| Abd paracentesis w/imaging (49083) |
$678.72 |
$2,121 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$678.72 |
$2,121 |
0.8× |
| Ablate inf turbinate submuc (30802) |
$1,018.56 |
$3,183 |
0.7× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$6,864.96 |
$21,453 |
0.7× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$3,907.20 |
$12,210 |
0.2× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$6,015.04 |
$18,797 |
0.6× |
Ablation ther 1+ pulm tumors perq cryoablation (32994)
unusually low: confirm this is the full procedure |
$4,093.76 |
$12,793 |
0.4× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$1,018.56 |
$3,183 |
0.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$6,306.88 |
$19,709 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$5,174.40 |
$16,170 |
0.9× |
| Abrasion single lesion (15786) |
$111.36 |
$348 |
0.6× |
| Acne Surgery (10040) |
$141.44 |
$442 |
0.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$186.56 |
$583 |
0.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,286.72 |
$7,146 |
0.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,696.32 |
$5,301 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,286.72 |
$7,146 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,286.72 |
$7,146 |
1.2× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$675.84 |
$2,112 |
0.4× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
— |
$21,218.10 |
— |
| Allogeneic lymphocyte infusions (38242) |
$1,518.08 |
$4,744 |
1.1× |
| Amniocentesis diagnostic (59000) |
$242.88 |
$759 |
0.3× |
| Amniocentesis therapeutic (59001) |
$453.44 |
$1,417 |
1.6× |
| Amputation Finger/Thumb (26951) |
$1,965.76 |
$6,143 |
0.7× |
| Amputation metatarsal with toe single (28810) |
— |
$17,828.63 |
— |
| Amputation of finger/thumb (26952) |
$1,638.08 |
$5,119 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$1,407.68 |
$4,399 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$12,311.94 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$17,550.79 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$14,590.90 |
— |
| Analyze infusn pump+reprogram (62368) |
$320.32 |
$1,001 |
1.2× |
| Analyze spine infus pump (62367) |
$320.32 |
$1,001 |
1.2× |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$37,157.66 |
— |
| Anosc rmvl mult tumors cautery/snare (46612) |
$2,188.16 |
$6,838 |
0.9× |
| Anoscopy (46611) |
$867.84 |
$2,712 |
1.0× |
| Anoscopy Ablation Lesion (46615) |
$2,188.16 |
$6,838 |
0.9× |
| Anoscopy control bleeding (46614) |
$615.68 |
$1,924 |
0.6× |
| Anoscopy diagnostic (46600) |
$80.32 |
$251 |
0.7× |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
$265.28 |
$829 |
0.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,111.36 |
$6,598 |
1.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$867.84 |
$2,712 |
1.0× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,041.28 |
$3,254 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$615.68 |
$1,924 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$17,077.70 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$20,976.34 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$77,698.22 |
— |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$848.96 |
$2,653 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$225.60 |
$705 |
1.5× |
| Application cast elbow finger short arm (29075) |
$108.48 |
$339 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$62.08 |
$194 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$108.48 |
$339 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$25.60 |
$80 |
0.5× |
| Application finger splint static (29130) |
$112.96 |
$353 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$240 |
$750 |
1.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$173.28 |
$541.50 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$240 |
$750 |
1.6× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$120,328.79 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
$162.72 |
$508.50 |
0.6× |
| Application of long leg cast (29345) |
$108.48 |
$339 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$418.56 |
$1,308 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$48.32 |
$151 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$183.68 |
$574 |
1.5× |
| Application short leg splint calf foot (29515) |
$240 |
$750 |
1.6× |
| Application, cast; figure-of-eight (29049) |
$84.16 |
$263 |
0.3× |
| Apply multlay comprs arm/hand (29584) |
$140.80 |
$440 |
1.0× |
| Apply of clubfoot cast (29450) |
$93.12 |
$291 |
0.6× |
| Apply short leg cast (29405) |
$108.48 |
$339 |
0.4× |
| Apply short leg cast (29425) |
$108.48 |
$339 |
0.4× |
| Arterial puncture (36600) |
$21.44 |
$67 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$149.76 |
$468 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$637.92 |
$1,993.50 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$8,159.29 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$637.92 |
$1,993.50 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$149.76 |
$468 |
0.5× |
| Arthrodesis ankle open (27870) |
— |
$124,754.16 |
— |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
— |
$63,343 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$37,986.56 |
— |
| Arthrodesis sacroiliac joint percutaneous (27279) |
— |
$55,848.28 |
— |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
— |
$96,962.88 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$42,385.61 |
— |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
— |
$50,109.69 |
— |
| Arthrodesis; subtalar (28725) |
— |
$50,184.78 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$91,732.33 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$59,147.29 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$48,555.13 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$62,720.42 |
— |
| Arthroscopy ankle; ext debridem (29898) |
— |
$26,159.61 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$21,614.40 |
— |
| Arthroscopy of joint (29999) |
$3,352.32 |
$10,476 |
15.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$18,570.53 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$23,079.73 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$30,359.92 |
— |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
— |
$116,118.99 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
— |
$55,253.50 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
— |
$38,137.58 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$22,764.65 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$22,173.68 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$37,331.52 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$37,261.29 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$45,757.22 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$25,852.29 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$28,011.56 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$37,729.17 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$42,774.75 |
— |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
— |
$24,210.33 |
— |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
— |
$24,193.41 |
— |
| Arthrtomy w/bx interphalangeal joint (28054) |
$2,480.96 |
$7,753 |
0.8× |
| Aspir/inj thyroid cyst (60300) |
$485.44 |
$1,517 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$285.44 |
$892 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,705.60 |
$8,455 |
1.4× |
| Aspiration bladder needle (51100) |
$234.24 |
$732 |
1.0× |
| Autochondrocyte implant knee (27412) |
— |
$38,230.69 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
$4,638.72 |
$14,496 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$133.76 |
$418 |
0.7× |
| Axillary lymphadenectomy; complete (38745) |
— |
$21,564.80 |
— |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,664.32 |
$5,201 |
1.5× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure |
$1,986.88 |
$6,209 |
0.3× |
Biliary Endoscopy Percut,Dil Strict (47555)
unusually low: confirm this is the full procedure |
$1,986.88 |
$6,209 |
0.3× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$1,986.88 |
$6,209 |
0.2× |
| Biopsy Bone Open Deep (20245) |
$2,459.84 |
$7,687 |
0.9× |
| Biopsy bone open superficial (20240) |
$2,459.84 |
$7,687 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$872.64 |
$2,727 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$521.60 |
$1,630 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$2,045.28 |
$6,391.50 |
0.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$544 |
$1,700 |
0.7× |
| Biopsy external auditory canal (69105) |
$1,588.80 |
$4,965 |
1.1× |
| Biopsy external ear (69100) |
$521.60 |
$1,630 |
2.4× |
| Biopsy intranasal (30100) |
$1,018.56 |
$3,183 |
0.7× |
| Biopsy muscle deep (20205) |
— |
$9,816.06 |
— |
| Biopsy muscle percutaneous needle (20206) |
$450.56 |
$1,408 |
0.3× |
| Biopsy of epididymis (54800) |
$521.92 |
$1,631 |
0.3× |
| Biopsy of eyelid lining (68100) |
$1,924.32 |
$6,013.50 |
0.9× |
| Biopsy of floor of mouth (41108) |
$1,059.20 |
$3,310 |
0.7× |
| Biopsy of lacrimal gland (68510) |
$1,924.32 |
$6,013.50 |
0.9× |
| Biopsy of lip (40490) |
$272 |
$850 |
1.3× |
| Biopsy of mouth lesion (40808) |
$272 |
$850 |
0.6× |
| Biopsy of nail unit (11755) |
$521.60 |
$1,630 |
0.8× |
| Biopsy of palate, uvula (42100) |
$1,059.20 |
$3,310 |
0.8× |
| Biopsy of penis (54100) |
$1,633.92 |
$5,106 |
1.1× |
| Biopsy of tongue (41100) |
$1,059.20 |
$3,310 |
2.2× |
| Biopsy of urethra (53200) |
$1,935.04 |
$6,047 |
1.0× |
| Biopsy of uterus lining (58100) |
$165.12 |
$516 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,364.32 |
$10,513.50 |
0.9× |
| Biopsy Oropharynx (42800) |
$1,751.04 |
$5,472 |
1.2× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$654.08 |
$2,044 |
0.4× |
| Biopsy pleura percutaneous needle (32400) |
$754.56 |
$2,358 |
0.5× |
| Biopsy Salivary Gland Incisional (42405) |
$1,751.04 |
$5,472 |
1.2× |
| Biopsy Salivary Gland,Needle (42400) |
$468.48 |
$1,464 |
0.7× |
| Biopsy soft tissue neck/thorax (21550) |
$1,570.88 |
$4,909 |
1.1× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,122.88 |
$3,509 |
0.8× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,476.16 |
$4,613 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,883.52 |
$5,886 |
1.3× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$629.12 |
$1,966 |
0.4× |
| Biopsy Testis Needle Separate Procedure (54500) |
$1,047.04 |
$3,272 |
0.4× |
| Biopsy tongue posterior one-third (41105) |
$1,251.84 |
$3,912 |
0.4× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,249.92 |
$7,031 |
0.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$544 |
$1,700 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
— |
$25,078.11 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$30,831.72 |
— |
| Bl exchange/transfuse nb (36450) |
$381.76 |
$1,193 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$341.76 |
$1,068 |
0.5× |
| Bladder Irrigation Simple (51700) |
$152 |
$475 |
0.7× |
| Bladder Scan (51798) |
$80.32 |
$251 |
1.5× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,024 |
$6,325 |
1.4× |
| Blood patch (62273) |
$237.76 |
$743 |
0.4× |
| Blood transfusion service (36430) |
$185.92 |
$581 |
0.5× |
| Blood/Lymph System Procedure (38999) |
$381.76 |
$1,193 |
1.0× |
| Bone marrow aspiration only (38220) |
$782.88 |
$2,446.50 |
0.5× |
| Bone Marrow Biopsy (38221) |
$782.88 |
$2,446.50 |
0.5× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$348.48 |
$1,089 |
0.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,182.08 |
$3,694 |
0.7× |
| Brnchsc removal bronchial valve initial (31648) |
$3,970.24 |
$12,407 |
1.2× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,774.08 |
$8,669 |
0.8× |
| Bronch ebus samplng 1/2 node (31652) |
$4,006.40 |
$12,520 |
1.2× |
| Bronch ebus samplng 3/> node (31653) |
$3,338.56 |
$10,433 |
1.0× |
Bronch Thermoplsty 1 Lobe (31660)
unusually low: confirm this is the full procedure |
$2,635.20 |
$8,235 |
0.4× |
Bronchial thermoplasty 2 or more lobes (31661)
unusually low: confirm this is the full procedure |
$2,635.20 |
$8,235 |
0.4× |
| Bronchial Valve Init Insert (31647) |
$3,648 |
$11,400 |
0.6× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,182.08 |
$3,694 |
0.7× |
| Bronchoscopy dilate/fx repr (31630) |
$2,774.08 |
$8,669 |
0.8× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,182.08 |
$3,694 |
0.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,182.08 |
$3,694 |
0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,182.08 |
$3,694 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,106.56 |
$3,458 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$553.28 |
$1,729 |
1.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$1,182.08 |
$3,694 |
0.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,182.08 |
$3,694 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$654.08 |
$2,044 |
0.4× |
| Bx anorectal wall anal approach (45100) |
$2,364.48 |
$7,389 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$825.60 |
$2,580 |
0.6× |
| Bx breast 1st lesion strtctc (19081) |
$550.40 |
$1,720 |
0.4× |
| Bx breast 1st lesion us imag (19083) |
$825.60 |
$2,580 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$450.56 |
$1,408 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$542.40 |
$1,695 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$675.84 |
$2,112 |
0.5× |
| Canthotomy Separate Procedure (67715) |
$1,887.36 |
$5,898 |
0.9× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$13,111.82 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$20,727.74 |
— |
| Capsulorrhaphy anterior w/labral repair (23455) |
— |
$67,202.04 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$21,709.80 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
$101.44 |
$317 |
0.5× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$311.36 |
$973 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,700.16 |
$8,438 |
0.9× |
| Cerv artific diskectomy (22856) |
— |
$60,432.75 |
— |
| Cessj Therapy Cath Removal (37214) |
$3,528 |
$11,025 |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$904.64 |
$2,827 |
1.4× |
| Change Cystostomy Tube Simple (51705) |
$292.48 |
$914 |
1.3× |
| Change g-tube to g-j perc (49446) |
$1,189.76 |
$3,718 |
0.7× |
| Change Ureter Stent, Percut (50382) |
$2,428.80 |
$7,590 |
1.3× |
| Chemical Cautery Tissue (17250) |
$133.76 |
$418 |
0.7× |
| Chemical peel facial epidermal (15788) |
$416.64 |
$1,302 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$712 |
$2,225 |
1.1× |
| Chemodenerv 1 extremity 1-4 (64642) |
$712 |
$2,225 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$610.56 |
$1,908 |
2.2× |
| Chemodenervation internal anal sphincter (46505) |
$458.24 |
$1,432 |
0.4× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$1,068 |
$3,337.50 |
1.7× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$285.44 |
$892 |
1.0× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$388.48 |
$1,214 |
1.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$428.16 |
$1,338 |
1.5× |
| Chest tube placement (32551) |
$699.84 |
$2,187 |
0.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$80.64 |
$252 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$753.92 |
$2,356 |
0.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,687.68 |
$11,524 |
1.1× |
| Chorionic villus sampling (59015) |
$242.88 |
$759 |
0.3× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$1,496.16 |
$4,675.50 |
0.7× |
| Circum 28 days or older (54161) |
$1,482.88 |
$4,634 |
0.8× |
| Circumcision (54150) |
$502.40 |
$1,570 |
0.3× |
| Circumcision Neonate (54160) |
$502.40 |
$1,570 |
0.8× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$348.48 |
$1,089 |
1.3× |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
$290.56 |
$908 |
1.0× |
| Claviculectomy; partial (23120) |
— |
$32,679.82 |
— |
| Clean out mastoid cavity (69222) |
$3,030.24 |
$9,469.50 |
6.2× |
| Clearance of tear duct (68530) |
$409.44 |
$1,279.50 |
1.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$432.64 |
$1,352 |
0.3× |
| Close tear duct opening (68761) |
$361.92 |
$1,131 |
1.3× |
| Close Tear Duct Opening (68760) |
$181.44 |
$567 |
0.6× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$848.96 |
$2,653 |
3.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$180.48 |
$564 |
0.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$515.52 |
$1,611 |
0.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$216.64 |
$677 |
1.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,018.56 |
$3,183 |
0.7× |
| Closed Rx Med Malleolus Fx (27760) |
$216.64 |
$677 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$515.52 |
