| Abd paracentesis w/imaging (49083) |
$2,479.10 |
$3,814 |
2.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,361.42 |
$2,094.50 |
1.3× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$22,886.82 |
$35,210.50 |
1.9× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$17,249.05 |
$26,537 |
2.1× |
| Abltj 1/> lvr tum prq rf (47382) |
$9,432.80 |
$14,512 |
1.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,907.23 |
$4,472.66 |
1.3× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,383.25 |
$5,205 |
1.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,871.56 |
$5,956.25 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$10,224.18 |
$15,729.50 |
4.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,529.53 |
$6,968.50 |
2.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,406.98 |
$5,241.50 |
1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$10,031.12 |
$15,432.50 |
2.8× |
| Amputation Finger/Thumb (26951) |
$7,463.30 |
$11,482 |
2.0× |
| Amputation foot transmetarsal (28805) |
$12,549.55 |
$19,307 |
3.4× |
| Amputation metatarsal with toe single (28810) |
$9,820.85 |
$15,109 |
2.7× |
| Amputation toe interphalangeal joint (28825) |
$9,430.85 |
$14,509 |
2.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$8,943.35 |
$13,759 |
2.5× |
| Anoscopy Ablation Lesion (46615) |
$4,738.50 |
$7,290 |
1.5× |
| Anoscopy diagnostic (46600) |
$731.58 |
$1,125.50 |
4.9× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$4,757.35 |
$7,319 |
3.6× |
| Anoscopy w/control bleeding (46614) |
$2,600 |
$4,000 |
1.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,806.35 |
$2,779 |
1.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$3,742.05 |
$5,757 |
2.8× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,421.47 |
$2,186.88 |
0.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$6,557.53 |
$10,088.50 |
1.2× |
| Appendectomy (44950) |
$11,014.90 |
$16,946 |
1.5× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$359.45 |
$553 |
2.0× |
| Application cast elbow finger short arm (29075) |
$267.15 |
$411 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$399.75 |
$615 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$267.15 |
$411 |
4.1× |
| Application finger splint static (29130) |
$240.50 |
$370 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$414.70 |
$638 |
2.3× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure |
$3,419.86 |
$5,261.33 |
0.2× |
| Application of long leg cast (29345) |
$399.75 |
$615 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$272.35 |
$419 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$441.35 |
$679 |
3.0× |
Application uniplane external fixation system (20690)
unusually low: confirm this is the full procedure |
$2,749.34 |
$4,229.75 |
0.3× |
| Apply Hand/Wrist Cast (29085) |
$356.85 |
$549 |
2.0× |
| Apply long leg splint (29505) |
$383.50 |
$590 |
2.1× |
| Apply short leg cast (29405) |
$234.32 |
$360.50 |
0.8× |
| Apply short leg cast (29425) |
$487.18 |
$749.50 |
1.6× |
| Apply short leg splint (29515) |
$395.85 |
$609 |
2.2× |
| Arterial puncture (36600) |
$335.08 |
$515.50 |
2.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$13,233.35 |
$20,359 |
3.8× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$20,588.78 |
$31,675.04 |
1.4× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
likely a partial charge, not the full procedure |
$3,615.46 |
$5,562.25 |
0.3× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$7,374.52 |
$11,345.42 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$549.90 |
$846 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$887.25 |
$1,365 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$767.32 |
$1,180.50 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$642.85 |
$989 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$434.20 |
$668 |
1.3× |
| Arthrodesis ankle open (27870) |
$14,100.02 |
$21,692.34 |
1.0× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$2,171.59 |
$3,340.90 |
0.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,542.94 |
$11,604.52 |
0.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$14,013.35 |
$21,559 |
3.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$20,556.90 |
$31,626 |
1.1× |
| Arthrodesis triple (28715) |
$21,200.30 |
$32,615.84 |
1.5× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$23,291.48 |
$35,833.04 |
0.8× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$47,619.33 |
$73,260.50 |
1.6× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) |
$17,453.15 |
$26,851 |
0.9× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$7,296.74 |
$11,225.75 |
0.4× |
| Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610) |
$17,085.26 |
$26,285.02 |
0.9× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
likely a partial charge, not the full procedure |
$2,233.27 |
$3,435.80 |
0.3× |
| Arthrodesis; subtalar (28725) |
$8,848.84 |
$13,613.60 |
0.6× |
| Arthroplasty Ankle W/Implant (27702) |
$28,786.34 |
$44,286.67 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$27,852.07 |
$42,849.34 |
1.4× |
| Arthroplasty, ankle; Facility (27700) |
$17,736.98 |
$27,287.67 |
2.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$4,707.95 |
$7,243 |
1.3× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$21,101.38 |
$32,463.67 |
1.5× |
| Arthroplasty, radial head; with implant Facility (24366) |
$7,969 |
$12,260 |
0.6× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$12,245.56 |
$18,839.33 |
1.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$9,284.60 |
$14,284 |
2.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,366.92 |
$3,641.41 |
0.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$10,413.87 |
$16,021.34 |
2.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$7,272.41 |
$11,188.33 |
2.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$5,594.55 |
$8,607 |
1.5× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$7,010.03 |
$10,784.66 |
1.9× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$17,157.40 |
$26,396 |
2.1× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$3,719.51 |
$5,722.33 |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$7,919.60 |
$12,184 |
2.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,719.51 |
$5,722.33 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$8,568.19 |
$13,181.83 |
2.3× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$2,217.16 |
$3,411.02 |
0.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,108.67 |
$14,013.34 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,081.31 |
$7,817.40 |
1.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,500.14 |
$8,461.75 |
0.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,186.44 |
$12,594.52 |
1.0× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) |
$20,331.36 |
$31,279.01 |
1.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$18,059.60 |
$27,784 |
5.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,257.45 |
$3,473 |
0.6× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Facility (28050) |
$3,890.79 |
$5,985.83 |
1.1× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$3,312.21 |
$5,095.71 |
0.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$8,388.03 |
$12,904.66 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$5,808.50 |
$8,936.16 |
1.6× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$13,415.39 |
$20,639.06 |
3.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,153.85 |
$3,313.62 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$3,016.98 |
$4,641.50 |
4.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$462.80 |
$712 |
1.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,856.45 |
$5,933 |
1.7× |
| Aspiration bladder needle (51100) |
$613.60 |
$944 |
2.2× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$11,506.30 |
$17,702 |
4.5× |
| Av fistula revision (36833) |
$10,577.88 |
$16,273.66 |
1.7× |
| Av Fuse Uppr Arm Basilic (36819) |
$23,422.10 |
$36,034 |
3.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$412.75 |
$635 |
1.8× |
| Biopsy bone open deep (20245) |
$2,295.53 |
$3,531.58 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$4,564.30 |
$7,022 |
2.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,142.40 |
$3,296 |
1.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$3,046.11 |
$4,686.33 |
3.0× |
| Biopsy muscle deep (20205) |
$5,562.38 |
$8,557.50 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$3,000.40 |
$4,616 |
1.6× |
| Biopsy of breast; open, incisional (19101) |
$7,585.50 |
$11,670 |
1.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,653.92 |
$7,159.88 |
1.1× |
| Biopsy pleura percutaneous needle (32400) |
$2,295.15 |
$3,531 |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$4,595.50 |
$7,070 |
2.7× |
| Biopsy Salivary Gland,Needle (42400) |
$1,169.35 |
$1,799 |
1.5× |
| Biopsy soft tissue back,superf (21920) |
$2,052.70 |
$3,158 |
1.1× |
| Biopsy soft tissue back/flank deep (21925) |
$4,034.55 |
$6,207 |
2.2× |
| Biopsy soft tissue neck/thorax (21550) |
$2,506.40 |
$3,856 |
1.4× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$3,010.15 |
$4,631 |
1.6× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$4,552.60 |
$7,004 |
2.5× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$5,123.30 |
$7,882 |
1.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$3,685.50 |
$5,670 |
3.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$5,249.28 |
$8,075.83 |
5.1× |
| Biopsy/removal lymph nodes (38525) |
$4,219.77 |
$6,491.96 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$4,471.40 |
$6,879.08 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$584.35 |
$899 |
0.8× |
| Bladder Irrigation Simple (51700) |
$512.20 |
$788 |
1.8× |
| Blepharotomy drain absc eyelid (67700) |
$773.18 |
$1,189.50 |
2.2× |
| Blood patch (62273) |
$1,964.95 |
$3,023 |
2.5× |
| Blood transfusion service (36430) |
$2,000.86 |
$3,078.25 |
4.1× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$4,375.66 |
$6,731.79 |
0.5× |
| Bone marrow aspiration only (38220) |
$2,172.62 |
$3,342.50 |
1.2× |
| Bone Marrow Biopsy (38221) |
$2,345.20 |
$3,608 |
1.3× |
| Breast Reduction (19318) |
$5,333.87 |
$8,205.96 |
0.7× |
| Breast surgery procedure (19499) |
$3,887 |
$5,980 |
0.9× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,481.35 |
$2,279 |
0.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,777.53 |
$4,273.12 |
1.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,407.30 |
$5,242 |
0.8× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,407.30 |
$5,242 |
0.8× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$740.68 |
$1,139.50 |
0.2× |
| Bronch ebus samplng 1/2 node (31652) |
$2,981.40 |
$4,586.76 |
0.7× |
| Bronch ebus samplng 3/> node (31653) |
$4,444.05 |
$6,837 |
1.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,717.65 |
$4,181 |
1.4× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,434.44 |
$5,283.75 |
0.8× |
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure |
$2,328.84 |
$3,582.82 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,937.02 |
$4,518.50 |
1.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,379.54 |
$2,122.38 |
0.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,111.01 |
$1,709.25 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,756.65 |
$4,241 |
1.5× |
| Bx anorectal wall anal approach (45100) |
$4,237.35 |
$6,519 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$3,688.75 |
$5,675 |
2.0× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$4,363.78 |
$6,713.50 |
1.3× |
| Bx/exc lymph node needle superficial (38505) |
$2,052.70 |
$3,158 |
1.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$5,794.96 |
$8,915.33 |
1.6× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$16,647.64 |
$25,611.75 |
2.1× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$1,704.03 |
$2,621.58 |
0.5× |
| Capsulotomy, midfoot; with tendon lengthening Facility (28261) |
$2,233.27 |
$3,435.80 |
1.2× |
| Carpectomy All Bones Proximal Row (25215) |
$10,772.24 |
$16,572.67 |
3.0× |
| Cataract surgery complex (66982) |
$3,912.35 |
$6,019 |
1.5× |
