| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$6,935.89 |
$17,339.72 |
2.0× |
| 68399-unlisted Procedures Conjunctiva (68399) |
$336.40 |
$841 |
1.1× |
| Abd paracentesis (49082) |
$1,985.18 |
$4,962.94 |
2.2× |
| Abd paracentesis w/imaging (49083) |
$1,757.49 |
$4,393.72 |
1.9× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$19,157.04 |
$47,892.61 |
1.8× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$33,912.06 |
$84,780.13 |
1.9× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$8,887.20 |
$22,218 |
1.5× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$26,564.30 |
$66,410.76 |
2.5× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$13,123.63 |
$32,809.07 |
1.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$896.40 |
$2,241 |
0.6× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$1,083.60 |
$2,709 |
0.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$31,222.46 |
$78,056.15 |
4.3× |
| Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) |
$2,593.60 |
$6,484 |
1.6× |
Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699)
likely a partial charge — not the full procedure |
$1,497.60 |
$3,744 |
0.2× |
| Acne surgery (10040) |
$542.48 |
$1,356.21 |
2.7× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$14,897.69 |
$37,244.22 |
4.5× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$15,999.68 |
$39,999.20 |
4.5× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$12,578.85 |
$31,447.12 |
6.1× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$11,282.86 |
$28,207.15 |
5.4× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$12,391.38 |
$30,978.46 |
6.0× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$12,937.20 |
$32,343 |
6.2× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$9,582.34 |
$23,955.84 |
4.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$12,950.88 |
$32,377.20 |
6.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$19,992.09 |
$49,980.22 |
9.6× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$13,603.86 |
$34,009.64 |
6.6× |
| Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs»… (20693) |
$11,055.90 |
$27,639.76 |
1.5× |
| Alveolectomy, including curettage of osteitis or sequestrectomy Age Under 21 (41830) |
$163.09 |
$407.73 |
0.0× |
| Amniocentesis diagnostic (59000) |
$2,498.40 |
$6,246 |
2.7× |
| Amniocentesis therapeutic (59001) |
$1,832 |
$4,580 |
6.0× |
| Amnioinfusion (59070) |
$3,283.60 |
$8,209 |
10.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$6,869.42 |
$17,173.56 |
2.1× |
| Amputate metacarpal bone (26910) |
$10,610.04 |
$26,525.12 |
3.2× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$9,073.31 |
$22,683.27 |
2.8× |
| Amputation of finger/thumb (26952) |
$6,595.82 |
$16,489.54 |
2.0× |
| Amputation of penis; partial Age Under 21 (54120) |
$8,354.72 |
$20,886.81 |
2.4× |
| Amputation of toe (28820) |
$7,303.64 |
$18,259.10 |
2.2× |
| Amputation toe interphalangeal joint (28825) |
$11,848.67 |
$29,621.68 |
3.6× |
| Amputation, foot; midtarsal (eg, Chopart type procedure) (28800) |
$8,237.40 |
$20,593.49 |
2.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$11,338.50 |
$28,346.24 |
3.4× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$12,049.06 |
$30,122.64 |
3.7× |
| Amputation, thigh, through femur, any level; re-amputation (27596) |
$14,268.27 |
$35,670.67 |
4.3× |
| Analyze infusn pump+reprogram (62368) |
$702.80 |
$1,757 |
2.3× |
| Anchoring of extending tendon of fingers to wrist bone (25301) |
$9,911.90 |
$24,779.74 |
3.0× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$515.29 |
$1,288.23 |
1.7× |
| Anoplasty, plastic operation for stricture; adult Age Under 21 (46700) |
$8,757.34 |
$21,893.34 |
3.1× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$5,942.02 |
$14,855.05 |
2.1× |
| Anoscopy and biopsy (46606) |
$5,902.85 |
$14,757.13 |
4.9× |
| Anoscopy diagnostic (46600) |
$698 |
$1,745 |
5.2× |
| Anoscopy remove for body (46608) |
$5,316.19 |
$13,290.47 |
5.7× |
| Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,… (46615) |
$6,783.80 |
$16,959.51 |
2.4× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$948 |
$2,370 |
0.8× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (46604) |
$914.40 |
$2,286 |
0.8× |
| Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent… (46607) |
$4,047.95 |
$10,119.87 |
3.4× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$1,524.40 |
$3,811 |
0.5× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (46611) |
$1,134.40 |
$2,836 |
1.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$16,039.11 |
$40,097.78 |
3.2× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$13,954.13 |
$34,885.32 |
18.8× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$21,658.71 |
$54,146.77 |
10.4× |
| Appendectomy (44950) |
$26,212.90 |
$65,532.25 |
4.0× |
| Application cast finger (29086) |
$778 |
$1,945 |
4.8× |
| Application Finger Splint Dynamic (29131) |
$149.20 |
$373 |
2.5× |
| Application finger splint static (29130) |
$598.81 |
$1,497.03 |
4.5× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$20,729 |
$51,822.49 |
1.6× |
| Application of body cast, shoulder to hips; Age Under 21 (29035) |
$158.40 |
$396 |
0.6× |
| Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) |
$136 |
$340 |
0.8× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$354.25 |
$885.63 |
1.3× |
| Application of long leg cast (thigh to toes); (29345) |
$662.20 |
$1,655.49 |
2.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$9,985.18 |
$24,962.94 |
61.2× |
| Application of plaster Velpeau cast to upper forearm and shoulder (29058) |
$785.79 |
$1,964.47 |
2.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$774 |
$1,935 |
5.8× |
| Application of short leg cast (below knee to toes); (29405) |
$651.20 |
$1,628 |
2.3× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$881.52 |
$2,203.79 |
3.1× |
| Application of short leg splint (calf to foot) (29515) |
$784.53 |
$1,961.33 |
4.8× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$14,548.23 |
$36,370.58 |
7.0× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$662 |
$1,655 |
4.1× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$2,750.60 |
$6,876.50 |
16.9× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$980 |
$2,450 |
3.5× |
| Application rigid total contact leg cast (29445) |
$698 |
$1,745 |
2.5× |
| Application uniplane external fixation system (20690) |
$9,194.48 |
$22,986.20 |
1.3× |
| Application, cast; shoulder spica Age Under 21 (29055) |
$961.20 |
$2,403 |
3.4× |
| Application, cast; shoulder to hand (long arm) (29065) |
$744.40 |
$1,861 |
2.6× |
| Apply hand/wrist cast (29085) |
$1,107.60 |
$2,769 |
6.8× |
| Apply long arm splint (29105) |
$1,296.40 |
$3,241 |
7.9× |
| Apply patella tendon bearing cast (29435) |
$662.20 |
$1,655.49 |
2.4× |
| Apply splint short arm dynamic (29126) |
$722.60 |
$1,806.49 |
5.4× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Age Under 21 (66180) |
$14,964.02 |
$37,410.04 |
2.8× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Age Under 21 (66179) |
$14,767.34 |
$36,918.35 |
2.8× |
| Arteriovenous anastomosis, open; by forearm vein transposition Age Under 21 (36820) |
$9,015.32 |
$22,538.30 |
1.6× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Age Under 21 (36818) |
$8,958.96 |
$22,397.38 |
1.6× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age Under 21 (36821) |
$9,180.08 |
$22,950.20 |
2.9× |
| Arthrd ant interbody min dsc crv below c2 (22554) |
$27,395.97 |
$68,489.93 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$761.57 |
$1,903.92 |
2.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$957.24 |
$2,393.11 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$871.88 |
$2,179.71 |
2.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,007.94 |
$2,519.86 |
3.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$803.35 |
$2,008.38 |
2.6× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$942.77 |
$2,356.93 |
3.1× |
| Arthrodesis, ankle, open Age Under 21 (27870) |
$21,400.48 |
$53,501.18 |
1.7× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$18,670.02 |
$46,675.05 |
0.7× |
| Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551) |
$28,794.80 |
$71,987.01 |
2.2× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$45,227.69 |
$113,069.22 |
1.7× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$22,931.48 |
$57,328.68 |
3.1× |
| Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755) |
$10,481.50 |
$26,203.74 |
1.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$17,334.23 |
$43,335.58 |
2.4× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$10,316.43 |
$25,791.08 |
3.1× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age… (26862) |
$13,191.55 |
$32,978.88 |
4.0× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850) |
$10,682.02 |
$26,705.05 |
1.5× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age Under 21 (28730) |
$16,428.12 |
$41,070.29 |
1.3× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age Under 21 (28735) |
$15,504.98 |
$38,762.46 |
1.2× |
| Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740) |
$17,540.36 |
$43,850.90 |
2.4× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$41,239.68 |
$103,099.20 |
1.5× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Cervical Spinal Fusion (22600) |
$75,803.35 |
$189,508.38 |
4.3× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$47,245.84 |
$118,114.60 |
2.7× |
| Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610) |
$48,923.12 |
$122,307.81 |
2.8× |
| Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279) |
$28,184.97 |
$70,462.42 |
1.6× |
| Arthrodesis, tibiofibular joint, proximal or distal Age Under 21 (27871) |
$15,945.36 |
$39,863.39 |
1.2× |
| Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) |
$13,118.96 |
$32,797.41 |
1.8× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$22,981.09 |
$57,452.73 |
1.8× |
| Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820) |
$17,200.97 |
$43,002.43 |
2.4× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825) |
$20,024.82 |
$50,062.06 |
2.7× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810) |
$16,195.52 |
$40,488.81 |
1.3× |
| Arthrodesis, wrist; with sliding graft Age Under 21 (25805) |
$15,824.85 |
$39,562.13 |
2.2× |
| Arthrodesis; subtalar (28725) |
$15,555.57 |
$38,888.93 |
1.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$25,174.10 |
$62,935.25 |
1.4× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Age Under 21 (25446) |
$17,738.19 |
$44,345.48 |
1.0× |
| Arthroplasty, ankle; with implant (total ankle) (27702) |
$28,492.87 |
$71,232.18 |
1.0× |
| Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Age Under 21 (24363) |
$55,318.28 |
$138,295.70 |
3.1× |
| Arthroplasty, glenohumeral joint; hemiarthroplasty (23470) |
$25,600.31 |
$64,000.77 |
2.0× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446) |
$16,999.40 |
$42,498.48 |
1.3× |
| Arthroplasty, metacarpophalangeal joint; each joint Age Under 21 (26530) |
$13,413.41 |
$33,533.53 |
1.8× |
| Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531) |
$16,028.26 |
$40,070.65 |
2.2× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Age Under 21 (21240) |
$15,369.86 |
$38,424.63 |
2.6× |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Age Under 21 (21243) |
$62,337.82 |
$155,844.56 |
2.3× |
| Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age Under 21 (25332) |
$10,281.48 |
$25,703.69 |
3.1× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$16,887.42 |
$42,218.55 |
2.3× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29889) |
$32,175.77 |
$80,439.42 |
2.5× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855) |
$11,694.85 |
$29,237.12 |
1.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$10,260.15 |
$25,650.37 |
3.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$15,886.12 |
$39,715.30 |
4.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21 (29895) |
$7,782.42 |
$19,456.04 |
2.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$11,089.03 |
$27,722.58 |
3.4× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$15,886.12 |
$39,715.30 |
4.8× |
| Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age Under 21 (29915) |
$22,618.78 |
$56,546.94 |
3.1× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914) |
$23,507.41 |
$58,768.52 |
3.2× |
| Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916) |
$21,077.45 |
$52,693.63 |
2.9× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$9,973.06 |
$24,932.65 |
3.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$10,633.12 |
$26,582.82 |
3.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$9,513.54 |
$23,783.84 |
2.9× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$7,057.24 |
$17,643.10 |
2.1× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$19,376.31 |
$48,440.77 |
78.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$6,446.80 |
$16,116.99 |
2.0× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$14,497.52 |
$36,243.81 |
4.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$11,807.54 |
$29,518.84 |
3.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$19,822.61 |
$49,556.52 |
6.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$17,119.59 |
$42,798.97 |
5.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age Under 21 (29901) |
$9,848.04 |
$24,620.10 |
3.0× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$9,528.64 |
$23,821.61 |
5.9× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) |
$16,881.46 |
$42,203.66 |
5.1× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$16,267.82 |
$40,669.55 |
2.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$16,575.78 |
$41,439.46 |
5.0× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$14,808.18 |
$37,020.46 |
4.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$13,571.56 |
$33,928.90 |
4.1× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807) |
$16,726.96 |
$41,817.41 |
2.3× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$11,251.62 |
$28,129.06 |
3.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$9,886.63 |
$24,716.57 |
3.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$14,450.50 |
$36,126.24 |
2.0× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29800) |
$12,832.39 |
$32,080.98 |
3.9× |
| Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29840) |
$12,130.12 |
$30,325.28 |
3.7× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$12,992.62 |
$32,481.56 |
4.0× |
| Arthroscopy, wrist, surgical; synovectomy, partial Age Under 21 (29844) |
$8,954.84 |
$22,387.10 |
2.7× |
| Arthrotomy with biopsy; interphalangeal joint, each Age Under 21 (26110) |
$11,409.88 |
$28,524.69 |
7.1× |
| Arthrotomy with meniscus repair, knee Age Under 21 (27403) |
$19,026.58 |
$47,566.46 |
2.6× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21 (25107) |
$13,932.96 |
$34,832.41 |
4.2× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$9,211.97 |
$23,029.92 |
2.8× |
| Arthrotomy, knee; with synovial biopsy only Age Under 21 (27330) |
$2,357.60 |
$5,894 |
0.7× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Age Under 21 (27612) |
$17,063.16 |
$42,657.90 |
5.2× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age Under 21 (25040) |
$21,070.85 |
$52,677.12 |
6.4× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$7,265.74 |
$18,164.34 |
2.2× |
| Arthrotomy, with synovectomy, ankle; Age Under 21 (27625) |
$12,497.33 |
$31,243.32 |
3.8× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Age Under 21 (27335) |
$11,614.14 |
$29,035.35 |
1.6× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$14,942.20 |
$37,355.49 |
4.5× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$24,998 |
$62,495.02 |
1.9× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$14,326.38 |
$35,815.96 |
4.4× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$18,430.43 |
$46,076.07 |
5.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$6,049.37 |
$15,123.42 |
3.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$10,242.96 |
$25,607.41 |
3.1× |
| Arytenoidectomy or arytenoidopexy, external approach Age Under 21 (31400) |
$17,329.38 |
$43,323.45 |
2.9× |
| Aspirate pleura w/o imaging (32554) |
$3,429.60 |
$8,574 |
5.4× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$668.80 |
$1,672 |
0.9× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$474.42 |
$1,186.04 |
1.5× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$13,943.30 |
$34,858.26 |
19.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$661.20 |
$1,653 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$7,420.45 |
$18,551.12 |
3.5× |
| Aspiration bladder needle (51100) |
$309.60 |
$774 |
1.2× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$795.60 |
$1,989 |
0.9× |
| Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) Age… (21127) |
$32,178.60 |
$80,446.51 |
5.4× |
| Av fistula revision (36833) |
$13,255.78 |
$33,139.44 |
2.4× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$476.32 |
$1,190.80 |
2.4× |
| Axillary lymphadenectomy; complete Age Under 21 (38745) |
$26,456.72 |
$66,141.80 |
4.4× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$28,984.50 |
$72,461.26 |
4.5× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21 (47553) |
$11,384.80 |
$28,462 |
1.8× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556) |
$15,490 |
$38,725 |
1.5× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554) |
$15,948.18 |
$39,870.44 |
1.5× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low — confirm this is the full procedure |
$2,052.40 |
$5,131 |
0.3× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$7,289.96 |
$18,224.90 |
2.1× |
| Biopsy bone open superficial (20240) |
$10,046.16 |
$25,115.41 |
3.4× |
| Biopsy bone trocar/needle deep (20225) |
$4,665.06 |
$11,662.66 |
2.8× |
| Biopsy external auditory canal (69105) |
$1,903.56 |
$4,758.91 |
1.2× |
| Biopsy external ear (69100) |
$1,259.19 |
$3,147.97 |
5.3× |
| Biopsy floor of mouth (41108) |
$1,401.12 |
$3,502.79 |
0.8× |
| Biopsy intranasal (30100) |
$2,004.09 |
$5,010.23 |
1.3× |
| Biopsy lip (40490) |
$1,085.81 |
$2,714.53 |
4.6× |
| Biopsy liver needle percutaneous (47000) |
$3,340.94 |
$8,352.36 |
2.0× |
| Biopsy lymph node (38505) |
$6,910.07 |
$17,275.17 |
4.2× |
| Biopsy muscle percutaneous needle (20206) |
$2,508 |
$6,270 |
1.5× |
| Biopsy nail unit (11755) |
$2,763.72 |
$6,909.29 |
3.9× |
| Biopsy nasopharynx visible lesion simple (42804) |
$6,173.21 |
$15,433.02 |
1.9× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$7,141.60 |
$17,854 |
2.6× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$6,459.87 |
$16,149.68 |
3.9× |
| Biopsy of cervix (57500) |
$1,157 |
$2,892.50 |
1.3× |
| Biopsy of cornea Age Under 21 (65410) |
$2,339.60 |
$5,849 |
1.0× |
| Biopsy of extraocular muscle Age Under 21 (67346) |
$18,319.21 |
$45,798.02 |
4.6× |
| Biopsy of eyelid (67810) |
$962.40 |
$2,406 |
3.0× |
| Biopsy of eyelid lining (68100) |
$15,340.78 |
$38,351.94 |
6.4× |
| Biopsy of lacrimal gland Age Under 21 (68510) |
$2,386.40 |
$5,966 |
1.0× |
| Biopsy of lacrimal sac Age Under 21 (68525) |
$1,285.20 |
$3,213 |
0.5× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$3,211.08 |
$8,027.69 |
2.7× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$3,501.98 |
$8,754.94 |
3.7× |
| Biopsy of nerve Age Under 21 (64795) |
$14,758.40 |
$36,895.99 |
7.5× |
| Biopsy of ovary(s) (58900) |
$644.40 |
$1,611 |
0.2× |
| Biopsy of penis; (separate procedure) (54100) |
$6,511.05 |
$16,277.62 |
3.9× |
| Biopsy of salivary gland (42405) |
$2,490.40 |
$6,226 |
1.6× |
| Biopsy of salivary gland; needle (42400) |
$2,358.80 |
$5,897 |
3.3× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$3,909.97 |
$9,774.92 |
4.3× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$1,193.12 |
$2,982.79 |
2.2× |
| Biopsy of urethra (53200) |
$1,357.60 |
$3,394 |
0.6× |
| Biopsy of uterus lining (58100) |
$702.80 |
$1,757 |
3.5× |
| Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) |
$8,099.63 |
$20,249.07 |
2.5× |
| Biopsy of voice box using an endoscope with mirror (31510) |
$9,450.73 |
$23,626.82 |
2.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$11,847.61 |
$29,619.02 |
3.0× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$20,967.04 |
$52,417.59 |
5.3× |
| Biopsy oropharynx (42800) |
$4,017.42 |
$10,043.56 |
2.6× |
| Biopsy pleura percutaneous needle (32400) |
$6,357.05 |
$15,892.63 |
3.8× |
| Biopsy roof of mouth (42100) |
$1,288.42 |
$3,221.05 |
0.8× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$4,840.59 |
$12,101.48 |
2.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,466.10 |
$6,165.24 |
1.5× |
| Biopsy soft tissue neck/thorax (21550) |
$4,058.10 |
$10,145.24 |
2.4× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$12,499.76 |
$31,249.39 |
7.5× |
| Biopsy soft tissue upper arm/elbow superficial (24065) |
$11,286.28 |
$28,215.70 |
6.8× |
| Biopsy thyroid percutaneous core needle (60100) |
$1,257.20 |
$3,143 |
1.8× |
| Biopsy tongue,poster 1/3 (41105) |
$2,171.60 |
$5,429 |
0.7× |
| Biopsy vaginal mucosa simple (57100) |
$3,411.20 |
$8,528 |
3.7× |
| Biopsy vestibule mouth (40808) |
$893.43 |
$2,233.58 |
1.6× |
| Biopsy vulva/perineum 1 lesion (56605) |
$2,798.70 |
$6,996.75 |
3.0× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$4,374 |
$10,935 |
2.6× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$12,364.26 |
$30,910.64 |
4.2× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$4,921.95 |
$12,304.87 |
3.0× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$4,978.94 |
$12,447.34 |
1.3× |
| Biopsy, muscle; superficial (20200) |
$5,076.58 |
$12,691.45 |
3.1× |
| Biopsy, prostate, any approach, nonimaging-guided Age Under 21 (55705) |
$10,839.99 |
$27,099.98 |
3.1× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») (55707) |
$2,773.95 |
$6,934.87 |
0.8× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$2,466.10 |
$6,165.24 |
1.5× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age Under 21 (25066) |
$11,241.89 |
$28,104.73 |
3.9× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21 (27324) |
$21,671.42 |
$54,178.55 |
7.4× |
| Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21 (24066) |
$10,168.80 |
$25,422 |
3.5× |
| Biopsy/removal lymph nodes (38510) |
$14,795.12 |
$36,987.79 |
3.8× |
| Biopsy; nasopharynx, survey for unknown primary lesion Age Under 21 (42806) |
$1,667.20 |
$4,168 |
0.5× |
| Bladder irrigation (51700) |
$424.40 |
$1,061 |
1.7× |
| Bladder pressure measurement during filling (51726) |
$1,451.76 |
$3,629.39 |
5.8× |
| Blepharoplasty lower eyelid (15820) |
$24,481.71 |
$61,204.28 |
11.8× |
| Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE (15822) |
$16,511.47 |
$41,278.67 |
8.0× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Age Under 21 (15821) |
$12,653.74 |
$31,634.34 |
6.1× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$1,709.60 |
$4,274 |
5.4× |
| Bone graft, any donor area; major or large Age Under 21 (20902) |
$26,761.62 |
$66,904.07 |
3.7× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900) |
$15,467.37 |
$38,668.43 |
2.1× |
| Bone marrow harvesting for transplantation; autologous Age Under 21 (38232) |
$16,985.79 |
$42,464.48 |
3.9× |
| Brain canal shunt procedure (61070) |
$548.40 |
$1,371 |
0.8× |
| Breast augmentation with implant Age Under 21 (19325) |
$19,900.21 |
$49,750.52 |
2.4× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$17,759.10 |
$44,397.76 |
4.5× |
| Breast Reduction|BILATERAL PROCEDURE (19318) |
$15,948.74 |
$39,871.84 |
2.4× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$11,079.40 |
$27,698.49 |
3.0× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$14,889.76 |
$37,224.38 |
4.0× |
| Bronch foreign body removal (31635) |
$1,973.20 |
$4,933 |
1.1× |
| Bronchoscopy dilate/fx repr (31630) |
$10,856.14 |
$27,140.36 |
2.9× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$16,966.81 |
$42,417.02 |
4.5× |
| Bronchoscopy w biopsy (31625) |
$11,182.17 |
$27,955.42 |
6.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$16,540.50 |
$41,351.26 |
9.3× |
| Bronchoscopy w/tumor excise (31640) |
$2,660.80 |
$6,652 |
0.7× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$2,498.22 |
$6,245.56 |
1.4× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$9,144.80 |
$22,862 |
2.4× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s)… (31636) |
$10,299.60 |
$25,749 |
1.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) |
$10,299.60 |
$25,749 |
1.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638) |
$10,299.60 |
$25,749 |
1.5× |
| Bronchoscopy/lung bx each (31628) |
$17,002.84 |
$42,507.12 |
4.5× |
| Bx breast 1st lesion mr imag (19085) |
$4,285.67 |
$10,714.16 |
2.6× |
| Bx breast 1st lesion strtctc (19081) |
$4,204.74 |
$10,511.84 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$4,922.54 |
$12,306.34 |
3.0× |
| Bx pancreas ndl perc (48102) |
$1,014 |
$2,535 |
0.6× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$26,874.65 |
$67,186.63 |
6.8× |
| C/c 41008 exploration floor of mouth for submandibular duct (42699) |
$12,524.66 |
$31,311.65 |
52.6× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$3,873.56 |
$9,683.91 |
15.4× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$9,183.04 |
$22,957.61 |
45.2× |
| C/c 69706 endoscopic augementation of eustachian tube (69799) |
$556.94 |
$1,392.35 |
2.3× |
| C/t 51860 laproscopic cystorrhaphy sutr bldr wnd inj/rpt simple (51999) |
$25,496.68 |
$63,741.69 |
4.2× |
| Canthoplasty (67950) |
$14,978.76 |
$37,446.90 |
6.3× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$7,710.77 |
$19,276.92 |
31.1× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$8,234.98 |
$20,587.46 |
2.5× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$16,331.38 |
$40,828.44 |
2.2× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462) |
$17,060.87 |
$42,652.17 |
2.3× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) |
$5,475.06 |
$13,687.65 |
3.4× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$7,983.86 |
$19,959.65 |
2.4× |
| Cardiac surg procedure unlist (33999) |
$2,273.20 |
$5,683 |
3.6× |
| Care of miscarriage (59820) |
$3,716.86 |
$9,292.15 |
1.1× |
| Carpectomy with capitate implant resurfacing (hemi-arthroplasty) (25999) |
$5,923.92 |
$14,809.80 |
23.9× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$10,053.19 |
$25,132.97 |
3.1× |
| Cartilage graft; costochondral Age Under 21 (20910) |
$12,574.63 |
$31,436.58 |
16.9× |
| Cartilage graft; nasal septum Age Under 21 (20912) |
$11,886.22 |
$29,715.56 |
3.3× |
| Cast short arm (29075) |
$725.60 |
$1,814 |
2.6× |
| Casting/strapping procedure (29799) |
$591.61 |
$1,479.03 |
3.6× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$1,820.40 |
$4,551 |
5.9× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$1,338.80 |
$3,347 |
0.4× |
| Cautery of cervix; laser ablation Age Under 21 (57513) |
$7,188.14 |
$17,970.36 |
2.2× |
| Cerclage of uterine cervix, nonobstetrical (57700) |
$15,852.24 |
$39,630.59 |
4.9× |
| Cervical lymphadenectomy (complete) (38720) |
$21,805.93 |
$54,514.82 |
3.3× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$6,487.60 |
$16,219 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$877.66 |
$2,194.15 |
3.5× |
| Change g-tube to g-j perc (49446) |
$1,797.09 |
$4,492.72 |
0.9× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$1,171.25 |
$2,928.13 |
1.7× |
| Change of windpipe airway (31502) |
$1,184.40 |
$2,961 |
5.0× |
| Chemical cauterization of granulation tissue (17250) |
$425.81 |
$1,064.53 |
2.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$9,272.06 |