$1,611 |
0.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$432.64 |
$1,352 |
0.3× |
| Closed rx prox/neck femur fx,manip (27232) |
$2,549.44 |
$7,967 |
1.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$432.64 |
$1,352 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$432.64 |
$1,352 |
1.9× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$515.52 |
$1,611 |
0.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$432.64 |
$1,352 |
0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$216.64 |
$677 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$216.64 |
$677 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$216.64 |
$677 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,502.08 |
$4,694 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$216.64 |
$677 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$216.64 |
$677 |
1.0× |
| Closed treat wrist dislocation (25660) |
$180.48 |
$564 |
0.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$180.48 |
$564 |
0.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,059.20 |
$3,310 |
0.4× |
| Closed treatment of broken top of shin bone at knee (27538) |
$216.64 |
$677 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$216.64 |
$677 |
1.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$216.64 |
$677 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$216.64 |
$677 |
1.0× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$2,231.04 |
$6,972 |
0.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$216.64 |
$677 |
1.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$216.64 |
$677 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$432.64 |
$1,352 |
1.9× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$515.52 |
$1,611 |
0.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$198.40 |
$620 |
0.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$324.96 |
$1,015.50 |
1.5× |
| Closed Treatment Sternum Fracture (21820) |
$180.48 |
$564 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$432.64 |
$1,352 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$216.64 |
$677 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$432.64 |
$1,352 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$216.64 |
$677 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$360.64 |
$1,127 |
1.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$216.64 |
$677 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$432.64 |
$1,352 |
0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$216.64 |
$677 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,502.08 |
$4,694 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$216.64 |
$677 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$515.52 |
$1,611 |
0.4× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$218.24 |
$682 |
0.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$216.64 |
$677 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$432.64 |
$1,352 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$512.96 |
$1,603 |
0.4× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$2,938.56 |
$9,183 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,802.56 |
$5,633 |
8.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$432.64 |
$1,352 |
1.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$216.64 |
$677 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$432.64 |
$1,352 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$216.64 |
$677 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$432.64 |
$1,352 |
0.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$216.64 |
$677 |
1.0× |
| Closed tx septal&nose fx (21337) |
$1,883.52 |
$5,886 |
0.6× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$216.64 |
$677 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$180.48 |
$564 |
0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$515.52 |
$1,611 |
0.4× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,314.88 |
$4,109 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$261.44 |
$817 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$432.64 |
$1,352 |
0.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$216.64 |
$677 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$216.64 |
$677 |
1.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$272 |
$850 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,059.20 |
$3,310 |
2.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$216.64 |
$677 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$216.64 |
$677 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$216.64 |
$677 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,018.56 |
$3,183 |
2.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$402.24 |
$1,257 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,016.80 |
$6,302.50 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$432.64 |
$1,352 |
1.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$324.96 |
$1,015.50 |
1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,802.56 |
$5,633 |
1.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$216.64 |
$677 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$432.64 |
$1,352 |
1.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$216.64 |
$677 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$515.52 |
$1,611 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$19.52 |
$61 |
0.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$216.64 |
$677 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$216.64 |
$677 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$216.64 |
$677 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$432.64 |
$1,352 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$432.64 |
$1,352 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$515.52 |
$1,611 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$432.64 |
$1,352 |
1.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$180.48 |
$564 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$515.52 |
$1,611 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$216.64 |
$677 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$216.64 |
$677 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$432.64 |
$1,352 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$216.64 |
$677 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$432.64 |
$1,352 |
0.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$216.64 |
$677 |
1.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$324.96 |
$1,015.50 |
1.5× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,883.52 |
$5,886 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$432.64 |
$1,352 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$515.52 |
$1,611 |
0.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,802.56 |
$5,633 |
7.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$216.64 |
$677 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$216.64 |
$677 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$432.64 |
$1,352 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$216.64 |
$677 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$515.52 |
$1,611 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$216.64 |
$677 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$216.64 |
$677 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$216.64 |
$677 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$216.64 |
$677 |
1.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,802.56 |
$5,633 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$432.64 |
$1,352 |
1.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$515.52 |
$1,611 |
0.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$216.64 |
$677 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$432.64 |
$1,352 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$216.64 |
$677 |
1.0× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$515.52 |
$1,611 |
0.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$515.52 |
$1,611 |
0.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$432.64 |
$1,352 |
0.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$515.52 |
$1,611 |
0.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$195.84 |
$612 |
0.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$432.64 |
$1,352 |
0.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$180.48 |
$564 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$515.52 |
$1,611 |
0.4× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,040.32 |
$3,251 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$932.48 |
$2,914 |
0.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,588.80 |
$4,965 |
1.5× |
| Colonoscopy for bleeding (44391) |
$932.48 |
$2,914 |
0.9× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,588.80 |
$4,965 |
1.5× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$932.48 |
$2,914 |
0.9× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,324.16 |
$4,138 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$932.48 |
$2,914 |
0.9× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,324.16 |
$4,138 |
1.2× |
| Colonoscopy stoma w/snare (44394) |
$1,118.72 |
$3,496 |
1.0× |
| Colonoscopy through stoma with decompression (44408) |
$593.92 |
$1,856 |
0.7× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$1,588.80 |
$4,965 |
1.5× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$1,324.16 |
$4,138 |
1.2× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$93.76 |
$293 |
0.1× |
| Colonoscopy thru stoma (44388) |
$932.48 |
$2,914 |
1.1× |
| Colonoscopy w/ablation (45388) |
$932.48 |
$2,914 |
0.9× |
| Colonoscopy w/band ligation (45398) |
$1,324.16 |
$4,138 |
1.2× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,118.72 |
$3,496 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,118.72 |
$3,496 |
1.0× |
| Colonoscopy w/ndl aspir/bx (44407) |
$783.36 |
$2,448 |
0.7× |
| Colonoscopy w/resection (45390) |
$1,588.80 |
$4,965 |
0.6× |
Colonoscopy w/stent plcmt (44402)
unusually low: confirm this is the full procedure |
$1,816.96 |
$5,678 |
0.3× |
| Colonoscopy w/stent plcmt (45389) |
$3,515.52 |
$10,986 |
0.6× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
— |
$28,894.59 |
— |
| Colporrhaphy suture injury vagina (57200) |
$2,480.96 |
$7,753 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$228.48 |
$714 |
0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$311.36 |
$973 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,700.16 |
$8,438 |
0.9× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,594.56 |
$4,983 |
0.5× |
| Colposcopy entire vagina w/cervix if present (57420) |
$311.36 |
$973 |
1.1× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$311.36 |
$973 |
1.1× |
| Colposcopy vulva (56820) |
$165.12 |
$516 |
0.9× |
| Colposcopy vulva w/biopsy (56821) |
$311.36 |
$973 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$311.36 |
$973 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$311.36 |
$973 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$932.48 |
$2,914 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$932.48 |
$2,914 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$932.48 |
$2,914 |
0.9× |
| Complete replacement picc rs&i (36584) |
$1,034.56 |
$3,233 |
0.7× |
| Complex Cystometrogram (51726) |
$341.76 |
$1,068 |
1.5× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$164.16 |
$513 |
0.3× |
| Complex Drainage, Wound (10180) |
$742.40 |
$2,320 |
0.3× |
| Complex Uroflowmetry (51741) |
$152 |
$475 |
0.8× |
| Conization of cervix (57520) |
— |
$12,731.12 |
— |
| Conization of cervix (57522) |
$3,502.40 |
$10,945 |
1.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$58.24 |
$182 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$154.24 |
$482 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$154.24 |
$482 |
1.3× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$133.76 |
$418 |
0.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$168.32 |
$526 |
0.3× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
— |
$10,989 |
— |
| Conversion ext bil drg cath (47535) |
$4,378.88 |
$13,684 |
1.4× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$94,259.79 |
— |
| Convert nephrostomy catheter (50434) |
$1,055.04 |
$3,297 |
0.6× |
| Cordocentesis (59012) |
$178.24 |
$557 |
0.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,440 |
$7,625 |
1.6× |
| Corneal smear (65430) |
$233.76 |
$730.50 |
0.6× |
| Correct lid retraction (67911) |
$2,395.68 |
$7,486.50 |
1.1× |
| Correction hammertoe (28285) |
$2,088.32 |
$6,526 |
0.7× |
| Correction of bunion (28298) |
— |
$27,584.19 |
— |
| Correction of bunion (28299) |
— |
$41,481.13 |
— |
| Correction of bunion (28297) |
— |
$47,377.12 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$20,958.20 |
— |
| Cover eye w/membrane (65778) |
$1,772.64 |
$5,539.50 |
2.0× |
| Create eardrum opening (69436) |
$1,683.84 |
$5,262 |
1.2× |
| Cryotherapy of skin (17340) |
$30.08 |
$94 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$154.24 |
$482 |
1.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$154.24 |
$482 |
0.7× |
| Curettage postpartum (59160) |
$2,222.40 |
$6,945 |
0.8× |
| Curette/treat cornea (65436) |
$2,764.80 |
$8,640 |
1.3× |
| Curette/treat cornea (65435) |
$1,331.04 |
$4,159.50 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,428.80 |
$7,590 |
1.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,050.56 |
$9,533 |
1.0× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$20,147.56 |
— |
| Cysto w/destruction of lesions (52214) |
$3,050.56 |
$9,533 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,050.56 |
$9,533 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$907.20 |
$2,835 |
0.5× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
— |
$14,372.32 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$13,704.99 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$18,926.36 |
— |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$2,024 |
$6,325 |
0.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$21,443.81 |
— |
| Cysto/uretero w/lithotripsy (52356) |
$6,645.76 |
$20,768 |
1.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$16,299.56 |
— |
| Cystometrogram w/vp (51728) |
$341.76 |
$1,068 |
0.5× |
| Cystometrogram W/Vp&Up (51729) |
$284.80 |
$890 |
0.5× |
| Cystoscopy w/biopsy (52204) |
$2,428.80 |
$7,590 |
1.3× |
| Cystoscopy w/complex removal stone & stent (52315) |
$2,480.96 |
$7,753 |
1.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,428.80 |
$7,590 |
1.3× |
| Cystoscopy,insert ureteral stent (52332) |
$3,050.56 |
$9,533 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,050.56 |
$9,533 |
1.6× |
| Cystourethroscopy (52000) |
$907.20 |
$2,835 |
1.4× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,275.52 |
$7,111 |
1.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$550.40 |
$1,720 |
0.9× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$2,126.08 |
$6,644 |
0.7× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,024 |
$6,325 |
1.1× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$755.84 |
$2,362 |
0.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$2,480.96 |
$7,753 |
0.8× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,050.56 |
$9,533 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$862.40 |
$2,695 |
2.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$742.40 |
$2,320 |
0.3× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
— |
$17,594.10 |
— |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,135.36 |
$6,673 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$479.36 |
$1,498 |
0.7× |
| Debride nail 1-5 (11720) |
$94.72 |
$296 |
1.8× |
| Debride nail 6 or more (11721) |
$94.72 |
$296 |
1.8× |
| Debride skin musc at fx site (11011) |
$479.36 |
$1,498 |
0.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$160.32 |
$501 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$625.60 |
$1,955 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$982.08 |
$3,069 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,894.72 |
$5,921 |
1.3× |
| Declot vascular device (36593) |
$97.28 |
$304 |
0.3× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
— |
$19,867.20 |
— |
| Decompression of tibia nerve (28035) |
— |
$13,668.49 |
— |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$1,905.92 |
$5,956 |
1.0× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$1,146.56 |
$3,583 |
0.6× |
| Delivery placenta separate procedure (59414) |
$1,913.60 |
$5,980 |
0.7× |
| Dermabrasion segmental face (15781) |
$434.88 |
$1,359 |
0.7× |
| Dermabrasion superficial any site (15783) |
$285.76 |
$893 |
