| Abd paracentesis w/imaging (49083) |
$457.93 |
$1,991 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$530.15 |
$2,305 |
0.6× |
| Amputation follow-up surgery (27594) |
$1,919.03 |
$8,343.63 |
0.6× |
| Amputation foot transmetarsal (28805) |
$2,641.30 |
$11,483.92 |
0.9× |
| Amputation metatarsal with toe single (28810) |
$1,803.90 |
$7,843.04 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$1,465 |
$6,369.58 |
0.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,413.14 |
$6,144.08 |
0.5× |
| Anoscopy diagnostic (46600) |
$45.77 |
$199 |
0.4× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,399.63 |
$6,085.36 |
1.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$350.75 |
$1,525 |
0.3× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,788.07 |
$25,165.51 |
1.3× |
| Application cast elbow finger short arm (29075) |
$83.26 |
$362 |
0.3× |
| Application Cast Finger (29086) |
$83.26 |
$362 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$83.26 |
$362 |
1.6× |
| Application finger splint static (29130) |
$83.26 |
$362 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$83.26 |
$362 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$83.26 |
$362 |
0.3× |
| Application Long Leg Splint (29505) |
$94.53 |
$411 |
0.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$83.26 |
$362 |
0.3× |
| Application of long leg cast (29345) |
$83.26 |
$362 |
0.3× |
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
unusually low: confirm this is the full procedure |
$12,170.93 |
$52,917.09 |
0.5× |
| Application of rigid total contact leg cast (29445) |
$253.46 |
$1,102 |
1.0× |
| Application Patellar Tendon Bearing Cast (29435) |
$83.26 |
$362 |
0.3× |
| Application Short Arm Splint Dynamic (29126) |
$83.26 |
$362 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$83.26 |
$362 |
0.7× |
| Application short leg splint calf foot (29515) |
$94.53 |
$411 |
0.6× |
| Application uniplane external fixation system (20690) |
$21,645.42 |
$94,110.50 |
3.3× |
| Apply hand/wrist cast (29085) |
$83.26 |
$362 |
0.6× |
| Apply long arm cast (29065) |
$83.26 |
$362 |
0.3× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$100.74–$201.48 |
$438–$876 |
varies |
| Apply Short Leg Cast (29405) |
$253.46 |
$1,102 |
1.0× |
| Apply short leg cast (29425) |
$83.26 |
$362 |
0.3× |
| Arterial puncture (36600) |
$9.66 |
$42 |
0.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$15,241.97 |
$66,269.41 |
1.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines |
$23.23–$366.62 |
$101–$1,594 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$176.64–$353.28 |
$768–$1,536 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$290.49–$580.98 |
$1,263–$2,526 |
varies |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$19,785.79 |
$86,025.17 |
1.2× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$2,822.73 |
$12,272.76 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,611.11 |
$15,700.47 |
1.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$10,341.49 |
$44,962.98 |
1.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,666.83 |
$11,594.91 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$34,395.64 |
$149,546.25 |
11.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$17,598.61 |
$76,515.71 |
5.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$8,142.28 |
$35,401.23 |
2.7× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$7,914.23 |
$34,409.71 |
2.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,819.13 |
$33,996.23 |
1.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$12,331.44 |
$53,614.94 |
1.1× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$4,854.86 |
$21,108.07 |
1.6× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,004.63 |
$56,541.85 |
1.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$10,209.72 |
$44,390.11 |
1.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,228.50 |
$14,036.94 |
1.1× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$2,985.73 |
$12,981.45 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$488.98 |
$2,126 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,166.79 |
$5,073 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$108.79 |
$473 |
0.6× |
| Biopsy Abdominal Mass (49180) |
$638.94 |
$2,778 |
0.4× |
| Biopsy bone open superficial (20240) |
$1,982.37 |
$8,619 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$509.45 |
$2,215 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$420.67 |
$1,829 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$176.64 |
$768 |
0.1× |
| Biopsy of breast; open, incisional (19101) |
$1,590.45 |
$6,915 |
0.4× |
| Biopsy of lip (40490) |
$240.81 |
$1,047 |
1.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$638.94 |
$2,778 |
0.4× |
| Biopsy of rectum (45100) |
$1,761.57 |
$7,659 |
0.7× |
| Biopsy Salivary Gland Incisional (42405) |
$1,250.98 |
$5,439.05 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,186.11 |
$5,157 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$2,529.35 |
$10,997.18 |
0.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$207.23 |
$901 |
0.3× |
| Bladder Irrigation (51700) |
$65.55 |
$285 |
0.3× |
| Bladder Scan (51798) |
$42.55 |
$185 |
0.8× |
| Blood Transfusion Service (36430) |
$251.16 |
$1,092 |
0.6× |
| Blood/Lymph System Procedure (38999) |
$69 |
$300 |
0.2× |
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines |
$190.67–$381.34 |
$829–$1,658 |
varies |
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines |
$382.49–$764.98 |
$1,663–$3,326 |
varies |
| Brnchsc Brushing/Protected Brushings (31623) |
$485.53 |
$2,111 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$485.53 |
$2,111 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$485.53 |
$2,111 |
0.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$485.53 |
$2,111 |
0.1× |
| Bronchoscopy/Needle Bx Each (31629) |
$485.53 |
$2,111 |
0.1× |
| Bx breast 1st lesion mr imag (19085) |
$287.73 |
$1,251 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$458.62 |
$1,994 |
0.3× |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
$215.74–$431.48 |
$938–$1,876 |
varies |
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines |
$458.62–$917.24 |
$1,994–$3,988 |
varies |
| Bx Cervix (57500) |
$405.26 |
$1,762 |
0.5× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,430.39 |
$14,914.73 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,283.83 |
