| Abd paracentesis w/imaging (49083) |
$822.75 |
$1,097 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$594 |
$792 |
0.6× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$3,264 |
$4,352 |
1.9× |
Acne surgery (10040)
range across 2 matching MRF lines |
$150–$424.50 |
$200–$566 |
varies |
| Acromiopl/Acromionect Partial (23130) |
$1,830 |
$2,440 |
0.5× |
| Adding Walker Previously Applied Cast (29440) |
$342.75 |
$457 |
1.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,474.50 |
$1,966 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$7,651.50 |
$10,202 |
1.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$4,059.75 |
$5,413 |
1.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$4,059.75 |
$5,413 |
1.8× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$4,059.75 |
$5,413 |
1.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,685.75 |
$3,581 |
1.2× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$15,558 |
$20,744 |
1.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,995 |
$2,660 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,053.50 |
$2,738 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$7,001.25 |
$9,335 |
1.9× |
| Amputation thigh through femur any level (27590) |
$2,250 |
$3,000 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$7,001.25 |
$9,335 |
1.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$846.75 |
$1,129 |
0.2× |
| Anoscopy Control Bleeding (46614) |
$475.50 |
$634 |
0.4× |
| Anoscopy diagnostic (46600) |
$329.25 |
$439 |
2.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,762.50 |
$2,350 |
1.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$219 |
$292 |
0.2× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$307.50 |
$410 |
0.1× |
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure |
$1,776 |
$2,368 |
0.3× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$423 |
$564 |
2.3× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$3,373.50 |
$4,498 |
1.9× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$564.75 |
$753 |
1.8× |
| Application Body Cast Shoulder Hips (29035) |
$564.75 |
$753 |
1.8× |
| Application cast elbow finger short arm (29075) |
$264 |
$352 |
0.8× |
| Application Cast Finger (29086) |
$342.75 |
$457 |
1.9× |
| Application Cast Shoulder Spica (29055) |
$564.75 |
$753 |
1.8× |
| Application finger splint static (29130) |
$124.50 |
$166 |
0.8× |
| Application Halo Cranial Including Removal (20661) |
$1,686.75 |
$2,249 |
0.9× |
| Application Hip Spica Cast 1 Leg (29305) |
$564.75 |
$753 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$246.75 |
$329 |
1.4× |
| Application Long Leg Cast Brace (29358) |
$564.75 |
$753 |
1.8× |
| Application Long Leg Splint (29505) |
$271.50 |
$362 |
1.5× |
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure |
$3,307.50 |
$4,410 |
0.2× |
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines |
$255–$564.75 |
$340–$753 |
varies |
| Application of long leg cast (29345) |
$403.50 |
$538 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$235.50 |
$314 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$199.50 |
$266 |
1.3× |
| Application short leg splint calf foot (29515) |
$216.75 |
$289 |
1.2× |
| Application, cast; figure-of-eight Facility (29049) |
$564.75 |
$753 |
1.8× |
| Apply hand/wrist cast (29085) |
$288.75 |
$385 |
1.6× |
| Apply long arm cast (29065) |
$290.25 |
$387 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$342.75 |
$457 |
1.9× |
| Apply Short Leg Cast (29405) |
$240 |
$320 |
0.8× |
| Apply short leg cast (29425) |
$225 |
$300 |
0.7× |
| Apply shoulder cast,plastr velpeau (29058) |
$564.75 |
$753 |
1.8× |
| Arterial puncture (36600) |
$78.75 |
$105 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$158.25 |
$211 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,248 |
$1,664 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$188.25 |
$251 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,748.25 |
$2,331 |
5.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$155.25 |
$207 |
0.5× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$4,199.25 |
$5,599 |
0.2× |
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure |
$3,489.75 |
$4,653 |
0.2× |
| Arthroplasty interphalangeal joint each (26535) |
$7,001.25 |
$9,335 |
1.9× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$2,359.50 |
$3,146 |
0.6× |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,093 |
$4,124 |
0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$1,463.25 |
$1,951 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,460.75 |
$3,281 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,678.25 |
$3,571 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,744.50 |
$2,326 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,599 |
$2,132 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$3,021 |
$4,028 |
0.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,728 |
$2,304 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$3,117 |
$4,156 |
0.4× |
Arthrotomy W/Meniscus Repair Knee (27403)
likely a partial charge, not the full procedure |
$1,906.50 |
$2,542 |
0.2× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure |
$3,737.25 |
$4,983 |
0.3× |
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure |
$3,347.25 |
$4,463 |
0.2× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure |
$2,841.75 |
$3,789 |
0.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$1,656.75 |
$2,209 |
0.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,323.75 |
$1,765 |
0.4× |
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines |
$1,192.50–$3,373.50 |
$1,590–$4,498 |
varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$1,011.75 |
$1,349 |
0.3× |
Arthrt w/synvct kne ant&post w/pop area (27335)
likely a partial charge, not the full procedure |
$2,255.25 |
$3,007 |
0.3× |
| Artificial insemination intra-uterine (58322) |
$263.25 |
$351 |
1.2× |
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines |
$308.25–$2,298 |
$411–$3,064 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$659.25 |
$879 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$189 |
$252 |
0.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$297 |
$396 |
0.4× |
| Aspiration Bladder Needle (51100) |
$504.75 |
$673 |
1.8× |
| Aspiration bladder trocar/intracatheter (51101) |
$2,197.50 |
$2,930 |
2.3× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$4,535.25 |
$6,047 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$328.50 |
$438 |
1.5× |
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure |
$2,571.75 |
$3,429 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$2,994 |
$3,992 |
1.6× |
| Biopsy bone open superficial (20240) |
$403.50 |
$538 |
0.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,243.75 |
$4,325 |
1.8× |
| Biopsy external ear (69100) |
$271.50 |
$362 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,925.25 |
$2,567 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$651.75 |
$869 |
0.1× |
| Biopsy of floor of mouth (41108) |
$483.75 |
$645 |
0.3× |
| Biopsy of lip (40490) |
$351 |
$468 |
1.3× |
| Biopsy of palate, uvula (42100) |
$419.25 |
$559 |
0.2× |
| Biopsy of rectum (45100) |
$887.25 |
$1,183 |
0.3× |
| Biopsy Oropharynx (42800) |
$456 |
$608 |
0.3× |
| Biopsy Salivary Gland Incisional (42405) |
$661.50 |
$882 |
0.4× |
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines |
$452.25–$3,527.25 |
$603–$4,703 |
varies |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$2,071.50 |
$2,762 |
1.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$537 |
$716 |
0.9× |
| Biopsy Vaginal Mucosa Simple (57100) |
$297.75 |
$397 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$275.25 |
$367 |
0.3× |
| Biopsy, vestibule of mouth (40808) |
$484.50 |
$646 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$1,523.25 |
$2,031 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$323.25 |
$431 |
0.4× |
| Bladder Irrigation (51700) |
$218.25 |
$291 |
0.8× |
Bladder Scan (51798)
range across 3 matching MRF lines |
$33.75–$177 |
$45–$236 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
$792 |
$1,056 |
2.2× |
| Blood Transfusion Service (36430) |
$123.75 |
$165 |
0.3× |
| Bone Marrow Biopsy (38221) |
$462.75 |
$617 |
0.3× |
| Bone Marrow; Aspiration Only (38220) |
$192.75 |
$257 |
0.1× |
Breast Reduction (19318)
unusually low: confirm this is the full procedure |
$3,182.25 |
$4,243 |
0.4× |
| Bronchoscopy Clear Airways (31645) |
$3,390.75 |
$4,521 |
1.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,390.75 |
$4,521 |
1.7× |
| Bx breast 1st lesion strtctc (19081) |
$5,474.25 |
$7,299 |
3.0× |
| Bx breast 1st lesion us imag (19083) |
$4,423.50 |
$5,898 |
2.4× |
| Bx Cervix (57500) |
$434.25 |
$579 |
0.4× |
| Bx/exc lymph node open deep axillary node (38525) |
$1,289.25 |
$1,719 |
0.3× |
| Bx/exc lymph node open superficial (38500) |
$741.75 |
$989 |
0.2× |
| Canthoplasty (67950) |
$4,440 |
$5,920 |
1.7× |
| Canthotomy Separate Procedure (67715) |
$5,903.25 |
$7,871 |
2.2× |
| Carpal Tunnel Surgery (64721) |
$1,317 |
$1,756 |
0.6× |
| Catheter aspiration nasotracheal spx (31720) |
$450 |
$600 |
1.8× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$427.50 |
$570 |
1.3× |
| Cautery Cervix Electro/Thermal (57510) |
$476.25 |
$635 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$1,470.75 |
$1,961 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$768 |
$1,024 |
2.8× |
| Change of Windpipe Airway (31502) |
$99 |
$132 |
0.4× |
| Chemical Cautery Tissue (17250) |
$243.75 |
$325 |
1.1× |
| Chest tube placement (32551) |
$442.50 |
$590 |
0.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$427.50 |
$570 |
0.2× |
| Cl Tx Scapular Fx; W Manip (23575) |
$3,373.50 |
$4,498 |
1.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,598.25 |
$2,131 |
0.9× |
| Clear outer ear canal (69200) |
$232.50 |
$310 |
1.6× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$1,434 |
$1,912 |
0.4× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$487.50 |
$650 |
1.8× |
| Closed rx talotarsal disloc,anesth (28575) |
$1,141.50 |
$1,522 |
0.3× |
| Closed Treat Vert Body Fract (22310) |
$487.50 |
$650 |
1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,248.75 |
