| Abd paracentesis w/imaging (49083) |
$4,531.80 |
$6,972 |
4.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,991.30 |
$4,602 |
3.0× |
| Abdomen Surgery Procedure (22999) |
$20,254.54 |
$31,160.83 |
73.7× |
| Ablate inf turbinate submuc (30802) |
$3,139.72 |
$4,830.33 |
1.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$13,708.50 |
$21,090 |
0.7× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$16,374.48 |
$25,191.50 |
1.4× |
| Abltj 1/> lvr tum prq rf (47382) |
$9,149.40 |
$14,076 |
1.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$3,743.13 |
$5,758.66 |
2.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,590.46 |
$3,985.33 |
1.1× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$5,027.85 |
$7,735.16 |
2.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,805.10 |
$5,854 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,937.56 |
$4,519.33 |
1.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$10,291.45 |
$15,833 |
4.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,495.26 |
$5,377.33 |
1.5× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$5,744.92 |
$8,838.33 |
2.5× |
| Amniocentesis diagnostic (59000) |
$4,589 |
$7,060 |
4.5× |
| Amputation Finger/Thumb (26951) |
$7,608.90 |
$11,706 |
2.1× |
| Amputation foot transmetarsal (28805) |
$10,025.60 |
$15,424 |
2.7× |
| Amputation metatarsal with toe single (28810) |
$8,132.15 |
$12,511 |
2.2× |
| Amputation toe interphalangeal joint (28825) |
$6,813.62 |
$10,482.50 |
1.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$6,865.30 |
$10,562 |
1.9× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$12,442.30 |
$19,142 |
3.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$7,794.80 |
$11,992 |
2.1× |
| Analyze spine infus pump (62367) |
$884 |
$1,360 |
2.6× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$2,766.73 |
$4,256.50 |
0.9× |
| Anoscopy diagnostic (46600) |
$624.65 |
$961 |
4.2× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$6,488.95 |
$9,983 |
4.9× |
| Anoscopy w/control bleeding (46614) |
$2,964.57 |
$4,560.88 |
2.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,041 |
$3,140 |
2.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$5,255.25 |
$8,085 |
3.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,312.35 |
$2,019 |
0.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$3,713.66 |
$5,713.33 |
0.7× |
| Appendectomy (44950) |
$9,649.25 |
$14,845 |
1.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$516.42 |
$794.50 |
2.9× |
| Application cast elbow finger short arm (29075) |
$478.40 |
$736 |
1.5× |
| Application Cast Finger (29086) |
$692.90 |
$1,066 |
3.8× |
| Application cast shoulder hand long arm (29065) |
$431.60 |
$664 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$162.50 |
$250 |
2.5× |
| Application finger splint static (29130) |
$279.50 |
$430 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$590.20 |
$908 |
3.3× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$9,231.08 |
$14,201.66 |
0.6× |
| Application of rigid total contact leg cast (29445) |
$694.85 |
$1,069 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$547.30 |
$842 |
3.7× |
| Application short arm splint forearm-hand static (29125) |
$633.75 |
$975 |
4.3× |
| Application uniplane external fixation system (20690) |
$10,608.65 |
$16,321 |
1.3× |
| Apply long leg splint (29505) |
$684.45 |
$1,053 |
3.8× |
| Apply short leg cast (29405) |
$2,912.43 |
$4,480.66 |
9.3× |
| Apply short leg splint (29515) |
$789.75 |
$1,215 |
4.4× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$15,251.92 |
$23,464.50 |
2.6× |
| Arterial puncture (36600) |
$491.40 |
$756 |
3.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$15,788.50 |
$24,290 |
4.5× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$18,484.05 |
$28,437 |
3.0× |
| Artery-vein autograft (36825) |
$17,833.40 |
$27,436 |
2.9× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$14,606.48 |
$22,471.50 |
1.0× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$11,493.89 |
$17,682.90 |
0.8× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$18,164.04 |
$27,944.67 |
1.3× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$8,358.38 |
$12,859.04 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$556.08 |
$855.50 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$928.85 |
$1,429 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,128.40 |
$1,736 |
3.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$796.90 |
$1,226 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$427.05 |
$657 |
1.2× |
| Arthrodesis ankle open (27870) |
$12,359.44 |
$19,014.52 |
0.9× |
| Arthrodesis great toe interphalangeal joint (28755) |
$13,234.54 |
$20,360.84 |
1.6× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$12,074.84 |
$18,576.67 |
1.5× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$20,758.08 |
$31,935.50 |
1.1× |
| Arthrodesis triple (28715) |
$9,218.79 |
$14,182.75 |
0.6× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$22,796.48 |
$35,071.50 |
0.8× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$19,430.62 |
$29,893.26 |
0.6× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$24,006.45 |
$36,933 |
0.8× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) |
$18,646.88 |
$28,687.50 |
1.0× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$21,510.70 |
$33,093.38 |
1.1× |
| Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610) |
$29,247.08 |
$44,995.50 |
1.5× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$15,921.75 |
$24,495 |
1.1× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$9,939.15 |
$15,291 |
0.7× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$6,750.62 |
$10,385.58 |
0.5× |
| Arthroplasty Ankle W/Implant (27702) |
$29,060.64 |
$44,708.67 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$29,305.25 |
$45,085 |
1.5× |
| Arthroplasty patella w/prosthesis (27438) |
$24,285.95 |
$37,363 |
1.7× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$8,910.20 |
$13,708 |
2.4× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$29,796.87 |
$45,841.34 |
2.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$8,790.60 |
$13,524 |
2.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$14,819.35 |
$22,799 |
4.1× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$11,490.38 |
$17,677.50 |
3.2× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$10,226.78 |
$15,733.50 |
2.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$8,259.55 |
$12,707 |
2.3× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,965.60 |
$4,562.48 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,723.63 |
$7,267.12 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$11,375.01 |
$17,500.01 |
1.4× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$9,555.65 |
$14,701 |
2.6× |
| Arthrotomy w/synovectomy ankle (27625) |
$8,440.90 |
$12,986 |
2.3× |
| Arthrotomy wrist joint with synovectomy (25105) |
$1,854.61 |
$2,853.25 |
0.5× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$22,231.95 |
$34,203 |
2.7× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$6,200.27 |
$9,538.88 |
1.7× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$10,490.35 |
$16,139 |
2.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$26,878.15 |
$41,351 |
3.3× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$7,139.60 |
$10,984 |
2.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$8,166.60 |
$12,564 |
4.6× |
| Aspirate pleura w/ imaging (32555) |
$2,972.45 |
$4,573 |
4.3× |
| Aspiration and/or injection thyroid cyst (60300) |
$2,977.98 |
$4,581.50 |
3.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,053.40 |
$6,236 |
1.7× |
| Aspiration bladder needle (51100) |
$585.65 |
$901 |
2.1× |
| Av fistula revision (36833) |
$15,809.62 |
$24,322.50 |
2.5× |
| Av Fuse Uppr Arm Basilic (36819) |
$21,958.30 |
$33,782 |
3.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$941.52 |
$1,448.50 |
4.2× |
| Biopsy bone open superficial (20240) |
$4,264.27 |
$6,560.42 |
1.3× |
| Biopsy bone trocar/needle deep (20225) |
$5,377.78 |
$8,273.50 |
2.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,291.90 |
$3,526 |
1.2× |
| Biopsy muscle deep (20205) |
$4,545.45 |
$6,993 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$1,687.72 |
$2,596.50 |
0.9× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$5,813.17 |
$8,943.34 |
1.6× |
| Biopsy of breast; open, incisional (19101) |
$1,880.61 |
$2,893.25 |
0.4× |
| Biopsy of palate, uvula (42100) |
$2,317.90 |
$3,566 |
1.3× |
| Biopsy of tongue (41100) |
$9,554.35 |
$14,699 |
15.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$7,307.95 |
$11,243 |
1.7× |
| Biopsy Oropharynx (42800) |
$8,405.37 |
$12,931.34 |
4.9× |
| Biopsy pleura percutaneous needle (32400) |
$2,479.10 |
$3,814 |
1.3× |
| Biopsy Salivary Gland,Needle (42400) |
$1,610.05 |
$2,477 |
2.0× |
| Biopsy soft tissue back,superf (21920) |
$1,844.05 |
$2,837 |
1.0× |
| Biopsy soft tissue back/flank deep (21925) |
$3,576.95 |
$5,503 |
1.9× |
| Biopsy soft tissue neck/thorax (21550) |
$2,555.15 |
$3,931 |
1.4× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$3,480.75 |
$5,355 |
1.9× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$4,126.85 |
$6,349 |
2.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$3,081 |
$4,740 |
1.7× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$4,318.60 |
$6,644 |
2.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$3,434.81 |
$5,284.33 |
3.3× |
| Biopsy/removal lymph nodes (38525) |
$3,797.06 |
$5,841.62 |
0.9× |
| Biopsy/removal lymph nodes (38510) |
$9,463.35 |
$14,559 |
2.2× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$2,906.58 |
$4,471.66 |
0.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$3,338.54 |
$5,136.20 |
4.3× |
| Bladder Irrigation Simple (51700) |
$444.60 |
$684 |
1.6× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$9,467.90 |
$14,566 |
4.1× |
| Blepharotomy drain absc eyelid (67700) |
$770.58 |
$1,185.50 |
2.2× |
| Blood patch (62273) |
$2,693.60 |
$4,144 |
3.4× |
| Blood transfusion service (36430) |
$1,767.35 |
$2,719 |
3.6× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$5,852.60 |
$9,004 |
0.7× |
| Bone marrow aspiration only (38220) |
$2,138.50 |
$3,290 |
1.2× |
| Bone Marrow Biopsy (38221) |
$7,606.30 |
$11,702 |
4.1× |
| Breast augmentation with implant (19325) |
$6,398.94 |
$9,844.52 |
0.7× |
| Breast Reduction (19318) |
$19,507.35 |
$30,011.31 |
2.6× |
| Breast surgery procedure (19499) |
$3,193.35 |
$4,912.85 |
0.7× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$4,332.03 |
$6,664.66 |
2.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,299.61 |
$1,999.40 |
0.7× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$5,811 |
$8,940 |
1.4× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$4,899.86 |
$7,538.25 |
1.2× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$2,196.92 |
$3,379.88 |
0.5× |
| Bronch ebus samplng 1/2 node (31652) |
$1,624.51 |
$2,499.25 |
0.4× |
| Bronch ebus samplng 3/> node (31653) |
$8,664.07 |
$13,329.34 |
2.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,535.65 |
$3,901 |
1.3× |
| Bronchoscopy Balloon Occlusion (31634) |
$9,620.44 |
$14,800.67 |
1.2× |
| Bronchoscopy Bronch Stents (31636) |
$18,165.55 |
$27,947 |
2.3× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$6,498.05 |
$9,997 |
1.6× |
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure |
$1,630.10 |
$2,507.85 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$9,790.30 |
$15,062 |
4.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$8,664.07 |
$13,329.34 |
4.4× |
| Bronchoscopy w/tumor excise (31640) |
$4,895.15 |
$7,531 |
1.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,043.30 |
$4,682 |
1.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,141.12 |
$4,832.50 |
1.7× |
| Bx breast 1st lesion mr imag (19085) |
$5,165.55 |
$7,947 |
2.8× |
| Bx breast 1st lesion strtctc (19081) |
$3,939.32 |
$6,060.50 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$5,879.90 |
$9,046 |
3.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$3,155.96 |
$4,855.33 |
1.7× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$4,778.15 |
$7,351 |
1.5× |
| Bx/exc lymph node needle superficial (38505) |
$3,939.32 |
$6,060.50 |
2.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,575.75 |
$5,501.16 |
1.0× |
| Capsulotomy, midfoot; with tendon lengthening Facility (28261) |
$11,240.45 |
$17,293 |
6.3× |
| Cartilage graft; nasal septum Facility (20912) |
$4,242.55 |
$6,527 |
1.1× |
| Cataract surgery complex (66982) |
$2,995.20 |
$4,608 |
1.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$6,990.54 |
$10,754.67 |
1.9× |
| Cessj Therapy Cath Removal (37214) |
$9,837.10 |
$15,134 |
2.8× |
