| Abd paracentesis w/imaging (49083) |
$6,067.20 |
$6,067.20 |
7.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$678 |
$678 |
0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$40,575.78 |
$40,575.78 |
2.6× |
| Acetabuloplasty (27120) |
$23,257.60 |
$23,257.60 |
2.1× |
| Acetabuloplasty resection femoral head (27122) |
$23,257.60 |
$23,257.60 |
3.7× |
| Acne surgery (10040) |
$3,033.60 |
$3,033.60 |
17.3× |
| Acromiopl/Acromionect Partial (23130) |
$23,257.60 |
$23,257.60 |
8.1× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$10,586.89 |
$10,586.89 |
5.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$11,628.80 |
$11,628.80 |
6.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$19,954.99 |
$19,954.99 |
6.4× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$16,288 |
$16,288 |
9.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$11,628.80 |
$11,628.80 |
6.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$11,628.80 |
$11,628.80 |
6.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$11,628.80 |
$11,628.80 |
6.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$11,628.80 |
$11,628.80 |
6.4× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$13,954.56 |
$13,954.56 |
2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$11,628.80 |
$11,628.80 |
4.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$11,628.80 |
$11,628.80 |
4.1× |
| Amputate Metacarpal Bone (26910) |
$11,628.80 |
$11,628.80 |
4.1× |
| Amputation foot transmetarsal (28805) |
$14,334.20 |
$14,334.20 |
5.0× |
| Amputation metatarsal with toe single (28810) |
$11,628.80 |
$11,628.80 |
4.1× |
| Amputation thigh through femur any level (27590) |
$23,257.60 |
$23,257.60 |
8.1× |
| Amputation toe interphalangeal joint (28825) |
$8,721.60 |
$8,721.60 |
3.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$18,259.61 |
$18,259.61 |
6.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$14,334.20 |
$14,334.20 |
5.0× |
| Ankle Arthroscopy/Surgery (29892) |
$20,931.84 |
$20,931.84 |
3.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$11,628.80 |
$11,628.80 |
4.8× |
| Anterior Tibial Tubercleplasty (27418) |
$23,257.60 |
$23,257.60 |
3.7× |
| Appendectomy (44950) |
$9,249.40 |
$9,249.40 |
1.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$3,033.60 |
$3,033.60 |
21.3× |
| Application Body Cast Shoulder Hips (29035) |
$5,814.40 |
$5,814.40 |
23.7× |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
$2,049.82–$4,099.64 |
$2,049.82–$4,099.64 |
varies |
Application finger splint static (29130)
range across 3 matching MRF lines |
$712.27–$718 |
$712.27–$718 |
varies |
| Application Halo Cranial Including Removal (20661) |
$23,257.60 |
$23,257.60 |
16.5× |
| Application Hip Spica Cast 1 Leg (29305) |
$10,000 |
$10,000 |
40.8× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$894.13–$1,788.26 |
$894.13–$1,788.26 |
varies |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
$894.13–$1,788.26 |
$894.13–$1,788.26 |
varies |
| Application multiplane external fixation system (20692) |
$80,040.24 |
$80,040.24 |
7.1× |
Application of long leg cast (29345)
range across 3 matching MRF lines |
$1,471.68–$3,000 |
$1,471.68–$3,000 |
varies |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$23,257.60 |
$23,257.60 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$712.27 |
$712.27 |
6.1× |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
$712.27–$1,424.54 |
$712.27–$1,424.54 |
varies |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
$894.13–$1,788.26 |
$894.13–$1,788.26 |
varies |
| Application uniplane external fixation system (20690) |
$40,575.78 |
$40,575.78 |
6.4× |
| Apply hand/wrist cast (29085) |
$1,516.80 |
$1,516.80 |
10.7× |
Apply long arm cast (29065)
range across 4 matching MRF lines |
$280.02–$3,033.60 |
$280.02–$3,033.60 |
varies |
Apply Short Leg Cast (29405)
range across 3 matching MRF lines |
$1,471.68–$3,000 |
$1,471.68–$3,000 |
varies |
| Arrest Epiphyseal Distal Femur (27475) |
$23,257.60 |
$23,257.60 |
3.7× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$23,257.60 |
$23,257.60 |
3.7× |
| Arterial puncture (36600) |
$712.27 |
$712.27 |
6.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$104,659.20 |
$104,659.20 |
9.3× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$104,659.20 |
$104,659.20 |
9.3× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$13,954.10 |
$13,954.10 |
2.2× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$34,886.40 |
$34,886.40 |
3.1× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$34,886.40 |
$34,886.40 |
3.1× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$34,886.40 |
$34,886.40 |
5.5× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines |
$1,667.87–$8,250 |
$1,667.87–$8,250 |
varies |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines |
$4,125–$8,250 |
$4,125–$8,250 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines |
$680–$8,250 |
$680–$8,250 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines |
$1,664–$6,067.20 |
$1,664–$6,067.20 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines |
$1,667.87–$6,067.24 |
$1,667.87–$6,067.24 |
varies |
| Arthrodesis ankle open (27870) |
$34,886.40 |
$34,886.40 |
3.1× |
| Arthrodesis great toe interphalangeal joint (28755) |
$34,886.40 |
$34,886.40 |
5.5× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$34,886.40 |
$34,886.40 |
5.5× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$13,954.56 |
$13,954.56 |
4.9× |
| Arthrodesis Pantalar (28705) |
$26,781.10 |
$26,781.10 |
1.7× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$104,659.20 |
$104,659.20 |
4.4× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$104,659.20 |
$104,659.20 |
6.8× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
$104,659.20 |
$104,659.20 |
6.8× |
| Arthrodesis subtalar (28725) |
$34,886.40 |
$34,886.40 |
3.1× |
| Arthrodesis triple (28715) |
$34,886.40 |
$34,886.40 |
3.1× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$40,700.80 |
$40,700.80 |
6.4× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$104,659.20 |
$104,659.20 |
4.4× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) |
$104,659.20 |
$104,659.20 |
6.8× |
| Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) |
$25,280 |
$25,280 |
2.2× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
$34,886.40 |
$34,886.40 |
2.3× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
$34,886.40 |
$34,886.40 |
2.3× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) |
$58,144 |
$58,144 |
3.8× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$40,700.80 |
$40,700.80 |
6.4× |
| Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Facility (27286) |
$15,000 |
$15,000 |
1.3× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$104,659.20 |
$104,659.20 |
6.8× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
$104,659.20 |
$104,659.20 |
6.8× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
$104,659.20 |
$104,659.20 |
6.8× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$69,000 |
$69,000 |
4.5× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$106,682 |
$106,682 |
6.9× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$40,700.80 |
$40,700.80 |
3.6× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$40,700.80 |
$40,700.80 |
6.4× |
| Arthroplasty Ankle (27700) |
$40,576 |
$40,576 |
6.4× |
Arthroplasty ankle revision total ankle (27703)
likely a partial charge, not the full procedure |
$3,532 |
$3,532 |
0.2× |
| Arthroplasty Ankle W/Implant (27702) |
$106,682 |
$106,682 |
4.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$104,659.20 |
$104,659.20 |
6.8× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$104,659.20 |
$104,659.20 |
9.3× |
| Arthroplasty interphalangeal joint each (26535) |
$34,886.40 |
$34,886.40 |
12.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$29,072 |
$29,072 |
10.1× |
| Arthroplasty Patella W/Prosthesis (27438) |
$104,659.20 |
$104,659.20 |
9.3× |
| Arthroplasty radial head (24365) |
$29,072 |
$29,072 |
2.6× |
| Arthroplasty Radial Head W/Implant (24366) |
$29,072 |
$29,072 |
2.6× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$78,233 |
$78,233 |
5.1× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$29,072 |
$29,072 |
1.9× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
$29,072 |
$29,072 |
2.6× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) |
$23,257.60 |
$23,257.60 |
2.1× |
| Arthroplasty, knee, tibial plateau; Facility (27440) |
$104,659.20 |
$104,659.20 |
9.3× |
| Arthroplasty, patella; without prosthesis (27437) |
$29,072 |
$29,072 |
4.6× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$23,257.60 |
$23,257.60 |
16.5× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$78,543 |
$78,543 |
7.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$20,931.84 |
$20,931.84 |
3.3× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arthroscopy hip w/femoroplasty (29914) |
$40,953.21 |
$40,953.21 |
6.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$23,257.60 |
$23,257.60 |
2.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$40,575.78 |
$40,575.78 |
6.4× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$54,604.28 |
$54,604.28 |
8.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$23,257.60 |
$23,257.60 |
3.7× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$40,575.78 |
$40,575.78 |
6.4× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$23,257.60 |
$23,257.60 |
3.7× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$23,257.60 |
$23,257.60 |
3.7× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$23,257.60 |
$23,257.60 |
3.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$20,931.84 |
$20,931.84 |
14.9× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$40,575.78 |
$40,575.78 |
6.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$40,575.78 |
$40,575.78 |
6.4× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$40,575.78 |
$40,575.78 |
6.4× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) |
$23,257.60 |
$23,257.60 |
2.1× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$17,443.20 |
$17,443.20 |
2.7× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$11,628.80 |
$11,628.80 |
8.3× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$17,443.20 |
$17,443.20 |
2.7× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$18,260 |
$18,260 |
6.4× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$11,628.80 |
$11,628.80 |
4.1× |
| Arthrotomy wrist joint with synovectomy (25105) |
$11,628.80 |
$11,628.80 |
4.1× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$11,628.80 |
$11,628.80 |
4.1× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$17,447.70 |
$17,447.70 |
6.1× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$17,443.20 |
$17,443.20 |
2.7× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$18,039 |
$18,039 |
6.3× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$18,038 |
$18,038 |
6.3× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$104,659.20 |
$104,659.20 |
9.3× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$10,059 |
$10,059 |
3.5× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$104,000 |
$104,000 |
9.2× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$29,072 |
$29,072 |
4.6× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$34,886 |
$34,886 |
5.5× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$34,886 |
$34,886 |
3.1× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$20,931.84 |
$20,931.84 |
7.3× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$24,705.60 |
$24,705.60 |
8.6× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$23,257.60 |
$23,257.60 |
3.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$23,257.60 |
$23,257.60 |
8.1× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$17,447.70 |
$17,447.70 |
6.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$13,750 |
$13,750 |
4.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$11,628.80 |
$11,628.80 |
8.3× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$11,628.80 |
$11,628.80 |
4.1× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$17,443.20 |
$17,443.20 |
6.1× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$12,374.51 |
$12,374.51 |
4.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$13,954.56 |
$13,954.56 |
9.9× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$13,954.50 |
$13,954.50 |
4.9× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$13,954.50 |
$13,954.50 |
4.9× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$12,374.51 |
$12,374.51 |
1.9× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$11,628.80 |
$11,628.80 |
4.1× |
| Aspirate pleura w/ imaging (32555) |
$10,112 |
$10,112 |
18.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$3,033.60 |
$3,033.60 |
11.3× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$6,067 |
$6,067 |
9.8× |
| Autologous Chondrocyte Implantation Knee (27412) |
$62,018.72 |
$62,018.72 |
9.8× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$1,107.75–$11,628.80 |
$1,107.75–$11,628.80 |
varies |
| Axillary lymphadenectomy; complete (38745) |
$31,972.67 |
$31,972.67 |
6.0× |
| Biopsy bone open deep (20245) |
$17,443 |
$17,443 |
6.9× |
| Biopsy bone open superficial (20240) |
$17,443.20 |
$17,443.20 |
6.9× |
| Biopsy bone trocar/needle deep (20225) |
$17,443.20 |
$17,443.20 |
12.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$17,443.20 |
$17,443.20 |
12.1× |
| Biopsy nail unit (11755) |
$11,628.80 |
$11,628.80 |
18.7× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$18,431 |
$18,431 |
6.3× |
| Biopsy of breast; open, incisional (19101) |
$11,628.80 |
$11,628.80 |
3.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$10,784.24 |
$10,784.24 |
7.5× |
| Biopsy of rectum (45100) |
$11,628.80 |
$11,628.80 |
4.8× |
| Biopsy soft tissue back/flank deep (21925) |
$8,721.60 |
$8,721.60 |
6.0× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$8,721.60 |
$8,721.60 |
3.4× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$11,628.80 |
$11,628.80 |
8.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$11,628.80 |
$11,628.80 |
4.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$11,628.80 |
$11,628.80 |
8.0× |
| Biopsy soft tissue neck/thorax (21550) |
$12,374.74 |
$12,374.74 |
8.6× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$11,628.80 |
$11,628.80 |
4.6× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$8,721.60 |
$8,721.60 |
6.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$11,628.80 |
$11,628.80 |
4.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$11,628.80 |
$11,628.80 |
8.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$6,067.20 |
$6,067.20 |
4.2× |
| Bladder Irrigation (51700) |
