm (52224) $2,097 $2,097 0.6×
Cysto w/destruction of lesions (52214) $2,703.75 $2,703.75 0.8×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $4,170 $4,170 0.8×
Cysto w/insert ureteral stent (52332) $6,040.95 $6,040.95 1.7×
Cysto w/irrig & evac multple obstructing clots (52001) $2,060 $2,060 0.6×
Cysto w/removal of tumors small (52234) $2,839.50 $2,839.50 0.8×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $2,215 $2,215 0.6×
Cysto W/Simple Removal Stone & Stent (52310) $2,394 $2,394 1.2×
Cysto w/ureter stricture tx (52341) $4,252 $4,252 1.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,251 $3,251 0.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,935.50 $2,935.50 0.8×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $3,605 $3,605 0.7×
Cysto/uretero w/lithotripsy (52356) $14,065.94 $14,065.94 2.7×
Cysto/uretero w/up stricture (52345) $4,250 $4,250 1.2×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $5,562 $5,562 1.0×
Cystolithotomy (51050) $4,120 $4,120 0.8×
Cystometrogram w/vp (51728) $512.50 $512.50 0.7×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) $5,264 $5,264 0.6×
Cystoscopy implant stent (52282) $3,900 $3,900 1.1×
Cystoscopy inject material (52327) $4,148 $4,148 0.8×
Cystoscopy,Dir Vis Int Urethrotomy (52276) $2,433.75 $2,433.75 1.2×
Cystostomy Cystotomy W/Drainage (51040) $4,058 $4,058 2.0×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,000 $1,000 0.5×
Cystouretero & or pyeloscope (52351) $4,120 $4,120 1.2×
Cystourethroscopy (52000) $835.50 $835.50 1.2×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $3,914 $3,914 1.1×
Cystourethroscopy inj chemodenervation bladder (52287) $2,307 $2,307 1.1×
Cystourethroscopy w/dest &/rmvl med bladder tum (52235) $3,914 $3,914 1.1×
Cystourethroscopy w/dil bladder general anesth (52260) $1,818 $1,818 0.9×
Cystourethroscopy w/rmvl ureteral calculus (52320) $4,130 $4,130 1.2×
Cystourethroscopy with biopsy (52204) $3,914 $3,914 1.9×
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865)
unusually low: confirm this is the full procedure		 $3,641 $3,641 0.4×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) $3,914 $3,914 1.1×
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) $3,284.25 $3,284.25 0.6×
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) $3,914 $3,914 0.7×
Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) $4,120 $4,120 2.0×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $4,380 $4,380 1.3×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $3,914 $3,914 1.9×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $3,914 $3,914 1.1×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) $3,500 $3,500 0.7×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $4,130 $4,130 1.2×
Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) $4,130 $4,130 1.2×
Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) $2,761 $2,761 0.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,538 $1,538 0.5×
Dcmprn fasct leg ant&/lat&pst cmprt (27602) $2,575 $2,575 0.8×
Dcmprn fasct leg post compartment only (27601) $2,369 $2,369 0.7×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $2,306 $2,306 3.3×
Debride nail 1-5 (11720) $297 $297 5.1×
Debride nail 6 or more (11721) $297 $297 5.1×
Debride skin musc at fx site (11011) $2,306 $2,306 3.3×
Debride tissue/muscle (11043) $753 $753 1.0×
Debridement Mastoidectomy Cavity Cmplx (69222) $1,023 $1,023 1.9×
Debridement Mastoidectomy Cavity Simple (69220) $1,545 $1,545 7.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $601.50 $601.50 1.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,972 $1,972 1.2×
Declot vascular device (36593) $499 $499 1.5×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) $3,350 $3,350 1.0×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $3,296 $3,296 1.0×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $3,400 $3,400 2.1×
Decompression of lower leg (27600) $2,575 $2,575 0.8×
Decompression Of Tibia Nerve (28035) $2,240.25 $2,240.25 1.2×
Decompression; plantar digital nerve Facility (64726) $1,648 $1,648 0.9×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,369 $2,369 1.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $3,000 $3,000 1.5×
Delivery placenta separate procedure (59414) $12,529 $12,529 3.9×
Denervation of hip joint (27035) $4,429 $4,429 1.4×
Derma-fat-fascia graft (15770) $2,546 $2,546 0.7×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $2,780 $2,780 1.4×
Destroy cerv/thor facet jnt (64633) $3,786 $3,786 2.0×
Destroy internal hemorrhoids (46930) $2,300 $2,300 1.9×
Destroy lumb/sac facet jnt (64635) $3,024 $3,024 1.6×
Destruc,Ciliary Body,Cyclophotocoag (66710) $2,369 $2,369 1.0×
Destruction Benign Lesions 15/> (17111) $1,138.50 $1,138.50 5.7×
Destruction Benign Lesions Up To 14 (17110) $300 $300 1.5×
Destruction by neurolytic agent, intercostal nerve (64620) $2,975 $2,975 3.4×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,737.50 $1,737.50 2.0×
Destruction Lesions Vulva Extensive (56515) $3,672 $3,672 1.8×
Destruction Lesions Vulva Simple (56501) $1,854 $1,854 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $200 $200 1.0×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $445 $445 2.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $221 $221 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $255 $255 1.3×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $302 $302 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $206 $206 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $267 $267 1.3×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $157 $157 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $2,653 $2,653 1.4×
Destruction of lesion of lid margin (up to 1 cm) (67850) $775 $775 0.8×
Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) $2,318 $2,318 0.8×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) $2,742 $2,742 1.3×
Destruction of lesion, conjunctiva (68135) $731.50 $731.50 0.3×
Destruction of skin lesions (17106) $299 $299 0.7×
Destruction Premalignant Lesion 15/> (17004) $290 $290 0.7×
Destruction premalignant lesion 1st (17000) $97 $97 0.5×
Destruction Vaginal Lesions Simple (57061) $1,761 $1,761 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,765 $1,765 2.5×
Diagnostic sigmoidoscopy (45330) $1,082 $1,082 1.2×
Dil urethra,female,subsequent (53661) $105 $105 0.8×
Dilat female urethra general/cndj spinal anes (53665) $2,369 $2,369 1.1×
Dilat rct strix spx under anes oth/thn local (45910) $2,781 $2,781 2.4×
Dilate Urethra Stricture (53620) $2,933.50 $2,933.50 4.3×
Dilate urethra stricture (53600) $1,040.50 $1,040.50 4.2×
Dilation and curettage (58120) $2,283 $2,283 0.7×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $4,611 $4,611 5.1×
Dilation esophagus over guide wire (43453) $690 $690 0.4×
Dilation Nasolacrimal Duct (68801) $231 $231 0.5×
Dilation of anal sphincter (45905) $2,827 $2,827 2.4×
Dilation of cervical canal (57800) $1,854 $1,854 0.6×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $2,060 $2,060 0.6×
Dilation of vagina (57400) $2,300 $2,300 0.7×
Dilation Salivary Duct (42650) $1,545 $1,545 1.0×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) $8,075 $8,075 1.5×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $8,000 $8,000 1.5×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $4,700 $4,700 0.7×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $2,529.50 $2,529.50 1.4×
Dissection, deep jugular node(s) Facility (38542) $6,300 $6,300 1.1×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $5,400 $5,400 1.0×
Drain Ext Ear Absc/Blood,Complic (69005) $7,298 $7,298 4.5×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $2,237 $2,237 3.2×
Drain Spinal Cord Cyst (62268) $943 $943 1.1×
Drain/inj small joint/bursa w/us (20604) $655 $655 2.2×
Drainage Abscess Parotid Simple (42300) $3,452 $3,452 2.3×
Drainage abscess/hematoma nasal int approach (30000) $690.75 $690.75 3.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $850 $850 1.6×
Drainage external auditory canal abscess (69020) $3,074 $3,074 4.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $3,074 $3,074 4.4×
Drainage Finger Abscess Complicated (26011) $4,699 $4,699 2.9×
Drainage Finger Abscess Simple (26010) $936 $936 4.7×
Drainage Mouth Roof Lesion (42000) $1,094 $1,094 4.7×
Drainage of gum lesion (41800) $783 $783 6.0×
Drainage of hematoma/fluid (10140) $1,801 $1,801 1.1×
Drainage of hydrocele (55000) $922.50 $922.50 1.3×
Drainage of mouth lesion (41017) $1,500 $1,500 0.5×
Drainage of ovarian cyst(s) (58800) $2,173 $2,173 0.7×
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $2,983 $2,983 4.3×
Drainage of salivary cyst (42409) $2,500 $2,500 0.8×
Drainage of scrotal wall abscess (55100) $4,393.50 $4,393.50 2.7×
Drainage of throat abscess (42725) $5,097 $5,097 0.9×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $3,700 $3,700 1.2×
Drainage tendon sheath digit&/palm each (26020) $2,369 $2,369 0.7×
Draw blood off venous device (36591) $170.50 $170.50 1.3×
Dressing change under anesthesia (15852) $881 $881 1.2×
Drg absc cst hmtma vestibule mouth comp (40801) $2,585 $2,585 4.9×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,060 $2,060 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,666 $1,666 4.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $936 $936 4.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $287 $287 1.4×
Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) $861.50 $861.50 0.3×
Dstrj lesion anus simple surg excision (46922) $2,678 $2,678 1.0×
Dstrj lesion anus smpl eltrdsiccation (46910) $1,736 $1,736 0.9×
Dstrj lesion penis simple surg excision (54060) $1,124 $1,124 0.6×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,787.50 $1,787.50 2.0×
Dx bone marrow bx & aspir (38222) $2,412 $2,412 0.8×
Dx gastr intub w/asp spec (43754) $150 $150 0.7×
Dx Laryngoscopy Excl Nb (31525) $5,961.50 $5,961.50 3.4×
Dx laryngoscopy w/oper scope (31526) $3,296 $3,296 1.9×
Ear Cartilage Graft (21235)
unusually low: confirm this is the full procedure		 $2,438.25 $2,438.25 0.4×
Eardrum revision (69450) $4,570 $4,570 1.4×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) $2,163 $2,163 1.1×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,061 $1,061 0.6×
Egd balloon dilation esophagus <30 mm diam (43249) $1,545 $1,545 0.8×
Egd band ligation esophgeal/gastric varices (43244) $1,100 $1,100 0.6×
Egd control bleeding any (43255) $1,912 $1,912 1.0×
Egd dilate stricture (43245) $1,366 $1,366 0.7×
Egd endo mucosal resection (43254) $1,803 $1,803 1.0×
Egd endoscopic stent place (43266)
unusually low: confirm this is the full procedure		 $2,200 $2,200 0.4×
Egd flex removal lesion(s) by hot biopsy forceps (43250) $1,082 $1,082 0.6×
Egd flexible foreign body removal (43247) $1,462 $1,462 1.6×
Egd guide wire insertion (43248) $1,154.89 $1,154.89 1.3×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,082 $1,082 0.6×
Egd place gastrostomy tube (43246) $1,706 $1,706 0.9×
Egd remove lesion snare (43251) $1,339 $1,339 0.7×
Egd tube/cath insertion (43241) $975 $975 0.5×
Elbow arthroscopy (29830) $4,681 $4,681 1.4×
Elbow Arthroscopy/Surgery (29837) $3,399 $3,399 1.1×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,052.50 $1,052.50 3.5×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $347 $347 1.1×
Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) $361 $361 1.2×
Emblc/thrmbc femoral popliteal aorto-iliac art (34201) $14,766 $14,766 2.7×
EMG anal/urethral sphincter (51785) $250 $250 1.0×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $370 $370 2.9×
Endocervical Curettage (57505) $633.75 $633.75 0.7×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $4,825 $4,825 1.0×
Endometrial Biopsy (58100) $169 $169 0.8×
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $10,977 $10,977 2.2×
Endoscopic plantar fasciotomy (29893) $3,193 $3,193 1.0×
Endoscopic us exam esoph (43237) $1,600 $1,600 0.8×
Endoscopy bowel pouch/biop (44386) $1,082 $1,082 1.2×
Endoscopy of bowel pouch (44385) $1,050 $1,050 1.1×
Endoscopy Upper Small Intestine (44360) $1,150 $1,150 0.6×
Endovenous laser, 1st vein (36478) $4,272 $4,272 1.4×
Enterorrhaphy single perforation (44602) $7,063 $7,063 1.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,200 $1,200 0.6×
Enucleation of eye; with implant, muscles not attached to implant Facility (65103) $3,680 $3,680 0.9×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $5,500 $5,500 2.7×
Epididymectomy bilateral (54861) $3,500 $3,500 1.0×
Epididymectomy unilateral (54860) $2,327.25 $2,327.25 0.7×
Epidural lysis on single day (62264) $1,370 $1,370 1.6×
Episiotomy or vaginal repair (59300) $2,885 $2,885 0.9×
Ercp Duct Stent Placement (43274) $6,500 $6,500 1.1×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $2,297 $2,297 0.6×
Ercp ea duct/ampulla dilate (43277) $4,120 $4,120 1.1×
Ercp lithotripsy calculi (43265) $6,500 $6,500 1.1×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,369 $2,369 0.6×
Ercp remove forgn body duct (43275) $4,120 $4,120 2.2×
Ercp Stent Exchange W/Dilate (43276) $4,120 $4,120 0.7×
Ercp W/Biopsy Single/Multiple (43261) $4,000 $4,000 1.1×
Ercp w/sphincterotomy/papillotomy (43262) $2,575 $2,575 0.7×
Esophagogastroduodenoscopy submucosal injection (43236) $1,367 $1,367 1.5×
Esophagoscopy control bleed (43227) $1,100 $1,100 0.6×
Esophagoscopy flex balloon dilat <30 mm diam (43220) $1,082 $1,082 0.6×
Esophagoscopy flexible guide wire dilation (43226) $1,100 $1,100 0.6×
Esophagoscopy flexible transnasal with biopsy (43198) $1,875 $1,875 2.1×
Esophagoscopy Flexible Transoral Diagnostic (43200) $829.50 $829.50 0.9×
Esophagoscopy Retro Balloon (43213) $2,388 $2,388 1.3×
Esophagoscopy rig transoral removal foreign body (43194) $2,050 $2,050 1.1×
Esophagoscopy rigid transoral with biopsy (43193) $2,050 $2,050 1.1×
Esophagoscopy rigid trnso dx (43191) $2,162 $2,162 1.1×
Esophagoscopy transoral stent placement (43212) $11,650 $11,650 1.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,950 $1,950 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,082 $1,082 0.6×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $4,000 $4,000 0.7×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,100 $1,100 0.6×
Evacuation of subungual hematoma (11740) $332 $332 2.5×
Evisceration of ocular contents; with implant Facility (65093) $4,020 $4,020 1.0×
Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) $2,678 $2,678 1.6×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,678 $2,678 1.6×
Exc abdl tum deep 5 cm/> (22901) $2,575 $2,575 0.9×
Exc arm/elbow les sc < 3 cm (24075) $1,349.50 $1,349.50 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $425.25 $425.25 0.6×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $1,700 $1,700 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,494 $1,494 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $2,389 $2,389 1.5×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $773 $773 1.1×
Exc back les sc < 3 cm (21930) $2,330 $2,330 1.4×
Exc back tum deep < 5 cm (21932) $2,575 $2,575 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $257.50 $257.50 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,060 $1,060 0.6×
Exc forearm les sc 3 cm/> (25071) $3,708 $3,708 2.3×
Exc Frenum Labial/Buccal (40819) $1,841 $1,841 1.2×
Exc ganglion wrist recurrent (25112) $2,647 $2,647 1.7×
Exc hydrocele sprmatic cord uni spx (55500) $2,788 $2,788 0.8×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $2,000 $2,000 0.6×
Exc lesion tendon sheath/capsule w/synvct foot (28090) $1,958.25 $1,958.25 1.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,266 $2,266 1.4×
Exc lesion/tumor dentoalveolar strux w/o rpr (41825) $1,442 $1,442 0.4×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,090 $3,090 0.9×
Exc neck tum deep < 5 cm (21556) $2,678 $2,678 0.9×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $2,056 $2,056 1.1×
Exc neuroma cutan nrv surgly identifiable (64774) $2,256 $2,256 1.2×
Exc neuroma hand/foot xcp digital nerve (64782) $2,056 $2,056 1.1×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,060 $2,060 1.1×
Exc Rct Tum Incl Muscularis Propria (45172) $3,090 $3,090 1.1×
Exc rect tum transanal part (45171) $3,031 $3,031 1.1×
Exc skin abd (15830)
unusually low: confirm this is the full procedure		 $2,990 $2,990 0.5×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $2,060 $2,060 2.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $937 $937 2.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $566 $566 0.8×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $927 $927 0.6×