$1,665 |
4.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$3,373.50 |
$4,498 |
1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,371.75 |
$1,829 |
5.0× |
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines |
$487.50–$887.25 |
$650–$1,183 |
varies |
| Closed Treatment Sesamoid Fracture (28530) |
$355.50 |
$474 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,001.25 |
$1,335 |
3.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,161 |
$1,548 |
4.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,426.50 |
$1,902 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,020.75 |
$1,361 |
3.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$487.50 |
$650 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$744.75 |
$993 |
2.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,373.50 |
$4,498 |
1.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$939.75 |
$1,253 |
3.4× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$7,001.25 |
$9,335 |
3.9× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$7,001.25 |
$9,335 |
1.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,553.25 |
$2,071 |
5.7× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$3,264 |
$4,352 |
1.9× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,879.50 |
$2,506 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,533 |
$2,044 |
5.6× |
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines |
$1,473–$5,676 |
$1,964–$7,568 |
varies |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,264 |
$4,352 |
1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,700.25 |
$2,267 |
2.8× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$12,558.75 |
$16,745 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$654 |
$872 |
2.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,752.75 |
$2,337 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$444.75 |
$593 |
0.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$623.25 |
$831 |
0.2× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$6,692.25 |
$8,923 |
1.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,833.50 |
$3,778 |
10.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,127.25 |
$1,503 |
4.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$990.75 |
$1,321 |
3.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$810 |
$1,080 |
3.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,529.25 |
$2,039 |
0.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$870.75 |
$1,161 |
3.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,560.75 |
$2,081 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$887.25 |
$1,183 |
3.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$717.75 |
$957 |
2.6× |
| Closed tx septal&nose fx (21337) |
$6,692.25 |
$8,923 |
1.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$487.50 |
$650 |
1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$487.50 |
$650 |
1.8× |
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines |
$990.75–$4,659 |
$1,321–$6,212 |
varies |
| Closed tx talus fracture w/o manipulation (28430) |
$722.25 |
$963 |
2.6× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$487.50 |
$650 |
1.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$657.75 |
$877 |
2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$401.25 |
$535 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$825.75 |
$1,101 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$892.50 |
$1,190 |
3.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$812.25 |
$1,083 |
3.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$1,209 |
$1,612 |
4.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$859.50 |
$1,146 |
1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,097.25 |
$1,463 |
4.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$723.75 |
$965 |
2.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,092.75 |
$1,457 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$684.75 |
$913 |
2.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,074 |
$1,432 |
1.8× |
| Clsd Tx Pelvic Ring Fx (27198) |
$4,622.25 |
$6,163 |
16.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$825.75 |
$1,101 |
3.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,218 |
$1,624 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,012.50 |
$1,350 |
3.7× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$543.75 |
$725 |
2.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,461.75 |
$1,949 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$487.50 |
$650 |
1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$933 |
$1,244 |
3.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,072.50 |
$1,430 |
3.9× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$487.50 |
$650 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$846.75 |
$1,129 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$947.25 |
$1,263 |
3.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$979.50 |
$1,306 |
3.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$579 |
$772 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,034.25 |
$1,379 |
3.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,621.50 |
$2,162 |
0.9× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,586.25 |
$2,115 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$487.50 |
$650 |
0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$487.50 |
$650 |
1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$5,520 |
$7,360 |
3.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$428.25 |
$571 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$491.25 |
$655 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$364.50 |
$486 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$5,028 |
$6,704 |
2.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$955.50 |
$1,274 |
3.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$827.25 |
$1,103 |
3.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$487.50 |
$650 |
1.8× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,215.25 |
$4,287 |
1.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,187 |
$2,916 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$517.50 |
$690 |
1.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$487.50 |
$650 |
1.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,998.25 |
$5,331 |
2.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$4,725 |
$6,300 |
2.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$1,011.75 |
$1,349 |
3.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$442.50 |
$590 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$373.50 |
$498 |
1.4× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$5,180.25 |
$6,907 |
2.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$564.75 |
$753 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$882 |
$1,176 |
3.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,453.50 |
$1,938 |
0.8× |
| Cltx Medial Ankle Fx (27760) |
$1,014 |
$1,352 |
3.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,001.25 |
$1,335 |
3.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$921 |
$1,228 |
3.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,320.75 |
$1,761 |
0.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,215.25 |
$4,287 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,038 |
$1,384 |
3.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$618 |
$824 |
2.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,715.25 |
$2,287 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$255 |
$340 |
0.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,317.75 |
$1,757 |
0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$942 |
$1,256 |
3.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,413 |
$1,884 |
0.8× |
| Cltx prox tibfib jt dislc req anes (27831) |
$7,001.25 |
$9,335 |
1.9× |
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 3 matching MRF lines |
$555–$1,351.50 |
$740–$1,802 |
varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$300.75 |
$401 |
1.1× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,865.25 |
$2,487 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$1,162.50 |
$1,550 |
4.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$3,373.50 |
$4,498 |
1.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$487.50 |
$650 |
1.8× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$7,001.25 |
$9,335 |
1.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$487.50 |
$650 |
1.8× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$936 |
$1,248 |
3.4× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,053.75 |
$1,405 |
3.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$652.50 |
$870 |
2.4× |
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines |
$1,319.25–$1,373.25 |
$1,759–$1,831 |
varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,005 |
$1,340 |
3.7× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$7,001.25 |
$9,335 |
1.9× |
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure |
$2,516.25 |
$3,355 |
0.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$154.50 |
$206 |
1.0× |
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines |
$19.50–$21 |
$26–$28 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$712.50 |
$950 |
0.5× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$489.75 |
$653 |
0.4× |
| Colonoscopy thru stoma (44388) |
$906 |
$1,208 |
0.9× |
| Colonoscopy w/fb removal (45379) |
$1,236.75 |
$1,649 |
0.9× |
| Colonoscopy W/Resection (45390) |
$940.50 |
$1,254 |
0.3× |
| Colonoscopy w/submucosal inj (45381) |
$1,254.75 |
$1,673 |
0.9× |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$356.25 |
$475 |
0.1× |
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure |
$1,536.75 |
$2,049 |
0.3× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$6,650.25 |
$8,867 |
1.8× |
| Colporrhaphy (57200) |
$963.75 |
$1,285 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$486.75 |
$649 |
1.4× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$436.50 |
$582 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$364.50 |
$486 |
1.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$466.50 |
$622 |
1.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$993 |