$5,581.88 |
0.7× |
| Catheter aspiration nasotracheal spx (31720) |
$59.11 |
$257 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$126.27 |
$549 |
0.6× |
| Change of Windpipe Airway (31502) |
$121.44 |
$528 |
0.6× |
| Chemical Cautery Tissue (17250) |
$108.33 |
$471 |
0.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$442.06 |
$1,922 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$442.06 |
$1,922 |
0.7× |
| Chemodenerv Musc Migraine (64615) |
$168.82 |
$734 |
0.6× |
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines |
$252.54–$505.08 |
$1,098–$2,196 |
varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$66.01 |
$287 |
0.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$442.06 |
$1,922 |
0.7× |
| Chemodenerv trunk musc 6/> (64647) |
$442.06 |
$1,922 |
0.7× |
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines |
$168.82–$337.64 |
$734–$1,468 |
varies |
| Chest tube placement (32551) |
$293.02 |
$1,274 |
0.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$2,499.64 |
$10,868 |
0.8× |
| Circumcision 28 days or older (54161) |
$1,603.19 |
$6,970.38 |
0.8× |
| Circumcision Neonate (54160) |
$564.19 |
$2,453 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$564.19 |
$2,453 |
0.3× |
| Cl Tx Scapular Fx; W Manip (23575) |
$90.62 |
$394 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$181.01 |
$787 |
0.1× |
| Clear outer ear canal (69200) |
$32.43 |
$141 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$90.62 |
$394 |
0.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$181.01 |
$787 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$104.19 |
$453 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$181.01 |
$787 |
0.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$754.63 |
$3,281 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$271.86 |
$1,182 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$754.63 |
$3,281 |
3.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$181.01 |
$787 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$181.01 |
$787 |
0.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$240.81 |
$1,047 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$181.01 |
$787 |
0.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$181.01 |
$787 |
0.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$281.52 |
$1,224 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$90.62 |
$394 |
0.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$181.01 |
$787 |
0.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$90.62 |
$394 |
0.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$553.84 |
$2,408 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$853.99 |
$3,713 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$204.93 |
$891 |
0.9× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$2,154.72 |
$9,368.35 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$181.01 |
$787 |
0.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$181.01 |
$787 |
0.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$240.81 |
$1,047 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$90.62 |
$394 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$181.01 |
$787 |
0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$90.62 |
$394 |
0.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$90.62 |
$394 |
0.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$181.01 |
$787 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$378.58 |
$1,646 |
0.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$899.76 |
$3,912 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$90.62 |
$394 |
0.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$90.62 |
$394 |
0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$90.62 |
$394 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$181.01 |
$787 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$271.86 |
$1,182 |
1.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$458.62 |
$1,994 |
0.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,173.69 |
$5,103 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$181.01 |
$787 |
0.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$90.62 |
$394 |
0.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$181.01 |
$787 |
0.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$90.62 |
$394 |
0.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$90.62 |
$394 |
0.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,173.69 |
$5,103 |
4.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$240.81 |
$1,047 |
1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$90.62 |
$394 |
0.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$181.01 |
$787 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$90.62 |
$394 |
0.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,173.69 |
$5,103 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$90.62 |
$394 |
0.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$181.01 |
$787 |
0.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$90.62 |
$394 |
0.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$90.62 |
$394 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$271.86 |
$1,182 |
1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$181.01 |
$787 |
0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$378.58 |
$1,646 |
0.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$90.62 |
$394 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$90.62 |
$394 |
0.1× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$3,859.68 |
$16,781.24 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$43.24 |
$188 |
0.4× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$1.84–$6.67 |
$8–$29 |
varies |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,086.29 |
$4,723 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$458.62 |
$1,994 |
0.4× |
| Colonoscopy thru stoma (44388) |
$256.68 |
$1,116 |
0.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$281.98 |
$1,226 |
0.3× |
| Colonoscopy w/ablation (45388) |
$308.89 |
$1,343 |
0.3× |
| Colonoscopy W/Resection (45390) |
$790.28 |
$3,436 |
0.3× |
| Colonoscopy w/submucosal inj (45381) |
$308.89 |
$1,343 |
0.3× |
| Colpopexy extraperitoneal (57282) |
$12,660.01 |
$55,043.52 |
1.9× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$281.98 |
$1,226 |
0.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$458.62 |
