| Abd paracentesis w/imaging (49083) |
$1,900 |
$3,800 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,542.50 |
$3,085 |
1.8× |
| Abdomen Surgery Procedure (22999) |
$1,550.33 |
$3,100.66 |
6.6× |
| Ablate inf turbinate submuc (30802) |
$1,783.50 |
$3,567 |
1.2× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$7,062.50 |
$14,125 |
0.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$893.13 |
$1,786.25 |
0.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$4,256.33 |
$8,512.66 |
2.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$4,975.29 |
$9,950.58 |
2.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,912.62 |
$5,825.25 |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,395.50 |
$4,791 |
1.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,352.96 |
$2,705.92 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,043 |
$8,086 |
2.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,257.13 |
$4,514.25 |
1.1× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,979.25 |
$7,958.50 |
2.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,705.50 |
$5,411 |
0.9× |
| Amputation Finger/Thumb (26951) |
$5,383.75 |
$10,767.50 |
1.7× |
| Amputation foot transmetarsal (28805) |
$5,938 |
$11,876 |
1.9× |
| Amputation metatarsal with toe single (28810) |
$3,604.34 |
$7,208.67 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$3,739 |
$7,478 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,739 |
$7,478 |
1.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,996 |
$3,992 |
0.7× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$2,766.33 |
$5,532.66 |
0.6× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$177.50 |
$355 |
1.1× |
| Application cast elbow finger short arm (29075) |
$423 |
$846 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$395.25 |
$790.50 |
1.5× |
| Application finger splint static (29130) |
$205 |
$410 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$239.75 |
$479.50 |
1.5× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
unusually low: confirm this is the full procedure |
$4,291.33 |
$8,582.66 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$209.25 |
$418.50 |
1.6× |
| Apply long leg splint (29505) |
$256.50 |
$513 |
1.6× |
| Apply short leg cast (29405) |
$423 |
$846 |
1.6× |
| Apply short leg cast (29425) |
$423 |
$846 |
1.6× |
| Apply short leg splint (29515) |
$256.50 |
$513 |
1.6× |
| Arterial puncture (36600) |
$195 |
$390 |
1.5× |
| Arteriovenous Anastomosis Open Direct (36821) |
$9,484.50 |
$18,969 |
3.1× |
| Artery-vein autograft (36825) |
$13,187.50 |
$26,375 |
2.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$549 |
$1,098 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$554 |
$1,108 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$453.50 |
$907 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$416.50 |
$833 |
1.4× |
| Arthrodesis great toe interphalangeal joint (28755) |
$6,409 |
$12,818 |
0.9× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,809.34 |
$13,618.67 |
1.0× |
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure |
$7,561 |
$15,122 |
0.4× |
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
unusually low: confirm this is the full procedure |
$7,847.50 |
$15,695 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$21,566 |
$43,132 |
1.3× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) |
$8,083.67 |
$16,167.34 |
0.7× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$7,512.25 |
$15,024.50 |
2.4× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$10,789 |
$21,578 |
0.9× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,654.50 |
$9,309 |
1.5× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$4,421.33 |
$8,842.66 |
1.4× |
| Arthroscopy knee synovectomy limited spx (29875) |
$6,345 |
$12,690 |
2.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,644.75 |
$5,289.50 |
0.8× |
| Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) |
$13,841.50 |
$27,683 |
1.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,375.75 |
$12,751.50 |
2.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$5,862 |
$11,724 |
1.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,399 |
$12,798 |
2.0× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,378.75 |
$4,757.50 |
0.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,121 |
$14,242 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,082.92 |
$12,165.84 |
1.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,285 |
$12,570 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,823.34 |
$9,646.67 |
0.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,467.67 |
$14,935.34 |
1.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,493.50 |
$8,987 |
1.4× |
| Aspirate pleura w/ imaging (32555) |
$957.25 |
$1,914.50 |
1.6× |
| Aspirate/Inj Ganglion Cyst (20612) |
$928.50 |
$1,857 |
3.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$625.50 |
$1,251 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,723 |
$9,446 |
2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$318 |
$636 |
1.7× |
| Biopsy bone trocar/needle deep (20225) |
$3,592.75 |
$7,185.50 |
2.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,233.50 |
$4,467 |
1.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$5,636 |
$11,272 |
6.4× |
| Biopsy external ear (69100) |
$261 |
$522 |
1.1× |
| Biopsy intranasal (30100) |
$1,105.75 |
$2,211.50 |
0.7× |
| Biopsy muscle deep (20205) |
$3,046 |
$6,092 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$3,045 |
$6,090 |
1.9× |
| Biopsy of breast; open, incisional (19101) |
$3,394.50 |
$6,789 |
0.9× |
| Biopsy of eyelid lining (68100) |
$2,733 |
$5,466 |
1.2× |
| Biopsy of lip (40490) |
$331 |
$662 |
1.5× |
| Biopsy of mouth lesion (40808) |
$573 |
$1,146 |
1.1× |
| Biopsy of palate, uvula (42100) |
$1,016.38 |
$2,032.75 |
0.7× |
| Biopsy of tongue (41100) |
$688 |
$1,376 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,506 |
$7,012 |
0.9× |
| Biopsy Oropharynx (42800) |
$2,201 |
$4,402 |
1.5× |
| Biopsy pleura percutaneous needle (32400) |
$1,117 |
$2,234 |
0.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$908 |
$1,816 |
0.6× |
| Biopsy Salivary Gland,Needle (42400) |
$1,318.25 |
$2,636.50 |
1.9× |
| Biopsy soft tissue back,superf (21920) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,648.50 |
$7,297 |
1.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$3,745.50 |
$7,491 |
4.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$3,326 |
$6,652 |
3.8× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$4,167.67 |
$8,335.34 |
1.1× |
| Biopsy/removal lymph nodes (38510) |
$4,765 |
$9,530 |
1.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$699.25 |
$1,398.50 |
1.0× |
| Bladder Irrigation Simple (51700) |
$217.25 |
$434.50 |
0.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,083.50 |
$4,167 |
1.4× |
| Blood patch (62273) |
$603.25 |
$1,206.50 |
0.9× |
| Blood transfusion service (36430) |
$358.50 |
$717 |
0.8× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
unusually low: confirm this is the full procedure |
$3,227.92 |
$6,455.83 |
0.5× |
| Bone marrow aspiration only (38220) |
$2,847.75 |
$5,695.50 |
1.8× |
| Bone Marrow Biopsy (38221) |
$1,898.50 |
$3,797 |
1.2× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$2,378.50 |
$4,757 |
1.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$902 |
$1,804 |
0.5× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,965 |
$3,930 |
0.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,907 |
$5,814 |
1.7× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$7,336.50 |
$14,673 |
1.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,231.50 |
$4,463 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,950.25 |
$5,900.50 |
1.9× |
| Bx breast 1st lesion strtctc (19081) |
$3,841 |
$7,682 |
2.4× |
| Bx breast 1st lesion us imag (19083) |
$3,702 |
$7,404 |
2.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,751 |
$5,502 |
1.7× |
| Bx/exc lymph node needle superficial (38505) |
$2,925.25 |
$5,850.50 |
1.8× |
| Canthoplasty (67950) |
$2,615 |
$5,230 |
1.1× |
| Car-t admn autologous (38228) |
$363 |
$726 |
1.1× |
| Cartilage graft; nasal septum Facility (20912) |
$983.64 |
$1,967.28 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$229 |
$458 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$6,896 |
$13,792 |
2.2× |
| Change Cystostomy Tube Complicated (51710) |
$942.75 |
$1,885.50 |
1.4× |
| Change of cystostomy tube simple (51705) |
$566 |
$1,132 |
2.4× |
| Chemical cautery tissue (17250) |
$1,154.50 |
$2,309 |
6.0× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$779 |
$1,558 |
1.2× |
| Chemodenerv Eccrine Glands (64650) |
$353 |
$706 |
1.2× |
| Chemodenerv musc migraine (64615) |
