| Abd paracentesis w/imaging (49083) |
$2,938.49 |
$3,093.15 |
2.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$631.66 |
$664.90 |
0.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$35,479.97 |
$37,347.34 |
1.7× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$32,211.23 |
$33,906.56 |
2.5× |
| Abortion (59841) |
$443.65 |
$467 |
0.1× |
| Acne surgery (10040) |
$123.50 |
$130 |
0.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$656.45 |
$691 |
0.3× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,044.05 |
$1,099 |
0.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$644.10 |
$678 |
0.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$779 |
$820 |
0.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$819.85 |
$863 |
0.3× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$892.05 |
$939 |
0.4× |
| Amputation Finger/Thumb (26951) |
$2,984.16 |
$3,141.22 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$3,345.07 |
$3,521.13 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$9,825.34 |
$10,342.46 |
2.5× |
| Analyze spine infus pump (62367) |
$27.55 |
$29 |
0.1× |
| Anoscopy diagnostic (46600) |
$131.84 |
$138.78 |
0.8× |
| Anoscopy w/control bleeding (46614) |
$728.12 |
$766.44 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$312.55 |
$329 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$7,853.05 |
$8,266.37 |
2.4× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$220.41 |
$232.01 |
1.1× |
| Appl Multlay Comprs Arm/Hand (29584) |
$512.42 |
$539.39 |
2.6× |
| Application cast elbow finger short arm (29075) |
$347.32 |
$365.60 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$318.98 |
$335.76 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$117.14 |
$123.30 |
1.7× |
| Application finger splint static (29130) |
$259.06 |
$272.70 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$205.28 |
$216.08 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$875.35 |
$921.42 |
2.6× |
| Application short arm splint forearm-hand static (29125) |
$278.22 |
$292.86 |
1.7× |
| Apply long leg splint (29505) |
$230.50 |
$242.64 |
1.2× |
| Apply short leg cast (29405) |
$465.78 |
$490.30 |
1.4× |
| Apply short leg cast (29425) |
$630.06 |
$663.22 |
1.9× |
| Apply short leg splint (29515) |
$215.80 |
$227.16 |
1.1× |
| Arterial puncture (36600) |
$63.63 |
$66.98 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$688.44 |
$724.67 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$907.20 |
$954.94 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$611.42 |
$643.60 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,381.34 |
$1,454.04 |
3.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$348.07 |
$366.38 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$3,004.75 |
$3,162.89 |
4.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$538.29 |
$566.62 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,222.63 |
$2,339.61 |
0.9× |
| Aspiration bladder needle (51100) |
$289.74 |
$305 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$186.96 |
$196.80 |
0.8× |
| Biopsy bone open superficial (20240) |
$4,381.52 |
$4,612.13 |
1.3× |
| Biopsy bone trocar/needle deep (20225) |
$5,203.27 |
$5,477.13 |
2.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$5,106.78 |
$5,375.56 |
2.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$116.85 |
$123 |
0.1× |
| Biopsy external ear (69100) |
$106.40 |
$112 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$4,162.41 |
$4,381.48 |
2.1× |
| Biopsy Nail Unit Separate Procedure (11755) |
$146.30 |
$154 |
0.2× |
| Biopsy of penis (54100) |
$129.20 |
$136 |
0.1× |
| Biopsy of urethra (53200) |
$173.85 |
$183 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$2,312.42 |
$2,434.13 |
2.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$75.05 |
$79 |
0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$71.25 |
$75 |
0.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$144.40 |
$152 |
0.2× |
| Bladder Irrigation Simple (51700) |
$295.39 |
$310.94 |
1.0× |
| Blepharotomy drain absc eyelid (67700) |
$478.54 |
$503.72 |
1.3× |
| Blood patch (62273) |
$992.69 |
$1,044.94 |
1.2× |
| Blood transfusion service (36430) |
$895.45 |
$942.58 |
1.7× |
| Bone Marrow Biopsy (38221) |
$5,107.20 |
$5,376 |
2.6× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$4,885.67 |
$5,142.81 |
2.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$4,885.67 |
$5,142.81 |
2.3× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$4,885.67 |
$5,142.81 |
2.3× |
| Brnchsc removal bronchial valve initial (31648) |
$10,188.59 |
$10,724.83 |
2.3× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$10,188.59 |
$10,724.83 |
2.3× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$10,188.59 |
$10,724.83 |
2.3× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$10,188.59 |
$10,724.83 |
2.3× |
| Bronch ebus samplng 1/2 node (31652) |
$10,188.59 |
$10,724.83 |
2.3× |
| Bronch ebus samplng 3/> node (31653) |
$10,188.59 |
$10,724.83 |
2.3× |
| Bronchial valve init insert (31647) |
$18,909.47 |
$19,904.71 |
2.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,513.81 |
$3,698.74 |
1.6× |
| Bronchoscopy Balloon Occlusion (31634) |
$18,909.47 |
$19,904.71 |
2.2× |
| Bronchoscopy Bronch Stents (31636) |
$18,909.47 |
$19,904.71 |
2.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$10,188.59 |
$10,724.83 |
2.3× |
| Bronchoscopy w/markers (31626) |
$18,909.47 |
$19,904.71 |
2.2× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$18,909.47 |
$19,904.71 |
2.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,494.37 |
$3,678.28 |
1.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$4,885.67 |
$5,142.81 |
2.3× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$1,152.66 |
$1,213.33 |
2.5× |
| Bronchoscopy w/tumor excise (31640) |
$10,188.59 |
$10,724.83 |
2.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,524.60 |
$3,710.10 |
1.7× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$4,885.67 |
$5,142.81 |
2.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$5,106.78 |
$5,375.56 |
2.6× |
| Bx anorectal wall anal approach (45100) |
$323 |
$340 |
0.1× |
| Bx breast 1st lesion mr imag (19085) |
$3,134.74 |
$3,299.72 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$3,454.06 |
$3,635.85 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$3,783.02 |
$3,982.12 |
1.9× |
| Bx/exc lymph node needle superficial (38505) |
$5,341.02 |
$5,622.13 |
2.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$242.34 |
$255.09 |
0.9× |
| Cauterization,cervix,electro/thermal (57510) |
$140.60 |
$148 |
0.0× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$122.55 |
$129 |
0.3× |
| Change Cystostomy Tube Complicated (51710) |
$207.10 |
$218 |
0.2× |
| Change of cystostomy tube simple (51705) |
$375.50 |
$395.26 |
1.3× |
| Chemical cautery tissue (17250) |
$126.63 |
$133.29 |
0.5× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$190 |
$200 |
0.2× |
| Chemodenerv Eccrine Glands (64650) |
$95.95 |
$101 |
0.3× |
| Chemodenerv musc migraine (64615) |
$149.15 |
$157 |
0.4× |
| Chemodenerv Musc Neck Dyston (64616) |