$1,994 |
0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$308.89 |
$1,343 |
0.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,212.68 |
$18,315.98 |
0.9× |
Complex drainage wound (10180)
range across 2 matching MRF lines |
$629.51–$966.69 |
$2,737–$4,203 |
varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$1,496.18 |
$6,505.12 |
0.5× |
| Conization of cervix (57520) |
$1,921.62 |
$8,354.86 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$72.91 |
$317 |
0.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$638.94 |
$2,778 |
0.4× |
| Correction hammertoe (28285) |
$1,687.19 |
$7,335.60 |
0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,919.79 |
$8,346.93 |
0.6× |
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure |
$2,364.07 |
$10,278.56 |
0.4× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$11,112.64 |
$48,315.81 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$66.47 |
$289 |
0.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,384.31 |
$6,018.73 |
0.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,954.28 |
$8,496.89 |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$3,132.37 |
$13,618.99 |
0.6× |
| Cysto w/insert ureteral stent (52332) |
$1,983.68 |
$8,624.70 |
0.6× |
| Cysto w/removal of tumors small (52234) |
$1,871.16 |
$8,135.49 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,312.67 |
$5,707.28 |
0.7× |
| Cysto w/ureter stricture tx (52341) |
$1,595.53 |
$6,937.07 |
0.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,596.43 |
$19,984.47 |
1.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,018.73 |
$8,777.10 |
0.6× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,026.23 |
$17,505.34 |
1.3× |
| Cysto/uretero w/lithotripsy (52356) |
$5,409.73 |
$23,520.57 |
1.1× |
| Cystourethroscopy (52000) |
$1,315.97 |
$5,721.62 |
2.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$8,551.12 |
$37,178.77 |
2.7× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,253.65 |
$9,798.50 |
1.2× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$2,062.04 |
$8,965.37 |
0.6× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$2,422.55 |
$10,532.82 |
0.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,180.91 |
$5,134.41 |
0.6× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$5,509.21 |
$23,953.07 |
1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$317.86 |
$1,382 |
0.5× |
| Debride nail 1-5 (11720) |
$39.79 |
$173 |
0.7× |
| Debride nail 6 or more (11721) |
$42.78 |
$186 |
0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$781.08 |
$3,396 |
0.5× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$265.19–$270.02 |
$1,153–$1,174 |
varies |
| Declot vascular device (36593) |
$188.60 |
$820 |
0.6× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$353.51 |
$1,537 |
0.4× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$680.57–$1,361.14 |
$2,959–$5,918 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$539.81–$1,079.62 |
$2,347–$4,694 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$83.95 |
$365 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$1,550.51 |
$6,741.34 |
8.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,113.20 |
$4,840 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$46.92 |
$204 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$86.02 |
$374 |
0.1× |
| Dilate Esophagus 1/Mult Pass (43450) |
$394.68 |
$1,716 |
0.5× |
| Drain Cerebro Spinal Fluid (62272) |
$168.13 |
$731 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$79.81 |
$347 |
0.1× |
| Drainage Finger Abscess Complicated (26011) |
$955.19 |
$4,153 |
0.6× |
| Drainage of finger abscess simple (26010) |
$79.81 |
$347 |
0.4× |
| Drainage of gum lesion (41800) |
$271.86 |
$1,182 |
2.3× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$174.57–$818.34 |
$759–$3,558 |
varies |
| Drainage of nose lesion (30000) |
$240.81 |
$1,047 |
1.1× |
| Drainage of rectal abscess (45005) |
$4,014.22 |
$17,453.15 |
3.7× |
| Drainage of scrotal wall abscess (55100) |
$891.94 |
$3,878 |
0.6× |
| Drainage of scrotum (54700) |
$1,987.43 |
$8,641 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$51.98 |
$226 |
0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$113.85 |
$495 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$97.98 |
$426 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$143.52 |
$624 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$2,826.10 |
$12,287.38 |
1.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$1,692.72 |
$7,359.65 |
0.9× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines |
$319.01–$638.02 |
$1,387–$2,774 |
varies |
| Dx Bone Marrow Bx & Aspir (38222) |
$176.18 |
$766 |
0.1× |
| Dx Bronchoscope/Lavage (31624) |
$485.53 |
$2,111 |
0.3× |
| Dx Bronchoscope/Wash (31622) |
$485.53 |
$2,111 |
0.3× |
| Dx gastr intub w/asp spec (43754) |
$271.86 |
$1,182 |
1.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$163.07 |
$709 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,393.11 |
$6,057 |
0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$417.45 |
$1,815 |
0.2× |
| Egd cautery tumor polyp (43250) |
$441.60 |
$1,920 |
0.3× |
| Egd control bleeding any (43255) |
$417.45 |
$1,815 |
0.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$417.45 |
$1,815 |
0.2× |
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure |
$2,372.91 |
$10,317 |
0.4× |
| Egd Flexible Foreign Body Removal (43247) |
$278.76 |
$1,212 |
0.3× |
| Egd guide wire insertion (43248) |
$278.76 |
$1,212 |
0.3× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$441.60 |
$1,920 |
0.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$441.60 |
$1,920 |
0.3× |
| Egd lesion ablation (43270) |
$446.20 |
$1,940 |
0.3× |
| Egd place gastrostomy tube (43246) |
$545.56 |
$2,372 |
0.3× |
| Egd remove lesion snare (43251) |
$441.60 |
$1,920 |
0.3× |
| Egd Tube/Cath Insertion (43241) |
$278.76 |
$1,212 |
0.2× |
| Egd us exam duodenum/jejunum (43259) |
$441.60 |
$1,920 |
0.3× |
| Egd Varices Ligation (43244) |
$417.45 |
$1,815 |
0.2× |
| Egd W/Thrml Txmnt Gerd (43257) |
$834.90 |
$3,630 |
0.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$209.30 |
$910 |
0.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$189.29 |
$823 |
0.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$201.71 |
$877 |
0.7× |
| Endoscopic plantar fasciotomy (29893) |
