| Abd paracentesis w/imaging (49083) |
$1,625.28 |
$2,321.84 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$774.32 |
$1,106.17 |
0.9× |
| Ablate inf turbinate submuc (30802) |
$1,399.87 |
$1,999.82 |
0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$20,367.28 |
$29,096.11 |
1.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$1,081.63 |
$1,545.19 |
0.7× |
| Acne Surgery (10040) |
$151.91 |
$217.02 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,089.14 |
$1,555.92 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$14,246.34 |
$20,351.92 |
4.3× |
| Amputation of finger/thumb (26952) |
$8,347.06 |
$11,924.38 |
2.5× |
| Amputation toe interphalangeal joint (28825) |
$6,937.50 |
$9,910.72 |
2.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$7,041.92 |
$10,059.88 |
2.1× |
| Amputation, foot; transmetatarsal (28805) |
$7,877.21 |
$11,253.16 |
2.4× |
Ankle arthroscopy/surgery (29892)
unusually low: confirm this is the full procedure |
$3,535.48 |
$5,050.69 |
0.5× |
| Ankle arthroscopy/surgery (29894) |
$5,632.39 |
$8,046.27 |
1.7× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$9,778.42 |
$13,969.16 |
3.0× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$3,325.62 |
$4,750.89 |
2.8× |
| Application cast elbow finger short arm (29075) |
$307.96 |
$439.94 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$259.56 |
$370.80 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$327.36 |
$467.65 |
5.5× |
| Application finger splint static (29130) |
$126.18 |
$180.25 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$189.74 |
$271.04 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$250.58 |
$357.97 |
1.5× |
| Application of long leg cast (29345) |
$233.14 |
$333.06 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$428.26 |
$611.79 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$4,349.96 |
$6,214.23 |
32.6× |
| Application short arm splint forearm-hand static (29125) |
$172.21 |
$246.02 |
1.3× |
| Application short leg splint calf foot (29515) |
$158.62 |
$226.60 |
1.0× |
| Apply short leg cast (29405) |
$259.56 |
$370.80 |
0.9× |
| Apply short leg cast (29425) |
$194.24 |
$277.49 |
0.7× |
| Arterial puncture (36600) |
$246.60 |
$352.28 |
1.9× |
| Arteriovenous Anastomosis Open Direct (36821) |
$16,483.61 |
$23,548.02 |
5.2× |
| Artery-vein autograft (36825) |
$16,560.88 |
$23,658.41 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$274.06 |
$391.51 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$697.21 |
$996.01 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$593.32 |
$847.60 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$399.76 |
$571.10 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$407.90 |
$582.71 |
1.3× |
| Arthrodesis ankle open (27870) |
$23,225.78 |
$33,179.68 |
1.8× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,856.81 |
$4,081.15 |
0.4× |
| Arthrodesis Pantalar (28705) |
$15,499.29 |
$22,141.84 |
0.9× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$14,768.40 |
$21,097.72 |
0.8× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$4,699 |
$6,712.85 |
0.6× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge, not the full procedure |
$3,613.79 |
$5,162.56 |
0.2× |
| Arthroplasty Ankle W/Implant (27702) |
$34,344.13 |
$49,063.04 |
1.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,941.96 |
$27,059.94 |
1.1× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$19,330.25 |
$27,614.64 |
1.5× |
| Arthroplasty radial head w/implant (24366) |
$10,815.95 |
$15,451.36 |
0.8× |
| Arthroplasty, patella; with prosthesis (27438) |
$16,482.79 |
$23,546.84 |
1.3× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$15,708.11 |
$22,440.16 |
2.2× |
| Arthroscopy ankle; ext debridem (29898) |
$12,813.63 |
$18,305.18 |
3.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$10,905.16 |
$15,578.80 |
3.3× |
| Arthroscopy of joint (29999) |
$3,252.21 |
$4,646.01 |
13.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$11,098.55 |
$15,855.07 |
3.4× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$10,800.75 |
$15,429.64 |
3.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$8,973.54 |
$12,819.34 |
2.7× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$10,800.75 |
$15,429.64 |
3.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$4,261.52 |
$6,087.89 |
1.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$9,130.16 |
$13,043.08 |
2.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,086.77 |
$8,695.38 |
1.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$10,069.86 |
$14,385.52 |
3.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$10,278.69 |
$14,683.84 |
3.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$3,953.13 |
$5,647.33 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$12,941.19 |
$18,487.42 |
1.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,052.58 |
$4,360.82 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$7,706.97 |
$11,009.96 |
2.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,772.21 |
$3,960.30 |
0.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,468.54 |
$7,812.20 |
0.8× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,226.72 |
$6,038.17 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,305.90 |
$10,437 |
1.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$13,323.72 |
$19,033.89 |
4.1× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$5,601.94 |
$8,002.76 |
1.7× |
| Aspir/inj thyroid cyst (60300) |
$514.70 |
$735.29 |
0.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$212.88 |
$304.10 |
0.7× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$4,791.77 |
$6,845.39 |
2.3× |
| Av Fuse Uppr Arm Basilic (36819) |
$16,034.24 |
$22,906.06 |
2.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$185.28 |
$264.69 |
0.9× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$2,093.53 |
$2,990.76 |
1.7× |
| Biopsy bone trocar/needle deep (20225) |
$2,642.50 |
$3,775 |
1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,375.40 |
$4,822 |
2.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$626.80 |
$895.44 |
0.7× |
| Biopsy external auditory canal (69105) |
$1,068.72 |
$1,526.74 |
0.7× |
| Biopsy external ear (69100) |
$197.35 |
$281.93 |
0.8× |
| Biopsy intranasal (30100) |
$1,081.35 |
$1,544.78 |
0.7× |
| Biopsy muscle deep (20205) |
$8,190.45 |
$11,700.64 |
2.8× |
| Biopsy muscle percutaneous needle (20206) |
$1,642.90 |
$2,347 |
1.0× |
| Biopsy of floor of mouth (41108) |
$1,183.08 |
$1,690.12 |
0.7× |
| Biopsy of lip (40490) |
$249.47 |
$356.38 |
1.1× |
| Biopsy of mouth lesion (40808) |
$433.32 |
$619.02 |
0.8× |
| Biopsy of nail unit (11755) |
$515.48 |
$736.40 |
0.7× |
| Biopsy of palate, uvula (42100) |
$1,343.11 |
$1,918.72 |
0.9× |
| Biopsy of tongue (41100) |
$366.91 |
$524.16 |
0.7× |
| Biopsy of uterus lining (58100) |
$147.77 |
$211.10 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$9,012.02 |
$12,874.32 |
2.3× |
| Biopsy Oropharynx (42800) |
$1,065.73 |
$1,522.47 |
0.7× |
| Biopsy Salivary Gland Incisional (42405) |
$1,081.82 |
$1,545.46 |
0.7× |
| Biopsy Salivary Gland,Needle (42400) |
$7,558.81 |
$10,798.30 |
10.7× |
| Biopsy soft tissue of back (21920) |
$1,997.21 |
$2,853.16 |
1.2× |
| Biopsy tongue posterior one-third (41105) |
$2,367.27 |
$3,381.82 |
0.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$636.41 |
$909.15 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
$6,446.93 |
$9,209.90 |
1.6× |
| Biopsy/removal lymph nodes (38510) |
$7,369.36 |
$10,527.66 |
1.9× |
| Biopsy; nasopharynx, survey for unknown primary lesion (42806) |
$4,182.44 |
$5,974.91 |
1.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$606.26 |
$866.09 |
0.9× |
| Bladder Irrigation Simple (51700) |
$205.70 |
$293.86 |
0.8× |
| Bladder Scan (51798) |
$45.42 |
$64.89 |
0.8× |
| Blood patch (62273) |
$986.84 |
$1,409.76 |
1.4× |
| Blood transfusion service (36430) |
$1,067.86 |
$1,525.51 |
2.4× |
| Bone graft, any donor area; major or large (20902) |
$13,066.54 |
$18,666.49 |
1.8× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
unusually low: confirm this is the full procedure |
$2,447.87 |
$3,496.96 |
0.3× |
| Bone marrow aspiration only (38220) |
$2,555.97 |
$3,651.38 |
1.5× |
| Bone Marrow Biopsy (38221) |
$2,495.85 |
$3,565.50 |
1.5× |
| Bronch ebus samplng 1/2 node (31652) |
$4,839.69 |
$6,913.84 |
1.3× |
| Bronch ebus samplng 3/> node (31653) |
$5,481.22 |
$7,830.31 |
1.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,324.71 |
$3,321.02 |
1.3× |
| Bronchoscopy dilate/fx repr (31630) |
$294.24 |
$420.34 |
0.1× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,328.54 |
$3,326.49 |
1.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,370.30 |
$1,957.57 |
0.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$1,370.30 |
$1,957.57 |
0.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,324.71 |
$3,321.02 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,725.52 |
$2,465.03 |
1.0× |
| Bx anorectal wall anal approach (45100) |
$1,375.05 |
$1,964.35 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$3,673.38 |
$5,247.68 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$4,970.04 |