$332 |
$664 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$686 |
$1,372 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$779 |
$1,558 |
1.2× |
| Chemodenerv trunk musc 6/> (64647) |
$779 |
$1,558 |
1.2× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$779 |
$1,558 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$405 |
$810 |
1.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,384 |
$8,768 |
1.3× |
| Chorionic villus sampling (59015) |
$982 |
$1,964 |
1.1× |
| Chromotubation oviduct (58350) |
$2,059.19 |
$4,118.38 |
0.4× |
| Circum 28 days or older (54161) |
$4,428.50 |
$8,857 |
2.2× |
| Circumcision (54150) |
$2,203.75 |
$4,407.50 |
1.1× |
| Circumcision Neonate (54160) |
$1,403 |
$2,806 |
2.1× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$311.50 |
$623 |
1.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$284 |
$568 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$1,779.83 |
$3,559.66 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$369 |
$738 |
1.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$366 |
$732 |
1.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,345.75 |
$4,691.50 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$341.50 |
$683 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$3,457.88 |
$6,915.75 |
14.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,362.50 |
$4,725 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,947 |
$5,894 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$341.50 |
$683 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,362.50 |
$4,725 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,362.50 |
$4,725 |
1.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,625 |
$5,250 |
1.7× |
| Closed tx septal&nose fx (21337) |
$2,309.50 |
$4,619 |
0.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$283.50 |
$567 |
1.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,527.50 |
$5,055 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$365.50 |
$731 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,527.50 |
$5,055 |
1.6× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$284 |
$568 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,362.50 |
$4,725 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$500.25 |
$1,000.50 |
2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,362.50 |
$4,725 |
1.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,509.50 |
$5,019 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$369 |
$738 |
1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$341.50 |
$683 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$365.50 |
$731 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,980.50 |
$5,961 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$341.50 |
$683 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$365.50 |
$731 |
1.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,509.50 |
$5,019 |
1.6× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$4,256 |
$8,512 |
2.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$341.50 |
$683 |
1.4× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,126.50 |
$4,253 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,664.75 |
$3,329.50 |
7.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$365.50 |
$731 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$341.50 |
$683 |
1.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,362.50 |
$4,725 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$365.50 |
$731 |
1.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,000.50 |
$4,001 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$341.50 |
$683 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,197.50 |
$4,395 |
1.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,075 |
$4,150 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,362.50 |
$4,725 |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$76 |
$152 |
0.6× |
| Colonoscopy flex w/blln dilat (45386) |
$3,604 |
$7,208 |
3.1× |
| Colonoscopy flex w/inj submuc (45381) |
$916.25 |
$1,832.50 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,935 |
$3,870 |
1.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$3,787 |
$7,574 |
3.3× |
| Colonoscopy thru stoma (44388) |
$2,248.25 |
$4,496.50 |
2.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,262 |
$4,524 |
2.0× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$4,153 |
$8,306 |
3.6× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$4,717.83 |
$9,435.66 |
0.7× |
| Colporrhaphy Suture Injury Vagina (57200) |
$6,171 |
$12,342 |
2.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$3,186 |
$6,372 |
10.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,290.08 |
$2,580.16 |
4.4× |
| Colpotomy; with exploration (57000) |
$3,907.50 |
$7,815 |
1.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$7,995 |
$15,990 |
1.7× |
| Conization of cervix (57520) |
$4,727 |
$9,454 |
1.5× |
| Conization of cervix (57522) |
$6,247 |
$12,494 |
2.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$186 |
$372 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$307.50 |
$615 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$292.50 |
$585 |
2.3× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$3,888.75 |
$7,777.50 |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,509.25 |
$5,018.50 |
1.6× |
| Correction hammertoe (28285) |
$3,044.50 |
$6,089 |
1.0× |
| Correction of bunion (28299) |
$4,567.75 |
$9,135.50 |
0.7× |
| Correction of bunion (28297) |
$9,404 |
$18,808 |
0.8× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$15,039 |
$30,078 |
2.8× |
| Csf shunt reprogram (62252) |
$337.50 |
$675 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$186.75 |
$373.50 |
1.5× |
| Curettage postpartum (59160) |
$4,579.50 |
$9,159 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,694 |
$7,388 |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,449.75 |
$6,899.50 |
1.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,435 |
$6,870 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,594.66 |
$7,189.33 |
1.1× |
| Cysto w/removal of tumors small (52234) |
$3,439.25 |
$6,878.50 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,713 |
$3,426 |
0.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,237.75 |
$6,475.50 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$11,420.50 |
$22,841 |
2.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,611.50 |
$7,223 |
0.7× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$2,822.42 |
$5,644.83 |
1.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,465 |
$6,930 |
1.7× |
| Cystouretero & or pyeloscope (52351) |
$4,483.92 |
$8,967.83 |
1.3× |
| Cystourethroscopy (52000) |
$1,042 |
$2,084 |
1.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,872 |
$5,744 |
1.4× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$714.50 |
$1,429 |
1.1× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$3,587 |
$7,174 |
1.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,293.34 |
$4,586.66 |
1.1× |
| Cystourethroscopy with biopsy (52204) |
$5,666.75 |
$11,333.50 |
2.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,304.50 |
$4,609 |
1.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$13,087 |
$26,174 |
2.5× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$8,844.50 |
$17,689 |
4.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$3,776.50 |
$7,553 |
0.7× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$5,800.50 |
$11,601 |
0.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,420.75 |
$4,841.50 |
3.6× |
| Debride skin musc at fx site (11011) |
$814 |
$1,628 |
1.2× |
| Debride tissue/muscle (11043) |
$1,367.08 |
$2,734.17 |
1.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$178.50 |
$357 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,017.75 |
$4,035.50 |
5.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,143 |
$4,286 |
1.4× |
| Declot vascular device (36593) |
$380 |
$760 |
1.2× |
| Decomp forearm,1 compart,w/o debride (25020) |
$8,154.50 |
$16,309 |
5.3× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,522.50 |
$5,045 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$2,197 |
$4,394 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,197 |
$4,394 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$318 |
$636 |
1.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,001.50 |
$2,003 |
1.2× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$2,197 |
$4,394 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,001.50 |
$2,003 |
1.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$353 |
$706 |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$3,447 |
$6,894 |
1.7× |
| Destruction Lesions Vulva Simple (56501) |
