| Acetabuloplasty resection femoral head (27122) |
$16,378.80 |
$27,298 |
2.3× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$3,268.80 |
$5,448 |
1.6× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,268.80 |
$5,448 |
1.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,268.80 |
$5,448 |
1.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$3,268.80 |
$5,448 |
1.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$6,870.60 |
$11,451 |
2.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$6,870.60 |
$11,451 |
2.1× |
| Amputation foot transmetarsal (28805) |
$6,870.60 |
$11,451 |
2.1× |
| Amputation metatarsal with toe single (28810) |
$6,870.60 |
$11,451 |
2.1× |
| Amputation thigh through femur any level (27590) |
$16,378.80 |
$27,298 |
5.1× |
| Amputation toe interphalangeal joint (28825) |
$6,870.60 |
$11,451 |
2.1× |
| Amputation toe metatarsophalangeal joint (28820) |
$6,870.60 |
$11,451 |
2.1× |
| Amputation, leg, through tibia and fibula; (27880) |
$16,378.80 |
$27,298 |
2.3× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$16,378.80 |
$27,298 |
5.1× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$16,378.80 |
$27,298 |
5.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$5,490 |
$9,150 |
4.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$4,109.40 |
$6,849 |
1.5× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$10,111.20 |
$16,852 |
2.1× |
| Anterior Tibial Tubercleplasty (27418) |
$16,378.80 |
$27,298 |
2.3× |
| Appendectomy (44950) |
$10,111.20 |
$16,852 |
1.6× |
| Application multiplane external fixation system (20692) |
$16,378.80 |
$27,298 |
1.3× |
| Application of rigid total contact leg cast (29445) |
$457.80 |
$763 |
1.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$269.40 |
$449 |
1.7× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$7,917 |
$13,195 |
1.5× |
| Arterial puncture (36600) |
$36.60 |
$192.06 |
0.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$10,111.20 |
$16,852 |
3.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$14,499.60 |
$24,166 |
2.6× |
| Artery-vein autograft (36825) |
$10,111.20 |
$16,852 |
1.8× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$26,408.40 |
$44,014 |
2.1× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$21,393.60 |
$35,656 |
1.7× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$11,364 |
$18,940 |
1.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$18,886.20 |
$31,477 |
1.5× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$16,378.80 |
$27,298 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$2,924.40 |
$4,874 |
9.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$2,924.40 |
$4,874 |
9.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$3,844.80 |
$6,408 |
12.7× |
| Arthrodesis ankle open (27870) |
$21,393.60 |
$35,656 |
1.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$16,378.80 |
$27,298 |
2.3× |
| Arthrodesis Pantalar (28705) |
$16,378.80 |
$27,298 |
0.9× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$21,393.60 |
$35,656 |
0.8× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$21,393.60 |
$35,656 |
1.2× |
| Arthrodesis subtalar (28725) |
$18,886.20 |
$31,477 |
1.5× |
| Arthrodesis triple (28715) |
$16,378.80 |
$27,298 |
1.3× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$21,393.60 |
$35,656 |
0.8× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$23,901 |
$39,835 |
1.4× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$23,901 |
$39,835 |
1.9× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$11,012.40 |
$18,354 |
3.4× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$11,364 |
$18,940 |
0.9× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$8,251.20 |
$13,752 |
2.6× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$8,251.20 |
$13,752 |
2.6× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$13,871.40 |
$23,119 |
1.9× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$6,870.60 |
$11,451 |
2.1× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$6,870.60 |
$11,451 |
2.1× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$6,870.60 |
$11,451 |
2.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$8,251.20 |
$13,752 |
2.6× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$8,251.20 |
$13,752 |
2.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$8,251.20 |
$13,752 |
2.6× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$9,631.80 |
$16,053 |
3.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$21,393.60 |
$35,656 |
3.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$8,251.20 |
$13,752 |
2.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$6,870.60 |
$11,451 |
2.1× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$11,364 |
$18,940 |
1.6× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$11,364 |
$18,940 |
1.6× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$6,870.60 |
$11,451 |
1.0× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$11,364 |
$18,940 |
3.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$8,251.20 |
$13,752 |
2.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$12,393 |
$20,655 |
3.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$12,393 |
$20,655 |
3.8× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$13,871.40 |
$23,119 |
1.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$12,393 |
$20,655 |
3.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$12,393 |
$20,655 |
3.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$21,393.60 |
$35,656 |
3.0× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$12,393 |
$20,655 |
3.8× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$12,393 |
$20,655 |
3.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$21,393.60 |
$35,656 |
3.0× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$16,378.80 |
$27,298 |
2.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$31,423.20 |
$52,372 |
2.5× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$21,082.20 |
$35,137 |
1.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$12,393 |
$20,655 |
1.7× |
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) unusually low: confirm this is the full procedure |
$5,490 |
$9,150 |
0.4× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$8,251.20 |
$13,752 |
2.6× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$12,393 |
$20,655 |
3.8× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$12,393 |
$20,655 |
3.8× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$6,870.60 |
$11,451 |
2.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$11,364 |
$18,940 |
3.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,419 |
$7,365 |
2.1× |
| Av Fistula Revision Open (36832) |
$10,111.20 |
$16,852 |
1.8× |
| Av Fuse Uppr Arm Basilic (36819) |
$14,499.60 |
$24,166 |
2.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$342 |
$570 |
1.7× |
| Biopsy bone open deep (20245) |
$6,870.60 |
$11,451 |
2.4× |
| Biopsy bone trocar/needle deep (20225) |
$5,569.20 |
$9,282 |
3.4× |
| Biopsy nail unit (11755) |
$3,844.80 |
$6,408 |
5.5× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$6,870.60 |
$11,451 |
2.1× |
| Biopsy of conjunctiva (68100) |
$4,419 |
$7,365 |
1.9× |
| Biopsy of liver, needle; percutaneous (47000) |
$4,419 |
$7,365 |
2.7× |
| Biopsy of penis (54100) |
$4,419 |
$7,365 |
2.7× |
| Biopsy of upper nose/throat (42806) |
$6,870.60 |
$11,451 |
2.1× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$10,111.20 |
$16,852 |
2.6× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$14,499.60 |
$24,166 |
3.8× |
| Biopsy Oropharynx (42800) |
$6,870.60 |
$11,451 |
4.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$4,419 |
$7,365 |
2.7× |
| Biopsy soft tissue neck/thorax (21550) |
$4,419 |
$7,365 |
2.7× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$4,419 |
$7,365 |
2.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$3,844.80 |
$6,408 |
2.4× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$10,111.20 |
$16,852 |
2.9× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$4,419 |
$7,365 |
8.3× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$5,490 |
$9,150 |
1.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$3,844.80 |
$6,408 |
4.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$5,490 |
$9,150 |
6.0× |
| Biopsy/removal lymph nodes (38510) |
$18,888 |
$31,480 |
4.9× |
| Bladder instillation anticarcinogenic agent (51720) |
$4,765.20 |
$7,942 |
6.9× |
| Blepharoplasty Lower Eyelid (15820) |
$5,569.20 |
$9,282 |
2.7× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$4,419 |
$7,365 |
2.2× |
| Blepharoplasty upper eyelid (15822) |
$4,419 |
$7,365 |
2.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$4,419 |
$7,365 |
2.2× |
| Blood Transfusion Service (36430) |
$873 |
$1,455 |
2.0× |
| Breast augmentation with implant (19325) |
$13,871.40 |
$23,119 |
1.7× |
| Breast Reduction (19318) |
$16,378.80 |
$27,298 |
2.5× |
| Bx breast 1st lesion strtctc (19081) |
$2,738.40 |
$4,564 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$2,848.20 |
$4,747 |
1.8× |
| Bx Cervix (57500) |
$4,765.20 |
$7,942 |
5.3× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$5,569.20 |
$9,282 |
1.6× |
| Bx/exc lymph node open deep axillary node (38525) |
$14,499.60 |
$24,166 |
3.8× |
| Bx/exc lymph node open superficial (38500) |
$10,111.20 |
$16,852 |
2.6× |
| Canthoplasty (67950) |
$4,419 |
$7,365 |
1.9× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$6,870.60 |
$11,451 |
2.1× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$18,886.20 |
$31,477 |
2.6× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$18,886.20 |
$31,477 |
2.6× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$18,886.20 |
$31,477 |
2.6× |
| Carpal Tunnel Surgery (64721) |
$3,268.80 |
$5,448 |
1.7× |
| Cataract surg w/iol 1 stage (66983) |
$5,490 |
