| Abd paracentesis w/imaging (49083) |
$2,482.91 |
$3,103.64 |
3.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$807.20 |
$1,009 |
1.0× |
| Ablate inf turbinate submuc (30802) |
$3,958.58 |
$4,948.23 |
2.8× |
| Abrasion single lesion (15786) |
$15,289.58 |
$19,111.98 |
82.9× |
| Acne surgery (10040) |
$19,360.55 |
$24,200.69 |
104.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$5,871.78 |
$7,339.72 |
3.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,494.40 |
$1,868 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,568.80 |
$1,961 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$5,021.09 |
$6,276.36 |
1.7× |
| Amputation toe interphalangeal joint (28825) |
$4,668.74 |
$5,835.93 |
1.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$16,514.81 |
$20,643.51 |
5.5× |
| Amputation, leg, through tibia and fibula; (27880) |
$7,447.54 |
$9,309.42 |
1.1× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$7,447.54 |
$9,309.42 |
2.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$7,447.54 |
$9,309.42 |
2.5× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$7,447.54 |
$9,309.42 |
2.5× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$7,447.54 |
$9,309.42 |
2.5× |
| Anorectal myomectomy (45108) |
$38,765.74 |
$48,457.17 |
15.2× |
| Anoscopy diagnostic (46600) |
$1,981.21 |
$2,476.51 |
16.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$810.40 |
$1,013 |
0.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,814.82 |
$3,518.52 |
2.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$4,335.75 |
$5,419.69 |
1.7× |
| Appendectomy (44950) |
$43,058.54 |
$53,823.18 |
7.2× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$233.60 |
$292 |
1.6× |
| Application cast elbow finger short arm (29075) |
$614.40 |
$768 |
2.4× |
| Application Finger Splint Dynamic (29131) |
$331.20 |
$414 |
6.1× |
| Application finger splint static (29130) |
$223.20 |
$279 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$331.20 |
$414 |
2.2× |
| Application Long Leg Splint (29505) |
$291.20 |
$364 |
1.9× |
| Application multiplane external fixation system (20692) |
$17,011.71 |
$21,264.64 |
1.4× |
| Application of long leg cast (29345) |
$291.20 |
$364 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$304 |
$380 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$331.20 |
$414 |
2.7× |
| Application short arm splint forearm-hand static (29125) |
$212.80 |
$266 |
1.7× |
| Application short leg splint calf foot (29515) |
$232 |
$290 |
1.6× |
| Apply long arm cast (29065) |
$614.40 |
$768 |
2.4× |
Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$233.60–$472 |
$292–$590 |
varies |
| Apply short leg cast (29425) |
$291.20 |
$364 |
1.1× |
| Arterial puncture (36600) |
$112 |
$140 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$348.80 |
$436 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$81.20 |
$101.50 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$350.40 |
$438 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$21,110.37 |
$26,387.96 |
74.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$269.60 |
$337 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$47,015.26 |
$58,769.07 |
2.9× |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
$14,503.10 |
$18,128.88 |
1.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$39,225.26 |
$49,031.57 |
13.0× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$28,521.23 |
$35,651.54 |
2.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$16,371.50 |
$20,464.37 |
5.4× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$30,113.34 |
$37,641.68 |
4.5× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$22,540.48 |
$28,175.60 |
3.4× |
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$20,948.06–$27,116.14 |
$26,185.08–$33,895.17 |
varies |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$12,830.22–$23,943.90 |
$16,037.77–$29,929.88 |
varies |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$19,928.08–$20,437.30 |
$24,910.10–$25,546.62 |
varies |
Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$21,496.92–$22,992.69 |
$26,871.15–$28,740.86 |
varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$16,175.62 |
$20,219.52 |
5.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$13,546.09 |
$16,932.61 |
2.0× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 3 matching MRF lines |
$20,777.35–$42,649.82 |
$25,971.69–$53,312.27 |
varies |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$18,702.67 |
$23,378.34 |
6.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$28,559.01 |
$35,698.76 |
2.4× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$26,484.59 |
$33,105.74 |
2.2× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 3 matching MRF lines |
$20,720.14–$25,796.81 |
$25,900.18–$32,246.01 |
varies |
Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$15,081.78–$20,872.18 |
$18,852.22–$26,090.23 |
varies |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$6,020.50 |
$7,525.62 |
0.9× |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 3 matching MRF lines |
$5,512.09–$21,898.50 |
$6,890.11–$27,373.13 |
varies |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$18,702.67 |
$23,378.34 |
6.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,494.40 |
$1,868 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$804 |
$1,005 |
1.4× |
| Aspirate Pleura W/O Imaging (32554) |
$644.80 |
$806 |
1.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$392 |
$490 |
0.6× |
| Aspiration Bladder Needle (51100) |
$178.40 |
$223 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$184 |
$230 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$820.80 |
$1,026 |
0.5× |
| Biopsy bone trocar/needle deep (20225) |
$1,484 |
$1,855 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$698.40 |
$873 |
0.5× |
| Biopsy External Auditory Canal (69105) |
$2,357.66 |
$2,947.08 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,113.60 |
$1,392 |
0.7× |
Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$6,315.23–$7,890.31 |
$7,894.04–$9,862.89 |
varies |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$12,697.82 |
$15,872.28 |
15.2× |
| Biopsy of liver, needle; percutaneous (47000) |
$820.80 |
$1,026 |
0.5× |
| Biopsy of rectum (45100) |
$9,559.14 |
$11,948.93 |
3.7× |
| Biopsy Pleura Percutaneous Needle (32400) |
$820.80 |
$1,026 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$1,484 |
$1,855 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,180.80 |
$1,476 |
0.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$4,509.14 |
$5,636.42 |
7.0× |
| Bladder Irrigation (51700) |
$262.40 |
$328 |
1.1× |
| Bladder Scan (51798) |
$79.20 |
$99 |
1.5× |
| Blepharotomy drainage abscess eyelid (67700) |
$400 |
$500 |
1.4× |
| Blood Transfusion Service (36430) |
$520 |
$650 |
1.3× |
| Bone Marrow Biopsy (38221) |
$7,096.81 |
$8,871.01 |
4.7× |
| Bone Marrow; Aspiration Only (38220) |
$8,482.87 |
$10,603.59 |
5.6× |
| Bx breast 1st lesion mr imag (19085) |
$2,019.20 |
$2,524 |
1.3× |
| Bx breast 1st lesion strtctc (19081) |
$1,888 |
$2,360 |
1.2× |
Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,945.20–$2,217.34 |
$2,431.50–$2,771.67 |
varies |
Bx/exc lymph node open deep axillary node (38525) range across 3 matching MRF lines |
$8,961.93–$13,780.11 |
$11,202.41–$17,225.14 |
varies |
Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$5,992.29–$13,746.71 |
$7,490.36–$17,183.39 |
varies |
| Canthotomy Separate Procedure (67715) |
$360 |
$450 |
0.2× |
Capsulorrhaphy Anterior W/Labral Repair (23455) range across 2 matching MRF lines |
$22,806.63–$42,649.82 |
$28,508.29–$53,312.27 |
varies |
Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$3,297.91–$4,157.45 |
$4,122.39–$5,196.81 |
varies |
| Catheter aspiration nasotracheal spx (31720) |
$200 |
$250 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$1,757.60 |
$2,197 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$4,709.50 |
$5,886.87 |
20.5× |
| Change of Windpipe Airway (31502) |
$154.40 |
$193 |
0.7× |
| Chemical Cautery Tissue (17250) |
$327.20 |
$409 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$1,357.60 |
$1,697 |
4.8× |
| Chest tube placement (32551) |
$669.60 |
$837 |
0.5× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$2,607.20 |
$3,259 |
0.8× |
| Circumcision 28 days or older (54161) |
$3,586.92 |
$4,483.65 |
1.9× |
| Circumcision Neonate (54160) |
$3,101.79 |
$3,877.24 |
4.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$3,919.07 |
$4,898.84 |
2.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,612.80 |
$2,016 |
1.1× |
| Clear outer ear canal (69200) |
$203.20 |
$254 |
1.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$425.60 |
$532 |
1.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,435.20 |
$1,794 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$411.20 |
$514 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$543.20 |
$679 |
2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$642.40 |
$803 |
0.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$434.40 |
$543 |
1.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$397.60 |
$497 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$690.40 |
$863 |
3.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$434.40 |
$543 |
1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$552 |
$690 |
0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,260.92 |
$2,826.15 |
0.7× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$2,232 |