$7,100.05 |
3.0× |
| Bx prostate transrectal us gid w/MRI fus gdn 1st (55708) |
$2,649.70 |
$3,785.29 |
0.8× |
| Bx prst8 trct us guided (55707) |
$2,649.70 |
$3,785.29 |
0.8× |
| Bx vulva/perineum 1 lesion (56605) |
$626.58 |
$895.11 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$1,939.04 |
$2,770.06 |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,615.44 |
$6,593.49 |
1.4× |
| Capsular Contracture Release (23020) |
$3,404.97 |
$4,864.24 |
1.0× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$1,788.27 |
$2,554.67 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$133.78 |
$191.11 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$234.61 |
$335.16 |
0.9× |
| Chemical Cautery Tissue (17250) |
$281.13 |
$401.62 |
1.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$491 |
$701.43 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$401.92 |
$574.18 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$215.95 |
$308.50 |
0.7× |
| Chemodenerv Musc Neck Dyston (64616) |
$408.88 |
$584.11 |
1.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$760 |
$1,085.71 |
1.1× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$295.61 |
$422.30 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$355.78 |
$508.26 |
1.2× |
| Chest tube placement (32551) |
$1,620.47 |
$2,314.95 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$136.88 |
$195.54 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$8,420.85 |
$12,029.78 |
2.3× |
| Chromotubation of oviduct, including materials (58350) |
$3,867.19 |
$5,524.56 |
0.8× |
| Circum 28 days or older (54161) |
$5,500.06 |
$7,857.23 |
2.6× |
| Circumcision (54150) |
$1,496.09 |
$2,137.27 |
0.7× |
| Clean out mastoid cavity (69222) |
$543.54 |
$776.48 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$774.32 |
$1,106.17 |
0.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$398.23 |
$568.90 |
1.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$535.26 |
$764.66 |
2.2× |
| Closed Rx Med Malleolus Fx (27760) |
$478.66 |
$683.80 |
1.9× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$4,359.36 |
$6,227.66 |
2.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,168.90 |
$1,669.85 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,912.90 |
$2,732.72 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$401.92 |
$574.16 |
1.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$500.16 |
$714.51 |
2.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$452.49 |
$646.41 |
1.8× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,551.39 |
$2,216.27 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$461.13 |
$658.76 |
1.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$4,468.88 |
$6,384.11 |
1.3× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$486.12 |
$694.46 |
2.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$466.52 |
$666.45 |
1.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$330.79 |
$472.55 |
1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$457.88 |
$654.12 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$484.67 |
$692.39 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$3,149.13 |
$4,498.75 |
12.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,551.39 |
$2,216.27 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$481.82 |
$688.31 |
2.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$385.90 |
$551.29 |
1.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$354.72 |
$506.74 |
1.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$732.94 |
$1,047.06 |
3.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$323.37 |
$461.96 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,081.20 |
$1,544.57 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$538.43 |
$769.18 |
2.2× |
| Closed tx patellar fracture w/o manipulation (27520) |
$467.95 |
$668.50 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,551.39 |
$2,216.27 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$391.64 |
$559.49 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,658.52 |
$2,369.32 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$384.92 |
$549.88 |
1.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,551.39 |
$2,216.27 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,551.39 |
$2,216.27 |
6.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$415.49 |
$593.56 |
1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$373.88 |
$534.12 |
1.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$371.81 |
$531.16 |
1.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,395.27 |
$1,993.24 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$363.21 |
$518.87 |
1.5× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$245.93 |
$351.33 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,062.59 |
$2,946.55 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$478.46 |
$683.52 |
1.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$646 |
$922.85 |
2.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$344.06 |
$491.52 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$766.07 |
$1,094.38 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$451.54 |
$645.05 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$310.78 |
$443.98 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$510.62 |
$729.45 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,361.36 |
$1,944.80 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$784 |
$1,120 |
3.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$263.57 |
$376.52 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$219.92 |
$314.18 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$237.41 |
$339.15 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,551.39 |
$2,216.27 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$475.11 |
$678.73 |
1.9× |
| Cltx greater trochanteric fx w/o manj (27246) |
$599.42 |
$856.30 |
2.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,168.74 |
$1,669.63 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$175.06 |
$250.08 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$598.88 |
$855.54 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$440 |
$628.57 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$495.32 |
$707.60 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$774.32 |
$1,106.17 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$306.25 |
$437.50 |
1.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,551.39 |
$2,216.27 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,551.39 |
$2,216.27 |
6.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$443.07 |
$632.96 |
1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,152.79 |
$1,646.84 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$175.34 |
$250.48 |
0.7× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$4,791.77 |
$6,845.39 |
3.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,153.98 |
$1,648.56 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$8,577.20 |
$12,253.14 |
5.3× |
| Colonoscopy flex w/rem forcep (45384) |
$765.72 |
$1,093.88 |
0.6× |
| Colonoscopy w/ablation (45388) |
$1,597.34 |
$2,281.92 |
1.3× |
| Colonoscopy w/band ligation (45398) |
$2,494.22 |
$3,563.16 |
2.1× |
| Colonoscopy w/resection (45390) |
$1,409.86 |
$2,014.08 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$284.58 |
$406.55 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$167.09 |
$238.70 |
0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,320.92 |
$3,315.60 |
0.7× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$4,125.15 |
$5,893.07 |
1.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$268.43 |
$383.47 |
0.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$222.68 |
$318.11 |
0.7× |
| Colposcopy vulva (56820) |
$147.89 |
$211.27 |
0.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$315.80 |
$451.14 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,801.80 |
$2,574 |
1.5× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,052.96 |
$1,504.24 |
0.9× |
| Complete replacement picc rs&i (36584) |
$1,355.35 |
$1,936.21 |
0.9× |
| Complex Drainage, Wound (10180) |
$4,313.64 |
$6,162.34 |
1.5× |
| Complex Uroflowmetry (51741) |
$222.52 |
$317.88 |
1.0× |
| Conization of cervix (57520) |
$7,459.56 |
$10,656.52 |
2.3× |
| Conization of cervix (57522) |
$2,321 |
$3,315.72 |
0.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$968.68 |
$1,383.84 |
4.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$286.90 |
$409.86 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$193.55 |
$276.50 |
1.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$4,791.77 |
$6,845.39 |
8.9× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$4,791.77 |
$6,845.39 |
1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,042.95 |
$4,347.07 |
1.8× |
| Correction hammertoe (28285) |
$4,583.45 |
$6,547.79 |
1.4× |
| Correction of bunion (28298) |
$9,219.13 |
$13,170.19 |
1.3× |
| Correction of bunion (28292) |
$7,618.15 |
$10,883.07 |
2.3× |
| Correction of bunion (28299) |
$7,443.48 |
$10,633.54 |
1.0× |
| Correction of bunion (28297) |
$11,173.94 |