$9,150 |
2.4× |
| Cataract surgery complex (66982) |
$5,490 |
$9,150 |
2.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$5,490 |
$9,150 |
1.7× |
| Cerv artific diskectomy (22856) |
$16,378.80 |
$27,298 |
0.9× |
| Cervical lymphadenectomy (complete) (38720) |
$11,364 |
$18,940 |
1.7× |
| Change of Windpipe Airway (31502) |
$4,765.20 |
$7,942 |
20.4× |
| Chemical Cautery Tissue (17250) |
$342 |
$570 |
1.7× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$5,569.20 |
$9,282 |
2.7× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$5,490 |
$9,150 |
2.4× |
| Circumcision 28 days or older (54161) |
$4,419 |
$7,365 |
2.1× |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
$7,917 |
$13,195 |
2.0× |
| Claviculectomy partial (23120) |
$9,631.80 |
$16,053 |
3.0× |
| Clear outer ear canal (69200) |
$2,924.40 |
$4,874 |
22.3× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$5,490 |
$9,150 |
1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,109.40 |
$6,849 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$4,419 |
$7,365 |
2.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,268.80 |
$5,448 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,268.80 |
$5,448 |
2.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$3,268.80 |
$5,448 |
13.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$4,419 |
$7,365 |
2.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$3,844.80 |
$6,408 |
15.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$6,870.60 |
$11,451 |
28.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$6,870.60 |
$11,451 |
28.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$3,844.80 |
$6,408 |
15.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,844.80 |
$6,408 |
2.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$3,844.80 |
$6,408 |
15.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$4,765.20 |
$7,942 |
19.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$3,844.80 |
$6,408 |
15.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$21,393.60 |
$35,656 |
13.5× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$6,719.40 |
$11,199 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$33.60 |
$56 |
3.6× |
| Colpocleisis (le fort type) (57120) |
$10,111.20 |
$16,852 |
2.1× |
| Colpopexy extraperitoneal (57282) |
$8,856.60 |
$14,761 |
1.2× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$11,364 |
$18,940 |
1.6× |
| Colporrhaphy (57200) |
$5,490 |
$9,150 |
1.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$4,765.20 |
$7,942 |
15.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$5,490 |
$9,150 |
1.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$5,490 |
$9,150 |
1.7× |
| Colposcopy of vulva (56820) |
$4,765.20 |
$7,942 |
23.9× |
| Colposcopy Vulva W/Biopsy (56821) |
$4,765.20 |
$7,942 |
15.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$4,765.20 |
$7,942 |
5.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$5,569.20 |
$9,282 |
4.7× |
| Combined anteroposterior colporrhaphy; (57260) |
$10,111.20 |
$16,852 |
2.1× |
| Complex drainage wound (10180) |
$4,836.60 |
$8,061 |
1.7× |
| Composite Skin Graft (15760) |
$6,719.40 |
$11,199 |
3.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$5,490 |
$9,150 |
1.7× |
| Conization of cervix (57520) |
$5,490 |
$9,150 |
1.7× |
| Conjunctivoplasty W/Buccal Muc Memb Graft (68325) |
$7,917 |
$13,195 |
2.0× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$4,419 |
$7,365 |
1.9× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$7,917 |
$13,195 |
2.0× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$4,419 |
$7,365 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$3,844.80 |
$6,408 |
29.3× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$31,423.20 |
$52,372 |
2.5× |
| Corneal transplant (65710) |
$10,111.20 |
$16,852 |
1.9× |
| Correction hammertoe (28285) |
$9,631.80 |
$16,053 |
3.0× |
| Correction of lid retraction (67911) |
$3,268.80 |
$5,448 |
1.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$11,012.40 |
$18,354 |
3.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$18,886.20 |
$31,477 |
1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$16,378.80 |
$27,298 |
5.1× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$4,419 |
$7,365 |
1.9× |
| Create Eardrum Opening (69433) |
$4,419 |
$7,365 |
8.3× |
| Create Tear Sac-Nasal Fistula (68720) |
$7,917 |
$13,195 |
2.0× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$11,364 |
$18,940 |
1.2× |
| Curette/treat cornea (65435) |
$3,844.80 |
$6,408 |
3.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,419 |
$7,365 |
2.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,924.40 |
$4,874 |
1.4× |
| Cysto w/destruction of lesions (52214) |
$5,569.20 |
$9,282 |
1.6× |
| Cysto w/insert ureteral stent (52332) |
$5,722.80 |
$9,538 |
1.6× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$7,917 |
$13,195 |
2.3× |
| Cysto w/removal of tumors small (52234) |
$10,111.20 |
$16,852 |
2.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,419 |
$7,365 |
2.1× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$10,111.20 |
$16,852 |
1.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$7,917 |
$13,195 |
2.3× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,419 |
$7,365 |
1.3× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$7,917 |
$13,195 |
1.5× |
| Cysto/uretero w/lithotripsy (52356) |
$10,111.20 |
$16,852 |
1.9× |
| Cystolithotomy (51050) |
$18,888 |
$31,480 |
3.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,419 |
$7,365 |
2.1× |
| Cystourethroscopy (52000) |
$2,924.40 |
$4,874 |
4.3× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$10,111.20 |
$16,852 |
1.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,419 |
$7,365 |
2.1× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$3,844.80 |
$6,408 |
5.6× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$7,917 |
$13,195 |
1.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,419 |
$7,365 |
2.1× |
| Cystourethroscopy with biopsy (52204) |
$5,569.20 |
$9,282 |
2.7× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,419 |
$7,365 |
2.1× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$4,419 |
$7,365 |
1.3× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$10,111.20 |
$16,852 |
1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$3,844.80 |
$6,408 |
9.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$6,870.60 |
$11,451 |
2.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$4,765.20 |
$7,942 |
6.8× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$3,844.80 |
$6,408 |
5.5× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$8,251.20 |
$13,752 |
2.6× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$8,251.20 |
$13,752 |
2.6× |
| Dcmprn fasct leg post compartment only (27601) |
$8,251.20 |
$13,752 |
2.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,070.40 |
$1,784 |
1.5× |
| Debride nail 1-5 (11720) |
$105 |
$175 |
1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,759.40 |
$4,599 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$679.20 |
$1,132 |
1.7× |
| Decompress Spinal Cord Lmbr (63056) |
$16,378.80 |
$27,298 |
2.3× |
| Decompression of tibia nerve (28035) |
$4,419 |
$7,365 |
2.3× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$5,569.20 |
$9,282 |
2.7× |
| Dermabrasion segmental face (15781) |
$3,844.80 |
$6,408 |
5.5× |
| Dermabrasion total face (15780) |
$5,490 |
$9,150 |
1.9× |
| Destr penis lesion(s) (54065) |
$3,844.80 |
$6,408 |
1.9× |
| Destroy cerv/thor facet jnt (64633) |
$3,268.80 |
$5,448 |
1.7× |
| Destroy lumb/sac facet jnt (64635) |
$3,268.80 |
$5,448 |
1.7× |
| Destruct B9 Lesion 1-14 (17110) |
$2,924.40 |
$4,874 |
14.8× |
| Destruction Benign Lesions 15/> (17111) |
$4,765.20 |
$7,942 |
24.1× |
| Destruction Lesions Vulva Extensive (56515) |
$4,419 |
$7,365 |
2.2× |
| Destruction Lesions Vulva Simple (56501) |
$4,419 |
$7,365 |
2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$2,924.40 |
$4,874 |
14.8× |
| Destruction Premalignant Lesion 15/> (17004) |
$4,765.20 |
$7,942 |
11.9× |
| Destruction Vaginal Lesions Extensive (57065) |
$5,490 |
$9,150 |
1.7× |
| Diagnostic sigmoidoscopy (45330) |
$4,367.40 |
$7,279 |
4.8× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$4,109.40 |
$6,849 |
3.5× |
| Dilate Esophagus 1/Mult Pass (43450) |
$3,844.80 |
$6,408 |
4.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,490 |
$9,150 |
1.7× |
| Dilation Esophagus Guide Wire (43453) |
$4,419 |
$7,365 |
2.3× |
| Dissection, deep jugular node(s) Facility (38542) |
$10,111.20 |
$16,852 |
1.7× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$10,111.20 |
$16,852 |
1.7× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$5,569.20 |
$9,282 |
10.5× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$4,419 |
$7,365 |
2.7× |
| Drainage Finger Abscess Complicated (26011) |
$4,419 |
$7,365 |
2.7× |
| Drainage of eye (65800) |
$5,490 |
$9,150 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$2,759.40 |
$4,599 |
1.7× |
| Drainage of nose lesion (30000) |
$4,765.20 |
$7,942 |
20.4× |
| Drainage of scrotal wall abscess (55100) |
$4,419 |
$7,365 |
2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$680.40 |
$1,134 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$342 |
$570 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$342 |
$570 |
1.7× |
| Dstrj Lesion Anus Extensive (46924) |
$5,490 |
$9,150 |
2.0× |
| Dstrj lesion anus simple surg excision (46922) |
$5,490 |
$9,150 |
2.0× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$3,844.80 |
$6,408 |
9.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$3,844.80 |
$6,408 |
19.4× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$3,844.80 |
$6,408 |
1.9× |
| Dstrj lesion penis simple laser (54057) |
$3,844.80 |
$6,408 |
1.9× |