$23,180.16 |
13.1× |
| Chemodenerv 1 extremity 1-4 (64642) |
$7,055.19 |
$17,637.98 |
9.9× |
| Chemodenerv eccrine glands both axillae (64650) |
$4,109.23 |
$10,273.08 |
13.3× |
| Chemodenerv saliv glands (64611) |
$2,969.98 |
$7,424.96 |
9.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$4,821.47 |
$12,053.68 |
6.8× |
| Chemodenerv trunk musc 6/> (64647) |
$4,985.60 |
$12,464.01 |
7.0× |
| Chemodenervation Internal Anal Sphincter (46505) |
$7,902.83 |
$19,757.08 |
6.6× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$5,323.01 |
$13,307.53 |
7.5× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$3,271.81 |
$8,179.52 |
10.6× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Age Under 21 (64653) |
$2,931.84 |
$7,329.59 |
9.5× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$3,516.40 |
$8,790.99 |
11.4× |
| Chest tube placement (32551) |
$15,596.05 |
$38,990.12 |
9.9× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,737.60 |
$9,343.99 |
1.8× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$3,249.05 |
$8,122.62 |
0.9× |
| Chorionic villus sampling, any method Age Under 21 (59015) |
$1,610.80 |
$4,027 |
1.7× |
| Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350) |
$21,281.56 |
$53,203.90 |
4.2× |
| Ciliary body destruction; cyclodialysis Age Under 21 (66740) |
$22,489.86 |
$56,224.65 |
9.4× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Age Under… (66711) |
$9,802 |
$24,505 |
4.2× |
| Ciliary body destruction; cyclophotocoagulation, transscleral Age Under 21 (66710) |
$10,014.72 |
$25,036.80 |
4.2× |
| Circumcision, Newborn (54150) |
$6,077.12 |
$15,192.79 |
2.9× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$6,343.80 |
$15,859.49 |
3.0× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$1,070.80 |
$2,677 |
3.5× |
| Claviculectomy; partial Age Under 21 (23120) |
$15,476.78 |
$38,691.93 |
4.7× |
| Closed rx acetabular fx (27220) |
$6,439.63 |
$16,099.07 |
26.0× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$278 |
$695 |
1.1× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$142 |
$355 |
0.6× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$252.40 |
$631 |
1.0× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$241.60 |
$604 |
1.0× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$1,062.40 |
$2,656 |
4.3× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$8,042.94 |
$20,107.35 |
5.0× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$356.80 |
$892 |
1.4× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) |
$7,124.50 |
$17,811.26 |
4.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$12,695.29 |
$31,738.23 |
51.2× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$10,332.48 |
$25,831.20 |
41.7× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$226.40 |
$566 |
0.9× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$241.60 |
$604 |
1.0× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$272.80 |
$682 |
1.1× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$532 |
$1,330 |
2.1× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$278 |
$695 |
1.1× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$12,965.40 |
$32,413.48 |
52.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$207.20 |
$518 |
0.8× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$241.60 |
$604 |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$280 |
$700 |
1.1× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$7,943.86 |
$19,859.65 |
32.1× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$236.80 |
$592 |
1.0× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$11,647.50 |
$29,118.76 |
7.2× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$15,007.82 |
$37,519.56 |
60.6× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$282 |
$705 |
1.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$308.80 |
$772 |
1.2× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$249.60 |
$624 |
1.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$462 |
$1,155 |
1.9× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$142 |
$355 |
0.6× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$2,418.40 |
$6,046 |
1.5× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) |
$12,854.18 |
$32,135.45 |
3.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$12,699.59 |
$31,748.98 |
51.3× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$288 |
$720 |
1.2× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$20,026.05 |
$50,065.12 |
80.8× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$12,757.88 |
$31,894.70 |
51.5× |
| Closed treatment of ulnar styloid fracture (25650) |
$17,616.66 |
$44,041.64 |
71.1× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$7,587.26 |
$18,968.15 |
4.7× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$266 |
$665 |
1.1× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$4,870.80 |
$12,177 |
1.5× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$320.40 |
$801 |
1.3× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,296.40 |
$5,741 |
1.5× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$35,102.42 |
$87,756.05 |
64.8× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$3,780 |
$9,450 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$11,938.64 |
$29,846.60 |
48.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$244.40 |
$611 |
1.0× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$300 |
$750 |
1.2× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$6,460.04 |
$16,150.11 |
26.1× |
| Closure of abnormal drainage tract from rectum to vagina through vagina or anus (57300) |
$10,778.37 |
$26,945.93 |
3.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$387.20 |
$968 |
1.6× |
| Closure of lacrimal fistula (separate procedure) Age Under 21 (68770) |
$17,319.91 |
$43,299.78 |
7.3× |
| Closure of permanent windpipe opening or abnormal drainage tract with plastic repair (31825) |
$9,412.34 |
$23,530.86 |
2.8× |
| Closure of surgically created opening from bladder to skin (51880) |
$22,259.99 |
$55,649.98 |
6.3× |
| Closure of surgically created opening from stomach to skin (43870) |
$21,551.60 |
$53,879 |
5.6× |
| Closure of the lacrimal punctum; by plug, each Age Under 21 (68761) |
$1,034.80 |
$2,587 |
3.2× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Age Under 21 (68760) |
$940 |
$2,350 |
2.9× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$9,319.42 |
$23,298.56 |
6.0× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$8,480.74 |
$21,201.84 |
2.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$6,403.50 |
$16,008.76 |
4.0× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$112.80 |
$282 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$422.40 |
$1,056 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$5,767.47 |
$14,418.68 |
3.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$257.60 |
$644 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$259.20 |
$648 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$270.40 |
$676 |
1.1× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$241.60 |
$604 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$940.40 |
$2,351 |
3.8× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$263.60 |
$659 |
1.1× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$252.40 |
$631 |
1.0× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$112.80 |
$282 |
0.5× |
| Cltx metar fx w/manj (28475) |
$8,737.30 |
$21,843.26 |
35.3× |
| Cltx post ankle fx (27767) |
$112.80 |
$282 |
0.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$20,107.99 |
$50,269.97 |
81.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$10,645.33 |
$26,613.32 |
6.6× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$221.60 |
$554 |
0.9× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$262.80 |
$657 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$257.60 |
$644 |
1.0× |
| Cochlear device implantation, with or without mastoidectomy Age Under 21 (69930) |
$31,794.98 |
$79,487.46 |
1.0× |
| Collect blood from catheter venous nos (36592) |
$2,326.70 |
$5,816.75 |
17.4× |
| Collect blood from implant venous access device (36591) |
$556.07 |
$1,390.17 |
4.2× |
| Colonoscopy flexible with decompression (45393) |
$2,190.40 |
$5,476 |
1.8× |
| Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including… (44408) |
$2,190.40 |
$5,476 |
2.3× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$2,190.40 |
$5,476 |
1.8× |
| Colonoscopy through stoma; with transendoscopic balloon dilation Age Under 21 (44405) |
$2,190.40 |
$5,476 |
1.8× |
| Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle… (44407) |
$2,190.40 |
$5,476 |
1.8× |
| Colonoscopy thru stoma spx (44388) |
$2,276.41 |
$5,691.04 |
2.4× |
| Colonoscopy w/ablation (45388) |
$7,475.72 |
$18,689.29 |
6.2× |
| Colonoscopy w/control bleed (45382) |
$6,272.34 |
$15,680.84 |
5.2× |
| Colonoscopy w/fb removal (45379) |
$6,903.01 |
$17,257.52 |
5.7× |
| Colonoscopy w/resection (45390) |
$7,715.36 |
$19,288.40 |
2.8× |
| Colonoscopy w/stent plcmt (45389) |
$8,576.40 |
$21,441 |
1.4× |
| Colonoscopy w/stent plcmt (44402) |
$8,576.40 |
$21,441 |
1.4× |
| Colonoscopy with ablation (44401) |
$2,190.40 |
$5,476 |
1.8× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,190.40 |
$5,476 |
1.8× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$5,919.43 |
$14,798.58 |
4.9× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$3,454.04 |
$8,635.09 |
2.9× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$7,135.46 |
$17,838.66 |
5.9× |
| Colpocentesis (separate procedure) Age Under 21 (57020) |
$7,484.80 |
$18,712 |
1.5× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$12,870.48 |
$32,176.20 |
1.7× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$16,870.14 |
$42,175.34 |
2.3× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$20,854.04 |
$52,135.09 |
6.4× |
| Colposcopy cervix (57452) |
$452.20 |
$1,130.50 |
2.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$475.60 |
$1,189 |
1.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$888.80 |
$2,222 |
2.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$1,289.60 |
$3,224 |
4.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$2,241.76 |
$5,604.39 |
0.7× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$884.80 |
$2,212 |
1.0× |
| Colposcopy vulva (56820) |
$970.40 |
$2,426 |
4.8× |
| Colposcopy vulva w/biopsy (56821) |
$775.10 |
$1,937.76 |
2.5× |
| Colposcopy w/endocervical curettage (57456) |
$876.80 |
$2,192 |
2.9× |
| Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) |
$1,338.80 |
$3,347 |
0.4× |
| Colpotomy; with exploration Age Under 21 (57000) |
$21,577.40 |
$53,943.50 |
6.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$7,154.25 |
$17,885.62 |
6.0× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260) |
$19,368 |
$48,420 |
3.9× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265) |
$14,952.42 |
$37,381.04 |
3.0× |
| Complete reconstruction of lower or upper jaw bone with jaw bone implant (subperiosteal) (21246) |
$51,448.96 |
$128,622.41 |
8.7× |
| Complete replacement picc rs&i (36584) |
$1,041.20 |
$2,603 |
0.7× |
| Complex cystometrogram voiding pressure studies (51728) |
$1,804.93 |
$4,512.32 |
2.6× |
| Complex uroflowmetry (51741) |
$1,695.36 |
$4,238.40 |
7.8× |
| Complx cystometro w/void press & urethral profil (51729) |
$1,507.76 |
$3,769.40 |
2.2× |
| Condylectomy, temporomandibular joint (separate procedure) Age Under 21 (21050) |
$24,565.16 |
$61,412.91 |
4.1× |
| Conization of cervix (57520) |
$9,057.72 |
$22,644.28 |
2.8× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$6,483.48 |
$16,208.70 |
2.0× |
| Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Age Under 21 (68328) |
$18,727.04 |
$46,817.60 |
7.8× |
| Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Age Under 21 (68326) |
$11,353.38 |
$28,383.46 |
2.9× |
| Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Age Under 21 (68325) |
$11,070.08 |
$27,675.20 |
2.8× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Age Under 21 (68750) |
$13,251.10 |
$33,127.75 |
3.4× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Age Under 21 (68745) |
$15,649.70 |
$39,124.25 |
4.0× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Age Under 21 (67880) |
$15,649.70 |
$39,124.25 |
6.6× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Age… (67882) |
$2,237.20 |
$5,593 |
0.9× |
| Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice… (31611) |
$7,795.24 |
$19,488.09 |
2.3× |
| Contrast injection perq radiologic eval gi tube (49465) |
$1,771.68 |
$4,429.20 |
7.4× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$259.20 |
$648 |
1.2× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$762.89 |
$1,907.23 |
5.7× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$532.42 |
$1,331.05 |
4.0× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$2,695.20 |
$6,738 |
2.2× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs,… (42970) |
$173.60 |
$434 |
0.7× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$17,097.26 |
$42,743.14 |
5.1× |
| Control throat bleeding (42960) |
$828 |
$2,070 |
1.5× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$6,140.40 |
$15,351 |
1.7× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$36,001.92 |
$90,004.80 |
2.8× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$3,922.58 |
$9,806.46 |
1.9× |
| Conz of cervix w/scope leep (57461) |
$6,610.46 |
$16,526.15 |
2.0× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$8,312.88 |
$20,782.20 |
5.0× |
| Corneal relaxing incision for correction of surgically induced astigmatism Age Under 21 (65772) |
$12,826.29 |
$32,065.72 |
12.8× |
| Coronoidectomy (separate procedure) Age Under 21 (21070) |
$13,718.80 |
$34,297 |
2.3× |
| Correction eyelid w/implant (67912) |
$10,804.64 |
$27,011.60 |
4.5× |
| Correction of bunion (28292) |
$12,486.56 |
$31,216.42 |
3.8× |
| Correction of everted punctum, cautery Age Under 21 (68705) |
$447.20 |
$1,118 |
1.4× |
| Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Age Under… (67825) |
$488.40 |
$1,221 |
1.5× |
| Correction of trichiasis; incision of lid margin Age Under 21 (67830) |
$510.40 |
$1,276 |
0.5× |
| Correction of widely-opened upper eyelid|RIGHT SIDE (67911) |
$15,338.66 |
$38,346.65 |
6.4× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299) |
$13,220.67 |
$33,051.66 |
1.8× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) |
$16,247.27 |
$40,618.18 |
1.3× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy,… (28295) |
$26,717.75 |
$66,794.37 |
8.1× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) |
$14,808.78 |
$37,021.94 |
2.0× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$8,519.34 |
$21,298.37 |
2.6× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$12,841.66 |
$32,104.17 |
3.9× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft… (36825) |
$8,957.58 |
$22,393.95 |
1.6× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$13,645.84 |
$34,114.60 |
2.4× |
| Cross intrinsic transfer, each tendon Age Under 21 (26510) |
$10,580.79 |
$26,451.97 |
3.2× |
| Cryosurgery anal lesion(s) (46916) |
$589.60 |
$1,474 |
2.9× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$121.60 |
$304 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$234.80 |
$587 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$304 |
$760 |
1.3× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) |
$6,587.74 |
$16,469.35 |
2.4× |
| Curettage postpartum (59160) |
$10,179.90 |
$25,449.75 |
3.1× |
| Curette/treat cornea (65435) |
$1,012.40 |
$2,531 |
1.0× |
| Curette/treat cornea (65436) |
$3,969.20 |
$9,923 |
1.7× |
| Cylinder cast (29365) |
$267.20 |
$668 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$2,365.20 |
$5,913 |
0.7× |
| Cysto/uretero w/lithotripsy (52356) |
$10,194.15 |
$25,485.37 |
1.9× |
| Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Age Under 21 (51050) |
$21,373.64 |
$53,434.10 |
4.0× |
| Cystometrogram w/up (51727) |
$1,960.96 |
$4,902.40 |
2.8× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$22,102.78 |
$55,256.95 |
2.3× |
| Cystoscopy and treatment (52310) |
$8,341.93 |
$20,854.82 |
4.0× |
| Cystoscopy removal of clots (52001) |
$1,684.80 |
$4,212 |
0.5× |
| Cystoscopy w/biopsy(s) (52204) |
$7,432.36 |
$18,580.91 |
3.5× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Age Under 21 (51045) |
$7,416.80 |
$18,542 |
3.5× |
| Cystourethroscopy (52000) |
$2,515.72 |
$6,289.28 |
3.6× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$14,753.08 |
$36,882.70 |
2.7× |
| Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Age Under 21 (52320) |
$10,306.78 |
$25,766.96 |
2.9× |
| Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Age Under 21 (52327) |
$10,737.18 |
$26,842.95 |
2.0× |
| Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy,… (52285) |
$9,164.49 |
$22,911.22 |
13.1× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$7,200.79 |
$18,001.98 |
2.0× |
| Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Age Under 21 (52250) |
$5,348.80 |
$13,372 |
1.5× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$19,432.60 |
$48,581.48 |
5.5× |
| Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) |
$11,709.84 |
$29,274.61 |
2.2× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,… (52344) |
$8,463.15 |
$21,157.88 |
2.4× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser,… (52345) |
$10,408.65 |
$26,021.62 |
2.9× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$17,372.51 |
$43,431.28 |
8.3× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) |
$9,164.49 |
$22,911.22 |
4.4× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$922.40 |
$2,306 |
1.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$12,685.52 |
$31,713.82 |
2.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$8,665.64 |
$21,664.09 |
2.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$7,332.78 |
$18,331.94 |
2.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) |
$6,331.26 |
$15,828.16 |
1.8× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$7,365.92 |
$18,414.81 |
2.1× |
| Cystourethroscopy, with insertion of permanent urethral stent Age Under 21 (52282) |
$3,549.20 |
$8,873 |
1.0× |
| Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon… (52284) |
$12,834.48 |
$32,086.20 |
2.4× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$292.29 |
$730.73 |
0.1× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$14,059.34 |
$35,148.36 |
6.7× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$1,926.80 |
$4,817 |
0.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) |
$10,401.61 |
$26,004.03 |
2.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354) |
$9,742.46 |
$24,356.16 |
1.8× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353) |
$14,833.70 |
$37,084.26 |
2.8× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$14,235 |
$35,587.50 |
4.0× |
| Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Age Under 21 (52300) |
$5,635.76 |
$14,089.40 |
1.6× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Age Under 21 (52290) |
$2,772.40 |
$6,931 |
1.3× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Age Under 21 (68720) |
$13,833.25 |
$34,583.12 |
3.5× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$1,074 |
$2,685 |
1.5× |
| Deb skin bone at fx site (11012) |
$11,019.68 |
$27,549.19 |
3.8× |
| Debride skin at fx site (11010) |
$864.80 |
$2,162 |
1.2× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$13,388.34 |
$33,470.84 |
32.8× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$236.80 |
$592 |
4.0× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$340.80 |
$852 |
5.8× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$682.87 |
$1,707.17 |
1.7× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$9,658.18 |
$24,145.45 |
5.8× |
| Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age Under 21 (69222) |
$759.74 |
$1,899.35 |
1.4× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$5,430.80 |
$13,576.98 |
7.3× |
| Declot vascular device (36593) |
$3,686.53 |
$9,216.33 |
11.1× |
| Decompression of orbit only, transcranial approach (61330) |
$14,804.37 |
$37,010.92 |
4.4× |
| Deep incis foot bone infectn (28005) |
$10,514.04 |
$26,285.09 |
3.2× |
| Deep muscle biopsy (20205) |
$14,255.62 |
$35,639.06 |
4.9× |
| Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age Under 21 (15630) |
$8,780.62 |
$21,951.55 |
4.2× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$5,721.73 |
$14,304.33 |
2.8× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Age Under 21 (15610) |
$7,458.89 |
$18,647.22 |
3.6× |
| Delivery of placenta (59414) |
$12,940.64 |
$32,351.60 |
4.0× |
| Dermabrasion segmental face (15781) |
$799.60 |
$1,999 |
1.1× |
| Dermabrasion superficial any site (15783) |
$1,152 |
$2,880 |
2.8× |
| Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15135) |
$10,618.90 |
$26,547.24 |
3.0× |
| Destroy nerve face muscle (64612) |
$2,704.99 |
$6,762.48 |
8.8× |
| Destroy nerve of eye muscle (67345) |
$3,135.85 |
$7,839.62 |
9.8× |
| Destroy vulva lesion/s compl (56515) |
$7,068.90 |
$17,672.24 |
3.4× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$936.85 |
$2,342.13 |
3.0× |
| Destruct lesion 15 or more (17111) |
$711.60 |
$1,779 |
3.5× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$718.80 |
$1,797 |
3.6× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$832.40 |
$2,081 |
2.0× |
| Destruction benign lesions up to 14 (17110) |
$401.60 |
$1,004 |
2.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,202.80 |
$3,007 |
1.4× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age Under 21 (64605) |
$7,939.76 |
$19,849.40 |
4.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$8,471.86 |
$21,179.64 |
4.3× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$2,936.40 |
$7,341 |
3.3× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$1,473.60 |
$3,684 |
1.7× |
| Destruction lesion conjunctiva (68135) |
$1,125.20 |
$2,813 |
0.5× |
| Destruction lesions vulva simple (56501) |
$5,942.16 |
$14,855.38 |
2.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$6,781.30 |
$16,953.24 |
3.5× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) |
$2,135.20 |
$5,338 |
2.9× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$1,359.20 |
$3,398 |
3.3× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) |
$9,047.26 |
$22,618.16 |
4.4× |
| Destruction of cyst of kidney using an endoscope (50541) |
$13,229.68 |
$33,074.19 |
1.2× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Age Under 21 (66770) |
$804.40 |
$2,011 |
1.5× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Age Under 21 (65450) |
$496.40 |
$1,241 |
1.6× |
| Destruction of lesion of lid margin (up to 1 cm) Age Under 21 (67850) |
$511.20 |
$1,278 |
0.5× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$8,051.30 |
$20,128.26 |
2.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$819.60 |
$2,049 |
2.0× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$6,933.33 |
$17,333.32 |
2.5× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$6,482.59 |
$16,206.48 |
3.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$8,526.31 |
$21,315.78 |
4.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$1,968.80 |
$4,922 |
9.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (54057) |
$1,732 |
$4,330 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
$7,105.57 |
$17,763.93 |
3.4× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$1,762.80 |
$4,407 |
4.3× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age Under 21 (67210) |
$3,155.60 |
$7,889 |
5.7× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$11,400.15 |
$28,500.37 |
4.1× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) |
$5,410.79 |
$13,526.97 |
1.7× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$9,547.29 |
$23,868.22 |
2.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$344.40 |
$861 |
1.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$3,005.32 |
$7,513.29 |
14.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$422.40 |
$1,056 |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$299.20 |
$748 |
1.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$362.82 |
$907.06 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$3,636.50 |
$9,091.25 |
18.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$234.80 |
$587 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$657.02 |
$1,642.55 |
1.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) |
$685.20 |
$1,713 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$796.37 |
$1,990.93 |
4.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$569.95 |
$1,424.88 |
2.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$215.20 |
$538 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$796.37 |
$1,990.93 |
4.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$512.80 |
$1,282 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$5,230.84 |
$13,077.09 |
12.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$5,372.79 |
$13,431.98 |
26.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$432 |
$1,080 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$509.20 |
$1,273 |
1.2× |
| Diagnostic anoscopy (46601) |
$1,169.16 |
$2,922.89 |
2.6× |
| Diagnostic bone marrow aspirations (38220) |
$3,778.40 |
$9,446 |
2.3× |
| Diagnostic bone marrow biopsies (38221) |
$4,855.60 |
$12,139 |
2.9× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$9,605.32 |
$24,013.30 |
3.3× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$2,835.60 |
$7,089 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,950.40 |
$7,376 |
4.2× |
| Diagnostic sigmoidoscopy (45330) |
$2,112.74 |
$5,281.86 |
2.3× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$8,180.13 |
$20,450.32 |
2.5× |
| Dilation and catheterization of salivary duct, with or without injection Age Under 21 (42660) |
$8,483.26 |
$21,208.16 |
15.7× |
| Dilation and curettage of cervical stump Age Under 21 (57558) |
$2,937.20 |
$7,343 |
0.9× |
| Dilation of anal sphincter (separate procedure) under anesthesia other than local Age Under 21 (45905) |
$5,386.02 |
$13,465.06 |
4.5× |
| Dilation of cervical canal (57800) |
$2,010 |
$5,025 |
0.6× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$6,258.66 |
$15,646.66 |
6.9× |
| Dilation of female urethra including suppository and/or instillation; initial Age Under 21 (53660) |
$158.80 |
$397 |
1.2× |
| Dilation of female urethra including suppository and/or instillation; subsequent Age Under 21 (53661) |
$157.20 |
$393 |
1.2× |
| Dilation of lacrimal punctum, with or without irrigation (68801) |
$9,896.52 |
$24,741.31 |
22.1× |
| Dilation of rectal stricture (separate procedure) under anesthesia other than local Age Under 21 (45910) |
$4,395.70 |
$10,989.26 |
3.7× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$1,424 |
$3,560 |
2.0× |
| Dilation of urethral stricture by passage of filiform and follower, male; subsequent Age Under 21 (53621) |
$1,177.20 |
$2,943 |
4.7× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$2,463.76 |
$6,159.39 |
9.8× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Age Under 21 (53601) |
$333.60 |
$834 |
2.5× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$28,657.89 |
$71,644.72 |
8.1× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$12,338.67 |
$30,846.67 |
2.2× |
| Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision… (66820) |
$4,720.80 |
$11,802 |
2.0× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$9,131.33 |
$22,828.32 |
5.1× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) (36838) |