$1,318.07 |
$1,318.07 |
6.0× |
| Bladder Scan (51798) |
$352.59 |
$352.59 |
6.8× |
| Blepharoplasty Lower Eyelid (15820) |
$10,910 |
$10,910 |
6.0× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$10,910 |
$10,910 |
6.0× |
| Blepharoplasty upper eyelid (15822) |
$10,439 |
$10,439 |
5.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$10,439 |
$10,439 |
5.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$1,104 |
$1,104 |
4.0× |
Blood Transfusion Service (36430)
range across 6 matching MRF lines |
$148.18–$2,501.26 |
$148.18–$2,501.26 |
varies |
| Bone Graft Any Donor Area Major/Large (20902) |
$13,954.56 |
$13,954.56 |
2.2× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$8,721.60 |
$8,721.60 |
1.4× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$8,721.60 |
$8,721.60 |
1.4× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
$8,721.60 |
$8,721.60 |
1.4× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
$8,721.60 |
$8,721.60 |
1.4× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$8,721.60 |
$8,721.60 |
1.4× |
| Breast augmentation with implant (19325) |
$17,443.20 |
$17,443.20 |
2.4× |
| Breast Reduction (19318) |
$17,443.20 |
$17,443.20 |
3.0× |
| Buttock fasciotomy (27027) |
$17,443.20 |
$17,443.20 |
2.7× |
| Bx breast 1st lesion us imag (19083) |
$7,767.36 |
$7,767.36 |
5.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$5,814.40 |
$5,814.40 |
4.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$21,088.31 |
$21,088.31 |
6.1× |
| Bx/exc lymph node open superficial (38500) |
$21,088.31 |
$21,088.31 |
6.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$8,721.60 |
$8,721.60 |
3.0× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
$17,443.20 |
$17,443.20 |
2.7× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$8,721.60 |
$8,721.60 |
6.2× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$8,721.60 |
$8,721.60 |
3.0× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$18,260 |
$18,260 |
6.4× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$40,953 |
$40,953 |
6.4× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$23,257.60 |
$23,257.60 |
3.7× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$23,257.60 |
$23,257.60 |
3.7× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$23,257.60 |
$23,257.60 |
3.7× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$8,721.60 |
$8,721.60 |
6.2× |
| Capsulotomy Midtarsal (28264) |
$17,443.20 |
$17,443.20 |
12.4× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$23,257.60 |
$23,257.60 |
8.1× |
| Capsulotomy wrist (25085) |
$13,982.56 |
$13,982.56 |
4.9× |
| Carpal Tunnel Surgery (64721) |
$13,982.16 |
$13,982.16 |
8.2× |
| Carpectomy All Bones Proximal Row (25215) |
$17,443.20 |
$17,443.20 |
6.1× |
| Cataract surg w/iol 1 stage (66983) |
$8,335.90 |
$8,335.90 |
4.1× |
| Cataract surgery complex (66982) |
$11,628.80 |
$11,628.80 |
5.8× |
| Cerv artific diskectomy (22856) |
$134,325.62 |
$134,325.62 |
8.7× |
| Change Cystostomy Tube Simple (51705) |
$1,318 |
$1,318 |
6.0× |
| Change of Windpipe Airway (31502) |
$1,274.86 |
$1,274.86 |
6.1× |
| Chemical Cautery Tissue (17250) |
$1,107.75 |
$1,107.75 |
6.3× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$9,126.87–$18,253.74 |
$9,126.87–$18,253.74 |
varies |
| Circumcision 28 days or older (54161) |
$8,234.45 |
$8,234.45 |
4.5× |
| Circumcision Neonate (54160) |
$5,814.40 |
$5,814.40 |
9.5× |
| Cl Tx Scapular Fx; W Manip (23575) |
$8,872 |
$8,872 |
6.3× |
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines |
$1,909.92–$17,443.20 |
$1,909.92–$17,443.20 |
varies |
| Claviculectomy partial (23120) |
$17,443.20 |
$17,443.20 |
6.1× |
| Claviculectomy; total (23125) |
$17,443.20 |
$17,443.20 |
6.1× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$476.72–$953.44 |
$476.72–$953.44 |
varies |
| Closed Rx Metacarpal Fx,Percut (26608) |
$23,257.60 |
$23,257.60 |
8.1× |
| Closed rx talotarsal disloc,anesth (28575) |
$11,628.80 |
$11,628.80 |
4.1× |
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 3 matching MRF lines |
$1,528.44–$17,443.20 |
$1,528.44–$17,443.20 |
varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$24,072 |
$24,072 |
17.1× |
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines |
$1,731.40–$17,443.20 |
$1,731.40–$17,443.20 |
varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$1,270 |
$1,270 |
5.9× |
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines |
$1,269.87–$2,539.74 |
$1,269.87–$2,539.74 |
varies |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$17,443.20 |
$17,443.20 |
80.7× |
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines |
$1,440.80–$2,881.60 |
$1,440.80–$2,881.60 |
varies |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines |
$1,488.04–$29,072 |
$1,488.04–$29,072 |
varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,799.92 |
$1,799.92 |
8.3× |
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines |
$1,350–$2,250 |
$1,350–$2,250 |
varies |
Closed tx carpal scaphoid fracture w/manj (25624)
range across 3 matching MRF lines |
$1,649.12–$17,443.20 |
$1,649.12–$17,443.20 |
varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$17,443.20 |
$17,443.20 |
80.7× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$18,039 |
$18,039 |
6.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$17,443.20 |
$17,443.20 |
80.7× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$9,200 |
$9,200 |
6.5× |
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines |
$1,271–$3,622.80 |
$1,271–$3,622.80 |
varies |
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines |
$9,200–$18,400 |
$9,200–$18,400 |
varies |
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines |
$1,269.87–$11,628.80 |
$1,269.87–$11,628.80 |
varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$13,954.56 |
$13,954.56 |
9.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$8,730 |
$8,730 |
6.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$17,443.20 |
$17,443.20 |
6.0× |
Closed tx patellar dislocation w/anesthesia (27562)
range across 3 matching MRF lines |
$1,847.68–$23,257.60 |
$1,847.68–$23,257.60 |
varies |
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines |
$1,402.80–$2,805.60 |
$1,402.80–$2,805.60 |
varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$8,721.60 |
$8,721.60 |
40.3× |
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines |
$3,488.64–$13,954.56 |
$3,488.64–$13,954.56 |
varies |
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines |
$1,350–$17,443.20 |
$1,350–$17,443.20 |
varies |
Closed tx radial shaft fracture w/manipulation (25505)
range across 4 matching MRF lines |
$1,759.80–$17,443.20 |
$1,759.80–$17,443.20 |
varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$17,443.20 |
$17,443.20 |
80.7× |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines |
$1,805.68–$17,443.20 |
$1,805.68–$17,443.20 |
varies |
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines |
$8,721.60–$17,443.20 |
$8,721.60–$17,443.20 |
varies |
| Closed tx septal&nose fx (21337) |
$18,431 |
$18,431 |
6.3× |
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines |
$1,348.60–$2,697.20 |
$1,348.60–$2,697.20 |
varies |
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines |
$1,269.87–$2,539.74 |
$1,269.87–$2,539.74 |
varies |
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines |
$9,200.36–$18,400.72 |
$9,200.36–$18,400.72 |
varies |
| Closed tx talus fracture w/o manipulation (28430) |
$11,628.80 |
$11,628.80 |
53.8× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$23,257.60 |
$23,257.60 |
107.6× |
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines |
$1,269.87–$2,539.74 |
$1,269.87–$2,539.74 |
varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,269.87 |
$1,269.87 |
5.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$13,954.56 |
$13,954.56 |
9.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$13,954.56 |
$13,954.56 |
64.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,270 |
$1,270 |
5.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$11,628.80 |
$11,628.80 |
8.3× |
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines |
$1,269.87–$2,539.74 |
$1,269.87–$2,539.74 |
varies |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 4 matching MRF lines |
$8,799.69–$17,599.38 |
$8,799.69–$17,599.38 |
varies |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 4 matching MRF lines |
$1,210.04–$17,443.20 |
$1,210.04–$17,443.20 |
varies |
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 3 matching MRF lines |
$1,903.32–$13,954.56 |
$1,903.32–$13,954.56 |
varies |
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines |
$1,279.32–$17,443.20 |
$1,279.32–$17,443.20 |
varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,269 |
$1,269 |
5.9× |
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 3 matching MRF lines |
$1,510.28–$17,443.20 |
$1,510.28–$17,443.20 |
varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$1,058 |
$1,058 |
4.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,181.56 |
$1,181.56 |
5.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$11,628.80 |
$11,628.80 |
8.3× |
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines |
$1,270–$11,628 |
$1,270–$11,628 |
varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$11,628 |
$11,628 |
53.8× |
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines |
$1,047.76–$11,628.80 |
$1,047.76–$11,628.80 |
varies |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines |
$1,269.87–$6,067.20 |
$1,269.87–$6,067.20 |
varies |
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines |
$2,336.08–$17,443.20 |
$2,336.08–$17,443.20 |
varies |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines |
$1,977.88–$17,443.20 |
$1,977.88–$17,443.20 |
varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$17,443.20 |
$17,443.20 |
12.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$17,442.20 |
$17,442.20 |
12.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$23,257.60 |
$23,257.60 |
16.5× |
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines |
$1,269.87–$11,628.80 |
$1,269.87–$11,628.80 |
varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,269.87 |
$1,269.87 |
5.9× |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines |
$1,269.87–$17,443.20 |
$1,269.87–$17,443.20 |
varies |
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines |
$1,269.87–$23,257.60 |
$1,269.87–$23,257.60 |
varies |
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines |
$8,800–$17,600 |
$8,800–$17,600 |
varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$17,443.20 |
$17,443.20 |
80.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$17,443.20 |
$17,443.20 |
12.4× |
Cltx hip dislocation traumatic req anesthesia (27252)
range across 3 matching MRF lines |
$2,916.48–$8,721.60 |
$2,916.48–$8,721.60 |
varies |
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines |
$1,269.87–$2,539.74 |
$1,269.87–$2,539.74 |
varies |
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines |
$13,954.60–$27,909.16 |
$13,954.60–$27,909.16 |
varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$13,954.60 |
$13,954.60 |
64.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$23,257.60 |
$23,257.60 |
94.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$1,269.87 |
$1,269.87 |
5.9× |
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines |
$8,721.60–$17,443.20 |
$8,721.60–$17,443.20 |
varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,063.96 |
$1,063.96 |
4.9× |
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines |
$1,682.76–$24,072 |
$1,682.76–$24,072 |
varies |
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines |
$1,350–$23,257.60 |
$1,350–$23,257.60 |
varies |
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines |
$1,111.80–$11,628.80 |
$1,111.80–$11,628.80 |
varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$11,628.80 |
$11,628.80 |
53.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$11,628.80 |
$11,628.80 |
8.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$5,889 |
$5,889 |
4.2× |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines |
$1,160.96–$11,628.80 |
$1,160.96–$11,628.80 |
varies |
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines |
$1,269.87–$11,628.80 |
$1,269.87–$11,628.80 |
varies |
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines |
$6,462.96–$17,599.38 |
$6,462.96–$17,599.38 |
varies |
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines |
$1,543.96–$3,087.92 |
$1,543.96–$3,087.92 |
varies |
Cltx prox fibula/shft fx w/manj (27781)
range across 4 matching MRF lines |
$1,448.04–$11,628.80 |
$1,448.04–$11,628.80 |
varies |
| Cltx prox fibula/shft fx w/o manj (27780) |
$24,072 |
$24,072 |
111.4× |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines |
$1,630.36–$17,443.20 |
$1,630.36–$17,443.20 |
varies |
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines |
$1,351.16–$2,702.32 |
$1,351.16–$2,702.32 |
varies |
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 3 matching MRF lines |
$1,569.88–$17,443.20 |
$1,569.88–$17,443.20 |
varies |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines |
$712–$2,539.74 |
$712–$2,539.74 |
varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$17,443.20 |
$17,443.20 |
12.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$17,443 |
$17,443 |
12.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$13,954.60 |
$13,954.60 |
9.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$11,628.80 |
$11,628.80 |
4.1× |
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines |
$1,269.87–$2,539.74 |
$1,269.87–$2,539.74 |
varies |
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines |
$910–$17,443.20 |
$910–$17,443.20 |
varies |
| Cltx tibial shaft fx w/o manipulation (27750) |
$17,443.20 |
$17,443.20 |
80.7× |
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines |
$8,163.15–$29,072 |
$8,163.15–$29,072 |
varies |
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines |
$1,350–$2,700 |
$1,350–$2,700 |
varies |
| Coccygectomy, primary (27080) |
$17,443.20 |
$17,443.20 |
6.1× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$12–$24 |
$12–$24 |
varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$6,642.83 |
$6,642.83 |
6.3× |
| Colonoscopy w/ablation (45388) |
$11,628.80 |
$11,628.80 |
11.1× |
| Colonoscopy W/Resection (45390) |
$3,214 |
$3,214 |
1.3× |
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines |
$5,814.40–$11,628.80 |
$5,814.40–$11,628.80 |
varies |
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 3 matching MRF lines |
$5,265.60–$11,628.80 |
$5,265.60–$11,628.80 |
varies |
