| Abd paracentesis w/imaging (49083) |
$491.04 |
$2,232 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$491.04 |
$2,232 |
0.6× |
| Ablate inf turbinate submuc (30802) |
$737 |
$3,350 |
0.5× |
Ablation 1/> Liver Tumor Perq Cryoablation (47383)
unusually low: confirm this is the full procedure |
$4,968.04 |
$22,582 |
0.5× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$2,827.44 |
$12,852 |
0.2× |
Ablation renal tumor unilateral perq cryotherapy (50593)
unusually low: confirm this is the full procedure |
$4,352.92 |
$19,786 |
0.4× |
Ablation ther 1+ pulm tumors perq cryoablation (32994)
likely a partial charge, not the full procedure |
$2,962.52 |
$13,466 |
0.3× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$737 |
$3,350 |
0.5× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$4,564.12 |
$20,746 |
0.7× |
| Abltj 1/> lvr tum prq rf (47382) |
$3,744.62 |
$17,021 |
0.7× |
| Abortion (59841) |
$2,944.41 |
$13,383.68 |
1.0× |
| Abrasion single lesion (15786) |
$80.52 |
$366 |
0.4× |
| Acetabuloplasty Resection Femoral Head (27122) |
$24,443.17 |
$111,105.31 |
3.6× |
| Acne Surgery (10040) |
$102.30 |
$465 |
0.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$11,899.73 |
$54,089.66 |
3.9× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$134.86 |
$613 |
0.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,654.84 |
$7,522 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,227.60 |
$5,580 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,654.84 |
$7,522 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,654.84 |
$7,522 |
0.9× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$489.06 |
$2,223 |
0.3× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$15,489.83 |
$70,408.33 |
2.3× |
| Allogeneic lymphocyte infusions (38242) |
$1,098.46 |
$4,993 |
0.8× |
| Amniocentesis diagnostic (59000) |
$175.56 |
$798 |
0.2× |
| Amniocentesis therapeutic (59001) |
$328.02 |
$1,491 |
1.1× |
| Amputation Finger/Thumb (26951) |
$1,422.52 |
$6,466 |
0.5× |
| Amputation of finger/thumb (26952) |
$1,185.36 |
$5,388 |
0.4× |
| Amputation of penis; partial (54120) |
$17,947.22 |
$81,578.25 |
5.4× |
| Amputation toe interphalangeal joint (28825) |
$1,407.01 |
$6,395.50 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$5,429.10 |
$24,677.74 |
1.8× |
| Analyze infusn pump+reprogram (62368) |
$231.66 |
$1,053 |
0.8× |
| Analyze spine infus pump (62367) |
$231.66 |
$1,053 |
0.8× |
| Ankle arthroscopy (29899) |
$11,286.73 |
$51,303.34 |
1.7× |
| Ankle arthroscopy/surgery (29894) |
$8,513.90 |
$38,699.55 |
2.8× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$14,489.67 |
$65,862.13 |
4.7× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$1,583.34 |
$7,197 |
0.6× |
| Anoscopy (46611) |
$627.88 |
$2,854 |
0.7× |
| Anoscopy Ablation Lesion (46615) |
$1,583.34 |
$7,197 |
0.6× |
| Anoscopy control bleeding (46614) |
$445.50 |
$2,025 |
0.4× |
| Anoscopy diagnostic (46600) |
$58.08 |
$264 |
0.5× |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
$191.84 |
$872 |
0.5× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,527.90 |
$6,945 |
1.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$627.88 |
$2,854 |
0.7× |
| Anoscopy w/rmvl lesion cautery (46610) |
$5,801.33 |
$26,369.67 |
2.2× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$753.50 |
$3,425 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$445.50 |
$2,025 |
0.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,261.97 |
$19,372.61 |
1.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$16,810.17 |
$76,409.86 |
3.6× |
| Anterior Tibial Tubercleplasty (27418) |
$27,125.41 |
$123,297.33 |
4.0× |
| Appendectomy (44950) |
$18,041.22 |
$82,005.54 |
3.0× |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$614.24 |
$2,792 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$163.02 |
$741 |
1.1× |
| Application cast elbow finger short arm (29075) |
$117.48 |
$534 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$67.32 |
$306 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$117.48 |
$534 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$18.48 |
$84 |
0.3× |
| Application finger splint static (29130) |
$122.43 |
$556.50 |
1.0× |
| Application Hip Spica Cast 1 Leg (29305) |
$83.38 |
$379 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$260.37 |
$1,183.50 |
1.7× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$125.40 |
$570 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$173.58 |
$789 |
1.1× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$17,374.10 |
$78,973.19 |
1.4× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$20,646.26 |
$93,846.65 |
3.0× |
| Application Of Body Cast (29015) |
$6,781.84 |
$30,826.55 |
25.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$117.48 |
$534 |
0.4× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$7,393.79 |
$33,608.12 |
28.2× |
| Application of long leg cast (29345) |
$117.48 |
$534 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$454.08 |
$2,064 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$52.14 |
$237 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$199.32 |
$906 |
1.6× |
| Application short leg splint calf foot (29515) |
$260.37 |
$1,183.50 |
1.7× |
| Application, cast; figure-of-eight (29049) |
$60.72 |
$276 |
0.2× |
| Apply Body Cast,Risser Jacket (29010) |
$7,057.01 |
$32,077.30 |
26.9× |
| Apply multlay comprs arm/hand (29584) |
$101.86 |
$463 |
0.7× |
| Apply of clubfoot cast (29450) |
$67.32 |
$306 |
0.4× |
| Apply short leg cast (29405) |
$117.48 |
$534 |
0.4× |
| Apply short leg cast (29425) |
$117.48 |
$534 |
0.4× |
| Apply/remove halo cranial (20661) |
$12,152.91 |
$55,240.52 |
8.1× |
| Aqueous shunt to extraocular reservoir (66180) |
$10,765.06 |
$48,932.07 |
2.2× |
| Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) |
$13,506.96 |
$61,395.25 |
2.0× |
| Arrest, epiphyseal, any method, (epiphydiodesis); distal femur (27475) |
$12,834.74 |
$58,339.71 |
1.9× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) |
$21,010.76 |
$95,503.46 |
3.1× |
| Arterial puncture (36600) |
$49.28 |
$224 |
0.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$13,790.43 |
$62,683.76 |
4.7× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$10,629.63 |
$48,316.49 |
2.0× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$12,767.14 |
$58,032.46 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$108.24 |
$492 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$461.34 |
$2,097 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$108.24 |
$492 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$461.34 |
$2,097 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$108.24 |
$492 |
0.4× |
| Arthrodesis ankle open (27870) |
$39,094.57 |
$177,702.58 |
3.2× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$27,857.71 |
$126,625.93 |
2.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,900.37 |
$35,910.78 |
1.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$19,805.12 |
$90,023.25 |
1.2× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$38,542.25 |
$175,192.04 |
1.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$14,837.34 |
$67,442.47 |
2.2× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$36,982.57 |
$168,102.58 |
1.5× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$33,642.68 |
$152,921.25 |
2.0× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Outpatient Spinal Fusion Procedures (with cervical/without… (22595) |
$28,495.82 |
$129,526.47 |
2.4× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$17,236.26 |
$78,346.63 |
1.0× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
$33,361.20 |
$151,641.83 |
2.8× |
| Arthrodesis; subtalar (28725) |
$40,387.23 |
$183,578.34 |
3.4× |
| Arthroplasty Ankle W/Implant (27702) |
$31,725.75 |
$144,207.96 |
1.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$26,127.83 |
$118,762.87 |
1.6× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$16,360.07 |
$74,363.98 |
1.4× |
| Arthroplasty radial head w/implant (24366) |
$18,937.35 |
$86,078.88 |
1.6× |
| Arthroplasty, patella; with prosthesis (27438) |
$25,399.18 |
$115,450.81 |
2.1× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$20,098.84 |
$91,358.37 |
3.0× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$30,557.85 |
$138,899.32 |
2.5× |
| Arthroscopy ankle; ext debridem (29898) |
$14,483.17 |
$65,832.59 |
4.7× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$21,968.67 |
$99,857.60 |
7.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$12,563.94 |
$57,108.81 |
4.1× |
| Arthroscopy of joint (29999) |
$2,425.94 |
$11,027 |
10.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$11,114.75 |
$50,521.61 |
3.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$10,484.12 |
$47,655.11 |
3.4× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$19,462.10 |
$88,464.08 |
2.9× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$8,990.97 |
$40,868.04 |
2.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$9,011.80 |
$40,962.73 |
2.9× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$14,808 |
$67,309.09 |
4.8× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$6,989.11 |
$31,768.67 |
2.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$10,136.90 |
$46,076.82 |
3.3× |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
$43,522.39 |
$197,829.05 |
6.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$8,722.62 |
$39,648.29 |
2.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$7,087.42 |
$32,215.54 |
2.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$8,219.07 |
$37,359.40 |
2.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$8,826.89 |
$40,122.22 |
2.9× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) |
$7,276.81 |
$33,076.42 |
2.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$15,071.71 |
$68,507.78 |
2.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$21,212.82 |
$96,421.92 |
3.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$10,703.33 |
$48,651.50 |
3.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$10,225.01 |
$46,477.34 |
3.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$14,629.29 |
$66,496.77 |
4.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$14,147.74 |
$64,307.91 |
2.1× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$14,909.89 |
$67,772.24 |
4.9× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$30,198.88 |
$137,267.64 |
9.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$18,809.30 |
$85,496.82 |
2.8× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$9,069.40 |
$41,224.56 |
3.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$14,884.21 |
$67,655.49 |
4.8× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$9,923.69 |
$45,107.70 |
3.2× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$10,796.46 |
$49,074.82 |
3.5× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$12,130.84 |
$55,140.19 |
1.8× |
| Arthrtomy w/bx interphalangeal joint (28054) |
$1,795.42 |
$8,161 |
0.6× |
| Aspir/inj thyroid cyst (60300) |
$351.12 |
$1,596 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$206.36 |
$938 |
0.7× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,958 |
$8,900 |
1.0× |
| Aspiration bladder needle (51100) |
$169.40 |
$770 |
0.7× |
| Attach ocular implant (65140) |
$19,822.45 |
$90,102.05 |
5.4× |
| Autochondrocyte implant knee (27412) |
$19,192.91 |
$87,240.48 |
2.8× |
| Av fistula revision (36833) |
$15,487.04 |
$70,395.62 |
3.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$17,044.88 |
$77,476.74 |
3.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$96.58 |
$439 |
0.5× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,204.28 |
$5,474 |
1.1× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure |
$1,437.70 |
$6,535 |
0.2× |
Biliary Endoscopy Percut,Biopsy (47553)
likely a partial charge, not the full procedure |
$1,784.42 |
$8,111 |
0.3× |
Biliary Endoscopy Percut,Dil Strict (47555)
likely a partial charge, not the full procedure |
$1,437.70 |
$6,535 |
0.2× |
Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554)
unusually low: confirm this is the full procedure |
$4,320.36 |
$19,638 |
0.4× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$1,437.70 |
$6,535 |
0.1× |
| Biopsy Bone Open Deep (20245) |
$1,780.02 |
$8,091 |
0.7× |
| Biopsy bone open superficial (20240) |
$1,780.02 |
$8,091 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$631.40 |
$2,870 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$377.30 |
$1,715 |
0.2× |
| Biopsy Breast Open Incisional (19101) |
$1,973.40 |
$8,970 |
0.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$393.58 |
$1,789 |
0.5× |
| Biopsy external auditory canal (69105) |
$1,149.72 |
$5,226 |
0.8× |
| Biopsy external ear (69100) |
$377.30 |
$1,715 |
1.7× |
| Biopsy intranasal (30100) |
$737 |
$3,350 |
0.5× |
| Biopsy muscle deep (20205) |
$1,470.92 |
$6,686 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$326.04 |
$1,482 |
0.2× |
| Biopsy Muscle Superficial (20200) |
$8,609.65 |
$39,134.78 |
5.6× |
| Biopsy Nerve (64795) |
$15,506.42 |
$70,483.73 |
8.5× |
| Biopsy of epididymis (54800) |
$377.52 |
$1,716 |
0.2× |
| Biopsy of eyelid lining (68100) |
$1,392.60 |
$6,330 |
0.6× |
| Biopsy of floor of mouth (41108) |
$766.48 |
$3,484 |
0.5× |
| Biopsy of lacrimal gland (68510) |
$1,392.60 |
$6,330 |
0.6× |
| Biopsy of lip (40490) |
$196.68 |
$894 |
0.9× |
| Biopsy of mouth lesion (40808) |
$196.68 |
$894 |
0.4× |
| Biopsy of nail unit (11755) |
$377.30 |
$1,715 |
0.6× |
| Biopsy of palate, uvula (42100) |
$1,190.42 |
$5,411 |
0.8× |
| Biopsy of penis (54100) |
$1,182.28 |
$5,374 |
0.8× |
| Biopsy of tear sac (68525) |
$20,370.29 |
$92,592.22 |
9.1× |
| Biopsy of tongue (41100) |
$766.48 |
$3,484 |
1.5× |
| Biopsy of urethra (53200) |
$1,400.30 |
$6,365 |
0.7× |
| Biopsy of uterus lining (58100) |
$119.46 |
$543 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,434.41 |
$11,065.50 |
0.7× |
| Biopsy Oropharynx (42800) |
$1,266.98 |
$5,759 |
0.9× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$473.22 |
$2,151 |
0.3× |
| Biopsy pleura percutaneous needle (32400) |
$546.04 |
$2,482 |
0.4× |
| Biopsy Salivary Gland Incisional (42405) |
$1,266.98 |
$5,759 |
0.9× |
| Biopsy Salivary Gland,Needle (42400) |
$339.02 |
$1,541 |
0.5× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$14,315.91 |
$65,072.33 |
5.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$6,212.65 |
$28,239.33 |
4.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,136.74 |
$5,167 |
0.7× |
| Biopsy soft tissue shoulder superficial (23065) |
$812.46 |
$3,693 |
0.5× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$887.92 |
$4,036 |
0.6× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,362.90 |
$6,195 |
0.9× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$455.18 |
$2,069 |
0.3× |
| Biopsy Testis Needle Separate Procedure (54500) |
$757.68 |
$3,444 |
0.3× |
| Biopsy tongue posterior one-third (41105) |
$905.74 |
$4,117 |
0.3× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$1,628.22 |
$7,401 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$393.58 |
$1,789 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$12,076.98 |
$54,895.37 |
3.3× |
| Biopsy/removal lymph nodes (38510) |
$13,503.90 |
$61,381.35 |
3.7× |
| Bl exchange/transfuse nb (36450) |
$276.10 |
$1,255 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$247.28 |
$1,124 |
0.4× |
| Bladder Irrigation Simple (51700) |
$109.78 |
$499 |
0.5× |
| Bladder Scan (51798) |
$58.08 |
$264 |
1.0× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$1,464.54 |
$6,657 |
1.0× |
| Blepharoplasty upper eyelid (15822) |
$8,655.15 |
$39,341.61 |
4.5× |
| Blood patch (62273) |
$172.04 |
$782 |
0.3× |
| Blood transfusion service (36430) |
$691.90 |
$3,145 |
1.7× |
| Blood/Lymph System Procedure (38999) |
$456.50 |
$2,075 |
1.1× |
| Bone graft, any donor area; major or large (20902) |
$21,776.81 |
$98,985.48 |
3.2× |
| Bone marrow aspiration only (38220) |
$566.28 |
$2,574 |
0.4× |
| Bone Marrow Biopsy (38221) |
$566.28 |
$2,574 |
0.4× |
| Bone marrow harvest allogen (38230) |
$10,845.78 |
$49,299.02 |
7.4× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$252.12 |
$1,146 |
0.4× |
| Breast augmentation with implant (19325) |
$11,441.40 |
$52,006.34 |
1.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$855.36 |
$3,888 |
0.5× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,695.32 |
$7,706 |
1.0× |
| Brnchsc removal bronchial valve initial (31648) |
$2,729.54 |
$12,407 |
0.8× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,007.50 |
$9,125 |
0.6× |
| Bronch ebus samplng 1/2 node (31652) |
$2,899.16 |
$13,178 |
0.8× |
| Bronch ebus samplng 3/> node (31653) |
$2,416.04 |
$10,982 |
0.7× |
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure |
$1,906.96 |
$8,668 |
0.3× |
Bronchial thermoplasty 2 or more lobes (31661)
likely a partial charge, not the full procedure |
$1,906.96 |
$8,668 |
0.3× |
Bronchial Valve Init Insert (31647)
unusually low: confirm this is the full procedure |
$2,639.78 |
$11,999 |
0.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$855.36 |
$3,888 |
0.5× |
Bronchoscopy Balloon Occlusion (31634)
unusually low: confirm this is the full procedure |
$2,729.54 |
$12,407 |
0.4× |
| Bronchoscopy bronch stents (31636) |
$7,730.81 |
$35,140.06 |
1.2× |
| Bronchoscopy dilate/fx repr (31630) |
$2,007.50 |
$9,125 |
0.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$855.36 |
$3,888 |
0.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$855.36 |
$3,888 |
0.5× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$10,959.48 |
$49,815.81 |
1.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$855.36 |
$3,888 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$800.80 |
$3,640 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$400.40 |
$1,820 |
1.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$855.36 |
$3,888 |
0.2× |
| Bronchoscopy w/tumor excise (31640) |
$6,181.61 |
$28,098.22 |
1.8× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$855.36 |
$3,888 |
0.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$473.22 |
$2,151 |
0.3× |
| Bx anorectal wall anal approach (45100) |
$1,710.94 |
$7,777 |
0.7× |
| Bx breast 1st lesion mr imag (19085) |
$597.30 |
$2,715 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$398.20 |
$1,810 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$597.30 |
$2,715 |
0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$489.06 |
$2,223 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$392.48 |
$1,784 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$489.06 |
$2,223 |
0.3× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$9,799.58 |
$44,543.54 |
2.7× |
| Canthotomy Separate Procedure (67715) |
$1,365.76 |
$6,208 |
0.6× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$12,131.25 |
$55,142.04 |
3.9× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$15,777.49 |
$71,715.88 |
2.3× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$23,610.16 |
$107,318.89 |
15.6× |
| Car-t admn autologous (38228) |
$307.34 |
$1,397 |
1.0× |
| Carpectomy All Bones Proximal Row (25215) |
$10,109.09 |
$45,950.39 |
3.3× |
| Cataract surgery complex (66982) |
$5,988.25 |
$27,219.31 |
2.8× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$109.12 |
$496 |
0.5× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$225.28 |
$1,024 |
0.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,954.04 |
$4,614.50 |
0.6× |
| Cerv artific diskectomy (22856) |
$24,064.50 |
$109,384.08 |
1.5× |
| Cessj Therapy Cath Removal (37214) |
$2,553.10 |
$11,605 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$654.50 |
$2,975 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$211.64 |
$962 |
0.9× |
| Change g-tube to g-j perc (49446) |
$860.86 |
$3,913 |
0.5× |
| Change Ureter Stent, Percut (50382) |
$1,757.58 |
$7,989 |
0.9× |
| Chemical Cautery Tissue (17250) |
$96.58 |
$439 |
0.5× |
| Chemical peel facial epidermal (15788) |
$286.44 |
$1,302 |
0.8× |
| Chemical peel nonfacial epidermal (15792) |
$725.34 |
$3,297 |
1.0× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$515.24 |
$2,342 |
0.8× |
| Chemodenerv 1 extremity 1-4 (64642) |
$515.24 |
$2,342 |
0.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$441.54 |
$2,007 |
1.5× |
| Chemodenerv trunk musc 1-5 (64646) |
$670.12 |
$3,046 |
1.0× |
| Chemodenerv trunk musc 6/> (64647) |
$515.24 |
$2,342 |
0.8× |
| Chemodenervation internal anal sphincter (46505) |
$331.54 |
$1,507 |
0.3× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$772.86 |
$3,513 |
1.2× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$206.36 |
$938 |
0.7× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$280.94 |
$1,277 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$309.54 |
$1,407 |
1.1× |
| Chest tube placement (32551) |
$605.44 |
$2,752 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$58.30 |
$265 |
0.5× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$545.38 |
$2,479 |
0.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,668.60 |
$12,130 |
0.8× |
| Chorionic villus sampling (59015) |
$175.56 |
$798 |
0.2× |
| Chromotubation of oviduct, including materials (58350) |
$9,926.57 |
$45,120.76 |
2.1× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$1,082.73 |
$4,921.50 |
0.5× |
| Circum 28 days or older (54161) |
$1,072.94 |
$4,877 |
0.5× |
| Circumcision (54150) |
$363.44 |
$1,652 |
0.2× |
| Circumcision Neonate (54160) |
$363.44 |
$1,652 |
0.6× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$252.12 |
$1,146 |
0.9× |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
$210.10 |
$955 |
0.7× |
| Claviculectomy; partial (23120) |
$19,374.95 |
$88,067.94 |
6.3× |
| Clean out mastoid cavity (69222) |
$2,192.85 |
$9,967.50 |
4.3× |
| Clearance of tear duct (68530) |
$296.01 |
$1,345.50 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$313.06 |
$1,423 |
0.2× |
| Close tear duct opening (68761) |
$174.46 |
$793 |
0.6× |
| Close Tear Duct Opening (68760) |
$131.01 |
$595.50 |
0.4× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$614.24 |
$2,792 |
2.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$130.46 |
$593 |
0.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$372.90 |
$1,695 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$234.96 |
$1,068 |
1.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$737 |
$3,350 |
0.5× |
| Closed Rx Med Malleolus Fx (27760) |
$234.96 |
$1,068 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$372.90 |
$1,695 |
0.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$313.06 |
$1,423 |
0.2× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,844.92 |
$8,386 |
1.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$469.59 |