$129.20 |
$136 |
0.4× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$142.50 |
$150 |
0.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$161.50 |
$170 |
0.2× |
| Chemodenerv trunk musc 6/> (64647) |
$184.30 |
$194 |
0.2× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$206.15 |
$217 |
0.2× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$163.40 |
$172 |
0.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$157.70 |
$166 |
0.4× |
| Circumcision (54150) |
$292.44 |
$307.84 |
0.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$625.23 |
$658.14 |
2.1× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,068.73 |
$1,124.98 |
3.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$829.93 |
$873.61 |
2.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$725.42 |
$763.60 |
0.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$954.74 |
$1,004.98 |
3.2× |
| Closed Rx Radial Shaft Fx (25500) |
$746.57 |
$785.86 |
2.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,587.66 |
$3,776.48 |
1.9× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$750.28 |
$789.77 |
2.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$769.64 |
$810.15 |
2.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$863.36 |
$908.80 |
2.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$536.93 |
$565.19 |
1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$975.86 |
$1,027.22 |
3.3× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,490.90 |
$2,622 |
1.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$856.39 |
$901.46 |
2.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$586.86 |
$617.74 |
2.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$713.47 |
$751.02 |
2.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$996.62 |
$1,049.08 |
0.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$622.98 |
$655.77 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,249.04 |
$1,314.78 |
4.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,070.82 |
$1,127.18 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$711.85 |
$749.32 |
2.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,022.07 |
$1,075.86 |
3.5× |
| Closed tx femoral fracture prox head w manip (27268) |
$4,046.49 |
$4,259.46 |
2.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,686.58 |
$1,775.35 |
5.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,913.57 |
$3,066.92 |
1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,015.22 |
$1,068.64 |
3.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$691.94 |
$728.36 |
2.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$5,641.29 |
$5,938.20 |
2.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$623.70 |
$656.52 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,313.01 |
$2,434.74 |
7.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$656.38 |
$690.92 |
2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$907.92 |
$955.70 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$618.81 |
$651.38 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,020.50 |
$1,074.21 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$925.56 |
$974.27 |
0.5× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$917.68 |
$965.98 |
3.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$401.30 |
$422.42 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$301.35 |
$317.21 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,133.76 |
$3,298.70 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$863.66 |
$909.12 |
2.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$698.65 |
$735.42 |
2.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$693.28 |
$729.77 |
2.4× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$946.04 |
$995.83 |
2.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$704.88 |
$741.98 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,549.42 |
$2,683.59 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$570.09 |
$600.10 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,299.83 |
$3,473.50 |
1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$549.09 |
$577.99 |
0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$642.82 |
$676.66 |
2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$911.51 |
$959.48 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$849.03 |
$893.72 |
2.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$562.21 |
$591.80 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$523.79 |
$551.36 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$544.50 |
$573.16 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,030.72 |
$1,084.96 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,022.60 |
$1,076.42 |
0.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,700.96 |
$3,895.74 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$428.22 |
$450.75 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$582.62 |
$613.29 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$395.16 |
$415.96 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$436.04 |
$458.99 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,874.94 |
$3,026.24 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$696.90 |
$733.58 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$937.12 |
$986.44 |
3.2× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$584.80 |
$615.58 |
2.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,022.98 |
$1,076.82 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$321.53 |
$338.45 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,889.24 |
$1,988.68 |
5.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$710.64 |
$748.04 |
2.4× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,077.99 |
$1,134.72 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$662.70 |
$697.58 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$648.22 |
$682.33 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$619.07 |
$651.66 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$381.19 |
$401.25 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$787.07 |
$828.50 |
2.7× |
| Cltx post ankle fx w/mnpj (27768) |
$2,867.34 |
$3,018.26 |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,744.87 |
$2,889.34 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$849.40 |
$894.10 |
2.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$901.40 |
$948.84 |
3.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$790.55 |
$832.16 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$306.27 |
$322.39 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$791.06 |
$832.69 |
0.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$4,694.43 |
$4,941.51 |
2.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,314.33 |
$1,383.50 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,540.60 |
$3,726.94 |
1.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$310.02 |
$326.34 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,091.38 |
$1,148.82 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$857.31 |
$902.43 |
2.9× |