$15,962.77 |
0.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,900.04 |
$7,000.06 |
1.5× |
| Create eardrum opening (69436) |
$1,539.52 |
$2,199.30 |
1.0× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$19,018.58 |
$27,169.40 |
3.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$385.90 |
$551.29 |
2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$208.34 |
$297.63 |
0.9× |
| Curettage postpartum (59160) |
$5,432.32 |
$7,760.45 |
1.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,297.01 |
$6,138.59 |
2.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,517.10 |
$3,595.85 |
0.7× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$7,111.71 |
$10,159.58 |
1.3× |
| Cysto w/destruction of lesions (52214) |
$3,478.83 |
$4,969.75 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,803.79 |
$5,433.99 |
1.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,745.46 |
$2,493.51 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,131.86 |
$5,902.66 |
1.2× |
| Cysto/uretero w/lithotripsy (52356) |
$7,322.61 |
$10,460.87 |
1.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,867.84 |
$8,382.62 |
1.1× |
| Cystometrogram w/vp (51728) |
$690 |
$985.71 |
1.0× |
| Cystometrogram W/Vp&Up (51729) |
$739.03 |
$1,055.75 |
1.1× |
| Cystoscopy w/biopsy (52204) |
$4,791.77 |
$6,845.39 |
2.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,817.09 |
$4,024.42 |
1.3× |
| Cystoscopy,insert ureteral stent (52332) |
$2,206.53 |
$3,152.19 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$13,041.46 |
$18,630.66 |
6.2× |
| Cystourethroscopy (52000) |
$677.02 |
$967.17 |
1.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,215.34 |
$3,164.78 |
1.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,125.15 |
$5,893.07 |
2.0× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$5,683.08 |
$8,118.70 |
1.6× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,019.80 |
$4,314.01 |
0.9× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$5,635.39 |
$8,050.55 |
2.7× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$3,846.22 |
$5,494.60 |
1.8× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$6,127.49 |
$8,753.56 |
1.7× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$7,603.81 |
$10,862.59 |
2.2× |
| Debride nail 1-5 (11720) |
$55.10 |
$78.72 |
0.9× |
| Debride nail 6 or more (11721) |
$73.82 |
$105.45 |
1.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$196.11 |
$280.16 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$995.62 |
$1,422.31 |
2.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,389.30 |
$1,984.72 |
1.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,743.16 |
$5,347.38 |
2.3× |
| Declot vascular device (36593) |
$823.82 |
$1,176.88 |
2.5× |
| Decompression of tibia nerve (28035) |
$6,302.96 |
$9,004.24 |
3.2× |
| Decompression; plantar digital nerve (64726) |
$6,833.09 |
$9,761.56 |
3.5× |
| Destroy cerv/thor facet jnt (64633) |
$3,198.50 |
$4,569.30 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,843.12 |
$4,061.60 |
1.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$403.76 |
$576.80 |
1.0× |
| Destruction benign lesions 15 or more (17111) |
$284.12 |
$405.89 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$213.12 |
$304.45 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,305.02 |
$1,864.31 |
1.5× |
| Destruction Lesions Vulva Extensive (56515) |
$1,339.62 |
$1,913.74 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$1,335.61 |
$1,908.02 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$177.64 |
$253.78 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$143.84 |
$205.48 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,848.34 |
$4,069.05 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$170.76 |
$243.94 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,055.50 |
$1,507.86 |
1.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,886.27 |
$2,694.67 |
2.0× |
| Dilate Urethra Stricture (53600) |
$178.76 |
$255.37 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$983.51 |
$1,405.01 |
1.1× |
| Dilation of salivary duct (42650) |
$1,082.21 |
$1,546.01 |
0.7× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$4,125.15 |
$5,893.07 |
2.3× |
| Divisn plantar fascia/muscle (28250) |
$7,896.58 |
$11,280.83 |
2.4× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,194.24 |
$1,706.05 |
0.7× |
| Drain outer ear canal lesion (69020) |
$506.62 |
$723.74 |
0.7× |
| Drain spinal cord cyst (62268) |
$1,591.40 |
$2,273.43 |
1.8× |
| Drain/inj small joint/bursa w/us (20604) |
$399.84 |
$571.20 |
1.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$187.07 |
$267.24 |
0.8× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$373.93 |
$534.18 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$506.93 |
$724.18 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,246.49 |
$1,780.70 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$395.54 |
$565.06 |
2.0× |
| Drainage of eyelid abscess (67700) |
$242.61 |
$346.58 |
0.8× |
| Drainage of gum lesion (41800) |
$385.90 |
$551.29 |
2.9× |
| Drainage of hematoma/fluid (10140) |
$1,706.13 |
$2,437.33 |
1.0× |
| Drainage of hydrocele (55000) |
$506.66 |
$723.80 |
0.7× |
| Drainage of salivary cyst (42409) |
$3,360.40 |
$4,800.58 |
1.0× |
| Drainage of salivary gland (42305) |
$2,505.56 |
$3,579.37 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$2,890.93 |
$4,129.90 |
1.7× |
| Draw blood off venous device (36591) |
$134.86 |
$192.65 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$670.18 |
$957.40 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$432.78 |
$618.26 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$322.33 |
$460.47 |
1.6× |
| Dstrj lesion penis simple surg excision (54060) |
$1,979.61 |
$2,828.01 |
1.0× |
| Dx bone marrow bx & aspir (38222) |
$2,423.12 |
$3,461.60 |
0.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$2,251.89 |
$3,216.99 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,103.88 |
$3,005.54 |
1.1× |
| Egd flexible foreign body removal (43247) |
$2,251.89 |
$3,216.99 |
2.5× |
| Egd guide wire insertion (43248) |
$2,124.20 |
$3,034.57 |
2.3× |
| Egd place gastrostomy tube (43246) |
$3,083.94 |
$4,405.62 |
1.6× |
| Egd remove lesion snare (43251) |
$2,817.78 |
$4,025.40 |
1.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,251.89 |
$3,216.99 |
1.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$157.90 |
$225.57 |
1.2× |
| Endocervical Curettage (57505) |
$637.36 |
$910.52 |
0.7× |
| Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial Curettage, When Performed (58356) |
$5,169.19 |
$7,384.56 |
1.0× |
| Endoscopic Injection/Implant (51715) |
$4,525.47 |
$6,464.95 |
1.3× |
| Endoscopic Plantar Fasciotomy (29893) |
$5,199.26 |
$7,427.52 |
1.6× |
| Endoven ther chem adhes 1st (36482) |
$3,710.18 |
$5,300.25 |
0.7× |
| Endovenous rf 1st vein (36475) |
$2,968.14 |
$4,240.20 |
0.9× |
| Epididymectomy unilateral (54860) |
$10,905.16 |
$15,578.80 |
3.1× |
| Episiotomy or vaginal repair (59300) |
$385.90 |
$551.29 |
0.1× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,369.58 |
$4,813.69 |
0.9× |
| Esophagoscopy flex biopsy (43202) |
$2,251.89 |
$3,216.99 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$344.96 |
$492.80 |
2.6× |
| Exc abd les sc 3 cm/> (22903) |
$4,669.20 |
$6,670.28 |
1.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,093.78 |
$4,419.68 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,680.36 |
$2,400.52 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,183.06 |
$1,690.09 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,264.59 |
$3,235.13 |
1.4× |
| Exc back tum deep < 5 cm (21932) |
$4,468.88 |
$6,384.11 |
1.5× |
| Exc face les sbq 2 cm/> (21012) |
$1,186.93 |
$1,695.62 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$753.26 |
$1,076.08 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,935.48 |
$2,764.97 |
1.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$4,526.17 |
$6,465.95 |
2.7× |
| Exc forearm les sc < 3 cm (25075) |
$5,270.91 |
$7,529.87 |
3.2× |
| Exc hand les sc < 1.5 cm (26115) |
$4,382.94 |
$6,261.35 |
2.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$4,125.15 |
$5,893.07 |
1.2× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$3,424.28 |
$4,891.82 |
1.0× |
| Exc neck tum deep < 5 cm (21556) |
$2,088.74 |
$2,983.92 |
0.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$6,643.64 |
$9,490.91 |
3.4× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$16,677.92 |
$23,825.60 |
2.8× |
| Exc rect tum transanal part (45171) |
$1,127.88 |
$1,611.26 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$4,554.81 |
$6,506.87 |
2.8× |
| Exc skin abd (15830) |
$24,636.16 |
$35,194.52 |
3.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$514.42 |
$734.89 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$403.76 |
$576.80 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$514.70 |
$735.29 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$753.41 |
$1,076.30 |
1.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,182.41 |
$1,689.15 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,165.15 |
