| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$3,130.28 |
$8,432.53 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$805.43 |
$2,561.45 |
1.0× |
| Abdomen Surgery Procedure (22999) |
$219.05 |
$6,478 |
1.0× |
| Ablate inf turbinate submuc (30802) |
$1,377.85 |
$4,397.74 |
1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,377.85 |
$4,397.74 |
1.0× |
| Abrasion single lesion (15786) |
$178.17 |
$569.48 |
1.0× |
| Acne surgery (10040) |
$178.17 |
$569.48 |
1.0× |
| Acromiopl/Acromionect Partial (23130) |
$2,905.62 |
$7,647.28 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,832.25 |
$5,288.79 |
1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,832.25 |
$5,288.79 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,146.92 |
$8,317.29 |
1.0× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$1,832.25 |
$5,288.79 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,832.25 |
$5,288.79 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,832.25 |
$5,288.79 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,832.25 |
$5,288.79 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,832.25 |
$5,288.79 |
1.0× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$6,443.71 |
$12,811.80 |
1.0× |
| Amniocentesis therapeutic (59001) |
$270.61 |
$541.19 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amputation Foot Midtarsal (28800) |
$2,905.62 |
$8,400 |
1.0× |
| Amputation foot transmetarsal (28805) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$2,905.62 |
$6,187.13 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amputation, arm through humerus; with primary closure Facility (24900) |
$11,401.09 |
$7,647.28 |
1.0× |
| Amputation, forearm, through radius and ulna; Facility (25900) |
$6,443.71 |
$7,647.28 |
1.0× |
| Amputation, forearm, through radius and ulna; re-amputation Facility (25909) |
$6,443.71 |
$12,811.80 |
1.0× |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
$2,905.62 |
$7,647.28 |
1.0× |
| Amputation, leg, through tibia and fibula; (27880) |
$6,443.71 |
$1,050 |
1.0× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,905.62 |
$1,050 |
1.0× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$2,905.62 |
$7,647.28 |
1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$272.75 |
$603.75 |
1.0× |
| Anal/Urinary Muscle Study (51784) |
$114.27 |
$1,254.59 |
1.0× |
| Ankle Arthroscopy/Surgery (29892) |
$6,443.71 |
$12,811.80 |
1.0× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$2,464.86 |
$6,548.65 |
1.0× |
| Anorectal myomectomy (45108) |
$2,464.86 |
$6,548.65 |
1.0× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$825.83 |
$2,489.61 |
1.0× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$2,464.86 |
$6,548.65 |
1.0× |
| Anoscopy Ablation Lesion (46615) |
$2,464.86 |
$6,548.65 |
1.0× |
| Anoscopy Control Bleeding (46614) |
$1,062.65 |
$3,272.92 |
1.0× |
| Anoscopy diagnostic (46600) |
$118.15 |
$355.35 |
1.0× |
| Anoscopy remove lesion (46610) |
$2,464.86 |
$6,548.65 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$825.83 |
$2,489.61 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,062.65 |
$1,531.54 |
1.0× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,062.65 |
$3,272.92 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,464.86 |
$6,548.65 |
1.0× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$4,442.31 |
$1,050 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$4,442.31 |
$11,932.88 |
1.0× |
| Anterior Tibial Tubercleplasty (27418) |
$6,443.71 |
$12,811.80 |
1.0× |
| Apheresis Platelets (36513) |
$391.77 |
$1,264.69 |
1.0× |
| Appendectomy (44950) |
$5,748.92 |
$8,686.18 |
1.0× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$144.30 |
$336.93 |
1.0× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,427.94 |
$4,417.46 |
1.0× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$248.37 |
$336.93 |
1.0× |
| Application cast elbow finger short arm (29075) |
$248.37 |
$336.93 |
1.0× |
| Application Cast Finger (29086) |
$144.30 |
$336.93 |
1.0× |
| Application finger splint static (29130) |
$118.15 |
$336.93 |
1.0× |
| Application Halo Cranial Including Removal (20661) |
$1,427.94 |
$1,050 |
1.0× |
| Application Hip Spica Cast 1 Leg (29305) |
$248.37 |
$336.93 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$144.30 |
$336.93 |
1.0× |
| Application Long Leg Splint (29505) |
$144.30 |
$336.93 |
1.0× |
| Application multiplane external fixation system (20692) |
$11,401.09 |
$19,947.33 |
1.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$248.37 |
$336.93 |
1.0× |
| Application of halo, including removal; femoral Facility (20663) |
$2,905.62 |
$7,647.28 |
1.0× |
| Application of long leg cast (29345) |
$248.37 |
$336.93 |
1.0× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$24,095.73 |
$26,727.97 |
1.0× |
| Application of pelvis brace (20662) |
$1,427.94 |
$4,417.46 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$118.15 |
$336.93 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$118.15 |
$336.93 |
1.0× |
| Application short leg splint calf foot (29515) |
$144.30 |
$213.15 |
1.0× |
| Application uniplane external fixation system (20690) |
$6,443.71 |
$12,811.80 |
1.0× |
| Apply hand/wrist cast (29085) |
$144.30 |
$336.93 |
1.0× |
| Apply long arm cast (29065) |
$248.37 |
$336.93 |
1.0× |
| Apply Short Leg Cast (29405) |
$248.37 |
$336.93 |
1.0× |
| Apply short leg cast (29425) |
$248.37 |
$336.93 |
1.0× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$2,803.93 |
$7,741.79 |
1.0× |
| Arterial puncture (36600) |
$118.15 |
— |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$2,803.93 |
$7,741.79 |
1.0× |
| Artery-vein autograft (36825) |
$4,941.41 |
$12,839.81 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$11,401.09 |
$15,324.59 |
1.0× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$11,401.09 |
$10,257.03 |
1.0× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$272.58 |
$710.88 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$272.58 |
$710.88 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$272.58 |
$947.10 |
1.0× |
| Arthrodesis ankle open (27870) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrodesis Glenohumeral Joint (23800) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,443.71 |
$9,396.19 |
1.0× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrodesis Pantalar (28705) |
$15,570.49 |
$26,727.97 |
1.0× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$24,095.73 |
$11,176.49 |
1.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$15,570.49 |
$15,597.91 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$15,570.49 |
$26,727.97 |
1.0× |
| Arthrodesis subtalar (28725) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrodesis triple (28715) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$24,095.73 |
$13,515.13 |
1.0× |
| Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrodesis, hip joint (including obtaining graft); Facility (27284) |
$11,401.09 |
$1,050 |
1.0× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroplasty Ankle (27700) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$24,095.73 |
— |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$15,570.49 |
$19,947.33 |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$11,401.09 |
$12,811.80 |
1.0× |
| Arthroplasty interphalangeal joint each (26535) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroplasty Patella W/Prosthesis (27438) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty radial head (24365) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty Radial Head W/Implant (24366) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$15,570.49 |
$26,727.97 |
1.0× |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$15,570.49 |
$26,727.97 |
1.0× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
$15,570.49 |
$26,727.97 |
1.0× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty, knee, tibial plateau; Facility (27440) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroplasty, patella; without prosthesis (27437) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroplasty, temporomandibular joint, with allograft Facility (21242) |
$5,256.97 |
$13,550.33 |
1.0× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$5,256.97 |
$13,550.33 |
1.0× |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) |
$24,095.73 |
$26,727.97 |
1.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,427.94 |
$4,417.46 |
1.0× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy hip w/femoroplasty (29914) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$1,427.94 |
$4,417.46 |
1.0× |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
$2,905.62 |
$6,478 |
1.0× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$1,427.94 |
$4,417.46 |
1.0× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$1,427.94 |
$4,417.46 |
1.0× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy wrist joint with synovectomy (25105) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$2,905.62 |
$4,417.46 |
1.0× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$6,443.71 |
$1,050 |
1.0× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy, temporomandibular joint Facility (21010) |
$2,944.22 |
$7,317.19 |
1.0× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$2,905.62 |
$12,811.80 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$11,401.09 |
$26,247.33 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$11,401.09 |
$19,947.33 |
1.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,427.94 |
$4,417.46 |
1.0× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$2,905.62 |
$8,103.05 |
1.0× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,427.94 |
$4,417.46 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$2,905.62 |
$7,647.28 |
1.0× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$6,443.71 |
$12,811.80 |
1.0× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$2,905.62 |
$7,647.28 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$557.06 |
$2,054.94 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$272.58 |
$456.42 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,856.32 |
$2,614.76 |
1.0× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$2,049.41 |
$6,589.59 |
1.0× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
$5,256.97 |
$13,550.33 |
1.0× |
| Autologous Chondrocyte Implantation Knee (27412) |
$6,443.71 |
$12,811.80 |
1.0× |
| Av Fistula Revision Open (36832) |
$4,941.41 |
$12,839.81 |
1.0× |
| Av fusion/forearm vein (36820) |
$4,941.41 |
$12,839.81 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$178.17 |
$569.48 |
1.0× |
| Axillary lymphadenectomy; complete (38745) |
$5,368.59 |
$13,503.35 |
1.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$5,748.92 |
$8,686.18 |
1.0× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$9,439.57 |
$13,503.35 |
1.0× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$5,748.92 |
$8,686.18 |
1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$5,748.92 |
$8,686.18 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy bone open deep (20245) |
$2,579.46 |
$6,478 |
1.0× |
| Biopsy bone open superficial (20240) |
$2,579.46 |
$6,478 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy External Auditory Canal (69105) |
$1,377.85 |
$4,397.74 |
1.0× |
| Biopsy external ear (69100) |
$210.33 |
$663.69 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Muscle Superficial (20200) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy nail unit (11755) |
$628.84 |
$1,988.13 |
1.0× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$2,944.22 |
$7,317.19 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$3,477.01 |
$8,463.28 |
1.0× |
| Biopsy of cornea (65410) |
$2,111.27 |
$6,307.15 |
1.0× |
| Biopsy of epididymis (54800) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy of foot joint lining (28052) |
$2,905.62 |
$7,647.28 |
1.0× |
| Biopsy of foot joint lining (28050) |
$2,905.62 |
$7,647.28 |
1.0× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$805.43 |
$2,561.45 |
1.0× |
| Biopsy of lacrimal gland (68510) |
$2,111.27 |
$6,307.15 |
1.0× |
| Biopsy of lip (40490) |
$210.33 |
$682.50 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,466.66 |
$1,282.66 |
1.0× |
| Biopsy of nerve (64795) |
$1,734.07 |
$5,603.66 |
1.0× |
| Biopsy of palate, uvula (42100) |
$1,377.85 |
$4,397.74 |
1.0× |
| Biopsy of penis (54100) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy of penis; deep structures (54105) |
$2,579.46 |
$6,478 |
1.0× |
| Biopsy of rectum (45100) |
$2,464.86 |
$6,548.65 |
1.0× |
| Biopsy of tear sac (68525) |
$2,111.27 |
$6,307.15 |
1.0× |
| Biopsy of toe joint lining (28054) |
$2,905.62 |
$7,647.28 |
1.0× |
| Biopsy of upper nose/throat (42806) |
$2,944.22 |
$7,317.19 |
1.0× |
| Biopsy of urethra (53200) |
$1,856.32 |
$5,018.34 |
1.0× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$3,477.01 |
$8,463.28 |
1.0× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$3,477.01 |
$8,463.28 |
1.0× |
| Biopsy Oropharynx (42800) |
$1,377.85 |
$4,397.74 |
1.0× |
| Biopsy ovary uni/bi separate procedure (58900) |
$2,874.65 |
$6,978.64 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$3,130.28 |
$5,773.79 |
1.0× |
| Biopsy Salivary Gland Incisional (42405) |
$1,377.85 |
$4,397.74 |
1.0× |
| Biopsy soft tissue back/flank deep (21925) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$2,579.46 |
$6,478 |
1.0× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$2,579.46 |
$6,478 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,579.46 |
$4,473.55 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,466.66 |
$7,647.28 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,579.46 |
$6,478 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,466.66 |
$4,473.55 |
1.0× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$3,130.28 |
$8,432.53 |
1.0× |
| Biopsy Testis Needle Separate Procedure (54500) |
$2,579.46 |
$6,478 |
1.0× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$478.94 |
$1,439.64 |
1.0× |
| Biopsy Tongue Posterior One-Third (41105) |
$2,944.22 |
$7,317.19 |
1.0× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,874.65 |
$6,978.64 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$817.92 |
$2,080.85 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$817.92 |
$2,080.85 |
1.0× |
| Biopsy, vestibule of mouth (40808) |
$478.94 |
$1,439.64 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,477.01 |
$8,463.28 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$619.22 |
$846.18 |
1.0× |
| Bladder Irrigation (51700) |
$221.87 |
$744.08 |
1.0× |
| Blepharoplasty Lower Eyelid (15820) |
$1,832.25 |
$5,288.79 |
1.0× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$1,832.25 |
$5,288.79 |
1.0× |
| Blepharoplasty upper eyelid (15822) |
$1,832.25 |
$5,288.79 |
1.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,832.25 |
$5,288.79 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$281.86 |
$881.57 |
1.0× |
| Blood Transfusion Service (36430) |
$391.77 |
$823.20 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$391.77 |
$1,264.69 |
1.0× |
| Bone Graft Any Donor Area Major/Large (20902) |
$6,443.71 |
$12,811.80 |
1.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$6,443.71 |
$12,811.80 |
1.0× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$6,443.71 |
$1,050 |
1.0× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
$6,443.71 |
$1,050 |
1.0× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$6,443.71 |
$1,050 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,466.66 |
$4,473.55 |
1.0× |
| Bone marrow harvest allogen (38230) |
$1,383.04 |
$4,313.90 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,466.66 |
$4,473.55 |
1.0× |
| Breast augmentation with implant (19325) |
$7,258.19 |
$6,825 |
1.0× |
| Breast Reduction (19318) |
$5,896.64 |
$9,380.77 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,310.87 |
$8,204.49 |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,310.87 |
$8,204.49 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,580.60 |
$4,662.61 |
1.0× |
| Bronchoscopy Dilate W/Stent (31631) |
$6,267.21 |
$15,198.07 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$347.32 |
$1,231.61 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,580.60 |
$4,662.61 |
1.0× |
| Bronchoscopy W/Excision Tumor (31640) |
$3,310.87 |
$8,204.49 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,580.60 |
$4,662.61 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,310.87 |
$8,204.49 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,310.87 |
$8,204.49 |
1.0× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$2,579.46 |
$6,478 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,466.66 |
$4,473.55 |
1.0× |
| Bx Cervix (57500) |
$817.92 |
$2,080.85 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,477.01 |
$8,463.28 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$3,477.01 |
$8,463.28 |
1.0× |
| Canthoplasty (67950) |
$2,111.27 |
$6,307.15 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$2,111.27 |
$6,307.15 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,905.62 |
$3,502.16 |
1.0× |
| Capsular contracture release (23020) |
$2,905.62 |
$6,478 |
1.0× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,427.94 |
$4,417.46 |
1.0× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,905.62 |
$7,647.28 |
1.0× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$2,905.62 |
$7,647.28 |
1.0× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$6,443.71 |
$12,811.80 |
1.0× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$6,443.71 |
$12,811.80 |
1.0× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$6,443.71 |
$12,811.80 |
1.0× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$6,443.71 |
$12,811.80 |
1.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$1,427.94 |
$4,417.46 |
1.0× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$1,427.94 |
$4,417.46 |
1.0× |
| Capsulotomy Midtarsal (28264) |
$1,427.94 |
$4,417.46 |
1.0× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$2,905.62 |
$7,647.28 |
1.0× |
| Capsulotomy wrist (25085) |
$2,905.62 |
$7,647.28 |
1.0× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$2,905.62 |
$7,647.28 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,734.07 |
$5,603.66 |
1.0× |
| Carpectomy All Bones Proximal Row (25215) |
$2,905.62 |
$7,647.28 |
1.0× |
| Cartilage graft; costochondral (20910) |
$656.32 |
$1,619.88 |
1.0× |
| Cataract surg w/iol 1 stage (66983) |
$2,049.41 |
$6,589.59 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$194.46 |
$599.56 |
1.0× |
| Catheterization with bronchial brush biopsy Facility (31717) |
$347.32 |
$1,231.61 |
1.0× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$270.61 |
$882.33 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$2,874.65 |
$6,978.64 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,874.65 |
$6,978.64 |
1.0× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$2,874.65 |
$6,978.64 |
1.0× |
| Cerv artific diskectomy (22856) |
$15,570.49 |
$26,727.97 |
1.0× |
| Cervical lymphadenectomy (complete) (38720) |
$5,896.64 |
$17,424.28 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$619.22 |
$1,813.83 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$221.87 |
$261.64 |
1.0× |
| Chemical Cautery Tissue (17250) |
$178.17 |
$569.48 |
1.0× |
| Chemical peel face dermal (15789) |
$656.32 |
$1,619.88 |
1.0× |
| Chemical peel nonfacial dermal (15793) |
$361 |
$1,041.34 |
1.0× |
| Chemical peel, facial; epidermal (15788) |
$361 |
$569.48 |
1.0× |
| Chemodenerv Musc Migraine (64615) |
$272.58 |
$2,585.75 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$272.58 |
$1,916.99 |
1.0× |
| Chest tube placement (32551) |
$1,397.89 |
$5,316.14 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$1,856.32 |
$5,773.79 |
1.0× |
| Ciliary body destruction; cryotherapy Facility (66720) |
$2,111.27 |
$6,307.15 |
1.0× |
| Ciliary body destruction; cyclodialysis Facility (66740) |
$2,111.27 |
$6,307.15 |
1.0× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$2,111.27 |
$6,307.15 |
1.0× |
| Circumcision 28 days or older (54161) |
$1,856.32 |
$5,773.79 |
1.0× |
| Circumcision Neonate (54160) |
$619.22 |
$1,813.83 |
1.0× |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
$3,491.19 |
$8,735.69 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,427.94 |
$702.81 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,427.94 |
$4,417.46 |
1.0× |
| Claviculectomy partial (23120) |
$2,905.62 |
$12,811.80 |
1.0× |
| Claviculectomy; total (23125) |
$2,905.62 |
$7,647.28 |
1.0× |
| Clear outer ear canal (69200) |
$118.15 |
$355.35 |
1.0× |
| Close mastoid fistula (69700) |
$1,377.85 |
$4,397.74 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$2,905.62 |
$7,647.28 |
1.0× |
| Closed rx talotarsal disloc,anesth (28575) |
$2,905.62 |
$7,647.28 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$219.05 |
$702.81 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$219.05 |
$702.81 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$219.05 |
$702.81 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$219.05 |
$702.81 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$219.05 |
$702.81 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$219.05 |
$702.81 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$219.05 |
$702.81 |
1.0× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$1,377.85 |
$4,397.74 |
1.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,377.85 |
$4,397.74 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$478.94 |
$1,439.64 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,256.97 |
$13,550.33 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,377.85 |
$4,397.74 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,944.22 |
$7,317.19 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$2,944.22 |
$7,317.19 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$219.05 |
$702.81 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$219.05 |
$702.81 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$219.05 |
$12,811.80 |
1.0× |
| Closed tx septal&nose fx (21337) |
$2,944.22 |
$7,317.19 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$219.05 |
$4,417.46 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$219.05 |
$702.81 |
1.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$219.05 |
$702.81 |
1.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,377.85 |
$4,397.74 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,427.94 |
$4,417.46 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$219.05 |
$702.81 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$219.05 |
$702.81 |
1.0× |
| Closure Gastrostomy Surg (43870) |
$3,423.76 |
$8,378.16 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$210.33 |
$663.69 |
1.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$478.94 |
$1,439.64 |
1.0× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$3,130.28 |
$8,432.53 |
1.0× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$2,874.65 |
$6,978.64 |
1.0× |
| Closure of salivary fistula (42600) |
$2,944.22 |
$7,317.19 |
1.0× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$4,761.42 |
$8,432.39 |
1.0× |
| Closure of urethrovaginal fistula; Facility (57310) |