$2,790 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$532 |
$665 |
2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$994.40 |
$1,243 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$434.40 |
$543 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$692 |
$865 |
0.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$763.20 |
$954 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$434.40 |
$543 |
1.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$307.20 |
$384 |
1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$472 |
$590 |
2.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,448.80 |
$1,811 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$434.40 |
$543 |
1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$434.40 |
$543 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$507.20 |
$634 |
2.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$361.60 |
$452 |
1.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,612.80 |
$2,016 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$433.60 |
$542 |
1.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$516 |
$645 |
0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$294.40 |
$368 |
1.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,972 |
$2,465 |
1.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$411.20 |
$514 |
1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$460.80 |
$576 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$623.20 |
$779 |
2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$434.40 |
$543 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$435.20 |
$544 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$434.40 |
$543 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$806.40 |
$1,008 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$727.20 |
$909 |
3.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$658.40 |
$823 |
2.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$217.60 |
$272 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$434.40 |
$543 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$434.40 |
$543 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$434.40 |
$543 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,392.80 |
$1,741 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$389.60 |
$487 |
1.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$507.20 |
$634 |
2.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,612.80 |
$2,016 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$206.40 |
$258 |
0.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$579.20 |
$724 |
2.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$748.80 |
$936 |
0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$717.60 |
$897 |
0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$579.20 |
$724 |
2.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$434.40 |
$543 |
1.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,340 |
$1,675 |
5.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$456 |
$570 |
2.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,448 |
$1,810 |
1.0× |
| Cltx Medial Ankle Fx (27760) |
$445.60 |
$557 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$456 |
$570 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$434.40 |
$543 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$713.60 |
$892 |
0.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,340 |
$1,675 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$496 |
$620 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$434.40 |
$543 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$801.60 |
$1,002 |
3.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,620 |
$2,025 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,612.80 |
$2,016 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$479.20 |
$599 |
2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$532 |
$665 |
2.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$479.20 |
$599 |
0.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,532 |
$1,915 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$506.40 |
$633 |
2.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$215.20 |
$269 |
0.9× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$532 |
$665 |
2.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$464 |
$580 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$732 |
$915 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$230.40 |
$288 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$122.40 |
$153 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$50.40 |
$63 |
5.4× |
| Colonoscopy W/Band Ligation (45398) |
$3,818.02 |
$4,772.53 |
3.5× |
| Colonoscopy w/submucosal inj (45381) |
$3,923.91 |
$4,904.89 |
3.6× |
| Colporrhaphy (57200) |
$9,120.87 |
$11,401.09 |
3.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$4,116.44 |
$5,145.55 |
14.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$2,723.53 |
$3,404.41 |
14.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$3,983.19 |
$4,978.99 |
14.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,452.16 |
$3,065.20 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,390.11 |
$1,737.64 |
5.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$4,081.66 |
$5,102.07 |
4.8× |
| Colpotomy; with exploration (57000) |
$968.92 |
$1,211.15 |
0.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$3,377.85 |
$4,222.31 |
3.1× |
| Complex drainage wound (10180) |
$36,945.11 |
$46,181.39 |
13.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,736.62 |
$4,670.77 |
1.3× |
| Conization of cervix (57520) |
$3,086.19 |
$3,857.74 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$434.40 |
$543 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$276 |
$345 |
2.3× |
| Control oropharyngeal hemorrhage simple (42960) |
$456 |
$570 |
0.9× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$30,025.98 |
$37,532.47 |
2.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$820.80 |
$1,026 |
0.5× |
| Csf shunt reprogram (62252) |
$97,291.44 |
$121,614.30 |
344.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$350.40 |
$438 |
2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$186.40 |
$233 |
0.9× |
| Curettage postpartum (59160) |
$3,909.70 |
$4,887.12 |
1.3× |
Cysto Bladder W/Ureteral Catheterization (52005) range across 3 matching MRF lines |
$4,615.17–$5,480.14 |
$5,768.96–$6,850.18 |
varies |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,987.51 |
$2,484.39 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$4,231.66 |
$5,289.57 |
1.3× |
| Cysto w/insert ureteral stent (52332) |
$6,250.60 |
$7,813.25 |
1.9× |
| Cysto w/removal of lesions small (52224) |
$3,857.65 |
$4,822.06 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$4,532.33 |
$5,665.41 |
1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$962.85 |
$1,203.56 |
0.5× |
| Cysto w/up stricture tx (52342) |
$7,855.32 |
$9,819.15 |
2.4× |
| Cysto w/ureter stricture tx (52341) |
$7,855.32 |
$9,819.15 |
2.4× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$8,390.10 |
$10,487.63 |
1.7× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$7,855.32 |
$9,819.15 |
2.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$5,751.20 |
$7,189 |
1.8× |
| Cysto/uretero w/lithotripsy (52356) |
$6,871.26 |
$8,589.07 |
1.4× |
| Cysto/uretero w/up stricture (52345) |
$7,855.32 |
$9,819.15 |
2.4× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$15,423.06 |
$19,278.83 |
1.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,762.42 |
$4,703.03 |
2.0× |
| Cystouretero w/renal strict (52346) |
$7,855.32 |
$9,819.15 |
1.6× |
| Cystourethroscopy (52000) |
$993.64 |
$1,242.05 |
1.5× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$7,500.91 |
$9,376.14 |
1.5× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$7,855.32 |
$9,819.15 |
2.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,991.18 |
$6,238.98 |
2.6× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$5,546.61 |
$6,933.26 |
1.7× |
| Cystourethroscopy with biopsy (52204) |
$3,617.81 |
$4,522.26 |
1.9× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$7,855.32 |
$9,819.15 |
2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$18,735.77 |
$23,419.71 |
50.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$806.40 |
$1,008 |
1.2× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$519.20 |
$649 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$558.40 |
$698 |
0.8× |
| Debride nail 1-5 (11720) |
$180.80 |
$226 |
3.3× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$3,148.28–$5,396.83 |
$3,935.35–$6,746.04 |
varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$3,177.95 |
$3,972.44 |
8.5× |
| Declot vascular device (36593) |
$211.20 |
$264 |
0.7× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$16,192.33 |
$20,240.41 |
10.9× |
| Delivery of placenta (59414) |
$9,040.41 |
$11,300.51 |
3.0× |
| Dermabrasion regional other than face (15782) |
$15,289.58 |
$19,111.98 |
5.7× |
| Dermabrasion superficial any site (15783) |
$15,289.58 |
$19,111.98 |
40.9× |
Destr W Neurolytic; Celiac Plexus (64680) range across 3 matching MRF lines |
$1,800.80–$2,700.80 |
$2,251–$3,376 |
varies |
| Destroy cerv/thor facet jnt (64633) |
$1,056 |
$1,320 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$1,056 |
$1,320 |
0.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,024.80 |
$1,281 |
1.3× |
| Destruction Vaginal Lesions Simple (57061) |
$4,302.66 |