$1,664.50 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,365.75 |
$4,808.22 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,549.42 |
$3,642.03 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,184.13 |
$1,691.62 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,182.50 |
$1,689.29 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$4,927.12 |
$7,038.74 |
1.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,986.39 |
$4,266.27 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,722.30 |
$2,460.42 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$7,275.99 |
$10,394.27 |
2.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$839.91 |
$1,199.87 |
0.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$506.30 |
$723.29 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$7,906.16 |
$11,294.51 |
2.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,896.12 |
$6,994.45 |
3.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$6,900.80 |
$9,858.29 |
2.4× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$5,424.48 |
$7,749.26 |
1.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$4,064.66 |
$5,806.65 |
1.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,184.94 |
$1,692.77 |
0.7× |
| Exchange nephrostomy cath (50435) |
$3,157.18 |
$4,510.26 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$4,583.32 |
$6,547.60 |
2.8× |
| Excise cutaneous neurofibroma (64788) |
$1,425.84 |
$2,036.91 |
0.7× |
| Excise excessive skin hip (15834) |
$19,954.84 |
$28,506.92 |
6.9× |
| Excise Inferior Turbinate (30130) |
$5,075.87 |
$7,251.24 |
1.5× |
| Excise pharynx lesion (42808) |
$2,368.50 |
$3,383.57 |
0.7× |
| Excise/repair mouth lesion (40812) |
$1,082 |
$1,545.71 |
0.7× |
| Excision brach clft cyst,superficial (42810) |
$3,448.52 |
$4,926.45 |
1.0× |
| Excision Breast Lesion (19125) |
$4,798.59 |
$6,855.12 |
1.2× |
| Excision external ear partial simple repair (69110) |
$6,187.52 |
$8,839.31 |
2.1× |
| Excision hidradenitis axillary complex repair (11451) |
$6,359.38 |
$9,084.83 |
2.2× |
| Excision hydrocele bilateral (55041) |
$15,039.46 |
$21,484.94 |
4.2× |
| Excision lesion mouth roof (42104) |
$2,375.86 |
$3,394.08 |
0.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$515.17 |
$735.96 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$514.72 |
$735.32 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$465.85 |
$665.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,319.42 |
$3,313.46 |
3.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$492.09 |
$702.98 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$514.70 |
$735.29 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$514.56 |
$735.08 |
0.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$527.38 |
$753.40 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,186.88 |
$1,695.54 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$513.83 |
$734.04 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$753.49 |
$1,076.41 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$414.79 |
$592.56 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,738.54 |
$2,483.64 |
1.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$983.51 |
$1,405.01 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$514.75 |
$735.35 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$963.90 |
$1,377 |
1.4× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$4,526.17 |
$6,465.95 |
2.8× |
| Excision of hydrocele; unilateral (55040) |
$10,358.14 |
$14,797.34 |
2.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$5,557.35 |
$7,939.07 |
5.6× |
| Excision of lesion of tongue without closure (41110) |
$2,332.98 |
$3,332.82 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,089.36 |
$2,984.80 |
1.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,248.82 |
$1,784.02 |
0.8× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$5,565.08 |
$7,950.12 |
3.5× |
| Excision of local lesion of epididymis (54830) |
$9,861.04 |
$14,087.20 |
2.8× |
| Excision of mouth lesion (40816) |
$2,367.29 |
$3,381.84 |
0.7× |
| Excision of nail fold toe (11765) |
$282.63 |
$403.76 |
0.7× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$8,035.80 |
$11,479.71 |
4.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$10,905.16 |
$15,578.80 |
3.7× |
| Excision of single external papilla or tag, anus (46220) |
$8,712.51 |
$12,446.44 |
7.3× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$8,393.44 |
$11,990.62 |
4.0× |
| Excision of tongue lesion (41112) |
$3,648.19 |
$5,211.70 |
1.1× |
| Excision of Umbilicus (49250) |
$10,358.14 |
$14,797.34 |
2.9× |
| Excision of vaginal cyst or tumor (57135) |
$7,977.98 |
$11,397.12 |
2.5× |
| Excision olecranon bursa (24105) |
$8,608.10 |
$12,297.28 |
2.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$10,383.10 |
$14,833 |
3.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,194.52 |
$4,563.60 |
1.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,290.76 |
$3,272.51 |
1.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$7,560.03 |
$10,800.04 |
4.6× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$5,986.89 |
$8,552.70 |
3.7× |
| Excision, nasal polyp(s), simple (30110) |
$1,634.92 |
$2,335.61 |
1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,149.65 |
$1,642.35 |
0.7× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,562.42 |
$7,946.31 |
1.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,755.32 |
$6,793.31 |
1.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$6,359.38 |
$9,084.83 |
2.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,367.22 |
$3,381.74 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$6,130.23 |
$8,757.47 |
3.8× |
| Explo/Drain Breast Abscess (19020) |
$385.90 |
$551.29 |
0.2× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$5,213.62 |
$7,448.03 |
1.5× |
| Exploration of knee joint (27310) |
$10,356.56 |
$14,795.08 |
3.2× |
| Explore parathyroid glands (60500) |
$20,071.88 |
$28,674.11 |
3.4× |
| Explore/treat ankle joint (27610) |
$5,632.39 |
$8,046.27 |
1.7× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,170.20 |
$1,671.72 |
0.7× |
| External Cephalic Version (59412) |
$2,970.46 |
$4,243.51 |
0.9× |
| Fasciotomy foot and/or toe (28008) |
$4,866.74 |
$6,952.48 |
1.5× |
| Fetal non-stress test (59025) |
$264.11 |
$377.30 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$992.82 |
$1,418.31 |
1.4× |
| Fine needle aspiration without imaging guidance (10021) |
$348.52 |
$497.88 |
0.9× |
| Fixation of knee joint (27570) |
$2,458.50 |
$3,512.14 |
1.5× |
| Fixation of shoulder (23700) |
$2,458.50 |
$3,512.14 |
1.5× |
| Fluoro exam of g/colon tube (49465) |
$551.90 |
$788.43 |
2.3× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$2,160.14 |
$3,085.92 |
0.7× |
| Frenulotomy of penis (54164) |
$2,794.22 |
$3,991.74 |
1.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,314.75 |
$1,878.21 |
0.6× |
| Fusion Finger Joint (26860) |
$10,069.86 |
$14,385.52 |
3.1× |
| Fusion of foot bones (28730) |
$7,254.67 |
$10,363.81 |
0.6× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$2,799.76 |
$3,999.65 |
0.4× |
| Gastrocnemius Recession (27687) |
$7,088.36 |
$10,126.24 |
2.2× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$2,635.42 |
$3,764.88 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,086.53 |
$1,552.18 |
1.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,687.76 |
$10,982.51 |
1.1× |
| Harvest cultured skin graft (15040) |
$5,270.91 |
$7,529.87 |
2.6× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$5,181.87 |
$7,402.67 |
1.6× |
| Hemorrhoidectomy (46255) |
$8,399.27 |
$11,998.96 |
3.0× |
| Hemorrhoidectomy external complete (46250) |
$9,443.39 |
$13,490.56 |
3.4× |
| Hysteroscopy ablation (58563) |
$3,878.64 |
$5,540.91 |
0.8× |
| Hysteroscopy biopsy (58558) |
$8,294.86 |
$11,849.80 |
2.6× |
| Hysteroscopy dx sep proc (58555) |
$4,261.52 |
$6,087.89 |
1.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,733.44 |
$8,190.62 |
1.8× |
| I&D Abscess Peritonsillar (42700) |
$341.22 |
$487.45 |
1.4× |
| I&d abscess simple (10060) |
$402.35 |
$574.79 |
2.0× |
| I&d below fascia foot 1 bursal space (28002) |
$2,879.85 |
$4,114.08 |
1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,496.18 |
$4,994.54 |
1.2× |
| I&d perianal abscess superficial (46050) |
$4,444.10 |
$6,348.71 |
4.8× |
| I&d pilonidal cyst simple (10080) |
$499.77 |
$713.96 |
0.7× |
| Image Cath Fluid Colxn Visc (49405) |
$4,716.84 |
$6,738.33 |
2.9× |
| Image Cath Fluid Peri/Retro (49406) |
$4,652.91 |
$6,647.02 |
2.8× |
| Implant neuroelectrodes (63650) |
$5,910.40 |
$8,443.43 |
0.9× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure |
$3,291.73 |
$4,702.47 |
0.2× |
| Incise finger tendon sheath (26055) |
$3,284.79 |
$4,692.56 |
2.0× |
| Incise inner ear (69801) |
$1,082.42 |
$1,546.31 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$385.90 |
$551.29 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,201.46 |
$6,002.10 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$518.42 |
$740.60 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,165.37 |