| Change Cystostomy Tube Complicated (51710) |
$1,451.45 |
$2,233 |
1.9× |
| Change of cystostomy tube simple (51705) |
$536.90 |
$826 |
1.9× |
| Chemical cautery tissue (17250) |
$448.50 |
$690 |
2.0× |
| Chemodenerv musc migraine (64615) |
$897.65 |
$1,381 |
2.6× |
| Chemodenerv Musc Neck Dyston (64616) |
$774.48 |
$1,191.50 |
2.3× |
| Chemodenervation internal anal sphincter (46505) |
$2,101.01 |
$3,232.33 |
1.6× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,024.08 |
$1,575.50 |
1.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$748.80 |
$1,152 |
2.2× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,228.55 |
$4,967 |
1.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$15,405.65 |
$23,701 |
3.9× |
| Chromotubation oviduct (58350) |
$5,546.80 |
$8,533.54 |
1.0× |
| Circum 28 days or older (54161) |
$11,415.30 |
$17,562 |
4.9× |
| Circumcision (54150) |
$5,791.50 |
$8,910 |
2.5× |
| Circumcision Neonate (54160) |
$1,951.30 |
$3,002 |
2.5× |
| Claviculectomy partial (23120) |
$3,727.85 |
$5,735.16 |
1.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$532.35 |
$819 |
1.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$2,837.25 |
$4,365 |
10.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$723.45 |
$1,113 |
2.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,267.20 |
$3,488 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$572.65 |
$881 |
2.1× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,871.35 |
$2,879 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$627.25 |
$965 |
2.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$621.40 |
$956 |
2.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$633.75 |
$975 |
2.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$82.10 |
$126.31 |
0.3× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,494.75 |
$6,915 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$473.20 |
$728 |
1.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$781.30 |
$1,202 |
2.8× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$2,530.78 |
$3,893.50 |
1.4× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,625.05 |
$5,577 |
2.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,158.30 |
$1,782 |
4.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$599.30 |
$922 |
2.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$617.50 |
$950 |
2.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$806.65 |
$1,241 |
2.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$5,338.12 |
$8,212.50 |
3.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,608.10 |
$2,474 |
5.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$679.90 |
$1,046 |
2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,170.65 |
$1,801 |
4.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,069.60 |
$3,184 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$721.50 |
$1,110 |
2.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,987.70 |
$3,058 |
1.1× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$5,827.25 |
$8,965 |
1.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$463.45 |
$713 |
1.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,080.35 |
$4,739 |
1.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,410.82 |
$2,170.50 |
5.1× |
| Closed tx lunate dislocation w/manipulation (25690) |
$3,225.95 |
$4,963 |
1.8× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$11,766.95 |
$18,103 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,567.02 |
$2,410.79 |
5.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,252.60 |
$5,004 |
1.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$4,344.92 |
$6,684.50 |
2.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$3,906.82 |
$6,010.50 |
14.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,385.48 |
$2,131.50 |
5.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,100.15 |
$3,231 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$452.72 |
$696.50 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,559.05 |
$3,937 |
1.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,516.48 |
$3,871.50 |
1.4× |
| Closed tx septal&nose fx (21337) |
$3,672.50 |
$5,650 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,712.10 |
$2,634 |
1.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$7,022.11 |
$10,803.25 |
25.5× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,012.75 |
$4,635 |
1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$532.35 |
$819 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,354.30 |
$3,622 |
1.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$807.30 |
$1,242 |
3.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$741 |
$1,140 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,626.32 |
$4,040.50 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,409.85 |
$2,169 |
5.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,686.45 |
$4,133 |
1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,039.05 |
$3,137 |
1.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,947.75 |
$4,535 |
1.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,353.30 |
$2,082 |
4.9× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$4,418.05 |
$6,797 |
2.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$813.48 |
$1,251.50 |
3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$851.82 |
$1,310.50 |
3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$670.15 |
$1,031 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$605.80 |
$932 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$530.40 |
$816 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$4,550.98 |
$7,001.50 |
2.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,647.78 |
$4,073.50 |
1.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,291.55 |
$1,987 |
4.7× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,090.05 |
$1,677 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,101.45 |
$3,233 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$635.05 |
$977 |
2.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$702.65 |
$1,081 |
2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,227.20 |
$1,888 |
4.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$614.25 |
$945 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,537.60 |
$3,904 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$520 |
$800 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$857.35 |
$1,319 |
3.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$4,022.85 |
$6,189 |
2.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,523.95 |
$3,883 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$694.20 |
$1,068 |
2.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,225.25 |
$1,885 |
3.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,443 |
$2,220 |
5.2× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$8,537.10 |
$13,134 |
2.3× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$3,368.95 |
$5,183 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$806.32 |
$1,240.50 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$386.10 |
$594 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$584.35 |
$899 |
2.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,883.10 |
$5,974 |
2.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$715.65 |
$1,101 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$814.12 |
$1,252.50 |
3.0× |
| Cltx post ankle fx w/mnpj (27768) |
$3,005.60 |
$4,624 |
1.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,872.70 |
$5,958 |
2.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,071.52 |
$1,648.50 |
3.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,784.60 |
$4,284 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$547.95 |
$843 |
2.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,037.45 |
$4,673 |
1.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$798.20 |
$1,228 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$579.80 |
$892 |
2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$5,070 |
$7,800 |
2.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,747.55 |
$4,227 |
1.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,586.35 |
$3,979 |
1.4× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$4,267.58 |
$6,565.50 |
1.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$266.50 |
$410 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$6,377.15 |
$9,811 |
3.6× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,158.30 |
$1,782 |
4.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$670.15 |
$1,031 |
2.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$608.40 |
$936 |
4.1× |
| Colonoscopy flex w/blln dilat (45386) |
$5,043.78 |
$7,759.67 |
3.8× |
| Colonoscopy flex w/inj submuc (45381) |
$2,202.20 |
$3,388 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$2,757.08 |
$4,241.66 |
2.1× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$8,271.25 |
$12,725 |
6.2× |
| Colonoscopy stoma w/biopsy (44389) |
$5,514.16 |
$8,483.33 |
4.1× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$2,757.08 |
$4,241.66 |
2.1× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$2,336.59 |
$3,594.75 |
1.8× |
| Colonoscopy thru stoma (44388) |
$3,934.45 |
$6,053 |
3.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$8,271.25 |
$12,725 |
6.2× |
| Colonoscopy w/ablation (45388) |
$3,430.05 |
$5,277 |
2.6× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$2,757.08 |
$4,241.66 |
2.1× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,035.50 |
$4,670 |
1.0× |
| Colporrhaphy Suture Injury Vagina (57200) |
$5,944.46 |
$9,145.33 |
1.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$6,993.57 |
$10,759.34 |
20.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$8,533.85 |
$13,129 |
2.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$6,869.64 |
$10,568.67 |
1.9× |
| Combined anteroposterior colporrhaphy; (57260) |
$70,545.37 |
$108,531.34 |
12.7× |
| Conization of cervix (57520) |
$6,303.05 |
$9,697 |
1.7× |
| Conization of cervix (57522) |
$6,581.90 |
$10,126 |
1.8× |
| Contour of face bone lesion (21029) |
$7,237.10 |
$11,134 |
2.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$694.85 |
$1,069 |
2.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$2,299.16 |
$3,537.17 |
15.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$3,325.18 |
$5,115.66 |
22.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$2,688.62 |
$4,136.33 |
4.5× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$5,290.51 |
$8,139.25 |
1.4× |
| Conversion ext bil drg cath (47535) |
$6,115.20 |
$9,408 |
1.5× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$39,606.45 |
$60,933 |
2.8× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$9,331.40 |
$14,356 |
4.4× |
| Convert nephrostomy catheter (50434) |
$3,474.90 |
$5,346 |
1.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,011.45 |
$4,633 |
1.6× |
| Correction eyelid w/implant (67912) |
$7,142.64 |
$10,988.67 |
2.7× |
| Correction hammertoe (28285) |
$3,458.82 |
$5,321.26 |
0.9× |
| Correction of bunion (28298) |
$10,727.29 |
$16,503.52 |
1.3× |
| Correction of bunion (28297) |
$12,508.60 |
$19,244 |
0.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$13,929.50 |
$21,430 |
3.8× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$16,996.85 |
$26,149 |
2.7× |
| Cricopharyngeal myotomy (43030) |
$16,903.90 |
$26,006 |
2.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$462.48 |
$711.50 |
3.1× |
| Curettage postpartum (59160) |
$6,210.10 |
$9,554 |
1.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,711.20 |
$7,248 |
2.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,817.15 |
$7,411 |
2.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$7,150.65 |
$11,001 |
1.8× |
| Cysto w/destruction of lesions (52214) |
$5,202.24 |
$8,003.46 |
1.3× |
| Cysto w/insert ureteral stent (52332) |
$4,604.60 |
$7,084 |
1.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$13,724.10 |
$21,114 |
3.5× |
| Cysto w/removal of tumors small (52234) |
$14,029.92 |
$21,584.50 |
3.6× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$5,568.34 |
$8,566.67 |
1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$6,121.70 |
$9,418 |
2.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$10,711.36 |
$16,479 |
2.7× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$8,893.20 |
$13,681.84 |
2.3× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,802.88 |
$8,927.50 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$22,990.50 |
$35,370 |
3.8× |
| Cysto/uretero w/up stricture (52345) |
$16,026.40 |
$24,656 |
4.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$13,265.85 |
$20,409 |
2.2× |
| Cystolithotomy (51050) |
$18,112.25 |
$27,865 |
3.0× |