Exc Skin Benig >4 Cm Face,Facial (11446) $2,938 $2,938 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,902 $1,902 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,502 $3,502 2.1×
Exc Skin Malig >4 Cm Face,Facial (11646) $2,880 $2,880 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,708 $3,708 1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,854 $1,854 1.1×
Exc thigh/knee les sc 3 cm/> (27337) $2,766 $2,766 1.0×
Exc thigh/knee tum dep 5cm/> (27339) $2,472 $2,472 0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,357 $2,357 1.4×
Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) $2,575 $2,575 1.6×
Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) $2,060 $2,060 1.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,117 $3,117 1.1×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $3,296 $3,296 1.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) $3,476.25 $3,476.25 1.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,412 $1,412 0.9×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,060 $2,060 1.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,318 $2,318 0.8×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,193 $3,193 1.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,601 $2,601 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,781 $2,781 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,937 $1,937 1.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $2,833 $2,833 1.0×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,747 $1,747 0.6×
Exc tumor soft tissue forearm &/wrist subq <3cm (25075) $3,631.25 $3,631.25 2.2×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,914 $3,914 1.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,781 $2,781 1.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,481.75 $2,481.75 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,060 $2,060 1.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,545 $1,545 0.5×
Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) $3,090 $3,090 1.1×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,538 $1,538 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,379 $3,379 1.2×
Exc urethral diverticulum spx female (53230)
unusually low: confirm this is the full procedure		 $2,215 $2,215 0.4×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,317.50 $2,317.50 0.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,369 $2,369 1.5×
Exc/fulguration urethral caruncle (53265) $2,500 $2,500 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,500 $2,500 0.7×
Exchange intraocular lens (66986) $2,757 $2,757 1.2×
Exchange nephrostomy cath (50435) $3,000 $3,000 1.5×
Exchng absc/cst drg cath rad gid spx (49423) $2,250 $2,250 1.2×
Excise cutaneous neurofibroma (64788) $2,112 $2,112 1.1×
Excise excessive skin arm (15836) $2,000 $2,000 0.7×
Excise Inferior Turbinate (30130) $3,253 $3,253 1.0×
Excise lesion testis (54512) $2,340.75 $2,340.75 0.7×
Excise mandible lesion (21040) $3,450 $3,450 1.1×
Excise pharynx lesion (42808) $2,678 $2,678 0.8×
Excise Wrist Tendon Sheath (25118) $3,348 $3,348 2.1×
Excise/repair mouth lesion (40812) $1,552.50 $1,552.50 1.0×
Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) $2,210 $2,210 0.9×
Excision Aural Polyp (69540) $1,442 $1,442 0.9×
Excision Bone Mandible (21025) $3,351 $3,351 0.6×
Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) $4,119 $4,119 1.3×
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) $8,816 $8,816 1.5×
Excision Breast Lesion (19125) $4,070 $4,070 1.1×
Excision Chalazion Single (67800) $700 $700 2.2×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $6,952 $6,952 1.2×
Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) $5,452 $5,452 1.7×
Excision exostosis(es), external auditory canal Facility (69140) $4,482 $4,482 0.8×
Excision external ear partial simple repair (69110) $1,823 $1,823 0.6×
Excision Facial Bone (21026) $5,201 $5,201 0.9×
Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Facility (26390) $4,635 $4,635 0.6×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,575 $2,575 0.9×
Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) $3,296 $3,296 1.1×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,296 $3,296 1.1×
Excision hydrocele bilateral (55041) $4,031 $4,031 1.1×
Excision interdigital morton neuroma single each (28080) $3,049 $3,049 1.9×
Excision Lesion Cornea Xcp Pterygium (65400) $2,025 $2,025 2.1×
Excision Lesion Floor Mouth (41116) $2,318 $2,318 0.7×
Excision lesion meniscus/capsule knee (27347) $2,472 $2,472 0.8×
Excision lesion mouth roof (42104) $3,124 $3,124 1.0×
Excision lesion tendon sheath forearm&/wrist (25110) $2,472 $2,472 1.6×
Excision Lingual Frenum Frenectomy (41115) $574.50 $574.50 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $823 $823 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $462 $462 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $900.75 $900.75 2.2×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $686 $686 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $992.50 $992.50 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $876 $876 1.3×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $1,545 $1,545 2.2×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $973.50 $973.50 1.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $772.50 $772.50 0.5×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,906 $1,906 1.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $876 $876 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,000 $1,000 1.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $876 $876 1.3×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,007 $1,007 0.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,663 $1,663 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $2,340.75 $2,340.75 0.9×
Excision nasal polyp extensive (30115) $2,575 $2,575 0.8×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $271 $271 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $670 $670 1.0×
Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) $4,738 $4,738 0.8×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
unusually low: confirm this is the full procedure		 $2,833 $2,833 0.5×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $4,532 $4,532 1.4×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
unusually low: confirm this is the full procedure		 $2,800 $2,800 0.4×
Excision of cervical stump, vaginal approach; Facility (57550) $6,726 $6,726 1.4×
Excision of chalazion; multiple, different lids (67805) $700 $700 2.2×
Excision of chalazion; multiple, same lid (67801) $1,350 $1,350 1.4×
Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) $2,637 $2,637 1.1×
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) $7,779 $7,779 1.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,798 $3,798 2.4×
Excision of hydrocele unilateral (55040) $3,605 $3,605 1.0×
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) $1,683 $1,683 1.7×
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) $2,163 $2,163 0.7×
Excision of lesion of spermatic cord (separate procedure) (55520) $3,193 $3,193 0.9×
Excision of lesion of tongue with closure; posterior one-third Facility (41113) $1,833.50 $1,833.50 0.6×
Excision of lesion of tongue with closure; with local tongue flap Facility (41114) $3,605 $3,605 1.1×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $5,600 $5,600 1.0×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) $3,090 $3,090 0.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,648 $1,648 1.0×
Excision of lesion, conjunctiva; over 1 cm Facility (68115) $2,110 $2,110 0.9×
Excision of lesion, conjunctiva; up to 1 cm (68110) $2,266 $2,266 1.0×
Excision of local lesion of epididymis (54830) $2,340 $2,340 0.7×
Excision of mucosa of vestibule of mouth as donor graft Facility (40818) $618 $618 1.2×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $2,884 $2,884 1.5×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $5,851 $5,851 1.0×
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) $4,449 $4,449 0.8×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $4,881 $4,881 0.8×
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112)
unusually low: confirm this is the full procedure		 $4,044 $4,044 0.4×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) $4,083 $4,083 0.8×
Excision of pilonidal cyst or sinus; simple (11770) $3,399 $3,399 1.2×
Excision of rib, partial Facility (21600)
unusually low: confirm this is the full procedure		 $3,300 $3,300 0.5×
Excision of single external papilla or tag, anus (46220) $2,113 $2,113 1.8×
Excision of spermatocele, with or without epididymectomy Facility (54840) $2,575 $2,575 1.2×
Excision of sublingual gland (42450) $3,605 $3,605 0.6×
Excision of sublingual salivary cyst (ranula) Facility (42408) $3,000 $3,000 0.9×
Excision of submandibular (submaxillary) gland Facility (42440) $7,664 $7,664 1.3×
Excision of thrombosed hemorrhoid, external (46320) $3,429 $3,429 2.9×
Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) $5,766 $5,766 1.0×
Excision of tongue lesion (41112) $1,754.50 $1,754.50 0.5×
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) $5,232 $5,232 0.9×
Excision of vaginal cyst or tumor (57135) $2,060 $2,060 0.6×
Excision of vaginal septum (57130) $1,857.75 $1,857.75 0.6×
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) $3,121 $3,121 0.9×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) $3,479 $3,479 0.5×
Excision olecranon bursa (24105) $3,296 $3,296 1.0×
Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Facility (25136) $3,765 $3,765 0.5×
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) $4,167 $4,167 0.6×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $4,551 $4,551 1.4×
Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356) $12,856 $12,856 1.0×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) $3,589 $3,589 0.5×
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) $2,925.75 $2,925.75 0.9×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $2,636 $2,636 0.8×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) $4,120 $4,120 0.6×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) $4,000 $4,000 0.6×
Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870) $3,348 $3,348 0.6×
Excision or fulguration of carcinoma of urethra Facility (53220) $2,575 $2,575 0.7×
Excision or fulguration; Skene's glands Facility (53270) $3,451 $3,451 1.0×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $2,540 $2,540 0.7×
Excision pilonidal cyst/sinus complicated (11772) $2,508 $2,508 0.9×
Excision prepatellar bursa (27340) $3,811 $3,811 1.2×
Excision radial head (24130) $2,625 $2,625 0.8×
Excision soft tissue lesion, external auditory canal (69145) $1,394 $1,394 0.5×
Excision Synovial Cyst Popliteal Space (27345) $3,966 $3,966 1.2×
Excision Torus Mandibularis (21031) $3,500 $3,500 1.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,950.50 $1,950.50 1.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,601 $2,601 0.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,950 $1,950 1.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,147.75 $2,147.75 1.3×
Excision tumor soft tissue shoulder subq <3cm (23075) $2,060 $2,060 1.3×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $1,931.25 $1,931.25 1.2×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) $3,090 $3,090 1.1×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $2,635 $2,635 0.9×
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $3,863 $3,863 0.7×
Excision, lesion of palate, uvula; with simple primary closure Facility (42106) $2,342.25 $2,342.25 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,317.50 $2,317.50 0.8×
Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) $1,943.50 $1,943.50 1.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,545 $1,545 0.9×
Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) $2,575 $2,575 0.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,575 $2,575 0.9×
Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) $1,531.50 $1,531.50 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,628 $2,628 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,440 $3,440 1.2×
Excision,Ben Tumor,Maxilla,Intra-Oral (21048) $4,017 $4,017 0.7×
Excision/curettage cyst/tumor carpal bones (25130) $3,090 $3,090 1.0×
Excision/curettage cyst/tumor metacarpal (26200) $1,906 $1,906 1.2×
Excision/destruction intranasal lesion int appr (30117) $2,601 $2,601 0.8×
Excision/surgical planing skin nose rhinophyma (30120) $4,000 $4,000 1.2×
Excision/Transposition Pterygium W/Grafg (65426) $3,296 $3,296 1.4×
Excision; trochanteric bursa or calcification (27062) $4,120 $4,120 1.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $6,500 $6,500 1.2×
Expl retroperitoneum w/wo bx spx (49010) $7,606 $7,606 1.2×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $4,801.50 $4,801.50 3.0×
Explo/Drain Breast Abscess (19020) $2,987 $2,987 1.8×
Exploration maxillary sinus (31020) $2,250 $2,250 0.7×
Exploration Of Hip Joint (27033) $4,429 $4,429 0.6×
Exploration of knee joint (27310) $4,635 $4,635 1.4×
Exploration of middle ear (69440) $3,863 $3,863 1.2×
Exploration of spinal fusion (22830) $5,315 $5,315 0.7×
Exploration penetrating wound spx chest (20101) $3,200 $3,200 1.6×
Exploration penetrating wound spx extremity (20103) $1,375 $1,375 0.8×
Explore & Treat Metacarpo-Phal Jt (26075) $1,500 $1,500 0.5×
Explore eye socket,drainage (67405) $3,837 $3,837 1.6×
Explore for undescended testis (54550) $3,513 $3,513 1.0×
Explore inner ear (69806) $5,500 $5,500 0.9×
Explore inner ear (69805) $4,805 $4,805 0.8×
Explore Parathyroid Glands (60500) $4,912.50 $4,912.50 0.8×
Explore/biopsy eye socket (67400) $2,163 $2,163 0.6×
Explore/irrigate tear ducts (68840) $375 $375 1.2×
Explore/Treat Elbow Joint (24101) $3,296 $3,296 1.0×
Explore/treat eye socket (67412) $2,106 $2,106 0.9×
Explore/treat hand joint (26070) $2,000 $2,000 1.3×
Explore/Treat Knee Joint (27331) $3,800 $3,800 1.2×
Extensive Retinopathy 1/> Sess Preterm Infant (67229) $733 $733 1.3×
External cephalic version (59412) $2,666 $2,666 0.8×
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) $1,905 $1,905 1.2×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $2,400 $2,400 1.2×
Fasciectomy Palm Only (26121) $3,399 $3,399 1.1×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,502 $3,502 1.1×
Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) $3,104 $3,104 1.0×
Fasciotomy foot and/or toe (28008) $3,947 $3,947 1.2×
Fasciotomy Iliotibial Open (27305) $2,340.75 $2,340.75 0.7×
Fasciotomy palmar open partial (26045) $3,090 $3,090 1.0×
Fasciotomy, hip or thigh, any type (27025) $4,429 $4,429 1.4×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $4,841 $4,841 1.5×
Fetal contraction stress test (59020) $881 $881 4.4×
Fetal non-stress test (59025) $659 $659 3.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,650 $1,650 2.4×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $695 $695 1.0×
Fine needle aspiration without imaging guidance (10021) $317 $317 0.8×
Fit/Insert Intravag Support Device (57160) $164 $164 0.8×
Fix Entropion,Extensv Lid Repair (67924) $2,703.75 $2,703.75 1.2×
Fixation of shoulder (23700) $2,050 $2,050 1.3×
Fluid pressure muscle (20950) $425 $425 0.6×
Fluoro exam of g/colon tube (49465) $465 $465 2.0×
Follow-up surgery of eye (66250) $2,000 $2,000 0.9×
Forehead flap w/vasc pedicle (15731) $2,266 $2,266 0.6×
Foreskin manipulation (54450) $666 $666 2.7×
Fracture nasal inferior turbinate(s), therapeutic (30930) $2,072.88 $2,072.88 0.6×
Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) $1,755.75 $1,755.75 0.5×
Frenulotomy of penis (54164) $2,627.90 $2,627.90 1.3×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $1,448.25 $1,448.25 0.7×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,385 $2,385 1.2×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,926 $1,926 0.9×
Fusion of finger tendons (26471) $2,000 $2,000 0.6×
Fusion of foot bones (28740) $5,636 $5,636 0.8×
Fusion of hand bones (25820) $4,429 $4,429 0.6×
Fusion of hand joint (26843) $4,700 $4,700 0.7×
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure		 $3,251 $3,251 0.5×
Fusion of thumb (26841) $7,811 $7,811 1.1×
Fusion of wrist joint (25800) $7,107 $7,107 1.0×
Fusion/graft of finger joint (26862) $3,800 $3,800 1.2×
Gastric Intubation/Aspiration, Therapeutic (43753) $721 $721 3.4×
Gastrocnemius recession (27687) $2,997.75 $2,997.75 0.9×
Gastrostomy opn w/o constj gstr tube spx (43830) $4,440 $4,440 2.3×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $4,120 $4,120 0.7×