$5,378.33 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,795.86 |
$2,244.82 |
2.1× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,636.40 |
$2,045.50 |
1.5× |
| Dilat Xst Trc New Access Rcs (50437) |
$7,855.32 |
$9,819.15 |
2.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,361.73 |
$4,202.16 |
1.1× |
| Dilation Cervical Canal (57800) |
$2,298.11 |
$2,872.64 |
0.8× |
| Drain Cerebro Spinal Fluid (62272) |
$635.20 |
$794 |
1.0× |
| Drain shoulder bursa (23031) |
$2,003.20 |
$2,504 |
0.7× |
| Drain/inj small joint/bursa w/us (20604) |
$83.20 |
$104 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$434.40 |
$543 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,107.20 |
$1,384 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$434.40 |
$543 |
2.0× |
| Drainage of finger abscess simple (26010) |
$392 |
$490 |
2.1× |
| Drainage of gum lesion (41800) |
$361.60 |
$452 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$1,042.40 |
$1,303 |
0.7× |
| Drainage of hydrocele (55000) |
$105.60 |
$132 |
0.2× |
| Drainage of nose lesion (30000) |
$240 |
$300 |
1.1× |
| Drainage of rectal abscess (45005) |
$3,744.03 |
$4,680.04 |
3.4× |
| Drainage of scrotal wall abscess (55100) |
$1,705.60 |
$2,132 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$112 |
$140 |
0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$274.40 |
$343 |
0.4× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$1,072 |
$1,340 |
0.4× |
| Drg privesical/prevesical space absc (51080) |
$1,646.40 |
$2,058 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$387.20 |
$484 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$371.20 |
$464 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$347.20 |
$434 |
1.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$832.80 |
$1,041 |
1.0× |
Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines |
$3,325.65–$5,696.84 |
$4,157.06–$7,121.05 |
varies |
| Dx Bronchoscope/Wash (31622) |
$1,156 |
$1,445 |
0.7× |
| Dx gastr intub w/asp specs (43755) |
$2,418.06 |
$3,022.58 |
20.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$11,276.36 |
$14,095.45 |
17.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$13,621.70 |
$17,027.12 |
7.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$3,879.59 |
$4,849.49 |
2.2× |
| Egd cautery tumor polyp (43250) |
$3,425.10 |
$4,281.37 |
1.9× |
| Egd control bleeding any (43255) |
$12,455.16 |
$15,568.95 |
7.1× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,897.61 |
$3,622.01 |
1.6× |
| Egd endo mucosal resection (43254) |
$12,455.16 |
$15,568.95 |
7.1× |
| Egd Endoscopic Stent Place (43266) |
$12,455.16 |
$15,568.95 |
2.2× |
| Egd Flexible Foreign Body Removal (43247) |
$5,327.34 |
$6,659.17 |
6.4× |
| Egd guide wire insertion (43248) |
$12,455.16 |
$15,568.95 |
14.9× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$13,780.84 |
$17,226.05 |
7.8× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$13,621.70 |
$17,027.12 |
7.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$13,621.70 |
$17,027.12 |
7.7× |
| Egd lesion ablation (43270) |
$12,455.16 |
$15,568.95 |
7.1× |
| Egd Optical Endomicroscopy (43252) |
$13,560.93 |
$16,951.16 |
7.7× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$12,455.16 |
$15,568.95 |
1.3× |
| Egd place gastrostomy tube (43246) |
$6,272.59 |
$7,840.74 |
3.6× |
| Egd remove lesion snare (43251) |
$17,756.04 |
$22,195.05 |
10.1× |
| Egd Tube/Cath Insertion (43241) |
$13,621.70 |
$17,027.12 |
7.7× |
| Egd us exam duodenum/jejunum (43259) |
$13,560.93 |
$16,951.16 |
7.7× |
| Egd us transmural injxn/mark (43253) |
$12,455.16 |
$15,568.95 |
7.1× |
| Egd Varices Ligation (43244) |
$12,455.16 |
$15,568.95 |
7.1× |
| Egd W/Thrml Txmnt Gerd (43257) |
$12,455.16 |
$15,568.95 |
3.5× |
| Egd W/Transmural Drain Cyst (43240) |
$12,455.16 |
$15,568.95 |
2.2× |
| Embedded ip cath exit-site (49436) |
$47,562.11 |
$59,452.64 |
27.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$6,081.90 |
$7,602.37 |
1.3× |
| Endoscopic us exam esoph (43237) |
$12,455.16 |
$15,568.95 |
7.1× |
| Endoscopy of ureter (50953) |
$7,855.32 |
$9,819.15 |
2.4× |
| Endoscopy Upper Small Intestine (44360) |
$14,454.94 |
$18,068.67 |
8.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$1,067.49 |
$1,334.36 |
0.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$1,067.49 |
$1,334.36 |
0.4× |
Endoven ther chem adhes 1st (36482) likely a partial charge, not the full procedure |
$1,067.49 |
$1,334.36 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$12,665.84 |
$15,832.30 |
3.6× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$2,878.90 |
$3,598.63 |
1.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,611.91 |
$3,264.89 |
1.5× |
| Epidural Blood Patch (62273) |
$692.80 |
$866 |
1.1× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$22,881.10 |
$28,601.37 |
7.6× |
Episiotomy or vaginal repair (59300) range across 3 matching MRF lines |
$180–$400 |
$225–$500 |
varies |
| Esc i p ulcer w ostect & flap (15946) |
$20,877.17 |
$26,096.46 |
11.0× |
| Esoph Optical Endomicroscopy (43206) |
$14,454.94 |
$18,068.67 |
8.2× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$13,621.70 |
$17,027.12 |
16.3× |
| Esophagoscop Mucosal Resect (43211) |
$14,454.94 |
$18,068.67 |
8.2× |
| Esophagoscop Stent Placement (43212) |
$14,454.94 |
$18,068.67 |
2.6× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$14,454.94 |
$18,068.67 |
17.3× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$19,018.42 |
$23,773.03 |
22.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$14,454.94 |
$18,068.67 |
17.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$14,454.94 |
$18,068.67 |
8.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$19,018.42 |
$23,773.03 |
10.8× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$6,692.06 |
$8,365.07 |
3.8× |
| Esophagoscopy Rigid Balloon (43195) |
$14,454.94 |
$18,068.67 |
4.1× |
| Esophagoscopy rigid trnso dx (43191) |
$14,454.94 |
$18,068.67 |
8.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$19,018.42 |
$23,773.03 |
10.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$6,692.06 |
$8,365.07 |
3.8× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$19,018.42 |
$23,773.03 |
10.8× |
| Evacuate mole of uterus (59870) |
$9,040.41 |
$11,300.51 |
3.0× |
| Evacuation of subungual hematoma (11740) |
$361.60 |
$452 |
3.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$12,073.97 |
$15,092.46 |
7.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$5,205.70 |
$6,507.13 |
3.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$12,326.42 |
$15,408.02 |
18.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,776.39 |
$3,470.49 |
1.8× |
| Exc Back Les Sc < 3 Cm (21930) |
$6,392.18 |
$7,990.23 |
4.2× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$4,385.28 |
$5,481.60 |
1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$4,324.70 |
$5,405.87 |
6.6× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$3,693.02 |
$4,616.28 |
2.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,111.10 |
$3,888.88 |
4.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$2,403.40 |
$3,004.25 |
3.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$3,672.91 |
$4,591.14 |
5.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,306.50 |
$2,883.12 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$3,632.26 |
$4,540.33 |
5.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,479.46 |
$3,099.32 |
1.6× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$12,073.97 |
$15,092.46 |
7.9× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$1,954 |
$2,442.50 |
0.6× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$1,954 |
$2,442.50 |
0.6× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$1,954 |
$2,442.50 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$5,295.65 |
$6,619.56 |
8.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,975.34 |
$4,969.17 |
2.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,728.63 |
$3,410.79 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,588.96 |
$4,486.20 |
2.4× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$11,812.88 |
$14,766.10 |
4.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$15,486.69 |
$19,358.36 |
10.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$15,486.69 |
$19,358.36 |
5.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,586.36 |
$3,232.95 |
1.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,313.36 |
$4,141.70 |
1.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$54,563.87 |
$68,204.84 |
20.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,100.80 |
$2,626 |
1.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$5,487.05 |
$6,858.81 |
14.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$5,094.20 |
$6,367.75 |
7.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,310.31 |
$4,137.89 |
2.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,037.62 |
$3,797.03 |
1.1× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$4,684.21 |
$5,855.26 |
1.8× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,366.67 |
$4,208.34 |
1.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,250.95 |
$5,313.69 |
2.8× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$7,431.64 |
$9,289.55 |
2.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$7,431.64 |
$9,289.55 |
2.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,527.66 |
$3,159.57 |
1.7× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$16,192.33 |
$20,240.41 |