| Colonoscopy flex w/blln dilat (45386) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy flex w/inj submuc (45381) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy flex w/rem forcep (45384) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy Flx With Endoscopic Stent Placement (45389) |
$16,017.12 |
$16,860.13 |
2.2× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy Stoma Control Bleeding (44391) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy stoma w/balloon dilation (44405) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy stoma w/biopsy (44389) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy stoma w/us gid ndl aspir/bx (44407) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy Through Stoma With Decompression (44408) |
$2,539.90 |
$2,673.58 |
2.3× |
| Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage,… (44402) |
$16,017.12 |
$16,860.13 |
2.2× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$2,539.90 |
$2,673.58 |
2.3× |
| Colonoscopy thru stoma (44388) |
$2,539.90 |
$2,673.58 |
2.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy w/ablation (45388) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy w/band ligation (45398) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy w/endoscopic fnb (45392) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy w/fb removal (45379) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$3,309.67 |
$3,483.86 |
2.3× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$7,853.05 |
$8,266.37 |
2.4× |
| Colpoperineorrhaphy non ob (57210) |
$434.15 |
$457 |
0.1× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,315.38 |
$2,437.24 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$130.15 |
$137 |
0.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$92.15 |
$97 |
0.4× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$122.55 |
$129 |
0.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$344.85 |
$363 |
0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$307.80 |
$324 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$124.45 |
$131 |
0.3× |
| Colposcopy vulva (56820) |
$88.35 |
$93 |
0.4× |
| Colposcopy vulva w/biopsy (56821) |
$157.70 |
$166 |
0.4× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$115.90 |
$122 |
0.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$133 |
$140 |
0.1× |
| Complex Cystometrogram (51726) |
$293.55 |
$309 |
1.0× |
| Complex Uroflowmetry (51741) |
$96.90 |
$102 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$738.62 |
$777.49 |
2.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$272.78 |
$287.14 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$194.17 |
$204.39 |
1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$454.87 |
$478.81 |
0.2× |
| Convert nephrostomy catheter (50434) |
$6,507.79 |
$6,850.30 |
2.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$5,106.78 |
$5,375.56 |
2.6× |
| Csf shunt reprogram (62252) |
$114 |
$120 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$380.91 |
$400.96 |
2.4× |
| Curettage postpartum (59160) |
$286.90 |
$302 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,797.37 |
$3,997.23 |
1.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$413.25 |
$435 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$195.70 |
$206 |
0.0× |
| Cysto w/destruction of lesions (52214) |
$755.25 |
$795 |
0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$467.40 |
$492 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$285 |
$300 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,894.44 |
$1,994.15 |
0.8× |
Cystolithotomy (51050)
likely a partial charge, not the full procedure |
$532 |
$560 |
0.1× |
| Cystometrogram w/vp (51728) |
$255.55 |
$269 |
0.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$337.25 |
$355 |
0.1× |
| Cystourethroscopy (52000) |
$1,690.75 |
$1,779.74 |
2.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$559.55 |
$589 |
0.1× |
| Cystourethroscopy with biopsy (52204) |
$433.20 |
$456 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$305.76 |
$321.86 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$858.06 |
$903.22 |
1.0× |
| Debride nail 1-5 (11720) |
$103.06 |
$108.48 |
1.5× |
| Debride nail 6 or more (11721) |
$133.60 |
$140.63 |
1.9× |
| Debride tissue/muscle (11043) |
$1,238.08 |
$1,303.24 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$461.24 |
$485.52 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,850.35 |
$1,947.74 |
0.9× |
| Declot vascular device (36593) |
$488.88 |
$514.60 |
1.2× |
| Delivery placenta separate procedure (59414) |
$3,718.84 |
$3,914.57 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$130.15 |
$137 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$191.04 |
$201.10 |
0.8× |
| Destruction Lesions Vulva Extensive (56515) |
$591.85 |
$623 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$110.20 |
$116 |
0.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$197.60 |
$208 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$225.15 |
$237 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$266 |
$280 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$162.45 |
$171 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$196.65 |
$207 |
0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$211.85 |
$223 |
0.9× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$227.05 |
$239 |
0.5× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$258.40 |
$272 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$153.90 |
$162 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$164.35 |
$173 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$183.35 |
$193 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$208.05 |
$219 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$228.95 |
$241 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$268.85 |
$283 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$110.20 |
$116 |
0.5× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$239.40 |
$252 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$242.25 |
$255 |
0.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$151.05 |
$159 |
0.1× |
| Destruction of skin lesions (17106) |
$1,020.18 |
$1,073.88 |
2.1× |
| Destruction Premalignant Lesion 15/> (17004) |
$244.15 |
$257 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$76 |
$80 |
0.3× |
| Destruction Vaginal Lesions Simple (57061) |
$95.95 |
$101 |
0.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,406.11 |
$2,532.75 |
2.8× |
| Diagnostic sigmoidoscopy (45330) |
$2,539.90 |
$2,673.58 |
2.3× |
| Dilate Urethra Stricture (53620) |
$100.70 |
$106 |
0.1× |
| Dilate urethra stricture (53600) |
$104.50 |
$110 |
0.3× |
| Dilation and curettage (58120) |
$324.90 |
$342 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,724.83 |
$2,868.24 |
2.5× |
| Dilation of anal sphincter (45905) |
$3,309.67 |
$3,483.86 |
2.3× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$47.50 |
$50 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$547.48 |
$576.30 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$647.54 |
$681.62 |
1.8× |
| Drainage abscess/hematoma nasal int approach (30000) |
$289.06 |