$2,134.50 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$469.59 |
$2,134.50 |
2.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$372.90 |
$1,695 |
0.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$313.06 |
$1,423 |
0.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$156.64 |
$712 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$234.96 |
$1,068 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$234.96 |
$1,068 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,087.02 |
$4,941 |
0.7× |
| Closed Rx Trimalleolar Fx (27816) |
$234.96 |
$1,068 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$156.64 |
$712 |
0.7× |
| Closed treat wrist dislocation (25660) |
$130.46 |
$593 |
0.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$130.46 |
$593 |
0.6× |
| Closed treatment nasal fracture w/stabilization (21320) |
$766.48 |
$3,484 |
0.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$234.96 |
$1,068 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$156.64 |
$712 |
0.7× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$234.96 |
$1,068 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$234.96 |
$1,068 |
1.0× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$1,614.36 |
$7,338 |
0.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$234.96 |
$1,068 |
1.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$156.64 |
$712 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$313.06 |
$1,423 |
1.4× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$372.90 |
$1,695 |
0.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$143.44 |
$652 |
0.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$234.96 |
$1,068 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$130.46 |
$593 |
0.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$469.59 |
$2,134.50 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$156.64 |
$712 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$263.78 |
$1,199 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$234.96 |
$1,068 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$260.92 |
$1,186 |
1.1× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$234.96 |
$1,068 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$313.06 |
$1,423 |
0.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$234.96 |
$1,068 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,087.02 |
$4,941 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$156.64 |
$712 |
0.7× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$372.90 |
$1,695 |
0.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$157.74 |
$717 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$156.64 |
$712 |
0.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$313.06 |
$1,423 |
0.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$371.14 |
$1,687 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,304.38 |
$5,929 |
5.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$469.59 |
$2,134.50 |
2.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$234.96 |
$1,068 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$313.06 |
$1,423 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$234.96 |
$1,068 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$313.06 |
$1,423 |
0.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$234.96 |
$1,068 |
1.0× |
| Closed tx septal&nose fx (21337) |
$1,362.90 |
$6,195 |
0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$784.08 |
$3,564 |
3.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$130.46 |
$593 |
0.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$372.90 |
$1,695 |
0.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$951.50 |
$4,325 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$189.20 |
$860 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$313.06 |
$1,423 |
0.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$234.96 |
$1,068 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$234.96 |
$1,068 |
1.0× |
| Closure of gastrostomy surgical (43870) |
$7,260.29 |
$33,001.31 |
2.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$196.68 |
$894 |
0.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$766.48 |
$3,484 |
1.5× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$13,431.37 |
$61,051.66 |
4.4× |
| Closure of vagina (57120) |
$17,454.15 |
$79,337.04 |
3.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$156.64 |
$712 |
0.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$234.96 |
$1,068 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$234.96 |
$1,068 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$737 |
$3,350 |
1.5× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$291.06 |
$1,323 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,304.38 |
$5,929 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$313.06 |
$1,423 |
1.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$234.96 |
$1,068 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,304.38 |
$5,929 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$156.64 |
$712 |
0.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$313.06 |
$1,423 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$156.64 |
$712 |
0.7× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$372.90 |
$1,695 |
0.2× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$510.62 |
$2,321 |
2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$313.06 |
$1,423 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$234.96 |
$1,068 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$156.64 |
$712 |
0.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$156.64 |
$712 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$469.59 |
$2,134.50 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$469.59 |
$2,134.50 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$372.90 |
$1,695 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$469.59 |
$2,134.50 |
2.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$130.46 |
$593 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$372.90 |
$1,695 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$156.64 |
$712 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$234.96 |
$1,068 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$313.06 |
$1,423 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$156.64 |
$712 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$313.06 |
$1,423 |
0.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$234.96 |
$1,068 |
1.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$234.96 |
$1,068 |
1.0× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,362.90 |
$6,195 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$313.06 |
$1,423 |
1.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$372.90 |
$1,695 |
0.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,304.38 |
$5,929 |
5.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$156.64 |
$712 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$156.64 |
$712 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$313.06 |
$1,423 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$156.64 |
$712 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$372.90 |
$1,695 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$156.64 |
$712 |
0.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$156.64 |
$712 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$156.64 |
$712 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$156.64 |
$712 |
0.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,304.38 |
$5,929 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$313.06 |
$1,423 |
1.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$372.90 |
$1,695 |
0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$234.96 |
$1,068 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$313.06 |
$1,423 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$234.96 |
$1,068 |
1.0× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$372.90 |
$1,695 |
0.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$372.90 |
$1,695 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$313.06 |
$1,423 |
0.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$559.35 |
$2,542.50 |
0.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$141.57 |
$643.50 |
0.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$510.62 |
$2,321 |
2.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$469.59 |
$2,134.50 |
0.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$130.46 |
$593 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$372.90 |
$1,695 |
0.2× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$752.84 |
$3,422 |
0.2× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$27,603.61 |
$125,470.97 |
5.9× |
| Coccygectomy Primary (27080) |
$18,799.91 |
$85,454.12 |
6.1× |
| Colonoscopy flex w/rem forcep (45384) |
$674.74 |
$3,067 |
0.6× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,149.72 |
$5,226 |
1.0× |
| Colonoscopy for bleeding (44391) |
$674.74 |
$3,067 |
0.6× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,149.72 |
$5,226 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$674.74 |
$3,067 |
0.6× |
| Colonoscopy stoma w/balloon dilation (44405) |
$958.10 |
$4,355 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$674.74 |
$3,067 |
0.6× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$958.10 |
$4,355 |
0.9× |
| Colonoscopy stoma w/snare (44394) |
$809.60 |
$3,680 |
0.7× |
| Colonoscopy through stoma with decompression (44408) |
$429.66 |
$1,953 |
0.5× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$1,149.72 |
$5,226 |
1.0× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$958.10 |
$4,355 |
0.9× |
| Colonoscopy thru stoma (44388) |
$674.74 |
$3,067 |
0.8× |
| Colonoscopy w/ablation (45388) |
$674.74 |
$3,067 |
0.6× |
| Colonoscopy w/band ligation (45398) |
$958.10 |
$4,355 |
0.9× |
| Colonoscopy w/endoscopic fnb (45392) |
$809.60 |
$3,680 |
0.7× |
| Colonoscopy w/fb removal (45379) |
$809.60 |
$3,680 |
0.7× |
| Colonoscopy w/ndl aspir/bx (44407) |
$566.72 |
$2,576 |
0.5× |
| Colonoscopy w/resection (45390) |
$1,149.72 |
$5,226 |
0.4× |
Colonoscopy w/stent plcmt (44402)
likely a partial charge, not the full procedure |
$1,314.72 |
$5,976 |
0.2× |
Colonoscopy w/stent plcmt (45389)
unusually low: confirm this is the full procedure |
$2,544.08 |
$11,564 |
0.4× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$20,439.74 |
$92,907.89 |
2.9× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$29,850.88 |
$135,685.82 |
4.3× |
| Colporrhaphy suture injury vagina (57200) |
$1,795.42 |
$8,161 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$165.22 |
$751 |
0.6× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$225.28 |
$1,024 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,954.04 |
$8,882 |
0.6× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,153.90 |
$5,245 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$225.28 |
$1,024 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$225.28 |
$1,024 |
0.8× |
| Colposcopy vulva (56820) |
$119.46 |
$543 |
0.6× |
| Colposcopy vulva w/biopsy (56821) |
$225.28 |
$1,024 |
0.8× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$225.28 |
$1,024 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$225.28 |
$1,024 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$674.74 |
$3,067 |
0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$674.74 |
$3,067 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$674.74 |
$3,067 |
0.6× |
| Comp multiplane ext fixation (20696) |
$31,955.58 |
$145,252.65 |
1.3× |
| Complete replacement picc rs&i (36584) |
$748.66 |
$3,403 |
0.5× |
| Complex Cystometrogram (51726) |
$247.28 |
$1,124 |
1.1× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$118.80 |
$540 |
0.2× |
| Complex Drainage, Wound (10180) |
$537.24 |
$2,442 |
0.2× |
| Complex Uroflowmetry (51741) |
$109.78 |
$499 |
0.5× |
| Composite skin graft (15760) |
$15,633.09 |
$71,059.49 |
8.1× |
| Conization of cervix (57520) |
$6,854.09 |
$31,154.95 |
2.3× |
| Conization of cervix (57522) |
$2,534.62 |
$11,521 |
0.8× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$42.02 |
$191 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$167.31 |
$760.50 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$167.31 |
$760.50 |
1.3× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$96.58 |
$439 |
0.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$121.66 |
$553 |
0.2× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$7,914.10 |
$35,973.18 |
2.5× |
| Conversion ext bil drg cath (47535) |
$3,168.88 |
$14,404 |
0.9× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$27,585.22 |
$125,387.38 |
2.3× |
| Convert nephrostomy catheter (50434) |
$763.40 |
$3,470 |
0.4× |
| Cordocentesis (59012) |
$128.92 |
$586 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$582.78 |
$2,649 |
0.4× |
| Corneal smear (65430) |
$225.28 |
$1,024 |
0.5× |
| Corneal transplant (65730) |
$9,517.90 |
$43,263.18 |
2.5× |
| Corneal transplant (65755) |
$9,635.87 |
$43,799.40 |
2.5× |
| Corneal transplant (65710) |
$8,842.23 |
$40,191.97 |
1.8× |
| Corneal transplant (65750) |
$11,184.78 |
$50,839.92 |
2.2× |
| Correct lid retraction (67911) |
$1,733.49 |
$7,879.50 |
0.8× |
| Correction eyelid w/implant (67912) |
$9,618.47 |
$43,720.34 |
4.3× |
| Correction hammertoe (28285) |
$1,511.18 |
$6,869 |
0.5× |
| Correction of bunion (28298) |
$7,360.71 |
$33,457.78 |
1.1× |
| Correction of bunion (28292) |
$15,492.38 |
$70,419.92 |
5.0× |
| Correction of bunion (28299) |
$11,738.32 |
$53,356.02 |
1.7× |
| Correction of bunion (28297) |
$15,507.07 |
$70,486.66 |
1.3× |
| Correction of inverted nipples (19355) |
$6,749.54 |
$30,679.73 |
1.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$8,768.83 |
$39,858.34 |
2.9× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$18,006.55 |
$81,847.94 |
5.9× |
| Cover eye w/membrane (65778) |
$1,282.71 |
$5,830.50 |
1.4× |
| Cover eye w/membrane suture (65779) |
$5,298.06 |
$24,082.08 |
1.4× |
| Create eardrum opening (69436) |
$1,218.36 |
$5,538 |
0.8× |
| Create tear duct drain (68750) |
$25,097.68 |
$114,080.35 |
6.8× |
| Create tear duct drain (68745) |
$497.64 |
$2,262 |
0.1× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$16,132.78 |
$73,330.83 |
3.1× |
| Cryosurgical ablation prostate w/us & monitori (55873) |
$13,542.47 |
$61,556.70 |
1.5× |
| Cryotherapy of skin (17340) |
$21.56 |
$98 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$111.54 |
$507 |
0.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$111.54 |
$507 |
0.5× |
| Curettage postpartum (59160) |
$1,608.20 |
$7,310 |
0.5× |
| Curette/treat cornea (65436) |
$2,000.79 |
$9,094.50 |
0.9× |
| Curette/treat cornea (65435) |
$962.94 |
$4,377 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,757.58 |
$7,989 |
0.9× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$9,529.96 |
$43,318.02 |
2.9× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,207.48 |
$10,034 |
0.7× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$9,763.20 |
$44,378.16 |
1.9× |
| Cysto w/destruction of lesions (52214) |
$2,207.48 |
$10,034 |
0.7× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$2,985.84 |
$13,572 |
0.6× |
| Cysto w/removal of tumors small (52234) |
$2,207.48 |
$10,034 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$984.72 |
$4,476 |
0.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$7,381.93 |
$33,554.24 |
2.2× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$1,464.54 |
$6,657 |
0.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$8,852.42 |
$40,238.25 |
2.7× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$12,726.67 |
$57,848.49 |
2.5× |
| Cysto/uretero w/lithotripsy (52356) |
$4,809.42 |
$21,861 |
1.0× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$10,975.25 |
$49,887.52 |
2.2× |
| Cystolithotomy w rem stone wo vn res (51050) |
$11,574.55 |
$52,611.60 |
2.3× |
| Cystometrogram w/vp (51728) |
$247.28 |
$1,124 |
0.4× |
| Cystometrogram W/Vp&Up (51729) |
$205.92 |
$936 |
0.3× |
| Cystoscopy and treatment (52301) |
$7,512.66 |
$34,148.46 |
2.3× |
| Cystoscopy w/biopsy (52204) |
$1,757.58 |
$7,989 |
0.9× |
| Cystoscopy w/complex removal stone & stent (52315) |
$1,795.42 |
$8,161 |
0.9× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,757.58 |
$7,989 |
0.9× |
| Cystoscopy,insert ureteral stent (52332) |
$2,207.48 |
$10,034 |
0.7× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,207.48 |
$10,034 |
1.1× |
| Cystourethroscopy (52000) |
$656.48 |
$2,984 |
1.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,646.70 |
$7,485 |
0.8× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$398.20 |
$1,810 |
0.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,297.09 |
$19,532.25 |
2.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,538.46 |
$6,993 |
0.5× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$7,055.75 |
$32,071.60 |
2.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$1,464.54 |
$6,657 |
0.7× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$546.92 |
$2,486 |
0.3× |
| Cystourethroscopy, with steroid injection into stricture (52283) |
$5,041.02 |
$22,913.74 |
2.6× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$1,795.42 |
$8,161 |
0.5× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$2,207.48 |
$10,034 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$623.92 |
$2,836 |
1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$537.24 |
$2,442 |
0.2× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,545.28 |
$7,024 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$346.72 |
$1,576 |
0.5× |
| Debride nail 1-5 (11720) |
$68.42 |
$311 |
1.2× |
| Debride nail 6 or more (11721) |
$68.42 |
$311 |
1.2× |
| Debride skin musc at fx site (11011) |
$346.72 |
$1,576 |
0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$115.83 |
$526.50 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$452.54 |
$2,057 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$710.60 |
$3,230 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,371.04 |
$6,232 |
0.9× |
| Declot vascular device (36593) |
$70.40 |
$320 |
0.2× |
| Decompression of leg (27892) |
$9,980.59 |
$45,366.34 |
3.2× |
| Decompression of tibia nerve (28035) |
$8,468.22 |
$38,491.90 |
4.6× |
| Decompression; plantar digital nerve (64726) |
$20,461.07 |
$93,004.86 |
11.2× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$39,521.86 |
$179,644.83 |
21.6× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$1,379.18 |
$6,269 |
0.7× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$829.62 |
$3,771 |
0.4× |
| Delivery placenta separate procedure (59414) |
$1,384.68 |
$6,294 |
0.5× |
| Dermabrasion segmental face (15781) |
$314.60 |
$1,430 |
0.5× |
| Dermabrasion superficial any site (15783) |
$206.58 |
$939 |
0.5× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$939.62 |
$4,271 |
0.3× |
| Destr penis lesn,simpl,laser surg (54057) |
$7,342.76 |
$33,376.19 |
3.8× |
| Destroy cerv/thor facet jnt (64633) |
$1,196.58 |
$5,439 |
0.7× |
| Destroy internal hemorrhoids (46930) |
$614.46 |
$2,793 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$2,054.58 |
$9,339 |
1.1× |
| Destroy nerve of eye muscle (67345) |
$580.80 |
$2,640 |
1.9× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$202.62 |
$921 |
0.5× |
| Destruc retinal lesn,photocoag (67210) |
$644.16 |
$2,928 |
1.2× |
| Destruction anal lesion(s) (46924) |
$5,945.23 |
$27,023.76 |
2.3× |
| Destruction benign lesions 15 or more (17111) |
$96.58 |
$439 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$96.58 |
$439 |
0.5× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$334.95 |
$1,522.50 |
0.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$334.95 |
$1,522.50 |
0.4× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$183.48 |
$834 |
0.6× |
| Destruction Lesions Vulva Extensive (56515) |
$1,595.22 |
$7,251 |
0.8× |
| Destruction Lesions Vulva Simple (56501) |
$1,701.92 |
$7,736 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$148.72 |
$676 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$148.72 |
$676 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$157.96 |
$718 |
0.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$123.86 |
$563 |
0.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$148.72 |
$676 |
0.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$148.72 |
$676 |
0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$148.72 |
$676 |
0.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$136.40 |
$620 |
0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$685.96 |
$3,118 |
1.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$148.72 |
$676 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$67.54 |
$307 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$96.58 |
$439 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$148.72 |
$676 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$171.38 |
$779 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$387.20 |
$1,760 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$148.72 |
$676 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,040.16 |
$4,728 |
0.6× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$380.60 |
$1,730 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$80.30 |
$365 |
0.4× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$88.44 |
$402 |
0.2× |
| Destruction of multiple growths of penis (54065) |
$1,595.22 |
$7,251 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$53.90 |
$245 |
0.3× |
| Destruction Vaginal Lesions Extensive (57065) |
$5,969.83 |
$27,135.58 |
2.0× |
| Destruction vaginal lesions simple (57061) |
$1,954.04 |
$8,882 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$378.18 |
$1,719 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$445.50 |
$2,025 |
0.5× |
| Dil urethra,female,subsequent (53661) |
$47.96 |
$218 |
0.4× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,425.82 |
$6,481 |
1.3× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$4,668.90 |
$21,222.29 |
1.4× |
| Dilate urethra stricture (53620) |
$1,563.98 |
$7,109 |
2.4× |
| Dilate urethra stricture (53621) |
$301.07 |
$1,368.50 |
1.3× |
| Dilate Urethra Stricture (53600) |
$247.28 |
$1,124 |
1.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$606.76 |
$2,758 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$417.56 |
$1,898 |
0.5× |
| Dilation Esophagus Guide Wire (43453) |
$417.56 |
$1,898 |
0.2× |
| Dilation Nasolacrimal Duct (68801) |
$168.96 |
$768 |
0.4× |
| Dilation of anal sphincter (45905) |
$4,910.96 |
$22,322.53 |
4.4× |
| Dilation of cervical canal (57800) |
$6,517.51 |
$29,625.05 |