| Cessj Therapy Cath Removal (37214) |
$5,497.05 |
$8,457 |
1.6× |
| Change of cystostomy tube simple (51705) |
$1,771.03 |
$2,724.66 |
6.4× |
| Chemical cautery tissue (17250) |
$361.40 |
$556 |
1.6× |
| Chemodenerv musc migraine (64615) |
$117.65 |
$181 |
0.3× |
| Chemodenervation internal anal sphincter (46505) |
$2,441.64 |
$3,756.38 |
1.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,568.85 |
$7,029 |
1.1× |
| Chromotubation oviduct (58350) |
$3,999.23 |
$6,152.66 |
0.7× |
| Circum 28 days or older (54161) |
$8,151 |
$12,540 |
3.5× |
| Circumcision Neonate (54160) |
$2,047.50 |
$3,150 |
2.6× |
| Claviculectomy partial (23120) |
$2,796.46 |
$4,302.25 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$546 |
$840 |
2.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$3,453.45 |
$5,313 |
12.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$4,496.05 |
$6,917 |
2.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$563.22 |
$866.50 |
2.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,760.25 |
$5,785 |
2.2× |
| Closed Rx Radial Shaft Fx (25500) |
$547.95 |
$843 |
2.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,005.25 |
$3,085 |
1.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$614.90 |
$946 |
2.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$640.90 |
$986 |
2.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$687.05 |
$1,057 |
2.5× |
| Closed Treat Vert Body Fract (22310) |
$454.35 |
$699 |
1.7× |
| Closed treat wrist dislocation (25660) |
$715.65 |
$1,101 |
2.6× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,507.75 |
$6,935 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$496.60 |
$764 |
1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$706.55 |
$1,087 |
2.6× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$2,939.95 |
$4,523 |
1.6× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,904.55 |
$6,007 |
2.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$525.20 |
$808 |
1.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$570.05 |
$877 |
2.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$521.95 |
$803 |
1.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$771.55 |
$1,187 |
2.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,756 |
$4,240 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,438.12 |
$2,212.50 |
5.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$725.40 |
$1,116 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,137.50 |
$1,750 |
4.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,524.92 |
$3,884.50 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$773.50 |
$1,190 |
2.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$654.55 |
$1,007 |
2.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,901.90 |
$2,926 |
1.1× |
| Closed tx femoral fracture prox head w manip (27268) |
$9,589.45 |
$14,753 |
5.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$486.20 |
$748 |
1.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,017.95 |
$4,643 |
1.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,953.25 |
$3,005 |
7.1× |
| Closed tx lunate dislocation w/manipulation (25690) |
$3,142.10 |
$4,834 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$543.72 |
$836.50 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,985.18 |
$7,669.50 |
2.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,692.95 |
$4,143 |
1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$930.15 |
$1,431 |
3.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,403.02 |
$2,158.50 |
5.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,202.85 |
$3,389 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$420.55 |
$647 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,104.05 |
$3,237 |
1.2× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,132.68 |
$4,819.50 |
1.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$388.05 |
$597 |
1.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$653.25 |
$1,005 |
2.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,950 |
$3,000 |
1.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$653.25 |
$1,005 |
2.4× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,123.25 |
$4,805 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$603.20 |
$928 |
2.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,326.35 |
$3,579 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$505.70 |
$778 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,030.25 |
$1,585 |
3.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$796.90 |
$1,226 |
3.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,236.30 |
$1,902 |
4.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$411.78 |
$633.50 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,897.38 |
$4,457.50 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,288.30 |
$1,982 |
4.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,944.50 |
$4,530 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,999.72 |
$3,076.50 |
1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$609.70 |
$938 |
2.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,594.80 |
$3,992 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,302.60 |
$2,004 |
4.7× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$3,461.90 |
$5,326 |
1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$756.60 |
$1,164 |
2.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$659.10 |
$1,014 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$618.48 |
$951.50 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,779.48 |
$2,737.66 |
6.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$546 |
$840 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,897.70 |
$4,458 |
1.6× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,773.55 |
$4,267 |
1.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$893.75 |
$1,375 |
3.3× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,109.55 |
$1,707 |
0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$824.20 |
$1,268 |
3.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,512.25 |
$3,865 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$623.35 |
$959 |
2.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$753.35 |
$1,159 |
2.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$910 |
$1,400 |
3.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$516.10 |
$794 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,666.24 |
$7,178.84 |
2.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$536.25 |
$825 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$884.65 |
$1,361 |
3.2× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$746.20 |
$1,148 |
2.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$4,399.20 |
$6,768 |
2.5× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,516.80 |
$3,872 |
1.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$592.15 |
$911 |
1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$663.65 |
$1,021 |
2.4× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,456.70 |
$5,318 |
1.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$758.88 |
$1,167.50 |
2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$859.62 |
$1,322.50 |
3.1× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$9,270.95 |
$14,263 |
2.5× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$703.62 |
$1,082.50 |
2.6× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,956.20 |
$4,548 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$804.05 |
$1,237 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$632.45 |
$973 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,999.72 |
$3,076.50 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$593.78 |
$913.50 |
2.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$4,847.70 |
$7,458 |
2.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$787.15 |
$1,211 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$950.95 |
$1,463 |
3.5× |
| Cltx post ankle fx w/mnpj (27768) |
$2,629.90 |
$4,046 |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,893.80 |
$4,452 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,405.30 |
$2,162 |
5.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,461.55 |
$3,787 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$521.30 |
$802 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,085.55 |
$4,747 |
1.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$822.90 |
$1,266 |
3.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$529.10 |
$814 |
1.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,029.95 |
$3,123 |
1.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,975.05 |
$4,577 |
1.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,713.75 |
$4,175 |
1.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,720.25 |
$4,185 |
1.5× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,215.50 |
$1,870 |
4.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$771.55 |
$1,187 |
2.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$295.75 |
$455 |
2.0× |
| Colonoscopy flex w/blln dilat (45386) |
$1,894.70 |
$2,914.92 |
1.4× |
| Colonoscopy flex w/inj submuc (45381) |
$1,199.41 |
$1,845.25 |
0.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$4,171.70 |
$6,418 |
3.1× |
| Colonoscopy stoma w/biopsy (44389) |
$2,742.35 |
$4,219 |
2.1× |
| Colonoscopy thru stoma (44388) |
$4,454.88 |
$6,853.67 |
4.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,781.14 |
$4,278.67 |
2.1× |
| Colonoscopy w/ablation (45388) |
$4,738.07 |
$7,289.34 |
3.6× |
| Colonoscopy w/band ligation (45398) |
$4,797.65 |
$7,381 |
3.6× |
| Colonoscopy w/endoscopic fnb (45392) |
$5,243.55 |
$8,067 |
3.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$2,428.64 |
$3,736.38 |
1.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$2,989.79 |
$4,599.67 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$9,516 |
$14,640 |
1.7× |
| Colpoperineorrhaphy non ob (57210) |
$9,963.20 |
$15,328 |
2.8× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$4,185.84 |
$6,439.75 |
0.5× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$5,661.17 |
$8,709.50 |
0.7× |
| Colporrhaphy Suture Injury Vagina (57200) |
$6,899.86 |
$10,615.16 |
1.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$6,396 |
$9,840 |
18.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$3,046.11 |
$4,686.33 |
3.0× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$11,965.85 |
$18,409 |
2.1× |
| Combined anteroposterior colporrhaphy; (57260) |
$9,732.24 |
$14,972.67 |
1.7× |
| Conization of cervix (57520) |
$6,922.50 |
$10,650 |
1.9× |
| Conization of cervix (57522) |
$4,836 |
$7,440 |
1.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$653.25 |
$1,005 |
2.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$778.70 |
$1,198 |
5.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$392.60 |
$604 |
2.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$570.38 |
$877.50 |
0.9× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$5,323.50 |
$8,190 |
1.4× |
| Conversion ext bil drg cath (47535) |
$6,415.50 |
$9,870 |
1.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$8,892.98 |
$13,681.50 |
4.2× |
| Convert nephrostomy catheter (50434) |
$3,410.55 |
$5,247 |
1.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,055 |
$4,700 |
1.7× |
| Correction hammertoe (28285) |
$2,070.10 |
$3,184.76 |
0.6× |
| Correction of bunion (28292) |
$2,210.59 |
$3,400.90 |
0.6× |
Correction of bunion (28297)
unusually low: confirm this is the full procedure |
$6,542.46 |
$10,065.32 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,226.69 |
$9,579.52 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$610.68 |
$939.50 |
4.1× |
| Curettage postpartum (59160) |
$4,543.50 |
$6,990 |
1.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$6,092.24 |
$9,372.67 |
2.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$6,848.72 |
$10,536.50 |
2.9× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$8,951.15 |
$13,771 |
2.3× |
| Cysto w/insert ureteral stent (52332) |
$7,090.85 |
$10,909 |
1.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,818.61 |