$6,585.10 |
$14,357.39 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$219.05 |
$702.81 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$219.05 |
$12,811.80 |
1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,427.94 |
$702.81 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$219.05 |
$19,947.33 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$478.94 |
$1,439.64 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,427.94 |
$702.81 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$219.05 |
$12,811.80 |
1.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,427.94 |
$12,811.80 |
1.0× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$2,464.86 |
$6,548.65 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$219.05 |
$702.81 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$219.05 |
$702.81 |
1.0× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$219.05 |
$702.81 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$219.05 |
$702.81 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$219.05 |
$702.81 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$219.05 |
$702.81 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$219.05 |
$702.81 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$219.05 |
$702.81 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$219.05 |
$702.81 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$219.05 |
$702.81 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$219.05 |
$702.81 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$219.05 |
$702.81 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$219.05 |
$702.81 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$219.05 |
$702.81 |
1.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$219.05 |
$26,727.97 |
1.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$219.05 |
$702.81 |
1.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,427.94 |
$702.81 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$219.05 |
$702.81 |
1.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$219.05 |
$702.81 |
1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$219.05 |
$702.81 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$248.37 |
$749.03 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$219.05 |
$721.10 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Medial Ankle Fx (27760) |
$219.05 |
$702.81 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$219.05 |
$702.81 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$219.05 |
$702.81 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$219.05 |
$702.81 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$219.05 |
$702.81 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$219.05 |
$702.81 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$219.05 |
$702.81 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,427.94 |
$702.81 |
1.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$2,905.62 |
$7,647.28 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$219.05 |
$702.81 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$219.05 |
$702.81 |
1.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,427.94 |
$12,811.80 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,427.94 |
$12,811.80 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$219.05 |
$702.81 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$219.05 |
$702.81 |
1.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$2,905.62 |
$7,647.28 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$219.05 |
$702.81 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$219.05 |
$702.81 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$219.05 |
$702.81 |
1.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$219.05 |
$702.81 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,427.94 |
$4,417.46 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$219.05 |
$702.81 |
1.0× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$2,905.62 |
$7,647.28 |
1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$4,442.31 |
$11,932.88 |
1.0× |
| Coccygectomy, primary (27080) |
$2,905.62 |
$7,647.28 |
1.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,062.65 |
$3,272.92 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,062.65 |
$7,171.44 |
1.0× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$825.83 |
$6,614.97 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,062.65 |
$4,085.38 |
1.0× |
| Colonoscopy thru stoma (44388) |
$825.83 |
$5,562.05 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,062.65 |
$6,926.38 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,062.65 |
$2,483.65 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,062.65 |
$2,742.73 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,062.65 |
$6,851.08 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,062.65 |
$2,594.68 |
1.0× |
| Colpocentesis (57020) |
$4,442.31 |
$11,932.88 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$4,442.31 |
$11,932.88 |
1.0× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$2,874.65 |
$6,978.64 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$6,585.10 |
$14,357.39 |
1.0× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$6,585.10 |
$12,257.39 |
1.0× |
| Colporrhaphy (57200) |
$2,874.65 |
$6,978.64 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$270.61 |
$882.33 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$179.53 |
$389.26 |
1.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$270.61 |
$382.88 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,874.65 |
$6,978.64 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$2,874.65 |
$6,978.64 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$270.61 |
$689.20 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$817.92 |
$682.50 |
1.0× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$2,874.65 |
$6,978.64 |
1.0× |
| Colpotomy; with exploration (57000) |
$2,874.65 |
$6,978.64 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,062.65 |
$7,339.90 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,062.65 |
$2,742.73 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,062.65 |
$2,608.48 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,442.31 |
$11,932.88 |
1.0× |
| Complex Cystometrogram (51726) |
$221.87 |
$2,732.51 |
1.0× |
| Complex drainage wound (10180) |
$2,579.46 |
$6,478 |
1.0× |
| Composite Skin Graft (15760) |
$1,832.25 |
$5,288.79 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$2,874.65 |
$6,978.64 |
1.0× |
| Conization of cervix (57520) |
$2,874.65 |
$6,978.64 |
1.0× |
| Conjunctival Flap Total (68362) |
$2,111.27 |
$6,307.15 |
1.0× |
| Conjunctivoplasty W/Buccal Muc Memb Graft (68325) |
$3,491.19 |
$8,735.69 |
1.0× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$2,111.27 |
$6,307.15 |
1.0× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$3,491.19 |
$8,735.69 |
1.0× |
| Conjunctivorhinostomy W/O Tube (68745) |
$3,491.19 |
$8,735.69 |
1.0× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$2,111.27 |
$6,307.15 |
1.0× |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
$2,111.27 |
$6,307.15 |
1.0× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$2,944.22 |
$7,317.19 |
1.0× |
| Construct thumb replacement (26550) |
$2,905.62 |
$7,647.28 |
1.0× |
| Contour cranial bone lesion (21181) |
$5,256.97 |
$13,550.33 |
1.0× |
| Contour of face bone lesion (21029) |
$2,944.22 |
$7,317.19 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$118.15 |
$355.35 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$118.15 |
$355.35 |
1.0× |
| Control nose/throat bleeding (42972) |
$2,944.22 |
$7,317.19 |
1.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$478.94 |
$1,439.64 |
1.0× |
| Corneal transplant (65710) |
$4,725.46 |
$10,666.80 |
1.0× |
| Corneal Transplant,Penetrat,Aphakia (65750) |
$4,725.46 |
$10,666.80 |
1.0× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$3,130.28 |
$8,432.53 |
1.0× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$3,130.28 |
$5,773.79 |
1.0× |
| Correction claw finger, other methods Facility (26499) |
$2,905.62 |
$7,647.28 |
1.0× |
| Correction hammertoe (28285) |
$2,905.62 |
$5,381.25 |
1.0× |
| Correction of inverted nipples (19355) |
$3,477.01 |
$8,463.28 |
1.0× |
| Correction of lid retraction (67911) |
$2,111.27 |
$6,307.15 |
1.0× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$885.25 |
$2,630.05 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,905.62 |
$8,263.50 |
1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,905.62 |
$9,791.25 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$11,401.09 |
$12,811.80 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$6,443.71 |
$6,849.94 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$2,905.62 |
$7,633.50 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$6,443.71 |
$8,151.08 |
1.0× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$2,111.27 |
— |
1.0× |
| Costotransversectomy (separate procedure) Facility (21610) |
$2,905.62 |
$7,647.28 |
1.0× |
| Create Eardrum Opening (69433) |
$478.94 |
$1,439.64 |
1.0× |
| Create Tear Sac-Nasal Fistula (68720) |
$3,491.19 |
$8,735.69 |
1.0× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$1,734.07 |
$5,603.66 |
1.0× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$1,734.07 |
$5,603.66 |
1.0× |
| Cricopharyngeal myotomy (43030) |
$5,256.97 |
$13,550.33 |
1.0× |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
$885.25 |
$2,630.05 |
1.0× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$2,905.62 |
$7,647.28 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$4,941.41 |
$12,839.81 |
1.0× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$210.33 |
$663.69 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$118.15 |
$355.35 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$210.33 |
$663.69 |
1.0× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$2,944.22 |
$7,317.19 |
1.0× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$825.83 |
$2,489.61 |
1.0× |
| Curettage postpartum (59160) |
$2,874.65 |
$6,978.64 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,856.32 |
$3,190.70 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,856.32 |
$4,743.93 |
1.0× |
| Cysto w/complex removal stone & stent (52315) |
$1,856.32 |
$4,562.71 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,130.28 |
$4,849.88 |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$4,761.42 |
$7,400 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,130.28 |
$9,217.31 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,130.28 |
$1,735.74 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,130.28 |
$4,958.35 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,130.28 |
$5,514.82 |
1.0× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$3,130.28 |
$5,475.26 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,856.32 |
$4,004.97 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,130.28 |
$6,853.63 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$4,761.42 |
$6,838.32 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,130.28 |
$5,267.22 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,130.28 |
$6,902.13 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,130.28 |
$5,499.49 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,761.42 |
$8,280.51 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$4,761.42 |
$8,280.51 |
1.0× |
| Cysto/uretero w/up stricture (52345) |
$3,130.28 |
$6,902.13 |
1.0× |
| Cystolithotomy (51050) |
$4,761.42 |
$11,821.36 |
1.0× |
| Cystometrogram W/Vp (51728) |
$619.22 |
$2,732.51 |
1.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$8,406.47 |
$11,821.36 |
1.0× |
| Cystoscopy and radiotracer (52250) |
$3,130.28 |
$4,675.02 |
1.0× |
| Cystoscopy implant stent (52282) |
$3,130.28 |
$7,147.18 |
1.0× |
| Cystoscopy inject material (52327) |
$4,761.42 |
$9,737.75 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,856.32 |
$7,045.07 |
1.0× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$3,130.28 |
— |
1.0× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$3,130.28 |
$9,616.79 |
1.0× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$1,856.32 |
$5,773.79 |
1.0× |
| Cystouretero W/Congen Repr (52400) |
$3,130.28 |
$8,280.51 |
1.0× |
| Cystouretero w/excise tumor (52355) |
$4,761.42 |
$8,280.51 |
1.0× |
| Cystourethroscopy (52000) |
$619.22 |
$2,361.12 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$4,761.42 |
$9,757.17 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,130.28 |
$5,463.76 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,856.32 |
$3,588.90 |
1.0× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$619.22 |
$3,588.90 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,130.28 |
$7,754.69 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$4,761.42 |
$9,750.79 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,856.32 |
$3,882.46 |
1.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,130.28 |
$5,661.58 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$1,856.32 |
$4,243.64 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$1,856.32 |
$5,397.39 |
1.0× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,130.28 |
$5,288.91 |
1.0× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$3,130.28 |
$8,280.51 |
1.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$1,856.32 |
$3,693.56 |
1.0× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$619.22 |
$3,414.05 |
1.0× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$1,856.32 |
$5,736.90 |
1.0× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$1,856.32 |
$5,393.58 |
1.0× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$3,130.28 |
$7,147.18 |
1.0× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$1,856.32 |
$3,400 |
1.0× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$3,130.28 |
$4,847.33 |
1.0× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$4,761.42 |
$5,500.78 |
1.0× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$3,130.28 |
$5,475.26 |
1.0× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$1,856.32 |
$3,994.77 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$361 |
$1,619.88 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,579.46 |
$6,478 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$628.84 |
$1,988.13 |
1.0× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$628.84 |
$1,988.13 |
1.0× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$2,905.62 |
$7,647.28 |
1.0× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$2,905.62 |
$7,647.28 |
1.0× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$2,905.62 |
$7,647.28 |
1.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$1,734.07 |
$3,254.53 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$656.32 |
$1,619.88 |
1.0× |
| Debride nail 1-5 (11720) |
$52.39 |
$179.29 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,466.66 |
$4,473.55 |
1.0× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$478.94 |
$1,792.35 |
1.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$178.17 |
$326.70 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$361 |
$1,041.34 |
1.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,427.94 |
$4,417.46 |
1.0× |
| Decompress Fingers/Hand (26035) |
$2,905.62 |
$7,647.28 |
1.0× |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) |
$5,256.97 |
$13,550.33 |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$2,905.62 |
$7,647.28 |
1.0× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$6,443.71 |
$12,811.80 |
1.0× |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) |
$6,443.71 |
$12,811.80 |
1.0× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$2,905.62 |
$7,647.28 |
1.0× |
| Decompression of leg (27894) |
$2,905.62 |
$7,647.28 |
1.0× |
| Decompression of leg (27892) |
$2,905.62 |
$7,647.28 |
1.0× |
| Decompression of tibia nerve (28035) |
$1,734.07 |
$5,603.66 |
1.0× |
| Decompressive fasciotomy hand (26037) |
$2,905.62 |
$7,647.28 |
1.0× |
| Deep Muscle Biopsy (20205) |
$2,579.46 |
$6,478 |
1.0× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,832.25 |
$5,288.79 |
1.0× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$1,832.25 |
$5,288.79 |
1.0× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$1,832.25 |
$5,288.79 |
1.0× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$3,146.92 |
$8,317.29 |
1.0× |
| Denervation of hip joint (27035) |
$2,905.62 |
$7,647.28 |
1.0× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$3,146.92 |
$8,317.29 |
1.0× |
| Derma-fat-fascia graft (15770) |
$3,146.92 |
$8,317.29 |
1.0× |
| Dermabrasion segmental face (15781) |
$628.84 |
$1,988.13 |
1.0× |
| Dermabrasion superficial any site (15783) |
$361 |
$1,041.34 |
1.0× |
| Dermabrasion total face (15780) |
$2,579.46 |
$6,478 |
1.0× |
| Destr penis lesion(s) (54065) |
$1,832.25 |
$5,288.79 |
1.0× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$785.44 |
$2,883.12 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$1,734.07 |
$1,850.61 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,734.07 |
$1,850.61 |
1.0× |
| Destruc retinal lesn,photocoag (67210) |
$488.41 |
$1,652.18 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$178.17 |
$569.48 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$178.17 |
$569.48 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$785.44 |
$2,038.22 |
1.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$1,734.07 |
$2,807.83 |
1.0× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$785.44 |
$1,850.61 |
1.0× |
| Destruction ciliary body (66700) |
$2,049.41 |
$6,589.59 |
1.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,062.65 |
$1,850.61 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$1,832.25 |
$5,288.79 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$1,832.25 |
$5,288.79 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$178.17 |
$1,041.34 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$178.17 |
$569.48 |
1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$178.17 |
$569.48 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,734.07 |
$4,275.82 |
1.0× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$281.86 |
$881.57 |
1.0× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$3,491.19 |
$8,735.69 |
1.0× |
| Destruction of rectal tumor transanal approach (45190) |
$2,464.86 |
$6,548.65 |
1.0× |
| Destruction of skin lesions (17106) |
$361 |
$1,041.34 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$361 |
$1,041.34 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$178.17 |
— |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$2,874.65 |
$6,978.64 |
1.0× |
| Destruction Vaginal Lesions Simple (57061) |
$2,874.65 |
$6,978.64 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$825.83 |
$1,110.38 |
1.0× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,062.65 |
$3,272.92 |
1.0× |
| Dilat female urethra general/cndj spinal anes (53665) |
$1,856.32 |
$1,517.49 |
1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,062.65 |
$3,272.92 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$805.43 |
$2,561.45 |
1.0× |
| Dilate Urethra Stricture (53620) |
$619.22 |
$1,813.83 |
1.0× |
| Dilate Urethra Stricture (53600) |
$221.87 |
$1,249.49 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,874.65 |
$6,978.64 |
1.0× |
| Dilation Cervical Canal (57800) |
$2,874.65 |
$6,978.64 |
1.0× |
| Dilation Esophagus Guide Wire (43453) |
$1,704.04 |
$5,075.84 |
1.0× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$3,130.28 |
$1,438.37 |
1.0× |
| Dilation of vagina (57400) |
$2,874.65 |
$6,978.64 |
1.0× |
| Dilation Salivary Duct (42650) |
$1,377.85 |
$4,397.74 |
1.0× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$4,941.41 |
$12,839.81 |
1.0× |
| Disarticulation At Knee (27598) |
$2,905.62 |
$1,050 |
1.0× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
$1,832.25 |
$5,288.79 |
1.0× |
| Disarticulation through wrist; Facility (25920) |
$2,905.62 |
$1,050 |
1.0× |
| Disarticulation through wrist; secondary closure or scar revision Facility (25922) |
$1,427.94 |
$4,417.46 |
1.0× |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) |
$2,049.41 |
$6,589.59 |
1.0× |
| Dissection, deep jugular node(s) Facility (38542) |
$5,368.59 |
$13,503.35 |
1.0× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$5,256.97 |
$13,550.33 |
1.0× |
| Division of scalenus anticus; without resection of cervical rib Facility (21700) |
$6,443.71 |
$12,811.80 |
1.0× |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) |
$628.84 |
$1,988.13 |
1.0× |
| Division of stricture of rectum Facility (45150) |
$1,062.65 |
$3,272.92 |
1.0× |
| Division of symblepharon (68340) |
$2,111.27 |
$6,307.15 |
1.0× |
| Drain ant chmbr,remv vitreous (65810) |
$2,049.41 |
$6,589.59 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$626.84 |
$1,974.41 |
1.0× |
| Drain chest lesion (21502) |
$2,905.62 |
$7,647.28 |
1.0× |
| Drain Hand Tendon Sheath (26020) |
$2,905.62 |
$7,647.28 |
1.0× |
| Drain ovary abscess open (58820) |
$2,874.65 |
$6,978.64 |
1.0× |
| Drain shoulder bursa (23031) |
$2,579.46 |
$6,478 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$785.44 |
$2,646.61 |
1.0× |
| Drainage abscess parotid simple (42300) |
$1,377.85 |
$4,397.74 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$478.94 |
$1,439.64 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,466.66 |
$4,473.55 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$628.84 |
$1,988.13 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,466.66 |
$4,473.55 |
1.0× |
| Drainage lymph node lesion (38305) |
$2,579.46 |
$6,478 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$210.33 |
$663.69 |
1.0× |
| Drainage of eye (65800) |
$2,049.41 |
$6,589.59 |
1.0× |
| Drainage of finger abscess simple (26010) |
$178.17 |
$569.48 |
1.0× |
| Drainage of gum lesion (41800) |
$118.15 |
$355.35 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,466.66 |
$4,473.55 |
1.0× |
| Drainage of hydrocele (55000) |
$628.84 |
$342.04 |
1.0× |
| Drainage of mouth lesion (41006) |
$1,377.85 |
$4,397.74 |
1.0× |
| Drainage of mouth lesion (41017) |
$2,944.22 |
$7,317.19 |
1.0× |
| Drainage of nose lesion (30000) |
$210.33 |
$663.69 |
1.0× |
| Drainage of palmar bursa single bursa (26025) |
$2,905.62 |
$7,647.28 |
1.0× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$2,905.62 |
$7,647.28 |
1.0× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
$619.22 |
$1,813.83 |
1.0× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$1,856.32 |
$5,773.79 |
1.0× |
| Drainage of rectal abscess (45020) |
$2,464.86 |
$6,548.65 |
1.0× |
| Drainage of rectal abscess (45005) |
$1,062.65 |
$3,272.92 |
1.0× |
| Drainage of salivary cyst (42409) |
$2,944.22 |
$7,317.19 |
1.0× |
| Drainage of salivary gland (42320) |
$478.94 |
$1,439.64 |
1.0× |
| Drainage of salivary gland (42305) |
$2,944.22 |
$7,317.19 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,466.66 |
$4,473.55 |
1.0× |
| Drainage of scrotum (54700) |
$1,856.32 |
$5,773.79 |
1.0× |
| Drainage of throat abscess (42725) |
$5,256.97 |
$13,550.33 |
1.0× |
| Drainage of urethra abscess (53040) |
$3,130.28 |
$5,773.79 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$2,874.65 |