| Cystoscopy implant stent (52282) |
$5,283.85 |
$8,129 |
1.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$5,559.45 |
$8,553 |
2.4× |
| Cystouretero & or pyeloscope (52351) |
$12,673.54 |
$19,497.75 |
3.2× |
| Cystourethroscopy (52000) |
$3,156.50 |
$4,856.16 |
4.1× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$13,139.10 |
$20,214 |
2.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,325.61 |
$5,116.33 |
1.4× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$6,739.04 |
$10,367.75 |
1.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$7,142.64 |
$10,988.67 |
3.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$11,573.26 |
$17,805 |
2.9× |
| Cystourethroscopy with biopsy (52204) |
$5,685.06 |
$8,746.25 |
2.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$7,475.98 |
$11,501.50 |
1.3× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$10,583.30 |
$16,282 |
2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$6,771.70 |
$10,418 |
14.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,279.90 |
$5,046 |
1.0× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$5,827.25 |
$8,965 |
1.6× |
| Debride nail 1-5 (11720) |
$126.10 |
$194 |
1.9× |
| Debride nail 6 or more (11721) |
$168.35 |
$259 |
2.6× |
| Debride skin musc at fx site (11011) |
$11,569.03 |
$17,798.50 |
14.7× |
| Debride tissue/muscle (11043) |
$2,026.48 |
$3,117.66 |
2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,386.29 |
$2,132.75 |
3.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$5,481.45 |
$8,433 |
3.0× |
| Declot vascular device (36593) |
$1,893.45 |
$2,913 |
5.1× |
| Decompression of lower leg (27600) |
$8,706.75 |
$13,395 |
2.4× |
| Delivery placenta separate procedure (59414) |
$4,043 |
$6,220 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$5,805.15 |
$8,931 |
2.7× |
| Destroy lumb/sac facet jnt (64635) |
$8,106.15 |
$12,471 |
3.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$1,488.12 |
$2,289.42 |
6.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,261.02 |
$3,478.50 |
2.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$5,505.18 |
$8,469.50 |
5.6× |
| Destruction Lesions Vulva Extensive (56515) |
$15,158.65 |
$23,321 |
6.6× |
| Destruction Lesions Vulva Simple (56501) |
$7,055.53 |
$10,854.66 |
3.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,105.05 |
$4,777 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$175.50 |
$270 |
0.8× |
| Destruction Vaginal Lesions Simple (57061) |
$14,558.70 |
$22,398 |
4.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,885 |
$2,900 |
2.4× |
| Diagnostic sigmoidoscopy (45330) |
$3,430.05 |
$5,277 |
3.3× |
| Dilate urethra stricture (53600) |
$383.50 |
$590 |
1.4× |
| Dilation and curettage (58120) |
$3,432 |
$5,280 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$5,745.35 |
$8,839 |
5.7× |
| Dilation Salivary Duct (42650) |
$7,432.31 |
$11,434.33 |
4.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$3,886.35 |
$5,979 |
2.0× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$37,414.65 |
$57,561 |
6.0× |
| Division of scalenus anticus; without resection of cervical rib Facility (21700) |
$20,865.65 |
$32,101 |
2.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,307.50 |
$3,550 |
1.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$742.30 |
$1,142 |
0.9× |
| Drain/inj small joint/bursa w/us (20604) |
$404.30 |
$622 |
1.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$683.15 |
$1,051 |
2.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,639.95 |
$2,523 |
2.7× |
| Drainage external auditory canal abscess (69020) |
$1,192.10 |
$1,834 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,034.15 |
$1,591 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,180.10 |
$3,354 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$395.20 |
$608 |
1.8× |
| Drainage Mouth Roof Lesion (42000) |
$583.38 |
$897.50 |
2.2× |
| Drainage of eye (65800) |
$2,729.35 |
$4,199 |
1.1× |
| Drainage of gum lesion (41800) |
$803.08 |
$1,235.50 |
5.4× |
| Drainage of hematoma/fluid (10140) |
$4,889.30 |
$7,522 |
2.7× |
| Drainage of scrotal wall abscess (55100) |
$2,350.08 |
$3,615.50 |
1.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$6,932.04 |
$10,664.67 |
1.9× |
| Draw blood off venous device (36591) |
$599.30 |
$922 |
4.0× |
| Dressing change under anesthesia (15852) |
$1,589.25 |
$2,445 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$594.75 |
$915 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$551.20 |
$848 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$408.52 |
$628.50 |
1.8× |
| Dstrj lesion anus simple surg excision (46922) |
$9,928.10 |
$15,274 |
3.2× |
| Dx bone marrow bx & aspir (38222) |
$3,972.15 |
$6,111 |
1.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,846.13 |
$4,378.66 |
1.4× |
| Dx laryngoscopy w/oper scope (31526) |
$7,844.64 |
$12,068.67 |
4.0× |
| Ear Cartilage Graft (21235) |
$6,371.03 |
$9,801.58 |
1.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$6,968 |
$10,720 |
3.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,286.70 |
$3,518 |
1.1× |
| Egd band ligation esophgeal/gastric varices (43244) |
$6,348.55 |
$9,767 |
3.0× |
| Egd control bleeding any (43255) |
$2,956.20 |
$4,548 |
1.4× |
| Egd dilate stricture (43245) |
$2,483.90 |
$3,821.38 |
1.2× |
| Egd endo mucosal resection (43254) |
$1,143.35 |
$1,759 |
0.5× |
| Egd endoscopic stent place (43266) |
$4,232.37 |
$6,511.34 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$2,116.18 |
$3,255.66 |
1.0× |
| Egd flexible foreign body removal (43247) |
$2,692.30 |
$4,142 |
2.7× |
| Egd guide wire insertion (43248) |
$2,121.82 |
$3,264.33 |
2.1× |
| Egd place gastrostomy tube (43246) |
$1,820 |
$2,800 |
0.9× |
| Egd remove lesion snare (43251) |
$2,116.18 |
$3,255.66 |
1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$2,325.70 |
$3,578 |
6.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,122.88 |
$1,727.50 |
3.3× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$1,644.82 |
$2,530.50 |
4.8× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$17,070.30 |
$26,262 |
2.8× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$16,050.78 |
$24,693.50 |
2.6× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$14,404 |
$22,160 |
2.3× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$15,740.40 |
$24,216 |
2.5× |
| EMG anal/urethral sphincter (51785) |
$793 |
$1,220 |
2.8× |
| Endocervical Curettage (57505) |
$2,833.78 |
$4,359.66 |
2.8× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$7,912.78 |
$12,173.50 |
1.4× |
| Endometrial Biopsy (58100) |
$2,606.18 |
$4,009.50 |
11.6× |
| Endoscopy bowel pouch/biop (44386) |
$3,503.50 |
$5,390 |
3.4× |
| Endoscopy Upper Small Intestine (44360) |
$6,348.55 |
$9,767 |
3.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$4,436.58 |
$6,825.50 |
1.9× |
| Episiotomy or vaginal repair (59300) |
$2,920.45 |
$4,493 |
0.8× |
| Ercp Duct Stent Placement (43274) |
$8,049.28 |
$12,383.50 |
1.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,846.72 |
$7,456.50 |
1.1× |
| Ercp remove forgn body duct (43275) |
$4,689.10 |
$7,214 |
2.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$4,553.66 |
$7,005.62 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$4,380.60 |
$6,739.38 |
4.3× |
| Esophagoscopy flexible guide wire dilation (43226) |
$3,922.31 |
$6,034.33 |
1.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,023.18 |
$1,574.12 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,196.44 |
$1,840.67 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,183.70 |
$4,898 |
1.5× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$8,352.50 |
$12,850 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$489.78 |
$753.50 |
3.3× |
| Evisceration of ocular contents; with implant Facility (65093) |
$8,666.67 |
$13,333.34 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,587.24 |
$2,441.90 |
0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$5,176.17 |
$7,963.34 |
6.6× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$7,046.65 |
$10,841 |
3.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$5,456.97 |
$8,395.34 |
3.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$9,239.75 |
$14,215 |
5.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$2,667.93 |
$4,104.50 |
3.4× |
| Exc back les sc < 3 cm (21930) |
$6,405.83 |
$9,855.12 |
3.5× |
| Exc back tum deep < 5 cm (21932) |
$10,923.25 |
$16,805 |
3.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,433.30 |
$5,282 |
4.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,907.10 |
$2,934 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,849.06 |
$2,844.70 |
1.0× |
| Exc Frenum Labial/Buccal (40819) |
$3,219.88 |
$4,953.66 |
1.9× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$2,181.08 |
$3,355.50 |
0.6× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$35,825.40 |
$55,116 |
11.6× |
| Exc rect tum transanal part (45171) |
$10,008.70 |
$15,398 |
3.2× |
| Exc skin abd (15830) |
$23,476.70 |
$36,118 |
3.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$4,286.56 |
$6,594.71 |
5.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,718.60 |
$2,644 |
3.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$4,635.80 |
$7,132 |
5.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$8,606.65 |
$13,241 |
4.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,759.74 |
$7,322.67 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,582.26 |
$8,588.10 |
3.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,697.77 |
$7,227.34 |
1.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,692.63 |
$4,142.50 |
0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$6,117.15 |
$9,411 |
3.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$7,232.55 |
$11,127 |
2.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$7,300.37 |
$11,231.34 |
2.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$6,860.97 |
$10,555.34 |
2.1× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$6,158.97 |
$9,475.34 |
1.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,908.80 |
$7,552 |
2.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,877.11 |
$4,426.33 |
0.9× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$6,637.16 |
$10,211.02 |
3.6× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$9,554.35 |
$14,699 |
3.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$7,464.92 |
$11,484.50 |
4.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$11,449.75 |
$17,615 |
3.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,099.71 |
$6,307.25 |
2.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,346.31 |
$2,071.25 |
0.4× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$6,158.97 |
$9,475.34 |
1.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,490.09 |
$6,907.83 |
1.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,676.61 |
$5,656.33 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,842.50 |
$7,450 |
1.2× |
| Exchange intraocular lens (66986) |
$2,995.20 |
$4,608 |
1.2× |
| Exchange nephrostomy cath (50435) |
$9,002.82 |
$13,850.50 |
3.9× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,630.55 |
$4,047 |
1.2× |
| Excis Pterygium (65420) |
$1,128.18 |
$1,735.66 |
0.4× |
| Excise Inferior Turbinate (30130) |
$2,739.85 |
$4,215.16 |
0.7× |
| Excise pharynx lesion (42808) |
$6,396 |
$9,840 |
1.7× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$8,905.65 |
$13,701 |
1.4× |
| Excision Breast Lesion (19125) |
$5,503.34 |
$8,466.67 |
1.3× |
| Excision external ear partial simple repair (69110) |
$8,538.40 |
$13,136 |
2.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$6,767.80 |
$10,412 |
2.1× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$5,901.09 |
$9,078.60 |
1.8× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$5,575.76 |
$8,578.10 |
1.7× |
| Excision interdigital morton neuroma single each (28080) |
$7,697.30 |
$11,842 |
4.3× |
| Excision Lesion Floor Mouth (41116) |
$12,186.85 |
$18,749 |
3.3× |
| Excision lesion meniscus/capsule knee (27347) |
$7,976.15 |
$12,271 |
2.2× |
| Excision lesion mouth roof (42104) |
$3,711.28 |
$5,709.66 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$7,764.25 |
$11,945 |
4.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,175.52 |
$7,962.33 |
1.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$10,607.35 |
$16,319 |
13.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$3,582.37 |
$5,511.34 |
4.5× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$10,464.03 |
$16,098.50 |
1.6× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$7,086.30 |
$10,902 |
2.7× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$9,177.57 |
$14,119.34 |
2.8× |
| Excision of hydrocele unilateral (55040) |