| Complex drainage wound (10180) |
$6,977.28 |
$6,977.28 |
2.7× |
| Conization of cervix (57520) |
$16,712 |
$16,712 |
5.9× |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
$712.27–$1,424.54 |
$712.27–$1,424.54 |
varies |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines |
$712.27–$5,056 |
$712.27–$5,056 |
varies |
| Control oropharyngeal hemorrhage simple (42960) |
$3,150 |
$3,150 |
6.7× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$104,659.20 |
$104,659.20 |
9.3× |
| Correction claw finger, other methods Facility (26499) |
$23,257.60 |
$23,257.60 |
8.1× |
| Correction hammertoe (28285) |
$15,256 |
$15,256 |
5.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$23,257.60 |
$23,257.60 |
8.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$40,575.78 |
$40,575.78 |
3.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$17,443.20 |
$17,443.20 |
2.7× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$40,575.78 |
$40,575.78 |
6.4× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$11,628.80 |
$11,628.80 |
4.1× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
$712.27–$13,982.16 |
$712.27–$13,982.16 |
varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$18,431 |
$18,431 |
6.3× |
| Cystourethroscopy (52000) |
$17,443.20 |
$17,443.20 |
28.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$11,660 |
$11,660 |
6.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$11,660 |
$11,660 |
6.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$8,721.60 |
$8,721.60 |
24.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$8,721.60 |
$8,721.60 |
3.4× |
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines |
$3,980.97–$8,721.60 |
$3,980.97–$8,721.60 |
varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$8,721.60 |
$8,721.60 |
14.1× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$17,443.20 |
$17,443.20 |
6.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$17,443.20 |
$17,443.20 |
6.1× |
| Dcmprn fasct leg post compartment only (27601) |
$17,443.20 |
$17,443.20 |
6.1× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$3,563.70–$8,721.60 |
$3,563.70–$8,721.60 |
varies |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$352.59–$4,360.80 |
$352.59–$4,360.80 |
varies |
| Debride nail 6 or more (11721) |
$4,360.80 |
$4,360.80 |
84.3× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines |
$8,721.60–$9,198.60 |
$8,721.60–$9,198.60 |
varies |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$2,288.48–$8,721.60 |
$2,288.48–$8,721.60 |
varies |
| Declot vascular device (36593) |
$2,040.36 |
$2,040.36 |
7.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$17,443.20 |
$17,443.20 |
12.4× |
| Decompress Fingers/Hand (26035) |
$17,443.20 |
$17,443.20 |
6.1× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$17,443.20 |
$17,443.20 |
12.4× |
| Decompression of leg (27892) |
$17,443.20 |
$17,443.20 |
6.1× |
| Decompression of tibia nerve (28035) |
$13,954.56 |
$13,954.56 |
8.2× |
| Decompressive fasciotomy hand (26037) |
$17,443.20 |
$17,443.20 |
6.1× |
| Deep Muscle Biopsy (20205) |
$11,628.80 |
$11,628.80 |
4.6× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$11,628.80 |
$11,628.80 |
6.4× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$7,568.22 |
$7,568.22 |
4.2× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$22,429 |
$22,429 |
7.2× |
| Denervation of hip joint (27035) |
$18,039 |
$18,039 |
6.3× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$19,954.99 |
$19,954.99 |
6.4× |
| Derma-fat-fascia graft (15770) |
$19,954.99 |
$19,954.99 |
6.4× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$10,112–$15,239.16 |
$10,112–$15,239.16 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines |
$10,112–$15,239.16 |
$10,112–$15,239.16 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$11,628.80 |
$11,628.80 |
66.1× |
| Destruction Benign Lesions 15/> (17111) |
$11,628.80 |
$11,628.80 |
66.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$10,112 |
$10,112 |
5.9× |
| Destruction premalignant lesion 1st (17000) |
$11,628.80 |
$11,628.80 |
66.1× |
| Diagnostic sigmoidoscopy (45330) |
$13,954.56 |
$13,954.56 |
17.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$17,897 |
$17,897 |
6.3× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$31,458 |
$31,458 |
6.5× |
| Disarticulation of shoulder; Facility (23920) |
$10,112 |
$10,112 |
0.9× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$9,716 |
$9,716 |
6.2× |
| Dissection, deep jugular node(s) Facility (38542) |
$33,030 |
$33,030 |
6.2× |
| Drain Hand Tendon Sheath (26020) |
$11,628.80 |
$11,628.80 |
4.1× |
| Drain penis lesion (54015) |
$558 |
$558 |
0.4× |
| Drain Spinal Cord Cyst (62268) |
$6,067.20 |
$6,067.20 |
7.8× |
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines |
$3,033.60–$6,067.20 |
$3,033.60–$6,067.20 |
varies |
| Drainage external auditory canal abscess (69020) |
$614.20 |
$614.20 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$614.20 |
$614.20 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$3,980.97 |
$3,980.97 |
6.4× |
| Drainage Finger Abscess Complicated (26011) |
$5,814.40 |
$5,814.40 |
4.0× |
| Drainage Mouth Roof Lesion (42000) |
$1,398 |
$1,398 |
6.7× |
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines |
$1,009.40–$11,628.80 |
$1,009.40–$11,628.80 |
varies |
| Drainage of gum lesion (41800) |
$1,069.52 |
$1,069.52 |
9.2× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$9,198.63–$11,628.80 |
$9,198.63–$11,628.80 |
varies |
| Drainage of palmar bursa single bursa (26025) |
$11,628.80 |
$11,628.80 |
4.1× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$18,529 |
$18,529 |
6.5× |
Drainage of rectal abscess (45005)
range across 2 matching MRF lines |
$4,857.60–$6,642.83 |
$4,857.60–$6,642.83 |
varies |
| Drainage of scrotal wall abscess (55100) |
$646.76 |
$646.76 |
0.4× |
| Draw Blood Off Venous Device (36591) |
$731 |
$731 |
6.3× |
| Dressing Change Under Anesthesia (15852) |
$6,067.20 |
$6,067.20 |
9.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$2,288.48 |
$2,288.48 |
6.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$1,107.75 |
$1,107.75 |
6.3× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$575–$1,107.75 |
$575–$1,107.75 |
varies |
| Dstrj lesion anus simple surg excision (46922) |
$11,628.80 |
$11,628.80 |
4.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$10,112 |
$10,112 |
13.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$17,443.20 |
$17,443.20 |
11.2× |
| Dx laryngoscopy w/oper scope (31526) |
$9,716 |
$9,716 |
6.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$11,628.80 |
$11,628.80 |
6.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$11,628.80 |
$11,628.80 |
6.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$11,628.80 |
$11,628.80 |
6.9× |
| Egd place gastrostomy tube (43246) |
$14,523.54 |
$14,523.54 |
8.6× |
| Elbow arthroscopy (29830) |
$23,257.60 |
$23,257.60 |
8.1× |
| Endocervical curettage (57505) |
$13,982.16 |
$13,982.16 |
17.3× |
| Endoscopic plantar fasciotomy (29893) |
$20,931.84 |
$20,931.84 |
7.3× |
| Epidural Blood Patch (62273) |
$8,721.60 |
$8,721.60 |
14.1× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$23,257.60 |
$23,257.60 |
8.1× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$29,072 |
$29,072 |
10.1× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$10,346 |
$10,346 |
6.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$11,628.80 |
$11,628.80 |
6.9× |
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines |
$712.27–$11,628.80 |
$712.27–$11,628.80 |
varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$11,628.80 |
$11,628.80 |
8.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$11,628.80 |
$11,628.80 |
18.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$11,628.80 |
$11,628.80 |
8.0× |
Exc Back Tum Deep 5 Cm/> (21933)
range across 3 matching MRF lines |
$8,128–$23,257.60 |
$8,128–$23,257.60 |
varies |
| Exc back tum deep < 5 cm (21932) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,814.40 |
$5,814.40 |
1.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$11,628.80 |
$11,628.80 |
18.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$11,628.80 |
$11,628.80 |
18.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$3,033.60 |
$3,033.60 |
2.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$8,721.60 |
$8,721.60 |
14.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$8,721.60 |
$8,721.60 |
14.1× |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines |
$3,980.97–$11,628.80 |
$3,980.97–$11,628.80 |
varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$11,628.80 |
$11,628.80 |
8.0× |
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines |
$1,495.37–$11,628.80 |
$1,495.37–$11,628.80 |
varies |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$54,604 |
$54,604 |
8.6× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc ganglion wrist recurrent (25112) |
$11,628.80 |
$11,628.80 |
8.3× |
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines |
$466.96–$11,628.80 |
$466.96–$11,628.80 |
varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$11,628.80 |
$11,628.80 |
18.7× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
$3,091.55–$11,628.80 |
$3,091.55–$11,628.80 |
varies |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$24,268.80 |
$24,268.80 |
27.8× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$11,628.80 |
$11,628.80 |
8.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$11,628.80 |
$11,628.80 |
8.3× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$18,431 |
$18,431 |
6.3× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$13,427.70 |
$13,427.70 |
5.5× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$11,628.80 |
$11,628.80 |
18.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$11,628.80 |
$11,628.80 |
4.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,743.20 |
$1,743.20 |
1.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$11,628.80 |
$11,628.80 |
32.6× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines |
$3,980.97–$11,628.80 |
$3,980.97–$11,628.80 |
varies |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines |
$8,721.60–$9,198.60 |
$8,721.60–$9,198.60 |
varies |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines |
$8,128–$11,628.80 |
$8,128–$11,628.80 |
varies |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$3,033.60 |
$3,033.60 |
2.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$13,954.56 |
$13,954.56 |
5.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,814.40 |
$5,814.40 |
2.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,814.40 |
$5,814.40 |
4.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$6,067.20 |
$6,067.20 |
2.4× |
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines |
$1,694.21–$11,628.80 |
$1,694.21–$11,628.80 |
varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$11,628.80 |
$11,628.80 |
8.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$9,198.60 |
$9,198.60 |
6.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$11,628.80 |
$11,628.80 |
4.6× |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
$14,536 |
$14,536 |
2.3× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$17,443.20 |
$17,443.20 |
2.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$17,443.20 |
$17,443.20 |
6.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$17,443.20 |
$17,443.20 |
12.4× |
| Exchange Intraocular Lens (66986) |
$5,704.54 |
$5,704.54 |
2.8× |
| Excise excessive skin arm (15836) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excise tendon forearm/wrist (25109) |
$13,982.16 |
$13,982.16 |
4.9× |
| Excise Wrist Tendon Sheath (25118) |
$17,443.20 |
$17,443.20 |
12.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$11,628.80 |
$11,628.80 |
18.7× |
| Excision Distal Ulna Partial/Complete (25240) |
$17,443.20 |
$17,443.20 |
6.1× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision H/P/P/U Complex Repair (11471) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision lesion meniscus/capsule knee (27347) |
$17,443.20 |
$17,443.20 |
6.1× |
| Excision lesion mouth roof (42104) |
$18,431 |
$18,431 |
6.3× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$13,982.16 |
$13,982.16 |
9.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$5,814.40 |
$5,814.40 |
9.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$11,628.80 |
$11,628.80 |
18.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$11,628.80 |
$11,628.80 |
32.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$11,628.80 |
$11,628.80 |
18.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$8,721.60 |
$8,721.60 |
14.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$11,628.80 |
$11,628.80 |
8.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$8,721.60 |
$8,721.60 |
6.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$8,721.60 |
$8,721.60 |
14.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$11,628.80 |
$11,628.80 |
18.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$11,628.80 |
$11,628.80 |
8.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$17,443.20 |
$17,443.20 |
6.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$17,443.20 |
$17,443.20 |
2.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$11,628.80 |
$11,628.80 |
8.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$17,443.20 |
$17,443.20 |
6.9× |
| Excision of submandibular (submaxillary) gland (42440) |
$33,523 |
$33,523 |
6.5× |
| Excision olecranon bursa (24105) |
$24,705.60 |
$24,705.60 |
8.6× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$17,443.20 |
$17,443.20 |
6.1× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$40,577 |
$40,577 |
6.4× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$40,577 |
$40,577 |
6.4× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$11,628.80 |
$11,628.80 |
1.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$11,628.80 |
$11,628.80 |
4.1× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$17,443.20 |
$17,443.20 |
2.7× |
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines |
$7,041.40–$11,628.80 |
$7,041.40–$11,628.80 |
varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision prepatellar bursa (27340) |
$17,443.20 |
$17,443.20 |
6.1× |
| Excision Radial Head (24130) |
$23,257.60 |
$23,257.60 |
8.1× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$11,600 |
$11,600 |
2.0× |
| Excision synovial cyst popliteal space (27345) |
$13,954.56 |
$13,954.56 |
4.9× |
| Excision tendon finger flexor/extensor each (26180) |
$11,628.80 |
$11,628.80 |
8.3× |
| Excision tendon palm flexor/extensor single each (26170) |
$11,628.80 |
$11,628.80 |
8.3× |