0.8× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$1,298.56 |
$4,058 |
0.4× |
| Destroy cerv/thor facet jnt (64633) |
$1,653.60 |
$5,167.50 |
0.9× |
| Destroy internal hemorrhoids (46930) |
$849.28 |
$2,654 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$2,839.20 |
$8,872.50 |
1.6× |
| Destroy nerve of eye muscle (67345) |
$802.56 |
$2,508 |
2.8× |
| Destruc retinal lesn,photocoag (67210) |
$890.40 |
$2,782.50 |
1.8× |
| Destruction anal lesion(s) (46924) |
— |
$16,414.06 |
— |
| Destruction benign lesions 15 or more (17111) |
$133.76 |
$418 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$133.76 |
$418 |
0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$463.20 |
$1,447.50 |
0.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$463.20 |
$1,447.50 |
0.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$253.92 |
$793.50 |
0.9× |
| Destruction Lesions Vulva Extensive (56515) |
$2,204.48 |
$6,889 |
1.2× |
| Destruction Lesions Vulva Simple (56501) |
$2,352 |
$7,350 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$205.76 |
$643 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$205.76 |
$643 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$218.56 |
$683 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$171.20 |
$535 |
0.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$205.76 |
$643 |
1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$205.76 |
$643 |
1.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$205.76 |
$643 |
1.1× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$188.48 |
$589 |
0.5× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$948.16 |
$2,963 |
2.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$205.76 |
$643 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$93.44 |
$292 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$133.76 |
$418 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$205.76 |
$643 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$237.12 |
$741 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$535.04 |
$1,672 |
1.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$205.76 |
$643 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,437.44 |
$4,492 |
0.8× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$526.08 |
$1,644 |
0.3× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$111.04 |
$347 |
0.6× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$122.24 |
$382 |
0.3× |
| Destruction of multiple growths of penis (54065) |
$2,204.48 |
$6,889 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$74.56 |
$233 |
0.4× |
| Destruction vaginal lesions simple (57061) |
$2,700.16 |
$8,438 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$522.88 |
$1,634 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$615.68 |
$1,924 |
0.7× |
| Dil urethra,female,subsequent (53661) |
$66.56 |
$208 |
0.6× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,970.24 |
$6,157 |
1.8× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
— |
$17,308.01 |
— |
| Dilate urethra stricture (53620) |
$2,161.28 |
$6,754 |
3.4× |
| Dilate urethra stricture (53621) |
$705.60 |
$2,205 |
3.1× |
| Dilate Urethra Stricture (53600) |
$341.76 |
$1,068 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$838.72 |
$2,621 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$577.28 |
$1,804 |
0.7× |
| Dilation Esophagus Guide Wire (43453) |
$577.28 |
$1,804 |
0.3× |
| Dilation Nasolacrimal Duct (68801) |
$233.76 |
$730.50 |
0.6× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$705.60 |
$2,205 |
6.1× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$705.60 |
$2,205 |
5.9× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
— |
$17,462.44 |
— |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$140.80 |
$440 |
0.1× |
| Division of fallopian tube (58600) |
$3,502.40 |
$10,945 |
1.2× |
| Divisn plantar fascia/muscle (28250) |
— |
$17,758.25 |
— |
| Drain bladder by trocar/cath (51101) |
$345.92 |
$1,081 |
0.4× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,048.32 |
$6,401 |
1.4× |
| Drain hand tendon sheath (26020) |
$2,231.04 |
$6,972 |
0.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$272 |
$850 |
0.4× |
| Drain outer ear canal lesion (69020) |
$190.08 |
$594 |
0.3× |
| Drain spinal cord cyst (62268) |
$348.48 |
$1,089 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$425.28 |
$1,329 |
1.5× |
| Drainage abscess/hematoma nasal int approach (30000) |
$218.24 |
$682 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$261.44 |
$817 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$190.08 |
$594 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,466.88 |
$4,584 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$190.08 |
$594 |
1.0× |
| Drainage mouth roof lesion (42000) |
$272 |
$850 |
1.3× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$226.56 |
$708 |
0.5× |
| Drainage of deep rectal abscess (45020) |
— |
$14,519.44 |
— |
| Drainage of eye (65815) |
$2,361.12 |
$7,378.50 |
1.1× |
| Drainage of eye (65800) |
$1,843.20 |
$5,760 |
0.9× |
| Drainage of eyelid abscess (67700) |
$327.68 |
$1,024 |
1.1× |
| Drainage of gum lesion (41800) |
$272 |
$850 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$1,894.72 |
$5,921 |
1.3× |
| Drainage of hydrocele (55000) |
$193.92 |
$606 |
0.3× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$1,883.52 |
$5,886 |
0.7× |
| Drainage of mouth lesion (41017) |
$882.88 |
$2,759 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$2,129.92 |
$6,656 |
1.4× |
| Drainage skenes gland abscess (53060) |
$2,322.24 |
$7,257 |
1.2× |
| Draw blood off venous device (36591) |
$99.84 |
$312 |
0.8× |
| Dressing change under anesthesia (15852) |
$189.12 |
$591 |
0.3× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$1,059.20 |
$3,310 |
2.2× |
| Drg privesical/prevesical space absc (51080) |
$1,775.36 |
$5,548 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$142.08 |
$444 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$77.44 |
$242 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$237.12 |
$741 |
1.3× |
| Dry Needling 3+ Muscles (20561) |
$36.16 |
$113 |
1.4× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$1,172.16 |
$3,663 |
0.4× |
| Dstrj lesion anus simple chemical (46900) |
$328.32 |
$1,026 |
0.9× |
| Dstrj lesion anus simple cryosurgery (46916) |
$122.24 |
$382 |
0.7× |
| Dstrj lesion anus simple surg excision (46922) |
$2,645.12 |
$8,266 |
1.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$1,960 |
$6,125 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$2,352 |
$7,350 |
1.3× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$250.56 |
$783 |
0.3× |
| Dx bone marrow bx & aspir (38222) |
$1,149.12 |
$3,591 |
0.4× |
| Dx duod intub w/asp spec (43756) |
$339.52 |
$1,061 |
0.4× |
| Dx gastr intub w/asp specs (43755) |
$145.92 |
$456 |
1.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$878.72 |
$2,746 |
0.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,037.76 |
$6,368 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$878.72 |
$2,746 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$878.72 |
$2,746 |
0.5× |
| Egd Endo Mucosal Resection (43254) |
$1,348.80 |
$4,215 |
0.8× |
| Egd endoscopic stent place (43266) |
$4,769.60 |
$14,905 |
0.9× |
| Egd flexible foreign body removal (43247) |
$878.72 |
$2,746 |
1.1× |
| Egd guide wire insertion (43248) |
$878.72 |
$2,746 |
1.1× |
| Egd injection varices (43243) |
$878.72 |
$2,746 |
0.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,054.40 |
$3,295 |
0.6× |
| Egd place gastrostomy tube (43246) |
$878.72 |
$2,746 |
0.5× |
| Egd rem tumr/polyp forcep (43250) |
$1,054.40 |
$3,295 |
0.6× |
| Egd remove lesion snare (43251) |
$878.72 |
$2,746 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$878.72 |
$2,746 |
0.5× |
| Egd tube/cath insertion (43241) |
$878.72 |
$2,746 |
0.5× |
| Egd us exam duodenum/jejunum (43259) |
$1,054.40 |
$3,295 |
0.6× |
| Egd us fine needle bx/aspir (43242) |
$1,054.40 |
$3,295 |
0.6× |
| Egd us transmural injxn/mark (43253) |
$2,037.76 |
$6,368 |
1.2× |
| Egd Varices Ligation (43244) |
$878.72 |
$2,746 |
0.5× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$1,054.40 |
$3,295 |
0.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$353.92 |
$1,106 |
1.3× |
| Embedded ip cath exit-site (49436) |
$2,032.64 |
$6,352 |
1.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$152 |
$475 |
1.3× |
| Endocervical Curettage (57505) |
$311.36 |
$973 |
0.4× |
| Endoscopic Injection/Implant (51715) |
— |
$13,010.19 |
— |
| Endoscopic us exam esoph (43237) |
$1,054.40 |
$3,295 |
0.6× |
| Endoscopy of bowel pouch (44385) |
$1,118.72 |
$3,496 |
1.3× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$986.56 |
$3,083 |
0.6× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$5,312 |
$16,600 |
0.5× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,956.80 |
$12,365 |
1.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,629.76 |
$11,343 |
1.3× |
| Endoven ther chem adhes 1st (36482) |
$3,565.76 |
$11,143 |
0.7× |
| Endovenous rf 1st vein (36475) |
$3,629.76 |
$11,343 |
1.3× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,184 |
$3,700 |
0.7× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,286.72 |
$7,146 |
1.2× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,763.52 |
$8,636 |
0.8× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,905.92 |
$5,956 |
1.0× |
| Epididymectomy unilateral (54860) |
— |
$12,861.60 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,905.92 |
$5,956 |
1.0× |
| Epidural lysis mult sessions (62263) |
$412.48 |
$1,289 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$1,594.56 |
$4,983 |
0.5× |
| Ercp Duct Stent Placement (43274) |
$3,240.96 |
$10,128 |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,433.60 |
$7,605 |
0.7× |
| Ercp ea duct/ampulla dilate (43277) |
$2,433.60 |
$7,605 |
0.7× |
Ercp lithotripsy calculi (43265)
unusually low: confirm this is the full procedure |
$2,433.60 |
$7,605 |
0.4× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,028.16 |
$6,338 |
0.6× |
| Ercp remove forgn body duct (43275) |
$2,929.60 |
$9,155 |
1.7× |
| Ercp sphincter pressure meas (43263) |
$2,028.16 |
$6,338 |
1.2× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,515.52 |
$10,986 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,889.28 |
$12,154 |
1.1× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,433.60 |
$7,605 |
0.7× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,028.16 |
$6,338 |
0.6× |
| Escharotomy initial incision (16035) |
$142.08 |
$444 |
0.4× |
| Esoph endoscopy dilation (43226) |
$878.72 |
$2,746 |
0.5× |
| Esoph optical endomicroscopy (43206) |
$1,553.60 |
$4,855 |
0.9× |
| Esoph scope w/submucous inj (43201) |
$1,054.40 |
$3,295 |
0.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$878.72 |
$2,746 |
1.1× |
| Esophagosc dilate balloon 30 (43214) |
$1,698.24 |
$5,307 |
1.0× |
| Esophagoscop mucosal resect (43211) |
$1,124.16 |
$3,513 |
0.6× |
| Esophagoscopy flex biopsy (43202) |
$1,054.40 |
$3,295 |
0.6× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$878.72 |
$2,746 |
0.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,054.40 |
$3,295 |
0.6× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$1,124.16 |
$3,513 |
1.4× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$1,124.16 |
$3,513 |
1.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,054.40 |
$3,295 |
1.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,054.40 |
$3,295 |
0.6× |
| Esophagoscopy lesion ablate (43229) |
$3,959.68 |
$12,374 |
1.1× |
| Esophagoscopy Retro Balloon (43213) |
$1,698.24 |
$5,307 |
1.0× |
| Esophagoscopy Rigid Balloon (43195) |
$1,698.24 |
$5,307 |
0.5× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$1,698.24 |
$5,307 |
1.0× |
| Esophagoscopy rigid trnso dx (43191) |
$1,124.16 |
$3,513 |
0.6× |
| Esophagoscopy Transoral Stent Placement (43212) |
$4,769.60 |
$14,905 |
0.9× |
| Esophagoscopy w/us needle bx (43232) |
$1,054.40 |
$3,295 |
0.6× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$878.72 |
$2,746 |
0.5× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$878.72 |
$2,746 |
0.5× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$1,698.24 |
$5,307 |
1.0× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$3,262.08 |
$10,194 |
0.6× |
| Esophagoscp rig trnso biopsy (43193) |
$1,698.24 |
$5,307 |
1.0× |
| Esophagus endoscopy/ligation (43205) |
$878.72 |
$2,746 |
0.5× |
| Esophagus Surg Procedure Unlisted (43499) |
$1,054.40 |
$3,295 |
1.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,054.40 |
$3,295 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$94.72 |
$296 |
0.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
— |
$10,838.44 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$16,062.05 |
— |
| Exc abd les sc 3 cm/> (22903) |
$1,451.84 |
$4,537 |
0.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$4,994.40 |
$15,607.50 |
1.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,827.68 |
$8,836.50 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,885.12 |
$5,891 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,885.12 |
$5,891 |
1.3× |
| Exc back les sc < 3 cm (21930) |
$2,459.84 |
$7,687 |
1.6× |
| Exc face les sbq 2 cm/> (21012) |
$1,167.68 |
$3,649 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$521.60 |
$1,630 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$872.64 |
$2,727 |
0.6× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,733.76 |
$5,418 |
1.2× |
| Exc forearm les sc 3 cm/> (25071) |
$2,177.76 |
$6,805.50 |
1.5× |
| Exc forearm les sc < 3 cm (25075) |
$1,437.60 |
$4,492.50 |
1.0× |
| Exc frenum labial/buccal (40819) |
$1,883.52 |
$5,886 |
1.3× |
| Exc hand les sc < 1.5 cm (26115) |
$1,182.40 |
$3,695 |
0.8× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$2,101.12 |
$6,566 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,088.32 |
$6,526 |
1.4× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$2,231.04 |
$6,972 |
0.7× |
| Exc neck tum deep < 5 cm (21556) |
$2,459.84 |
$7,687 |
0.9× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
— |
$31,557.99 |
— |
| Exc Rect Tum Transanal Full (45172) |
— |
$22,155.54 |
— |
| Exc rect tum transanal part (45171) |
— |
$18,163.26 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
$2,177.76 |
$6,805.50 |
1.5× |
| Exc shoulder tum deep 5 cm/> (23073) |
— |
$14,881.37 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$872.64 |
$2,727 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$521.60 |
$1,630 |
1.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$521.60 |
$1,630 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$872.64 |
$2,727 |
1.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$264 |
$825 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,885.12 |
$5,891 |
1.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,372.16 |
$4,288 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,459.84 |
$7,687 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,885.12 |
$5,891 |
1.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$872.64 |
$2,727 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,459.84 |
$7,687 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,459.84 |
$7,687 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,885.12 |
$5,891 |
1.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,994.40 |
$15,607.50 |
1.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$458.24 |
$1,432 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$521.60 |
$1,630 |
0.8× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$12,529.12 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$13,528.67 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$14,591.77 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,437.60 |
$4,492.50 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,037.12 |
$6,366 |
1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,682.40 |
$5,257.50 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,329.60 |
$10,405 |
1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,459.84 |
$7,687 |
1.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,049.92 |
$6,406 |
0.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$13,051.33 |
— |
| Exc varicocele/ligation spermatic veins spx (55530) |
— |
$28,655.47 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,437.76 |
$4,493 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,378.88 |
$13,684 |
1.4× |
| Exchange nephrostomy cath (50435) |
$1,055.04 |
$3,297 |
0.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,308.48 |
$4,089 |
0.8× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$1,924.32 |