$9,964.94 |
$15,330.67 |
2.5× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$4,114.93 |
$6,330.66 |
1.0× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$16,832.08 |
$25,895.50 |
4.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$5,398.74 |
$8,305.75 |
2.9× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$2,416.05 |
$3,717 |
0.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$19,413.55 |
$29,867 |
2.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$11,789.38 |
$18,137.50 |
1.8× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$20,296.25 |
$31,225 |
3.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$7,325.50 |
$11,270 |
2.3× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$19,526.98 |
$30,041.50 |
3.0× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,971.15 |
$4,571 |
2.2× |
| Excision of tongue lesion (41112) |
$8,396.05 |
$12,917 |
2.3× |
| Excision of vaginal cyst or tumor (57135) |
$7,764.25 |
$11,945 |
2.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,568.23 |
$8,566.50 |
1.7× |
| Excision prepatellar bursa (27340) |
$7,232.55 |
$11,127 |
2.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$8,547.06 |
$13,149.33 |
2.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,299.02 |
$8,152.34 |
2.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$7,325.50 |
$11,270 |
2.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$8,536.45 |
$13,133 |
4.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$7,984.17 |
$12,283.34 |
4.3× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$4,322.50 |
$6,650 |
2.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,482.03 |
$3,818.50 |
1.3× |
| Excision, nasal polyp(s), simple Facility (30110) |
$6,184.75 |
$9,515 |
3.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$6,767.80 |
$10,412 |
2.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$6,438.68 |
$9,905.66 |
3.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$8,156.06 |
$12,547.80 |
4.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$6,061.04 |
$9,324.67 |
1.9× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$7,052.50 |
$10,850 |
2.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$9,443.77 |
$14,528.88 |
2.9× |
| Excision/destruction intranasal lesion int appr (30117) |
$7,001.37 |
$10,771.34 |
1.9× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$9,142.58 |
$14,065.50 |
3.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$4,594.20 |
$7,068 |
2.6× |
| Explo/Drain Breast Abscess (19020) |
$6,558.82 |
$10,090.50 |
3.6× |
| Exploration of knee joint (27310) |
$7,764.25 |
$11,945 |
2.1× |
| Exploration of middle ear (69440) |
$4,674.15 |
$7,191 |
1.3× |
| Exploration penetrating wound spx chest (20101) |
$3,571.75 |
$5,495 |
1.6× |
| Exploration penetrating wound spx extremity (20103) |
$5,111.92 |
$7,864.50 |
2.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$4,327.22 |
$6,657.26 |
7.2× |
| Explore limb vessels (35860) |
$20,612.80 |
$31,712 |
5.9× |
| Explore Parathyroid Glands (60500) |
$15,137.85 |
$23,289 |
2.3× |
| Explore/treat eye socket (67412) |
$12,129.65 |
$18,661 |
4.6× |
| External cephalic version (59412) |
$6,918.28 |
$10,643.50 |
1.9× |
| Fasciotomy foot and/or toe (28008) |
$5,633.16 |
$8,666.39 |
1.5× |
| Fetal non-stress test (59025) |
$498.22 |
$766.50 |
2.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,230.15 |
$3,431 |
2.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,923.68 |
$2,959.50 |
2.4× |
| Fine needle aspiration without imaging guidance (10021) |
$527.15 |
$811 |
1.2× |
| Fix Entropion,Extensv Lid Repair (67924) |
$10,292.75 |
$15,835 |
3.9× |
| Fixation contralateral testis separate procedure (54620) |
$3,430.48 |
$5,277.66 |
0.9× |
| Fluid pressure muscle (20950) |
$1,461.20 |
$2,248 |
1.9× |
| Fluoro exam of g/colon tube (49465) |
$1,080.95 |
$1,663 |
4.1× |
| Foreskin manipulation (54450) |
$494 |
$760 |
1.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,362.80 |
$6,712 |
1.2× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$6,439.77 |
$9,907.34 |
1.7× |
| Fusion of foot bones (28740) |
$11,473.81 |
$17,652.01 |
1.4× |
| Fusion of toes (28280) |
$5,497.70 |
$8,458 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$1,541.15 |
$2,371 |
6.4× |
| Gastrocnemius recession (27687) |
$11,821.17 |
$18,186.42 |
3.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$4,504.83 |
$6,930.50 |
1.1× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$4,725.58 |
$7,270.12 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$7,086.95 |
$10,903 |
9.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$11,449.75 |
$17,615 |
3.1× |
| Hemorrhoidectomy (46255) |
$8,711.95 |
$13,403 |
2.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$7,724.60 |
$11,884 |
2.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$9,556.30 |
$14,702 |
3.1× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$15,598.05 |
$23,997 |
5.0× |
| Hysteroscopy biopsy (58558) |
$6,681.57 |
$10,279.34 |
1.9× |
| Hysteroscopy removal leiomyomata (58561) |
$6,993.57 |
$10,759.34 |
1.3× |
| Hysteroscopy w endometrial ablation (58563) |
$3,558.75 |
$5,475 |
0.6× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$10,713.95 |
$16,483 |
3.0× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,444.05 |
$6,837 |
1.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$7,237.75 |
$11,135 |
2.0× |
| I&D Abscess Peritonsillar (42700) |
$1,287 |
$1,980 |
4.9× |
| I&d abscess simple (10060) |
$4,327.38 |
$6,657.50 |
19.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,683.76 |
$5,667.33 |
1.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$12,234.30 |
$18,822 |
3.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$7,317.70 |
$11,258 |
3.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$6,117.15 |
$9,411 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$2,597.40 |
$3,996 |
3.3× |
| I&d shoulder deep abscess/hematoma (23030) |
$7,980.70 |
$12,278 |
2.5× |
| I&d vulva/perineal abscess (56405) |
$2,132.54 |
$3,280.83 |
6.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$4,782.70 |
$7,358 |
4.7× |
| Image Cath Fluid Colxn Visc (49405) |
$4,650.10 |
$7,154 |
2.5× |
| Image Cath Fluid Peri/Retro (49406) |
$6,002.42 |
$9,234.50 |
3.3× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,349.45 |
$5,153 |
1.8× |
| Implant cochlear device (69930) |
$25,982.45 |
$39,973 |
0.7× |
| Implant neuroelectrodes (63650) |
$10,121.80 |
$15,572 |
1.4× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$7,571.52 |
$11,648.50 |
0.8× |
| Incise external hemorrhoid (46083) |
$718.90 |
$1,106 |
2.6× |
| Incise finger tendon sheath (26055) |
$5,048.22 |
$7,766.50 |
2.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,459.58 |
$2,245.50 |
3.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,455.45 |
$8,393 |
1.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,587.30 |
$2,442 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,823.60 |
$4,344 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,165.45 |
$1,793 |
2.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$788.45 |
$1,213 |
3.5× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$6,953.70 |
$10,698 |
2.2× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$4,787.90 |
$7,366 |
1.5× |
| Incision and drainage perianal abscess superficial (46050) |
$2,366.65 |
$3,641 |
2.3× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$6,011.20 |
$9,248 |
1.9× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$9,764.95 |
$15,023 |
5.4× |
| Incision Drainage Lacrimal Sac (68420) |
$9,519.90 |
$14,646 |
3.6× |
| Incision of eardrum (69421) |
$2,181.08 |
$3,355.50 |
0.6× |
| Incision of eye (66172) |
$22,123.40 |
$34,036 |
8.6× |
| Incision of eyelid fold (67715) |
$4,609.15 |
$7,091 |
1.7× |
| Incision of fibula (27707) |
$4,119.80 |
$6,338.16 |
1.1× |
| Incision of labial frenum (frenotomy) (40806) |
$1,500.77 |
$2,308.88 |
2.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$3,735.88 |
$5,747.50 |
2.2× |
| Incision of rectal abscess (46045) |
$3,310.13 |
$5,092.50 |
1.1× |
| Incision of rectal abscess (46040) |
$4,267.25 |
$6,565 |
3.2× |
| Incision of tibia (27705) |
$8,064.11 |
$12,406.33 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$7,239.05 |
$11,137 |
20.5× |
| Incisional biopsy skin single lesion (11106) |
$542.10 |
$834 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$329.55 |
$507 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,489.85 |
$5,369 |
3.5× |
| Inj tendon sheath/ligament (20550) |
$838.50 |
$1,290 |
2.5× |
| Inj therapeutic carpal tunnel (20526) |
$778.05 |
$1,197 |
2.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$11,848.85 |
$18,229 |
12.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,800.85 |
$4,309 |
2.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,047.50 |
$3,150 |
2.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$5,113.39 |
$7,866.75 |
5.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,479.40 |
$2,276 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,643.85 |
$2,529 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,128.40 |
$1,736 |
1.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,612.65 |
$2,481 |
1.6× |
| Inject Rx Celiac Plexus Nerve (64680) |
$2,616.90 |
$4,026 |
2.7× |
| Inject Sinus Tract Theraputic (20500) |
$2,841.80 |
$4,372 |
1.6× |
| Inject Tendon Origin/Insert (20551) |
$838.50 |
$1,290 |
2.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,909.05 |
$2,937 |
2.4× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,211.60 |
$1,864 |
1.5× |
| Injection aa&/strd pudendal nerve (64430) |
$2,377.05 |
$3,657 |
2.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$615.55 |
$947 |
1.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$486.85 |
$749 |
1.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$3,316.62 |
$5,102.50 |
3.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$7,791.98 |
$11,987.66 |
9.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,264.90 |
$1,946 |
1.6× |
| Injection for identification of sentinel node (38792) |
$1,128.08 |
$1,735.50 |
2.5× |
| Injection into skin lesions (11900) |
$481 |
$740 |
2.2× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,517.75 |
$2,335 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$492.70 |
$758 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$936.32 |
$1,440.50 |
2.7× |
| Injection treatment of nerve (64681) |
$3,083.60 |
$4,744 |
3.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$418.28 |
$643.50 |
1.9× |
| Ins cath ren art 1st bilat (36252) |
$7,122.70 |
$10,958 |
2.0× |
| Ins cath ren art 1st unilat (36251) |
$6,248.45 |
$9,613 |
1.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$23,188.75 |
$35,675 |
3.7× |
| Ins endovas vena cava filtr (37191) |
$15,619.50 |
$24,030 |
2.5× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$27,762.80 |
$42,712 |
2.4× |
| Ins/Rep Subq Defibrillator (33270) |
$38,351.95 |
$59,003 |
1.1× |
| Insert and remove bone pin (20650) |
$10,152.35 |
$15,619 |
2.8× |
| Insert Bladder Cath Complex (51703) |
$692.90 |
$1,066 |
4.8× |
| Insert cath pleura w/ image (32557) |
$4,109.95 |
$6,323 |
2.3× |
| Insert cath pleura w/o image (32556) |
$3,959.48 |
$6,091.50 |
1.9× |
| Insert cervical dilator (59200) |
$825.50 |
$1,270 |
2.4× |
| Insert gastrostomy tube percutaneous (49440) |
$4,550.32 |
$7,000.50 |
2.1× |
| Insert heart pm atrial (33206) |
$15,267.20 |
$23,488 |
1.3× |
| Insert heart pm ventricular (33207) |
$27,352.65 |
$42,081 |
2.3× |
| Insert hepatic shunt (tips) (37182) |
$10,582 |
$16,280 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$4,802.20 |
$7,388 |
1.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,827.20 |
$5,888 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,451.15 |
$3,771 |
1.4× |
| Insert pulse gen dual leads (33213) |
$10,316.15 |
$15,871 |
0.9× |
| Insert subq implantable defib electrode (33271) |
$12,475.78 |
$19,193.50 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$633.75 |
$975 |
4.3× |
| Insert tun ip cath perc (49418) |
$8,684.65 |
$13,361 |
2.2× |
| Insert tunneled cv cath (36561) |
$9,401.60 |
$14,464 |
2.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$394.88 |
$607.50 |
2.7× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$9,003.15 |
$13,851 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,004.65 |
$6,161 |
1.0× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$18,926.05 |
$29,117 |
0.8× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge, not the full procedure |
$9,402.90 |
$14,466 |
0.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,281.80 |
$1,972 |
1.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,387.25 |