Genioplasty; sliding osteotomy, single piece Facility (21121) $2,954 $2,954 0.9×
Gingivectomy, excision gingiva, each quadrant (41820) $3,000 $3,000 0.9×
Glaucoma surgery (66170) $2,369 $2,369 1.0×
Glossectomy; less than one-half tongue Facility (41120) $4,700 $4,700 0.8×
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) $3,000 $3,000 1.1×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $5,000 $5,000 0.9×
Graft Composite W/Primary Closure Donor Area (15760) $2,475 $2,475 1.2×
Grafting of autologous fat by lipo 25 cc or less (15773) $4,300 $4,300 2.1×
Grafting of autologous fat by lipo 50 cc or less (15771) $1,004.25 $1,004.25 0.3×
Grafting Of Autologous Soft Tiss By Direct Exc (15769) $3,658.75 $3,658.75 1.0×
Guide Cathet Fluid Drainage (10030) $1,216.50 $1,216.50 1.7×
Gum graft (41870) $4,000 $4,000 2.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $7,803 $7,803 1.1×
Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) $3,947 $3,947 1.2×
Hem vw factor&clgn iii bndg (0279U) $394 $394 34.2×
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) $2,884 $2,884 0.9×
Hemorrhoidectomy (46255) $7,781 $7,781 2.8×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,274 $4,274 1.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $2,627 $2,627 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $3,090 $3,090 1.1×
Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) $2,300 $2,300 0.8×
Hemorrhoidopexy by stapling (46947) $3,090 $3,090 1.1×
Hip arthro acetabuloplasty (29915) $8,240 $8,240 1.1×
Hip arthro w/labral repair (29916) $9,199.20 $9,199.20 1.3×
Hymenotomy Simple Incision (56442) $2,781 $2,781 0.9×
Hyoid myotomy and suspension Facility (21685) $5,812 $5,812 1.0×
Hysteroscopy biopsy (58558) $3,500.60 $3,500.60 1.1×
Hysteroscopy div/rescj intrauterine septum (58560) $3,708 $3,708 0.8×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $3,500 $3,500 0.7×
Hysteroscopy removal leiomyomata (58561) $5,957 $5,957 1.2×
Hysteroscopy w endometrial ablation (58563) $3,997.69 $3,997.69 0.8×
Hysteroscopy, diagnostic (separate procedure) (58555) $2,601 $2,601 0.8×
Hysteroscopy, surgical; with removal of impacted foreign body (58562) $2,318 $2,318 0.7×
I&d absc rtrphrngl/parapharyngeal intraoral (42720) $1,957 $1,957 0.6×
I&D Abscess Peritonsillar (42700) $773 $773 3.3×
I&d abscess simple (10060) $293 $293 1.5×
I&D Below Fascia Foot 1 Bursal Space (28002) $2,500 $2,500 1.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,296 $3,296 1.1×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,266 $2,266 0.8×
I&d epididymis tstis&/scrotal space (54700) $3,121 $3,121 1.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,500 $2,500 0.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,090 $3,090 1.0×
I&d pilonidal cyst simple (10080) $2,037 $2,037 2.9×
I&d shoulder deep abscess/hematoma (23030) $1,957 $1,957 0.7×
I&d submucosal abscess rectum (45005) $3,506 $3,506 3.0×
I&D Upper Arm/Elbow Bursa (23931) $2,350 $2,350 1.4×
I&d vulva/perineal abscess (56405) $653.50 $653.50 2.2×
Ileoscopy stoma w/balloon dilation (44381) $1,301 $1,301 0.7×
Ileoscopy thru stoma (44380) $1,133 $1,133 1.3×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $1,635 $1,635 1.8×
Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) $3,605 $3,605 1.9×
Image Cath Fluid Colxn Visc (49405) $1,042.50 $1,042.50 0.6×
Image Cath Fluid Peri/Retro (49406) $2,982.85 $2,982.85 1.8×
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) $7,133 $7,133 0.9×
Implant cochlear device (69930)
likely a partial charge, not the full procedure		 $7,857 $7,857 0.2×
Implant neuroelectrodes (63650) $7,995.95 $7,995.95 1.3×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
likely a partial charge, not the full procedure		 $4,100 $4,100 0.2×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716)
unusually low: confirm this is the full procedure		 $5,200 $5,200 0.4×
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714)
unusually low: confirm this is the full procedure		 $5,852 $5,852 0.5×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $6,850 $6,850 1.0×
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) $5,507.92 $5,507.92 0.6×
Incise external hemorrhoid (46083) $1,000 $1,000 4.1×
Incise finger tendon sheath (26055) $2,890 $2,890 1.8×
Incise wrist/forearm tendon (25290) $4,120 $4,120 1.3×
Incision & drainage abscess complicated/multiple (10061) $1,853 $1,853 4.6×
Incision & drainage leg/ankle abscess/hematoma (27603) $2,175 $2,175 0.8×
Incision & drainage pilonidal cyst complicated (10081) $2,037 $2,037 2.9×
Incision & removal foreign body subq tiss compl (10121) $4,803 $4,803 2.9×
Incision & removal foreign body subq tiss simple (10120) $330.50 $330.50 0.8×
Incision and drainage of bartholin's gland abscess (56420) $1,985.50 $1,985.50 9.9×
Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) $12,388 $12,388 4.5×
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) $2,700 $2,700 1.0×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $2,200 $2,200 0.8×
Incision and drainage perianal abscess superficial (46050) $3,536 $3,536 3.8×
Incision and drainage, complex, postoperative wound infection (10180) $4,875 $4,875 1.7×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
unusually low: confirm this is the full procedure		 $3,100 $3,100 0.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $3,605 $3,605 0.5×
Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) $3,500 $3,500 1.2×
Incision bone cortex foot (28005) $2,500 $2,500 0.8×
Incision bone cortex hand/finger (26034) $2,060 $2,060 1.3×
Incision extensor tendon sheath wrist (25000) $3,486 $3,486 2.2×
Incision of conjunctiva, drainage of cyst (68020) $300 $300 0.3×
Incision of eardrum (69421) $1,906 $1,906 0.6×
Incision of eardrum (69420) $1,470 $1,470 6.3×
Incision of eyelid fold (67715) $2,276 $2,276 1.0×
Incision of fibula (27707) $3,425 $3,425 1.1×
Incision of labial frenum (frenotomy) (40806) $637.50 $637.50 1.2×
Incision of lingual frenum (frenotomy) (41010) $1,380.75 $1,380.75 0.9×
Incision of rectal abscess (46045) $2,781 $2,781 1.0×
Incision of rectal abscess (46040) $6,202.50 $6,202.50 5.2×
Incision of tibia (27705) $7,730 $7,730 1.1×
Incision of urethra (53010) $4,000 $4,000 0.8×
Incision of urethra (53020) $2,656 $2,656 1.3×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) $3,000 $3,000 1.9×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $3,438 $3,438 1.1×
Incisional biopsy eyelid skin & lid margin (67810) $309 $309 1.0×
Incisional biopsy skin single lesion (11106) $1,130 $1,130 1.5×
Initial tx 1st degree burn local tx (16000) $253 $253 1.3×
Inj paravert f jnt c/t 1 lev (64490) $2,566.50 $2,566.50 2.9×
Inj tendon sheath/ligament (20550) $474 $474 1.6×
Inj therapeutic carpal tunnel (20526) $374 $374 1.2×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,955.50 $1,955.50 2.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,060 $2,060 2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,053 $2,053 2.3×
Inject Nerv Blck,Axillary Nerv (64417) $1,751 $1,751 2.0×
Inject Nerv Blck,Celiac Plexus (64530) $2,566.50 $2,566.50 2.9×
Inject Nerv Blck,Intercost,Multpl (64421) $3,593 $3,593 4.1×
Inject Nerv Blck,Intercostal,One (64420) $1,008 $1,008 1.4×
Inject Nerv Blck,Paravert Sympath (64520) $2,053 $2,053 2.3×
Inject Rx Celiac Plexus Nerve (64680) $1,739 $1,739 2.0×
Inject Tendon Origin/Insert (20551) $514 $514 1.7×
Injection aa&/strd brach plex cont nfs cath img (64416) $2,060 $2,060 2.4×
Injection aa&/strd genicular nrv branches w/img (64454) $1,700 $1,700 2.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,250 $2,250 3.2×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $2,014 $2,014 2.9×
Injection aa&/strd pudendal nerve (64430) $1,205 $1,205 1.4×
Injection aa&/strd trigeminal nerve each branch (64400) $759 $759 2.5×
Injection Anes Superior Hypogastric Plexus (64517) $1,875 $1,875 2.1×
Injection anesthetic agent femoral nerve single (64447) $1,423.50 $1,423.50 2.0×
Injection anesthetic agent suprascapular nerve (64418) $1,275 $1,275 1.8×
Injection for identification of sentinel node (38792) $437 $437 1.1×
Injection into skin lesions (11900) $242 $242 1.2×
Injection peyronie disease (54200) $235 $235 1.0×
Injection Rx Extremity Pseudoaneurysm (36002) $796 $796 1.3×
Injection Sclerosant Single Incmptnt Vein (36470) $180 $180 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $387.50 $387.50 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $345 $345 1.1×
Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) $2,060 $2,060 2.4×
Injection, anesthetic agent; vagus nerve (64408) $618 $618 2.0×
Injection, Intralesional; More Than 7 Lesions (11901) $77 $77 0.4×
Ins cath ren art 1st bilat (36252) $6,500 $6,500 2.1×
Ins cath ren art 1st unilat (36251) $6,500 $6,500 2.1×
Ins cath ren art 2nd+ bilat (36254) $6,500 $6,500 2.1×
Ins cath ren art 2nd+ unilat (36253) $6,500 $6,500 1.2×
Ins endovas vena cava filtr (37191) $7,700 $7,700 1.4×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $19,000 $19,000 1.8×
Ins/Rep Subq Defibrillator (33270) $48,000 $48,000 1.5×
Insert and remove bone pin (20650) $3,193 $3,193 1.0×
Insert Bladder Cath Complex (51703) $453 $453 3.6×
Insert cath pleura w/ image (32557) $1,732.50 $1,732.50 1.1×
Insert cath pleura w/o image (32556) $7,871 $7,871 4.2×
Insert Drug Implant Device (11981) $375 $375 2.9×
Insert eye socket implant (67550) $5,025 $5,025 1.3×
Insert gastrostomy tube percutaneous (49440) $2,650 $2,650 1.4×
Insert heart pm atrial (33206) $19,000 $19,000 1.8×
Insert heart pm ventricular (33207) $19,000 $19,000 1.8×
Insert hepatic shunt (tips) (37182) $24,000 $24,000 1.3×
Insert non-tunnel cv cath (36556) $2,700 $2,700 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,221.50 $2,221.50 1.4×
Insert pulse gen dual leads (33213) $10,740 $10,740 1.0×
Insert pulse gen mult leads (33221) $24,500 $24,500 1.3×
Insert pulse gen sngl lead (33212) $19,750 $19,750 2.4×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $3,605 $3,605 0.2×
Insert subq implantable defib electrode (33271) $14,443.95 $14,443.95 1.8×
Insert Temp Bladder Cath (51702) $152.50 $152.50 1.2×
Insert testicular prosthesis (54660) $3,605 $3,605 0.7×
Insert tun ip cath perc (49418) $3,588 $3,588 1.0×
Insert tunneled cv cath (36561) $4,348.50 $4,348.50 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $150 $150 1.1×
Insert/ replace infusn pump,programmable (62362) $21,321 $21,321 1.2×
Insertion indwelling tunneled pleural catheter (32550) $4,061.50 $4,061.50 1.1×
Insertion Nasal Septal Prosthesis Button (30220) $1,545 $1,545 1.0×
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445)
unusually low: confirm this is the full procedure		 $6,500 $6,500 0.3×
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) $9,000 $9,000 0.5×
Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) $2,200 $2,200 1.0×
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405)
likely a partial charge, not the full procedure		 $5,665 $5,665 0.3×
Insertion of penile prosthesis; inflatable (self-contained) Facility (54401)
unusually low: confirm this is the full procedure		 $6,180 $6,180 0.3×
Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400)
unusually low: confirm this is the full procedure		 $4,700 $4,700 0.4×
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge, not the full procedure		 $6,300 $6,300 0.2×
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
likely a partial charge, not the full procedure		 $4,000 $4,000 0.1×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596)
unusually low: confirm this is the full procedure		 $4,757 $4,757 0.4×
Insertion picc w/rs&i < 5 yr (36572) $1,457.50 $1,457.50 2.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,500 $12,500 1.5×
Insertion/rplcmt peripheral/gastric npgr (64590) $28,750 $28,750 1.5×
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) $9,410.52 $9,410.52 1.2×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) $9,410.52 $9,410.52 1.2×
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) $14,000 $14,000 1.4×
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) $21,250 $21,250 1.0×
Insj picc rs&i 5 yr+ (36573) $2,447 $2,447 1.6×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,765 $2,765 0.9×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $6,695 $6,695 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,914 $3,914 1.3×
Insj/rplcmt breast implant sep day mastectomy (19342) $5,150 $5,150 0.6×
Insj/rplcmt defib w/lead(s) (33249) $24,500 $24,500 0.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $24,348 $24,348 3.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $24,348 $24,348 3.0×
Insrt pulse gen w/dual leads (33230) $24,500 $24,500 1.1×
Insrt pulse gen w/mult leads (33231) $24,500 $24,500 0.8×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure		 $7,699.25 $7,699.25 0.3×
Install spinal shunt (63741) $5,000 $5,000 0.6×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,447 $2,447 0.9×
Interdental Fixation (21110) $700 $700 0.5×
Intraoral i&d tongue/floor lingual (41000) $2,300 $2,300 4.3×
Intraoral i&d tongue/floor submental space (41007) $2,401 $2,401 1.6×
Intraoral i&d tongue/floor submndblr space (41008) $2,000 $2,000 0.6×
Intro cath dialysis circuit (36901) $4,500 $4,500 2.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $16,000 $16,000 1.4×
Intro cath dialysis circuit w/trluml balo angiop (36902) $13,750 $13,750 2.4×
Intubation endotracheal emergency procedure (31500) $889.50 $889.50 3.8×
Irrigation of corpora cavernosa for priapism (54220) $760 $760 3.1×
Island pedicle flap graft (15740) $1,990 $1,990 1.0×
IV injection test vascular flow flap/graft (15860) $168.75 $168.75 0.4×
Kidney endoscopy (50575) $4,120 $4,120 0.8×
Kidney endoscopy (50570) $2,258 $2,258 0.6×
Knee Arthroscopy/Surgery (29885) $4,635 $4,635 0.6×
Knee Arthroscopy/Surgery (29874) $3,641 $3,641 1.1×
Knee Arthroscopy/Surgery (29879) $4,320 $4,320 1.3×
Labyrinthotomy Transcanal (69801) $138 $138 0.1×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Facility (63265) $7,991 $7,991 1.1×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) $6,901 $6,901 1.0×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $7,700 $7,700 1.1×
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655)
likely a partial charge, not the full procedure		 $4,799 $4,799 0.3×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) $7,475 $7,475 1.0×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $6,386 $6,386 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) $6,500 $6,500 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $7,500 $7,500 1.0×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $7,000 $7,000 1.0×
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) $7,500 $7,500 1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) $8,366 $8,366 1.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $6,592 $6,592 0.9×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $6,592 $6,592 0.9×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) $4,800 $4,800 0.7×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) $10,915.50 $10,915.50 1.5×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) $8,122 $8,122 1.1×
Lap ing hernia repair init (49650) $9,772.12 $9,772.12 1.6×
Lap insert tunnel ip cath (49324) $4,100 $4,100 0.7×
Lap paraesoph her rpr w/mesh (43282) $10,479 $10,479 1.0×
Lap paraesophag hern repair (43281) $10,479 $10,479 1.0×
Lap revision perm ip cath (49325) $6,155 $6,155 1.0×
Laparoscopic surgical splenectomy (38120) $7,622 $7,622 0.7×
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) $5,332 $5,332 0.9×
Laparoscopy appendectomy (44970) $6,503 $6,503 1.1×
Laparoscopy biopsy (49321) $4,421.25 $4,421.25 0.7×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $10,440 $10,440 1.0×
Laparoscopy tubal block (58671) $5,201 $5,201 0.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $11,617.40 $11,617.40 1.1×
Laparoscopy w/rmvl adnexal structures (58661) $7,699.25 $7,699.25 1.3×
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) $9,254 $9,254 0.9×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $5,300 $5,300 0.9×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) $6,087 $6,087 0.6×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $9,712.90 $9,712.90 0.9×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) $5,665 $5,665 0.9×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $10,174 $10,174 1.0×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) $5,356 $5,356 1.4×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $4,500 $4,500 1.2×