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines |
$11,628.80–$12,374.68 |
$11,628.80–$12,374.68 |
varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$11,628.80 |
$11,628.80 |
8.0× |
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines |
$5,814.40–$11,628.80 |
$5,814.40–$11,628.80 |
varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$11,628.80 |
$11,628.80 |
8.0× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$22,429 |
$22,429 |
7.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$16,266 |
$16,266 |
6.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$11,628.80 |
$11,628.80 |
8.3× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$8,721.60 |
$8,721.60 |
3.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$3,033.60 |
$3,033.60 |
2.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$11,628.80 |
$11,628.80 |
4.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$17,128.96 |
$17,128.96 |
6.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$11,628 |
$11,628 |
8.0× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$14,536 |
$14,536 |
5.1× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$17,443.20 |
$17,443.20 |
12.4× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$14,536 |
$14,536 |
5.1× |
| Excision/destruction lesion pharynx any method (42808) |
$18,431 |
$18,431 |
6.3× |
| Excision; trochanteric bursa or calcification (27062) |
$18,259.61 |
$18,259.61 |
6.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$9,426.30 |
$9,426.30 |
5.2× |
| Exploration maxillary sinus (31020) |
$18,431 |
$18,431 |
6.3× |
| Exploration of hip joint (27033) |
$17,443.20 |
$17,443.20 |
2.7× |
| Exploration of knee joint (27310) |
$11,628.80 |
$11,628.80 |
4.1× |
| Exploration of spinal fusion (22830) |
$17,443.20 |
$17,443.20 |
2.7× |
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines |
$2,232.76–$11,628.80 |
$2,232.76–$11,628.80 |
varies |
| Exploration Penetrating Wound Spx Neck (20100) |
$2,485.60 |
$2,485.60 |
5.3× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
$17,443.20 |
$17,443.20 |
3.1× |
| Exploratory elbow surgery (24000) |
$13,750 |
$13,750 |
4.8× |
| Explore for undescended testis (54550) |
$1,862.80 |
$1,862.80 |
0.6× |
| Explore inner ear (69806) |
$29,072 |
$29,072 |
5.6× |
| Explore treat shoulder joint (23107) |
$15,749.37 |
$15,749.37 |
2.5× |
| Explore/Treat Elbow Joint (24101) |
$11,628.80 |
$11,628.80 |
4.1× |
| Explore/Treat Hand Joint (26070) |
$11,628.80 |
$11,628.80 |
8.3× |
| Explore/Treat Knee Joint (27331) |
$11,628.80 |
$11,628.80 |
4.1× |
| Explore/Treat Wrist Joint (25040) |
$11,334 |
$11,334 |
4.0× |
| Fasciectomy Palm Only (26121) |
$17,443.20 |
$17,443.20 |
6.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$24,705.60 |
$24,705.60 |
8.6× |
| Fasciotomy Iliotibial Open (27305) |
$11,628.80 |
$11,628.80 |
4.1× |
| Fasciotomy palmar open partial (26045) |
$17,443.20 |
$17,443.20 |
6.1× |
| Fasciotomy palmar percutaneous (26040) |
$17,443.20 |
$17,443.20 |
12.4× |
| Fasciotomy, foot and/or toe (28008) |
$11,628.80 |
$11,628.80 |
4.1× |
| Fasciotomy, hip or thigh, any type (27025) |
$40,575.78 |
$40,575.78 |
14.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$17,443.20 |
$17,443.20 |
6.1× |
| Fine needle aspiration without imaging guidance (10021) |
$341.32 |
$341.32 |
1.0× |
| Finger tendon transfer (26497) |
$24,705.60 |
$24,705.60 |
8.6× |
| Flap; neurovascular pedicle (15750) |
$20,537 |
$20,537 |
6.6× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) |
$13,499 |
$13,499 |
2.1× |
| Foreskin manipulation (54450) |
$1,318.07 |
$1,318.07 |
6.0× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$8,721.60 |
$8,721.60 |
1.4× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$11,628.80 |
$11,628.80 |
6.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$10,586.89 |
$10,586.89 |
5.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$11,628.80 |
$11,628.80 |
6.4× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$11,628.80 |
$11,628.80 |
6.4× |
| Fuse hand bones with graft (25825) |
$40,700.80 |
$40,700.80 |
6.4× |
| Fusion Finger Joint (26860) |
$13,954.56 |
$13,954.56 |
4.9× |
| Fusion of foot bones (28740) |
$34,886.40 |
$34,886.40 |
5.5× |
| Fusion of hand bones (25820) |
$40,575.78 |
$40,575.78 |
6.4× |
| Fusion of hand joint (26843) |
$13,954.10 |
$13,954.10 |
2.2× |
| Fusion of knuckle (26850) |
$54,604.28 |
$54,604.28 |
8.6× |
| Fusion of knuckle joint (26516) |
$17,443.20 |
$17,443.20 |
6.1× |
| Fusion of knuckle with graft (26852) |
$13,954.56 |
$13,954.56 |
2.2× |
| Fusion of tibiofibular joint (27871) |
$34,886.40 |
$34,886.40 |
3.1× |
| Fusion/graft of hand joint (26844) |
$13,954.10 |
$13,954.10 |
2.2× |
| Gastrocnemius recession (27687) |
$24,705.60 |
$24,705.60 |
8.6× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$8,721.60 |
$8,721.60 |
1.7× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$10,910 |
$10,910 |
6.0× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
$22,429 |
$22,429 |
7.2× |
| Grafting of autologous soft tiss by direct exc (15769) |
$19,954.99 |
$19,954.99 |
6.4× |
| Hair xplant punch grft 1-15 (15775) |
$2,202 |
$2,202 |
6.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$40,575.78 |
$40,575.78 |
6.4× |
| Hand tendon reconstruction (26500) |
$17,443.20 |
$17,443.20 |
2.7× |
| Hemiarthroplasty hip partial (27125) |
$40,700.80 |
$40,700.80 |
3.6× |
| Hemiepiphyseal Arrest (24470) |
$17,443.20 |
$17,443.20 |
6.1× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$17,443.20 |
$17,443.20 |
7.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$17,443.20 |
$17,443.20 |
7.2× |
| Hip arthro acetabuloplasty (29915) |
$40,953.21 |
$40,953.21 |
6.4× |
| Hip arthro w/labral repair (29916) |
$40,575.78 |
$40,575.78 |
6.4× |
| Hysteroscopy Biopsy (58558) |
$17,443.20 |
$17,443.20 |
6.1× |
| Hysteroscopy Dx Sep Proc (58555) |
$17,443.20 |
$17,443.20 |
6.1× |
| Hysteroscopy Endometrial Ablation (58563) |
$28,473.01 |
$28,473.01 |
6.5× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$1,107.75–$8,721.60 |
$1,107.75–$8,721.60 |
varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$11,628.80 |
$11,628.80 |
8.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$11,628.80 |
$11,628.80 |
4.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$11,628.80 |
$11,628.80 |
4.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$11,628.80 |
$11,628.80 |
4.1× |
| I&d forearm/wrist bursa (25031) |
$11,628.80 |
$11,628.80 |
8.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$23,257.60 |
$23,257.60 |
8.1× |
| I&d perianal abscess superficial (46050) |
$5,097.80 |
$5,097.80 |
6.3× |
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines |
$683.80–$3,980.97 |
$683.80–$3,980.97 |
varies |
| I&d shoulder deep abscess/hematoma (23030) |
$23,257.60 |
$23,257.60 |
9.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$11,628.80 |
$11,628.80 |
4.6× |
| Immediate breast prosthesis (19340) |
$36,456.80 |
$36,456.80 |
5.1× |
| Implant cochlear device (69930) |
$34,886.40 |
$34,886.40 |
1.2× |
Implant neuroelectrodes (63650)
range across 3 matching MRF lines |
$27,000–$69,000 |
$27,000–$69,000 |
varies |
| Implant temple bone w/stimul (69714) |
$29,072 |
$29,072 |
2.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$10,112 |
$10,112 |
1.3× |
Incise external hemorrhoid (46083)
range across 2 matching MRF lines |
$1,318.07–$11,628.80 |
$1,318.07–$11,628.80 |
varies |
| Incise finger tendon sheath (26055) |
$13,954.56 |
$13,954.56 |
9.9× |
| Incise flexor carpi radialis (25001) |
$11,628.80 |
$11,628.80 |
4.1× |
| Incise Wrist/Forearm Tendon (25290) |
$17,443.20 |
$17,443.20 |
6.1× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$2,288.48–$8,721.60 |
$2,288.48–$8,721.60 |
varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$11,628.80 |
$11,628.80 |
4.6× |
| Incision & drainage leg/ankle infected bursa (27604) |
$11,628.80 |
$11,628.80 |
4.1× |
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines |
$1,054.04–$12,374.68 |
$1,054.04–$12,374.68 |
varies |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$2,288.48–$11,628.80 |
$2,288.48–$11,628.80 |
varies |
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines |
$1,092.68–$10,112 |
$1,092.68–$10,112 |
varies |
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines |
$1,790.93–$10,112 |
$1,790.93–$10,112 |
varies |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$11,628.80 |
$11,628.80 |
1.8× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$12,267.16 |
$12,267.16 |
8.7× |
| Incision bone cortex foot (28005) |
$17,443.20 |
$17,443.20 |
6.1× |
| Incision extensor tendon sheath wrist (25000) |
$17,443.20 |
$17,443.20 |
12.4× |
| Incision of eardrum (69421) |
$17,443.20 |
$17,443.20 |
6.0× |
| Incision of eardrum (69420) |
$17,443.20 |
$17,443.20 |
84.0× |
| Incision of fibula (27707) |
$17,443.20 |
$17,443.20 |
6.1× |
| Incision of Foot Tendon (28234) |
$17,443.20 |
$17,443.20 |
12.4× |
| Incision of hip tendon (27001) |
$20,817.04 |
$20,817.04 |
7.3× |
| Incision of labial frenum (frenotomy) (40806) |
$11,628.80 |
$11,628.80 |
24.6× |
| Incision of rectal abscess (46040) |
$8,485.60 |
$8,485.60 |
8.1× |
| Incision of tibia & fibula (27709) |
$23,257.60 |
$23,257.60 |
2.1× |
| Incision&drainage bursa foot (28001) |
$11,628.80 |
$11,628.80 |
8.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$13,954.56 |
$13,954.56 |
9.6× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$23,257.60 |
$23,257.60 |
16.5× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$23,257.60 |
$23,257.60 |
8.1× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$13,954.56 |
$13,954.56 |
4.9× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$11,628.80 |
$11,628.80 |
4.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$1,107.75 |
$1,107.75 |
6.3× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines |
$4,322.84–$12,134.40 |
$4,322.84–$12,134.40 |
varies |
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines |
$500–$1,000 |
$500–$1,000 |
varies |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
$1,667.87–$3,033.60 |
$1,667.87–$3,033.60 |
varies |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$6,067.20 |
$6,067.20 |
7.8× |
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$3,953 |
$3,953 |
6.4× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
| Injection Anes Superior Hypogastric Plexus (64517) |
$6,067.20 |
$6,067.20 |
7.8× |
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
| Injection enzyme palmar fascial cord (20527) |
$2,022.40 |
$2,022.40 |
7.5× |
| Injection single tendon origin/insertion (20551) |
$3,033.60 |
$3,033.60 |
11.3× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$1,667.87–$6,067.20 |
$1,667.87–$6,067.20 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$244.12–$6,067.20 |
$244.12–$6,067.20 |
varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$7,434.70 |
$7,434.70 |
5.5× |
| Injection therapeutic carpal tunnel (20526) |
$2,022.40 |
$2,022.40 |
7.5× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines |
$2,500–$12,134.40 |
$2,500–$12,134.40 |
varies |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$1,144 |
$1,144 |
6.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$3,033.60 |
$3,033.60 |
17.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$3,833.58 |
$3,833.58 |
4.9× |
| Insert and remove bone pin (20650) |
$18,260 |
$18,260 |
6.4× |
| Insert Drug Implant Device (11981) |
$9,303.04 |
$9,303.04 |
79.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$11,628.80 |
$11,628.80 |
6.9× |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$901.24–$15,205 |
$901.24–$15,205 |
varies |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$712.27–$958 |
$712.27–$958 |
varies |
| Insert tissue expander(s) (11960) |
$22,429 |
$22,429 |
7.2× |
| Insert tunneled cv cath (36561) |
$17,443.20 |
$17,443.20 |
6.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$712.27 |
$712.27 |
6.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$697.14 |
$697.14 |
0.5× |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$14,536 |
$14,536 |
5.1× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$11,628.80 |
$11,628.80 |
5.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$990.12 |
$990.12 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$500 |
$500 |
0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$9,127 |
$9,127 |
6.6× |
| Insj Stablj Dev W/Dcmprn (22867) |
$23,257.60 |
$23,257.60 |
1.5× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$23,257.60 |
$23,257.60 |
2.1× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines |
$17,443.20–$18,235 |
$17,443.20–$18,235 |
varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$2,288.48 |
$2,288.48 |
6.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$2,288.48 |
$2,288.48 |
6.4× |
| Intubation endotracheal emergency procedure (31500) |
$1,274.86 |
$1,274.86 |
6.1× |
| Island pedicle flap graft (15740) |
$10,586.89 |
$10,586.89 |
5.9× |
| Jaw arthroscopy/surgery (29800) |
$18,529.20 |
$18,529.20 |
6.5× |
| Knee arthroscopy/drainage (29871) |
$23,257.60 |
$23,257.60 |
8.1× |
| Knee Arthroscopy/Surgery (29885) |
$23,257.60 |
$23,257.60 |
3.7× |
| Knee Arthroscopy/Surgery (29874) |
$23,257.60 |
$23,257.60 |
8.1× |
| Knee Arthroscopy/Surgery (29850) |
$23,257.60 |
$23,257.60 |
16.5× |
| Lam facetec & foramot lumbar (63047) |
$60,000 |
$60,000 |
9.4× |
| Laparo-vag hyst incl t/o (58552) |
$23,257.60 |
$23,257.60 |
2.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$23,257.60 |
$23,257.60 |
4.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$24,659.75 |
$24,659.75 |
4.7× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$23,257.60 |
$23,257.60 |
4.4× |
| Laparoscopy, surgical, appendectomy (44970) |
$31,972.67 |
$31,972.67 |
6.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$23,257.60 |
$23,257.60 |
4.4× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$78,568.08 |
$78,568.08 |
8.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$33,030 |
$33,030 |
6.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$23,257.60 |
$23,257.60 |
4.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$23,257.60 |
$23,257.60 |
4.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$23,257.60 |
$23,257.60 |
4.4× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$14,291 |
$14,291 |
4.4× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$17,443.20 |
$17,443.20 |
5.3× |
| Laryngoscopy W/Biopsy (31535) |
$14,291 |
$14,291 |
4.4× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$14,291 |
$14,291 |
4.4× |
| Larynscop w/tumr exc + scope (31541) |
$14,291 |
$14,291 |
4.4× |
Late closure of wound (13160)