$304.27 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$395.20 |
$416 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$281.06 |
$295.85 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,661.92 |
$1,749.39 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$349.10 |
$367.48 |
1.5× |
| Drainage Mouth Roof Lesion (42000) |
$509.35 |
$536.16 |
1.8× |
| Drainage of gum lesion (41800) |
$356.80 |
$375.58 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$1,630.29 |
$1,716.09 |
0.8× |
| Drainage of hydrocele (55000) |
$67.45 |
$71 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$1,392.87 |
$1,466.18 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$460.06 |
$484.28 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$294.06 |
$309.54 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$198.24 |
$208.68 |
0.8× |
| Dstrj lesion anus simple chemical (46900) |
$233.70 |
$246 |
0.5× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$157.70 |
$166 |
0.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$149.15 |
$157 |
0.6× |
| Dstrj lesion penis simple surg excision (54060) |
$229.90 |
$242 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$8,526.77 |
$8,975.55 |
2.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,287.90 |
$2,408.32 |
1.1× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd band ligation esophgeal/gastric varices (43244) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd control bleeding any (43255) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$9,965.61 |
$10,490.12 |
2.2× |
| Egd dilate stricture (43245) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd endo mucosal resection (43254) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd endoscopic stent place (43266) |
$16,017.12 |
$16,860.13 |
2.2× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd flexible foreign body removal (43247) |
$2,230.36 |
$2,347.75 |
2.1× |
| Egd guide wire insertion (43248) |
$2,522.99 |
$2,655.78 |
2.3× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$27,773.38 |
$29,235.14 |
2.2× |
| Egd place gastrostomy tube (43246) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd remove lesion snare (43251) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd tube/cath insertion (43241) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd us exam duodenum/jejunum (43259) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd us transmural injxn/mark (43253) |
$5,322.80 |
$5,602.95 |
2.3× |
| Egd w/transmural drain cyst (43240) |
$16,017.12 |
$16,860.13 |
2.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$146.30 |
$154 |
0.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$44.65 |
$47 |
0.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$210.90 |
$222 |
1.4× |
| Endocervical Curettage (57505) |
$85.50 |
$90 |
0.1× |
| Endometrial Biopsy (58100) |
$94.05 |
$99 |
0.4× |
| Endoscopic us exam esoph (43237) |
$5,322.80 |
$5,602.95 |
2.3× |
| Endoscopy bowel pouch/biop (44386) |
$1,442.85 |
$1,518.79 |
1.3× |
| Endoscopy of bowel pouch (44385) |
$114.95 |
$121 |
0.1× |
| Endoscopy Upper Small Intestine (44360) |
$5,322.80 |
$5,602.95 |
2.3× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$2,144.15 |
$2,257 |
0.3× |
| Endovenous laser, 1st vein (36478) |
$1,026 |
$1,080 |
0.3× |
| Endovenous rf 1st vein (36475) |
$1,698.60 |
$1,788 |
0.4× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$5,322.80 |
$5,602.95 |
2.3× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$5,322.80 |
$5,602.95 |
2.3× |
| Episiotomy or vaginal repair (59300) |
$156.75 |
$165 |
0.0× |
| Ercp Duct Stent Placement (43274) |
$16,017.12 |
$16,860.13 |
2.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$9,965.61 |
$10,490.12 |
2.2× |
| Ercp ea duct/ampulla dilate (43277) |
$9,965.61 |
$10,490.12 |
2.2× |
| Ercp lithotripsy calculi (43265) |
$16,017.12 |
$16,860.13 |
2.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$9,965.61 |
$10,490.12 |
2.2× |
| Ercp remove forgn body duct (43275) |
$9,965.61 |
$10,490.12 |
4.3× |
| Ercp sphincter pressure meas (43263) |
$9,965.61 |
$10,490.12 |
4.3× |
| Ercp Stent Exchange W/Dilate (43276) |
$16,017.12 |
$16,860.13 |
2.2× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$9,965.61 |
$10,490.12 |
2.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$9,962.50 |
$10,486.84 |
2.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$9,965.61 |
$10,490.12 |
2.2× |
| Esoph optical endomicroscopy (43206) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esoph Scope W/Submucous Inj (43201) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,522.99 |
$2,655.78 |
2.3× |
| Esophagoscopy control bleed (43227) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$9,965.61 |
$10,490.12 |
2.2× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy flexible guide wire dilation (43226) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$2,522.99 |
$2,655.78 |
2.3× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy Retro Balloon (43213) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy transoral stent placement (43212) |
$16,017.12 |
$16,860.13 |
2.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$5,322.80 |
$5,602.95 |
2.3× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$5,322.80 |
$5,602.95 |
2.3× |
| Evacuation of subungual hematoma (11740) |
$154.36 |
$162.48 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$560.50 |
$590 |
0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$560.60 |
$590.11 |
0.7× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,106.77 |
$1,165.02 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$502.84 |
$529.30 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$257.45 |
$271 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$388.17 |
$408.60 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$159.60 |
$168 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$255.55 |
$269 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$171 |
$180 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$161.50 |
$170 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$205.20 |
$216 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$325.85 |
$343 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$429.40 |
$452 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$358.15 |
$377 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$287.85 |
$303 |
0.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$547.20 |
$576 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$441.75 |
$465 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$368.60 |
$388 |
0.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$434.15 |
$457 |
0.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$234.65 |
$247 |
0.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$457.90 |
$482 |
0.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$789.45 |
$831 |
0.2× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$546.25 |
$575 |
0.2× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$554.80 |
$584 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$574.75 |
$605 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$491.15 |