$1,664.82 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$568.44 |
$812.06 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$313.64 |
$448.05 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$224.05 |
$320.07 |
0.7× |
| Incision bone cortex foot (28005) |
$2,874.22 |
$4,106.03 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$4,629.98 |
$6,614.25 |
2.9× |
Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568)
unusually low: confirm this is the full procedure |
$16,794.95 |
$23,992.79 |
0.4× |
| Incision labial frenum frenotomy (40806) |
$374.42 |
$534.88 |
0.7× |
| Incision of eardrum (69421) |
$1,718.77 |
$2,455.39 |
0.5× |
| Incision of eardrum (69420) |
$250.88 |
$358.40 |
1.1× |
| Incision of heel bone (28300) |
$10,934.21 |
$15,620.30 |
1.5× |
| Incision of lingual frenum (41010) |
$1,375.05 |
$1,964.35 |
0.9× |
| Incision of metatarsal (28308) |
$3,561.59 |
$5,087.98 |
1.1× |
| Incision of rectal abscess (46040) |
$861.35 |
$1,230.50 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$345.21 |
$493.16 |
1.4× |
| Incision&drainage bursa foot (28001) |
$1,658.30 |
$2,369 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$354.73 |
$506.76 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$447.70 |
$639.57 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$279.64 |
$399.49 |
1.4× |
| Inj dupuytren cord w/enzyme (20527) |
$209.48 |
$299.26 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,162.90 |
$3,089.86 |
2.4× |
| Inj tendon sheath/ligament (20550) |
$399.84 |
$571.20 |
1.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$5,105.97 |
$7,294.24 |
5.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$4,185.41 |
$5,979.16 |
4.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,867.31 |
$2,667.58 |
2.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$349.72 |
$499.60 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,800.95 |
$4,001.36 |
3.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,591.40 |
$2,273.43 |
2.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,941.61 |
$2,773.73 |
2.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,464.12 |
$2,091.60 |
2.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,591.40 |
$2,273.43 |
1.8× |
| Inject Tendon Origin/Insert (20551) |
$215.85 |
$308.35 |
0.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$6,033.02 |
$8,618.59 |
6.8× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$2,987.32 |
$4,267.60 |
3.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$6,874.85 |
$9,821.21 |
9.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$585.70 |
$836.71 |
1.9× |
| Injection anes other peripheral nerve/branch (64450) |
$508.75 |
$726.78 |
0.7× |
| Injection for identification of sentinel node (38792) |
$661.57 |
$945.10 |
1.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,355.68 |
$1,936.68 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$403.84 |
$576.91 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$309.96 |
$442.79 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$294.17 |
$420.24 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$1,591.40 |
$2,273.43 |
5.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$209.08 |
$298.68 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$8,229.84 |
$11,756.92 |
2.6× |
| Ins endovas vena cava filtr (37191) |
$4,345.72 |
$6,208.17 |
0.8× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$22,923.12 |
$32,747.32 |
2.2× |
| Ins vag brachytx device (57156) |
$663.24 |
$947.48 |
2.2× |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
$5,958.23 |
$8,511.76 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$119.32 |
$170.45 |
0.9× |
| Insert Drug Implant Device (11981) |
$160.12 |
$228.74 |
1.2× |
| Insert nasal septal button (30220) |
$1,081.79 |
$1,545.41 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$2,328.54 |
$3,326.49 |
0.7× |
| Insert pessary/other device (57160) |
$193.23 |
$276.04 |
1.0× |
| Insert picc cath (36569) |
$2,810.28 |
$4,014.68 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$179.93 |
$257.04 |
1.4× |
| Insert tunneled cv cath (36561) |
$7,417.04 |
$10,595.78 |
2.3× |
Insert Tunneled Cv Cath With Pump (36563)
unusually low: confirm this is the full procedure |
$2,282.54 |
$3,260.77 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$95.06 |
$135.80 |
0.7× |
| Insertion Heyman Capsules Clinical Brachytherapy (58346) |
$5,109.99 |
$7,299.98 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,188.26 |
$7,411.80 |
1.4× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$2,251.89 |
$3,216.99 |
1.2× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
unusually low: confirm this is the full procedure |
$9,480.16 |
$13,543.08 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,812.36 |
$5,446.23 |
2.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,231.49 |
$11,759.27 |
1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$4,022.35 |
$5,746.22 |
0.8× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$4,726.68 |
$6,752.39 |
2.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$10,799.36 |
$15,427.65 |
3.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$13,075.72 |
$18,679.60 |
1.6× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$6,553.66 |
$9,362.37 |
0.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,397.46 |
$4,853.52 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$1,168.78 |
$1,669.69 |
4.9× |
| Knee arthroscopy/surgery (29887) |
$7,834.69 |
$11,192.42 |
1.1× |
| Knee arthroscopy/surgery (29876) |
$3,269.61 |
$4,670.87 |
1.0× |
| Knee arthroscopy/surgery (29886) |
$9,652.22 |
$13,788.88 |
2.9× |
| Lap ing hernia repair init (49650) |
$11,772.17 |
$16,817.38 |
1.9× |
| Lap insert tunnel ip cath (49324) |
$12,464.73 |
$17,806.76 |
2.1× |
| Laparoscopy appendectomy (44970) |
$8,173.04 |
$11,675.77 |
1.3× |
| Laparoscopy biopsy (49321) |
$6,322.22 |
$9,031.74 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$14,558.19 |
$20,797.41 |
2.4× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$18,336.93 |
$26,195.62 |
1.7× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$11,740.46 |
$16,772.08 |
1.9× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$9,965.45 |
$14,236.36 |
1.6× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$19,252.65 |
$27,503.78 |
1.8× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$20,540.01 |
$29,342.87 |
1.9× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$17,169.88 |
$24,528.40 |
1.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,344.41 |
$11,920.58 |
1.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$26,742.76 |
$38,203.94 |
4.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,352 |
$10,502.86 |
1.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$8,231.80 |
$11,759.72 |
2.1× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$11,521.44 |
$16,459.20 |
1.1× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$8,730.95 |
$12,472.78 |
1.4× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$9,772.97 |
$13,961.39 |
1.6× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,125.15 |
$5,893.07 |
1.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$242.98 |
$347.11 |
1.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$408.81 |
$584.01 |
1.0× |
| Laryngoscopy w/biopsy (31535) |
$4,325.66 |
$6,179.51 |
1.2× |
| Laryngoscopy w/bx op scope (31536) |
$4,468.88 |
$6,384.11 |
1.2× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$4,182.44 |
$5,974.91 |
2.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,640.54 |
$2,343.62 |
0.9× |
| Larynscop w/tumr exc + scope (31541) |
$4,125.15 |
$5,893.07 |
1.1× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$7,814.72 |
$11,163.88 |
1.5× |
| Laser vaporization surgery prostate, complete (52648) |
$6,689.90 |
$9,557 |
1.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$11,941.22 |
$17,058.88 |
1.6× |
| Ligation of hemorrhoid(s) (46221) |
$1,810.08 |
$2,585.83 |
1.9× |
| Ligation or biopsy temporal artery (37609) |
$5,916.59 |
$8,452.27 |
3.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,071.60 |
$8,673.70 |
1.7× |
| Lithotripsy (50590) |
$6,373.55 |
$9,105.06 |
1.8× |
| Liver Biopsy (47000) |
$3,068.66 |
$4,383.80 |
1.9× |
| Lysis Intranasal Synechia (30560) |
$634.94 |
$907.06 |
1.2× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$224.23 |
$320.33 |
0.9× |
| Marsup Bartholin Gland Cyst (56440) |
$5,402.37 |
$7,717.67 |
1.7× |
| Mast mod rad (19307) |
$13,147.19 |
$18,781.70 |
2.0× |
| Mastectomy partial (19301) |
$10,124.07 |
$14,462.96 |
2.6× |
| Mastectomy simple complete (19303) |
$10,260.38 |
$14,657.68 |
1.5× |
| Monocyte distribution width, whole blood (list separately in addition to code for primary procedure) (0427U) |
$6.45 |
$9.22 |
1.4× |
| Muscle-skin graft trunk (15734) |
$2,597.19 |
$3,710.27 |
0.7× |
| Myelography Lumbar Injection (62305) |
$14,929.95 |
$21,328.50 |
19.0× |
| Myelography Lumbar Injection (62304) |
$8,531.46 |
$12,187.80 |
10.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$8,531.46 |
$12,187.80 |
10.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$8,531.46 |
$12,187.80 |
10.9× |