$1,324 |
0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$887.25 |
$1,183 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$384.75 |
$513 |
1.1× |
| Colposcopy of vulva (56820) |
$362.25 |
$483 |
1.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$513.75 |
$685 |
0.5× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$6,650.25 |
$8,867 |
1.8× |
| Colpotomy; with exploration (57000) |
$6,650.25 |
$8,867 |
1.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,860.75 |
$2,481 |
1.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,704 |
$2,272 |
1.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,386 |
$1,848 |
1.0× |
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure |
$2,250 |
$3,000 |
0.4× |
| Complex drainage wound (10180) |
$759 |
$1,012 |
0.2× |
| Composite Skin Graft (15760) |
$4,059.75 |
$5,413 |
1.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$873.75 |
$1,165 |
0.2× |
| Conization of cervix (57520) |
$1,019.25 |
$1,359 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$693 |
$924 |
4.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$448.50 |
$598 |
3.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$470.25 |
$627 |
0.8× |
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure |
$4,852.50 |
$6,470 |
0.3× |
| Conversion ext bil drg cath (47535) |
$8,331 |
$11,108 |
2.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,527.25 |
$4,703 |
1.9× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$7,539 |
$10,052 |
1.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$7,001.25 |
$9,335 |
1.9× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,045 |
$4,060 |
0.8× |
| Create Eardrum Opening (69433) |
$579.75 |
$773 |
1.0× |
| Csf shunt reprogram (62252) |
$651 |
$868 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$994.50 |
$1,326 |
6.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$1,083 |
$1,444 |
4.1× |
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962)
range across 2 matching MRF lines |
$1,506–$6,692.25 |
$2,008–$8,923 |
varies |
| Curettage postpartum (59160) |
$778.50 |
$1,038 |
0.2× |
| Curette/treat cornea (65435) |
$1,833 |
$2,444 |
1.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,933.75 |
$5,245 |
1.7× |
| Cysto w/destruction of lesions (52214) |
$6,799.50 |
$9,066 |
1.7× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$6,799.50 |
$9,066 |
1.7× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,799.50 |
$9,066 |
1.7× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$6,799.50 |
$9,066 |
1.7× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$4,362 |
$5,816 |
1.9× |
| Cystourethroscopy (52000) |
$633 |
$844 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$168.75 |
$225 |
0.4× |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines |
$1,197–$6,701.25 |
$1,596–$8,935 |
varies |
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines |
$799.50–$1,709.25 |
$1,066–$2,279 |
varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,709.25 |
$2,279 |
2.2× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$7,001.25 |
$9,335 |
1.9× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$1,375.50 |
$1,834 |
0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$443.25 |
$591 |
0.5× |
| Debride nail 1-5 (11720) |
$95.25 |
$127 |
1.5× |
Debride nail 6 or more (11721)
range across 3 matching MRF lines |
$68.25–$179.25 |
$91–$239 |
varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$894 |
$1,192 |
0.5× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$617.25 |
$823 |
1.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$228.75 |
$305 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$371.25 |
$495 |
0.8× |
| Declot vascular device (36593) |
$459.75 |
$613 |
1.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,133 |
$2,844 |
1.2× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$3,585 |
$4,780 |
2.0× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$8,350.50 |
$11,134 |
2.3× |
| Decompressive fasciotomy hand (26037) |
$7,001.25 |
$9,335 |
1.9× |
| Delivery of placenta (59414) |
$261.75 |
$349 |
0.1× |
| Derma-fat-fascia graft (15770) |
$7,651.50 |
$10,202 |
1.9× |
| Destruct B9 Lesion 1-14 (17110) |
$326.25 |
$435 |
1.5× |
| Destruction Benign Lesions 15/> (17111) |
$383.25 |
$511 |
1.7× |
| Destruction Lesions Vulva Simple (56501) |
$549.75 |
$733 |
0.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$288 |
$384 |
1.3× |
| Destruction of skin lesions (17106) |
$877.50 |
$1,170 |
1.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$285.75 |
$381 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$196.50 |
$262 |
0.9× |
| Destruction Vaginal Lesions Simple (57061) |
$479.25 |
$639 |
0.1× |
| Diagnostic anoscopy (46601) |
$425.25 |
$567 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$534.75 |
$713 |
0.5× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$222.75 |
$297 |
1.0× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$342.75 |
$457 |
2.4× |
| Dilate Esophagus 1/Mult Pass (43450) |
$228.75 |
$305 |
0.2× |
| Dilate Urethra Stricture (53620) |
$1,470.75 |
$1,961 |
1.9× |
| Dilate Urethra Stricture (53600) |
$504.75 |
$673 |
1.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$858 |
$1,144 |
0.2× |
| Drain Cerebro Spinal Fluid (62272) |
$2,196 |
$2,928 |
2.8× |
| Drain Hand Tendon Sheath (26020) |
$1,650 |
$2,200 |
0.5× |
| Drain penis lesion (54015) |
$3,527.25 |
$4,703 |
1.9× |
| Drain shoulder bursa (23031) |
$657.75 |
$877 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$891.75 |
$1,189 |
2.6× |
| Drainage abscess parotid simple (42300) |
$618 |
$824 |
0.4× |
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines |
$357–$1,074 |
$476–$1,432 |
varies |
| Drainage external auditory canal abscess (69020) |
$659.25 |
$879 |
0.8× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$630.75 |
$841 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$531 |
$708 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,347.75 |
$1,797 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$658.50 |
$878 |
2.5× |
| Drainage of eye (65800) |
$4,535.25 |
$6,047 |
1.8× |
| Drainage of finger abscess simple (26010) |
$963.75 |
$1,285 |
4.3× |
| Drainage of gum lesion (41800) |
$549 |
$732 |
3.7× |
| Drainage of hematoma/fluid (10140) |
$489 |
$652 |
0.3× |
| Drainage of mouth lesion (41017) |
$6,692.25 |
$8,923 |
1.8× |
| Drainage of nose lesion (30000) |
$759 |
$1,012 |
2.9× |
| Drainage of palmar bursa single bursa (26025) |
$1,241.25 |
$1,655 |
0.3× |
| Drainage of rectal abscess (45005) |
$918.75 |
$1,225 |
0.7× |
| Drainage of salivary gland (42320) |
$1,074 |
$1,432 |
1.8× |
| Drainage of salivary gland (42305) |
$6,692.25 |
$8,923 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$669 |
$892 |
0.4× |
| Drainage of scrotum (54700) |
$4,362 |
$5,816 |
1.9× |
Drainage of skene's gland abscess or cyst (53060)
range across 2 matching MRF lines |
$483.75–$4,362 |
$645–$5,816 |
varies |
| Draw Blood Off Venous Device (36591) |
$159.75 |
$213 |
1.1× |
| Dressing Change Under Anesthesia (15852) |
$1,365.75 |
$1,821 |
1.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,179 |
$1,572 |
2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$587.25 |
$783 |
0.7× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$493.50 |
$658 |
0.8× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$6,075.75 |
$8,101 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$575.25 |
$767 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$451.50 |
$602 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$247.50 |
$330 |
1.1× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$877.50 |
$1,170 |
1.9× |
| Dstrj lesion anus simple surg excision (46922) |
$403.50 |
$538 |
0.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$314.25 |
$419 |
0.7× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$424.50 |
$566 |
1.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,004 |
$2,672 |
2.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$501.75 |
$669 |
0.2× |
| Dx Bronchoscope/Lavage (31624) |
$3,390.75 |
$4,521 |
1.7× |
| Dx Bronchoscope/Wash (31622) |
$3,390.75 |
$4,521 |
1.7× |
| Dx gastr intub w/asp spec (43754) |
$658.50 |
$878 |
2.7× |
| Dx gastr intub w/asp specs (43755) |
$342.75 |
$457 |
2.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$462 |
$616 |
0.2× |
Dx laryngoscopy w/oper scope (31526)
range across 2 matching MRF lines |
$453.75–$3,390.75 |
$605–$4,521 |
varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$2,196 |
$2,928 |
2.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,941.50 |
$3,922 |
1.4× |
| Egd cautery tumor polyp (43250) |
$486 |
$648 |
0.2× |
| Egd control bleeding any (43255) |
$1,742.25 |
$2,323 |
0.8× |
| Egd dilation gastric/duodenal stricture (43245) |
$503.25 |
$671 |
0.2× |
| Egd Flexible Foreign Body Removal (43247) |
$1,087.50 |
$1,450 |
1.1× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,265.50 |
$4,354 |
1.5× |
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines |
$570–$3,265.50 |
$760–$4,354 |
varies |
| Egd remove lesion snare (43251) |
$1,389 |
$1,852 |
0.7× |
| Egd Tube/Cath Insertion (43241) |
$405.75 |
$541 |
0.2× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$651 |
$868 |
1.9× |
| Endocervical curettage (57505) |
$441 |
$588 |
0.4× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure |
$2,535 |
$3,380 |
0.5× |
| Endometrial Biopsy (58100) |
$288.75 |
$385 |
1.3× |
| Endoscopic injection/implant (51715) |
$571.50 |
$762 |
0.1× |
| Endoscopy upper small intestine w/biopsy (44361) |
$451.50 |
$602 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$4,047 |
$5,396 |
0.9× |
Epidural Blood Patch (62273)
range across 3 matching MRF lines |
$325.50–$1,496.25 |
$434–$1,995 |
varies |
| Episiotomy or vaginal repair (59300) |
$655.50 |
$874 |
0.2× |
| Escharotomy; initial incision (16035) |
$561.75 |
$749 |
1.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$294 |
$392 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$405 |
$540 |
0.2× |
| Evacuate mole of uterus (59870) |
$1,554 |
$2,072 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$165.75 |
$221 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$974.25 |