$2,244.01 |
$9,756.56 |
0.8× |
| Endoscopy Upper Small Intestine (44360) |
$441.60 |
$1,920 |
0.3× |
| Epidural Blood Patch (62273) |
$312.80 |
$1,360 |
0.5× |
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure |
$1,934.99 |
$8,413 |
0.4× |
| Ercp ea duct/ampulla dilate (43277) |
$834.90 |
$3,630 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$834.90 |
$3,630 |
0.2× |
| Ercp remove forgn body duct (43275) |
$963.70 |
$4,190 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$834.90 |
$3,630 |
0.2× |
| Ercp,Sphincterotomy (43262) |
$814.43 |
$3,541 |
0.2× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$277.84 |
$1,208 |
0.3× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$417.45 |
$1,815 |
0.2× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$417.45 |
$1,815 |
0.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$231.61 |
$1,007 |
0.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$441.60 |
$1,920 |
0.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$441.60 |
$1,920 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$44.85 |
$195 |
0.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,355.08 |
$5,891.66 |
0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$405.26 |
$1,762 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,559.07 |
$6,778.56 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,562.16 |
$6,791.98 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,122.77 |
$9,229.44 |
0.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$2,342.42 |
$10,184.42 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$1,580.56 |
$6,872.02 |
2.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,854.01 |
$8,060.90 |
2.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,727.61 |
$7,511.36 |
1.2× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,251.57 |
$5,441.59 |
0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,161.70 |
$9,398.68 |
3.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,208.07 |
$5,252.49 |
0.8× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,858.40 |
$8,080.01 |
1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,223.20 |
$5,318.25 |
1.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,903.94 |
$8,278 |
1.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$2,708.71 |
$11,777.02 |
1.9× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,538.73 |
$11,037.95 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,416.40 |
$6,158.25 |
2.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,476.09 |
$6,417.76 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,436.96 |
$6,247.66 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$1,221.20 |
$5,309.56 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,401.09 |
$6,091.71 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,109.65 |
$9,172.40 |
1.4× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$5,444.99 |
$23,673.85 |
2.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$308.43 |
$1,341 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,066.09 |
$13,330.84 |
2.1× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$1,482.85 |
$6,447.19 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,765.51 |
$7,676.13 |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,624.55 |
$7,063.24 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,671.77 |
$7,268.55 |
0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,093.30 |
$9,101.32 |
0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,273.79 |
$5,538.22 |
2.0× |
| Excision H/P/P/U Complex Repair (11471) |
$2,468.42 |
$10,732.27 |
0.9× |
| Excision lesion mouth roof (42104) |
$1,789.34 |
$7,779.72 |
0.6× |
| Excision Lesion Tongue W/O Closure (41110) |
$1,562.28 |
$6,792.51 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$5,627.19 |
$24,466.06 |
8.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,253.58 |
$5,450.35 |
3.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,106.93 |
$4,812.76 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,298.03 |
$9,991.44 |
3.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,318.15 |
$5,731.08 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,976.62 |
$8,594.02 |
0.8× |
| Excision of bartholin's gland or cyst (56740) |
$2,304.57 |
$10,019.89 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,626.50 |
$7,071.74 |
1.1× |
| Excision of hydrocele; unilateral (55040) |
$2,273.05 |
$9,882.80 |
0.7× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$5,936.54 |
$25,811.03 |
1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,932.93 |
$8,404.06 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$1,296.32 |
$5,636.17 |
1.2× |
| Excision of submandibular (submaxillary) gland (42440) |
$5,098.62 |
$22,167.90 |
1.0× |
| Excision olecranon bursa (24105) |
$1,825.09 |
$7,935.19 |
0.6× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$1,245.72 |
$5,416.17 |
0.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$1,857.75 |
$8,077.19 |
0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$1,712.25 |
$7,444.58 |
0.7× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$9,202.87 |
$40,012.48 |
1.5× |
| Excision synovial cyst popliteal space (27345) |
$3,468.66 |
$15,081.15 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,468.18 |
$6,383.39 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,592.54 |
$6,924.10 |
0.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,391.23 |
$6,048.83 |
0.9× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,963.59 |
$8,537.34 |
1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,192.29 |
$5,183.89 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,111.34 |
$9,179.74 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$1,617.24 |
$7,031.49 |
0.6× |
| Excision/destruction intranasal lesion int appr (30117) |
$871.24 |
$3,788 |
0.3× |
| Excision; trochanteric bursa or calcification (27062) |
$4,260.60 |
$18,524.34 |
1.4× |
| Explo/Drain Breast Abscess (19020) |
$1,544.41 |
$6,714.84 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,816.55 |
$7,898.03 |
0.6× |
| Fetal non-stress test (59025) |
$98.67 |
$429 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$402.50 |
$1,750 |
1.1× |
| Fluoro exam of g/colon tube (49465) |
$137.54 |
$598 |
0.6× |
| Fna bx w/us gdn 1st les (10005) |
$355.35 |
$1,545 |
0.6× |
| Fuse hand bones with graft (25825) |
$9,645.97 |