$6,013.50 |
0.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$9,694.99 |
— |
| Excise cutaneous neurofibroma (64788) |
— |
$10,225.14 |
— |
| Excise excess skin & tissue (15839) |
$1,570.88 |
$4,909 |
0.6× |
| Excise parotid gland/lesion (42410) |
— |
$24,894.45 |
— |
| Excise pharynx lesion (42808) |
$1,554.56 |
$4,858 |
0.5× |
| Excise/repair mouth lesion (40812) |
$2,101.12 |
$6,566 |
1.5× |
| Excision brach clft cyst,superficial (42810) |
$2,480.96 |
$7,753 |
0.8× |
| Excision Breast Lesion (19125) |
— |
$17,827.66 |
— |
| Excision Chalazion Single (67800) |
$327.68 |
$1,024 |
1.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,372.16 |
$4,288 |
0.5× |
| Excision lesion mouth roof (42104) |
$1,751.04 |
$5,472 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$962.56 |
$3,008 |
0.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$521.60 |
$1,630 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$521.60 |
$1,630 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$521.60 |
$1,630 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$872.64 |
$2,727 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$872.64 |
$2,727 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$691.20 |
$2,160 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$872.64 |
$2,727 |
1.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$872.64 |
$2,727 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,885.12 |
$5,891 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$691.20 |
$2,160 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$521.60 |
$1,630 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$872.64 |
$2,727 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,885.12 |
$5,891 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,885.12 |
$5,891 |
1.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,970.24 |
$6,157 |
0.8× |
| Excision of bartholin's gland or cyst (56740) |
— |
$42,057.81 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$521.60 |
$1,630 |
0.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$872.64 |
$2,727 |
1.4× |
| Excision of chalazion; multiple, different lids (67805) |
$327.68 |
$1,024 |
1.1× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$14,952.68 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$17,065.77 |
— |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$887.36 |
$2,773 |
1.0× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$1,751.04 |
$5,472 |
0.6× |
| Excision of lesion of tongue without closure (41110) |
$1,018.24 |
$3,182 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$872.64 |
$2,727 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$872.64 |
$2,727 |
0.6× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,611.52 |
$8,161 |
1.8× |
| Excision of local lesion of epididymis (54830) |
— |
$16,110.64 |
— |
| Excision of mouth lesion (40816) |
— |
$10,888.97 |
— |
| Excision of nail fold toe (11765) |
$205.76 |
$643 |
0.6× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
— |
$17,958.47 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,049.92 |
$6,406 |
0.8× |
| Excision of single external papilla or tag, anus (46220) |
$2,364.48 |
$7,389 |
2.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
— |
$16,461.57 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$13,948.38 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$13,334.56 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$19,366.59 |
— |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
— |
$12,835.63 |
— |
| Excision of tongue lesion (41112) |
$1,238.40 |
$3,870 |
0.4× |
Excision of tracheal tumor or carcinoma; cervical (31785)
likely a partial charge, not the full procedure |
$1,094.40 |
$3,420 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$1,542.72 |
$4,821 |
0.5× |
| Excision of vaginal septum (57130) |
$1,757.44 |
$5,492 |
0.6× |
| Excision olecranon bursa (24105) |
— |
$16,586.93 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$22,780.80 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) |
— |
$67,864.59 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$18,658.63 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$16,843.17 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,502.40 |
$4,695 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,329.60 |
$10,405 |
2.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,177.76 |
$6,805.50 |
1.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
— |
$15,988.09 |
— |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$1,883.52 |
$5,886 |
0.6× |
| Excision, nasal polyp(s), simple (30110) |
$1,288.96 |
$4,028 |
0.9× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,182.40 |
$3,695 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,167.68 |
$3,649 |
0.8× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$3,250.08 |
$10,156.50 |
1.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$10,911.78 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,288.16 |
$7,150.50 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
— |
$34,306.12 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,827.68 |
$8,836.50 |
1.9× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
— |
$18,917.80 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
$2,032.64 |
$6,352 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,135.36 |
$6,673 |
1.5× |
| Explo/Drain Breast Abscess (19020) |
$2,048.32 |
$6,401 |
1.4× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$3,352.32 |
$10,476 |
1.0× |
| Exploration of knee joint (27310) |
— |
$27,362.50 |
— |
| Exploration penetrating wound spx extremity (20103) |
$499.20 |
$1,560 |
0.3× |
| Explore eye socket,drainage (67405) |
$2,938.56 |
$9,183 |
1.4× |
| Explore parathyroid glands (60500) |
— |
$24,597.39 |
— |
| Explore/irrigate tear ducts (68840) |
$361.92 |
$1,131 |
1.3× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$10,405.97 |
— |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$699.52 |
$2,186 |
1.4× |
| External Cephalic Version (59412) |
$949.44 |
$2,967 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$2,088.32 |
$6,526 |
0.7× |
| Fasciotomy palmar percutaneous (26040) |
— |
$8,951.54 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$18,640.07 |
— |
| Fetal Contraction Stress Test (59020) |
$453.44 |
$1,417 |
2.5× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$148.80 |
$465 |
0.5× |
| Fetal non-stress test (59025) |
$178.24 |
$557 |
1.0× |
| Fetal shunt placement w/us (59076) |
$148.80 |
$465 |
0.5× |
| Fill contour defct <1cc (11950) |
$230.40 |
$720 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,218.24 |
$3,807 |
1.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,218.24 |
$3,807 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$588.80 |
$1,840 |
1.6× |
| Fitting of diaphragm/cap (57170) |
$37.44 |
$117 |
0.2× |
| Fix ectropion,entensv lid repair (67917) |
$1,887.36 |
$5,898 |
0.9× |
| Fixation of knee joint (27570) |
$1,883.52 |
$5,886 |
1.3× |
| Fixation of shoulder (23700) |
— |
$29,458.86 |
— |
| Fluid pressure muscle (20950) |
$190.08 |
$594 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$161.60 |
$505 |
0.7× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,218.24 |
$3,807 |
1.9× |
| Fna bx w/mr gdn 1st les (10011) |
$1,218.24 |
$3,807 |
1.9× |
| Follow-up surgery of eye (66250) |
$1,536 |
$4,800 |
0.7× |
| Forehead flap w/vasc pedicle (15731) |
$3,352.32 |
$10,476 |
1.0× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,721.44 |
$11,629.50 |
1.2× |
| Frenulotomy of penis (54164) |
$1,675.20 |
$5,235 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,696.32 |
$5,301 |
0.9× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,696.32 |
$5,301 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,286.72 |
$7,146 |
1.2× |
| Fusion Finger Joint (26860) |
— |
$23,024.64 |
— |
| Fusion of foot bones (28730) |
— |
$49,508.28 |
— |
| Fusion of foot bones (28740) |
— |
$49,853.64 |
— |
| Fusion of knuckle (26850) |
— |
$29,622.55 |
— |
| Fusion of toes (28280) |
$2,480.96 |
$7,753 |
0.8× |
| Fusion/graft of finger joint (26862) |
— |
$30,535.40 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$101.76 |
$318 |
0.5× |
| Gastrocnemius Recession (27687) |
— |
$18,228.02 |
— |
| Glossectomy; less than one-half tongue (41120) |
— |
$13,499.55 |
— |
| Glycine receptor alpha1 igg serum/csf lcba qual (0431U) |
$167.36 |
$523 |
4.6× |
| Guide Cathet Fluid Drainage (10030) |
$321.60 |
$1,005 |
0.5× |
| Harvest stem cell concentrte (38215) |
$1,883.52 |
$5,886 |
4.7× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$9,077.44 |
— |
| Hemorrhoidectomy (46255) |
$2,600.64 |
$8,127 |
1.0× |
| Hemorrhoidectomy external complete (46250) |
— |
$12,354.96 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
— |
$13,614.98 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$56,672.18 |
— |
| Hip arthro w/labral repair (29916) |
— |
$54,626.65 |
— |
| Hymenotomy Simple Incision (56442) |
$1,556.16 |
$4,863 |
0.5× |
Hypospad repr,2nd stage,free graft (54316)
unusually low: confirm this is the full procedure |
$3,352.32 |
$10,476 |
0.4× |
| Hysteroscopy ablation (58563) |
$4,224.32 |
$13,201 |
0.9× |
| Hysteroscopy biopsy (58558) |
$2,734.72 |
$8,546 |
0.9× |
| Hysteroscopy dx sep proc (58555) |
$2,734.72 |
$8,546 |
0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$1,543.04 |
$4,822 |
0.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$17,781.19 |
— |
| I&D Absc Rtrphrngl/Parapharyngeal Xtrnl Appr (42725) |
$4,030.40 |
$12,595 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$272 |
$850 |
1.3× |
| I&d abscess simple (10060) |
$237.12 |
$741 |
1.3× |
| I&d below fascia foot 1 bursal space (28002) |
$2,562.56 |
$8,008 |
1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,706.88 |
$5,334 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,480.96 |
$7,753 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,052.16 |
$9,538 |
1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,562.56 |
$8,008 |
0.9× |
| I&d forearm/wrist bursa (25031) |
$2,562.56 |
$8,008 |
1.8× |
| I&d perianal abscess superficial (46050) |
$458.24 |
$1,432 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$479.36 |
$1,498 |
0.7× |
| I&d submucosal abscess rectum (45005) |
$2,231.04 |
$6,972 |
2.1× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,706.88 |
$5,334 |
1.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,332.80 |
$4,165 |
0.5× |
| I&d vaginal hematoma, non-ob (57023) |
— |
$24,522.91 |
— |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,428.80 |
$4,465 |
0.8× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,184 |
$3,700 |
1.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$986.56 |
$3,083 |
1.2× |
| Image Cath Fluid Colxn Visc (49405) |
$2,460.48 |
$7,689 |
1.6× |
| Image Cath Fluid Peri/Retro (49406) |
$2,460.48 |
$7,689 |
1.6× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,524.48 |
$4,764 |
1.0× |
| Implant cochlear device (69930) |
— |
$116,555.94 |
— |
| Implant neuroelectrodes (63650) |
$6,388.48 |
$19,964 |
1.1× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure |
$3,590.08 |
$11,219 |
0.5× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$9,923.20 |
$31,010 |
0.6× |
| Impression & Preparation Auricular Prosthesis (21086) |
$6,975.36 |
$21,798 |
2.3× |
| Incise finger tendon sheath (26055) |
$1,638.08 |
$5,119 |
1.1× |
| Incise inner eye adhesns,laser (65860) |
$790.08 |
$2,469 |
1.6× |
| Incise/drain eyelid lining (68020) |
$3,397.44 |
$10,617 |
3.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$459.52 |
$1,436 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,706.88 |
$5,334 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$479.36 |
$1,498 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,127.36 |
$3,523 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$454.08 |
$1,419 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$311.36 |
$973 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$311.36 |
$973 |
1.1× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) |
— |
$15,820.49 |
— |
| Incision bone cortex foot (28005) |
$2,032.32 |
$6,351 |
0.7× |
| Incision bone cortex hand/finger (26034) |
— |
$12,803.40 |
— |
| Incision drainage of lacrimal sac (68420) |
$1,818.24 |
$5,682 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
— |
$10,581.37 |
— |
| Incision labial frenum frenotomy (40806) |
$705.60 |
$2,205 |
1.4× |
| Incision of achilles tendon (27605) |
$3,758.40 |
$11,745 |
2.6× |
| Incision of eardrum (69421) |
$1,683.84 |
$5,262 |
0.6× |
| Incision of eardrum (69420) |
$392.16 |
$1,225.50 |
1.8× |
| Incision of heel bone (28300) |
— |
$56,944.12 |
— |
| Incision of lingual frenum (41010) |
$1,059.20 |
$3,310 |
0.8× |
| Incision of rectal abscess (46045) |
$3,120.32 |
$9,751 |
1.2× |
| Incision of rectal abscess (46040) |
$2,364.48 |
$7,389 |
2.2× |
| Incision of thigh tendons (27307) |
$2,135.36 |
$6,673 |
0.7× |
| Incision of tibia (27705) |
— |
$31,561.78 |
— |
| Incision of urethra (53020) |
$2,322.24 |
$7,257 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$458.24 |
$1,432 |
2.0× |
| Incision&drainage bursa foot (28001) |
$1,466.88 |
$4,584 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$272.96 |
$853 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$660.80 |
$2,065 |
1.0× |
| Induced abortion by d&c (59840) |
$2,938.56 |
$9,183 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$77.44 |
$242 |
0.4× |
| Inj dupuytren cord w/enzyme (20527) |
$385.60 |
$1,205 |
1.4× |
| Inj neurolytic subarachnoid (62280) |
$308.80 |
$965 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$463.20 |
$1,447.50 |
0.6× |
| Inj subq fill material >10cc (11954) |
$355.52 |
$1,111 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$99.84 |
$312 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$308.80 |
$965 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$308.80 |
$965 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$356.64 |
$1,114.50 |
0.6× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$491.52 |
$1,536 |
1.7× |
| Inject 5th nerv-2,3 div,f.ovale (64605) |
$653.44 |
$2,042 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$463.20 |
$1,447.50 |
0.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$347.20 |
$1,085 |
1.2× |
| Inject Intravitreal Pharmcologic (67028) |
$502.40 |
$1,570 |
1.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$308.80 |
$965 |
0.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$308.80 |
$965 |
0.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$356.64 |
$1,114.50 |
0.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$463.20 |
$1,447.50 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$237.76 |
$743 |
0.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$463.20 |
$1,447.50 |
0.6× |
| Inject Nerv Blck,Pudendal (64430) |
$463.20 |
$1,447.50 |
0.6× |
| Inject Rx Celiac Plexus Nerve (64680) |
$308.80 |
$965 |
0.4× |
| Inject scleros soln in hemorrhoids (46500) |
$1,737.60 |
$5,430 |
2.1× |
| Inject Sinus Tract Theraputic (20500) |
$512.96 |
$1,603 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$149.76 |
$468 |
0.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$308.80 |
$965 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$522.88 |
$1,634 |
0.8× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$308.80 |
$965 |
0.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$522.88 |
$1,634 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$237.76 |
$743 |
0.4× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$308.80 |
$965 |
0.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$237.76 |
$743 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$83.20 |
$260 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$356.64 |
$1,114.50 |
0.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$308.80 |
$965 |
0.4× |
| Injection for identification of sentinel node (38792) |
$236.80 |
$740 |
0.7× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$308.80 |
$965 |
0.4× |
| Injection of drug into cavity behind eye (67500) |
$200.96 |
$628 |
0.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$321.28 |
$1,004 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$99.84 |
$312 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$99.84 |
$312 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$99.84 |
$312 |
0.4× |
| Injection treatment of nerve (64600) |
$278.08 |
$869 |
0.3× |
| Injection treatment of nose (30200) |
$848.96 |
$2,653 |
1.7× |
| Injection(s) spider veins (36468) |
$81.60 |
$255 |
0.2× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,071.04 |