2.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$301.07 |
$1,368.50 |
2.5× |
| Dilation of salivary duct (42650) |
$5,456.14 |
$24,800.62 |
3.7× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$301.07 |
$1,368.50 |
2.4× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$101.86 |
$463 |
0.1× |
| Division of fallopian tube (58600) |
$2,534.62 |
$11,521 |
0.8× |
| Divisn plantar fascia/muscle (28250) |
$6,633.60 |
$30,152.71 |
2.2× |
| Drain bladder by trocar/cath (51101) |
$250.14 |
$1,137 |
0.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,223.21 |
$10,105.50 |
1.4× |
| Drain hand tendon sheath (26020) |
$5,741.22 |
$26,096.44 |
1.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$196.68 |
$894 |
0.3× |
| Drain outer ear canal lesion (69020) |
$137.50 |
$625 |
0.2× |
| Drain perineal urin leak,uncomplic (53080) |
$2,126.52 |
$9,666 |
3.2× |
| Drain spinal cord cyst (62268) |
$252.12 |
$1,146 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$461.34 |
$2,097 |
1.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$157.74 |
$717 |
0.7× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$189.20 |
$860 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$206.25 |
$937.50 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,061.50 |
$4,825 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$137.50 |
$625 |
0.7× |
| Drainage mouth roof lesion (42000) |
$196.68 |
$894 |
0.9× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$163.90 |
$745 |
0.3× |
| Drainage of eye (65815) |
$1,708.41 |
$7,765.50 |
0.8× |
| Drainage of eye (65800) |
$2,000.79 |
$9,094.50 |
0.9× |
| Drainage of eyelid abscess (67700) |
$355.41 |
$1,615.50 |
1.2× |
| Drainage of gum lesion (41800) |
$196.68 |
$894 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$1,371.04 |
$6,232 |
0.9× |
| Drainage of hydrocele (55000) |
$140.14 |
$637 |
0.2× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$1,362.90 |
$6,195 |
0.5× |
| Drainage of mouth lesion (41017) |
$638.88 |
$2,904 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$1,541.32 |
$7,006 |
1.0× |
| Drainage skenes gland abscess (53060) |
$1,680.36 |
$7,638 |
0.9× |
| Draw blood off venous device (36591) |
$72.16 |
$328 |
0.6× |
| Dressing change under anesthesia (15852) |
$136.84 |
$622 |
0.2× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$766.48 |
$3,484 |
1.5× |
| Drg privesical/prevesical space absc (51080) |
$1,284.58 |
$5,839 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$102.74 |
$467 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$55.88 |
$254 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$171.60 |
$780 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$25.96 |
$118 |
1.0× |
| Dstl revsc&interval lig uxtr hemo access (36838) |
$23,727.52 |
$107,852.37 |
4.5× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$848.10 |
$3,855 |
0.3× |
| Dstrj lesion anus simple chemical (46900) |
$237.38 |
$1,079 |
0.6× |
| Dstrj lesion anus simple cryosurgery (46916) |
$88.44 |
$402 |
0.5× |
| Dstrj lesion anus simple surg excision (46922) |
$1,914.22 |
$8,701 |
0.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$1,418.34 |
$6,447 |
0.7× |
| Dstrj lesion penis simple surg excision (54060) |
$1,701.92 |
$7,736 |
0.9× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$181.28 |
$824 |
0.2× |
| Dx bone marrow bx & aspir (38222) |
$831.38 |
$3,779 |
0.3× |
| Dx duod intub w/asp spec (43756) |
$245.52 |
$1,116 |
0.3× |
| Dx gastr intub w/asp specs (43755) |
$105.38 |
$479 |
0.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$635.80 |
$2,890 |
0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,474.66 |
$6,703 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$635.80 |
$2,890 |
0.4× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$635.80 |
$2,890 |
0.4× |
| Egd Endo Mucosal Resection (43254) |
$975.92 |
$4,436 |
0.5× |
| Egd endoscopic stent place (43266) |
$3,451.58 |
$15,689 |
0.6× |
| Egd flexible foreign body removal (43247) |
$635.80 |
$2,890 |
0.7× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$1,053.58 |
$4,789 |
0.6× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
$522.50 |
$2,375 |
0.6× |
| Egd guide wire insertion (43248) |
$635.80 |
$2,890 |
0.7× |
| Egd injection varices (43243) |
$635.80 |
$2,890 |
0.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$762.96 |
$3,468 |
0.4× |
| Egd place gastrostomy tube (43246) |
$635.80 |
$2,890 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$762.96 |
$3,468 |
0.4× |
| Egd remove lesion snare (43251) |
$635.80 |
$2,890 |
0.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$635.80 |
$2,890 |
0.4× |
| Egd tube/cath insertion (43241) |
$635.80 |
$2,890 |
0.4× |
| Egd us exam duodenum/jejunum (43259) |
$762.96 |
$3,468 |
0.4× |
| Egd us fine needle bx/aspir (43242) |
$762.96 |
$3,468 |
0.4× |
| Egd us transmural injxn/mark (43253) |
$1,474.66 |
$6,703 |
0.8× |
| Egd Varices Ligation (43244) |
$635.80 |
$2,890 |
0.4× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$762.96 |
$3,468 |
0.1× |
| Elbow arthroscopy/surgery (29836) |
$10,484.12 |
$47,655.11 |
1.5× |
| Elbow arthroscopy/surgery (29838) |
$10,484.12 |
$47,655.11 |
3.4× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$471.13 |
$2,141.50 |
1.6× |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
$256.08 |
$1,164 |
0.9× |
| Embedded ip cath exit-site (49436) |
$1,470.92 |
$6,686 |
0.8× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$109.78 |
$499 |
0.9× |
| Endocervical Curettage (57505) |
$225.28 |
$1,024 |
0.3× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$7,054.81 |
$32,067.31 |
1.5× |
| Endoscopic Injection/Implant (51715) |
$5,698.98 |
$25,904.47 |
1.7× |
| Endoscopic Plantar Fasciotomy (29893) |
$6,344.84 |
$28,840.16 |
2.1× |
| Endoscopic us exam esoph (43237) |
$762.96 |
$3,468 |
0.4× |
| Endoscopy of bowel pouch (44385) |
$809.60 |
$3,680 |
0.9× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$713.90 |
$3,245 |
0.4× |
Endovasc Temp Balloon Occlus,Head/Nck (61623)
unusually low: confirm this is the full procedure |
$3,844.06 |
$17,473 |
0.4× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$2,863.30 |
$13,015 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,626.80 |
$11,940 |
0.9× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$2,580.38 |
$11,729 |
0.5× |
| Endovenous rf 1st vein (36475) |
$2,626.80 |
$11,940 |
0.9× |
| Enterorrhaphy single perforation (44602) |
$14,846.89 |
$67,485.85 |
4.1× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$856.68 |
$3,894 |
0.5× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,654.84 |
$7,522 |
0.9× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$1,999.80 |
$9,090 |
0.6× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,379.18 |
$6,269 |
0.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,379.18 |
$6,269 |
0.7× |
| Epidural lysis mult sessions (62263) |
$298.32 |
$1,356 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$1,153.90 |
$5,245 |
0.4× |
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure |
$2,345.42 |
$10,661 |
0.4× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,761.10 |
$8,005 |
0.5× |
| Ercp ea duct/ampulla dilate (43277) |
$1,761.10 |
$8,005 |
0.5× |
Ercp lithotripsy calculi (43265)
unusually low: confirm this is the full procedure |
$1,761.10 |
$8,005 |
0.3× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$1,467.62 |
$6,671 |
0.4× |
| Ercp remove forgn body duct (43275) |
$2,119.92 |
$9,636 |
1.2× |
| Ercp sphincter pressure meas (43263) |
$1,467.62 |
$6,671 |
0.8× |
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure |
$2,544.08 |
$11,564 |
0.4× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,814.46 |
$12,793 |
0.8× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,761.10 |
$8,005 |
0.5× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,467.62 |
$6,671 |
0.4× |
| Escharotomy initial incision (16035) |
$102.74 |
$467 |
0.3× |
| Esoph endoscopy dilation (43226) |
$635.80 |
$2,890 |
0.4× |
| Esoph optical endomicroscopy (43206) |
$1,124.20 |
$5,110 |
0.6× |
| Esoph scope w/submucous inj (43201) |
$762.96 |
$3,468 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$635.80 |
$2,890 |
0.7× |
| Esophagosc dilate balloon 30 (43214) |
$1,228.92 |
$5,586 |
0.7× |
| Esophagoscop mucosal resect (43211) |
$813.34 |
$3,697 |
0.5× |
| Esophagoscopy flex biopsy (43202) |
$762.96 |
$3,468 |
0.4× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$635.80 |
$2,890 |
0.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$762.96 |
$3,468 |
0.4× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$813.34 |
$3,697 |
1.0× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$813.34 |
$3,697 |
1.0× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$762.96 |
$3,468 |
0.9× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$762.96 |
$3,468 |
0.4× |
| Esophagoscopy lesion ablate (43229) |
$2,865.50 |
$13,025 |
0.8× |
| Esophagoscopy Retro Balloon (43213) |
$1,228.92 |
$5,586 |
0.7× |
| Esophagoscopy Rigid Balloon (43195) |
$1,228.92 |
$5,586 |
0.3× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$1,228.92 |
$5,586 |
0.7× |
| Esophagoscopy rigid trnso dx (43191) |
$813.34 |
$3,697 |
0.5× |
| Esophagoscopy Transoral Stent Placement (43212) |
$3,451.58 |
$15,689 |
0.6× |
| Esophagoscopy w/us needle bx (43232) |
$762.96 |
$3,468 |
0.4× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$635.80 |
$2,890 |
0.4× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$635.80 |
$2,890 |
0.4× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$1,228.92 |
$5,586 |
0.7× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
unusually low: confirm this is the full procedure |
$2,360.60 |
$10,730 |
0.4× |
| Esophagoscp rig trnso biopsy (43193) |
$1,228.92 |
$5,586 |
0.7× |
| Esophagus endoscopy/ligation (43205) |
$635.80 |
$2,890 |
0.4× |
| Esophagus Surg Procedure Unlisted (43499) |
$762.96 |
$3,468 |
0.9× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$762.96 |
$3,468 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$68.42 |
$311 |
0.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,830.57 |
$21,957.13 |
3.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,337.69 |
$19,716.78 |
2.8× |
| Exc abd les sc 3 cm/> (22903) |
$1,050.50 |
$4,775 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,614.16 |
$16,428 |
1.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,046.33 |
$9,301.50 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,364.22 |
$6,201 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,364.22 |
$6,201 |
0.9× |
| Exc back les sc < 3 cm (21930) |
$1,780.02 |
$8,091 |
1.1× |
| Exc back tum deep < 5 cm (21932) |
$8,262.81 |
$37,558.24 |
3.0× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$7,891.40 |
$35,869.98 |
1.4× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$9,214.44 |
$41,883.82 |
3.0× |
| Exc face les sbq 2 cm/> (21012) |
$845.02 |
$3,841 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$377.30 |
$1,715 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$631.40 |
$2,870 |
0.4× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,254.66 |
$5,703 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$1,575.75 |
$7,162.50 |
1.0× |
| Exc forearm les sc < 3 cm (25075) |
$1,040.16 |
$4,728 |
0.7× |
| Exc frenum labial/buccal (40819) |
$1,064.69 |
$4,839.50 |
0.7× |
| Exc hand les sc < 1.5 cm (26115) |
$855.58 |
$3,889 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$7,324.72 |
$33,294.19 |
2.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,520.42 |
$6,911 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,511.18 |
$6,869 |
1.0× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$1,614.36 |
$7,338 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,780.02 |
$8,091 |
0.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$9,343.07 |
$42,468.50 |
5.1× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$28,836.45 |
$131,074.79 |
5.2× |
| Exc Rect Tum Transanal Full (45172) |
$10,375.91 |
$47,163.22 |
4.0× |
| Exc rect tum transanal part (45171) |
$8,161.80 |
$37,099.11 |
3.1× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,575.75 |
$7,162.50 |
1.0× |
| Exc skin abd (15830) |
$12,726.67 |
$57,848.49 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$631.40 |
$2,870 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$377.30 |
$1,715 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$377.30 |
$1,715 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$631.40 |
$2,870 |
0.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$190.96 |
$868 |
0.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,364.22 |
$6,201 |
0.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$992.86 |
$4,513 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,780.02 |
$8,091 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,364.22 |
$6,201 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$631.40 |
$2,870 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,780.02 |
$8,091 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,780.02 |
$8,091 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,364.22 |
$6,201 |
0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,614.16 |
$16,428 |
1.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$7,680.80 |
$34,912.74 |
2.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$331.54 |
$1,507 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$377.30 |
$1,715 |
0.6× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$4,354.07 |
$19,791.22 |
2.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$6,920.37 |
$31,456.21 |
2.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$7,707.16 |
$35,032.56 |
5.0× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$7,875.86 |
$35,799.36 |
5.1× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$693.44 |
$3,152 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,474.22 |
$6,701 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,757.38 |
$21,624.46 |
1.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,470.92 |
$6,686 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,217.37 |
$5,533.50 |
0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,657.25 |
$25,714.78 |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,409.44 |
$10,952 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,780.02 |
$8,091 |
1.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$19,332.36 |
$87,874.36 |
7.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,483.46 |
$6,743 |
0.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$6,264.05 |
$28,472.94 |
2.3× |
| Exc urethral diverticulum spx female (53230) |
$16,123.36 |
$73,287.98 |
3.2× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$7,268.95 |
$33,040.67 |
2.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,040.38 |
$4,729 |
0.7× |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
$14,097.23 |
$64,078.31 |
2.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,168.88 |
$14,404 |
0.9× |
| Exchange intraocular lens (66986) |
$8,817.07 |
$40,077.58 |
4.1× |
| Exchange nephrostomy cath (50435) |
$1,145.10 |
$5,205 |
0.6× |
| Exchange transfusion, blood; other than newborn (36455) |
$741.18 |
$3,369 |
1.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$946.88 |
$4,304 |
0.5× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$1,392.60 |
$6,330 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$5,499.26 |
$24,996.64 |
3.6× |
| Excise cutaneous neurofibroma (64788) |
$6,203.89 |
$28,199.48 |
3.4× |
| Excise excess skin & tissue (15839) |
$1,136.74 |
$5,167 |
0.4× |
| Excise excess skin tissue,thigh (15832) |
$11,889.18 |
$54,041.71 |
4.4× |
| Excise excessive skin arm (15836) |
$19,280.84 |
$87,640.20 |
7.1× |
| Excise Inferior Turbinate (30130) |
$5,863 |
$26,650 |
1.9× |
| Excise lesion testis (54512) |
$7,466.05 |
$33,936.60 |
2.3× |
| Excise parotid gland/lesion (42410) |
$15,767.09 |
$71,668.61 |
2.8× |
| Excise parotid gland/lesion (42420) |
$18,725.76 |
$85,117.07 |
3.4× |
| Excise pharynx lesion (42808) |
$1,124.86 |
$5,113 |
0.4× |
| Excise/repair mouth lesion (40812) |
$1,520.42 |
$6,911 |
1.0× |
| Excision bone cyst/bnign tumor superficial (27065) |
$20,315.76 |
$92,344.37 |
3.0× |
| Excision brach clft cyst,superficial (42810) |
$1,795.42 |
$8,161 |
0.6× |
| Excision Breast Lesion (19125) |
$8,553.26 |
$38,878.46 |
2.3× |
| Excision Chalazion Single (67800) |
$236.94 |
$1,077 |
0.8× |
| Excision Distal Ulna Partial/Complete (25240) |
$24,147.41 |
$109,760.95 |
7.9× |
| Excision exostosis(es), external auditory canal (69140) |
$8,281.17 |
$37,641.66 |
1.5× |
| Excision external ear partial simple repair (69110) |
$7,030.20 |
$31,955.46 |
2.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$992.86 |
$4,513 |
0.4× |
| Excision hidradenitis axillary complex repair (11451) |
$5,687.24 |
$25,851.08 |
2.1× |
| Excision hydrocele bilateral (55041) |
$6,946.78 |
$31,576.25 |
2.1× |
| Excision lesion mouth roof (42104) |
$1,266.98 |
$5,759 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$696.52 |
$3,166 |
0.5× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$377.30 |
$1,715 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$377.30 |
$1,715 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$377.30 |
$1,715 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$631.40 |
$2,870 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$631.40 |
$2,870 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$500.06 |
$2,273 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$631.40 |
$2,870 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$631.40 |
$2,870 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,364.22 |
$6,201 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$500.06 |
$2,273 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$377.30 |
$1,715 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$631.40 |
$2,870 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,364.22 |
$6,201 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,364.22 |
$6,201 |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,425.82 |
$6,481 |
0.5× |
| Excision of bartholin's gland or cyst (56740) |
$21,347.56 |
$97,034.36 |
7.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$377.30 |
$1,715 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$631.40 |
$2,870 |
0.9× |
| Excision of benign tumor or cyst of facial bone other than mandible (21030) |
$7,930.19 |
$36,046.30 |
1.4× |
| Excision of bone lower jaw (21025) |
$5,720.50 |
$26,002.26 |
1.0× |
| Excision of chalazion; multiple, different lids (67805) |
$236.94 |
$1,077 |
0.8× |
| Excision of facial bone(s) (21026) |
$6,138.09 |
$27,900.42 |
1.1× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$4,116.79 |
$18,712.66 |
2.7× |
| Excision of gum lesion (41827) |
$10,606.96 |
$48,213.47 |
1.9× |
| Excision of hydrocele; unilateral (55040) |
$7,247.93 |
$32,945.15 |
2.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$962.94 |
$4,377 |
1.0× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$1,266.98 |
$5,759 |
0.4× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$4,731.60 |
$21,507.27 |
1.5× |
| Excision of lesion of tongue without closure (41110) |
$736.78 |
$3,349 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$631.40 |
$2,870 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$631.40 |
$2,870 |
0.4× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,795.42 |
$8,161 |
1.2× |
| Excision of lingual tonsil (42870) |
$10,217.31 |
$46,442.31 |
1.8× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$7,299.13 |
$33,177.85 |
2.3× |
| Excision of local lesion of epididymis (54830) |
$8,492.62 |
$38,602.80 |
2.6× |
| Excision of mouth lesion (41116) |
$11,064.61 |
$50,293.68 |
3.6× |
| Excision of nail fold toe (11765) |
$148.72 |
$676 |
0.4× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$7,634.37 |
$34,701.68 |
4.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,483.46 |
$6,743 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$1,710.94 |
$7,777 |
1.5× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$8,970.83 |
$40,776.48 |
3.3× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$5,610.25 |
$25,501.13 |
2.9× |
| Excision of sublingual gland (42450) |
$8,111.88 |
$36,872.19 |
1.5× |
| Excision of submandibular (submaxillary) gland (42440) |
$12,420.99 |
$56,459.05 |
2.2× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$7,042.22 |
$32,010.09 |
4.7× |
| Excision of thyroglossal duct cyst or sinus; recurrent (60281) |
$12,131.60 |
$55,143.62 |
2.1× |
| Excision of tongue lesion (41112) |
$1,255.21 |
$5,705.50 |
0.4× |
Excision of tracheal tumor or carcinoma; cervical (31785)
likely a partial charge, not the full procedure |
$792 |
$3,600 |
0.1× |
| Excision of Umbilicus (49250) |
$7,897.19 |
$35,896.32 |
2.3× |
| Excision of vaginal cyst or tumor (57135) |
$1,116.28 |
$5,074 |
0.4× |
| Excision of vaginal septum (57130) |
$1,271.82 |
$5,781 |
0.4× |
| Excision olecranon bursa (24105) |
$7,265.79 |
$33,026.32 |
2.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$7,611.38 |
$34,597.16 |
2.5× |
| Excision or fulguration; Skene's glands (53270) |
$10,010.98 |
$45,504.44 |
3.0× |
| Excision or fulguration; urethral caruncle (53265) |
$9,698.44 |
$44,083.81 |
4.9× |
| Excision pilonidal cyst/sinus complicated (11772) |
$8,216.14 |
$37,346.09 |
3.0× |
| Excision Prepatellar Bursa (27340) |
$7,286.40 |
$33,119.99 |
2.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,087.02 |
$4,941 |
0.4× |
| Excision Synovial Cyst Popliteal Space (27345) |
$8,384.36 |
$38,110.75 |
2.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,409.44 |
$10,952 |
1.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,575.75 |
$7,162.50 |
1.0× |
| Excision, graft, extremity (35903) |
$13,626.04 |
$61,936.53 |
4.6× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$5,220.59 |
$23,729.98 |
3.5× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$1,362.90 |
$6,195 |
0.4× |
| Excision, nasal polyp(s), simple (30110) |
$932.80 |
$4,240 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$4,690.91 |
$21,322.30 |
1.7× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$855.58 |
$3,889 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$845.02 |
$3,841 |
0.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,351.91 |
$10,690.50 |
0.9× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$7,083.18 |
$32,196.25 |
2.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,655.61 |
$7,525.50 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$7,110.08 |
$32,318.55 |
2.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,046.33 |
$9,301.50 |