| Dstrj lesion penis simple surg excision (54060) |
$4,419 |
$7,365 |
2.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,924.40 |
$4,874 |
3.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,268.80 |
$5,448 |
1.9× |
| Dx laryngoscopy w/oper scope (31526) |
$5,569.20 |
$9,282 |
3.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$4,367.40 |
$7,279 |
2.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$5,097.60 |
$8,496 |
2.7× |
| Egd place gastrostomy tube (43246) |
$4,765.20 |
$7,942 |
2.5× |
| Elbow arthroscopy (29830) |
$6,870.60 |
$11,451 |
2.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$2,924.40 |
$4,874 |
9.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$2,924.40 |
$4,874 |
9.7× |
| Endocervical curettage (57505) |
$5,490 |
$9,150 |
6.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$7,917 |
$13,195 |
1.6× |
| Endoscopic injection/implant (51715) |
$7,917 |
$13,195 |
2.3× |
| Endoscopic plantar fasciotomy (29893) |
$6,870.60 |
$11,451 |
2.1× |
| Endoscopic us exam esoph (43237) |
$5,097.60 |
$8,496 |
2.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$5,425.20 |
$9,042 |
1.7× |
| Enucleation of Eye W/O Implant (65101) |
$10,111.20 |
$16,852 |
2.6× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$3,104.40 |
$5,174 |
1.5× |
| Epididymectomy unilateral (54860) |
$5,569.20 |
$9,282 |
1.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,104.40 |
$5,174 |
1.5× |
| Epidural Blood Patch (62273) |
$3,844.80 |
$6,408 |
5.5× |
| Esc i p ulcer w ostect & flap (15946) |
$6,870.60 |
$11,451 |
3.4× |
| Esophagosc Dilate Balloon 30 (43214) |
$4,052.40 |
$6,754 |
2.1× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$4,052.40 |
$6,754 |
2.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$10,111.20 |
$16,852 |
11.3× |
| Esophagoscopy Retro Balloon (43213) |
$4,052.40 |
$6,754 |
2.1× |
| Esophagoscopy Rigid Balloon (43195) |
$10,111.20 |
$16,852 |
2.7× |
| Esophagoscopy rigid trnso dx (43191) |
$3,268.80 |
$5,448 |
1.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$3,268.80 |
$5,448 |
1.7× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$3,268.80 |
$5,448 |
1.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,419 |
$7,365 |
2.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,844.80 |
$6,408 |
2.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$4,765.20 |
$7,942 |
6.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,268.80 |
$5,448 |
2.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$3,844.80 |
$6,408 |
2.4× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$5,490 |
$9,150 |
1.9× |
| Exc back tum deep < 5 cm (21932) |
$5,490 |
$9,150 |
1.9× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$10,111.20 |
$16,852 |
2.6× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$4,419 |
$7,365 |
1.9× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$4,419 |
$7,365 |
6.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$4,419 |
$7,365 |
6.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$4,419 |
$7,365 |
2.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,924.40 |
$4,874 |
4.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$2,924.40 |
$4,874 |
4.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$4,419 |
$7,365 |
6.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,268.80 |
$5,448 |
2.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$3,844.80 |
$6,408 |
2.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$3,844.80 |
$6,408 |
2.4× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$5,490 |
$9,150 |
1.9× |
| Exc ganglion wrist recurrent (25112) |
$4,419 |
$7,365 |
2.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$4,419 |
$7,365 |
2.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$5,490 |
$9,150 |
7.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$4,419 |
$7,365 |
2.7× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$4,419 |
$7,365 |
2.7× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$2,924.40 |
$4,874 |
3.0× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$5,490 |
$9,150 |
1.7× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$6,719.40 |
$11,199 |
4.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$6,719.40 |
$11,199 |
4.2× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$5,490 |
$9,150 |
1.7× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$5,490 |
$9,150 |
1.7× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$4,419 |
$7,365 |
1.4× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$7,869.60 |
$13,116 |
4.1× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$16,693.80 |
$27,823 |
2.9× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$4,419 |
$7,365 |
1.6× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$5,490 |
$9,150 |
2.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$5,490 |
$9,150 |
1.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,844.80 |
$6,408 |
5.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,268.80 |
$5,448 |
2.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,844.80 |
$6,408 |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,569.20 |
$9,282 |
3.4× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$4,109.40 |
$6,849 |
1.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$4,419 |
$7,365 |
2.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,109.40 |
$6,849 |
1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,844.80 |
$6,408 |
2.4× |
| Exc tendon shth lesion leg/ankle (27630) |
$5,490 |
$9,150 |
1.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,490 |
$9,150 |
1.9× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$5,490 |
$9,150 |
1.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$3,844.80 |
$6,408 |
9.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$3,844.80 |
$6,408 |
5.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,007.20 |
$5,012 |
1.8× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$8,251.20 |
$13,752 |
2.9× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,844.80 |
$6,408 |
2.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$3,844.80 |
$6,408 |
1.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$5,490 |
$9,150 |
1.9× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,007.20 |
$5,012 |
1.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,007.20 |
$5,012 |
1.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$3,844.80 |
$6,408 |
2.4× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$5,490 |
$9,150 |
1.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$5,490 |
$9,150 |
1.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,844.80 |
$6,408 |
2.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,870.60 |
$11,451 |
2.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,844.80 |
$6,408 |
2.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$5,490 |
$9,150 |
1.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$5,490 |
$9,150 |
1.9× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$5,490 |
$9,150 |
1.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$5,490 |
$9,150 |
1.9× |
| Exc urethral diverticulum spx female (53230) |
$7,917 |
$13,195 |
1.5× |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
$11,364 |
$18,940 |
1.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$6,870.60 |
$11,451 |
2.1× |
| Exc/fulguration urethral caruncle (53265) |
$4,419 |
$7,365 |
2.1× |
| Exchange Intraocular Lens (66986) |
$5,490 |
$9,150 |
2.4× |
| Excis conjunc lesn+adj sclera (68130) |
$4,419 |
$7,365 |
1.9× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$8,251.20 |
$13,752 |
5.4× |
| Excis urethral prolapse (53275) |
$6,719.40 |
$11,199 |
1.9× |
| Excise excessive skin arm (15836) |
$9,631.80 |
$16,053 |
3.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$4,419 |
$7,365 |
6.3× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$4,419 |
$7,365 |
1.9× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$4,419 |
$7,365 |
1.9× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$4,765.20 |
$7,942 |
1.7× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$5,490 |
$9,150 |
1.9× |
| Excision inferior turbinate partial/complete (30130) |
$6,870.60 |
$11,451 |
2.1× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$4,419 |
$7,365 |
1.9× |
| Excision lesion conjunctiva > 1 cm (68115) |
$4,419 |
$7,365 |
1.9× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$3,844.80 |
$6,408 |
3.9× |
| Excision lesion mouth roof (42104) |
$5,490 |
$9,150 |
1.7× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$4,419 |
$7,365 |
2.8× |
| Excision Lesion Tongue W/O Closure (41110) |
$5,490 |
$9,150 |
1.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$4,419 |
$7,365 |
2.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$4,419 |
$7,365 |
6.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$4,419 |
$7,365 |
6.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$4,419 |
$7,365 |
11.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$4,419 |
$7,365 |
6.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$4,419 |
$7,365 |
6.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$4,419 |
$7,365 |
2.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$4,109.40 |
$6,849 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$4,419 |
$7,365 |
2.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$4,419 |
$7,365 |
6.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$4,419 |
$7,365 |
6.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$4,419 |
$7,365 |
2.7× |
| Excision Nasal Polyp Extensive (30115) |
$6,870.60 |
$11,451 |
2.1× |
| Excision of bartholin's gland or cyst (56740) |
$5,490 |
$9,150 |
1.7× |
| Excision of chalazion; multiple, different lids (67805) |
$4,419 |
$7,365 |
14.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,419 |
$7,365 |
2.8× |