$1,050 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$2,874.65 |
$6,978.64 |
1.0× |
| Dressing Change Under Anesthesia (15852) |
$656.32 |
$1,619.88 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$478.94 |
$1,439.64 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$628.84 |
$1,988.13 |
1.0× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$478.94 |
$1,439.64 |
1.0× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$2,579.46 |
$6,478 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$361 |
$1,041.34 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$178.17 |
$569.48 |
1.0× |
| Dstrj Extensive Retinopathy (67227) |
$3,491.19 |
$8,735.69 |
1.0× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$2,944.22 |
$7,317.19 |
1.0× |
| Dstrj Lesion Anus Extensive (46924) |
$2,464.86 |
$6,548.65 |
1.0× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$361 |
$1,041.34 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$178.17 |
$569.48 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,464.86 |
$6,548.65 |
1.0× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$1,832.25 |
$5,288.79 |
1.0× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$361 |
$1,041.34 |
1.0× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$1,832.25 |
$5,288.79 |
1.0× |
| Dstrj lesion penis simple laser (54057) |
$1,832.25 |
$5,288.79 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$1,832.25 |
$5,288.79 |
1.0× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$1,734.07 |
$9,527.44 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$785.44 |
$2,027.55 |
1.0× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$785.44 |
$2,777.19 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,580.60 |
$4,662.61 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,580.60 |
$4,662.61 |
1.0× |
| Dx laryngoscopy w/oper scope (31526) |
$1,580.60 |
$4,662.61 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,704.04 |
$5,075.84 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,704.04 |
$2,123.12 |
1.0× |
| Egd cautery tumor polyp (43250) |
$1,704.04 |
$5,811.33 |
1.0× |
| Egd control bleeding any (43255) |
$1,704.04 |
$7,075.70 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,704.04 |
$5,075.84 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$805.43 |
$2,561.45 |
1.0× |
| Egd guide wire insertion (43248) |
$805.43 |
$2,561.45 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,704.04 |
$5,075.84 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,704.04 |
$5,075.84 |
1.0× |
| Egd remove lesion snare (43251) |
$1,704.04 |
$6,406.93 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$1,704.04 |
$5,075.84 |
1.0× |
| Elbow arthroscopy (29830) |
$2,905.62 |
$7,647.28 |
1.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$272.75 |
$746.62 |
1.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$272.75 |
$2,211.79 |
1.0× |
| Electro-Uroflowmetry First (51741) |
$191.75 |
$1,193.33 |
1.0× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$4,941.41 |
$12,839.81 |
1.0× |
| Endocervical curettage (57505) |
$817.92 |
$2,080.85 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,442.31 |
$11,932.88 |
1.0× |
| Endoscopic injection/implant (51715) |
$3,130.28 |
$5,704.37 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$2,905.62 |
$6,841.34 |
1.0× |
| Endoscopy of ureter (50953) |
$3,130.28 |
$8,432.53 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,704.04 |
$5,075.84 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$1,704.04 |
$5,075.84 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,803.93 |
$7,741.79 |
1.0× |
| Enterorrhaphy single perforation (44602) |
$3,423.76 |
$9,000 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,704.04 |
$1,412.25 |
1.0× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$1,704.04 |
$5,075.84 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$1,704.04 |
$5,075.84 |
1.0× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,704.04 |
$5,075.84 |
1.0× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$1,704.04 |
$5,075.84 |
1.0× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$1,704.04 |
$5,075.84 |
1.0× |
| Enucleation Eye Implt Musc X Attached Implt (65103) |
$3,491.19 |
$8,735.69 |
1.0× |
| Enucleation of Eye W/O Implant (65101) |
$3,491.19 |
$8,735.69 |
1.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,832.25 |
$5,288.79 |
1.0× |
| Epididymectomy bilateral (54861) |
$3,130.28 |
$8,432.53 |
1.0× |
| Epididymectomy unilateral (54860) |
$3,130.28 |
$6,459.26 |
1.0× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
$3,130.28 |
$8,432.53 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,832.25 |
$5,288.79 |
1.0× |
| Epidural Blood Patch (62273) |
$626.84 |
$1,687.26 |
1.0× |
| Epidural lysis mult sessions (62263) |
$785.44 |
$2,211.79 |
1.0× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$2,905.62 |
$7,647.28 |
1.0× |
| Episiotomy or vaginal repair (59300) |
$2,874.65 |
$6,978.64 |
1.0× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$5,391.12 |
$13,355.62 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,423.76 |
$8,378.16 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,423.76 |
$8,378.16 |
1.0× |
| Ercp w/pressure measurement sphincter of oddi (43263) |
$1,704.04 |
$8,378.16 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,423.76 |
$8,378.16 |
1.0× |
| Esc i p ulcer w ostect & flap (15946) |
$1,832.25 |
$5,288.79 |
1.0× |
| Escharotomy; initial incision (16035) |
$361 |
$1,041.34 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$805.43 |
$2,561.45 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscopy rigid trnso dx (43191) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscp Guide Wire Dilat (43196) |
$1,704.04 |
$8,378.16 |
1.0× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$5,256.97 |
$13,550.33 |
1.0× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esophagoscp Rig Trnso Inject (43192) |
$1,704.04 |
$5,075.84 |
1.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$1,704.04 |
$5,075.84 |
1.0× |
| Ethmoidectomy Extranasal Total (31205) |
$2,944.22 |
$7,317.19 |
1.0× |
| Ethmoidectomy Intranasal Anterior (31200) |
$5,256.97 |
$13,550.33 |
1.0× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,377.85 |
$4,397.74 |
1.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$1,466.66 |
$4,473.55 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,579.46 |
$6,478 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$628.84 |
$1,988.13 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,579.46 |
$6,478 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) |
$5,256.97 |
$13,550.33 |
1.0× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$5,256.97 |
$13,550.33 |
1.0× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,477.01 |
$8,463.28 |
1.0× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$2,111.27 |
$6,307.15 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$628.84 |
$1,988.13 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$628.84 |
$1,988.13 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$628.84 |
$1,988.13 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$628.84 |
$1,988.13 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$628.84 |
$1,988.13 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$6,443.71 |
$12,811.80 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Frenum Labial/Buccal (40819) |
$1,377.85 |
$4,397.74 |
1.0× |
| Exc ganglion wrist recurrent (25112) |
$1,427.94 |
$4,417.46 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$628.84 |
$1,988.13 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,130.28 |
$8,432.53 |
1.0× |
| Exc Lacrimal Gland Tumor Frontal Approach (68540) |
$2,111.27 |
$6,307.15 |
1.0× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$885.25 |
$2,630.05 |
1.0× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,427.94 |
$4,417.46 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,427.94 |
$4,417.46 |
1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$1,734.07 |
$5,603.66 |
1.0× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$1,734.07 |
$5,603.66 |
1.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$1,734.07 |
$5,603.66 |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,734.07 |
$5,603.66 |
1.0× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$5,256.97 |
$13,550.33 |
1.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$2,464.86 |
$6,548.65 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,464.86 |
$6,548.65 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,579.46 |
$4,473.55 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$628.84 |
$1,988.13 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,579.46 |
$5,770.60 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$2,905.62 |
$7,647.28 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,579.46 |
$6,478 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,062.65 |
$3,272.92 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$361 |
$1,041.34 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$628.84 |
$1,988.13 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,579.46 |
$4,473.55 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,579.46 |
$6,478 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,579.46 |
$6,478 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,579.46 |
$6,478 |
1.0× |
| Exc urethral diverticulum spx female (53230) |
$4,761.42 |
$6,877.88 |
1.0× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$3,130.28 |
$8,432.53 |
1.0× |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
$6,443.71 |
$12,811.80 |
1.0× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$6,443.71 |
$12,811.80 |
1.0× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$6,443.71 |
$12,811.80 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,905.62 |
$7,647.28 |
1.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,427.94 |
$4,417.46 |
1.0× |
| Exc/fulguration urethral caruncle (53265) |
$1,856.32 |
$5,773.79 |
1.0× |
| Exchange Intraocular Lens (66986) |
$2,049.41 |
$6,589.59 |
1.0× |
| Excis conjunc lesn+adj sclera (68130) |
$2,111.27 |
$6,307.15 |
1.0× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,377.85 |
$4,397.74 |
1.0× |
| Excis penile plaque (54110) |
$3,130.28 |
$8,432.53 |
1.0× |
| Excis urethral prolapse (53275) |
$3,130.28 |
$5,773.79 |
1.0× |
| Excise breast duct fistula (19112) |
$3,477.01 |
$8,463.28 |
1.0× |
| Excise excessive skin arm (15836) |
$2,579.46 |
$6,478 |
1.0× |
| Excise mandible lesion (21040) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excise Neurofibroma Extensive (64792) |
$3,033.63 |
$15,389.85 |
1.0× |
| Excise oral mucosa for graft (40818) |
$478.94 |
$1,439.64 |
1.0× |
| Excise tendon forearm/wrist (25109) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excise Wrist Tendon Sheath (25118) |
$1,427.94 |
$4,417.46 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$628.84 |
$1,988.13 |
1.0× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$2,111.27 |
$6,307.15 |
1.0× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$2,111.27 |
$6,307.15 |
1.0× |
| Excision Bone Mandible (21025) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision Chalazion Single (67800) |
$281.86 |
$881.57 |
1.0× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision Distal Ulna Partial/Complete (25240) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
$2,579.46 |
$6,478 |
1.0× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$2,579.46 |
$6,478 |
1.0× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision External Ear Partial Simple Repair (69110) |
$2,579.46 |
$6,478 |
1.0× |
| Excision external ear; complete amputation Facility (69120) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision Facial Bone (21026) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision H/P/P/U Complex Repair (11471) |
$2,579.46 |
$6,478 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,579.46 |
$6,478 |
1.0× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$2,579.46 |
$6,478 |
1.0× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$2,579.46 |
$6,478 |
1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,579.46 |
$6,478 |
1.0× |
| Excision Infected Graft Extremity (35903) |
$2,803.93 |
$7,741.79 |
1.0× |
| Excision inferior turbinate partial/complete (30130) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision Lacrimal Sac (68520) |
$3,491.19 |
$8,735.69 |
1.0× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$2,111.27 |
$6,307.15 |
1.0× |
| Excision lesion conjunctiva > 1 cm (68115) |
$2,111.27 |
$6,307.15 |
1.0× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$885.25 |
$2,630.05 |
1.0× |
| Excision lesion meniscus/capsule knee (27347) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision lesion mouth roof (42104) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,427.94 |
$4,417.46 |
1.0× |
| Excision Lesion Tongue W/O Closure (41110) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,377.85 |
$4,397.74 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$628.84 |
$1,988.13 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$628.84 |
$1,988.13 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$361 |
$1,041.34 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$628.84 |
$1,988.13 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$628.84 |
$1,988.13 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,579.46 |
$6,478 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$628.84 |
$1,988.13 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$628.84 |
$1,988.13 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision malignant tumor mandible (21044) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision Malignant Tumor Maxilla/Zygoma (21034) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,464.86 |
$6,548.65 |
1.0× |
| Excision Nasal Polyp Extensive (30115) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision nasal polyp(s) simple (30110) |
$1,377.85 |
$4,397.74 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$2,874.65 |
$6,978.64 |
1.0× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$6,443.71 |
$12,811.80 |
1.0× |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
$3,130.28 |
$8,432.53 |
1.0× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
$4,442.31 |
$11,932.88 |
1.0× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) |
$5,896.64 |
$14,630.77 |
1.0× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$3,477.01 |
$8,463.28 |
1.0× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision of extraparenchymal lesion of testis (54512) |
$3,130.28 |
$8,432.53 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,427.94 |
$4,417.46 |
1.0× |
| Excision of hydrocele; bilateral (55041) |
$3,179.49 |
$8,686.18 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,179.49 |
$8,686.18 |
1.0× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
$3,491.19 |
$8,735.69 |
1.0× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) |
$3,491.19 |
$8,735.69 |
1.0× |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
$3,491.19 |
$8,735.69 |
1.0× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of lingual tonsil (42870) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of local lesion of epididymis (54830) |
$3,130.28 |
$5,773.79 |
1.0× |
| Excision of Mullerian duct cyst Facility (55680) |
$3,130.28 |
$8,432.53 |
1.0× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,734.07 |
$5,603.66 |
1.0× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$3,033.63 |
$15,389.85 |
1.0× |
| Excision of osseous tuberosities, dentoalveolar structures (41823) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$4,761.42 |
$11,821.36 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,579.46 |
$6,478 |
1.0× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$2,464.86 |
$6,548.65 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,062.65 |
$3,272.92 |
1.0× |
| Excision of sublingual gland (42450) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision of submandibular (submaxillary) gland (42440) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of tonsil tags (42860) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$4,761.42 |
$11,821.36 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$2,874.65 |
$6,978.64 |
1.0× |
| Excision of vaginal septum (57130) |
$2,874.65 |
$6,978.64 |
1.0× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
$5,748.92 |
$8,686.18 |
1.0× |
| Excision olecranon bursa (24105) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) |
$6,443.71 |
$7,647.28 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$6,443.71 |
$12,811.80 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$6,443.71 |
$12,811.80 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
$6,443.71 |
$7,647.28 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$6,443.71 |
$12,811.80 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) |
$6,443.71 |
$12,811.80 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$6,443.71 |
$12,811.80 |
1.0× |
| Excision or fulguration; Skene's glands Facility (53270) |
$3,130.28 |
$5,773.79 |
1.0× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$3,130.28 |
$5,773.79 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,579.46 |
$6,478 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,579.46 |
$6,478 |
1.0× |
| Excision prepatellar bursa (27340) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision Radial Head (24130) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$5,896.64 |
$10,430.77 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,579.46 |
$6,478 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$1,856.32 |
$5,773.79 |
1.0× |
| Excision synovial cyst popliteal space (27345) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision tendon finger flexor/extensor each (26180) |
$1,427.94 |
$4,417.46 |
1.0× |
| Excision tendon palm flexor/extensor single each (26170) |
$1,427.94 |
$4,417.46 |
1.0× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$5,368.59 |
$13,503.35 |
1.0× |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) |
$5,368.59 |
$13,503.35 |
1.0× |
| Excision Torus Mandibularis (21031) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,579.46 |
$6,478 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,466.66 |
$6,478 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$3,146.92 |
$8,317.29 |
1.0× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,427.94 |
$4,417.46 |
1.0× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$3,146.92 |
$8,317.29 |
1.0× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$1,832.25 |
$5,288.79 |
1.0× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$5,256.97 |
$13,550.33 |
1.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$1,832.25 |
$5,288.79 |
1.0× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$3,146.92 |
$8,317.29 |
1.0× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$3,146.92 |
$8,317.29 |
1.0× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$3,146.92 |
$8,317.29 |
1.0× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$1,832.25 |
$5,288.79 |
1.0× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$3,146.92 |
$8,317.29 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,466.66 |
$4,473.55 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,579.46 |
$6,478 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,466.66 |
$6,478 |
1.0× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,427.94 |
$4,417.46 |
1.0× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$2,905.62 |
$7,647.28 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision/destruction lesion pharynx any method (42808) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$2,944.22 |
$7,317.19 |
1.0× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$2,111.27 |
$6,307.15 |
1.0× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$2,111.27 |
$6,307.15 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$2,905.62 |
$7,647.28 |
1.0× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) |
$3,491.19 |
$8,735.69 |
1.0× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
$3,491.19 |
$8,735.69 |
1.0× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$4,941.41 |
$1,050 |
1.0× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$2,803.93 |
$7,000 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,466.66 |
$4,473.55 |
1.0× |
| Exploration for undescended testis with abdominal exploration (54560) |
$1,856.32 |
$5,773.79 |
1.0× |
| Exploration maxillary sinus (31020) |
$2,944.22 |
$7,317.19 |
1.0× |
| Exploration of hip joint (27033) |
$6,443.71 |
$12,811.80 |
1.0× |
| Exploration of knee joint (27310) |
$2,905.62 |
$7,647.28 |
1.0× |
| Exploration of spinal fusion (22830) |
$6,443.71 |
$1,050 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$1,832.25 |
$5,288.79 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,466.66 |
$1,988.13 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$478.94 |
$1,439.64 |
1.0× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
$5,748.92 |
$1,050 |
1.0× |
| Exploratory elbow surgery (24000) |
$2,905.62 |
$7,647.28 |
1.0× |
| Explore eye socket,drainage (67405) |
$2,111.27 |
$6,307.15 |
1.0× |
| Explore for undescended testis (54550) |
$3,179.49 |
$8,686.18 |
1.0× |
| Explore inner ear (69806) |
$5,256.97 |
$13,550.33 |
1.0× |
| Explore inner ear (69805) |
$5,256.97 |
$13,550.33 |
1.0× |
| Explore treat shoulder joint (23107) |
$6,443.71 |
$7,647.28 |
1.0× |
| Explore/Treat Elbow Joint (24101) |
$2,905.62 |
$7,647.28 |
1.0× |
| Explore/Treat Hand Joint (26070) |
$1,427.94 |
$4,417.46 |
1.0× |
| Explore/Treat Knee Joint (27331) |
$2,905.62 |
$7,647.28 |
1.0× |
| Explore/Treat Wrist Joint (25040) |
$2,905.62 |
$7,647.28 |
1.0× |
| Extensive ear canal surgery (69150) |
$5,256.97 |
$13,550.33 |
1.0× |
| Extensive mastoid surgery (69511) |
$5,256.97 |
$13,550.33 |
1.0× |
| Extraction of lens (66940) |
$2,049.41 |
$6,589.59 |
1.0× |
| Extraction of lens (66920) |
$2,049.41 |
$6,589.59 |
1.0× |
| Extraction of lens (66930) |
$3,670.59 |
$10,666.80 |
1.0× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$1,832.25 |
$5,288.79 |
1.0× |
| Fascia lata graft; by stripper Facility (20920) |
$1,832.25 |
$5,288.79 |
1.0× |
| Fasciectomy Palm Only (26121) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fasciotomy Iliotibial Open (27305) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fasciotomy palmar open partial (26045) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fasciotomy palmar percutaneous (26040) |
$1,427.94 |
$4,417.46 |
1.0× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fasciotomy, foot and/or toe (28008) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fasciotomy, hip or thigh, any type (27025) |
$2,905.62 |
$1,050 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,905.62 |
$7,647.28 |
1.0× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$1,832.25 |
$5,288.79 |
1.0× |
| Fine Needle Aspiration Orbital Contents (67415) |
$2,111.27 |
$6,307.15 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$361 |
$1,041.34 |
1.0× |
| Finger tendon transfer (26497) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) |