$1,299 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$369 |
$492 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$596.25 |
$795 |
0.3× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,456.50 |
$1,942 |
0.8× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,154 |
$2,872 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$1,946.25 |
$2,595 |
0.6× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure |
$1,563.75 |
$2,085 |
0.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$1,670.25 |
$2,227 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$682.50 |
$910 |
0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$772.50 |
$1,030 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$995.25 |
$1,327 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$410.25 |
$547 |
0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$499.50 |
$666 |
0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$558 |
$744 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$660.75 |
$881 |
0.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$822.75 |
$1,097 |
0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,250.25 |
$1,667 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$364.50 |
$486 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$459 |
$612 |
0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$517.50 |
$690 |
0.3× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,588.50 |
$2,118 |
0.9× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$1,079.25 |
$1,439 |
0.3× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$469.50 |
$626 |
0.1× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$708.75 |
$945 |
0.2× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$6,692.25 |
$8,923 |
1.8× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$863.25 |
$1,151 |
0.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,505.75 |
$3,341 |
1.2× |
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
likely a partial charge, not the full procedure |
$1,830.75 |
$2,441 |
0.3× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$1,796.25 |
$2,395 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$573 |
$764 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$691.50 |
$922 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$955.50 |
$1,274 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$925.50 |
$1,234 |
0.5× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$1,117.50 |
$1,490 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$604.50 |
$806 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,293.75 |
$1,725 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,235.25 |
$1,647 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$610.50 |
$814 |
0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$448.50 |
$598 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$495 |
$660 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$650.25 |
$867 |
0.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,311 |
$1,748 |
0.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$1,525.50 |
$2,034 |
0.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$1,548.75 |
$2,065 |
0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,605 |
$2,140 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,612.50 |
$2,150 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,365.75 |
$1,821 |
0.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,488.75 |
$1,985 |
0.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$1,368 |
$1,824 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,135.25 |
$2,847 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,254.75 |
$1,673 |
0.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,428.75 |
$1,905 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,193.25 |
$1,591 |
0.4× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$8,331 |
$11,108 |
2.1× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$4,095.75 |
$5,461 |
1.9× |
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines |
$528.75–$3,264 |
$705–$4,352 |
varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$804.75 |
$1,073 |
1.0× |
| Excision Chalazion Single (67800) |
$555.75 |
$741 |
1.6× |
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 2 matching MRF lines |
$2,154–$6,075.75 |
$2,872–$8,101 |
varies |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$1,307.25 |
$1,743 |
0.4× |
| Excision lesion mouth roof (42104) |
$624 |
$832 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$657.75 |
$877 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$705.75 |
$941 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$897.75 |
$1,197 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$911.25 |
$1,215 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,457.25 |
$1,943 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,526.25 |
$2,035 |
1.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$729 |
$972 |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$898.50 |
$1,198 |
0.3× |
| Excision Nasal Polyp Extensive (30115) |
$1,344.75 |
$1,793 |
0.4× |
| Excision nasal polyp(s) simple (30110) |
$388.50 |
$518 |
0.2× |
| Excision of bartholin's gland or cyst (56740) |
$6,650.25 |
$8,867 |
1.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$975 |
$1,300 |
0.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,182.75 |
$1,577 |
0.5× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure |
$3,071.25 |
$4,095 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,075.75 |
$8,101 |
1.9× |
| Excision of single external papilla or tag, anus (46220) |
$717 |
$956 |
0.5× |
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure |
$1,065.75 |
$1,421 |
0.2× |
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure |
$1,212.75 |
$1,617 |
0.2× |
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines |
$546–$6,650.25 |
$728–$8,867 |
varies |
| Excision of vaginal septum (57130) |
$501.75 |
$669 |
0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,224.50 |
$2,966 |
0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$1,812.75 |
$2,417 |
0.6× |
| Excision prepatellar bursa (27340) |
$1,118.25 |
$1,491 |
0.3× |
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure |
$3,417 |
$4,556 |
0.5× |
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines |
$744.75–$6,075.75 |
$993–$8,101 |
varies |
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure |
$1,326.75 |
$1,769 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,379.25 |
$1,839 |
0.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,236.75 |
$1,649 |
0.7× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,435.50 |
$1,914 |
0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,292.25 |
$1,723 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$770.25 |
$1,027 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,202.25 |
$1,603 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,377 |
$1,836 |
0.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,754 |
$3,672 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,711.50 |
$2,282 |
0.7× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure |
$2,115 |
$2,820 |
0.3× |
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines |
$916.50–$3,527.25 |
$1,222–$4,703 |
varies |
| Exploration of knee joint (27310) |
$2,157.75 |
$2,877 |
0.6× |
| Exploration penetrating wound spx chest (20101) |
$1,595.25 |
$2,127 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,614.75 |
$2,153 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,734.75 |
$2,313 |
2.9× |
| Explore/Treat Elbow Joint (24101) |
$1,495.50 |
$1,994 |
0.4× |
| External cephalic version (59412) |
$297 |
$396 |
0.1× |
| Fasciotomy palmar open partial (26045) |
$1,408.50 |
$1,878 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,478 |
$3,304 |
0.7× |
| Fetal Contraction Stress Test (59020) |
$418.50 |
$558 |
1.9× |
| Fetal non-stress test (59025) |
$141.75 |
$189 |
0.6× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$4,059.75 |
$5,413 |
1.8× |
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines |
$258–$1,638.75 |
$344–$2,185 |
varies |
| Fluoro exam of g/colon tube (49465) |
$507 |
$676 |
1.9× |
| Fna bx w/us gdn 1st les (10005) |
$2,067 |
$2,756 |
2.6× |
| Forehead flap w/vasc pedicle (15731) |
$7,651.50 |
$10,202 |
1.9× |
Foreskin manipulation (54450)
range across 2 matching MRF lines |
$164.25–$796.50 |
$219–$1,062 |
varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$345 |
$460 |
0.1× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$4,059.75 |
$5,413 |
1.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,901.75 |
$3,869 |
1.3× |
| Fusion Finger Joint (26860) |
$7,001.25 |
$9,335 |
1.9× |
| Fusion of hand bones (25820) |
$15,558 |
$20,744 |
1.9× |
| Gastrocnemius recession (27687) |
$1,337.25 |
$1,783 |
0.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,939.75 |
$5,253 |
0.9× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$1,466.25 |
$1,955 |
0.6× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$1,498.50 |
$1,998 |
0.4× |
| Grafting of autologous soft tiss by direct exc (15769) |
$1,401 |
$1,868 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$1,526.25 |
$2,035 |
1.9× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$3,303 |
$4,404 |
0.2× |
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines |
$1,035.75–$6,043.50 |
$1,381–$8,058 |
varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$936.75 |
$1,249 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,409.25 |
$1,879 |
0.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$827.25 |
$1,103 |
0.8× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$1,292.25 |
$1,723 |
0.4× |
| Hemorrhoidopexy by stapling (46947) |
$6,043.50 |
$8,058 |
2.0× |
| Hymenotomy Simple Incision (56442) |
$6,650.25 |
$8,867 |
1.8× |
| Hysteroscopy Biopsy (58558) |
$3,582.75 |
$4,777 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$438.75 |
$585 |
0.1× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,667 |
$7,556 |
1.0× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure |
$815.25 |
$1,087 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$1,173.75 |
$1,565 |
0.3× |