| Excision of hydrocele; bilateral (55041) |
$10,111.20 |
$16,852 |
2.9× |
| Excision of hydrocele; unilateral (55040) |
$10,111.20 |
$16,852 |
2.9× |
| Excision of local lesion of epididymis (54830) |
$5,569.20 |
$9,282 |
1.6× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$16,693.80 |
$27,823 |
2.9× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$16,693.80 |
$27,823 |
2.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,870.60 |
$11,451 |
2.4× |
| Excision of single external papilla or tag, anus (46220) |
$5,490 |
$9,150 |
4.7× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$5,490 |
$9,150 |
1.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$16,693.80 |
$27,823 |
2.9× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$7,917 |
$13,195 |
1.5× |
| Excision of vaginal cyst or tumor (57135) |
$5,490 |
$9,150 |
1.7× |
| Excision of vaginal septum (57130) |
$5,490 |
$9,150 |
1.7× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
$12,305.40 |
$20,509 |
1.9× |
| Excision olecranon bursa (24105) |
$5,490 |
$9,150 |
1.7× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$5,569.20 |
$9,282 |
1.7× |
| Excision or fulguration; Skene's glands Facility (53270) |
$5,569.20 |
$9,282 |
1.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$6,870.60 |
$11,451 |
2.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$6,870.60 |
$11,451 |
2.4× |
| Excision prepatellar bursa (27340) |
$9,631.80 |
$16,053 |
3.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$13,871.40 |
$23,119 |
2.1× |
| Excision spermatocele w/wo epididymectomy (54840) |
$5,569.20 |
$9,282 |
2.7× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$31,423.20 |
$52,372 |
5.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,844.80 |
$6,408 |
2.4× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$5,569.20 |
$9,282 |
1.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,844.80 |
$6,408 |
2.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$3,844.80 |
$6,408 |
2.4× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$6,870.60 |
$11,451 |
2.0× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$6,870.60 |
$11,451 |
2.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$8,251.20 |
$13,752 |
2.9× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$5,569.20 |
$9,282 |
3.5× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$6,870.60 |
$11,451 |
2.0× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$6,870.60 |
$11,451 |
3.4× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$5,569.20 |
$9,282 |
2.7× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$5,569.20 |
$9,282 |
1.9× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$6,870.60 |
$11,451 |
2.4× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$6,870.60 |
$11,451 |
2.0× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$6,870.60 |
$11,451 |
2.0× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$6,870.60 |
$11,451 |
2.0× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$5,569.20 |
$9,282 |
3.4× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$6,870.60 |
$11,451 |
3.4× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$6,870.60 |
$11,451 |
2.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,490 |
$9,150 |
1.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$3,268.80 |
$5,448 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$6,870.60 |
$11,451 |
2.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$5,490 |
$9,150 |
1.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$5,490 |
$9,150 |
1.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,844.80 |
$6,408 |
2.4× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$4,419 |
$7,365 |
2.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$13,773.60 |
$22,956 |
4.2× |
| Excision/destruction lesion pharynx any method (42808) |
$6,870.60 |
$11,451 |
2.1× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$6,870.60 |
$11,451 |
2.1× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$4,419 |
$7,365 |
1.9× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$4,419 |
$7,365 |
1.9× |
| Excision; trochanteric bursa or calcification (27062) |
$8,251.20 |
$13,752 |
2.6× |
| Explo/Drain Breast Abscess (19020) |
$2,848.80 |
$4,748 |
1.8× |
| Exploration of knee joint (27310) |
$5,490 |
$9,150 |
1.7× |
| Explore for undescended testis (54550) |
$4,419 |
$7,365 |
1.3× |
| Explore/Treat Elbow Joint (24101) |
$13,871.40 |
$23,119 |
4.3× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$7,917 |
$13,195 |
3.5× |
| Fasciectomy Palm Only (26121) |
$8,251.20 |
$13,752 |
2.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$5,569.20 |
$9,282 |
1.7× |
| Fasciotomy Iliotibial Open (27305) |
$8,251.20 |
$13,752 |
2.6× |
| Fasciotomy palmar open partial (26045) |
$5,490 |
$9,150 |
1.7× |
| Fasciotomy palmar percutaneous (26040) |
$4,419 |
$7,365 |
2.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$8,251.20 |
$13,752 |
2.6× |
| Fine needle aspiration without imaging guidance (10021) |
$1,102.80 |
$1,838 |
2.8× |
| Fna bx w/us gdn 1st les (10005) |
$1,779.60 |
$2,966 |
2.6× |
| Forehead flap w/vasc pedicle (15731) |
$6,870.60 |
$11,451 |
2.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,109.40 |
$6,849 |
1.3× |
| Frenulotomy of penis (54164) |
$4,419 |
$7,365 |
2.1× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$3,268.80 |
$5,448 |
1.6× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$5,490 |
$9,150 |
2.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$4,419 |
$7,365 |
2.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$4,419 |
$7,365 |
2.2× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$4,419 |
$7,365 |
2.2× |
| Fusion Finger Joint (26860) |
$9,631.80 |
$16,053 |
3.0× |
| Fusion of foot bones (28740) |
$18,886.20 |
$31,477 |
2.6× |
| Fusion of hand joint (26843) |
$11,364 |
$18,940 |
1.6× |
| Fusion of knuckle (26850) |
$11,364 |
$18,940 |
1.6× |
| Fusion of knuckle with graft (26852) |
$11,364 |
$18,940 |
1.6× |
| Fusion of tibiofibular joint (27871) |
$21,393.60 |
$35,656 |
1.7× |
| Fusion/graft of hand joint (26844) |
$11,364 |
$18,940 |
1.6× |
| Gastrocnemius recession (27687) |
$6,870.60 |
$11,451 |
2.1× |
| Goniotomy (65820) |
$5,490 |
$9,150 |
1.3× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$12,305.40 |
$20,509 |
2.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$16,378.80 |
$27,298 |
2.3× |
| Hemiarthroplasty hip partial (27125) |
$14,499.60 |
$24,166 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$9,631.80 |
$16,053 |
3.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$4,765.20 |
$7,942 |
5.2× |
| Hymenotomy Simple Incision (56442) |
$5,490 |
$9,150 |
1.7× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
$7,917 |
$13,195 |
1.6× |
| Hysteroscopy Biopsy (58558) |
$5,490 |
$9,150 |
1.7× |
| Hysteroscopy Dx Sep Proc (58555) |
$5,490 |
$9,150 |
1.7× |
| Hysteroscopy Endometrial Ablation (58563) |
$10,111.20 |
$16,852 |
2.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,490 |
$9,150 |
1.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$6,870.60 |
$11,451 |
1.4× |
| I&d abscess simple (10060) |
$342 |
$570 |
1.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,844.80 |
$6,408 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,490 |
$9,150 |
1.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$6,870.60 |
$11,451 |
2.1× |
| I&d pilonidal cyst complicated (10081) |
$1,198.80 |
$1,998 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$1,198.80 |
$1,998 |
1.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$5,569.20 |
$9,282 |
1.9× |
| Immediate breast prosthesis (19340) |
$13,871.40 |
$23,119 |
1.7× |
| Implant neuroelectrodes (63650) |
$11,364 |
$18,940 |
1.8× |
| Implant Neuroelectrodes (64561) |
$12,540.60 |
$20,901 |
2.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$12,305.40 |
$20,509 |
0.6× |
| Implant Spine Infusion Pump (62362) |
$18,886.20 |
$31,477 |
1.1× |
| Implant temple bone w/stimul (69714) |
$13,871.40 |
$23,119 |
1.1× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$11,364 |
$18,940 |
0.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$11,364 |
$18,940 |
1.3× |
| Incise external hemorrhoid (46083) |
$14,499.60 |
$24,166 |
58.9× |
| Incise finger tendon sheath (26055) |
$4,419 |
$7,365 |
2.8× |
| Incise flexor carpi radialis (25001) |
$6,870.60 |
$11,451 |
2.1× |
| Incise/Drain Conjunctiva (68020) |
$4,765.20 |
$7,942 |
4.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$681 |
$1,135 |
1.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$7,869.60 |
$13,116 |
2.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,759.40 |
$4,599 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$680.40 |
$1,134 |
1.7× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$18,886.20 |
$31,477 |
2.6× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$18,886.20 |
$31,477 |
2.6× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$6,870.60 |
$11,451 |
4.3× |
| Incision extensor tendon sheath wrist (25000) |
$5,569.20 |
$9,282 |
3.5× |
| Incision of eardrum (69421) |
$4,419 |
$7,365 |
1.4× |
| Incision of fibula (27707) |
$11,012.40 |
$18,354 |
3.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$4,419 |
$7,365 |
2.9× |
| Incision of rectal abscess (46040) |
$4,419 |
$7,365 |
3.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$5,569.20 |
$9,282 |
3.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$2,924.40 |
$4,874 |
9.4× |
| Incisional biopsy skin single lesion (11106) |
$1,070.40 |
$1,784 |
1.5× |
| Induced abortion, by dilation and evacuation (59841) |
$5,490 |
$9,150 |
1.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,924.40 |
$4,874 |
3.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,924.40 |
$4,874 |
3.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$2,924.40 |