$3,347 |
1.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$145.44 |
$454.50 |
0.5× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$356.64 |
$1,114.50 |
0.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$110.08 |
$344 |
0.4× |
| Injection, anesthetic agent; vagus nerve (64408) |
$1,295.04 |
$4,047 |
4.7× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$106.88 |
$334 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$106.88 |
$334 |
0.6× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$725.12 |
$2,266 |
0.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$308.80 |
$965 |
0.4× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$308.80 |
$965 |
0.4× |
| Ins cath ren art 1st bilat (36252) |
$4,394.88 |
$13,734 |
1.5× |
| Ins cath ren art 1st unilat (36251) |
$4,394.88 |
$13,734 |
1.5× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,662.40 |
$11,445 |
1.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,394.88 |
$13,734 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$6,539.52 |
$20,436 |
1.3× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$8,989.76 |
$28,093 |
0.9× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$8,989.76 |
$28,093 |
0.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$10,510.40 |
$32,845 |
1.1× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$8,604.16 |
$26,888 |
0.9× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$6,928 |
$21,650 |
0.9× |
| Ins vag brachytx device (57156) |
$412.16 |
$1,288 |
1.5× |
| Ins/Rep Subq Defibrillator (33270) |
$61,981.44 |
$193,692 |
2.2× |
| Insert 1 electrode pm-defib (33216) |
$4,296.32 |
$13,426 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$152 |
$475 |
1.3× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,526.72 |
$4,771 |
1.4× |
| Insert cervical dilator (59200) |
$311.36 |
$973 |
1.1× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$1,189.76 |
$3,718 |
0.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,189.76 |
$3,718 |
0.7× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$792 |
$2,475 |
0.0× |
| Insert nasal septal button (30220) |
$1,018.56 |
$3,183 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$1,034.56 |
$3,233 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,034.56 |
$3,233 |
0.4× |
| Insert pacing lead & connect (33224) |
$13,006.72 |
$40,646 |
1.4× |
| Insert pessary/other device (57160) |
$165.12 |
$516 |
0.9× |
| Insert picc cath (36569) |
$1,034.56 |
$3,233 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,034.56 |
$3,233 |
0.7× |
| Insert pulse gen mult leads (33221) |
$12,733.12 |
$39,791 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$145.28 |
$454 |
1.2× |
| Insert tun ip cath perc (49418) |
$4,689.60 |
$14,655 |
1.4× |
| Insert tunneled cv cath (36561) |
$3,411.84 |
$10,662 |
1.2× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$2,225.28 |
$6,954 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$145.28 |
$454 |
1.2× |
| Insertion Heyman Capsules Clinical Brachytherapy (58346) |
$2,938.56 |
$9,183 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,130.88 |
$12,909 |
1.3× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement (53855) |
$799.36 |
$2,498 |
0.4× |
| Insertion of cannula (36810) |
$3,872.96 |
$12,103 |
1.4× |
| Insertion of cannula (36800) |
$4,647.68 |
$14,524 |
0.9× |
| Insertion of defibrillator electrode (33271) |
$13,164.16 |
$41,138 |
1.8× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$2,929.60 |
$9,155 |
1.7× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$1,184 |
$3,700 |
0.7× |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
$1,698.24 |
$5,307 |
1.0× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
— |
$52,687.61 |
— |
| Insertion Phrenic Nerve Stimulator System (33276) |
$37,620.80 |
$117,565 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$914.56 |
$2,858 |
0.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$518.72 |
$1,621 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,596.80 |
$20,615 |
0.9× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$2,954.24 |
$9,232 |
0.6× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$1,623.36 |
$5,073 |
0.4× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,296.32 |
$13,426 |
0.6× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$25,205.44 |
$78,767 |
1.3× |
| Insj inflatable urethral/bladder neck sphincter (53445) |
— |
$54,586.56 |
— |
| Insj multi-component inflatable penile prosth (54405) |
— |
$74,573.82 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,670.40 |
$8,345 |
0.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,843.52 |
$8,886 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$6,130.24 |
$19,157 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,670.40 |
$8,345 |
0.9× |
| Insj/rplcmt defib w/lead(s) (33249) |
$29,218.88 |
$91,309 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,296.32 |
$13,426 |
0.6× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$3,580.48 |
$11,189 |
0.5× |
| Insrt pulse gen w/dual leads (33230) |
$35,353.92 |
$110,481 |
1.8× |
| Insrt pulse gen w/mult leads (33231) |
$35,353.92 |
$110,481 |
1.2× |
Insrt/redo spine n generator (63685)
unusually low: confirm this is the full procedure |
$12,320.32 |
$38,501 |
0.4× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$959.68 |
$2,999 |
4.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,751.04 |
$5,472 |
3.6× |
| Intraoral i&d tongue/floor masticator space (41009) |
$272 |
$850 |
0.6× |
| Intraoral i&d tongue/floor submental space (41007) |
$2,101.12 |
$6,566 |
1.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,101.12 |
$6,566 |
0.7× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,376.32 |
$4,301 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$8,311.36 |
$25,973 |
0.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$4,112.32 |
$12,851 |
0.8× |
| Intro Gastrointestinal Tube (44500) |
$292.48 |
$914 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$309.44 |
$967 |
1.4× |
| Irrigate corpora cavernosa for priapism (54220) |
$341.76 |
$1,068 |
1.5× |
| Irrigate vagina w meds (57150) |
$105.92 |
$331 |
2.0× |
| Irrigation maxillary sinus (31000) |
$1,058.40 |
$3,307.50 |
4.9× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$167.36 |
$523 |
4.6× |
| Knee arthroscopy/surgery (29876) |
— |
$26,519.98 |
— |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
unusually low: confirm this is the full procedure |
$5,978.24 |
$18,682 |
0.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$38,496.78 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$109,644.36 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
— |
$44,470.06 |
— |
| Lap ing hernia repair init (49650) |
— |
$29,517.90 |
— |
| Laparoscopy appendectomy (44970) |
— |
$28,356.94 |
— |
| Laparoscopy biopsy (49321) |
— |
$37,646.67 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$37,809.07 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$21,526.06 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$67,857.02 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$42,109.53 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$16,987.42 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$19,194.47 |
— |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
— |
$50,969.27 |
— |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
— |
$53,896.39 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$40,757.99 |
— |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
— |
$52,915.76 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$53,932.12 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
— |
$41,521.86 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$38,092.35 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
— |
$36,208.33 |
— |
| Laparoscopy, surgical; ablation of renal cysts (50541) |
— |
$47,953.32 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$40,006.48 |
— |
| Laparoscopy, surgical; partial nephrectomy (50543) |
— |
$60,024.50 |
— |
| Laparoscopy, surgical; pyeloplasty (50544) |
— |
$55,688.30 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$28,326.18 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$32,348.66 |
— |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
— |
$74,100.54 |
— |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
— |
$66,452.82 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$22,833.79 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$37,764.21 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$30,311.80 |
— |
| Laps urtroneocstost w/o cstsc&urtrl stent plmt (50948) |
— |
$75,979.11 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$1,665.28 |
$5,204 |
0.5× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$2,072.32 |
$6,476 |
0.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$182.08 |
$569 |
1.0× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$1,082.24 |
$3,382 |
0.7× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$2,533.44 |
$7,917 |
1.6× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$530.24 |
$1,657 |
1.5× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$530.24 |
$1,657 |
1.5× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$101.44 |
$317 |
0.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$182.08 |
$569 |
1.0× |
| Laryngoscopy indirect w/vocal cord injection (31513) |
$71.36 |
$223 |
0.2× |
| Laryngoscopy w/biopsy (31535) |
$2,223.36 |
$6,948 |
0.7× |
| Laryngoscopy w/bx op scope (31536) |
— |
$15,949.96 |
— |
| Laryngoscopy w/fb & op scope (31531) |
— |
$12,508.77 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,556.80 |
$11,115 |
2.2× |
| Laryngoscopy w/wo tracheoscopy dx newborn (31520) |
$182.08 |
$569 |
0.5× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$1,883.52 |
$5,886 |
1.2× |
| Laryngoscopy with biopsy (31576) |
$2,667.84 |
$8,337 |
1.7× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,915.04 |
$9,109.50 |
1.8× |
| Larynscop w/tumr exc + scope (31541) |
— |
$19,146.36 |
— |
| Laser repair to improve eye fluid flow (65855) |
$948 |
$2,962.50 |
1.9× |
| Laser vaporization surgery prostate, complete (52648) |
— |
$18,466.61 |
— |
| Late closure of wound (13160) |
$2,831.04 |
$8,847 |
0.9× |
| Lateral canthopexy (21282) |
— |
$17,786.43 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$51,450.76 |
— |
| Ligation of a-v fistula (37607) |
$3,352.32 |
$10,476 |
1.2× |
| Ligation of hemorrhoid(s) (46221) |
$458.24 |
$1,432 |
0.5× |
| Ligation Of Inf Vena Cava (37619) |
$5,449.60 |
$17,030 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$1,885.12 |
$5,891 |
1.3× |
| Lip Surgery Procedure (40799) |
$226.56 |
$708 |
1.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$14,923.28 |
— |
| Lithotripsy (50590) |
$5,543.04 |
$17,322 |
1.7× |
| Liver Biopsy (47000) |
$654.08 |
$2,044 |
0.4× |
| Lysis Intranasal Synechia (30560) |
$728.96 |
$2,278 |
1.5× |
| Lysis of labial adhesions (56441) |
$1,913.60 |
$5,980 |
0.7× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$686.08 |
$2,144 |
0.4× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$1,119.36 |
$3,498 |
5.0× |
| Manipulation finger joint under anes each joint (26340) |
$802.56 |
$2,508 |
0.6× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$834.88 |
$2,609 |
0.6× |
| Marsup Bartholin Gland Cyst (56440) |
$2,700.16 |
$8,438 |
0.9× |
| Mast mod rad (19307) |
— |
$81,207.17 |
— |
| Mastectomy partial (19301) |
— |
$28,463.73 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$44,831.18 |
— |
| Mastectomy simple complete (19303) |
$3,297.28 |
$10,304 |
0.5× |
| Mastopexy (19316) |
— |
$36,086.81 |
— |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$2,266.24 |
$7,082 |
0.7× |
| Measure Kidney Pressure Thru Tube (50396) |
$211.84 |
$662 |
0.3× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,034.56 |
$3,233 |
0.7× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$2,225.28 |
$6,954 |
0.8× |
| Mediastinoscopy Includes Mediastinal Mass Biopsy (39401) |
$5,284.48 |
$16,514 |
1.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$5,284.48 |
$16,514 |
1.0× |
| Metatarsectomy (28140) |
— |
$34,713.87 |
— |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$488.32 |
$1,526 |
0.7× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$488.32 |
$1,526 |
0.7× |
| Multiple Punctures Anterior Cornea (65600) |
$2,831.04 |
$8,847 |
1.3× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$1,905.92 |
$5,956 |
0.6× |
| Muscle-skin graft arm (15736) |
— |
$25,487.26 |
— |
| Muscle-skin graft trunk (15734) |
— |
$16,533.92 |
— |
| Myelography Lumbar Injection (62305) |
$1,235.52 |
$3,861 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,235.52 |
$3,861 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,235.52 |
$3,861 |
1.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,235.52 |
$3,861 |
1.7× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$182.08 |
$569 |
1.0× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$273.12 |
$853.50 |
0.8× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$2,915.04 |
$9,109.50 |
1.8× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$3,648 |
$11,400 |
0.6× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$4,001.76 |
$12,505.50 |
0.6× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$3,648 |
$11,400 |
0.6× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$3,048.48 |
$9,526.50 |
0.9× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,619.20 |
$5,060 |
1.0× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$6,752.16 |
$21,100.50 |
1.1× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$4,001.76 |
$12,505.50 |
0.6× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery (31241) |
$3,454.40 |
$10,795 |
2.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,925.12 |
$6,016 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,383.20 |
$7,447.50 |
1.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$4,145.60 |
$12,955 |
0.6× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$3,454.40 |
$10,795 |
0.5× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$3,454.40 |
$10,795 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$145.28 |
$454 |
0.4× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
— |
$14,098.76 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$126.72 |
$396 |
0.6× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,118.72 |
$3,496 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$24.32 |
$76 |
0.9× |
| Nerve graft hand or foot (64895) |
— |
$35,425.70 |
— |
| Nerve Pedicle Xfer,First Stage (64905) |
— |
$34,134.44 |
— |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
— |
$41,448.54 |
— |
| Neuroeltrd stim post tibial (64566) |
$388.48 |
$1,214 |
1.4× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$224 |
$700 |
0.9× |
| Neuroplasty digital 1/both same digit (64702) |
— |
$12,375.86 |
— |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
— |
$32,304.42 |
— |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$472.96 |
$1,478 |
0.7× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$649.60 |
$2,030 |
0.3× |
| Nipple/areola reconstruction (19350) |
$3,721.44 |
$11,629.50 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$308.80 |
$965 |
0.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$152 |
$475 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,181.76 |
$3,693 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,378.88 |
$13,684 |
1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$463.20 |
$1,447.50 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,020.48 |
$3,189 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$237.76 |
$743 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$308.80 |
$965 |
0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,285.12 |
$4,016 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,020.48 |
$3,189 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$308.80 |
$965 |
0.4× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,311.36 |
$4,098 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,055.04 |
$3,297 |
1.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,055.04 |
$3,297 |
1.7× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$144.32 |
$451 |
0.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$216.48 |
$676.50 |
0.6× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$3,454.40 |
$10,795 |
0.5× |
| Obstructive material removal from gi tube (49460) |
$377.60 |
$1,180 |
0.5× |
| Ocular photodynamic ther (67221) |
$602.56 |
$1,883 |
1.2× |
| Onc Urthl Ca Rna Fgfr3 Gene (0154U) |
$395.20 |
$1,235 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$25,004.21 |