$3,670.59 |
$10,666.80 |
1.0× |
| Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) |
$3,670.59 |
$10,666.80 |
1.0× |
| Fixation contralateral testis separate procedure (54620) |
$3,130.28 |
$8,432.53 |
1.0× |
| Flap; neurovascular pedicle (15750) |
$3,146.92 |
$8,317.29 |
1.0× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) |
$6,443.71 |
$12,811.80 |
1.0× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
$6,443.71 |
$12,811.80 |
1.0× |
| Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fluid Pressure Muscle (20950) |
$628.84 |
$519.75 |
1.0× |
| Forehead flap w/vasc pedicle (15731) |
$3,146.92 |
$8,317.29 |
1.0× |
| Foreskin manipulation (54450) |
$221.87 |
$765.58 |
1.0× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$3,146.92 |
$8,317.29 |
1.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$2,944.22 |
— |
1.0× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
$6,443.71 |
$12,811.80 |
1.0× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$6,443.71 |
$1,050 |
1.0× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$6,443.71 |
$12,811.80 |
1.0× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
$6,443.71 |
$1,050 |
1.0× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$1,832.25 |
$5,288.79 |
1.0× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,832.25 |
$5,288.79 |
1.0× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$2,049.41 |
$6,589.59 |
1.0× |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$2,049.41 |
$6,589.59 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,832.25 |
$5,288.79 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,832.25 |
$5,288.79 |
1.0× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$1,832.25 |
$5,288.79 |
1.0× |
| Fuse hand bones with graft (25825) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion Finger Joint (26860) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion of elbow joint (24800) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion of foot bones (28740) |
$6,443.71 |
$8,484.87 |
1.0× |
| Fusion of hand bones (25820) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion of hand joint (26843) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion of knuckle (26850) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion of knuckle joint (26516) |
$2,905.62 |
$7,647.28 |
1.0× |
| Fusion of knuckle joints (26518) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion of knuckle with graft (26852) |
$6,443.71 |
$12,811.80 |
1.0× |
| Fusion of shoulder joint (23802) |
$11,401.09 |
$19,947.33 |
1.0× |
| Fusion of spermatic ducts (54900) |
$1,856.32 |
$5,773.79 |
1.0× |
| Fusion of tibiofibular joint (27871) |
$11,401.09 |
$19,947.33 |
1.0× |
| Fusion/graft of hand joint (26844) |
$6,443.71 |
$12,811.80 |
1.0× |
| Gastrocnemius recession (27687) |
$2,905.62 |
$7,647.28 |
1.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$1,704.04 |
$5,075.84 |
1.0× |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
$2,944.22 |
$6,352.54 |
1.0× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$5,256.97 |
$13,550.33 |
1.0× |
| Glaucoma surgery (66160) |
$2,049.41 |
$6,589.59 |
1.0× |
| Goniotomy (65820) |
$3,670.59 |
$10,666.80 |
1.0× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) |
$2,464.86 |
$6,548.65 |
1.0× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$5,256.97 |
$13,550.33 |
1.0× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$5,256.97 |
$13,550.33 |
1.0× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$3,146.92 |
$8,317.29 |
1.0× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$1,832.25 |
$5,288.79 |
1.0× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
$3,146.92 |
$8,317.29 |
1.0× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
$3,146.92 |
$8,317.29 |
1.0× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$5,256.97 |
$13,550.33 |
1.0× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$1,832.25 |
$6,217.29 |
1.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,146.92 |
$6,217.29 |
1.0× |
| Grafting of autologous soft tiss by direct exc (15769) |
$3,146.92 |
$6,635.67 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$6,443.71 |
$12,811.80 |
1.0× |
| Hand tendon reconstruction (26500) |
$6,443.71 |
$12,811.80 |
1.0× |
| Head Surgery Procedure (21499) |
$210.33 |
$663.69 |
1.0× |
| Hemiepiphyseal Arrest (24470) |
$2,905.62 |
$7,647.28 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,464.86 |
$6,548.65 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,464.86 |
$6,548.65 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,464.86 |
$6,548.65 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$2,464.86 |
$6,548.65 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$2,464.86 |
$6,548.65 |
1.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,464.86 |
$6,548.65 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$825.83 |
$2,489.61 |
1.0× |
| Hemorrhoidopexy by stapling (46947) |
$2,464.86 |
$1,555.14 |
1.0× |
| Hip arthro acetabuloplasty (29915) |
$6,443.71 |
$12,811.80 |
1.0× |
| Hip arthro w/labral repair (29916) |
$6,443.71 |
$12,811.80 |
1.0× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$2,464.86 |
$6,548.65 |
1.0× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
$4,442.31 |
$11,932.88 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$2,874.65 |
$6,978.64 |
1.0× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$4,442.31 |
$11,932.88 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$2,874.65 |
$6,978.64 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$4,442.31 |
$11,932.88 |
1.0× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$4,442.31 |
$11,932.88 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,874.65 |
$6,978.64 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,442.31 |
$11,932.88 |
1.0× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$2,944.22 |
$7,317.19 |
1.0× |
| I&d abscess peritonsillar (42700) |
$210.33 |
$663.69 |
1.0× |
| I&d abscess simple (10060) |
$178.17 |
$344.60 |
1.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,427.94 |
$4,417.46 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,579.46 |
$6,478 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,579.46 |
$6,478 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,905.62 |
$7,647.28 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$1,427.94 |
$4,417.46 |
1.0× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$2,464.86 |
$6,548.65 |
1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$2,464.86 |
$6,548.65 |
1.0× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$478.94 |
$1,439.64 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$2,905.62 |
$7,647.28 |
1.0× |
| I&d perianal abscess superficial (46050) |
$825.83 |
$2,489.61 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$628.84 |
$1,988.13 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$628.84 |
$1,988.13 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,579.46 |
$7,647.28 |
1.0× |
| I&d thyroglossal duct cyst infected (60000) |
$1,377.85 |
$4,397.74 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,579.46 |
$6,478 |
1.0× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$805.43 |
$2,561.45 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$805.43 |
$2,561.45 |
1.0× |
| Immediate breast prosthesis (19340) |
$7,258.19 |
$14,630.77 |
1.0× |
| Implant cochlear device (69930) |
$29,280.11 |
$33,913.24 |
1.0× |
| Implant neuroelectrodes (63650) |
$5,659.39 |
— |
1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$17,227.81 |
$32,315.14 |
1.0× |
| Implant Spine Infusion Pump (62362) |
$16,005.66 |
$27,683.97 |
1.0× |
| Implant temple bone w/stimul (69714) |
$11,401.09 |
$19,947.33 |
1.0× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$16,005.66 |
$27,683.97 |
1.0× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$6,443.71 |
$12,811.80 |
1.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$7,793.19 |
$15,389.85 |
1.0× |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
$2,944.22 |
$7,317.19 |
1.0× |
| Incise external hemorrhoid (46083) |
$221.87 |
$765.58 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,427.94 |
— |
1.0× |
| Incise flexor carpi radialis (25001) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incise sperm duct pouch (55600) |
$1,856.32 |
$5,773.79 |
1.0× |
| Incise tendon(s) & muscle(s) (23406) |
$6,443.71 |
$12,811.80 |
1.0× |
| Incise Wrist/Forearm Tendon (25290) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$361 |
$1,041.34 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,579.46 |
$6,478 |
1.0× |
| Incision & drainage leg/ankle infected bursa (27604) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,466.66 |
$4,473.55 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$361 |
$1,041.34 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$179.53 |
$541.19 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$270.61 |
$882.33 |
1.0× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$6,443.71 |
$17,057.47 |
1.0× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,427.94 |
$4,417.46 |
1.0× |
| Incision bone cortex foot (28005) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,427.94 |
$4,417.46 |
1.0× |
| Incision of eardrum (69421) |
$2,944.22 |
$7,317.19 |
1.0× |
| Incision of eardrum (69420) |
$210.33 |
$7,317.19 |
1.0× |
| Incision of eye (65850) |
$2,049.41 |
$6,589.59 |
1.0× |
| Incision of fibula (27707) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incision of Foot Tendon (28234) |
$1,427.94 |
$4,417.46 |
1.0× |
| Incision of hip tendon (27001) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incision of iris (66500) |
$2,049.41 |
$6,589.59 |
1.0× |
| Incision of labial frenum (frenotomy) (40806) |
$478.94 |
$1,439.64 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,377.85 |
$4,397.74 |
1.0× |
| Incision of lymph channels (38308) |
$3,477.01 |
$8,463.28 |
1.0× |
| Incision of rectal abscess (46040) |
$1,062.65 |
$3,272.92 |
1.0× |
| Incision of sperm duct (55200) |
$3,130.28 |
$8,432.53 |
1.0× |
| Incision of thigh tendons (27392) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incision of tibia & fibula (27709) |
$11,401.09 |
$19,947.33 |
1.0× |
| Incision of urethra (53010) |
$4,761.42 |
$11,821.36 |
1.0× |
| Incision of urethra (53025) |
$1,856.32 |
$5,773.79 |
1.0× |
| Incision of urethra (53000) |
$1,856.32 |
$5,773.79 |
1.0× |
| Incision of urethra (53020) |
$1,856.32 |
$5,773.79 |
1.0× |
| Incision&drainage bursa foot (28001) |
$1,466.66 |
$4,473.55 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,466.66 |
$4,473.55 |
1.0× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$1,427.94 |
$6,478 |
1.0× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$2,905.62 |
$1,050 |
1.0× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$2,905.62 |
$7,647.28 |
1.0× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) |
$2,905.62 |
$1,050 |
1.0× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$2,905.62 |
$1,050 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$656.32 |
$1,041.34 |
1.0× |
| Induced abortion dilation and curettage (59840) |
$2,874.65 |
$6,978.64 |
1.0× |
| Induced abortion, by dilation and evacuation (59841) |
$2,874.65 |
$6,978.64 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$785.44 |
$2,012.69 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$785.44 |
$1,512.39 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$785.44 |
$2,011.42 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$272.58 |
$710.88 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$785.44 |
$1,661.72 |
1.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$785.44 |
$1,128.24 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$626.84 |
$2,550 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$785.44 |
$1,827.64 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$626.84 |
$1,356.69 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$785.44 |
$1,356.69 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$272.58 |
$1,939.95 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$785.44 |
$2,597.24 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$626.84 |
$2,176.06 |
1.0× |
| Injection for identification of sentinel node (38792) |
$355.01 |
$2,281.65 |
1.0× |
| Injection Into Brain Canal (61055) |
$272.58 |
$853.16 |
1.0× |
| Injection into disk lesion (62292) |
$1,734.07 |
$2,527.05 |
1.0× |
| Injection into spinal artery (62294) |
$785.44 |
$2,646.61 |
1.0× |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) |
$4,761.42 |
$11,821.36 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$272.58 |
$710.88 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$272.58 |
$710.88 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$272.58 |
$710.88 |
1.0× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$1,377.85 |
$662.39 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$785.44 |
$2,367.51 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$626.84 |
$1,512.39 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$626.84 |
$2,037.15 |
1.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$272.58 |
$1,527.70 |
1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$178.17 |
$569.48 |
1.0× |
| Injx anterior chamber eye air/liquid spx (66020) |
$2,049.41 |
$6,589.59 |
1.0× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$2,049.41 |
$6,589.59 |
1.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$785.44 |
$1,825.09 |
1.0× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$785.44 |
$1,825.09 |
1.0× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$785.44 |
$1,825.09 |
1.0× |
| Inner ear surgery proc unlisted (69949) |
$210.33 |
$663.69 |
1.0× |
| Insert and remove bone pin (20650) |
$2,905.62 |
$7,647.28 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$114.27 |
$580.71 |
1.0× |
| Insert Drug Implant Device (11981) |
$118.15 |
$355.35 |
1.0× |
| Insert eye socket implant (67550) |
$3,491.19 |
$8,735.69 |
1.0× |
| Insert multi-comp penis pros (54405) |
$18,405.34 |
$29,456.53 |
1.0× |
| Insert Nasal Septal Button (30220) |
$1,377.85 |
$4,397.74 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,803.93 |
$5,316.14 |
1.0× |
| Insert ocular implant (65135) |
$3,491.19 |
$8,735.69 |
1.0× |
| Insert self-contd prosthesis (54401) |
$18,405.34 |
$29,456.53 |
1.0× |
| Insert spine infusion device (62360) |
$16,005.66 |
$27,683.97 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$118.15 |
$293.55 |
1.0× |
| Insert testicular prosthesis (54660) |
$4,761.42 |
$11,821.36 |
1.0× |
| Insert tissue expander(s) (11960) |
$3,146.92 |
$8,317.29 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,803.93 |
$7,741.79 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$118.15 |
$293.55 |
1.0× |
| Insertion of cannula (36800) |
$4,941.41 |
$12,839.81 |
1.0× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$2,803.93 |
$7,741.79 |
1.0× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$4,941.41 |
$12,839.81 |
1.0× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
$3,491.19 |
$8,735.69 |
1.0× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
$3,491.19 |
$8,735.69 |
1.0× |
| Insertion of pin-retained palatal prosthesis Facility (42281) |
$5,256.97 |
$13,550.33 |
1.0× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
$7,793.19 |
$15,389.85 |
1.0× |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
$2,803.93 |
$7,741.79 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,179.49 |
$8,686.18 |
1.0× |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$2,905.62 |
$7,647.28 |
1.0× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$2,049.41 |
$6,589.59 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,803.93 |
$7,741.79 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,397.89 |
$3,300 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$4,941.41 |
$9,841.79 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,803.93 |
$7,741.79 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$7,258.19 |
$11,124.28 |
1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$27,402.45 |
$29,826.67 |
1.0× |
| Insrt/Redo Neurostim 1 Array (61885) |
$27,402.45 |
$32,315.14 |
1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,464.86 |
$2,048.43 |
1.0× |
| Interdental Wiring Other Than Fracture (21497) |
$1,377.85 |
$4,397.74 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$361 |
$1,041.34 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$361 |
$1,041.34 |
1.0× |
| Intranasal Biopsy (30100) |
$1,377.85 |
$4,397.74 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$478.94 |
$1,439.64 |
1.0× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$210.33 |
$663.69 |
1.0× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,377.85 |
$4,397.74 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,944.22 |
$7,317.19 |
1.0× |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
$2,049.41 |
$6,589.59 |
1.0× |
| Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) |
$2,049.41 |
$6,589.59 |
1.0× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
$488.41 |
$1,652.18 |
1.0× |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) |
$2,049.41 |
$6,589.59 |
1.0× |
| Iridotomy/irridectomy laser surg per session (66761) |
$488.41 |
$1,652.18 |
1.0× |
| Irrigation maxillary sinus (31000) |
$210.33 |
— |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$221.87 |
$765.58 |
1.0× |
| Island pedicle flap graft (15740) |
$1,832.25 |
$5,288.79 |
1.0× |
| IV injection test vascular flow flap/graft (15860) |
$396.70 |
$1,185 |
1.0× |
| Keratoplasty Penetrating Pseudophakia (65755) |
$3,670.59 |
$10,666.80 |
1.0× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$3,670.59 |
$10,666.80 |
1.0× |
| Kidney endoscopy (50575) |
$4,761.42 |
$15,477.47 |
1.0× |
| Kidney endoscopy (50570) |
$3,130.28 |
$8,432.53 |
1.0× |
| Kidney endoscopy (50551) |
$4,761.42 |
$11,821.36 |
1.0× |
| Knee arthroscopy/drainage (29871) |
$2,905.62 |
$7,647.28 |
1.0× |
| Knee Arthroscopy/Surgery (29885) |
$6,443.71 |
$12,811.80 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$2,905.62 |
$7,647.28 |
1.0× |
| Knee Arthroscopy/Surgery (29850) |
$1,427.94 |
$4,417.46 |
1.0× |
| Labyrinthectomy; with mastoidectomy Facility (69910) |
$5,256.97 |
$13,550.33 |
1.0× |
| Labyrinthotomy Transcanal (69801) |
$1,377.85 |
$4,397.74 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$6,443.71 |
$20,566.16 |
1.0× |
| Laminotomy Single Lumbar (63042) |
$6,443.71 |
$12,811.80 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$5,368.59 |
$13,503.35 |
1.0× |
| Lap paraesophag hern repair (43281) |
$9,439.57 |
$18,018.71 |
1.0× |
| Lap revision perm ip cath (49325) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparo ablate renal cyst (50541) |
$9,439.57 |
$13,503.35 |
1.0× |
| Laparo ligate spermatic vein (55550) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscope proc ureter (50949) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopic myomectomy (58545) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy aspiration (49322) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy fimbrioplasty (58672) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy salpingostomy (58673) |
$9,439.57 |
$13,503.35 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$9,439.57 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$9,439.57 |
$22,218 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$9,439.57 |
$15,321.60 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laparoscopy, Tubal Block (58671) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$9,439.57 |
$18,018.71 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$5,368.59 |
$13,503.35 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$9,439.57 |
$18,018.71 |
1.0× |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
$6,267.21 |
$15,198.07 |
1.0× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) |
$5,256.97 |
$13,550.33 |
1.0× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
$5,256.97 |
$13,550.33 |
1.0× |
| Laryngoscop w/arytenoidectom (31560) |
$6,267.21 |
$15,198.07 |
1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy and dilation (31528) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$177.26 |
$510.23 |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$177.26 |
$510.23 |
1.0× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$1,580.60 |
$4,662.61 |
1.0× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$1,580.60 |
$4,500 |
1.0× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$347.32 |
$1,231.61 |
1.0× |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$177.26 |
$510.23 |
1.0× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$347.32 |
$1,231.61 |
1.0× |
| Laryngoscopy W/Biopsy (31535) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,580.60 |
$4,662.61 |
1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$347.32 |
$1,231.61 |
1.0× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$2,944.22 |
$7,317.19 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$3,310.87 |
$8,204.49 |
1.0× |
| Laser Surgery Anal Lesions (46917) |
$2,464.86 |
$3,836.51 |
1.0× |
| Laser Surgery of Cervix (57513) |
$2,874.65 |
$6,978.64 |
1.0× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$488.41 |
$1,652.18 |
1.0× |
| Laser treatment of retina (67040) |
$3,670.59 |
$10,666.80 |
1.0× |
| Laser vaporization of prostate (52648) |
$4,761.42 |
$8,959.50 |
1.0× |
| Late closure of wound (13160) |
$3,146.92 |
$5,288.79 |
1.0× |
| Lateral Canthopexy (21282) |
$2,944.22 |
$7,317.19 |
1.0× |
| Lateral retinacular release open (27425) |
$2,905.62 |
$7,647.28 |
1.0× |
| Lavage cannulation sphenoid sinus (31002) |
$1,377.85 |
$4,397.74 |
1.0× |
| Lengthen metacarpal/finger (26568) |
$6,443.71 |
$12,811.80 |
1.0× |
| Lengthen radius or ulna (25391) |
$11,401.09 |
$19,947.33 |
1.0× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$6,443.71 |
$12,811.80 |
1.0× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$2,905.62 |
$7,647.28 |
1.0× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$6,443.71 |
$12,811.80 |
1.0× |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
$5,256.97 |
$13,550.33 |
1.0× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$2,905.62 |
$7,647.28 |
1.0× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$2,905.62 |
$7,647.28 |
1.0× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$2,803.93 |
$7,741.79 |
1.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$2,803.93 |
$7,741.79 |
1.0× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$11,401.09 |
$19,947.33 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$6,443.71 |
$12,811.80 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$11,401.09 |
$19,947.33 |
1.0× |
| Ligate/strip long leg vein (37722) |
$2,803.93 |
$7,741.79 |
1.0× |
| Ligate/strip short leg vein (37718) |
$2,803.93 |
$7,741.79 |
1.0× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$2,803.93 |
$7,741.79 |
1.0× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$2,803.93 |
$7,741.79 |
1.0× |
| Ligation Major Artery Abdomen (37617) |
$4,941.41 |
$1,050 |
1.0× |
| Ligation nasal sinus artery (30915) |
$2,803.93 |
$7,741.79 |
1.0× |
| Ligation of femoral vein (37650) |