6.1× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$54,563.87 |
$68,204.84 |
20.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$6,644.33 |
$8,305.41 |
2.5× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$3,016.36 |
$3,770.45 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$5,210.02 |
$6,512.53 |
8.0× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
$6,032.94 |
$7,541.17 |
2.3× |
Excision external ear; complete amputation Facility (69120) likely a partial charge, not the full procedure |
$496.80 |
$621 |
0.1× |
| Excision Lesion Tongue W/O Closure (41110) |
$1,954 |
$2,442.50 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,301.85 |
$1,627.31 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$23,551.15 |
$29,438.94 |
36.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$24,319.19 |
$30,398.99 |
37.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$5,210.02 |
$6,512.53 |
13.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$24,931.46 |
$31,164.32 |
38.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$5,182.46 |
$6,478.07 |
8.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$15,486.69 |
$19,358.36 |
10.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$15,486.69 |
$19,358.36 |
23.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$9,335.11 |
$11,668.89 |
14.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,114.28 |
$3,892.85 |
2.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,529.06 |
$4,411.33 |
1.4× |
| Excision Nasal Polyp Extensive (30115) |
$2,627.29 |
$3,284.11 |
0.9× |
| Excision of bartholin's gland or cyst (56740) |
$4,183.46 |
$5,229.33 |
1.4× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$22,596.87 |
$28,246.09 |
7.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,434.17 |
$5,542.71 |
3.0× |
Excision of hydrocele; unilateral (55040) range across 3 matching MRF lines |
$3,330.18–$4,765.90 |
$4,162.73–$5,957.37 |
varies |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,071.10 |
$6,338.88 |
1.9× |
| Excision of single external papilla or tag, anus (46220) |
$2,099.06 |
$2,623.83 |
1.9× |
| Excision of vaginal cyst or tumor (57135) |
$3,069.62 |
$3,837.03 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$6,617.78 |
$8,272.23 |
2.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$6,577.74 |
$8,222.18 |
2.5× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$47,562.11 |
$59,452.64 |
7.8× |
Excision spermatocele w/wo epididymectomy (54840) range across 3 matching MRF lines |
$4,801.58–$5,612.42 |
$6,001.97–$7,015.52 |
varies |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$3,191.39 |
$3,989.24 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,569.18 |
$5,711.48 |
3.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$6,924.05 |
$8,655.06 |
2.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$11,355.75 |
$14,194.69 |
7.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,213.73 |
$4,017.16 |
2.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,913.06 |
$3,641.32 |
1.9× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$20,877.17 |
$26,096.46 |
6.4× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$20,877.17 |
$26,096.46 |
7.8× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$20,877.17 |
$26,096.46 |
6.4× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$20,877.17 |
$26,096.46 |
11.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$27,154.14 |
$33,942.67 |
14.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$27,154.14 |
$33,942.67 |
10.2× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$27,154.14 |
$33,942.67 |
10.2× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$27,154.14 |
$33,942.67 |
8.3× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$27,154.14 |
$33,942.67 |
8.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,652.42 |
$3,315.52 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,993.31 |
$3,741.64 |
1.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$16,192.33 |
$20,240.41 |
6.1× |
Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$2,509.54–$2,713.12 |
$3,136.92–$3,391.40 |
varies |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$47,562.11 |
$59,452.64 |
25.1× |
| Explo/Drain Breast Abscess (19020) |
$1,596 |
$1,995 |
1.1× |
| Exploration of knee joint (27310) |
$24,069.05 |
$30,086.31 |
8.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,107.20 |
$1,384 |
0.7× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
$3,582.49 |
$4,478.11 |
0.6× |
| Explore/Treat Knee Joint (27331) |
$24,069.05 |
$30,086.31 |
8.0× |
| Explore/Treat Wrist Joint (25040) |
$4,434.17 |
$5,542.71 |
1.5× |
| Fasciectomy Palm Only (26121) |
$12,073.97 |
$15,092.46 |
4.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$11,355.75 |
$14,194.69 |
3.8× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$11,355.75 |
$14,194.69 |
3.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$12,073.97 |
$15,092.46 |
4.0× |
| Fetal non-stress test (59025) |
$304.80 |
$381 |
1.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$751.20 |
$939 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$480 |
$600 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,155.20 |
$1,444 |
1.8× |
| Foreskin manipulation (54450) |
$265.60 |
$332 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$832 |
$1,040 |
1.3× |
| Hemiarthroplasty hip partial (27125) |
$23,284.97 |
$29,106.21 |
2.0× |
| Hemiepiphyseal Arrest (24470) |
$31,642.41 |
$39,553.01 |
10.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,639.13 |
$5,798.91 |
1.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$5,289.03 |
$6,611.29 |
2.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$3,415.83 |
$4,269.79 |
4.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$15,087.28 |
$18,859.10 |
5.9× |
| Hysteroscopy Biopsy (58558) |
$4,395.92 |
$5,494.90 |
1.5× |
| Hysteroscopy Dx Sep Proc (58555) |
$4,030.96 |
$5,038.70 |
1.4× |
| Hysteroscopy Endometrial Ablation (58563) |
$11,710.54 |
$14,638.18 |
2.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,300.26 |
$4,125.33 |
1.1× |
| I&d abscess peritonsillar (42700) |
$556.80 |
$696 |
2.6× |
| I&d abscess simple (10060) |
$6,577.90 |
$8,222.37 |
35.7× |
I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$520–$1,650.40 |
$650–$2,063 |
varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,646.40 |
$2,058 |
0.6× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,700 |
$2,125 |
0.6× |
| I&d perianal abscess superficial (46050) |
$952.80 |
$1,191 |
1.1× |
| I&d pilonidal cyst complicated (10081) |
$1,107.20 |
$1,384 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$825.60 |
$1,032 |
1.3× |
| Icd Pocket Revision (33223) |
$2,404 |
$3,005 |
1.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$14,454.94 |
$18,068.67 |
17.3× |
| Image Cath Fluid Peri/Retro (49406) |
$1,680 |
$2,100 |
1.1× |
| Implant neuroelectrodes (63650) |
$8,988.62 |
$11,235.78 |
1.5× |
| Incise external hemorrhoid (46083) |
$281.60 |
$352 |
1.2× |
| Incise finger tendon sheath (26055) |
$1,518.61 |
$1,898.26 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$287.20 |
$359 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,533.60 |
$1,917 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$904 |
$1,130 |
2.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$291.20 |
$364 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$291.20 |
$364 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$3,015.92 |
$3,769.90 |
2.0× |
| Incision of eardrum (69421) |
$1,691.61 |
$2,114.51 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,022.22 |
$2,527.77 |
1.4× |
| Incision of rectal abscess (46040) |
$1,945.60 |
$2,432 |
1.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,414.40 |
$1,768 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$212 |
$265 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$398.40 |
$498 |
2.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$897.60 |
$1,122 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$155.20 |
$194 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$641.60 |
$802 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$243.20 |
$304 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$77.60 |
$97 |
0.1× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$144 |
$180 |
0.2× |
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$188.16–$641.60 |
$235.20–$802 |
varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$155.20 |
$194 |
0.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$468.80 |
$586 |
0.7× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$84.80 |
$106 |
0.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$957.60 |
$1,197 |
1.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$336.80 |
$421 |
0.5× |
| Injection for identification of sentinel node (38792) |
$1,628 |
$2,035 |
4.4× |
| Injection Into Brain Canal (61055) |
$30,275.32 |
$37,844.15 |
107.2× |
| Injection procedure for peyronie disease (54200) |
$19,987.65 |
$24,984.56 |
87.0× |
| Injection single tendon origin/insertion (20551) |
$225.60 |
$282 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$232.80 |
$291 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$292.80 |
$366 |
1.0× |
Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$436.80–$796 |
$546–$995 |
varies |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$399.20 |
$499 |
0.6× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$303.20–$719.20 |
$379–$899 |