— |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
— |
$97,576.94 |
— |
| Open Osteochondral Autograft Talus (28446) |
— |
$43,797.46 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$38,497.56 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$37,235.22 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$248 |
$775 |
0.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$24,587.98 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$30,132.28 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
— |
$50,282.56 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$32,606.50 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$43,829.26 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$33,899.94 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$22,135.63 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$50,387.67 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$54,954.50 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$33,021.52 |
— |
| Open treatment talus fracture (28445) |
— |
$24,497.66 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$27,256.70 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$24,543.32 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,761.28 |
$14,879 |
1.6× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$38,191.46 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,561.76 |
$8,005.50 |
0.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$33,250 |
— |
| Open tx interphalangeal joint dislocation (26785) |
$4,761.28 |
$14,879 |
1.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$23,220.75 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$39,150.66 |
— |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
— |
$26,690.55 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$22,753.58 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$49,542.12 |
— |
Open/Perq Place Stent Same (37238)
unusually low: confirm this is the full procedure |
$5,135.68 |
$16,049 |
0.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$18,341.76 |
$57,318 |
1.8× |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$18,161.06 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$12,732.98 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$17,088.58 |
— |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
— |
$42,994.70 |
— |
| Osteochondral allograft, knee, open (27415) |
— |
$59,636.41 |
— |
| Osteoplasty, radius OR ulna; shortening (25390) |
— |
$40,301.96 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$39,738.07 |
— |
| Part Remv Femur/Prox Tib/Fib (27360) |
— |
$20,880.98 |
— |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$594.56 |
$1,858 |
1.5× |
| Partial Excision Bone Fibula (27641) |
— |
$144,408.34 |
— |
| Partial excision bone metacarpal (26230) |
— |
$13,333.43 |
— |
| Partial Excision Bone Olecranon Process (24147) |
— |
$22,258.20 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$20,676.28 |
— |
| Partial Excision Bone Tibia (27640) |
— |
$30,482.70 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
$2,032.64 |
$6,352 |
1.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$19,145.49 |
— |
| Partial excision of lip (40520) |
$1,351.68 |
$4,224 |
0.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$15,368.89 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,700.16 |
$8,438 |
0.9× |
| Partial Removal Foot Fascia (28060) |
$2,938.56 |
$9,183 |
1.0× |
| Partial removal of thyroid (60220) |
— |
$22,596.69 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$19,321.88 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
$2,186.88 |
$6,834 |
0.7× |
| Pelvic exam under anesthesia (57410) |
$2,480.96 |
$7,753 |
0.8× |
| Penis plastic surgery (54360) |
— |
$18,619.51 |
— |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
— |
$41,634.36 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,958.40 |
$6,120 |
1.6× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$5,174.40 |
$16,170 |
0.9× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$5,312 |
$16,600 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$784.96 |
$2,453 |
1.2× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$4,642.88 |
$14,509 |
0.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,869.12 |
$12,091 |
1.4× |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
$4,391.36 |
$13,723 |
0.9× |
| Percutaneous diskectomy (62287) |
$3,252.48 |
$10,164 |
1.8× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
— |
$17,892.56 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,098.88 |
$9,684 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$867.84 |
$2,712 |
0.6× |
| Peritoneal Lavage (49084) |
$678.72 |
$2,121 |
0.8× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$5,401.92 |
$16,881 |
0.3× |
| Perq dev breast 1st mr guide (19287) |
$198.08 |
$619 |
0.3× |
| Perq dev breast 1st strtctc (19283) |
$198.08 |
$619 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$198.08 |
$619 |
0.3× |
| Perq device breast 1st imag (19281) |
$198.08 |
$619 |
0.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,550.40 |
$4,845 |
0.5× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$2,608 |
$8,150 |
0.8× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$829.76 |
$2,593 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$829.76 |
$2,593 |
0.5× |
| Perq p-art revsc 1 nm nt uni (33900) |
$8,874.88 |
$27,734 |
0.8× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$14,360.96 |
$44,878 |
0.9× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$8,874.88 |
$27,734 |
0.8× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$8,874.88 |
$27,734 |
0.8× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$4,849.92 |
$15,156 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$486.72 |
$1,521 |
2.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$966.72 |
$3,021 |
1.5× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$12,597.76 |
$39,368 |
0.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$8,311.36 |
$25,973 |
0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,112.32 |
$12,851 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$5,473.92 |
$17,106 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,473.92 |
$17,106 |
0.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,008.64 |
$9,402 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,008.64 |
$9,402 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$3,321.92 |
$10,381 |
1.2× |
| Photopheresis, extracorporeal (36522) |
$3,314.88 |
$10,359 |
0.8× |
| Pin finger fracture each (26756) |
— |
$11,399.50 |
— |
| Place Cath Subclavian Art (36225) |
$6,696.96 |
$20,928 |
2.3× |
| Place Cath Thoracic Aorta (36221) |
$4,464.64 |
$13,952 |
1.6× |
| Place Cath Vertebral Art (36226) |
$10,952.64 |
$34,227 |
2.2× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,697.28 |
$5,304 |
1.4× |
| Place ndl musc/tis for rt (20555) |
$3,272 |
$10,225 |
1.1× |
| Placement needle head/neck radioelement applicat (41019) |
$2,795.20 |
$8,735 |
0.5× |
| Placement needle pelvic organ radioelement appl (55920) |
$2,995.52 |
$9,361 |
0.7× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$4,491.20 |
$14,035 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$117.76 |
$368 |
0.3× |
| Placement of seton (46020) |
$2,480.96 |
$7,753 |
1.0× |
| Plastic repair of canaliculi (68700) |
$2,436.48 |
$7,614 |
1.1× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$3,648.96 |
$11,403 |
0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$8,282.56 |
$25,883 |
1.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,902.40 |
$21,570 |
1.3× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$8,282.56 |
$25,883 |
1.5× |
| Plmt expandable cath brst following prtl mast (19296) |
$6,863.68 |
$21,449 |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$460.48 |
$1,439 |
0.4× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,030.08 |
$9,469 |
1.6× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,030.08 |
$9,469 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,512.32 |
$14,101 |
1.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,512.32 |
$14,101 |
1.4× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,512.32 |
$14,101 |
1.4× |
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$2,566.40 |
$8,020 |
0.3× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
— |
$12,688.86 |
— |
| Preputial Stretching (54450) |
$341.76 |
$1,068 |
1.5× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$4,642.88 |
$14,509 |
0.3× |
| Probe nasolacrimal duct (68810) |
$361.92 |
$1,131 |
1.3× |
| Probe nasolacrimal duct (68815) |
$2,137.44 |
$6,679.50 |
1.0× |
| Proctosigmoidoscopy (45303) |
$867.84 |
$2,712 |
0.8× |
| Proctosigmoidoscopy w/bx (45305) |
$651.52 |
$2,036 |
0.6× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$615.68 |
$1,924 |
0.7× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$890.40 |
$2,782.50 |
1.8× |
| Prostatectomy (turp) (52601) |
— |
$18,833.45 |
— |
| Prostatic microwave thermotx (53850) |
$2,762.56 |
$8,633 |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$624.32 |
$1,951 |
1.0× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$6,388.48 |
$19,964 |
1.1× |
| Prq impltj neurostimulator eltrd cranial nerve (64553) |
$16,055.04 |
$50,172 |
1.6× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$3,253.44 |
$10,167 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,378.88 |
$13,684 |
1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,378.88 |
$13,684 |
1.4× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
— |
$8,448.53 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$14,691.91 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$4,365.44 |
$13,642 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$371.20 |
$1,160 |
1.0× |
| Puncture Aspiration (10160) |
$260.16 |
$813 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$223.68 |
$699 |
0.3× |
| Pvb thoracic cont infusion (64463) |
$981.12 |
$3,066 |
1.5× |
| Pvb thoracic single inj site (64461) |
$1,177.28 |
$3,679 |
1.8× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$16,191.42 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$17,901.76 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
— |
$19,924.52 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
— |
$13,632.95 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,437.44 |
$4,492 |
0.8× |
| Rbc depletion of harvest (38212) |
$1,883.52 |
$5,886 |
4.7× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
— |
$26,423.04 |
— |
| Realignment extensor tendon hand each tendon (26437) |
$1,638.08 |
$5,119 |
0.6× |
| Reattachment of part of cutoff finger (20822) |
$615.68 |
$1,924 |
0.4× |
| Reconstr disloc patella w mscl adv (27422) |
— |
$48,070.02 |
— |
| Reconstruc Eyelid,Second Stage (67975) |
$3,397.44 |
$10,617 |
1.6× |
| Reconstruct Shoulder Joint (23470) |
— |
$51,022.11 |
— |
| Reconstruction of urethra (54324) |
— |
$31,156.62 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$24,682.93 |
— |
| Reduce testis torsion (54600) |
— |
$17,684.28 |
— |
| Reduction of Large Breast (19318) |
— |
$43,645 |
— |
| Reduction of rectal prolapse (45900) |
$458.24 |
$1,432 |
0.5× |
| Reforearm tend/musc,exten,second (25272) |
— |
$12,212.24 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$30,153.70 |
— |
| Release i-p jt contracture (26525) |
— |
$17,092.46 |
— |
| Release of big toe (28240) |
$2,398.56 |
$7,495.50 |
0.8× |
| Release palm contracture (26121) |
— |
$12,685 |
— |
| Relocation of skin pocket for pacemaker (33222) |
$2,286.72 |
$7,146 |
1.2× |
| Rem endovas vena cava filter (37193) |
$4,487.68 |
$14,024 |
1.6× |
| Removal Anal Seton Other Marker (46030) |
$535.04 |
$1,672 |
0.5× |
| Removal biliary drg cath (47537) |
$971.52 |
$3,036 |
1.2× |
| Removal fb intranasal (30300) |
$77.44 |
$242 |
0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,459.84 |
$7,687 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$727.36 |
$2,273 |
0.5× |
| Removal foreign body foot deep (28192) |
$1,885.12 |
$5,891 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$521.60 |
$1,630 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$521.60 |
$1,630 |
0.3× |
| Removal foreign body pharynx (42809) |
$138.56 |
$433 |
0.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,885.12 |
$5,891 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$112.96 |
$353 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$77.44 |
$242 |
1.4× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$9,299.20 |
— |
| Removal Implant Deep (20680) |
$1,182.40 |
$3,695 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,885.12 |
$5,891 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$434.88 |
$1,359 |
0.7× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,763.52 |
$8,636 |
0.8× |
| Removal Intact Mammary Implant (19328) |
$3,778.08 |
$11,806.50 |
1.1× |
| Removal of adenoids (42831) |
— |
$13,656.87 |
— |
| Removal of adenoids (42830) |
— |
$11,357.48 |
— |
| Removal of anal fissure (46200) |
— |
$12,964.76 |
— |
| Removal of ankle implant (27704) |
— |
$17,209 |
— |
| Removal of arm foreign body (24200) |
$434.88 |
$1,359 |
0.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$10,970.58 |
— |
| Removal of eye lesion (65400) |
$1,843.20 |
$5,760 |
2.0× |
| Removal of finger lesion (26210) |
— |
$7,727.79 |
— |
| Removal of fixation device (20665) |
$138.56 |
$433 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$201.60 |
$630 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$311.36 |
$973 |
1.1× |
| Removal of kidney stone (50081) |
— |
$64,215.51 |
— |
| Removal of nail bed (11750) |
$521.60 |
$1,630 |
1.4× |
| Removal of palm tendon each (26170) |
— |
$10,556.86 |
— |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$878.72 |
$2,746 |
0.5× |
| Removal of posterior segmental instrumentation (22852) |
— |
$26,176.03 |
— |
| Removal of salivary stone (42330) |
$1,018.56 |
$3,183 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$133.76 |
$418 |
0.7× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$986.56 |
$3,083 |
0.6× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,010.88 |
$6,284 |
1.1× |
| Removal of testis (54520) |
— |
$16,183.48 |
— |
| Removal of thyroid (60271) |
— |
$30,537.82 |
— |
| Removal of tonsils (42825) |
— |
$11,940.29 |
— |
| Removal of tonsils (42826) |
— |
$12,041.36 |
— |
| Removal of wrist bone (25210) |
— |
$23,471.68 |
— |
| Removal or relocation of corneal conjunctiva (65420) |
$1,924.32 |
$6,013.50 |
0.9× |
| Removal phrenic nerve stimulator system (33278) |
$2,713.28 |
$8,479 |
0.9× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$2,763.52 |
$8,636 |
0.4× |
| Removal subq cardiac rhythm monitor (33286) |
$1,218.24 |
$3,807 |
1.9× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$1,050.56 |
$3,283 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$113.60 |
$355 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$136 |
$425 |
0.5× |
| Remove anal fist 2 stage (46285) |
— |
$12,865.36 |
— |
| Remove anal fist subq (46270) |
$2,600.64 |
$8,127 |
1.0× |
| Remove bladder stone (52318) |
— |
$17,683.20 |
— |
| Remove Brain Cavity Fluid (61020) |
$348.48 |
$1,089 |
0.4× |
| Remove by ligat int hem grps (46946) |
— |
$19,929.59 |
— |
| Remove cerclage suture (59871) |
$2,700.16 |
$8,438 |
0.9× |
| Remove cranial cavity fluid (61000) |
$290.56 |
$908 |
0.5× |
| Remove digit nerve lesion (64776) |
— |
$11,856.55 |
— |
| Remove drug implant device (11982) |
$291.20 |
$910 |
0.7× |
| Remove Eyelid Foreign Body (67938) |
$155.84 |
$487 |
0.5× |
| Remove eyelid lesions (67801) |
$374.40 |
$1,170 |
0.4× |
| Remove eyelid lining lesion (68115) |
$3,397.44 |
$10,617 |
1.6× |
| Remove eyelid lining lesion (68135) |
$807.36 |
$2,523 |
0.4× |
| Remove femur lesion (27355) |
— |
$17,532.44 |
— |
| Remove foreign body from eye (65235) |
$2,938.56 |
$9,183 |
1.4× |
| Remove foreign body from eye (65210) |
$155.84 |
$487 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
— |
$17,119.48 |
— |
| Remove intrvas foreign body (37197) |
$4,480.96 |
$14,003 |
1.6× |
| Remove knee cyst (27347) |
— |
$12,743.20 |
— |
| Remove muti-comp penis pros (54406) |
— |
$19,122.92 |
— |
| Remove Peritoneal Foreign Body (49402) |
$2,450.24 |
$7,657 |
0.8× |
| Remove Pilonidal Cyst Exten (11771) |
$2,938.56 |
$9,183 |
1.1× |
| Remove prostate regrowth (52630) |
— |
$14,932.56 |
— |
| Remove renal tube w/fluoro (50389) |
$341.76 |
$1,068 |
0.5× |
| Remove stent via transureth (50386) |
$696.64 |
$2,177 |
0.4× |
| Remove tissue expander (11971) |
$2,288.16 |
$7,150.50 |
0.9× |
| Remove Ureter Stent, Percut (50384) |