$5,379 |
$10,758 |
2.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,944 |
$3,888 |
1.0× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$632.50 |
$1,265 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$119 |
$238 |
0.6× |
| Destruction Vaginal Lesions Simple (57061) |
$3,283 |
$6,566 |
1.1× |
| Diagnostic anoscopy (46601) |
$173.50 |
$347 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,499.75 |
$2,999.50 |
2.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,286 |
$2,572 |
1.4× |
| Dil urethra,female,subsequent (53661) |
$153 |
$306 |
1.2× |
| Dilate Urethra Stricture (53620) |
$751 |
$1,502 |
1.1× |
| Dilate urethra stricture (53621) |
$273.50 |
$547 |
1.1× |
| Dilation and curettage (58120) |
$3,845.50 |
$7,691 |
1.2× |
| Drain lower leg bursa (27604) |
$3,761 |
$7,522 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,068.75 |
$2,137.50 |
1.6× |
| Drain Spinal Cord Cyst (62268) |
$1,017 |
$2,034 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$332 |
$664 |
1.1× |
| Drainage abscess/hematoma nasal int approach (30000) |
$382 |
$764 |
1.7× |
| Drainage Finger Abscess Complicated (26011) |
$2,297 |
$4,594 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$318 |
$636 |
1.7× |
| Drainage of gum lesion (41800) |
$191.50 |
$383 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,642.50 |
$5,285 |
1.7× |
| Drainage of scrotal wall abscess (55100) |
$1,898.50 |
$3,797 |
1.2× |
| Draw blood off venous device (36591) |
$76 |
$152 |
0.6× |
| Dressing change under anesthesia (15852) |
$3,435 |
$6,870 |
4.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$615 |
$1,230 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$297.25 |
$594.50 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$318 |
$636 |
1.7× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$849.50 |
$1,699 |
1.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,371.50 |
$4,743 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$5,715 |
$11,430 |
2.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,751 |
$5,502 |
1.4× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$1,001.50 |
$2,003 |
1.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,001.50 |
$2,003 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$2,672 |
$5,344 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$5,603.67 |
$11,207.33 |
3.3× |
| Dx laryngoscopy w/oper scope (31526) |
$934.75 |
$1,869.50 |
0.5× |
| Ear Cartilage Graft (21235) |
$11,258 |
$22,516 |
2.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,166.92 |
$2,333.83 |
0.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,597.50 |
$5,195 |
1.4× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,970 |
$5,940 |
1.6× |
| Egd control bleeding any (43255) |
$1,844.34 |
$3,688.67 |
1.0× |
| Egd dilate stricture (43245) |
$3,726 |
$7,452 |
2.0× |
| Egd endoscopic stent place (43266) |
$3,909 |
$7,818 |
0.7× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,806.50 |
$3,613 |
1.0× |
| Egd flexible foreign body removal (43247) |
$1,563.50 |
$3,127 |
1.8× |
| Egd place gastrostomy tube (43246) |
$2,023.92 |
$4,047.83 |
1.1× |
| Egd remove lesion snare (43251) |
$1,975.66 |
$3,951.33 |
1.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$337.50 |
$675 |
1.1× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$2,187.88 |
$4,375.75 |
0.5× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,242 |
$2,484 |
0.7× |
| Ercp Duct Stent Placement (43274) |
$5,563 |
$11,126 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$9,605.75 |
$19,211.50 |
2.6× |
| Ercp lithotripsy calculi (43265) |
$7,407.34 |
$14,814.67 |
1.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,451.63 |
$4,903.25 |
0.7× |
| Ercp remove forgn body duct (43275) |
$5,335 |
$10,670 |
2.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,484.08 |
$4,968.16 |
0.7× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,451.63 |
$4,903.25 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,323.33 |
$2,646.66 |
1.5× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$3,462.50 |
$6,925 |
1.9× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$706 |
$1,412 |
0.8× |
| Esophagoscopy rigid trnso dx (43191) |
$1,656.84 |
$3,313.66 |
0.9× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,856 |
$3,712 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,140 |
$4,280 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$191.50 |
$383 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,875.17 |
$5,750.34 |
1.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,132.88 |
$2,265.75 |
1.7× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,075.38 |
$2,150.75 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,611.75 |
$5,223.50 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$3,131 |
$6,262 |
4.6× |
| Exc back les sc < 3 cm (21930) |
$3,701 |
$7,402 |
2.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$5,364.75 |
$10,729.50 |
7.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$4,597.25 |
$9,194.50 |
2.9× |
| Exc forearm les sc 3 cm/> (25071) |
$2,599 |
$5,198 |
1.6× |
| Exc Frenum Labial/Buccal (40819) |
$2,675 |
$5,350 |
1.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,827 |
$5,654 |
1.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,848.50 |
$3,697 |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$6,095 |
$12,190 |
2.2× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$4,119 |
$8,238 |
1.5× |
| Exc rect tum transanal part (45171) |
$3,055 |
$6,110 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$4,043 |
$8,086 |
6.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$924 |
$1,848 |
2.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,285 |
$4,570 |
3.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,898.50 |
$3,797 |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,628.25 |
$5,256.50 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,363.50 |
$4,727 |
1.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$4,106.50 |
$8,213 |
1.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$7,654 |
$15,308 |
4.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,657.75 |
$9,315.50 |
1.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,455.34 |
$6,910.67 |
2.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$4,119 |
$8,238 |
2.6× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$4,195 |
$8,390 |
2.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,299.67 |
$10,599.33 |
1.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,083.83 |
$4,167.66 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,945.50 |
$3,891 |
0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,435 |
$6,870 |
2.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,689.04 |
$3,378.08 |
1.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$6,019 |
$12,038 |
2.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,967 |
$7,934 |
2.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,164.50 |
$10,329 |
1.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,082.17 |
$6,164.34 |
1.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,338.50 |
$6,677 |
1.2× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$6,703 |
$13,406 |
2.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$8,047 |
$16,094 |
2.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,662.12 |
$5,324.25 |
1.0× |
| Exchange nephrostomy cath (50435) |
$5,442.75 |
$10,885.50 |
2.7× |
| Excise cutaneous neurofibroma (64788) |
$2,244.50 |
$4,489 |
1.2× |
| Excise Inferior Turbinate (30130) |
$2,582.25 |
$5,164.50 |
0.8× |
| Excise/repair mouth lesion (40812) |
$1,666.50 |
$3,333 |
1.1× |
| Excision Breast Lesion (19125) |
$5,183 |
$10,366 |
1.4× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$4,575 |
$9,150 |
0.8× |
| Excision external ear partial simple repair (69110) |
$2,492.67 |
$4,985.34 |
0.9× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$10,316.50 |
$20,633 |
3.7× |
| Excision interdigital morton neuroma single each (28080) |
$3,967 |
$7,934 |
2.6× |
| Excision Lesion Floor Mouth (41116) |
$3,055 |
$6,110 |
1.0× |
| Excision lesion meniscus/capsule knee (27347) |
$3,268.83 |
$6,537.66 |
1.0× |
| Excision lesion mouth roof (42104) |
$1,884.67 |
$3,769.34 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,957.25 |
$3,914.50 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$7,083 |
$14,166 |
10.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$5,791 |
$11,582 |
14.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$3,815 |
$7,630 |
5.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,986 |
$3,972 |
2.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$4,651 |
$9,302 |
6.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,515.50 |