$11,365 |
0.8× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$6,776.25 |
$10,425 |
1.2× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$3,535.78 |
$5,439.66 |
0.2× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$12,340.58 |
$18,985.50 |
1.3× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$15,808.98 |
$24,321.50 |
1.7× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$21,225.10 |
$32,654 |
1.8× |
| Insj picc rs&i 5 yr+ (36573) |
$3,856.45 |
$5,933 |
2.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,928 |
$9,120 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$9,540.70 |
$14,678 |
2.7× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$6,240.61 |
$9,600.94 |
0.7× |
| Insj/rplcmt defib w/lead(s) (33249) |
$91,281.12 |
$140,432.50 |
2.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,818.30 |
$18,182 |
1.3× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$14,740.70 |
$22,678 |
1.6× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$9,552.62 |
$14,696.34 |
0.3× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$8,162.05 |
$12,557 |
2.6× |
| Interdental Fixation (21110) |
$5,232.01 |
$8,049.25 |
3.0× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,363.75 |
$5,175 |
2.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$997.75 |
$1,535 |
1.7× |
| Intraoral i&d tongue/floor masticator space (41009) |
$6,711.25 |
$10,325 |
11.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,413.80 |
$5,252 |
0.9× |
| Intro cath dialysis circuit (36901) |
$1,998.10 |
$3,074 |
1.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$23,394.80 |
$35,992 |
1.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$12,866.10 |
$19,794 |
2.0× |
| Intro Gastrointestinal Tube (44500) |
$1,326 |
$2,040 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$1,074.78 |
$1,653.50 |
4.1× |
| Irrigation maxillary sinus (31000) |
$2,652.16 |
$4,080.25 |
10.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$587.92 |
$904.50 |
2.1× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Facility (63265)
unusually low: confirm this is the full procedure |
$3,767.24 |
$5,795.75 |
0.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$11,884.60 |
$18,284 |
1.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$5,501.81 |
$8,464.33 |
0.7× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655)
likely a partial charge, not the full procedure |
$5,290.78 |
$8,139.66 |
0.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$13,464.75 |
$20,715 |
1.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,810.24 |
$15,092.67 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$12,136.80 |
$18,672 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$9,242.03 |
$14,218.50 |
1.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$14,925.95 |
$22,963 |
1.8× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$13,278.85 |
$20,429 |
1.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$12,648.90 |
$19,459.84 |
1.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$15,768.35 |
$24,259 |
2.0× |
| Lap ing hernia repair init (49650) |
$27,781.65 |
$42,741 |
4.1× |
| Lap insert tunnel ip cath (49324) |
$7,534.37 |
$11,591.34 |
1.1× |
| Lap paraesoph her rpr w/mesh (43282) |
$59,958.60 |
$92,244 |
5.1× |
| Lap paraesophag hern repair (43281) |
$36,556.65 |
$56,241 |
3.1× |
| Lap revision perm ip cath (49325) |
$10,583.30 |
$16,282 |
1.6× |
| Laparoscopic surgical splenectomy (38120) |
$28,867.15 |
$44,411 |
2.4× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$11,233.95 |
$17,283 |
1.7× |
| Laparoscopy appendectomy (44970) |
$6,783.83 |
$10,436.66 |
1.0× |
| Laparoscopy biopsy (49321) |
$7,566.11 |
$11,640.17 |
1.1× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$45,819.15 |
$70,491 |
3.9× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$50,450.40 |
$77,616 |
4.3× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$9,073.68 |
$13,959.50 |
1.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$35,272.68 |
$54,265.66 |
3.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$25,235.60 |
$38,824 |
3.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$26,735.58 |
$41,131.66 |
2.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$12,346.27 |
$18,994.26 |
2.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$27,691.63 |
$42,602.50 |
6.4× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$67,756.65 |
$104,241 |
10.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$47,769.15 |
$73,491 |
4.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$19,058.65 |
$29,321 |
2.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$21,500.70 |
$33,078 |
1.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$20,782.45 |
$31,973 |
1.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$55,081.65 |
$84,741 |
8.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$27,741.14 |
$42,678.67 |
2.3× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$87,500.40 |
$134,616 |
7.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$25,530.70 |
$39,278 |
3.8× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947) |
$175,494.15 |
$269,991 |
14.8× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$6,214.65 |
$9,561 |
0.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$11,860.55 |
$18,247 |
1.0× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$14,369.77 |
$22,107.34 |
2.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$10,211.50 |
$15,710 |
1.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$10,959.44 |
$16,860.67 |
1.6× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge, not the full procedure |
$1,820 |
$2,800 |
0.3× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$10,235.55 |
$15,747 |
1.5× |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
$8,277.85 |
$12,735.16 |
1.2× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$20,579.65 |
$31,661 |
3.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$10,082.15 |
$15,511 |
2.4× |
| Laryngoscopy diagnostic (31505) |
$519.35 |
$799 |
2.3× |
| Laryngoscopy Direct Aspiration (31515) |
$1,158.95 |
$1,783 |
2.7× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$4,418.15 |
$6,797.16 |
1.1× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$6,223.31 |
$9,574.33 |
1.5× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$13,608.29 |
$20,935.83 |
3.3× |
| Laryngoscopy flexible diagnostic (31575) |
$861.90 |
$1,326 |
3.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$2,226.25 |
$3,425 |
5.1× |
| Laryngoscopy w/biopsy (31535) |
$7,883.20 |
$12,128 |
1.9× |
| Laryngoscopy w/bx op scope (31536) |
$11,141 |
$17,140 |
2.7× |
| Larynscop w/tumr exc + scope (31541) |
$11,675.19 |
$17,961.84 |
2.8× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$37,399.05 |
$57,537 |
6.3× |
| Late closure of wound (13160) |
$6,338.90 |
$9,752.16 |
1.6× |
| Ligation of a-v fistula (37607) |
$7,493.63 |
$11,528.66 |
2.1× |
| Ligation of femoral vein Facility (37650) |
$9,026.55 |
$13,887 |
2.6× |
| Ligation or biopsy temporal artery (37609) |
$7,192.90 |
$11,066 |
3.9× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$9,355.29 |
$14,392.75 |
2.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$9,738.30 |
$14,982 |
2.5× |
| Lithotripsy (50590) |
$21,200.40 |
$32,616 |
5.4× |
| Liver Biopsy (47000) |
$3,634.15 |
$5,591 |
2.0× |
| Lyse chest fibrin init day (32561) |
$1,751.10 |
$2,694 |
2.5× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,751.10 |
$2,694 |
2.5× |
| Lysis Intranasal Synechia (30560) |
$10,292.75 |
$15,835 |
17.1× |
| Lysis of labial adhesions (56441) |
$4,179.50 |
$6,430 |
1.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$7,790.25 |
$11,985 |
3.3× |
| Manipulation knee joint under general anesthesia (27570) |
$4,084.60 |
$6,284 |
2.3× |
| Marsupialization Bartholins Gland Cyst (56440) |
$6,767.80 |
$10,412 |
1.9× |
| Mastectomy for gynecomastia (19300) |
$11,246.14 |
$17,301.75 |
2.6× |
| Mastectomy partial (19301) |
$8,440.90 |
$12,986 |
1.9× |
| Mastectomy simple complete (19303) |
$11,443.58 |
$17,605.51 |
1.5× |
| Mastoidectomy; complete (69502) |
$10,029.94 |
$15,430.67 |
1.5× |
Mastopexy (19316)
unusually low: confirm this is the full procedure |
$3,308.50 |
$5,090 |
0.4× |
| Mech remov tunneled cv cath (36595) |
$4,105.40 |
$6,316 |
1.2× |
| Mediastinoscpy w/lmph nod bx (39402) |
$13,910.44 |
$21,400.67 |
2.1× |
| Metatarsectomy (28140) |
$6,510.84 |
$10,016.67 |
1.8× |
| Myelography Lumbar Injection (62305) |
$1,725.10 |
$2,654 |
2.0× |
| Myelography Lumbar Injection (62304) |
$1,818.05 |
$2,797 |
2.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,869.40 |
$2,876 |
2.1× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,054.65 |
$3,161 |
2.4× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$8,294.87 |
$12,761.34 |
2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,957.15 |
$3,011 |
2.5× |
| Nasal endoscopy dx (31231) |
$1,971.94 |
$3,033.75 |
8.9× |
| Nasal surgery procedure (30999) |
$4,334.44 |
$6,668.38 |
16.4× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$6,705.08 |
$10,315.51 |
0.9× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,008.77 |
$4,628.88 |
0.7× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$5,199.22 |
$7,998.80 |
0.7× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$12,844.98 |
$19,761.50 |
1.6× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,000.01 |
$3,076.94 |
1.0× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$7,128.23 |
$10,966.50 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$7,980.70 |
$12,278 |
4.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$4,506.45 |
$6,933 |
2.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$7,581.49 |
$11,663.83 |
1.0× |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure |
$3,692.33 |
$5,680.50 |
0.5× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure |
$2,856.20 |
$4,394.16 |
0.4× |
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
unusually low: confirm this is the full procedure |
$2,369.20 |
$3,644.93 |
0.3× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$15,688.90 |
$24,136.76 |
2.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$6,338.84 |
$9,752.05 |
0.8× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$11,440.30 |
$17,600.46 |
1.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$13,037.39 |
$20,057.52 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$1,326.98 |
$2,041.50 |
2.7× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$8,817.25 |
$13,565 |
2.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$6,586.45 |
$10,133 |
3.7× |
| Needle biopsy of pancreas (48102) |
$1,996.15 |
$3,071 |
1.1× |
Nerve repair w/nerve allograft first strand (64912)
likely a partial charge, not the full procedure |
$2,920.68 |
$4,493.36 |
0.3× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$5,559.45 |
$8,553 |
2.6× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$8,162.05 |
$12,557 |
3.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$722.80 |
$1,112 |
1.7× |
| Njx aa&/strd sciatic nerve (64445) |
$2,995.47 |
$4,608.42 |
3.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$3,207.75 |
$4,935 |
3.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$389.35 |
$599 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,218.15 |
$4,951 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,362.85 |
$9,789 |
1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,489.85 |
$5,369 |
3.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,355.60 |
$3,624 |
3.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,545.70 |
$2,378 |
2.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,837.55 |
$2,827 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,137.55 |
$4,827 |
4.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,973.40 |
$3,036 |
2.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$4,165.85 |
$6,409 |
5.4× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$10,893.02 |
$16,758.50 |
1.4× |
| Obstructive material removal from gi tube (49460) |
$1,130.35 |
$1,739 |
1.1× |
| Occipital Nerve Block (64405) |
$738.40 |
$1,136 |
2.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$7,141.88 |
$10,987.50 |
1.6× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$20,989.15 |
$32,291 |
0.6× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$17,663.75 |
$27,175 |
2.2× |
| Open thrombect av fistula (36831) |
$14,347.45 |
$22,073 |
2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$18,065.78 |
$27,793.50 |
2.2× |
| Open treatment calcaneal fracture (28415) |
$26,719.55 |
$41,107 |
3.3× |
| Open treatment fracture distal tibia only (27827) |
$13,524.66 |
$20,807.17 |
0.9× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,105.75 |