varies |
| Ins cath ren art 1st bilat (36252) |
$3,170.40 |
$3,963 |
1.1× |
| Ins cath ren art 1st unilat (36251) |
$3,170.40 |
$3,963 |
1.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,656.80 |
$4,571 |
1.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,154.40 |
$3,943 |
0.6× |
| Ins endovas vena cava filtr (37191) |
$4,320 |
$5,400 |
0.8× |
| Insert 1 Electrode Pm-Defib (33216) |
$5,378.40 |
$6,723 |
0.7× |
| Insert cath pleura w/ image (32557) |
$8,355.46 |
$10,444.33 |
5.8× |
| Insert cath pleura w/o image (32556) |
$1,620 |
$2,025 |
0.9× |
| Insert cervical dilator (59200) |
$8,199.81 |
$10,249.76 |
29.3× |
Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$6,776.42–$7,995.54 |
$8,470.53–$9,994.42 |
varies |
| Insert Gastrostomy Tube Percutaneous (49440) |
$6,368.28 |
$7,960.35 |
3.6× |
| Insert Heart Pm Atrial (33206) |
$13,432 |
$16,790 |
1.4× |
| Insert Heart Pm Ventricular (33207) |
$24,936.54 |
$31,170.68 |
2.6× |
| Insert Nasal Septal Button (30220) |
$6,071.28 |
$7,589.10 |
4.3× |
| Insert non-tunnel cv cath (36556) |
$1,002.40 |
$1,253 |
0.3× |
| Insert Pacing Lead & Connect (33224) |
$16,625.60 |
$20,782 |
1.7× |
| Insert pessary/other device (57160) |
$232.80 |
$291 |
1.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$6,513.26 |
$8,141.57 |
4.5× |
| Insert pulse gen dual leads (33213) |
$12,591.20 |
$15,739 |
1.3× |
| Insert pulse gen mult leads (33221) |
$11,153.60 |
$13,942 |
0.6× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,791.20 |
$13,489 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$122.40 |
$153 |
1.0× |
| Insert tunneled cv cath (36561) |
$5,561.27 |
$6,951.59 |
1.9× |
| Insert tunneled cv cath (36563) |
$15,375.58 |
$19,219.48 |
3.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$17,090.33 |
$21,362.91 |
3.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$122.40 |
$153 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$8,355.46 |
$10,444.33 |
2.5× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$37,343.76 |
$46,679.70 |
7.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$4,221.33 |
$5,276.66 |
2.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,012.37 |
$15,015.46 |
1.6× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$5,786.40 |
$7,233 |
0.8× |
| Insj Picc Rs&I <5 Yr (36572) |
$4,221.33 |
$5,276.66 |
7.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,221.33 |
$5,276.66 |
1.5× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$4,221.33 |
$5,276.66 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$850.40 |
$1,063 |
0.6× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$15,375.58 |
$19,219.48 |
5.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$17,334.21 |
$21,667.76 |
3.4× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$17,334.21 |
$21,667.76 |
6.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,220.80 |
$2,776 |
0.8× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$87,215.88 |
$109,019.85 |
3.0× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$418.40 |
$523 |
0.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$35,809.33 |
$44,761.66 |
4.7× |
| Insrt heart pm atrial & vent (33208) |
$26,094.77 |
$32,618.46 |
2.7× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$32,148 |
$40,185 |
1.6× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$37,155.20 |
$46,444 |
1.3× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$32,148 |
$40,185 |
1.6× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$15,087.28 |
$18,859.10 |
5.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$518.40 |
$648 |
1.4× |
| Intro Gastrointestinal Tube (44500) |
$559.20 |
$699 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$356 |
$445 |
1.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$282.40 |
$353 |
1.2× |
| Kidney endoscopy (50553) |
$7,855.32 |
$9,819.15 |
1.6× |
| Kidney endoscopy (50551) |
$7,855.32 |
$9,819.15 |
1.6× |
Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$4,782.94–$34,412.03 |
$5,978.68–$43,015.04 |
varies |
| Lap replace gastr adj device (43773) |
$12,455.16 |
$15,568.95 |
2.2× |
| Lap revision perm ip cath (49325) |
$47,562.11 |
$59,452.64 |
8.6× |
| Laparo-vag hyst incl t/o (58552) |
$13,184.22 |
$16,480.28 |
1.3× |
Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$7,677.82–$8,853.36 |
$9,597.27–$11,066.70 |
varies |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$11,181.25 |
$13,976.56 |
2.0× |
| Laparoscopy gastrostomy (43653) |
$12,455.16 |
$15,568.95 |
2.2× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 4 matching MRF lines |
$11,228.30–$15,469.90 |
$14,035.38–$19,337.37 |
varies |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$6,496.32 |
$8,120.40 |
1.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$14,809.74 |
$18,512.17 |
2.7× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$5,567.35 |
$6,959.19 |
0.6× |
| Laparoscopy, surgical, appendectomy (44970) |
$13,977.37 |
$17,471.71 |
2.5× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$12,455.16 |
$15,568.95 |
1.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$12,455.16 |
$15,568.95 |
3.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$12,318.30 |
$15,397.87 |
2.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$11,439.80 |
$14,299.75 |
2.1× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$8,701.86 |
$10,877.33 |
0.9× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$10,010.50–$10,912.98 |
$12,513.12–$13,641.23 |
varies |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$22,737.90 |
$28,422.37 |
2.3× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$10,203.73 |
$12,754.66 |
1.8× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,398.85 |
$7,998.56 |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,717.86 |
$9,647.33 |
1.4× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$12,455.16 |
$15,568.95 |
3.5× |
| Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) |
$22,185.06 |
$27,731.33 |
2.3× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$15,675.82 |
$19,594.77 |
1.6× |
| Laryngoscopy diagnostic (31505) |
$325.60 |
$407 |
1.8× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$19,403.48 |
$24,254.35 |
11.9× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$19,403.48 |
$24,254.35 |
11.9× |
| Larynscop w/tumr exc + scope (31541) |
$4,371.70 |
$5,464.62 |
1.3× |
| Laser vaporization of prostate (52648) |
$9,367.89 |
$11,709.86 |
1.9× |
| Late closure of wound (13160) |
$9,893.93 |
$12,367.41 |
3.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$18,937.73 |
$23,672.16 |
2.8× |
| Ligation of hemorrhoids (46946) |
$15,087.28 |
$18,859.10 |
5.9× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,170.40 |
$3,963 |
1.1× |
| Lip Surgery Procedure (40799) |
$256 |
$320 |
1.2× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$6,719.73 |
$8,399.66 |
2.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$8,107.57 |
$10,134.46 |
2.5× |
Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$1,697.38–$2,158.73 |
$2,121.72–$2,698.41 |
varies |
| Marsupialization of bartholin's gland cyst (56440) |
$6,994.76 |
$8,743.45 |
2.3× |
Mastectomy partial (19301) range across 3 matching MRF lines |
$7,417.33–$8,605.90 |
$9,271.66–$10,757.37 |
varies |
| Mastectomy simple complete (19303) |
$6,364.99 |
$7,956.24 |
1.0× |
| Maternity Care Procedure (59899) |
$10,056.88 |
$12,571.10 |
54.1× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$15,486.69 |
$19,358.36 |
22.8× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$27,154.14 |
$33,942.67 |
40.0× |
| Myelography Lumbar Injection (62305) |
$3,765.60 |
$4,707 |
5.2× |
| Myelography Lumbar Injection (62304) |
$3,408 |
$4,260 |
4.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,408 |
$4,260 |
4.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$3,408 |
$4,260 |
4.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$622.40 |
$778 |
1.0× |
| N block inj intercost sng (64420) |
$336.80 |
$421 |
0.5× |
| N Block Lumbar/Thoracic (64520) |
$611.20 |
$764 |
0.8× |
| Nasal Endoscopy Dx (31231) |
$2,358.54 |
$2,948.17 |
12.8× |
| Nasal surgery procedure (30999) |
$201.60 |
$252 |
0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$147.20 |
$184 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$5,137.78 |
$6,422.23 |
3.1× |
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) range across 2 matching MRF lines |
$5,728.90–$7,321.54 |
$7,161.13–$9,151.93 |
varies |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$2,218.62–$2,509.54 |
$2,773.27–$3,136.92 |
varies |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,488.51 |
$9,360.64 |
1.2× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$7,602.59 |
$9,503.24 |
1.2× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 3 matching MRF lines |
$6,155.50–$7,472.58 |
$7,694.37–$9,340.72 |
varies |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$2,565.41 |
$3,206.76 |
3.0× |
| Needle Biopsy Lymph Nodes (38505) |
$664 |
$830 |
0.4× |
| Needle Biopsy Pancreas (48102) |
$820.80 |
$1,026 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40 |
$50 |
1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$50 |
$62.50 |
1.9× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$5,073.38 |
$6,341.73 |
2.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$757.60 |
$947 |
1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$612 |
$765 |
0.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$289.60 |