| Myringoplasty (69620) |
$3,423.76 |
$4,891.08 |
1.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$199.60 |
$285.15 |
1.0× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$5,003.52 |
$7,147.89 |
0.7× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$5,295.96 |
$7,565.66 |
0.7× |
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288)
likely a partial charge, not the full procedure |
$1,299.34 |
$1,856.20 |
0.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$6,444.51 |
$9,206.44 |
1.7× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,296.68 |
$1,852.39 |
0.7× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$4,887.32 |
$6,981.88 |
0.7× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
unusually low: confirm this is the full procedure |
$2,501.76 |
$3,573.94 |
0.4× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
unusually low: confirm this is the full procedure |
$2,360.85 |
$3,372.64 |
0.3× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,240.25 |
$1,771.78 |
0.7× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$4,320.32 |
$6,171.89 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,444.62 |
$3,492.32 |
1.4× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,702.48 |
$2,432.12 |
0.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$5,557.01 |
$7,938.58 |
0.8× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,490.56 |
$2,129.38 |
0.2× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$3,361.18 |
$4,801.68 |
0.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,411.59 |
$6,302.27 |
2.7× |
| Neuroplasty Brachial Plexus,Open (64713) |
$8,793.78 |
$12,562.54 |
4.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$3,326.66 |
$4,752.37 |
1.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$258.19 |
$368.84 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,487.24 |
$6,410.34 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,162.90 |
$3,089.86 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,800.95 |
$4,001.36 |
4.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,591.40 |
$2,273.43 |
2.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,513.38 |
$2,161.97 |
2.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,399.86 |
$1,999.80 |
2.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$7,877.21 |
$11,253.16 |
2.0× |
| Open bone biopsy (20250) |
$3,055.12 |
$4,364.46 |
0.9× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$20,540.01 |
$29,342.87 |
0.7× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$15,975.72 |
$22,822.46 |
2.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,687.76 |
$10,982.51 |
1.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,653.90 |
$12,362.70 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$11,469.96 |
$16,385.64 |
1.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$14,863.91 |
$21,234.16 |
2.0× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$14,962.19 |
$21,374.55 |
2.1× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$14,893.05 |
$21,275.78 |
1.2× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$16,794.95 |
$23,992.79 |
2.3× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$13,117.18 |
$18,738.83 |
1.8× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$11,645.50 |
$16,636.43 |
1.6× |
| Open Treatment Radial Shaft Fracture (25515) |
$12,581.77 |
$17,973.95 |
1.7× |
| Open treatment talus fracture (28445) |
$31,190.01 |
$44,557.16 |
4.3× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$12,523.25 |
$17,890.36 |
1.7× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$10,495.05 |
$14,992.93 |
3.2× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$13,166.93 |
$18,809.90 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$14,337.26 |
$20,481.80 |
4.4× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$10,200.53 |
$14,572.18 |
3.1× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$3,843.88 |
$5,491.25 |
0.5× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$7,071.70 |
$10,102.44 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$13,515.46 |
$19,307.80 |
4.1× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$15,575.74 |
$22,251.06 |
1.2× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$12,659.01 |
$18,084.30 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$14,356.70 |
$20,509.58 |
1.2× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$21,768.86 |
$31,098.36 |
1.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$13,049.90 |
$18,642.71 |
3.6× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$9,547.80 |
$13,639.72 |
2.9× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$6,121.58 |
$8,745.11 |
1.9× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$6,833.09 |
$9,761.56 |
2.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$7,563.98 |
$10,805.68 |
2.3× |
| Ovarian cystectomy (58925) |
$14,161.48 |
$20,230.68 |
2.8× |
| Partial excision bone talus/calcaneus (28120) |
$5,988.42 |
$8,554.89 |
1.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,328.54 |
$3,326.49 |
1.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$11,113.98 |
$15,877.12 |
3.4× |
| Partial Removal Foot Fascia (28060) |
$9,748.91 |
$13,927.02 |
3.0× |
| Partial removal of thyroid (60220) |
$17,582.94 |
$25,118.49 |
2.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,730.15 |
$3,900.21 |
0.8× |
| Pelvic exam under anesthesia (57410) |
$2,887.11 |
$4,124.44 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,751.02 |
$2,501.46 |
2.5× |
| Percut Mech Thrombectomy, Venous (37187) |
$6,381.28 |
$9,116.12 |
0.6× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$12,815.83 |
$18,308.33 |
1.8× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$5,705.68 |
$8,150.98 |
1.7× |
| Pericardiocentesis W/Imaging (33016) |
$7,867.62 |
$11,239.45 |
5.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$8,086.04 |
$11,551.48 |
2.5× |
| Perq dev breast 1st strtctc (19283) |
$4,153.72 |
$5,933.90 |
5.9× |
| Perq dev breast 1st us imag (19285) |
$4,153.72 |
$5,933.90 |
5.9× |
| Perq device breast 1st imag (19281) |
$4,215.11 |
$6,021.59 |
2.5× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,265.92 |
$1,808.46 |
0.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,637.36 |
$3,767.65 |
1.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$300.83 |
$429.75 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,086.53 |
$1,552.18 |
1.5× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$11,796.37 |
$16,851.96 |
1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$16,485.01 |
$23,550.01 |
2.3× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,751.02 |
$2,501.46 |
1.3× |
| Placement needle pelvic organ radioelement appl (55920) |
$5,100.02 |
$7,285.75 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$2,328.54 |
$3,326.49 |
5.2× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,450.65 |
$2,072.36 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,365.03 |
$6,235.76 |
2.1× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$15,393.48 |
$21,990.69 |
2.5× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$16,942.31 |
$24,203.30 |
2.8× |
| Preputial Stretching (54450) |
$205.57 |
$293.67 |
0.8× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$8,691.45 |
$12,416.35 |
0.5× |
| Prostatectomy (turp) (52601) |
$4,741.14 |
$6,773.06 |
0.9× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$4,740.07 |
$6,771.53 |
0.7× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$11,288.06 |
$16,125.80 |
1.8× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$6,244.81 |
$8,921.15 |
1.9× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$6,015.65 |
$8,593.79 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$403.76 |
$576.80 |
1.0× |
| Puncture Aspiration (10160) |
$425.22 |
$607.45 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$1,036.16 |
$1,480.24 |
1.5× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$13,168.74 |
$18,812.48 |
4.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater (27059) |
$7,333.28 |
$10,476.11 |
2.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,055.12 |
$4,364.46 |
1.6× |
| Reconstr disloc patella w mscl adv (27422) |
$16,021.35 |
$22,887.64 |
2.2× |
| Reconstruc toe deform,soft tissue (28313) |
$5,394.10 |
$7,705.85 |
1.6× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$11,218.40 |
$16,026.28 |
1.5× |
| Relieve inner eye pressure (65820) |
$4,468.88 |
$6,384.11 |
1.1× |
| Rem endovas vena cava filter (37193) |
$10,428.37 |
$14,897.67 |
3.3× |
| Removal fb intranasal (30300) |
$178.12 |
$254.46 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,411.59 |
$6,302.27 |
1.5× |
| Removal Foreign Body Foot Complicated (28193) |
$1,739.34 |
$2,484.77 |
1.1× |
| Removal foreign body foot deep (28192) |
$1,182.79 |
$1,689.70 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$963.90 |
$1,377 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$774.32 |
$1,106.17 |
0.5× |
| Removal foreign body pharynx (42809) |
$408.81 |
$584.01 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$70.56 |
$100.80 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$98.51 |