$41,939.02 |
1.5× |
| Fusion Finger Joint (26860) |
$4,197.26 |
$18,248.95 |
1.4× |
| Gastrocnemius recession (27687) |
$3,790.12 |
$16,478.76 |
1.3× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$3,483.89 |
$15,147.33 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$196.88 |
$856 |
0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,067.41 |
$13,336.57 |
1.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,548.76 |
$6,733.75 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,604.66 |
$6,976.79 |
0.6× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$261.05 |
$1,135 |
0.3× |
| Hemorrhoidopexy by stapling (46947) |
$2,825.88 |
$12,286.45 |
1.1× |
| Hysteroscopy Biopsy (58558) |
$1,641.35 |
$7,136.29 |
0.6× |
| Hysteroscopy Endometrial Ablation (58563) |
$2,820.83 |
$12,264.46 |
0.6× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$104.19–$220.11 |
$453–$957 |
varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$857.21 |
$3,727 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,292.02 |
$5,617.48 |
0.4× |
| I&d perianal abscess superficial (46050) |
$192.05 |
$835 |
0.2× |
| I&d pilonidal cyst complicated (10081) |
$326.83 |
$1,421 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$123.28 |
$536 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$1,258.56 |
$5,472 |
0.8× |
| Implant cochlear device (69930) |
$32,644.14 |
$141,931.05 |
1.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$17,783.87 |
$77,321.19 |
1.0× |
| Incise external hemorrhoid (46083) |
$2,116.04 |
$9,200.18 |
9.4× |
| Incise finger tendon sheath (26055) |
$1,093.47 |
$4,754.22 |
0.8× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$201.94–$281.52 |
$878–$1,224 |
varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,111.54 |
$9,180.63 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$867.79 |
$3,773 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$199.64 |
$868 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$130.18 |
$566 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$130.18 |
$566 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$1,443.55 |
$6,276.31 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$789.13 |
$3,431 |
0.6× |
| Incision of rectal abscess (46040) |
$1,539.39 |
$6,693 |
1.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,333.54 |
$5,798 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$431.94 |
$1,878 |
0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$65.32 |
$284 |
0.4× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$312.80–$625.60 |
$1,360–$2,720 |
varies |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines |
$312.80–$625.60 |
$1,360–$2,720 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$271.86 |
$1,182 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$955.19 |
$4,153 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$625.37 |
$2,719 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$207.23 |
$901 |
0.3× |
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines |
$43.01–$207.23 |
$187–$901 |
varies |
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines |
$246.10–$496.80 |
$1,070–$2,160 |
varies |
| Injection for identification of sentinel node (38792) |
$271.86 |
$1,182 |
0.8× |
| Injection single tendon origin/insertion (20551) |
$101.20 |
$440 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$101.20 |
$440 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$101.20 |
$440 |
0.4× |
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines |
$90.62–$101.20 |
$394–$440 |
varies |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$223.79 |
$973 |
0.3× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$241.50–$410.32 |
$1,050–$1,784 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
$207.23–$523.94 |
$901–$2,278 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$60.26 |
$262 |
0.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$485.99 |
$2,113 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$271.86 |
$1,182 |
2.3× |
| Insert cath pleura w/ image (32557) |
$508.30 |
$2,210 |
0.4× |
| Insert cath pleura w/o image (32556) |
$441.60 |
$1,920 |
0.3× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$43.70 |
$190 |
0.0× |
| Insert non-tunnel cv cath (36556) |
$659.41 |
$2,867 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$961.63 |
$4,181 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$96.60 |
$420 |
0.8× |
| Insert tunneled cv cath (36561) |
$2,221.57 |
$9,659 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$66.93 |
$291 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,448.51 |
$10,645.71 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,040.75 |
$4,525 |
0.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$446.43 |
$1,941 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,943 |
$8,447.82 |
0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$961.63 |
$4,181 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,846.78 |
$12,377.30 |
1.0× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,188.87 |
$5,169 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$222.18 |
$966 |
0.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$222.18 |
$966 |
0.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,368.04 |
$5,948 |
0.5× |
| Intro cath dialysis circuit (36901) |
$3,026.43 |
$13,158.38 |
2.1× |
| Intubation endotracheal emergency procedure (31500) |
$197.11 |
$857 |
0.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$147.43 |
$641 |
0.7× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$126.50 |
$550 |
3.5× |
| Knee Arthroscopy/Surgery (29874) |
$3,558.69 |
$15,472.55 |
1.2× |
| Lam facetec & foramot lumbar (63047) |
$5,728.38 |
$24,906 |
0.9× |
| Lap paraesoph her rpr w/mesh (43282) |
$10,867.81 |
$47,251.33 |
1.1× |
| Lap paraesophag hern repair (43281) |
$9,220.22 |
$40,087.90 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,657.25 |
$28,944.55 |
1.2× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$8,814.38 |
$38,323.39 |
0.9× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$8,211.53 |
$35,702.31 |
0.9× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,754.63 |
$29,367.95 |
1.2× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,385.05 |
$32,108.93 |
1.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$9,465.95 |
$41,156.32 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$6,935.51 |