$362 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$655.20 |
$819 |
0.2× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$694.40–$1,172.80 |
$868–$1,466 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$319.20 |
$399 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$711.20 |
$889 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$147.20 |
$184 |
0.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$690.40 |
$863 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$156.80 |
$196 |
0.2× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 4 matching MRF lines |
$6,155.50–$7,493.59 |
$7,694.37–$9,366.99 |
varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$7,602.59 |
$9,503.24 |
1.2× |
Occipital Nerve Block (64405) range across 3 matching MRF lines |
$347.20–$515.20 |
$434–$644 |
varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$8,206.17 |
$10,257.71 |
1.4× |
Open biopsy/excision inguinofemoral nodes (38531) range across 3 matching MRF lines |
$4,875.05–$11,424.18 |
$6,093.81–$14,280.23 |
varies |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$25,909.93 |
$32,387.41 |
3.9× |
| Open Repair of Rotator Cuff Acute (23410) |
$15,266.90 |
$19,083.62 |
2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$19,206.38 |
$24,007.97 |
2.9× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$27,415.05 |
$34,268.81 |
2.3× |
Open treatment fracture distal tibia only (27827) range across 3 matching MRF lines |
$9,710.30–$28,853.18 |
$12,137.88–$36,066.48 |
varies |
| Open treatment greater trochanteric fracture (27248) |
$35,372.30 |
$44,215.37 |
5.3× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$36,824.72 |
$46,030.90 |
5.5× |
| Open Treatment Humeral Condylar Fracture (24579) |
$29,024.36 |
$36,280.45 |
2.5× |
Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$16,489.02–$20,648.52 |
$20,611.27–$25,810.65 |
varies |
Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
$19,222.21–$33,306.19 |
$24,027.76–$41,632.74 |
varies |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$21,389.12 |
$26,736.40 |
3.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
$12,606.73–$19,662.67 |
$15,758.41–$24,578.34 |
varies |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$27,415.05 |
$34,268.81 |
4.1× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$35,372.30 |
$44,215.37 |
5.3× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$22,790.11 |
$28,487.64 |
1.9× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$25,909.93 |
$32,387.41 |
3.9× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$12,356.94 |
$15,446.18 |
1.9× |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
$22,881.10 |
$28,601.37 |
3.4× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$22,881.10 |
$28,601.37 |
7.6× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$21,389.12 |
$26,736.40 |
3.2× |
Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
$11,584.27–$15,693.79 |
$14,480.34–$19,617.24 |
varies |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$24,592.89 |
$30,741.11 |
3.7× |
| Open Treatment Proximal Humeral Fracture (23615) |
$24,143.28 |
$30,179.10 |
2.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$25,909.93 |
$32,387.41 |
3.9× |
| Open tx acute shoulder dislocation (23660) |
$13,983.81 |
$17,479.76 |
2.1× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$11,800.50–$14,144.76 |
$14,750.62–$17,680.95 |
varies |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,613.60 |
$3,267 |
0.9× |
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$20,905.20–$24,592.89 |
$26,131.50–$30,741.11 |
varies |
| Open Tx Humeral Epicondylar Fracture (24575) |
$20,549.50 |
$25,686.87 |
1.7× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$31,642.41 |
$39,553.01 |
2.7× |
| Open Tx Radial Head/Neck Fracture (24665) |
$25,909.93 |
$32,387.41 |
3.9× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$25,909.93 |
$32,387.41 |
2.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$20,797.55 |
$25,996.94 |
3.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$28,853.18 |
$36,066.48 |
4.3× |
| Open/Perq Place Stent 1St (37236) |
$13,024 |
$16,280 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$25,909.93 |
$32,387.41 |
3.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$25,909.93 |
$32,387.41 |
3.9× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$35,372.30 |
$44,215.37 |
5.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$31,642.41 |
$39,553.01 |
2.7× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$19,472.19 |
$24,340.24 |
1.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$5,275.93 |
$6,594.91 |
1.6× |
| Osteochondral allograft knee open (27415) |
$39,225.26 |
$49,031.57 |
3.3× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$35,372.30 |
$44,215.37 |
5.3× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$33,718.86 |
$42,148.58 |
5.1× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$44,556.62 |
$55,695.78 |
6.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,532 |
$1,915 |
1.0× |
| Partial removal of thyroid (60220) |
$11,035.56 |
$13,794.45 |
2.0× |
Partial removal of tongue (41120) unusually low: confirm this is the full procedure |
$1,954 |
$2,442.50 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,071.31 |
$5,089.14 |
1.4× |
| Penile Injection (54235) |
$216 |
$270 |
0.9× |
| Pericardiocentesis W/Imaging (33016) |
$995.20 |
$1,244 |
0.7× |
| Perq Cervicothoracic Inject (22510) |
$1,907.20 |
$2,384 |
0.6× |
| Perq dev breast 1st mr guide (19287) |
$1,326.40 |
$1,658 |
2.0× |
Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$6,126.98–$6,808.11 |
$7,658.73–$8,510.14 |
varies |
| Perq device breast 1st imag (19281) |
$1,440 |
$1,800 |
0.9× |
| Perq dilation xst trc endourologic px w/img (50436) |
$7,855.32 |
$9,819.15 |
2.4× |
| Perq Lumbosacral Injection (22511) |
$1,881.60 |
$2,352 |
0.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,920.41 |
$4,900.51 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$14,733.38 |
$18,416.73 |
2.2× |
| Perq Vertebral Augmentation (22513) |
$29,917.95 |
$37,397.44 |
4.5× |
| Place Cath Subclavian Art (36225) |
$3,680 |
$4,600 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$125.60 |
$157 |
0.3× |
Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$2,468.80 |
$3,086 |
0.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$38,765.74 |
$48,457.17 |
35.2× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$33,718.86 |
$42,148.58 |
5.1× |
| Prq skel fixj femoral fx prox end neck (27235) |
$26,619.55 |
$33,274.44 |
4.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$31,642.41 |
$39,553.01 |
4.7× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$23,705.52 |
$29,631.90 |
3.6× |
| Punch biopsy skin single lesion (11104) |
$3,987.54 |
$4,984.42 |
10.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$282.40 |
$353 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$403.20 |
$504 |
0.6× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$14,440.14 |
$18,050.17 |
35.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$148.80 |
$186 |
0.2× |
| Rad resect hand tumor 3 cm/> (26118) |
$12,073.97 |
$15,092.46 |
4.5× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$12,073.97 |
$15,092.46 |
4.5× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) unusually low: confirm this is the full procedure |
$1,954 |
$2,442.50 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$31,063.38 |
$38,829.23 |
11.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$8,412.66 |
$10,515.83 |
3.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$8,412.66 |
$10,515.83 |
3.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$13,057.34 |
$16,321.68 |
4.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,157.60 |
$2,697 |
1.2× |
| Realignment of knee (27455) |
$27,415.05 |
$34,268.81 |
4.1× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) range across 2 matching MRF lines |
$25,381.66–$34,412.03 |
$31,727.08–$43,015.04 |
varies |
| Redo Endovas Vena Cava Filtr (37192) |
$3,181.60 |
$3,977 |
1.1× |
| Reduction of rectal prolapse (45900) |
$471.20 |
$589 |
0.6× |
| Reinforce hip bones (27187) |
$27,584.50 |
$34,480.62 |
4.1× |
Reinforce tibia (27745) unusually low: confirm this is the full procedure |
$2,535.25 |
$3,169.06 |
0.4× |
| Release of shoulder ligament (23415) |
$20,842.45 |
$26,053.06 |
3.1× |
| Relocation Pocket Pacemaker (33222) |
$2,404 |
$3,005 |
1.3× |
| Rem Endovas Vena Cava Filter (37193) |
$3,181.60 |
$3,977 |
1.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$296 |
$370 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,402.40 |
$1,753 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$719.20 |
$899 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$434.40 |
$543 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$1,689.57 |
$2,111.96 |
31.1× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$1,575.62–$2,832.71 |
$1,969.52–$3,540.89 |
varies |
| Removal Implant Deep (20680) |
$3,167.74 |
$3,959.67 |
1.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$17,616.86 |
$22,021.08 |
11.6× |
| Removal of adenoids (42831) |
$3,500.46 |
$4,375.57 |
1.1× |
| Removal of adenoids (42830) |
$3,455.31 |
$4,319.14 |
1.1× |
| Removal of ankle implant (27704) |
$9,893.93 |
$12,367.41 |
3.3× |
| Removal of bladder cyst (51500) |
$36,562.96 |
$45,703.70 |
6.6× |
| Removal of foreign body from pharynx (42809) |
$334.40 |
$418 |
0.8× |
| Removal of knee prosthesis (27488) |
$22,515.89 |