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) $4,403.25 $4,403.25 0.7×
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541) $6,100 $6,100 0.6×
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) $10,000 $10,000 1.0×
Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550) $5,150 $5,150 0.9×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $9,476 $9,476 0.9×
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) $9,373 $9,373 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) $9,476 $9,476 1.6×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) $9,476 $9,476 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) $7,210 $7,210 0.7×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) $9,279 $9,279 0.9×
Laparoscopy, surgical; ablation of renal cysts Facility (50541) $5,668 $5,668 0.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,159.40 $6,159.40 1.0×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $5,100 $5,100 0.5×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $4,578 $4,578 0.8×
Laparoscopy, surgical; orchiectomy Facility (54690) $5,200 $5,200 0.9×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) $8,400 $8,400 1.4×
Laparoscopy, surgical; partial nephrectomy (50543) $24,792 $24,792 2.4×
Laparoscopy, surgical; pyeloplasty Facility (50544) $7,593 $7,593 0.7×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $9,476 $9,476 1.6×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $5,150 $5,150 0.9×
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947)
unusually low: confirm this is the full procedure		 $4,500 $4,500 0.4×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) $7,500 $7,500 0.7×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $5,150 $5,150 0.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572)
unusually low: confirm this is the full procedure		 $5,200 $5,200 0.5×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573)
unusually low: confirm this is the full procedure		 $5,200 $5,200 0.5×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
unusually low: confirm this is the full procedure		 $5,021.25 $5,021.25 0.5×
Laparoscopy, surgical; with fimbrioplasty Facility (58672) $4,841 $4,841 0.8×
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) $5,390.05 $5,390.05 0.9×
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) $5,572 $5,572 0.9×
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673) $8,526 $8,526 0.8×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,503 $6,503 1.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,514.75 $6,514.75 1.1×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $5,625 $5,625 0.5×
Laps surg gastrostomy w/o constj gstr tube spx (43653) $5,150 $5,150 0.9×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $5,557 $5,557 0.9×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) $6,914.95 $6,914.95 1.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $4,839 $4,839 0.8×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $5,023 $5,023 1.4×
Laryngoplasty, medialization, unilateral Facility (31591) $8,500 $8,500 1.5×
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) $7,100 $7,100 1.2×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $3,608 $3,608 1.0×
Laryngoscopy diagnostic (31505) $288 $288 1.5×
Laryngoscopy Direct Aspiration (31515) $3,505 $3,505 9.1×
Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) $3,752 $3,752 1.0×
Laryngoscopy flexible diagnostic (31575) $509 $509 2.6×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $673 $673 0.4×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,828 $3,828 2.2×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $2,113 $2,113 1.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $934 $934 2.4×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $458 $458 1.2×
Laryngoscopy w/biopsy (31535) $3,502 $3,502 1.0×
Laryngoscopy w/bx op scope (31536) $3,610 $3,610 1.0×
Laryngoscopy w/exc of tumor (31540) $3,608 $3,608 1.0×
Laryngoscopy W/Foreign Body Removal (31530) $2,636 $2,636 1.5×
Larynscop w/tumr exc + scope (31541) $2,318 $2,318 0.6×
Late closure of wound (13160) $3,090 $3,090 0.9×
Lateral canthopexy (21282) $1,900 $1,900 0.6×
Lateral retinacular release open (27425) $2,317.50 $2,317.50 0.7×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $7,814 $7,814 1.1×
Ligamentous reconstruction knee intra-articular (27428) $9,000 $9,000 0.7×
Ligation major artery abdomen (37617) $8,755 $8,755 1.6×
Ligation of hemorrhoid(s) (46221) $2,162 $2,162 2.4×
Ligation Of Neck Artery (37615) $6,000 $6,000 1.9×
Ligation or biopsy temporal artery (37609) $2,511.25 $2,511.25 1.5×
Litholapaxy comp/lg > 2.5 cm (52318) $3,283.50 $3,283.50 0.9×
Litholapaxy smpl/sm <2.5 cm (52317) $2,935.50 $2,935.50 0.8×
Lithotripsy (50590) $11,252.75 $11,252.75 3.2×
Liver Biopsy (47000) $1,724.50 $1,724.50 1.1×
Lower jaw bone graft (21215) $6,000 $6,000 1.0×
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,270 $1,270 2.0×
Lysis Intranasal Synechia (30560) $405.75 $405.75 0.8×
Lysis of labial adhesions (56441) $2,300 $2,300 0.7×
Lysis/excision penile postcircumcision adhesions (54162) $2,984 $2,984 1.4×
Malar augmentation, prosthetic material Facility (21270) $6,411 $6,411 1.1×
Manipulation knee joint under general anesthesia (27570) $2,257 $2,257 1.4×
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) $1,700 $1,700 0.5×
Manipulation spine requiring anesthesia (22505) $2,000 $2,000 1.3×
Manipulation, elbow, under anesthesia (24300) $1,663 $1,663 1.0×
Manipulation, finger joint, under anesthesia, each joint (26340) $750 $750 0.5×
Manipulation, wrist, under anesthesia (25259) $2,500 $2,500 1.6×
Marsupialization Bartholins Gland Cyst (56440) $2,884 $2,884 0.9×
Marsupialization of urethral diverticulum, male or female Facility (53240) $2,700 $2,700 0.8×
Mast mod rad (19307) $8,086 $8,086 1.2×
Mastectomy for gynecomastia (19300) $3,605 $3,605 0.9×
Mastectomy partial (19301) $5,150 $5,150 1.3×
Mastectomy simple complete (19303) $5,317.38 $5,317.38 0.8×
Mastoidectomy (69501) $4,532 $4,532 0.8×
Mastoidectomy; complete (69502) $4,396 $4,396 0.8×
Mastoidectomy; modified radical Facility (69505) $5,300 $5,300 0.9×
Mastoidectomy; radical (69511) $6,345 $6,345 1.1×
Mastopexy (19316)
unusually low: confirm this is the full procedure		 $2,549.25 $2,549.25 0.4×
Metatarsectomy (28140) $2,716 $2,716 0.8×
Mohs 1 stage h/n/hf/g (17311) $1,222 $1,222 1.7×
Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) $1,163 $1,163 1.6×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $2,500 $2,500 1.2×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,840.25 $2,840.25 0.8×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) $2,472 $2,472 0.7×
Muscle-skin graft trunk (15734) $3,605 $3,605 1.0×
Myelography Lumbar Injection (62305) $1,586 $1,586 2.0×
Myelography Lumbar Injection (62304) $1,396 $1,396 1.8×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,396 $1,396 1.8×
Myelography via lumbar injection rs&i thoracic (62303) $1,396 $1,396 1.8×
Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) $4,000 $4,000 1.3×
Myringoplasty (69620) $3,109.32 $3,109.32 0.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,232 $1,232 1.8×
N Block Inj, Plantar Digit (64455) $322 $322 1.1×
Nasal endoscopy dx (31231) $482 $482 2.4×
Nasal surgery procedure (30999) $457 $457 2.0×
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure		 $3,077.25 $3,077.25 0.4×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $3,553.50 $3,553.50 1.0×
Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) $3,870 $3,870 2.2×
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) $4,145.75 $4,145.75 0.6×
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
unusually low: confirm this is the full procedure		 $2,703.75 $2,703.75 0.4×
Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) $1,933.50 $1,933.50 1.1×
Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) $5,443 $5,443 1.5×
Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) $2,549.25 $2,549.25 1.4×
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
unusually low: confirm this is the full procedure		 $3,348 $3,348 0.5×
Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243) $13,390 $13,390 2.3×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $13,390 $13,390 2.3×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $1,133 $1,133 0.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,492.12 $1,492.12 0.8×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
unusually low: confirm this is the full procedure		 $2,884 $2,884 0.4×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $5,227 $5,227 0.7×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $6,501.25 $6,501.25 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $3,605 $3,605 0.5×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure		 $3,250 $3,250 0.5×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
unusually low: confirm this is the full procedure		 $2,220.94 $2,220.94 0.3×
Nasal/sinus ndsc total with sphenoidotomy (31257) $5,922.50 $5,922.50 0.8×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $6,444 $6,444 0.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $512.50 $512.50 1.2×
Ndsc njx implt matrl urt&/bldr nck (51715) $2,709 $2,709 0.8×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $7,583.75 $7,583.75 4.8×
Needle biopsy of pancreas (48102) $1,749 $1,749 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $372 $372 13.0×
Needle insertion w/o injection 3 or more muscles (20561) $300 $300 10.5×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
unusually low: confirm this is the full procedure		 $3,399 $3,399 0.4×
Nerve pedicle transfer; first stage Facility (64905)
unusually low: confirm this is the full procedure		 $3,670 $3,670 0.4×
Nerve repair w/allograft (64910)
unusually low: confirm this is the full procedure		 $3,358 $3,358 0.4×
Nerve repair w/nerve allograft first strand (64912) $5,600 $5,600 0.6×
Neuroplasty &/transposition ulnar nerve wrist (64719) $2,060 $2,060 1.1×
Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) $3,331.55 $3,331.55 1.7×
Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) $2,678 $2,678 1.4×
Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) $2,472 $2,472 1.3×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $3,296 $3,296 1.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,321.50 $1,321.50 3.2×
Nipple exploration (19110) $3,600 $3,600 0.9×
Nipple/areola reconstruction (19350) $4,000 $4,000 1.0×
Njx aa&/strd sciatic nerve (64445) $1,700 $1,700 2.4×
Njx anes stellate ganglion crv sympathetic (64510) $2,053 $2,053 2.3×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $379 $379 1.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,500 $1,500 0.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,000 $3,000 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,493 $2,493 2.9×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,153 $2,153 3.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,777 $1,777 2.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $1,700 $1,700 1.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $1,854 $1,854 2.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $2,078 $2,078 3.0×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $1,120 $1,120 1.6×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $1,500 $1,500 2.2×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure		 $2,961.25 $2,961.25 0.4×
Occipital Nerve Block (64405) $645 $645 2.1×
Ocular reconst transplant (65780) $3,880 $3,880 1.0×
Omntc epiploectomy rescj omentum spx (49255) $3,650 $3,650 0.6×
Open biopsy/excision inguinofemoral nodes (38531) $3,862.50 $3,862.50 1.0×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure		 $8,424.50 $8,424.50 0.2×
Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Facility (64575)
unusually low: confirm this is the full procedure		 $3,334.62 $3,334.62 0.3×
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) $3,771 $3,771 0.6×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
unusually low: confirm this is the full procedure		 $10,462 $10,462 0.3×
Open nasoethmoid fx w/o fixj (21338) $4,300 $4,300 0.7×
Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446) $7,725 $7,725 1.1×
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
unusually low: confirm this is the full procedure		 $6,000 $6,000 0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) $6,450 $6,450 0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $6,650 $6,650 0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) $6,650 $6,650 0.5×
Open Treatment Bimalleolar Ankle Fracture (27814) $5,569 $5,569 0.8×
Open treatment calcaneal fracture (28415) $7,803 $7,803 1.1×
Open treatment fracture distal tibia only (27827) $13,560 $13,560 1.1×
Open Treatment Medial Malleolus Fracture (27766) $8,485 $8,485 1.2×
Open treatment metacarpophalangeal dislocation (26715) $3,413 $3,413 1.1×
Open treatment metatarsal fracture each (28485) $7,803 $7,803 1.1×
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) $6,857 $6,857 1.0×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $8,030 $8,030 1.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,885 $7,885 1.1×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $5,768 $5,768 1.0×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $7,500 $7,500 1.3×
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) $7,500 $7,500 1.3×
Open treatment of depressed frontal sinus fracture Facility (21343) $5,849 $5,849 1.0×
Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360) $6,658 $6,658 1.1×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $3,090 $3,090 0.5×
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676)
unusually low: confirm this is the full procedure		 $3,500 $3,500 0.5×
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure		 $4,635 $4,635 0.4×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) $5,665 $5,665 0.8×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $7,806 $7,806 1.1×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $5,871 $5,871 0.8×
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) $6,050 $6,050 1.0×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $6,200 $6,200 1.1×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $4,750 $4,750 0.8×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $6,598 $6,598 0.9×
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) $5,244 $5,244 0.7×
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
unusually low: confirm this is the full procedure		 $5,852 $5,852 0.5×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
unusually low: confirm this is the full procedure		 $5,150 $5,150 0.4×
Open treatment of lunate dislocation Facility (25695)
unusually low: confirm this is the full procedure		 $3,000 $3,000 0.4×
Open treatment of mandibular condylar fracture Facility (21465) $6,065 $6,065 1.0×
Open treatment of mandibular fracture; with interdental fixation Facility (21462) $5,097 $5,097 0.9×
Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Facility (21445)
unusually low: confirm this is the full procedure		 $2,800 $2,800 0.5×
Open treatment of nasal fracture; uncomplicated Facility (21325) $2,884 $2,884 0.9×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $4,540 $4,540 1.4×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $2,575 $2,575 0.8×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $4,635 $4,635 0.8×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $6,334 $6,334 1.1×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $5,722 $5,722 1.0×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $6,334 $6,334 1.1×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) $5,300 $5,300 0.9×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $4,120 $4,120 0.7×
Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) $3,962 $3,962 0.6×
Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) $4,841 $4,841 0.7×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $4,600 $4,600 0.6×
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
unusually low: confirm this is the full procedure		 $4,500 $4,500 0.4×
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) $6,461 $6,461 0.9×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $4,120 $4,120 0.6×
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) $4,584 $4,584 0.6×
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
unusually low: confirm this is the full procedure		 $4,635 $4,635 0.4×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
unusually low: confirm this is the full procedure		 $2,678 $2,678 0.4×