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure |
$1,027.50 |
$1,370 |
0.2× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$6,692.25 |
$8,923 |
1.8× |
| I&d abscess peritonsillar (42700) |
$555 |
$740 |
2.1× |
| I&d abscess simple (10060) |
$369 |
$492 |
1.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,958.25 |
$2,611 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,075.75 |
$8,101 |
1.9× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,995 |
$2,660 |
0.5× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$6,043.50 |
$8,058 |
2.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$7,001.25 |
$9,335 |
1.9× |
| I&d perianal abscess superficial (46050) |
$675.75 |
$901 |
0.7× |
| I&d pilonidal cyst complicated (10081) |
$975 |
$1,300 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$707.25 |
$943 |
0.9× |
| I&d shoulder deep abscess/hematoma (23030) |
$6,075.75 |
$8,101 |
1.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,035 |
$1,380 |
0.3× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$6,075.75 |
$8,101 |
1.9× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$165.75 |
$221 |
0.2× |
| Image Cath Fluid Colxn Visc (49405) |
$549 |
$732 |
0.3× |
| Incise external hemorrhoid (46083) |
$595.50 |
$794 |
2.1× |
| Incise finger tendon sheath (26055) |
$1,690.50 |
$2,254 |
0.9× |
| Incise flexor carpi radialis (25001) |
$8,350.50 |
$11,134 |
2.3× |
| Incise/Drain Conjunctiva (68020) |
$1,809 |
$2,412 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$618 |
$824 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,506 |
$2,008 |
0.5× |
| Incision & drainage leg/ankle infected bursa (27604) |
$7,001.25 |
$9,335 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$763.50 |
$1,018 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$436.50 |
$582 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$531 |
$708 |
2.4× |
| Incision and drainage of the tear gland (68400) |
$1,833 |
$2,444 |
1.7× |
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023)
range across 2 matching MRF lines |
$925.50–$6,075.75 |
$1,234–$8,101 |
varies |
| Incision and drainage of vulva or perineal abscess (56405) |
$420.75 |
$561 |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$3,373.50 |
$4,498 |
1.9× |
| Incision of eardrum (69420) |
$548.25 |
$731 |
2.1× |
| Incision of labial frenum (frenotomy) (40806) |
$288.75 |
$385 |
0.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$610.50 |
$814 |
0.4× |
| Incision of rectal abscess (46040) |
$1,619.25 |
$2,159 |
1.2× |
| Incision of urethra (53020) |
$4,362 |
$5,816 |
1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$864.75 |
$1,153 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$441 |
$588 |
0.5× |
| Induced abortion dilation and curettage (59840) |
$6,650.25 |
$8,867 |
1.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$232.50 |
$310 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$228.75 |
$305 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,004 |
$2,672 |
2.0× |
| Inject Intravitreal Pharmcologic (67028) |
$699 |
$932 |
1.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$168 |
$224 |
0.5× |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
$185.25–$2,004 |
$247–$2,672 |
varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$2,004 |
$2,672 |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,196 |
$2,928 |
2.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$96 |
$128 |
0.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,196 |
$2,928 |
2.8× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines |
$207–$1,526.25 |
$276–$2,035 |
varies |
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 2 matching MRF lines |
$216–$2,004 |
$288–$2,672 |
varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$639.75 |
$853 |
1.9× |
| Injection for identification of sentinel node (38792) |
$336.75 |
$449 |
0.8× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$1,954.50 |
$2,606 |
1.9× |
| Injection single tendon origin/insertion (20551) |
$165.75 |
$221 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$150.75 |
$201 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$174 |
$232 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$240 |
$320 |
0.7× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines |
$191.25–$1,393.50 |
$255–$1,858 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$182.25–$1,515 |
$243–$2,020 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$213 |
$284 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$165 |
$220 |
0.7× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$4,535.25 |
$6,047 |
1.8× |
| Insert and remove bone pin (20650) |
$7,001.25 |
$9,335 |
1.9× |
| Insert Bladder Cath Complex (51703) |
$425.25 |
$567 |
3.0× |
| Insert cath pleura w/ image (32557) |
$4,964.25 |
$6,619 |
2.8× |
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines |
$354–$1,272.75 |
$472–$1,697 |
varies |
Insert cervical dilator (59200)
range across 3 matching MRF lines |
$194.25–$687 |
$259–$916 |
varies |
| Insert Drug Implant Device (11981) |
$291 |
$388 |
2.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$4,095.75 |
$5,461 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$597 |
$796 |
0.2× |
| Insert pessary/other device (57160) |
$213.75 |
$285 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$3,499.50 |
$4,666 |
2.0× |
| Insert prost urethral stent (53855) |
$4,362 |
$5,816 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$177.75 |
$237 |
1.2× |
| Insert tunneled cv cath (36561) |
$2,670.75 |
$3,561 |
0.8× |
Insert tunneled cv cath (36563)
likely a partial charge, not the full procedure |
$1,038 |
$1,384 |
0.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$12,088.50 |
$16,118 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$126.75 |
$169 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,133 |
$2,844 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,904.50 |
$5,206 |
2.2× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$8,331 |
$11,108 |
2.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$528.75 |
$705 |
0.2× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,360.50 |
$1,814 |
2.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$894.75 |
$1,193 |
0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$270 |
$360 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,263.50 |
$3,018 |
0.6× |
Insj/rplcmt breast implant sep day mastectomy (19342)
likely a partial charge, not the full procedure |
$2,222.25 |
$2,963 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$455.25 |
$607 |
0.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$17,142 |
$22,856 |
1.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$998.25 |
$1,331 |
0.3× |
| Interdental fixation (21110) |
$3,264 |
$4,352 |
1.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,440.75 |
$1,921 |
3.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,668.75 |
$2,225 |
3.7× |
| Intranasal Biopsy (30100) |
$399 |
$532 |
0.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,074 |
$1,432 |
1.8× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$489 |
$652 |
1.9× |
| Intraoral i&d tongue/floor submental space (41007) |
$3,264 |
$4,352 |
1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$6,692.25 |
$8,923 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$1,941.75 |
$2,589 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$405.75 |
$541 |
1.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$893.25 |
$1,191 |
3.2× |
| Knee arthroscopy/drainage (29871) |
$1,523.25 |
$2,031 |
0.4× |
| Knee Arthroscopy/Surgery (29874) |
$1,580.25 |
$2,107 |
0.4× |
| Labyrinthotomy Transcanal (69801) |
$651 |
$868 |
0.4× |
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure |
$4,988.25 |
$6,651 |
0.4× |
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure |
$2,838.75 |
$3,785 |
0.2× |
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure |
$1,089.75 |
$1,453 |
0.2× |
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure |
$2,668.50 |
$3,558 |
0.4× |
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure |
$1,077 |
$1,436 |
0.2× |
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure |
$2,287.50 |
$3,050 |
0.2× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$1,269 |
$1,692 |
0.2× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$3,521.25 |
$4,695 |
0.3× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,628.75 |
$3,505 |
0.2× |
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure |
$1,987.50 |
$2,650 |
0.3× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,886.25 |
$2,515 |
0.3× |
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure |
$1,755.75 |
$2,341 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$3,119.25 |
$4,159 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$2,339.25 |
$3,119 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure |
$2,553.75 |
$3,405 |
0.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,094 |
$2,792 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$3,251.25 |
$4,335 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,655.25 |
$2,207 |
0.2× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure |
$1,003.50 |
$1,338 |
0.1× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$963 |
$1,284 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure |
$2,064 |
$2,752 |
0.3× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure |
$2,299.50 |
$3,066 |
0.3× |
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure |
$3,762 |
$5,016 |
0.3× |
| Laryngoscopy diagnostic (31505) |
$132 |
$176 |
0.6× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$693 |
$924 |
0.2× |
| Laryngoscopy flexible diagnostic (31575) |
$367.50 |
$490 |
1.7× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$7,071 |
$9,428 |
1.7× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,390.75 |
$4,521 |
1.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$565.50 |
$754 |
1.3× |
| Laryngoscopy W/Biopsy (31535) |
$546 |
$728 |
0.1× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$603.75 |
$805 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$572.25 |
$763 |
0.3× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$800.25 |
$1,067 |