$517 |
0.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$559.55 |
$589 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$525.35 |
$553 |
0.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$422.75 |
$445 |
0.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$9,473.58 |
$9,972.19 |
2.2× |
| Exchange nephrostomy cath (50435) |
$6,507.79 |
$6,850.30 |
2.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,778.22 |
$2,924.44 |
1.2× |
| Excise cutaneous neurofibroma (64788) |
$441.75 |
$465 |
0.2× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$801.80 |
$844 |
0.3× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$446.50 |
$470 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$191.90 |
$202 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$251.75 |
$265 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$230.85 |
$243 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$256.50 |
$270 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$282.15 |
$297 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$229.90 |
$242 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$252.70 |
$266 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$291.65 |
$307 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$337.25 |
$355 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$394.25 |
$415 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$208.05 |
$219 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$251.75 |
$265 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$245.10 |
$258 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$289.75 |
$305 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$333.45 |
$351 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$319.20 |
$336 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$188.10 |
$198 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$209 |
$220 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$190.95 |
$201 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$268.85 |
$283 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,951.28 |
$2,053.98 |
1.4× |
| Excision of vaginal cyst or tumor (57135) |
$206.15 |
$217 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$505.40 |
$532 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$419.90 |
$442 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$541.50 |
$570 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$982.30 |
$1,034 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$456 |
$480 |
0.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$370.50 |
$390 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$393.30 |
$414 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$435.10 |
$458 |
0.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,809.89 |
$4,010.41 |
2.0× |
| Explo/Drain Breast Abscess (19020) |
$2,539.18 |
$2,672.83 |
1.3× |
| Exploration penetrating wound spx chest (20101) |
$525.15 |
$552.79 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,381.90 |
$1,454.63 |
0.7× |
| External cephalic version (59412) |
$1,920.16 |
$2,021.22 |
0.5× |
| Fetal non-stress test (59025) |
$48.45 |
$51 |
0.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,251.96 |
$2,370.48 |
2.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,358.14 |
$1,429.62 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$348.98 |
$367.36 |
0.7× |
| Fit/Insert Intravag Support Device (57160) |
$61.75 |
$65 |
0.3× |
| Fitting of diaphragm/cap (57170) |
$78.85 |
$83 |
0.3× |
| Fluid pressure muscle (20950) |
$224.82 |
$236.65 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$835.28 |
$879.24 |
2.9× |
| Foreskin manipulation (54450) |
$532.24 |
$560.25 |
1.8× |
| Frenulotomy of penis (54164) |
$215.65 |
$227 |
0.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,045.95 |
$1,101 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$186.95 |
$196.78 |
0.7× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$882.55 |
$929 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$4,195.84 |
$4,416.67 |
4.9× |
| Hysteroscopy biopsy (58558) |
$709.65 |
$747 |
0.2× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$181.45 |
$191 |
0.0× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$442.70 |
$466 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$510.86 |
$537.74 |
1.8× |
| I&d abscess simple (10060) |
$292.45 |
$307.84 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,969.95 |
$5,231.53 |
1.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$511.47 |
$538.39 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$395.11 |
$415.90 |
0.5× |
| I&d submucosal abscess rectum (45005) |
$3,309.67 |
$3,483.86 |
2.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$5,032.19 |
$5,297.04 |
2.5× |
| I&d vulva/perineal abscess (56405) |
$525.22 |
$552.87 |
1.4× |
| Ileoscopy thru stoma (44380) |
$2,522.99 |
$2,655.78 |
2.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,522.99 |
$2,655.78 |
2.3× |
| Image Cath Fluid Colxn Visc (49405) |
$5,270.52 |
$5,547.92 |
2.7× |
| Incise external hemorrhoid (46083) |
$403.35 |
$424.58 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$501.40 |
$527.79 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,501.97 |
$1,581.02 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,993.64 |
$2,098.58 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$401.46 |
$422.58 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$458.68 |
$482.82 |
1.9× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$4,774.14 |
$5,025.40 |
1.4× |
| Incision and drainage perianal abscess superficial (46050) |
$621.76 |
$654.48 |
0.6× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,593.66 |
$2,730.17 |
0.7× |
| Incision of eyelid fold (67715) |
$3,478.84 |
$3,661.94 |
1.2× |
| Incision of rectal abscess (46040) |
$3,340.30 |
$3,516.10 |
2.3× |
| Incisional biopsy skin single lesion (11106) |
$1,231.86 |
$1,296.69 |
1.4× |
| Induced abortion by d&c (59840) |
$311.60 |
$328 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$164.81 |
$173.48 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$72.20 |
$76 |
0.2× |
| Inj therapeutic carpal tunnel (20526) |
$95 |
$100 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$436.42 |
$459.39 |
0.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$438.44 |
$461.52 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$165.30 |
$174 |
0.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$193.32 |
$203.50 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$211.62 |
$222.76 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$112.54 |
$118.46 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$248.90 |
$262 |
0.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$235.60 |
$248 |
0.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$257.64 |
$271.20 |
0.3× |
| Injection aa&/strd pudendal nerve (64430) |
$107.35 |
$113 |
0.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$378.74 |
$398.67 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$628.20 |
$661.27 |
1.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$433.70 |