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) $3,760 $3,760 0.5×
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
unusually low: confirm this is the full procedure		 $4,635 $4,635 0.4×
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) $8,710 $8,710 1.2×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) $6,187.50 $6,187.50 0.9×
Open treatment of ulnar styloid fracture (25652) $5,150 $5,150 0.7×
Open treatment posterior malleolus fracture (27769) $4,551 $4,551 0.6×
Open Treatment Proximal Humeral Fracture (23615) $13,656 $13,656 1.1×
Open treatment talus fracture (28445) $4,326 $4,326 0.6×
Open treatment tarsometatarsal joint dislocation (28615) $5,801 $5,801 0.8×
Open tx articular fracture mcp/ip joint ea (26746) $3,090 $3,090 1.0×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $5,065 $5,065 1.6×
Open tx carpal scaphoid navicular fracture (25628) $5,768 $5,768 0.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $8,403 $8,403 1.2×
Open Tx Distal Phalangeal Fracture Each (26765) $4,523 $4,523 1.4×
Open Tx Distal Tibiofibular Joint Disruption (27829) $5,048.25 $5,048.25 0.7×
Open tx fracture phalanx/phalanges not great toe (28525) $4,120 $4,120 1.3×
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure		 $6,230 $6,230 0.5×
Open tx humeral supracondylar fracture w/o xtn (24545) $7,660 $7,660 0.6×
Open tx interphalangeal joint dislocation (26785) $2,640 $2,640 0.8×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $5,547.50 $5,547.50 1.7×
Open tx metatarsophalangeal joint dislocation (28645) $4,120 $4,120 1.3×
Open tx phalangeal shaft fracture prox/middle ea (26735) $4,551 $4,551 1.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $4,172 $4,172 0.6×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $8,160 $8,160 1.1×
Open tx ulnar fx proximal end (24685) $5,722 $5,722 0.8×
Open/Perq Place Stent Same (37238) $16,000 $16,000 1.4×
Open/Perq Placement Intravascular Stent Initial (37236) $16,000 $16,000 1.4×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $7,821 $7,821 1.1×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $8,330 $8,330 1.2×
Optx dstl radl x-artic fx/epiphysl sep (25607) $7,802 $7,802 1.1×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $5,356 $5,356 0.7×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure		 $5,773 $5,773 0.5×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $6,000 $6,000 0.8×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $3,708 $3,708 1.0×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Facility (67413) $3,853 $3,853 1.6×
Orchiectomy partial (54522) $3,120 $3,120 0.9×
Orchiectomy radical tumor inguinal approach (54530) $3,708 $3,708 1.0×
Ostc compl all metar heads w/prtl prox phalangc (28114) $4,900 $4,900 1.5×
Ostectomy calcaneus (28118) $2,085.75 $2,085.75 0.6×
Ostectomy complete 1st metatarsal head (28111) $2,369 $2,369 0.7×
Ostectomy complete 5th metatarsal head (28113) $2,472 $2,472 0.8×
Ostectomy of sternum, partial Facility (21620) $2,500 $2,500 0.8×
Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) $2,884 $2,884 0.9×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,193 $3,193 1.0×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) $2,568.75 $2,568.75 0.8×
Osteochondral allograft, knee, open (27415) $11,629 $11,629 0.9×
Osteochondral knee autograft (27416) $5,462 $5,462 0.8×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) $4,805 $4,805 0.8×
Osteoplasty, radius OR ulna; shortening Facility (25390) $8,330 $8,330 1.2×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715)
unusually low: confirm this is the full procedure		 $5,000 $5,000 0.4×
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure		 $1,875 $1,875 0.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,776.75 $1,776.75 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,641 $3,641 1.1×
Osteotomy calcaneus w/wo internal fixation (28300) $4,532 $4,532 0.6×
Osteotomy Metacarpal Each (26565) $4,193 $4,193 1.3×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $6,650 $6,650 0.9×
Osteotomy Phalanx Finger Each (26567) $4,563 $4,563 1.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
unusually low: confirm this is the full procedure		 $3,403.50 $3,403.50 0.5×
Osteotomy, clavicle, with or without internal fixation; Facility (23480) $4,660 $4,660 0.7×
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) $8,800 $8,800 0.7×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $7,806 $7,806 1.1×
Osteotomy, mandible, segmental; Facility (21198) $4,635 $4,635 0.8×
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $4,800 $4,800 0.8×
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) $4,223 $4,223 0.6×
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455) $6,905 $6,905 1.0×
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) $4,500 $4,500 0.6×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) $7,735 $7,735 1.1×
Ovarian cystectomy (58925) $5,002 $5,002 1.0×
P-mastectomy w/ln removal (19302) $7,137 $7,137 1.1×
Palatopharyngoplasty (42145) $4,568 $4,568 0.8×
Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) $6,695 $6,695 1.1×
Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) $5,500 $5,500 0.9×
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) $4,893 $4,893 0.8×
Part Remv Femur/Prox Tib/Fib (27360) $3,399 $3,399 1.1×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) $5,050 $5,050 1.6×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) $2,925.75 $2,925.75 0.9×
Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) $5,293 $5,293 1.6×
Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) $3,605 $3,605 1.1×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) $3,708 $3,708 1.1×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) $3,193 $3,193 1.0×
Partial excision bone clavicle (23180)
unusually low: confirm this is the full procedure		 $3,188 $3,188 0.4×
Partial excision bone tibia (27640) $3,428 $3,428 1.1×
Partial Excision Distal Phalanx Finger (26236) $2,136 $2,136 1.3×
Partial excision of lip (40520) $2,250 $2,250 0.7×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102) $5,784 $5,784 0.8×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) $6,798 $6,798 0.9×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,854 $1,854 1.2×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) $4,000 $4,000 1.2×
Partial hymenectomy or revision (56700) $3,479 $3,479 1.1×
Partial removal of hand bone (26230) $1,854 $1,854 0.6×
Partial removal of scapula (23190) $3,296 $3,296 1.0×
Partial removal of thyroid (60220) $7,032 $7,032 1.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $8,533 $8,533 1.4×
Partical Excision Bone Phalanx Toe (28124) $2,340 $2,340 0.7×
Patellectomy or hemipatellectomy (27350) $4,635 $4,635 0.6×
Pelvic examination under anesthesia (other than local) (57410) $2,575 $2,575 0.8×
Penile venous occlusive procedure Facility (37790) $4,044 $4,044 1.2×
Perc Radiofreq Ablate Renal Tumor (50592) $7,800 $7,800 1.3×
Percut Drain/Inject Renal Cyst (50390) $1,015 $1,015 1.5×
Percut Mech Thrombectomy, Venous (37187) $9,000 $9,000 0.8×
Percut Mech Thrombectomy, Venous, Repeat (37188) $5,000 $5,000 1.6×
Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) $2,175 $2,175 0.7×
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) $4,378 $4,378 0.6×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $2,575 $2,575 0.8×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure		 $2,884 $2,884 0.4×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $3,296 $3,296 2.1×
Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) $3,708 $3,708 1.1×
Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706) $3,233 $3,233 1.0×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $3,752 $3,752 1.2×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $2,860 $2,860 1.8×
Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) $3,605 $3,605 1.1×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $2,317.50 $2,317.50 0.7×
Pericardiocentesis W/Imaging (33016) $7,547.70 $7,547.70 4.9×
Perineoplasty rpr perineum nonobstetrical spx (56810) $2,421 $2,421 0.8×
Peritoneal Lavage (49084) $1,432 $1,432 1.6×
Perq dev breast 1st strtctc (19283) $763 $763 1.1×
Perq dev breast 1st us imag (19285) $763 $763 1.1×
Perq device breast 1st imag (19281) $763 $763 0.5×
Perq dilation xst trc endourologic px w/img (50436) $6,500 $6,500 1.9×
Perq dilation xst trc new access renal coltj sys (50437) $4,395 $4,395 1.3×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $5,893 $5,893 1.0×
Perq replacement gtube not req revj gstrst trc (43762) $600 $600 2.4×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,076 $1,076 1.5×
Perq skel fixj distal radial fx/epiphysl sep (25606) $8,968.50 $8,968.50 2.8×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $22,000 $22,000 1.2×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $18,000 $18,000 1.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $11,300 $11,300 2.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $13,500 $13,500 1.9×
Perq Vertebral Augmentation (22513) $18,000 $18,000 2.5×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $5,027.50 $5,027.50 1.6×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $5,027.50 $5,027.50 1.6×
Phalangectomy toe each toe (28150) $2,500 $2,500 0.8×
Phleb veins - extrem 20+ (37766) $5,125 $5,125 1.6×
Picc line placement (36569) $3,628.50 $3,628.50 2.3×
Pin hand dislocation (26676) $2,884 $2,884 0.9×
Place Amniotic Membrane Ocular Surface Sutured (65779) $2,500 $2,500 0.6×
Place Cath Subclavian Art (36225) $3,500 $3,500 1.1×
Place Cath Thoracic Aorta (36221) $6,000 $6,000 1.9×
Place Cath Vertebral Art (36226) $7,000 $7,000 1.3×
Place duod/jej tube perc (49441) $1,927.32 $1,927.32 1.0×
Placement of needle for intraosseous infusion (36680) $1,117.50 $1,117.50 2.5×
Placement of seton (46020) $3,138.41 $3,138.41 1.1×
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) $3,875 $3,875 2.0×
Plastic operation on penis to correct angulation Facility (54360) $5,000 $5,000 1.4×
Plastic Repair Introitus (56800) $2,300 $2,300 0.7×
Plastic repair of canaliculi (68700) $2,163 $2,163 0.9×
Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) $5,845 $5,845 1.0×
Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) $4,805 $4,805 1.5×
Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500) $3,597 $3,597 0.6×
Plastic Repair Of Urethrocele (57230) $3,750 $3,750 1.2×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,400 $3,400 0.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,000 $4,000 0.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,000 $4,000 0.7×
Plmt bile duct stent prq new access w/sep cath (47540) $4,000 $4,000 0.7×
Plmt interstitial dev radiat tx prostate 1/mult (55876) $1,004.25 $1,004.25 0.7×
Plmt nephrostomy cath prq new access rs&i (50432) $2,807 $2,807 1.4×
Plmt nephroureteral cath prq new access rs&i (50433) $3,172.44 $3,172.44 0.9×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $5,625 $5,625 1.6×
Plmt urtrl stent prq pre-existing nfros tract (50693) $5,967.50 $5,967.50 1.7×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $5,625 $5,625 1.6×
Post Tibial Neurostimulation,Perc Needle Electrode (64566) $260 $260 0.9×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $8,988.30 $8,988.30 1.8×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $5,500 $5,500 0.3×
Probe Nasolac Duct,Insert Tube/Stent (68815) $1,699.50 $1,699.50 0.7×
Probe nasolacrimal duct (68810) $1,472.62 $1,472.62 4.7×
Probe nl duct w/balloon (68816) $2,101 $2,101 0.9×
Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) $2,879 $2,879 1.2×
Proctopexy Perineal Approach (45541) $4,000 $4,000 1.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,000 $1,000 1.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,750 $2,750 1.0×
Prostate Saturation Sampling (55706) $1,727.50 $1,727.50 0.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,153 $1,153 1.6×
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) $8,191 $8,191 1.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure		 $2,394.75 $2,394.75 0.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,500 $3,500 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,500 $2,500 0.7×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,575 $2,575 0.8×
Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) $3,605 $3,605 1.1×
Prq skel fixj metar fx w/manj (28476) $3,793 $3,793 1.2×
Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) $4,611 $4,611 1.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $7,735 $7,735 1.1×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $4,304.50 $4,304.50 1.3×
Punch biopsy skin single lesion (11104) $250 $250 0.6×
Puncture Aspiration Cyst Breast (19000) $830 $830 1.2×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $436.50 $436.50 1.1×
Puncture shunt tube/reservoir aspiration/inj px (61070) $968 $968 1.4×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $2,888 $2,888 4.1×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $4,120 $4,120 0.6×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $1,699.50 $1,699.50 0.5×
Rad resect elbow caps/sr bone w rels (24149) $3,605 $3,605 0.5×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,090 $3,090 1.1×
Radical excision external auditory canal lesion; without neck dissection Facility (69150) $3,241 $3,241 0.6×
Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) $1,815.75 $1,815.75 1.1×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) $6,334 $6,334 1.1×
Radical resection of tumor, distal phalanx of finger Facility (26262) $2,400 $2,400 1.5×
Radical styloidectomy separate procedure (25230) $3,854 $3,854 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,600 $2,600 1.3×
Rcnstj angular dfrm toe soft tiss px only (28313) $3,296 $3,296 1.0×
Rcnstj Dislocating Patella (27420) $4,997 $4,997 0.7×
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
unusually low: confirm this is the full procedure		 $3,121.50 $3,121.50 0.4×
Realignment extensor tendon hand each tendon (26437) $3,090 $3,090 1.0×
Reconstruct Finger Joint (26548) $4,120 $4,120 1.3×
Reconstruct ulna/radioulnar (25337) $4,635 $4,635 0.6×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $5,500 $5,500 0.9×
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) $7,575 $7,575 1.1×
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346) $13,300 $13,300 1.0×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $9,523 $9,523 1.6×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) $8,000 $8,000 1.4×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Facility (21143) $10,000 $10,000 1.7×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $7,210 $7,210 1.2×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $6,551 $6,551 1.1×
Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) $9,220 $9,220 1.6×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $4,301.25 $4,301.25 0.6×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $5,202 $5,202 0.9×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) $2,500 $2,500 1.1×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) $3,304.50 $3,304.50 1.4×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) $1,638.50 $1,638.50 0.7×
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial Facility (21248) $5,000 $5,000 0.9×
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) $5,150 $5,150 0.9×
Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196) $6,551 $6,551 1.1×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $6,100 $6,100 1.0×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $4,080 $4,080 1.3×
Reconstruction of throat (42950) $4,017 $4,017 0.7×
Reconstruction of urethra (54326) $5,100 $5,100 1.5×
Reconstruction Toe Polydactyly (28344) $2,472 $2,472 0.8×
Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) $3,500 $3,500 1.1×
Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) $4,120 $4,120 1.3×
Reduce testis torsion (54600) $1,931.25 $1,931.25 0.6×
Reinforce tibia (27745) $8,200 $8,200 1.1×
Reinforce/graft eye wall (67255) $2,500 $2,500 0.6×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) $7,885 $7,885 1.1×
Reinsertion of spinal fixation device Facility (22849) $6,500 $6,500 0.5×
Release elbow joint (24006) $4,800 $4,800 1.5×
Release finger contracture (26525) $3,000 $3,000 1.9×
Release of big toe (28240) $2,500 $2,500 0.8×
Release wrist/forearm tendon (25295) $2,163 $2,163 0.7×
Relieve inner eye pressure (65820) $2,379 $2,379 0.6×
Relieve pressure on nerve(s) (64722) $2,112 $2,112 1.1×
Relocation of skin pocket for pacemaker (33222) $5,500 $5,500 2.7×