1.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$5,616.62 |
$25,530.11 |
2.1× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$13,590.52 |
$61,775.08 |
4.4× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$6,191.58 |
$28,143.54 |
2.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,470.92 |
$6,686 |
0.5× |
| Excision/fulguration urethral prolapse (53275) |
$7,608.37 |
$34,583.49 |
2.3× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$7,498.98 |
$34,086.25 |
2.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,545.28 |
$7,024 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$2,223.21 |
$10,105.50 |
1.4× |
| Explor ankle jt+tenosynovectomy (27626) |
$14,946.14 |
$67,937.02 |
4.9× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$2,425.94 |
$11,027 |
0.7× |
| Exploration maxillary sinus (31020) |
$17,632.74 |
$80,148.82 |
5.7× |
| Exploration of ankle joint (27612) |
$18,275.46 |
$83,070.25 |
6.0× |
| Exploration of knee joint (27310) |
$11,162 |
$50,736.38 |
3.6× |
| Exploration penetrating wound spx chest (20101) |
$1,614.36 |
$7,338 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$361.24 |
$1,642 |
0.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$4,225.62 |
$19,207.36 |
1.4× |
| Explore eye socket,drainage (67405) |
$2,126.52 |
$9,666 |
1.0× |
| Explore parathyroid glands (60500) |
$15,405.03 |
$70,022.85 |
2.8× |
| Explore/biopsy eye socket (67400) |
$2,872.98 |
$13,059 |
0.8× |
| Explore/irrigate tear ducts (68840) |
$261.69 |
$1,189.50 |
0.9× |
| Explore/treat ankle joint (27610) |
$2,872.98 |
$13,059 |
0.9× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,527.90 |
$6,945 |
1.0× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$506.22 |
$2,301 |
1.0× |
| External Cephalic Version (59412) |
$687.06 |
$3,123 |
0.2× |
| Eye surgery procedure (66999) |
$1,103.74 |
$5,017 |
0.5× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$8,592.17 |
$39,055.32 |
2.8× |
| Fasciotomy foot and/or toe (28008) |
$1,511.18 |
$6,869 |
0.5× |
| Fasciotomy palmar percutaneous (26040) |
$1,527.90 |
$6,945 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$8,006.53 |
$36,393.30 |
2.6× |
| Fetal Contraction Stress Test (59020) |
$328.02 |
$1,491 |
1.7× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$107.58 |
$489 |
0.4× |
| Fetal non-stress test (59025) |
$128.92 |
$586 |
0.7× |
| Fetal shunt placement w/us (59076) |
$107.58 |
$489 |
0.4× |
| Fill contour defct <1cc (11950) |
$120.45 |
$547.50 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$881.54 |
$4,007 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$881.54 |
$4,007 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$425.92 |
$1,936 |
1.1× |
| Finger tendon transfer (26497) |
$13,987.74 |
$63,580.65 |
4.6× |
| Fitting of diaphragm/cap (57170) |
$27.06 |
$123 |
0.1× |
| Fix ectropion,entensv lid repair (67917) |
$2,048.64 |
$9,312 |
0.9× |
| Fixation of knee joint (27570) |
$1,362.90 |
$6,195 |
0.9× |
| Fixation of shoulder (23700) |
$1,614.36 |
$7,338 |
1.1× |
| Fluid pressure muscle (20950) |
$137.50 |
$625 |
0.2× |
| Fluoro exam of g/colon tube (49465) |
$116.82 |
$531 |
0.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$881.54 |
$4,007 |
1.3× |
| Fna bx w/mr gdn 1st les (10011) |
$881.54 |
$4,007 |
1.3× |
| Follow-up surgery of eye (66250) |
$1,667.16 |
$7,578 |
0.7× |
| Forehead flap w/vasc pedicle (15731) |
$2,425.94 |
$11,027 |
0.7× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$2,693.13 |
$12,241.50 |
0.9× |
| Frenulotomy of penis (54164) |
$1,212.20 |
$5,510 |
0.6× |
| Frmj direct/tube pedicle w/wo tr scalp arms/legs (15572) |
$15,339.34 |
$69,724.26 |
4.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,227.60 |
$5,580 |
0.6× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,227.60 |
$5,580 |
0.6× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,654.84 |
$7,522 |
0.9× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$10,429.70 |
$47,407.74 |
5.4× |
| Fusion Finger Joint (26860) |
$10,282.74 |
$46,739.73 |
3.3× |
| Fusion of foot bones (28715) |
$20,975.87 |
$95,344.88 |
1.7× |
| Fusion of foot bones (28730) |
$15,593.10 |
$70,877.74 |
1.3× |
| Fusion of foot bones (28740) |
$17,725.81 |
$80,571.87 |
2.6× |
| Fusion of knuckle (26850) |
$14,669.76 |
$66,680.73 |
2.2× |
| Fusion of knuckle joint (26516) |
$11,826.91 |
$53,758.66 |
3.9× |
| Fusion of knuckle with graft (26852) |
$18,347.21 |
$83,396.40 |
2.7× |
| Fusion of toes (28280) |
$1,795.42 |
$8,161 |
0.6× |
| Fusion of wrist joint (25800) |
$24,147.41 |
$109,760.95 |
3.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$73.48 |
$334 |
0.4× |
| Gastrocnemius Recession (27687) |
$8,464.22 |
$38,473.73 |
2.8× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$7,327.26 |
$33,305.72 |
2.0× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$7,711.14 |
$35,050.62 |
4.3× |
| Glossectomy; less than one-half tongue (41120) |
$12,557.47 |
$57,079.40 |
2.3× |
| Glycine receptor alpha1 igg serum/csf lcba qual (0431U) |
$121 |
$550 |
3.3× |
| Graft ear crtlg autogenous nose/ear (21235) |
$19,032.80 |
$86,512.75 |
3.4× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$14,523.91 |
$66,017.76 |
7.5× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$11,312.39 |
$51,419.95 |
3.4× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$19,786.49 |
$89,938.59 |
5.9× |
| Guide Cathet Fluid Drainage (10030) |
$232.54 |
$1,057 |
0.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$12,170.77 |
$55,321.68 |
1.8× |
| Hand tendon pulley reconstruction (26500) |
$10,095.59 |
$45,889.04 |
1.5× |
| Harvest stem cell concentrte (38215) |
$1,362.90 |
$6,195 |
3.3× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$17,320.42 |
$78,729.19 |
5.6× |
| Hemorrhoidectomy (46255) |
$1,881.88 |
$8,554 |
0.7× |
| Hemorrhoidectomy external complete (46250) |
$4,984.33 |
$22,656.03 |
1.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$5,627.91 |
$25,581.40 |
2.2× |
| Hip arthro acetabuloplasty (29915) |
$23,157.15 |
$105,259.75 |
3.4× |
| Hip arthro w/labral repair (29916) |
$24,314.26 |
$110,519.37 |
3.6× |
| Hymenotomy Simple Incision (56442) |
$1,125.96 |
$5,118 |
0.4× |
Hypospad repr,2nd stage,free graft (54316)
likely a partial charge, not the full procedure |
$2,425.94 |
$11,027 |
0.3× |
| Hysteroscopy ablation (58563) |
$3,056.90 |
$13,895 |
0.7× |
| Hysteroscopy biopsy (58558) |
$1,978.90 |
$8,995 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$1,978.90 |
$8,995 |
0.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$1,116.50 |
$5,075 |
0.4× |
| Hysteroscopy resect septum (58560) |
$7,963.84 |
$36,199.27 |
1.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$7,670.17 |
$34,864.42 |
1.6× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$1,625.36 |
$7,388 |
0.5× |
| I&D Absc Rtrphrngl/Parapharyngeal Xtrnl Appr (42725) |
$2,916.54 |
$13,257 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$196.68 |
$894 |
0.9× |
| I&d abscess simple (10060) |
$171.60 |
$780 |
0.9× |
| I&d below fascia foot 1 bursal space (28002) |
$1,854.38 |
$8,429 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,235.08 |
$5,614 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,795.42 |
$8,161 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,208.58 |
$10,039 |
1.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,854.38 |
$8,429 |
0.6× |
| I&d forearm/wrist bursa (25031) |
$1,854.38 |
$8,429 |
1.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$10,065.18 |
$45,750.80 |
3.3× |
| I&d perianal abscess superficial (46050) |
$331.54 |
$1,507 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$346.72 |
$1,576 |
0.5× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$6,367.54 |
$28,943.37 |
2.4× |
| I&d submucosal abscess rectum (45005) |
$772.42 |
$3,511 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,235.08 |
$5,614 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$964.48 |
$4,384 |
0.4× |
| I&d vaginal hematoma, non-ob (57023) |
$7,112.97 |
$32,331.66 |
2.6× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,034 |
$4,700 |
0.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$856.68 |
$3,894 |
1.0× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$713.90 |
$3,245 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,780.46 |
$8,093 |
1.1× |
| Image Cath Fluid Peri/Retro (49406) |
$1,780.46 |
$8,093 |
1.1× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,103.08 |
$5,014 |
0.7× |
| Immediate breast prosthesis (19340) |
$17,509.21 |
$79,587.32 |
2.3× |
| Impl oi implt skull mag tc attachment esp<100 (69716) |
$17,486.07 |
$79,482.14 |
1.5× |
| Impl oi implt skull perq attachment esp (69714) |
$16,608.67 |
$75,493.96 |
1.4× |
| Implant cochlear device (69930) |
$30,740.50 |
$139,729.53 |
1.0× |
| Implant neuroelectrodes (63650) |
$4,623.08 |
$21,014 |
0.8× |
| Implant neurostim arrays (61886) |
$24,015.13 |
$109,159.67 |
0.8× |
| Implantation of intrastromal corneal ring segments (65785) |
$3,776.74 |
$17,167 |
1.0× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure |
$2,597.98 |
$11,809 |
0.3× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
unusually low: confirm this is the full procedure |
$7,181.24 |
$32,642 |
0.4× |
| Impression & Preparation Auricular Prosthesis (21086) |
$5,047.68 |
$22,944 |
1.6× |
| Incis 1 vertebral seg lumbar (22214) |
$32,509.53 |
$147,770.60 |
4.8× |
| Incise finger tendon sheath (26055) |
$1,185.36 |
$5,388 |
0.8× |
| Incise inner ear (69801) |
$5,047.68 |
$22,944 |
3.5× |
| Incise inner eye adhesns,laser (65860) |
$571.56 |
$2,598 |
1.1× |
| Incise wrist/forearm tendon (25290) |
$12,380.33 |
$56,274.22 |
4.0× |
| Incise/drain eyelid lining (68020) |
$2,458.50 |
$11,175 |
2.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$332.42 |
$1,511 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,235.08 |
$5,614 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$346.72 |
$1,576 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$815.76 |
$3,708 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$328.46 |
$1,493 |
0.9× |
| Incision and drainage of abscess of pelvis (57010) |
$2,126.52 |
$9,666 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$225.28 |
$1,024 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$225.28 |
$1,024 |
0.8× |
| Incision bone cortex foot (28005) |
$1,470.70 |
$6,685 |
0.5× |
| Incision bone cortex hand/finger (26034) |
$7,005.41 |
$31,842.79 |
4.6× |
| Incision drainage of lacrimal sac (68420) |
$1,315.71 |
$5,980.50 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$4,389.45 |
$19,952.03 |
2.9× |
| Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) |
$36,782.86 |
$167,194.83 |
0.9× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$13,197.44 |
$59,988.36 |
2.2× |
| Incision labial frenum frenotomy (40806) |
$602.47 |
$2,738.50 |
1.2× |
| Incision of achilles tendon (27605) |
$2,719.86 |
$12,363 |
1.8× |
| Incision of eardrum (69421) |
$1,218.36 |
$5,538 |
0.4× |
| Incision of eardrum (69420) |
$283.80 |
$1,290 |
1.3× |
| Incision of heel bone (28300) |
$12,245.42 |
$55,660.98 |
1.8× |
| Incision of lingual frenum (41010) |
$766.48 |
$3,484 |
0.5× |
| Incision of metatarsal (28308) |
$17,320.42 |
$78,729.19 |
5.6× |
| Incision of rectal abscess (46045) |
$2,258.08 |
$10,264 |
0.9× |
| Incision of rectal abscess (46040) |
$1,710.94 |
$7,777 |
1.5× |
| Incision of thigh tendons (27307) |
$1,545.28 |
$7,024 |
0.5× |
| Incision of tibia (27705) |
$19,037.48 |
$86,534 |
2.8× |
| Incision of urethra (53010) |
$24,400.44 |
$110,911.07 |
4.8× |
| Incision of urethra (53020) |
$1,680.36 |
$7,638 |
0.9× |
| Incision of wrist capsule (25085) |
$6,153.82 |
$27,971.92 |
2.0× |
| Incision thrombosed hemorrhoid external (46083) |
$331.54 |
$1,507 |
1.4× |
| Incision&drainage bursa foot (28001) |
$1,061.50 |
$4,825 |
0.7× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$296.01 |
$1,345.50 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$478.06 |
$2,173 |
0.7× |
| Induced abortion by d&c (59840) |
$2,126.52 |
$9,666 |
0.7× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$21,624.24 |
$98,292.02 |
3.5× |
| Initial tx 1st degree burn local tx (16000) |
$55.88 |
$254 |
0.3× |
| Inj dupuytren cord w/enzyme (20527) |
$418.44 |
$1,902 |
1.5× |
| Inj neurolytic subarachnoid (62280) |
$223.30 |
$1,015 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$334.95 |
$1,522.50 |
0.4× |
| Inj subq fill material >10cc (11954) |
$244.42 |
$1,111 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$108.24 |
$492 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$223.30 |
$1,015 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$223.30 |
$1,015 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$258.06 |
$1,173 |
0.4× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$355.41 |
$1,615.50 |
1.2× |
| Inject 5th nerv-2,3 div,f.ovale (64605) |
$472.78 |
$2,149 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$334.95 |
$1,522.50 |
0.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$376.86 |
$1,713 |
1.3× |
| Inject Intravitreal Pharmcologic (67028) |
$363.44 |
$1,652 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$223.30 |
$1,015 |
0.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$223.30 |
$1,015 |
0.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$258.06 |
$1,173 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$334.95 |
$1,522.50 |
0.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$172.04 |
$782 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$334.95 |
$1,522.50 |
0.4× |
| Inject Nerv Blck,Pudendal (64430) |
$334.95 |
$1,522.50 |
0.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$223.30 |
$1,015 |
0.3× |
| Inject scleros soln in hemorrhoids (46500) |
$1,257.30 |
$5,715 |
1.4× |
| Inject Sinus Tract Theraputic (20500) |
$371.14 |
$1,687 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$144.32 |
$656 |
0.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$223.30 |
$1,015 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$378.18 |
$1,719 |
0.6× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$223.30 |
$1,015 |
0.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$378.18 |
$1,719 |
0.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$258.06 |
$1,173 |
0.4× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$223.30 |
$1,015 |
0.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$258.06 |
$1,173 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$90.09 |
$409.50 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$258.06 |
$1,173 |
0.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$223.30 |
$1,015 |
0.3× |
| Injection for identification of sentinel node (38792) |
$171.16 |
$778 |
0.5× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$223.30 |
$1,015 |
0.3× |
| Injection of drug into cavity behind eye (67500) |
$145.42 |
$661 |
0.5× |
| Injection peyronie disease (54200) |
$725.34 |
$3,297 |
3.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$232.32 |
$1,056 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$72.16 |
$328 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$72.16 |
$328 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$108.24 |
$492 |
0.4× |
| Injection treatment of nerve (64600) |
$201.08 |
$914 |
0.2× |
| Injection treatment of nose (30200) |
$614.24 |
$2,792 |
1.2× |
| Injection(s) spider veins (36468) |
$104.50 |
$475 |
0.3× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$775.06 |
$3,523 |
0.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$104.94 |
$477 |
0.4× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$344.08 |
$1,564 |
0.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$119.46 |
$543 |
0.4× |
| Injection, anesthetic agent; vagus nerve (64408) |
$936.87 |
$4,258.50 |
3.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$77.22 |
$351 |
0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$77.22 |
$351 |
0.4× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$822.36 |
$3,738 |
0.4× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$223.30 |
$1,015 |
0.3× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$223.30 |
$1,015 |
0.3× |
| Ins cath ren art 1st bilat (36252) |
$3,180.32 |
$14,456 |
1.1× |
| Ins cath ren art 1st unilat (36251) |
$3,180.32 |
$14,456 |
1.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,650.34 |
$12,047 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,180.32 |
$14,456 |
0.6× |
| Ins endovas vena cava filtr (37191) |
$4,732.42 |
$21,511 |
0.9× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$6,505.62 |
$29,571 |
0.7× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$6,505.62 |
$29,571 |
0.7× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$7,606.06 |
$34,573 |
0.8× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$6,226.66 |
$28,303 |
0.6× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$5,013.58 |
$22,789 |
0.6× |
| Ins vag brachytx device (57156) |
$298.10 |
$1,355 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$44,854.92 |
$203,886 |
1.5× |
Insert 1 electrode pm-defib (33216)
unusually low: confirm this is the full procedure |
$3,109.04 |
$14,132 |
0.4× |
| Insert and remove bone pin (20650) |
$2,425.94 |
$11,027 |
0.8× |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
$10,633.22 |
$48,332.82 |
2.7× |
| Insert Bladder Cath Complex (51703) |
$109.78 |
$499 |
0.9× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,104.84 |
$5,022 |
1.0× |
| Insert cervical dilator (59200) |
$225.28 |
$1,024 |
0.8× |
| Insert Drug Implant Device (11981) |
$510.62 |
$2,321 |
4.1× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$860.86 |
$3,913 |
0.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$860.86 |
$3,913 |
0.5× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$573.10 |
$2,605 |
0.0× |
| Insert nasal septal button (30220) |
$737 |
$3,350 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$748.66 |
$3,403 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$748.66 |
$3,403 |
0.3× |
| Insert pacing lead & connect (33224) |
$9,412.70 |
$42,785 |
1.0× |
| Insert pessary/other device (57160) |
$119.46 |
$543 |
0.6× |
| Insert picc cath (36569) |
$748.66 |
$3,403 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$748.66 |
$3,403 |
0.5× |
| Insert pulse gen mult leads (33221) |
$9,214.70 |
$41,885 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$104.94 |
$477 |
0.8× |
| Insert Tissue Expander(S) (11960) |
$13,008.05 |
$59,127.48 |
3.9× |
| Insert tun ip cath perc (49418) |
$3,393.72 |
$15,426 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,469.06 |
$11,223 |
0.8× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$1,610.40 |
$7,320 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$104.94 |
$477 |
0.8× |
| Insertion Heyman Capsules Clinical Brachytherapy (58346) |
$2,126.52 |
$9,666 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,989.36 |
$13,588 |
0.9× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement (53855) |
$578.38 |
$2,629 |
0.3× |
| Insertion of brain neurostimulator pulse with connection to single (61885) |
$25,934.61 |
$117,884.60 |
0.9× |
| Insertion of cannula (36810) |
$2,802.80 |
$12,740 |
0.9× |
| Insertion of cannula (36800) |
$3,363.36 |
$15,288 |
0.6× |
| Insertion of defibrillator electrode (33271) |
$9,526.66 |
$43,303 |
1.2× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$2,119.92 |
$9,636 |
1.2× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$856.68 |
$3,894 |
0.5× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$1,060.18 |
$4,819 |
0.3× |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
$1,228.92 |
$5,586 |
0.7× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$7,860.60 |
$35,730 |
0.8× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$16,627.43 |
$75,579.24 |
0.9× |
| Insertion Phrenic Nerve Stimulator System (33276) |
$27,225.44 |
$123,752 |
0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,780.68 |
$8,094 |
1.2× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,009.58 |
$4,589 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$4,773.78 |
$21,699 |
0.6× |
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
unusually low: confirm this is the full procedure |
$2,137.74 |
$9,717 |
0.4× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$1,174.58 |
$5,339 |
0.3× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$3,109.04 |
$14,132 |
0.4× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$18,240.64 |
$82,912 |
0.9× |
| Insj inflatable urethral/bladder neck sphincter (53445) |
$34,668.56 |
$157,584.36 |
1.8× |
| Insj multi-component inflatable penile prosth (54405) |
$20,978.24 |
$95,355.64 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,932.48 |
$8,784 |
0.7× |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
$23,586.28 |
$107,210.38 |
2.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,057.66 |
$9,353 |
0.7× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$4,436.30 |
$20,165 |
0.8× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,872.98 |
$13,059 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,932.48 |
$8,784 |
0.7× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$10,967.11 |
$49,850.48 |
1.4× |
| Insj/rplcmt defib w/lead(s) (33249) |
$21,145.08 |
$96,114 |
0.7× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,109.04 |
$14,132 |
0.4× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$2,590.94 |
$11,777 |
0.3× |
| Insrt pulse gen w/dual leads (33230) |
$25,584.90 |
$116,295 |
1.2× |
| Insrt pulse gen w/mult leads (33231) |
$25,584.90 |
$116,295 |
0.9× |
Insrt/redo spine n generator (63685)
unusually low: confirm this is the full procedure |
$8,915.94 |
$40,527 |
0.3× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$694.32 |
$3,156 |
3.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,266.98 |
$5,759 |
2.5× |
| Intraoral i&d tongue/floor masticator space (41009) |
$196.68 |
$894 |
0.4× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,520.42 |
$6,911 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,520.42 |
$6,911 |
0.5× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$995.94 |
$4,527 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$6,014.58 |
$27,339 |
0.6× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$2,975.94 |
$13,527 |
0.6× |
| Intro Gastrointestinal Tube (44500) |
$211.64 |
$962 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$223.74 |
$1,017 |
1.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$247.28 |
$1,124 |
1.1× |
| Irrigate vagina w meds (57150) |
$76.56 |
$348 |
1.4× |
| Irrigation maxillary sinus (31000) |
$765.93 |
$3,481.50 |
3.4× |
| Island pedicle flap graft (15740) |
$18,293.15 |
$83,150.67 |
9.4× |
| IV injection test vascular flow flap/graft (15860) |