$456.53 |
0.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$584.64 |
$615.41 |
0.7× |
| Injection into skin lesions (11900) |
$55.10 |
$58 |
0.2× |
| Injection peyronie disease (54200) |
$136.80 |
$144 |
0.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$449.84 |
$473.51 |
0.6× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$283.89 |
$298.83 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$108.30 |
$114 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$168.45 |
$177.32 |
0.5× |
| Injection(s) spider veins (36468) |
$120.65 |
$127 |
0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$76.95 |
$81 |
0.3× |
| Ins cath ren art 1st unilat (36251) |
$4,333.89 |
$4,561.99 |
1.1× |
| Ins endovas vena cava filtr (37191) |
$14,495.99 |
$15,258.94 |
2.2× |
| Insert Bladder Cath Complex (51703) |
$282.90 |
$297.78 |
1.8× |
| Insert cath pleura w/ image (32557) |
$2,607.32 |
$2,744.55 |
1.4× |
| Insert cath pleura w/o image (32556) |
$2,887.28 |
$3,039.24 |
1.3× |
| Insert cervical dilator (59200) |
$111.15 |
$117 |
0.3× |
| Insert Drug Implant Device (11981) |
$151.05 |
$159 |
0.9× |
| Insert gastrostomy tube percutaneous (49440) |
$2,553.59 |
$2,687.99 |
1.1× |
| Insert hepatic shunt (tips) (37182) |
$16,724.12 |
$17,604.34 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$6,261.70 |
$6,591.26 |
1.7× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,366.59 |
$1,438.52 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,061.89 |
$1,117.78 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$127.30 |
$134 |
0.8× |
| Insert tun ip cath perc (49418) |
$11,324.22 |
$11,920.23 |
2.6× |
| Insert tunneled cv cath (36561) |
$3,676.76 |
$3,870.27 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$136.01 |
$143.16 |
0.9× |
| Insj picc rs&i 5 yr+ (36573) |
$5,536.67 |
$5,828.07 |
2.9× |
| Insj rx elut implt lac canal (68841) |
$1,153.11 |
$1,213.80 |
0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,104.01 |
$5,372.64 |
1.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,500.64 |
$3,684.88 |
0.4× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$15,003.38 |
$15,793.03 |
1.5× |
| Interdental Fixation (21110) |
$1,308.59 |
$1,377.46 |
0.7× |
| Intro cath dialysis circuit (36901) |
$5,869.23 |
$6,178.14 |
3.1× |
| Intubation endotracheal emergency procedure (31500) |
$638.16 |
$671.75 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$348.34 |
$366.68 |
1.2× |
| Laryngoscopy diagnostic (31505) |
$167.12 |
$175.92 |
0.7× |
| Laryngoscopy flexible diagnostic (31575) |
$357.01 |
$375.80 |
1.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,262.03 |
$3,433.72 |
1.5× |
| Ligation of hemorrhoid(s) (46221) |
$1,387.58 |
$1,460.60 |
1.2× |
| Liver Biopsy (47000) |
$5,203.27 |
$5,477.13 |
2.6× |
| Lysis of labial adhesions (56441) |
$114 |
$120 |
0.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$342 |
$360 |
0.1× |
| Marsupialization Bartholins Gland Cyst (56440) |
$9,004.93 |
$9,478.87 |
2.3× |
| Mech remov tunneled cv cath (36595) |
$10,386.58 |
$10,933.24 |
2.7× |
| Myelography Lumbar Injection (62304) |
$2,976.35 |
$3,133 |
3.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,976.35 |
$3,133 |
3.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$180.98 |
$190.50 |
0.2× |
| N Block Inj, Plantar Digit (64455) |
$51.30 |
$54 |
0.1× |
| Nasal endoscopy dx (31231) |
$383.78 |
$403.97 |
1.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$980.78 |
$1,032.40 |
1.8× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$228 |
$240 |
0.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$485.45 |
$511 |
0.2× |
| Njx aa&/strd sciatic nerve (64445) |
$330.75 |
$348.16 |
0.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$369.06 |
$388.49 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$11,554.41 |
$12,162.54 |
2.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$11,095.92 |
$11,679.92 |
2.6× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,890.50 |
$1,990 |
0.8× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,707.15 |
$1,797 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$2,624.59 |
$2,762.72 |
3.1× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$2,624.59 |
$2,762.72 |
3.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$188.10 |
$198 |
0.4× |
| Occipital Nerve Block (64405) |
$294.67 |
$310.18 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,851.37 |
$6,159.34 |
1.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$36,451.52 |
$38,370.02 |
2.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,948 |
$3,103.16 |
1.5× |
| Partial hymenectomy or revision (56700) |
$198.55 |
$209 |
0.1× |
| Pericardiocentesis W/Imaging (33016) |
$4,911.07 |
$5,169.55 |
2.6× |
| Perq dev breast 1st us imag (19285) |
$483.37 |
$508.81 |
0.6× |
| Perq device breast 1st imag (19281) |
$483.37 |
$508.81 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$533.94 |
$562.04 |
1.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$33,553.37 |
$35,319.34 |
3.9× |
| Phleb veins - extrem 20+ (37766) |
$575.70 |
$606 |
0.2× |
| Picc line placement (36569) |
$2,290.66 |
$2,411.22 |
1.2× |
| Place duod/jej tube perc (49441) |
$5,898.11 |
$6,208.54 |
2.6× |
| Placement of needle for intraosseous infusion (36680) |
$206.04 |
$216.88 |
0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$17,920.27 |
$18,863.44 |
2.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$6,555.11 |
$6,900.12 |
2.6× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$6,555.11 |
$6,900.12 |
1.6× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$9,762.43 |
$10,276.24 |
2.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$9,762.43 |
$10,276.24 |
2.3× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$134.90 |
$142 |
0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$2,539.90 |
$2,673.58 |
2.3× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$7,853.05 |
$8,266.37 |
2.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$3,309.67 |
$3,483.86 |
2.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$7,853.05 |
$8,266.37 |
2.4× |
| Proctosigmoid w/biopsy (45305) |
$3,309.67 |
$3,483.86 |
2.3× |
| Proctosigmoidoscopy dilate (45303) |
$3,309.67 |
$3,483.86 |
2.3× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$7,853.05 |
$8,266.37 |
2.4× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$3,309.67 |
$3,483.86 |
2.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$7,853.05 |
$8,266.37 |
2.4× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$3,309.67 |
$3,483.86 |
2.3× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
$16,017.12 |
$16,860.13 |
2.2× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561)
likely a partial charge, not the full procedure |
$437 |
$460 |
0.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$10,894.60 |
$11,468 |
2.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$10,894.60 |
$11,468 |
2.5× |
| Punch biopsy skin single lesion (11104) |
$170.59 |
$179.57 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$2,196.06 |
$2,311.64 |
2.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$308.54 |