$7,855 |
0.6× |
| Open treatment metatarsal fracture each (28485) |
$11,054.55 |
$17,007 |
1.4× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$4,119.80 |
$6,338.16 |
0.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$10,536.82 |
$16,210.50 |
1.3× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$19,134.70 |
$29,438 |
2.9× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$24,804.65 |
$38,161 |
1.7× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$5,894.20 |
$9,068 |
1.6× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$13,929.50 |
$21,430 |
2.1× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$15,137.85 |
$23,289 |
1.1× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$11,553.10 |
$17,774 |
0.8× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$19,338.80 |
$29,752 |
2.4× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$16,160.30 |
$24,862 |
2.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$21,420.75 |
$32,955 |
1.5× |
| Open treatment talus fracture (28445) |
$13,451.97 |
$20,695.34 |
1.7× |
Open treatment tarsometatarsal joint dislocation (28615)
unusually low: confirm this is the full procedure |
$3,684.85 |
$5,669 |
0.5× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$12,714.65 |
$19,561 |
3.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$17,089.80 |
$26,292 |
2.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,524.65 |
$6,961 |
1.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,559.96 |
$8,553.79 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$8,910.20 |
$13,708 |
2.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,625.45 |
$10,193 |
1.8× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$8,591.38 |
$13,217.51 |
1.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$13,039.44 |
$20,060.67 |
1.6× |
| Open tx ulnar fx proximal end (24685) |
$9,888.34 |
$15,212.84 |
1.2× |
| Open/Perq Place Stent Same (37238) |
$19,883.50 |
$30,590 |
1.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$40,503.45 |
$62,313 |
3.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$12,349.35 |
$18,999 |
1.5× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,303.40 |
$11,236 |
0.9× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$28,935.40 |
$44,516 |
2.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$22,042.15 |
$33,911 |
2.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$11,186.50 |
$17,210 |
2.8× |
| Ostectomy calcaneus (28118) |
$3,833 |
$5,896.92 |
1.1× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,865.66 |
$2,870.25 |
0.5× |
| Ostectomy of sternum, partial Facility (21620) |
$8,724.30 |
$13,422 |
2.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$3,006.34 |
$4,625.14 |
0.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$8,787.57 |
$13,519.34 |
2.4× |
| Osteochondral allograft, knee, open (27415) |
$20,176.65 |
$31,041 |
1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$4,662.78 |
$7,173.50 |
0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$6,241.79 |
$9,602.75 |
1.7× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,496.24 |
$11,532.68 |
0.9× |
| Osteotomy radius distal third (25350) |
$12,082.85 |
$18,589 |
1.5× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$6,018.57 |
$9,259.34 |
1.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$6,860.78 |
$10,555.04 |
1.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$7,420.62 |
$11,416.34 |
2.0× |
| Partial excision bone tibia (27640) |
$17,137.25 |
$26,365 |
4.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$5,382.44 |
$8,280.67 |
3.0× |
| Partial removal of thyroid (60220) |
$14,208.35 |
$21,859 |
2.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,311.80 |
$8,172 |
1.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,582.37 |
$5,511.34 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$12,649 |
$19,460 |
8.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$14,348.75 |
$22,075 |
1.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,512.88 |
$2,327.50 |
1.9× |
| Percut Mech Thrombectomy, Venous (37187) |
$15,671.50 |
$24,110 |
1.2× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$20,378.15 |
$31,351 |
2.5× |
Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456)
unusually low: confirm this is the full procedure |
$3,684.85 |
$5,669 |
0.5× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$2,863.79 |
$4,405.83 |
0.8× |
| Pericardiocentesis W/Imaging (33016) |
$7,001.15 |
$10,771 |
4.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$16,216.85 |
$24,949 |
0.8× |
| Perq av fistula creation uxtr sep access sites (36837) |
$20,528.95 |
$31,583 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$2,040.35 |
$3,139 |
2.6× |
| Perq device breast 1st imag (19281) |
$2,040.35 |
$3,139 |
1.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$6,440.20 |
$9,908 |
1.6× |
| Perq p-art revsc 1 nm nt uni (33900) |
$21,814.65 |
$33,561 |
1.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$973.05 |
$1,497 |
3.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,763.45 |
$2,713 |
2.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$8,186.75 |
$12,595 |
2.2× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$30,704.70 |
$47,238 |
1.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$25,155.65 |
$38,701 |
2.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$12,927.20 |
$19,888 |
2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,928.45 |
$16,813 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$11,349 |
$17,460 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$9,278.75 |
$14,275 |
2.5× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$9,984.32 |
$15,360.50 |
2.7× |
| Phleb veins - extrem 20+ (37766) |
$5,530.85 |
$8,509 |
1.6× |
| Picc line placement (36569) |
$2,361.12 |
$3,632.50 |
1.3× |
| Place Cath Subclavian Art (36225) |
$7,328.75 |
$11,275 |
2.1× |
| Place Cath Thoracic Aorta (36221) |
$6,055.08 |
$9,315.50 |
1.7× |
| Place Cath Vertebral Art (36226) |
$14,906.45 |
$22,933 |
2.4× |
| Placement of needle for intraosseous infusion (36680) |
$526.82 |
$810.50 |
1.1× |
| Placement of seton (46020) |
$1,800.58 |
$2,770.12 |
0.6× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$8,989.50 |
$13,830 |
1.2× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$8,230.30 |
$12,662 |
1.2× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$3,922.31 |
$6,034.33 |
2.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$5,727.15 |
$8,811 |
2.5× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$5,586.75 |
$8,595 |
1.4× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$6,015.75 |
$9,255 |
1.5× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$6,336.20 |
$9,748 |
1.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,018.35 |
$9,259 |
1.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$9,467.90 |
$14,566 |
1.7× |
| Prim art mech thrombectomy (37184) |
$16,983.20 |
$26,128 |
0.8× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$9,318.84 |
$14,336.67 |
3.5× |
| Probe nl duct w/balloon (68816) |
$4,351.10 |
$6,694 |
1.6× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$4,258.15 |
$6,551 |
1.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$529.31 |
$814.33 |
0.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$7,640.10 |
$11,754 |
2.5× |
| Proctosigmoid w/biopsy (45305) |
$1,676.35 |
$2,579 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$4,123.60 |
$6,344 |
5.2× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$16,558.10 |
$25,474 |
2.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$9,548.94 |
$14,690.67 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,859.40 |
$7,476 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,713.15 |
$7,251 |
1.2× |
| Prq skel fixj metar fx w/manj (28476) |
$4,421.95 |
$6,803 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$583.05 |
$897 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$1,021.80 |
$1,572 |
1.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$1,814.80 |
$2,792 |
4.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,614.28 |
$2,483.50 |
2.1× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$12,925.25 |
$19,885 |
1.6× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$5,080.61 |
$7,816.33 |
2.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,911.35 |
$4,479 |
1.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
unusually low: confirm this is the full procedure |
$2,560.08 |
$3,938.58 |
0.3× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$7,789.44 |
$11,983.75 |
1.2× |
| Reduce testis torsion (54600) |
$11,683.10 |
$17,974 |
3.0× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$21,067.15 |
$32,411 |
2.6× |
| Relocation of skin pocket for pacemaker (33222) |
$5,484.05 |
$8,437 |
2.4× |
| Rem Endovas Vena Cava Filter (37193) |
$8,296.92 |
$12,764.50 |
2.4× |
| Removal Anal Seton Other Marker (46030) |
$2,393.95 |
$3,683 |
1.8× |
| Removal biliary drg cath (47537) |
$1,282.45 |
$1,973 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,882.80 |
$7,512 |
1.5× |
| Removal Foreign Body Foot Complicated (28193) |
$4,642.30 |
$7,142 |
2.5× |
| Removal foreign body foot deep (28192) |
$5,567.90 |
$8,566 |
3.0× |
| Removal foreign body foot subcutaneous (28190) |
$1,486.55 |
$2,287 |
1.9× |
| Removal foreign body intranasal (30300) |
$633.75 |
$975 |
4.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,908.10 |
$4,474 |
1.6× |
| Removal foreign body pharynx (42809) |
$820.30 |
$1,262 |
1.6× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,930.44 |
$4,508.38 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$119.60 |
$184 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$2,043.60 |
$3,144 |
31.1× |
| Removal implant deep (20680) |
$12,395.82 |
$19,070.50 |
3.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$898.95 |
$1,383 |
1.1× |
| Removal Intact Mammary Implant (19328) |
$6,589.05 |
$10,137 |
1.5× |
| Removal of adenoids (42831) |
$1,406.81 |
$2,164.33 |
0.4× |
| Removal of adenoids (42830) |
$5,069.57 |
$7,799.34 |
1.4× |
| Removal of anal fissure (46200) |
$3,650.84 |
$5,616.67 |
1.2× |
| Removal of arm foreign body (24200) |
$3,321.50 |
$5,110 |
1.8× |
Removal of bone for graft (20902)
unusually low: confirm this is the full procedure |
$2,435.58 |
$3,747.04 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$3,581.18 |
$5,509.50 |
2.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$523.25 |
$805 |
1.1× |
| Removal of implant from finger or hand (26320) |
$5,568.34 |
$8,566.67 |
3.0× |
| Removal of implant material (19330) |
$18,084.95 |
$27,823 |
4.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$2,016.30 |
$3,102 |
2.9× |
| Removal of iud (58301) |
$1,921.08 |
$2,955.50 |
5.7× |
| Removal of kidney stone (50081) |
$18,809.38 |
$28,937.50 |
1.8× |
| Removal of knee cartilage (27332) |
$10,272.38 |
$15,803.66 |
2.8× |
| Removal of nail bed (11750) |
$1,814.80 |
$2,792 |
4.0× |
| Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) |
$14,294.15 |
$21,991 |
1.8× |
| Removal of salivary stone (42330) |
$9,239.75 |
$14,215 |
2.5× |
| Removal Of Tendon Lesion (27630) |
$4,621.60 |
$7,110.16 |
1.3× |
| Removal of testis (54520) |
$6,307.55 |
$9,703.92 |
1.6× |
| Removal of tonsils (42825) |
$5,568.23 |
$8,566.50 |
0.8× |
| Removal of tonsils (42826) |
$7,438.38 |
$11,443.67 |
2.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,733.30 |
$7,282 |
1.3× |
| Removal ppm generator only (33233) |
$15,040.35 |
$23,139 |
1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$1,173.52 |
$1,805.42 |
5.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,561.65 |
$3,941 |
3.2× |
| Removal Submand Stone,Complicated (42335) |
$14,864.64 |
$22,868.67 |
4.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$9,404.04 |
$14,467.75 |
5.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$473.85 |
$729 |
1.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$523.90 |
$806 |
1.7× |
| Remove anal fist subq (46270) |
$3,877.82 |
$5,965.88 |
1.3× |
| Remove cerclage suture (59871) |
$6,121.05 |
$9,417 |
1.7× |
| Remove drug implant device (11982) |
$6,854.14 |
$10,544.83 |
13.8× |
| Remove ext hem groups 2+ (46250) |
$10,578.75 |
$16,275 |
3.4× |
| Remove eye lesion (66130) |
$7,144.15 |
$10,991 |
2.7× |
| Remove intrvas foreign body (37197) |
$5,943.60 |
$9,144 |
1.7× |
| Remove Pilonidal Cyst Exten (11771) |
$6,953.70 |
$10,698 |
2.1× |
| Remove Prostate Regrowth (52630) |
$16,160.30 |
$24,862 |
2.7× |
| Remove pulse generator (33241) |
$7,827.95 |
$12,043 |
1.9× |
| Remove renal tube w/fluoro (50389) |
$1,805.70 |
$2,778 |
2.3× |
| Remove spine eltrd perq aray (63661) |
$3,644.34 |