$5,031 |
1.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,663 |
$7,326 |
1.4× |
| Excision nasal polyp extensive (30115) |
$4,119 |
$8,238 |
1.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,017.42 |
$4,034.84 |
3.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$791.50 |
$1,583 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,575.67 |
$3,151.33 |
1.0× |
| Excision of hydrocele unilateral (55040) |
$8,413 |
$16,826 |
2.4× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,089.50 |
$2,179 |
1.1× |
| Excision of lesion of tongue without closure (41110) |
$2,138 |
$4,276 |
0.7× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
unusually low: confirm this is the full procedure |
$2,523 |
$5,046 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$3,055 |
$6,110 |
1.9× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$2,733 |
$5,466 |
1.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$9,716.50 |
$19,433 |
1.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$9,211 |
$18,422 |
1.6× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$15,120.25 |
$30,240.50 |
2.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,411 |
$10,822 |
1.9× |
| Excision of single external papilla or tag, anus (46220) |
$2,976 |
$5,952 |
2.6× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$5,259.08 |
$10,518.17 |
0.9× |
| Excision of tongue lesion (41112) |
$3,478.75 |
$6,957.50 |
1.1× |
| Excision of vaginal cyst or tumor (57135) |
$3,587 |
$7,174 |
1.2× |
| Excision of vaginal septum (57130) |
$1,829 |
$3,658 |
0.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$7,188.50 |
$14,377 |
2.1× |
| Excision olecranon bursa (24105) |
$5,992 |
$11,984 |
1.9× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$9,336.50 |
$18,673 |
3.0× |
| Excision prepatellar bursa (27340) |
$4,975.25 |
$9,950.50 |
1.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,338.50 |
$6,677 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,095 |
$12,190 |
3.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,947.75 |
$7,895.50 |
1.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,549 |
$7,098 |
2.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,727 |
$9,454 |
3.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,207 |
$6,414 |
2.0× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$3,283 |
$6,566 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,852.42 |
$5,704.83 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$7,083 |
$14,166 |
4.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,036.67 |
$4,073.34 |
1.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$2,057.88 |
$4,115.75 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,127.25 |
$6,254.50 |
1.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,048.50 |
$6,097 |
1.1× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,811 |
$7,622 |
1.2× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$9,304.50 |
$18,609 |
2.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,195 |
$8,390 |
2.1× |
| Explo/Drain Breast Abscess (19020) |
$2,252 |
$4,504 |
1.4× |
| Exploration of knee joint (27310) |
$4,195 |
$8,390 |
1.3× |
| Explore Parathyroid Glands (60500) |
$6,444.80 |
$12,889.58 |
1.1× |
| Explore/treat hand joint (26070) |
$3,891 |
$7,782 |
2.5× |
| External cephalic version (59412) |
$4,262 |
$8,524 |
1.4× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$2,369.19 |
$4,738.38 |
0.8× |
| Fasciotomy foot and/or toe (28008) |
$3,853 |
$7,706 |
1.2× |
| Fasciotomy Iliotibial Open (27305) |
$4,575 |
$9,150 |
1.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$8,755 |
$17,510 |
2.8× |
| Fetal contraction stress test (59020) |
$610.75 |
$1,221.50 |
3.1× |
| Fetal non-stress test (59025) |
$252.50 |
$505 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,267 |
$2,534 |
1.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,362.50 |
$2,725 |
2.0× |
| Fine needle aspiration without imaging guidance (10021) |
$1,046.56 |
$2,093.12 |
2.7× |
| Forearm or wrist surgery (25999) |
$3,322.50 |
$6,645 |
14.0× |
| Forehead flap w/vasc pedicle (15731) |
$4,757.50 |
$9,515 |
1.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,785.42 |
$7,570.84 |
1.2× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$3,014.50 |
$6,029 |
0.9× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,918.33 |
$5,836.66 |
1.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,181.17 |
$4,362.33 |
1.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,207.75 |
$4,415.50 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$9,849.51 |
$19,699.01 |
5.0× |
| Fusion of foot bones (28740) |
$7,997.67 |
$15,995.34 |
1.1× |
| Fusion of thumb (26841) |
$7,472 |
$14,944 |
1.1× |
| Fusion of toes (28280) |
$5,180.25 |
$10,360.50 |
1.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$706.50 |
$1,413 |
3.4× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$1,550.75 |
$3,101.50 |
0.5× |
| Gstr rstcv px trnsorl esg (43889) |
$10,522 |
$21,044 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$1,748.75 |
$3,497.50 |
2.6× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$2,058.83 |
$4,117.66 |
0.7× |
| Hemorrhoidectomy (46255) |
$3,891 |
$7,782 |
1.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,511 |
$7,022 |
1.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,190.50 |
$6,381 |
1.2× |
| Hemorrhoidopexy by stapling (46947) |
$3,658 |
$7,316 |
1.4× |
| Hysteroscopy biopsy (58558) |
$8,022.50 |
$16,045 |
2.6× |
| Hysteroscopy removal leiomyomata (58561) |
$5,228.67 |
$10,457.34 |
1.1× |
| Hysteroscopy w endometrial ablation (58563) |
$4,955 |
$9,910 |
1.0× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$3,658 |
$7,316 |
1.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,359 |
$6,718 |
1.1× |
| I&D Abscess Peritonsillar (42700) |
$318.50 |
$637 |
1.4× |
| I&d abscess simple (10060) |
$1,510.25 |
$3,020.50 |
7.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,247 |
$12,494 |
2.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,639 |
$11,278 |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,883.50 |
$7,767 |
1.9× |
| I&d forearm/wrist bursa (25031) |
$1,848.50 |
$3,697 |
1.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,943 |
$11,886 |
1.9× |
| I&d pilonidal cyst simple (10080) |
$1,069 |
$2,138 |
1.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,201.50 |
$4,403 |
1.4× |
| I&d vulva/perineal abscess (56405) |
$1,823 |
$3,646 |
6.2× |
| Ileoscopy thru stoma (44380) |
$2,118 |
$4,236 |
2.4× |
| Image Cath Fluid Colxn Visc (49405) |
$3,241.50 |
$6,483 |
2.0× |
| Image Cath Fluid Peri/Retro (49406) |
$4,499.75 |
$8,999.50 |
2.8× |
| Implant neuroelectrodes (63650) |
$3,442 |
$6,884 |
0.6× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$11,075.50 |
$22,151 |
0.9× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$13,525.50 |
$27,051 |
1.1× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$5,032 |
$10,064 |
0.6× |
| Incise external hemorrhoid (46083) |
$353.75 |
$707.50 |
1.5× |
| Incise finger tendon sheath (26055) |
$2,751 |
$5,502 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$485 |
$970 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,143.50 |
$2,287 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$2,184.75 |
$4,369.50 |
5.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$293 |
$586 |
1.5× |
| Incision and drainage perianal abscess superficial (46050) |
$1,341.25 |
$2,682.50 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$9,667 |
$19,334 |
3.5× |
| Incision extensor tendon sheath wrist (25000) |
$4,689 |
$9,378 |
3.0× |
| Incision of eardrum (69420) |
$298.50 |
$597 |
1.3× |
| Incision of labial frenum (frenotomy) (40806) |
$1,235.50 |
$2,471 |
2.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,783.50 |
$3,567 |
1.2× |
| Incision of rectal abscess (46040) |
$2,899.50 |
$5,799 |
2.5× |
| Incision of urethra (53020) |
$2,002 |
$4,004 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$820.75 |
$1,641.50 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$318 |
$636 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,001.50 |
$2,003 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$332 |
$664 |
1.1× |
| Inj therapeutic carpal tunnel (20526) |
$332 |
$664 |
1.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,001.50 |
$2,003 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,001.50 |
$2,003 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,001.50 |
$2,003 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,231.50 |
$2,463 |
1.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,001.50 |
$2,003 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$779 |
$1,558 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,001.50 |