$4,874 |
9.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,028.40 |
$1,714 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,924.40 |
$4,874 |
3.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,805.40 |
$3,009 |
2.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$2,924.40 |
$4,874 |
4.2× |
| Injection procedure for peyronie disease (54200) |
$3,844.80 |
$6,408 |
15.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$2,924.40 |
$4,874 |
9.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$2,924.40 |
$4,874 |
9.7× |
| Injection therapeutic carpal tunnel (20526) |
$608.40 |
$1,014 |
2.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$951 |
$1,585 |
1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$951 |
$1,585 |
1.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$2,924.40 |
$4,874 |
4.2× |
| Injx anterior chamber eye air/liquid spx (66020) |
$5,490 |
$9,150 |
2.4× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$2,924.40 |
$4,874 |
3.4× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$7,917 |
$13,195 |
1.9× |
| Insert Drug Implant Device (11981) |
$6,606 |
$11,010 |
50.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$5,569.20 |
$9,282 |
2.9× |
| Insert multi-comp penis pros (54405) |
$13,871.40 |
$23,119 |
0.7× |
| Insert pessary/other device (57160) |
$2,924.40 |
$4,874 |
14.7× |
| Insert tunneled cv cath (36561) |
$6,870.60 |
$11,451 |
2.2× |
| Insert Uro/Ves Nck Sphincter (53445) |
$16,378.80 |
$27,298 |
0.8× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$5,490 |
$9,150 |
2.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,419 |
$7,365 |
1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$4,419 |
$7,365 |
2.8× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$11,364 |
$18,940 |
0.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$13,871.40 |
$23,119 |
1.7× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$21,393.60 |
$35,656 |
0.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$3,844.80 |
$6,408 |
15.6× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$10,111.20 |
$16,852 |
2.5× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$10,111.20 |
$16,852 |
2.5× |
| Knee arthroscopy/drainage (29871) |
$8,251.20 |
$13,752 |
2.6× |
| Knee Arthroscopy/Surgery (29874) |
$8,251.20 |
$13,752 |
2.6× |
| Lam facetec & foramot lumbar (63047) |
$21,393.60 |
$35,656 |
3.0× |
| Laminotomy Single Lumbar (63042) |
$21,393.60 |
$35,656 |
3.0× |
| Lap insert tunnel ip cath (49324) |
$11,364 |
$18,940 |
1.9× |
| Lap paraesoph her rpr w/mesh (43282) |
$23,901 |
$39,835 |
2.3× |
| Lap paraesophag hern repair (43281) |
$23,901 |
$39,835 |
2.3× |
| Lap revision perm ip cath (49325) |
$11,364 |
$18,940 |
1.9× |
| Laparo-vag hyst incl t/o (58552) |
$16,378.80 |
$27,298 |
1.6× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$11,364 |
$18,940 |
1.9× |
| Laparoscopy fulguration oviducts (58670) |
$10,111.20 |
$16,852 |
1.7× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$11,364 |
$18,940 |
1.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,305.40 |
$20,509 |
1.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,364 |
$18,940 |
1.1× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$11,364 |
$18,940 |
1.9× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$11,364 |
$18,940 |
1.9× |
| Laparoscopy, surgical, appendectomy (44970) |
$11,364 |
$18,940 |
1.9× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$18,886.20 |
$31,477 |
1.8× |
| Laparoscopy, surgical, splenectomy (38120) |
$13,871.40 |
$23,119 |
1.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,364 |
$18,940 |
1.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$16,378.80 |
$27,298 |
2.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$16,378.80 |
$27,298 |
1.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$13,871.40 |
$23,119 |
2.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$11,364 |
$18,940 |
1.9× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$14,499.60 |
$24,166 |
2.4× |
| Laparoscopy, Tubal Block (58671) |
$8,856.60 |
$14,761 |
1.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$11,364 |
$18,940 |
1.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$11,364 |
$18,940 |
1.9× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$8,856.60 |
$14,761 |
1.5× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$16,378.80 |
$27,298 |
1.6× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$5,490 |
$9,150 |
1.5× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
$6,870.60 |
$11,451 |
1.9× |
| Laryngoscopy flexible diagnostic (31575) |
$4,765.20 |
$7,942 |
24.2× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$5,569.20 |
$9,282 |
1.5× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$5,569.20 |
$9,282 |
3.2× |
| Laryngoscopy W/Biopsy (31535) |
$5,490 |
$9,150 |
1.5× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$5,490 |
$9,150 |
1.5× |
| Larynscop w/tumr exc + scope (31541) |
$5,490 |
$9,150 |
1.5× |
| Laser Surgery Anal Lesions (46917) |
$4,419 |
$7,365 |
1.6× |
| Laser Surgery of Cervix (57513) |
$5,490 |
$9,150 |
1.7× |
| Laser vaporization of prostate (52648) |
$14,499.60 |
$24,166 |
2.7× |
| Late closure of wound (13160) |
$4,419 |
$7,365 |
1.3× |
| Lateral Canthopexy (21282) |
$4,419 |
$7,365 |
1.4× |
| Lateral retinacular release open (27425) |
$9,631.80 |
$16,053 |
3.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$13,871.40 |
$23,119 |
1.1× |
| Ligate/strip long leg vein (37722) |
$8,251.20 |
$13,752 |
2.7× |
| Ligate/strip short leg vein (37718) |
$8,251.20 |
$13,752 |
2.7× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$8,251.20 |
$13,752 |
2.7× |
| Ligation of a-v fistula (37607) |
$10,111.20 |
$16,852 |
3.3× |
| Ligation of hemorrhoids (46946) |
$6,870.60 |
$11,451 |
2.5× |
| Ligation or biopsy temporal artery (37609) |
$4,419 |
$7,365 |
2.7× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$6,870.60 |
$11,451 |
2.2× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$10,111.20 |
$16,852 |
2.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$10,111.20 |
$16,852 |
2.9× |
| Lithotripsy, extracorporeal shock wave (50590) |
$12,305.40 |
$20,509 |
3.5× |
| Low Back Disk Surgery (63030) |
$26,408.40 |
$44,014 |
3.7× |
| Lumbar spine fusion combined (22633) |
$16,378.80 |
$27,298 |
0.6× |
| Manipulation knee joint under general anesthesia (27570) |
$4,109.40 |
$6,849 |
2.6× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$3,268.80 |
$5,448 |
2.1× |
| Marsupialization of bartholin's gland cyst (56440) |
$5,490 |
$9,150 |
1.7× |
| Mast mod rad (19307) |
$16,378.80 |
$27,298 |
2.5× |
| Mastectomy for gynecomastia (19300) |
$10,111.20 |
$16,852 |
2.6× |
| Mastectomy partial (19301) |
$7,917 |
$13,195 |
2.1× |
| Mastopexy (19316) |
$18,888 |
$31,480 |
2.9× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$18,888 |
$31,480 |
5.8× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$4,109.40 |
$6,849 |
1.2× |
| Muscle-skin graft trunk (15734) |
$12,393 |
$20,655 |
3.5× |
| N Block Inj Celiac Pelus (64530) |
$2,924.40 |
$4,874 |
3.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$2,924.40 |
$4,874 |
4.2× |
| N block inj intercost sng (64420) |
$2,924.40 |
$4,874 |
4.2× |
| N Block Inj Plantar Digit (64455) |
$2,924.40 |
$4,874 |
9.7× |
| N Block Inj Pudendal (64430) |
$2,924.40 |
$4,874 |
3.4× |
| N Block Lumbar/Thoracic (64520) |
$2,924.40 |
$4,874 |
3.4× |
| Nasal Endoscopy Dx (31231) |
$11,320.20 |
$18,867 |
57.6× |
| Nasal surgery procedure (30999) |
$6,870.60 |
$11,451 |
29.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$13,773.60 |
$22,956 |
3.7× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$23,901 |
$39,835 |
3.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$11,320.20 |
$18,867 |
6.5× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$18,888 |
$31,480 |
10.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$11,320.20 |
$18,867 |
6.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$26,408.40 |
$44,014 |
3.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$26,408.40 |
$44,014 |
3.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$23,901 |
$39,835 |
3.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$23,901 |
$39,835 |
3.4× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$11,320.20 |
$18,867 |
1.6× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$11,320.20 |
$18,867 |
1.6× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$23,901 |
$39,835 |
3.4× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$23,901 |
$39,835 |
3.4× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$23,901 |
$39,835 |
3.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,419 |
$7,365 |
2.8× |
| Neck spine fusion (22600) |
$26,408.40 |
$44,014 |
1.5× |
| Needle Biopsy Lymph Nodes (38505) |
$3,003.60 |
$5,006 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$47.40 |
$79 |
1.7× |
| Nerve repair w/conduit each nerve (64910) |
$11,364 |
$18,940 |
1.3× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$5,188.15 |
$52,660.92 |
0.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,154.42 |
$11,206.04 |
0.6× |
| Nipple Exploration (19110) |
$10,111.20 |
$16,852 |
2.6× |
| Nipple/areola reconstruction (19350) |
$8,251.20 |
$13,752 |
2.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,924.40 |
$4,874 |
3.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$2,924.40 |
$4,874 |
9.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,268.80 |
$5,448 |
3.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,924.40 |
$4,874 |
4.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,924.40 |
$4,874 |
4.2× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$3,104.40 |
$5,174 |
1.5× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$3,104.40 |
$5,174 |