1.8× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
$800.25 |
$1,067 |
1.8× |
| Larynscop w/tumr exc + scope (31541) |
$754.50 |
$1,006 |
0.2× |
| Late closure of wound (13160) |
$2,315.25 |
$3,087 |
0.6× |
| Lateral Canthopexy (21282) |
$6,692.25 |
$8,923 |
1.8× |
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure |
$3,277.50 |
$4,370 |
0.2× |
| Ligation of hemorrhoids (46946) |
$1,110.75 |
$1,481 |
0.4× |
| Ligation Of Neck Artery (37615) |
$6,255.75 |
$8,341 |
1.8× |
| Ligation or biopsy temporal artery (37609) |
$880.50 |
$1,174 |
0.5× |
| Lysis Intranasal Synechia (30560) |
$902.25 |
$1,203 |
1.5× |
| Lysis of labial adhesions (56441) |
$449.25 |
$599 |
0.1× |
| Manipulation Elbow Under Anesthesia (24300) |
$3,373.50 |
$4,498 |
1.9× |
| Manipulation knee joint under general anesthesia (27570) |
$458.25 |
$611 |
0.3× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$3,264 |
$4,352 |
1.9× |
| Manipulation wrist under anesthesia (25259) |
$3,373.50 |
$4,498 |
1.9× |
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines |
$528–$6,650.25 |
$704–$8,867 |
varies |
| Mastectomy for gynecomastia (19300) |
$1,269 |
$1,692 |
0.3× |
| Mastectomy partial (19301) |
$1,920.75 |
$2,561 |
0.4× |
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure |
$2,639.25 |
$3,519 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,790.75 |
$3,721 |
0.4× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$1,245.75 |
$1,661 |
0.5× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$7,651.50 |
$10,202 |
1.9× |
| Muscle-skin graft trunk (15734) |
$4,351.50 |
$5,802 |
1.1× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$1,627.50 |
$2,170 |
0.5× |
| N Block Inj Celiac Pelus (64530) |
$2,004 |
$2,672 |
2.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$156.75 |
$209 |
0.2× |
| N block inj intercost sng (64420) |
$283.50 |
$378 |
0.4× |
| N Block Inj Plantar Digit (64455) |
$639.75 |
$853 |
1.9× |
| N Block Inj Pudendal (64430) |
$281.25 |
$375 |
0.3× |
| Nasal Endoscopy Dx (31231) |
$546 |
$728 |
2.5× |
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines |
$114–$432 |
$152–$576 |
varies |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$777.75 |
$1,037 |
1.8× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$521.25 |
$695 |
0.1× |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure |
$579 |
$772 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$764.25 |
$1,019 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$459.75 |
$613 |
0.2× |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines |
$483–$3,390.75 |
$644–$4,521 |
varies |
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
likely a partial charge, not the full procedure |
$733.50 |
$978 |
0.1× |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure |
$519 |
$692 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$13,124.25 |
$17,499 |
1.7× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,432.50 |
$1,910 |
0.2× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$1,353 |
$1,804 |
0.2× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,278 |
$1,704 |
0.2× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure |
$699 |
$932 |
0.1× |
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure |
$1,084.50 |
$1,446 |
0.1× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$927 |
$1,236 |
0.1× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$890.25 |
$1,187 |
0.4× |
| Needle Biopsy Lymph Nodes (38505) |
$2,221.50 |
$2,962 |
1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$4,360.50 |
$5,814 |
135.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$8,721 |
$11,628 |
271.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,785.75 |
$2,381 |
0.8× |
| Nipple Exploration (19110) |
$1,388.25 |
$1,851 |
0.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,004 |
$2,672 |
2.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$323.25 |
$431 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,127.25 |
$1,503 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,515 |
$2,020 |
1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,515 |
$2,020 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$2,004 |
$2,672 |
2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,515 |
$2,020 |
1.9× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$761.25 |
$1,015 |
0.1× |
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure |
$672.75 |
$897 |
0.1× |
| Obstructive material removal from gi tube (49460) |
$1,941.75 |
$2,589 |
1.9× |
| Occipital Nerve Block (64405) |
$639.75 |
$853 |
1.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,305 |
$1,740 |
0.3× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure |
$2,332.50 |
$3,110 |
0.3× |
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure |
$2,406.75 |
$3,209 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$2,239.50 |
$2,986 |
0.3× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$30,688.50 |
$40,918 |
2.2× |
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines |
$3,270.75–$30,688.50 |
$4,361–$40,918 |
varies |
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure |
$2,301.75 |
$3,069 |
0.3× |
| Open treatment interphalangeal joint dislocation (28675) |
$7,001.25 |
$9,335 |
1.9× |
| Open Treatment Lunate Dislocation (25695) |
$15,558 |
$20,744 |
1.9× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,785.75 |
$2,381 |
0.2× |
| Open treatment metatarsal fracture each (28485) |
$15,558 |
$20,744 |
1.9× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$2,122.50 |
$2,830 |
0.3× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure |
$3,903 |
$5,204 |
0.5× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$12,558.75 |
$16,745 |
1.9× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure |
$3,041.25 |
$4,055 |
0.2× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$6,692.25 |
$8,923 |
1.8× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$7,001.25 |
$9,335 |
1.9× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
likely a partial charge, not the full procedure |
$2,001.75 |
$2,669 |
0.2× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure |
$2,090.25 |
$2,787 |
0.3× |
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure |
$1,854.75 |
$2,473 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,851.75 |
$2,469 |
0.2× |
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure |
$2,133.75 |
$2,845 |
0.3× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$15,558 |
$20,744 |
1.9× |
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines |
$2,594.25–$30,688.50 |
$3,459–$40,918 |
varies |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,984.50 |
$2,646 |
0.2× |
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines |
$2,191.50–$7,001.25 |
$2,922–$9,335 |
varies |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$2,126.25 |
$2,835 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,892.25 |
$2,523 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,499.25 |
$1,999 |
0.4× |
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure |
$1,865.25 |
$2,487 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$2,064 |
$2,752 |
0.3× |
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure |
$2,814.75 |
$3,753 |
0.2× |
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure |
$2,896.50 |
$3,862 |
0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$7,001.25 |
$9,335 |
1.9× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$30,688.50 |
$40,918 |
2.2× |
| Open tx interphalangeal joint dislocation (26785) |
$7,001.25 |
$9,335 |
1.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,711.50 |
$2,282 |
0.5× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$1,766.25 |
$2,355 |
0.5× |
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure |
$1,948.50 |
$2,598 |
0.2× |
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure |
$2,615.25 |
$3,487 |
0.3× |
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685)
likely a partial charge, not the full procedure |
$2,169 |
$2,892 |
0.3× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$2,547.75 |
$3,397 |
0.3× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,933.50 |
$2,578 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,445 |
$3,260 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines |
$3,099–$15,558 |
$4,132–$20,744 |
varies |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$3,480 |
$4,640 |
0.4× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$2,586 |
$3,448 |
0.2× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure |
$3,468.75 |
$4,625 |
0.4× |
| Orbital implant removal/revision (67560) |
$7,341 |
$9,788 |
1.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,479 |
$1,972 |
0.4× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$8,331 |
$11,108 |
2.1× |
| Osteotomy Phalanx Finger Each (26567) |
$7,001.25 |
$9,335 |
1.9× |
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure |
$2,229 |
$2,972 |
0.4× |
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure |
$1,995.75 |
$2,661 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,373.50 |
$4,498 |
1.9× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$3,373.50 |
$4,498 |
1.9× |
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines |
$589.50–$6,650.25 |
$786–$8,867 |
varies |
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure |
$2,054.25 |
$2,739 |
0.3× |
| Partial removal of toe (28160) |
$7,001.25 |
$9,335 |
1.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$7,001.25 |
$9,335 |
1.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$306 |
$408 |
0.1× |
| Penile Injection (54235) |
$567 |
$756 |
2.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$7,001.25 |
$9,335 |
1.9× |
| Pericardiocentesis W/Imaging (33016) |
$4,736.25 |
$6,315 |
2.7× |
| Peritoneal Lavage (49084) |
$1,941.75 |
$2,589 |
1.9× |
| Perq Cervicothoracic Inject (22510) |
$7,001.25 |
$9,335 |
1.9× |
| Perq dev breast 1st us imag (19285) |
$1,767 |
$2,356 |
2.2× |
| Perq device breast 1st imag (19281) |
$863.25 |
$1,151 |
0.5× |
| Perq Lumbosacral Injection (22511) |
$7,001.25 |
$9,335 |
1.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,737 |
$2,316 |
2.2× |
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines |
$1,986–$7,001.25 |
$2,648–$9,335 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$171 |
$228 |
0.3× |
| Placement of seton (46020) |
$339 |
$452 |
0.1× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure |
$1,782 |
$2,376 |
0.3× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$555.75 |
$741 |
1.6× |
| Proctopexy Perineal Approach (45541) |
$6,043.50 |
$8,058 |
2.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$372.75 |
$497 |
0.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$607.50 |
$810 |
0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$211.50 |
$282 |
0.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,266 |
$1,688 |
0.3× |
Prq skel fixj femoral fx prox end neck (27235)
unusually low: confirm this is the full procedure |
$2,654.25 |
$3,539 |
0.3× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 2 matching MRF lines |
$2,319–$15,558 |
$3,092–$20,744 |
varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$1,440.75 |
$1,921 |
0.4× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$15,558 |
$20,744 |
1.9× |
| Pseudoaneurysm Injection Trt (36002) |
$1,215 |
$1,620 |
1.7× |
| Punch biopsy skin single lesion (11104) |
$354 |
$472 |
0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$375 |
$500 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$279 |
$372 |
0.4× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$958.50 |
$1,278 |
2.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$2,437.50 |
$3,250 |
0.7× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$7,539 |
$10,052 |
1.9× |
| Reconstruct finger joint (26545) |
$2,133.75 |
$2,845 |
0.6× |
| Reconstruct Finger Joint (26548) |
$7,001.25 |
$9,335 |
1.9× |
Reconstruct ulna/radioulnar (25337)
unusually low: confirm this is the full procedure |
$2,623.50 |
$3,498 |
0.3× |
| Reconstruction Nail Bed W/Graft (11762) |
$4,059.75 |
$5,413 |
1.8× |
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
unusually low: confirm this is the full procedure |
$3,219 |
$4,292 |
0.5× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$7,001.25 |
$9,335 |
1.9× |
| Reduction of rectal prolapse (45900) |
$1,954.50 |
$2,606 |
1.9× |
| Release of big toe (28240) |
$7,001.25 |
$9,335 |
1.9× |
| Removal Anal Seton Other Marker (46030) |
$2,547 |
$3,396 |
1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$6,075.75 |
$8,101 |
1.9× |
| Removal Foreign Body Foot Complicated (28193) |
$3,527.25 |
$4,703 |
1.9× |
| Removal foreign body foot deep (28192) |
$1,317 |
$1,756 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$682.50 |
$910 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$630 |
$840 |
0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$7,001.25 |
$9,335 |
1.9× |
| Removal Foreign Body Scrotum (55120) |
$4,362 |
$5,816 |
1.9× |
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines |
$1,190.25–$6,075.75 |
$1,587–$8,101 |
varies |
Removal foreign body, intranasal; requiring general anesthesia (30310)
range across 2 matching MRF lines |
$597–$6,692.25 |
$796–$8,923 |
varies |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$45–$222.75 |
$60–$297 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$138 |
$184 |
2.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$6,650.25 |
$8,867 |
1.8× |
| Removal Implant Deep (20680) |
$1,730.25 |
$2,307 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,007.25 |
$1,343 |
0.5× |
| Removal implantable contraceptive capsules (11976) |
$415.50 |
$554 |
0.5× |
| Removal intact breast implant (19328) |
$1,622.25 |
$2,163 |
0.4× |
| Removal of adenoids (42831) |
$681 |
$908 |
0.2× |
| Removal of adenoids (42830) |
$627 |
$836 |
0.2× |
| Removal of foreign body from pharynx (42809) |
$174.75 |
$233 |
0.4× |
| Removal of implant from finger or hand (26320) |
$3,527.25 |
$4,703 |
1.9× |
Removal of knee prosthesis (27488)
likely a partial charge, not the full procedure |
$3,504 |
$4,672 |
0.2× |
| Removal of mammary implant material (19330) |
$1,886.25 |
$2,515 |
0.4× |
| Removal of nail bed (11750) |
$460.50 |
$614 |
1.0× |
| Removal of sperm cord lesion (55520) |
$1,344 |
$1,792 |
0.3× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$789.75 |
$1,053 |
0.1× |
| Removal of tonsils (42826) |
$750.75 |
$1,001 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$633 |
$844 |
0.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$189 |
$252 |
0.6× |
| Removal parotid stone (42340) |
$1,007.25 |
$1,343 |
0.3× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$6,075.75 |
$8,101 |
1.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$267.75 |
$357 |
1.2× |
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines |
$189–$4,059.75 |
$252–$5,413 |
varies |
| Removal tong/halo applied by another individual (20665) |
$888 |
$1,184 |
1.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,263 |
$1,684 |
0.7× |
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure |
$2,047.50 |
$2,730 |
0.3× |
| Remove Brain Cavity Fluid (61020) |
$1,628.25 |
$2,171 |
1.7× |
| Remove cerclage suture (59871) |
$6,650.25 |
$8,867 |
1.8× |
| Remove drug implant device (11982) |
$318 |
$424 |
0.6× |
| Remove foreign body from eye (65235) |
$4,535.25 |
$6,047 |
1.8× |
| Remove foreign body from eye (65205) |
$81.75 |
$109 |
0.6× |
| Remove Hand Bone Lesion (26200) |
$3,373.50 |
$4,498 |
1.9× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$4,362 |
$5,816 |
1.9× |
| Remove Intrauterine Device (58301) |
$315 |
$420 |
0.9× |
| Remove Lower Leg Bone Lesion (27635) |
$7,001.25 |
$9,335 |
1.9× |
| Remove lung catheter (32552) |
$524.25 |
$699 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$595.50 |
$794 |
4.0× |
| Remove Peritoneal Foreign Body (49402) |
$8,331 |
$11,108 |
2.1× |
| Remove Shoulder Foreign Body (23330) |
$3,527.25 |
$4,703 |
1.9× |
| Remove Tendon Sheath Lesion (26160) |
$1,766.25 |
$2,355 |
1.0× |
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure |
$1,947 |
$2,596 |
0.3× |
| Remove tissue expander (11971) |
$6,075.75 |
$8,101 |
1.9× |
Remove/graft foot lesion (28102)
likely a partial charge, not the full procedure |
$1,809 |
$2,412 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$408 |
$544 |
0.8× |
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure |
$273.75 |
$365 |
0.0× |
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure |
$1,935 |
$2,580 |
0.2× |
| Repair arm/leg nerve (64857) |
$14,532.75 |
$19,377 |
3.8× |
| Repair blood vessel direct neck (35201) |
$10,793.25 |
$14,391 |
1.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,269.50 |
$3,026 |
0.6× |
| Repair blood vessel lesion (35190) |
$10,793.25 |
$14,391 |
1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,211.25 |
$1,615 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,419.75 |
$1,893 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,111.50 |
$1,482 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,346.25 |
$1,795 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,014.75 |
$1,353 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,215 |
$1,620 |
2.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$974.25 |
$1,299 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,131.75 |
$1,509 |
1.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,813.50 |
$2,418 |
1.0× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$7,001.25 |
$9,335 |
1.9× |
| Repair Eyelid Wound (67935) |
$4,440 |
$5,920 |
1.7× |
| Repair Finger Tendon (26433) |
$1,659 |
$2,212 |
0.5× |
| Repair Finger/Hand Tendon (26350) |
$7,001.25 |
$9,335 |
1.9× |
| Repair Hand Joint (26540) |
$7,001.25 |
$9,335 |
1.9× |
| Repair Hand Tendon (26410) |
$1,744.50 |
$2,326 |
1.0× |
Repair humerus with graft (24435)
likely a partial charge, not the full procedure |
$3,167.25 |
$4,223 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,679.25 |
$2,239 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,847.25 |
$2,463 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,717.50 |
$2,290 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$809.25 |
$1,079 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$904.50 |
$1,206 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,039.50 |
$1,386 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,094.25 |
$1,459 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,740.75 |
$2,321 |
3.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,188.75 |
$1,585 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$754.50 |
$1,006 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$888.75 |
$1,185 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,099.50 |
$1,466 |
1.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,581.75 |
$2,109 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,121.25 |
$1,495 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$750.75 |
$1,001 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$873 |
$1,164 |
1.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,254.75 |
$1,673 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$959.25 |
$1,279 |
2.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,407 |
$1,876 |
0.6× |
| Repair intrinsic muscles hand each muscle (26591) |
$7,001.25 |
$9,335 |
1.9× |
| Repair Laceration Palate </2 Cm (42180) |
$1,074 |
$1,432 |
1.8× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$12,558.75 |
$16,745 |
1.9× |
| Repair of nail bed (11760) |
$531 |
$708 |
0.6× |
| Repair of rectum (45505) |
$6,043.50 |
$8,058 |
2.0× |
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure |
$2,276.25 |
$3,035 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$2,092.50 |
$2,790 |
0.3× |
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure |
$2,500.50 |
$3,334 |
0.3× |
| Repair Spica/Body/Jacket Cast (29720) |
$342.75 |
$457 |
1.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,386 |
$1,848 |
0.4× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines |
$2,214–$15,558 |
$2,952–$20,744 |
varies |
Repair tongue laceration (41252)
range across 2 matching MRF lines |
$607.50–$1,541.25 |
$810–$2,055 |
varies |
| Repair tongue laceration (41250) |
$816 |
$1,088 |
1.6× |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) |
$10,793.25 |
$14,391 |