$2,803.93 |
$7,741.79 |
1.0× |
| Ligation of hemorrhoids (46946) |
$2,464.86 |
$3,002.11 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,466.66 |
$4,473.55 |
1.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$2,803.93 |
$7,741.79 |
1.0× |
| Lip Surgery Procedure (40799) |
$210.33 |
$663.69 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,130.28 |
$10,751.39 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,130.28 |
$5,847.92 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,130.28 |
$14,613.43 |
1.0× |
| Lmtd lmphadec staging spx pel¶-aortic (38562) |
$7,258.19 |
$1,050 |
1.0× |
| Low Back Disk Surgery (63030) |
$6,443.71 |
$22,387.89 |
1.0× |
| Lsh uterus 250 g or less (58541) |
$9,439.57 |
$13,503.35 |
1.0× |
| Lsh uterus above 250 g (58543) |
$9,439.57 |
$18,018.71 |
1.0× |
| Lsh w/t/o uterus above 250 g (58544) |
$9,439.57 |
$18,018.71 |
1.0× |
| Lumbar spine fusion combined (22633) |
$24,095.73 |
$17,866.08 |
1.0× |
| Lysis Intranasal Synechia (30560) |
$478.94 |
$1,439.64 |
1.0× |
| Lysis of labial adhesions (56441) |
$2,874.65 |
$6,978.64 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,856.32 |
$5,773.79 |
1.0× |
| Malar Augmentation Prosthetic Material (21270) |
$5,256.97 |
$13,550.33 |
1.0× |
| Male sling procedure (53440) |
$11,716.14 |
$17,279.43 |
1.0× |
| Manipulation Ankle Under General Anesthesia (27860) |
$2,905.62 |
$7,647.28 |
1.0× |
| Manipulation Elbow Under Anesthesia (24300) |
$1,427.94 |
$4,417.46 |
1.0× |
| Manipulation hip joint general anesthesia (27275) |
$1,427.94 |
$4,417.46 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,427.94 |
$4,417.46 |
1.0× |
| Manipulation spine requiring anesthesia (22505) |
$1,427.94 |
$4,417.46 |
1.0× |
| Manipulation wrist under anesthesia (25259) |
$1,427.94 |
$4,417.46 |
1.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,427.94 |
$4,417.46 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,427.94 |
$4,417.46 |
1.0× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$619.22 |
$1,813.83 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$2,874.65 |
$6,978.64 |
1.0× |
| Marsupialization of urethral diverticulum, male or female Facility (53240) |
$3,130.28 |
$8,432.53 |
1.0× |
| Mast mod rad (19307) |
$5,896.64 |
$14,630.77 |
1.0× |
| Mastectomy for gynecomastia (19300) |
$3,477.01 |
$7,413.28 |
1.0× |
| Mastectomy partial (19301) |
$3,477.01 |
$8,463.28 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$5,896.64 |
$14,630.77 |
1.0× |
| Mastectomy simple complete (19303) |
$5,896.64 |
$14,630.77 |
1.0× |
| Mastoid obliteration separate procedure (69670) |
$5,256.97 |
$13,550.33 |
1.0× |
| Mastoidectomy (69501) |
$5,256.97 |
$13,550.33 |
1.0× |
| Mastoidectomy; complete (69502) |
$5,256.97 |
$13,550.33 |
1.0× |
| Mastopexy (19316) |
$5,896.64 |
$5,460 |
1.0× |
| Maternity Care Procedure (59899) |
$179.53 |
$541.19 |
1.0× |
| Maxillofacial fixation (21100) |
$5,256.97 |
$13,550.33 |
1.0× |
| Medial Canthopexy Separate Procedure (21280) |
$2,944.22 |
$7,317.19 |
1.0× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
$5,256.97 |
$13,550.33 |
1.0× |
| Metatarsectomy (28140) |
$2,905.62 |
$7,647.28 |
1.0× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$2,944.22 |
$7,317.19 |
1.0× |
| Middle ear surgery proc unlisted (69799) |
$210.33 |
$663.69 |
1.0× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$3,146.92 |
$8,317.29 |
1.0× |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
$11,401.09 |
$19,947.33 |
1.0× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
$2,905.62 |
$7,647.28 |
1.0× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
$2,905.62 |
$7,647.28 |
1.0× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$1,832.25 |
$5,288.79 |
1.0× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,146.92 |
$1,050 |
1.0× |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
$6,443.71 |
$12,811.80 |
1.0× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$6,443.71 |
$1,050 |
1.0× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$3,146.92 |
$8,317.29 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,146.92 |
$8,317.29 |
1.0× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$6,443.71 |
$12,811.80 |
1.0× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$2,874.65 |
$6,978.64 |
1.0× |
| Myringoplasty (69620) |
$2,944.22 |
$7,317.19 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$785.44 |
$2,325.39 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$626.84 |
$1,415.39 |
1.0× |
| N block inj intercost sng (64420) |
$626.84 |
$1,581.32 |
1.0× |
| N Block Inj Paracervical (64435) |
$626.84 |
$1,697.46 |
1.0× |
| N Block Inj Plantar Digit (64455) |
$272.58 |
$733.51 |
1.0× |
| N Block Inj Pudendal (64430) |
$785.44 |
$1,628.54 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$785.44 |
$3,064.35 |
1.0× |
| Nasal Endoscopy Dx (31231) |
$177.26 |
$510.23 |
1.0× |
| Nasal surgery procedure (30999) |
$210.33 |
$663.69 |
1.0× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$347.32 |
— |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,310.87 |
$8,204.49 |
1.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
$5,256.97 |
$13,500 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,580.60 |
$4,662.61 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$1,580.60 |
$4,662.61 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,580.60 |
— |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$3,310.87 |
$8,204.49 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$1,580.60 |
$4,662.61 |
1.0× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$221.87 |
$1,927.19 |
1.0× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$825.83 |
$2,489.61 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$825.83 |
$2,489.61 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,427.94 |
$4,417.46 |
1.0× |
| Neck spine disk surgery (63020) |
$6,443.71 |
$19,111.80 |
1.0× |
| Neck spine fusion (22600) |
$15,570.49 |
$6,916.77 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,466.66 |
$4,473.55 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,466.66 |
$4,473.55 |
1.0× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
$3,033.63 |
$15,389.85 |
1.0× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve graft arm/leg <4 cm (64892) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve Pedicle Transfer First Stage (64905) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve pedicle transfer; second stage Facility (64907) |
$7,793.19 |
$15,389.85 |
1.0× |
| Nerve repair w/conduit each nerve (64910) |
$7,793.19 |
$10,388.50 |
1.0× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$7,793.19 |
$12,498 |
1.0× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
$1,734.07 |
$5,603.66 |
1.0× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$1,734.07 |
$5,603.66 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,734.07 |
$5,603.66 |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$1,734.07 |
$5,603.66 |
1.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,734.07 |
$5,603.66 |
1.0× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$1,734.07 |
$5,603.66 |
1.0× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$1,734.07 |
$5,603.66 |
1.0× |
| Nipple Exploration (19110) |
$3,477.01 |
$8,463.28 |
1.0× |
| Nipple/areola reconstruction (19350) |
$3,477.01 |
— |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$785.44 |
$2,597.24 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$272.58 |
$2,011.42 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$785.44 |
$2,219.46 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$626.84 |
$1,916.99 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$626.84 |
$1,916.99 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$626.84 |
$1,916.99 |
1.0× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$1,832.25 |
$5,288.79 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$361 |
$827.40 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$361 |
$892.50 |
1.0× |
| Njx Sclrsnt Spider Veins (36468) |
$361 |
$569.48 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$6,267.21 |
$15,198.07 |
1.0× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$6,267.21 |
$15,198.07 |
1.0× |
| Occipital Nerve Block (64405) |
$272.58 |
— |
1.0× |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$2,874.65 |
$6,978.64 |
1.0× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$5,748.92 |
$1,050 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,477.01 |
$8,463.28 |
1.0× |
| Open bone biopsy (20251) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open bone biopsy (20250) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Implantation Nea Peripheral Nerve (64575) |
$9,895.01 |
$32,315.14 |
1.0× |
| Open Implantation Nea Sacral Nerve (64581) |
$5,659.39 |
$8,795.58 |
1.0× |
| Open nasoethmoid fx w/o fixj (21338) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$11,401.09 |
$1,050 |
1.0× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) |
$11,401.09 |
$1,050 |
1.0× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) |
$11,401.09 |
$1,050 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$11,401.09 |
$19,947.33 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$11,401.09 |
$19,947.33 |
1.0× |
| Open treatment greater trochanteric fracture (27248) |
$6,443.71 |
$13,307.62 |
1.0× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$6,443.71 |
$4,417.46 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$11,401.09 |
$19,947.33 |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Treatment Lunate Dislocation (25695) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment metacarpophalangeal dislocation (26715) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$6,443.71 |
$11,348.34 |
1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$6,443.71 |
$702.81 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,443.71 |
$11,130 |
1.0× |
| Open treatment of coccygeal fracture Facility (27202) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of depressed frontal sinus fracture Facility (21343) |
$5,256.97 |
$1,050 |
1.0× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
$6,443.71 |
$1,050 |
1.0× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$6,443.71 |
$10,500 |
1.0× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$6,443.71 |
$10,500 |
1.0× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$11,401.09 |
$1,050 |
1.0× |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$11,401.09 |
$26,727.97 |
1.0× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$2,944.22 |
$7,317.19 |
1.0× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$2,944.22 |
$7,317.19 |
1.0× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$5,256.97 |
$1,050 |
1.0× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$6,443.71 |
$6,889.31 |
1.0× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$2,944.22 |
$7,317.19 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$11,401.09 |
$1,050 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open tx acute shoulder dislocation (23660) |
$6,443.71 |
$1,050 |
1.0× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Tx Depressed Malar Fracture (21360) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$11,401.09 |
$1,050 |
1.0× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$11,401.09 |
$1,050 |
1.0× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$11,401.09 |
$19,947.33 |
1.0× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$11,401.09 |
$19,947.33 |
1.0× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$6,443.71 |
$1,050 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
$5,256.97 |
$13,550.33 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$2,905.62 |
$7,647.28 |
1.0× |
| Open Tx Radial Head/Neck Fracture (24665) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$11,401.09 |
$19,947.33 |
1.0× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$6,443.71 |
$1,050 |
1.0× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$6,443.71 |
$12,811.80 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$6,443.71 |
$12,811.80 |
1.0× |
| Opn tx orbit fx combined (21387) |
$5,256.97 |
$13,550.33 |
1.0× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$2,905.62 |
$7,647.28 |
1.0× |
| Opponensplasty; hypothenar muscle transfer Facility (26494) |
$2,905.62 |
$7,647.28 |
1.0× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$2,905.62 |
$7,647.28 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,443.71 |
$12,811.80 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,443.71 |
$12,811.80 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$11,401.09 |
$19,947.33 |
1.0× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
$6,443.71 |
$1,050 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$6,443.71 |
$1,050 |
1.0× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$11,401.09 |
$19,947.33 |
1.0× |
| Orbital implant removal/revision (67560) |
$3,491.19 |
$8,735.69 |
1.0× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) |
$5,256.97 |
$13,550.33 |
1.0× |
| Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) |
$3,491.19 |
$8,735.69 |
1.0× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$3,491.19 |
$8,735.69 |
1.0× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$2,111.27 |
$6,307.15 |
1.0× |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
$2,111.27 |
$6,307.15 |
1.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$3,491.19 |
$8,735.69 |
1.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) |
$3,491.19 |
$8,735.69 |
1.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) |
$3,491.19 |
$8,735.69 |
1.0× |
| Orchiectomy partial (54522) |
$3,130.28 |
$8,432.53 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,179.49 |
$8,686.18 |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,179.49 |
$8,686.18 |
1.0× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$3,179.49 |
$8,686.18 |
1.0× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$2,905.62 |
$7,647.28 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$2,905.62 |
$4,983.03 |
1.0× |
| Ostectomy calcaneus (28118) |
$2,905.62 |
$6,192.70 |
1.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$2,905.62 |
$7,647.28 |
1.0× |
| Ostectomy of sternum, partial Facility (21620) |
$2,905.62 |
$1,050 |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,905.62 |
$7,647.28 |
1.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$2,905.62 |
$7,647.28 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,905.62 |
$6,187.13 |
1.0× |
| Osteochondral allograft knee open (27415) |
$11,401.09 |
$19,947.33 |
1.0× |
| Osteochondral knee autograft (27416) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteochondral talus autogrft (28446) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteoplasty Humerus (24420) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$2,905.62 |
$7,647.28 |
1.0× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$5,256.97 |
$13,550.33 |
1.0× |
| Osteoplasty, facial bones; reduction (21209) |
$5,256.97 |
$13,550.33 |
1.0× |
| Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
$11,401.09 |
$1,050 |
1.0× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$6,443.71 |
$9,187.50 |
1.0× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$6,443.71 |
$5,367.80 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,905.62 |
$4,964.17 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$6,443.71 |
$6,821.91 |
1.0× |
| Osteotomy Clavicle W Bone Graft (23485) |
$11,401.09 |
$12,811.80 |
1.0× |
| Osteotomy Metacarpal Each (26565) |
$2,905.62 |
$7,647.28 |
1.0× |
| Osteotomy Phalanx Finger Each (26567) |
$2,905.62 |
$7,647.28 |
1.0× |
| Osteotomy radius distal third (25350) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$2,905.62 |
$7,647.28 |
1.0× |
| Osteotomy talus (28302) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$6,443.71 |
$5,245.74 |
1.0× |
| Osteotomy Tibia (27705) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteotomy Ulna (25360) |
$6,443.71 |
$12,811.80 |
1.0× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$6,443.71 |
$1,050 |
1.0× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$6,443.71 |
$1,050 |
1.0× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$6,443.71 |
$12,811.80 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$4,442.31 |
$11,932.88 |
1.0× |
| Palatop cl palate soft&/hard palate only (42200) |
$5,256.97 |
$13,550.33 |
1.0× |
| Palatopharyngoplasty (42145) |
$5,256.97 |
$13,550.33 |
1.0× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$2,944.22 |
$7,317.19 |
1.0× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$5,256.97 |
$13,550.33 |
1.0× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$5,256.97 |
$13,550.33 |
1.0× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$2,049.41 |
$6,589.59 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$5,256.97 |
$13,550.33 |
1.0× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$4,442.31 |
$11,932.88 |
1.0× |
| Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) |
$5,256.97 |
$13,550.33 |
1.0× |
| Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) |
$5,256.97 |
$13,550.33 |
1.0× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$2,944.22 |
$7,317.19 |
1.0× |
| Part exc bone femur prox tibia (27360) |
$2,905.62 |
$7,647.28 |
1.0× |
| Part remv talus or calcaneus (28120) |
$2,905.62 |
$6,017.74 |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$6,443.71 |
$12,811.80 |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$6,443.71 |
$12,811.80 |
1.0× |
| Partial excision bone clavicle (23180) |
$6,443.71 |
$12,811.80 |
1.0× |
| Partial Excision Bone Humerus (24140) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial excision bone metacarpal (26230) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial excision bone olecranon process (24147) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial Excision Bone Radius (25151) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial Excision Bone Ulna (25150) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,427.94 |
$4,417.46 |
1.0× |
| Partial excision of lip (40520) |
$2,944.22 |
$7,317.19 |
1.0× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$6,443.71 |
$12,811.80 |
1.0× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,427.94 |
$4,417.46 |
1.0× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$2,905.62 |
$1,050 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,874.65 |
$6,978.64 |
1.0× |
| Partial removal of fibula (27641) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial removal of lip (40530) |
$2,944.22 |
$7,317.19 |
1.0× |
| Partial removal of nose (30150) |
$5,256.97 |
$13,550.33 |
1.0× |
| Partial removal of penis (54120) |
$3,130.28 |
$8,432.53 |
1.0× |
| Partial removal of radius (24145) |
$6,443.71 |
$12,811.80 |
1.0× |
| Partial removal of rib (21600) |
$6,443.71 |
$12,811.80 |
1.0× |
| Partial removal of scapula (23190) |
$2,905.62 |
$12,811.80 |
1.0× |
| Partial removal of thyroid (60220) |
$5,368.59 |
$13,503.35 |
1.0× |
| Partial removal of tibia (27640) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial removal of toe (28160) |
$2,905.62 |
$7,647.28 |
1.0× |
| Partial removal of tongue (41120) |
$5,256.97 |
$13,550.33 |
1.0× |
| Partial thyroid excision (60212) |
$5,368.59 |
$13,503.35 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,368.59 |
$13,503.35 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,905.62 |
$5,653.74 |
1.0× |
| Patellectomy or hemipatellectomy (27350) |
$6,443.71 |
$12,811.80 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,874.65 |
$6,978.64 |
1.0× |
| Penile Injection (54235) |
$221.87 |
$273.14 |
1.0× |
| Penis plastic surgery (54360) |
$3,130.28 |
$8,432.53 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$628.84 |
$1,988.13 |
1.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$2,905.62 |
$7,647.28 |
1.0× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$6,443.71 |
$12,811.80 |
1.0× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$1,427.94 |
$4,417.46 |
1.0× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$2,905.62 |
$7,647.28 |
1.0× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
$6,443.71 |
$12,811.80 |
1.0× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$1,427.94 |
$4,417.46 |
1.0× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$2,905.62 |
$7,647.28 |
1.0× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$2,944.22 |
$7,317.19 |
1.0× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$2,944.22 |
$7,317.19 |
1.0× |
| Pereyra procedure, including anterior colporrhaphy Facility (57289) |
$6,585.10 |
— |
1.0× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$3,477.01 |
$6,363.28 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$2,874.65 |
$6,978.64 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$628.84 |
$1,050 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$628.84 |
$1,988.13 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$2,905.62 |
$6,930 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,905.62 |
$7,647.28 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,443.71 |
$12,811.80 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$6,443.71 |
$12,811.80 |
1.0× |
| Petrous apicectomy including radical mastoidectomy Facility (69530) |
$5,256.97 |
$13,550.33 |
1.0× |
| Phalangectomy toe each toe (28150) |
$2,905.62 |
$7,647.28 |
1.0× |
| Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) |
$1,377.85 |
$4,397.74 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$2,803.93 |
$7,741.79 |
1.0× |
| Photopheresis extracorporeal (36522) |
$3,867.80 |
$10,666.89 |
1.0× |
| Pin Finger Dislocation (26776) |
$2,905.62 |
$7,647.28 |
1.0× |
| Pin hand dislocation (26676) |
$2,905.62 |
$7,647.28 |
1.0× |
| Pin knuckle dislocation (26706) |
$2,905.62 |
$7,647.28 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$1,704.04 |
$5,075.84 |
1.0× |
| Placement of seton (46020) |
$2,464.86 |
$3,573.59 |
1.0× |
| Plastic Repair Canaliculi (68700) |
$2,111.27 |
$6,307.15 |
1.0× |
| Plastic Repair Introitus (56800) |
$2,874.65 |
$6,978.64 |
1.0× |
| Plastic Repair Of Urethrocele (57230) |
$2,874.65 |
$6,978.64 |
1.0× |
| Plmt expandable cath brst following prtl mast (19296) |
$7,258.19 |
$17,424.28 |
1.0× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$5,256.97 |
$13,550.33 |
1.0× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$5,256.97 |
$13,550.33 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,442.31 |
$11,932.88 |
1.0× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$281.86 |
$2,241.75 |
1.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$2,111.27 |
$6,307.15 |
1.0× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$2,111.27 |
$6,307.15 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$2,464.86 |
$6,548.65 |
1.0× |
| Proctoplasty Stenosis (45500) |
$2,464.86 |
$6,548.65 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$825.83 |
$1,403.91 |
1.0× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,062.65 |
$3,272.92 |
1.0× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$2,464.86 |
$6,548.65 |
1.0× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,062.65 |
$3,272.92 |