$324.78 |
0.6× |
| Rem Endovas Vena Cava Filter (37193) |
$14,495.99 |
$15,258.94 |
3.8× |
| Removal Anal Seton Other Marker (46030) |
$158.65 |
$167 |
0.1× |
| Removal biliary drg cath (47537) |
$2,416.16 |
$2,543.33 |
2.2× |
| Removal foreign body foot deep (28192) |
$2,476.36 |
$2,606.70 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$688.77 |
$725.02 |
0.8× |
| Removal foreign body intranasal (30300) |
$252.40 |
$265.68 |
1.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,767.56 |
$2,913.22 |
1.4× |
| Removal foreign body pharynx (42809) |
$310.35 |
$326.68 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$145.65 |
$153.32 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$196.69 |
$207.04 |
2.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,781.42 |
$2,927.80 |
1.4× |
| Removal of arm foreign body (24200) |
$762.19 |
$802.30 |
0.4× |
| Removal of embedded foreign body, eyelid (67938) |
$374.37 |
$394.07 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$3,458 |
$3,640 |
2.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$242.38 |
$255.14 |
0.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$2,427.05 |
$2,554.79 |
3.2× |
| Removal of iud (58301) |
$225.79 |
$237.67 |
0.6× |
| Removal of nail bed (11750) |
$667.46 |
$702.60 |
1.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$11,567.81 |
$12,176.64 |
3.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$188.18 |
$198.09 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$443.67 |
$467.02 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$149.66 |
$157.53 |
0.4× |
| Remove anal fist subq (46270) |
$324.90 |
$342 |
0.1× |
| Remove drug implant device (11982) |
$478.87 |
$504.08 |
0.9× |
| Remove ext hem groups 2+ (46250) |
$322.05 |
$339 |
0.1× |
| Remove intrvas foreign body (37197) |
$10,386.58 |
$10,933.24 |
2.7× |
| Remove renal tube w/fluoro (50389) |
$512.01 |
$538.96 |
0.6× |
| Remove Tendon Sheath Lesion (26160) |
$634.60 |
$668 |
0.3× |
| Remove/Insert Drug Implant (11983) |
$259.35 |
$273 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$171.97 |
$181.02 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$403.21 |
$424.43 |
2.5× |
| Renal Biopsy Percutaneous (50200) |
$5,106.78 |
$5,375.56 |
2.6× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,660.92 |
$2,800.97 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$7,461.68 |
$7,854.40 |
2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$739.37 |
$778.28 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,478.09 |
$1,555.88 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$330.60 |
$348 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$571.90 |
$602 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$695.44 |
$732.04 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$648.08 |
$682.20 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$319.20 |
$336 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$981.07 |
$1,032.71 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$667.38 |
$702.51 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$466.10 |
$490.64 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$431.40 |
$454.11 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$400.90 |
$422 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$515.12 |
$542.22 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$718.20 |
$756 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$443.70 |
$467.06 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$575.54 |
$605.84 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$554.34 |
$583.51 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$715.18 |
$752.82 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$434.82 |
$457.71 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$434.82 |
$457.71 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$702.40 |
$739.38 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$606.22 |
$638.13 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,537.02 |
$1,617.91 |
0.6× |
| Repair Mouth Laceration (40831) |
$1,118.16 |
$1,177 |
1.7× |
| Repair of nail bed (11760) |
$455.48 |
$479.45 |
0.5× |
| Repair tongue laceration (41252) |
$1,099.68 |
$1,157.56 |
3.9× |
| Repair Tongue Laceration (41250) |
$466.89 |
$491.46 |
0.9× |
| Repeat control of nosebleed (30906) |
$399.74 |
$420.78 |
1.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,232.75 |
$1,297.63 |
1.1× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,938.49 |
$3,093.15 |
2.7× |
| Replace tunneled cv cath (36578) |
$3,195.50 |
$3,363.68 |
0.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,938.49 |
$3,093.15 |
2.7× |
| Reposition cv cath w/fluoro (36597) |
$5,103.69 |
$5,372.30 |
2.7× |
| Revision of tips (37183) |
$16,724.12 |
$17,604.34 |
2.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,993.93 |
$3,151.50 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,645.27 |
$1,731.86 |
1.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$270.98 |
$285.24 |
1.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$151.77 |
$159.76 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,173.98 |
$4,393.66 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,225.86 |
$3,395.64 |
1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,284.62 |
$1,352.23 |
1.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$5,103.69 |
$5,372.30 |
2.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,136.03 |
$2,248.45 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,098.44 |
$5,366.78 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,907.71 |
$6,218.64 |
1.6× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$4,724.70 |
$4,973.37 |
5.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$630.52 |
$663.71 |
2.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,319.79 |
$1,389.26 |
2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,229.14 |
$1,293.82 |
1.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,418.26 |
$1,492.91 |
0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,965.86 |
$2,069.33 |
2.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,539.90 |
$2,673.58 |
2.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,309.67 |
$3,483.86 |
2.3× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$7,852.53 |
$8,265.82 |
2.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$112.10 |
$118 |
0.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$183.99 |
$193.68 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$123.50 |
$130 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$200.45 |
$211 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$102.60 |
$108 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$113.05 |
$119 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$109.25 |
$115 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$123.50 |
$130 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$94.05 |
$99 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$169.10 |
$178 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$114 |
$120 |
0.5× |