$4,336.33 |
0.7× |
| Cysto w/removal of tumors small (52234) |
$4,483.05 |
$6,897 |
1.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$7,430.15 |
$11,431 |
3.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$5,088.20 |
$7,828 |
1.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,795.75 |
$10,455 |
1.7× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$12,452.70 |
$19,158 |
2.1× |
| Cysto/uretero w/lithotripsy (52356) |
$20,743.12 |
$31,912.50 |
3.5× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$14,241.50 |
$21,910 |
2.4× |
| Cystoscopy implant stent (52282) |
$7,762.95 |
$11,943 |
2.0× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$2,916.11 |
$4,486.33 |
1.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,742.05 |
$5,757 |
1.6× |
| Cystouretero & or pyeloscope (52351) |
$13,406.90 |
$20,626 |
3.4× |
| Cystourethroscopy (52000) |
$6,396 |
$9,840 |
8.2× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$16,116.75 |
$24,795 |
2.7× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$2,331.11 |
$3,586.33 |
0.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$6,115.85 |
$9,409 |
2.6× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$6,612.24 |
$10,172.67 |
1.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$10,525.45 |
$16,193 |
4.5× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,958.28 |
$6,089.66 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$6,124.52 |
$9,422.33 |
2.6× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$10,765.30 |
$16,562 |
2.7× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$4,671.11 |
$7,186.33 |
0.8× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$5,742.54 |
$8,834.67 |
2.5× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$9,918.35 |
$15,259 |
4.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$425.75 |
$655 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$5,907.41 |
$9,088.33 |
1.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$6,207.28 |
$9,549.66 |
7.9× |
| Debride skin musc at fx site (11011) |
$3,257.26 |
$5,011.16 |
4.1× |
| Debride tissue/muscle (11043) |
$13,389.68 |
$20,599.50 |
16.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$974.68 |
$1,499.50 |
2.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,198.65 |
$4,921 |
1.7× |
| Declot vascular device (36593) |
$892.78 |
$1,373.50 |
2.4× |
| Delivery placenta separate procedure (59414) |
$4,241.25 |
$6,525 |
1.2× |
| Destroy internal hemorrhoids (46930) |
$1,096.55 |
$1,687 |
0.8× |
| Destruction Benign Lesions 15/> (17111) |
$4,251 |
$6,540 |
19.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$5,567.25 |
$8,565 |
24.9× |
| Destruction premalignant lesion 1st (17000) |
$97.50 |
$150 |
0.4× |
| Destruction Vaginal Lesions Simple (57061) |
$19,357.65 |
$29,781 |
5.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,302.62 |
$3,542.50 |
2.9× |
| Diagnostic sigmoidoscopy (45330) |
$2,267.20 |
$3,488 |
2.2× |
| Dilate urethra stricture (53600) |
$395.20 |
$608 |
1.4× |
| Dilation and curettage (58120) |
$1,771.84 |
$2,725.90 |
0.5× |
| Dilation of cervical canal (57800) |
$8,783.45 |
$13,513 |
2.4× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$2,233.27 |
$3,435.80 |
0.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,421.25 |
$3,725 |
1.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$765.38 |
$1,177.50 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$416.98 |
$641.50 |
1.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$716.95 |
$1,103 |
2.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$971.75 |
$1,495 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,239.90 |
$3,446 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$406.90 |
$626 |
1.8× |
| Drainage Mouth Roof Lesion (42000) |
$514.80 |
$792 |
2.0× |
| Drainage of gum lesion (41800) |
$1,008.80 |
$1,552 |
6.8× |
| Drainage of hematoma/fluid (10140) |
$7,802.60 |
$12,004 |
4.2× |
| Drainage of scrotal wall abscess (55100) |
$2,309.12 |
$3,552.50 |
1.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$2,862.60 |
$4,404 |
0.8× |
| Draw blood off venous device (36591) |
$244.72 |
$376.50 |
1.7× |
| Dressing change under anesthesia (15852) |
$1,448.85 |
$2,229 |
1.8× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$962.98 |
$1,481.50 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$624 |
$960 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$487.50 |
$750 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$478.40 |
$736 |
2.1× |
| Dstrj lesion anus simple chemical (46900) |
$2,019.11 |
$3,106.33 |
4.5× |
| Dstrj lesion anus simple surg excision (46922) |
$4,738.50 |
$7,290 |
1.5× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$4,785.95 |
$7,363 |
2.1× |
| Dstrj lesion penis simple surg excision (54060) |
$5,323.50 |
$8,190 |
2.3× |
| Dx bone marrow bx & aspir (38222) |
$2,761.85 |
$4,249 |
0.9× |
| Ear Cartilage Graft (21235) |
$8,493.76 |
$13,067.33 |
1.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$4,627.68 |
$7,119.50 |
2.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,515.40 |
$2,331.38 |
0.7× |
| Egd band ligation esophgeal/gastric varices (43244) |
$3,913.65 |
$6,021 |
1.8× |
| Egd control bleeding any (43255) |
$3,248.70 |
$4,998 |
1.5× |
| Egd dilate stricture (43245) |
$1,073.96 |
$1,652.25 |
0.5× |
| Egd endo mucosal resection (43254) |
$1,304.55 |
$2,007 |
0.6× |
| Egd endoscopic stent place (43266) |
$3,913.65 |
$6,021 |
0.6× |
| Egd flexible foreign body removal (43247) |
$2,648.42 |
$4,074.50 |
2.6× |
| Egd guide wire insertion (43248) |
$1,624.13 |
$2,498.66 |
1.6× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$4,304.95 |
$6,623 |
2.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,076.24 |
$1,655.75 |
0.5× |
| Egd remove lesion snare (43251) |
$1,867.12 |
$2,872.50 |
0.9× |
| Egd us exam duodenum/jejunum (43259) |
$2,609.10 |
$4,014 |
1.2× |
| Egd us transmural injxn/mark (43253) |
$4,950.40 |
$7,616 |
2.3× |
Egd w/transmural drain cyst (43240)
unusually low: confirm this is the full procedure |
$2,475.20 |
$3,808 |
0.4× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$15,245.10 |
$23,454 |
2.5× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$6,670.95 |
$10,263 |
1.2× |
| Endometrial Biopsy (58100) |
$321.75 |
$495 |
1.4× |
| Endoscopic us exam esoph (43237) |
$4,304.95 |
$6,623 |
2.0× |
| Endoscopy bowel pouch/biop (44386) |
$2,691.65 |
$4,141 |
2.6× |
| Endoscopy Upper Small Intestine (44360) |
$4,738.07 |
$7,289.34 |
2.2× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$8,180.25 |
$12,585 |
2.3× |
| Endoven ther chem adhes 1st (36482) |
$11,292.24 |
$17,372.67 |
1.8× |
| Endovenous rf 1st vein (36475) |
$9,081.80 |
$13,972 |
2.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,815.45 |
$2,793 |
0.8× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$4,156.75 |
$6,395 |
1.8× |
| Episiotomy or vaginal repair (59300) |
$7,481.18 |
$11,509.50 |
2.1× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$944.42 |
$1,452.96 |
0.1× |
| Ercp ea duct/ampulla dilate (43277) |
$2,863.90 |
$4,406 |
0.7× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$1,235 |
$1,900 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,452.96 |
$2,235.33 |
0.3× |
| Ercp remove forgn body duct (43275) |
$396.94 |
$610.68 |
0.2× |
| Ercp Stent Exchange W/Dilate (43276) |
$4,295.85 |
$6,609 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$435.89 |
$670.60 |
0.1× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,989.95 |
$3,061.46 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,304.55 |
$2,007 |
1.3× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$7,872.15 |
$12,111 |
3.7× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,390.56 |
$2,139.33 |
0.7× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,471.98 |
$5,341.50 |
1.6× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$9,333.35 |
$14,359 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$236.28 |
$363.50 |
1.6× |
| Exc abdl tum deep 5 cm/> (22901) |
$8,248.50 |
$12,690 |
2.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,131.52 |
$3,279.25 |
1.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,851.76 |
$4,387.33 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$5,908.50 |
$9,090 |
3.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,809 |
$5,860 |
2.1× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$16,631.44 |
$25,586.83 |
21.1× |
| Exc back tum deep < 5 cm (21932) |
$6,585.15 |
$10,131 |
2.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,404.65 |
$2,161 |
1.8× |
| Exc forearm les sc 3 cm/> (25071) |
$7,257.25 |
$11,165 |
3.9× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$5,063.64 |
$7,790.20 |
2.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$8,197.23 |
$12,611.12 |
4.6× |
| Exc neck tum deep < 5 cm (21556) |
$10,141.95 |
$15,603 |
3.1× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$6,786 |
$10,440 |
3.1× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$8,931 |
$13,740 |
2.9× |
| Exc rect tum transanal part (45171) |
$3,958.50 |
$6,090 |
1.3× |
| Exc skin abd (15830) |
$18,595.85 |
$28,609 |
2.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,492.90 |
$3,835.24 |
3.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$5,106.13 |
$7,855.58 |
11.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$6,557.53 |
$10,088.50 |
8.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,722.71 |
$5,727.25 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,988.04 |
$9,212.38 |
3.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$6,474.50 |
$9,960.76 |
2.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$8,294 |
$12,760 |
4.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,007.25 |
$6,165 |
1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,432 |
$5,280 |
1.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$12,655.50 |
$19,470 |
3.9× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,684.25 |
$8,745 |
1.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$14,403.35 |
$22,159 |
4.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$6,022.90 |
$9,266 |
3.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,000.07 |
$1,538.57 |
0.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,698.64 |
$4,151.75 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$13,611 |
$20,940 |
4.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,745.25 |
$2,685 |
0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$7,557.88 |
$11,627.50 |
2.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,890.79 |
$5,985.83 |
1.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,916.47 |
$2,948.42 |
1.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$5,287.42 |
$8,134.50 |
1.3× |
| Exchange intraocular lens (66986) |
$6,143.14 |
$9,451 |
2.4× |
| Exchange nephrostomy cath (50435) |
$3,324.75 |
$5,115 |
1.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,672.80 |
$4,112 |
1.2× |
| Excise cutaneous neurofibroma (64788) |
$8,159.45 |
$12,553 |
3.7× |
| Excise Inferior Turbinate (30130) |
$3,925.58 |
$6,039.35 |
1.1× |
| Excision Breast Lesion (19125) |
$9,711 |
$14,940 |
2.2× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$5,386.11 |
$8,286.33 |
1.5× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$16,030.95 |
$24,663 |
5.0× |
| Excision interdigital morton neuroma single each (28080) |
$2,153.85 |
$3,313.62 |
1.2× |
| Excision Lesion Floor Mouth (41116) |
$5,733 |
$8,820 |
1.6× |
| Excision lesion meniscus/capsule knee (27347) |
$3,734.25 |
$5,745 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$4,013.75 |
$6,175 |
5.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$4,090.12 |
$6,292.50 |
5.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,786.85 |
$2,749 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,515.50 |
$3,870 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$838.50 |
$1,290 |
1.1× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$1,716 |
$2,640 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,742.05 |
$5,757 |
2.1× |
| Excision of hydrocele unilateral (55040) |