$11,035.42 |
$27,588.54 |
2.0× |
| Drain bladder by trocar/cath (51101) |
$1,573.60 |
$3,934 |
1.8× |
| Drain lower leg lesion (27603) |
$7,396.03 |
$18,490.07 |
2.5× |
| Drain neck/chest lesion (21501) |
$31,089.24 |
$77,723.11 |
10.7× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$387.20 |
$968 |
1.6× |
| Drainage external auditory canal, abscess (69020) |
$1,892.63 |
$4,731.57 |
2.7× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$1,295.20 |
$3,238 |
0.8× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$1,358.76 |
$3,396.90 |
1.9× |
| Drainage finger abscess simple (26010) |
$980.60 |
$2,451.52 |
4.9× |
| Drainage of abscess of palate, uvula (42000) |
$418.63 |
$1,046.58 |
1.8× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$2,958.40 |
$7,396 |
1.4× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$8,923.75 |
$22,309.37 |
16.5× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$639.52 |
$1,598.79 |
0.9× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$2,520.80 |
$6,302 |
1.6× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$4,125.74 |
$10,314.36 |
7.6× |
| Drainage of abscess; submaxillary, external Age Under 21 (42320) |
$800.06 |
$2,000.15 |
1.5× |
| Drainage of deep periurethral abscess Age Under 21 (53040) |
$2,958.40 |
$7,396 |
0.8× |
| Drainage of eye (65810) |
$6,937.20 |
$17,343 |
3.0× |
| Drainage of eye (65800) |
$10,390.14 |
$25,975.36 |
4.5× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$699.33 |
$1,748.32 |
0.4× |
| Drainage of hydrocele (55000) |
$739.22 |
$1,848.06 |
1.0× |
| Drainage of mouth lesion (41018) |
$754.40 |
$1,886 |
0.5× |
| Drainage of nose lesion (30020) |
$8,989.65 |
$22,474.12 |
16.6× |
| Drainage of ovarian cyst(s) (58800) |
$8,625.34 |
$21,563.34 |
2.7× |
| Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age Under 21 (58805) |
$4,026.40 |
$10,066 |
1.2× |
| Drainage of perineal urinary extravasation; complicated (53085) |
$4,155.60 |
$10,389 |
2.0× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Age Under 21 (53080) |
$2,958.40 |
$7,396 |
4.2× |
| Drainage of scrotal wall abscess (55100) |
$5,896 |
$14,740 |
3.6× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$6,290.28 |
$15,725.69 |
1.9× |
| Drainage of tonsil abscess (42700) |
$270.80 |
$677 |
1.1× |
| Drainage perirenal/renal abscess open (50020) |
$3,827.20 |
$9,568 |
1.8× |
| Dressing change (for other than burns) under anesthesia (other than local) (15852) |
$200.40 |
$501 |
0.3× |
| Dry needling (20999) |
$7,925.25 |
$19,813.13 |
32.0× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,740.20 |
$6,850.50 |
1.4× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$5,362.52 |
$13,406.30 |
2.7× |
| Dx bronchoscope/brush (31623) |
$17,793.34 |
$44,483.35 |
10.0× |
| Dx bronchoscope/lavage (31624) |
$14,485.78 |
$36,214.44 |
8.1× |
| Dx laryngoscopy excl nb (31525) |
$16,962.67 |
$42,406.68 |
9.5× |
| Eardrum revision (69450) |
$9,398.64 |
$23,496.61 |
2.8× |
| Ed proc insert intraosseous IV (36680) |
$215.20 |
$538 |
0.5× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$941.36 |
$2,353.39 |
7.3× |
| Ed proc remve fb nasal- hospital (30300) |
$668.24 |
$1,670.60 |
5.0× |
| Ed prof arthrocentesis sm - hospital (20551) |
$883.31 |
$2,208.28 |
2.9× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$1,159.60 |
$2,899 |
8.7× |
| Ed prof burn - large - hospital (16030) |
$5,861.81 |
$14,654.53 |
14.4× |
| Ed prof burn medium - hospital (16025) |
$708.80 |
$1,772 |
3.5× |
| Ed prof burn small - hospital (16020) |
$464.80 |
$1,162 |
2.3× |
| Ed prof catheterization/straight (51701) |
$1,854.80 |
$4,637 |
13.9× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$12,124.29 |
$30,310.72 |
7.5× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$15,129.55 |
$37,823.88 |
9.4× |
| Ed prof drain dental abscess-hospital (41800) |
$2,031.32 |
$5,078.29 |
15.2× |
| Ed prof insert foley cath simple (51702) |
$440.46 |
$1,101.15 |
3.3× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$3,051.60 |
$7,629 |
1.0× |
| Ed prof insertion of heart electr (33210) |
$54,259.57 |
$135,648.92 |
6.5× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$9,636.36 |
$24,090.88 |
23.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$5,521.57 |
$13,803.92 |
13.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$346 |
$865 |
1.4× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$248.40 |
$621 |
0.6× |
| Egd endo mucosal resection (43254) |
$7,874.19 |
$19,685.48 |
4.1× |
| Egd endoscopic stent place (43266) |
$18,302.26 |
$45,755.65 |
3.0× |
| Egd injection varices (43243) |
$2,394 |
$5,985 |
1.2× |
| Egd lesion ablation (43270) |
$8,567.13 |
$21,417.82 |
4.4× |
| Egd percutaneous placement gastrostomy tube (43246) |
$14,382.74 |
$35,956.86 |
7.5× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$6,461.24 |
$16,153.09 |
3.4× |
| Egd transoral control bleeding any method (43255) |
$6,500.45 |
$16,251.12 |
3.4× |
| Egd tube/cath insertion (43241) |
$18,477.90 |
$46,194.75 |
9.6× |
| Egd us exam duodenum/jejunum (43259) |
$3,921.90 |
$9,804.76 |
2.0× |
| Egd us fine needle bx/aspir (43242) |
$6,909.60 |
$17,273.99 |
3.6× |
| Egd us transmural injxn/mark (43253) |
$4,553.20 |
$11,383 |
2.4× |
| Egd w/transmural drain cyst (43240) |
$12,956.04 |
$32,390.10 |
2.1× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$5,294.45 |
$13,236.12 |
17.2× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$1,900.29 |
$4,750.73 |
6.2× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$500.40 |
$1,251 |
1.6× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$12,481.78 |
$31,204.44 |
2.2× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision (34111) |
$11,385.72 |
$28,464.29 |
2.0× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$1,854.80 |
$4,637 |
14.3× |
| Endocervical curettage (57505) |
$1,498.80 |
$3,747 |
1.6× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$1,696.78 |
$4,241.95 |
1.8× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$4,256.99 |
$10,642.47 |
4.6× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$7,136.11 |
$17,840.27 |
2.0× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$4,100.22 |
$10,250.56 |
1.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$17,793.36 |
$44,483.41 |
4.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$19,890.34 |
$49,725.84 |
5.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$10,755.16 |
$26,887.91 |
2.8× |
| Endoscopic us exam esoph (43237) |
$3,765.64 |
$9,414.10 |
2.0× |
| Endoscopy upper small intestine (44360) |
$4,772.15 |
$11,930.37 |
2.5× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$17,926.71 |
$44,816.77 |
1.5× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$21,012.26 |
$52,530.66 |
3.8× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$8,653.20 |
$21,633 |
2.7× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$7,161.29 |
$17,903.23 |
2.3× |
| Endovenous rf 1st vein (36475) |
$8,003.87 |
$20,009.68 |
2.5× |
| Enucleation of eye; with implant, muscles attached to implant Age Under 21 (65105) |
$17,127.44 |
$42,818.61 |
4.3× |
| Enucleation of eye; with implant, muscles not attached to implant Age Under 21 (65103) |
$16,436.08 |
$41,090.20 |
4.2× |
| Enucleation of eye; without implant Age Under 21 (65101) |
$14,060.81 |
$35,152.03 |
3.6× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$23,534.38 |
$58,835.95 |
11.4× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$23,534.38 |
$58,835.95 |
11.4× |
| Epididymectomy; unilateral Age Under 21 (54860) |
$9,151.81 |
$22,879.53 |
2.6× |
| Episiotomy or vaginal repair (59300) |
$11,487.81 |
$28,719.53 |
3.5× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$11,074.62 |
$27,686.57 |
15.6× |
| Ercp duct stent placement (43274) |
$18,294.14 |
$45,735.35 |
3.0× |
| Ercp ea duct/ampulla dilate (43277) |
$24,554.77 |
$61,386.92 |
6.3× |
| Ercp lithotripsy calculi (43265) |
$20,698.93 |
$51,747.33 |
3.4× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$14,652.09 |
$36,630.23 |
3.8× |
| Ercp remove forgn body duct (43275) |
$14,291.46 |
$35,728.66 |
7.4× |
| Ercp stent exchange w/dilate (43276) |
$17,059.87 |
$42,649.67 |
2.8× |
| Escharotomy 1st incision (16035) |
$346 |
$865 |
0.8× |
| Esoph egd dilation <30 mm (43249) |
$4,515.23 |
$11,288.07 |
2.3× |
| Esoph scope w/submucous inj (43201) |
$2,302.18 |
$5,755.45 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$6,266.22 |
$15,665.54 |
6.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$3,733.92 |
$9,334.81 |
1.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$5,651.62 |
$14,129.04 |
2.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$2,834.88 |
$7,087.19 |
1.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes… (43210) |
$24,100.52 |
$60,251.30 |
2.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$2,614.51 |
$6,536.28 |
2.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$4,800.12 |
$12,000.30 |
5.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$17,793.36 |
$44,483.41 |
9.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$6,814.32 |
$17,035.80 |
3.5× |
| Esophagoscop mucosal resect (43211) |
$3,013.20 |
$7,533 |
1.6× |
| Esophagoscop stent placement (43212) |
$16,387.76 |
$40,969.40 |
2.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,380.80 |
$3,452 |
0.7× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$441.20 |
$1,103 |
0.5× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$909.60 |
$2,274 |
1.0× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$4,992.40 |
$12,481 |
2.6× |
| Esophagoscopy lesion ablate (43229) |
$8,849.20 |
$22,123 |
2.3× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$22,405.09 |
$56,012.72 |
5.8× |
| Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age Under 21 (43205) |
$2,971.44 |
$7,428.60 |
1.5× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method Age Under 21 (43227) |
$1,909.20 |
$4,773 |
1.0× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) |
$7,209.54 |
$18,023.84 |
3.7× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes… (43213) |
$4,553.20 |
$11,383 |
2.4× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$10,921.36 |
$27,303.39 |
5.7× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Age Under 21 (43204) |
$2,863.60 |
$7,159 |
1.5× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age… (43226) |
$2,922.41 |
$7,306.03 |
1.5× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age… (43216) |
$1,296.80 |
$3,242 |
0.7× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under… (43217) |
$1,527.60 |
$3,819 |
0.8× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$10,751.31 |
$26,878.27 |
5.6× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$4,556.10 |
$11,390.26 |
2.4× |
| Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, zenker's diverticulum),… (43180) |
$12,919.35 |
$32,298.38 |
2.2× |
| Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Age Under 21 (43192) |
$10,158.90 |
$25,397.24 |
5.3× |
| Evac subungual hematoma (11740) |
$378.80 |
$947 |
2.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$8,476.50 |
$21,191.25 |
5.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$5,700 |
$14,249.99 |
3.4× |
| Exam of jaw joint using an endoscope|BILATERAL PROCEDURE |DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (29804) |
$12,429.79 |
$31,074.47 |
3.8× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$2,240.40 |
$5,601 |
4.1× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$6,219.06 |
$15,547.67 |
3.0× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$14,975.61 |
$37,439.03 |
2.5× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$3,636.22 |
$9,090.55 |
5.1× |
| Exc face les sbq 2 cm/> (21012) |
$9,896.80 |
$24,742.01 |
6.0× |
| Exc face tum deep < 2 cm (21013) |
$8,457.68 |
$21,144.19 |
5.1× |
| Exc forearm les sc 3 cm/> (25071) |
$8,291.81 |
$20,729.52 |
5.0× |
| Exc frenum labial/buccal (40819) |
$1,149.20 |
$2,873 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$12,304.90 |
$30,762.26 |
7.4× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$7,288.18 |
$18,220.46 |
10.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$6,015.66 |
$15,039.15 |
3.6× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$6,283.38 |
$15,708.43 |
3.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$6,730.16 |
$16,825.41 |
4.2× |
| Exc neck tum deep < 5 cm (21556) |
$11,646.38 |
$29,115.94 |
4.0× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$12,614.90 |
$31,537.24 |
6.4× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$7,331.72 |
$18,329.30 |
3.7× |
| Exc rect tum transanal part (45171) |
$7,607.67 |
$19,019.18 |
2.7× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$6,662.06 |
$16,655.16 |
9.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$1,255.40 |
$3,138.52 |
1.8× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$8,283.60 |
$20,708.98 |
5.0× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$5,042.68 |
$12,606.71 |
3.0× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$8,368.79 |
$20,921.98 |
2.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$5,744.59 |
$14,361.48 |
2.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,470.15 |
$3,675.38 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$9,620.60 |
$24,051.50 |
3.3× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$11,377.61 |
$28,444.03 |
3.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$7,333.67 |
$18,334.17 |
4.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$7,832.46 |
$19,581.15 |
2.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$8,534.40 |
$21,335.99 |
2.9× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,564.12 |
$8,910.30 |
2.1× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$16,218.19 |
$40,545.48 |
5.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,866.34 |
$7,165.84 |
1.7× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$10,075.48 |
$25,188.70 |
3.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,914.40 |
$7,286 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,434.40 |
$6,086 |
0.8× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$7,555.22 |
$18,888.07 |
2.6× |
| Exc. pentagonal wedge, csd/w deep and lash/grey line sutures (67999) |
$16,473.86 |
$41,184.66 |
51.7× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$11,036.67 |
$27,591.68 |
3.1× |
| Exchange intraocular lens (66986) |
$14,390.66 |
$35,976.66 |
6.2× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,001.64 |
$5,004.11 |
1.0× |
| Exchange transfusion, blood; newborn Age Under 21 (36450) |
$212 |
$530 |
0.5× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$6,989.93 |
$17,474.82 |
15.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,278.46 |
$5,696.16 |
1.2× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$15,460.07 |
$38,650.17 |
6.5× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$9,790.98 |
$24,477.46 |
4.1× |
| Excision aural polyp (69540) |
$2,520.80 |
$6,302 |
1.6× |
| Excision bone mandible (21025) |
$11,561.58 |
$28,903.96 |
1.9× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Age Under 21 (42810) |
$9,750.83 |
$24,377.07 |
2.9× |
| Excision dermoid cyst, nose; simple, skin, subcutaneous Age Under 21 (30124) |
$8,895.08 |
$22,237.70 |
5.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$16,966.86 |
$42,417.14 |
5.2× |
| Excision exostosis(es), external auditory canal Age Under 21 (69140) |
$7,142.13 |
$17,855.32 |
1.2× |
| Excision external ear partial simple repair (69110) |
$2,671.22 |
$6,678.04 |
0.9× |
| Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age Under… (26390) |
$9,608.81 |
$24,022.03 |
1.3× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$6,508.64 |
$16,271.59 |
4.0× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$8,863.77 |
$22,159.42 |
3.0× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$316.09 |
$790.23 |
0.1× |
| Excision inferior turbinate, partial or complete, any method Age Under 21 (30130) |
$17,208.06 |
$43,020.16 |
5.2× |
| Excision lesion mouth roof (42104) |
$849.56 |
$2,123.90 |
0.3× |
| Excision lesion sclera (66130) |
$9,524.01 |
$23,810.03 |
4.0× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$5,935.81 |
$14,839.53 |
3.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$6,235.18 |
$15,587.94 |
8.8× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$3,305.82 |
$8,264.55 |
8.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$6,503.03 |
$16,257.57 |
9.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$3,996.62 |
$9,991.55 |
5.6× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$5,906.40 |
$14,766 |
2.0× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$1,138 |
$2,845 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$3,005.32 |
$7,513.29 |
4.2× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$2,936.38 |
$7,340.95 |
4.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$3,027.42 |
$7,568.55 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,823.25 |
$9,558.12 |
2.3× |
| Excision multiple external papillae/tags anus (46230) |
$7,490.90 |
$18,727.26 |
2.7× |
| Excision of bartholin's gland or cyst (56740) |
$3,371.68 |
$8,429.21 |
1.0× |
| Excision of benign tumor or cyst of mandible, by enucleation and/or curettage Age Under 21 (21040) |
$8,861.23 |
$22,153.08 |
2.7× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$27,092.86 |
$67,732.16 |
4.6× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$10,916.14 |
$27,290.36 |
1.8× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Age Under 21 (21030) |
$10,450.46 |
$26,126.15 |
1.8× |
| Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21048) |
$10,954.92 |
$27,387.30 |
1.8× |
| Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) Age Under 21 (21026) |
$9,947.98 |
$24,869.93 |
1.7× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$8,886.61 |
$22,216.52 |
2.3× |
Excision of cervical stump, vaginal approach; with repair of enterocele Age Under 21 (57556)
likely a partial charge — not the full procedure |
$889.26 |
$2,223.14 |
0.2× |
| Excision of chest wall tumor including rib(s) (21601) |
$11,382.46 |
$28,456.16 |
3.9× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Age Under 21 (60200) |
$11,965.44 |
$29,913.60 |
2.0× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age… (26415) |
$10,235.06 |
$25,587.65 |
3.1× |
| Excision of extraparenchymal lesion of testis Age Under 21 (54512) |
$8,306.99 |
$20,767.47 |
2.3× |
| Excision of fibrous tuberosities, dentoalveolar structures (41822) |
$2,520.80 |
$6,302 |
1.6× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$5,504.65 |
$13,761.64 |
3.4× |
| Excision of hydrocele of spermatic cord, unilateral (separate procedure) Age Under 21 (55500) |
$7,999.01 |
$19,997.53 |
2.3× |
| Excision of hyperplastic alveolar mucosa, each quadrant (specify) Age Under 21 (41828) |
$1,201.52 |
$3,003.79 |
0.8× |
| Excision of lacrimal sac (dacryocystectomy) Age Under 21 (68520) |
$19,401.58 |
$48,503.94 |
4.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$1,866.40 |
$4,666 |
1.9× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$10,763.36 |
$26,908.39 |
3.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Age Under 21 (40816) |
$7,090.12 |
$17,725.29 |
2.1× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Age Under 21 (40814) |
$7,181.77 |
$17,954.43 |
2.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$6,846.24 |
$17,115.59 |
4.4× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$3,325.52 |
$8,313.79 |
1.0× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$8,727.18 |
$21,817.94 |
2.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$8,545.36 |
$21,363.41 |
2.6× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$5,737.81 |
$14,344.53 |
3.6× |
| Excision of lesion of tongue with closure; posterior one-third Age Under 21 (41113) |
$3,527.20 |
$8,818 |
1.1× |
| Excision of lesion of tongue with closure; with local tongue flap Age Under 21 (41114) |
$6,731.54 |
$16,828.84 |
2.0× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$1,004.08 |
$2,510.21 |
0.3× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Age Under 21 (41827) |
$9,825.37 |
$24,563.43 |
1.7× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Age Under 21 (41826) |
$5,007.18 |
$12,517.95 |
1.5× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair (41825) |
$9,022.58 |
$22,556.44 |
2.7× |
| Excision of lesion, conjunctiva; over 1 cm Age Under 21 (68115) |
$11,059.52 |
$27,648.81 |
4.6× |
| Excision of lip; transverse wedge excision with primary closure Age Under 21 (40510) |
$4,317.81 |
$10,794.53 |
1.3× |
| Excision of local lesion of epididymis Age Under 21 (54830) |
$7,136.22 |
$17,840.54 |
2.0× |
| Excision of mouth lesion (41116) |
$6,089.96 |
$15,224.89 |
1.8× |
| Excision of mucosa of vestibule of mouth as donor graft Age Under 21 (40818) |
$13,263.65 |
$33,159.13 |
24.5× |
| Excision of neurofibroma or neurolemmoma; cutaneous nerve Age Under 21 (64788) |
$7,611.32 |
$19,028.30 |
3.9× |
| Excision of neurofibroma or neurolemmoma; major peripheral nerve Age Under 21 (64790) |
$8,179.18 |
$20,447.96 |
4.2× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$8,446.86 |
$21,117.14 |
4.3× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$9,862.52 |
$24,656.30 |
5.0× |
| Excision of neuroma; sciatic nerve Age Under 21 (64786) |
$19,997.10 |
$49,992.76 |
5.8× |
| Excision of osseous tuberosities, dentoalveolar structures (41823) |
$8,673.92 |
$21,684.79 |
1.5× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415) |
$19,707.79 |
$49,269.48 |
3.3× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age Under 21 (42410) |
$19,388.73 |
$48,471.82 |
3.3× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Age Under 21 (42425) |
$16,094.74 |
$40,236.84 |
2.7× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21 (42420) |
$19,381.96 |
$48,454.89 |
3.3× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$6,172.08 |
$15,430.19 |
2.1× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$10,050.76 |
$25,126.91 |
3.6× |
| Excision of single external papilla or tag, anus (46220) |
$5,692.87 |
$14,232.18 |
4.7× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$6,994.72 |
$17,486.80 |
2.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$13,597.72 |
$33,994.31 |
4.7× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$5,099.83 |
$12,749.57 |
1.7× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$7,850.92 |
$19,627.31 |
3.7× |
| Excision of sublingual gland (42450) |
$13,870.61 |
$34,676.52 |
2.3× |
| Excision of sublingual salivary cyst (ranula) Age Under 21 (42408) |
$10,104.71 |
$25,261.78 |
3.0× |
| Excision of submandibular (submaxillary) gland Age Under 21 (42440) |
$13,521.16 |
$33,802.90 |
2.3× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$10,759.42 |
$26,898.55 |
53.7× |
| Excision of tendon, palm, flexor or extensor, single, each tendon Age Under 21 (26170) |
$14,037.99 |
$35,094.97 |
8.7× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,720.80 |
$9,302 |
3.1× |
| Excision of tongue fold (41115) |
$1,149.20 |
$2,873 |
0.7× |
| Excision of tongue lesion (41112) |
$3,692 |
$9,230 |
1.1× |
| Excision of tonsil tags Age Under 21 (42860) |
$6,934.42 |
$17,336.06 |
2.1× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Age Under 21 (51500) |
$9,751.68 |
$24,379.20 |
1.6× |
| Excision of urethral diverticulum (separate procedure); female Age Under 21 (53230) |
$11,493.62 |
$28,734.05 |
2.1× |
| Excision of vaginal cyst or tumor (57135) |
$3,614.40 |
$9,036 |
1.1× |
| Excision of vaginal septum (57130) |
$42,053.05 |
$105,132.63 |
12.9× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age Under 21 (55530) |
$9,947.30 |
$24,868.25 |
2.8× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Age Under 21 (55540) |
$7,024.82 |
$17,562.06 |
2.0× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; Age Under 21 (25130) |
$9,731.79 |
$24,329.48 |
3.0× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Age Under 21 (23140) |
$12,291.66 |
$30,729.16 |
3.7× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$32,084.17 |
$80,210.42 |
9.8× |
| Excision or curettage of bone cyst or benign tumor of femur; with allograft Age Under 21 (27356) |
$43,903.12 |
$109,757.80 |
3.4× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Age Under 21 (23156) |
$18,673.87 |
$46,684.68 |
2.6× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) Age… (23155) |
$8,094.97 |
$20,237.42 |
1.1× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$6,435.80 |
$16,089.49 |
4.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$12,802.04 |
$32,005.11 |
3.9× |
| Excision or curettage of bone cyst or benign tumor, humerus; Age Under 21 (24110) |
$14,125.78 |
$35,314.46 |
4.3× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Age Under 21 (24116) |
$10,569.78 |
$26,424.46 |
1.5× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$16,083.72 |
$40,209.31 |
10.0× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$14,832.03 |
$37,080.07 |
4.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) |
$16,676.11 |
$41,690.28 |
2.3× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$25,807.52 |
$64,518.81 |
7.9× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft Age… (28107) |
$9,630.36 |
$24,075.91 |
1.3× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$7,377.70 |
$18,444.27 |
2.2× |
| Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) Age Under 21 (30118) |
$9,242.93 |
$23,107.32 |
2.8× |
| Excision or destruction lingual tonsil, any method (separate procedure) Age Under 21 (42870) |
$16,817.66 |
$42,044.16 |
2.8× |
| Excision or fulguration; Skene's glands Age Under 21 (53270) |
$8,502.53 |
$21,256.32 |
2.4× |
| Excision or fulguration; urethral polyp(s), distal urethra Age Under 21 (53260) |
$13,619.48 |
$34,048.69 |
3.8× |
| Excision or surgical planing of skin of nose for rhinophyma Age Under 21 (30120) |
$10,895.60 |
$27,238.99 |
3.3× |
| Excision or transposition of pterygium; without graft Age Under 21 (65420) |
$3,724.71 |
$9,311.78 |
1.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$7,976.94 |
$19,942.35 |
2.7× |
| Excision pilonidal cyst/sinus extensive (11771) |
$5,927.41 |
$14,818.52 |
2.0× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$2,838.46 |
$7,096.15 |
1.0× |
| Excision tendon finger flexor/extensor each (26180) |
$7,473.26 |
$18,683.15 |
4.6× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$13,508.67 |
$33,771.67 |
2.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$7,562.72 |
$18,906.81 |
4.6× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$7,867.90 |
$19,669.77 |
4.7× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$7,357.44 |
$18,393.61 |
2.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$7,010.06 |
$17,525.15 |
4.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$9,988.77 |
$24,971.93 |
6.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,810.50 |
$4,526.24 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$5,929.90 |
$14,824.74 |
3.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$3,492.23 |
$8,730.57 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$5,367.55 |
$13,418.87 |
3.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$1,523.48 |
$3,808.71 |
3.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$2,087.02 |
$5,217.55 |
1.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$4,628.51 |
$11,571.27 |
6.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$5,237.86 |
$13,094.66 |