1.5× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$11,320.20 |
$18,867 |
1.6× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$23,901 |
$39,835 |
3.4× |
| Occipital Nerve Block (64405) |
$2,924.40 |
$4,874 |
9.7× |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
$7,917 |
$13,195 |
2.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$10,111.20 |
$16,852 |
2.6× |
| Open bowel to skin (44300) |
$11,364 |
$18,940 |
6.0× |
| Open Implantation Nea Sacral Nerve (64581) |
$11,364 |
$18,940 |
1.8× |
| Open Repair of Rotator Cuff Acute (23410) |
$16,378.80 |
$27,298 |
2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$11,364 |
$18,940 |
1.6× |
| Open treatment calcaneal fracture (28415) |
$16,378.80 |
$27,298 |
2.3× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$16,378.80 |
$27,298 |
2.3× |
| Open Treatment Medial Malleolus Fracture (27766) |
$11,364 |
$18,940 |
1.6× |
| Open treatment metatarsal fracture each (28485) |
$23,901 |
$39,835 |
3.3× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$16,378.80 |
$27,298 |
2.3× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$16,378.80 |
$27,298 |
2.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$11,364 |
$18,940 |
1.6× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$16,378.80 |
$27,298 |
2.3× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$16,378.80 |
$27,298 |
2.3× |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) |
$10,111.20 |
$16,852 |
1.7× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$10,111.20 |
$16,852 |
1.7× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$10,111.20 |
$16,852 |
1.7× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$6,870.60 |
$11,451 |
2.1× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$6,870.60 |
$11,451 |
2.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$10,111.20 |
$16,852 |
1.7× |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) |
$10,111.20 |
$16,852 |
1.7× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$10,111.20 |
$16,852 |
1.7× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$10,111.20 |
$16,852 |
1.7× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$13,871.40 |
$23,119 |
1.9× |
| Open Treatment Proximal Humeral Fracture (23615) |
$16,378.80 |
$27,298 |
1.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$11,364 |
$18,940 |
1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$11,364 |
$18,940 |
3.5× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$16,378.80 |
$27,298 |
1.3× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$13,871.40 |
$23,119 |
1.1× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$11,364 |
$18,940 |
0.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,870.60 |
$11,451 |
2.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$6,870.60 |
$11,451 |
2.1× |
| Open Tx Radial Head/Neck Fracture (24665) |
$13,871.40 |
$23,119 |
1.9× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$13,871.40 |
$23,119 |
1.1× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$13,871.40 |
$23,119 |
1.9× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$11,364 |
$18,940 |
1.6× |
| Open tx ulnar fx proximal end (24685) |
$13,871.40 |
$23,119 |
1.9× |
| Opn tx orbit fx combined (21387) |
$10,111.20 |
$16,852 |
1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$13,871.40 |
$23,119 |
1.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$13,871.40 |
$23,119 |
1.9× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$18,886.20 |
$31,477 |
2.6× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,378.80 |
$27,298 |
1.3× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$13,871.40 |
$23,119 |
1.1× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$7,917 |
$13,195 |
2.0× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$4,419 |
$7,365 |
1.9× |
| Orchiectomy radical tumor inguinal approach (54530) |
$5,569.20 |
$9,282 |
1.6× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$10,111.20 |
$16,852 |
2.9× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$10,111.20 |
$16,852 |
2.9× |
| Ostc prtl exostc/condylc metar head (28288) |
$6,870.60 |
$11,451 |
2.1× |
| Ostectomy calcaneus (28118) |
$6,870.60 |
$11,451 |
2.1× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$6,870.60 |
$11,451 |
2.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$11,012.40 |
$18,354 |
3.4× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$16,378.80 |
$27,298 |
2.3× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$16,378.80 |
$27,298 |
2.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$16,378.80 |
$27,298 |
5.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$18,886.20 |
$31,477 |
2.6× |
| Osteotomy talus (28302) |
$18,886.20 |
$31,477 |
2.6× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$11,364 |
$18,940 |
1.6× |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
$11,364 |
$18,940 |
1.6× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$9,631.80 |
$16,053 |
1.3× |
| Palatopharyngoplasty (42145) |
$12,305.40 |
$20,509 |
2.1× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$4,109.40 |
$6,849 |
1.8× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$18,888 |
$31,480 |
3.2× |
| Part exc bone femur prox tibia (27360) |
$8,251.20 |
$13,752 |
2.6× |
| Part remv talus or calcaneus (28120) |
$11,012.40 |
$18,354 |
3.4× |
| Partial excision of lip (40520) |
$6,870.60 |
$11,451 |
2.1× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$5,490 |
$9,150 |
1.7× |
| Partial removal of penis (54120) |
$12,305.40 |
$20,509 |
3.5× |
| Partial removal of thyroid (60220) |
$16,378.80 |
$27,298 |
2.7× |
| Partial removal of toe (28160) |
$5,490 |
$9,150 |
1.7× |
| Partial thyroid excision (60212) |
$16,378.80 |
$27,298 |
2.7× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$21,393.60 |
$35,656 |
3.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$6,870.60 |
$11,451 |
2.1× |
| Patellectomy or hemipatellectomy (27350) |
$8,251.20 |
$13,752 |
1.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$4,109.40 |
$6,849 |
1.3× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$10,111.20 |
$16,852 |
2.6× |
| Perq dev breast 1st strtctc (19283) |
$1,506 |
$2,510 |
2.2× |
| Perq device breast 1st imag (19281) |
$2,848.20 |
$4,747 |
1.8× |
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) unusually low: confirm this is the full procedure |
$4,419 |
$7,365 |
0.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,258.80 |
$2,098 |
1.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$5,490 |
$9,150 |
1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$16,378.80 |
$27,298 |
2.3× |
| Perq Vertebral Augmentation (22513) |
$16,378.80 |
$27,298 |
2.3× |
| Phleb Veins - Extrem 20+ (37766) |
$8,251.20 |
$13,752 |
2.7× |
| Pin Finger Dislocation (26776) |
$6,870.60 |
$11,451 |
2.1× |
| Plastic Repair Canaliculi (68700) |
$4,419 |
$7,365 |
1.9× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$10,111.20 |
$16,852 |
2.1× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$4,419 |
$7,365 |
1.9× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$1,183.50 |
$3,491.51 |
0.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$6,870.60 |
$11,451 |
2.1× |
| Prq skel fixj metar fx w/manj (28476) |
$5,490 |
$9,150 |
1.7× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$16,378.80 |
$27,298 |
2.3× |
| Punch biopsy skin single lesion (11104) |
$680.40 |
$1,134 |
1.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$680.40 |
$1,134 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$1,506 |
$2,510 |
2.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$2,924.40 |
$4,874 |
4.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,419 |
$7,365 |
1.4× |
| Rcnstj Dislocating Patella (27420) |
$10,111.20 |
$16,852 |
1.4× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
$4,419 |
$7,365 |
1.9× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$6,870.60 |
$11,451 |
1.0× |
| Reconstruct elbow med ligmnt (24346) |
$8,251.20 |
$13,752 |
0.7× |
| Reconstruct wrist joint (25445) |
$11,364 |
$18,940 |
1.6× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$10,111.20 |
$16,852 |
1.4× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$5,490 |
$9,150 |
0.9× |
| Release or recession, hamstring, proximal Facility (27097) |
$31,423.20 |
$52,372 |
9.7× |
| Relieve Pressure on Nerve(S) (64722) |
$3,268.80 |
$5,448 |
1.7× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$13,871.40 |
$23,119 |
0.7× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$16,378.80 |
$27,298 |
0.8× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$13,871.40 |
$23,119 |
0.7× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
$13,871.40 |
$23,119 |
0.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,490 |
$9,150 |
1.9× |
| Removal Foreign Body Foot Complicated (28193) |
$4,419 |
$7,365 |
2.7× |
| Removal foreign body foot deep (28192) |
$4,419 |
$7,365 |
2.7× |
| Removal Foreign Body Scrotum (55120) |
$4,419 |
$7,365 |
2.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$105 |
$175 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$105 |
$175 |
1.8× |
| Removal Implant Deep (20680) |
$4,419 |
$7,365 |
1.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,419 |
$7,365 |
2.7× |
| Removal implantable contraceptive capsules (11976) |
$2,924.40 |
$4,874 |
4.2× |
| Removal intact breast implant (19328) |
$7,917 |
$13,195 |
2.1× |
| Removal of adenoids (42835) |
$5,490 |
$9,150 |
1.7× |
| Removal of adenoids (42831) |
$5,490 |
$9,150 |
1.7× |
| Removal of adenoids (42830) |
$5,490 |
$9,150 |
1.7× |
| Removal of adenoids (42836) |
$5,490 |
$9,150 |
1.7× |
| Removal of anal fissure (46200) |
$6,870.60 |
$11,451 |
2.5× |
| Removal of brow wrinkles (15826) |
$6,870.60 |
$11,451 |
2.0× |
| Removal of cervix (57530) |
$6,870.60 |
$11,451 |
1.4× |
| Removal of heel spur (28119) |