$8,151 |
$12,540 |
2.0× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$4,681.36 |
$7,202.08 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$4,153.50 |
$6,390 |
2.3× |
| Excision of local lesion of epididymis (54830) |
$14,466.40 |
$22,256 |
3.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$14,890.85 |
$22,909 |
2.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$7,858.50 |
$12,090 |
2.4× |
| Excision of single external papilla or tag, anus (46220) |
$5,010.85 |
$7,709 |
3.8× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$7,649.20 |
$11,768 |
3.3× |
| Excision of sublingual gland (42450) |
$5,270.20 |
$8,108 |
0.8× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$12,107.55 |
$18,627 |
1.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,117.40 |
$4,796 |
2.3× |
| Excision of vaginal cyst or tumor (57135) |
$4,836 |
$7,440 |
1.3× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$13,898.95 |
$21,383 |
3.5× |
| Excision olecranon bursa (24105) |
$8,066.50 |
$12,410 |
2.2× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) |
$5,836.68 |
$8,979.50 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$9,513.40 |
$14,636 |
2.6× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,916.47 |
$2,948.42 |
0.5× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638)
likely a partial charge, not the full procedure |
$1,867.13 |
$2,872.50 |
0.2× |
| Excision prepatellar bursa (27340) |
$9,288.50 |
$14,290 |
2.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,402.75 |
$5,235 |
1.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$7,707.76 |
$11,858.08 |
2.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,402.75 |
$5,235 |
1.8× |
| Excision, nasal polyp(s), simple Facility (30110) |
$4,300.86 |
$6,616.70 |
2.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$7,257.25 |
$11,165 |
2.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$7,934.55 |
$12,207 |
4.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$2,195.05 |
$3,377 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,229.09 |
$8,044.75 |
1.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$6,805.50 |
$10,470 |
2.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,727.75 |
$5,735 |
1.6× |
| Expl retroperitoneum w/wo bx spx (49010) |
$10,785.45 |
$16,593 |
1.5× |
| Explo/Drain Breast Abscess (19020) |
$4,972.50 |
$7,650 |
2.7× |
| Exploration of spinal fusion (22830) |
$13,169.43 |
$20,260.66 |
1.6× |
| Exploration penetrating wound spx chest (20101) |
$6,006 |
$9,240 |
2.6× |
| Exploration penetrating wound spx extremity (20103) |
$5,613.61 |
$8,636.33 |
3.1× |
| Explore limb vessels (35860) |
$6,612.23 |
$10,172.66 |
1.9× |
| Explore Parathyroid Glands (60500) |
$13,233.35 |
$20,359 |
2.0× |
| External cephalic version (59412) |
$6,306.95 |
$9,703 |
1.7× |
| Extraction of lens (66920) |
$5,145.83 |
$7,916.66 |
2.0× |
| Eye surgery procedure (66999) |
$12,931.54 |
$19,894.67 |
5.0× |
| Fasciotomy Iliotibial Open (27305) |
$16,237.43 |
$24,980.66 |
4.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$10,745.80 |
$16,532 |
2.9× |
| Fetal non-stress test (59025) |
$539.50 |
$830 |
2.4× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,494.35 |
$2,299 |
1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,607.12 |
$2,472.50 |
2.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,645.80 |
$2,532 |
2.1× |
| Fine needle aspiration of orbital contents Facility (67415) |
$8,203.43 |
$12,620.66 |
3.1× |
| Fine needle aspiration without imaging guidance (10021) |
$551.85 |
$849 |
1.2× |
| Fixation of shoulder (23700) |
$2,384.85 |
$3,669 |
1.3× |
| Fluid pressure muscle (20950) |
$1,532.70 |
$2,358 |
1.9× |
| Fluoro exam of g/colon tube (49465) |
$1,465.10 |
$2,254 |
5.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,494.35 |
$2,299 |
1.9× |
| Foreskin manipulation (54450) |
$516.10 |
$794 |
1.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$4,035.85 |
$6,209 |
1.8× |
| Fusion of foot bones (28740) |
$8,615.44 |
$13,254.52 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$752.70 |
$1,158 |
3.1× |
| Gastrocnemius recession (27687) |
$9,801.84 |
$15,079.75 |
2.7× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$1,471.35 |
$2,263.62 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$7,038.20 |
$10,828 |
8.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$7,978.96 |
$12,275.33 |
2.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$9,625.85 |
$14,809 |
2.6× |
| Hemorrhoidectomy (46255) |
$7,468.50 |
$11,490 |
2.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,493.50 |
$9,990 |
2.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,411.18 |
$3,709.50 |
0.8× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,530.80 |
$5,432 |
1.1× |
| Hip arthro w/labral repair (29916) |
$17,761.90 |
$27,326 |
2.2× |
| Hymenotomy Simple Incision (56442) |
$5,760.30 |
$8,862 |
1.6× |
| Hysteroscopy biopsy (58558) |
$6,993.35 |
$10,759 |
1.9× |
| Hysteroscopy removal leiomyomata (58561) |
$6,742.24 |
$10,372.67 |
1.2× |
| Hysteroscopy w endometrial ablation (58563) |
$7,968.35 |
$12,259 |
1.4× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$2,820.84 |
$4,339.75 |
0.8× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,715.40 |
$5,716 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$938.60 |
$1,444 |
3.6× |
| I&d abscess simple (10060) |
$758.55 |
$1,167 |
3.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,208.75 |
$6,475 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$15,381.20 |
$23,663.38 |
4.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,649.75 |
$5,615 |
1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$5,472.35 |
$8,419 |
1.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$17,157.40 |
$26,396 |
4.7× |
| I&d pilonidal cyst simple (10080) |
$891.15 |
$1,371 |
1.1× |
| I&d shoulder deep abscess/hematoma (23030) |
$15,235.02 |
$23,438.50 |
4.7× |
| I&d submucosal abscess rectum (45005) |
$9,846.20 |
$15,148 |
7.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$3,815.50 |
$5,870 |
2.1× |
| I&d vulva/perineal abscess (56405) |
$2,618.85 |
$4,029 |
7.7× |
| Image Cath Fluid Colxn Visc (49405) |
$7,225.08 |
$11,115.50 |
3.9× |
| Image Cath Fluid Peri/Retro (49406) |
$7,243.28 |
$11,143.50 |
3.9× |
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340)
unusually low: confirm this is the full procedure |
$4,188.10 |
$6,443.22 |
0.5× |
| Impression & Preparation Oral Surgical Splint (21085) |
$1,370.20 |
$2,108 |
5.2× |
| Incise external hemorrhoid (46083) |
$754 |
$1,160 |
2.7× |
| Incise finger tendon sheath (26055) |
$5,429.45 |
$8,353 |
3.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$859.30 |
$1,322 |
1.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$8,345.35 |
$12,839 |
2.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,707.88 |
$2,627.50 |
2.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,971.80 |
$4,572 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$831.02 |
$1,278.50 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$560.62 |
$862.50 |
2.5× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$5,174 |
$7,960 |
1.7× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$7,085.65 |
$10,901 |
2.2× |
| Incision and drainage perianal abscess superficial (46050) |
$2,121.60 |
$3,264 |
2.0× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$4,455.10 |
$6,854 |
1.4× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$4,715.75 |
$7,255 |
1.5× |
| Incision of eyelid fold (67715) |
$4,033.25 |
$6,205 |
1.5× |
| Incision of rectal abscess (46045) |
$7,147.40 |
$10,996 |
2.3× |
| Incision of rectal abscess (46040) |
$6,006 |
$9,240 |
4.5× |
| Incision of tibia & fibula (27709) |
$10,175.44 |
$15,654.52 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$3,268.63 |
$5,028.66 |
4.0× |
| Induced abortion by d&c (59840) |
$6,228.51 |
$9,582.33 |
1.7× |
| Initial tx 1st degree burn local tx (16000) |
$306.48 |
$471.50 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$465.40 |
$716 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$4,573.61 |
$7,036.33 |
4.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$10,622.30 |
$16,342 |
10.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$3,009.50 |
$4,630 |
3.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,591.85 |
$2,449 |
1.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,593.80 |
$2,452 |
1.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,145.95 |
$1,763 |
1.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,662.05 |
$2,557 |
1.7× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,076.24 |
$1,655.75 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$701.35 |
$1,079 |
2.1× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,973.76 |
$3,036.56 |
2.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$624.65 |
$961 |
1.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$6,978.61 |
$10,736.33 |
8.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$3,663.61 |
$5,636.33 |
4.7× |
| Injection for identification of sentinel node (38792) |
$2,280.20 |
$3,508 |
5.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,592.50 |
$2,450 |
2.3× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$1,052.35 |
$1,619 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$567.45 |
$873 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$778.05 |
$1,197 |
2.3× |
| Ins cath ren art 1st bilat (36252) |
$6,311.50 |
$9,710 |
1.8× |
| Ins cath ren art 1st unilat (36251) |
$6,950.45 |
$10,693 |
2.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$9,042.80 |
$13,912 |
2.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,384.95 |
$9,823 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$10,114.65 |
$15,561 |
1.6× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$26,622.70 |
$40,958 |
2.3× |
| Ins tun ip cath for dial opn (49421) |
$18,052.24 |
$27,772.67 |
4.5× |
| Ins Vag Brachytx Device (57156) |
$812.82 |
$1,250.50 |
2.4× |
| Ins/Rep Subq Defibrillator (33270) |
$35,998.95 |
$55,383 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$427.05 |
$657 |
3.0× |
| Insert cath pleura w/ image (32557) |
$2,208.70 |
$3,398 |
1.3× |
| Insert cath pleura w/o image (32556) |
$5,165.55 |
$7,947 |
2.4× |
| Insert Drug Implant Device (11981) |
$2,002 |
$3,080 |
13.5× |
| Insert gastrostomy tube percutaneous (49440) |
$9,241.70 |
$14,218 |
4.3× |
| Insert heart pm atrial (33206) |
$15,537.60 |
$23,904 |
1.3× |
| Insert heart pm ventricular (33207) |
$26,234.98 |
$40,361.50 |
2.3× |
| Insert hepatic shunt (tips) (37182) |
$11,102.65 |
$17,081 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$3,257.15 |
$5,011 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,739.45 |
$5,753 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,629.25 |
$4,045 |
1.5× |
| Insert pulse gen dual leads (33213) |
$14,223.30 |
$21,882 |
1.2× |
| Insert pulse gen mult leads (33221) |
$30,861.02 |
$47,478.50 |
1.4× |
| Insert pulse gen sngl lead (33212) |
$22,702.55 |
$34,927 |
2.5× |
| Insert subq implantable defib electrode (33271) |
$18,373.55 |
$28,267 |
2.0× |
| Insert Temp Bladder Cath (51702) |
$349.38 |
$537.50 |
2.4× |
| Insert tun ip cath perc (49418) |
$11,806.60 |
$18,164 |
3.0× |
| Insert tunneled cv cath (36561) |
$10,154.95 |
$15,623 |
2.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$263.58 |
$405.50 |
1.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,438.52 |
$6,828.50 |
1.1× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$17,942.60 |
$27,604 |
0.8× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$15,378.35 |
$23,659 |
0.8× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405)
unusually low: confirm this is the full procedure |
$11,076 |
$17,040 |
0.5× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
unusually low: confirm this is the full procedure |
$13,330.85 |
$20,509 |
0.4× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,344.85 |
$2,069 |
1.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,567.35 |
$14,719 |
1.0× |