Rem Endovas Vena Cava Filter (37193) $5,800 $5,800 1.9×
Removal Anal Seton Other Marker (46030) $1,854 $1,854 1.6×
Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410)
unusually low: confirm this is the full procedure		 $6,798 $6,798 0.3×
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
unusually low: confirm this is the full procedure		 $8,000 $8,000 0.4×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge, not the full procedure		 $5,488 $5,488 0.3×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416)
likely a partial charge, not the full procedure		 $5,708 $5,708 0.3×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417)
likely a partial charge, not the full procedure		 $4,384 $4,384 0.2×
Removal biliary drg cath (47537) $1,000 $1,000 1.1×
Removal entire oi implt skl perq attachment esp (69726) $6,384 $6,384 2.0×
Removal Foreign Body Deep Thigh/Knee (27372) $3,000 $3,000 1.0×
Removal Foreign Body Foot Complicated (28193) $9,123 $9,123 5.6×
Removal foreign body foot deep (28192) $4,576 $4,576 2.8×
Removal foreign body foot subcutaneous (28190) $2,037 $2,037 2.9×
Removal foreign body intranasal (30300) $565 $565 4.3×
Removal foreign body muscle/tendon sheath simple (20520) $1,179 $1,179 0.7×
Removal Foreign Body Pelvis/Hip Deep (27087) $4,337.50 $4,337.50 1.3×
Removal foreign body pharynx (42809) $963.50 $963.50 2.2×
Removal foreign body shoulder subcutaneous (23330) $1,800 $1,800 1.1×
Removal foreign body upper arm/elbow deep (24201) $2,575 $2,575 0.9×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,841 $1,841 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $371 $371 6.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $335 $335 5.7×
Removal impacted vag fb spx w/anes oth/thn local (57415) $12,529 $12,529 3.9×
Removal implant deep (20680) $4,589.94 $4,589.94 1.6×
Removal Implant Superficial Separate Procedure (20670) $3,015 $3,015 1.8×
Removal Implantable Contraceptive Capsules (11976) $350.50 $350.50 0.5×
Removal Intact Mammary Implant (19328) $3,605 $3,605 0.9×
Removal of adenoids (42835) $2,730 $2,730 0.8×
Removal of adenoids (42831) $2,304 $2,304 0.7×
Removal of adenoids (42830) $4,350 $4,350 1.3×
Removal of adenoids (42836) $2,781 $2,781 0.8×
Removal of anal fissure (46200) $3,605 $3,605 1.3×
Removal of anterior instrumentation (eg, dwyer device) (22855) $7,136 $7,136 1.0×
Removal of arm foreign body (24200) $984 $984 0.6×
Removal of blood clot, anterior segment of eye Facility (65930) $2,550 $2,550 1.1×
Removal of bone for graft (20902)
unusually low: confirm this is the full procedure		 $2,317.50 $2,317.50 0.3×
Removal of bone lesion (23140) $2,575 $2,575 0.8×
Removal of breast capsule (19371) $5,914 $5,914 1.5×
Removal of cervix (57530) $3,399 $3,399 0.7×
Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) $750 $750 0.8×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $5,100 $5,100 1.5×
Removal of embedded foreign body, eyelid (67938) $773 $773 2.5×
Removal of esophageal sphincter augmentation device (43285)
unusually low: confirm this is the full procedure		 $2,472 $2,472 0.4×
Removal of eye (65101) $3,296 $3,296 0.8×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $3,749.50 $3,749.50 3.2×
Removal of finger lesion (26210) $2,964 $2,964 1.9×
Removal of foreign body in scrotum (55120) $2,575 $2,575 1.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $1,847 $1,847 4.2×
Removal of heel spur (28119) $3,012.75 $3,012.75 0.9×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $14,886 $14,886 1.2×
Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) $4,889 $4,889 1.4×
Removal of implant from finger or hand (26320) $2,575 $2,575 1.6×
Removal of implant material (19330) $4,129 $4,129 1.1×
Removal of implanted material, anterior segment of eye Facility (65920) $2,472 $2,472 1.1×
Removal of indwelling tunneled pleural catheter with cuff (32552) $968 $968 1.6×
Removal of intranasal lesion (30118) $4,038 $4,038 1.2×
Removal of iud (58301) $881 $881 2.9×
Removal of kidney stone (50081) $9,270 $9,270 1.0×
Removal of kidney stone (50080) $6,600 $6,600 0.7×
Removal of knee cartilage (27332) $4,000 $4,000 1.2×
Removal Of Knee Prosthesis (27488)
unusually low: confirm this is the full procedure		 $6,077 $6,077 0.5×
Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) $3,200 $3,200 0.8×
Removal of nail bed (11750) $769 $769 1.9×
Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850)
unusually low: confirm this is the full procedure		 $3,193 $3,193 0.4×
Removal of posterior segmental instrumentation Facility (22852)
unusually low: confirm this is the full procedure		 $3,090 $3,090 0.4×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $12,250 $12,250 1.7×
Removal of salivary stone (42330) $2,850 $2,850 0.9×
Removal of sesamoid bone (28315) $3,090 $3,090 1.0×
Removal of subdeltoid calcareous deposits, open Facility (23000) $1,957 $1,957 0.7×
Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod… (26392) $5,480 $5,480 0.8×
Removal of tail bone (27080) $4,635 $4,635 1.4×
Removal Of Tendon Lesion (27630) $4,223 $4,223 1.3×
Removal of testis (54520) $2,926 $2,926 0.8×
Removal of thyroid (60271) $6,500 $6,500 1.1×
Removal of tonsils (42825) $4,350 $4,350 0.7×
Removal of tonsils (42826) $3,459.50 $3,459.50 1.1×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) $8,858 $8,858 1.2×
Removal of tunneled intraperitoneal catheter (49422) $2,488.50 $2,488.50 0.8×
Removal of wrist bone (25210) $2,317.50 $2,317.50 0.7×
Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711) $4,710 $4,710 1.4×
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) $7,416 $7,416 2.3×
Removal ppm generator only (33233) $7,280 $7,280 0.9×
Removal shoulder foreign body deep subfascial/im (23333) $3,193 $3,193 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $876 $876 4.4×
Removal subcutaneous cardiac rhythm monitor (33286) $7,585 $7,585 10.8×
Removal Submand Stone,Complicated (42335) $2,250 $2,250 0.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $552 $552 0.3×
Removal, under anesthesia, of external fixation system (20694) $1,854 $1,854 1.2×
Removal/bivalving gauntlet boot/body cast (29700) $1,250 $1,250 4.5×
Remove anal fist subq (46270) $2,926 $2,926 1.1×
Remove brain canal fluid (61050) $1,211 $1,211 4.0×
Remove drug implant device (11982) $1,149 $1,149 2.6×
Remove ear lesion (69550) $6,845 $6,845 1.2×
Remove Elbow Joint Lining (24102) $3,399 $3,399 1.1×
Remove elbow lesion (24120) $4,120 $4,120 1.3×
Remove ext hem groups 2+ (46250) $4,589 $4,589 1.7×
Remove eye/attach implant (65105) $4,841 $4,841 1.2×
Remove foreign body from eye (65235) $1,854 $1,854 0.8×
Remove humerus lesion (24110) $3,500 $3,500 1.1×
Remove intrvas foreign body (37197) $3,500 $3,500 1.1×
Remove Lower Leg Bone Lesion (27635) $3,914 $3,914 1.2×
Remove muti-comp penis pros (54406) $4,533 $4,533 1.3×
Remove palate/lesion (42120) $4,771 $4,771 0.8×
Remove Peritoneal Foreign Body (49402) $5,500 $5,500 1.6×
Remove Pilonidal Cyst Exten (11771) $3,145 $3,145 1.1×
Remove Prostate Regrowth (52630) $2,907 $2,907 0.5×
Remove pulse generator (33241) $7,280 $7,280 2.0×
Remove renal tube w/fluoro (50389) $824 $824 1.2×
Remove spine eltrd perq aray (63661) $1,776.75 $1,776.75 0.9×
Remove spine eltrd plate (63662) $5,000 $5,000 1.4×
Remove Tendon Sheath Lesion (26160) $2,678 $2,678 1.7×
Remove thyroid duct lesion (60280) $4,766 $4,766 0.8×
Remove tissue expander (11971) $2,696.50 $2,696.50 0.9×
Remove ureter stent, percut (50384) $3,033 $3,033 1.5×
Remove vagina gland lesion (56740) $1,931.25 $1,931.25 0.6×
Remove vc lesion w/scope (31545) $5,023 $5,023 1.4×
Remove&replace pm gen singl (33227) $18,000 $18,000 2.2×
Remove/graft finger lesion (26215) $2,700 $2,700 0.8×
Remove/Insert Drug Implant (11983) $1,030 $1,030 2.3×
Remv Ext Canal F.B.,Gen Anesth (69205) $2,260 $2,260 1.4×
Remv Ext Canal Foreign Body (69200) $565 $565 4.3×
Remv F.B.,Eye,Superf Conjunc (65205) $704 $704 5.4×
Remv&replc cvd gen dual lead (33263) $24,500 $24,500 1.1×
Remv&replc cvd gen mult lead (33264) $24,500 $24,500 0.8×
Remv&replc cvd gen sing lead (33262) $24,500 $24,500 1.1×
Remv&replc pm gen dual lead (33228) $18,000 $18,000 1.7×
Remv&replc pm gen mult leads (33229) $24,500 $24,500 1.3×
Renal Biopsy Percutaneous (50200) $1,749 $1,749 1.1×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) $3,223 $3,223 0.9×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $4,500 $4,500 0.8×
Repair achilles tendon (27650) $6,519 $6,519 0.9×
Repair anal fistula (46288) $2,781 $2,781 1.0×
Repair blood vessel direct hand finger (35207) $9,000 $9,000 2.9×
Repair blood vessel direct neck (35201) $5,700 $5,700 1.0×
Repair Blood Vessel Direct Upper Extremity (35206) $5,000 $5,000 1.6×
Repair blood vessel with graft other than vein; upper extremity Facility (35266) $7,360 $7,360 1.3×
Repair brow defect (67900) $4,063.75 $4,063.75 1.7×
Repair Choanal Atresia Intranasal (30540) $7,375 $7,375 1.3×
Repair cleft hand deformity (26580) $4,802 $4,802 1.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $605 $605 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $857 $857 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $612 $612 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $736 $736 1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,551 $1,551 3.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $647 $647 1.6×
Repair complex trunk 1.1-2.5 cm (13100) $1,796 $1,796 2.5×
Repair complex trunk 2.6-7.5 cm (13101) $2,311 $2,311 3.2×
Repair Ectropion Extensive (67917) $3,271 $3,271 1.4×
Repair ectropion suture (67914) $2,106 $2,106 0.9×
Repair Entropion Suture (67921) $2,200 $2,200 0.9×
Repair extensor tendon finger w/o graft each (26418) $2,575 $2,575 1.6×
Repair eyelid defect (67916) $2,658 $2,658 1.1×
Repair eyelid defect (67908) $2,730 $2,730 1.2×
Repair eyelid defect (67923) $2,215 $2,215 0.9×
Repair eyelid defect (67904) $2,575 $2,575 1.1×
Repair eyelid defect (67903) $3,375 $3,375 1.4×
Repair eyelid defect (67901) $2,200 $2,200 0.9×
Repair Eyelid Wound (67935) $2,880 $2,880 1.2×
Repair eyelid wound (67930) $4,155 $4,155 1.8×
Repair Fibula Nonunion (27726) $5,665 $5,665 0.8×
Repair Finger Tendon (26433) $2,060 $2,060 0.6×
Repair Fistula Oromaxillary (30580) $7,518 $7,518 1.3×
Repair fistula; oronasal Facility (30600) $6,695 $6,695 1.1×
Repair Forearm Tendon Sheath (25275) $4,120 $4,120 1.3×
Repair forearm tendon/muscle (25260) $3,300 $3,300 1.0×
Repair hand tendon (26410) $1,352.25 $1,352.25 0.9×
Repair incomplete circumcision (54163) $2,678 $2,678 1.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,987 $2,987 0.8×
Repair initial femoral hernia, any age; reducible (49550) $2,987 $2,987 0.8×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,771 $3,771 1.1×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $3,479 $3,479 1.0×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500)
unusually low: confirm this is the full procedure		 $2,884.76 $2,884.76 0.5×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,344 $1,344 3.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $466 $466 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $506 $506 1.3×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,666 $1,666 4.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,600 $1,600 4.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,042.50 $1,042.50 2.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,666 $1,666 4.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $2,562 $2,562 3.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $657 $657 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $427 $427 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $627 $627 0.9×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $8,219 $8,219 4.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,090.50 $1,090.50 2.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $390 $390 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $383 $383 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,531 $1,531 2.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $455 $455 1.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $8,219 $8,219 4.0×
Repair Laceration Palate >2 Cm/Complex (42182) $5,000 $5,000 0.9×
Repair lead pace-defib dual (33220) $7,280.34 $7,280.34 2.0×
Repair lead pace-defib one (33218) $7,280.34 $7,280.34 2.0×
Repair Leg Fascia Defect (27656) $3,605 $3,605 1.1×
Repair lower leg tendons (27676) $4,326 $4,326 0.6×
Repair Lower Leg Tendons (27675) $1,931.25 $1,931.25 0.6×
Repair lumbar hernia (49540) $4,120 $4,120 0.7×
Repair medial collateral ligament, elbow, with local tissue Facility (24345)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Repair Mouth Laceration (40831) $1,754 $1,754 3.3×
Repair nasal septal perforations (30630) $5,126.50 $5,126.50 1.6×
Repair Nasal Stenosis (30465) $5,330.25 $5,330.25 0.9×
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) $6,000 $6,000 0.9×
Repair of biceps tendon (24340) $7,085 $7,085 1.0×
Repair of component(s) of a multi-component, inflatable penile prosthesis Facility (54408) $8,000 $8,000 1.5×
Repair of enterocele, vaginal approach (separate procedure) Facility (57268) $3,605 $3,605 0.7×
Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) $3,193 $3,193 1.0×
Repair of foot bones (28320)
likely a partial charge, not the full procedure		 $3,300 $3,300 0.3×
Repair of humerus (24430) $10,768.50 $10,768.50 0.8×
Repair of hydrocele (55060) $2,575 $2,575 0.7×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) $4,735 $4,735 1.4×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) $4,000 $4,000 0.8×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) $7,235 $7,235 0.8×
Repair of knee cartilage (27403)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Repair of leg tendon each (27664)
unusually low: confirm this is the full procedure		 $2,575 $2,575 0.4×
Repair of leg tendon each (27658) $2,626.50 $2,626.50 0.8×
Repair of nail bed (11760) $1,117 $1,117 1.5×
Repair of nasal septum (30520) $3,375.82 $3,375.82 1.0×
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) $6,180 $6,180 1.1×
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) $12,146 $12,146 1.0×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $7,725 $7,725 1.1×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $7,210 $7,210 1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $7,218 $7,218 1.0×
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) $6,000 $6,000 0.8×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) $8,185 $8,185 1.1×
Repair of shoulder (23420) $8,240 $8,240 1.1×
Repair of sperm duct (55400) $3,218.75 $3,218.75 0.9×
Repair of tibia (27720) $4,557.75 $4,557.75 0.6×
Repair of traumatic corporeal tear(s) (54437) $3,600 $3,600 1.0×
Repair of urethra injury (53502) $2,540 $2,540 0.7×
Repair of web finger (26560) $2,060 $2,060 1.3×
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372)
unusually low: confirm this is the full procedure		 $3,142 $3,142 0.4×
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352)
unusually low: confirm this is the full procedure		 $3,090 $3,090 0.4×
Repair oval window fistula Facility (69666) $4,532 $4,532 1.4×
Repair paravag defect lap (57423)
unusually low: confirm this is the full procedure		 $4,150 $4,150 0.4×
Repair paravag defect vag (57285) $4,551 $4,551 0.6×
Repair radius & ulna (25415) $8,500 $8,500 1.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $3,090 $3,090 0.5×
Repair recurrent inguinal hernia, any age; reducible (49520) $4,150 $4,150 1.2×
Repair rotator cuff acute (23410) $7,448 $7,448 1.0×
Repair round window fistula Facility (69667) $4,738 $4,738 1.4×
Repair salivary duct (42505) $5,441 $5,441 0.9×
Repair secondary achilles tendon w/wo graft (27654) $7,223 $7,223 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,417 $3,417 1.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,803 $7,803 1.1×
Repair tongue laceration (41252) $1,008.50 $1,008.50 4.3×
Repair Tongue Laceration (41250) $681.50 $681.50 1.5×
Repair tooth socket (41874) $2,500 $2,500 0.8×
Repair tympanic membrane (69610) $2,163 $2,163 1.4×
Repair webbed toe(s) (28345) $3,000 $3,000 1.9×
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) $5,768 $5,768 0.8×
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
unusually low: confirm this is the full procedure		 $3,090 $3,090 0.4×
Repair, primary, disrupted ligament, ankle; collateral (27695) $5,669 $5,669 0.8×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $4,161.75 $4,161.75 0.6×
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) $6,000 $6,000 0.8×