$2,003 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$377.75 |
$755.50 |
1.3× |
| Inject/treat eye socket (67500) |
$339 |
$678 |
1.1× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,001.50 |
$2,003 |
1.2× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,001.50 |
$2,003 |
1.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,186.50 |
$2,373 |
1.8× |
| Injection aa&/strd pudendal nerve (64430) |
$1,414.50 |
$2,829 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$374.25 |
$748.50 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$332 |
$664 |
1.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,001.50 |
$2,003 |
1.2× |
| Injection anesthetic agent femoral nerve single (64447) |
$499.50 |
$999 |
0.7× |
| Injection anesthetic agent suprascapular nerve (64418) |
$779 |
$1,558 |
1.2× |
| Injection for identification of sentinel node (38792) |
$2,573.12 |
$5,146.25 |
6.7× |
| Injection into skin lesions (11900) |
$119 |
$238 |
0.6× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$748 |
$1,496 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$461.75 |
$923.50 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$332 |
$664 |
1.1× |
| Injection treatment of nerve (64681) |
$1,001.50 |
$2,003 |
1.2× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,001.50 |
$2,003 |
1.2× |
| Injection, anesthetic agent; vagus nerve (64408) |
$332 |
$664 |
1.1× |
| Ins endovas vena cava filtr (37191) |
$7,840 |
$15,680 |
1.5× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$5,408.17 |
$10,816.34 |
0.5× |
| Ins tun ip cath for dial opn (49421) |
$3,608 |
$7,216 |
1.1× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$10,482 |
$20,964 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$351.75 |
$703.50 |
2.8× |
| Insert cath pleura w/ image (32557) |
$1,809.50 |
$3,619 |
1.2× |
| Insert cath pleura w/o image (32556) |
$3,306 |
$6,612 |
1.8× |
| Insert cervical dilator (59200) |
$311 |
$622 |
1.1× |
| Insert Drug Implant Device (11981) |
$2,000.84 |
$4,001.66 |
15.7× |
| Insert gastrostomy tube percutaneous (49440) |
$2,454.50 |
$4,909 |
1.3× |
| Insert heart pm atrial (33206) |
$5,862 |
$11,724 |
0.6× |
| Insert heart pm ventricular (33207) |
$6,090 |
$12,180 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$3,276.50 |
$6,553 |
1.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,769.75 |
$5,539.50 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,450.50 |
$4,901 |
1.6× |
| Insert pulse gen dual leads (33213) |
$5,363 |
$10,726 |
0.5× |
Insert spine infusion device (62360)
likely a partial charge, not the full procedure |
$5,125.50 |
$10,251 |
0.3× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$263.75 |
$527.50 |
2.1× |
| Insert tun ip cath perc (49418) |
$3,426.50 |
$6,853 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,803 |
$5,606 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$263.75 |
$527.50 |
2.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,757 |
$9,514 |
1.4× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$1,783.50 |
$3,567 |
1.2× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$9,382.50 |
$18,765 |
0.9× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure |
$2,880.50 |
$5,761 |
0.4× |
Insertion/rplcmt peripheral/gastric npgr (64590)
unusually low: confirm this is the full procedure |
$7,718.50 |
$15,437 |
0.4× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$5,363 |
$10,726 |
0.5× |
| Insj picc rs&i 5 yr+ (36573) |
$2,072 |
$4,144 |
1.4× |
| Insj rx elut implt lac canal (68841) |
$2,615 |
$5,230 |
1.1× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$7,347.50 |
$14,695 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,992.58 |
$7,985.17 |
1.3× |
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure |
$11,093.25 |
$22,186.50 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,097 |
$6,194 |
0.4× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$3,228.50 |
$6,457 |
0.4× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$5,997.50 |
$11,995 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$2,636.25 |
$5,272.50 |
11.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$353.75 |
$707.50 |
1.5× |
| Knee Arthroscopy/Surgery (29874) |
$6,399 |
$12,798 |
2.0× |
| Labyrinthotomy Transcanal (69801) |
$908 |
$1,816 |
0.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$5,373.50 |
$10,747 |
0.8× |
| Lap ing hernia repair init (49650) |
$7,930.12 |
$15,860.25 |
1.4× |
| Lap insert tunnel ip cath (49324) |
$5,459.50 |
$10,919 |
0.9× |
| Lap paraesophag hern repair (43281) |
$9,588 |
$19,176 |
0.9× |
| Lap revision perm ip cath (49325) |
$4,423 |
$8,846 |
0.8× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$9,158.25 |
$18,316.50 |
1.6× |
| Laparoscopy appendectomy (44970) |
$7,056 |
$14,112 |
1.2× |
| Laparoscopy biopsy (49321) |
$4,900.50 |
$9,801 |
0.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$18,017.50 |
$36,035 |
1.8× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$8,357.50 |
$16,715 |
0.8× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,306.75 |
$12,613.50 |
1.1× |
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674)
unusually low: confirm this is the full procedure |
$4,424.34 |
$8,848.67 |
0.4× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$13,263 |
$26,526 |
1.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$14,073 |
$28,146 |
1.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$11,658 |
$23,316 |
2.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$10,289.50 |
$20,579 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$11,579 |
$23,158 |
1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,379 |
$10,758 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,216.50 |
$12,433 |
0.6× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$5,540 |
$11,080 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$7,225.50 |
$14,451 |
1.2× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$8,035.50 |
$16,071 |
1.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$3,734 |
$7,468 |
0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,914.67 |
$11,829.34 |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$470 |
$940 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$302 |
$604 |
1.6× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$1,940 |
$3,880 |
1.1× |
| Laryngoscopy w/biopsy (31535) |
$3,283 |
$6,566 |
0.9× |
| Laryngoscopy w/bx op scope (31536) |
$4,423 |
$8,846 |
1.2× |
| Laryngoscopy w/exc of tumor (31540) |
$4,815.50 |
$9,631 |
1.3× |
| Larynscop w/tumr exc + scope (31541) |
$3,914.75 |
$7,829.50 |
1.1× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$7,417.25 |
$14,834.50 |
1.4× |
| Late closure of wound (13160) |
$6,779 |
$13,558 |
2.0× |
| Ligation of a-v fistula (37607) |
$3,993.33 |
$7,986.66 |
1.3× |
| Ligation of hemorrhoid(s) (46221) |
$2,371 |
$4,742 |
2.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$8,035.50 |
$16,071 |
2.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,667 |
$13,334 |
2.0× |
| Liver Biopsy (47000) |
$3,057 |
$6,114 |
1.9× |
| Lyse chest fibrin init day (32561) |
$1,321.50 |
$2,643 |
2.2× |
| Manipulation knee joint under general anesthesia (27570) |
$1,957.25 |
$3,914.50 |
1.3× |
| Marsupialization Bartholins Gland Cyst (56440) |
$8,156 |
$16,312 |
2.6× |
| Mast mod rad (19307) |
$6,636.50 |
$13,273 |
1.0× |
| Mastectomy partial (19301) |
$5,674 |
$11,348 |
1.5× |
| Mastectomy simple complete (19303) |
$9,135 |
$18,270 |
1.4× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$7,417.50 |
$14,835 |
2.2× |
| Myelography Lumbar Injection (62305) |
$1,433.50 |
$2,867 |
1.9× |
| Myelography Lumbar Injection (62304) |
$1,664.25 |
$3,328.50 |
2.2× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,664.25 |
$3,328.50 |
2.2× |
| Myringoplasty (69620) |
$3,811 |
$7,622 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$779 |
$1,558 |
1.2× |
| N Block Inj, Plantar Digit (64455) |
$332 |
$664 |
1.1× |
| Nasal endoscopy dx (31231) |
$309.50 |
$619 |
1.6× |
| Nasal surgery procedure (30999) |
$1,383 |
$2,766 |
6.1× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure |
$3,120.26 |
$6,240.51 |
0.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$1,881.50 |
$3,763 |
0.5× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge, not the full procedure |
$980.38 |
$1,960.75 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$837.50 |
$1,675 |
0.5× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) |
$2,740.92 |
$5,481.83 |
1.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,010.50 |
$2,021 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,021 |
$4,042 |
1.2× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure |
$2,778.70 |
$5,557.38 |
0.4× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$4,493.88 |
$8,987.75 |
0.7× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$3,693.50 |
$7,387 |
0.5× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
unusually low: confirm this is the full procedure |
$2,982.42 |
$5,964.84 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$513.50 |
$1,027 |
1.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$4,214 |
$8,428 |
1.2× |
| Needle biopsy of pancreas (48102) |
$3,128.25 |
$6,256.50 |
2.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27.50 |
$55 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$46 |
$92 |
1.7× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$3,872.34 |
$7,744.67 |
2.1× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$3,946.25 |
$7,892.50 |
2.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,040.17 |
$6,080.33 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$574 |
$1,148 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$779 |
$1,558 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,001.50 |
$2,003 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$569.50 |
$1,139 |
2.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$5,745.75 |
$11,491.50 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,426.50 |
$6,853 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,507.25 |
$5,014.50 |
3.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,001.50 |
$2,003 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$779 |
$1,558 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$779 |
$1,558 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,009 |
$2,018 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,001.50 |
$2,003 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,460 |
$2,920 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,001.50 |
$2,003 |
1.2× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,485.50 |
$2,971 |
0.8× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,485.50 |
$2,971 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,343 |
$2,686 |
2.0× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$1,797.13 |
$3,594.25 |
0.3× |
| Occipital Nerve Block (64405) |
$332 |
$664 |
1.1× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$250 |
$500 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,250 |
$4,500 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$5,217.25 |
$10,434.50 |
1.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,450 |
$14,900 |
1.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,142.34 |
$10,284.67 |
0.7× |
| Open treatment metatarsal fracture each (28485) |
$7,150 |
$14,300 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$13,187.50 |
$26,375 |
1.9× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$10,933.50 |
$21,867 |
0.9× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$15,280.50 |
$30,561 |
2.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$9,468.25 |
$18,936.50 |
1.4× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$2,309.75 |
$4,619.50 |
0.3× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$8,556.50 |
$17,113 |
2.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$6,180 |
$12,360 |
0.9× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$3,242 |
$6,484 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$9,041.75 |
$18,083.50 |
2.9× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,078 |
$8,156 |
1.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$10,450.50 |
$20,901 |
1.5× |
| Open tx ulnar fx proximal end (24685) |
$8,679.50 |
$17,359 |
1.2× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$7,965.50 |
$15,931 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,069.50 |
$14,139 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,874.50 |
$15,749 |
1.1× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$8,116 |
$16,232 |
1.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$10,264.67 |
$20,529.34 |
1.5× |
| Ostectomy calcaneus (28118) |
$8,891.75 |
$17,783.50 |
2.8× |
| Ostectomy complete 5th metatarsal head (28113) |
$4,877.50 |
$9,755 |
1.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$3,794 |
$7,588 |
1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,575.67 |
$3,151.33 |
0.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,075.38 |
$2,150.75 |
0.3× |
| P-mastectomy w/ln removal (19302) |
$4,937.67 |
$9,875.34 |
0.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,151.34 |
$6,302.67 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$5,867 |
$11,734 |
3.8× |
| Partial removal of thyroid (60220) |
$12,023 |
$24,046 |
2.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,704.50 |
$9,409 |
1.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,066 |
$4,132 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,631.50 |
$5,263 |
3.9× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$6,304.75 |
$12,609.50 |
2.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,995 |
$5,990 |
2.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,720.50 |
$7,441 |
1.2× |
| Perq av fistula creation uxtr single access (36836) |
$9,766.25 |
$19,532.50 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$2,322.48 |
$4,644.96 |
3.4× |
| Perq device breast 1st imag (19281) |
$2,032 |
$4,064 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$462.50 |
$925 |
1.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,423 |
$8,846 |
1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$15,469.50 |
$30,939 |
2.2× |
| Perq Vertebral Augmentation (22513) |
$13,154.50 |
$26,309 |
1.9× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,761 |
$7,522 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,761 |
$7,522 |
1.2× |
| Picc line placement (36569) |
$2,072 |
$4,144 |
1.4× |
| Place Cath Thoracic Aorta (36221) |
$4,782.50 |
$9,565 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$541 |
$1,082 |
1.3× |
| Placement of seton (46020) |
$2,031.67 |
$4,063.33 |
0.8× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500) |
$2,872.75 |
$5,745.50 |
0.5× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,591 |
$3,182 |
1.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,979 |
$7,958 |
2.0× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$332 |
$664 |
1.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$15,844 |
$31,688 |
3.3× |
| Probe nasolacrimal duct (68810) |
$365 |
$730 |
1.2× |
| Proctopexy Perineal Approach (45541) |
$4,487.25 |
$8,974.50 |
1.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,059 |
$2,118 |
1.2× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$14,640.50 |
$29,281 |
2.1× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$632.50 |
$1,265 |
1.2× |
| Prostate Saturation Sampling (55706) |
$4,301.67 |
$8,603.34 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$791.50 |
$1,583 |
1.2× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$7,781.50 |
$15,563 |
1.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$3,370 |
$6,740 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,929 |
$9,858 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$528.50 |
$1,057 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$1,797.50 |
$3,595 |
2.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$467.50 |
$935 |
1.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$779 |
$1,558 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,197 |
$4,394 |
1.2× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$306.50 |
$613 |
0.4× |
| Reduce testis torsion (54600) |
$6,544.50 |
$13,089 |
1.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$10,769 |
$21,538 |
1.5× |
| Relocation of skin pocket for pacemaker (33222) |
$2,058 |
$4,116 |
1.0× |
| Removal foreign body foot deep (28192) |
$3,511 |
$7,022 |
2.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,143.50 |
$2,287 |
1.7× |
| Removal foreign body intranasal (30300) |
$178 |
$356 |
1.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$3,439.50 |
$6,879 |
2.2× |
| Removal foreign body pharynx (42809) |
$622.50 |
$1,245 |
1.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$8,016.50 |
$16,033 |
2.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,213 |
$4,426 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$68 |
$136 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$102 |
$204 |
1.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,114 |
$8,228 |
1.3× |
| Removal implant deep (20680) |
$5,902.88 |
$11,805.74 |
2.1× |
| Removal of adenoids (42831) |
$2,363.50 |
$4,727 |
0.7× |
| Removal of adenoids (42830) |
$3,113.62 |
$6,227.25 |
1.0× |
| Removal of anal fissure (46200) |
$2,834.66 |
$5,669.33 |
1.1× |
| Removal of embedded foreign body, eyelid (67938) |