range across 2 matching MRF lines |
$10,586.89–$11,628.80 |
$10,586.89–$11,628.80 |
varies |
| Lateral Canthopexy (21282) |
$11,628.80 |
$11,628.80 |
4.0× |
| Lateral retinacular release open (27425) |
$23,257.60 |
$23,257.60 |
8.1× |
| Lengthen metacarpal/finger (26568) |
$17,443.20 |
$17,443.20 |
2.7× |
| Lengthen radius or ulna (25391) |
$17,443.20 |
$17,443.20 |
1.6× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$17,443.20 |
$17,443.20 |
2.7× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$23,257.60 |
$23,257.60 |
8.1× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$17,443.20 |
$17,443.20 |
2.7× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$18,260 |
$18,260 |
6.4× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$11,628.80 |
$11,628.80 |
4.1× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$29,072 |
$29,072 |
2.6× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$30,394.55 |
$30,394.55 |
4.8× |
| Ligamentous reconstruction knee intra-articular (27428) |
$29,072 |
$29,072 |
2.6× |
| Ligation or biopsy temporal artery (37609) |
$17,443.20 |
$17,443.20 |
12.1× |
| Low Back Disk Surgery (63030) |
$69,000 |
$69,000 |
10.9× |
| Lumbar spine fusion combined (22633) |
$104,659.20 |
$104,659.20 |
4.4× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$6,067.20 |
$6,067.20 |
28.1× |
| Manipulation Ankle Under General Anesthesia (27860) |
$6,067 |
$6,067 |
2.1× |
| Manipulation Elbow Under Anesthesia (24300) |
$6,067.20 |
$6,067.20 |
4.3× |
| Manipulation hip joint general anesthesia (27275) |
$10,112 |
$10,112 |
7.2× |
| Manipulation knee joint under general anesthesia (27570) |
$10,112 |
$10,112 |
7.2× |
| Manipulation spine requiring anesthesia (22505) |
$10,112 |
$10,112 |
7.2× |
| Manipulation wrist under anesthesia (25259) |
$6,067.20 |
$6,067.20 |
4.3× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$9,200.37 |
$9,200.37 |
6.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$10,112 |
$10,112 |
7.2× |
| Mast mod rad (19307) |
$36,456.80 |
$36,456.80 |
6.3× |
| Mastectomy for gynecomastia (19300) |
$23,257.60 |
$23,257.60 |
6.8× |
| Mastectomy partial (19301) |
$21,088.31 |
$21,088.31 |
6.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$36,456.80 |
$36,456.80 |
6.3× |
| Mastectomy simple complete (19303) |
$23,257.60 |
$23,257.60 |
4.0× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$10,586.89 |
$10,586.89 |
5.9× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$34,427.90 |
$34,427.90 |
5.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$19,954.99 |
$19,954.99 |
6.4× |
| Muscle-skin graft trunk (15734) |
$19,954.99 |
$19,954.99 |
6.4× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$17,443.20 |
$17,443.20 |
2.7× |
| Myringoplasty (69620) |
$17,443.20 |
$17,443.20 |
6.0× |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
N Block Inj Paracervical (64435)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
| N Block Inj Plantar Digit (64455) |
$6,067.20 |
$6,067.20 |
22.6× |
N Block Inj Pudendal (64430)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
| N Block Lumbar/Thoracic (64520) |
$6,067.20 |
$6,067.20 |
7.8× |
| Nasal surgery procedure (30999) |
$109 |
$109 |
0.5× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$17,443.20 |
$17,443.20 |
50.9× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$39,180 |
$39,180 |
6.3× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$33,523 |
$33,523 |
6.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$17,443.20 |
$17,443.20 |
11.2× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$9,716 |
$9,716 |
6.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$12,954.62 |
$12,954.62 |
8.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$39,180 |
$39,180 |
6.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$39,180 |
$39,180 |
6.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$39,180 |
$39,180 |
6.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$39,180 |
$39,180 |
6.3× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$39,180 |
$39,180 |
6.3× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$39,180 |
$39,180 |
6.3× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$39,180 |
$39,180 |
6.3× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$39,180 |
$39,180 |
6.3× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$39,180 |
$39,180 |
6.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$13,954.56 |
$13,954.56 |
9.9× |
| Neck spine disk surgery (63020) |
$69,000 |
$69,000 |
10.9× |
| Neck spine fusion (22600) |
$104,659.20 |
$104,659.20 |
6.8× |
| Needle Biopsy Lymph Nodes (38505) |
$6,067.20 |
$6,067.20 |
4.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$150 |
$150 |
5.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$150 |
$150 |
5.9× |
| Neurectomy Popliteal (27326) |
$11,053 |
$11,053 |
6.5× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
$6,067.20 |
$6,067.20 |
3.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$13,982.16 |
$13,982.16 |
8.2× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$13,954.10 |
$13,954.10 |
8.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$6,067.20 |
$6,067.20 |
7.8× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 5 matching MRF lines |
$500–$3,335.74 |
$500–$3,335.74 |
varies |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines |
$4,322.84–$8,645.68 |
$4,322.84–$8,645.68 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$6,067.20 |
$6,067.20 |
7.8× |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines |
$4,322.84–$6,067.20 |
$4,322.84–$6,067.20 |
varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$6,067.20 |
$6,067.20 |
9.8× |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines |
$4,322.84–$6,067.20 |
$4,322.84–$6,067.20 |
varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$39,180 |
$39,180 |
6.3× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$39,180 |
$39,180 |
6.3× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$6,067.20–$12,134.40 |
$6,067.20–$12,134.40 |
varies |
| Open biopsy/excision inguinofemoral nodes (38531) |
$21,088.31 |
$21,088.31 |
6.1× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$177,757 |
$177,757 |
6.6× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open Repair of Rotator Cuff Acute (23410) |
$29,072 |
$29,072 |
4.6× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$69,000 |
$69,000 |
6.1× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) |
$69,000 |
$69,000 |
6.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$40,575.78 |
$40,575.78 |
6.4× |
| Open treatment calcaneal fracture (28415) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$23,257.60 |
$23,257.60 |
2.1× |
| Open treatment fracture distal tibia only (27827) |
$23,257.60 |
$23,257.60 |
2.1× |
| Open treatment greater trochanteric fracture (27248) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Treatment Humeral Condylar Fracture (24579) |
$75,340.55 |
$75,340.55 |
6.7× |
| Open treatment interphalangeal joint dislocation (28675) |
$23,257.60 |
$23,257.60 |
8.1× |
| Open Treatment Lunate Dislocation (25695) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$29,072 |
$29,072 |
4.6× |
| Open treatment metacarpophalangeal dislocation (26715) |
$23,257.60 |
$23,257.60 |
8.1× |
| Open treatment metatarsal fracture each (28485) |
$40,575.78 |
$40,575.78 |
6.4× |
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines |
$1,273.16–$23,257.60 |
$1,273.16–$23,257.60 |
varies |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$40,575.78 |
$40,575.78 |
6.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$29,072 |
$29,072 |
4.6× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$23,475 |
$23,475 |
2.1× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$18,260 |
$18,260 |
6.4× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$100,454.06 |
$100,454.06 |
8.9× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) |
$13,286.64 |
$13,286.64 |
2.1× |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) |
$13,286.64 |
$13,286.64 |
2.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$18,431 |
$18,431 |
6.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$13,954.56 |
$13,954.56 |
4.8× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$18,529 |
$18,529 |
6.5× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$40,953.21 |
$40,953.21 |
6.4× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
$17,440 |
$17,440 |
6.1× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
$29,072 |
$29,072 |
4.6× |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
$29,072 |
$29,072 |
4.6× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$29,070 |
$29,070 |
10.1× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$54,604.28 |
$54,604.28 |
8.6× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open treatment of ulnar styloid fracture (25652) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open treatment posterior malleolus fracture (27769) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$29,072 |
$29,072 |
4.6× |
| Open Treatment Proximal Humeral Fracture (23615) |
$75,340.55 |
$75,340.55 |
6.7× |
| Open Treatment Radial Shaft Fracture (25515) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$40,575.78 |
$40,575.78 |
6.4× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$23,257.60 |
$23,257.60 |
8.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$17,443.20 |
$17,443.20 |
6.1× |
| Open tx carpal scaphoid navicular fracture (25628) |
$40,575.78 |
$40,575.78 |
6.4× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$23,257.60 |
$23,257.60 |
8.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$29,072 |
$29,072 |
4.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$17,443.20 |
$17,443.20 |
6.1× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$54,604.28 |
$54,604.28 |
8.6× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$23,257.60 |
$23,257.60 |
2.1× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$23,257.60 |
$23,257.60 |
2.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$17,443.20 |
$17,443.20 |
6.1× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$29,072 |
$29,072 |
2.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$23,257.60 |
$23,257.60 |
2.1× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$40,575.78 |
$40,575.78 |
6.4× |
| Open tx interphalangeal joint dislocation (26785) |
$17,443.20 |
$17,443.20 |
6.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$23,257.60 |
$23,257.60 |
8.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$17,443.20 |
$17,443.20 |
6.1× |
| Open Tx Radial Head/Neck Fracture (24665) |
$29,072.80 |
$29,072.80 |
4.6× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$34,920.90 |
$34,920.90 |
3.1× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
$17,443.20 |
$17,443.20 |
2.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$23,257.60 |
$23,257.60 |
3.7× |
| Open tx ulnar fx proximal end (24685) |
$54,604.28 |
$54,604.28 |
8.6× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$13,954.56 |
$13,954.56 |
4.9× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$23,257.60 |
$23,257.60 |
8.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$40,575.78 |
$40,575.78 |
6.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$40,575.78 |
$40,575.78 |
6.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$58,144 |
$58,144 |
9.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$100,454.06 |
$100,454.06 |
8.9× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$23,257.60 |
$23,257.60 |
3.7× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$23,257.60 |
$23,257.60 |
2.1× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$11,628.80 |
$11,628.80 |
4.1× |
| Ostc prtl exostc/condylc metar head (28288) |
$11,628.80 |
$11,628.80 |
4.1× |
| Ostectomy calcaneus (28118) |
$17,443.20 |
$17,443.20 |
6.1× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$23,257.60 |
$23,257.60 |
8.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$17,443.20 |
$17,443.20 |
6.1× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$23,257.60 |
$23,257.60 |
8.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$11,628.80 |
$11,628.80 |
4.1× |
| Osteochondral allograft knee open (27415) |
$34,886.40 |
$34,886.40 |
3.1× |
| Osteochondral knee autograft (27416) |
$23,257.60 |
$23,257.60 |
3.7× |
| Osteochondral talus autogrft (28446) |
$23,257.60 |
$23,257.60 |
3.7× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$17,443.20 |
$17,443.20 |
6.1× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$29,072 |
$29,072 |
4.6× |
| Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
$23,257.60 |
$23,257.60 |
2.1× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$17,443.20 |
$17,443.20 |
6.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$40,575.78 |
$40,575.78 |
6.4× |
| Osteotomy Clavicle W Bone Graft (23485) |
$17,443.20 |
$17,443.20 |
1.6× |
| Osteotomy Metacarpal Each (26565) |
$17,443.20 |
$17,443.20 |
6.1× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) |
$52,329.60 |
$52,329.60 |
8.2× |
| Osteotomy Phalanx Finger Each (26567) |
$17,443.20 |
$17,443.20 |
6.1× |
| Osteotomy radius distal third (25350) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$17,443.20 |
$17,443.20 |
6.1× |
| Osteotomy talus (28302) |
$34,427.90 |
$34,427.90 |
5.4× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy Tibia (27705) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy Ulna (25360) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$29,072 |
$29,072 |
4.6× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$29,072 |
$29,072 |
4.6× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$17,443.20 |
$17,443.20 |
2.7× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$23,257.60 |
$23,257.60 |
2.1× |
| Palatopharyngoplasty (42145) |
$17,443.20 |
$17,443.20 |
3.4× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$13,982.16 |
$13,982.16 |
4.8× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$33,523 |
$33,523 |
6.5× |
| Part exc bone femur prox tibia (27360) |
$17,443.20 |
$17,443.20 |
6.1× |
| Part remv talus or calcaneus (28120) |
$11,628.80 |
$11,628.80 |
4.1× |
| Partial excision bone clavicle (23180) |
$34,427.90 |
$34,427.90 |
5.4× |
| Partial Excision Bone Humerus (24140) |
$11,628.80 |
$11,628.80 |
4.1× |
| Partial excision bone metacarpal (26230) |
$17,443.20 |
$17,443.20 |
6.1× |
| Partial excision bone olecranon process (24147) |
$11,628.80 |
$11,628.80 |
4.1× |
| Partial Excision Bone Radius (25151) |
$17,443.20 |
$17,443.20 |
6.1× |
| Partial Excision Bone Ulna (25150) |
$17,443.20 |
$17,443.20 |
6.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$17,443.20 |