3.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830) |
$11,887.91 |
$29,719.78 |
1.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm (15836) |
$10,482.86 |
$26,207.14 |
3.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand (15837) |
$11,614.52 |
$29,036.31 |
4.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$5,632.35 |
$14,080.88 |
1.9× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$7,230.32 |
$18,075.80 |
4.5× |
| Excision, lesion of palate, uvula; with simple primary closure Age Under 21 (42106) |
$3,554.75 |
$8,886.87 |
1.1× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$2,403.62 |
$6,009.05 |
3.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$3,139.36 |
$7,848.39 |
4.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$4,570.22 |
$11,425.55 |
2.8× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$625.76 |
$1,564.41 |
0.4× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$21,357 |
$53,392.50 |
7.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$2,155.62 |
$5,389.05 |
3.0× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$9,941.29 |
$24,853.22 |
6.0× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$441.20 |
$1,103 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$4,442.09 |
$11,105.22 |
6.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$8,016.08 |
$20,040.22 |
11.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$5,523.47 |
$13,808.67 |
3.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$4,665.74 |
$11,664.36 |
6.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$8,812.62 |
$22,031.55 |
5.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$2,541.24 |
$6,353.09 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$8,301.18 |
$20,752.95 |
2.8× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$8,753.77 |
$21,884.43 |
3.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$8,008.98 |
$20,022.47 |
2.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$8,960.46 |
$22,401.14 |
5.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) |
$6,747.71 |
$16,869.27 |
2.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$2,909.60 |
$7,274 |
1.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$8,103.02 |
$20,257.56 |
2.8× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27634) |
$8,647.50 |
$21,618.74 |
3.0× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$10,092.72 |
$25,231.81 |
3.5× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$8,536.81 |
$21,342.04 |
5.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$9,929.91 |
$24,824.78 |
3.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$7,362.73 |
$18,406.82 |
2.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$6,450.66 |
$16,126.66 |
3.9× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) |
$7,647.58 |
$19,118.96 |
2.6× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) |
$12,830.70 |
$32,076.74 |
4.4× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$7,169.83 |
$17,924.58 |
2.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$5,835.66 |
$14,589.16 |
3.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$11,211.56 |
$28,028.90 |
3.8× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$9,772.92 |
$24,432.31 |
6.1× |
| Excision/destruction intranasal lesion int appr (30117) |
$9,882.61 |
$24,706.53 |
3.0× |
| Excision/Destruction Lesion Pharynx Any Method (42808) |
$1,736.66 |
$4,341.65 |
0.5× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$7,405.88 |
$18,514.70 |
2.5× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; only Age Under 21 (65110) |
$19,652.87 |
$49,132.18 |
5.0× |
| Explantation of cochlear implant electrode coil and/or receiver (69949) |
$8,943.85 |
$22,359.62 |
37.6× |
| Exploration of neck for bleeding, blood clot, or infection after surgery (35800) |
$36,851.28 |
$92,128.20 |
6.6× |
| Exploration penetrating wound spx extremity (20103) |
$8,403.18 |
$21,007.94 |
5.1× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$9,252.90 |
$23,132.26 |
5.7× |
| Explore wound chest (20101) |
$262.42 |
$656.04 |
0.1× |
| Explore/irrigate tear ducts (68840) |
$5,260.98 |
$13,152.44 |
16.5× |
| Exposure of prostate, any approach, for insertion of radioactive substance; Age Under 21 (55860) |
$3,167.20 |
$7,918 |
0.6× |
| Expression of conjunctival follicles (eg, for trachoma) Age Under 21 (68040) |
$134.40 |
$336 |
0.4× |
| Extensive removal of growth of forearm bone (radius or ulna) (25170) |
$29,126.15 |
$72,815.38 |
4.0× |
| Extensive removal of growth of thigh or knee bone (27365) |
$49,867.34 |
$124,668.34 |
15.2× |
| External cannula declotting (separate procedure); with balloon catheter Age Under 21 (36861) |
$24,226.06 |
$60,565.16 |
4.3× |
| Extraction of lens (66940) |
$19,089.20 |
$47,723 |
8.2× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Age Under 21 (41015) |
$387.20 |
$968 |
0.7× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$4,844.80 |
$12,112 |
1.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21 (41016) |
$8,812.40 |
$22,031 |
1.5× |
| Fascia lata graft; by incision and area exposure, complex or sheet Age Under 21 (20922) |
$13,718.80 |
$34,297 |
6.6× |
| Fascia lata graft; by stripper Age Under 21 (20920) |
$20,929.92 |
$52,324.80 |
10.1× |
| Fasciectomy plantar fascia partial spx (28060) |
$7,533.43 |
$18,833.57 |
2.3× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$8,180.26 |
$20,450.65 |
2.5× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$7,063.38 |
$17,658.46 |
2.1× |
| Fetal contraction stress test (59020) |
$616 |
$1,540 |
3.0× |
| Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age Under 21 (59074) |
$948 |
$2,370 |
3.1× |
| Fetal umbilical cord occlusion, including ultrasound guidance (59072) |
$425.20 |
$1,063 |
1.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$5,060.28 |
$12,650.70 |
7.1× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$2,240.40 |
$5,601 |
3.1× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$1,257.20 |
$3,143 |
3.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,511.41 |
$3,778.53 |
2.1× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Age Under 21 (66170) |
$14,963.98 |
$37,409.94 |
6.5× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma… (66172) |
$12,585.82 |
$31,464.55 |
5.4× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$9,275.26 |
$23,188.15 |
2.8× |
| Flap island pedicle (15740) |
$8,483.26 |
$21,208.16 |
4.1× |
| Fna bx w/mr gdn 1st les (10011) |
$4,233.46 |
$10,583.65 |
6.0× |
| Follow-up surgery of eye (66250) |
$12,186.54 |
$30,466.34 |
5.1× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21 (15731) |
$18,108.80 |
$45,271.99 |
5.1× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$5,721.73 |
$14,304.33 |
2.8× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Age Under 21 (15572) |
$14,812.83 |
$37,032.07 |
4.2× |
| Formation of direct or tubed pedicle, with or without transfer; trunk Age Under 21 (15570) |
$35,237.85 |
$88,094.62 |
17.0× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$12,328.04 |
$30,820.12 |
3.7× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe (20969) |
$24,679.23 |
$61,698.07 |
3.4× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Age Under 21 (41520) |
$4,804.80 |
$12,012 |
1.4× |
| Frenulotomy of penis (54164) |
$385.97 |
$964.93 |
0.2× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$13,082.70 |
$32,706.74 |
6.3× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$13,247.53 |
$33,118.82 |
6.4× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$16,913.65 |
$42,284.13 |
8.2× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$11,461.16 |
$28,652.88 |
5.5× |
| Fusion of 3 bones of ankle|RIGHT SIDE (28715) |
$18,893.88 |
$47,234.70 |
1.5× |
| Fusion of all bones of ankle and hindfoot (28705) |
$12,522.38 |
$31,305.95 |
0.7× |
Fusion of thumb (26841)
likely a partial charge — not the full procedure |
$183.20 |
$457.99 |
0.0× |
| Fusion of wrist joint (25800) |
$22,407.59 |
$56,018.97 |
3.1× |
| Ganglion impar nerve block (64999) |
$14,878.36 |
$37,195.88 |
48.3× |
| Gastric lavage (43753) |
$141.20 |
$353 |
0.7× |
| Gastrocnemius recession (27687) |
$10,173.72 |
$25,434.29 |
3.1× |
| Genioplasty; sliding osteotomy, single piece Age Under 21 (21121) |
$48,938.27 |
$122,345.67 |
14.7× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Age Under 21 (21123) |
$86,201.25 |
$215,503.12 |
25.9× |
| Gingivectomy, excision gingiva, each quadrant Age Under 21 (41820) |
$5,051.43 |
$12,628.58 |
1.5× |
| Gingivoplasty, each quadrant (specify) Age Under 21 (41872) |
$1,706.15 |
$4,265.37 |
0.5× |
| Glossectomy; less than one-half tongue Age Under 21 (41120) |
$14,756.95 |
$36,892.38 |
2.5× |
| Graft derma-fat-fascia (15770) |
$36,129.79 |
$90,324.47 |
10.1× |
| Graft for facial nerve paralysis; regional muscle transfer Age Under 21 (15845) |
$13,718.80 |
$34,297 |
3.9× |
| Graft, bone; mandible (includes obtaining graft) Age Under 21 (21215) |
$34,496.34 |
$86,240.85 |
5.8× |
| Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) Age Under 21 (21210) |
$24,333.53 |
$60,833.82 |
4.1× |
| Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Age Under 21 (15760) |
$21,804.14 |
$54,510.35 |
10.5× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235) |
$15,503.88 |
$38,759.69 |
2.6× |
| Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) Age Under 21 (21230) |
$16,783.24 |
$41,958.09 |
2.8× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$11,331.91 |
$28,329.78 |
3.2× |
| Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia,… (15773) |
$8,738.26 |
$21,845.64 |
4.2× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$13,190.04 |
$32,975.10 |
3.7× |
| Guide cathet fluid drainage (10030) |
$1,917.47 |
$4,793.68 |
2.7× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$6,858.50 |
$17,146.26 |
2.1× |
| Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125) |
$26,765.72 |
$66,914.31 |
2.1× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$18,068.40 |
$45,171.01 |
5.5× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$8,663.13 |
$21,657.82 |
9.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$7,796.94 |
$19,492.34 |
2.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$8,487.36 |
$21,218.41 |
3.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$8,101.40 |
$20,253.51 |
2.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$7,055.36 |
$17,638.41 |
2.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$8,283.26 |
$20,708.14 |
3.0× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$7,243.88 |
$18,109.70 |
2.6× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$7,154.90 |
$17,887.25 |
2.6× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$8,780.38 |
$21,950.95 |
3.1× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$8,529.76 |
$21,324.41 |
3.1× |
| Hyoid myotomy and suspension Age Under 21 (21685) |
$14,891.06 |
$37,227.66 |
2.5× |
| Hysteroscopy biopsy (58558) |
$8,589.46 |
$21,473.65 |
2.6× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$7,536.42 |
$18,841.06 |
1.5× |
| Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21 (58560) |
$7,736.86 |
$19,342.16 |
1.5× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$12,193.14 |
$30,482.86 |
2.4× |
| Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559) |
$9,822.16 |
$24,555.39 |
2.0× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$8,814.92 |
$22,037.30 |
2.7× |
| Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561) |
$11,990.28 |
$29,975.71 |
2.4× |
| I&d abscess simple/single (10060) |
$715.71 |
$1,789.27 |
3.6× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$12,170.19 |
$30,425.48 |
4.2× |
| I&d hematoma/seroma/fluid (10140) |
$3,051.12 |
$7,627.80 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$668.02 |
$1,670.04 |
0.9× |
| I&d thyroglossal duct cyst infected (60000) |
$4,893.20 |
$12,233 |
3.1× |
| Ileoscopy stoma w/balloon dilation (44381) |
$3,454.04 |
$8,635.09 |
1.8× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$3,774.30 |
$9,435.76 |
4.1× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$8,689.56 |
$21,723.91 |
35.1× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$2,937.20 |
$7,343 |
1.8× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$5,498 |
$13,745 |
3.3× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$6,437.70 |
$16,094.24 |
3.9× |
| Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415) |
$43,903.12 |
$109,757.80 |
3.4× |
| Implantation of intrastromal corneal ring segments Age Under 21 (65785) |
$15,966.65 |
$39,916.62 |
3.8× |
Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous… (67027)
likely a partial charge — not the full procedure |
$1,710.72 |
$4,276.80 |
0.1× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Age Under 21 (62361) |
$21,610.05 |
$54,025.12 |
1.2× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) |
$27,788.18 |
$69,470.44 |
1.5× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Age Under 21 (62360) |
$10,292.30 |
$25,730.74 |
0.6× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$16,344.67 |
$40,861.67 |
1.3× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Age Under 21 (69714) |
$12,666.96 |
$31,667.39 |
1.0× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350) |
$31,551.03 |
$78,877.58 |
3.6× |
| Impression and custom preparation; oral surgical splint Age Under 21 (21085) |
$48,938.27 |
$122,345.67 |
205.7× |
| Impression and custom preparation; surgical obturator prosthesis Age Under 21 (21076) |
$11,564.04 |
$28,910.10 |
7.4× |
| Incise & drain bladder (51040) |
$5,933.84 |
$14,834.61 |
2.8× |
| Incise external hemorrhoid (46083) |
$309.60 |
$774 |
1.2× |
| Incise finger tendon sheath (26055) |
$5,766.55 |
$14,416.38 |
3.6× |
| Incise inner eye adhesions (65865) |
$15,031.34 |
$37,578.36 |
6.5× |
| Incise/drain eyelid lining (68020) |
$2,893.60 |
$7,234 |
2.9× |
| Incise/drain tear gland (68400) |
$447.20 |
$1,118 |
0.4× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$1,507.54 |
$3,768.84 |
3.7× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$10,795.29 |
$26,988.23 |
6.7× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$736.27 |
$1,840.68 |
3.6× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$6,864.55 |
$17,161.38 |
2.5× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$9,105 |
$22,762.51 |
7.6× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21 (57023) |
$2,076.40 |
$5,191 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$834.57 |
$2,086.42 |
2.7× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$11,122.82 |
$27,807.06 |
3.8× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$9,433.08 |
$23,582.69 |
2.9× |
| Incision and drainage, perianal abscess, superficial (46050) |
$8,243.90 |
$20,609.76 |
8.8× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$7,744.29 |
$19,360.72 |
4.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$2,492.44 |
$6,231.10 |
6.1× |
| Incision extensor tendon sheath wrist (25000) |
$6,057.16 |
$15,142.92 |
3.7× |
| Incision into wrist joint with removal of joint lining tissue (25105) |
$7,319.28 |
$18,298.21 |
2.2× |
| Incision of connective tissue of foot and/or toe (28008) |
$6,592.42 |
$16,481.04 |
2.0× |
| Incision of eardrum with insertion of eardrum tube under local or topical anesthesia|BILATERAL PROCEDURE (69433) |
$1,647.75 |
$4,119.38 |
3.0× |
| Incision of eyelid (67710) |
$1,158.40 |
$2,896 |
1.2× |
| Incision of eyelid fold (67715) |
$1,526.40 |
$3,816 |
0.6× |
| Incision of foot tendon(s) (28230) |
$8,737.16 |
$21,842.89 |
5.4× |
| Incision of knee joint with removal of cartilage of front or back of knee (27334) |
$9,039.41 |
$22,598.52 |
2.8× |
| Incision of labial frenum (frenotomy) Age Under 21 (40806) |
$591.26 |
$1,478.15 |
1.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,149.20 |
$2,873 |
0.7× |
| Incision of rectal abscess (46040) |
$1,690 |
$4,225 |
1.4× |
| Incision of tibia & fibula (27709) |
$24,825.70 |
$62,064.24 |
1.9× |
| Incision of windpipe (31600) |
$2,752 |
$6,880 |
0.8× |
| Incision of windpipe (31603) |
$906.80 |
$2,267 |
0.6× |
| Incision or partial removal of both forearm bones (25365) |
$18,952.11 |
$47,380.27 |
1.5× |
| Incision or partial removal of forearm bone on thumb side near elbow or in middle (25355) |
$16,484.84 |
$41,212.10 |
5.0× |
| Incision or partial removal of forearm bone on thumb side near hand (25350) |
$20,740.50 |
$51,851.25 |
2.8× |
| Incision or partial removal of lower jaw bone and movement of tongue muscle (21199) |
$48,619.60 |
$121,549.01 |
8.2× |
| Incision or partial removal of lower leg bone (27707) |
$27,098.06 |
$67,745.15 |
8.2× |
| Incision to repair or release capsule of wrist joint (25085) |
$8,262.15 |
$20,655.37 |
2.5× |
| Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age Under 21 (25035) |
$29,126.15 |
$72,815.38 |
4.0× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) (27303) |
$24,381.60 |
$60,953.99 |
7.4× |
| Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Age Under 21 (68420) |
$21,918.39 |
$54,795.98 |
9.2× |
| Incisional biopsy skin single lesion (11106) |
$6,773.98 |
$16,934.96 |
9.1× |
| Induced abortion by d&c (59840) |
$2,483.39 |
$6,208.47 |
0.8× |
| Induced abortion dilation & evacuation (59841) |
$688.59 |
$1,721.48 |
0.2× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$207.20 |
$518 |
1.0× |
| Inj epidural blood or clot patch (62273) |
$2,324.37 |
$5,810.93 |
3.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,907.80 |
$7,269.51 |
3.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,835.46 |
$7,088.66 |
3.2× |
| Inj substitute pars plana/limbl w/wo aspir spx (67025) |
$1,667.97 |
$4,169.93 |
0.7× |
| Inj tx nerve (64640) |
$5,662.20 |
$14,155.50 |
6.4× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$1,252.42 |
$3,131.05 |
5.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$18,915.08 |
$47,287.70 |
26.7× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$4,222.98 |
$10,557.45 |
4.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$10,753.10 |
$26,882.74 |
12.1× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$11,004.36 |
$27,510.89 |
12.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,848.54 |
$7,121.36 |
4.0× |
| Injection aa&/strd greater occipital nerve (64405) |
$2,213.01 |
$5,532.52 |
7.2× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,404.84 |
$3,512.11 |
2.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$398 |
$995 |
0.4× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$9,828.85 |
$24,572.13 |
13.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,456.09 |
$6,140.23 |
3.5× |
| Injection aa&/strd pudendal nerve (64430) |
$1,072 |
$2,680 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$11,321.39 |
$28,303.48 |
16.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,473.22 |
$3,683.06 |
2.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$2,372 |
$5,929.98 |
7.7× |
| Injection aa&/strd vagus nerve (64408) |
$1,548.78 |
$3,871.96 |
5.0× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$1,697.20 |
$4,243 |
1.9× |
| Injection anes superior hypogastric plexus (64517) |
$20,204.96 |
$50,512.40 |
22.7× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$5,213.01 |
$13,032.52 |
4.3× |
| Injection enzyme palmar fascial cord (20527) |
$254.80 |
$637 |
0.8× |
| Injection eye drug (67028) |
$1,710.72 |
$4,276.80 |
5.2× |
| Injection for identification of sentinel node (38792) |
$21,421.03 |
$53,552.56 |
53.3× |
| Injection of drug or substance into membrane covering eyeball|BILATERAL PROCEDURE (67515) |
$1,877.22 |
$4,693.04 |
5.9× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$2,294.80 |
$5,737 |
1.5× |
| Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar (62292) |
$862.40 |
$2,156 |
0.4× |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Age Under 21 (54205) |
$8,190.31 |
$20,475.77 |
1.5× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$438.40 |
$1,096 |
0.7× |
| Injection sclerosant multiple incmptnt veins (36471) |
$1,343.84 |
$3,359.59 |
3.3× |
| Injection sclerosant single incmptnt vein (36470) |
$3,113.93 |
$7,784.82 |
7.6× |
| Injection therapeutic carpal tunnel (20526) |
$537.92 |
$1,344.79 |
1.7× |
| Injection treatment of nose (30200) |
$15,203.72 |
$38,009.29 |
28.1× |
| Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) |
$2,107.54 |
$5,268.84 |
5.2× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$13,719.53 |
$34,298.83 |
15.4× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$9,056.53 |
$22,641.33 |
10.2× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$9,355.20 |
$23,388 |
10.5× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$1,119.60 |
$2,799 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$16,195.14 |
$40,487.86 |
18.2× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$2,342 |
$5,855 |
2.6× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$495.52 |
$1,238.80 |
1.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$589.32 |
$1,473.30 |
1.9× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$580 |
$1,450 |
1.9× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$3,976.67 |
$9,941.68 |
4.5× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$445.60 |
$1,114 |
1.4× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Age Under 21 (66020) |
$2,496 |
$6,240 |
1.1× |
| Injection, anterior chamber of eye (separate procedure); medication Age Under 21 (66030) |
$211.49 |
$528.72 |
0.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$754.02 |
$1,885.05 |
3.7× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62281) |
$1,414.80 |
$3,537 |
1.6× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$5,353.88 |
$13,384.71 |
6.0× |
| Ins cath ren art 1st bilat (36252) |
$7,658 |
$19,145 |
2.4× |
| Ins cath ren art 1st unilat (36251) |
$45,136.82 |
$112,842.04 |
14.2× |
| Ins cath ren art 2nd+ bilat (36254) |
$7,636.80 |
$19,092 |
2.4× |
| Ins cath ren art 2nd+ unilat (36253) |
$30,556.12 |
$76,390.30 |
5.5× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$11,979.22 |
$29,948.06 |
2.1× |
| Ins vag brachytx device (57156) |
$8,736.80 |
$21,842 |
28.5× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$46,269.64 |
$115,674.11 |
1.5× |
| Insert and remove bone pin (20650) |
$9,232.99 |
$23,082.48 |
2.8× |
| Insert cecostomy/other colonic tube percutaneous (49442) |
$3,789.20 |
$9,473 |
3.2× |
| Insert cervical dilator (59200) |
$264.97 |
$662.42 |
0.9× |
| Insert drug implant device (11981) |
$2,334 |
$5,835 |
17.5× |
| Insert gastrostomy tube percutaneous (49440) |
$10,239.44 |
$25,598.59 |
5.3× |
| Insert heart pm atrial (33206) |
$26,191.86 |
$65,479.65 |
2.5× |
| Insert pessary/other device (57160) |
$282.28 |
$705.69 |
1.4× |
| Insert pulse gen mult leads (33221) |
$20,609.75 |
$51,524.37 |
1.1× |
| Insert uteri tandem/ovoids (57155) |
$21,277.20 |
$53,193 |
4.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$8,103.05 |
$20,257.62 |
2.3× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement Age Under 21 (53855) |
$3,065.20 |
$7,663 |
1.5× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Age Under 21 (66183) |
$15,159.64 |
$37,899.10 |
3.7× |
| Insertion of breast implant on same day of mastectomy (ie, immediate) Age Under 21 (19340) |
$29,516.61 |
$73,791.52 |
3.6× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Age Under 21 (36800) |
$4,434.40 |
$11,086 |
0.8× |
| Insertion of cornea prosthesis (65770) |
$35,182.47 |
$87,956.17 |
2.4× |
| Insertion of eye fluid drainage tube|RIGHT SIDE (65850) |
$13,443.48 |
$33,608.71 |
5.8× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$19,681.20 |
$49,203 |
0.9× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Age Under 21 (53445) |
$26,771.22 |
$66,928.05 |
1.3× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Age Under… (66985) |
$14,763.60 |
$36,908.99 |
6.4× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir (54405) |
$26,018.22 |
$65,045.54 |
1.2× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$33,252.46 |
$83,131.16 |
3.2× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Age Under 21 (65140) |
$15,823.68 |
$39,559.21 |
4.0× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$9,487.60 |
$23,719 |
0.9× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$8,302.80 |
$20,757 |
1.0× |
| Insertion of penile prosthesis; inflatable (self-contained) (54401) |
$26,003.60 |
$65,009 |
1.2× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$952.40 |
$2,381 |
0.6× |
| Insertion of probe to widen saliva gland duct (42650) |
$9,611.17 |
$24,027.92 |
6.2× |
| Insertion of prosthetic material to enlarge cheek bone (21270) |
$9,350.80 |
$23,377.01 |
1.6× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$11,421.76 |
$28,554.39 |
3.2× |
| Insertion of tissue expander(s) for other than breast, including subsequent expansion (11960) |
$9,030.52 |
$22,576.29 |
2.5× |
| Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) |
$30,361.76 |
$75,904.41 |
1.6× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$6,130.44 |
$15,326.10 |
1.9× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$5,590.28 |
$13,975.69 |
1.8× |
| Insertion of wedge in clubfoot cast (29750) |
$522 |
$1,305 |
1.9× |
| Insertion or replacement of breast implant on separate day from mastectomy Age Under 21 (19342) |
$11,493.15 |
$28,732.87 |
1.4× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) |
$35,075.37 |
$87,688.42 |
1.1× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) |
$37,813.84 |
$94,534.59 |
1.2× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,618.32 |
$4,045.80 |
1.0× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$5,765.61 |
$14,414.02 |
3.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,398 |
$5,995 |
3.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$17,484.46 |
$43,711.15 |
2.1× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$26,191.86 |
$65,479.65 |
3.2× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$15,931.28 |
$39,828.19 |
1.9× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$12,329.60 |
$30,824 |
1.2× |
| Insj intraperitoneal catheter w/img guid (49418) |
$7,903.92 |
$19,759.79 |
2.2× |
| Insj of subq implantable defibrillator electrode (33271) |
$18,148.80 |
$45,372 |
2.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,596.40 |
$8,991 |
1.1× |
Insj Tunneled Ctr Vad W/Subq Pump (36563)
likely a partial charge — not the full procedure |
$231.20 |
$578 |
0.0× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$67,060.23 |
$167,650.57 |
2.1× |
| Insrt heart pm atrial & vent (33208) |
$22,343.62 |
$55,859.05 |
2.1× |
| Insrt pulse gen w/dual leads (33230) |
$15,734.80 |
$39,337 |
0.7× |
| Insrt pulse gen w/mult leads (33231) |
$49,334.80 |
$123,337 |
1.6× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$2,508 |
$6,270 |
4.0× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$10,791.88 |
$26,979.69 |
17.1× |
| Interdental fixation (21110) |
$22,077.58 |
$55,193.95 |
14.2× |
| Interdental wiring (21497) |
$82,597.56 |
$206,493.89 |
53.0× |
| Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Age Under 21 (66983) |
$37,752.66 |
$94,381.64 |
16.3× |
| Intraoral i&d tongue/floor lingual (41000) |
$2,520.80 |
$6,302 |
4.7× |
| Intraoral i&d tongue/floor masticator space (41009) |
$6,629.20 |
$16,573 |
12.2× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$2,912.80 |
$7,282 |
12.2× |
| Intraoral i&d tongue/floor submental space (41007) |
$5,731.60 |
$14,329 |
3.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$6,122.40 |
$15,306 |
1.8× |
| Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep,… (41006) |
$5,814.40 |
$14,536 |
3.7× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$7,946.70 |
$19,866.76 |
5.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$24,184.32 |
$60,460.80 |
2.1× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$21,606.72 |
$54,016.80 |
3.8× |
| Intubation endotracheal (31500) |
$8,412.31 |
$21,030.77 |
35.4× |
| Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Age Under 21 (66625) |
$13,730.61 |
$34,326.52 |
5.9× |
| Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber… (66762) |
$11,921.16 |
$29,802.89 |
21.6× |
| Iridotomy by stab incision (separate procedure); except transfixion Age Under 21 (66500) |
$200.40 |
$501 |
0.1× |
| Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease (57150) |
$207.60 |
$519 |
3.5× |
| IV injection test vascular flow flap/graft (15860) |
$25,731.06 |
$64,327.64 |
57.3× |
| Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366) |
$17,266.44 |
$43,166.10 |
1.3× |
| Keratoplasty (corneal transplant); anterior lamellar Age Under 21 (65710) |
$22,287.90 |
$55,719.73 |
4.2× |
| Keratoplasty (corneal transplant); endothelial Age Under 21 (65756) |
$20,730.85 |
$51,827.12 |
5.0× |
| Knee arthroscopy/surgery (29876) |
$7,396.80 |
$18,491.99 |
2.3× |
| Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21 (69801) |
$3,280.14 |
$8,200.35 |
2.1× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$26,757.34 |
$66,893.36 |
3.7× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$28,110.14 |
$70,275.35 |
3.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$53,854.36 |
$134,635.91 |
7.4× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$21,215.29 |
$53,038.22 |
2.9× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$41,357.86 |
$103,394.64 |
5.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$26,160.59 |
$65,401.48 |
3.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$42,897.52 |
$107,243.80 |
5.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$23,378.31 |
$58,445.78 |
3.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$15,524.06 |
$38,810.16 |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$14,012 |
$35,030 |
1.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$29,898.02 |
$74,745.06 |
4.1× |
| Lap jejunostomy (44186) |
$9,110.62 |
$22,776.54 |
1.5× |
| Lap, ureteroneocystostomy; anastomosis of single ureter to bladder (50949) |
$21,912.42 |
$54,781.05 |
3.6× |
| Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379) |
$14,880.04 |
$37,200.09 |
2.5× |
| Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) |
$22,957.31 |
$57,393.27 |
3.8× |
| Laparoscopic Surgical Splenectomy (38120) |
$14,629.58 |
$36,573.95 |
1.4× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
likely a partial charge — not the full procedure |
$1,506.80 |
$3,767 |
0.2× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$31,784.69 |
$79,461.73 |
5.2× |
| Laparoscopy surg colpopexy (57425) |
$21,899.88 |
$54,749.69 |
2.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$17,107.10 |
$42,767.76 |
2.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$9,008.17 |
$22,520.42 |
1.5× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$22,891.93 |
$57,229.82 |
3.8× |
| Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659) |
$19,322.14 |
$48,305.34 |
3.2× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$20,424.95 |
$51,062.37 |
1.9× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency (47370) |
$15,880.92 |
$39,702.31 |
1.5× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$19,121.75 |
$47,804.38 |
1.8× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$23,353.11 |
$58,382.78 |
6.0× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$24,559.11 |
$61,397.77 |
4.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$23,287.07 |
$58,217.67 |
2.2× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542) |
$23,542.79 |
$58,856.98 |
2.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570) |
$13,356.77 |
$33,391.93 |
1.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571) |
$23,268.92 |
$58,172.32 |
2.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
$17,937.53 |
$44,843.82 |
1.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573) |
$23,076.65 |
$57,691.62 |
2.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550) |
$19,329.80 |
$48,324.51 |
3.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552) |
$17,830.23 |
$44,575.58 |
1.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$20,752.29 |
$51,880.73 |
1.9× |
| Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979) |
$21,882 |
$54,704.99 |
3.6× |
| Laparoscopy, surgical; cholcyststmy incldng cholangiography, when prfrmd (47579) |
$14,377.95 |
$35,944.88 |
2.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$14,505.68 |
$36,264.21 |
2.4× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564) |
$14,377.95 |
$35,944.88 |
1.3× |
| Laparoscopy, surgical; orchiectomy Age Under 21 (54690) |
$9,436.77 |
$23,591.92 |
1.6× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Age Under 21 (54692) |
$8,949.71 |
$22,374.27 |
1.5× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Age Under 21 (50947) |
$24,835.36 |
$62,088.39 |
2.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571) |
$25,399.37 |
$63,498.42 |
2.4× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$27,446.30 |
$68,615.75 |
2.6× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573) |
$26,684.55 |
$66,711.38 |
2.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321) |
$12,741.70 |
$31,854.24 |
2.1× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$18,626.88 |
$46,567.18 |
3.1× |
| Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Age Under 21 (49324) |
$6,721.58 |
$16,803.95 |
1.1× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660) |
$31,711.95 |
$79,279.87 |
5.2× |
| Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671) |
$8,105.69 |
$20,264.22 |
1.3× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$12,857.60 |
$32,143.98 |
2.1× |
| Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570) |
$24,102.92 |
$60,257.30 |
4.0× |
| Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of… (49325) |
$7,579.49 |
$18,948.73 |
1.2× |
| Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673) |
$29,384.43 |
$73,461.07 |
2.8× |
| Laparoscopy; w abd lymph node sampling (biopsy), single or multiple, other than retroperitoneal (38589) |
$23,624.09 |
$59,060.22 |
3.9× |
| Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281) |
$32,242.70 |
$80,606.74 |
3.0× |
| Laps Surg Esopg/Gstr Fundoplasty (43280) |
$23,548.84 |
$58,872.11 |
2.2× |
| Laps Surg Rpr Recurrent Inguinal Hernia (49651) |
$15,645.63 |
$39,114.08 |
2.6× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$9,494.86 |
$23,737.15 |
1.6× |
| Largsc w/ther injection (31573) |
$5,438 |
$13,595 |
3.0× |
| Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older Age Under… (31552) |
$17,329.38 |
$43,323.45 |
2.9× |
| Laryngoscope w/vc inj (31570) |
$3,327.08 |
$8,317.69 |
0.9× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$6,752.72 |
$16,881.81 |
3.8× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$2,240.40 |
$5,601 |
5.7× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Age Under 21 (31528) |
$7,872.24 |
$19,680.59 |
2.1× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Age Under 21 (31529) |
$8,113.34 |
$20,283.35 |
2.2× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Age Under 21 (31527) |
$8,125.37 |
$20,313.43 |
2.2× |
| Laryngoscopy flex diagnostic (31575) |
$518.40 |
$1,296 |
2.6× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$9,894.16 |
$24,735.39 |
2.6× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$2,260.08 |
$5,650.19 |
1.3× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$9,355.50 |
$23,388.74 |
5.2× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$468 |
$1,170 |
1.2× |
| Laryngoscopy indirect diagnostic (31505) |
$394 |
$985 |
2.0× |
| Laryngoscopy w stroboscopy (31579) |
$707.40 |
$1,768.50 |
1.8× |
| Laryngoscopy w/biopsy (31535) |
$8,540.34 |
$21,350.86 |
2.3× |
| Laryngoscopy w/foreign body removal (31530) |
$10,759.42 |
$26,898.55 |
6.0× |
| Laryngoscopy, direct, operative, with arytenoidectomy; Age Under 21 (31560) |
$16,541.64 |
$41,354.09 |
2.3× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$8,642.72 |
$21,606.79 |
2.3× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age Under 21 (31540) |
$8,113.34 |
$20,283.35 |
2.2× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$9,171.17 |
$22,927.93 |
2.4× |
| Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope Age Under 21 (31531) |
$441.20 |
$1,103 |
0.1× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$8,248.66 |
$20,621.66 |
2.2× |
| Laryngoscopy, flexible; with removal of lesion(s), non-laser Age Under 21 (31578) |
$13,920.06 |
$34,800.15 |
3.7× |
| Laryngoscopy, indirect; with vocal cord injection Age Under 21 (31513) |
$3,135.35 |
$7,838.38 |
8.0× |
| Laryngoscopy,direct, injctn arytenoid/larynx, agmenttn,w/ or w/o mcrscp (31599) |
$7,222.15 |
$18,055.38 |
30.4× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$19,350.08 |
$48,375.19 |
3.6× |
| Laser treatment of retina (67040) |
$13,049.52 |
$32,623.81 |
3.1× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$11,094.16 |
$27,735.40 |
2.1× |
| Lateral canthopexy (21282) |
$1,713.60 |
$4,284 |
0.5× |
| Lavage by cannulation; sphenoid sinus Age Under 21 (31002) |
$941.20 |
$2,353 |
0.6× |
| Lengthening of tendon, extensor, hand or finger, each tendon Age Under 21 (26476) |
$10,534.30 |
$26,335.76 |
3.2× |
| Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25280) |
$8,012.26 |
$20,030.64 |
2.4× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$8,374.48 |
$20,936.20 |
2.5× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$13,736.26 |
$34,340.66 |
1.9× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age Under 21 (27429) |
$32,175.77 |
$80,439.42 |
2.5× |
| Ligamentous reconstruction knee intra-articular (27428) |
$22,104.98 |
$55,262.46 |
1.7× |
| Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Age Under 21 (37700) |
$6,478.66 |
$16,196.66 |
2.0× |
| Ligation of a-v fistula (37607) |
$9,862.07 |
$24,655.17 |
3.1× |
| Ligation of abdomen artery (37617) |
$27,815.09 |
$69,537.73 |
5.0× |
| Ligation or biopsy, temporal artery (37609) |
$4,862.20 |
$12,155.50 |
2.9× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$7,451.88 |
$18,629.71 |
2.3× |
| Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Age… (37722) |
$7,885.95 |
$19,714.88 |
2.5× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21 (37785) |
$23,221.76 |
$58,054.40 |
7.3× |
| Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic (38562) |
$23,380.66 |
$58,451.65 |
2.8× |
| Limited pharyngectomy Age Under 21 (42890) |
$16,921.58 |
$42,303.95 |
2.8× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$12,357.60 |
$30,894 |
3.5× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$12,143.58 |
$30,358.96 |
3.4× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$5,730.90 |
$14,327.25 |
1.6× |
| Long gi tube placement (44500) |
$425.20 |
$1,063 |
0.5× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$24,518.31 |
$61,295.78 |
98.9× |
| Lumbar puncture (62270) |
$2,669.70 |
$6,674.25 |
3.8× |
| Lysis of labial adhesions (56441) |
$154.41 |
$386.02 |
0.0× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$6,234.40 |
$15,586 |
3.0× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$373.20 |
$933 |
1.5× |
| Manipulate wrist w/anesthes (25259) |
$6,624.78 |
$16,561.96 |
4.1× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Age Under… (27860) |
$5,704.09 |
$14,260.22 |
1.7× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$4,484.29 |
$11,210.72 |
2.8× |
| Manipulation, elbow, under anesthesia Age Under 21 (24300) |
$6,669.75 |
$16,674.38 |
4.1× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$309.60 |
$774 |
0.4× |
| Marsupialization bartholin's gland cyst (56440) |
$6,174.74 |
$15,436.84 |
1.9× |
| Marsupialization of sublingual salivary cyst (ranula) Age Under 21 (42409) |
$2,520.80 |
$6,302 |
0.8× |
| Mastectomy gynecomastia (19300) |
$12,275.70 |
$30,689.24 |
3.1× |
| Mastectomy partial (19301) |
$12,922.65 |
$32,306.62 |
3.3× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$24,166.01 |
$60,415.02 |
3.6× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$23,516.36 |
$58,790.90 |
3.5× |
| Mastoid obliteration (separate procedure) Age Under 21 (69670) |
$15,202.34 |
$38,005.85 |
2.6× |
| Mastoidectomy; complete Age Under 21 (69502) |
$17,170.04 |
$42,925.10 |
2.9× |
| Mastoidectomy; radical Age Under 21 (69511) |
$14,977.40 |
$37,443.51 |
2.5× |
| Mastopexy (19316) |
$11,428.94 |
$28,572.36 |
1.7× |
| Mastotomy expl drg absc dp (19020) |
$7,509.65 |
$18,774.13 |
4.5× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$374 |
$935 |
6.3× |
| Meatotomy cutting meatus spx except infant (53020) |
$5,499.53 |
$13,748.83 |
2.6× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,272 |
$3,180 |
2.0× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$2,761.60 |
$6,904 |
1.7× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$1,691.20 |
$4,228 |
0.5× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed (39401) |
$20,464.65 |
$51,161.62 |
3.4× |
| Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) (39402) |
$17,175.16 |
$42,937.91 |
2.8× |
| Metatarsectomy Age Under 21 (28140) |
$20,963.44 |
$52,408.61 |
6.4× |
| Middle ear exploration through postauricular or ear canal incision Age Under 21 (69440) |
$10,959.12 |
$27,397.81 |
3.3× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17311) |
$8,743.52 |
$21,858.80 |
11.8× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$11,663.20 |
$29,157.98 |
3.3× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21 (15738) |
$15,454.62 |
$38,636.54 |
4.3× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$25,797.69 |
$64,494.23 |
7.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21 (15736) |
$21,109.64 |
$52,774.10 |
10.2× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$5,511.64 |
$13,779.12 |
7.0× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$4,041.21 |
$10,103.02 |
5.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$8,146.15 |
$20,365.38 |
10.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,494 |
$6,235 |
3.2× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$14,891.80 |
$37,229.49 |
4.6× |
| Myringoplasty (69620) |
$7,076.58 |
$17,691.46 |
2.1× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$1,037.60 |
$2,594 |
4.4× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$10,097.44 |
$25,243.60 |
3.0× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$427.20 |
$1,068 |
2.1× |
| Nasal surg proc unlisted (30999) |
$10,240.27 |
$25,600.68 |
43.0× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$672.40 |
$1,681 |
1.7× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$14,353.80 |
$35,884.48 |
2.0× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$2,630 |
$6,575 |
1.5× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255) |
$15,903.03 |
$39,757.58 |
2.2× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21 (31257) |
$18,461.14 |
$46,152.84 |
2.6× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium Age Under 21 (31297) |
$15,993.60 |
$39,984 |
2.3× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$20,849.76 |
$52,124.39 |
2.9× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$12,248.74 |
$30,621.84 |
3.3× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267) |
$16,546.42 |
$41,366.06 |
2.3× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall (31292) |
$18,154.64 |
$45,386.60 |
2.6× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21 (31288) |
$33,012.46 |
$82,531.15 |
4.7× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$2,707.60 |
$6,769 |
1.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21 (31240) |
$12,450.70 |
$31,126.75 |
7.0× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$5,560.14 |
$13,900.36 |
3.1× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Age Under 21 (31239) |
$21,918.39 |
$54,795.98 |
5.9× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery (31241) |
$34,662.93 |
$86,657.33 |
19.4× |
| Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253) |
$18,650.85 |
$46,627.12 |
2.6× |
| Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259) |
$16,520.30 |
$41,300.74 |
2.3× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$13,404.80 |
$33,512.02 |
1.9× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$21,878.81 |
$54,697.02 |
24.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,856.94 |
$14,642.34 |
3.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$405.20 |
$1,013 |
13.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$707.60 |
$1,769 |
24.3× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$317.60 |
$794 |
1.3× |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Age Under 21 (64886) |
$80,834.24 |
$202,085.60 |
9.2× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Age Under 21 (64885) |
$24,569.76 |
$61,424.39 |
2.8× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Age Under 21 (64898) |
$18,447.22 |
$46,118.04 |
2.1× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Age Under 21 (64895) |
$29,664.09 |
$74,160.22 |
3.4× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Age Under 21 (64892) |
$34,618.20 |
$86,545.51 |
3.9× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Age Under 21 (64890) |
$12,673.98 |
$31,684.96 |
1.4× |
| Nerve pedicle transfer; first stage Age Under 21 (64905) |
$12,494.24 |
$31,235.60 |
1.4× |
| Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve (64911) |
$27,751.72 |
$69,379.29 |
3.1× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) Age Under 21 (64912) |
$15,346.42 |
$38,366.06 |
1.7× |
| Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21 (64910) |
$17,201.16 |
$43,002.91 |
2.0× |
| Neuroeltrd stim post tibial (64566) |
$775.40 |
$1,938.50 |
2.5× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$5,628.11 |
$14,070.28 |
2.9× |
| Neuroplasty and/or transposition; cranial nerve (specify) Age Under 21 (64716) |
$26,442.66 |
$66,106.65 |
13.5× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$20,220.72 |
$50,551.80 |
10.3× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21 (64712) |
$49,867.34 |
$124,668.34 |
25.4× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$10,642.88 |
$26,607.19 |
5.4× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$5,880.94 |
$14,702.35 |
3.0× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21 (19110) |
$8,546.43 |
$21,366.07 |
2.2× |
| Nipple/areola reconstruction (19350) |
$9,124.84 |
$22,812.12 |
2.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$2,921.22 |
$7,303.04 |
3.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,082 |
$2,705.01 |
1.2× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$5,784.44 |
$14,461.09 |
1.6× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$6,140.40 |
$15,351 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,996.17 |
$4,990.42 |
2.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,095.02 |
$5,237.56 |
3.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$2,342 |
$5,855 |
2.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,073.24 |
$5,183.08 |
2.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$2,342 |
$5,855 |
2.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$2,342 |
$5,855 |
2.6× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$7,954.99 |
$19,887.47 |
3.8× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$6,860 |
$17,150 |
3.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$4,791.06 |
$11,977.63 |
6.8× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$24,724.69 |
$61,811.72 |
35.3× |
| Non stress test (59025) |
$5,420.55 |
$13,551.38 |
26.7× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$8,209.20 |
$20,523 |
2.6× |
| Obstructive material removal from gi tube (49460) |
$501.20 |
$1,253 |
0.6× |
| Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age Under 21 (58615) |
$2,219.60 |
$5,549 |
0.7× |
| Ocular photodynamic ther (67221) |
$263.60 |
$659 |
0.5× |
| Ocular reconst transplant (65780) |
$16,143.24 |
$40,358.11 |
4.1× |
| Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255) |
$26,684.55 |
$66,711.38 |
4.1× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$19,531.45 |
$48,828.63 |
5.0× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64568) |
$40,402.96 |
$101,007.41 |
0.9× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$15,207.26 |
$38,018.16 |
2.1× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$44,770.91 |
$111,927.28 |
3.5× |
| Open treatment bimalleolar ankle fracture (27814) |
$11,650.93 |
$29,127.33 |
1.6× |
| Open treatment calcaneal fracture (28415) |
$19,950.08 |
$49,875.20 |
2.7× |
| Open Treatment Distal Fracture (25608) |
$14,627.91 |
$36,569.78 |
2.0× |
| Open treatment fracture distal tibia only (27827) |
$19,524.42 |
$48,811.05 |
1.5× |
| Open treatment interphalangeal joint dislocation (28675) |
$6,237.84 |
$15,594.61 |
1.9× |
| Open treatment medial malleolus fracture (27766) |
$8,909.42 |
$22,273.56 |
1.2× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$10,961.40 |
$27,403.50 |
3.3× |
| Open treatment metatarsal fracture each (28485) |
$14,457.30 |
$36,143.24 |
2.0× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both… (27228) |
$22,534.34 |
$56,335.85 |
3.1× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550) |
$18,889.83 |
$47,224.57 |
2.6× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552) |
$17,692.49 |
$44,231.23 |
2.4× |
| Open Treatment Of Acute Or Chronic Elbow Dislocation (24615) |
$16,188.43 |
$40,471.07 |
2.2× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$15,082.96 |
$37,707.39 |
2.1× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$10,944.32 |
$27,360.82 |
3.3× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$12,883.60 |
$32,209 |
3.9× |
| Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628) |
$12,805.95 |
$32,014.88 |
1.8× |
| Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint… (26685) |
$8,902.67 |
$22,256.68 |
2.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$13,369.46 |
$33,423.64 |
1.8× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$15,875.08 |
$39,687.68 |
2.7× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$29,540.06 |
$73,850.16 |
5.0× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Age Under 21 (21356) |
$7,186.14 |
$17,965.34 |
1.2× |
| Open treatment of distal radioulnar dislocation, acute or chronic Age Under 21 (25676) |
$11,432.64 |
$28,581.59 |
1.6× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$12,064.56 |
$30,161.40 |
1.7× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$14,100.56 |
$35,251.41 |
1.9× |
| Open treatment of fracture of orbit, except blowout; without implant Age Under 21 (21406) |
$18,824 |
$47,060 |
3.2× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$12,471.45 |
$31,178.62 |
1.7× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) |
$14,072.14 |
$35,180.34 |
1.1× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$8,927.29 |
$22,318.23 |
2.7× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630) |
$15,207.05 |
$38,017.63 |
2.1× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579) |
$18,781.79 |
$46,954.48 |
1.5× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575) |
$15,830.29 |
$39,575.73 |
1.2× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) |
$18,805.67 |
$47,014.17 |
1.5× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$22,680.64 |
$56,701.62 |
1.8× |
| Open treatment of lunate dislocation Age Under 21 (25695) |
$11,796.97 |
$29,492.43 |
1.6× |
| Open treatment of mandibular condylar fracture Age Under 21 (21465) |
$45,398.38 |
$113,495.95 |
7.6× |
| Open treatment of mandibular fracture; without interdental fixation Age Under 21 (21461) |
$18,546.59 |
$46,366.48 |
3.1× |
| Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age Under 21 (28645) |
$15,207.74 |
$38,019.35 |
4.6× |
| Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635) |
$17,321.20 |
$43,303.02 |
2.4× |
| Open treatment of nasal fracture; uncomplicated Age Under 21 (21325) |
$8,564.08 |
$21,410.20 |
2.6× |
| Open treatment of nasal septal fracture, with or without stabilization Age Under 21 (21336) |
$16,806.41 |
$42,016.02 |
5.1× |
| Open treatment of nasoethmoid fracture; without external fixation Age Under 21 (21338) |
$38,219.11 |
$95,547.78 |
6.4× |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation (21346) |
$19,156.35 |
$47,890.87 |
3.2× |
| Open treatment of orbital floor blowout fracture; periorbital approach (21386) |
$21,667.70 |
$54,169.26 |
3.6× |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) (21395) |
$19,661.24 |
$49,153.09 |
3.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Age Under 21 (21390) |
$15,428.02 |
$38,570.03 |
2.6× |
| Open treatment of orbital floor blowout fracture; transantral approach (caldwell-luc type operation) (21385) |
$17,604.07 |
$44,010.18 |
3.0× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$12,699.59 |
$31,748.98 |
1.7× |
| Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna… (24587) |
$47,303.82 |
$118,259.56 |
3.7× |
| Open treatment of posterior or anterior acetabular wall fracture, with internal fixation (27226) |
$28,692.51 |
$71,731.27 |
3.9× |
| Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784) |
$9,965.51 |
$24,913.77 |
1.4× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$12,010.21 |
$30,025.53 |
0.7× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) |
$15,442.80 |
$38,607 |
2.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574) |
$10,525.62 |
$26,314.05 |
1.4× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$15,572.53 |
$38,931.32 |
1.2× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$12,578.74 |
$31,446.86 |
1.7× |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Age Under 21 (25670) |
$17,055.84 |
$42,639.60 |
2.3× |
| Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585) |
$13,571.10 |
$33,927.76 |
1.9× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$13,094.64 |
$32,736.59 |
1.8× |
| Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) |
$17,280.55 |
$43,201.38 |
1.3× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Age Under 21 (28585) |
$18,932.91 |
$47,332.27 |
2.6× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Age Under 21 (28555) |
$17,727.33 |
$44,318.32 |
2.4× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$10,198.88 |
$25,497.21 |
1.4× |
| Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535) |
$14,139.05 |
$35,347.62 |
1.9× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$150,616.68 |
$376,541.72 |
11.7× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$12,490.12 |
$31,225.31 |
1.7× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$12,603.58 |
$31,508.94 |
1.7× |
| Open treatment of ulnar shaft fracture (25545) |
$13,307.19 |
$33,267.97 |
1.8× |
| Open treatment radial shaft fracture (25515) |
$11,162.62 |
$27,906.54 |
1.5× |
| Open treatment talus fracture (28445) |
$21,913.63 |
$54,784.08 |
3.0× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$11,728.55 |
$29,321.37 |
1.6× |
| Open tx distal fibular fracture lat malleolus (27792) |
$12,007.48 |
$30,018.69 |
1.6× |
| Open tx distal phalangeal fracture each (26765) |
$7,720.86 |
$19,302.16 |