1.0× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
$1,062.65 |
$3,272.92 |
1.0× |
| Proctosgmdsc rigid w/dilation (45303) |
$1,062.65 |
$3,272.92 |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,464.86 |
$6,548.65 |
1.0× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$2,464.86 |
$6,548.65 |
1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,062.65 |
$2,295.30 |
1.0× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$2,464.86 |
$6,548.65 |
1.0× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$488.41 |
$1,652.18 |
1.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$11,401.09 |
$12,811.80 |
1.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) |
$2,905.62 |
$7,647.28 |
1.0× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$6,443.71 |
$1,050 |
1.0× |
| Prostate laser enucleation (52649) |
$4,761.42 |
$10,678.65 |
1.0× |
| Prostatotomy external drg abscess simple (55720) |
$3,130.28 |
$5,773.79 |
1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$5,659.39 |
$15,655.35 |
1.0× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$785.44 |
$2,297.32 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,905.62 |
$7,647.28 |
1.0× |
| Prq skel fixj femoral fx prox end neck (27235) |
$6,443.71 |
$12,811.80 |
1.0× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$2,905.62 |
$7,647.28 |
1.0× |
| Prq skel fixj metar fx w/manj (28476) |
$2,905.62 |
$7,647.28 |
1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,443.71 |
$12,811.80 |
1.0× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$2,905.62 |
$7,647.28 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$2,905.62 |
$7,647.28 |
1.0× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
$6,443.71 |
$12,811.80 |
1.0× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$2,905.62 |
$7,647.28 |
1.0× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$6,443.71 |
$12,811.80 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$2,905.62 |
$6,259.24 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$361 |
$569.48 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$628.84 |
$1,988.13 |
1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$626.84 |
$2,037.15 |
1.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$626.84 |
$1,863.75 |
1.0× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,427.94 |
$4,417.46 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rad resect elbow caps/sr bone w rels (24149) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rad resect hand tumor 3 cm/> (26118) |
$2,579.46 |
$6,478 |
1.0× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$2,579.46 |
$7,244 |
1.0× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$2,579.46 |
$6,478 |
1.0× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$2,579.46 |
$6,478 |
1.0× |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
$2,579.46 |
$6,478 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$2,579.46 |
$6,478 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$2,579.46 |
$6,478 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$2,579.46 |
$6,478 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$2,579.46 |
$6,478 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$2,579.46 |
$6,478 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$2,579.46 |
$6,478 |
1.0× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$1,427.94 |
$4,417.46 |
1.0× |
| Radical resection of tumor, femur or knee Facility (27365) |
$2,905.62 |
$1,050 |
1.0× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
$2,905.62 |
$7,647.28 |
1.0× |
| Radical resection of tumor, radial head or neck Facility (24152) |
$6,443.71 |
$12,811.80 |
1.0× |
| Radical resection of tumor, radius or ulna (25170) |
$6,443.71 |
$12,811.80 |
1.0× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
$6,443.71 |
$12,811.80 |
1.0× |
| Radical resection of tumor; fibula Facility (27646) |
$2,905.62 |
$1,050 |
1.0× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$1,427.94 |
$4,417.46 |
1.0× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$2,905.62 |
$7,647.28 |
1.0× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
$2,905.62 |
$7,647.28 |
1.0× |
| Radical Resection Tumor Metacarpal (26250) |
$2,905.62 |
$7,647.28 |
1.0× |
| Radical Resection Tumor Metatarsal (28173) |
$2,905.62 |
$7,647.28 |
1.0× |
| Radical styloidectomy separate procedure (25230) |
$2,905.62 |
$7,647.28 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,734.07 |
$5,275.82 |
1.0× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rcnstj Dislocating Patella (27420) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
$5,256.97 |
$13,847.72 |
1.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$6,443.71 |
$6,545.91 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$3,130.28 |
$8,432.53 |
1.0× |
| Re-explore parathyroids (60502) |
$5,256.97 |
$13,550.33 |
1.0× |
| Realignment extensor tendon hand each tendon (26437) |
$2,905.62 |
$7,647.28 |
1.0× |
| Realignment of hand (25335) |
$2,905.62 |
$7,647.28 |
1.0× |
| Realignment of knee (27457) |
$6,443.71 |
$1,050 |
1.0× |
| Realignment of knee (27455) |
$6,443.71 |
$1,050 |
1.0× |
| Reconst lwr jaw w/fixation (21196) |
$5,256.97 |
$13,847.72 |
1.0× |
| Reconst lwr jaw w/o fixation (21195) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstr lwr jaw segment (21198) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruct cleft palate (42220) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruct cleft palate (42210) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruct elbow joint (24360) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reconstruct elbow lat ligmnt (24344) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reconstruct elbow med ligmnt (24346) |
$11,401.09 |
$19,947.33 |
1.0× |
| Reconstruct extra finger (26587) |
$2,905.62 |
$7,647.28 |
1.0× |
| Reconstruct finger joint (26545) |
$2,905.62 |
$7,647.28 |
1.0× |
| Reconstruct Finger Joint (26548) |
$2,905.62 |
$7,647.28 |
1.0× |
| Reconstruct lip with flap (40525) |
$2,944.22 |
$7,317.19 |
1.0× |
| Reconstruct lip with flap (40527) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruct midface lefort (21143) |
$5,256.97 |
$13,847.72 |
1.0× |
| Reconstruct ulna/radioulnar (25337) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reconstruct upper jaw bone (21206) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruct wrist joint (25445) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
$5,256.97 |
$13,847.72 |
1.0× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$5,256.97 |
$13,847.72 |
1.0× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$5,256.97 |
$13,847.72 |
1.0× |
| Reconstruction Nail Bed W/Graft (11762) |
$1,832.25 |
$5,288.79 |
1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$3,491.19 |
$8,735.69 |
1.0× |
| Reconstruction of jaw (21249) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction of mouth (40844) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction of mouth (40842) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$2,905.62 |
$7,647.28 |
1.0× |
| Reconstruction of throat (42950) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reconstruction Toe Polydactyly (28344) |
$2,905.62 |
$7,647.28 |
1.0× |
| Reconstruction Tongue Fold (41520) |
$2,944.22 |
$7,317.19 |
1.0× |
| Reconstructive repair of pectus excavatum or carinatum; open Facility (21740) |
$6,443.71 |
$1,050 |
1.0× |
| Reduction of rectal prolapse (45900) |
$825.83 |
$2,489.61 |
1.0× |
| Reduction Overcorrection Ptosis (67909) |
$2,111.27 |
$6,307.15 |
1.0× |
| Reinforce clavicle (23490) |
$6,443.71 |
$19,947.33 |
1.0× |
| Reinforce humerus (24498) |
$11,401.09 |
$19,947.33 |
1.0× |
| Reinforce radius (25490) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reinforce tibia (27745) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reinforce ulna (25491) |
$11,401.09 |
$19,947.33 |
1.0× |
| Reinnervate larynx (31590) |
$5,256.97 |
$13,550.33 |
1.0× |
| Reinsert ocular implant (65150) |
$3,491.19 |
$8,735.69 |
1.0× |
| Reinsert spinal fixation (22849) |
$11,401.09 |
$19,947.33 |
1.0× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$3,491.19 |
$8,735.69 |
1.0× |
| Release encircling material (67115) |
$3,670.59 |
$10,666.80 |
1.0× |
| Release facial nerve (69720) |
$5,256.97 |
$13,550.33 |
1.0× |
| Release foot/toe nerve (64726) |
$1,734.07 |
$5,603.66 |
1.0× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$2,905.62 |
$7,647.28 |
1.0× |
| Release of big toe (28240) |
$2,905.62 |
$7,647.28 |
1.0× |
| Release of shoulder ligament (23415) |
$6,443.71 |
$12,811.80 |
1.0× |
| Release or recession, hamstring, proximal Facility (27097) |
$2,905.62 |
$7,647.28 |
1.0× |
| Release Thenar Muscle (26508) |
$2,905.62 |
$7,647.28 |
1.0× |
| Relieve Pressure on Nerve(S) (64722) |
$1,734.07 |
$5,603.66 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,062.65 |
$1,021.03 |
1.0× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$18,405.34 |
$12,111.92 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$281.86 |
$881.57 |
1.0× |
| Removal entire oi implt skl perq attachment esp (69726) |
$2,905.62 |
$9,500 |
1.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,579.46 |
$6,478 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$1,466.66 |
$4,473.55 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,466.66 |
$4,473.55 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$628.84 |
$1,988.13 |
1.0× |
| Removal foreign body jawbone (41806) |
$1,377.85 |
$4,397.74 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,466.66 |
$4,473.55 |
1.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal Foreign Body Scrotum (55120) |
$1,856.32 |
$5,773.79 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,579.46 |
$6,478 |
1.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$52.39 |
$179.29 |
1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,874.65 |
$6,978.64 |
1.0× |
| Removal Implant Deep (20680) |
$2,579.46 |
$6,478 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,466.66 |
$4,473.55 |
1.0× |
| Removal implantable contraceptive capsules (11976) |
$628.84 |
$1,988.13 |
1.0× |
| Removal intact breast implant (19328) |
$3,477.01 |
$3,360 |
1.0× |
| Removal of a lesion from the floor of the mouth (41116) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal of adenoids (42835) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal of adenoids (42831) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal of adenoids (42830) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal of adenoids (42836) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal of anal fissure (46200) |
$2,464.86 |
$6,548.65 |
1.0× |
| Removal of ankle implant (27704) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal of anterior instrumentation (22855) |
$6,443.71 |
$3,675 |
1.0× |
| Removal of bladder cyst (51500) |
$5,368.59 |
$13,503.35 |
1.0× |
| Removal of bone lesion (23140) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal of calcium deposits (23000) |
$2,579.46 |
$702.81 |
1.0× |
| Removal of cervix (57530) |
$4,442.31 |
$11,932.88 |
1.0× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$1,734.07 |
$5,603.66 |
1.0× |
| Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) |
$2,049.41 |
$6,589.59 |
1.0× |
| Removal of eye (65110) |
$3,491.19 |
$8,735.69 |
1.0× |
| Removal of foot joint lining (28072) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$2,049.41 |
$6,589.59 |
1.0× |
| Removal of heel spur (28119) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal of humerus lesion (23150) |
$2,905.62 |
$12,811.80 |
1.0× |
| Removal of humerus lesion (23156) |
$6,443.71 |
$12,811.80 |
1.0× |
| Removal of implant from finger or hand (26320) |
$1,466.66 |
$4,473.55 |
1.0× |
| Removal of implanted material, anterior segment of eye (65920) |
$2,049.41 |
$6,589.59 |
1.0× |
| Removal of intranasal lesion (30118) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal of iris (66635) |
$2,049.41 |
$6,589.59 |
1.0× |
| Removal of iris (66630) |
$2,049.41 |
$6,589.59 |
1.0× |
| Removal of ischial bursa (27060) |
$6,443.71 |
$12,811.80 |
1.0× |
| Removal of jaw joint (21050) |
$5,256.97 |
$13,550.33 |
1.0× |
| Removal of knee prosthesis (27488) |
$11,401.09 |
$1,050 |
1.0× |
| Removal of lens material (66852) |
$3,670.59 |
$10,666.80 |
1.0× |
| Removal of mammary implant material (19330) |
$3,477.01 |
$6,363.28 |
1.0× |
| Removal of nail bed (11750) |
$361 |
$1,041.34 |
1.0× |
| Removal of nose (30160) |
$5,256.97 |
$13,550.33 |
1.0× |
| Removal of nose lesion (30124) |
$1,377.85 |
$4,397.74 |
1.0× |
| Removal of ocular implant (65175) |
$3,491.19 |
$8,735.69 |
1.0× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$6,443.71 |
$1,050 |
1.0× |
| Removal of residual cervix (57550) |
$4,442.31 |
$11,932.88 |
1.0× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$2,049.41 |
$6,589.59 |
1.0× |
| Removal of sesamoid bone (28315) |
$2,905.62 |
$6,067.04 |
1.0× |
| Removal of skin wrinkles (15829) |
$3,146.92 |
$8,317.29 |
1.0× |
| Removal of sperm cord lesion (55520) |
$3,130.28 |
$8,432.53 |
1.0× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal of tendon for graft (20924) |
$6,443.71 |
$12,811.80 |
1.0× |
| Removal of testis (54520) |
$3,130.28 |
$8,432.53 |
1.0× |
| Removal of Thiersch wire or suture, anal canal Facility (46754) |
$2,464.86 |
$6,548.65 |
1.0× |
| Removal of thymus gland (60520) |
$5,256.97 |
$13,550.33 |
1.0× |
| Removal of thyroid (60271) |
$5,256.97 |
$13,550.33 |
1.0× |
| Removal of tonsils (42825) |
$5,256.97 |
$13,550.33 |
1.0× |
| Removal of tonsils (42826) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,803.93 |
$7,741.79 |
1.0× |
| Removal of urethra (53210) |
$3,130.28 |
$8,432.53 |
1.0× |
| Removal of wrist bone (25210) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal of wrist prosthesis; (separate procedure) Facility (25250) |
$1,427.94 |
$4,417.46 |
1.0× |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
$2,905.62 |
$7,647.28 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$248.37 |
$336.93 |
1.0× |
| Removal or destruction of bladder canal (urethra) malignancy (53220) |
$3,130.28 |
$8,432.53 |
1.0× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$4,761.42 |
$8,494.93 |
1.0× |
| Removal parotid stone (42340) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$178.17 |
$569.48 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$628.84 |
$2,695 |
1.0× |
| Removal Submand Stone,Complicated (42335) |
$2,944.22 |
$7,317.19 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,832.25 |
$5,288.79 |
1.0× |
| Removal sweat gland lesion (11450) |
$2,579.46 |
$6,478 |
1.0× |
| Removal tong/halo applied by another individual (20665) |
$396.70 |
$1,185 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,427.94 |
$4,417.46 |
1.0× |
| Remove & graft wrist lesion (25136) |
$6,443.71 |
$12,811.80 |
1.0× |
| Remove & graft wrist lesion (25135) |
$6,443.71 |
$12,811.80 |
1.0× |
| Remove Ankle Joint Lining (27626) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove armpit lymph nodes (38740) |
$5,368.59 |
$13,503.35 |
1.0× |
| Remove blood clot from eye (65930) |
$2,049.41 |
$6,589.59 |
1.0× |
| Remove brain canal fluid (61050) |
$272.58 |
$853.16 |
1.0× |
| Remove Brain Cavity Fluid (61020) |
$785.44 |
$2,646.61 |
1.0× |
| Remove cerclage suture (59871) |
$2,874.65 |
$6,978.64 |
1.0× |
| Remove coronoid process (21070) |
$5,256.97 |
$13,550.33 |
1.0× |
| Remove drug implant device (11982) |
$396.70 |
$1,185 |
1.0× |
| Remove ear lesion (69552) |
$5,256.97 |
$13,550.33 |
1.0× |
| Remove ear lesion (69550) |
$5,256.97 |
$13,550.33 |
1.0× |
| Remove elbow joint implant (24160) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove Elbow Joint Lining (24102) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove elbow lesion (24120) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove eye lesion (66130) |
$2,111.27 |
$6,307.15 |
1.0× |
| Remove eye/attach implant (65105) |
$3,491.19 |
$8,735.69 |
1.0× |
| Remove femur lesion/graft (27356) |
$11,401.09 |
$19,947.33 |
1.0× |
| Remove finger bone (26185) |
$1,427.94 |
$4,417.46 |
1.0× |
| Remove Forearm Foreign Body (25248) |
$1,427.94 |
$4,417.46 |
1.0× |
| Remove foreign body from eye (65265) |
$2,049.41 |
$6,589.59 |
1.0× |
| Remove foreign body from eye (65235) |
$2,049.41 |
$6,589.59 |
1.0× |
| Remove groin lymph nodes (38760) |
$5,896.64 |
$14,630.77 |
1.0× |
| Remove Hand Bone Lesion (26200) |
$1,427.94 |
$4,417.46 |
1.0× |
| Remove hip pressure sore (15941) |
$2,579.46 |
$6,478 |
1.0× |
| Remove hip pressure sore (15940) |
$2,579.46 |
$6,478 |
1.0× |
| Remove humerus lesion (23174) |
$6,443.71 |
$7,647.28 |
1.0× |
| Remove humerus lesion (24110) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove inner ear (69905) |
$5,256.97 |
$13,550.33 |
1.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$1,856.32 |
$5,773.79 |
1.0× |
| Remove Intrauterine Device (58301) |
$270.61 |
$882.33 |
1.0× |
| Remove iris and lesion (66600) |
$3,670.59 |
$10,666.80 |
1.0× |
| Remove knee joint lining (27334) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove Lower Leg Bone Lesion (27635) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove mastoid structures (69505) |
$5,256.97 |
$13,550.33 |
1.0× |
| Remove middle ear nerve (69676) |
$2,944.22 |
$7,317.19 |
1.0× |
| Remove muti-comp penis pros (54406) |
$3,130.28 |
$8,432.53 |
1.0× |
| Remove palate/lesion (42120) |
$5,256.97 |
$13,550.33 |
1.0× |
| Remove part lumbar vertebra (22102) |
$6,443.71 |
$12,811.80 |
1.0× |
| Remove part thorax vertebra (22101) |
$6,443.71 |
$12,811.80 |
1.0× |
| Remove Peritoneal Foreign Body (49402) |
$3,179.49 |
$8,686.18 |
1.0× |
| Remove prostate regrowth (52630) |
$4,761.42 |
$12,239.55 |
1.0× |
| Remove radius head implant (24164) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$619.22 |
$1,813.83 |
1.0× |
| Remove sacrum pressure sore (15937) |
$1,832.25 |
$5,288.79 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$1,466.66 |
$12,811.80 |
1.0× |
| Remove shoulder joint lining (23105) |
$6,443.71 |
$7,647.28 |
1.0× |
| Remove Skin Nerve Lesion (64774) |
$1,734.07 |
$5,603.66 |
1.0× |
| Remove spine fixation device (22850) |
$6,443.71 |
$8,493.71 |
1.0× |
| Remove sympathetic nerves (64821) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,427.94 |
$4,417.46 |
1.0× |
| Remove thigh pressure sore (15951) |
$2,579.46 |
$6,478 |
1.0× |
| Remove thigh pressure sore (15956) |
$1,832.25 |
$5,288.79 |
1.0× |
| Remove thyroid lesion (60200) |
$5,368.59 |
$13,503.35 |
1.0× |
| Remove tissue expander (11971) |
$2,579.46 |
$6,478 |
1.0× |
| Remove vc lesion w/scope (31545) |
$3,310.87 |
$8,204.49 |
1.0× |
| Remove wrist joint cartilage (25107) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove/graft bone lesion (24125) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove/graft finger lesion (26215) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove/graft foot lesion (28102) |
$6,443.71 |
$12,811.80 |
1.0× |
| Remove/graft foot lesion (28107) |
$6,443.71 |
$12,811.80 |
1.0× |
| Remove/graft forearm lesion (25126) |
$2,905.62 |
$7,647.28 |
1.0× |
| Remove/graft forearm lesion (25125) |
$1,427.94 |
$4,417.46 |
1.0× |
| Remove/graft leg bone lesion (27637) |
$6,443.71 |
$12,811.80 |
1.0× |
| Remove/Insert Drug Implant (11983) |
$396.70 |
$1,185 |
1.0× |
| Remove/replace penis prosth (54410) |
$18,405.34 |
$29,456.53 |
1.0× |
| Remv cartilage for graft nasal (20912) |
$3,146.92 |
$8,317.29 |
1.0× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$4,761.42 |
$9,575.94 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,466.66 |
$4,473.55 |
1.0× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) |
$8,406.47 |
$17,279.43 |
1.0× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) |
$8,406.47 |
$17,279.43 |
1.0× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$4,761.42 |
$11,821.36 |
1.0× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$619.22 |
$1,813.83 |
1.0× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
$8,406.47 |
$11,821.36 |
1.0× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$3,130.28 |
$5,773.79 |
1.0× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$4,761.42 |
$11,821.36 |
1.0× |
| Reopen fallopian tube (58350) |
$4,442.31 |
$11,932.88 |
1.0× |
| Repair Achilles Tendon (27650) |
$6,443.71 |
$9,116.63 |
1.0× |
| Repair Anorectal Fistula Plug (46707) |
$2,464.86 |
$6,548.65 |
1.0× |
| Repair arm/leg nerve (64857) |
$3,033.63 |
$15,389.85 |
1.0× |
| Repair bladder neck (51845) |
$4,442.31 |
$11,932.88 |
1.0× |
| Repair Bladder-Vagina Lesion (57320) |
$4,442.31 |
$11,932.88 |
1.0× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,803.93 |
$7,741.79 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,803.93 |
$7,741.79 |
1.0× |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
$4,941.41 |
$8,500 |
1.0× |
| Repair brow ptosis (67900) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair Choanal Atresia Intranasal (30540) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair cleft hand deformity (26580) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair cleft lip/nasal (40720) |
$2,944.22 |
$7,317.19 |
1.0× |
| Repair cleft lip/nasal (40700) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$6,443.71 |
$6,295.41 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$656.32 |
$1,619.88 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$656.32 |
$1,619.88 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$361 |
$1,041.34 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$361 |
$1,619.88 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$361 |
$1,619.88 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$361 |
$1,619.88 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$656.32 |
$1,619.88 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$656.32 |
$1,619.88 |
1.0× |
| Repair defect w/autograft radius/ulna (25425) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair Detached Retina (67101) |
$2,049.41 |
$6,589.59 |
1.0× |
| Repair detached retina (67105) |
$488.41 |
$1,652.18 |
1.0× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair Ectropion Extensive (67917) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair Ectropion Suture (67914) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair Elbow Perc (24357) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair Entropion Extensive (67924) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair Entropion Suture (67921) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,427.94 |
$4,417.46 |
1.0× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Eyelid Wound (67935) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair facial nerve (69740) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair finger deformity (26590) |
$1,427.94 |
$4,417.46 |
1.0× |
| Repair Finger Tendon (26433) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Fistula Oromaxillary (30580) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Foot Dislocation (28615) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair Forearm Tendon Sheath (25275) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair forearm tendon/muscle (25265) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Hallux Rigidus (28289) |