Insertion/rplcmt peripheral/gastric npgr (64590)
unusually low: confirm this is the full procedure |
$8,692.24 |
$13,372.67 |
0.4× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$12,534.60 |
$19,284 |
1.4× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$20,749.41 |
$31,922.17 |
2.3× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$19,817.85 |
$30,489 |
1.7× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$27,675.70 |
$42,578 |
1.1× |
| Insj picc rs&i 5 yr+ (36573) |
$4,114.82 |
$6,330.50 |
2.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,801.30 |
$12,002 |
2.2× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,432.24 |
$12,972.67 |
0.9× |
| Insj/rplcmt defib w/lead(s) (33249) |
$82,611.10 |
$127,094 |
2.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,105.90 |
$17,086 |
1.2× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$15,466.10 |
$23,794 |
1.7× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$9,421.10 |
$14,494 |
0.3× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,587 |
$3,980 |
0.8× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,931.18 |
$4,509.50 |
1.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,046.50 |
$1,610 |
1.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$5,209.10 |
$8,014 |
1.4× |
| Intro cath dialysis circuit (36901) |
$2,149.22 |
$3,306.50 |
1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$24,118.90 |
$37,106 |
1.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$11,961.40 |
$18,402.16 |
1.9× |
| Intro Gastrointestinal Tube (44500) |
$1,300.32 |
$2,000.50 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$880.10 |
$1,354 |
3.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$614.90 |
$946 |
2.2× |
| Knee Arthroscopy/Surgery (29874) |
$17,834.70 |
$27,438 |
4.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$8,022.66 |
$12,342.56 |
1.0× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$26,268.45 |
$40,413 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$4,710.55 |
$7,247 |
0.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$5,885.44 |
$9,054.52 |
0.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$4,698.33 |
$7,228.20 |
0.6× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure |
$2,847.54 |
$4,380.83 |
0.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$13,014.30 |
$20,022 |
1.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$10,765.84 |
$16,562.84 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$11,410.59 |
$17,554.75 |
1.4× |
| Lap ing hernia repair init (49650) |
$41,900.95 |
$64,463 |
6.2× |
| Lap insert tunnel ip cath (49324) |
$25,020.12 |
$38,492.50 |
3.7× |
| Lap paraesoph her rpr w/mesh (43282) |
$53,886.95 |
$82,903 |
4.5× |
| Lap paraesophag hern repair (43281) |
$44,897.45 |
$69,073 |
3.8× |
| Lap revision perm ip cath (49325) |
$30,358.25 |
$46,705 |
4.5× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$13,799.50 |
$21,230 |
2.0× |
| Laparoscopy appendectomy (44970) |
$20,759.05 |
$31,937 |
3.1× |
| Laparoscopy biopsy (49321) |
$13,023.07 |
$20,035.50 |
1.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$21,520.85 |
$33,109 |
1.8× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$29,315.65 |
$45,101 |
2.5× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$10,552.10 |
$16,234 |
1.6× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$70,667.35 |
$108,719 |
6.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$41,027.03 |
$63,118.50 |
3.5× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$13,115.05 |
$20,177 |
1.9× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$110,520.80 |
$170,032 |
16.4× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$92,616.55 |
$142,487 |
7.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$17,035.85 |
$26,209 |
1.4× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$31,929.30 |
$49,122 |
2.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$12,258.35 |
$18,859 |
1.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$13,115.05 |
$20,177 |
1.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$22,412.87 |
$34,481.34 |
1.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$15,126.80 |
$23,272 |
2.2× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$15,269.15 |
$23,491 |
2.3× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$78,757.90 |
$121,166 |
6.6× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$83,252.65 |
$128,081 |
7.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$43,099.55 |
$66,307 |
6.4× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947) |
$94,040.05 |
$144,677 |
7.9× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$49,112.70 |
$75,558 |
4.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$26,452.40 |
$40,696 |
2.2× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$6,807.24 |
$10,472.67 |
1.0× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$13,418.60 |
$20,644 |
2.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$9,427.38 |
$14,503.67 |
1.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$9,782.74 |
$15,050.38 |
1.5× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$50,270.03 |
$77,338.50 |
4.2× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$40,702.35 |
$62,619 |
6.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$39,029.36 |
$60,045.16 |
5.8× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$5,564.86 |
$8,561.33 |
0.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$8,849.75 |
$13,615 |
2.1× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$7,773.35 |
$11,959 |
1.9× |
| Laryngoscopy diagnostic (31505) |
$549.25 |
$845 |
2.5× |
| Laryngoscopy flexible diagnostic (31575) |
$876.20 |
$1,348 |
3.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,142.70 |
$1,758 |
2.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$503.10 |
$774 |
2.3× |
| Laryngoscopy w/biopsy (31535) |
$7,870.85 |
$12,109 |
1.9× |
| Laryngoscopy w/bx op scope (31536) |
$3,452.26 |
$5,311.16 |
0.8× |
| Larynscop w/tumr exc + scope (31541) |
$19,533.15 |
$30,051 |
4.7× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$25,796.55 |
$39,687 |
4.3× |
| Laser treatment of retina (67040) |
$11,568.05 |
$17,797 |
2.5× |
| Late closure of wound (13160) |
$2,674.59 |
$4,114.75 |
0.7× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$10,582.22 |
$16,280.34 |
1.3× |
| Ligate/strip long leg vein (37722) |
$8,879 |
$13,660 |
2.5× |
| Ligation of a-v fistula (37607) |
$13,674.05 |
$21,037 |
3.9× |
| Ligation or biopsy temporal artery (37609) |
$6,513 |
$10,020 |
3.5× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,952.65 |
$6,081 |
1.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$15,283.45 |
$23,513 |
3.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$7,773.35 |
$11,959 |
2.0× |
| Lithotripsy (50590) |
$24,485.82 |
$37,670.50 |
6.2× |
| Liver Biopsy (47000) |
$2,981.88 |
$4,587.50 |
1.6× |
| Lyse chest fibrin init day (32561) |
$2,722.85 |
$4,189 |
3.9× |
| Lyse Chest Fibrin Subq Day (32562) |
$2,722.85 |
$4,189 |
3.9× |
| Manipulation knee joint under general anesthesia (27570) |
$2,336.10 |
$3,594 |
1.3× |
| Manipulation, elbow, under anesthesia (24300) |
$2,612.35 |
$4,019 |
1.5× |
| Manipulation, wrist, under anesthesia (25259) |
$3,695.90 |
$5,686 |
2.1× |
| Marsupialization Bartholins Gland Cyst (56440) |
$4,759.95 |
$7,323 |
1.3× |
| Mast mod rad (19307) |
$30,856.37 |
$47,471.34 |
4.2× |
| Mastectomy partial (19301) |
$14,586 |
$22,440 |
3.3× |
| Mastectomy simple complete (19303) |
$11,637.94 |
$17,904.52 |
1.6× |
| Mech remov tunneled cv cath (36595) |
$4,725.50 |
$7,270 |
1.3× |
| Mediastinoscpy w/lmph nod bx (39402) |
$13,224.25 |
$20,345 |
2.0× |
| Myelography Lumbar Injection (62305) |
$1,742.98 |
$2,681.50 |
2.0× |
| Myelography Lumbar Injection (62304) |
$1,847.30 |
$2,842 |
2.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,731.28 |
$2,663.50 |
2.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,118.35 |
$3,259 |
2.4× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$7,383.03 |
$11,358.50 |
0.9× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$4,300.86 |
$6,616.70 |
2.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$497.25 |
$765 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$7,285.85 |
$11,209 |
4.1× |
| Needle biopsy of pancreas (48102) |
$2,094.30 |
$3,222 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$52.98 |
$81.50 |
1.6× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,467.08 |
$3,795.50 |
1.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$5,908.50 |
$9,090 |
2.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$6,279 |
$9,660 |
2.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$4,147 |
$6,380 |
1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$820.95 |
$1,263 |
2.0× |
| Nipple/areola reconstruction (19350) |
$2,853.66 |
$4,390.25 |
0.7× |
| Njx aa&/strd sciatic nerve (64445) |
$4,722.09 |
$7,264.75 |
6.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$406.90 |
$626 |
1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,363.08 |
$3,635.50 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,415.50 |
$9,870 |
1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,299.70 |
$3,538 |
2.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,857.05 |
$2,857 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,943.50 |
$2,990 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,613.30 |
$2,482 |
2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$2,070.90 |
$3,186 |
2.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,642.22 |
$2,526.50 |
2.1× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,624.35 |
$2,499 |
2.1× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,383.03 |
$11,358.50 |
0.9× |
| Obstructive material removal from gi tube (49460) |
$1,165.45 |
$1,793 |
1.2× |
| Occipital Nerve Block (64405) |
$708.50 |
$1,090 |
2.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$5,827.68 |
$8,965.66 |
1.3× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$13,239.20 |
$20,368 |
1.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$14,500.85 |
$22,309 |
1.8× |
| Open treatment calcaneal fracture (28415) |
$17,284.80 |
$26,592 |
2.1× |
| Open treatment fracture distal tibia only (27827) |
$16,737.82 |
$25,750.50 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,237.24 |
$12,672.67 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$11,044.80 |
$16,992.01 |
1.4× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) |
$5,594.55 |
$8,607 |
0.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$15,670.85 |
$24,109 |
1.9× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$18,407.89 |
$28,319.83 |
2.3× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$13,690.74 |
$21,062.67 |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$25,908.35 |
$39,859 |
1.8× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$7,680.40 |
$11,816 |
0.5× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$17,103.78 |
$26,313.50 |
2.1× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$20,251.40 |
$31,156 |
2.5× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$10,711.68 |
$16,479.50 |
1.3× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$10,975.90 |
$16,886 |
1.4× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$3,615.30 |
$5,562 |
0.4× |
| Open treatment posterior malleolus fracture (27769) |
$7,875.83 |
$12,116.66 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$24,521.90 |
$37,726 |
1.7× |
| Open treatment talus fracture (28445) |
$12,564.50 |
$19,330 |
1.6× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$4,543.01 |
$6,989.24 |
0.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$15,168.72 |
$23,336.50 |
1.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,252.30 |
$6,542 |
1.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$6,198.61 |
$9,536.33 |
0.8× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$3,821.57 |
$5,879.34 |
1.0× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$19,736.82 |
$30,364.34 |
1.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$16,935.10 |
$26,054 |