$28,144.86 |
1.9× |
| Removal of nail bed (11750) |
$3,148.28 |
$3,935.35 |
8.4× |
| Removal of sperm cord lesion (55520) |
$11,355.66 |
$14,194.57 |
3.5× |
Removal of tonsils (42825) unusually low: confirm this is the full procedure |
$2,573.72 |
$3,217.15 |
0.5× |
| Removal of tonsils (42826) |
$3,788.26 |
$4,735.33 |
1.2× |
| Removal Pacemaker Electrode (33235) |
$3,155.20 |
$3,944 |
0.9× |
| Removal peritoneal-venous shunt (49429) |
$47,562.11 |
$59,452.64 |
16.4× |
| Removal ppm generator only (33233) |
$12,142.40 |
$15,178 |
1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$8,826.42 |
$11,033.03 |
47.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$13,793.66 |
$17,242.07 |
21.2× |
| Removal sweat gland lesion (11450) |
$3,396.83 |
$4,246.04 |
1.3× |
| Remove drug implant device (11982) |
$4,619.97 |
$5,774.96 |
11.2× |
| Remove Elctrd Transvenously (33244) |
$3,756.80 |
$4,696 |
1.1× |
| Remove foreign body from eye (65205) |
$325.60 |
$407 |
2.7× |
| Remove hip pressure sore (15941) |
$20,877.17 |
$26,096.46 |
7.8× |
| Remove hip pressure sore (15940) |
$20,877.17 |
$26,096.46 |
7.8× |
| Remove Intrauterine Device (58301) |
$5,981.12 |
$7,476.40 |
21.3× |
| Remove Nasal Foreign Body (30300) |
$324.80 |
$406 |
2.7× |
| Remove Pulse Generator (33241) |
$3,756.80 |
$4,696 |
1.1× |
| Remove sacrum pressure sore (15937) |
$27,154.14 |
$33,942.67 |
14.3× |
| Remove&replace pm gen singl (33227) |
$19,861.05 |
$24,826.31 |
2.6× |
| Remv&replc cvd gen dual lead (33263) |
$75,705.89 |
$94,632.36 |
3.7× |
| Remv&replc cvd gen mult lead (33264) |
$70,690.97 |
$88,363.71 |
2.4× |
| Remv&replc cvd gen sing lead (33262) |
$32,148 |
$40,185 |
1.6× |
| Remv&replc pm gen dual lead (33228) |
$19,734.11 |
$24,667.64 |
2.1× |
| Remv&replc pm gen mult leads (33229) |
$13,407.20 |
$16,759 |
0.8× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$7,855.32 |
$9,819.15 |
12.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,583.20 |
$4,479 |
1.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$952.80 |
$1,191 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,104.80 |
$1,381 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$711.20 |
$889 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$662.40 |
$828 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$848 |
$1,060 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$425.60 |
$532 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$559.20 |
$699 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$410.40 |
$513 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$6,990.78 |
$8,738.48 |
10.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,494.40 |
$1,868 |
1.0× |
| Repair Eyelid Wound (67935) |
$1,591.20 |
$1,989 |
0.7× |
| Repair Finger/Hand Tendon (26350) |
$2,475.20 |
$3,094 |
0.8× |
| Repair Hand Tendon (26410) |
$1,494.40 |
$1,868 |
1.0× |
| Repair incomplete circumcision (54163) |
$3,101.79 |
$3,877.24 |
1.6× |
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$12,814.12–$14,170.21 |
$16,017.65–$17,712.76 |
varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$600.80 |
$751 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$740.80 |
$926 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$526.40 |
$658 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$891.20 |
$1,114 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$511.20 |
$639 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$447.20 |
$559 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$4,691.93 |
$5,864.91 |
12.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$680 |
$850 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$4,822.14 |
$6,027.68 |
2.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$13,057.34 |
$16,321.68 |
34.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$4,484.84 |
$5,606.05 |
12.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$3,239.46 |
$4,049.32 |
8.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$7,946.18 |
$9,932.73 |
11.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,300.80 |
$1,626 |
3.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$783.20 |
$979 |
0.4× |
| Repair lead pace-defib dual (33220) |
$5,786.40 |
$7,233 |
1.7× |
| Repair Lead Pace-Defib One (33218) |
$5,378.40 |
$6,723 |
1.6× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$49,450.62 |
$61,813.28 |
7.4× |
Repair of biceps tendon (24340) range across 2 matching MRF lines |
$15,266.90–$36,457.87 |
$19,083.62–$45,572.34 |
varies |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$27,415.05 |
$34,268.81 |
4.1× |
| Repair of nail bed (11760) |
$361.60 |
$452 |
0.5× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$25,909.93 |
$32,387.41 |
3.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$25,909.93 |
$32,387.41 |
3.9× |
Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$12,918.48–$22,484 |
$16,148.10–$28,105 |
varies |
| Repair radius & ulna (25415) |
$25,909.93 |
$32,387.41 |
3.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,914.40 |
$2,393 |
0.6× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$15,254.63–$15,549.29 |
$19,068.29–$19,436.61 |
varies |
| Repair tongue laceration (41252) |
$385.60 |
$482 |
1.8× |
| Repair tongue laceration (41250) |
$313.60 |
$392 |
0.8× |
| Repair umbilical lesion (49600) |
$47,562.11 |
$59,452.64 |
14.4× |
| Repair webbed toe(s) (28345) |
$11,355.75 |
$14,194.69 |
7.7× |
Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$18,356.96–$28,537.26 |
$22,946.20–$35,671.57 |
varies |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$12,890.68 |
$16,113.35 |
15.5× |
| Replace G-J Tube Perc (49452) |
$12,890.68 |
$16,113.35 |
15.5× |
| Replace g/c tube perc (49450) |
$12,890.68 |
$16,113.35 |
15.5× |
| Reposition Gastrostomy Tube (43761) |
$307.20 |
$384 |
1.3× |
| Reposition L Ventric Lead (33226) |
$2,747.20 |
$3,434 |
0.9× |
| Reposition Pacing-Defib Lead (33215) |
$2,747.20 |
$3,434 |
0.9× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$17,158.88 |
$21,448.60 |
2.6× |
| Rerepair ing hernia reduce (49520) |
$10,054.79 |
$12,568.49 |
3.1× |
| Resect back tum < 5 cm (21935) |
$31,063.38 |
$38,829.23 |
11.6× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,247.62 |
$4,059.52 |
1.0× |
| Revis reconst shoulder joint (23473) |
$35,984.86 |
$44,981.07 |
3.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$50,541.63 |
$63,177.04 |
4.3× |
| Revision of humerus (24400) |
$31,642.41 |
$39,553.01 |
4.7× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$29,788.21 |
$37,235.26 |
2.5× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$32,327.09 |
$40,408.86 |
2.7× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$33,896.09 |
$42,370.11 |
2.1× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$25,622.21 |
$32,027.76 |
2.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,247.62 |
$4,059.52 |
1.0× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$15,970.67 |
$19,963.34 |
3.1× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$76,086.96 |
$95,108.70 |
7.2× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$12,362.40 |
$15,453 |
1.2× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$8,000 |
$10,000 |
1.5× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$6,302.40 |
$7,878 |
1.2× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$12,779.20 |
$15,974 |
1.2× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$39,665.58 |
$49,581.98 |
3.7× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$76,086.96 |
$95,108.70 |
7.2× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$20,844 |
$26,055 |
1.2× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$20,844 |
$26,055 |
1.2× |
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) range across 3 matching MRF lines |
$49,105.26–$56,758.59 |
$61,381.58–$70,948.24 |
varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$361.60 |
$452 |
0.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,832.26 |
$2,290.32 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$579.20 |
$724 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$579.20 |
$724 |
4.7× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,176 |
$1,470 |
1.1× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,050.40 |
$2,563 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$12,142.40 |
$15,178 |
3.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,824.02 |
$3,530.03 |
2.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$692.80 |
$866 |
1.2× |
| Rplc Gtube No Revj Trc (43762) |
$294.40 |
$368 |
1.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$37,343.76 |
$46,679.70 |
12.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$37,343.76 |
$46,679.70 |
25.8× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$37,343.76 |
$46,679.70 |
12.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$37,343.76 |
$46,679.70 |
25.8× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$37,343.76 |
$46,679.70 |
7.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$37,343.76 |
$46,679.70 |
12.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$37,343.76 |
$46,679.70 |
12.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$14,054.22 |
$17,567.77 |
2.5× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$9,582.70 |
$11,978.37 |
2.9× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$22,278.90 |
$27,848.62 |
3.7× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$16,439.75 |
$20,549.69 |