$6,870.60 |
$11,451 |
2.1× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$11,364 |
$18,940 |
0.9× |
| Removal of knee prosthesis (27488) |
$23,901 |
$39,835 |
1.9× |
| Removal of lens material (66852) |
$5,490 |
$9,150 |
1.3× |
| Removal of mammary implant material (19330) |
$7,917 |
$13,195 |
2.1× |
| Removal of nail bed (11750) |
$680.40 |
$1,134 |
1.7× |
| Removal of sesamoid bone (28315) |
$6,870.60 |
$11,451 |
2.1× |
| Removal of sperm cord lesion (55520) |
$4,765.20 |
$7,942 |
1.4× |
| Removal of testis (54520) |
$5,569.20 |
$9,282 |
1.6× |
| Removal of thyroid (60271) |
$23,276.40 |
$38,794 |
4.0× |
| Removal of tonsils (42825) |
$7,917 |
$13,195 |
1.4× |
| Removal of tonsils (42826) |
$7,917 |
$13,195 |
2.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$6,870.60 |
$11,451 |
2.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,924.40 |
$4,874 |
1.4× |
| Removal sweat gland lesion (11450) |
$5,490 |
$9,150 |
1.9× |
| Removal, under anesthesia, of external fixation system (20694) |
$4,419 |
$7,365 |
2.8× |
| Remove armpit lymph nodes (38740) |
$11,364 |
$18,940 |
1.9× |
| Remove blood clot from eye (65930) |
$5,490 |
$9,150 |
2.4× |
| Remove drug implant device (11982) |
$2,924.40 |
$4,874 |
6.6× |
| Remove elbow lesion (24120) |
$6,870.60 |
$11,451 |
2.1× |
| Remove Forearm Foreign Body (25248) |
$4,419 |
$7,365 |
2.8× |
| Remove Hand Bone Lesion (26200) |
$4,419 |
$7,365 |
2.8× |
| Remove hip pressure sore (15941) |
$6,870.60 |
$11,451 |
2.4× |
| Remove hip pressure sore (15940) |
$6,870.60 |
$11,451 |
2.4× |
| Remove humerus lesion (24110) |
$6,870.60 |
$11,451 |
2.1× |
| Remove Intrauterine Device (58301) |
$3,844.80 |
$6,408 |
12.8× |
| Remove Lower Leg Bone Lesion (27635) |
$3,844.80 |
$6,408 |
1.2× |
| Remove muti-comp penis pros (54406) |
$12,305.40 |
$20,509 |
3.5× |
| Remove Peritoneal Foreign Body (49402) |
$3,844.80 |
$6,408 |
1.1× |
| Remove prostate regrowth (52630) |
$10,111.20 |
$16,852 |
1.9× |
| Remove renal tube w/fluoro (50389) |
$2,924.40 |
$4,874 |
4.3× |
| Remove sacrum pressure sore (15937) |
$5,569.20 |
$9,282 |
2.7× |
| Remove self-contd penis pros (54415) |
$12,305.40 |
$20,509 |
3.5× |
| Remove spine eltrd plate (63662) |
$18,888 |
$31,480 |
5.5× |
| Remove Tendon Sheath Lesion (26160) |
$4,419 |
$7,365 |
2.8× |
| Remove thigh pressure sore (15951) |
$6,870.60 |
$11,451 |
2.4× |
| Remove thigh pressure sore (15956) |
$5,569.20 |
$9,282 |
2.7× |
| Remove thyroid lesion (60200) |
$31,423.20 |
$52,372 |
5.3× |
| Remove/Insert Drug Implant (11983) |
$13,871.40 |
$23,119 |
31.5× |
| Remove/replace penis prosth (54410) |
$13,871.40 |
$23,119 |
0.7× |
| Reopen fallopian tube (58350) |
$7,917 |
$13,195 |
1.6× |
| Repair Achilles Tendon (27650) |
$9,631.80 |
$16,053 |
1.3× |
| Repair brow ptosis (67900) |
$1,405.54 |
$9,707.56 |
0.6× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$16,378.80 |
$27,298 |
2.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$2,924.40 |
$4,874 |
4.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,924.40 |
$4,874 |
4.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$3,844.80 |
$6,408 |
9.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$3,844.80 |
$6,408 |
9.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$2,924.40 |
$4,874 |
7.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,924.40 |
$4,874 |
7.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$2,924.40 |
$4,874 |
4.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,924.40 |
$4,874 |
4.0× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$4,419 |
$7,365 |
1.9× |
| Repair Ectropion Extensive (67917) |
$4,419 |
$7,365 |
1.9× |
| Repair Ectropion Suture (67914) |
$4,419 |
$7,365 |
1.9× |
| Repair Ectropion Thermocauterization (67915) |
$4,419 |
$7,365 |
1.9× |
| Repair Elbow Perc (24357) |
$10,111.20 |
$16,852 |
3.1× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$4,419 |
$7,365 |
1.9× |
| Repair Entropion Extensive (67924) |
$4,419 |
$7,365 |
1.9× |
| Repair Entropion Suture (67921) |
$3,268.80 |
$5,448 |
1.4× |
| Repair Eyelid Wound (67935) |
$4,419 |
$7,365 |
1.9× |
| Repair Finger Tendon (26433) |
$6,870.60 |
$11,451 |
2.1× |
| Repair Finger/Hand Tendon (26350) |
$3,268.80 |
$5,448 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$9,631.80 |
$16,053 |
3.0× |
| Repair Foot Dislocation (28615) |
$5,490 |
$9,150 |
0.8× |
| Repair Hallux Rigidus (28289) |
$16,378.80 |
$27,298 |
5.1× |
| Repair Hand Joint (26540) |
$6,870.60 |
$11,451 |
2.1× |
| Repair incomplete circumcision (54163) |
$4,419 |
$7,365 |
2.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$10,111.20 |
$16,852 |
2.9× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$10,111.20 |
$16,852 |
2.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$10,111.20 |
$16,852 |
2.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,111.20 |
$16,852 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$2,924.40 |
$4,874 |
4.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,924.40 |
$4,874 |
7.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$3,844.80 |
$6,408 |
5.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$2,924.40 |
$4,874 |
7.3× |
| Repair iris ciliary body (66680) |
$5,490 |
$9,150 |
2.4× |
| Repair lumbar hernia (49540) |
$13,871.40 |
$23,119 |
2.3× |
| Repair Nasal Vestibular Stenosis (30465) |
$10,111.20 |
$16,852 |
1.7× |
| Repair nose to lip fistula (42260) |
$9,631.80 |
$16,053 |
1.7× |
| Repair of biceps tendon (24340) |
$18,886.20 |
$31,477 |
2.6× |
| Repair of entropion; thermocauterization (67922) |
$4,419 |
$7,365 |
1.9× |
| Repair of Ruptured Tendon (24342) |
$18,886.20 |
$31,477 |
2.6× |
| Repair of traumatic corporeal tear(s) (54437) |
$7,917 |
$13,195 |
2.3× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$10,111.20 |
$16,852 |
2.9× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$10,111.20 |
$16,852 |
2.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$10,111.20 |
$16,852 |
1.6× |
| Repair Rotator Cuff Chronic (23412) |
$16,378.80 |
$27,298 |
2.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$18,886.20 |
$31,477 |
2.6× |
| Repair shoulder capsule (23462) |
$18,886.20 |
$31,477 |
2.6× |
| Repair shoulder capsule (23466) |
$18,886.20 |
$31,477 |
2.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$9,631.80 |
$16,053 |
3.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$16,378.80 |
$27,298 |
2.3× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$16,378.80 |
$27,298 |
2.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$16,378.80 |
$27,298 |
2.3× |
| Repair/graft achilles tendon (27652) |
$18,886.20 |
$31,477 |
2.6× |
| Replace g/c tube perc (49450) |
$4,765.20 |
$7,942 |
5.3× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$13,871.40 |
$23,119 |
1.9× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$5,490 |
$9,150 |
2.4× |
| Rerepair ing hernia reduce (49520) |
$10,111.20 |
$16,852 |
2.9× |
| Resect back tum < 5 cm (21935) |
$3,844.80 |
$6,408 |
1.3× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$12,305.40 |
$20,509 |
3.6× |
| Revis reconst shoulder joint (23473) |
$23,901 |
$39,835 |
1.9× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$23,901 |
$39,835 |
1.9× |
| Revise external ear (69300) |
$6,870.60 |
$11,451 |
2.1× |
| Revise eye (65091) |
$7,917 |
$13,195 |
2.0× |
| Revise Hand/Foot Nerve (64704) |
$7,869.60 |
$13,116 |
4.1× |
| Revise lower leg tendon (27690) |
$6,870.60 |
$11,451 |
1.0× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$5,490 |
$9,150 |
1.7× |
| Revision of eyelid (67880) |
$3,844.80 |
$6,408 |
1.6× |
| Revision of leg vein (37780) |
$6,719.40 |
$11,199 |
2.2× |
| Revision of lower leg tendon (27685) |
$8,251.20 |
$13,752 |
2.6× |
| Revision of reconstructed breast (19380) |
$13,871.40 |
$23,119 |
2.1× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$21,393.60 |
$35,656 |
1.7× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$23,901 |
$39,835 |
1.9× |
| Revision of urethra (53460) |
$4,419 |
$7,365 |
1.3× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$18,886.20 |
$31,477 |
5.4× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$8,856.60 |
$14,761 |
1.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$31,423.20 |
$52,372 |
2.5× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$27,664.80 |
$46,108 |
1.6× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$27,664.80 |
$46,108 |
2.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$11,364 |
$18,940 |
3.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$12,305.40 |
$20,509 |
3.6× |
| Revj/rpr oprative wound anterior segment (66250) |
$4,419 |
$7,365 |
1.9× |
| Rhinoplasty primary w/major septal repair (30420) |
$10,111.20 |
$16,852 |
1.7× |
| Rhinoplasty Secondary Intermediate Revision (30435) |
$10,111.20 |
$16,852 |
1.7× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$10,111.20 |
$16,852 |
1.7× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$4,419 |
$7,365 |
1.3× |
| Rhytidectomy Forehead (15824) |
$5,569.20 |
$9,282 |
2.7× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$8,251.20 |
$13,752 |
2.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$3,268.80 |
$5,448 |
2.0× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$2,924.40 |
$4,874 |
9.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$5,490 |
$9,150 |
4.7× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$5,490 |
$9,150 |
2.4× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$5,569.20 |
$9,282 |
2.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$5,569.20 |
$9,282 |
2.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$18,886.20 |
$31,477 |
5.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,924.40 |
$4,874 |
1.9× |
| Rmvl/revj sling stress incontinence (57287) |
$5,490 |
$9,150 |
1.7× |
| Rplc Gtube No Revj Trc (43762) |