$467 |
$934 |
1.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$9,672.50 |
$19,345 |
8.4× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$356 |
$712 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$622 |
$1,244 |
1.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,282.50 |
$2,565 |
2.1× |
| Removal of iud (58301) |
$515 |
$1,030 |
1.8× |
| Removal of kidney stone (50080) |
$10,919.50 |
$21,839 |
1.2× |
| Removal of nail bed (11750) |
$615 |
$1,230 |
1.6× |
| Removal Of Tendon Lesion (27630) |
$4,499 |
$8,998 |
1.4× |
| Removal of testis (54520) |
$5,624.50 |
$11,249 |
1.7× |
| Removal of tonsils (42826) |
$2,138 |
$4,276 |
0.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,739 |
$7,478 |
1.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,577 |
$7,154 |
1.2× |
| Removal ppm generator only (33233) |
$5,164.50 |
$10,329 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$238.50 |
$477 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,756.50 |
$3,513 |
2.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$4,612.50 |
$9,225 |
2.3× |
| Removal, under anesthesia, of external fixation system (20694) |
$4,476.33 |
$8,952.66 |
2.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$368 |
$736 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$357 |
$714 |
1.3× |
| Remove drug implant device (11982) |
$1,215.38 |
$2,430.75 |
2.8× |
| Remove ext hem groups 2+ (46250) |
$3,886 |
$7,772 |
1.5× |
| Remove foreign body from eye (65235) |
$3,638.50 |
$7,277 |
1.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,560.50 |
$5,121 |
1.3× |
| Remove intrvas foreign body (37197) |
$2,870 |
$5,740 |
0.9× |
Remove palate/lesion (42120)
unusually low: confirm this is the full procedure |
$1,732.67 |
$3,465.34 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$6,627 |
$13,254 |
2.4× |
| Remove Prostate Regrowth (52630) |
$5,400.50 |
$10,801 |
1.0× |
| Remove spine eltrd perq aray (63661) |
$2,197 |
$4,394 |
1.2× |
| Remove Tendon Sheath Lesion (26160) |
$4,043.08 |
$8,086.17 |
2.6× |
| Remove thyroid duct lesion (60280) |
$9,439 |
$18,878 |
1.6× |
| Remove vagina gland lesion (56740) |
$6,775.25 |
$13,550.50 |
2.2× |
| Remove vc lesion w/scope (31545) |
$5,143.17 |
$10,286.34 |
1.4× |
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure |
$3,440.50 |
$6,881 |
0.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,305.50 |
$4,611 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$205 |
$410 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$178 |
$356 |
1.4× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$8,273.25 |
$16,546.50 |
0.4× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$7,867.50 |
$15,735 |
0.3× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$3,207 |
$6,414 |
0.3× |
| Renal Biopsy Percutaneous (50200) |
$2,950.25 |
$5,900.50 |
1.9× |
| Repair achilles tendon (27650) |
$8,679 |
$17,358 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,023.50 |
$2,047 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,246.33 |
$2,492.66 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$658 |
$1,316 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,069 |
$2,138 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$629.75 |
$1,259.50 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,391.34 |
$4,782.67 |
6.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$4,803 |
$9,606 |
6.8× |
| Repair detached retina (67110) |
$2,653 |
$5,306 |
1.2× |
| Repair ectropion suture (67914) |
$714 |
$1,428 |
0.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,362.50 |
$4,725 |
1.5× |
| Repair eyelid defect (67916) |
$2,624.50 |
$5,249 |
1.2× |
| Repair hand tendon (26410) |
$2,161.50 |
$4,323 |
1.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$5,715 |
$11,430 |
1.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$6,171 |
$12,342 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$658 |
$1,316 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$615 |
$1,230 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$467.50 |
$935 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$572 |
$1,144 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$658 |
$1,316 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,012.62 |
$2,025.25 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$658 |
$1,316 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$748.25 |
$1,496.50 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,023.50 |
$2,047 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,227.56 |
$2,455.12 |
3.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$658 |
$1,316 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$820.75 |
$1,641.50 |
2.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$658 |
$1,316 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,371.50 |
$4,743 |
1.2× |
| Repair lead pace-defib dual (33220) |
$3,045 |
$6,090 |
0.8× |
| Repair lead pace-defib one (33218) |
$3,045 |
$6,090 |
0.8× |
| Repair nasal septal perforations (30630) |
$2,363.50 |
$4,727 |
0.7× |
| Repair Nasal Stenosis (30465) |
$5,787.25 |
$11,574.50 |
1.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$19,913 |
$39,826 |
3.2× |
| Repair of leg tendon each (27664) |
$7,372.50 |
$14,745 |
1.1× |
| Repair of nail bed (11760) |
$1,023.50 |
$2,047 |
1.4× |
| Repair of nasal septum (30520) |
$3,078.11 |
$6,156.21 |
1.0× |
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468)
unusually low: confirm this is the full procedure |
$1,789.75 |
$3,579.50 |
0.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,613 |
$9,226 |
0.7× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$7,280.50 |
$14,561 |
2.1× |
| Repair tongue laceration (41252) |
$2,371 |
$4,742 |
10.4× |
| Repair Tongue Laceration (41250) |
$622 |
$1,244 |
1.5× |
| Repair tympanic membrane (69610) |
$2,453.50 |
$4,907 |
1.6× |
| Repair webbed toe(s) (28345) |
$3,042.26 |
$6,084.50 |
2.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,341.50 |
$2,683 |
1.5× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,273.50 |
$6,547 |
0.9× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$4,486.42 |
$8,972.84 |
1.3× |
| Revise eyelid defect (67909) |
$2,733 |
$5,466 |
1.2× |
| Revise spine eltrd perq aray (63663) |
$3,370 |
$6,740 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$6,206.50 |
$12,413 |
3.3× |
| Revise/Remove Neuroreceiver (63688) |
$3,284 |
$6,568 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,761 |
$7,522 |
1.2× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$12,458.67 |
$24,917.34 |
1.0× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$10,166.67 |
$20,333.34 |
0.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$1,846.75 |
$3,693.50 |
0.6× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$4,649.50 |
$9,299 |
0.9× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$4,649.50 |
$9,299 |
0.9× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$10,816.26 |
$21,632.52 |
1.9× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,449.50 |
$4,899 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,455 |
$2,910 |
1.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$191.50 |
$383 |
1.5× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$486.50 |
$973 |
1.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,339 |
$6,678 |
1.2× |
| Rmvl of subq defibrillator (33272) |
$3,045 |
$6,090 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,979.34 |
$3,958.66 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,198.84 |
$2,397.66 |
2.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,227.50 |
$4,455 |
1.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,397.50 |
$6,795 |
1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,693 |
$9,386 |
1.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,298.50 |
$10,597 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,925.25 |
$9,850.50 |
1.4× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$250.80 |
$501.59 |
0.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,631.84 |
$7,263.66 |
1.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,043 |
$8,086 |
0.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,425.50 |
$12,851 |
1.1× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$624 |
$1,248 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,208.50 |
$4,417 |
1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,783.50 |
$3,567 |
1.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$935 |
$1,870 |
1.6× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$4,265.75 |
$8,531.50 |
1.4× |
| Scrotal exploration (55110) |
$3,511 |
$7,022 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$723.50 |