$2,428.80 |
$7,590 |
1.3× |
| Remove vc lesion w/scope (31545) |
— |
$20,818.27 |
— |
| Remove wrist joint cartilage (25107) |
— |
$30,223.86 |
— |
| Remove wrist tendon lesion (25111) |
— |
$12,454.17 |
— |
| Remove&replace pm gen singl (33227) |
$13,931.52 |
$43,536 |
1.9× |
| Remove/graft leg bone lesion (27637) |
— |
$45,057.27 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,459.84 |
$7,687 |
1.6× |
| Remv Ext Canal Foreign Body (69200) |
$77.44 |
$242 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$155.84 |
$487 |
1.3× |
| Remv&replc cvd gen dual lead (33263) |
$50,505.60 |
$157,830 |
2.5× |
| Remv&replc cvd gen mult lead (33264) |
$50,505.60 |
$157,830 |
1.8× |
| Remv&replc cvd gen sing lead (33262) |
$50,505.60 |
$157,830 |
2.5× |
| Remv&replc pm gen dual lead (33228) |
$15,279.68 |
$47,749 |
1.6× |
| Remv&replc pm gen mult leads (33229) |
$15,279.68 |
$47,749 |
0.9× |
| Renal biopsy (50200) |
$784.96 |
$2,453 |
0.5× |
| Repair achilles tendon (27650) |
— |
$24,243.97 |
— |
| Repair anal fistula (46288) |
— |
$17,691.56 |
— |
| Repair arm tendon/muscle (24341) |
— |
$37,654.11 |
— |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,824.32 |
$11,951 |
1.3× |
| Repair blood vessel direct neck (35201) |
$2,929.92 |
$9,156 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,441.60 |
$7,630 |
0.9× |
| Repair brow defect (67900) |
$3,167.04 |
$9,897 |
1.5× |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$39,164.14 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$223.04 |
$697 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$223.04 |
$697 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$862.40 |
$2,695 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$862.40 |
$2,695 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$223.04 |
$697 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$862.40 |
$2,695 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$223.04 |
$697 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$223.04 |
$697 |
0.3× |
| Repair detached retina (67110) |
$2,480.96 |
$7,753 |
1.2× |
| Repair ectropion suture (67914) |
$1,248 |
$3,900 |
0.6× |
| Repair elbow deb/attch open (24359) |
— |
$19,303.07 |
— |
| Repair elbow perc (24357) |
$3,926.72 |
$12,271 |
1.3× |
| Repair Entropion Suture (67921) |
$2,831.04 |
$8,847 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,638.08 |
$5,119 |
1.1× |
| Repair eyelid defect (67916) |
$1,895.04 |
$5,922 |
0.9× |
| Repair eyelid defect (67908) |
$3,721.44 |
$11,629.50 |
1.7× |
| Repair eyelid defect (67904) |
$2,264.96 |
$7,078 |
1.1× |
| Repair eyelid wound (67930) |
$1,887.36 |
$5,898 |
0.9× |
| Repair finger tendon (26432) |
$1,965.76 |
$6,143 |
1.4× |
| Repair finger tendon (26433) |
— |
$13,291.70 |
— |
| Repair finger/hand tendon (26350) |
$3,158.72 |
$9,871 |
1.1× |
| Repair foot dislocation (28585) |
— |
$14,994.60 |
— |
| Repair forearm tendon/muscle (25260) |
$3,008.64 |
$9,402 |
1.0× |
| Repair hand joint with graft (26542) |
— |
$37,648.61 |
— |
| Repair hand tendon (26410) |
$1,965.76 |
$6,143 |
1.4× |
| Repair incomplete circumcision (54163) |
$2,153.60 |
$6,730 |
1.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$22,122.54 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,454.72 |
$4,546 |
4.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$454.08 |
$1,419 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$237.12 |
$741 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$454.08 |
$1,419 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$454.08 |
$1,419 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$454.08 |
$1,419 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$715.52 |
$2,236 |
0.4× |
| Repair kneecap tendon (27380) |
— |
$51,634.56 |
— |
| Repair Laceration Palate </2 Cm (42180) |
$226.56 |
$708 |
0.5× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$4,030.40 |
$12,595 |
0.8× |
| Repair lead pace-defib dual (33220) |
$3,580.48 |
$11,189 |
1.1× |
| Repair lead pace-defib one (33218) |
$4,296.32 |
$13,426 |
1.3× |
| Repair lower leg epiphyses (27734) |
— |
$21,917.28 |
— |
| Repair lower leg tendons (27676) |
— |
$40,355.46 |
— |
| Repair nasal septal perforations (30630) |
$2,441.60 |
$7,630 |
0.8× |
| Repair nasal vestibular stenosis (30465) |
$3,118.72 |
$9,746 |
0.6× |
| Repair nonunion radius/ulna w autogrft (25405) |
— |
$39,286.54 |
— |
| Repair of anal fistula with fibrin glue (46706) |
$2,600.64 |
$8,127 |
1.0× |
| Repair of anal sphincter (46750) |
— |
$17,421.23 |
— |
| Repair of eardrum structures (69631) |
— |
$24,820.50 |
— |
| Repair of eye wound (65286) |
$935.52 |
$2,923.50 |
0.4× |
| Repair Of Foot Tendon (28208) |
— |
$33,710.06 |
— |
| Repair of hammertoe (28286) |
— |
$15,803.70 |
— |
| Repair of humerus (24430) |
— |
$52,234.67 |
— |
Repair of leg tendon each (27664)
unusually low: confirm this is the full procedure |
$2,135.36 |
$6,673 |
0.3× |
| Repair of leg tendon each (27658) |
— |
$21,111.04 |
— |
| Repair of nail bed (11760) |
$195.20 |
$610 |
0.3× |
| Repair of nasal septum (30520) |
— |
$20,040.86 |
— |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$4,306.24 |
$13,457 |
0.8× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$32,769.30 |
— |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$1,103.04 |
$3,447 |
0.5× |
| Repair of thigh musc (27385) |
— |
$41,069.48 |
— |
| Repair of tibia (27720) |
— |
$53,901.84 |
— |
| Repair of traumatic corporeal tear(s) (54437) |
— |
$14,491.65 |
— |
| Repair of vagina (57260) |
— |
$35,542.43 |
— |
| Repair rectum & vagina (57250) |
— |
$16,867.05 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$40,332.19 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
$113.60 |
$355 |
0.8× |
| Repair symblepharon (68340) |
$1,895.04 |
$5,922 |
0.9× |
| Repair Tongue Laceration (41250) |
$272 |
$850 |
0.7× |
| Repair tympanic membrane (69610) |
$2,929.92 |
$9,156 |
2.1× |
| Repair wrist joints (25447) |
— |
$23,292.94 |
— |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
— |
$23,246.41 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$52,729.23 |
— |
| Repair/graft hand tendon (26358) |
— |
$18,707.79 |
— |
| Repair/graft wrist bone (25440) |
— |
$27,110.20 |
— |
| Replace duod/jej tube perc (49451) |
$502.08 |
$1,569 |
0.6× |
| Replace eye fluid (67025) |
$5,426.88 |
$16,959 |
2.6× |
| Replace g/c tube perc (49450) |
$377.60 |
$1,180 |
0.5× |
| Replace Tissue Expander (11970) |
— |
$24,667.65 |
— |
| Replace/revise brain shunt (62230) |
$4,309.12 |
$13,466 |
0.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$453.44 |
$1,417 |
0.6× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,934.08 |
$12,294 |
1.2× |
| Reposition gastrostomy tube (43761) |
$753.92 |
$2,356 |
3.3× |
| Reposition pacing-defib lead (33215) |
$2,763.52 |
$8,636 |
1.0× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$2,713.28 |
$8,479 |
0.9× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$320.32 |
$1,001 |
1.2× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,739.84 |
$11,687 |
1.3× |
| Rerepair ing hernia reduce (49520) |
$3,120 |
$9,750 |
1.0× |
| Resect Inferior Turbinate (30140) |
— |
$20,599.30 |
— |
| Revis reconst shoulder joint (23473) |
— |
$58,440.57 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$63,954.12 |
— |
| Revise arm/leg nerve (64708) |
— |
$16,144.96 |
— |
| Revise Conjunc,Fix Cul-De-Sac+Grft (68326) |
$1,254.72 |
$3,921 |
0.4× |
| Revise eyelashes (67825) |
$491.52 |
$1,536 |
1.7× |
| Revise Eyelashes,Forceps (67820) |
$233.76 |
$730.50 |
1.9× |
| Revise eyelid lining (68330) |
$2,318.88 |
$7,246.50 |
1.1× |
| Revise finger joint (26535) |
— |
$26,289.88 |
— |
| Revise hand/finger tendon (26390) |
— |
$21,859.12 |
— |
| Revise knuckle with implant (26531) |
— |
$32,838.99 |
— |
| Revise median n/carpal tunnel surg (64721) |
$687.68 |
$2,149 |
0.4× |
| Revise middle ear & mastoid (69644) |
— |
$42,203.21 |
— |
| Revise middle ear & mastoid (69643) |
— |
$40,636.86 |
— |
| Revise middle ear & mastoid (69645) |
— |
$49,979.32 |
— |
| Revise middle ear bone (69661) |
— |
$22,975.07 |
— |
| Revise tear duct opening (68705) |
$409.44 |
$1,279.50 |
1.4× |
| Revise ulnar nerve at elbow (64718) |
— |
$14,873.75 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$12,386.15 |
— |
| Revise wrist/forearm tendon (25280) |
— |
$19,568.35 |
— |
| Revise/graft eyelid lining (68320) |
$1,887.36 |
$5,898 |
0.9× |
| Revise/implant finger joint (26536) |
— |
$25,100.71 |
— |
| Revision of eyelid (67950) |
$1,924.80 |
$6,015 |
0.9× |
| Revision of eyelid (67880) |
$1,843.20 |
$5,760 |
0.9× |
| Revision of eyelid (67882) |
$3,397.44 |
$10,617 |
1.6× |
| Revision of eyelid (67961) |
$2,264.96 |
$7,078 |
1.1× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$3,397.44 |
$10,617 |
1.6× |
| Revision of iris (66761) |
$948 |
$2,962.50 |
1.9× |
| Revision of iris (66762) |
$552.48 |
$1,726.50 |
1.1× |
| Revision of lower leg tendon (27685) |
— |
$25,475.35 |
— |
| Revision of penis (54435) |
— |
$13,991 |
— |
| Revision of penis (54300) |
— |
$17,685.76 |
— |
| Revision of reconstructed breast (19380) |
— |
$21,203.56 |
— |
| Revision of scrotum (55180) |
— |
$29,037.75 |
— |
| Revision of scrotum (55175) |
— |
$17,309.08 |
— |
| Revision of tips (37183) |
$9,129.60 |
$28,530 |
1.8× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$46,026.07 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$72,486.98 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$32,277.54 |
— |
| Revision of upper eyelid (15823) |
$2,286.72 |
$7,146 |
1.2× |
| Revision of urethra (53450) |
— |
$10,076.63 |
— |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$4,488.64 |
$14,027 |
1.4× |
| Revision peri-implant capsule breast (19370) |
— |
$26,400.29 |
— |
Revision spinal neurostim electrode perc array, incl fluoro (63663)
unusually low: confirm this is the full procedure |
$2,010.88 |
$6,284 |
0.3× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
— |
$13,461.90 |
— |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,924.16 |
$6,013 |
0.6× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$4,589.12 |
$14,341 |
0.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$10,599.94 |
— |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
— |
$25,650.37 |
— |
| Rmvl & rplcmt inflatable penile prosth same sess (54410) |
— |
$88,373.82 |
— |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$904.64 |
$2,827 |
0.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,539.20 |
$7,935 |
1.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$298.88 |
$934 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$155.84 |
$487 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$155.84 |
$487 |
1.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$458.24 |
$1,432 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,459.84 |
$7,687 |
0.9× |
| Rmvl of subq defibrillator (33272) |
$4,720.96 |
$14,753 |
1.4× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$2,713.28 |
$8,479 |
0.9× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$2,713.28 |
$8,479 |
0.9× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,763.52 |
$8,636 |
0.8× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,763.52 |
$8,636 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,034.56 |
$3,233 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,034.56 |
$3,233 |
1.8× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$959.68 |
$2,999 |
2.4× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$24,760 |
$77,375 |
0.9× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$10,862.08 |
$33,944 |
1.1× |
| Rplc gtube revj gstrst trc (43763) |
$486.72 |
$1,521 |
2.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,670.40 |
$8,345 |
0.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,034.56 |
$3,233 |
0.7× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$2,670.40 |
$8,345 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,411.84 |
$10,662 |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,670.40 |
$8,345 |
0.9× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$17,078.61 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$35,064.96 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$40,004.08 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$21,366.21 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$24,406.73 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$49,487.75 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$46,136.25 |
— |
| Rpr blood vessel direct lower extremity (35226) |
$2,929.92 |
$9,156 |
4.6× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,965.76 |
$6,143 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$12,897.77 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$27,355.62 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$948.48 |
$2,964 |
1.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$998.08 |
$3,119 |
4.7× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,299.84 |
$4,062 |
0.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$882.88 |
$2,759 |
4.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,059.20 |
$3,310 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,059.20 |
$3,310 |
2.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,059.20 |
$3,310 |
0.8× |
| Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) |
— |
$40,210.37 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$862.40 |
$2,695 |
1.5× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
— |
$18,677.84 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$20,465.93 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,763.52 |
$8,636 |
1.0× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,034.56 |
$3,233 |
0.7× |
| Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370) |
$2,929.60 |
$9,155 |
0.5× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$1,184 |
$3,700 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$1,894.72 |
$5,921 |
1.3× |
| Severing of tarsorrhaphy (67710) |
$772.32 |
$2,413.50 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$512.96 |
$1,603 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$867.84 |
$2,712 |
0.8× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,664.32 |
$5,201 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$133.76 |
$418 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$133.76 |
$418 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$133.76 |
$418 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$76.80 |
$240 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$122.24 |
$382 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$106.88 |
$334 |
0.3× |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$28,234.50 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$133.76 |
$418 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$79.68 |
$249 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$106.88 |
$334 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$85.76 |
$268 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$111.36 |
$348 |
0.6× |
| Sigmoidoscopy & decompress (45337) |
$615.68 |
$1,924 |
0.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$1,664.32 |
$5,201 |
1.5× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$867.84 |
$2,712 |
0.8× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,041.28 |
$3,254 |
1.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$867.84 |
$2,712 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$615.68 |
$1,924 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,041.28 |
$3,254 |
1.2× |
| Sigmoidoscopy w/fb removal (45332) |
$512.96 |
$1,603 |
0.5× |
| Sigmoidoscopy w/us guide bx (45342) |
$867.84 |
$2,712 |
0.8× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (45347)
unusually low: confirm this is the full procedure |
$1,664.32 |
$5,201 |
0.3× |
| Simple biopsy of growth of throat behind nose (42804) |
$1,192.96 |
$3,728 |
0.4× |
| Simple Cystometrogram (51725) |
$341.76 |
$1,068 |
1.5× |
| Simple destruction of growth of penis using electric current (54055) |
$2,352 |
$7,350 |
1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$237.12 |
$741 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$237.12 |
$741 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$237.12 |
$741 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$237.12 |
$741 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$237.12 |
$741 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$237.12 |
$741 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$237.12 |
$741 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$237.12 |