$5,606.67 |
1.7× |
| Remove spine eltrd plate (63662) |
$5,751.20 |
$8,848 |
1.5× |
| Remove tissue expander (11971) |
$14,082.25 |
$21,665 |
4.4× |
| Remove ureter stent, percut (50384) |
$4,405.70 |
$6,778 |
1.9× |
| Remove vagina gland lesion (56740) |
$14,296.75 |
$21,995 |
4.0× |
| Remove vc lesion scope/graft (31546) |
$22,552.40 |
$34,696 |
2.9× |
| Remove&replace pm gen singl (33227) |
$15,918.50 |
$24,490 |
1.7× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,649.10 |
$5,614 |
2.0× |
| Remv Ext Canal Foreign Body (69200) |
$432.90 |
$666 |
2.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$474.82 |
$730.50 |
3.2× |
| Remv Post Eye Implnt Mater,Extraocul (67120) |
$483.60 |
$744 |
0.2× |
| Remv&replc cvd gen dual lead (33263) |
$65,654.22 |
$101,006.50 |
2.6× |
| Remv&replc cvd gen mult lead (33264) |
$94,104.08 |
$144,775.50 |
2.7× |
| Remv&replc cvd gen sing lead (33262) |
$63,742.25 |
$98,065 |
2.6× |
| Remv&replc pm gen dual lead (33228) |
$26,954.20 |
$41,468 |
2.3× |
| Remv&replc pm gen mult leads (33229) |
$50,639.22 |
$77,906.50 |
2.4× |
| Renal Biopsy Percutaneous (50200) |
$5,457.40 |
$8,396 |
3.0× |
| Repair achilles tendon (27650) |
$22,935.90 |
$35,286 |
2.8× |
| Repair anal fistula (46288) |
$7,384.65 |
$11,361 |
2.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$14,707.55 |
$22,627 |
4.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,295.45 |
$1,993 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,532.70 |
$2,358 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$5,072.60 |
$7,804 |
11.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$2,832.22 |
$4,357.25 |
6.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,435.85 |
$2,209 |
3.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$3,922.75 |
$6,035 |
4.8× |
| Repair Ectropion Extensive (67917) |
$9,793.22 |
$15,066.50 |
3.7× |
| Repair eyelid defect (67904) |
$8,073.65 |
$12,421 |
3.0× |
| Repair eyelid defect (67903) |
$7,097.68 |
$10,919.50 |
2.7× |
| Repair Eyelid Wound (67935) |
$11,451.05 |
$17,617 |
4.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$17,346.55 |
$26,687 |
4.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$29,000.40 |
$44,616 |
7.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$12,251.85 |
$18,849 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,389.70 |
$2,138 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,814.80 |
$2,792 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,933.10 |
$2,974 |
4.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,660.75 |
$2,555 |
3.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$848.58 |
$1,305.50 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,138.80 |
$1,752 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,103.70 |
$1,698 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,071.20 |
$1,648 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$647.08 |
$995.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$2,055.30 |
$3,162 |
4.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$3,606.20 |
$5,548 |
4.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$2,568.80 |
$3,952 |
5.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,814.80 |
$2,792 |
4.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,087.10 |
$3,210.92 |
4.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,272.38 |
$1,957.50 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$2,038.40 |
$3,136 |
4.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,425.80 |
$3,732 |
1.1× |
| Repair Laceration Palate </2 Cm (42180) |
$2,506.40 |
$3,856 |
4.2× |
| Repair lead pace-defib dual (33220) |
$9,753.25 |
$15,005 |
2.3× |
| Repair lead pace-defib one (33218) |
$8,077.55 |
$12,427 |
1.9× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$5,480.80 |
$8,432 |
0.7× |
| Repair Mouth Laceration (40831) |
$1,806.35 |
$2,779 |
3.0× |
| Repair Nasal Stenosis (30465) |
$8,626.80 |
$13,272 |
1.3× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$11,787.10 |
$18,134 |
1.6× |
| Repair of eye wound (65280) |
$23,511.80 |
$36,172 |
4.0× |
| Repair of humerus (24430) |
$14,271.08 |
$21,955.50 |
1.0× |
| Repair of knee cartilage (27403) |
$8,809.88 |
$13,553.66 |
1.1× |
| Repair of leg tendon each (27658) |
$6,490.82 |
$9,985.87 |
1.8× |
| Repair of nail bed (11760) |
$2,970.50 |
$4,570 |
3.6× |
| Repair of nasal septum (30520) |
$4,821.70 |
$7,418 |
1.3× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$34,635.90 |
$53,286 |
2.4× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$12,349.35 |
$18,999 |
1.5× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$55,517.15 |
$85,411 |
6.9× |
| Repair of urethra injury (53502) |
$8,445.45 |
$12,993 |
2.2× |
| Repair Profundus Tendon,Primary (26370) |
$14,054.30 |
$21,622 |
3.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$35,914.12 |
$55,252.50 |
5.0× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$10,062.49 |
$15,480.75 |
2.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$13,208.44 |
$20,320.67 |
1.6× |
| Repair tongue laceration (41252) |
$999.05 |
$1,537 |
3.8× |
| Repair Tongue Laceration (41250) |
$613.60 |
$944 |
1.2× |
| Repair tympanic membrane (69610) |
$4,444.05 |
$6,837 |
2.6× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$26,754.65 |
$41,161 |
3.3× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$42,319.77 |
$65,107.34 |
5.2× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$16,903.90 |
$26,006 |
2.1× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
unusually low: confirm this is the full procedure |
$3,287.29 |
$5,057.37 |
0.4× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$10,254.48 |
$15,776.12 |
1.3× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$5,173.68 |
$7,959.52 |
0.6× |
| Repeat control of nosebleed (30906) |
$747.50 |
$1,150 |
2.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$4,059.58 |
$6,245.50 |
4.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,840.50 |
$4,370 |
2.8× |
| Replace Tissue Expander (11970) |
$23,092.55 |
$35,527 |
2.9× |
| Replace tunneled cv cath (36578) |
$3,885.70 |
$5,978 |
1.1× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,723.50 |
$4,190 |
2.7× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$10,303.80 |
$15,852 |
2.5× |
| Reposition cv cath w/fluoro (36597) |
$2,903.55 |
$4,467 |
1.7× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,261.65 |
$1,941 |
4.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$7,035.70 |
$10,824.16 |
1.9× |
| Revis reconst shoulder joint (23473) |
$38,025.65 |
$58,501 |
2.7× |
| Revise Lower Leg Tendon (27691) |
$6,604.22 |
$10,160.33 |
0.8× |
| Revise Lower Leg Tendons (27686) |
$10,870.60 |
$16,724 |
3.0× |
| Revise spine eltrd perq aray (63663) |
$6,953.70 |
$10,698 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$3,138.96 |
$4,829.16 |
1.4× |
| Revise/Remove Neuroreceiver (63688) |
$8,440.90 |
$12,986 |
2.2× |
| Revision of eyelid (67880) |
$3,571.31 |
$5,494.33 |
1.3× |
| Revision of lower leg tendon (27685) |
$6,030.22 |
$9,277.25 |
1.7× |
| Revision of reconstructed breast (19380) |
$7,525.48 |
$11,577.65 |
1.0× |
| Revision of tips (37183) |
$12,772.50 |
$19,650 |
2.0× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$29,305.25 |
$45,085 |
2.0× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$30,737.64 |
$47,288.67 |
1.6× |
| Revision of tracheostomy scar (31830) |
$13,254.49 |
$20,391.52 |
3.6× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$12,535.25 |
$19,285 |
2.0× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$16,160.30 |
$24,862 |
2.6× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$9,156.55 |
$14,087 |
1.4× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$9,996.35 |
$15,379 |
1.6× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$24,332.75 |
$37,435 |
1.9× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$24,332.75 |
$37,435 |
1.9× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$11,996.40 |
$18,456 |
1.9× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$24,585.60 |
$37,824 |
1.9× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$24,332.75 |
$37,435 |
1.9× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$14,279.20 |
$21,968 |
1.1× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,084.88 |
$3,207.50 |
0.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,099.80 |
$1,692 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$360.75 |
$555 |
2.4× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$486.20 |
$748 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$13,239.85 |
$20,369 |
4.1× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$1,996.80 |
$3,072 |
0.8× |
| Rmvl of subq defibrillator (33272) |
$10,369.78 |
$15,953.50 |
2.5× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,641.51 |
$5,602.33 |
1.7× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$8,352.50 |
$12,850 |
2.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$5,476.25 |
$8,425 |
1.3× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$7,827.95 |
$12,043 |
1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$7,330.05 |
$11,277 |
4.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$3,246.10 |
$4,994 |
4.6× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$1,063.29 |
$1,635.83 |
0.4× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$998.40 |
$1,536 |
0.4× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$8,490.95 |
$13,063 |
2.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,821.65 |
$4,341 |
1.6× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$5,117.45 |
$7,873 |
1.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,936.70 |
$4,518 |
1.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$6,229.60 |
$9,584 |
1.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,460 |
$8,400 |
1.6× |
| Rplcmt/revj csf shunt valve/cath shunt sys (62230) |
$12,454.65 |
$19,161 |
1.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$10,485.80 |
$16,132 |
1.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$7,610.20 |
$11,708 |
1.9× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$13,924.95 |
$21,423 |
1.9× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$11,415.30 |
$17,562 |
1.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$20,941.48 |
$32,217.66 |
5.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$11,638.04 |
$17,904.67 |
1.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,947.22 |
$9,149.58 |
0.9× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$2,051.40 |
$3,156 |
2.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,884.70 |
$4,438 |
1.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,617.85 |
$2,489 |
2.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$727.35 |
$1,119 |
2.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,028 |
$3,120 |
3.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,240.55 |
$3,447 |
3.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,470 |
$3,800 |
1.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$6,716.60 |
$10,333.22 |
1.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,489.15 |
$2,291 |
2.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,810.86 |
$4,324.40 |
0.8× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,792.40 |
$4,296 |
0.8× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$8,022.30 |
$12,342 |
2.3× |
| Sclerotx Fluid Collection (49185) |
$2,619.50 |
$4,030 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$3,115.45 |
$4,793 |
3.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,691.52 |
$5,679.26 |
2.8× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,651.35 |
$4,079 |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$13,135.85 |
$20,209 |
3.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$319.48 |
$491.50 |
1.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,651.35 |
$4,079 |
2.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$2,651.35 |
$4,079 |
2.0× |
| Sigmoidoscopy w/biopsy (45331) |
$2,057.04 |
$3,164.67 |
2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$951.60 |
$1,464 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,023.18 |
$1,574.12 |
4.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,137.50 |
$1,750 |
5.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,141.40 |
$1,756 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$722.48 |
$1,111.50 |
3.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$748.15 |
$1,151 |
3.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$908.05 |
$1,397 |
4.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$2,118.68 |
$3,259.50 |
9.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$788.45 |
$1,213 |