$29,326.77 |
$133,303.50 |
69.9× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$8,009.92 |
$36,408.73 |
2.1× |
| Kidney endoscopy (50551) |
$12,328.11 |
$56,036.88 |
2.4× |
| Kidney endoscopy & biopsy (50555) |
$13,507.79 |
$61,399.04 |
1.5× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$121 |
$550 |
3.3× |
| Knee arthroscopy/surgery (29883) |
$11,789.80 |
$53,589.98 |
3.8× |
| Knee arthroscopy/surgery (29885) |
$26,890.71 |
$122,230.48 |
3.9× |
| Knee arthroscopy/surgery (29876) |
$8,408.20 |
$38,219.08 |
2.7× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$36,829.44 |
$167,406.55 |
5.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$23,319.56 |
$105,998 |
3.4× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
likely a partial charge, not the full procedure |
$4,326.30 |
$19,665 |
0.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$22,862.29 |
$103,919.50 |
3.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$22,043.99 |
$100,199.94 |
3.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$25,490.03 |
$115,863.76 |
3.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$19,535.25 |
$88,796.58 |
2.9× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$21,074.68 |
$95,794 |
3.1× |
| Lap impl electrode antrum (43647) |
$26,564.69 |
$120,748.60 |
2.5× |
| Lap ing hernia repair init (49650) |
$15,598.08 |
$70,900.34 |
2.7× |
| Lap insert tunnel ip cath (49324) |
$3,776.74 |
$17,167 |
0.7× |
| Lap jejunostomy (44186) |
$15,563.07 |
$70,741.25 |
2.7× |
| Lap revise/remv eltrd antrum (43648) |
$13,672.34 |
$62,146.99 |
1.4× |
| Laparo ligate spermatic vein (55550) |
$14,525.29 |
$66,024.03 |
2.6× |
| Laparo new ureter/bladder (50947) |
$28,911.34 |
$131,415.17 |
2.9× |
| Laparo-myomectomy complex (58546) |
$29,148.71 |
$132,494.14 |
2.9× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$21,652.11 |
$98,418.68 |
2.2× |
| Laparoscopy appendectomy (44970) |
$12,991.07 |
$59,050.32 |
2.3× |
| Laparoscopy biopsy (49321) |
$11,268.72 |
$51,221.46 |
2.0× |
| Laparoscopy gastrostomy (43653) |
$21,783.40 |
$99,015.44 |
3.8× |
| Laparoscopy lymphadenectomy (38572) |
$32,872.96 |
$149,422.56 |
3.3× |
| Laparoscopy orchiopexy (54692) |
$19,591.41 |
$89,051.85 |
3.5× |
| Laparoscopy Remove Adnexa (58661) |
$15,177.63 |
$68,989.23 |
2.7× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$16,956.66 |
$77,075.71 |
1.7× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$26,029.99 |
$118,318.15 |
2.6× |
| Laparoscopy ureterolithotomy (50945) |
$30,739.66 |
$139,725.71 |
5.4× |
| Laparoscopy w/lysis of adhesions (58660) |
$11,264.54 |
$51,202.44 |
2.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$9,348.48 |
$42,493.11 |
1.6× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$36,375.47 |
$165,343.04 |
3.6× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$37,290.98 |
$169,504.47 |
3.7× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$12,740.51 |
$57,911.43 |
2.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$22,484.81 |
$102,203.66 |
2.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$13,912.65 |
$63,239.32 |
3.8× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$24,484.34 |
$111,292.43 |
4.3× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$30,693.79 |
$139,517.24 |
3.1× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$34,568.93 |
$157,131.49 |
3.5× |
| Laparoscopy, surgical, splenectomy (38120) |
$33,130.98 |
$150,595.36 |
3.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$20,963.67 |
$95,289.43 |
2.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$20,727.35 |
$94,215.23 |
3.7× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$28,787.62 |
$130,852.83 |
2.9× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$37,213.77 |
$169,153.52 |
3.7× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$32,824.22 |
$149,200.99 |
3.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$17,125.12 |
$77,841.44 |
3.0× |
| Laps abltj uterine fibroids w/intraop us gdn (58674) |
$20,360.96 |
$92,549.83 |
2.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$15,368.02 |
$69,854.62 |
2.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$16,900.76 |
$76,821.63 |
4.7× |
| Laps pelvic lymphadec (38573) |
$36,531.36 |
$166,051.63 |
3.7× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$34,754.26 |
$157,973.89 |
3.5× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$17,965.60 |
$81,661.81 |
1.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$16,846.02 |
$76,572.83 |
3.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$12,342 |
$56,099.99 |
2.2× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$22,562.27 |
$102,555.78 |
2.3× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$30,047.52 |
$136,579.63 |
5.3× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$9,709.48 |
$44,134.02 |
1.7× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$1,204.94 |
$5,477 |
0.3× |
| Laryngoplasty medialization (31591) |
$10,017 |
$45,531.80 |
1.8× |
| Laryngoscope w/vc inj (31570) |
$8,035.52 |
$36,525.09 |
2.3× |
| Laryngoscopy Direct Aspiration (31515) |
$4,501.65 |
$20,462.03 |
12.3× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$8,024.99 |
$36,477.22 |
2.3× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$2,249.28 |
$10,224 |
0.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$131.56 |
$598 |
0.7× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$1,174.80 |
$5,340 |
0.7× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$2,749.89 |
$12,499.50 |
1.6× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$383.68 |
$1,744 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$383.68 |
$1,744 |
1.0× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$73.26 |
$333 |
0.4× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$131.56 |
$598 |
0.7× |
| Laryngoscopy indirect w/vocal cord injection (31513) |
$51.48 |
$234 |
0.1× |
| Laryngoscopy w/biopsy (31535) |
$1,608.86 |
$7,313 |
0.5× |
| Laryngoscopy w/bx op scope (31536) |
$8,385.60 |
$38,116.34 |
2.4× |
| Laryngoscopy w/exc of tumor (31540) |
$7,979.61 |
$36,270.96 |
2.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,574 |
$11,700 |
1.5× |
| Laryngoscopy w/wo tracheoscopy dx newborn (31520) |
$131.56 |
$598 |
0.4× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$1,362.90 |
$6,195 |
0.8× |
| Laryngoscopy with biopsy (31576) |
$1,930.50 |
$8,775 |
1.2× |
| Laryngoscopy,dirct,op scop,remv ary (31561) |
$8,430.46 |
$38,320.25 |
1.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,614.36 |
$7,338 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$10,062.22 |
$45,737.37 |
2.9× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$12,853.13 |
$58,423.30 |
2.6× |
| Laser repair to improve eye fluid flow (65855) |
$685.74 |
$3,117 |
1.3× |
| Laser treatment of retina (67039) |
$12,069.75 |
$54,862.50 |
3.1× |
| Laser treatment of retina (67040) |
$7,411.07 |
$33,686.68 |
1.9× |
| Laser vaporization surgery prostate, complete (52648) |
$7,340.23 |
$33,364.70 |
1.5× |
| Late closure of wound (13160) |
$2,048.64 |
$9,312 |
0.6× |
| Lengthen radius or ulna (25391) |
$45,543.95 |
$207,017.95 |
3.8× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) |
$14,349.86 |
$65,226.64 |
2.1× |
| Lengthening of hand tendon (26478) |
$14,669.76 |
$66,680.73 |
4.8× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$9,608.98 |
$43,677.18 |
3.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$14,808 |
$67,309.09 |
2.2× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$20,877.90 |
$94,899.56 |
1.7× |
| Ligation of a-v fistula (37607) |
$2,425.94 |
$11,027 |
0.8× |
| Ligation of hemorrhoid(s) (46221) |
$331.54 |
$1,507 |
0.4× |
| Ligation Of Inf Vena Cava (37619) |
$3,943.72 |
$17,926 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$2,046.33 |
$9,301.50 |
1.3× |
| Lip Surgery Procedure (40799) |
$163.90 |
$745 |
0.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$7,854.29 |
$35,701.31 |
2.4× |
| Lithotripsy (50590) |
$4,011.26 |
$18,233 |
1.2× |
| Liver Biopsy (47000) |
$473.22 |
$2,151 |
0.3× |
| Lmtd lmphadec staging spx pel¶-aortic (38562) |
$25,080.21 |
$114,000.96 |
3.3× |
| Lsh w/t/o uterus above 250 g (58544) |
$30,268.51 |
$137,584.15 |
3.0× |
| Lysis Intranasal Synechia (30560) |
$527.34 |
$2,397 |
1.0× |
| Lysis of labial adhesions (56441) |
$1,384.68 |
$6,294 |
0.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$496.32 |
$2,256 |
0.3× |
| Male sling procedure (53440) |
$18,865.58 |
$85,752.66 |
1.5× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$809.82 |
$3,681 |
3.5× |
| Manipulation finger joint under anes each joint (26340) |
$580.80 |
$2,640 |
0.4× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$604.12 |
$2,746 |
0.4× |
| Marsup Bartholin Gland Cyst (56440) |
$1,954.04 |
$8,882 |
0.6× |
| Mast mod rad (19307) |
$28,701.50 |
$130,461.35 |
4.6× |
| Mastectomy gynecomastia (19300) |
$13,316.55 |
$60,529.78 |
3.6× |
| Mastectomy partial (19301) |
$1,795.42 |
$8,161 |
0.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$19,596.55 |
$89,075.22 |
3.1× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,386.12 |
$10,846 |
0.4× |
| Mastoidectomy (69502) |
$18,133.69 |
$82,425.88 |
3.3× |
| Mastopexy (19316) |
$13,902.65 |
$63,193.88 |
2.2× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$1,639.88 |
$7,454 |
0.5× |
| Measure Kidney Pressure Thru Tube (50396) |
$153.12 |
$696 |
0.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$748.66 |
$3,403 |
0.5× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$1,610.40 |
$7,320 |
0.5× |
| Mediastinoscopy Includes Mediastinal Mass Biopsy (39401) |
$3,824.26 |
$17,383 |
0.7× |
| Mediastinoscpy w/lmph nod bx (39402) |
$3,824.26 |
$17,383 |
0.7× |
| Middle ear exploration through postauricular or ear canal incision (69440) |
$13,294.63 |
$60,430.12 |
4.3× |
| Middle ear surgery proc unlisted (69799) |
$3,340.21 |
$15,182.79 |
15.0× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$353.32 |
$1,606 |
0.5× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$353.32 |
$1,606 |
0.5× |
| Multiple Punctures Anterior Cornea (65600) |
$2,048.64 |
$9,312 |
0.9× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$21,180.70 |
$96,275.92 |
6.4× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$1,379.18 |
$6,269 |
0.4× |
| Muscle-skin graft arm (15736) |
$6,089.21 |
$27,678.23 |
3.1× |
| Muscle-skin graft trunk (15734) |
$11,070.35 |
$50,319.76 |
3.3× |
| Musculoskeletal surgery (20999) |
$694.32 |
$3,156 |
3.0× |
| Myelography Lumbar Injection (62305) |
$894.08 |
$4,064 |
1.2× |
| Myelography Lumbar Injection (62304) |
$894.08 |
$4,064 |
1.2× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$894.08 |
$4,064 |
1.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$894.08 |
$4,064 |
1.2× |
| Myringoplasty (69620) |
$7,499.54 |
$34,088.82 |
2.4× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$131.56 |
$598 |
0.7× |
| Nasal surgery procedure (30999) |
$763.40 |
$3,470 |
3.4× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$197.34 |
$897 |
0.5× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$1,406.24 |
$6,392 |
0.8× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
unusually low: confirm this is the full procedure |
$2,639.78 |
$11,999 |
0.4× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
unusually low: confirm this is the full procedure |
$2,895.75 |
$13,162.50 |
0.4× |
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288)
unusually low: confirm this is the full procedure |
$2,639.78 |
$11,999 |
0.4× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$2,206.05 |
$10,027.50 |
0.6× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$12,107.39 |
$55,033.60 |
1.8× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,171.72 |
$5,326 |
0.7× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$4,886.31 |
$22,210.50 |
0.7× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
unusually low: confirm this is the full procedure |
$2,895.75 |
$13,162.50 |
0.4× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$13,129.12 |
$59,677.81 |
2.0× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery (31241) |
$2,499.86 |
$11,363 |
1.5× |
| Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression (31292) |
$19,766.20 |
$89,846.37 |
3.0× |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
$22,846.87 |
$103,849.42 |
6.5× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,614.36 |
$7,338 |
1.0× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$3,379.42 |
$15,361 |
0.6× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$3,379.42 |
$15,361 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,895.75 |
$13,162.50 |
1.7× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure |
$2,999.92 |
$13,636 |
0.5× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
unusually low: confirm this is the full procedure |
$2,499.86 |
$11,363 |
0.4× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
unusually low: confirm this is the full procedure |
$2,499.86 |
$11,363 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$104.94 |
$477 |
0.3× |
Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705)
unusually low: confirm this is the full procedure |
$1,679.92 |
$7,636 |
0.3× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$91.52 |
$416 |
0.4× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$809.60 |
$3,680 |
0.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$8,031.73 |
$36,507.84 |
5.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$17.38 |
$79 |
0.6× |
| Nerve palsy fascial graft (15840) |
$19,741.26 |
$89,732.99 |
5.9× |
| Nerve Pedicle Xfer,First Stage (64905) |
$20,913.94 |
$95,063.37 |
2.5× |
| Nerve repair w/allograft (64910) |
$24,216.73 |
$110,076.06 |
2.9× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
$16,358.93 |
$74,358.76 |
2.0× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$8,930.62 |
$40,593.73 |
4.9× |
| Neuroeltrd stim post tibial (64566) |
$280.94 |
$1,277 |
1.0× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$154 |
$700 |
0.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$15,654.71 |
$71,157.78 |
8.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$5,104.26 |
$23,201.18 |
2.8× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$325.16 |
$1,478 |
0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$347.16 |
$1,578 |
0.8× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$446.60 |
$2,030 |
0.2× |
| Nipple exploration (19110) |
$8,003.43 |
$36,379.22 |
2.2× |
| Nipple/areola reconstruction (19350) |
$2,693.13 |
$12,241.50 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$223.30 |
$1,015 |
0.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$109.78 |
$499 |
0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$855.14 |
$3,887 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,168.88 |
$14,404 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$334.95 |
$1,522.50 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$738.32 |
$3,356 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$172.04 |
$782 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$223.30 |
$1,015 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$929.94 |
$4,227 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$738.32 |
$3,356 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$223.30 |
$1,015 |
0.3× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$948.86 |
$4,313 |
0.5× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,145.10 |
$5,205 |
1.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$763.40 |
$3,470 |
1.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$104.28 |
$474 |
0.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$156.42 |
$711 |
0.4× |
Nsl/sins ndsc surg frnt&sphn (31298)
unusually low: confirm this is the full procedure |
$2,499.86 |
$11,363 |
0.4× |
| Obstructive material removal from gi tube (49460) |
$273.24 |
$1,242 |
0.3× |
| Ocular photodynamic ther (67221) |
$436.04 |
$1,982 |
0.8× |
| Ocular reconst transplant (65780) |
$5,693.78 |
$25,880.83 |
1.5× |
| Onc Urthl Ca Rna Fgfr3 Gene (0154U) |
$286 |
$1,300 |
0.6× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$7,633.48 |
$34,697.63 |
2.1× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$30,642.61 |
$139,284.60 |
1.1× |
| Open Osteochondral Autograft Talus (28446) |
$17,950.40 |
$81,592.72 |
2.6× |
| Open rx carpal bone fx,each bone (25645) |
$15,498.09 |
$70,445.88 |
5.0× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$12,676.53 |
$57,620.57 |
1.9× |
| Open rx mandible fx+dental fix (21462) |
$31,027.42 |
$141,033.73 |
5.6× |
| Open thrombect av fistula (36831) |
$12,093.84 |
$54,972.01 |
2.3× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$179.30 |
$815 |
0.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$16,615.43 |
$75,524.67 |
1.4× |
| Open Treatment Medial Malleolus Fracture (27766) |
$9,620.55 |
$43,729.77 |
1.4× |
| Open treatment metatarsal fracture each (28485) |
$18,138.15 |
$82,446.12 |
2.7× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$22,799.20 |
$103,632.72 |
3.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$17,240.87 |
$78,367.61 |
2.5× |
| Open treatment of depressed zygomatic arch fracture (eg, gilles approach) (21356) |
$8,542.38 |
$38,828.99 |
1.5× |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
$18,391.16 |
$83,596.19 |
2.7× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$17,808.31 |
$80,946.87 |
1.5× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$25,361.34 |
$115,278.82 |
3.7× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$22,124.94 |
$100,567.93 |
3.2× |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
$27,435.68 |
$124,707.62 |
2.3× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$24,846.30 |
$112,937.73 |
2.1× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$19,303.96 |
$87,745.26 |
2.8× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$15,569.71 |
$70,771.41 |
2.3× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$30,222.79 |
$137,376.31 |
4.4× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$19,562.34 |
$88,919.74 |
2.9× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$20,049.97 |
$91,136.22 |
1.7× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$17,542.53 |
$79,738.78 |
2.6× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$21,194.95 |
$96,340.69 |
3.1× |
| Open treatment of ulnar styloid fracture (25652) |
$15,379.85 |
$69,908.41 |
2.3× |
| Open Treatment Radial Shaft Fracture (25515) |
$20,133.09 |
$91,514.03 |
3.0× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$23,387.22 |
$106,305.56 |
3.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$13,674.76 |
$62,157.99 |
4.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$9,839.79 |
$44,726.32 |
1.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,445.64 |
$15,662 |
1.1× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$13,844.64 |
$62,930.19 |
2.0× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,853.61 |
$8,425.50 |
0.6× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$18,362.13 |
$83,464.25 |
1.5× |
| Open tx interphalangeal joint dislocation (26785) |
$3,445.64 |
$15,662 |
1.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$10,093.21 |
$45,878.21 |
3.3× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$16,698.22 |
$75,901 |
5.4× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$14,919.14 |
$67,814.26 |
2.2× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$24,093.96 |
$109,518.01 |
3.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$8,287.55 |
$37,670.69 |
2.7× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$20,892.54 |
$94,966.10 |
1.7× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$13,971.35 |
$63,506.13 |
2.1× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$18,963.35 |
$86,197.03 |
1.6× |
| Open tx septal fx w/wo stabj (21336) |
$6,897.63 |
$31,352.86 |
2.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$10,116.15 |
$45,982.49 |
1.5× |
| Open/Perq Place Stent Same (37238) |
$10,393.02 |
$47,241 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$22,271.37 |
$101,233.50 |
2.1× |
| Opn tx orbit fx periorbital (21386) |
$9,692.08 |
$44,054.89 |
1.7× |
| Optx complicated mndblr fx (21470) |
$27,583.06 |
$125,377.56 |
5.0× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$22,853.43 |
$103,879.24 |
3.4× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$36,112.95 |
$164,149.77 |
3.0× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$27,426.03 |
$124,663.76 |
2.3× |
| Optx orb floor blwt fx pri/bital appr w/allplstc (21390) |
$23,877.79 |
$108,535.42 |
4.3× |
| Optx post ankle fx (27769) |
$23,150.06 |
$105,227.56 |
3.4× |
| Orbital implant removal/revision (67560) |
$6,947.39 |
$31,579.03 |
1.9× |
| Orbitotomy w/o bone flap w/removal lesion (67412) |
$12,696.49 |
$57,711.30 |
5.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,598.69 |
$39,084.97 |
2.6× |
| Orchiectomy, partial (54522) |
$15,074.56 |
$68,520.71 |
4.6× |
| Ostectomy of sternum partial (21620) |
$12,856.49 |
$58,438.60 |
4.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$7,702.85 |
$35,012.96 |
2.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$6,477.14 |
$29,441.53 |
2.1× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$12,427.41 |
$56,488.21 |
4.0× |
| Osteochondral allograft, knee, open (27415) |
$37,385.92 |
$169,936.02 |
3.1× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$19,486.80 |
$88,576.36 |
2.9× |
| Osteoplasty, tibia and fibula, lengthening or shortening Other Surgical Services (27715) |
$28,070.98 |
$127,595.35 |
2.3× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$13,647.32 |
$62,033.25 |
2.0× |
| Osteotomy Phalanx Finger Each (26567) |
$12,861.56 |
$58,461.63 |
4.2× |
| Osteotomy Radius Distal Third (25350) |
$12,891.52 |
$58,597.82 |
1.9× |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
$32,756.98 |
$148,895.34 |
4.8× |
| Osteotomy, iliac, acetabular or innominate bone; (27146) |
$55,143.10 |
$250,650.47 |
8.1× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft, (eg, sofield type procedure) (27454) |
$25,356.72 |
$115,257.82 |
3.7× |
| Other procedure on head muscle or head bone (21499) |
$8,053.62 |
$36,607.37 |
36.2× |
| Ovarian cystectomy (58925) |
$34,860.47 |
$158,456.67 |
7.4× |
| Palatop cl palate soft&/hard palate only (42200) |
$11,592.52 |
$52,693.28 |
2.1× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$13,595.99 |
$61,799.95 |
2.4× |
| Palatoplasty cleft palate major revj (42215) |
$12,481.20 |
$56,732.74 |
2.2× |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$1,154.56 |
$5,248 |
2.8× |
| Partial Excision Bone Olecranon Process (24147) |