$17,443.20 |
12.4× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$23,257.60 |
$23,257.60 |
3.7× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) |
$23,257.60 |
$23,257.60 |
3.7× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) |
$23,257.60 |
$23,257.60 |
3.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$17,443.20 |
$17,443.20 |
12.4× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$17,443.20 |
$17,443.20 |
6.1× |
| Partial removal of fibula (27641) |
$17,443.20 |
$17,443.20 |
6.1× |
| Partial removal of radius (24145) |
$11,628.80 |
$11,628.80 |
1.8× |
| Partial removal of rib (21600) |
$17,443.20 |
$17,443.20 |
2.7× |
| Partial removal of thyroid (60220) |
$33,030 |
$33,030 |
6.2× |
| Partial removal of tibia (27640) |
$17,443.20 |
$17,443.20 |
6.1× |
| Partial removal of toe (28160) |
$13,954.56 |
$13,954.56 |
4.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$11,628.80 |
$11,628.80 |
4.1× |
| Patellectomy or hemipatellectomy (27350) |
$40,953.21 |
$40,953.21 |
6.4× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$17,443.20 |
$17,443.20 |
6.1× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$29,072 |
$29,072 |
4.6× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$23,257.60 |
$23,257.60 |
16.5× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$23,257.60 |
$23,257.60 |
8.1× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
$11,628.80 |
$11,628.80 |
1.8× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$17,443.20 |
$17,443.20 |
6.1× |
| Pericardiocentesis W/Imaging (33016) |
$9,168 |
$9,168 |
6.6× |
| Perq Lumbosacral Injection (22511) |
$69,000 |
$69,000 |
24.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$17,443.20 |
$17,443.20 |
6.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$69,000 |
$69,000 |
10.9× |
| Perq Vertebral Augmentation (22513) |
$69,000 |
$69,000 |
10.9× |
| Pin Finger Dislocation (26776) |
$17,443.50 |
$17,443.50 |
6.1× |
| Pin hand dislocation (26676) |
$23,257.60 |
$23,257.60 |
8.1× |
| Pin knuckle dislocation (26706) |
$13,954.56 |
$13,954.56 |
4.9× |
| Place Duod/Jej Tube Perc (49441) |
$14,523.54 |
$14,523.54 |
8.6× |
| Place ndl musc/tis for rt (20555) |
$3,033.60 |
$3,033.60 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$2,316.09 |
$2,316.09 |
5.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$13,954.56 |
$13,954.56 |
17.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$6,643 |
$6,643 |
6.3× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) |
$17,443.20 |
$17,443.20 |
6.1× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$34,886.40 |
$34,886.40 |
5.5× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$39,150 |
$39,150 |
7.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$17,443.20 |
$17,443.20 |
6.1× |
| Prq skel fixj femoral fx prox end neck (27235) |
$54,604.28 |
$54,604.28 |
8.6× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$23,257.60 |
$23,257.60 |
8.1× |
| Prq skel fixj metar fx w/manj (28476) |
$23,257.60 |
$23,257.60 |
8.1× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$23,257.60 |
$23,257.60 |
3.7× |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) |
$17,443.20 |
$17,443.20 |
2.7× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$23,257.60 |
$23,257.60 |
8.1× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$23,257.60 |
$23,257.60 |
8.1× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
$23,257.60 |
$23,257.60 |
3.7× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$17,443.20 |
$17,443.20 |
6.1× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$17,443.20 |
$17,443.20 |
2.7× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$24,705.60 |
$24,705.60 |
8.6× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$2,288.48–$6,977.28 |
$2,288.48–$6,977.28 |
varies |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$23,257.60 |
$23,257.60 |
3.7× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$17,443.20 |
$17,443.20 |
12.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rad resect elbow caps/sr bone w rels (24149) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rad resect hand tumor 3 cm/> (26118) |
$17,443.20 |
$17,443.20 |
6.9× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$81,280 |
$81,280 |
31.9× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$17,443.20 |
$17,443.20 |
6.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$17,443.20 |
$17,443.20 |
6.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$11,628.80 |
$11,628.80 |
4.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$13,954.56 |
$13,954.56 |
5.5× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$5,402 |
$5,402 |
3.8× |
| Radical resection of tumor, femur or knee Facility (27365) |
$17,443.20 |
$17,443.20 |
6.1× |
| Radical resection of tumor; fibula Facility (27646) |
$23,257.60 |
$23,257.60 |
8.1× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$11,628.80 |
$11,628.80 |
8.3× |
| Radical resection of tumor; tibia Facility (27645) |
$23,257.60 |
$23,257.60 |
8.1× |
| Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) |
$6,067.20 |
$6,067.20 |
1.0× |
| Radical Resection Tumor Metatarsal (28173) |
$15,554.50 |
$15,554.50 |
5.4× |
| Radical styloidectomy separate procedure (25230) |
$29,072 |
$29,072 |
10.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$10,112 |
$10,112 |
5.9× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$18,259.61 |
$18,259.61 |
6.4× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$29,072 |
$29,072 |
10.1× |
| Rcnstj Dislocating Patella (27420) |
$23,257.60 |
$23,257.60 |
3.7× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$17,443.20 |
$17,443.20 |
2.7× |
| Realignment extensor tendon hand each tendon (26437) |
$17,443.20 |
$17,443.20 |
6.1× |
| Realignment of knee (27457) |
$29,072 |
$29,072 |
4.6× |
| Realignment of knee (27455) |
$29,072 |
$29,072 |
4.6× |
| Reconstruct elbow joint (24360) |
$17,443.20 |
$17,443.20 |
2.7× |
| Reconstruct elbow lat ligmnt (24344) |
$17,443.20 |
$17,443.20 |
2.7× |
| Reconstruct elbow med ligmnt (24346) |
$17,443.20 |
$17,443.20 |
1.6× |
| Reconstruct extra finger (26587) |
$17,443.20 |
$17,443.20 |
6.1× |
| Reconstruct finger joint (26545) |
$17,443.20 |
$17,443.20 |
6.1× |
| Reconstruct Finger Joint (26548) |
$17,443.20 |
$17,443.20 |
6.1× |
| Reconstruct ulna/radioulnar (25337) |
$23,257.60 |
$23,257.60 |
3.7× |
| Reconstruct wrist joint (25445) |
$29,072 |
$29,072 |
4.6× |
| Reconstruction Nail Bed W/Graft (11762) |
$11,628.80 |
$11,628.80 |
6.4× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$29,072 |
$29,072 |
4.6× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$29,072 |
$29,072 |
4.6× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$17,443.20 |
$17,443.20 |
6.1× |
| Reconstruction Toe Polydactyly (28344) |
$17,443.20 |
$17,443.20 |
6.1× |
Reconstruction Tongue Fold (41520)
range across 2 matching MRF lines |
$11,628.80–$17,443.20 |
$11,628.80–$17,443.20 |
varies |
| Reinforce hip bones (27187) |
$17,443.20 |
$17,443.20 |
2.7× |
| Reinforce humerus (24498) |
$29,072 |
$29,072 |
2.6× |
| Reinforce radius (25490) |
$23,257.60 |
$23,257.60 |
3.7× |
| Reinsert spinal fixation (22849) |
$104,659.20 |
$104,659.20 |
9.3× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$11,628.80 |
$11,628.80 |
4.1× |
| Release of big toe (28240) |
$17,443.20 |
$17,443.20 |
6.1× |
| Release of shoulder ligament (23415) |
$29,072 |
$29,072 |
4.6× |
| Release Thenar Muscle (26508) |
$11,628.80 |
$11,628.80 |
4.1× |
| Relieve Pressure on Nerve(S) (64722) |
$13,982.16 |
$13,982.16 |
8.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$1,623.83 |
$1,623.83 |
5.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$11,628.80 |
$11,628.80 |
4.6× |
| Removal Foreign Body Foot Complicated (28193) |
$8,721.60 |
$8,721.60 |
6.0× |
| Removal foreign body foot deep (28192) |
$8,721.60 |
$8,721.60 |
6.0× |
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines |
$3,980.97–$8,721.60 |
$3,980.97–$8,721.60 |
varies |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines |
$495.85–$11,628.80 |
$495.85–$11,628.80 |
varies |
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines |
$2,136.84–$11,628.80 |
$2,136.84–$11,628.80 |
varies |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$352.59–$705.18 |
$352.59–$705.18 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
$352.59–$705.18 |
$352.59–$705.18 |
varies |
| Removal Implant Deep (20680) |
$23,257.60 |
$23,257.60 |
9.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$9,198.63 |
$9,198.63 |
6.4× |
| Removal implantable contraceptive capsules (11976) |
$3,964 |
$3,964 |
6.4× |
| Removal intact breast implant (19328) |
$17,443.20 |
$17,443.20 |
5.1× |
| Removal of adenoids (42830) |
$17,443.20 |
$17,443.20 |
6.0× |
| Removal of anal fissure (46200) |
$23,303.60 |
$23,303.60 |
9.6× |
| Removal of ankle implant (27704) |
$17,400 |
$17,400 |
6.1× |
| Removal of anterior instrumentation (22855) |
$23,257.60 |
$23,257.60 |
3.7× |
| Removal of bone lesion (23140) |
$23,257.60 |
$23,257.60 |
8.1× |
| Removal of calcium deposits (23000) |
$13,982.16 |
$13,982.16 |
5.5× |
| Removal of foot joint lining (28072) |
$11,628.80 |
$11,628.80 |
4.1× |
| Removal of heel spur (28119) |
$17,443.20 |
$17,443.20 |
6.1× |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
$15,000 |
$15,000 |
2.4× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$20,000 |
$20,000 |
1.8× |
| Removal of humerus lesion (23150) |
$23,257.60 |
$23,257.60 |
8.1× |
| Removal of humerus lesion (23156) |
$23,257.60 |
$23,257.60 |
3.7× |
| Removal of implant from finger or hand (26320) |
$9,198.63 |
$9,198.63 |
6.4× |
| Removal of ischial bursa (27060) |
$11,628.80 |
$11,628.80 |
1.8× |
| Removal of knee prosthesis (27488) |
$34,886.40 |
$34,886.40 |
3.1× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$2,288.48–$13,954.56 |
$2,288.48–$13,954.56 |
varies |
| Removal of posterior segmental instrumentation Facility (22852) |
$80,040.24 |
$80,040.24 |
12.6× |
| Removal of sesamoid bone (28315) |
$17,443.20 |
$17,443.20 |
6.1× |
| Removal of tendon for graft (20924) |
$22,232 |
$22,232 |
3.5× |
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864)
likely a partial charge, not the full procedure |
$630 |
$630 |
0.1× |
| Removal of wrist bone (25210) |
$14,536 |
$14,536 |
5.1× |
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines |
$1,471.68–$3,033.60 |
$1,471.68–$3,033.60 |
varies |
| Removal shoulder foreign body deep subfascial/im (23333) |
$20,688.04 |
$20,688.04 |
8.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$6,977.28 |
$6,977.28 |
39.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$4,028 |
$4,028 |
6.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$10,586.89 |
$10,586.89 |
5.9× |
| Removal sweat gland lesion (11450) |
$11,628.80 |
$11,628.80 |
4.6× |
| Removal, under anesthesia, of external fixation system (20694) |
$17,443.20 |
$17,443.20 |
12.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$3,033.60 |
$3,033.60 |
12.4× |
| Remove & graft wrist lesion (25136) |
$40,953 |
$40,953 |
6.4× |
| Remove & graft wrist lesion (25135) |
$14,536 |
$14,536 |
2.3× |
| Remove Ankle Joint Lining (27626) |
$17,443.20 |
$17,443.20 |
6.1× |
| Remove drug implant device (11982) |
$4,651.50 |
$4,651.50 |
11.9× |
| Remove Elbow Joint Lining (24102) |
$11,628.80 |
$11,628.80 |
4.1× |
| Remove elbow lesion (24120) |
$17,443.20 |
$17,443.20 |
6.1× |
| Remove femur lesion/graft (27356) |
$17,443.20 |
$17,443.20 |
1.6× |
| Remove finger bone (26185) |
$4,815 |
$4,815 |
3.4× |
| Remove Forearm Foreign Body (25248) |
$11,628.80 |
$11,628.80 |
8.3× |
| Remove foreign body from eye (65235) |
$931.76 |
$931.76 |
0.5× |
Remove foreign body from eye (65205)
range across 2 matching MRF lines |
$712.27–$1,424.54 |
$712.27–$1,424.54 |
varies |
| Remove Hand Bone Lesion (26200) |
$17,443.20 |
$17,443.20 |
12.4× |
| Remove hip pressure sore (15941) |
$8,721.60 |
$8,721.60 |
3.4× |
| Remove humerus lesion (24110) |
$11,628.80 |
$11,628.80 |
4.1× |
| Remove knee joint lining (27334) |
$12,374.51 |
$12,374.51 |
4.3× |
| Remove Lower Leg Bone Lesion (27635) |
$17,443.20 |
$17,443.20 |
6.1× |
| Remove mastoid structures (69505) |
$33,523 |
$33,523 |
6.5× |
| Remove Nasal Foreign Body (30300) |
$481.12 |
$481.12 |
4.1× |
| Remove part lumbar vertebra (22102) |
$23,257.60 |
$23,257.60 |
3.7× |
| Remove part of neck vertebra (22110) |
$23,257.60 |
$23,257.60 |
3.7× |
| Remove part thorax vertebra (22101) |
$23,257.60 |
$23,257.60 |
3.7× |
| Remove radius head implant (24164) |
$18,259.61 |
$18,259.61 |
6.4× |
| Remove sacrum pressure sore (15937) |
$8,721.60 |
$8,721.60 |
4.8× |
| Remove Shoulder Foreign Body (23330) |
$11,628.80 |
$11,628.80 |
8.0× |
| Remove spine fixation device (22850) |
$20,931.84 |
$20,931.84 |
3.3× |
| Remove spine lamina 1/2 lmbr (63005) |
$69,000 |
$69,000 |
10.9× |
| Remove Tendon Sheath Lesion (26160) |
$11,628.80 |
$11,628.80 |
8.3× |
| Remove tissue expander (11971) |
$15,846.34 |
$15,846.34 |
6.2× |
| Remove vc lesion scope/graft (31546) |
$39,180 |
$39,180 |
6.3× |
| Remove wrist joint cartilage (25107) |
$11,628.80 |
$11,628.80 |
4.1× |
| Remove/graft finger lesion (26215) |
$17,443.20 |
$17,443.20 |
6.1× |
| Remove/graft foot lesion (28102) |
$16,139.34 |
$16,139.34 |
2.5× |
| Remove/graft foot lesion (28107) |
$40,576 |
$40,576 |
6.4× |
| Remove/graft forearm lesion (25126) |
$18,260 |
$18,260 |
6.4× |
| Remove/graft forearm lesion (25125) |
$14,536 |
$14,536 |
10.3× |
| Remove/graft leg bone lesion (27637) |
$17,443.20 |
$17,443.20 |
2.7× |
| Remove/Insert Drug Implant (11983) |
$4,651.50 |
$4,651.50 |
11.9× |
| Remv cartilage for graft nasal (20912) |
$20,537 |
$20,537 |
6.6× |
| Repair Achilles Tendon (27650) |
$40,575.78 |
$40,575.78 |
6.4× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$40,575.78 |
$40,575.78 |
6.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$11,628.80 |
$11,628.80 |
18.0× |
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines |
$1,358.32–$11,628.80 |
$1,358.32–$11,628.80 |
varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$11,628.80 |
$11,628.80 |
32.6× |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
$3,563.70–$11,628.80 |
$3,563.70–$11,628.80 |
varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$11,628.80 |
$11,628.80 |
32.6× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines |
$2,880.80–$11,628.80 |
$2,880.80–$11,628.80 |
varies |
| Repair complex trunk 1.1-2.5 cm (13100) |
$799.40 |
$799.40 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$11,628 |
$11,628 |
18.0× |
| Repair Elbow Perc (24357) |
$13,954.56 |
$13,954.56 |