$140.72 |
1.7× |
| Removal Implant Deep (20680) |
$4,271.94 |
$6,102.77 |
1.5× |
| Removal Implant From Finger/Hand (26320) |
$6,268.09 |
$8,954.42 |
3.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,169.78 |
$1,671.10 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$755.29 |
$1,078.98 |
1.1× |
| Removal of adenoids (42831) |
$2,864.68 |
$4,092.40 |
0.9× |
| Removal of adenoids (42830) |
$3,132.02 |
$4,474.32 |
0.9× |
| Removal of arm foreign body (24200) |
$1,169.50 |
$1,670.71 |
0.7× |
| Removal of finger lesion (26210) |
$4,755.32 |
$6,793.31 |
3.0× |
| Removal of heel bone (28118) |
$7,728.49 |
$11,040.70 |
2.4× |
| Removal of heel spur (28119) |
$11,792.66 |
$16,846.66 |
3.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$668.52 |
$955.02 |
1.1× |
| Removal of intrauterine device (iud) (58301) |
$304.12 |
$434.46 |
1.0× |
| Removal of nail bed (11750) |
$557.62 |
$796.59 |
1.4× |
| Removal of nose lesion (30124) |
$1,067.95 |
$1,525.64 |
0.7× |
| Removal of salivary stone (42330) |
$3,362.48 |
$4,803.54 |
1.0× |
| Removal of salivary stone (42340) |
$3,244.50 |
$4,635 |
1.0× |
| Removal of sesamoid bone (28315) |
$7,668.39 |
$10,954.84 |
2.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$172.02 |
$245.73 |
0.9× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,973.78 |
$4,248.25 |
1.5× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$12,366.93 |
$17,667.04 |
3.5× |
| Removal of testis (54520) |
$15,624.62 |
$22,320.89 |
4.4× |
| Removal of tonsils (42825) |
$5,442.77 |
$7,775.39 |
0.9× |
| Removal of tonsils (42826) |
$4,125.15 |
$5,893.07 |
1.2× |
| Removal subq cardiac rhythm monitor (33286) |
$8,231.49 |
$11,759.27 |
11.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$265.48 |
$379.25 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$484.50 |
$692.15 |
1.7× |
| Remove anal fist subq (46270) |
$6,295.60 |
$8,993.71 |
2.3× |
| Remove bladder stone (52318) |
$3,026.71 |
$4,323.87 |
0.9× |
| Remove drug implant device (11982) |
$553.11 |
$790.16 |
1.2× |
| Remove ear lesion (69540) |
$1,082.59 |
$1,546.56 |
0.7× |
| Remove Eyelid Foreign Body (67938) |
$385.90 |
$551.29 |
1.2× |
| Remove foreign body from eye (65210) |
$594.10 |
$848.72 |
1.3× |
| Remove in/ex hem groups 2+ (46260) |
$6,710.83 |
$9,586.90 |
2.4× |
| Remove knee cyst (27347) |
$4,440.24 |
$6,343.19 |
1.4× |
| Remove Peritoneal Foreign Body (49402) |
$4,365.47 |
$6,236.39 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$9,547.80 |
$13,639.72 |
3.3× |
| Remove renal tube w/fluoro (50389) |
$983.94 |
$1,405.63 |
1.4× |
| Remove thyroid duct lesion (60280) |
$13,828.70 |
$19,755.28 |
2.3× |
| Remove wrist tendon lesion (25111) |
$4,927.18 |
$7,038.83 |
3.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$4,125.15 |
$5,893.07 |
2.5× |
| Remv Ext Canal Foreign Body (69200) |
$167.36 |
$239.08 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$96.52 |
$137.89 |
0.7× |
| Remv&replc pm gen dual lead (33228) |
$15,645.96 |
$22,351.37 |
1.5× |
| Renal biopsy (50200) |
$1,751.02 |
$2,501.46 |
1.1× |
| Repair achilles tendon (27650) |
$14,117.64 |
$20,168.06 |
1.9× |
| Repair collat ankle ligmnt,secondary (27698) |
$5,549.27 |
$7,927.53 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$741.96 |
$1,059.95 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$3,083.50 |
$4,405 |
7.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$888.75 |
$1,269.64 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$873.73 |
$1,248.18 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$675.16 |
$964.50 |
0.9× |
| Repair elbow deb/attch open (24359) |
$9,286.78 |
$13,266.82 |
2.8× |
| Repair eyelid defect (67924) |
$7,734.29 |
$11,048.99 |
3.2× |
| Repair eyelid wound (67930) |
$2,470.73 |
$3,529.62 |
1.0× |
| Repair hallux rigidus (28289) |
$9,965.45 |
$14,236.36 |
3.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$12,132.90 |
$17,332.72 |
3.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,826.97 |
$11,181.39 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$460.62 |
$658.02 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$540.75 |
$772.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$586.99 |
$838.55 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$445.36 |
$636.22 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$650.61 |
$929.44 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$441.76 |
$631.08 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$396.72 |
$566.75 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$570.74 |
$815.34 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$721.56 |
$1,030.81 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$466.28 |
$666.10 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$570.74 |
$815.34 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$570.74 |
$815.34 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$610 |
$871.43 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$478.32 |
$683.32 |
1.2× |
| Repair kneecap tendon (27380) |
$13,724.28 |
$19,606.12 |
1.9× |
| Repair of ankle ligament (27695) |
$5,496.36 |
$7,851.95 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$13,752.10 |
$19,645.85 |
2.1× |
| Repair of biceps tendon (24340) |
$9,358.35 |
$13,369.07 |
1.3× |
| Repair of eardrum structures (69631) |
$8,880.06 |
$12,685.79 |
1.5× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$5,632.39 |
$8,046.27 |
0.8× |
| Repair of humerus (24430) |
$18,495.47 |
$26,422.10 |
1.4× |
| Repair of leg tendon each (27664) |
$6,653.32 |
$9,504.74 |
0.9× |
| Repair of leg tendon each (27658) |
$7,716.28 |
$11,023.26 |
2.4× |
| Repair of nail bed (11760) |
$2,802.71 |
$4,003.87 |
3.8× |
| Repair of nasal septum (30520) |
$5,739.72 |
$8,199.60 |
1.7× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$5,100.35 |
$7,286.22 |
0.9× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$7,962.33 |
$11,374.76 |
1.1× |
| Repair of thigh musc (27385) |
$11,375.02 |
$16,250.02 |
1.6× |
| Repair of tibia (27720) |
$11,264.79 |
$16,092.56 |
1.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$11,240.47 |
$16,057.82 |
1.5× |
| Repair Tongue Laceration (41250) |
$385.90 |
$551.29 |
0.9× |
| Repair tympanic membrane (69610) |
$3,124.38 |
$4,463.40 |
2.0× |
| Repair wrist joints (25447) |
$13,751.74 |
$19,645.35 |
4.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$6,997.98 |
$9,997.12 |
2.1× |
| Repair/graft achilles tendon (27652) |
$15,975.72 |
$22,822.46 |
2.2× |
| Repair/graft flex foot tendon (28202) |
$9,965.45 |
$14,236.36 |
1.4× |
| Replace duod/jej tube perc (49451) |
$5,538.55 |
$7,912.22 |
6.1× |
| Replace g/c tube perc (49450) |
$385.90 |
$551.29 |
0.4× |
| Repositioning io lens prosthesis req inc spx (66825) |
$4,125.15 |
$5,893.07 |
1.8× |
| Repr elbow lat ligmnt w/tiss (24343) |
$5,407.98 |
$7,725.68 |
1.7× |
| Rerepair ing hernia blocked (49521) |
$12,575.75 |
$17,965.36 |
1.9× |
| Rerepair ing hernia reduce (49520) |
$15,081.64 |
$21,545.20 |
4.2× |
| Resect Inferior Turbinate (30140) |
$3,729.78 |
$5,328.26 |
1.1× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$584.44 |
$834.92 |
0.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$21,595.28 |
$30,850.39 |
1.7× |
| Revise arm/leg nerve (64708) |
$3,248.34 |
$4,640.50 |
1.7× |
| Revise knuckle joint (26530) |
$12,347.70 |
$17,639.57 |
1.7× |
| Revise median n/carpal tunnel surg (64721) |
$4,297.02 |
$6,138.59 |
2.2× |
| Revise ulnar nerve at elbow (64718) |
$3,437.56 |
$4,910.80 |
1.8× |
| Revision of lower leg tendon (27685) |
$11,176.86 |
$15,966.95 |
3.4× |
| Revision or removal of cranial neurostimulator pulse generator or receiver (61888) |
$11,645.50 |
$16,636.43 |
1.0× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$5,947.56 |
$8,496.51 |
1.7× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$10,260.38 |
$14,657.68 |
1.6× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$19,954.84 |
$28,506.92 |
3.6× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$7,175.39 |
$10,250.56 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$801.90 |
$1,145.58 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$293.95 |
$419.93 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$182.70 |
$261 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$4,791.77 |
$6,845.39 |
4.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,539.89 |
$5,056.98 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,609.27 |
$2,298.96 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$539.26 |
$770.36 |
0.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$412.21 |
$588.87 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$13,967.18 |
$19,953.12 |
4.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$18,550.45 |
$26,500.64 |
3.1× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$17,380.12 |
$24,828.74 |
2.7× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$9,655.94 |
$13,794.20 |
1.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,287.53 |
$13,267.90 |
2.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$9,890.01 |
$14,128.58 |
2.8× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$5,733.92 |