$4,765.20 |
$7,942 |
19.4× |
| Rplc gtube revj gstrst trc (43763) |
$4,765.20 |
$7,942 |
19.4× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$6,870.60 |
$11,451 |
2.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$7,653.29 |
$12,755.49 |
1.2× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$7,917 |
$13,195 |
2.0× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$7,917 |
$13,195 |
3.4× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$11,364 |
$18,940 |
1.6× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$10,111.20 |
$16,852 |
1.9× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$7,917 |
$13,195 |
2.0× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$7,917 |
$13,195 |
1.5× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$16,378.80 |
$27,298 |
2.3× |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
$5,490 |
$9,150 |
2.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$11,012.40 |
$18,354 |
3.4× |
| Scrotal exploration (55110) |
$10,111.20 |
$16,852 |
2.9× |
| Scrotoplasty Simple (55175) |
$10,111.20 |
$16,852 |
2.9× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$10,111.20 |
$16,852 |
3.1× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
$4,109.40 |
$6,849 |
1.8× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$5,490 |
$9,150 |
2.4× |
| Shoulder arthroscopy (29820) |
$12,393 |
$20,655 |
1.7× |
| Shoulder arthroscopy diagnostic (29805) |
$12,393 |
$20,655 |
3.8× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,109.40 |
$6,849 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$2,924.40 |
$4,874 |
14.8× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$10,111.20 |
$16,852 |
1.7× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$10,111.20 |
$16,852 |
1.7× |
| Skin Full Grft Face/Genit/Hf (15240) |
$4,419 |
$7,365 |
2.2× |
| Skin Pinch Graft (15050) |
$4,765.20 |
$7,942 |
6.5× |
| Skin sub graft face/nk/hf/g (15275) |
$1,845.60 |
$3,076 |
2.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,845.60 |
$3,076 |
2.5× |
| Skin sub grft t/arm/lg child (15273) |
$5,581.80 |
$9,303 |
2.7× |
| Skin Tissue Procedure (17999) |
$5,490 |
$9,150 |
27.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,845.60 |
$3,076 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$14,499.60 |
$24,166 |
2.9× |
| Slitting of prepuce (54001) |
$3,268.80 |
$5,448 |
1.6× |
| Snip Incision Lacrimal Punctum (68440) |
$2,924.40 |
$4,874 |
9.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$6,870.60 |
$11,451 |
2.5× |
| Spinal puncture lumbar diagnostic (62270) |
$2,924.40 |
$4,874 |
4.2× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$5,490 |
$9,150 |
1.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$4,419 |
$7,365 |
2.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$8,251.20 |
$13,752 |
2.7× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$5,569.20 |
$9,282 |
2.4× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$7,917 |
$13,195 |
2.0× |
| Strapping knee (29530) |
$164.40 |
$274 |
1.3× |
| Strapping thorax (29200) |
$269.40 |
$449 |
1.7× |
| Strapping Unna Boot (29580) |
$269.40 |
$449 |
1.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$6,870.60 |
$11,451 |
2.1× |
| Suction assisted lipectomy; head and neck (15876) |
$8,251.20 |
$13,752 |
2.4× |
| Suction assisted lipectomy; trunk (15877) |
$8,251.20 |
$13,752 |
2.4× |
| Suction assisted lipectomy; upper extremity (15878) |
$6,719.40 |
$11,199 |
3.3× |
| Suction Lipectomy Lwr Extrem (15879) |
$8,251.20 |
$13,752 |
2.4× |
| Surg Implnt Neuroelect,Epidural (63655) |
$16,378.80 |
$27,298 |
0.9× |
| Surg tx anal fistula subq (46270) |
$6,870.60 |
$11,451 |
2.5× |
| Suture infrapatellar tendon primary (27380) |
$13,871.40 |
$23,119 |
1.9× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$5,490 |
$9,150 |
2.4× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$13,871.40 |
$23,119 |
1.9× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$13,871.40 |
$23,119 |
1.9× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$16,378.80 |
$27,298 |
2.3× |
| Tangential biopsy skin single lesion (11102) |
$342 |
$570 |
0.9× |
| Temporary Closure Eyelids Suture (67875) |
$3,844.80 |
$6,408 |
3.9× |
| Tenodesis long tendon biceps (23430) |
$11,364 |
$18,940 |
1.6× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$10,111.20 |
$16,852 |
6.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$5,569.20 |
$9,282 |
3.5× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$10,111.20 |
$16,852 |
3.1× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$10,111.20 |
$16,852 |
3.1× |
| Tenotomy shoulder area single tendon (23405) |
$6,349.20 |
$10,582 |
0.9× |
| Thumb fusion with graft (26842) |
$11,364 |
$18,940 |
1.6× |
| Thyroid biopsy (60100) |
$1,644.60 |
$2,741 |
2.4× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$23,276.40 |
$38,794 |
4.0× |
| Thyroidectomy, total or complete (60240) |
$16,378.80 |
$27,298 |
2.7× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$23,276.40 |
$38,794 |
4.0× |
| Tibial Arthroscopy/Surgery (29855) |
$11,364 |
$18,940 |
1.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$4,419 |
$7,365 |
2.2× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$13,871.40 |
$23,119 |
1.0× |
| Tlh uterus over 250 g (58572) |
$11,364 |
$18,940 |
1.1× |
| Tnot elbow lateral/medial debride open (24358) |
$8,251.20 |
$13,752 |
2.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$9,631.80 |
$16,053 |
3.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$10,111.20 |
$16,852 |
3.1× |
| Total Knee Arthroplasty (27447) |
$21,082.20 |
$35,137 |
1.7× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$16,378.80 |
$27,298 |
2.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$4,765.20 |
$7,942 |
9.0× |
| Transur electr resection of prostate (52601) |
$10,111.20 |
$16,852 |
1.9× |
| Transurethral incision of prostate (52450) |
$10,111.20 |
$16,852 |
2.9× |
| Transurethral resection bladder neck (52500) |
$10,111.20 |
$16,852 |
2.9× |
| Treat Ankle Dislocation (27846) |
$8,856.60 |
$14,761 |
1.2× |
| Treat Big Toe Fracture (28505) |
$5,490 |
$9,150 |
1.7× |
| Treat dislocation/fracture (23670) |
$16,378.80 |
$27,298 |
2.3× |
| Treat ectopic pregnancy (59151) |
$8,856.60 |
$14,761 |
1.5× |
| Treat Fx Rad Extra-Articul (25607) |
$5,490 |
$9,150 |
0.8× |
| Treat humerus fracture (23616) |
$16,378.80 |
$27,298 |
0.9× |
| Treat kneecap dislocation (27566) |
$8,251.20 |
$13,752 |
1.2× |
| Treat Kneecap Fracture (27524) |
$11,364 |
$18,940 |
1.6× |
| Treat Metatarsal Fracture (28475) |
$3,844.80 |
$6,408 |
15.8× |
| Treatment of ankle fracture (27823) |
$11,364 |
$18,940 |
1.6× |
| Trim skin lesion (11055) |
$342 |
$570 |
1.7× |
| Trim skin lesions 2 to 4 (11056) |
$342 |
$570 |
1.7× |
| Trim skin lesions over 4 (11057) |
$342 |
$570 |
1.7× |
| Trimming Nondystrophic Nails Any Number (11719) |
$105 |
$175 |
1.8× |
| Trurl rescj postop bladder neck contracture (52640) |
$10,111.20 |
$16,852 |
2.9× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$18,886.20 |
$31,477 |
2.6× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,490 |
$9,150 |
1.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,268.80 |
$5,448 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$6,606 |
$11,010 |
9.1× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,871.40 |
$23,119 |
1.1× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$5,490 |
$9,150 |
3.6× |
| Tympanoplasty (69631) |
$18,888 |
$31,480 |
3.2× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$18,888 |
$31,480 |
3.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$18,888 |
$31,480 |
3.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$18,888 |
$31,480 |
3.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$18,888 |
$31,480 |
3.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$18,888 |
$31,480 |
3.2× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$18,888 |
$31,480 |
3.2× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$18,888 |
$31,480 |
3.2× |
| Tympanostomy general anesthesia (69436) |
$4,419 |
$7,365 |
2.9× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$7,917 |
$13,195 |
2.2× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$16,378.80 |
$27,298 |
2.7× |
| Unlisted laparoscopy procedure stomach (43659) |
$31,423.20 |
$52,372 |
5.3× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$3,844.80 |
$6,408 |
0.6× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$16,378.80 |
$27,298 |
2.7× |
| Unlisted procedure breast (19499) |
$6,528 |
$10,880 |
1.7× |
| Unlisted procedure excision pressure ulcer (15999) |
$4,765.20 |
$7,942 |
6.8× |
| Unlisted procedure eyelids (67999) |
$4,419 |
$7,365 |
14.1× |
| Unlisted procedure foot or toes (28899) |
$6,870.60 |
$11,451 |
28.3× |
| Unlisted Procedure Male Genital System (55899) |
$4,765.20 |
$7,942 |
19.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$5,490 |
$9,150 |
27.6× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$12,305.40 |
$20,509 |
2.3× |
| Uvulectomy excision of uvula (42140) |
$9,631.80 |
$16,053 |
2.9× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$12,305.40 |
$20,509 |
2.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$12,305.40 |
$20,509 |
2.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,419 |
$7,365 |
2.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$5,490 |
$9,150 |
1.7× |
| Vulvectomy simple partial (56620) |
$6,870.60 |
$11,451 |
2.2× |
| Vulvectomy simple; complete (56625) |
$6,870.60 |
$11,451 |
2.2× |
| Wound Prep Trk/Arm/Leg (15002) |
$10,111.20 |
$16,852 |
13.9× |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) |
$5,490 |
$9,150 |
1.3× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$5,490 |
$9,150 |
1.3× |
| Xfer Single Deep Low Leg Tendon (27691) |
$16,378.80 |
$27,298 |
2.3× |