$30,154.39 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,312.57 |
$23,098.12 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,674.62 |
$29,020.08 |
1.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$5,321.94 |
$23,138.85 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,991.85 |
$21,703.71 |
0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,802.64 |
$20,881.05 |
0.9× |
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines |
$143.06–$172.04 |
$622–$748 |
varies |
| Laryngoscopy W/Biopsy (31535) |
$2,261.78 |
$9,833.83 |
0.7× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$2,228.27 |
$9,688.12 |
0.7× |
| Larynscop w/tumr exc + scope (31541) |
$2,287.66 |
$9,946.34 |
0.7× |
| Late closure of wound (13160) |
$2,021.93 |
$8,791 |
0.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$5,311.17 |
$23,092.03 |
1.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,979.25 |
$12,953.27 |
0.9× |
| Low Back Disk Surgery (63030) |
$4,645.04 |
$20,195.85 |
0.7× |
| Manipulation knee joint under general anesthesia (27570) |
$977.63 |
$4,250.56 |
0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,026 |
$4,460.86 |
0.7× |
| Mast mod rad (19307) |
$6,361.57 |
$27,659 |
1.1× |
| Mastectomy for gynecomastia (19300) |
$1,719.92 |
$7,477.91 |
0.5× |
| Mastectomy partial (19301) |
$4,665.19 |
$20,283.45 |
1.3× |
| Mastectomy simple complete (19303) |
$4,064.54 |
$17,671.93 |
0.7× |
| Myelography Lumbar Injection (62304) |
$748.42 |
$3,254 |
1.1× |
| Myringoplasty (69620) |
$1,009.84 |
$4,390.59 |
0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$410.32 |
$1,784 |
0.6× |
| N block inj intercost sng (64420) |
$207.23 |
$901 |
0.3× |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
$312.80–$625.60 |
$1,360–$2,720 |
varies |
| Nasal Endoscopy Dx (31231) |
$240.81 |
$1,047 |
1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$70.38 |
$306 |
0.2× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$5,912.52 |
$25,706.62 |
1.8× |
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines |
$1,736.96–$3,473.92 |
$7,552–$15,104 |
varies |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$5,427.66 |
$23,598.54 |
0.8× |
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines |
$736–$1,885.08 |
$3,200–$8,196 |
varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$240.81 |
$1,047 |
9.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$240.81 |
$1,047 |
9.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,545.08 |
$11,065.55 |
1.4× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$248.40 |
$1,080 |
0.3× |
| Nfct agt sti mult amp prb tq vag endocrv/male ur (0402U) |
$90.39 |
$393 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$263.58 |
$1,146 |
0.6× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,353.82 |
$10,234 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$312.80 |
$1,360 |
0.4× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines |
$45.77–$273.93 |
$199–$1,191 |
varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$433.55 |
$1,885 |
0.1× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$312.80–$625.60 |
$1,360–$2,720 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$775.10 |
$3,370 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$312.80 |
$1,360 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$277.73 |
$1,207.50 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$775.10 |
$3,370 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$539.81 |
$2,347 |
0.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$721.28 |
$3,136 |
1.1× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$6,996.58 |
$30,419.92 |
1.1× |
Occipital Nerve Block (64405)
range across 4 matching MRF lines |
$72.22–$414.46 |
$314–$1,802 |
varies |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,296.17 |
$9,983.34 |
0.6× |
| Open Repair of Rotator Cuff Acute (23410) |
$5,084.06 |
$22,104.60 |
0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,706.33 |
$29,157.98 |
1.0× |
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure |
$5,263.68 |
$22,885.55 |
0.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,428.14 |
$19,252.79 |
0.7× |
| Open treatment metacarpophalangeal dislocation (26715) |
$2,256.07 |
$9,809 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$7,958.54 |
$34,602.36 |
1.2× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$13,710.39 |
$59,610.39 |
2.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$13,676.59 |
$59,463.43 |
1.2× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$12,211.66 |
$53,094.17 |
1.9× |
| Open Treatment Proximal Humeral Fracture (23615) |
$25,716.10 |
$111,809.13 |
2.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,053.44 |
$8,928 |
0.7× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$28,138.83 |
$122,342.72 |
2.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$6,788.13 |
$29,513.62 |
2.3× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$29,950.14 |
$130,217.99 |
4.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$11,215.24 |
$48,761.93 |
1.7× |
| Open tx ulnar fx proximal end (24685) |
$8,459.59 |
$36,780.81 |
1.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$5,986.49 |
$26,028.24 |
0.9× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$6,923.40 |
$30,101.76 |
0.6× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$12,039.72 |
$52,346.62 |
1.8× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,386.80 |
$14,725.20 |
1.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$1,815.67 |
$7,894.20 |
0.6× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$6,530.55 |
$28,393.70 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$5,831.12 |
$25,352.70 |
1.1× |
| Partial removal of thyroid (60220) |
$6,031.26 |
$26,222.87 |
1.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,493.33 |
$6,492.74 |
0.5× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$2,267.25 |
$9,857.59 |
0.8× |
| Pericardiocentesis W/Imaging (33016) |
$174.34 |
$758 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$74.06 |
$322 |
0.1× |
| Perq device breast 1st imag (19281) |
$194.12 |
$844 |
0.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$661.02 |
$2,874 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,954.83 |
$17,194.91 |
1.3× |
| Phalangectomy toe each toe (28150) |
$3,559.84 |