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) $6,265 $6,265 0.9×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $3,708 $3,708 1.1×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $4,120 $4,120 1.3×
Repair/graft achilles tendon (27652) $7,500 $7,500 1.0×
Repair/graft finger tendon (26420) $3,090 $3,090 1.0×
Repair/graft wrist bone (25440) $11,602 $11,602 1.6×
Repair/revise wrist joint (25320) $6,037 $6,037 0.8×
Repair/transpose nerve (64856) $6,459 $6,459 0.7×
Repeat control of nosebleed (30906) $1,282 $1,282 5.5×
Replace duodenostomy/jejunostomy tube perq (49451) $1,250 $1,250 1.4×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,147 $1,147 1.3×
Replace Tissue Expander (11970) $5,831 $5,831 0.8×
Replace tunneled cv cath (36578) $2,500 $2,500 0.8×
Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to… (69717) $5,638 $5,638 0.8×
Replacement gastro-jejunostomy tube percutaneous (49452) $942.50 $942.50 1.1×
Repos Previously Implanted Subq Implantable Dfb (33273) $14,443.95 $14,443.95 3.9×
Reposition cv cath w/fluoro (36597) $2,086.50 $2,086.50 1.3×
Reposition gastric feeding tube thru duodenum (43761) $1,150 $1,150 4.7×
Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) $2,500 $2,500 1.1×
Repr elbow lat ligmnt w/tiss (24343) $3,188 $3,188 1.0×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $7,000 $7,000 2.2×
Resection of scrotum (55150) $3,000 $3,000 0.9×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $4,948 $4,948 1.5×
Resection, partial or complete, phalangeal base, each toe (28126) $3,000 $3,000 0.9×
Rev/rmv prph sac/gstr npg/r (64595) $2,511 $2,511 0.7×
Revis reconst shoulder joint (23473) $12,747 $12,747 1.0×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $8,500 $8,500 0.7×
Revise external ear (69300) $3,219 $3,219 1.0×
Revise eye socket implant (67560) $3,932 $3,932 1.0×
Revise eyelashes (67825) $618 $618 2.0×
Revise finger/toe nerve (64702) $2,420 $2,420 1.3×
Revise graft w/vein (35884) $9,511 $9,511 1.7×
Revise Hand/Foot Nerve (64704) $1,931.25 $1,931.25 1.0×
Revise knuckle with implant (26531)
unusually low: confirm this is the full procedure		 $3,413.25 $3,413.25 0.5×
Revise Lower Leg Tendon (27691) $5,538 $5,538 0.8×
Revise Lower Leg Tendons (27686) $3,350 $3,350 1.0×
Revise penis/urethra (54328) $4,000 $4,000 1.1×
Revise penis/urethra (54332) $4,880 $4,880 1.4×
Revise spine eltrd perq aray (63663) $7,725 $7,725 1.2×
Revise Spine Eltrd Plate (63664)
likely a partial charge, not the full procedure		 $3,000 $3,000 0.3×
Revise ulnar nerve at elbow (64718) $3,251 $3,251 1.7×
Revise vag graft via vagina (57295) $4,429 $4,429 1.4×
Revise/graft eyelid lining (68328) $3,837 $3,837 1.6×
Revise/graft eyelid lining (68320) $3,000 $3,000 1.3×
Revise/Implant Finger Joint (26536) $4,219 $4,219 0.6×
Revise/Remove Neuroreceiver (63688) $2,703.75 $2,703.75 0.8×
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) $5,000 $5,000 0.7×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $12,434 $12,434 0.7×
Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601) $4,948 $4,948 0.8×
Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) $2,550 $2,550 1.1×
Revision of colostomy simple (44340) $3,025 $3,025 0.9×
Revision of eyelid (67880) $1,751 $1,751 0.7×
Revision of eyelid (67961) $1,262.25 $1,262.25 0.5×
Revision of foot (28116) $4,120 $4,120 1.3×
Revision of lower leg tendon (27685) $4,223 $4,223 1.3×
Revision of nose (30430) $4,100 $4,100 0.7×
Revision of nose (30460) $6,952 $6,952 1.2×
Revision of nose (30450) $7,433 $7,433 1.3×
Revision of penis (54300) $4,185 $4,185 1.2×
Revision of penis (54304) $4,250 $4,250 1.2×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) $6,273 $6,273 1.2×
Revision of reconstructed breast (19380) $7,180 $7,180 1.1×
Revision of scrotum (55180) $3,000 $3,000 0.6×
Revision of scrotum (55175) $2,788 $2,788 0.8×
Revision of spinal shunt (63744) $3,900 $3,900 1.2×
Revision of stapedectomy or stapedotomy Facility (69662) $4,532 $4,532 0.8×
Revision of tips (37183) $9,827 $9,827 1.7×
Revision of toe (28312) $2,266 $2,266 0.7×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $14,886 $14,886 1.2×
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) $7,584 $7,584 0.6×
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) $10,600 $10,600 0.6×
Revision of tracheostomy scar (31830) $4,300 $4,300 1.3×
Revision of ulna (25360) $5,371.25 $5,371.25 0.7×
Revision of urethra (53460) $2,369 $2,369 0.7×
Revision of urethra (53450) $2,472 $2,472 0.7×
Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569)
unusually low: confirm this is the full procedure		 $3,348 $3,348 0.3×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) $7,500 $7,500 0.7×
Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) $9,000 $9,000 1.6×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $8,700 $8,700 0.7×
Revj tot hip arthrp fem only w/wo algrft (27138)
unusually low: confirm this is the full procedure		 $5,600 $5,600 0.4×
Revj/rmvl neurostimulator pulse generator (61888) $13,644 $13,644 1.2×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,600 $3,600 1.0×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $14,443.50 $14,443.50 2.6×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $9,629 $9,629 1.7×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $27,000 $27,000 1.5×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $24,000 $24,000 1.3×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $37,500 $37,500 2.1×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $25,000 $25,000 1.4×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $27,000 $27,000 2.4×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $18,000 $18,000 1.6×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $15,900 $15,900 2.8×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $10,600 $10,600 1.9×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $24,000 $24,000 2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $16,000 $16,000 1.4×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $24,000 $24,000 2.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $16,000 $16,000 1.4×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $27,000 $27,000 1.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $24,000 $24,000 1.3×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $37,500 $37,500 2.1×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $25,000 $25,000 1.4×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $24,000 $24,000 1.3×
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) $7,000 $7,000 1.2×
Rhinoplasty, primary; including major septal repair Facility (30420) $3,244.50 $3,244.50 0.6×
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) $7,134 $7,134 1.2×
Rib cartilage graft (21230) $6,000 $6,000 1.0×
Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) $3,750 $3,750 1.8×
Rmvl embedded fb vestibule mouth comp (40805) $2,585 $2,585 4.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $4,041 $4,041 4.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $848 $848 6.5×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $2,309.50 $2,309.50 5.2×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $8,376 $8,376 2.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,315 $2,315 0.8×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $1,545 $1,545 0.7×
Rmvl Lens Material Phacofragmentation Aspir (66850) $3,200 $3,200 1.4×
Rmvl of subq defibrillator (33272) $14,443.95 $14,443.95 3.9×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $927 $927 0.5×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $3,090 $3,090 0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $7,280 $7,280 2.0×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $7,280 $7,280 2.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,748 $1,748 1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,723.50 $1,723.50 2.8×
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,318 $2,318 1.0×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $4,300 $4,300 1.9×
Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $7,280 $7,280 2.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,400 $3,400 2.2×
Rplcmt compl prph ctr vad w/subq port (36585) $2,928.96 $2,928.96 0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,218 $1,218 0.8×
Rplcmt compl tun ctr vad w/subq port (36582) $3,538.50 $3,538.50 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,486 $3,486 1.1×
Rplcmt/revj csf shunt valve/cath shunt sys (62230) $5,501 $5,501 0.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,150 $7,150 1.2×
Rpr aa hernia 1st < 3 cm reducible (49591) $3,309.75 $3,309.75 0.9×
Rpr aa hernia recr 3-10 cm reducible (49615) $6,399 $6,399 1.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $6,200 $6,200 1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $4,843 $4,843 1.4×
Rpr aa hrn 1st 3-10 rdc (49593) $5,000 $5,000 0.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $9,438.50 $9,438.50 1.6×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $3,000 $3,000 0.8×
Rpr Blood Vessel Direct Lower Extremity (35226) $5,046 $5,046 7.2×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $4,841 $4,841 1.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,350 $2,350 1.5×
Rpr flexor tendon leg secondary w/o graft each (27659) $8,335 $8,335 1.2×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,666 $1,666 2.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,585 $2,585 4.9×
Rpr Lip Full Thickness Vermilion Only (40650) $2,585 $2,585 4.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,855 $3,855 2.5×
Rpr non-union mtcrpl/phalanx (26546) $3,605 $3,605 0.5×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $3,700 $3,700 0.6×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,708.50 $2,708.50 0.8×
Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) $3,090 $3,090 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $913 $913 1.5×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $3,090 $3,090 1.0×
Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) $3,296 $3,296 1.0×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $4,635 $4,635 0.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,605 $3,605 1.1×
Rpsg prev implted car ven sys l ventr eltrd (33226) $7,280 $7,280 2.3×
Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) $7,280 $7,280 2.3×
Sclerotx Fluid Collection (49185) $854 $854 0.5×
Scrotal exploration (55110) $2,575 $2,575 0.7×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $7,000 $7,000 1.2×
Sesamoidectomy, thumb or finger (separate procedure) Facility (26185) $1,969 $1,969 1.2×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $2,500 $2,500 1.1×
Severing of tarsorrhaphy (67710) $836 $836 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,082 $1,082 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,082 $1,082 0.9×
Sgmdsc Flx With Endoscopic Mucosal Resection (45349) $4,008 $4,008 1.5×
Shave skin lesion 0.5 cm/< (11300) $254 $254 0.6×
Shave skin lesion 0.5 cm/< (11305) $353.50 $353.50 1.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $347.50 $347.50 1.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $181 $181 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $212 $212 0.5×
Shoulder arthroscopy (29820) $9,579 $9,579 1.3×
Shoulder arthroscopy (29805) $3,500 $3,500 1.1×
Shoulder Arthroscopy/Surgery (29819) $5,510 $5,510 1.7×
Shoulder Arthroscopy/Surgery (29825) $5,755 $5,755 1.8×
Shoulder prosthesis removal (23334) $3,605 $3,605 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $321 $321 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $129.50 $129.50 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $242 $242 1.2×
Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) $1,945 $1,945 0.6×
Sigmoidoscopy & decompress (45337) $1,000 $1,000 1.1×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,400 $2,400 2.0×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $1,030 $1,030 0.9×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $1,050 $1,050 0.9×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $1,500 $1,500 1.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,236 $1,236 1.0×
Sigmoidoscopy place stent (45347) $11,650 $11,650 1.9×
Sigmoidoscopy w/biopsy (45331) $960 $960 1.0×
Sigmoidoscopy w/fb removal (45332) $1,000 $1,000 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,666 $1,666 4.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $600 $600 3.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $773 $773 3.9×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $1,666 $1,666 4.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $2,648.50 $2,648.50 13.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $936 $936 4.7×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $936 $936 4.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $225 $225 1.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $936 $936 4.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $656.50 $656.50 3.3×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $7,725 $7,725 1.3×
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) $6,592 $6,592 1.1×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $7,160 $7,160 1.2×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030) $7,744 $7,744 1.3×
Skin splt grft trnk/arm/leg (15100) $3,605 $3,605 1.8×
Skin sub graft face/nk/hf/g (15275) $612.75 $612.75 0.8×
Skin sub graft trnk/arm/leg (15271) $2,122 $2,122 2.9×
Skin Tissue Procedure (17999) $425 $425 2.1×
Skin tissue rearrangement (14040) $2,345 $2,345 1.2×
Skn splt a-grft fac/nck/hf/g (15120) $2,622 $2,622 0.7×
Skn sub grft f/n/hf/g child (15277) $1,140 $1,140 0.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $8,000 $8,000 1.5×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $8,000 $8,000 2.6×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $7,000 $7,000 1.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,264.20 $4,264.20 0.9×
Slitting of prepuce (54001) $2,369 $2,369 1.1×
Small Bowel Endoscopy (44373) $1,050 $1,050 0.6×
Small bowel endoscopy (44366) $1,400 $1,400 0.7×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $1,000 $1,000 0.5×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $5,501.52 $5,501.52 0.9×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) $1,400 $1,400 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $765 $765 3.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,666 $1,666 4.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,083 $1,083 2.7×
Snip incision lacrimal punctum (68440) $473.38 $473.38 1.5×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $3,817 $3,817 1.4×
Sphincterotomy anal division sphincter spx (46080) $2,472 $2,472 0.9×
Spinal puncture lumbar diagnostic (62270) $1,030 $1,030 1.5×
Spinal Puncture Therapeutic (62272) $3,177 $3,177 4.6×
Spine Surgery Procedure Unlisted (22899) $902 $902 3.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $4,500 $4,500 1.4×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $5,812 $5,812 1.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $5,201 $5,201 0.9×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $3,328 $3,328 1.4×
Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) $2,642 $2,642 0.7×
Strapping ankle (29540) $714 $714 4.4×
Strapping elbow or wrist (29260) $212.50 $212.50 3.6×
Strapping hand/finger (29280) $212.50 $212.50 3.6×
Strapping knee (29530) $565 $565 4.3×
Strapping shoulder (29240) $565 $565 4.3×
Strapping toes (29550) $371 $371 6.4×
Strapping unna boot (29580) $283 $283 1.8×
Subconjunctival injection (68200) $213 $213 0.5×
Subcutaneous Hormone Pellet Implantation (11980) $120 $120 0.3×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $361 $361 1.8×
Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) $2,378 $2,378 0.7×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $8,357.62 $8,357.62 2.6×
Subtalar Arthro W/Deb (29906) $2,642.25 $2,642.25 0.8×
Suction assisted lipectomy lower extremity (15879) $2,500 $2,500 0.7×
Suction Assisted Lipectomy Trunk (15877) $2,369 $2,369 0.7×
Suction assisted lipectomy; head and neck (15876) $2,575 $2,575 0.7×
Suction assisted lipectomy; upper extremity (15878) $2,500 $2,500 1.2×
Suprahyoid lymphadenectomy (38700) $4,120 $4,120 0.6×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $6,627 $6,627 1.1×
Surg nasopharyngoscopy dilat eustachian tube uni (69705) $3,000 $3,000 0.5×
Surgery of breast capsule (19370) $6,500 $6,500 1.7×
Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) $5,049.60 $5,049.60 1.6×