4.9× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$15,441 |
$15,441 |
5.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$17,443.20 |
$17,443.20 |
12.4× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair Finger Tendon (26433) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair Finger/Hand Tendon (26350) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair Foot Dislocation (28615) |
$40,575.78 |
$40,575.78 |
6.4× |
| Repair Forearm Tendon Sheath (25275) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair forearm tendon/muscle (25265) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair Hallux Rigidus (28289) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair Hand Joint (26540) |
$29,072 |
$29,072 |
10.1× |
| Repair Hand Tendon (26410) |
$17,443.20 |
$17,443.20 |
12.4× |
| Repair humerus with graft (24435) |
$17,443.20 |
$17,443.20 |
1.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$17,494.10 |
$17,494.10 |
5.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$23,257.60 |
$23,257.60 |
7.4× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines |
$2,288.48–$11,628.80 |
$2,288.48–$11,628.80 |
varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$2,288.48 |
$2,288.48 |
6.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$2,288.48 |
$2,288.48 |
6.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$2,288.48 |
$2,288.48 |
6.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,288.48 |
$2,288.48 |
6.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$3,563.70 |
$3,563.70 |
5.5× |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines |
$921.36–$2,288.48 |
$921.36–$2,288.48 |
varies |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines |
$2,288.48–$11,628.80 |
$2,288.48–$11,628.80 |
varies |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines |
$3,563.70–$11,628.80 |
$3,563.70–$11,628.80 |
varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$10,910 |
$10,910 |
6.0× |
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines |
$2,288.48–$11,839.04 |
$2,288.48–$11,839.04 |
varies |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines |
$1,353.30–$2,288.48 |
$1,353.30–$2,288.48 |
varies |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines |
$2,288.48–$11,628.80 |
$2,288.48–$11,628.80 |
varies |
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines |
$3,336–$3,563.70 |
$3,336–$3,563.70 |
varies |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines |
$2,288.48–$11,628.80 |
$2,288.48–$11,628.80 |
varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$10,910 |
$10,910 |
6.0× |
| Repair intrinsic muscles hand each muscle (26591) |
$11,628.80 |
$11,628.80 |
4.1× |
| Repair Leg Fascia Defect (27656) |
$13,286.64 |
$13,286.64 |
4.6× |
| Repair lower leg epiphyses (27734) |
$23,257.60 |
$23,257.60 |
8.1× |
| Repair lower leg tendons (27676) |
$40,575.78 |
$40,575.78 |
6.4× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$17,443.20 |
$17,443.20 |
1.6× |
| Repair Nonunion Carpal Bone Each Bone (25431) |
$29,072 |
$29,072 |
4.6× |
| Repair Nonunion Hand (26546) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$29,072 |
$29,072 |
2.6× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair of arm tendon (24320) |
$39,897 |
$39,897 |
6.3× |
| Repair of biceps tendon (24340) |
$17,443.20 |
$17,443.20 |
2.7× |
| Repair of congenital pseudarthrosis, tibia Facility (27727) |
$23,257.60 |
$23,257.60 |
8.1× |
| Repair of fibula epiphysis (27732) |
$23,257.60 |
$23,257.60 |
8.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair of knee ligaments (27409) |
$40,953 |
$40,953 |
6.4× |
| Repair of metatarsals (28322) |
$29,072 |
$29,072 |
4.6× |
Repair of nail bed (11760)
range across 2 matching MRF lines |
$3,563.70–$8,721.60 |
$3,563.70–$8,721.60 |
varies |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$29,072 |
$29,072 |
4.6× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$29,072 |
$29,072 |
4.6× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$29,072 |
$29,072 |
4.6× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair of Ruptured Tendon (24342) |
$40,953.20 |
$40,953.20 |
6.4× |
| Repair of shoulder (23420) |
$29,072 |
$29,072 |
4.6× |
| Repair of web finger (26561) |
$13,954.56 |
$13,954.56 |
4.9× |
| Repair radius & ulna (25415) |
$39,897 |
$39,897 |
6.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$17,443.20 |
$17,443.20 |
3.1× |
| Repair Rotator Cuff Chronic (23412) |
$29,072 |
$29,072 |
4.6× |
| Repair secondary achilles tendon w/wo graft (27654) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair shoulder capsule (23462) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair shoulder capsule (23466) |
$18,015.36 |
$18,015.36 |
2.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$40,575.78 |
$40,575.78 |
6.4× |
| Repair Toe Dislocation (28645) |
$23,257.60 |
$23,257.60 |
8.1× |
| Repair tongue laceration (41252) |
$1,237.88 |
$1,237.88 |
6.0× |
| Repair tongue laceration (41250) |
$1,237.88 |
$1,237.88 |
3.2× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$17,443.20 |
$17,443.20 |
2.7× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$40,575.78 |
$40,575.78 |
6.4× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$40,955 |
$40,955 |
6.4× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
$17,443.20 |
$17,443.20 |
2.7× |
| Repair/graft achilles tendon (27652) |
$23,257.60 |
$23,257.60 |
3.7× |
| Repair/graft femur head/neck (27170) |
$17,443.20 |
$17,443.20 |
2.7× |
| Repair/graft finger tendon (26428) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repair/Graft Wrist Bone (25440) |
$29,072 |
$29,072 |
4.6× |
| Repair/Revise Wrist Joint (25320) |
$23,257.60 |
$23,257.60 |
3.7× |
| Replace elbow joint (24363) |
$34,886.40 |
$34,886.40 |
2.3× |
| Replace g/c tube perc (49450) |
$5,064 |
$5,064 |
6.4× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$5,963.16 |
$5,963.16 |
0.9× |
| Reposition Gastrostomy Tube (43761) |
$1,318.07 |
$1,318.07 |
6.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$17,443.20 |
$17,443.20 |
6.1× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$17,443.20 |
$17,443.20 |
2.7× |
| Repr torn cruciate knee ligam (27407) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rerepair ing hernia reduce (49520) |
$17,443.20 |
$17,443.20 |
5.6× |
| Resect back tum < 5 cm (21935) |
$23,257.60 |
$23,257.60 |
9.1× |
| Resect enlarged toe (28341) |
$17,443.20 |
$17,443.20 |
6.1× |
| Resect enlarged toe tissue (28340) |
$14,536 |
$14,536 |
5.1× |
| Resect leg/ankle tum < 5 cm (27615) |
$11,628.80 |
$11,628.80 |
4.6× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$13,006.40 |
$13,006.40 |
5.1× |
| Resection of elbow joint (arthrectomy) Facility (24155) |
$29,072 |
$29,072 |
10.1× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$13,954.56 |
$13,954.56 |
4.9× |
| Resection, humeral head Facility (23195) |
$17,443.20 |
$17,443.20 |
2.7× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$11,628.80 |
$11,628.80 |
4.1× |
| Resection/transplantation long tendon biceps (23440) |
$29,072 |
$29,072 |
4.6× |
| Revise external ear (69300) |
$17,443.20 |
$17,443.20 |
6.0× |
| Revise finger joint each (26140) |
$11,628.80 |
$11,628.80 |
8.3× |
| Revise Hand/Foot Nerve (64704) |
$14,736.90 |
$14,736.90 |
8.6× |
| Revise knuckle joint (26530) |
$29,072 |
$29,072 |
4.6× |
| Revise lower leg tendon (27690) |
$40,953 |
$40,953 |
6.4× |
| Revise Lower Leg Tendons (27686) |
$23,257.60 |
$23,257.60 |
8.1× |
| Revise palsy hand tendon(s) (25315) |
$13,499.46 |
$13,499.46 |
2.1× |
| Revise radius & ulna (25365) |
$17,443.20 |
$17,443.20 |
1.6× |
| Revise thumb tendon (26496) |
$8,687.24 |
$8,687.24 |
3.0× |
| Revise Wrist/Forearm Tendon (25280) |
$17,443.20 |
$17,443.20 |
6.1× |
| Revise/Implant Finger Joint (26536) |
$34,886.40 |
$34,886.40 |
5.5× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862) |
$15,500 |
$15,500 |
1.0× |
| Revision of big toe (28310) |
$17,443.20 |
$17,443.20 |
2.7× |
| Revision of foot (28116) |
$17,443.20 |
$17,443.20 |
6.1× |
| Revision of foot and ankle (28262) |
$17,443.20 |
$17,443.20 |
2.7× |
| Revision of foot bones (28737) |
$34,886.10 |
$34,886.10 |
3.1× |
| Revision of foot fascia (28250) |
$13,954.56 |
$13,954.56 |
4.9× |
| Revision of humerus (24400) |
$17,443.20 |
$17,443.20 |
2.7× |
| Revision of knee joint (27442) |
$80,040.24 |
$80,040.24 |
7.1× |
| Revision of lower leg tendon (27685) |
$23,257.60 |
$23,257.60 |
8.1× |
| Revision of neck muscle (21720) |
$17,443.20 |
$17,443.20 |
6.1× |
| Revision of reconstructed breast (19380) |
$17,443.20 |
$17,443.20 |
3.0× |
| Revision of toe (28312) |
$23,257.60 |
$23,257.60 |
8.1× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$58,144 |
$58,144 |
5.2× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$58,144 |
$58,144 |
5.2× |
| Revision of wrist joint (25450) |
$23,257.60 |
$23,257.60 |
8.1× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
$40,577 |
$40,577 |
6.4× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$23,960.14 |
$23,960.14 |
7.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$50,660 |
$50,660 |
9.1× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$58,144 |
$58,144 |
5.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$104,659.20 |
$104,659.20 |
6.8× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$69,000 |
$69,000 |
6.1× |
| Rhinoplasty primary w/major septal repair (30420) |
$17,443.20 |
$17,443.20 |
3.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$5,063.89 |
$5,063.89 |
6.4× |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines |
$3,033.60–$6,977.28 |
$3,033.60–$6,977.28 |
varies |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines |
$2,316.09–$4,632.18 |
$2,316.09–$4,632.18 |
varies |
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines |
$712.27–$1,424.54 |
$712.27–$1,424.54 |
varies |
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines |
$2,316.09–$4,632.18 |
$2,316.09–$4,632.18 |
varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$11,628.80 |
$11,628.80 |
4.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$11,628.80 |
$11,628.80 |
8.0× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$17,443.20 |
$17,443.20 |
10.2× |
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines |
$1,162.88–$23,257.60 |
$1,162.88–$23,257.60 |
varies |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$13,954.56 |
$13,954.56 |
10.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$3,549 |
$3,549 |
6.5× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$3,033.60 |
$3,033.60 |
12.4× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$23,257.60 |
$23,257.60 |
8.0× |
| Rplc Gtube No Revj Trc (43762) |
$1,923.22 |
$1,923.22 |
8.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$17,443.20 |
$17,443.20 |
6.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$12,905.42 |
$12,905.42 |
4.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$33,030 |
$33,030 |
6.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,278 |
$3,278 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$19,805 |
$19,805 |
3.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$33,030 |
$33,030 |
6.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$19,805 |
$19,805 |
6.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$19,805 |
$19,805 |
3.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$31,900.73 |
$31,900.73 |
6.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$23,257.60 |
$23,257.60 |
8.1× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$17,443.20 |
$17,443.20 |
2.7× |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines |
$1,107.75–$1,144 |
$1,107.75–$1,144 |
varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$23,257.60 |
$23,257.60 |
3.7× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$33,523 |
$33,523 |
6.5× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$23,257.60 |
$23,257.60 |
3.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$17,443.20 |
$17,443.20 |
6.1× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
$17,443.20 |
$17,443.20 |
2.7× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$17,443.20 |
$17,443.20 |
6.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$17,443.20 |
$17,443.20 |
6.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$11,735.15 |
$11,735.15 |
4.1× |
| Sequestrectomy Olecranon Process (24138) |
$13,954.56 |
$13,954.56 |
2.2× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$11,628.80 |
$11,628.80 |
5.8× |
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines |
$2,003.01–$13,954.56 |
$2,003.01–$13,954.56 |
varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$13,954.56 |
$13,954.56 |
13.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$6,977.28 |
$6,977.28 |
19.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$6,977.28 |
$6,977.28 |
39.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$6,977.28 |
$6,977.28 |
19.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$6,977.28 |
$6,977.28 |
39.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$6,977.28 |
$6,977.28 |
39.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$6,977.28 |
$6,977.28 |
39.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$6,977.28 |
$6,977.28 |
19.6× |
| Shorten radius & ulna (25392) |
$17,443.20 |
$17,443.20 |
2.7× |
| Shoulder arthroscopy (29820) |
$23,257.60 |
$23,257.60 |
3.7× |
| Shoulder arthroscopy diagnostic (29805) |
$23,257.60 |
$23,257.60 |
8.1× |
| Shoulder Arthroscopy/Surgery (29825) |
$23,257.60 |
$23,257.60 |
8.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$6,977.28 |
$6,977.28 |
39.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$6,977.28 |
$6,977.28 |
19.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$6,977.28 |
$6,977.28 |
39.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$6,977.28 |
$6,977.28 |
19.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$6,977.28 |
$6,977.28 |
39.7× |
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines |
$4,006.02–$13,954.56 |
$4,006.02–$13,954.56 |
varies |
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines |
$4,006.02–$13,954.56 |
$4,006.02–$13,954.56 |
varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$2,202 |
$2,202 |
6.2× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$1,107.75–$1,250 |
$1,107.75–$1,250 |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines |
$1,107.75–$11,628.80 |
$1,107.75–$11,628.80 |
varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$2,202 |
$2,202 |
6.2× |
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines |
$1,107.75–$1,144 |
$1,107.75–$1,144 |
varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$784.76 |