$15,477.56 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$109.48 |
$476 |
0.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$6,336.66 |
$27,550.68 |
1.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$405.26 |
$1,762 |
0.5× |
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
unusually low: confirm this is the full procedure |
$2,762.08 |
$12,009.03 |
0.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$207.23 |
$901 |
0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,602.37 |
$11,314.65 |
0.9× |
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines |
$301.07–$310.04 |
$1,309–$1,348 |
varies |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$69.69–$163.30 |
$303–$710 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$301.07 |
$1,309 |
0.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$804.77 |
$3,499 |
1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,001.88 |
$4,356 |
0.6× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$7,266.66 |
$31,594.17 |
2.5× |
| Re-explore parathyroids (60502) |
$5,475.75 |
$23,807.63 |
1.0× |
| Release of big toe (28240) |
$1,129.07 |
$4,909 |
0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,601.72 |
$6,964 |
0.6× |
| Removal Foreign Body Foot Complicated (28193) |
$568.10 |
$2,470 |
0.4× |
| Removal foreign body foot deep (28192) |
$1,730.01 |
$7,521.78 |
1.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$218.50 |
$950 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,757.78 |
$7,642.54 |
1.2× |
| Removal Foreign Body Scrotum (55120) |
$1,987.43 |
$8,641 |
1.0× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$51.06–$140.30 |
$222–$610 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$33.35–$172.04 |
$145–$748 |
varies |
| Removal Implant Deep (20680) |
$2,076.12 |
$9,026.60 |
0.8× |
| Removal of adenoids (42830) |
$1,601.49 |
$6,963.01 |
0.5× |
| Removal of foreign body from pharynx (42809) |
$16.10 |
$70 |
0.0× |
| Removal of nail bed (11750) |
$420.67 |
$1,829 |
1.1× |
| Removal of sperm cord lesion (55520) |
$6,900.99 |
$30,004.29 |
2.2× |
| Removal of testis (54520) |
$1,830.96 |
$7,960.68 |
0.6× |
| Removal of tonsils (42826) |
$1,630.64 |
$7,089.73 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$81.19 |
$353 |
0.4× |
| Removal sweat gland lesion (11450) |
$5,161.81 |
$22,442.64 |
2.0× |
| Remove foreign body from eye (65205) |
$65.32 |
$284 |
0.5× |
| Remove Nasal Foreign Body (30300) |
$32.43 |
$141 |
0.3× |
| Remove prostate regrowth (52630) |
$3,675.82 |
$15,981.84 |
0.8× |
| Remove Shoulder Foreign Body (23330) |
$568.10 |
$2,470 |
0.4× |
| Remove Tendon Sheath Lesion (26160) |
$1,437.63 |
$6,250.56 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,263.16 |
$5,492 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$348.22 |
$1,514 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$348.22 |
$1,514 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$222.18 |
$966 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$348.22 |
$1,514 |
0.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$222.18 |
$966 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$222.18 |
$966 |
0.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$348.22 |
$1,514 |
0.5× |
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines |
$315.79–$348.22 |
$1,373–$1,514 |
varies |
| Repair Hand Joint (26540) |
$2,893.78 |
$12,581.66 |
1.0× |
| Repair Hand Tendon (26410) |
$2,263.40 |
$9,840.86 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,769.62 |
$16,389.65 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$222.18 |
$966 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$222.18 |
$966 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$222.18 |
$966 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$75.90 |
$330 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$222.18 |
$966 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$94.07 |
$409 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$222.18 |
$966 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$222.18 |
$966 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$391.92 |
$1,704 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$222.18 |
$966 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$222.18 |
$966 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$222.18 |
$966 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$251.62 |
$1,094 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$222.18 |
$966 |
0.1× |
| Repair of nail bed (11760) |
$83.95 |
$365 |
0.1× |
| Repair of Ruptured Tendon (24342) |
$5,580.04 |
$24,261.05 |
0.8× |
| Repair Rotator Cuff Chronic (23412) |
$8,777.92 |
$38,164.89 |
1.3× |
| Repair tongue laceration (41250) |
$391.92 |
$1,704 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$195.27 |
$849 |
0.2× |
| Replace g/c tube perc (49450) |
$219.88 |
$956 |
0.3× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$1,980.18 |
$8,609.46 |
0.7× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$16,607.03 |
$72,204.47 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$65.32 |
$284 |
0.2× |
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines |
$81.42–$162.84 |
$354–$708 |
varies |
| Rmvl fecal impaction/fb spx under anes (45915) |
$281.98 |
$1,226 |
0.3× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$957.26 |
$4,162 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$630.20 |
$2,740 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$931.95 |
$4,051.94 |
1.6× |
| Rplc Gtube No Revj Trc (43762) |
$126.27 |
$549 |
0.6× |
| Rplc gtube revj gstrst trc (43763) |
$308.20 |
$1,340 |
1.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$673.67 |
$2,929 |
0.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,529.67 |
$24,042.03 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,107.90 |
$13,512.59 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,127.09 |
$26,639.53 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,327.60 |
$18,815.67 |
0.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$5,670.79 |
$24,655.63 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$3,096.16 |
$13,461.58 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$240.81 |
$1,047 |
1.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$222.18 |
$966 |
0.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$501.86 |