$2,905.62 |
$7,980 |
1.0× |
| Repair Hand Joint (26540) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Hand Tendon (26410) |
$1,427.94 |
$4,417.46 |
1.0× |
| Repair humerus with graft (24435) |
$11,401.09 |
$19,947.33 |
1.0× |
| Repair incomplete circumcision (54163) |
$1,856.32 |
$5,773.79 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,179.49 |
$8,686.18 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,179.49 |
$8,686.18 |
1.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,179.49 |
$8,686.18 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,179.49 |
$8,686.18 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$656.32 |
$1,619.88 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$656.32 |
$1,619.88 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,832.25 |
$5,288.79 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$656.32 |
$1,619.88 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$361 |
$1,041.34 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,832.25 |
$5,288.79 |
1.0× |
| Repair intrinsic muscles hand each muscle (26591) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair iris ciliary body (66680) |
$2,049.41 |
$6,589.59 |
1.0× |
| Repair Laceration Palate </2 Cm (42180) |
$478.94 |
$1,439.64 |
1.0× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair Leg Fascia Defect (27656) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair lower leg epiphyses (27734) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair lower leg tendons (27676) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair lumbar hernia (49540) |
$5,368.59 |
$13,503.35 |
1.0× |
| Repair mouth/nose fistula (30600) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair nasal septal perforations (30630) |
$2,944.22 |
$7,317.19 |
1.0× |
| Repair Nasal Vestibular Stenosis (30465) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$11,401.09 |
$19,947.33 |
1.0× |
| Repair Nonunion Carpal Bone Each Bone (25431) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair Nonunion Hand (26546) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$11,401.09 |
$7,441.88 |
1.0× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair nose to lip fistula (42260) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair of anal sphincter (46760) |
$2,464.86 |
$6,548.65 |
1.0× |
| Repair of arm tendon (24320) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of biceps tendon (24340) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$4,442.31 |
$11,932.88 |
1.0× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair of fibula epiphysis (27732) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of hammertoe (28286) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair of hydrocele (55060) |
$3,130.28 |
$8,432.53 |
1.0× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$3,130.28 |
$8,432.53 |
1.0× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$4,761.42 |
$11,821.36 |
1.0× |
| Repair of knee ligaments (27409) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$2,111.27 |
$6,307.15 |
1.0× |
| Repair of leg nerve (64840) |
$7,793.19 |
$15,389.85 |
1.0× |
| Repair of metatarsals (28322) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of nail bed (11760) |
$656.32 |
$1,619.88 |
1.0× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$6,443.71 |
$1,050 |
1.0× |
| Repair of rectocele (45560) |
$2,464.86 |
$6,548.65 |
1.0× |
| Repair of rectum (45505) |
$2,464.86 |
$6,548.65 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of scleral staphyloma with graft Facility (66225) |
$4,725.46 |
$10,666.80 |
1.0× |
| Repair of shoulder (23420) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair of traumatic corporeal tear(s) (54437) |
$3,130.28 |
$8,432.53 |
1.0× |
| Repair of urethra injury (53502) |
$3,130.28 |
$7,415.21 |
1.0× |
| Repair of web finger (26562) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair of web finger (26560) |
$1,427.94 |
$4,417.46 |
1.0× |
| Repair of web finger (26561) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair of windpipe (31755) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair of windpipe (31750) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair of windpipe defect (31825) |
$2,944.22 |
$7,317.19 |
1.0× |
| Repair oval window fistula (69666) |
$2,944.22 |
$7,317.19 |
1.0× |
| Repair palate (42235) |
$5,256.97 |
$13,550.33 |
1.0× |
| Repair paravag defect vag (57285) |
$6,585.10 |
$14,357.39 |
1.0× |
| Repair penis post injury (54440) |
$3,130.28 |
$8,432.53 |
1.0× |
| Repair radius & ulna (25415) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$3,179.49 |
$8,686.18 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$5,748.92 |
$8,686.18 |
1.0× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$3,670.59 |
$10,666.80 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair round window fistula (69667) |
$2,944.22 |
$7,317.19 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,443.71 |
$7,712.25 |
1.0× |
| Repair shoulder capsule (23462) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair shoulder capsule (23466) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair Toe Dislocation (28645) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair tongue laceration (41252) |
$210.33 |
$663.69 |
1.0× |
| Repair tongue laceration (41250) |
$396.70 |
$355.35 |
1.0× |
| Repair Tooth Socket (41874) |
$2,944.22 |
$7,317.19 |
1.0× |
| Repair uro sphincter (53449) |
$8,406.47 |
$11,339.77 |
1.0× |
| Repair webbed toe(s) (28345) |
$1,427.94 |
$4,417.46 |
1.0× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$6,443.71 |
$1,050 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$6,443.71 |
$7,609.51 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair/graft achilles tendon (27652) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair/graft femur head/neck (27170) |
$6,443.71 |
$1,050 |
1.0× |
| Repair/graft finger tendon (26428) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repair/Graft Wrist Bone (25440) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair/Revise Wrist Joint (25320) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repair/transpose nerve (64856) |
$7,793.19 |
$15,389.85 |
1.0× |
| Replace elbow joint (24363) |
$15,570.49 |
$26,727.97 |
1.0× |
| Replace eye fluid (67025) |
$2,049.41 |
$6,589.59 |
1.0× |
| Replace/Revise Brain Shunt (62230) |
$7,793.19 |
$15,389.85 |
1.0× |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) |
$1,734.07 |
$5,603.66 |
1.0× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$6,443.71 |
$12,811.80 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,397.89 |
$5,316.14 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,905.62 |
$7,647.28 |
1.0× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$6,443.71 |
$12,811.80 |
1.0× |
| Repr torn cruciate knee ligam (27407) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,179.49 |
$8,686.18 |
1.0× |
| Resect back tum < 5 cm (21935) |
$2,579.46 |
$1,050 |
1.0× |
| Resect enlarged toe (28341) |
$2,905.62 |
$7,647.28 |
1.0× |
| Resect enlarged toe tissue (28340) |
$2,905.62 |
$7,647.28 |
1.0× |
| Resect forarm/wrist tum 3cm> (25078) |
$2,579.46 |
$6,478 |
1.0× |
| Resect hip/pelv tum < 5 cm (27049) |
$2,579.46 |
$6,478 |
1.0× |
| Resect leg/ankle tum < 5 cm (27615) |
$2,579.46 |
$6,478 |
1.0× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$2,579.46 |
$8,800 |
1.0× |
| Resect shoulder tumor < 5 cm (23077) |
$2,579.46 |
$6,478 |
1.0× |
| Resect thigh/knee tum < 5 cm (27329) |
$2,579.46 |
$6,478 |
1.0× |
| Resection of elbow joint (arthrectomy) Facility (24155) |
$2,905.62 |
$7,647.28 |
1.0× |
| Resection of scrotum (55150) |
$3,130.28 |
$8,432.53 |
1.0× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$2,905.62 |
$7,647.28 |
1.0× |
| Resection, humeral head Facility (23195) |
$6,443.71 |
$7,647.28 |
1.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,905.62 |
$4,568.81 |
1.0× |
| Resection/transplantation long tendon biceps (23440) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,104.63 |
$8,795.58 |
1.0× |
| Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) |
$11,401.09 |
$19,947.33 |
1.0× |
| Revis reconst shoulder joint (23473) |
$11,401.09 |
$19,947.33 |
1.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$11,401.09 |
$15,500 |
1.0× |
| Revise Abdomen-Venous Shunt (49426) |
$3,179.49 |
$8,686.18 |
1.0× |
| Revise external ear (69300) |
$2,944.22 |
$7,317.19 |
1.0× |
| Revise eye (65091) |
$3,491.19 |
$8,735.69 |
1.0× |
| Revise eye with implant (65093) |
$3,491.19 |
$8,735.69 |
1.0× |
| Revise eyelashes (67835) |
$2,111.27 |
$6,307.15 |
1.0× |
| Revise eyelashes (67825) |
$281.86 |
$881.57 |
1.0× |
| Revise eyelid lining (68360) |
$3,491.19 |
$8,735.69 |
1.0× |
| Revise finger joint each (26140) |
$1,427.94 |
$4,417.46 |
1.0× |
| Revise Hand/Foot Nerve (64704) |
$1,734.07 |
$5,603.66 |
1.0× |
| Revise hernia & sperm veins (55540) |
$3,179.49 |
$8,686.18 |
1.0× |
| Revise knuckle joint (26530) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revise lower leg tendon (27690) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revise Lower Leg Tendons (27686) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revise palsy hand tendon(s) (25315) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revise penis/urethra (54328) |
$3,130.28 |
$8,432.53 |
1.0× |
| Revise radius & ulna (25365) |
$11,401.09 |
$19,947.33 |
1.0× |
| Revise thumb tendon (26496) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revise ulnar nerve at wrist (64719) |
$1,734.07 |
$5,603.66 |
1.0× |
| Revise Wrist/Forearm Tendon (25280) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revise/Implant Finger Joint (26536) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revise/Repair Finger/Toe Nerve (64702) |
$1,734.07 |
$5,603.66 |
1.0× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$6,585.10 |
$14,357.39 |
1.0× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$2,874.65 |
$6,978.64 |
1.0× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
$5,256.97 |
$13,550.33 |
1.0× |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) |
$5,256.97 |
$13,550.33 |
1.0× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$5,256.97 |
$13,550.33 |
1.0× |
| Revision of big toe (28310) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$3,146.92 |
$1,050 |
1.0× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$3,146.92 |
$1,050 |
1.0× |
| Revision of eyelid (67880) |
$2,111.27 |
$6,307.15 |
1.0× |
| Revision of foot (28116) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revision of foot and ankle (28262) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revision of foot bones (28737) |
$11,401.09 |
$19,947.33 |
1.0× |
| Revision of foot fascia (28250) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revision of humerus (24400) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
$3,318.52 |
$8,336.07 |
1.0× |
| Revision of knee joint (27442) |
$11,401.09 |
$19,947.33 |
1.0× |
| Revision of leg vein (37780) |
$2,803.93 |
$5,316.14 |
1.0× |
| Revision of lower leg tendon (27685) |
$2,905.62 |
$6,725.91 |
1.0× |
| Revision of neck muscle (21720) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revision of nose (30462) |
$5,256.97 |
$13,550.33 |
1.0× |
| Revision of penis (54300) |
$3,130.28 |
$8,432.53 |
1.0× |
| Revision of penis (54304) |
$3,130.28 |
$8,432.53 |
1.0× |
| Revision of reconstructed breast (19380) |
$5,896.64 |
$14,630.77 |
1.0× |
| Revision of scrotum (55180) |
$4,761.42 |
$11,821.36 |
1.0× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$5,256.97 |
$13,550.33 |
1.0× |
| Revision of toe (28312) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$11,401.09 |
$26,247.33 |
1.0× |
| Revision of tracheostomy scar (31830) |
$2,944.22 |
$7,317.19 |
1.0× |
| Revision of urethra (53460) |
$3,130.28 |
$4,124.94 |
1.0× |
| Revision of urethra (57220) |
$4,442.31 |
$11,932.88 |
1.0× |
| Revision of wrist joint (25450) |
$2,905.62 |
$7,647.28 |
1.0× |
| Revision Peri-Implant Capsule Breast (19370) |
$3,477.01 |
$6,363.28 |
1.0× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
$6,443.71 |
$12,811.80 |
1.0× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$3,146.92 |
$8,317.29 |
1.0× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$3,146.92 |
$8,317.29 |
1.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$5,659.39 |
$13,251.24 |
1.0× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
$5,256.97 |
$13,550.33 |
1.0× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$11,401.09 |
$26,247.33 |
1.0× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$15,570.49 |
$1,050 |
1.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$11,401.09 |
$24,150 |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,104.63 |
$8,795.58 |
1.0× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$9,895.01 |
$13,251.24 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,104.63 |
$8,795.58 |
1.0× |
| Rhinoplasty primary w/major septal repair (30420) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rhinoplasty Secondary Intermediate Revision (30435) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rhinoplasty Secondary Major Revision (30450) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rhinoplasty Secondary Minor Revision (30430) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$3,146.92 |
$8,317.29 |
1.0× |
| Rhytidectomy Forehead (15824) |
$1,832.25 |
$4,410 |
1.0× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$3,146.92 |
$6,510 |
1.0× |
| Rib cartilage graft (21230) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,377.85 |
$4,397.74 |
1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$478.94 |
$1,439.64 |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,466.66 |
$4,473.55 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$396.70 |
$1,185 |
1.0× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$281.86 |
$881.57 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,062.65 |
$3,272.92 |
1.0× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,377.85 |
$4,397.74 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,579.46 |
$6,478 |
1.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,579.46 |
$6,478 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,466.66 |
$4,473.55 |
1.0× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$2,049.41 |
$6,589.59 |
1.0× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$2,049.41 |
$6,589.59 |
1.0× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$2,049.41 |
$6,589.59 |
1.0× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$2,049.41 |
$6,589.59 |
1.0× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$1,734.07 |
$2,211.79 |
1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,734.07 |
$5,603.66 |
1.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$3,033.63 |
$3,956.47 |
1.0× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,397.89 |
$2,054.94 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$557.06 |
$2,054.94 |
1.0× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,049.41 |
$6,589.59 |
1.0× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$2,049.41 |
$6,589.59 |
1.0× |
| Rmvl/revj sling stress incontinence (57287) |
$2,874.65 |
$6,978.64 |
1.0× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$2,944.22 |
$7,317.19 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,803.93 |
$7,311.72 |
1.0× |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) |
$3,033.63 |
$15,953.52 |
1.0× |
| Rplcmt/irrigation ventricular catheter (62225) |
$3,033.63 |
$15,389.85 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,368.59 |
$8,686.18 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,179.49 |
$8,686.18 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$5,748.92 |
$13,503.35 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$5,368.59 |
$13,503.35 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,179.49 |
$13,503.35 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$5,748.92 |
$8,686.18 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,368.59 |
$8,686.18 |
1.0× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$3,491.19 |
$8,735.69 |
1.0× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) |
$3,491.19 |
$8,735.69 |
1.0× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$4,941.41 |
$8,500 |
1.0× |
| Rpr Component Inflatable Penile Prosthesis (54408) |
$4,761.42 |
$11,821.36 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,397.89 |
$5,316.14 |
1.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$3,179.49 |
$8,686.18 |
1.0× |
| Rpr ing hernia init reduce (49500) |
$5,748.92 |
$8,686.18 |
1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$656.32 |
$1,041.34 |
1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$210.33 |
$663.69 |
1.0× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$2,111.27 |
$6,307.15 |
1.0× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$4,725.46 |
$10,666.80 |
1.0× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$3,491.19 |
$8,735.69 |
1.0× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$4,725.46 |
$10,666.80 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$478.94 |
$1,439.64 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$478.94 |
$1,439.64 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,377.85 |
$4,397.74 |
1.0× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$6,443.71 |
$1,050 |
1.0× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$5,256.97 |
$13,550.33 |
1.0× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$6,443.71 |
$7,737.19 |
1.0× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$3,670.59 |
$10,666.80 |
1.0× |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
$2,049.41 |
$6,589.59 |
1.0× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$3,491.19 |
$8,735.69 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,905.62 |
$7,047.47 |
1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$3,491.19 |
$8,735.69 |
1.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$2,905.62 |
$7,647.28 |
1.0× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
$6,443.71 |
$12,811.80 |
1.0× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$2,905.62 |
$7,647.28 |
1.0× |
| Salpingostomy (salpingoneostomy) (58770) |
$2,874.65 |
$6,978.64 |
1.0× |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
$6,443.71 |
$12,811.80 |
1.0× |
| Scleral reinforcement (separate procedure); without graft Facility (67250) |
$2,111.27 |
$6,307.15 |
1.0× |
| Scleral Reinforcement Spx W/Graft (67255) |
$3,670.59 |
$6,589.59 |
1.0× |
| Scrotal exploration (55110) |
$3,130.28 |
$8,432.53 |
1.0× |
| Scrotoplasty Simple (55175) |
$3,130.28 |
$8,432.53 |
1.0× |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
$5,256.97 |
$13,550.33 |
1.0× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$5,256.97 |
$13,550.33 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$2,944.22 |
$7,317.19 |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$2,905.62 |
$12,811.80 |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$2,905.62 |
$7,647.28 |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) |
$2,905.62 |
$7,647.28 |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) |
$2,905.62 |
$7,647.28 |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) |
$6,443.71 |
$12,811.80 |
1.0× |
| Sequestrectomy Olecranon Process (24138) |
$6,443.71 |
$12,811.80 |
1.0× |
| Sever cranial nerve (64771) |
$1,734.07 |
$5,603.66 |
1.0× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$488.41 |
$1,652.18 |
1.0× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$3,670.59 |
$10,666.80 |
1.0× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
$2,049.41 |
$6,589.59 |
1.0× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$2,049.41 |
$6,589.59 |
1.0× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$2,049.41 |
$6,589.59 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$825.83 |
$2,003.77 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,062.65 |
$2,003.77 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$361 |
$569.48 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$178.17 |
$569.48 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$361 |
$1,041.34 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$178.17 |
$569.48 |
1.0× |
| Shorten radius & ulna (25392) |
$6,443.71 |
$12,811.80 |
1.0× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$2,905.62 |
$7,647.28 |
1.0× |
| Shoulder arthroscopy (29820) |
$6,443.71 |
$12,811.80 |
1.0× |
| Shoulder arthroscopy diagnostic (29805) |
$2,905.62 |
$7,647.28 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,905.62 |
$7,647.28 |
1.0× |
| Shoulder joint surgery (23101) |
$2,905.62 |
$7,647.28 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$178.17 |
$569.48 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$361 |
$1,041.34 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$178.17 |
$569.48 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$178.17 |
$569.48 |
1.0× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$2,944.22 |
$7,317.19 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$825.83 |
$2,489.61 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$825.83 |
$3,973.05 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,062.65 |
$1,978.24 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$825.83 |
$1,110.38 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,062.65 |
$4,279.37 |
1.0× |
| Simple Cystometrogram (51725) |
$221.87 |
$1,449.85 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$361 |
$1,041.34 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$178.17 |
$569.48 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$178.17 |
$569.48 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$361 |
$1,041.34 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$178.17 |
$569.48 |
1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$178.17 |
$569.48 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$178.17 |
$569.48 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$178.17 |
$569.48 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$178.17 |
$569.48 |
1.0× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) |
$5,256.97 |
$13,550.33 |
1.0× |
| Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) |
$5,256.97 |
$13,550.33 |
1.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,832.25 |
$5,288.79 |
1.0× |
| Skin Pedicle Flap Trunk (15570) |
$1,832.25 |
$5,288.79 |
1.0× |
| Skin Pinch Graft (15050) |
$656.32 |
$1,619.88 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$656.32 |
$5,288.79 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$656.32 |
$5,288.79 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$1,832.25 |
$8,317.29 |
1.0× |
| Skin Tissue Procedure (17999) |
$178.17 |
$569.48 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$1,832.25 |
$5,288.79 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,442.31 |
$11,932.88 |
1.0× |
| Slitting of prepuce (54001) |
$1,856.32 |
$5,773.79 |
1.0× |
| Small bowel endoscopy (44366) |
$1,704.04 |
$5,075.84 |
1.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,704.04 |