3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$779.02 |
$1,198.50 |
3.5× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$4,366.48 |
$6,717.66 |
0.7× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) |
$32,784.05 |
$50,437 |
5.0× |
| Skin splt grft trnk/arm/leg (15100) |
$8,631.35 |
$13,279 |
3.8× |
| Skin sub graft face/nk/hf/g (15275) |
$4,720.30 |
$7,262 |
5.7× |
| Skin sub graft trnk/arm/leg (15271) |
$4,934.26 |
$7,591.17 |
6.0× |
| Skin Tissue Procedure (17999) |
$4,331.81 |
$6,664.33 |
19.4× |
| Skin tissue rearrangement (14040) |
$6,076.52 |
$9,348.50 |
2.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,799.38 |
$7,383.66 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$7,149.35 |
$10,999 |
3.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$13,483.60 |
$20,744 |
2.2× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$8,932.30 |
$13,742 |
2.5× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$16,352.05 |
$25,157 |
2.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$12,003.23 |
$18,466.50 |
2.2× |
| Slitting of prepuce (54001) |
$6,015.75 |
$9,255 |
2.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$1,035.12 |
$1,592.50 |
4.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,402.38 |
$2,157.50 |
3.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$977.60 |
$1,504 |
2.2× |
| Sphincterotomy anal division sphincter spx (46080) |
$6,733.35 |
$10,359 |
2.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,463.80 |
$2,252 |
1.9× |
| Spinal Puncture Therapeutic (62272) |
$1,436.50 |
$2,210 |
1.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,348.15 |
$5,151 |
1.0× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$19,041.75 |
$29,295 |
2.9× |
| Strapping ankle (29540) |
$301.60 |
$464 |
1.7× |
| Strapping elbow or wrist (29260) |
$175.50 |
$270 |
2.7× |
| Strapping hand/finger (29280) |
$175.50 |
$270 |
2.7× |
| Strapping knee (29530) |
$235.30 |
$362 |
1.6× |
| Strapping shoulder (29240) |
$342.55 |
$527 |
2.3× |
| Strapping toes (29550) |
$287.30 |
$442 |
4.4× |
| Strapping unna boot (29580) |
$393.25 |
$605 |
2.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,224.90 |
$4,961.38 |
0.9× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$8,837.24 |
$13,595.75 |
1.3× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$5,480.80 |
$8,432 |
0.8× |
| Surgery of breast capsule (19370) |
$13,886.29 |
$21,363.52 |
3.2× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$10,027.77 |
$15,427.34 |
2.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$7,139.60 |
$10,984 |
2.3× |
| Suspension of testis (54640) |
$6,123.73 |
$9,421.12 |
1.5× |
| Suture infrapatellar tendon primary (27380) |
$12,133.22 |
$18,666.50 |
1.5× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$15,251.92 |
$23,464.50 |
1.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$5,596.56 |
$8,610.08 |
3.1× |
| Tangential biopsy skin single lesion (11102) |
$529.75 |
$815 |
1.2× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$27,139.45 |
$41,753 |
0.8× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$50,912.22 |
$78,326.50 |
2.4× |
| Temporary Closure Eyelids Suture (67875) |
$4,333.33 |
$6,666.66 |
3.9× |
| Tenodesis long tendon biceps (23430) |
$8,822.45 |
$13,573 |
1.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$4,501.58 |
$6,925.50 |
2.5× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$8,222.14 |
$12,649.46 |
2.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$21,953.75 |
$33,775 |
27.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,430.98 |
$2,201.50 |
2.0× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$27,294.15 |
$41,991 |
2.3× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$7,970.51 |
$12,262.33 |
1.2× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$4,810.21 |
$7,400.33 |
0.7× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$14,763.45 |
$22,713 |
2.4× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$12,547.60 |
$19,304 |
2.0× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$30,125.55 |
$46,347 |
4.9× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,397.30 |
$9,842 |
1.8× |
| Thrombolytic Art Therapy (37211) |
$9,146.15 |
$14,071 |
1.5× |
| Thrombolytic Therapy Stroke (37195) |
$1,314.62 |
$2,022.50 |
3.6× |
| Thrombolytic Venous Therapy (37212) |
$5,729.75 |
$8,815 |
1.6× |
| Thyroid biopsy (60100) |
$1,425.45 |
$2,193 |
1.8× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$17,453.15 |
$26,851 |
2.6× |
| Thyroidectomy, total or complete (60240) |
$25,269.40 |
$38,876 |
3.8× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$8,945.54 |
$13,762.38 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$8,663.64 |
$13,328.67 |
2.3× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$19,419.62 |
$29,876.34 |
1.0× |
| Total hip arthroplasty (27130) |
$38,403.30 |
$59,082 |
2.7× |
| Total Knee Arthroplasty (27447) |
$26,409.50 |
$40,630 |
1.8× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$6,055.40 |
$9,316 |
1.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,372.80 |
$2,112 |
2.3× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$8,162.05 |
$12,557 |
2.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,235.65 |
$1,901 |
4.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,530.45 |
$3,893 |
1.5× |
| Tracheostomy planned (31600) |
$4,876.30 |
$7,502 |
1.3× |
| Tracheotomy tube change (31502) |
$518.05 |
$797 |
2.0× |
| Transcatheter biopsy (37200) |
$6,340.75 |
$9,755 |
1.0× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$3,330.20 |
$5,123.38 |
1.5× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690)
unusually low: confirm this is the full procedure |
$4,029.77 |
$6,199.64 |
0.5× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$10,311.60 |
$15,864 |
1.7× |
| Transur electr resection of prostate (52601) |
$5,355.78 |
$8,239.66 |
0.9× |
| Treat Big Toe Fracture (28505) |
$8,047 |
$12,380 |
2.2× |
| Treat clavicle fracture (23505) |
$2,835.95 |
$4,363 |
1.6× |
| Treat humerus fracture (24500) |
$475.80 |
$732 |
1.7× |
| Treat humerus fracture (23600) |
$690.95 |
$1,063 |
2.5× |
| Treat knee fracture (27532) |
$5,556.20 |
$8,548 |
1.5× |
| Treat Knee Fracture (27535) |
$15,682.88 |
$24,127.50 |
1.9× |
| Treat Knee Fracture(S) (27538) |
$1,158.30 |
$1,782 |
4.2× |
| Treat Kneecap Fracture (27524) |
$11,065.71 |
$17,024.17 |
1.4× |
| Treat Lower Leg Fracture (27828) |
$23,138.05 |
$35,597 |
1.6× |
| Treat Metatarsal Fracture (28475) |
$858.65 |
$1,321 |
3.1× |
| Treat radius fracture (24665) |
$17,181.24 |
$26,432.67 |
2.1× |
| Treat scapula fracture (23585) |
$27,752.40 |
$42,696 |
3.4× |
| Treat Thigh Fracture (27246) |
$199.55 |
$307 |
0.7× |
| Treat Thumb Dislocation (26641) |
$1,734.85 |
$2,669 |
6.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,039.05 |
$3,137 |
1.1× |
| Treat Vaginal Bleeding (57180) |
$558.02 |
$858.50 |
2.5× |
| Treat wrist bone fracture (25622) |
$491.40 |
$756 |
1.8× |
| Treat/graft heel fracture (28420) |
$15,847.44 |
$24,380.67 |
1.1× |
| Treatment closed elbow dislocation req anes (24605) |
$2,163.20 |
$3,328 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,120.92 |
$1,724.50 |
4.1× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$6,142.82 |
$9,450.50 |
1.7× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$6,488.95 |
$9,983 |
1.8× |
| Treatment of nose fracture (21330) |
$5,711.55 |
$8,787 |
0.9× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$454.35 |
$699 |
1.7× |
| Trim skin lesion (11055) |
$198.90 |
$306 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$490.75 |
$755 |
2.2× |
| Trim skin lesions over 4 (11057) |
$552.82 |
$850.50 |
2.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$115.38 |
$177.50 |
1.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$17,507.75 |
$26,935 |
2.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$15,490.80 |
$23,832 |
2.4× |
| Tube thoracostomy includes water seal (32551) |
$2,423.52 |
$3,728.50 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,441.36 |
$8,371.33 |
1.8× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$27,567.15 |
$42,411 |
1.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,022.88 |
$7,727.50 |
1.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,293.85 |
$3,529 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$3,847.35 |
$5,919 |
4.7× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$17,478.50 |
$26,890 |
1.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$17,465.94 |
$26,870.67 |
2.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$24,804.65 |
$38,161 |
3.8× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$21,619.16 |
$33,260.25 |
3.3× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$17,094.14 |
$26,298.67 |
2.6× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$11,696.38 |
$17,994.42 |
1.8× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$8,890.22 |
$13,677.25 |
1.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$10,496.85 |
$16,149 |
1.6× |
| Tympanostomy general anesthesia (69436) |
$7,418.45 |
$11,413 |
4.3× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$8,606.65 |
$13,241 |
2.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$3,186.95 |
$4,903 |
14.1× |
| Unlisted laparoscopic procedure liver (47379) |
$12,754.30 |
$19,622 |
1.9× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$27,234.02 |
$41,898.50 |
4.0× |
| Unlisted laparoscopy procedure, appendix (44979) |
$5,876.16 |
$9,040.25 |
0.9× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$36,370.97 |
$55,955.34 |
5.4× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$17,243.85 |
$26,529 |
2.6× |
| Unlisted laparoscopy procedure, rectum (45499) |
$17,243.85 |
$26,529 |
2.6× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$10,836.15 |
$16,671 |
1.6× |
| Unlisted musculoskeletal procedure head (21499) |
$7,139.60 |
$10,984 |
27.1× |
| Unlisted Procedure Accessory Sinuses (31299) |
$3,124.34 |
$4,806.68 |
11.8× |
| Unlisted procedure anus (46999) |
$1,791.18 |
$2,755.66 |
1.7× |
| Unlisted procedure excision pressure ulcer (15999) |
$9,449.05 |
$14,537 |
12.0× |
| Unlisted procedure larynx (31599) |
$8,416.04 |
$12,947.75 |
31.9× |
| Unlisted Procedure Muscskeletal System General (20999) |
$11,712.27 |
$18,018.88 |
42.6× |
| Unlisted procedure nervous system (64999) |
$4,609.48 |
$7,091.50 |
13.5× |
| Unlisted procedure rectum (45999) |
$45,331.65 |
$69,741 |
43.7× |
| Unlisted Procedure Small Intestine (44799) |
$2,346.50 |
$3,610 |
2.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$4,899.86 |
$7,538.25 |
22.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,583.08 |
$2,435.50 |
2.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$4,757.03 |
$7,318.50 |
4.7× |
| Unlisted procedure, hands or fingers (26989) |
$2,784.16 |
$4,283.33 |
10.1× |
| Unlisted procedure, maternity care and delivery (59899) |
$4,203.11 |
$6,466.33 |
18.7× |
| Unlisted procedure, stomach (43999) |
$1,587.14 |
$2,441.75 |
1.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$10,495.98 |
$16,147.66 |
46.6× |
| Upgrade of pacemaker system (33214) |
$14,553.50 |
$22,390 |
1.2× |
| Urology Surgery Procedure (53899) |
$3,571.31 |
$5,494.33 |
12.8× |
| Us urine capacity measure (51798) |
$332.15 |
$511 |
5.1× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$5,652.40 |
$8,696 |
1.6× |
| Uvulectomy excision of uvula (42140) |
$4,242.55 |
$6,527 |
1.1× |
| Vaginal delivery only (59409) |
$4,006.60 |
$6,164 |
1.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$9,529.44 |
$14,660.67 |
1.7× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$12,349.35 |
$18,999 |
2.2× |
| Vasc embolize/occlude artery (37242) |
$22,880 |
$35,200 |
1.1× |
| Vasc Embolize/Occlude Bleed (37244) |
$35,915.10 |
$55,254 |
2.8× |
| Vasc embolize/occlude organ (37243) |
$31,454.15 |
$48,391 |
2.4× |
| Vasc embolize/occlude venous (37241) |
$14,015.30 |
$21,562 |
1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$5,103.15 |
$7,851 |
2.2× |
| Venipuncture (36415) |
$21.45 |
$33 |
2.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$891.80 |
$1,372 |
1.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,605.25 |
$7,085 |
1.2× |
| Vulvectomy Simple Partial (56620) |
$7,701.85 |
$11,849 |
2.1× |
| Vulvectomy, radical, partial; Facility (56630) |
$9,842.20 |
$15,141.84 |
1.8× |
| Wedge excision skin nail fold (11765) |
$1,656.85 |
$2,549 |
3.7× |
| Wound Prep F/N/Hf/G (15004) |
$3,366.14 |
$5,178.66 |
7.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,835.76 |
$2,824.25 |
2.2× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,394 |
$6,760 |
0.7× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$4,394 |
$6,760 |
0.7× |