4.6× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$4,847.52 |
$7,457.71 |
1.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$11,694.04 |
$17,990.84 |
3.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$10,540.40 |
$16,216 |
1.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$12,787.24 |
$19,672.67 |
1.6× |
| Open tx ulnar fx proximal end (24685) |
$13,428.35 |
$20,659 |
1.7× |
| Open/Perq Place Stent Same (37238) |
$20,101.90 |
$30,926 |
1.6× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$18,154.82 |
$27,930.50 |
1.4× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$11,722.10 |
$18,034 |
1.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$13,720.85 |
$21,109 |
1.7× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$12,843.35 |
$19,759 |
1.6× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$20,344.24 |
$31,298.84 |
1.4× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$13,913.50 |
$21,405.38 |
1.7× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$26,230.10 |
$40,354 |
6.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,151 |
$12,540 |
2.0× |
| Ostectomy calcaneus (28118) |
$8,056.92 |
$12,395.25 |
2.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,749.50 |
$4,230 |
0.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,722.09 |
$7,264.75 |
1.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$2,080.73 |
$3,201.12 |
0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,690.10 |
$4,138.62 |
0.7× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$9,801.84 |
$15,079.75 |
1.2× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$14,988.35 |
$23,059 |
1.0× |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305)
unusually low: confirm this is the full procedure |
$3,141.56 |
$4,833.16 |
0.4× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309)
unusually low: confirm this is the full procedure |
$3,164.30 |
$4,868.16 |
0.4× |
| P-mastectomy w/ln removal (19302) |
$20,058.35 |
$30,859 |
2.7× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$4,727.24 |
$7,272.67 |
1.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$6,606.32 |
$10,163.58 |
1.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,013.61 |
$4,636.33 |
0.8× |
| Partial excision bone tibia (27640) |
$3,391.80 |
$5,218.16 |
0.9× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102) |
$17,047.55 |
$26,227 |
2.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$5,226 |
$8,040 |
2.9× |
| Partial hymenectomy or revision (56700) |
$5,147.35 |
$7,919 |
1.4× |
| Partial removal of hand bone (26230) |
$3,747.09 |
$5,764.75 |
1.0× |
| Partial removal of thyroid (60220) |
$13,087.10 |
$20,134 |
1.9× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,420.13 |
$8,338.66 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,495.42 |
$8,454.50 |
1.5× |
| Patellectomy or hemipatellectomy (27350) |
$13,690.74 |
$21,062.67 |
1.7× |
| Pelvic examination under anesthesia (other than local) (57410) |
$723.45 |
$1,113 |
0.2× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$8,528 |
$13,120 |
5.5× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$8,972.60 |
$13,804 |
1.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,582.75 |
$2,435 |
2.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$14,161.55 |
$21,787 |
1.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,028.05 |
$6,197 |
1.1× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$3,553.44 |
$5,466.83 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$9,933.30 |
$15,282 |
5.7× |
| Perq dilation xst trc endourologic px w/img (50436) |
$5,646.11 |
$8,686.33 |
1.4× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,600.84 |
$5,539.75 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,174.88 |
$1,807.50 |
4.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,559.35 |
$2,399 |
2.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$9,625.85 |
$14,809 |
2.6× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$32,798.35 |
$50,459 |
1.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$26,942.50 |
$41,450 |
2.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$12,127.05 |
$18,657 |
1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$11,266.45 |
$17,333 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$12,266.80 |
$18,872 |
1.5× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$8,849.10 |
$13,614 |
2.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$9,374.95 |
$14,423 |
2.6× |
| Phleb veins - extrem 20+ (37766) |
$6,399.90 |
$9,846 |
1.8× |
| Picc line placement (36569) |
$2,353.65 |
$3,621 |
1.3× |
| Place Cath Subclavian Art (36225) |
$7,556.25 |
$11,625 |
2.1× |
| Place Cath Thoracic Aorta (36221) |
$6,661.20 |
$10,248 |
1.9× |
| Place Cath Vertebral Art (36226) |
$5,946.85 |
$9,149 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$525.85 |
$809 |
1.1× |
| Placement of seton (46020) |
$4,342 |
$6,680 |
1.4× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$9,872.20 |
$15,188 |
1.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,333.35 |
$14,359 |
1.4× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$3,227.25 |
$4,965 |
2.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$6,235.45 |
$9,593 |
2.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,654.25 |
$2,545 |
0.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$6,002.75 |
$9,235 |
1.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,124.95 |
$9,423 |
1.6× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$12,063.35 |
$18,559 |
2.2× |
| Prim art mech thrombectomy (37184) |
$12,855.38 |
$19,777.50 |
0.6× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$31,080.40 |
$47,816 |
3.8× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$6,620.03 |
$10,184.66 |
10.8× |
| Prostate Saturation Sampling (55706) |
$17,047.55 |
$26,227 |
4.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,738.75 |
$2,675 |
2.2× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$4,279.70 |
$6,584.16 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,640.35 |
$7,139 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,859.40 |
$7,476 |
1.2× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$5,832.24 |
$8,972.67 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$2,251.76 |
$3,464.25 |
5.0× |
| Puncture Aspiration Cyst Breast (19000) |
$1,053 |
$1,620 |
1.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$659.10 |
$1,014 |
1.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,589.25 |
$2,445 |
2.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$2,198.30 |
$3,382 |
2.8× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,153.85 |
$3,313.62 |
0.6× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$12,099.75 |
$18,615 |
1.5× |
| Re-explore parathyroids (60502) |
$12,886.90 |
$19,826 |
2.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$6,707.57 |
$10,319.34 |
0.8× |
| Reduce testis torsion (54600) |
$8,271.90 |
$12,726 |
2.1× |
| Reinforce tibia (27745) |
$17,566.90 |
$27,026 |
2.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$15,928.90 |
$24,506 |
2.0× |
| Reinsertion of spinal fixation device Facility (22849) |
$15,023.45 |
$23,113 |
1.1× |
| Release finger contracture (26525) |
$3,406.98 |
$5,241.50 |
1.9× |
| Relocation of skin pocket for pacemaker (33222) |
$4,932.20 |
$7,588 |
2.1× |
| Rem Endovas Vena Cava Filter (37193) |
$5,944.90 |
$9,146 |
1.7× |
| Removal biliary drg cath (47537) |
$1,322.10 |
$2,034 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$8,662.98 |
$13,327.67 |
2.7× |
| Removal foreign body foot deep (28192) |
$2,701.40 |
$4,156 |
1.5× |
| Removal foreign body foot subcutaneous (28190) |
$1,510.28 |
$2,323.50 |
1.9× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$6,358.95 |
$9,783 |
2.0× |
| Removal foreign body intranasal (30300) |
$605.15 |
$931 |
4.1× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,851.55 |
$4,387 |
1.5× |
| Removal foreign body pharynx (42809) |
$579.80 |
$892 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$122.20 |
$188 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$234.65 |
$361 |
3.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$7,484.75 |
$11,515 |
2.1× |
| Removal implant deep (20680) |
$6,423.90 |
$9,882.92 |
2.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,929.63 |
$2,968.66 |
2.4× |
| Removal Intact Mammary Implant (19328) |
$6,237.24 |
$9,595.75 |
1.4× |
| Removal of adenoids (42830) |
$6,697.60 |
$10,304 |
1.8× |
| Removal of anal fissure (46200) |
$4,251 |
$6,540 |
1.4× |
| Removal of arm foreign body (24200) |
$3,278.60 |
$5,044 |
1.8× |
| Removal of bone for graft (20902) |
$5,599.59 |
$8,614.75 |
0.7× |
| Removal of breast capsule (19371) |
$19,473.35 |
$29,959 |
4.5× |
| Removal of cervix (57530) |
$10,698.35 |
$16,459 |
1.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,841.45 |
$2,833 |
1.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$477.10 |
$734 |
1.0× |
| Removal of heel spur (28119) |
$2,198.40 |
$3,382.16 |
0.6× |
| Removal of implant from finger or hand (26320) |
$8,650.85 |
$13,309 |
4.7× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$916.50 |
$1,410 |
1.3× |
| Removal of iud (58301) |
$484.25 |
$745 |
1.4× |
| Removal of kidney stone (50081) |
$8,822.24 |
$13,572.67 |
0.8× |
| Removal of kidney stone (50080) |
$16,156.72 |
$24,856.50 |
1.5× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$14,272.70 |
$21,958 |
3.1× |
| Removal of nail bed (11750) |
$890.18 |
$1,369.50 |
2.0× |
| Removal of sesamoid bone (28315) |
$5,824.98 |
$8,961.50 |
1.6× |
| Removal of tail bone (27080) |
$15,810.60 |
$24,324 |
4.3× |
| Removal Of Tendon Lesion (27630) |
$4,947.36 |
$7,611.33 |
1.4× |
| Removal of testis (54520) |
$8,541 |
$13,140 |
2.2× |
| Removal of tonsils (42826) |
$4,836 |
$7,440 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$9,026.11 |
$13,886.33 |
2.6× |
| Removal of wrist bone (25210) |
$7,494.18 |
$11,529.50 |
2.1× |
| Removal ppm generator only (33233) |
$15,734.55 |
$24,207 |
1.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$1,454.80 |
$2,238.16 |
6.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,205.45 |
$3,393 |
2.8× |
| Removal Submand Stone,Complicated (42335) |
$4,738.07 |
$7,289.34 |
1.3× |
| Removal, under anesthesia, of external fixation system (20694) |
$6,444.53 |
$9,914.66 |
3.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$497.25 |
$765 |
1.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$692.25 |
$1,065 |
2.2× |
| Remove anal fist subq (46270) |
$4,589 |
$7,060 |
1.5× |
| Remove cerclage suture (59871) |
$5,570.50 |
$8,570 |
1.5× |
| Remove drug implant device (11982) |
$3,532.59 |
$5,434.75 |
7.1× |
| Remove elbow lesion (24120) |
$11,770.85 |
$18,109 |
3.2× |
| Remove ext hem groups 2+ (46250) |
$3,958.50 |
$6,090 |
1.3× |
| Remove eye/attach implant (65105) |
$14,379.62 |
$22,122.50 |
3.3× |
| Remove intrvas foreign body (37197) |
$6,492.85 |
$9,989 |
1.8× |
| Remove Lower Leg Bone Lesion (27635) |
$2,024.53 |
$3,114.66 |
0.6× |
| Remove muti-comp penis pros (54406) |
$10,003.50 |
$15,390 |
2.5× |
| Remove Pilonidal Cyst Exten (11771) |
$8,684 |
$13,360 |
2.7× |
| Remove Prostate Regrowth (52630) |
$11,575.85 |
$17,809 |
1.9× |
| Remove pulse generator (33241) |
$8,958.95 |
$13,783 |
2.2× |
| Remove renal tube w/fluoro (50389) |
$1,633.90 |
$2,513.68 |
2.1× |
| Remove spine eltrd perq aray (63661) |
$6,287.24 |
$9,672.67 |
2.9× |
| Remove spine eltrd plate (63662) |
$7,132.24 |
$10,972.67 |
1.8× |
| Remove Tendon Sheath Lesion (26160) |
$5,020.92 |
$7,724.50 |
2.8× |
| Remove thyroid duct lesion (60280) |
$13,561.60 |
$20,864 |
2.0× |
| Remove ureter stent, percut (50384) |
$4,638.61 |
$7,136.33 |
2.0× |
| Remove vagina gland lesion (56740) |
$10,296 |
$15,840 |
2.9× |
| Remove&replace pm gen singl (33227) |
$14,336.40 |
$22,056 |
1.6× |
| Remove/Insert Drug Implant (11983) |
$5,811 |
$8,940 |
11.7× |
| Remv Ext Canal Foreign Body (69200) |
$305.50 |
$470 |
2.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$309.40 |
$476 |
2.1× |
| Remv&replc cvd gen dual lead (33263) |