$8,839.98 |
$40,181.71 |
2.9× |
| Partial excision bone talus/calcaneus (28120) |
$11,950.54 |
$54,320.64 |
3.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,470.92 |
$6,686 |
1.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$5,124.10 |
$23,291.37 |
1.7× |
| Partial excision of lip (40520) |
$978.12 |
$4,446 |
0.3× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$5,463.29 |
$24,833.12 |
3.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$1,954.04 |
$8,882 |
0.6× |
| Partial Removal Foot Fascia (28060) |
$5,787.40 |
$26,306.38 |
1.9× |
| Partial removal of lip (40530) |
$6,904.04 |
$31,382.02 |
2.2× |
| Partial removal of thyroid (60220) |
$16,088.74 |
$73,130.65 |
2.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,582.35 |
$7,192.50 |
0.5× |
| Pelvic exam under anesthesia (57410) |
$1,795.42 |
$8,161 |
0.6× |
| Penis plastic surgery (54360) |
$10,590.96 |
$48,140.73 |
3.2× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$17,723.45 |
$80,561.13 |
2.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,417.24 |
$6,442 |
1.1× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$3,744.62 |
$17,021 |
0.7× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$3,844.06 |
$17,473 |
0.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$568.04 |
$2,582 |
0.9× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$3,359.84 |
$15,272 |
0.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,799.94 |
$12,727 |
0.9× |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
$3,177.90 |
$14,445 |
0.6× |
| Percutaneous diskectomy (62287) |
$2,353.56 |
$10,698 |
1.3× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$12,773.45 |
$58,061.16 |
1.9× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,242.46 |
$10,193 |
0.7× |
| Peri-implant capsulectomy breast complete (19371) |
$11,876.24 |
$53,982.93 |
3.2× |
| Pericardiocentesis W/Imaging (33016) |
$627.99 |
$2,854.50 |
0.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$41,514.32 |
$188,701.45 |
13.7× |
| Peritoneal Lavage (49084) |
$491.04 |
$2,232 |
0.6× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$3,909.18 |
$17,769 |
0.2× |
| Perq dev breast 1st mr guide (19287) |
$143.22 |
$651 |
0.2× |
| Perq dev breast 1st strtctc (19283) |
$143.22 |
$651 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$143.22 |
$651 |
0.2× |
| Perq device breast 1st imag (19281) |
$143.22 |
$651 |
0.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,121.78 |
$5,099 |
0.3× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$1,887.16 |
$8,578 |
0.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$900.57 |
$4,093.50 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$900.57 |
$4,093.50 |
0.5× |
| Perq p-art revsc 1 nm nt uni (33900) |
$6,422.46 |
$29,193 |
0.6× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$10,392.58 |
$47,239 |
0.6× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$6,422.46 |
$29,193 |
0.6× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$6,422.46 |
$29,193 |
0.6× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$3,509.66 |
$15,953 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$352.22 |
$1,601 |
1.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$699.60 |
$3,180 |
1.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$9,116.58 |
$41,439 |
0.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$6,014.58 |
$27,339 |
0.6× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$2,975.94 |
$13,527 |
0.6× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$3,961.32 |
$18,006 |
0.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$3,961.32 |
$18,006 |
0.6× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,177.12 |
$9,896 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,177.12 |
$9,896 |
0.7× |
| Phleb Veins - Extrem 20+ (37766) |
$2,403.94 |
$10,927 |
0.8× |
| Photopheresis, extracorporeal (36522) |
$2,398.88 |
$10,904 |
0.6× |
| Pin finger fracture each (26756) |
$8,514.93 |
$38,704.21 |
2.8× |
| Place Cath Subclavian Art (36225) |
$4,846.38 |
$22,029 |
1.6× |
| Place Cath Thoracic Aorta (36221) |
$3,230.92 |
$14,686 |
1.1× |
| Place Cath Vertebral Art (36226) |
$7,925.94 |
$36,027 |
1.5× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,228.26 |
$5,583 |
0.9× |
| Place ndl musc/tis for rt (20555) |
$2,367.86 |
$10,763 |
0.8× |
Placement needle head/neck radioelement applicat (41019)
unusually low: confirm this is the full procedure |
$2,022.68 |
$9,194 |
0.4× |
| Placement needle pelvic organ radioelement appl (55920) |
$2,167.66 |
$9,853 |
0.5× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$3,250.06 |
$14,773 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$85.14 |
$387 |
0.2× |
| Placement of seton (46020) |
$1,795.42 |
$8,161 |
0.7× |
| Plastic repair of canaliculi (68700) |
$1,763.19 |
$8,014.50 |
0.8× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure |
$2,640.66 |
$12,003 |
0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,993.90 |
$27,245 |
1.1× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$4,995.10 |
$22,705 |
0.9× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$5,993.90 |
$27,245 |
1.1× |
| Plmt expandable cath brst following prtl mast (19296) |
$4,966.94 |
$22,577 |
0.6× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$333.08 |
$1,514 |
0.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,289.11 |
$14,950.50 |
1.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,192.74 |
$9,967 |
0.7× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,265.46 |
$14,843 |
1.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,898.19 |
$22,264.50 |
1.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,265.46 |
$14,843 |
1.0× |
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$1,857.24 |
$8,442 |
0.2× |
| Pr laryngoscopy direct,w/dilat, subsequent (31529) |
$10,122.26 |
$46,010.29 |
2.9× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$7,994.60 |
$36,339.10 |
3.7× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$5,460.98 |
$24,822.65 |
1.8× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$19,140.90 |
$87,004.11 |
3.4× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$25,098.28 |
$114,083.07 |
4.4× |
| Preputial Stretching (54450) |
$247.28 |
$1,124 |
1.1× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$3,359.84 |
$15,272 |
0.2× |
| Probe nasolacrimal duct (68810) |
$261.69 |
$1,189.50 |
0.9× |
| Probe nasolacrimal duct (68815) |
$2,062.28 |
$9,374 |
0.9× |
| Probe nasolacrimal duct (68811) |
$3,239.19 |
$14,723.59 |
1.5× |
| Probe nl duct w/balloon (68816) |
$6,526.13 |
$29,664.21 |
2.9× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$5,033.99 |
$22,881.77 |
4.5× |
| Proctosigmoidoscopy (45303) |
$627.88 |
$2,854 |
0.6× |
| Proctosigmoidoscopy w/bx (45305) |
$1,042.91 |
$4,740.50 |
0.9× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$445.50 |
$2,025 |
0.5× |
| Proctosigmoidoscopy,Transendo Stent (45327) |
$6,250.06 |
$28,409.37 |
1.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
$26,505.01 |
$120,477.33 |
3.9× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$644.16 |
$2,928 |
1.2× |
| Prostatectomy (turp) (52601) |
$8,068.23 |
$36,673.78 |
1.6× |
| Prostatic microwave thermotx (53850) |
$1,999.14 |
$9,087 |
0.6× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$451.66 |
$2,053 |
0.7× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$6,934.62 |
$31,521 |
1.2× |
| Prq impltj neurostimulator eltrd cranial nerve (64553) |
$11,618.64 |
$52,812 |
1.1× |
Prq impltj neurostimulator eltrd peripheral nrv (64555)
unusually low: confirm this is the full procedure |
$2,354.44 |
$10,702 |
0.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,168.88 |
$14,404 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,168.88 |
$14,404 |
0.9× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$5,024.56 |
$22,838.91 |
1.6× |
| Prq skel fixj humrl cndylr fx medial/lat w/manj (24582) |
$15,822.44 |
$71,920.18 |
2.3× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$8,756.86 |
$39,803.93 |
1.3× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
unusually low: confirm this is the full procedure |
$3,159.20 |
$14,360 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$268.62 |
$1,221 |
0.7× |
| Puncture Aspiration (10160) |
$188.10 |
$855 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$161.70 |
$735 |
0.2× |
| Pvb thoracic cont infusion (64463) |
$709.94 |
$3,227 |
1.1× |
| Pvb thoracic single inj site (64461) |
$1,277.76 |
$5,808 |
1.9× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$12,429.45 |
$56,497.50 |
1.8× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$6,710.76 |
$30,503.48 |
4.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$5,223.22 |
$23,741.90 |
1.7× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$12,022.50 |
$54,647.72 |
4.4× |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
$13,025.90 |
$59,208.65 |
4.8× |
| Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) |
$12,315.46 |
$55,979.35 |
4.5× |
| Radial styloidectomy (25230) |
$5,796.25 |
$26,346.59 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
$9,775.63 |
$44,434.67 |
3.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
$5,574.08 |
$25,336.75 |
2.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
$9,282.29 |
$42,192.21 |
3.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) |
$8,651.65 |
$39,325.67 |
3.2× |
| Radical resection of tumor, femur or knee (27365) |
$8,533.55 |
$38,788.88 |
2.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,040.16 |
$4,728 |
0.6× |
| Rbc depletion of harvest (38212) |
$1,362.90 |
$6,195 |
3.3× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$13,054.82 |
$59,340.07 |
1.9× |
| Re-explore parathyroids (60502) |
$17,681.19 |
$80,369.03 |
3.2× |
| Realignment extensor tendon hand each tendon (26437) |
$1,185.36 |
$5,388 |
0.4× |
| Realignment of knee (27457) |
$30,015.75 |
$136,435.20 |
4.4× |
| Reattachment of part of cutoff finger (20822) |
$445.50 |
$2,025 |
0.3× |
| Rebuild eardrum structures (69637) |
$18,578.90 |
$84,449.55 |
3.3× |
| Rebuild eardrum structures (69633) |
$14,178.47 |
$64,447.58 |
2.6× |
| Rebuild eardrum structures (69632) |
$15,177.13 |
$68,986.97 |
2.7× |
| Reconstr disloc patella w mscl adv (27422) |
$15,904.09 |
$72,291.34 |
2.3× |
| Reconstruc Ant Male Urethra (53410) |
$17,330.29 |
$78,774.05 |
3.4× |
| Reconstruc Eyelid,<2/3,One Stage (67971) |
$13,689.45 |
$62,224.80 |
6.1× |
| Reconstruc Eyelid,Second Stage (67975) |
$2,458.50 |
$11,175 |
1.1× |
| Reconstruc toe deform,soft tissue (28313) |
$22,342.95 |
$101,558.88 |
7.3× |
| Reconstruct cleft palate (42210) |
$14,049.81 |
$63,862.76 |
2.5× |
| Reconstruct extra finger (26587) |
$2,035.44 |
$9,252 |
0.7× |
| Reconstruct finger joint (26545) |
$15,574.88 |
$70,794.91 |
5.1× |
| Reconstruct head of radius (24365) |
$15,274.72 |
$69,430.55 |
1.3× |
| Reconstruct lip with flap (40527) |
$9,317.73 |
$42,353.33 |
1.7× |
| Reconstruct Shoulder Joint (23470) |
$28,292.50 |
$128,602.29 |
2.3× |
| Reconstruct urethra/bladder (53431) |
$24,789.06 |
$112,677.55 |
4.9× |
| Reconstruct wrist joint (25444) |
$18,346.41 |
$83,392.76 |
1.5× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$12,898.97 |
$58,631.68 |
4.2× |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
$15,814.33 |
$71,883.30 |
2.3× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$22,734.73 |
$103,339.67 |
3.3× |
| Reconstruction of nail bed with graft (11762) |
$6,009.92 |
$27,317.82 |
3.1× |
| Reconstruction of throat (42950) |
$8,140.56 |
$37,002.53 |
1.5× |
| Reconstruction of urethra (54324) |
$17,861.69 |
$81,189.49 |
5.4× |
| Reconstruction of urethra (54326) |
$23,428.08 |
$106,491.26 |
7.1× |
| Reconstruction of urethra (53430) |
$18,679.64 |
$84,907.45 |
3.7× |
| Reconstruction Toe Polydactyly (28344) |
$8,173.48 |
$37,152.19 |
2.7× |
| Reconstruction tongue fold (41520) |
$4,414.18 |
$20,064.46 |
1.4× |
| Reduce testis torsion (54600) |
$8,113.34 |
$36,878.80 |
2.5× |
| Reduction of Large Breast (19318) |
$26,883.74 |
$122,198.82 |
4.3× |
| Reduction of rectal prolapse (45900) |
$331.54 |
$1,507 |
0.4× |
| Reinforce humerus (24498) |
$23,062.29 |
$104,828.60 |
1.9× |
| Reinforce/graft eye wall (67255) |
$7,383.95 |
$33,563.42 |
1.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$12,712.37 |
$57,783.48 |
1.9× |
| Release i-p jt contracture (26525) |
$7,015.13 |
$31,886.93 |
4.6× |
| Release of big toe (28240) |
$1,735.47 |
$7,888.50 |
0.6× |
| Release palm contracture (26121) |
$11,834.67 |
$53,793.94 |
3.9× |
| Release wrist/forearm tendon (25295) |
$10,967.77 |
$49,853.51 |
3.6× |
| Relieve inner eye pressure (65820) |
$12,795.61 |
$58,161.84 |
3.3× |
| Relocation of skin pocket for pacemaker (33222) |
$1,654.84 |
$7,522 |
0.9× |
| Rem endovas vena cava filter (37193) |
$3,247.64 |
$14,762 |
1.1× |
| Removal Anal Seton Other Marker (46030) |
$387.20 |
$1,760 |
0.3× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$23,093.89 |
$104,972.22 |
1.2× |
| Removal biliary drg cath (47537) |
$702.90 |
$3,195 |
0.8× |
| Removal fb intranasal (30300) |
$55.88 |
$254 |
0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,780.02 |
$8,091 |
0.7× |
| Removal Foreign Body Foot Complicated (28193) |
$526.24 |
$2,392 |
0.3× |
| Removal foreign body foot deep (28192) |
$2,046.33 |
$9,301.50 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$565.95 |
$2,572.50 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$377.30 |
$1,715 |
0.2× |
| Removal foreign body pharynx (42809) |
$100.10 |
$455 |
0.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,364.22 |
$6,201 |
0.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,101.32 |
$23,187.80 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$122.43 |
$556.50 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55.88 |
$254 |
1.0× |
| Removal Implant Deep (20680) |
$855.58 |
$3,889 |
0.3× |
| Removal Implant From Finger/Hand (26320) |
$5,745.43 |
$26,115.60 |
3.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,364.22 |
$6,201 |
0.9× |
| Removal Implantable Contraceptive Capsules (11976) |
$314.60 |
$1,430 |
0.5× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$1,999.80 |
$9,090 |
0.6× |
| Removal Intact Mammary Implant (19328) |
$2,734.05 |
$12,427.50 |
0.7× |
| Removal of adenoids (42835) |
$5,529.19 |
$25,132.70 |
1.8× |
| Removal of adenoids (42831) |
$8,394.63 |
$38,157.41 |
2.7× |
| Removal of adenoids (42830) |
$5,336.62 |
$24,257.37 |
1.7× |
| Removal of adenoids (42836) |
$5,488.05 |
$24,945.69 |
1.8× |
| Removal of anal fissure (46200) |
$4,269.70 |
$19,407.71 |
1.6× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$11,288.48 |
$51,311.29 |
1.7× |
| Removal of arm foreign body (24200) |
$314.60 |
$1,430 |
0.2× |
| Removal of cervix (57530) |
$11,821.56 |
$53,734.37 |
2.5× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64570) |
$10,770.45 |
$48,956.57 |
3.4× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$4,105.37 |
$18,660.78 |
2.7× |
| Removal of eye lesion (65400) |
$2,000.79 |
$9,094.50 |
2.1× |
| Removal of fixation device (20665) |
$100.10 |
$455 |
0.2× |
| Removal of heel bone (28118) |
$19,256.18 |
$87,528.11 |
6.3× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$10,711.21 |
$48,687.31 |
3.3× |
| Removal of implanted material, anterior segment of eye (65920) |
$5,316.79 |
$24,167.22 |
2.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$145.86 |
$663 |
0.2× |
| Removal of intranasal lesion (30118) |
$10,690.32 |
$48,592.38 |
3.4× |
| Removal of intrauterine device (iud) (58301) |
$225.28 |
$1,024 |
0.8× |
| Removal of kidney stone (50081) |
$18,548.74 |
$84,312.44 |
2.1× |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
$24,433.23 |
$111,060.13 |
2.0× |
| Removal of lens material (66840) |
$5,822.56 |
$26,466.18 |
2.7× |
| Removal of lens material (66852) |
$7,661.35 |
$34,824.32 |
2.0× |
| Removal of lower spinal canal shunt (63746) |
$8,487.97 |
$38,581.68 |
4.6× |
| Removal of nail bed (11750) |
$377.30 |
$1,715 |
1.0× |
| Removal of neck wrinkles (15825) |
$23,074.67 |
$104,884.88 |
6.9× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$635.80 |
$2,890 |
0.4× |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
$12,230.81 |
$55,594.59 |
1.8× |
| Removal of salivary stone (42330) |
$737 |
$3,350 |
0.2× |
| Removal of salivary stone (42335) |
$4,447.76 |
$20,217.07 |
1.4× |
| Removal of salivary stone (42340) |
$9,287.88 |
$42,217.66 |
3.0× |
| Removal of sesamoid bone (28315) |
$6,338.32 |
$28,810.57 |
2.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$96.58 |
$439 |
0.5× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$713.90 |
$3,245 |
0.4× |
| Removal of sperm cord lesion (55520) |
$7,949.69 |
$36,134.94 |
2.4× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,455.08 |
$6,614 |
0.8× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$7,778.23 |
$35,355.58 |
2.4× |
| Removal of testis (54520) |
$2,872.98 |
$13,059 |
0.9× |
| Removal of thyroid (60271) |
$21,822.57 |
$99,193.48 |
3.9× |
| Removal of thyroid lesion (60200) |
$26,403.35 |
$120,015.22 |
4.7× |
| Removal of tonsils (42825) |
$9,284.38 |
$42,201.74 |
1.7× |
| Removal of tonsils (42826) |
$6,895.10 |
$31,341.35 |
2.2× |
| Removal of wrist bone (25210) |
$11,852.82 |
$53,876.46 |
3.9× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,392.60 |
$6,330 |
0.6× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$5,619.52 |
$25,543.28 |
2.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$9,278.08 |
$42,173.07 |
3.1× |
| Removal phrenic nerve stimulator system (33278) |
$1,963.50 |
$8,925 |
0.6× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$1,999.80 |
$9,090 |
0.3× |
| Removal subq cardiac rhythm monitor (33286) |
$881.54 |
$4,007 |
1.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,385.97 |
$15,390.77 |
1.7× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$760.10 |
$3,455 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$147.51 |
$670.50 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$98.34 |
$447 |
0.4× |
| Remove anal fist 2 stage (46285) |
$5,071.75 |
$23,053.39 |
1.9× |
| Remove anal fist subq (46270) |
$1,881.88 |
$8,554 |
0.7× |
| Remove bladder stone (52318) |
$11,548.37 |
$52,492.61 |
3.5× |
| Remove Brain Cavity Fluid (61020) |
$252.12 |
$1,146 |
0.3× |
| Remove by ligat int hem grp (46945) |
$3,284.26 |
$14,928.44 |
1.3× |
| Remove by ligat int hem grps (46946) |
$4,895.25 |
$22,251.14 |
1.9× |
| Remove cerclage suture (59871) |
$1,954.04 |
$8,882 |
0.6× |
| Remove cranial cavity fluid (61000) |
$210.10 |
$955 |
0.3× |
| Remove digit nerve lesion (64776) |
$7,736.37 |
$35,165.30 |
4.2× |
| Remove drug implant device (11982) |
$155.32 |
$706 |
0.4× |
| Remove ear lesion (69540) |
$3,039.37 |
$13,815.30 |
2.1× |
| Remove ear lesion (69552) |
$36,140.25 |
$164,273.86 |
6.5× |
| Remove ear lesion (69550) |
$17,184.58 |
$78,111.73 |
3.1× |
| Remove eye implant material (67120) |
$12,289.76 |
$55,862.53 |
5.7× |
| Remove eye/attach implant (65105) |
$17,911.47 |
$81,415.78 |
4.9× |
| Remove Eyelid Foreign Body (67938) |
$112.64 |
$512 |
0.4× |
| Remove eyelid lesion(s) (67808) |
$5,479.37 |
$24,906.21 |
2.5× |
| Remove eyelid lesions (67801) |
$270.82 |
$1,231 |
0.3× |
| Remove eyelid lining lesion (68115) |
$2,458.50 |
$11,175 |
1.1× |
| Remove eyelid lining lesion (68135) |
$584.10 |
$2,655 |
0.3× |
| Remove femur lesion (27355) |
$9,153.88 |
$41,608.54 |
3.0× |
| Remove femur lesion/bursa (27062) |
$16,148.70 |
$73,403.17 |
5.3× |
| Remove foreign body from eye (65210) |
$168.96 |
$768 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$5,357.36 |
$24,351.63 |
2.1× |
| Remove in/ex hem grps w/fist (46262) |
$5,027.80 |
$22,853.62 |
1.9× |
| Remove intrvas foreign body (37197) |
$3,242.80 |
$14,740 |
1.1× |
| Remove muti-comp penis pros (54406) |
$20,737.28 |
$94,260.38 |
6.3× |
| Remove ocular contents (65091) |
$10,443.21 |
$47,469.14 |
2.8× |
| Remove Peritoneal Foreign Body (49402) |
$1,772.98 |
$8,059 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$2,126.52 |
$9,666 |
0.8× |
| Remove prostate regrowth (52630) |
$8,092.15 |
$36,782.52 |
1.6× |
| Remove renal tube w/fluoro (50389) |
$247.28 |
$1,124 |
0.4× |
| Remove stent via transureth (50386) |
$504.02 |
$2,291 |
0.3× |
| Remove thyroid duct lesion (60280) |
$4,320.36 |
$19,638 |
0.8× |
| Remove tissue expander (11971) |
$1,655.61 |
$7,525.50 |
0.6× |
| Remove Ureter Stent, Percut (50384) |
$1,757.58 |
$7,989 |
0.9× |
| Remove uro sphincter (53446) |
$8,235.87 |
$37,435.76 |
1.6× |
| Remove vagina tissue part (57107) |
$2,126.52 |
$9,666 |
0.7× |
| Remove vc lesion w/scope (31545) |
$11,228.74 |
$51,039.72 |
3.2× |
| Remove wrist tendon lesion (25111) |
$5,155.83 |
$23,435.58 |
3.4× |
| Remove&replace pm gen singl (33227) |
$10,081.94 |
$45,827 |
1.3× |
| Remove/graft bone lesion (26205) |
$7,481.09 |
$34,004.96 |
1.1× |
| Remove/replace ur sphincter (53447) |
$35,351.87 |
$160,690.30 |
1.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,780.02 |
$8,091 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$83.82 |
$381 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$168.96 |
$768 |
1.4× |
| Remv&replc cvd gen dual lead (33263) |
$36,549.92 |
$166,136 |
1.8× |
| Remv&replc cvd gen mult lead (33264) |
$36,549.92 |
$166,136 |
1.2× |
| Remv&replc cvd gen sing lead (33262) |
$36,549.92 |
$166,136 |
1.8× |
| Remv&replc pm gen dual lead (33228) |
$11,057.64 |
$50,262 |
1.1× |
| Remv&replc pm gen mult leads (33229) |
$11,057.64 |
$50,262 |
0.6× |
| Renal biopsy (50200) |
$568.04 |
$2,582 |
0.4× |
| Repair achilles tendon (27650) |
$11,076.01 |
$50,345.50 |
1.6× |
| Repair anal fistula (46288) |
$9,027.63 |
$41,034.67 |
3.5× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$13,737.77 |
$62,444.42 |
4.5× |
| Repair arm tendon/muscle (24341) |
$11,046.75 |
$50,212.48 |
1.6× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,767.38 |
$12,579 |
0.9× |
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure |
$2,120.14 |
$9,637 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,766.82 |
$8,031 |
0.6× |
| Repair brow defect (67900) |
$2,291.85 |
$10,417.50 |
1.0× |
| Repair Choanal Atresia Intranasal (30540) |
$10,813.62 |
$49,152.80 |
1.9× |
| Repair cleft lip/nasal (40701) |
$20,580.39 |
$93,547.22 |
3.7× |
| Repair cleft lip/nasal (40702) |
$17,711.32 |
$80,506.01 |
3.2× |
| Repair cleft lip/nasal (40700) |
$14,601.37 |
$66,369.84 |
2.6× |
| Repair collat ankle ligmnt,secondary (27698) |
$14,840.29 |
$67,455.85 |
2.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$161.26 |
$733 |
0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$161.26 |