$8,191.32 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$550.18 |
$785.96 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$698.86 |
$998.37 |
1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$385.90 |
$551.29 |
0.2× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$10,826.27 |
$15,466.10 |
1.5× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$8,224.34 |
$11,749.06 |
1.1× |
| Sclerotx Fluid Collection (49185) |
$2,327.74 |
$3,325.34 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,452.98 |
$2,075.69 |
1.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,186.46 |
$4,552.09 |
2.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$211.70 |
$302.42 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$403.76 |
$576.80 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$208.37 |
$297.67 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$243.70 |
$348.14 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$213.11 |
$304.44 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$434.10 |
$620.14 |
1.1× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$293.24 |
$418.91 |
0.7× |
| Shldr arthroscop,lyse adhesns (29825) |
$7,565.94 |
$10,808.48 |
2.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$271.82 |
$388.31 |
1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$403.76 |
$576.80 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$240.09 |
$342.99 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$403.76 |
$576.80 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$232.47 |
$332.10 |
1.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,886.27 |
$2,694.67 |
1.6× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,886.27 |
$2,694.67 |
1.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,999.06 |
$2,855.80 |
2.1× |
| Simple biopsy of growth of throat behind nose (42804) |
$2,367.13 |
$3,381.62 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$222.07 |
$317.24 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$195.58 |
$279.40 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$280.18 |
$400.26 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$276.29 |
$394.70 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$196.11 |
$280.16 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$276.29 |
$394.70 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$261.72 |
$373.89 |
1.3× |
| Sinus endo w/balloon dil (31296) |
$4,902 |
$7,002.85 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$221.82 |
$316.88 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$2,811.47 |
$4,016.38 |
3.8× |
| Skin Tissue Procedure (17999) |
$21,359.24 |
$30,513.20 |
106.3× |
| Slitting of prepuce (54001) |
$2,140.64 |
$3,058.06 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$223.51 |
$319.30 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$394.83 |
$564.04 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$125.40 |
$179.14 |
0.3× |
| Sphincterotomy (46080) |
$9,130.16 |
$13,043.08 |
3.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,326.65 |
$1,895.22 |
1.9× |
| Spinal Puncture Therapeutic (62272) |
$1,664.88 |
$2,378.39 |
2.4× |
| Strapping ankle (29540) |
$169.88 |
$242.70 |
1.0× |
| Strapping elbow/wrist (29260) |
$66.05 |
$94.36 |
1.1× |
| Strapping knee (29530) |
$94.30 |
$134.72 |
0.7× |
| Strapping shoulder (29240) |
$94.50 |
$135 |
0.7× |
| Strapping toes (29550) |
$62.73 |
$89.61 |
1.1× |
| Strapping unna boot (29580) |
$329.73 |
$471.04 |
2.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,738.07 |
$8,197.24 |
1.0× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$12,230.67 |
$17,472.38 |
3.7× |
| Suspension of testis (54640) |
$8,471.64 |
$12,102.34 |
2.4× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$14,246.34 |
$20,351.92 |
2.0× |
| Tangential biopsy skin single lesion (11102) |
$196.83 |
$281.19 |
0.5× |
| Tenodesis long tendon biceps (23430) |
$8,062.88 |
$11,518.40 |
1.1× |
| Tenotomy elbow lateral/medial debride open (24358) |
$6,422.25 |
$9,174.64 |
2.0× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,934.54 |
$2,763.62 |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,469.48 |
$2,099.26 |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,168.70 |
$1,669.57 |
0.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,212.16 |
$1,731.65 |
0.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$12,479.74 |
$17,828.20 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$2,820.76 |
$4,029.65 |
4.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$930.54 |
$1,329.34 |
1.5× |
| Thrombolytic Venous Therapy (37212) |
$31,546.91 |
$45,067.01 |
10.0× |
| Thyroid biopsy (60100) |
$926.59 |
$1,323.70 |
1.3× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$16,482.79 |
$23,546.84 |
2.8× |
| Thyroidectomy, total or complete (60240) |
$20,753.98 |
$29,648.54 |
3.4× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$4,984.47 |
$7,120.67 |
2.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,125.15 |
$5,893.07 |
1.2× |
| Total hip arthroplasty (27130) |
$16,871.08 |
$24,101.54 |
1.3× |
| Total knee arthroplasty (27447) |
$17,906.52 |
$25,580.74 |
1.4× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
likely a partial charge, not the full procedure |
$1,956.77 |
$2,795.38 |
0.3× |
| Trach Tube Change (31502) |
$930.38 |
$1,329.11 |
3.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$536.42 |
$766.32 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,328.54 |
$3,326.49 |
1.5× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$5,447.38 |
$7,781.98 |
2.8× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$6,395.12 |
$9,135.89 |
1.2× |
| Treat clavicle dislocation (23552) |
$9,472.44 |
$13,532.06 |
1.3× |
| Treat ectopic pregnancy (59151) |
$13,206.69 |
$18,866.70 |
2.2× |
| Treat Finger Fracture Each (26727) |
$4,553.77 |
$6,505.39 |
1.4× |
| Treat Fracture Radius & Ulna (25560) |
$410.43 |
$586.33 |
1.7× |
| Treat fracture radius/ulna (25575) |
$14,805.39 |
$21,150.56 |
2.0× |
| Treat fx distal radial (25606) |
$5,705.69 |
$8,150.98 |
1.7× |
| Treat fx rad extra-articul (25607) |
$8,138.48 |
$11,626.40 |
1.1× |
| Treat humerus fracture (24500) |
$517.12 |
$738.74 |
2.1× |
| Treat humerus fracture (23600) |
$482.59 |
$689.42 |
2.0× |
| Treat lower leg fracture (27828) |
$10,241.11 |
$14,630.15 |
0.8× |
| Treat Lower Leg Fracture (27827) |
$20,891.11 |
$29,844.44 |
1.6× |
| Treat Metatarsal Fracture (28475) |
$4,791.77 |
$6,845.39 |
19.4× |
| Treat radius fracture (24665) |
$10,709.24 |
$15,298.91 |
1.5× |
| Treat sesamoid bone fracture (28531) |
$8,368.58 |
$11,955.11 |
1.2× |
| Treat ulnar fracture (24685) |
$11,528.47 |
$16,469.24 |
1.6× |
| Treat wrist bone fracture (25635) |
$1,170.72 |
$1,672.45 |
0.7× |
| Treat wrist bone fracture (25622) |
$449.48 |
$642.12 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$443.74 |
$633.91 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$677.54 |
$967.91 |
2.7× |
| Treatment of ankle fracture (27822) |
$9,782.56 |
$13,975.08 |
1.3× |
| Treatment of ankle fracture (27792) |
$6,400 |
$9,142.86 |
0.9× |
| Treatment of fibula fracture (27784) |
$9,880.40 |
$14,114.87 |
1.4× |
| Trim skin lesion (11055) |
$146.10 |
$208.72 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$146.76 |
$209.65 |
0.7× |
| Trim skin lesions over 4 (11057) |
$170.85 |
$244.07 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$53.30 |
$76.14 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,362.01 |
$7,660.02 |
1.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,072.98 |
$7,247.11 |
1.6× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,185.07 |
$3,121.53 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$628.71 |
$898.16 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$294.15 |
$420.21 |
0.7× |
| Tympanostomy (69433) |
$494.61 |
$706.58 |
0.9× |
| Unlisted laparoscopic procedure liver (47379) |
$16,597.58 |
$23,710.83 |
2.7× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$23,231.77 |
$33,188.24 |
3.8× |
| Unlisted laparoscopy procedure, stomach (43659) |
$8,758.20 |
$12,511.72 |
1.4× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$4,713.98 |
$6,734.25 |
0.8× |
| Unlisted Procedure Breast (19499) |
$5,330.40 |
$7,614.85 |
1.4× |
| Unlisted procedure colon (45399) |
$821.30 |
$1,173.29 |
0.9× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$6,588.53 |
$9,412.19 |
27.8× |
| Unlisted procedure femur or knee (27599) |
$2,458.50 |
$3,512.14 |
10.0× |
| Unlisted Procedure Nervous System (64999) |
$3,797.12 |
$5,424.46 |
12.4× |
| Unlisted Procedure Rectum (45999) |
$4,657.09 |
$6,652.98 |
5.0× |
| Uvulectomy excision uvula (42140) |
$3,361.50 |
$4,802.14 |
1.0× |
| Vasectomy (55250) |
$3,814.71 |
$5,449.59 |
1.8× |
| Venipuncture (36415) |
$49.85 |
$71.22 |
5.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,072.87 |
$5,818.39 |
1.2× |
| Vulvectomy simple partial (56620) |
$3,653.36 |
$5,219.08 |
1.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,356.64 |
$3,366.63 |
3.2× |
| Xfer single deep low leg tendon (27691) |
$6,032.51 |
$8,617.87 |
0.8× |