2.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$12,524.02 |
$15,655.03 |
3.8× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$13,419.33 |
$16,774.16 |
2.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,791.17 |
$9,738.96 |
1.4× |
| Rpr blood vessel direct lower extremity (35226) |
$2,420.80 |
$3,026 |
3.7× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$3,880.80 |
$4,851 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$680 |
$850 |
3.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$356.80 |
$446 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$776.80 |
$971 |
1.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$2,784.80 |
$3,481 |
0.9× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$2,475.20 |
$3,094 |
0.8× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$5,706.19 |
$7,132.74 |
1.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$27,154.14 |
$33,942.67 |
72.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$15,486.69 |
$19,358.36 |
83.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$15,486.69 |
$19,358.36 |
83.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$15,486.69 |
$19,358.36 |
83.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$17,283.51 |
$21,604.39 |
46.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$27,154.14 |
$33,942.67 |
147.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$27,154.14 |
$33,942.67 |
72.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$27,154.14 |
$33,942.67 |
147.2× |
| Sigmoidoscopy & Polypectomy (45333) |
$2,492.83 |
$3,116.04 |
2.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,816.21 |
$3,520.26 |
3.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$468.80 |
$586 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$400 |
$500 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$400 |
$500 |
2.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$507.20 |
$634 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$468.80 |
$586 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$321.60 |
$402 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$320 |
$400 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$485.60 |
$607 |
2.6× |
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) likely a partial charge, not the full procedure |
$590.40 |
$738 |
0.1× |
| Skin graft, harvest cultured tissue (15040) |
$21,320.41 |
$26,650.51 |
11.2× |
| Skin Pinch Graft (15050) |
$642.40 |
$803 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$366.40 |
$458 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$366.40 |
$458 |
0.5× |
| Skin sub grft t/arm/lg child (15273) |
$398.40 |
$498 |
0.2× |
| Skn sub grft f/n/hf/g child (15277) |
$386.40 |
$483 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$384.80 |
$481 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$680 |
$850 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$412 |
$515 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$659.20 |
$824 |
1.0× |
| Strapping knee (29530) |
$291.20 |
$364 |
2.4× |
| Strapping shoulder (29240) |
$115.20 |
$144 |
0.9× |
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$5,581.98–$5,604.20 |
$6,977.48–$7,005.25 |
varies |
Suture infrapatellar tendon primary (27380) unusually low: confirm this is the full procedure |
$2,513.60 |
$3,142 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$212 |
$265 |
0.6× |
Tenodesis long tendon biceps (23430) range across 3 matching MRF lines |
$35,069.81–$45,611.57 |
$43,837.26–$57,014.46 |
varies |
Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$671.20 |
$839 |
0.1× |
| Thrombolytic Therapy Stroke (37195) |
$406.40 |
$508 |
1.3× |
| Thyroid biopsy (60100) |
$390.40 |
$488 |
0.6× |
| Thyroidectomy, total or complete (60240) |
$15,839.39 |
$19,799.24 |
2.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,775.03 |
$4,718.79 |
1.2× |
| Tooth extraction (41899) |
$221.60 |
$277 |
1.0× |
| Total Knee Arthroplasty (27447) |
$30,996.95 |
$38,746.19 |
2.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$804 |
$1,005 |
3.7× |
Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
$9,717.57–$10,039.40 |
$12,146.96–$12,549.25 |
varies |
| Treat elbow fracture (24586) |
$16,827.32 |
$21,034.15 |
1.4× |
| Treat Elbow Fracture (24635) |
$25,909.93 |
$32,387.41 |
3.9× |
| Treat elbow fracture (24587) |
$25,909.93 |
$32,387.41 |
2.2× |
| Treat fracture radius/ulna (25575) |
$25,909.93 |
$32,387.41 |
3.9× |
| Treat Fx Rad Extra-Articul (25607) |
$16,974.41 |
$21,218.01 |
2.5× |
| Treat humerus fracture (24500) |
$468 |
$585 |
2.1× |
| Treat Humerus Fracture (24505) |
$692 |
$865 |
0.5× |
| Treat humerus fracture (23616) |
$27,689.39 |
$34,611.74 |
1.7× |
Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$17,285.13–$29,330.10 |
$21,606.41–$36,662.63 |
varies |
| Treat Knuckle Dislocation (26700) |
$453.60 |
$567 |
2.0× |
| Treat lower leg dislocation (27832) |
$27,415.05 |
$34,268.81 |
4.1× |
| Treat Tail Bone Fracture (27200) |
$239.20 |
$299 |
1.1× |
| Treat Thumb Dislocation (26641) |
$491.20 |
$614 |
2.2× |
| Treat Thumb Fracture (26645) |
$562.40 |
$703 |
0.4× |
| Treat toe dislocation (28630) |
$205.60 |
$257 |
0.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$826.40 |
$1,033 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$554.40 |
$693 |
2.4× |
Treatment of ankle fracture (27823) range across 2 matching MRF lines |
$19,685.54–$22,668.34 |
$24,606.92–$28,335.43 |
varies |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$35,372.30 |
$44,215.37 |
5.3× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$22,881.10 |
$28,601.37 |
7.6× |
| Trim skin lesion (11055) |
$133.60 |
$167 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$145.60 |
$182 |
0.8× |
| Trim skin lesions over 4 (11057) |
$284 |
$355 |
1.5× |
| Trluml Balo Angiop 1St Art (37246) |
$5,216 |
$6,520 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$114.40 |
$143 |
0.6× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$31,642.41 |
$39,553.01 |
2.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,421.35 |
$5,526.69 |
1.5× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$35,372.30 |
$44,215.37 |
5.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,408.39 |
$4,260.49 |
1.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$4,498.21 |
$5,622.76 |
1.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,576 |
$1,970 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$386.40 |
$483 |
0.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$361.60 |
$452 |
1.6× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,535.25 |
$3,169.06 |
0.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,283.25 |
$2,854.06 |
1.6× |
Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$2,444.18–$2,854.01 |
$3,055.23–$3,567.51 |
varies |
| Unlisted fetal invasive px w/ultrasound (59897) |
$6,622.02 |
$8,277.53 |
35.6× |
| Unlisted laparoscopic procedure liver (47379) |
$12,331.93 |
$15,414.91 |
2.2× |
| Unlisted laparoscopy procedure appendix (44979) |
$11,181.25 |
$13,976.56 |
2.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$12,455.16 |
$15,568.95 |
2.2× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$7,991.38 |
$9,989.23 |
1.4× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$37,714.56 |
$47,143.20 |
6.8× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$13,374.89 |
$16,718.61 |
2.4× |
| Unlisted procedure anus (46999) |
$952.80 |
$1,191 |
1.1× |
| Unlisted procedure arthroscopy (29999) |
$5,013.53 |
$6,266.91 |
22.1× |
| Unlisted procedure colon (45399) |
$30,657.49 |
$38,321.86 |
35.8× |
| Unlisted procedure excision pressure ulcer (15999) |
$22,195.35 |
$27,744.19 |
34.1× |
| Unlisted Procedure Hands/Fingers (26989) |
$146.40 |
$183 |
0.6× |
| Unlisted Procedure Intestine (44799) |
$35,947.02 |
$44,933.78 |
43.1× |
| Unlisted Procedure Leg/Ankle (27899) |
$146.40 |
$183 |
0.6× |
| Unlisted procedure liver (47399) |
$6,622.02 |
$8,277.53 |
10.2× |
| Unlisted procedure nervous system (64999) |
$203.20 |
$254 |
0.7× |
| Unlisted Procedure Rectum (45999) |
$794.40 |
$993 |
0.9× |
| Unlisted procedure shoulder (23929) |
$17,779.80 |
$22,224.75 |
78.4× |
| Unlisted Procedure Trachea Bronchi (31899) |
$34,124.42 |
$42,655.52 |
185.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$160 |
$200 |
0.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$36,197.55 |
$45,246.94 |
43.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$9,264.01 |
$11,580.01 |
49.8× |
| Upgrade of pacemaker system (33214) |
$16,625.60 |
$20,782 |
1.7× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$7,855.32 |
$9,819.15 |
2.4× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$6,624.67 |
$8,280.84 |
2.2× |
| Vaginal delivery only (59409) |
$6,624.67 |
$8,280.84 |
2.2× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$10,403.48 |
$13,004.35 |
2.3× |
| Vaginoplasty for intersex state Facility (57335) |
$8,199.81 |
$10,249.76 |
1.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,500.53 |
$3,125.66 |
1.3× |
| Vein Access Cutdown < 1 Yr (36420) |
$350.40 |
$438 |
2.9× |
| Venous Cutdown >1 Y/O (36425) |
$350.40 |
$438 |
0.9× |
Ventilating tube removal requiring general anesthesia (69424) range across 4 matching MRF lines |
$1,885.63–$2,586.70 |
$2,357.04–$3,233.37 |
varies |
| Wedge excision skin nail fold (11765) |
$291.20 |
$364 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$29,108.76 |
$36,385.95 |
77.9× |
| Wound Prep Trk/Arm/Leg (15002) |
$3,266.27 |
$4,082.84 |
4.8× |