2.3× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$8,174.45 |
$20,436.12 |
2.5× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$6,090.32 |
$15,225.80 |
1.9× |
| Open tx metacarpal fracture single ea bone (26615) |
$9,743.13 |
$24,357.83 |
3.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$13,178.40 |
$32,946.01 |
4.0× |
| Open tx prox humeral fx (23615) |
$17,541.27 |
$43,853.18 |
1.4× |
| Open tx tarsal fracture xcp talus &calcaneus ea (28465) |
$20,107.99 |
$50,269.97 |
2.8× |
| Open/perq placement intravascular stent initial (37236) |
$20,162.26 |
$50,405.66 |
1.7× |
| Open/perq placement intravascular stent same 1st (37238) |
$50,496.20 |
$126,240.51 |
4.4× |
| Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Age Under 21 (67570) |
$12,095.60 |
$30,239 |
3.1× |
| Or placement of amniotic membrane on the ocular surface; single layer, sutured (65779) |
$13,048.93 |
$32,622.33 |
3.3× |
| Orbital implant (implant outside muscle cone); insertion Age Under 21 (67550) |
$12,558.92 |
$31,397.31 |
3.2× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Age Under… (67445) |
$17,974.18 |
$44,935.44 |
4.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Age Under… (67400) |
$12,327.30 |
$30,818.24 |
3.1× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Age Under… (67414) |
$15,097.96 |
$37,744.89 |
3.8× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Age Under 21 (67412) |
$16,005.66 |
$40,014.15 |
6.7× |
| Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) |
$13,684.08 |
$34,210.20 |
3.8× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$8,539.34 |
$21,348.34 |
2.4× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$13,417.26 |
$33,543.15 |
4.1× |
| Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal… (28114) |
$6,970.10 |
$17,425.26 |
2.1× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$5,661.26 |
$14,153.16 |
1.7× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$6,723.41 |
$16,808.53 |
2.0× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$5,661.26 |
$14,153.16 |
1.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$8,534.40 |
$21,335.99 |
2.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$11,252.01 |
$28,130.03 |
3.4× |
| Osteoplasty Femur Shortening Excluding 64876|RIGHT SIDE (27465) |
$37,263.30 |
$93,158.26 |
5.1× |
| Osteoplasty, carpal bone, shortening Age Under 21 (25394) |
$11,817.09 |
$29,542.73 |
3.6× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Age Under 21 (21208) |
$36,452.43 |
$91,131.07 |
6.1× |
| Osteoplasty, radius OR ulna; shortening Age Under 21 (25390) |
$14,037.98 |
$35,094.95 |
1.9× |
| Osteotomy Mandible Segmental|BILATERAL PROCEDURE (21198) |
$12,879.04 |
$32,197.61 |
2.2× |
| Osteotomy tibia (27705) |
$21,612.35 |
$54,030.88 |
3.0× |
| Osteotomy, clavicle, with or without internal fixation; Age Under 21 (23480) |
$8,491.88 |
$21,229.69 |
1.2× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$22,802.08 |
$57,005.19 |
1.8× |
| Osteotomy, iliac, acetabular or innominate bone; (27146) |
$44,815.50 |
$112,038.75 |
6.1× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast (27165) |
$43,903.12 |
$109,757.80 |
6.0× |
| Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Age Under 21 (21206) |
$14,475.11 |
$36,187.78 |
2.4× |
| Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21 (28310) |
$19,016.55 |
$47,541.37 |
2.6× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$20,234.99 |
$50,587.48 |
2.8× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21 (28306) |
$12,696.16 |
$31,740.40 |
1.7× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$5,697.19 |
$14,242.97 |
0.8× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$15,116.49 |
$37,791.23 |
4.6× |
| Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300) |
$17,776.52 |
$44,441.30 |
2.4× |
| Osteotomy; metacarpal, each Age Under 21 (26565) |
$11,180.88 |
$27,952.19 |
3.4× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$12,863.07 |
$32,157.67 |
3.9× |
| Other procedure on fallopian tube or ovary using an endoscope (58679) |
$22,041.09 |
$55,102.73 |
3.6× |
| Other procedure on rectum using an endoscope (45499) |
$31,108.63 |
$77,771.58 |
5.1× |
| Other procedure on uterus accessed through vagina using an endoscope (58579) |
$9,196.11 |
$22,990.27 |
45.3× |
| Other procedure on uterus using an endoscope (58578) |
$18,908.92 |
$47,272.29 |
3.1× |
| Otoplasty, protruding ear, with or without size reduction Age Under 21 (69300) |
$36,452.43 |
$91,131.07 |
10.9× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$22,864.60 |
$57,161.51 |
4.5× |
| Palate/uvula surgery (42299) |
$11,357.30 |
$28,393.25 |
47.7× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Age Under 21 (42145) |
$16,037.36 |
$40,093.39 |
2.7× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Age Under 21 (42205) |
$22,873.20 |
$57,183 |
6.9× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$17,004.59 |
$42,511.47 |
2.9× |
| Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500) |
$13,408.86 |
$33,522.16 |
2.3× |
| Parathyroidectomy or exploration of parathyroid(s); re-exploration (60502) |
$20,063.38 |
$50,158.44 |
3.4× |
| Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach (57285) |
$20,095.94 |
$50,239.85 |
2.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$545.20 |
$1,363 |
2.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$579 |
$1,447.50 |
2.9× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$391.27 |
$978.17 |
1.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$15,226.20 |
$38,065.52 |
4.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Age Under 21 (25150) |
$13,376.83 |
$33,442.07 |
4.1× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21 (27641) |
$21,358.46 |
$53,396.16 |
6.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$9,411.84 |
$23,529.62 |
2.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$7,060.10 |
$17,650.26 |
2.1× |
| Partial excision bone metacarpal (26230) |
$6,057.09 |
$15,142.73 |
1.8× |
| Partial excision bone tibia (27640) |
$29,665.23 |
$74,163.08 |
9.0× |
| Partial excision distal phalanx finger (26236) |
$8,627.91 |
$21,569.77 |
5.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$7,949.06 |
$19,872.64 |
2.4× |
| Partial removal of kidney using an endoscope|RIGHT SIDE (50543) |
$26,860.27 |
$67,150.68 |
2.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$11,358.77 |
$28,396.92 |
1.9× |
| Partical excision bone phalanx toe (28124) |
$6,674.16 |
$16,685.39 |
2.0× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$6,889.20 |
$17,223.01 |
2.1× |
| Pelvis/hip joint surgery unlisted (27299) |
$8,992.08 |
$22,480.21 |
36.3× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (except in aphakia or pseudophakia)|RIGHT SIDE (65730) |
$21,381.85 |
$53,454.62 |
5.1× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (in aphakia) (65750) |
$23,156.30 |
$57,890.76 |
4.3× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (in pseudophakia) (65755) |
$21,789.19 |
$54,472.97 |
5.2× |
| Penile injection (54235) |
$1,004.40 |
$2,511 |
4.0× |
| Perc rf ablate renal tumor (50592) |
$9,328.38 |
$23,320.94 |
1.5× |
| Percut ablate liver rf (47382) |
$9,767.50 |
$24,418.74 |
1.6× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$356.40 |
$891 |
0.5× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$2,306 |
$5,765 |
2.6× |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080) |
$19,227.70 |
$48,069.26 |
2.0× |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50081) |
$19,812.91 |
$49,532.28 |
2.1× |
| Percutaneous skeletal fixation of calcaneal fracture, with manipulation Age Under 21 (28406) |
$16,271.31 |
$40,678.27 |
2.2× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$9,144.89 |
$22,862.23 |
2.8× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$6,795.74 |
$16,989.34 |
2.1× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Age Under 21 (25671) |
$18,434.34 |
$46,085.86 |
5.6× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$7,208.85 |
$18,022.12 |
2.2× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Age Under 21 (26706) |
$10,901.30 |
$27,253.25 |
3.3× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$35,337.69 |
$88,344.23 |
10.8× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Age Under 21 (28636) |
$8,349.74 |
$20,874.36 |
2.5× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age Under 21 (28606) |
$8,780.72 |
$21,951.80 |
2.7× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$7,268.39 |
$18,170.97 |
2.2× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$3,678.40 |
$9,196 |
14.8× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$5,987.20 |
$14,968 |
1.9× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$9,288.96 |
$23,222.39 |
2.4× |
| Pericardiocentesis w/img guidance when performed (33016) |
$21,133.43 |
$52,833.58 |
13.4× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$15,777.17 |
$39,442.92 |
17.3× |
| Perq av fistula creation uxtr sep access sites (36837) |
$40,144.95 |
$100,362.38 |
2.2× |
Perq av fistula creation uxtr single access (36836)
unusually low — confirm this is the full procedure |
$8,894.94 |
$22,237.34 |
0.5× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$1,540.14 |
$3,850.34 |
2.2× |
| Perq dev breast 1st strtctc (19283) |
$1,727.96 |
$4,319.90 |
2.4× |
| Perq dev breast 1st us imag (19285) |
$1,084.18 |
$2,710.45 |
1.5× |
| Perq device breast 1st imag (19281) |
$2,239.56 |
$5,598.90 |
1.3× |
| Perq dilation xst trc endourologic px w/img (50436) |
$9,419.86 |
$23,549.65 |
2.7× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$17,282.52 |
$43,206.30 |
4.9× |
| Perq drainage pleura insert cath w/imaging (32557) |
$14,359.51 |
$35,898.78 |
9.1× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$20,868.31 |
$52,170.78 |
10.8× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$26,706 |
$66,765 |
1.5× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$17,571.20 |
$43,928 |
1.5× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$17,237.20 |
$43,093 |
1.5× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$17,571.20 |
$43,928 |
1.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,220.58 |
$3,051.45 |
4.9× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$34,989.80 |
$87,474.49 |
1.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$25,168.24 |
$62,920.58 |
2.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$29,499.04 |
$73,747.61 |
5.2× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$31,889.97 |
$79,724.92 |
4.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$31,889.97 |
$79,724.92 |
4.4× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$13,750.18 |
$34,375.47 |
4.2× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$13,843.22 |
$34,608.05 |
4.2× |
| Pf-as amputation leg through tibia & fibula (27880) |
$10,282.70 |
$25,706.76 |
1.4× |
| Pharyngoplasty (plastic or reconstructive operation on pharynx) Age Under 21 (42950) |
$15,369.62 |
$38,424.04 |
2.6× |
| Phleb veins - extrem 20+ (37766) |
$8,780.16 |
$21,950.38 |
2.8× |
| Photopheresis extracorporeal (36522) |
$8,201.64 |
$20,504.10 |
1.9× |
| Pin finger fracture each (26756) |
$6,683.53 |
$16,708.83 |
2.0× |
| Place duod/jej tube perc (49441) |
$2,966.46 |
$7,416.16 |
1.5× |
Placement needle head/neck radioelement applicat (41019)
unusually low — confirm this is the full procedure |
$2,869.60 |
$7,174 |
0.5× |
| Placement needle pelvic organ radioelement appl (55920) |
$24,350 |
$60,875 |
4.8× |
| Placement of amniotic membrane on eye surface for wound healing|RIGHT SIDE (65778) |
$12,779.29 |
$31,948.23 |
12.8× |
| Placement of bone and skin flap from hip bone with connection of small blood vessels (20970) |
$65,645.41 |
$164,113.53 |
9.0× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$1,228.80 |
$3,072 |
0.9× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$22,289.20 |
$55,723 |
16.0× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$13,085.60 |
$32,714 |
9.4× |
| Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial… (19296) |
$14,185.20 |
$35,463 |
1.7× |
| Placement of seton (46020) |
$7,298.88 |
$18,247.21 |
2.6× |
| Placement of shunt into fetal chest using ultrasound guidance (59076) |
$425.20 |
$1,063 |
1.4× |
| Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Age… (54300) |
$9,762.73 |
$24,406.83 |
2.8× |
| Plastic operation on penis to correct angulation Age Under 21 (54360) |
$5,853.90 |
$14,634.74 |
1.7× |
| Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Age Under 21 (57220) |
$19,195.26 |
$47,988.16 |
3.8× |
| Plastic repair of canaliculi (68700) |
$17,319.91 |
$43,299.78 |
7.3× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Age Under 21 (42500) |
$12,015.74 |
$30,039.35 |
2.0× |
| Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Age Under 21 (42505) |
$13,870.61 |
$34,676.52 |
2.3× |
| Plastic repair of urethrocele Age Under 21 (57230) |
$16,859.28 |
$42,148.20 |
5.2× |
| Plmt access thru biliary tree into small bwl new (47541) |
$6,140.40 |
$15,351 |
0.9× |
| Plmt bile duct stent prq existing access (47538) |
$4,734.26 |
$11,835.64 |
0.8× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$11,614.80 |
$29,037 |
1.9× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$11,614.80 |
$29,037 |
1.9× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$5,623.34 |
$14,058.35 |
2.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$6,373.60 |
$15,934 |
1.8× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$6,489.87 |
$16,224.68 |
9.1× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$6,328 |
$15,820 |
1.8× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$8,398.13 |
$20,995.32 |
2.4× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$21,947.32 |
$54,868.31 |
6.2× |
| Pollicization of a digit Age Under 21 (26550) |
$9,503.47 |
$23,758.68 |
2.9× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250) |
$17,134.06 |
$42,835.14 |
3.4× |
| Pr closed treatment sesamoid fracture (28530) |
$26,761.99 |
$66,904.98 |
108.0× |
| Pr inj. intralesional gt 7 lesions (11901) |
$552.66 |
$1,381.64 |
2.7× |
| Pr laparascopic vasectomy during hernia repair (55250) (55559) |
$16,573.24 |
$41,433.11 |
2.7× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$15,005.12 |
$37,512.78 |
6.5× |
| Pr transfusion intrauterine fetal (36460) |
$15,727.68 |
$39,319.20 |
35.5× |
| Pr unlisted maxillofacial prosthetic procedure (21089) |
$15,125.95 |
$37,814.88 |
63.6× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$41,621.86 |
$104,054.66 |
2.3× |
| Prineoplasty rpr pr nonobal spx (56810) |
$10,731.54 |
$26,828.86 |
3.3× |
| Probe nasolacrimal duct (68815) |
$14,627.06 |
$36,567.66 |
6.1× |
| Probing of nasolacrimal duct, with or without irrigation; Age Under 21 (68810) |
$426.80 |
$1,067 |
1.3× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Age Under 21 (68811) |
$12,280.09 |
$30,700.22 |
5.1× |
| Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Age Under 21 (68816) |
$16,457.01 |
$41,142.52 |
6.9× |
| Proctopexy (eg, for prolapse); perineal approach Age Under 21 (45541) |
$28,731.71 |
$71,829.28 |
10.3× |
| Proctosigmoidoscopy dx (45300) |
$21,946.37 |
$54,865.92 |
23.5× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$7,471.18 |
$18,677.96 |
6.2× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$9,071.17 |
$22,677.93 |
7.5× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$18,890.30 |
$47,225.75 |
2.6× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus Age… (23491) |
$12,917.36 |
$32,293.41 |
1.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Age Under 21 (25490) |
$20,989.29 |
$52,473.23 |
2.9× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur (27495) |
$15,227.88 |
$38,069.69 |
2.1× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy… (67141) |
$590.80 |
$1,477 |
1.9× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age… (67145) |
$598.40 |
$1,496 |
1.1× |
| Prostatotomy, external drainage of prostatic abscess, any approach; simple Age Under 21 (55720) |
$5,246 |
$13,115 |
1.5× |
| Prq impltj nstim electrode array epidural (63650) |
$3,615.20 |
$9,038 |
0.6× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$6,140.40 |
$15,351 |
1.7× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$20,770.11 |
$51,925.27 |
5.8× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$10,982.96 |
$27,457.40 |
3.3× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$8,239.20 |
$20,598 |
2.6× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$34,934.06 |
$87,335.13 |
3.0× |
| Punch biopsy skin single lesion (11104) |
$2,094.54 |
$5,236.36 |
5.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$1,672.20 |
$4,180.50 |
4.1× |
| Puncture aspiration of cyst of breast (19000) |
$1,033.60 |
$2,584 |
1.5× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$10,587.46 |
$26,468.66 |
11.6× |
| Push transfusion, blood, 2 years or younger (36440) |
$212 |
$530 |
0.5× |
| Pvb thoracic cont infusion (64463) |
$1,650 |
$4,125 |
2.3× |
| Pvb thoracic single injection site w/img gid (64461) |
$24,833.60 |
$62,084 |
35.0× |
| Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (27430) |
$15,860.02 |
$39,650.06 |
2.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$8,749.12 |
$21,872.82 |
5.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$8,249.86 |
$20,624.64 |
2.5× |
| Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/> (22905) |
$33,560.64 |
$83,901.60 |
11.5× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$12,804 |
$32,010 |
4.4× |
| Radial styloidectomy (separate procedure) Age Under 21 (25230) |
$12,506.40 |
$31,266.01 |
3.8× |
| Radiant-excision infected graft extremity (35903) |
$12,372.28 |
$30,930.69 |
3.9× |
| Radiant-neck/chest procedure unlisted (21899) |
$51,778.05 |
$129,445.12 |
217.6× |
| Radiant-repair blood vessel direct neck (35201) |
$3,267.49 |
$8,168.73 |
0.6× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)… (24149) |
$26,588.90 |
$66,472.25 |
3.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Age Under 21 (21016) |
$23,734.04 |
$59,335.11 |
8.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Age Under 21 (27616) |
$19,337.34 |
$48,343.36 |
6.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Age Under 21 (27615) |
$20,748.88 |
$51,872.20 |
7.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Age Under 21 (27059) |
$34,741.22 |
$86,853.05 |
11.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Age Under 21 (23078) |
$12,122.48 |
$30,306.19 |
4.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Age Under 21 (27364) |
$19,396.89 |
$48,492.23 |
6.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Age Under 21 (24079) |
$27,896.95 |
$69,742.37 |
9.6× |
| Radical resection of tumor, metacarpal Age Under 21 (26250) |
$31,756.77 |
$79,391.93 |
9.7× |
| Radical resection of tumor, shaft or distal humerus (24150) |
$52,361.02 |
$130,902.56 |
7.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$6,376.73 |
$15,941.83 |
3.3× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$10,257.70 |
$25,644.25 |
3.1× |
| Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455) |
$12,922.49 |
$32,306.23 |
1.8× |
| Reconstr mcp jnt col ligam w graft (26541) |
$11,820.36 |
$29,550.90 |
3.6× |
| Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238) |
$12,084.97 |
$30,212.42 |
1.7× |
| Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue… (25337) |
$14,037.98 |
$35,094.95 |
1.9× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
$34,590.50 |
$86,476.26 |
5.8× |
| Reconstruction midface, lefort i; 2 pieces, segment movement in any direction, without bone graft (21142) |
$18,199.79 |
$45,499.47 |
3.1× |
| Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
$66,940.66 |
$167,351.65 |
11.3× |
| Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, without bone graft (21143) |
$124,014.48 |
$310,036.19 |
20.9× |
| Reconstruction midface, lefort i; single piece, segment movement in any direction (eg, for long face syndrome), without… (21141) |
$38,174.35 |
$95,435.87 |
6.4× |
| Reconstruction midface, lefort i; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$47,053.34 |
$117,633.36 |
7.9× |
| Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) (21188) |
$13,116.91 |
$32,792.28 |
2.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$12,562.18 |
$31,405.44 |
1.7× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$13,758.34 |
$34,395.85 |
2.3× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Age… (67975) |
$11,353.38 |
$28,383.46 |
4.8× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$11,902.95 |
$29,757.38 |
5.0× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$17,473.34 |
$43,683.34 |
4.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$11,920.89 |
$29,802.23 |
5.0× |
| Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (21248) |
$41,323.32 |
$103,308.29 |
6.9× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Age Under 21 (21245) |
$11,467.99 |
$28,669.97 |
1.9× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Age Under 21 (21244) |
$59,445.60 |
$148,614.02 |
10.0× |
| Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247) |
$82,597.56 |
$206,493.89 |
13.9× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation (21196) |
$55,344.98 |
$138,362.44 |
9.3× |
| Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; with bone graft (includes obtaining graft) (21194) |
$36,506.29 |
$91,265.72 |
6.1× |
| Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; without bone graft (21193) |
$6,851.90 |
$17,129.74 |
1.2× |
| Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Age Under 21 (26500) |
$10,235.06 |
$25,587.65 |
1.4× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$9,608.81 |
$24,022.03 |
2.9× |
| Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) (21255) |
$36,129.79 |
$90,324.47 |
6.1× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$9,131.33 |
$22,828.32 |
1.5× |
| Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly… (28313) |
$9,758.30 |
$24,395.74 |
3.0× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)… (26542) |
$8,354.22 |
$20,885.56 |
2.5× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$1,045.66 |
$2,614.15 |
5.1× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Age… (21296) |
$10,896.35 |
$27,240.87 |
3.3× |
| Reduction overcorrection ptosis (67909) |
$2,152.80 |
$5,382 |
0.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$10,059.23 |
$25,148.08 |
1.4× |
| Release i-p jt contracture (26525) |
$8,339.42 |
$20,848.54 |
5.2× |
| Release of eye fluid (67015) |
$2,668.40 |
$6,671 |
1.2× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$13,130.50 |
$32,826.26 |
4.0× |
| Release of tendon connecting biceps muscle and shoulder using an endoscope (29828) |
$12,747.52 |
$31,868.81 |
1.7× |
| Release of thenar muscle(s) (eg, thumb contracture) Age Under 21 (26508) |
$8,693.58 |
$21,733.96 |
2.6× |
| Release or recession, hamstring, proximal Age Under 21 (27097) |
$12,759.56 |
$31,898.91 |
3.9× |
| Release palm contracture (26040) |
$2,118.21 |
$5,295.53 |
1.3× |
| Release, intrinsic muscles of hand, each muscle Age Under 21 (26593) |
$8,368.92 |
$20,922.29 |
2.5× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$6,766.12 |
$16,915.31 |
3.4× |
| Relieve inner eye pressure (65820) |
$14,421.61 |
$36,054.02 |
3.5× |
| Relocate skin pocket implantable defibrillator (33223) |
$16,634.22 |
$41,585.56 |
8.0× |
| Relocation of skin pocket for pacemaker (33222) |
$8,255.52 |
$20,638.81 |
4.0× |
| Relocation of upper arm surface vein with connection to arm artery for hemodialysis|RIGHT SIDE (36819) |
$10,461.49 |
$26,153.73 |
1.9× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$15,154.36 |
$37,885.90 |
7.2× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without… (50385) |
$12,855.90 |
$32,139.75 |
6.1× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$21,270.95 |
$53,177.37 |
1.0× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$31,721.79 |
$79,304.48 |
1.5× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$24,546.74 |
$61,366.84 |
1.2× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$2,146.50 |
$5,366.25 |
2.4× |
| Removal entire oi implt skl perq attachment esp (69726) |
$8,820.50 |
$22,051.26 |
2.7× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$11,273.20 |
$28,182.99 |
15.8× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Age Under 21 (54115) |
$5,812.39 |
$14,530.98 |
2.0× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$5,012.80 |
$12,532 |
3.0× |
| Removal foreign body mouth (40804) |
$1,365.60 |
$3,414 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$424.60 |
$1,061.50 |
7.2× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$305.60 |
$764 |
5.2× |
| Removal implant deep (20680) |
$8,277.65 |
$20,694.13 |
2.8× |
| Removal implant from finger/hand (26320) |
$11,629.44 |
$29,073.60 |
7.0× |
| Removal implant superficial (20670) |
$5,109.17 |
$12,772.92 |
3.1× |
| Removal implantable contraceptive capsules (11976) |
$1,084.82 |
$2,712.06 |
1.5× |
| Removal implantable defib pulse generator only (33241) |
$93,874.89 |
$234,687.22 |
25.0× |
| Removal of anal fissure (46200) |
$6,272.87 |
$15,682.18 |
2.2× |
| Removal of anal seton, other marker Age Under 21 (46030) |
$7,497.86 |
$18,744.64 |
6.2× |
| Removal of appendix using an endoscope (44970) |
$12,727.50 |
$31,818.76 |
2.1× |
| Removal of blood clot, anterior segment of eye Age Under 21 (65930) |
$10,981.47 |
$27,453.67 |
4.7× |
| Removal of blood from fetal umbilical cord (59012) |
$15,727.68 |
$39,319.20 |
51.4× |
| Removal of blood from scalp of fetus (59030) |
$232.40 |
$581 |
0.8× |
| Removal of bony growth of jaw bone inside mouth|BILATERAL PROCEDURE (21031) |
$4,075 |
$10,187.51 |
1.2× |
| Removal of bony growth of upper jaw bone inside mouth (21032) |
$7,256.19 |
$18,140.47 |
2.2× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$5,804.58 |
$14,511.45 |
1.8× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$582 |
$1,455 |
1.8× |
| Removal of diseased or injured scrotum (55150) |
$7,110.18 |
$17,775.46 |
2.0× |
| Removal of embedded foreign body from dentoalveolar structures; bone Age Under 21 (41806) |
$3,656.68 |
$9,141.69 |
2.3× |
| Removal of epithelial downgrowth, anterior chamber of eye Age Under 21 (65900) |
$14,631.62 |
$36,579.06 |
6.3× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$6,642.21 |
$16,605.52 |
4.1× |
| Removal of eye lesion (65400) |
$13,048.93 |
$32,622.33 |
13.0× |
| Removal of eyelashes using forceps|BILATERAL PROCEDURE (67820) |
$472.40 |
$1,181 |
3.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$6,471.94 |
$16,179.86 |
5.4× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$6,955.39 |
$17,388.48 |
1.9× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$7,292.99 |
$18,232.48 |
2.0× |
| Removal of forearm bone at elbow joint (24130) |
$9,568.40 |
$23,921 |
2.9× |
| Removal of foreign bodies from large bowel using an endoscope inserted through surgically created opening from large… (44390) |
$5,097.20 |
$12,743 |
5.5× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,049.60 |
$2,624 |
0.6× |
| Removal of foreign body in scrotum (55120) |
$5,001.63 |
$12,504.08 |
2.4× |
| Removal of foreign body or dacryolith, lacrimal passages Age Under 21 (68530) |
$10,100.75 |
$25,251.87 |
31.7× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$2,552 |
$6,380 |
0.9× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$9,925.75 |
$24,814.37 |
74.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$9,925.75 |
$24,814.37 |
22.1× |
| Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Age Under 21 (65265) |
$29,944.55 |
$74,861.38 |
12.9× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$5,160.82 |
$12,902.04 |
1.6× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$305.60 |
$764 |
1.3× |
| Removal of growth of eyelid lining 1.0 cm or less|RIGHT SIDE (68110) |
$12,962.55 |
$32,406.38 |
5.4× |
| Removal of growth of voice box using an endoscope with mirror (31512) |
$9,901.44 |
$24,753.61 |
2.6× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$3,356.14 |
$8,390.36 |
2.8× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$5,213.01 |
$13,032.52 |
4.3× |
| Removal of heel spur (28119) |
$10,969.98 |
$27,424.96 |
3.3× |
| Removal of implanted intra-arterial infusion pump Age Under 21 (36262) |
$5,417.16 |
$13,542.88 |
1.4× |
| Removal of implanted material, anterior segment of eye Age Under 21 (65920) |
$14,784.14 |
$36,960.36 |
6.4× |
| Removal of implanted material, posterior segment; intraocular Age Under 21 (67121) |
$13,701.38 |
$34,253.46 |
5.9× |
| Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21 (53446) |
$8,860.16 |
$22,150.39 |
1.6× |
| Removal of intact breast implant Age Under 21 (19328) |
$31,861.78 |
$79,654.45 |
8.1× |
| Removal of iud (58301) |
$854.62 |
$2,136.56 |
2.8× |
| Removal of lens material; intracapsular Age Under 21 (66920) |
$12,125.46 |
$30,313.65 |
5.2× |
| Removal of lens material; intracapsular, for dislocated lens Age Under 21 (66930) |
$12,466.87 |
$31,167.17 |
3.0× |
| Removal of lens material; pars plana approach, with or without vitrectomy Age Under 21 (66852) |
$13,999.77 |
$34,999.42 |
3.4× |
| Removal of lining of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44403) |
$6,862.80 |
$17,156.99 |
5.7× |
| Removal of middle ear bone and removal of growth of middle ear (69505) |
$13,922.72 |
$34,806.82 |
2.3× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$8,472.65 |
$21,181.62 |
3.0× |
| Removal of nail bed (11750) |
$1,246.29 |
$3,115.73 |
3.1× |
| Removal of nasal sinus from outside nasal passage (31205) |
$15,949.29 |
$39,873.23 |
4.8× |
| Removal of nasal sinus from within nasal passage (31201) |
$18,622.93 |
$46,557.32 |
11.9× |
| Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) |
$11,511.20 |
$28,778 |
3.2× |
| Removal of pm generator (33233) |
$94,298.28 |
$235,745.70 |
11.3× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Age Under 21 (24160) |
$55,318.28 |
$138,295.70 |
16.8× |
| Removal of recurrent cyst of thyroid or drainage of thyroid gland duct (60281) |
$12,084.01 |
$30,210.02 |
2.0× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$10,050.12 |
$25,125.29 |
2.6× |
| Removal of salivary stone (42330) |
$3,287.12 |
$8,217.79 |
1.0× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$10,912.09 |
$27,280.22 |
4.7× |
| Removal of segmental stabilizing device from back of spine (22852) |
$9,638.20 |
$24,095.51 |
1.3× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$3,939.20 |
$9,848 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$4,834.68 |
$12,086.72 |
24.0× |
| Removal of skin wrinkles (15829) |
$26,027.12 |
$65,067.81 |
7.3× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$6,674.16 |
$16,685.39 |
2.0× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$8,664.48 |
$21,661.20 |
2.5× |
| Removal of stabilizing device from head originally applied by other provider (20665) |
$418.80 |
$1,047 |
0.9× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$5,704.09 |
$14,260.22 |
2.8× |
| Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod Age… (26392) |
$9,289.29 |
$23,223.23 |
1.3× |
| Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225) |
$14,022.72 |
$35,056.82 |
2.3× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$8,663.64 |
$21,659.10 |
3.0× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$15,931.28 |
$39,828.19 |
4.2× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$12,138.52 |
$30,346.30 |
3.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,361.74 |
$10,904.34 |
1.4× |
| Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270) |
$21,295.48 |
$53,238.69 |
4.2× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Age Under 21 (67005) |
$18,210.04 |
$45,525.10 |
7.9× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical… (67010) |
$15,440.01 |
$38,600.02 |
6.7× |
| Removal of wrist bone (25210) |
$12,963.26 |
$32,408.16 |
3.9× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$606.31 |
$1,515.78 |
2.2× |
| Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. Age Under 21 (29710) |
$476 |
$1,190 |
1.7× |
| Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) |
$5,661.62 |
$14,154.05 |
2.4× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) |
$9,145 |
$22,862.49 |
2.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,417.57 |
$6,043.93 |
3.4× |
| Removal tunneled cv cath (36590) |
$4,318.98 |
$10,797.44 |
2.7× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$2,881.95 |
$7,204.88 |
6.4× |
| Removal, non-biodegradable drug delivery implant (11982) |
$1,090.78 |
$2,726.96 |
2.4× |
| Removal/revision of cast (29700) |
$140.40 |
$351 |
0.5× |
| Remove eye implant material (67120) |
$11,389.06 |
$28,472.66 |
4.9× |
| Remove eyelid foreign body (67938) |
$184.80 |
$462 |
0.6× |
| Remove eyelid lesions (67805) |
$611.20 |
$1,528 |
1.9× |
| Remove eyelid lesions (67801) |
$905.82 |
$2,264.54 |
0.9× |
| Remove foreign body from eye (65210) |
$247.60 |
$619 |
0.6× |
| Remove lung catheter (32552) |
$1,957.80 |
$4,894.50 |
3.1× |
| Remove pharynx foreign body (42809) |
$195.20 |
$488 |
0.4× |
| Remove spinal canal catheter (62355) |
$3,083.60 |
$7,709 |
1.6× |
| Remove stent via transureth (50386) |
$1,767 |
$4,417.50 |
0.8× |
| Remove ureter stent percut (50384) |
$1,249.60 |
$3,124 |
0.6× |
| Remove vaginal foreign body (57415) |
$2,749.20 |
$6,873 |
0.8× |
| Remove vc lesion w/scope (31545) |
$7,546.79 |
$18,866.97 |
2.0× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$22,208.64 |
$55,521.61 |
2.1× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$53,901.26 |
$134,753.14 |
2.8× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$24,209.20 |
$60,523 |
2.9× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$5,752 |
$14,380 |
3.5× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50561) |
$9,593.44 |
$23,983.61 |
1.8× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50570) |
$22,799.44 |
$56,998.60 |
6.4× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$23,343.55 |
$58,358.88 |
4.3× |
| Repair achilles tendon (27650) |
$10,794.27 |
$26,985.67 |
1.5× |
| Repair anal fistula (46288) |
$10,054.33 |
$25,135.82 |
3.6× |
| Repair blood vessel upper ext (35206) |
$16,449.42 |
$41,123.54 |
5.2× |
| Repair brow defect (67900) |
$14,453.66 |
$36,134.17 |
6.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$7,962.20 |
$19,905.50 |
19.5× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$8,042.50 |
$20,106.24 |
19.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$11,436.52 |
$28,591.30 |
28.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$9,672.36 |
$24,180.90 |
13.0× |
| Repair ectropion suture (67914) |
$14,011.03 |
$35,027.58 |
5.9× |
| Repair elbow deb/attch open (24359) |
$12,169.36 |
$30,423.41 |
3.7× |
| Repair entropion excision tarsal wedge (67923) |
$3,000 |
$7,500 |
1.3× |
| Repair entropion suture (67921) |
$10,341.99 |
$25,854.98 |
4.3× |
| Repair extensor tendon hand w/o graft each (26410) |
$7,028.68 |
$17,571.69 |
4.4× |
| Repair eyelid defect (67908) |
$10,028.06 |
$25,070.16 |
4.2× |
| Repair eyelid defect (67924) |
$11,416.14 |
$28,540.36 |
4.8× |
| Repair eyelid defect (67904) |
$14,001.47 |
$35,003.68 |
5.9× |
| Repair eyelid defect (67903) |
$10,159.25 |
$25,398.12 |
4.3× |
| Repair eyelid wound (67930) |
$3,100 |
$7,750 |
1.3× |
| Repair fibula nonunion/malunion w int fixation (27726) |
$10,772.88 |
$26,932.18 |
1.5× |
| Repair finger tendon (26418) |
$7,498.24 |
$18,745.59 |
4.6× |
| Repair finger tendon (26433) |
$7,269.88 |
$18,174.70 |
2.2× |
| Repair finger/hand tendon (26350) |
$10,104.20 |
$25,260.50 |
3.1× |
| Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) Age Under 21 (30580) |
$3,046.40 |
$7,616 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$7,839.77 |
$19,599.43 |
2.4× |
| Repair incomplete circumcision (54163) |
$4,940.57 |
$12,351.42 |
2.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$8,231.59 |
$20,578.98 |
2.3× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$10,230.13 |
$25,575.33 |
2.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$9,187.18 |
$22,967.94 |
2.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$2,080.52 |
$5,201.29 |
5.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$9,237.12 |
$23,092.79 |
22.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$2,541.24 |
$6,353.09 |
6.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$309.60 |
$774 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$16,503.65 |
$41,259.13 |
22.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$4,799.91 |
$11,999.77 |
11.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$2,671.02 |
$6,677.55 |
6.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$344 |
$860 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$1,565.82 |
$3,914.55 |
3.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$4,598.66 |
$11,496.66 |
11.3× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$25,467.46 |
$63,668.66 |
34.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$241.60 |
$604 |
0.6× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$406.80 |
$1,017 |
1.0× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$9,025.77 |
$22,564.43 |
4.4× |
| Repair intrinsic muscles hand each muscle (26591) |
$7,591.08 |
$18,977.70 |
2.3× |
| Repair lac palate<2 cm (42180) |
$12,471.39 |
$31,178.47 |
23.0× |
| Repair lead pace-defib dual (33220) |
$3,141.20 |
$7,853 |
0.8× |
| Repair lead pace-defib one (33218) |
$5,084.80 |
$12,712 |
1.4× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,149.20 |
$2,873 |
2.1× |
| Repair lumbar hernia Age Under 21 (49540) |
$23,425.71 |
$58,564.27 |
3.9× |
| Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345) |
$12,169.36 |
$30,423.41 |
1.7× |
| Repair of abnormal drainage tract of esophagus through neck (43420) |
$18,786.02 |
$46,965.04 |
5.6× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$17,469.94 |
$43,674.86 |
2.7× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614) |
$9,388.03 |
$23,470.07 |
1.5× |
| Repair of biceps tendon at elbow (24340) |
$13,105.63 |
$32,764.07 |
1.8× |
| Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Age… (67902) |
$9,223.28 |
$23,058.21 |
2.3× |
| Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Age Under 21 (67901) |
$12,457.92 |
$31,144.81 |
5.2× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$15,491.49 |
$38,728.73 |
2.9× |
| Repair of defect with autograft; radius OR ulna Age Under 21 (25425) |
$15,876.40 |
$39,691.01 |
2.2× |
| Repair of digit nerve (64831) |
$12,233.69 |
$30,584.22 |
6.2× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) |
$12,497.33 |
$31,243.32 |
3.8× |
| Repair of ectropion; excision tarsal wedge Age Under 21 (67916) |
$1,915.20 |
$4,788 |
0.8× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$12,522.90 |
$31,307.24 |
5.2× |
| Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268) |
$14,565.61 |
$36,414.02 |
2.9× |
| Repair of entropion; thermocauterization Age Under 21 (67922) |
$11,380.91 |
$28,452.28 |
4.8× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$17,542.70 |
$43,856.75 |
5.3× |
| Repair of eye wound (65286) |
$6,498.40 |
$16,246 |
2.8× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$9,094.47 |
$22,736.17 |
2.8× |
| Repair of hinged joint of upper and lower jaw bones with donor graft (21242) |
$30,479.65 |
$76,199.12 |
5.1× |
| Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21 (53449) |
$11,682 |
$29,204.99 |
1.2× |
| Repair of iris, ciliary body (as for iridodialysis) Age Under 21 (66680) |
$16,925.05 |
$42,312.63 |
7.3× |
| Repair of kidney using an endoscope|RIGHT SIDE (50544) |
$23,155.56 |
$57,888.90 |
2.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$259.20 |
$648 |
0.6× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,149.20 |
$2,873 |
4.8× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Age Under 21 (65272) |
$4,594.80 |
$11,487 |
1.9× |
| Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age Under 21 (65270) |
$4,434.40 |
$11,086 |
1.9× |
| Repair of laceration; cornea, nonperforating, with or without removal foreign body Age Under 21 (65275) |
$200.40 |
$501 |
0.1× |
| Repair of leg tendon each (27658) |
$16,069.52 |
$40,173.79 |
4.9× |
| Repair of nail bed (11760) |
$6,241.70 |
$15,604.25 |
8.4× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435) |
$19,934.34 |
$49,835.85 |
1.5× |
| Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430) |
$23,212.81 |
$58,032.03 |
1.8× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Age Under 21 (25420) |
$26,963.14 |
$67,407.86 |
3.7× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405) |
$24,559.32 |
$61,398.31 |
3.4× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) |
$20,281.88 |
$50,704.70 |
2.8× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$20,632.46 |
$51,581.14 |
2.8× |
| Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) (27724) |
$22,769.54 |
$56,923.84 |
3.1× |
| Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age Under 21 (27720) |
$19,234.88 |
$48,087.20 |
2.6× |
| Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440) |
$13,564.45 |
$33,911.12 |
1.9× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Age Under 21 (67101) |
$23,671.08 |
$59,177.70 |
10.2× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age Under 21 (67105) |
$758.80 |
$1,897 |
1.4× |
| Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Age Under 21 (67110) |
$2,572.20 |
$6,430.50 |
1.1× |
| Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling… (67107) |
$16,958.75 |
$42,396.87 |
4.1× |
| Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) |
$15,474.82 |
$38,687.05 |
3.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410) |
$21,718.44 |
$54,296.09 |
3.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412) |
$15,602.34 |
$39,005.84 |
2.1× |
| Repair of side of voice box by moving vocal cord to middle (31591) |
$13,920.06 |
$34,800.15 |
2.3× |
| Repair of symblepharon; conjunctivoplasty, without graft Age Under 21 (68330) |
$3,580 |
$8,950 |
1.5× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Age Under 21 (68340) |
$24,684.38 |
$61,710.94 |
10.3× |
| Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Age Under 21 (68335) |
$24,684.38 |
$61,710.94 |
6.3× |
| Repair of syndactyly (web finger) each web space; with skin flaps Age Under 21 (26560) |
$15,606.85 |
$39,017.12 |
9.7× |
| Repair of syndactyly (web finger) each web space; with skin flaps and grafts Age Under 21 (26561) |
$11,614.52 |
$29,036.31 |
3.5× |
| Repair of tunica vaginalis hydrocele (Bottle type) Age Under 21 (55060) |
$6,724.68 |
$16,811.69 |
1.9× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$1,645.90 |
$4,114.75 |
2.6× |
| Repair of turning-outward defect of upper or lower eyelid using heat (67915) |
$1,211.60 |
$3,029 |
0.5× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$8,461.70 |
$21,154.26 |
2.6× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$9,451.22 |
$23,628.05 |
2.9× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free… (26358) |
$14,126.20 |
$35,315.52 |
1.9× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) |
$8,302.64 |
$20,756.59 |
2.5× |
| Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) |
$9,741.16 |
$24,352.90 |
1.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521) |
$10,609.72 |
$26,524.30 |
1.6× |
| Repair to increase depth of front portion of mouth (40840) |
$8,080.20 |
$20,200.49 |
1.4× |
| Repair tongue lacer,post 1/3 (41251) |
$590.72 |
$1,476.79 |
2.5× |
| Repair vagina/perineum (57210) |
$22,286.27 |
$55,715.67 |
6.9× |
| Repair wrist joints (25447) |
$14,661.52 |
$36,653.79 |
4.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,275.43 |
$3,188.58 |
1.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$817.60 |
$2,044 |
1.1× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$304 |
$760 |
0.7× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$8,231.96 |
$20,579.91 |
11.1× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$6,973.52 |
$17,433.80 |
2.1× |
| Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664) |
$6,179.69 |
$15,449.23 |
0.8× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27665) |
$12,692.05 |
$31,730.13 |
1.7× |
| Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659) |
$30,615.82 |
$76,539.54 |
4.2× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$28,730.13 |
$71,825.32 |
3.9× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322) |
$10,232.11 |
$25,580.28 |
1.4× |
| Repair, nonunion or malunion; tarsal bones Age Under 21 (28320) |
$16,902.01 |
$42,255.03 |
1.3× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21 (27696) |
$11,395.33 |
$28,488.32 |
1.6× |
| Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695) |
$16,109.38 |
$40,273.46 |
2.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405) |
$22,104.98 |
$55,262.46 |
3.0× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21 (27407) |
$32,175.77 |
$80,439.42 |
4.4× |
| Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654) |
$12,887.18 |
$32,217.96 |
1.8× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698) |
$12,967.56 |
$32,418.91 |
1.8× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25263) |
$29,577.44 |
$73,943.59 |
4.1× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25265) |
$8,672.37 |
$21,680.93 |
2.6× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$10,100.39 |
$25,250.98 |
1.4× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$10,280.55 |
$25,701.37 |
3.1× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$7,656.28 |
$19,140.69 |
2.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$864.43 |
$2,161.08 |
0.9× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$803.60 |
$2,009 |
0.9× |
| Replace picvad cath (36585) |
$1,733.60 |
$4,334 |
0.5× |
| Replace tunneled cv cath (36582) |
$16,316.42 |
$40,791.05 |
5.1× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to… (69717) |
$10,604.40 |
$26,511 |
1.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,274.90 |
$3,187.26 |
1.4× |
| Replacement of tissue expander with permanent implant|BILATERAL PROCEDURE (11970) |
$12,945.85 |
$32,364.63 |
1.8× |
| Repos previously implanted subq implantable dfb (33273) |
$6,508 |
$16,270 |
1.7× |
| Reposition l ventric lead (33226) |
$7,253.61 |
$18,134.02 |
2.3× |
| Reposition venous catheter (36597) |
$1,036 |
$2,590 |
0.7× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$8,867.36 |
$22,168.42 |
2.5× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Age Under 21 (66825) |
$10,954.28 |
$27,385.69 |
4.7× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$7,797.60 |
$19,494 |
2.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$16,396.99 |
$40,992.48 |
5.0× |
| Resection of palate or extensive resection of lesion Age Under 21 (42120) |
$21,373.86 |
$53,434.66 |
3.6× |
| Reshaping of bony cartilage dividing nasal passages|BILATERAL PROCEDURE (30420) |
$11,580.83 |
$28,952.08 |
1.9× |
| Reshaping of tooth socket|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (41874) |
$5,677.71 |
$14,194.27 |
1.7× |
| Retrobulbar injection; alcohol Age Under 21 (67505) |
$1,981.52 |
$4,953.80 |
6.2× |
| Retrobulbar injection; medication (separate procedure, does not include supply of medication) Age Under 21 (67500) |
$1,987.12 |
$4,967.80 |
6.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$39,476.49 |
$98,691.22 |
3.1× |
| Revise abdomen-venous shunt (49426) |
$2,841.20 |
$7,103 |
0.8× |
| Revise finger joint (26535) |
$15,957.24 |
$39,893.09 |
4.9× |
| Revise ulnar nerve at elbow (64718) |
$8,878.62 |
$22,196.56 |
4.5× |
| Revise ulnar nerve at wrist (64719) |
$9,766.86 |
$24,417.14 |
5.0× |
| Revise/graft eyelid lining (68320) |
$10,064.52 |
$25,161.31 |
4.2× |
| Revision (including removal) of prosthetic vaginal graft; vaginal approach Age Under 21 (57295) |
$8,643.31 |
$21,608.28 |
2.7× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Age Under 21 (69602) |
$17,899.74 |
$44,749.36 |
3.0× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Age Under 21 (66185) |
$15,235.76 |
$38,089.41 |
6.6× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Age Under 21 (66184) |
$13,160.55 |
$32,901.38 |
5.7× |
| Revision of cervix (59320) |
$6,809.94 |
$17,024.86 |
2.1× |
| Revision of implanted intra-arterial infusion pump Age Under 21 (36261) |
$31,292.89 |
$78,232.23 |
8.3× |
| Revision of iris (66761) |
$948 |
$2,370 |
1.7× |
| Revision of permanent windpipe opening scar (31830) |
$22,869.24 |
$57,173.09 |
6.9× |
| Revision of reconstructed breast (19380) |
$11,817.38 |
$29,543.44 |
1.8× |
| Revision of stapedectomy or stapedotomy Age Under 21 (69662) |
$10,340.25 |
$25,850.63 |
1.7× |
| Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Age Under 21 (24370) |
$11,666.74 |
$29,166.86 |
0.9× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$68,608.86 |
$171,522.16 |
5.3× |
| Revision of total knee arthroplasty, with or without allograft; 1 component (27486) |
$24,759.54 |
$61,898.85 |
1.9× |
| Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473) |
$16,192.79 |
$40,481.97 |
1.3× |
| Revision of upper eyelid (15823) |
$13,574.78 |
$33,936.95 |
6.5× |
| Revision or removal of cranial neurostimulator pulse generator or receiver Age Under 21 (61888) |
$34,944.73 |
$87,361.82 |
3.1× |
| Revision or removal of intracranial neurostimulator electrodes Age Under 21 (61880) |
$23,445.16 |
$58,612.91 |
6.7× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$7,375.66 |
$18,439.15 |
2.1× |
| Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) |
$33,370.32 |
$83,425.79 |
3.0× |
| Revision peri-implant capsule breast (19370) |
$11,968.60 |
$29,921.52 |
3.0× |
| Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832) |
$14,642.50 |
$36,606.25 |
2.6× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$9,341.38 |
$23,353.44 |
1.6× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$8,664.48 |
$21,661.20 |
2.5× |
| Revsc evsc fpvt athrc cplx 1 (37273) |
$76,767.62 |
$191,919.04 |
4.2× |
| Revsc evsc fpvt stent sf 1st (37267) |
$77,245.21 |
$193,113.02 |
6.7× |
| Rhinectomy; partial Age Under 21 (30150) |
$22,224.90 |
$55,562.24 |
3.7× |
| Rhinoplasty secondary intermediate revision (30435) |
$8,706.64 |
$21,766.60 |
1.5× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$8,032.04 |
$20,080.10 |
1.4× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Age Under 21 (30400) |
$10,895.60 |
$27,238.99 |
1.8× |
| Rhytidectomy forehead (15824) |
$31,154.34 |
$77,885.87 |
15.0× |
| Rhytidectomy; cheek, chin, and neck Age Under 21 (15828) |
$22,841.38 |
$57,103.44 |
6.4× |
| Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) Age Under 21 (15825) |
$35,303.95 |
$88,259.88 |
9.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$7,942.50 |
$19,856.26 |
3.8× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,808.72 |
$4,521.79 |
1.2× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$9,980.60 |
$24,951.51 |
18.4× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$338.81 |
$847.03 |
2.5× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$499.80 |
$1,249.48 |
3.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,435.28 |
$11,088.21 |
1.5× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$69,707.50 |
$174,268.74 |
2.2× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$46,933.19 |
$117,332.97 |
2.1× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$47,622.34 |
$119,055.85 |
2.1× |
| Rmvl nfros tube req fluoro guidance (50389) |
$7,097.80 |
$17,744.50 |
10.1× |
| Rmvl of access device (36589) |
$22,428.44 |
$56,071.10 |
35.6× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$6,508 |
$16,270 |
1.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$12,431.28 |
$31,078.19 |
6.3× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$26,191.86 |
$65,479.65 |
7.0× |
| Rplc gtube revj gstrst trc (43763) |
$1,067.64 |
$2,669.09 |
4.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,097.60 |
$2,744 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,287.47 |
$8,218.68 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$8,944.89 |
$22,362.22 |
1.5× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$17,107.10 |
$42,767.76 |
2.6× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$7,215.84 |
$18,039.60 |
1.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,718.46 |
$24,296.14 |
2.7× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$17,949.07 |
$44,872.68 |
2.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$20,845.18 |
$52,112.95 |
5.8× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$37,960 |
$94,900.01 |
6.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$5,876.50 |
$14,691.26 |
3.7× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$8,307.25 |
$20,768.12 |
2.3× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$1,706.80 |
$4,267 |
1.1× |
| Rpr non-union mtcrpl/phalanx (26546) |
$14,879.16 |
$37,197.91 |
2.0× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$10,475.98 |
$26,189.94 |
2.9× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$9,580.95 |
$23,952.38 |
2.9× |
| Rpr xtnsr tdn ctr slip 2 tiss w/lat band ea fngr (26426) |
$7,722.07 |
$19,305.17 |
2.3× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$25,596.14 |
$63,990.35 |
7.8× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$26,191.86 |
$65,479.65 |
8.3× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$8,652.14 |
$21,630.35 |
2.7× |
| Scleral reinforcement (separate procedure); with graft Age Under 21 (67255) |
$15,144.54 |
$37,861.35 |
3.6× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$3,639.92 |
$9,099.81 |
2.2× |
| Scraping of cornea, diagnostic, for smear and/or culture (65430) |
$2,307.75 |
$5,769.38 |
5.1× |
| Scrotoplasty; complicated Age Under 21 (55180) |
$8,209.22 |
$20,523.06 |
1.5× |
| Scrotoplasty; simple Age Under 21 (55175) |
$7,442.79 |
$18,606.98 |
2.1× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$8,578.76 |
$21,446.89 |
2.4× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65875) |
$13,479.66 |
$33,699.16 |
5.8× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$14,326.38 |
$35,815.95 |
6.2× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Age Under 21 (65860) |
$355.20 |
$888 |
0.6× |
| Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)… (67031) |
$718.80 |
$1,797 |
1.3× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$17,450.16 |
$43,625.39 |
19.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$910.70 |
$2,276.74 |
2.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$161.20 |
$403 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$1,304.35 |
$3,260.88 |
6.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$1,398.78 |
$3,496.96 |
3.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$3,485.54 |
$8,713.85 |
17.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$1,467.38 |
$3,668.45 |
7.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$1,269.31 |
$3,173.28 |
6.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$1,019.34 |