Surgical closure tracheostomy or fistula; with plastic repair Facility (31825) $4,000 $4,000 1.2×
Surgical closure tracheostomy or fistula; without plastic repair (31820) $4,283 $4,283 1.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,369 $2,369 0.9×
Suspension of testis (54640) $4,635 $4,635 1.3×
Suture 1 Nerve Median Motor Thenar (64835) $3,635 $3,635 1.1×
Suture digital nerve hand/foot 1 nerve (64831) $4,120 $4,120 2.1×
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure		 $3,250 $3,250 0.5×
Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) $3,500 $3,500 1.0×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $3,788 $3,788 0.5×
Suture of quadriceps or hamstring muscle rupture; primary (27385) $7,803 $7,803 1.1×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure		 $2,575 $2,575 0.4×
Suture of; brachial plexus Facility (64861) $3,502 $3,502 1.8×
Suture/repair testicular injury (54670) $2,628 $2,628 0.8×
Synovectomy tendon sheath foot extensor (28088) $2,436 $2,436 0.8×
Synovectomy, carpometacarpal joint Facility (26130) $1,900 $1,900 0.6×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $3,554 $3,554 1.1×
Synovectomy, tendon sheath, foot; flexor Facility (28086) $2,950 $2,950 0.9×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure		 $2,450 $2,450 0.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,931.25 $1,931.25 1.2×
Tangential biopsy skin single lesion (11102) $259 $259 0.6×
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) $32,000 $32,000 1.1×
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $21,015 $21,015 1.1×
Tcat removal perm leadless pm right ventr w/img (33275) $12,185 $12,185 3.9×
Temporary Closure Eyelids Suture (67875) $891 $891 0.9×
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) $3,641 $3,641 0.5×
Tendon lengthening, upper arm or elbow, each tendon Facility (24305) $3,300 $3,300 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $9,416.25 $9,416.25 2.9×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $5,202 $5,202 1.6×
Tenodesis at wrist; extensors of fingers Facility (25301) $3,350 $3,350 1.0×
Tenodesis long tendon biceps (23430) $4,263 $4,263 0.6×
Tenolysis extensor foot single tendon (28225) $4,490 $4,490 1.4×
Tenolysis extensor tendon hand/finger each (26445) $1,804.50 $1,804.50 0.6×
Tenolysis Flexor Foot Multiple Tendons (28222) $2,500 $2,500 0.8×
Tenolysis flexor foot single tendon (28220) $2,000 $2,000 1.3×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,692 $1,692 1.1×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $5,793.75 $5,793.75 1.8×
Tenolysis Triceps (24332) $3,500 $3,500 1.1×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $3,296 $3,296 1.0×
Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) $3,500 $3,500 1.1×
Tenotomy Adductor Hip Percutaneous Spx (27000) $2,493 $2,493 1.6×
Tenotomy Elbow Lateral/Medial Percutaneous (24357) $3,351 $3,351 1.0×
Tenotomy flexor finger open each tendon (26455) $2,730 $2,730 1.7×
Tenotomy Hip Flexor Open (27005) $3,605 $3,605 1.1×
Tenotomy open extensor foot/toe each tendon (28234) $2,472 $2,472 1.6×
Tenotomy percutaneous single each digit (26060) $2,060 $2,060 1.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,549.25 $2,549.25 1.6×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,485 $2,485 1.6×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $2,493 $2,493 0.8×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $4,120 $4,120 1.3×
Tenotomy shoulder area single tendon (23405) $4,230 $4,230 0.6×
Tenotomy Shoulder Multiple Thru Same Incision (23406) $4,135 $4,135 0.6×
Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) $4,247.50 $4,247.50 1.3×
Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) $2,750 $2,750 1.7×
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) $2,575 $2,575 0.8×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $2,271.50 $2,271.50 1.4×
Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) $3,451 $3,451 1.1×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,016 $2,016 1.3×
Ther Apheresis,Plasma Pheresis (36514) $3,500 $3,500 2.3×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $1,700 $1,700 2.4×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $7,000 $7,000 0.6×
Thoracentesis needle/cath pleura w/o imaging (32554) $3,290 $3,290 5.3×
Throat Surgery Procedure (42999) $773 $773 3.3×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $3,000 $3,000 1.0×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,500 $2,500 0.5×
Thrombolytic Venous Therapy (37212) $2,500 $2,500 0.8×
Thyroid biopsy (60100) $756.50 $756.50 1.1×
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) $6,968.50 $6,968.50 1.2×
Thyroidectomy, total or complete (60240) $9,557 $9,557 1.6×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $9,785 $9,785 1.7×
Tibial Arthroscopy/Surgery (29855) $5,170 $5,170 0.7×
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) $12,223.50 $12,223.50 0.9×
Tnot elbow lateral/medial debride open (24358) $3,950 $3,950 1.2×
Tnot elbow lateral/medial debride open tdn rpr (24359) $4,250 $4,250 1.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,714 $2,714 0.8×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
unusually low: confirm this is the full procedure		 $7,500 $7,500 0.4×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) $8,883.75 $8,883.75 0.5×
Total hip arthroplasty (27130) $11,087.15 $11,087.15 0.9×
Total Knee Arthroplasty (27447) $11,268.25 $11,268.25 0.9×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $9,044 $9,044 1.5×
Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) $5,388.50 $5,388.50 1.7×
Tracheostomy emergency cricothyroid membrane (31605) $1,094 $1,094 4.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $6,787 $6,787 4.4×
Tracheotomy tube change (31502) $659.50 $659.50 2.8×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $315 $315 1.0×
Transcatheter biopsy (37200) $4,500 $4,500 0.8×
Transection or avulsion of other spinal nerve, extradural Facility (64772) $4,635 $4,635 2.4×
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) $4,120 $4,120 0.6×
Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) $2,622 $2,622 1.3×
Translum Dil Eye Canal (66174) $3,900 $3,900 1.0×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $7,500 $7,500 1.0×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) $5,562 $5,562 0.8×
Transperineal plmt biodegradable matrl 1/mlt njx (55874) $4,635 $4,635 0.9×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $6,180 $6,180 1.2×
Transplant hand tendon (26480) $2,703.75 $2,703.75 0.8×
Transplant/graft hand tendon (26483) $2,554 $2,554 0.8×
Transur electr resection of prostate (52601) $5,562 $5,562 1.0×
Transurethral incision of prostate (52450) $4,200 $4,200 1.2×
Transurethral resection bladder neck (52500) $2,266 $2,266 0.7×
Treat Big Toe Fracture (28505) $4,326 $4,326 1.3×
Treat clavicle dislocation (23540) $1,493.50 $1,493.50 6.1×
Treat clavicle fracture (23505) $8,710.50 $8,710.50 5.5×
Treat elbow dislocation (24615) $7,000 $7,000 1.0×
Treat elbow fracture (24586)
unusually low: confirm this is the full procedure		 $4,326 $4,326 0.3×
Treat Elbow Fracture (24635) $4,367 $4,367 0.6×
Treat fracture radius/ulna (25575) $4,635 $4,635 0.6×
Treat Hand Dislocation (26685) $2,850 $2,850 0.9×
Treat humerus fracture (24500) $1,493.50 $1,493.50 6.1×
Treat humerus fracture (23600) $1,493.50 $1,493.50 6.1×
Treat knee fracture (27532) $3,296 $3,296 1.0×
Treat Knee Fracture (27535) $5,665 $5,665 0.8×
Treat Knee Fracture (27540) $5,150 $5,150 0.7×
Treat Kneecap Fracture (27524) $5,369.25 $5,369.25 0.7×
Treat Lower Leg Bone Lesion (27607) $2,472 $2,472 0.8×
Treat Lower Leg Fracture (27828)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Treat Metatarsal Fracture (28475) $1,013 $1,013 4.2×
Treat radius fracture (24665) $5,905 $5,905 0.8×
Treat scapula fracture (23585) $7,144 $7,144 1.0×
Treat shoulder blade fx (23575) $8,710.50 $8,710.50 5.5×
Treat skull fracture (62000) $11,839 $11,839 3.6×
Treat Thigh Fracture (27245) $6,500 $6,500 0.9×
Treat thumb fracture (26665) $4,635 $4,635 1.4×
Treat Thumb Fx/Disloc,Manip (26645) $669 $669 0.4×
Treat Vaginal Bleeding (57180) $484 $484 2.4×
Treat wrist bone fracture (25622) $1,493.50 $1,493.50 6.1×
Treat Wrist Bone Fracture (25630) $1,493.50 $1,493.50 6.1×
Treat wrist fracture (25685) $7,000 $7,000 1.0×
Treatment closed elbow dislocation req anes (24605) $6,969 $6,969 4.4×
Treatment closed elbow dislocation w/o anes (24600) $1,493.50 $1,493.50 6.1×
Treatment mouth roof lesion (42160) $1,493 $1,493 0.5×
Treatment of fibula fracture (27784) $4,120 $4,120 0.6×
Treatment of foot infection (28003) $2,500 $2,500 0.8×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $6,200 $6,200 0.9×
Treatment of missed abortion, completed surgically; first trimester (59820) $3,812.25 $3,812.25 1.2×
Treatment of missed abortion, completed surgically; second trimester (59821) $2,167 $2,167 0.7×
Treatment of nose fracture (21330) $3,142 $3,142 0.5×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $5,300 $5,300 1.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $1,195 $1,195 4.9×
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure		 $3,000 $3,000 0.4×
Trim skin lesion (11055) $206 $206 1.0×
Trim skin lesions 2 to 4 (11056) $150 $150 0.8×
Trim skin lesions over 4 (11057) $465 $465 2.3×
Trimming Of Nondystrophic Nails, Any Number (11719) $297 $297 5.1×
Trlml balo angiop open/perq img s&i 1st art (37246) $15,000 $15,000 2.7×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $15,000 $15,000 2.7×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $462 $462 1.1×
Trnsplj autologous hematopoietic cells per donor (38241) $3,902 $3,902 2.5×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $3,150 $3,150 0.9×
Trurl rescj postop bladder neck contracture (52640) $4,379 $4,379 1.3×
Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) $12,078 $12,078 1.3×
Tubal ligation (58600) $3,700 $3,700 1.2×
Tube thoracostomy includes water seal (32551) $1,600 $1,600 1.0×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,884 $2,884 1.1×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure		 $4,326 $4,326 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,911 $7,911 2.5×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,100 $2,100 1.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $8,710.50 $8,710.50 5.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,249 $1,249 1.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $6,969 $6,969 4.4×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $7,917.50 $7,917.50 0.6×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $4,948 $4,948 0.8×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $7,489 $7,489 1.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $4,738 $4,738 0.8×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $5,250 $5,250 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $6,266 $6,266 1.1×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $5,250 $5,250 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $5,196 $5,196 0.9×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $4,635 $4,635 0.8×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) $4,145.75 $4,145.75 0.7×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $6,964 $6,964 1.2×
Tympanostomy (69433) $693 $693 1.3×
Tympanostomy general anesthesia (69436) $1,610 $1,610 1.1×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $2,678 $2,678 0.8×
Unlisted Cardiac Surgery (33999) $4,000 $4,000 6.5×
Unlisted craniofacial & maxillofacial procedure (21299) $1,400 $1,400 6.0×
Unlisted hysteroscopy procedure, uterus (58579) $3,605 $3,605 18.0×
Unlisted laparoscopic procedure liver (47379) $4,120 $4,120 0.7×
Unlisted laparoscopic procedure, ureter (50949) $5,202 $5,202 0.9×
Unlisted laparoscopy procedure stomach (43659) $5,253 $5,253 0.9×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $5,091.75 $5,091.75 0.9×
Unlisted laparoscopy procedure, appendix (44979) $4,377.75 $4,377.75 0.7×
Unlisted laparoscopy procedure, biliary tract (47579) $5,253 $5,253 0.9×
Unlisted laparoscopy procedure, bladder (51999) $4,944 $4,944 0.8×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $3,152 $3,152 0.5×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $7,210 $7,210 1.2×
Unlisted laparoscopy procedure, lymphatic system (38589) $6,180 $6,180 1.0×
Unlisted laparoscopy procedure, oviduct, ovary (58679) $3,013 $3,013 0.5×
Unlisted laparoscopy procedure, rectum (45499) $6,500 $6,500 1.1×
Unlisted laparoscopy procedure, spermatic cord (55559) $5,830.50 $5,830.50 1.0×
Unlisted laparoscopy procedure, spleen (38129) $4,635 $4,635 0.8×
Unlisted laparoscopy procedure, uterus (58578) $5,665 $5,665 0.9×
Unlisted musculoskeletal procedure head (21499) $3,090 $3,090 13.2×
Unlisted Procedure Accessory Sinuses (31299) $2,369 $2,369 10.1×
Unlisted procedure anus (46999) $960 $960 1.0×
Unlisted procedure arthroscopy (29999) $5,605 $5,605 23.0×
Unlisted Procedure Biliary Tract (47999) $3,100 $3,100 3.5×
Unlisted Procedure Conjunctiva (68399) $1,385 $1,385 4.4×
Unlisted procedure dentoalveolar structures (41899) $1,550 $1,550 6.6×
Unlisted Procedure Esophagus (43499) $1,751 $1,751 2.0×
Unlisted procedure excision pressure ulcer (15999) $705 $705 1.0×
Unlisted Procedure External Ear (69399) $4,120 $4,120 17.6×
Unlisted procedure femur or knee (27599) $741.50 $741.50 3.0×
Unlisted procedure foot or toes (28899) $9,039 $9,039 37.1×
Unlisted procedure humerus/elbow (24999) $2,678 $2,678 11.0×
Unlisted Procedure Muscskeletal System General (20999) $3,639 $3,639 14.9×
Unlisted procedure nervous system (64999) $525.50 $525.50 1.7×
Unlisted procedure pelvis/hip joint (27299) $569.15 $569.15 2.3×
Unlisted procedure rectum (45999) $1,000 $1,000 1.1×
Unlisted Procedure Small Intestine (44799) $4,150 $4,150 4.6×
Unlisted Procedure Trachea Bronchi (31899) $1,728 $1,728 8.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,676 $3,676 4.1×
Unlisted procedure, lacrimal system (68899) $1,030 $1,030 3.3×
Unlisted procedure, leg or ankle (27899) $1,679 $1,679 6.9×
Unlisted procedure, maternity care and delivery (59899) $1,806 $1,806 9.0×
Unlisted procedure, temporal bone, middle fossa approach (69979) $3,500 $3,500 15.0×
Unlisted px female genital system nonobstetrical (58999) $2,031.30 $2,031.30 10.2×
Unlisted Px Salivary Glands/Ducts (42699) $3,955 $3,955 16.9×
Upgrade of pacemaker system (33214) $13,360 $13,360 1.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $4,120 $4,120 0.8×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $4,120 $4,120 0.8×
Ureteral endoscopy via ureterostomy (50951) $1,726 $1,726 0.5×
Urethrectomy, total, including cystostomy; male Facility (53215) $3,605 $3,605 0.7×
Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) $2,678 $2,678 0.8×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $6,576 $6,576 1.2×
Urology Surgery Procedure (53899) $1,294.50 $1,294.50 5.2×
Us urine capacity measure (51798) $184 $184 3.2×
Uterine Evacuation & Curettage Hydatidiform Mole (59870) $2,178 $2,178 0.7×
Uvulectomy excision of uvula (42140) $1,442 $1,442 0.4×
Vag hyst complex (58290)
unusually low: confirm this is the full procedure		 $3,605 $3,605 0.5×
Vaginal delivery only (59409) $12,529 $12,529 3.9×
Vaginal Delivery Only, After Previous Cesarean Delivery (59612) $7,460 $7,460 2.3×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $5,508 $5,508 1.1×
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) $5,693 $5,693 1.2×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $7,290 $7,290 1.5×
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) $6,180 $6,180 1.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $6,227 $6,227 1.3×
Vasc embolize/occlude artery (37242) $16,000 $16,000 0.9×
Vasc Embolize/Occlude Bleed (37244) $16,000 $16,000 1.4×
Vasc embolize/occlude organ (37243) $16,000 $16,000 1.4×
Vasc embolize/occlude venous (37241) $16,000 $16,000 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,737 $2,737 1.3×
Venipuncture (36415) $21 $21 2.2×
Ventilating tube removal requiring general anesthesia (69424) $1,802.50 $1,802.50 0.6×
Vestibuloplasty Anterior (40840)
unusually low: confirm this is the full procedure		 $2,678 $2,678 0.5×
Vitrectomy mechanical pars plana (67036) $4,300 $4,300 1.1×
Vulvectomy Simple Partial (56620) $3,090 $3,090 1.0×
Wedge excision skin nail fold (11765) $1,666 $1,666 4.1×
Wound Prep F/N/Hf/G (15004) $567 $567 1.4×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $600 $600 0.8×
Wrist arthroscopy (29840) $3,296 $3,296 1.0×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $3,362 $3,362 0.6×