$733 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$623.92 |
$2,836 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$623.92 |
$2,836 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$161.26 |
$733 |
0.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$623.92 |
$2,836 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$606.98 |
$2,759 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$161.26 |
$733 |
0.2× |
| Repair detached retina (67110) |
$1,722.60 |
$7,830 |
0.8× |
| Repair eardrum structures (69635) |
$16,036.23 |
$72,891.96 |
2.9× |
| Repair ectropion suture (67914) |
$902.88 |
$4,104 |
0.4× |
| Repair elbow deb/attch open (24359) |
$8,413.62 |
$38,243.72 |
2.7× |
| Repair elbow perc (24357) |
$4,262.28 |
$19,374 |
1.4× |
| Repair Entropion Suture (67921) |
$2,048.64 |
$9,312 |
0.9× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$8,967.19 |
$40,759.96 |
2.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,185.36 |
$5,388 |
0.8× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$7,475.01 |
$33,977.30 |
2.4× |
| Repair eyelid defect (67916) |
$1,371.15 |
$6,232.50 |
0.6× |
| Repair eyelid defect (67908) |
$2,693.13 |
$12,241.50 |
1.2× |
| Repair eyelid defect (67904) |
$2,458.50 |
$11,175 |
1.1× |
| Repair eyelid defect (67903) |
$2,291.85 |
$10,417.50 |
1.0× |
| Repair eyelid defect (67901) |
$12,187.98 |
$55,399.90 |
5.5× |
| Repair eyelid defect (67924) |
$11,224.88 |
$51,022.16 |
5.0× |
| Repair eyelid wound (67930) |
$2,048.64 |
$9,312 |
0.9× |
| Repair finger tendon (26432) |
$1,422.52 |
$6,466 |
0.9× |
| Repair finger tendon (26433) |
$9,890.47 |
$44,956.69 |
3.2× |
| Repair finger/hand tendon (26350) |
$2,285.80 |
$10,390 |
0.7× |
| Repair foot dislocation (28585) |
$8,107.51 |
$36,852.32 |
1.2× |
| Repair forearm tendon/muscle (25270) |
$15,466.58 |
$70,302.62 |
5.0× |
| Repair forearm tendon/muscle (25274) |
$22,072.03 |
$100,327.39 |
7.2× |
| Repair forearm tendon/muscle (25260) |
$2,177.12 |
$9,896 |
0.7× |
| Repair hallux rigidus (28289) |
$7,360.71 |
$33,457.78 |
2.4× |
| Repair hand joint with graft (26542) |
$14,115.02 |
$64,159.17 |
4.6× |
| Repair hand tendon (26410) |
$1,422.52 |
$6,466 |
0.9× |
| Repair incomplete circumcision (54163) |
$1,558.48 |
$7,084 |
0.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$12,008.93 |
$54,586.04 |
3.6× |
| Repair initial femoral hernia, any age; reducible (49550) |
$6,646.55 |
$30,211.60 |
2.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$12,944.13 |
$58,836.94 |
3.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$328.46 |
$1,493 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$171.60 |
$780 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$328.46 |
$1,493 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$328.46 |
$1,493 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.46 |
$1,493 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$517.66 |
$2,353 |
0.3× |
| Repair kneecap tendon (27380) |
$21,433.10 |
$97,423.20 |
3.1× |
| Repair Laceration Palate </2 Cm (42180) |
$163.90 |
$745 |
0.3× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$2,916.54 |
$13,257 |
0.5× |
| Repair lead pace-defib dual (33220) |
$2,590.94 |
$11,777 |
0.7× |
| Repair lead pace-defib one (33218) |
$3,109.04 |
$14,132 |
0.9× |
| Repair lumbar hernia (49540) |
$19,503.61 |
$88,652.78 |
3.4× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$16,033.15 |
$72,877.94 |
2.4× |
| Repair middle ear structures (69667) |
$17,784.74 |
$80,839.74 |
5.7× |
| Repair multi-comp penis pros (54408) |
$10,486.41 |
$47,665.48 |
2.1× |
| Repair nasal septal perforations (30630) |
$1,766.82 |
$8,031 |
0.6× |
Repair nasal vestibular stenosis (30465)
unusually low: confirm this is the full procedure |
$2,256.76 |
$10,258 |
0.4× |
| Repair nonunion radius/ulna w autogrft (25405) |
$13,671.23 |
$62,141.95 |
2.0× |
| Repair of anal fistula with fibrin glue (46706) |
$1,881.88 |
$8,554 |
0.7× |
| Repair of ankle ligament (27695) |
$11,114.75 |
$50,521.61 |
1.6× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$14,060.12 |
$63,909.62 |
2.3× |
| Repair of biceps tendon (24340) |
$10,607.17 |
$48,214.41 |
1.6× |
| Repair of eardrum structures (69631) |
$15,254.59 |
$69,339.04 |
2.7× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$10,068.04 |
$45,763.81 |
2.1× |
| Repair of eye wound (65286) |
$676.83 |
$3,076.50 |
0.3× |
| Repair of eye wound (65275) |
$8,997.48 |
$40,897.64 |
2.4× |
| Repair of eye wound (65285) |
$22,162.43 |
$100,738.31 |
4.4× |
| Repair of foot bones (28320) |
$22,004.87 |
$100,022.12 |
1.8× |
| Repair Of Foot Tendon (28208) |
$12,155.66 |
$55,252.98 |
4.0× |
| Repair of hammertoe (28286) |
$5,548.46 |
$25,220.26 |
1.8× |
| Repair of hydrocele (55060) |
$7,466.05 |
$33,936.60 |
2.3× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$1,545.28 |
$7,024 |
0.2× |
| Repair of leg tendon each (27658) |
$12,245.42 |
$55,660.98 |
4.0× |
| Repair of nail bed (11760) |
$141.24 |
$642 |
0.2× |
| Repair of nasal septum (30520) |
$13,421.98 |
$61,009.01 |
4.3× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$3,116.30 |
$14,165 |
0.6× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$13,880.20 |
$63,091.81 |
2.0× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$15,953.25 |
$72,514.78 |
2.3× |
| Repair of rectum (45505) |
$11,680.62 |
$53,093.73 |
4.5× |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$797.94 |
$3,627 |
0.4× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$12,084.26 |
$54,928.44 |
1.8× |
| Repair of sperm duct (55400) |
$16,033.73 |
$72,880.57 |
4.8× |
| Repair of thigh musc (27385) |
$12,283.85 |
$55,835.68 |
1.8× |
| Repair of tibia (27720) |
$25,357.94 |
$115,263.35 |
3.7× |
| Repair of traumatic corporeal tear(s) (54437) |
$12,131.52 |
$55,143.29 |
3.7× |
| Repair of urethra defect (53520) |
$13,233.86 |
$60,153.90 |
2.6× |
| Repair of urethra injury (53502) |
$14,713.76 |
$66,880.72 |
4.4× |
| Repair of vagina (57260) |
$19,890.04 |
$90,409.28 |
4.2× |
| Repair of vagina (56800) |
$5,582.07 |
$25,373.05 |
1.8× |
| Repair of web finger (26562) |
$12,472.28 |
$56,692.20 |
4.1× |
| Repair oro-maxillary fistula (30580) |
$19,115.52 |
$86,888.74 |
3.4× |
| Repair rectum & vagina (57250) |
$14,487.23 |
$65,851.03 |
3.1× |
| Repair retinal detach cplx (67113) |
$11,288.91 |
$51,313.22 |
2.3× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$17,593.63 |
$79,971.07 |
4.5× |
| Repair rotator cuff acute (23410) |
$13,012.98 |
$59,149.90 |
1.9× |
| Repair salivary duct (42505) |
$6,583.23 |
$29,923.76 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$12,841.87 |
$58,372.14 |
1.9× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$28,179.73 |
$128,089.66 |
4.1× |
| Repair shoulder capsule (23466) |
$19,009.52 |
$86,406.90 |
2.8× |
| Repair Spica/Body/Jacket Cast (29720) |
$82.06 |
$373 |
0.5× |
| Repair symblepharon (68340) |
$1,371.15 |
$6,232.50 |
0.6× |
| Repair Tongue Laceration (41250) |
$196.68 |
$894 |
0.5× |
| Repair tympanic membrane (69610) |
$2,120.14 |
$9,637 |
1.5× |
| Repair vagina/perineum (57210) |
$6,202.66 |
$28,193.91 |
2.0× |
| Repair wrist joints (25447) |
$9,738.12 |
$44,264.17 |
3.2× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$12,822.57 |
$58,284.41 |
4.2× |
| Repair, fascial defect of leg (27656) |
$13,994.85 |
$63,612.95 |
4.6× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$22,734.73 |
$103,339.67 |
3.3× |
| Repair/graft achilles tendon (27652) |
$41,539.74 |
$188,816.98 |
6.1× |
| Repair/graft flex foot tendon (28202) |
$15,863.38 |
$72,106.26 |
2.3× |
| Repair/graft hand tendon (26358) |
$30,125.16 |
$136,932.55 |
4.4× |
| Repair/graft wrist bone (25440) |
$15,135.49 |
$68,797.69 |
2.2× |
| Repair/revise wrist joint (25320) |
$17,102.11 |
$77,736.85 |
2.5× |
| Replace duod/jej tube perc (49451) |
$328.02 |
$1,491 |
0.4× |
| Replace elbow joint (24363) |
$28,243.88 |
$128,381.27 |
1.7× |
| Replace eye fluid (67025) |
$3,927.33 |
$17,851.50 |
1.8× |
| Replace g/c tube perc (49450) |
$273.24 |
$1,242 |
0.3× |
| Replace Tissue Expander (11970) |
$11,950.99 |
$54,322.70 |
1.8× |
Replace/revise brain shunt (62230)
unusually low: confirm this is the full procedure |
$3,118.28 |
$14,174 |
0.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$328.02 |
$1,491 |
0.4× |
| Replacement or irrigation of tube in brain (62225) |
$15,796.78 |
$71,803.53 |
4.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,847.02 |
$12,941 |
0.8× |
| Reposition gastrostomy tube (43761) |
$545.38 |
$2,479 |
2.3× |
| Reposition pacing-defib lead (33215) |
$1,999.80 |
$9,090 |
0.7× |
| Repositioning io lens prosthesis req inc spx (66825) |
$5,027.68 |
$22,853.08 |
2.3× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$1,963.50 |
$8,925 |
0.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$9,419.40 |
$42,815.45 |
3.1× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$231.66 |
$1,053 |
0.8× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$2,706.44 |
$12,302 |
0.9× |
| Rerepair ing hernia blocked (49521) |
$11,394.04 |
$51,791.09 |
1.9× |
| Rerepair ing hernia reduce (49520) |
$2,257.86 |
$10,263 |
0.7× |
| Resect Inferior Turbinate (30140) |
$9,222.07 |
$41,918.49 |
3.0× |
| Revis reconst shoulder joint (23473) |
$37,069.53 |
$168,497.88 |
3.1× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$25,088.68 |
$114,039.46 |
2.1× |
| Revise aqueous shunt eye (66185) |
$10,371.37 |
$47,142.60 |
4.8× |
| Revise arm/leg nerve (64708) |
$7,150.19 |
$32,500.88 |
3.9× |
| Revise Conjunc,Fix Cul-De-Sac+Grft (68326) |
$907.83 |
$4,126.50 |
0.2× |
| Revise eye muscle (67311) |
$6,088.67 |
$27,675.78 |
2.7× |
| Revise eye muscle (67314) |
$7,158.60 |
$32,539.09 |
3.2× |
| Revise eye muscle(s) (67318) |
$6,520.25 |
$29,637.49 |
2.9× |
| Revise eye with implant (65093) |
$16,493.20 |
$74,969.08 |
4.5× |
| Revise eyelashes (67825) |
$355.41 |
$1,615.50 |
1.2× |
| Revise Eyelashes,Forceps (67820) |
$168.96 |
$768 |
1.4× |
| Revise eyelid lining (68330) |
$1,678.05 |
$7,627.50 |
0.8× |
| Revise finger joint (26535) |
$17,460.29 |
$79,364.96 |
5.7× |
| Revise finger joint each (26140) |
$8,344.54 |
$37,929.72 |
5.5× |
| Revise knuckle joint (26530) |
$22,099.17 |
$100,450.76 |
3.2× |
| Revise knuckle with implant (26531) |
$14,524.80 |
$66,021.83 |
2.1× |
| Revise median n/carpal tunnel surg (64721) |
$4,144.61 |
$18,839.12 |
2.3× |
| Revise middle ear & mastoid (69646) |
$21,953.67 |
$99,789.39 |
4.0× |
| Revise middle ear & mastoid (69644) |
$24,735.83 |
$112,435.60 |
4.5× |
| Revise middle ear & mastoid (69643) |
$20,173.88 |
$91,699.45 |
3.6× |
| Revise middle ear & mastoid (69645) |
$21,017.52 |
$95,534.16 |
3.8× |
| Revise middle ear & mastoid (69641) |
$24,348.71 |
$110,675.94 |
4.4× |
| Revise middle ear bone (69661) |
$12,366.34 |
$56,210.66 |
2.2× |
| Revise middle ear bone (69662) |
$11,555.52 |
$52,525.09 |
2.1× |
| Revise middle ear bone (69660) |
$12,285.21 |
$55,841.87 |
2.2× |
| Revise penis/urethra (54332) |
$19,479.35 |
$88,542.49 |
5.9× |
| Revise tear duct opening (68705) |
$296.01 |
$1,345.50 |
1.0× |
| Revise two eye muscles (67316) |
$8,365.88 |
$38,026.72 |
3.7× |
| Revise ulnar nerve at elbow (64718) |
$8,296.16 |
$37,709.81 |
4.5× |
| Revise ulnar nerve at wrist (64719) |
$9,194.54 |
$41,793.36 |
5.0× |
| Revise vag graft via vagina (57295) |
$7,536.84 |
$34,258.37 |
2.5× |
| Revise wrist joint (25332) |
$14,892.43 |
$67,692.86 |
4.8× |
| Revise wrist/forearm tendon (25280) |
$7,643.42 |
$34,742.82 |
2.5× |
| Revise/graft eyelid lining (68320) |
$2,048.64 |
$9,312 |
0.9× |
| Revise/graft eyelid lining (68325) |
$15,299.49 |
$69,543.16 |
4.1× |
| Revise/implant finger joint (26536) |
$11,420.50 |
$51,911.36 |
1.7× |
| Revise/remove neuroelectrode (61880) |
$16,856.11 |
$76,618.70 |
5.1× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$25,293.31 |
$114,969.60 |
2.4× |
| Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services (69601) |
$23,886.99 |
$108,577.24 |
4.3× |
| Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services (69603) |
$24,482.87 |
$111,285.79 |
4.4× |
| Revision of cervix (57720) |
$11,874.60 |
$53,975.45 |
3.9× |
| Revision of colostomy simple (44340) |
$5,448.38 |
$24,765.38 |
1.6× |
| Revision of eyelid (67950) |
$1,392.93 |
$6,331.50 |
0.6× |
| Revision of eyelid (67880) |
$2,000.79 |
$9,094.50 |
0.9× |
| Revision of eyelid (67882) |
$2,458.50 |
$11,175 |
1.1× |
| Revision of eyelid (67961) |
$2,458.50 |
$11,175 |
1.1× |
| Revision of eyelid (67999) |
$1,410.42 |
$6,411 |
4.7× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$2,458.50 |
$11,175 |
1.1× |
| Revision of foot (28116) |
$10,657.04 |
$48,441.11 |
3.5× |
| Revision of foot and ankle (28262) |
$10,931.26 |
$49,687.55 |
1.6× |
| Revision of infusion pump (36261) |
$7,734.49 |
$35,156.79 |
2.2× |
| Revision of iris (66761) |
$685.74 |
$3,117 |
1.3× |
| Revision of iris (66762) |
$399.63 |
$1,816.50 |
0.8× |
| Revision of lower eyelid (15821) |
$20,155.92 |
$91,617.82 |
10.4× |
| Revision of lower leg tendon (27685) |
$10,331.41 |
$46,960.93 |
3.4× |
| Revision of nose (30430) |
$11,537.84 |
$52,444.72 |
2.1× |
| Revision of nose (30460) |
$12,988.90 |
$59,040.44 |
2.3× |
| Revision of nose (30435) |
$12,187.16 |
$55,396.17 |
2.2× |
| Revision of penis (54435) |
$7,020.06 |
$31,909.38 |
2.1× |
| Revision of penis (54300) |
$8,964.58 |
$40,748.09 |
2.7× |
| Revision of reconstructed breast (19380) |
$11,855.70 |
$53,889.53 |
1.9× |
| Revision of scrotum (55180) |
$9,715.57 |
$44,161.66 |
1.9× |
| Revision of scrotum (55175) |
$10,336.15 |
$46,982.48 |
3.1× |
| Revision of tips (37183) |
$6,606.82 |
$30,031 |
1.2× |
| Revision of toe (28312) |
$10,693.46 |
$48,606.64 |
3.5× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$30,977.62 |
$140,807.36 |
1.9× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$20,363.67 |
$92,562.13 |
1.7× |
| Revision of ulna (25360) |
$15,675.49 |
$71,252.23 |
2.3× |
| Revision of upper eyelid (15823) |
$2,482.26 |
$11,283 |
1.3× |
| Revision of urethra (53450) |
$6,286.27 |
$28,573.97 |
1.9× |
| Revision of wrist joint (25455) |
$11,035.36 |
$50,160.74 |
3.6× |
| Revision or removal of cranial neurostimulator pulse generator or receiver (61888) |
$13,233.48 |
$60,152.20 |
1.3× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,248.30 |
$14,765 |
1.0× |
| Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) |
$25,204.86 |
$114,567.53 |
2.4× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$12,636.64 |
$57,439.27 |
1.2× |
| Revision peri-implant capsule breast (19370) |
$10,470.19 |
$47,591.79 |
2.8× |
Revision spinal neurostim electrode perc array, incl fluoro (63663)
likely a partial charge, not the full procedure |
$1,455.08 |
$6,614 |
0.2× |
| Revision/removal nstim eltrd array pn int nstim (64598) |
$1,963.50 |
$8,925 |
0.6× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$8,202.33 |
$37,283.30 |
2.5× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,392.38 |
$6,329 |
0.4× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$3,320.90 |
$15,095 |
0.6× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$8,202.30 |
$37,283.19 |
2.5× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$22,080.71 |
$100,366.86 |
4.0× |
| Rhinp Dfrm Colum Lngth Tip Septum Osteot (30462) |
$20,948.81 |
$95,221.84 |
3.8× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$23,275.69 |
$105,798.61 |
4.2× |
| Rhytidectomy forehead (15824) |
$10,731.75 |
$48,780.70 |
5.5× |
| Rmvl & rplcmt inflatable penile prosth same sess (54410) |
$27,061.21 |
$123,005.48 |
1.4× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$654.50 |
$2,975 |
0.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,837.44 |
$8,352 |
1.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$6,471.79 |
$29,417.24 |
12.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$216.26 |
$983 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$112.64 |
$512 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$168.96 |
$768 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$331.54 |
$1,507 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,780.02 |
$8,091 |
0.7× |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
$11,495.55 |
$52,252.51 |
3.5× |
| Rmvl of subq defibrillator (33272) |
$3,416.38 |
$15,529 |
1.0× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$1,963.50 |
$8,925 |
0.6× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$1,963.50 |
$8,925 |
0.6× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$6,856.65 |
$31,166.58 |
1.9× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$1,999.80 |
$9,090 |
0.6× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$1,999.80 |
$9,090 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$748.66 |
$3,403 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$748.66 |
$3,403 |
1.3× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$7,632.23 |
$34,691.94 |
3.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$100.10 |
$455 |
0.2× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$17,918.34 |
$81,447 |
0.6× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$7,860.60 |
$35,730 |
0.8× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$9,269.43 |
$42,133.77 |
3.0× |
| Rplc gtube revj gstrst trc (43763) |
$352.22 |
$1,601 |
1.5× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,932.48 |
$8,784 |
0.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$748.66 |
$3,403 |
0.5× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$1,932.48 |
$8,784 |
0.7× |
Rplcmt compl tun ctr vad w/subq pmp (36583)
unusually low: confirm this is the full procedure |
$2,425.94 |
$11,027 |
0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,469.06 |
$11,223 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,932.48 |
$8,784 |
0.7× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$9,565.24 |
$43,478.36 |
1.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$11,957.85 |
$54,353.87 |
2.1× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$13,504.90 |
$61,385.90 |
2.2× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$7,709.54 |
$35,043.36 |
1.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$8,465.52 |
$38,479.63 |
2.5× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$13,857.09 |
$62,986.76 |
2.3× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$7,564.13 |
$34,382.39 |
1.3× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$10,676.75 |
$48,530.69 |
3.2× |
| Rpr blood vessel direct lower extremity (35226) |
$2,120.14 |
$9,637 |
3.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,422.52 |
$6,466 |
0.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$4,344.07 |
$19,745.79 |
2.9× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$13,639.16 |
$61,996.18 |
2.0× |
| Rpr hern preemie reduc (49491) |
$11,275.68 |
$51,253.07 |
2.0× |
| Rpr ing hern premie blocked (49492) |
$12,210.53 |
$55,502.42 |
3.6× |
| Rpr ing hernia baby blocked (49496) |
$14,038.21 |
$63,810.03 |
4.2× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$8,229.56 |
$37,407.10 |
2.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$686.18 |
$3,119 |
1.0× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$940.50 |
$4,275 |
0.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$638.88 |
$2,904 |
2.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$766.48 |
$3,484 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$766.48 |
$3,484 |
1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$766.48 |
$3,484 |
0.5× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$8,145.92 |
$37,026.90 |
1.2× |
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
unusually low: confirm this is the full procedure |
$1,762.20 |
$8,010 |
0.3× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$15,748.09 |
$71,582.23 |
2.3× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$8,896 |
$40,436.35 |
2.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$623.92 |
$2,836 |
1.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$22,041.45 |
$100,188.43 |
7.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$12,524.63 |
$56,930.12 |
4.1× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$1,999.80 |
$9,090 |
0.7× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$748.66 |
$3,403 |
0.5× |
Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370)
unusually low: confirm this is the full procedure |
$2,119.92 |
$9,636 |
0.4× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$856.68 |
$3,894 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$1,371.04 |
$6,232 |
0.9× |
| Scrotal exploration (55110) |
$5,269.74 |
$23,953.38 |
1.6× |
| Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) |
$6,862.27 |
$31,192.15 |
1.0× |
| Secondary urethral surgery (54344) |
$16,803.83 |
$76,381.03 |
1.9× |
| Secondary urethral surgery (54348) |
$24,874.25 |
$113,064.76 |
4.9× |
| Septal/Other Intranasal Dermatoplasty (30620) |
$6,630.95 |
$30,140.68 |
1.2× |
| Severing of tarsorrhaphy (67710) |
$558.69 |
$2,539.50 |
0.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$371.14 |
$1,687 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$627.88 |
$2,854 |
0.6× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,204.28 |
$5,474 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$96.58 |
$439 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$725.34 |
$3,297 |
1.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$96.58 |
$439 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$96.58 |
$439 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$55.44 |
$252 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$88.44 |
$402 |
0.2× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$77.22 |
$351 |
0.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$8,427.19 |
$38,305.41 |
2.7× |
| Shoulder arthroscopy (29805) |
$12,157.18 |
$55,259.93 |
4.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$96.58 |
$439 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$57.64 |
$262 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$77.22 |
$351 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$62.04 |
$282 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$80.52 |
$366 |
0.4× |
| Sigmoidoscopy & decompress (45337) |
$445.50 |
$2,025 |
0.5× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$1,204.28 |
$5,474 |
1.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$627.88 |
$2,854 |
0.6× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$753.50 |
$3,425 |
0.9× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$627.88 |
$2,854 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$445.50 |
$2,025 |
0.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$753.50 |
$3,425 |
0.9× |
| Sigmoidoscopy w/fb removal (45332) |