$5,075.84 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$178.17 |
$569.48 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$361 |
$1,041.34 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$361 |
$1,041.34 |
1.0× |
| Snip Incision Lacrimal Punctum (68440) |
$281.86 |
$881.57 |
1.0× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$2,464.86 |
$6,548.65 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,464.86 |
$6,548.65 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$626.84 |
$1,572.38 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,146.92 |
$8,317.29 |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$1,832.25 |
$5,288.79 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,803.93 |
$7,741.79 |
1.0× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$5,256.97 |
$13,550.33 |
1.0× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$5,256.97 |
$13,550.33 |
1.0× |
| Stapes mobilization (69650) |
$2,944.22 |
$7,317.19 |
1.0× |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) |
$1,734.07 |
$5,603.66 |
1.0× |
| Strabismus Any Superior Oblique Muscle (67318) |
$2,111.27 |
$6,307.15 |
1.0× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$2,111.27 |
$6,307.15 |
1.0× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$2,111.27 |
$6,307.15 |
1.0× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$3,491.19 |
$8,735.69 |
1.0× |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
$2,111.27 |
$6,307.15 |
1.0× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$178.17 |
$569.48 |
1.0× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$656.32 |
$1,619.88 |
1.0× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$656.32 |
$1,041.34 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,944.22 |
$7,317.19 |
1.0× |
| Subtalar arthro w/exc (29905) |
$6,443.71 |
$12,811.80 |
1.0× |
| Suction assisted lipectomy; head and neck (15876) |
$3,146.92 |
$8,317.29 |
1.0× |
| Suction assisted lipectomy; trunk (15877) |
$3,146.92 |
$3,675 |
1.0× |
| Suction assisted lipectomy; upper extremity (15878) |
$1,832.25 |
$1,608.12 |
1.0× |
| Suction Lipectomy Lwr Extrem (15879) |
$3,146.92 |
$8,317.29 |
1.0× |
| Suprahyoid lymphadenectomy (38700) |
$5,896.64 |
$14,630.77 |
1.0× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$2,944.22 |
$7,317.19 |
1.0× |
| Surg Implnt Neuroelect,Epidural (63655) |
$17,227.81 |
$32,315.14 |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,256.97 |
$12,915 |
1.0× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$5,256.97 |
$12,915 |
1.0× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$2,464.86 |
$6,548.65 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,464.86 |
$6,548.65 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,464.86 |
$6,548.65 |
1.0× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$3,033.63 |
$15,389.85 |
1.0× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$3,033.63 |
$15,389.85 |
1.0× |
| Suture 1 Nerve Ulnar Motor (64836) |
$3,033.63 |
$15,389.85 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,734.07 |
$5,603.66 |
1.0× |
| Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) |
$5,256.97 |
$13,550.33 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$6,443.71 |
$12,811.80 |
1.0× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$2,049.41 |
$6,589.59 |
1.0× |
| Suture of facial nerve; extracranial Facility (64864) |
$7,793.19 |
$15,389.85 |
1.0× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$3,033.63 |
$15,389.85 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$6,443.71 |
$12,811.80 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$6,443.71 |
$12,811.80 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$6,443.71 |
$12,811.80 |
1.0× |
| Suture of sciatic nerve (64858) |
$1,734.07 |
$5,603.66 |
1.0× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) |
$2,944.22 |
$7,317.19 |
1.0× |
| Suture of; brachial plexus Facility (64861) |
$1,734.07 |
$5,603.66 |
1.0× |
| Suture of; lumbar plexus Facility (64862) |
$3,033.63 |
$15,389.85 |
1.0× |
| Suture pharynx for wound or injury (42900) |
$1,377.85 |
$4,397.74 |
1.0× |
| Suture/repair testicular injury (54670) |
$3,130.28 |
$5,773.79 |
1.0× |
| Sympathectomy cervical (64802) |
$1,734.07 |
$5,603.66 |
1.0× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$1,734.07 |
$5,603.66 |
1.0× |
| Sympathectomy; superficial palmar arch (64823) |
$2,905.62 |
$7,647.28 |
1.0× |
| Sympathectomy; ulnar artery (64822) |
$2,905.62 |
$7,647.28 |
1.0× |
| Syndactylization toes (28280) |
$2,905.62 |
$5,181.75 |
1.0× |
| Synovectomy carpometacarpal joint (26130) |
$2,905.62 |
$7,647.28 |
1.0× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$2,905.62 |
$7,647.28 |
1.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$2,905.62 |
$7,647.28 |
1.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$2,905.62 |
$7,647.28 |
1.0× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$2,905.62 |
$7,647.28 |
1.0× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$6,443.71 |
$12,811.80 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,427.94 |
$4,417.46 |
1.0× |
| Talectomy (astragalectomy) Facility (28130) |
$6,443.71 |
$12,811.80 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$361 |
$569.48 |
1.0× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$656.32 |
$1,619.88 |
1.0× |
| Temple bone implant revision (69717) |
$6,443.71 |
$12,811.80 |
1.0× |
| Temporary Closure Eyelids Suture (67875) |
$885.25 |
$2,630.05 |
1.0× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tendon shortening (26477) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tendon transfer with graft (26492) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenodesis distal joint each (26474) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$6,443.71 |
$12,811.80 |
1.0× |
| Tenodesis proximal interphalangeal joint each (26471) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenodesis Wrist Extensors Fingers (25301) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenodesis Wrist Flexors Fingers (25300) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis extensor foot single tendon (28225) |
$2,905.62 |
$3,195.50 |
1.0× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis flexor foot single tendon (28220) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy Hip Abd/Ext Open (27006) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$6,443.71 |
$12,811.80 |
1.0× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
$6,443.71 |
$12,811.80 |
1.0× |
| Tenotomy, hip flexor(s), open (27005) |
$2,905.62 |
$1,050 |
1.0× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,427.94 |
$4,417.46 |
1.0× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$4,941.41 |
$5,794.95 |
1.0× |
| Thumb fusion with graft (26842) |
$6,443.71 |
$12,811.80 |
1.0× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$5,256.97 |
$13,550.33 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$5,368.59 |
$13,503.35 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tibial Arthroscopy/Surgery (29855) |
$6,443.71 |
$12,811.80 |
1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$1,832.25 |
$5,288.79 |
1.0× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$12,237.85 |
$23,220.21 |
1.0× |
| Tlh uterus over 250 g (58572) |
$9,439.57 |
$18,018.71 |
1.0× |
| Tnot elbow lateral/medial debride open (24358) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,905.62 |
$7,647.28 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,944.22 |
$7,317.19 |
1.0× |
| Tooth extraction (41899) |
$210.33 |
$663.69 |
1.0× |
| Total Knee Arthroplasty (27447) |
$11,401.09 |
$26,247.33 |
1.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$5,368.59 |
$13,503.35 |
1.0× |
| Trabeculoplasty by laser surgery (65855) |
$488.41 |
$1,652.18 |
1.0× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
$2,944.22 |
$7,317.19 |
1.0× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$2,874.65 |
$6,978.64 |
1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$478.94 |
$1,439.64 |
1.0× |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tracheostoma revj smpl w/o flap rotation (31613) |
$2,944.22 |
$7,317.19 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,377.85 |
$4,397.74 |
1.0× |
| Tracheostomy planned (31600) |
$2,944.22 |
$7,317.19 |
1.0× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$2,874.65 |
$6,978.64 |
1.0× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection or avulsion of; lingual nerve Facility (64740) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection or avulsion of; mental nerve Facility (64736) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection or avulsion of; phrenic nerve Facility (64746) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$1,734.07 |
$5,603.66 |
1.0× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) |
$6,443.71 |
$12,811.80 |
1.0× |
| Transfer iliopsoas; to femoral neck Facility (27111) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transfer of iliopsoas muscle (27110) |
$6,443.71 |
$12,811.80 |
1.0× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transfer skin pedicle flap (15650) |
$1,832.25 |
$5,288.79 |
1.0× |
| Transfer, adductor to ischium Facility (27098) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transfer, finger to another position without microvascular anastomosis Facility (26555) |
$6,443.71 |
$12,811.80 |
1.0× |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
$6,443.71 |
$12,811.80 |
1.0× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$1,832.25 |
$5,288.79 |
1.0× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$4,761.42 |
$11,821.36 |
1.0× |
| Transplant hand tendon (26480) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transplant of thigh tendon (27396) |
$6,443.71 |
$12,811.80 |
1.0× |
| Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) |
$6,443.71 |
$12,811.80 |
1.0× |
| Transplant/graft hand tendon (26483) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transplant/graft palm tendon (26489) |
$2,905.62 |
$7,647.28 |
1.0× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$3,130.28 |
$8,432.53 |
1.0× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$1,062.65 |
$3,272.92 |
1.0× |
| Transur electr resection of prostate (52601) |
$4,761.42 |
$9,678.04 |
1.0× |
| Transurethral incision of prostate (52450) |
$3,130.28 |
$8,903.34 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,130.28 |
$7,689.59 |
1.0× |
| Treat ankle dislocation (27848) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat Ankle Dislocation (27846) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat ankle fracture (28445) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat Big Toe Fracture (28505) |
$2,905.62 |
$7,647.28 |
1.0× |
| Treat clavicle dislocation (23530) |
$6,443.71 |
$702.81 |
1.0× |
| Treat Dental Ridge Fracture (21440) |
$2,944.22 |
$7,317.19 |
1.0× |
| Treat dental ridge fracture (21445) |
$5,256.97 |
$13,550.33 |
1.0× |
| Treat dislocation/fracture (23670) |
$6,443.71 |
$4,417.46 |
1.0× |
| Treat dislocation/fracture (23680) |
$11,401.09 |
$4,417.46 |
1.0× |
| Treat ectopic pregnancy (59151) |
$5,368.59 |
$13,503.35 |
1.0× |
| Treat elbow fracture (24586) |
$11,401.09 |
$19,947.33 |
1.0× |
| Treat Elbow Fracture (24635) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat elbow fracture (24587) |
$11,401.09 |
$19,947.33 |
1.0× |
| Treat Finger Fracture Each (26727) |
$2,905.62 |
$7,647.28 |
1.0× |
| Treat forearm bone lesion (25035) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat fracture radius/ulna (25575) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat Hand Bone Lesion (26034) |
$1,427.94 |
$4,417.46 |
1.0× |
| Treat humerus fracture (24500) |
$219.05 |
$702.81 |
1.0× |
| Treat Humerus Fracture (24505) |
$1,427.94 |
$4,417.46 |
1.0× |
| Treat humerus fracture (23616) |
$15,570.49 |
$19,947.33 |
1.0× |
| Treat humerus fracture (23600) |
$219.05 |
$12,811.80 |
1.0× |
| Treat knee fracture (27532) |
$2,905.62 |
$7,647.28 |
1.0× |
| Treat Knee Fracture(S) (27538) |
$219.05 |
$702.81 |
1.0× |
| Treat kneecap dislocation (27566) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat Kneecap Fracture (27524) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$219.05 |
$702.81 |
1.0× |
| Treat lower jaw fracture (21452) |
$5,256.97 |
$13,550.33 |
1.0× |
| Treat lower leg bone lesion (27607) |
$2,905.62 |
$7,647.28 |
1.0× |
| Treat lower leg dislocation (27832) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat metacarpal fracture (26607) |
$2,905.62 |
$7,647.28 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$219.05 |
$702.81 |
1.0× |
| Treat midfoot fracture (28456) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treat scapula fracture (23585) |
$6,443.71 |
$1,050 |
1.0× |
| Treat Thumb Dislocation (26641) |
$219.05 |
$702.81 |
1.0× |
| Treat Thumb Fracture (26645) |
$1,427.94 |
$4,417.46 |
1.0× |
| Treat thumb fracture (26665) |
$2,905.62 |
$7,647.28 |
1.0× |
| Treat Trigeminal Nerve (61790) |
$1,734.07 |
$5,603.66 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$179.53 |
$541.19 |
1.0× |
| Treat/graft heel fracture (28420) |
$11,401.09 |
$19,947.33 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,427.94 |
$4,417.46 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$219.05 |
$702.81 |
1.0× |
| Treatment extensive retinopathy photocoagulation (67228) |
$488.41 |
$1,652.18 |
1.0× |
| Treatment mouth roof lesion (42160) |
$2,944.22 |
$7,317.19 |
1.0× |
| Treatment of anal fissure (46940) |
$2,464.86 |
$3,855.44 |
1.0× |
| Treatment of ankle fracture (27823) |
$6,443.71 |
$12,811.80 |
1.0× |
| Treatment of foot infection (28003) |
$2,905.62 |
$7,647.28 |
1.0× |
| Treatment of gum lesion (41850) |
$1,377.85 |
$4,397.74 |
1.0× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$6,443.71 |
$1,050 |
1.0× |
| Treatment of nose fracture (21330) |
$5,256.97 |
$13,550.33 |
1.0× |
| Treatment of penis lesion (54115) |
$2,579.46 |
$6,478 |
1.0× |
| Treatment of retina (67141) |
$281.86 |
$881.57 |
1.0× |
| Treatment of retinal lesion (67208) |
$281.86 |
$881.57 |
1.0× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$2,905.62 |
$1,050 |
1.0× |
| Treatment of tibia fracture (27756) |
$6,443.71 |
$12,811.80 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$52.39 |
$179.29 |
1.0× |
| Trurl drainage prostatic abscess (52700) |
$3,130.28 |
$5,254.45 |
1.0× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,130.28 |
$9,082.02 |
1.0× |
| Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) |
$8,406.47 |
$18,000 |
1.0× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,580.60 |
$4,662.61 |
1.0× |
| Tubal ligation (58600) |
$2,874.65 |
$6,978.64 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,464.86 |
$6,548.65 |
1.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$11,401.09 |
$19,947.33 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,874.65 |
$6,978.64 |
1.0× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$6,443.71 |
$1,050 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,874.65 |
$6,978.64 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$2,874.65 |
$6,978.64 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$656.32 |
$1,619.88 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$361 |
$1,041.34 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,427.94 |
$4,417.46 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$219.05 |
$702.81 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$11,401.09 |
$19,947.33 |
1.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$1,377.85 |
$4,397.74 |
1.0× |
| Tympanolysis transcanal (69450) |
$2,944.22 |
$7,317.19 |
1.0× |
| Tympanoplasty (69631) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$5,256.97 |
$13,550.33 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,377.85 |
$4,397.74 |
1.0× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$3,179.49 |
$8,686.18 |
1.0× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$210.33 |
$663.69 |
1.0× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$179.53 |
$541.19 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure appendix (44979) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, bladder (51999) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, rectum (45499) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted Procedure Accessory Sinuses (31299) |
$210.33 |
$663.69 |
1.0× |
| Unlisted procedure anus (46999) |
$825.83 |
$578.81 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$219.05 |
$702.81 |
1.0× |
| Unlisted Procedure Biliary Tract (47999) |
$805.43 |
$2,561.45 |
1.0× |
| Unlisted procedure breast (19499) |
$3,477.01 |
$8,463.28 |
1.0× |
| Unlisted Procedure Endocrine System (60699) |
$5,368.59 |
$13,503.35 |
1.0× |
| Unlisted Procedure Esophagus (43499) |
$805.43 |
$2,561.45 |
1.0× |
| Unlisted procedure excision pressure ulcer (15999) |
$628.84 |
$1,988.13 |
1.0× |
| Unlisted Procedure External Ear (69399) |
$210.33 |
$663.69 |
1.0× |
| Unlisted procedure eyelids (67999) |
$281.86 |
$881.57 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$219.05 |
$702.81 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$219.05 |
$587.10 |
1.0× |
| Unlisted procedure forearm or wrist (25999) |
$219.05 |
$702.81 |
1.0× |
| Unlisted Procedure Hands/Fingers (26989) |
$219.05 |
$702.81 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$219.05 |
$702.81 |
1.0× |
| Unlisted Procedure Intestine (44799) |
$805.43 |
$2,561.45 |
1.0× |
| Unlisted procedure lacrimal system (68899) |
$281.86 |
$881.57 |
1.0× |
| Unlisted procedure larynx (31599) |
$210.33 |
$663.69 |
1.0× |
| Unlisted Procedure Leg/Ankle (27899) |
$219.05 |
$702.81 |
1.0× |
| Unlisted Procedure Male Genital System (55899) |
$221.87 |
$765.58 |
1.0× |
| Unlisted Procedure Muscskeletal System General (20999) |
$219.05 |
$702.81 |
1.0× |
| Unlisted procedure neck or thorax (21899) |
$210.33 |
$663.69 |
1.0× |
| Unlisted procedure nervous system (64999) |
$272.58 |
$3,076.50 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$219.05 |
$702.81 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$210.33 |
$663.69 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$825.83 |
$2,489.61 |
1.0× |
| Unlisted procedure shoulder (23929) |
$219.05 |
$702.81 |
1.0× |
| Unlisted procedure spine (22899) |
$219.05 |
$702.81 |
1.0× |
| Unlisted procedure stomach (43999) |
$805.43 |
$2,561.45 |
1.0× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$210.33 |
$663.69 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$557.06 |
$2,054.94 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$805.43 |
$2,561.45 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$221.87 |
$765.58 |
1.0× |
| Unlisted procedure, vestibule of mouth (40899) |
$210.33 |
$663.69 |
1.0× |
| Unlisted px extraocular musc (67399) |
$281.86 |
$881.57 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$179.53 |
— |
1.0× |
| Ureter endoscopy (50970) |
$3,130.28 |
$8,432.53 |
1.0× |
| Ureter endoscopy & biopsy (50955) |
$4,761.42 |
$11,821.36 |
1.0× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$4,761.42 |
$11,821.36 |
1.0× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) |
$4,761.42 |
$11,821.36 |
1.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$4,761.42 |
$11,821.36 |
1.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) |
$4,761.42 |
$11,821.36 |
1.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$3,130.28 |
$8,432.53 |
1.0× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) |
$4,761.42 |
$11,821.36 |
1.0× |
| Ureteral endoscopy via ureterostomy (50951) |
$3,130.28 |
$8,432.53 |
1.0× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$4,761.42 |
$11,821.36 |
1.0× |
| Urethrlys Transvag W/ Scope (53500) |
$3,130.28 |
$9,635.92 |
1.0× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$3,130.28 |
$4,510.38 |
1.0× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$4,761.42 |
$11,821.36 |
1.0× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) |
$4,761.42 |
$11,821.36 |
1.0× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$4,761.42 |
$11,821.36 |
1.0× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$4,761.42 |
$11,821.36 |
1.0× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$4,761.42 |
$11,821.36 |
1.0× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$4,761.42 |
$11,821.36 |
1.0× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$4,761.42 |
$7,595.15 |
1.0× |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) |
$4,761.42 |
$9,702.29 |
1.0× |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) |
$4,761.42 |
$12,016.19 |
1.0× |
| Urinary Reflex Study (51792) |
$52.39 |
$2,648.28 |
1.0× |
| Urine Flow Measurement (51736) |
$118.15 |
$995.51 |
1.0× |
| Uvulectomy excision of uvula (42140) |
$2,944.22 |
$7,317.19 |
1.0× |
| Vag hyst complex (58290) |
$6,585.10 |
$14,357.39 |
1.0× |
| Vag hyst incl t/o complex (58291) |
$4,442.31 |
$11,932.88 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$4,442.31 |
$11,932.88 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$4,442.31 |
$11,932.88 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$4,442.31 |
$11,932.88 |
1.0× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$2,874.65 |
$6,978.64 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,856.32 |
$6,459.26 |
1.0× |
| Vasovasostomy vasovasorrhaphy (55400) |
$3,130.28 |
$8,432.53 |
1.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,944.22 |
$7,317.19 |
1.0× |
| Ventricular puncture previous burr hole w/inj (61026) |
$626.84 |
$2,037.15 |
1.0× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
$2,944.22 |
$7,317.19 |
1.0× |
| Vestibular nerve section, translabyrinthine approach Facility (69915) |
$2,944.22 |
$7,317.19 |
1.0× |
| Vestibuloplasty Anterior (40840) |
$5,256.97 |
$13,550.33 |
1.0× |
| Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) |
$5,256.97 |
$13,550.33 |
1.0× |
| Vestibuloplasty Posterior Bilateral (40843) |
$5,256.97 |
$13,550.33 |
1.0× |
| Vitrectomy mechanical pars plana (67036) |
$3,670.59 |
$10,666.80 |
1.0× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$3,670.59 |
$10,666.80 |
1.0× |
| Vulvectomy simple partial (56620) |
$2,874.65 |
$6,978.64 |
1.0× |
| Vulvectomy simple; complete (56625) |
$2,874.65 |
$6,978.64 |
1.0× |
| Wedge excision skin nail fold (11765) |
$361 |
$1,041.34 |
1.0× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
$6,585.10 |
$14,357.39 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$361 |
$1,619.88 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$656.32 |
$5,288.79 |
1.0× |
| Wrist arthroscopy (29840) |
$2,905.62 |
$7,647.28 |
1.0× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$2,905.62 |
$7,647.28 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$6,443.71 |
$6,580.55 |
1.0× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$4,941.41 |
$12,839.81 |
1.0× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$1,397.89 |
$2,054.94 |
1.0× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$478.94 |
$1,439.64 |
1.0× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$5,256.97 |
$13,550.33 |
1.0× |
| Xtroral I&D Floor Masticator Space (41018) |
$1,377.85 |
$4,397.74 |
1.0× |