$1,447 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,711.34 |
$3,422.67 |
1.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$687.50 |
$1,375 |
1.8× |
| Shave skin lesion 0.5 cm/< (11305) |
$319.50 |
$639 |
1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$236.25 |
$472.50 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$269.50 |
$539 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$119 |
$238 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$238 |
$476 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$449.50 |
$899 |
1.2× |
| Shoulder arthroscopy (29805) |
$6,627 |
$13,254 |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$1,664.34 |
$3,328.66 |
8.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$356.25 |
$712.50 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$187.50 |
$375 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$449.50 |
$899 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$178.50 |
$357 |
0.9× |
| Sigmoidoscopy & decompress (45337) |
$2,630.50 |
$5,261 |
2.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,548.67 |
$3,097.34 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,364 |
$2,728 |
1.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$3,787 |
$7,574 |
4.2× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,101.34 |
$2,202.67 |
1.0× |
| Sigmoidoscopy w/biopsy (45331) |
$1,652 |
$3,304 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$517 |
$1,034 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$297.25 |
$594.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$297.25 |
$594.50 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$297.25 |
$594.50 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$297.25 |
$594.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$242.50 |
$485 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$257.50 |
$515 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$297.25 |
$594.50 |
1.5× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030)
unusually low: confirm this is the full procedure |
$1,939.88 |
$3,879.75 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$1,713.75 |
$3,427.50 |
2.4× |
| Skin sub graft trnk/arm/leg (15271) |
$1,060.58 |
$2,121.16 |
1.5× |
| Skin sub grft t/arm/lg child (15273) |
$2,591.50 |
$5,183 |
1.3× |
| Skin Tissue Procedure (17999) |
$3,765.75 |
$7,531.50 |
19.6× |
| Skin tissue rearrangement (14040) |
$3,886 |
$7,772 |
2.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,395.50 |
$4,791 |
0.7× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,102.50 |
$12,205 |
2.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$8,520 |
$17,040 |
1.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,024.75 |
$10,049.50 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$279 |
$558 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$658 |
$1,316 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$658 |
$1,316 |
1.7× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,663 |
$7,326 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$969.75 |
$1,939.50 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$1,601.50 |
$3,203 |
2.4× |
| Strapping unna boot (29580) |
$299.50 |
$599 |
1.9× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$1,179.88 |
$2,359.75 |
0.4× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$494.50 |
$989 |
1.6× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$6,171 |
$12,342 |
2.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,063.34 |
$8,126.67 |
1.5× |
| Suspension of testis (54640) |
$4,691 |
$9,382 |
1.4× |
| Suture infrapatellar tendon primary (27380) |
$11,577.50 |
$23,155 |
1.7× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$8,983 |
$17,966 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$304.75 |
$609.50 |
0.8× |
| Tenodesis long tendon biceps (23430) |
$8,196.50 |
$16,393 |
1.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,848.50 |
$3,697 |
1.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,554 |
$3,108 |
2.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$7,347.50 |
$14,695 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$721.50 |
$1,443 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$527.50 |
$1,055 |
1.7× |
| Thyroid biopsy (60100) |
$814 |
$1,628 |
1.2× |
| Thyroidectomy, total or complete (60240) |
$12,783 |
$25,566 |
2.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,967 |
$7,934 |
1.2× |
| Total hip arthroplasty (27130) |
$8,142 |
$16,284 |
0.7× |
| Total Knee Arthroplasty (27447) |
$11,425.50 |
$22,851 |
0.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$573 |
$1,146 |
1.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$331.50 |
$663 |
1.5× |
| Tracheostomy planned (31600) |
$3,151.58 |
$6,303.17 |
1.0× |
| Tracheotomy tube change (31502) |
$1,783.34 |
$3,566.67 |
7.8× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$5,605.50 |
$11,211 |
0.8× |
| Transur electr resection of prostate (52601) |
$5,712.34 |
$11,424.67 |
1.1× |
| Treat clavicle fracture (23505) |
$1,800.50 |
$3,601 |
1.2× |
| Treat fracture radius/ulna (25575) |
$6,915.75 |
$13,831.50 |
1.0× |
| Treat knee fracture (27532) |
$3,761 |
$7,522 |
1.2× |
| Treat Kneecap Fracture (27524) |
$11,871.50 |
$23,743 |
1.7× |
| Treat shoulder blade fx (23575) |
$2,509.50 |
$5,019 |
1.6× |
| Treatment closed elbow dislocation req anes (24605) |
$2,362.50 |
$4,725 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$341.50 |
$683 |
1.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$2,651.67 |
$5,303.33 |
0.9× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$6,679.50 |
$13,359 |
2.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$11,602.75 |
$23,205.50 |
2.1× |
| Trurl rescj postop bladder neck contracture (52640) |
$4,879 |
$9,758 |
1.4× |
| Tube thoracostomy includes water seal (32551) |
$1,809.50 |
$3,619 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,311.50 |
$6,623 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$4,157 |
$8,314 |
5.9× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$8,122 |
$16,244 |
0.7× |
| Tympanostomy (69433) |
$491.25 |
$982.50 |
0.9× |
| Tympanostomy general anesthesia (69436) |
$2,379.50 |
$4,759 |
1.6× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,399 |
$12,798 |
1.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$7,124.25 |
$14,248.50 |
1.2× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$8,679.50 |
$17,359 |
1.5× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$3,044.42 |
$6,088.83 |
0.5× |
| Unlisted procedure anus (46999) |
$4,347 |
$8,694 |
4.9× |
| Unlisted procedure arthroscopy (29999) |
$2,249.17 |
$4,498.33 |
9.5× |
| Unlisted procedure colon (45399) |
$1,553.50 |
$3,107 |
1.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$6,323 |
$12,646 |
27.8× |
| Unlisted Procedure Esophagus (43499) |
$2,933 |
$5,866 |
3.4× |
| Unlisted procedure femur or knee (27599) |
$9,238 |
$18,476 |
39.0× |
| Unlisted Procedure Muscskeletal System General (20999) |
$3,654.25 |
$7,308.50 |
15.4× |
| Unlisted procedure nervous system (64999) |
$1,802.92 |
$3,605.83 |
6.1× |
| Unlisted procedure pelvis/hip joint (27299) |
$5,862 |
$11,724 |
24.8× |
| Unlisted procedure shoulder (23929) |
$5,943 |
$11,886 |
25.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,614 |
$3,228 |
2.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,131 |
$6,262 |
3.6× |
| Unlisted procedure, hands or fingers (26989) |
$308.50 |
$617 |
1.3× |
| Unlisted procedure, leg or ankle (27899) |
$369 |
$738 |
1.6× |
| Unlisted procedure, maternity care and delivery (59899) |
$103.50 |
$207 |
0.5× |
| Unlisted procedure, stomach (43999) |
$1,225 |
$2,450 |
1.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$4,195 |
$8,390 |
21.6× |
| Upgrade of pacemaker system (33214) |
$5,363 |
$10,726 |
0.5× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$5,400.50 |
$10,801 |
1.0× |
| Urology Surgery Procedure (53899) |
$4,575 |
$9,150 |
19.1× |
| Us urine capacity measure (51798) |
$157.25 |
$314.50 |
2.8× |
| Uvulectomy excision of uvula (42140) |
$2,107.67 |
$4,215.33 |
0.7× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$9,645.50 |
$19,291 |
2.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,703.25 |
$5,406.50 |
1.3× |
| Venipuncture (36415) |
$12.25 |
$24.50 |
1.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,018.33 |
$2,036.66 |
0.3× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,017 |
$2,034 |
1.2× |
| Vulvectomy Simple Partial (56620) |
$4,651 |
$9,302 |
1.5× |
| Wedge excision skin nail fold (11765) |
$746.50 |
$1,493 |
1.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,474.33 |
$2,948.66 |
3.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$934.75 |
$1,869.50 |
1.3× |