$2,182 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$689.77 |
$2,999 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$215.74 |
$938 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$458.62 |
$1,994 |
0.4× |
| Shorten radius & ulna (25392) |
$4,314.42 |
$18,758.33 |
0.7× |
| Shoulder arthroscopy diagnostic (29805) |
$6,165.16 |
$26,805.04 |
2.1× |
| Sigmoidoscopy & decompress (45337) |
$458.62 |
$1,994 |
0.5× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$458.62 |
$1,994 |
0.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$215.74 |
$938 |
0.3× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$458.62 |
$1,994 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$75.90 |
$330 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$75.90 |
$330 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$75.90 |
$330 |
0.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$75.90 |
$330 |
0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$75.90 |
$330 |
0.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$222.18 |
$966 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$75.90 |
$330 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$75.90 |
$330 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$75.90 |
$330 |
0.4× |
| Skin sub graft face/nk/hf/g (15275) |
$3,394.97 |
$14,760.74 |
5.1× |
| Skin sub grft t/arm/lg child (15273) |
$3,003.57 |
$13,059 |
1.6× |
| Skn sub grft f/n/hf/g child (15277) |
$1,687.74 |
$7,338 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,582.32 |
$19,923.15 |
1.0× |
| Small bowel endoscopy (44366) |
$441.60 |
$1,920 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$75.90 |
$330 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$391.92 |
$1,704 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$75.90 |
$330 |
0.2× |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
$156.40–$405.49 |
$680–$1,763 |
varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$1,778.62 |
$7,733.14 |
0.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$10,419.10 |
$45,300.45 |
5.6× |
| Strapping knee (29530) |
$56.81 |
$247 |
0.5× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$133.86–$267.72 |
$582–$1,164 |
varies |
| Subcutaneous Hormone Pellet Implantation (11980) |
$240.81 |
$1,047 |
0.6× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,162.86 |
$13,751.57 |
1.1× |
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure |
$3,186.85 |
$13,855.89 |
0.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,359.33 |
$5,910.15 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$725.88 |
$3,156 |
2.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$1,523.29 |
$6,623.02 |
0.5× |
| Tenodesis long tendon biceps (23430) |
$6,856.40 |
$29,810.43 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,129.07 |
$4,909 |
0.8× |
| Therapeutic plasma exchange (36514) |
$654.35 |
$2,845 |
0.5× |
| Thyroid biopsy (60100) |
$259.90 |
$1,130 |
0.4× |
| Thyroidectomy, total or complete (60240) |
$6,920.15 |
$30,087.61 |
1.3× |
| Tnot elbow lateral/medial debride open (24358) |
$1,443.88 |
$6,277.76 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,998.98 |
$8,691.20 |
0.7× |
| Total Knee Arthroplasty (27447) |
$12,768.74 |
$55,516.27 |
1.1× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$6,036.77 |
$26,246.84 |
1.1× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$769.58 |
$3,346 |
1.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$491.28 |
$2,136 |
0.3× |
| Transur electr resection of prostate (52601) |
$3,321.07 |
$14,439.45 |
0.7× |
| Treat Elbow Fracture (24635) |
$10,574.26 |
$45,975.05 |
1.6× |
| Treat Finger Fracture Each (26727) |
$2,045.94 |
$8,895.40 |
0.7× |
| Treat fracture radius/ulna (25575) |
$8,209.42 |
$35,693.13 |
1.2× |
| Treat Fx Rad Extra-Articul (25607) |
$8,422.95 |
$36,621.52 |
1.3× |
| Treat Hip Socket Fracture (27222) |
$411.01 |
$1,787 |
1.8× |
| Treat humerus fracture (24500) |
$90.62 |
$394 |
0.4× |
| Treat Humerus Fracture (24505) |
$181.01 |
$787 |
0.1× |
| Treat knee fracture (27532) |
$1,829.42 |
$7,954 |
0.6× |
| Treat Knuckle Dislocation (26700) |
$90.62 |
$394 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$281.52 |
$1,224 |
1.3× |
| Treat Thumb Dislocation (26641) |
$281.52 |
$1,224 |
1.3× |
| Treat Thumb Fracture (26645) |
$90.62 |
$394 |
0.1× |
| Treat toe dislocation (28630) |
$90.62 |
$394 |
0.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$754.63 |
$3,281 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$181.01 |
$787 |
0.8× |
| Trim skin lesion (11055) |
$48.30 |
$210 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$64.86 |
$282 |
0.4× |
| Trim skin lesions over 4 (11057) |
$86.94 |
$378 |
0.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$48.99 |
$213 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
$43.70 |
$190 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$358.57 |
$1,559 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$228.62 |
$994 |
0.6× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$1,389.12 |
$6,039.65 |
1.0× |
| Tympanoplasty (69631) |
$2,976.23 |
$12,940.15 |
0.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$7,986.29 |
$34,723.02 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$6,160.21 |
$26,783.54 |
1.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$5,549.87 |
$24,129.87 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$5,275.73 |
$22,937.96 |
1.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$4,151.79 |
$18,051.28 |
0.8× |
| Tympanostomy general anesthesia (69436) |
$1,470.69 |
$6,394.32 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$11,265.24 |
$48,979.30 |
2.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$5,677.15 |
$24,683.25 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$2,411.35 |
$10,484.12 |
10.8× |
| Unlisted procedure femur or knee (27599) |
$854.33 |
$3,714.47 |
3.8× |
| Unlisted Procedure Intestine (44799) |
$318.32 |
$1,384 |
0.4× |
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines |
$86.25–$405.26 |
$375–$1,762 |
varies |
| Unlisted Procedure Vascular Surgery (37799) |
$9.66 |
$42 |
0.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,219.85 |
$5,303.71 |
0.6× |
| Wedge excision skin nail fold (11765) |
$89.01 |
$387 |
0.2× |
| Wound Prep F/N/Hf/G (15004) |
$523.94 |
$2,278 |
1.4× |
| Wound Prep Trk/Arm/Leg (15002) |
$510.83 |
$2,221 |
0.8× |