$784.76 |
4.5× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$1,107.75–$11,628.80 |
$1,107.75–$11,628.80 |
varies |
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines |
$880.68–$1,144 |
$880.68–$1,144 |
varies |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines |
$1,107.75–$1,144 |
$1,107.75–$1,144 |
varies |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$33,523 |
$33,523 |
6.5× |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) |
$33,523 |
$33,523 |
6.5× |
| Skin Full Grft Face/Genit/Hf (15240) |
$11,628.80 |
$11,628.80 |
6.4× |
| Skin graft, harvest cultured tissue (15040) |
$10,910 |
$10,910 |
6.0× |
| Skin Pinch Graft (15050) |
$4,793.68 |
$4,793.68 |
7.4× |
| Skin sub graft face/nk/hf/g (15275) |
$10,586.89 |
$10,586.89 |
16.3× |
| Skin sub graft trnk/arm/leg (15271) |
$10,112 |
$10,112 |
15.6× |
| Skin Tissue Procedure (17999) |
$1,606 |
$1,606 |
9.1× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
$1,107.75–$2,500 |
$1,107.75–$2,500 |
varies |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines |
$2,202–$2,288.48 |
$2,202–$2,288.48 |
varies |
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines |
$2,202–$2,288.48 |
$2,202–$2,288.48 |
varies |
| Sphincterotomy anal division sphincter spx (46080) |
$8,485.60 |
$8,485.60 |
3.5× |
| Spinal puncture lumbar diagnostic (62270) |
$3,952.52 |
$3,952.52 |
6.4× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$19,954.99 |
$19,954.99 |
6.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$11,628.80 |
$11,628.80 |
6.4× |
Strapping ankle (29540)
range across 2 matching MRF lines |
$894.13–$1,788.26 |
$894.13–$1,788.26 |
varies |
Strapping elbow or wrist (29260)
range across 2 matching MRF lines |
$352.59–$705.18 |
$352.59–$705.18 |
varies |
| Strapping hand/finger (29280) |
$352.59 |
$352.59 |
6.8× |
Strapping knee (29530)
range across 2 matching MRF lines |
$712.27–$1,424.54 |
$712.27–$1,424.54 |
varies |
Strapping shoulder (29240)
range across 2 matching MRF lines |
$712.27–$1,424.54 |
$712.27–$1,424.54 |
varies |
| Strapping toes (29550) |
$352.59 |
$352.59 |
6.8× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$1,144 |
$1,144 |
6.5× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$3,336 |
$3,336 |
5.2× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$3,336 |
$3,336 |
5.2× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$3,336 |
$3,336 |
5.2× |
| Subtalar arthro w/deb (29906) |
$20,931.84 |
$20,931.84 |
7.3× |
| Subtalar arthro w/exc (29905) |
$20,931.84 |
$20,931.84 |
3.3× |
| Surg Implnt Neuroelect,Epidural (63655) |
$131,980.65 |
$131,980.65 |
7.8× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$44,698 |
$44,698 |
8.6× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$33,523 |
$33,523 |
6.5× |
| Surg tx anal fistula subq (46270) |
$17,443.20 |
$17,443.20 |
7.2× |
| Surgery to stop leg growth (27479) |
$17,443.20 |
$17,443.20 |
2.7× |
| Surgery to stop leg growth (27477) |
$23,257.60 |
$23,257.60 |
3.7× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$5,814.40 |
$5,814.40 |
2.8× |
| Suture infrapatellar tendon primary (27380) |
$23,257.60 |
$23,257.60 |
3.7× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$23,257.60 |
$23,257.60 |
3.7× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$23,257.60 |
$23,257.60 |
3.7× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$23,257.60 |
$23,257.60 |
3.7× |
| Synovectomy carpometacarpal joint (26130) |
$18,039 |
$18,039 |
6.3× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$11,628.80 |
$11,628.80 |
4.1× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$11,628.80 |
$11,628.80 |
4.1× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$15,554.50 |
$15,554.50 |
5.4× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$11,628.80 |
$11,628.80 |
4.1× |
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure |
$3,005.61 |
$3,005.61 |
0.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$11,628.80 |
$11,628.80 |
8.3× |
| Tangential biopsy skin single lesion (11102) |
$760 |
$760 |
2.1× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$3,336 |
$3,336 |
5.2× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$3,336 |
$3,336 |
5.2× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$17,443.20 |
$17,443.20 |
6.1× |
| Tendon shortening (26477) |
$11,628.80 |
$11,628.80 |
4.1× |
| Tendon transfer with graft (26492) |
$24,705.60 |
$24,705.60 |
8.6× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$11,628.80 |
$11,628.80 |
4.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$18,015.36 |
$18,015.36 |
6.3× |
| Tenodesis distal joint each (26474) |
$11,628.80 |
$11,628.80 |
8.3× |
| Tenodesis long tendon biceps (23430) |
$46,950 |
$46,950 |
7.4× |
| Tenodesis proximal interphalangeal joint each (26471) |
$8,721.60 |
$8,721.60 |
3.0× |
| Tenodesis Wrist Extensors Fingers (25301) |
$13,499 |
$13,499 |
4.7× |
| Tenodesis Wrist Flexors Fingers (25300) |
$13,499 |
$13,499 |
4.7× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$11,628.80 |
$11,628.80 |
4.1× |
| Tenolysis extensor foot single tendon (28225) |
$11,628.80 |
$11,628.80 |
4.1× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$18,529 |
$18,529 |
6.5× |
| Tenolysis flexor foot single tendon (28220) |
$17,443.20 |
$17,443.20 |
12.4× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$11,628.80 |
$11,628.80 |
4.1× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$11,628.80 |
$11,628.80 |
8.3× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$14,536 |
$14,536 |
5.1× |
| Tenolysis Triceps (24332) |
$17,443.20 |
$17,443.20 |
6.1× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$11,628.80 |
$11,628.80 |
4.1× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$17,443.20 |
$17,443.20 |
6.1× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$14,536 |
$14,536 |
5.1× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$14,536 |
$14,536 |
5.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$8,872 |
$8,872 |
6.3× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$11,628.80 |
$11,628.80 |
8.3× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$11,628.80 |
$11,628.80 |
8.3× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$11,628.80 |
$11,628.80 |
4.1× |
| Tenotomy Hip Abd/Ext Open (27006) |
$20,817.04 |
$20,817.04 |
7.3× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$11,628.80 |
$11,628.80 |
8.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$13,954.56 |
$13,954.56 |
9.9× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$17,443.20 |
$17,443.20 |
6.1× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$17,443.20 |
$17,443.20 |
12.4× |
| Tenotomy shoulder area single tendon (23405) |
$23,257.60 |
$23,257.60 |
3.7× |
| Tenotomy, hip flexor(s), open (27005) |
$40,578 |
$40,578 |
14.2× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$17,443.20 |
$17,443.20 |
6.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$8,721.60 |
$8,721.60 |
6.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$75,843 |
$75,843 |
6.7× |
| Tibial Arthroscopy/Surgery (29855) |
$23,257.60 |
$23,257.60 |
3.7× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$8,144 |
$8,144 |
4.5× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$23,435.94 |
$23,435.94 |
1.9× |
| Tnot elbow lateral/medial debride open (24358) |
$13,954.56 |
$13,954.56 |
4.9× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$13,954.56 |
$13,954.56 |
4.9× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$134,325.62 |
$134,325.62 |
8.7× |
| Total Knee Arthroplasty (27447) |
$104,659.20 |
$104,659.20 |
9.3× |
| Tracheostomy planned (31600) |
$18,431 |
$18,431 |
6.3× |
| Transfer skin pedicle flap (15650) |
$11,628.80 |
$11,628.80 |
6.4× |
| Transfer, free toe joint, with microvascular anastomosis Facility (26556) |
$17,443.20 |
$17,443.20 |
2.7× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$17,443.20 |
$17,443.20 |
6.1× |
| Transplant hand tendon (26480) |
$11,628.80 |
$11,628.80 |
4.1× |
| Transplant of thigh tendon (27396) |
$40,576 |
$40,576 |
6.4× |
| Transplant/graft hand tendon (26483) |
$11,628.80 |
$11,628.80 |
4.1× |
| Transplant/graft palm tendon (26489) |
$11,628.80 |
$11,628.80 |
4.1× |
| Treat ankle dislocation (27848) |
$33,636 |
$33,636 |
5.3× |
| Treat ankle fracture (28445) |
$23,257.60 |
$23,257.60 |
3.7× |
| Treat Big Toe Fracture (28505) |
$23,257.60 |
$23,257.60 |
8.1× |
| Treat dislocation/fracture (23670) |
$23,257.60 |
$23,257.60 |
3.7× |
| Treat dislocation/fracture (23680) |
$78,543 |
$78,543 |
7.0× |
| Treat elbow fracture (24586) |
$29,072 |
$29,072 |
2.6× |
| Treat Elbow Fracture (24635) |
$29,072 |
$29,072 |
4.6× |
| Treat elbow fracture (24587) |
$19,825 |
$19,825 |
1.8× |
| Treat Finger Fracture Each (26727) |
$18,259.61 |
$18,259.61 |
6.4× |
| Treat forearm bone lesion (25035) |
$11,628.80 |
$11,628.80 |
1.8× |
| Treat fracture radius/ulna (25575) |
$17,443.20 |
$17,443.20 |
2.7× |
| Treat Fx Rad Extra-Articul (25607) |
$40,575.78 |
$40,575.78 |
6.4× |
| Treat Hand Bone Lesion (26034) |
$17,443.20 |
$17,443.20 |
12.4× |
Treat Humerus Fracture (24505)
range across 2 matching MRF lines |
$8,800–$17,443.20 |
$8,800–$17,443.20 |
varies |
| Treat humerus fracture (23616) |
$29,072 |
$29,072 |
1.9× |
Treat humerus fracture (23600)
range across 2 matching MRF lines |
$1,350–$2,250 |
$1,350–$2,250 |
varies |
| Treat knee fracture (27532) |
$17,443.20 |
$17,443.20 |
6.1× |
| Treat kneecap dislocation (27566) |
$54,604.28 |
$54,604.28 |
8.6× |
| Treat Kneecap Fracture (27524) |
$17,443.20 |
$17,443.20 |
2.7× |
| Treat Knuckle Dislocation (26700) |
$1,172.52 |
$1,172.52 |
5.4× |
| Treat lower leg bone lesion (27607) |
$11,628.80 |
$11,628.80 |
4.1× |
| Treat lower leg dislocation (27832) |
$23,257.60 |
$23,257.60 |
3.7× |
| Treat metacarpal fracture (26607) |
$11,628.80 |
$11,628.80 |
4.1× |
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines |
$879.20–$23,257.60 |
$879.20–$23,257.60 |
varies |
| Treat midfoot fracture (28456) |
$23,257.60 |
$23,257.60 |
3.7× |
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines |
$1,301.96–$2,603.92 |
$1,301.96–$2,603.92 |
varies |
Treat Thumb Fracture (26645)
range across 2 matching MRF lines |
$1,494.36–$2,988.72 |
$1,494.36–$2,988.72 |
varies |
| Treat thumb fracture (26665) |
$23,257.60 |
$23,257.60 |
8.1× |
| Treat toe dislocation (28630) |
$1,269.87 |
$1,269.87 |
5.9× |
| Treat/graft heel fracture (28420) |
$23,257.60 |
$23,257.60 |
2.1× |
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines |
$5,900–$13,954.56 |
$5,900–$13,954.56 |
varies |
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines |
$1,408.08–$2,816.16 |
$1,408.08–$2,816.16 |
varies |
| Treatment of ankle fracture (27823) |
$40,575.78 |
$40,575.78 |
6.4× |
| Treatment of foot infection (28003) |
$11,628.80 |
$11,628.80 |
4.1× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$34,886.40 |
$34,886.40 |
5.5× |
| Treatment of nose fracture (21330) |
$33,523 |
$33,523 |
6.5× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$29,072 |
$29,072 |
10.1× |
| Treatment of slipped femoral epiphysis; by traction, without reduction Facility (27175) |
$29,072 |
$29,072 |
10.1× |
| Treatment of tibia fracture (27756) |
$17,443.20 |
$17,443.20 |
2.7× |
Trim skin lesion (11055)
range across 2 matching MRF lines |
$62.76–$4,360.80 |
$62.76–$4,360.80 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$4,360.80 |
$4,360.80 |
24.8× |
| Trim skin lesions over 4 (11057) |
$4,360.80 |
$4,360.80 |
24.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$4,360.80 |
$4,360.80 |
84.3× |
| Tx Gastro Intub W/Asp (43753) |
$1,686 |
$1,686 |
8.9× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$29,072 |
$29,072 |
2.6× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$34,886.40 |
$34,886.40 |
5.5× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$17,443.20 |
$17,443.20 |
12.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$17,443.20 |
$17,443.20 |
12.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$23,257.60 |
$23,257.60 |
16.5× |
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines |
$3,563.70–$5,814.40 |
$3,563.70–$5,814.40 |
varies |
| Tx superficial wound dehiscence w/packing (12021) |
$2,288.48 |
$2,288.48 |
6.4× |
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines |
$1,033.36–$7,651.80 |
$1,033.36–$7,651.80 |
varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$23,257.60 |
$23,257.60 |
107.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$23,257.60 |
$23,257.60 |
2.1× |
| Tympanoplasty (69631) |
$23,257.60 |
$23,257.60 |
4.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$23,257.60 |
$23,257.60 |
4.5× |
| Unlisted laparoscopic procedure liver (47379) |
$23,257.60 |
$23,257.60 |
4.4× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$23,257.60 |
$23,257.60 |
4.4× |
| Unlisted procedure anus (46999) |
$24,268.80 |
$24,268.80 |
29.8× |
| Unlisted procedure arthroscopy (29999) |
$17,443 |
$17,443 |
80.7× |
| Unlisted Procedure Casting/Strapping (29799) |
$894.13 |
$894.13 |
6.3× |
| Unlisted procedure femur or knee (27599) |
$23,257.60 |
$23,257.60 |
107.6× |
| Unlisted procedure foot or toes (28899) |
$5,580.84 |
$5,580.84 |
25.8× |
| Unlisted procedure forearm or wrist (25999) |
$11,628.60 |
$11,628.60 |
53.8× |
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines |
$200.75–$1,606 |
$200.75–$1,606 |
varies |
| Unlisted procedure humerus/elbow (24999) |
$6,669.48 |
$6,669.48 |
30.9× |
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines |
$265.40–$8,537.88 |
$265.40–$8,537.88 |
varies |
| Unlisted Procedure Muscskeletal System General (20999) |
$3,033.60 |
$3,033.60 |
14.0× |
| Unlisted procedure nervous system (64999) |
$6,067.20 |
$6,067.20 |
22.6× |
| Unlisted procedure pelvis/hip joint (27299) |
$69,000 |
$69,000 |
319.2× |
| Unlisted procedure shoulder (23929) |
$10,112 |
$10,112 |
46.8× |
| Unlisted procedure spine (22899) |
$23,257.60 |
$23,257.60 |
107.6× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$1,162.20 |
$1,162.20 |
5.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$10,000 |
$10,000 |
18.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$8,234.45 |
$8,234.45 |
4.5× |
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines |
$2,288.48–$4,360.80 |
$2,288.48–$4,360.80 |
varies |
| Wound Prep F/N/Hf/G (15004) |
$5,814.40 |
$5,814.40 |
16.3× |
| Wound Prep Trk/Arm/Leg (15002) |
$10,586.89 |
$10,586.89 |
16.3× |
| Wrist arthroscopy (29840) |
$11,628.80 |
$11,628.80 |
4.1× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$17,443.20 |
$17,443.20 |
6.1× |
| Xfer Single Deep Low Leg Tendon (27691) |
$54,604.28 |
$54,604.28 |
8.6× |