$741 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$237.12 |
$741 |
1.3× |
| Sinus endo w/balloon dil (31296) |
$6,752.16 |
$21,100.50 |
1.1× |
| Sinus endo w/balloon dil (31297) |
$6,752.16 |
$21,100.50 |
1.1× |
| Skin Pedicle Flap Trunk (15570) |
$2,032.64 |
$6,352 |
1.1× |
| Skin pinch graft (15050) |
$555.84 |
$1,737 |
0.8× |
| Skin splt grft trnk/arm/leg (15100) |
$1,905.92 |
$5,956 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$616.96 |
$1,928 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$616.96 |
$1,928 |
0.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,131.52 |
$3,536 |
0.6× |
| Skin Tissue Procedure (17999) |
$817.12 |
$2,553.50 |
4.5× |
| Skin tissue rearrangement (14040) |
$1,696.32 |
$5,301 |
0.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,905.92 |
$5,956 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$607.36 |
$1,898 |
0.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,696.96 |
$20,928 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,696.96 |
$20,928 |
2.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,952.64 |
$34,227 |
2.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$28,717.45 |
— |
| Slitting of prepuce (54001) |
$1,278.40 |
$3,995 |
0.7× |
| Small Bowel Endoscopy (44373) |
$986.56 |
$3,083 |
0.6× |
| Small bowel endoscopy (44366) |
$1,184 |
$3,700 |
0.7× |
| Small bowel endoscopy (44364) |
$1,184 |
$3,700 |
0.7× |
| Small bowel endoscopy (44376) |
$1,184 |
$3,700 |
0.7× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,184 |
$3,700 |
0.7× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$986.56 |
$3,083 |
0.6× |
| Small bowel endoscopy/biopsy (44377) |
$1,184 |
$3,700 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$237.12 |
$741 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$237.12 |
$741 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$237.12 |
$741 |
0.6× |
| Snip incision lacrimal punctum (68440) |
$211.68 |
$661.50 |
0.7× |
| Sphincterotomy (46080) |
— |
$12,745.56 |
— |
| Spinal puncture lumbar diagnostic (62270) |
$237.76 |
$743 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$237.76 |
$743 |
0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,629.76 |
$11,343 |
1.3× |
| Strapping ankle (29540) |
$62.08 |
$194 |
0.4× |
| Strapping hand/finger (29280) |
$14.72 |
$46 |
0.3× |
| Strapping knee (29530) |
$48.32 |
$151 |
0.4× |
| Strapping shoulder (29240) |
$48.32 |
$151 |
0.4× |
| Strapping toes (29550) |
$25.60 |
$80 |
0.5× |
| Strapping unna boot (29580) |
$360 |
$1,125 |
2.4× |
| Subconjunctival injection (68200) |
$124.80 |
$390 |
0.3× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$959.68 |
$2,999 |
2.4× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$1,314.56 |
$4,108 |
0.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,596.16 |
$4,988 |
0.6× |
| Suspension of testis (54640) |
— |
$16,230.87 |
— |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
— |
$17,225.80 |
— |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
— |
$16,304.14 |
— |
| Suture Eyelid Wound,Full Thick (67935) |
$2,264.96 |
$7,078 |
1.1× |
| Suture of 1 nerve; median motor thenar (64835) |
— |
$16,455.66 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
— |
$51,755.70 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$2,186.88 |
$6,834 |
0.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
— |
$12,777.73 |
— |
| T-cell depletion of harvest (38210) |
$1,883.52 |
$5,886 |
4.7× |
| Tangential biopsy skin single lesion (11102) |
$371.20 |
$1,160 |
1.0× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$359.68 |
$1,124 |
0.5× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$195.20 |
$610 |
0.3× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$24,529.28 |
$76,654 |
0.9× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$13,679.68 |
$42,749 |
0.8× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$5,554.24 |
$17,357 |
1.9× |
| Temporary Closure Eyelids Suture (67875) |
$1,331.04 |
$4,159.50 |
1.5× |
| Tendon excision palm/finger (26145) |
— |
$15,719.84 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$29,555.50 |
— |
| Tenolysis extensor foot single tendon (28225) |
$2,111.52 |
$6,598.50 |
0.7× |
| Tenolysis flexor foot single tendon (28220) |
$2,505.60 |
$7,830 |
1.7× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
— |
$19,238.76 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$14,406.37 |
— |
| Tenotomy abductors&/extensor hip open spx (27006) |
$5,233.60 |
$16,355 |
1.8× |
| Tenotomy adductor hip percutaneous spx (27000) |
$268.32 |
$838.50 |
0.2× |
| Tenotomy hip flexor open separate procedure (27005) |
$343.04 |
$1,072 |
0.1× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,457.92 |
$4,556 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,505.60 |
$7,830 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,562.56 |
$8,008 |
0.9× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$3,008.64 |
$9,402 |
0.5× |
| Tenotomy shoulder multiple thru same incision (23406) |
$3,970.24 |
$12,407 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$3,758.40 |
$11,745 |
2.6× |
| Thaw preserved stem cells (38208) |
$313.92 |
$981 |
0.8× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,518.08 |
$4,744 |
1.1× |
| Ther Apheresis,Platelets (36513) |
$1,518.08 |
$4,744 |
3.8× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,518.08 |
$4,744 |
1.1× |
| Ther Apheresis,White Blood Cells (36511) |
$1,518.08 |
$4,744 |
1.1× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$522.88 |
$1,634 |
0.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
— |
$32,902.08 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$829.76 |
$2,593 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$829.76 |
$2,593 |
1.5× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$3,824.32 |
$11,951 |
0.8× |
| Throat Surgery Procedure (42999) |
$630.24 |
$1,969.50 |
2.9× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,528 |
$11,025 |
1.2× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,371.68 |
$7,411.50 |
0.5× |
| Thrombolytic Therapy, Stroke (37195) |
$136 |
$425 |
0.5× |
| Thrombolytic Venous Therapy (37212) |
$1,581.12 |
$4,941 |
0.6× |
| Thyroid biopsy (60100) |
$223.68 |
$699 |
0.3× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
— |
$24,264.49 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$27,615.93 |
— |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
— |
$28,364.74 |
— |
| Tibial arthroscopy/surgery (29855) |
— |
$42,013.40 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,696.32 |
$5,301 |
0.9× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,286.72 |
$7,146 |
1.2× |
| Tissue expander placement breast reconstruction (19357) |
— |
$52,415.73 |
— |
| Tongue and mouth surg unlisted (41599) |
$272 |
$850 |
1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$11,439.05 |
— |
| Total hip arthroplasty (27130) |
— |
$46,101.54 |
— |
| Total knee arthroplasty (27447) |
— |
$52,749.78 |
— |
| Total thyroid lobectomy unilateral (60225) |
— |
$23,015.95 |
— |
| Trach Tube Change (31502) |
$281.28 |
$879 |
1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,182.08 |
$3,694 |
2.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$848.96 |
$2,653 |
4.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,018.56 |
$3,183 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$178.24 |
$557 |
0.6× |
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure |
$1,746.56 |
$5,458 |
0.3× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
— |
$13,961.13 |
— |
| Transfusion intrauterine fetal (36460) |
$457.92 |
$1,431 |
1.1× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$2,390.08 |
$7,469 |
0.5× |
| Transplant forearm tendon (25310) |
— |
$24,681.43 |
— |
| Transplant hand tendon (26480) |
— |
$18,196.87 |
— |
| Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) |
$750.40 |
$2,345 |
0.3× |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
$1,454.72 |
$4,546 |
0.5× |
| Transurethral incision of prostate (52450) |
— |
$11,988.49 |
— |
| Treat clavicle dislocation (23552) |
— |
$48,561.51 |
— |
| Treat ectopic pregnancy (59151) |
— |
$22,808.23 |
— |
| Treat elbow fracture (24586) |
— |
$58,802.44 |
— |
| Treat elbow fracture (24587) |
— |
$46,123.54 |
— |
| Treat eyelid lesion (67850) |
$742.56 |
$2,320.50 |
0.8× |
| Treat finger dislocation (26775) |
$1,173.44 |
$3,667 |
4.6× |
| Treat Finger Fracture Each (26727) |
— |
$14,797.97 |
— |
| Treat Fracture Radius & Ulna (25560) |
$432.64 |
$1,352 |
1.9× |
| Treat fracture radius/ulna (25575) |
— |
$41,763.15 |
— |
| Treat fx distal radial (25606) |
$2,938.56 |
$9,183 |
1.0× |
| Treat fx rad extra-articul (25607) |
— |
$31,137.71 |
— |
| Treat heel fracture (28415) |
— |
$50,845.93 |
— |
| Treat humerus fracture (24500) |
$216.64 |
$677 |
1.0× |
| Treat humerus fracture (24577) |
$432.64 |
$1,352 |
0.3× |
| Treat humerus fracture (23600) |
$216.64 |
$677 |
1.0× |
| Treat knee fracture (27532) |
$1,040.32 |
$3,251 |
0.4× |
| Treat kneecap dislocation (27566) |
— |
$40,179.20 |
— |
| Treat knuckle dislocation (26715) |
$3,968 |
$12,400 |
1.3× |
| Treat lower leg fracture (27828) |
— |
$85,981.95 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$50,825.57 |
— |
| Treat Metatarsal Fracture (28475) |
$360.64 |
$1,127 |
1.6× |
| Treat radius fracture (24665) |
— |
$48,778.52 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
$515.52 |
$1,611 |
0.4× |
| Treat ulnar fracture (24685) |
— |
$35,311.37 |
— |
| Treat Vaginal Bleeding (57180) |
$259.52 |
$811 |
1.4× |
| Treat wrist bone fracture (25635) |
$515.52 |
$1,611 |
0.4× |
| Treat wrist bone fracture (25622) |
$432.64 |
$1,352 |
1.9× |
| Treat Wrist Bone Fracture (25630) |
$216.64 |
$677 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,502.08 |
$4,694 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$432.64 |
$1,352 |
1.9× |
| Treatment extensive retinopathy photocoagulation (67228) |
$890.40 |
$2,782.50 |
1.8× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$738.24 |
$2,307 |
0.1× |
| Treatment of ankle fracture (27792) |
— |
$36,690.08 |
— |
| Treatment of bone cyst (20615) |
$223.68 |
$699 |
0.3× |
| Treatment of choroid lesion (67220) |
$753.60 |
$2,355 |
1.5× |
| Treatment of foot infection (28003) |
$2,480.96 |
$7,753 |
0.8× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$2,284.16 |
$7,138 |
0.8× |
| Treatment of retina (67141) |
$415.68 |
$1,299 |
1.4× |
| Treatment of retinal lesion (67208) |
$460.80 |
$1,440 |
1.6× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$33,642.98 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$216.64 |
$677 |
1.0× |
| Trim skin lesion (11055) |
$106.88 |
$334 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$142.40 |
$445 |
0.8× |
| Trim skin lesions over 4 (11057) |
$177.92 |
$556 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$94.72 |
$296 |
1.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$4,112.32 |
$12,851 |
0.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$4,112.32 |
$12,851 |
0.8× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$936.32 |
$2,926 |
2.3× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$171.20 |
$535 |
0.4× |
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure |
$3,076.80 |
$9,615 |
0.1× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$3,076.80 |
$9,615 |
2.2× |
| Trurl dstrj prstate tiss rf thermoth (53852) |
$4,881.92 |
$15,256 |
1.5× |
| Tumor cell deplete of harvst (38211) |
$1,883.52 |
$5,886 |
4.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$13,746.05 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$55,242.38 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,284.16 |
$7,138 |
0.8× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,284.16 |
$7,138 |
0.8× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,997.28 |
$6,241.50 |
1.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,502.08 |
$4,694 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$223.04 |
$697 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$142.08 |
$444 |
0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$515.52 |
$1,611 |
0.4× |
| Tympanostomy (69433) |
$1,018.56 |
$3,183 |
2.1× |
| Unlisted Cardiac Surgery (33999) |
$2,179.52 |
$6,811 |
3.8× |
| Unlisted fetal invasive procedure, including ultrasound guidance (59897) |
$148.80 |
$465 |
0.8× |
| Unlisted laparoscopic procedure liver (47379) |
— |
$36,301.26 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
$4,074.56 |
$12,733 |
0.7× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$48,829.97 |
— |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$6,133.76 |
$19,168 |
1.1× |
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure |
$846.08 |
$2,644 |
0.2× |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$23,269.21 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$26,989.82 |
— |
| Unlisted procedure anus (46999) |
$620.64 |
$1,939.50 |
0.7× |
| Unlisted Procedure Biliary Tract (47999) |
$2,231.04 |
$6,972 |
2.7× |
| Unlisted Procedure Breast (19499) |
$1,161.92 |
$3,631 |
0.3× |
| Unlisted procedure colon (45399) |
$2,562.24 |
$8,007 |
3.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$1,084.48 |
$3,389 |
5.1× |
| Unlisted Procedure Endocrine System (60699) |
$4,237.76 |
$13,243 |
0.8× |
| Unlisted Procedure External Ear (69399) |
$261.44 |
$817 |
1.2× |
| Unlisted procedure femur or knee (27599) |
$3,440.48 |
$10,751.50 |
15.4× |
| Unlisted procedure foot or toes (28899) |
$5,172.96 |
$16,165.50 |
23.2× |
| Unlisted procedure humerus/elbow (24999) |
$1,331.84 |
$4,162 |
6.0× |
| Unlisted procedure larynx (31599) |
$1,768.96 |
$5,528 |
8.2× |
| Unlisted Procedure Lungs & Pleura (32999) |
$379.36 |
$1,185.50 |
0.7× |
| Unlisted procedure maternity care & delivery (59899) |
$148.80 |
$465 |
0.8× |
| Unlisted procedure neck or thorax (21899) |
$218.24 |
$682 |
1.0× |
| Unlisted Procedure Nervous System (64999) |
$285.44 |
$892 |
1.0× |
| Unlisted procedure palate uvula (42299) |
$917.76 |
$2,868 |
4.3× |
| Unlisted procedure pancreas (48999) |
$232.64 |
$727 |
0.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$5,040.32 |
$15,751 |
22.6× |
| Unlisted Procedure Rectum (45999) |
$2,561.92 |
$8,006 |
3.0× |
| Unlisted Procedure Small Intestine (44799) |
$1,184 |
$3,700 |
1.4× |
| Unlisted procedure spine (22899) |
$180.48 |
$564 |
0.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,733.28 |
$4,924 |
3.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$4,657.60 |
$14,555 |
5.7× |
| Unlisted procedure, male genital system (55899) |
$1,221.92 |
$3,818.50 |
5.4× |
| Unlisted procedure, salivary glands or ducts (42699) |
$228.16 |
$713 |
1.1× |
| Unlisted procedure, stomach (43999) |
$1,054.40 |
$3,295 |
1.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,757.44 |
$5,492 |
9.6× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$10,510.40 |
$32,845 |
1.1× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$3,143.68 |
$9,824 |
0.9× |
| Uppr gi opticl endomicrscopy (43252) |
$1,553.60 |
$4,855 |
0.9× |
| Urine Flow Measurement (51736) |
$152 |
$475 |
1.3× |
| Urology Surgery Procedure (53899) |
$126.72 |
$396 |
0.6× |
| Vaginal delivery only (59409) |
$2,700.16 |
$8,438 |
0.9× |
| Vaginal hysterectomy (58260) |
— |
$25,344.03 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$34,382.40 |
— |
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure |
$4,647.68 |
$14,524 |
0.3× |
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure |
$4,647.68 |
$14,524 |
0.4× |
Vasc embolize/occlude organ (37243)
unusually low: confirm this is the full procedure |
$4,647.68 |
$14,524 |
0.4× |
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure |
$4,647.68 |
$14,524 |
0.4× |
| Vasectomy (55250) |
$803.84 |
$2,512 |
0.4× |
| Venipuncture (36415) |
$4.16 |
$13 |
0.4× |
| Venipuncture, cutdown; age 1 or over (36425) |
$138.56 |
$433 |
0.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,018.56 |
$3,183 |
0.3× |
| Vulvectomy simple partial (56620) |
— |
$8,327.60 |
— |
| Wash harvest stem cells (38209) |
$1,063.36 |
$3,323 |
2.7× |
| Wedging of cast (29740) |
$76.16 |
$238 |
0.3× |
| Wedging of clubfoot cast (29750) |
$91.68 |
$286.50 |
0.4× |
| Windowing of cast (29730) |
$113.60 |
$355 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$555.84 |
$1,737 |
1.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$555.84 |
$1,737 |
0.8× |
| Wrist arthroscop,excis triang cart (29846) |
— |
$31,909.46 |
— |
| Xfer single deep low leg tendon (27691) |
— |
$43,845.57 |
— |
| Xtroral i&d absc cst/hmtma floor mouth subment (41016) |
$3,453.76 |
$10,793 |
0.6× |