$371.14 |
$1,687 |
0.3× |
| Sigmoidoscopy w/us guide bx (45342) |
$627.88 |
$2,854 |
0.6× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (45347)
likely a partial charge, not the full procedure |
$1,204.28 |
$5,474 |
0.2× |
| Simple biopsy of growth of throat behind nose (42804) |
$863.28 |
$3,924 |
0.3× |
| Simple Cystometrogram (51725) |
$247.28 |
$1,124 |
1.1× |
| Simple destruction of growth of penis using electric current (54055) |
$1,701.92 |
$7,736 |
0.9× |
| Simple drainage of abscess of saliva gland (42300) |
$1,614.36 |
$7,338 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$171.60 |
$780 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$171.60 |
$780 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$171.60 |
$780 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$171.60 |
$780 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$171.60 |
$780 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$171.60 |
$780 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$171.60 |
$780 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$171.60 |
$780 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$171.60 |
$780 |
0.9× |
| Sinus endo w/balloon dil (31296) |
$4,886.31 |
$22,210.50 |
0.7× |
| Sinus endo w/balloon dil (31297) |
$4,886.31 |
$22,210.50 |
0.7× |
| Skin Pedicle Flap Trunk (15570) |
$1,470.92 |
$6,686 |
0.8× |
| Skin pinch graft (15050) |
$402.16 |
$1,828 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$1,379.18 |
$6,269 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$346.28 |
$1,574 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$446.38 |
$2,029 |
0.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$818.95 |
$3,722.50 |
0.4× |
| Skin Tissue Procedure (17999) |
$565.18 |
$2,569 |
3.0× |
| Skin tissue rearrangement (14040) |
$1,227.60 |
$5,580 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,379.18 |
$6,269 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$439.34 |
$1,997 |
0.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$4,846.38 |
$22,029 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,846.38 |
$22,029 |
1.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$7,925.94 |
$36,027 |
1.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$13,973.93 |
$63,517.87 |
3.0× |
| Slitting of prepuce (54001) |
$925.10 |
$4,205 |
0.5× |
| Small Bowel Endoscopy (44373) |
$713.90 |
$3,245 |
0.4× |
| Small bowel endoscopy (44366) |
$856.68 |
$3,894 |
0.5× |
| Small bowel endoscopy (44364) |
$856.68 |
$3,894 |
0.5× |
| Small bowel endoscopy (44376) |
$856.68 |
$3,894 |
0.5× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$856.68 |
$3,894 |
0.5× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$713.90 |
$3,245 |
0.4× |
| Small bowel endoscopy/biopsy (44377) |
$856.68 |
$3,894 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$171.60 |
$780 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$171.60 |
$780 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$171.60 |
$780 |
0.4× |
| Snip incision lacrimal punctum (68440) |
$153.12 |
$696 |
0.5× |
| Sphincterotomy (46080) |
$4,580.77 |
$20,821.68 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$172.04 |
$782 |
0.3× |
| Spinal Puncture Therapeutic (62272) |
$172.04 |
$782 |
0.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,626.80 |
$11,940 |
0.9× |
| Strabismus recession/rescj 2 hrzntl musc (67312) |
$6,939.36 |
$31,542.53 |
1.9× |
| Strapping ankle (29540) |
$67.32 |
$306 |
0.4× |
| Strapping hand/finger (29280) |
$10.56 |
$48 |
0.2× |
| Strapping knee (29530) |
$34.76 |
$158 |
0.3× |
| Strapping shoulder (29240) |
$34.76 |
$158 |
0.3× |
| Strapping toes (29550) |
$27.72 |
$126 |
0.5× |
| Strapping unna boot (29580) |
$260.37 |
$1,183.50 |
1.7× |
| Subconjunctival injection (68200) |
$90.09 |
$409.50 |
0.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$694.32 |
$3,156 |
1.7× |
| Suction assisted lipectomy head & neck (15876) |
$23,074.67 |
$104,884.88 |
6.9× |
| Suction assisted lipectomy lower extremity (15879) |
$23,671.33 |
$107,596.94 |
7.1× |
| Suction assisted lipectomy; trunk (15877) |
$9,153.82 |
$41,608.26 |
2.8× |
| Suprahyoid lymphadenectomy (38700) |
$11,004.19 |
$50,019.04 |
1.8× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$3,116.30 |
$14,165 |
0.6× |
| Surgery to stop leg growth (27477) |
$21,263 |
$96,650 |
3.1× |
| Surgery/speech prosthesis (31611) |
$1,584.66 |
$7,203 |
0.5× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$951.28 |
$4,324 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,155 |
$5,250 |
0.4× |
| Suspension of testis (54640) |
$8,880.41 |
$40,365.48 |
2.6× |
| Suspension of testis (54620) |
$7,388.98 |
$33,586.25 |
2.2× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$22,566.42 |
$102,574.63 |
3.3× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$25,238.14 |
$114,718.83 |
7.9× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$7,901.98 |
$35,918.07 |
4.3× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,639 |
$7,450 |
0.7× |
| Suture facial nerve extracranial (64864) |
$13,482.50 |
$61,284.11 |
1.6× |
| Suture of 1 nerve ulnar motor (64836) |
$9,514.08 |
$43,245.81 |
3.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
$35,160.47 |
$159,820.33 |
5.2× |
| Suture/repair testicular injury (54670) |
$11,532.29 |
$52,419.51 |
3.5× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$1,582.35 |
$7,192.50 |
0.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$6,717.76 |
$30,535.26 |
4.5× |
| T-cell depletion of harvest (38210) |
$1,362.90 |
$6,195 |
3.3× |
| Tangential biopsy skin single lesion (11102) |
$268.62 |
$1,221 |
0.7× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$141.24 |
$642 |
0.2× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$17,751.36 |
$80,688 |
0.7× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$9,899.56 |
$44,998 |
0.5× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$4,019.40 |
$18,270 |
1.4× |
| Temporary Closure Eyelids Suture (67875) |
$962.94 |
$4,377 |
1.0× |
| Tendon excision palm/finger (26145) |
$5,391.23 |
$24,505.58 |
3.6× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$18,049.61 |
$82,043.68 |
5.9× |
| Tenodesis long tendon biceps (23430) |
$23,403.36 |
$106,378.90 |
3.4× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$11,101.14 |
$50,459.73 |
3.6× |
| Tenolysis extensor foot single tendon (28225) |
$1,527.90 |
$6,945 |
0.5× |
| Tenolysis flexor foot single tendon (28220) |
$2,719.86 |
$12,363 |
1.8× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$12,304.12 |
$55,927.83 |
4.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$8,277.79 |
$37,626.33 |
5.5× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$9,112.03 |
$41,418.33 |
3.0× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$5,680.95 |
$25,822.50 |
1.8× |
| Tenotomy Adductor Hip Open (27001) |
$15,224.12 |
$69,200.54 |
5.0× |
| Tenotomy adductor hip percutaneous spx (27000) |
$194.04 |
$882 |
0.1× |
| Tenotomy elbow lateral/medial debride open (24358) |
$6,701.73 |
$30,462.40 |
2.2× |
| Tenotomy hip flexor open separate procedure (27005) |
$248.16 |
$1,128 |
0.1× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,054.90 |
$4,795 |
0.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,813.24 |
$8,242 |
1.2× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,781.57 |
$12,643.50 |
0.9× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$2,177.12 |
$9,896 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,719.86 |
$12,363 |
1.8× |
| Thaw preserved stem cells (38208) |
$227.04 |
$1,032 |
0.5× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,098.46 |
$4,993 |
0.8× |
| Ther Apheresis,Platelets (36513) |
$1,098.46 |
$4,993 |
2.7× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,098.46 |
$4,993 |
0.8× |
| Ther Apheresis,White Blood Cells (36511) |
$1,098.46 |
$4,993 |
0.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$378.18 |
$1,719 |
0.6× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$14,830.02 |
$67,409.19 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$900.57 |
$4,093.50 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$900.57 |
$4,093.50 |
1.5× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$20,020.75 |
$91,003.41 |
3.5× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$2,767.38 |
$12,579 |
0.5× |
| Throat Surgery Procedure (42999) |
$784.08 |
$3,564 |
3.5× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,553.10 |
$11,605 |
0.9× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$1,716.33 |
$7,801.50 |
0.3× |
| Thrombolytic Therapy, Stroke (37195) |
$98.34 |
$447 |
0.3× |
| Thrombolytic Venous Therapy (37212) |
$1,144.22 |
$5,201 |
0.4× |
| Thymectomy prtl/tot transcervical appr spx (60520) |
$23,796.75 |
$108,167.05 |
4.3× |
| Thyroid biopsy (60100) |
$161.70 |
$735 |
0.2× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$12,942.68 |
$58,830.35 |
2.3× |
| Thyroidectomy, total or complete (60240) |
$19,262.23 |
$87,555.58 |
3.4× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$19,508.39 |
$88,674.48 |
3.5× |
| Tibial arthroscopy/surgery (29855) |
$16,891.38 |
$76,778.99 |
2.5× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,227.60 |
$5,580 |
0.6× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,654.84 |
$7,522 |
0.9× |
| Tissue expander placement breast reconstruction (19357) |
$13,125.78 |
$59,662.63 |
1.0× |
| Tongue and mouth surg unlisted (41599) |
$481.58 |
$2,189 |
2.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$7,589.47 |
$34,497.60 |
2.4× |
| Total hip arthroplasty (27130) |
$19,517.76 |
$88,717.08 |
1.6× |
| Total knee arthroplasty (27447) |
$17,584.59 |
$79,929.93 |
1.5× |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
$16,135.69 |
$73,344.04 |
2.4× |
| Trach Tube Change (31502) |
$203.50 |
$925 |
0.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$855.36 |
$3,888 |
1.7× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$10,702.70 |
$48,648.65 |
3.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$614.24 |
$2,792 |
2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$737 |
$3,350 |
0.5× |
| Tracheostomy planned (31600) |
$2,126.52 |
$9,666 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$128.92 |
$586 |
0.5× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$1,263.90 |
$5,745 |
0.2× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$7,180.97 |
$32,640.77 |
3.9× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services (64738) |
$20,177.31 |
$91,715.05 |
11.0× |
| Transfusion intrauterine fetal (36460) |
$741.18 |
$3,369 |
1.8× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$7,583.12 |
$34,468.71 |
2.0× |
| Transoral Lower Esophageal Myotomy (43497) |
$19,578.67 |
$88,993.94 |
3.4× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874)
unusually low: confirm this is the full procedure |
$1,729.64 |
$7,862 |
0.3× |
| Transplant forearm tendon (25312) |
$26,663.65 |
$121,198.41 |
8.7× |
| Transplant hand tendon (26480) |
$9,003.63 |
$40,925.61 |
2.9× |
| Transplant/graft hand tendon (26483) |
$8,465.12 |
$38,477.84 |
2.8× |
| Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) |
$542.96 |
$2,468 |
0.2× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$10,680.13 |
$48,546.05 |
1.2× |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
$1,052.70 |
$4,785 |
0.3× |
| Transurethral incision of prostate (52450) |
$5,050.84 |
$22,958.38 |
1.5× |
| Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) |
$22,281.31 |
$101,278.70 |
4.0× |
| Treat clavicle dislocation (23552) |
$22,395.07 |
$101,795.78 |
3.3× |
| Treat dislocation/fracture (23680) |
$31,770.38 |
$144,410.82 |
2.6× |
| Treat ectopic pregnancy (59151) |
$11,627.69 |
$52,853.12 |
2.0× |
| Treat elbow fracture (24586) |
$36,031.54 |
$163,779.72 |
3.0× |
| Treat eyelid lesion (67850) |
$537.24 |
$2,442 |
0.6× |
| Treat finger dislocation (26775) |
$848.98 |
$3,859 |
3.2× |
| Treat Finger Fracture Each (26727) |
$5,016.89 |
$22,804.04 |
1.6× |
| Treat Fracture Radius & Ulna (25560) |
$469.59 |
$2,134.50 |
2.0× |
| Treat fracture radius/ulna (25575) |
$22,588.12 |
$102,673.26 |
3.3× |
| Treat fx distal radial (25606) |
$2,126.52 |
$9,666 |
0.7× |
| Treat fx rad extra-articul (25607) |
$15,237.97 |
$69,263.51 |
2.2× |
| Treat hand dislocation (26686) |
$20,043.01 |
$91,104.58 |
6.5× |
| Treat heel fracture (28415) |
$35,083.76 |
$159,471.64 |
5.2× |
| Treat humerus fracture (23630) |
$23,027.62 |
$104,671 |
3.4× |
| Treat humerus fracture (24500) |
$234.96 |
$1,068 |
1.0× |
| Treat humerus fracture (24577) |
$313.06 |
$1,423 |
0.2× |
| Treat humerus fracture (23616) |
$38,965.99 |
$177,118.14 |
2.4× |
| Treat humerus fracture (23600) |
$234.96 |
$1,068 |
1.0× |
| Treat knee fracture (27532) |
$752.84 |
$3,422 |
0.2× |
| Treat kneecap dislocation (27566) |
$17,691.57 |
$80,416.21 |
2.6× |
| Treat knuckle dislocation (26715) |
$2,871.44 |
$13,052 |
0.9× |
| Treat lower leg fracture (27828) |
$20,646.26 |
$93,846.65 |
1.7× |
| Treat Lower Leg Fracture (27827) |
$23,077.14 |
$104,896.08 |
1.9× |
| Treat Metatarsal Fracture (28475) |
$260.92 |
$1,186 |
1.1× |
| Treat scapula fracture (23585) |
$19,468.09 |
$88,491.33 |
2.9× |
| Treat thumb fracture (26650) |
$5,556.76 |
$25,258.02 |
1.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$372.90 |
$1,695 |
0.2× |
| Treat toe fracture (28525) |
$10,829.79 |
$49,226.32 |
3.5× |
| Treat ulnar fracture (24685) |
$14,178.05 |
$64,445.68 |
2.1× |
| Treat Vaginal Bleeding (57180) |
$187.66 |
$853 |
1.0× |
| Treat wrist bone fracture (25635) |
$372.90 |
$1,695 |
0.2× |
| Treat wrist bone fracture (25622) |
$469.59 |
$2,134.50 |
2.0× |
| Treat Wrist Bone Fracture (25630) |
$234.96 |
$1,068 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,087.02 |
$4,941 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$313.06 |
$1,423 |
1.4× |
| Treatment extensive retinopathy photocoagulation (67228) |
$644.16 |
$2,928 |
1.2× |
| Treatment of ankle fracture (27822) |
$4,320.36 |
$19,638 |
0.6× |
| Treatment of ankle fracture (27792) |
$14,927.54 |
$67,852.45 |
2.2× |
| Treatment of bone cyst (20615) |
$161.70 |
$735 |
0.2× |
| Treatment of choroid lesion (67220) |
$545.16 |
$2,478 |
1.1× |
| Treatment of fibula fracture (27784) |
$20,886.38 |
$94,938.07 |
3.1× |
| Treatment of foot infection (28003) |
$1,795.42 |
$8,161 |
0.6× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,652.86 |
$7,513 |
0.5× |
| Treatment of retina (67141) |
$300.63 |
$1,366.50 |
1.0× |
| Treatment of retinal lesion (67208) |
$333.30 |
$1,515 |
1.1× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$13,797.60 |
$62,716.36 |
4.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$156.64 |
$712 |
0.7× |
| Treatment of tibia fracture (27759) |
$28,053.02 |
$127,513.71 |
2.3× |
| Trim skin lesion (11055) |
$77.22 |
$351 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$102.96 |
$468 |
0.5× |
| Trim skin lesions over 4 (11057) |
$128.70 |
$585 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$68.42 |
$311 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$2,975.94 |
$13,527 |
0.6× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$2,975.94 |
$13,527 |
0.6× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$677.60 |
$3,080 |
1.6× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$123.86 |
$563 |
0.3× |
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure |
$2,226.62 |
$10,121 |
0.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$2,226.62 |
$10,121 |
1.5× |
| Trurl dstrj prstate tiss rf thermoth (53852) |
$3,532.76 |
$16,058 |
1.1× |
| Tumor cell deplete of harvst (38211) |
$1,362.90 |
$6,195 |
3.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,219.10 |
$19,177.75 |
1.6× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$22,787.76 |
$103,580.74 |
1.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,652.86 |
$7,513 |
0.5× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,652.86 |
$7,513 |
0.5× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,445.07 |
$6,568.50 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,087.02 |
$4,941 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$161.26 |
$733 |
0.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$102.74 |
$467 |
0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$372.90 |
$1,695 |
0.2× |
| Tympanostomy (69433) |
$1,105.50 |
$5,025 |
2.2× |
| Unlisted Cardiac Surgery (33999) |
$1,577.18 |
$7,169 |
2.7× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$3,189.12 |
$14,496 |
14.3× |
| Unlisted fetal invasive procedure, including ultrasound guidance (59897) |
$107.58 |
$489 |
0.6× |
| Unlisted laparoscopic procedure liver (47379) |
$16,385.18 |
$74,478.07 |
2.9× |
| Unlisted laparoscopic procedure, ureter (50949) |
$2,948.66 |
$13,403 |
0.5× |
| Unlisted laparoscopy procedure, appendix (44979) |
$24,141.37 |
$109,733.48 |
4.3× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$15,550.65 |
$70,684.77 |
2.7× |
| Unlisted laparoscopy procedure, bladder (51999) |
$3,298.13 |
$14,991.50 |
0.6× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$29,696.86 |
$134,985.74 |
5.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$20,350.08 |
$92,500.36 |
3.6× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$4,216.96 |
$19,168 |
0.7× |
Unlisted laparoscopy procedure, rectum (45499)
likely a partial charge, not the full procedure |
$331.54 |
$1,507 |
0.1× |
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure |
$581.68 |
$2,644 |
0.1× |
| Unlisted laparoscopy procedure, stomach (43659) |
$14,570.66 |
$66,230.29 |
2.6× |
| Unlisted laparoscopy procedure, testis (54699) |
$2,872.98 |
$13,059 |
0.5× |
| Unlisted laparoscopy procedure, uterus (58578) |
$2,948.66 |
$13,403 |
0.5× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$2,126.52 |
$9,666 |
0.4× |
| Unlisted procedure accessory sinuses (31299) |
$1,614.36 |
$7,338 |
7.3× |
| Unlisted procedure anus (46999) |
$675.62 |
$3,071 |
0.8× |
| Unlisted Procedure Biliary Tract (47999) |
$1,614.36 |
$7,338 |
1.9× |
| Unlisted procedure colon (45399) |
$1,149.72 |
$5,226 |
1.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$444.62 |
$2,021 |
2.0× |
| Unlisted Procedure Endocrine System (60699) |
$3,357.09 |
$15,259.50 |
0.6× |
| Unlisted Procedure External Ear (69399) |
$189.20 |
$860 |
0.9× |
| Unlisted procedure femur or knee (27599) |
$2,425.94 |
$11,027 |
10.5× |
| Unlisted procedure foot or toes (28899) |
$3,011.58 |
$13,689 |
13.0× |
| Unlisted procedure humerus/elbow (24999) |
$288.86 |
$1,313 |
1.2× |
| Unlisted procedure larynx (31599) |
$1,536.92 |
$6,986 |
6.9× |
| Unlisted Procedure Lungs & Pleura (32999) |
$953.37 |
$4,333.50 |
1.6× |
| Unlisted procedure maternity care & delivery (59899) |
$107.58 |
$489 |
0.6× |
| Unlisted procedure neck or thorax (21899) |
$157.74 |
$717 |
0.7× |
| Unlisted Procedure Nervous System (64999) |
$510.62 |
$2,321 |
1.8× |
| Unlisted procedure palate uvula (42299) |
$1,273.36 |
$5,788 |
5.7× |
| Unlisted procedure pancreas (48999) |
$168.30 |
$765 |
0.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,630.98 |
$11,959 |
11.4× |
| Unlisted Procedure Rectum (45999) |
$1,640.10 |
$7,455 |
1.9× |
| Unlisted procedure shoulder (23929) |
$1,362.90 |
$6,195 |
5.9× |
| Unlisted Procedure Small Intestine (44799) |
$1,243.55 |
$5,652.50 |
1.5× |
| Unlisted procedure spine (22899) |
$1,082.95 |
$4,922.50 |
4.7× |
| Unlisted Procedure Trachea Bronchi (31899) |
$2,872.98 |
$13,059 |
15.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,313.84 |
$5,577.50 |
2.2× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$696.52 |
$3,166 |
3.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,370.51 |
$15,320.50 |
4.0× |
| Unlisted procedure, male genital system (55899) |
$1,025.48 |
$4,661.25 |
4.4× |
| Unlisted procedure, salivary glands or ducts (42699) |
$886.16 |
$4,028 |
4.0× |
| Unlisted procedure, stomach (43999) |
$1,614.36 |
$5,403 |
1.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,271.82 |
$5,781 |
6.7× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$7,606.06 |
$34,573 |
0.8× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$2,275.02 |
$10,341 |
0.6× |
| Uppr gi opticl endomicrscopy (43252) |
$1,124.20 |
$5,110 |
0.6× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$7,910.78 |
$35,958.10 |
2.4× |
| Urine Flow Measurement (51736) |
$109.78 |
$499 |
0.9× |
| Urology Surgery Procedure (53899) |
$91.52 |
$416 |
0.4× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$25,552.59 |
$116,148.12 |
5.4× |
| Vaginal delivery only (59409) |
$1,954.04 |
$8,882 |
0.6× |
| Vaginal hysterectomy (58260) |
$28,330.94 |
$128,776.98 |
6.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$28,986.31 |
$131,755.94 |
6.2× |
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure |
$3,363.36 |
$15,288 |
0.2× |
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure |
$3,363.36 |
$15,288 |
0.3× |
Vasc embolize/occlude organ (37243)
unusually low: confirm this is the full procedure |
$3,363.36 |
$15,288 |
0.3× |
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure |
$3,363.36 |
$15,288 |
0.3× |
| Vasectomy (55250) |
$581.68 |
$2,644 |
0.3× |
| Venipuncture (36415) |
$2.86 |
$13 |
0.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$100.10 |
$455 |
0.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,105.50 |
$5,025 |
0.4× |
| Vit for macular pucker (67041) |
$9,208.50 |
$41,856.82 |
2.4× |
| Vitrectomy mechanical pars plana (67036) |
$6,901.72 |
$31,371.46 |
1.8× |
| Vitrectomy pars plana remove int memb retina (67042) |
$7,544.81 |
$34,294.57 |
1.9× |
| Vulvectomy radical partial (56630) |
$15,577.80 |
$70,808.17 |
3.3× |
| Vulvectomy simple partial (56620) |
$7,282.38 |
$33,101.72 |
2.4× |
| Vulvectomy simple; complete (56625) |
$12,317.41 |
$55,988.23 |
4.1× |
| Wash harvest stem cells (38209) |
$769.34 |
$3,497 |
1.9× |
| Wedging of cast (29740) |
$55 |
$250 |
0.2× |
| Wedging of clubfoot cast (29750) |
$66.33 |
$301.50 |
0.3× |
| Windowing of cast (29730) |
$82.06 |
$373 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$402.16 |
$1,828 |
1.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$402.16 |
$1,828 |
0.6× |
| Wrist arthroscop,excis triang cart (29846) |
$10,090.01 |
$45,863.68 |
3.3× |
| Wrist arthroscop,part synovect (29844) |
$7,090.01 |
$32,227.33 |
2.3× |
| Wrist arthroscopy/surgery (29845) |
$7,511.57 |
$34,143.50 |
2.4× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$7,621.38 |
$34,642.63 |
1.5× |
| Xfer single deep low leg tendon (27691) |
$19,354.15 |
$87,973.42 |
2.8× |
Xtroral i&d absc cst/hmtma floor mouth subment (41016)
unusually low: confirm this is the full procedure |
$2,499.42 |
$11,361 |
0.4× |