$2,548.35 |
2.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$184.80 |
$462 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$1,398.78 |
$3,496.96 |
3.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$751.74 |
$1,879.34 |
1.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$3,307.36 |
$8,268.39 |
16.4× |
| Sigmoidoscopy & polypectomy (45333) |
$20,466.61 |
$51,166.52 |
21.9× |
| Sigmoidoscopy flx control bleeding (45334) |
$19,009.26 |
$47,523.14 |
15.8× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$3,716 |
$9,290 |
4.0× |
| Sigmoidoscopy w/ablation (45346) |
$7,826.82 |
$19,567.04 |
6.5× |
| Sigmoidoscopy w/fb removal (45332) |
$2,749.19 |
$6,872.98 |
2.3× |
| Sigmoidoscopy w/resection (45349) |
$5,470.70 |
$13,676.75 |
2.0× |
| Sigmoidoscopy w/us guide bx (45342) |
$7,429.08 |
$18,572.69 |
6.2× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$2,294.40 |
$5,736 |
1.9× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$2,542.80 |
$6,357 |
2.7× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$3,955.06 |
$9,887.64 |
4.2× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) |
$8,576.40 |
$21,441 |
1.4× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$3,980.64 |
$9,951.59 |
3.3× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$2,669.46 |
$6,673.66 |
2.2× |
| Simple complete removal of breast|BILATERAL PROCEDURE (19303) |
$24,555.30 |
$61,388.26 |
3.7× |
| Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) |
$575.20 |
$1,438 |
2.3× |
| Simple partial removal of external female genitals (56620) |
$10,065.88 |
$25,164.72 |
3.1× |
| Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) |
$345 |
$862.50 |
1.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$5,821.20 |
$14,552.99 |
28.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$305.60 |
$764 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$380.40 |
$951 |
1.9× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$2,461.82 |
$6,154.55 |
12.2× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$23,956.47 |
$59,891.17 |
118.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$361.20 |
$903 |
1.8× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) |
$513.20 |
$1,283 |
3.8× |
| Sinusotomy maxillary antrotomy intranasal (31020) |
$14,071.17 |
$35,177.92 |
4.2× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Age Under 21 (31030) |
$24,928.36 |
$62,320.88 |
4.2× |
| Skin tissue procedure unlisted (17999) |
$8,118.47 |
$20,296.17 |
40.3× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$57,556.99 |
$143,892.48 |
10.3× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$21,270.28 |
$53,175.70 |
6.7× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$20,406.54 |
$51,016.33 |
3.7× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$57,556.99 |
$143,892.48 |
18.1× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$27,199.90 |
$67,999.76 |
4.9× |
| Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Age Under 21 (53440) |
$16,110.53 |
$40,276.32 |
1.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$12,088.58 |
$30,221.46 |
2.4× |
| Slitting of prepuce (54001) |
$2,689.66 |
$6,724.14 |
1.3× |
| Small bowel endoscopy (44384) |
$2,363.60 |
$5,909 |
1.2× |
| Small bowel endoscopy (44366) |
$4,379.12 |
$10,947.79 |
2.3× |
| Small bowel endoscopy (44376) |
$1,251.60 |
$3,129 |
0.6× |
| Small bowel endoscopy/biopsy (44377) |
$4,762.43 |
$11,906.08 |
2.5× |
| Small bowel endoscopy/biopsy (44361) |
$7,518.40 |
$18,795.99 |
3.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$1,706.80 |
$4,267 |
0.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$8,576.40 |
$21,441 |
1.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$2,532.40 |
$6,331 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$2,450.94 |
$6,127.36 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$2,390.80 |
$5,977 |
1.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign… (44363) |
$1,940.40 |
$4,851 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$7,400.74 |
$18,501.84 |
3.8× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$1,865.20 |
$4,663 |
1.0× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370)
unusually low — confirm this is the full procedure |
$2,722 |
$6,805 |
0.4× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$304.21 |
$760.53 |
1.5× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$447.20 |
$1,118 |
1.1× |
| Snip incision lacrimal punctum (68440) |
$9,776.30 |
$24,440.74 |
30.7× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Age Under 21 (46750) |
$12,809.02 |
$32,022.56 |
4.6× |
| Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Age Under 21 (46761) |
$17,125.07 |
$42,812.67 |
6.1× |
| Sphincteroplasty, anal, for incontinence, adult; muscle transplant Age Under 21 (46760) |
$13,623.06 |
$34,057.66 |
4.9× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$6,185.01 |
$15,462.53 |
2.2× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$12,258.66 |
$30,646.64 |
3.4× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$10,566.04 |
$26,415.10 |
5.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$8,318.09 |
$20,795.22 |
2.6× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; Age… (69660) |
$12,886.94 |
$32,217.36 |
2.2× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$15,504.25 |
$38,760.63 |
2.6× |
| Stomach surgery procedure unlisted (43999) |
$11,299.19 |
$28,247.97 |
12.4× |
| Strabismus surgery, any procedure, superior oblique muscle Age Under 21 (67318) |
$12,812.32 |
$32,030.79 |
5.4× |
| Strabismus surgery, recession or resection procedure; 1 horizontal muscle Age Under 21 (67311) |
$12,882.35 |
$32,205.88 |
5.4× |
| Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Age Under 21 (67314) |
$12,864.18 |
$32,160.46 |
5.4× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Age Under 21 (67312) |
$14,025.18 |
$35,062.94 |
3.6× |
| Strapping elbow or wrist (29260) |
$157.60 |
$394 |
2.7× |
| Strapping hand/finger (29280) |
$313.61 |
$784.03 |
5.3× |
| Strapping of chest (29200) |
$169.60 |
$424 |
1.0× |
| Strapping of knee (29530) |
$412 |
$1,030 |
3.1× |
| Strapping of toes (29550) |
$151.60 |
$379 |
2.6× |
| Strapping unna boot (29580) |
$337.20 |
$843 |
2.1× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$13,954.13 |
$34,885.32 |
18.8× |
| Subconjunctival injection (68200) |
$9,340.76 |
$23,351.90 |
20.8× |
| Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age Under 21 (11950) |
$148.80 |
$372 |
0.7× |
| Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age Under 21 (11951) |
$154.40 |
$386 |
0.2× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age Under 21 (11952) |
$304.80 |
$762 |
0.4× |
| Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age Under 21 (11954) |
$564.65 |
$1,411.62 |
0.8× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$13,329.19 |
$33,322.98 |
4.0× |
| Suction assisted lipectomy; lower extremity - 15879 (15879) |
$8,886.50 |
$22,216.25 |
2.5× |
| Suction assisted removal of fat of body (15877) |
$8,886.50 |
$22,216.25 |
2.5× |
| Suction assisted removal of fat of head and neck (15876) |
$8,918.51 |
$22,296.27 |
2.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$9,570.97 |
$23,927.42 |
1.6× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$8,245.30 |
$20,613.26 |
2.5× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$11,729.28 |
$29,323.19 |
15.8× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$11,729.28 |
$29,323.19 |
28.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$7,211.81 |
$18,029.53 |
2.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21 (46285) |
$7,461.69 |
$18,654.23 |
2.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$7,694.21 |
$19,235.52 |
2.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$7,573.36 |
$18,933.40 |
2.7× |
| Suture 1 nerve ulnar motor (64836) |
$9,739.18 |
$24,347.95 |
2.8× |
| Suture closure of vagina and vaginal opening (57120) |
$15,168.77 |
$37,921.93 |
3.0× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$8,085.77 |
$20,214.42 |
2.4× |
| Suture of 1 nerve; median motor thenar Age Under 21 (64835) |
$9,676.22 |
$24,190.55 |
2.8× |
| Suture of facial nerve; extracranial Age Under 21 (64864) |
$29,437.86 |
$73,594.66 |
3.3× |
| Suture of infrapatellar tendon; primary Age Under 21 (27380) |
$10,402.02 |
$26,005.04 |
1.4× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age Under 21 (27381) |
$13,075.82 |
$32,689.56 |
1.8× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$17,070.15 |
$42,675.38 |
7.4× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$15,631.29 |
$39,078.23 |
2.1× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386) |
$11,326.75 |
$28,316.87 |
1.6× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$1,999.20 |
$4,998 |
0.8× |
| Suture of sciatic nerve Age Under 21 (64858) |
$34,741.22 |
$86,853.05 |
17.7× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$26,023.73 |
$65,059.32 |
6.7× |
| Suture pharynx for wound or injury Age Under 21 (42900) |
$13,588.16 |
$33,970.40 |
8.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$11,206.47 |
$28,016.18 |
6.9× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Age Under 21 (26140) |
$7,043.98 |
$17,609.95 |
4.4× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$9,557.10 |
$23,892.76 |
5.9× |
| Talectomy (astragalectomy) Age Under 21 (28130) |
$34,732.21 |
$86,830.52 |
4.8× |
| Tangential biopsy skin single lesion (11102) |
$1,336.35 |
$3,340.88 |
3.3× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$546.14 |
$1,365.36 |
0.7× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$21,124.40 |
$52,811 |
0.7× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$59,880.96 |
$149,702.39 |
3.1× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$10,214.40 |
$25,536 |
3.2× |
| Temporary closure of eyelids by suture (eg, Frost suture) Age Under 21 (67875) |
$1,008 |
$2,520 |
1.0× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924) |
$17,281.98 |
$43,204.94 |
2.4× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$10,339.87 |
$25,849.68 |
3.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$20,083.67 |
$50,209.17 |
6.1× |
| Tenodesis long tendon biceps (23430) |
$16,181.94 |
$40,454.84 |
2.2× |
| Tenodesis proximal interphalangeal joint each (26471) |
$10,612.32 |
$26,530.81 |
3.2× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$7,601.09 |
$19,002.73 |
2.3× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$9,034.24 |
$22,585.60 |
5.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$12,369.34 |
$30,923.35 |
3.8× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$17,587.73 |
$43,969.32 |
5.4× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Age Under 21 (26442) |
$6,911.11 |
$17,277.78 |
2.1× |
| Tenolysis, triceps Age Under 21 (24332) |
$14,125.78 |
$35,314.46 |
4.3× |
| Tenotomy percutaneous single each digit (26060) |
$17,899.62 |
$44,749.04 |
11.1× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$16,163.07 |
$40,407.68 |
10.0× |
| Tenotomy percutaneous toe single tendon (28010) |
$7,001.44 |
$17,503.60 |
4.3× |
| Tenotomy prq achilles tendon spx local anes (27605) |
$26,871.02 |
$67,177.54 |
16.6× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$6,501.10 |
$16,252.75 |
2.0× |
| Tenotomy, extensor, hand or finger, open, each tendon Age Under 21 (26460) |
$5,681.64 |
$14,204.10 |
3.5× |
| Tenotomy, flexor, finger, open, each tendon Age Under 21 (26455) |
$5,420.92 |
$13,552.29 |
3.4× |
| Tenotomy, hip flexor(s), open (separate procedure) (27005) |
$8,992.08 |
$22,480.21 |
2.7× |
| Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21 (28240) |
$25,217.58 |
$63,043.96 |
7.7× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$6,133.63 |
$15,334.08 |
3.8× |
| Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25290) |
$11,059.92 |
$27,649.79 |
3.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$14,672.32 |
$36,680.79 |
9.1× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Age Under 21 (27606) |
$14,672.32 |
$36,680.79 |
4.5× |
| Therapeutic apheresis platelet (36513) |
$5,156.80 |
$12,892 |
11.6× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$3,460.14 |
$8,650.36 |
2.2× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$5,641.27 |
$14,103.17 |
3.6× |
| Therapeutic apheresis; for white blood cells Age Under 21 (36511) |
$1,589.60 |
$3,974 |
1.0× |
| Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma… (36516) |
$4,304.82 |
$10,762.04 |
1.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$17,094.38 |
$42,735.95 |
24.1× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,966.10 |
$4,915.25 |
2.8× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$2,020.40 |
$5,051 |
3.2× |
| Thoracoscopy With Biopsyies of Pleura|LEFT SIDE (32609) |
$21,436.44 |
$53,591.10 |
3.5× |
| Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy (32601) |
$12,863.71 |
$32,159.28 |
2.1× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy (32606) |
$18,455.94 |
$46,139.85 |
3.0× |
| Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral (32607) |
$18,986.34 |
$47,465.86 |
1.8× |
| Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral (32608) |
$19,600.30 |
$49,000.76 |
1.8× |
| Throat surgery procedure (42999) |
$1,286.18 |
$3,215.44 |
5.4× |
| Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate… (36831) |
$11,850.47 |
$29,626.17 |
2.1× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial (35321) |
$21,048.99 |
$52,622.48 |
3.8× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$6,487.60 |
$16,219 |
2.0× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$4,360.60 |
$10,901.50 |
0.8× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$4,360.60 |
$10,901.50 |
1.4× |
| Thymectomy, partial or total; transcervical approach (separate procedure) (60520) |
$19,990.54 |
$49,976.36 |
3.4× |
| Thyroidectomy Rmvl Remaining Tiss Flwg Prtl Rmvl|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (60260) |
$11,500.57 |
$28,751.43 |
1.9× |
| Thyroidectomy, including substernal thyroid; cervical approach (60271) |
$16,208.18 |
$40,520.45 |
2.7× |
| Thyroidectomy, total or complete (60240) |
$20,933.68 |
$52,334.19 |
3.4× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$19,968.26 |
$49,920.63 |
3.4× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$8,752.64 |
$21,881.59 |
2.5× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Age Under 21 (15150) |
$20,447.33 |
$51,118.33 |
9.9× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age Under 21 (19357) |
$35,821.17 |
$89,552.92 |
2.6× |
| Tongue base suspension, permanent suture technique (41512) |
$8,443.70 |
$21,109.24 |
1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$13,242.20 |
$33,105.49 |
4.0× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$8,635.20 |
$21,588 |
2.6× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$27,566.62 |
$68,916.55 |
1.6× |
| Total facial nerve decompression and/or repair (may include graft) (69955) |
$6,875.86 |
$17,189.66 |
1.2× |
| Total knee arthroplasty (27447) |
$23,366.72 |
$58,416.80 |
1.8× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220) |
$13,130.90 |
$32,827.25 |
2.2× |
| Trabeculoplasty by laser surgery Age Under 21 (65855) |
$766.80 |
$1,917 |
1.4× |
| Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Age Under 21 (31612) |
$8,332.75 |
$20,831.88 |
2.5× |
| Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age Under 21 (57530) |
$21,841.88 |
$54,604.71 |
4.3× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$9,497.63 |
$23,744.07 |
2.9× |
| Tracheostoma revision; simple, without flap rotation Age Under 21 (31613) |
$9,355.50 |
$23,388.74 |
2.8× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$736 |
$1,840 |
3.1× |
| Transcatheter biopsy (37200) |
$10,684.52 |
$26,711.29 |
1.9× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$6,230.40 |
$15,576 |
0.5× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624)
likely a partial charge — not the full procedure |
$1,825.60 |
$4,564 |
0.1× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$12,297.46 |
$30,743.66 |
1.7× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$17,309.67 |
$43,274.18 |
8.8× |
| Transection or avulsion of other cranial nerve, extradural Age Under 21 (64771) |
$7,171.72 |
$17,929.31 |
3.7× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Age Under 21 (26498) |
$16,963.94 |
$42,409.84 |
5.2× |
| Transfer of tendon to restore intrinsic function; ring and small finger Age Under 21 (26497) |
$9,034.24 |
$22,585.60 |
2.7× |
| Transfer of tendon to thumb, palm, or wrist (26496) |
$10,580.79 |
$26,451.97 |
3.2× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691) |
$17,776.52 |
$44,441.30 |
2.4× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$16,184.22 |
$40,460.56 |
2.2× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$8,832.46 |
$22,081.14 |
2.7× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Age Under 21 (15650) |
$6,307.96 |
$15,769.90 |
3.0× |
| Transfusion, blood or blood components (36430) |
$4,072.42 |
$10,181.04 |
9.2× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent (66175) |
$16,232.42 |
$40,581.06 |
3.0× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent (66174) |
$14,772.32 |
$36,930.79 |
3.6× |
| Transmastoid antrotomy (simple mastoidectomy) Age Under 21 (69501) |
$9,028.30 |
$22,570.75 |
1.5× |
| Transoral lower esophageal myotomy (43497) |
$21,915.92 |
$54,789.81 |
3.6× |
| Transperi needle place pros (55875) |
$7,681.60 |
$19,204 |
1.4× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$18,274.80 |
$45,687 |
3.4× |
| Transplant hand tendon (26480) |
$12,848.08 |
$32,120.20 |
3.9× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$15,960.80 |
$39,902 |
1.7× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$11,302.16 |
$28,255.41 |
2.1× |
| Transurethral incision of prostate Age Under 21 (52450) |
$6,383.03 |
$15,957.57 |
1.8× |
| Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) |
$8,551.41 |
$21,378.52 |
2.4× |
| Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative… (52630) |
$10,443.71 |
$26,109.28 |
1.9× |
| Treat dental ridge fracture (21440) |
$2,405.92 |
$6,014.79 |
0.7× |
| Treat elbow fracture (24586) |
$26,653.32 |
$66,633.30 |
2.1× |
| Treat finger dislocation (26775) |
$11,209.73 |
$28,024.32 |
39.9× |
| Treat fx distal radial (25606) |
$15,598.12 |
$38,995.30 |
4.7× |
| Treat fx rad extra-articul (25607) |
$13,914.37 |
$34,785.92 |
1.9× |
| Treat mouth roof fracture (21421) |
$7,968.40 |
$19,921 |
2.4× |
| Treat radius fracture (24665) |
$20,026.05 |
$50,065.12 |
2.7× |
| Treat thumb fracture (26665) |
$8,978.47 |
$22,446.17 |
2.7× |
| Treat thumb fracture (26645) |
$7,497.19 |
$18,742.97 |
4.6× |
| Treat ulnar fracture (24675) |
$12,350.81 |
$30,877.02 |
7.6× |
| Treat vaginal bleeding (57180) |
$328.80 |
$822 |
1.6× |
| Treat wrist bone fracture (25635) |
$16,148.20 |
$40,370.51 |
10.0× |
| Treat wrist bone fracture (25624) |
$14,235.30 |
$35,588.24 |
8.8× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$14,514.86 |
$36,287.16 |
2.0× |
| Treatment of ankle fracture (27822) |
$12,210.65 |
$30,526.63 |
1.7× |
| Treatment of bladder lesion (51720) |
$1,066.45 |
$2,666.12 |
1.5× |
| Treatment of broken base of forearm bone on small finger side at wrist (25652) |
$15,047 |
$37,617.50 |
2.1× |
| Treatment of broken lower jaw bone with placement of stabilizing device to teeth|BILATERAL PROCEDURE (21462) |
$19,648.52 |
$49,121.30 |
3.3× |
| Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515) |
$16,517.50 |
$41,293.76 |
1.3× |
| Treatment of choroid lesion (67220) |
$1,356 |
$3,390 |
2.5× |
| Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21 (67228) |
$1,159.20 |
$2,898 |
2.1× |
| Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516) |
$17,196.30 |
$42,990.75 |
1.3× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245) |
$8,865.24 |
$22,163.10 |
1.2× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$11,874.48 |
$29,686.19 |
1.6× |
| Treatment of miscarriage (59812) |
$7,949.24 |
$19,873.09 |
2.4× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$9,393.47 |
$23,483.67 |
2.9× |
| Treatment of retinal lesion (67208) |
$1,717.16 |
$4,292.90 |
5.4× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$350 |
$875 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$10,102.15 |
$25,255.37 |
40.8× |
| Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) |
$21,299.87 |
$53,249.67 |
1.7× |
| Trimming of nondystrophic nails, any number (11719) |
$367.60 |
$919 |
6.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$11,102.30 |
$27,755.75 |
1.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$21,386.66 |
$53,466.65 |
3.7× |
| Tx superficial wound dehiscence simple closure (12020) |
$583.92 |
$1,459.79 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$216 |
$540 |
0.5× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$9,374.74 |
$23,436.86 |
5.8× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) |
$2,209.86 |
$5,524.64 |
1.4× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$13,153.74 |
$32,884.36 |
2.2× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$17,358.10 |
$43,395.24 |
2.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$15,894.59 |
$39,736.47 |
2.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$17,597.24 |
$43,993.10 |
3.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$14,043.22 |
$35,108.05 |
2.4× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$22,015.63 |
$55,039.08 |
3.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$23,068.33 |
$57,670.83 |
3.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$19,659.57 |
$49,148.93 |
3.3× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$17,931.47 |
$44,828.68 |
3.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$13,190.04 |
$32,975.10 |
2.2× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$15,242.28 |
$38,105.70 |
2.6× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$13,182.93 |
$32,957.33 |
2.2× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$11,734.78 |
$29,336.95 |
7.5× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21 (49250) |
$9,471.60 |
$23,678.99 |
2.6× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$11,063.96 |
$27,659.91 |
4.8× |
| Unlisted craniofacial and maxillofacial procedure (21299) |
$9,985.91 |
$24,964.77 |
42.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$31,902.62 |
$79,756.55 |
5.3× |
| Unlisted msk procedure head drainage of a pseudomeningocele in subgaleal most like 10160 (21499) |
$3,735.20 |
$9,338 |
15.7× |
| Unlisted procedure accessory sinuses (31299) |
$18,401.23 |
$46,003.08 |
77.3× |
| Unlisted procedure anus (46999) |
$7,142.86 |
$17,857.14 |
7.6× |
| Unlisted procedure colon (45399) |
$17,771.13 |
$44,427.83 |
19.0× |
| Unlisted procedure leg/ankle (27899) |
$11,778 |
$29,445.01 |
47.5× |
| Unlisted procedure pancreas (48999) |
$22,436.20 |
$56,090.50 |
31.5× |
| Unlisted procedure rectum (45999) |
$4,584.93 |
$11,462.33 |
4.9× |
| Unlisted procedure shoulder (23929) |
$8,614.07 |
$21,535.17 |
34.8× |
| Unlisted procedure, dentoalveolar structures (41899) |
$7,005.37 |
$17,513.42 |
29.4× |
| Unlisted procedure, hands or fingers (26989) |
$6,591.62 |
$16,479.05 |
26.6× |
| Unlisted procedure, liver (47399) |
$879.20 |
$2,198 |
1.2× |
| Unlisted procedure, posterior segment (67299) |
$200.40 |
$501 |
0.1× |
| Unlisted procedure, vestibule of mouth (40899) |
$10,777.08 |
$26,942.70 |
45.3× |
| Upgrade of pacemaker system (33214) |
$8,588 |
$21,470 |
0.8× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$14,497.28 |
$36,243.21 |
2.7× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50951) |
$2,218.40 |
$5,546 |
0.6× |
| Urethrectomy, total, including cystostomy; female Age Under 21 (53210) |
$26,372.78 |
$65,931.95 |
7.4× |
| Urethromeatoplasty, with mucosal advancement Age Under 21 (53450) |
$5,794.74 |
$14,486.84 |
1.6× |
| Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Age Under 21 (53460) |
$8,860.89 |
$22,152.22 |
2.5× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$11,967.68 |
$29,919.19 |
2.2× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Age Under 21 (53410) |
$14,050.72 |
$35,126.79 |
2.6× |
| Urethroplasty, reconstruction of female urethra Age Under 21 (53430) |
$10,709.01 |
$26,772.53 |
2.0× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Age Under 21 (53400) |
$14,285.60 |
$35,713.99 |
2.7× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$9,951.49 |
$24,878.73 |
1.8× |
| Urethrorrhaphy, suture of urethral wound or injury, female Age Under 21 (53502) |
$18,122.57 |
$45,306.42 |
5.1× |
| Urology surgery procedure unlisted (53899) |
$8,088.89 |
$20,222.23 |
32.2× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$27,228.53 |
$68,071.32 |
61.4× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$8,140.72 |
$20,351.80 |
2.5× |
| Vaginal delivery (59409) |
$8,452.89 |
$21,132.22 |
2.6× |
| Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260) |
$17,658.77 |
$44,146.93 |
3.5× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262) |
$20,465.43 |
$51,163.56 |
4.1× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$14,790.07 |
$36,975.18 |
2.9× |
| Vaginal hysterectomy, for uterus greater than 250 g; (58290) |
$22,856.60 |
$57,141.50 |
3.1× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291) |
$19,040.14 |
$47,600.34 |
3.8× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele (58292) |
$17,074.09 |
$42,685.23 |
2.3× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$7,514.23 |
$18,785.57 |
2.3× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) (57107) |
$12,955.70 |
$32,389.26 |
4.0× |
| Vasc embolize/occlude bleed (37244) |
$36,234.73 |
$90,586.82 |
3.1× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$36,424.30 |
$91,060.76 |
2.0× |
| Vascular embolization or occlusion venous rs&i (37241) |
$28,707.46 |
$71,768.64 |
2.5× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$33,709.76 |
$84,274.40 |
2.9× |
| Vascular surgery procedure (37799) |
$8,490.31 |
$21,225.78 |
13.5× |
| Vasectomy (55250) |
$659.47 |
$1,648.68 |
0.3× |
| Vbac delivery only (59612) |
$15,580.35 |
$38,950.87 |
4.8× |
| Venipuncture (36415) |
$2,326.70 |
$5,816.75 |
249.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$11,782.48 |
$29,456.19 |
3.5× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with… (61026) |
$809.97 |
$2,024.92 |
1.1× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$732.40 |
$1,831 |
0.8× |
| Version cephalic external (59412) |
$3,247.13 |
$8,117.82 |
1.0× |
| Vestibuloplasty; complex (including ridge extension, muscle repositioning) Age Under 21 (40845) |
$8,891.47 |
$22,228.68 |
1.5× |
| Vitrectomy mechanical pars plana (67036) |
$13,658.48 |
$34,146.21 |
3.3× |
| Vitrectomy pars plana remove int memb retina (67042) |
$13,942.93 |
$34,857.32 |
3.4× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age Under 21 (67039) |
$12,768.45 |
$31,921.12 |
3.1× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Age… (67041) |
$14,119.98 |
$35,299.95 |
3.4× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$13,134.53 |
$32,836.33 |
3.2× |
| Wedge excision skin nail fold (11765) |
$392.76 |
$981.88 |
1.0× |
| Windowing of cast (29730) |
$122 |
$305 |
0.7× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$13,875.80 |
$34,689.50 |
6.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$14,676.83 |
$36,692.07 |
2.7× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$15,693.55 |
$39,233.87 |
2.9× |