$57,548.40 |
$88,536 |
2.3× |
| Remv&replc cvd gen mult lead (33264) |
$80,204.80 |
$123,392 |
2.3× |
| Remv&replc cvd gen sing lead (33262) |
$58,411.60 |
$89,864 |
2.4× |
| Remv&replc pm gen dual lead (33228) |
$26,622.70 |
$40,958 |
2.3× |
| Remv&replc pm gen mult leads (33229) |
$47,641.10 |
$73,294 |
2.2× |
| Renal Biopsy Percutaneous (50200) |
$5,037.50 |
$7,750 |
2.7× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562) |
$5,382.65 |
$8,281 |
0.5× |
| Repair achilles tendon (27650) |
$12,335.27 |
$18,977.34 |
1.5× |
| Repair anal fistula (46288) |
$7,273.50 |
$11,190 |
2.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$16,597.75 |
$25,535 |
4.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,603.55 |
$2,467 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$763.10 |
$1,174 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,552.85 |
$2,389 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$977.60 |
$1,504 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,682.20 |
$2,588 |
3.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$3,760.90 |
$5,786 |
4.6× |
| Repair Ectropion Extensive (67917) |
$10,893.35 |
$16,759 |
4.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,076.80 |
$6,272 |
2.3× |
| Repair Fibula Nonunion (27726) |
$17,171.27 |
$26,417.34 |
2.1× |
| Repair forearm tendon/muscle (25260) |
$5,285.58 |
$8,131.66 |
1.4× |
| Repair hand tendon (26410) |
$4,560.40 |
$7,016 |
2.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$16,818.10 |
$25,874 |
4.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$14,004.47 |
$21,545.34 |
3.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$24,155.08 |
$37,161.66 |
6.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$16,030.95 |
$24,663 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,250.92 |
$1,924.50 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,342.25 |
$2,065 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,242.15 |
$1,911 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,605.50 |
$2,470 |
3.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,345.50 |
$2,070 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,180.40 |
$1,816 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,104.35 |
$1,699 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$614.90 |
$946 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,134.25 |
$1,745 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,027.32 |
$1,580.50 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,467.70 |
$2,258 |
3.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,595.42 |
$2,454.50 |
3.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,523.28 |
$2,343.50 |
3.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$3,290.22 |
$5,061.88 |
4.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,009.45 |
$1,553 |
2.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,500.55 |
$3,847 |
1.1× |
| Repair lead pace-defib dual (33220) |
$9,391.85 |
$14,449 |
2.3× |
| Repair lead pace-defib one (33218) |
$8,474.70 |
$13,038 |
2.0× |
| Repair lower leg tendons (27676) |
$9,825.10 |
$15,115.54 |
1.2× |
| Repair Lower Leg Tendons (27675) |
$4,978.76 |
$7,659.62 |
1.4× |
| Repair Mouth Laceration (40831) |
$1,894.75 |
$2,915 |
3.2× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$21,703.50 |
$33,390 |
3.0× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$21,319.02 |
$32,798.50 |
3.6× |
| Repair of humerus (24430) |
$25,022.40 |
$38,496 |
1.7× |
| Repair of leg tendon each (27664) |
$37,059.10 |
$57,014 |
4.6× |
| Repair of leg tendon each (27658) |
$6,227.10 |
$9,580.16 |
1.7× |
| Repair of nail bed (11760) |
$1,058.85 |
$1,629 |
1.3× |
| Repair of nasal septum (30520) |
$22,149.08 |
$34,075.50 |
6.0× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$21,371.35 |
$32,879 |
1.5× |
| Repair of penis (54440) |
$5,739.50 |
$8,830 |
1.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$11,397.32 |
$17,534.34 |
1.4× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372) |
$11,056.07 |
$17,009.34 |
1.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$14,391 |
$22,140 |
2.0× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$14,113.67 |
$21,713.34 |
3.5× |
| Repair rotator cuff acute (23410) |
$9,274.85 |
$14,269 |
1.1× |
| Repair secondary achilles tendon w/wo graft (27654) |
$17,767.75 |
$27,335 |
2.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$12,205.70 |
$18,778 |
3.3× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$10,266.26 |
$15,794.25 |
1.3× |
| Repair tongue laceration (41252) |
$1,203.80 |
$1,852 |
4.6× |
| Repair Tongue Laceration (41250) |
$1,016.60 |
$1,564 |
2.0× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,704.03 |
$2,621.58 |
0.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$12,406.17 |
$19,086.42 |
1.5× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$3,615.30 |
$5,562 |
0.4× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$8,337.31 |
$12,826.62 |
1.0× |
| Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28210) |
$11,682.24 |
$17,972.67 |
1.4× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$5,599.59 |
$8,614.75 |
0.7× |
| Repair/graft achilles tendon (27652) |
$18,044.87 |
$27,761.34 |
2.2× |
| Repair/graft wrist bone (25440) |
$24,528.40 |
$37,736 |
3.0× |
| Repeat control of nosebleed (30906) |
$689.65 |
$1,061 |
2.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$5,602.02 |
$8,618.50 |
5.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$3,898.05 |
$5,997 |
3.9× |
| Replace Tissue Expander (11970) |
$6,729.23 |
$10,352.66 |
0.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$4,708.60 |
$7,244 |
4.7× |
| Reposition cv cath w/fluoro (36597) |
$3,045.90 |
$4,686 |
1.7× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,094.60 |
$1,684 |
3.9× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$4,425.41 |
$6,808.33 |
1.7× |
| Repr elbow lat ligmnt w/tiss (24343) |
$8,972.76 |
$13,804.25 |
2.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,000.07 |
$1,538.57 |
0.3× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,371.11 |
$5,186.33 |
0.9× |
| Revis reconst shoulder joint (23473) |
$22,119.94 |
$34,030.67 |
1.5× |
| Revise Hand/Foot Nerve (64704) |
$5,499 |
$8,460 |
2.5× |
Revise Lower Leg Tendon (27691)
likely a partial charge, not the full procedure |
$2,233.27 |
$3,435.80 |
0.3× |
Revise Spine Eltrd Plate (63664)
unusually low: confirm this is the full procedure |
$4,710.55 |
$7,247 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$6,677.24 |
$10,272.67 |
3.1× |
| Revise wrist/forearm tendon (25280) |
$3,478.96 |
$5,352.25 |
1.0× |
| Revise/Remove Neuroreceiver (63688) |
$3,566.11 |
$5,486.33 |
0.9× |
| Revision of colostomy simple (44340) |
$10,210.85 |
$15,709 |
2.6× |
| Revision of lower leg tendon (27685) |
$4,667.26 |
$7,180.40 |
1.3× |
| Revision of reconstructed breast (19380) |
$16,545.42 |
$25,454.50 |
2.2× |
| Revision of tips (37183) |
$14,701.70 |
$22,618 |
2.3× |
| Revision of urethra (53450) |
$5,811 |
$8,940 |
1.5× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$16,935.10 |
$26,054 |
2.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$7,180.98 |
$11,047.66 |
1.8× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$10,296 |
$15,840 |
1.6× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$25,085.45 |
$38,593 |
2.0× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$25,085.45 |
$38,593 |
2.0× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$25,085.45 |
$38,593 |
2.0× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$12,367.55 |
$19,027 |
1.9× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$25,085.45 |
$38,593 |
2.0× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$25,323.35 |
$38,959 |
2.0× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$25,085.45 |
$38,593 |
2.0× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$14,707.55 |
$22,627 |
1.1× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$5,219.50 |
$8,030 |
2.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,074.45 |
$1,653 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$343.85 |
$529 |
2.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$568.10 |
$874 |
1.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$10,745.80 |
$16,532 |
3.3× |
| Rmvl of subq defibrillator (33272) |
$9,690.36 |
$14,908.25 |
2.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$10,381.80 |
$15,972 |
2.5× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$8,814.32 |
$13,560.50 |
2.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$5,526.46 |
$8,502.25 |
3.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,723.48 |
$2,651.50 |
2.5× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$16,761.55 |
$25,787 |
4.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,960.75 |
$4,555 |
1.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,081 |
$4,740 |
1.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,853.25 |
$9,005 |
1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,500.62 |
$8,462.50 |
1.6× |
| Rplcmt/Irrigation Ventricular Catheter (62225) |
$18,304 |
$28,160 |
4.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$11,173.50 |
$17,190 |
1.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$20,559.28 |
$31,629.66 |
5.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$5,739.50 |
$8,830 |
0.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$6,396 |
$9,840 |
1.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$14,534 |
$22,360 |
2.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,620.76 |
$8,647.33 |
0.8× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$4,020.79 |
$6,185.83 |
5.1× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$9,848.96 |
$15,152.25 |
1.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,585.35 |
$2,439 |
1.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,327 |
$3,580 |
3.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,037.42 |
$3,134.50 |
3.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$3,251.95 |
$5,003 |
1.9× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$16,164.42 |
$24,868.34 |
3.5× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,124.33 |
$6,345.12 |
1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,399.45 |
$2,153 |
2.0× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$13,130.87 |
$20,201.34 |
3.6× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$17,034.88 |
$26,207.50 |
2.1× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$7,625.15 |
$11,731 |
2.2× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$8,755.50 |
$13,470 |
2.5× |
| Sclerotx Fluid Collection (49185) |
$2,757.30 |
$4,242 |
1.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,691.65 |
$4,141 |
2.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,794.44 |
$2,760.67 |
1.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,211 |
$4,940 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$334.10 |
$514 |
1.5× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,691.65 |
$4,141 |
2.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,776.78 |
$2,733.50 |
1.3× |
| Sigmoidoscopy w/biopsy (45331) |
$2,893.48 |
$4,451.50 |
2.8× |
| Sigmoidoscopy w/fb removal (45332) |
$2,691.65 |
$4,141 |
2.0× |
| Sigmoidoscopy w/us guide bx (45342) |
$4,559.75 |
$7,015 |
3.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$930.15 |
$1,431 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$469.62 |
$722.50 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$592.48 |
$911.50 |
2.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,050.08 |
$1,615.50 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$744.90 |
$1,146 |
3.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$771.22 |
$1,186.50 |
3.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$579.15 |
$891 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$461.18 |
$709.50 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$854.10 |
$1,314 |
3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$546.98 |
$841.50 |
2.4× |
| Skin splt grft trnk/arm/leg (15100) |