| Sigmoidoscopy & decompress (45337) |
$2,539.90 |
$2,673.58 |
2.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$3,309.67 |
$3,483.86 |
2.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,309.67 |
$3,483.86 |
2.3× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$2,539.90 |
$2,673.58 |
2.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$3,309.67 |
$3,483.86 |
2.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$2,539.90 |
$2,673.58 |
2.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$3,309.67 |
$3,483.86 |
2.3× |
| Sigmoidoscopy place stent (45347) |
$16,017.12 |
$16,860.13 |
2.2× |
| Sigmoidoscopy w/biopsy (45331) |
$2,539.90 |
$2,673.58 |
2.3× |
| Sigmoidoscopy w/fb removal (45332) |
$3,309.67 |
$3,483.86 |
2.3× |
| Sigmoidoscopy w/us guide bx (45342) |
$3,309.67 |
$3,483.86 |
2.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$555.55 |
$584.79 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$343.23 |
$361.29 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$394.43 |
$415.19 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$292.05 |
$307.42 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$464.06 |
$488.48 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$297.41 |
$313.06 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$333.36 |
$350.90 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$567.06 |
$596.92 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$437.72 |
$460.76 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$5,409.37 |
$5,694.07 |
6.1× |
| Skin sub graft trnk/arm/leg (15271) |
$5,409.37 |
$5,694.07 |
6.1× |
| Skin tissue rearrangement (14040) |
$733.40 |
$772 |
0.3× |
| Slitting of prepuce (54001) |
$4,152.45 |
$4,371 |
1.7× |
| Small Bowel Endoscopy (44373) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small bowel endoscopy (44366) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small bowel endoscopy (44364) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small bowel endoscopy/biopsy (44377) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small bowel endoscopy/stent (44370) |
$16,017.12 |
$16,860.13 |
2.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$16,017.12 |
$16,860.13 |
2.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$5,322.80 |
$5,602.95 |
2.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$5,322.80 |
$5,602.95 |
2.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$349.62 |
$368.02 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$429.26 |
$451.86 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$589.60 |
$620.64 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$382.26 |
$402.38 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$562.33 |
$591.93 |
0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$493.05 |
$519 |
0.1× |
| Strapping ankle (29540) |
$124.93 |
$131.50 |
0.6× |
| Strapping hand/finger (29280) |
$100.39 |
$105.67 |
1.4× |
| Strapping knee (29530) |
$140.68 |
$148.08 |
0.9× |
| Strapping shoulder (29240) |
$153.32 |
$161.39 |
1.0× |
| Strapping toes (29550) |
$114.46 |
$120.48 |
1.6× |
| Strapping unna boot (29580) |
$204.93 |
$215.72 |
1.1× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$156.75 |
$165 |
0.2× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,615.59 |
$3,805.88 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$376.35 |
$396.16 |
0.8× |
| Tenolysis flexor foot single tendon (28220) |
$10,241.80 |
$10,780.84 |
5.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$250.97 |
$264.18 |
0.3× |
| Throat Surgery Procedure (42999) |
$1,110.63 |
$1,169.08 |
3.9× |
| Thrombolytic Therapy Stroke (37195) |
$333.94 |
$351.52 |
0.8× |
| Thyroid biopsy (60100) |
$2,257.48 |
$2,376.29 |
2.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,363.95 |
$1,435.74 |
4.8× |
| Tracheotomy tube change (31502) |
$414.11 |
$435.90 |
1.5× |
| Transcatheter biopsy (37200) |
$17,314.37 |
$18,225.65 |
2.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$14,683.63 |
$15,456.45 |
2.3× |
| Treat humerus fracture (24500) |
$847.64 |
$892.26 |
2.9× |
| Treat humerus fracture (23600) |
$709 |
$746.32 |
2.4× |
| Treat Metatarsal Fracture (28475) |
$816.11 |
$859.06 |
2.8× |
| Treat shoulder blade fx (23575) |
$743.60 |
$782.74 |
0.4× |
| Treat Thumb Dislocation (26641) |
$1,080.25 |
$1,137.10 |
3.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,070.52 |
$1,126.87 |
0.6× |
| Treat vagina infection (57150) |
$48.45 |
$51 |
0.7× |
| Treat Vaginal Bleeding (57180) |
$269.23 |
$283.40 |
1.1× |
| Treat wrist bone fracture (25622) |
$644.97 |
$678.92 |
2.2× |
| Treat Wrist Bone Fracture (25630) |
$742.38 |
$781.45 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$2,523.20 |
$2,656 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$727.97 |
$766.28 |
2.5× |
| Treatment of fibula fracture (27784) |
$11,218.42 |
$11,808.86 |
1.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$401.85 |
$423 |
0.1× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$452.20 |
$476 |
0.1× |
| Trim skin lesion (11055) |
$128.74 |
$135.52 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$167.49 |
$176.30 |
0.7× |
| Trim skin lesions over 4 (11057) |
$71.25 |
$75 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$20.22 |
$21.28 |
0.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$17,991.18 |
$18,938.08 |
2.6× |
| Tube thoracostomy includes water seal (32551) |
$859.71 |
$904.96 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,657.46 |
$2,797.32 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$725.07 |
$763.23 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$540.62 |
$569.07 |
1.1× |
| Unlisted procedure anus (46999) |
$68.40 |
$72 |
0.1× |
| Unlisted procedure colon (45399) |
$2,539.90 |
$2,673.58 |
2.3× |
| Unlisted Procedure External Ear (69399) |
$408.10 |
$429.58 |
1.4× |
| Unlisted procedure femur or knee (27599) |
$1,150.32 |
$1,210.86 |
3.9× |
| Unlisted procedure humerus/elbow (24999) |
$935.75 |
$985 |
3.2× |
| Unlisted procedure larynx (31599) |
$479.86 |
$505.12 |
1.7× |
| Unlisted procedure nervous system (64999) |
$311 |
$327.37 |
0.8× |
| Unlisted Procedure Small Intestine (44799) |
$938.51 |
$987.91 |
0.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$337.66 |
$355.43 |
0.4× |
| Unlisted procedure, maternity care and delivery (59899) |
$281.28 |
$296.08 |
1.2× |
| Unlisted procedure, stomach (43999) |
$1,634.71 |
$1,720.75 |
1.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$564.04 |
$593.73 |
2.3× |
| Uppr gi opticl endomicrscopy (43252) |
$9,965.61 |
$10,490.12 |
4.3× |
| Us urine capacity measure (51798) |
$133.86 |
$140.90 |
1.9× |
| Vaginal delivery only (59409) |
$3,648.12 |
$3,840.12 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$38,026.86 |
$40,028.27 |
2.7× |
| Vasc embolize/occlude organ (37243) |
$40,225.57 |
$42,342.70 |
2.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$264.10 |
$278 |
0.1× |
| Venipuncture (36415) |
$9.08 |
$9.56 |
1.0× |
| Vulvectomy Simple Partial (56620) |
$404.70 |
$426 |
0.1× |
| Wedge excision skin nail fold (11765) |
$295.96 |
$311.53 |
0.6× |