$1,209.88 |
$1,861.35 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$7,782.24 |
$11,972.67 |
9.4× |
| Skin sub graft trnk/arm/leg (15271) |
$4,475.31 |
$6,885.08 |
5.4× |
| Skin sub grft t/arm/lg child (15273) |
$4,264 |
$6,560 |
1.9× |
| Skin Tissue Procedure (17999) |
$3,995.76 |
$6,147.33 |
17.9× |
| Skin tissue rearrangement (14040) |
$2,950.56 |
$4,539.33 |
1.3× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,546.80 |
$3,918.16 |
0.6× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,946.85 |
$9,149 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$7,797.40 |
$11,996 |
2.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$10,015.85 |
$15,409 |
1.8× |
| Small bowel endoscopy (44366) |
$4,304.95 |
$6,623 |
2.0× |
| Small bowel endoscopy (44364) |
$2,869.97 |
$4,415.34 |
1.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,434.98 |
$2,207.66 |
0.7× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$3,913.65 |
$6,021 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$542.75 |
$835 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$807.30 |
$1,242 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$611 |
$940 |
1.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,446 |
$6,840 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,674.72 |
$2,576.50 |
2.1× |
| Spinal Puncture Therapeutic (62272) |
$1,506.70 |
$2,318 |
1.9× |
| Spine Surgery Procedure Unlisted (22899) |
$7,773.56 |
$11,959.33 |
28.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,086.11 |
$6,286.33 |
1.2× |
| Strapping ankle (29540) |
$317.20 |
$488 |
1.8× |
| Strapping shoulder (29240) |
$358.80 |
$552 |
2.4× |
| Strapping toes (29550) |
$176.15 |
$271 |
2.7× |
| Strapping unna boot (29580) |
$223.92 |
$344.50 |
1.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$7,383.03 |
$11,358.50 |
2.0× |
| Surgery of breast capsule (19370) |
$10,555.36 |
$16,239 |
2.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,781.70 |
$5,818 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,836 |
$7,440 |
1.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$4,673.50 |
$7,190 |
1.5× |
| Suspension of testis (54640) |
$6,883.50 |
$10,590 |
1.7× |
| Suture infrapatellar tendon primary (27380) |
$20,023.90 |
$30,806 |
2.5× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$11,697.84 |
$17,996.67 |
1.4× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$10,247.80 |
$15,765.84 |
1.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,815.50 |
$5,870 |
2.1× |
| Tangential biopsy skin single lesion (11102) |
$312.65 |
$481 |
0.7× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$46,754.50 |
$71,930 |
2.2× |
| Tenodesis long tendon biceps (23430) |
$7,586.36 |
$11,671.33 |
0.9× |
| Tenolysis extensor tendon hand/finger each (26445) |
$7,384.54 |
$11,360.84 |
2.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$5,528.03 |
$8,504.66 |
3.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$4,703.61 |
$7,236.33 |
1.3× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Facility (26449) |
$3,406.98 |
$5,241.50 |
0.9× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$3,406.98 |
$5,241.50 |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,198.40 |
$3,382.16 |
1.2× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,829.20 |
$2,814.16 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,981.11 |
$4,586.33 |
1.7× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$1,195.38 |
$1,839.04 |
0.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,611.70 |
$4,018 |
1.5× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,292.85 |
$1,989 |
1.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,286.68 |
$1,979.50 |
1.8× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,380.40 |
$9,816 |
1.8× |
| Thrombolytic Art Therapy (37211) |
$9,595.95 |
$14,763 |
1.5× |
| Thrombolytic Therapy Stroke (37195) |
$785.85 |
$1,209 |
2.1× |
| Thrombolytic Venous Therapy (37212) |
$6,011.20 |
$9,248 |
1.7× |
| Thyroid biopsy (60100) |
$1,469.65 |
$2,261 |
1.9× |
| Thyroidectomy, total or complete (60240) |
$14,615.58 |
$22,485.50 |
2.2× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$17,767.21 |
$27,334.17 |
2.7× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357)
unusually low: confirm this is the full procedure |
$6,237.24 |
$9,595.75 |
0.4× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$8,489 |
$13,060 |
2.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$9,040.85 |
$13,909 |
2.4× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$31,768.10 |
$48,874 |
1.6× |
| Total hip arthroplasty (27130) |
$39,334.10 |
$60,514 |
2.7× |
| Total Knee Arthroplasty (27447) |
$33,770.10 |
$51,954 |
2.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,372.80 |
$2,112 |
2.3× |
| Tracheotomy tube change (31502) |
$627.90 |
$966 |
2.4× |
| Transcatheter biopsy (37200) |
$5,976.75 |
$9,195 |
1.0× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$7,968.35 |
$12,259 |
3.7× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$17,913.35 |
$27,559 |
2.2× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$6,797.91 |
$10,458.33 |
1.1× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$13,595.84 |
$20,916.67 |
2.3× |
| Transur electr resection of prostate (52601) |
$12,063.35 |
$18,559 |
2.0× |
| Transurethral resection bladder neck (52500) |
$2,871.26 |
$4,417.33 |
0.7× |
| Treat Big Toe Fracture (28505) |
$8,787.35 |
$13,519 |
2.4× |
| Treat clavicle fracture (23505) |
$2,975.05 |
$4,577 |
1.7× |
| Treat elbow dislocation (24615) |
$16,809.66 |
$25,861.01 |
2.1× |
| Treat fracture radius/ulna (25575) |
$18,742.10 |
$28,834 |
2.3× |
| Treat humerus fracture (24500) |
$466.70 |
$718 |
1.7× |
| Treat humerus fracture (23600) |
$709.80 |
$1,092 |
2.6× |
| Treat knee fracture (27532) |
$5,449.60 |
$8,384 |
1.5× |
| Treat Knee Fracture (27535) |
$19,041.10 |
$29,294 |
2.4× |
| Treat Knee Fracture(S) (27538) |
$668.85 |
$1,029 |
2.4× |
| Treat Kneecap Fracture (27524) |
$10,642.24 |
$16,372.67 |
1.3× |
| Treat Lower Leg Fracture (27828) |
$14,257 |
$21,933.84 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$821.60 |
$1,264 |
3.0× |
| Treat pleurodesis w/agent (32560) |
$2,201.55 |
$3,387 |
3.1× |
| Treat radius fracture (24665) |
$13,898.95 |
$21,383 |
1.7× |
| Treat scapula fracture (23585) |
$15,553.85 |
$23,929 |
1.9× |
| Treat shoulder blade fx (23575) |
$3,203.20 |
$4,928 |
1.8× |
| Treat Thumb Dislocation (26641) |
$1,168.38 |
$1,797.50 |
4.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,139.15 |
$3,291 |
1.2× |
| Treat Vaginal Bleeding (57180) |
$651.95 |
$1,003 |
2.9× |
| Treat wrist bone fracture (25622) |
$416.32 |
$640.50 |
1.5× |
| Treat Wrist Bone Fracture (25630) |
$4,237.92 |
$6,519.88 |
15.4× |
| Treatment closed elbow dislocation req anes (24605) |
$2,551.25 |
$3,925 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$951.60 |
$1,464 |
3.5× |
| Treatment extensive retinopathy photocoagulation (67228) |
$15,191.80 |
$23,372 |
24.8× |
| Treatment of anal fissure (46940) |
$2,478.24 |
$3,812.67 |
0.8× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$4,824.95 |
$7,423 |
1.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$4,446 |
$6,840 |
1.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$414.70 |
$638 |
1.5× |
| Trim skin lesion (11055) |
$1,802.50 |
$2,773.08 |
8.1× |
| Trim skin lesions 2 to 4 (11056) |
$2,171.59 |
$3,340.90 |
9.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$114.40 |
$176 |
1.7× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$17,772.30 |
$27,342 |
2.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,338.98 |
$20,521.50 |
2.1× |
| Trurl rescj postop bladder neck contracture (52640) |
$10,300.55 |
$15,847 |
2.6× |
| Tube thoracostomy includes water seal (32551) |
$1,562.28 |
$2,403.50 |
0.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$8,736 |
$13,440 |
2.8× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$30,064.12 |
$46,252.50 |
2.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,453.48 |
$6,851.50 |
1.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,266.55 |
$3,487 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,339 |
$2,060 |
1.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,402.78 |
$20,619.66 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$16,987.54 |
$26,134.67 |
2.6× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
unusually low: confirm this is the full procedure |
$2,229.50 |
$3,430 |
0.3× |
| Tympanostomy general anesthesia (69436) |
$6,018.35 |
$9,259 |
3.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,797.91 |
$10,458.33 |
1.0× |
| Unlisted laparoscopy procedure, appendix (44979) |
$7,002.23 |
$10,772.66 |
1.0× |
| Unlisted laparoscopy procedure, bladder (51999) |
$31,047.03 |
$47,764.66 |
4.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$56,788.55 |
$87,367 |
8.4× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$7,977.24 |
$12,272.67 |
1.2× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$5,581.11 |
$8,586.33 |
0.8× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$14,910.35 |
$22,939 |
2.2× |
| Unlisted musculoskeletal procedure head (21499) |
$3,138.85 |
$4,829 |
11.9× |
| Unlisted procedure anus (46999) |
$3,587.35 |
$5,519 |
3.5× |
| Unlisted procedure arthroscopy (29999) |
$4,627.35 |
$7,119 |
16.8× |
| Unlisted procedure colon (45399) |
$7,094.43 |
$10,914.50 |
6.8× |
| Unlisted procedure dentoalveolar structures (41899) |
$6,519.19 |
$10,029.52 |
24.7× |
| Unlisted procedure femur or knee (27599) |
$15,107.95 |
$23,243 |
55.0× |
| Unlisted procedure foot or toes (28899) |
$3,316.24 |
$5,101.92 |
12.1× |
| Unlisted Procedure Male Genital System (55899) |
$2,869.75 |
$4,415 |
10.3× |
| Unlisted Procedure Muscskeletal System General (20999) |
$1,094.60 |
$1,684 |
4.0× |
| Unlisted procedure nervous system (64999) |
$11,857.30 |
$18,242 |
34.7× |
| Unlisted procedure pelvis/hip joint (27299) |
$18,467.80 |
$28,412 |
67.2× |
| Unlisted Procedure Small Intestine (44799) |
$1,650.13 |
$2,538.66 |
1.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,087.45 |
$1,673 |
1.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$7,267 |
$11,180 |
7.2× |
| Unlisted procedure, leg or ankle (27899) |
$3,576.46 |
$5,502.25 |
13.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$9,430.85 |
$14,509 |
41.9× |
| Upgrade of pacemaker system (33214) |
$16,751.80 |
$25,772 |
1.4× |
| Us urine capacity measure (51798) |
$196.95 |
$303 |
3.0× |
| Vaginal delivery only (59409) |
$3,846.70 |
$5,918 |
1.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$9,430.85 |
$14,509 |
1.7× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$24,581.70 |
$37,818 |
4.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$25,945.40 |
$39,916 |
4.7× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$12,453.35 |
$19,159 |
2.2× |
| Vasc embolize/occlude artery (37242) |
$22,330.10 |
$34,354 |
1.1× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,768.35 |
$24,259 |
1.2× |
| Vasc embolize/occlude organ (37243) |
$17,193.80 |
$26,452 |
1.3× |
| Vasc embolize/occlude venous (37241) |
$14,627.60 |
$22,504 |
1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$5,325.45 |
$8,193 |
2.3× |
| Venipuncture (36415) |
$47.45 |
$73 |
5.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,459 |
$6,860 |
1.2× |
| Vitrectomy mechanical pars plana (67036) |
$8,850.84 |
$13,616.67 |
1.9× |
| Vitrectomy pars plana remove int memb retina (67042) |
$14,782.30 |
$22,742 |
3.2× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$9,159.26 |
$14,091.16 |
2.0× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$12,991.55 |
$19,987 |
2.8× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$6,133.61 |
$9,436.33 |
1.3× |
| Vulvectomy Simple Partial (56620) |
$15,689.70 |
$24,138 |
4.3× |
| Vulvectomy simple; complete (56625) |
$14,087.24 |
$21,672.67 |
3.9× |
| Wedge excision skin nail fold (11765) |
$2,046.85 |
$3,149 |
4.5× |
| Wound Prep F/N/Hf/G (15004) |
$2,866.50 |
$4,410 |
6.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$4,040.18 |
$6,215.66 |
4.9× |