1.7× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines |
$1,431–$15,558 |
$1,908–$20,744 |
varies |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure |
$2,115.75 |
$2,821 |
0.3× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$1,950.75 |
$2,601 |
0.2× |
| Replace G-J Tube Perc (49452) |
$1,941.75 |
$2,589 |
1.9× |
| Replace g/c tube perc (49450) |
$1,941.75 |
$2,589 |
1.9× |
| Replantation digit complete (20822) |
$3,373.50 |
$4,498 |
1.9× |
| Rerepair ing hernia reduce (49520) |
$1,848 |
$2,464 |
0.5× |
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure |
$4,667.25 |
$6,223 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$5,037 |
$6,716 |
0.4× |
| Revise finger joint each (26140) |
$3,373.50 |
$4,498 |
1.9× |
Revision of reconstructed breast (19380)
unusually low: confirm this is the full procedure |
$2,356.50 |
$3,142 |
0.3× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure |
$4,257 |
$5,676 |
0.3× |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
unusually low: confirm this is the full procedure |
$4,420.50 |
$5,894 |
0.3× |
| Revision Peri-Implant Capsule Breast (19370) |
$1,963.50 |
$2,618 |
0.5× |
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure |
$5,088 |
$6,784 |
0.3× |
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure |
$4,089.75 |
$5,453 |
0.3× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$4,440 |
$5,920 |
1.7× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,264 |
$4,352 |
1.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,941.75 |
$2,589 |
3.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,941.75 |
$2,589 |
1.9× |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines |
$275.25–$3,527.25 |
$367–$4,703 |
varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$174 |
$232 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$194.25 |
$259 |
1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$109.50 |
$146 |
0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,026 |
$1,368 |
0.8× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$3,264 |
$4,352 |
1.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,341.75 |
$1,789 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$6,075.75 |
$8,101 |
1.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$4,227.75 |
$5,637 |
1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$636.75 |
$849 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$471 |
$628 |
0.7× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$564.75 |
$753 |
1.8× |
| Rmvl/revj sling stress incontinence (57287) |
$2,145 |
$2,860 |
0.6× |
| Rplc Gtube No Revj Trc (43762) |
$630.75 |
$841 |
2.3× |
| Rplc gtube revj gstrst trc (43763) |
$858 |
$1,144 |
3.1× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$7,006.50 |
$9,342 |
2.0× |
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 3 matching MRF lines |
$183–$3,499.50 |
$244–$4,666 |
varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,499.50 |
$4,666 |
2.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$818.25 |
$1,091 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$7,006.50 |
$9,342 |
2.0× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$2,154 |
$2,872 |
0.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$990 |
$1,320 |
0.2× |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure |
$2,232.75 |
$2,977 |
0.3× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,845.75 |
$2,461 |
0.3× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,651.50 |
$2,202 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,217.25 |
$1,623 |
0.3× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,656 |
$2,208 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,377 |
$1,836 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$1,362.75 |
$1,817 |
1.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$957 |
$1,276 |
0.5× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$15,558 |
$20,744 |
1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$498 |
$664 |
2.2× |
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure |
$1,221 |
$1,628 |
0.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,443 |
$1,924 |
1.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$489 |
$652 |
1.9× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$4,440 |
$5,920 |
1.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,792.50 |
$2,390 |
3.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,036.50 |
$1,382 |
1.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$4,075.50 |
$5,434 |
2.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$7,001.25 |
$9,335 |
1.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$1,884.75 |
$2,513 |
0.5× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$1,470.75 |
$1,961 |
0.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,455.75 |
$1,941 |
2.1× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$7,341 |
$9,788 |
1.7× |
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines |
$2,349–$7,001.25 |
$3,132–$9,335 |
varies |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$7,001.25 |
$9,335 |
1.9× |
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines |
$1,940.25–$6,692.25 |
$2,587–$8,923 |
varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$194.25 |
$259 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$850.50 |
$1,134 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$283.50 |
$378 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$327 |
$436 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$297.75 |
$397 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$424.50 |
$566 |
1.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$390.75 |
$521 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$345 |
$460 |
1.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$390.75 |
$521 |
1.8× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$675 |
$900 |
0.2× |
| Sigmoidoscopy & decompress (45337) |
$325.50 |
$434 |
0.3× |
| Sigmoidoscopy W/Resection (45349) |
$562.50 |
$750 |
0.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$807 |
$1,076 |
0.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,365.75 |
$1,821 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$636.75 |
$849 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$323.25 |
$431 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$336.75 |
$449 |
1.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$441.75 |
$589 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$408.75 |
$545 |
1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$500.25 |
$667 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$270.75 |
$361 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$660.75 |
$881 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$383.25 |
$511 |
1.7× |
| Skin Full Grft Face/Genit/Hf (15240) |
$4,059.75 |
$5,413 |
1.8× |
| Skin Pinch Graft (15050) |
$1,365.75 |
$1,821 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$268.50 |
$358 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$4,059.75 |
$5,413 |
4.9× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$2,154 |
$2,872 |
0.4× |
| Slitting of prepuce (54001) |
$4,362 |
$5,816 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$329.25 |
$439 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$510 |
$680 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$592.50 |
$790 |
1.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$460.50 |
$614 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$420.75 |
$561 |
0.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$2,445.75 |
$3,261 |
0.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,511 |
$3,348 |
1.1× |
| Strapping ankle (29540) |
$81.75 |
$109 |
0.5× |
| Strapping Hip (29520) |
$273 |
$364 |
1.8× |
| Strapping knee (29530) |
$84.75 |
$113 |
0.6× |
| Strapping thorax (29200) |
$342.75 |
$457 |
1.9× |
| Strapping toes (29550) |
$135 |
$180 |
2.1× |
Strapping Unna Boot (29580)
range across 5 matching MRF lines |
$75–$342.75 |
$100–$457 |
varies |
| Subconjunctival injection (68200) |
$792.75 |
$1,057 |
1.6× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$515.25 |
$687 |
0.1× |
| Surg tx anal fistula subq (46270) |
$1,554 |
$2,072 |
0.5× |
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275)
range across 2 matching MRF lines |
$1,239–$6,043.50 |
$1,652–$8,058 |
varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$4,440 |
$5,920 |
1.7× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$4,227.75 |
$5,637 |
1.9× |
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines |
$1,828.50–$15,558 |
$2,438–$20,744 |
varies |
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure |
$1,785 |
$2,380 |
0.2× |
| Suture pharynx for wound or injury (42900) |
$3,264 |
$4,352 |
1.9× |
| Tangential biopsy skin single lesion (11102) |
$284.25 |
$379 |
0.6× |
| Temporary Closure Eyelids Suture (67875) |
$2,052.75 |
$2,737 |
1.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,107.50 |
$2,810 |
0.6× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$2,187.75 |
$2,917 |
0.3× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$4,108.50 |
$5,478 |
2.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$685.50 |
$914 |
0.4× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,806 |
$2,408 |
0.2× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$2,196 |
$2,928 |
2.8× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$10,793.25 |
$14,391 |
1.7× |
| Thrombolytic Therapy Stroke (37195) |
$636 |
$848 |
1.7× |
| Thrombolytic Venous Therapy (37212) |
$7,006.50 |
$9,342 |
2.0× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,659.50 |
$3,546 |
0.4× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$3,813.75 |
$5,085 |
0.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,231.25 |
$2,975 |
1.0× |
Tissue Expander Placement Breast Reconstruction (19357)
likely a partial charge, not the full procedure |
$3,384.75 |
$4,513 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$890.25 |
$1,187 |
0.2× |
| Tooth extraction (41899) |
$489 |
$652 |
1.9× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,732.75 |
$4,977 |
0.3× |
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720)
range across 2 matching MRF lines |
$970.50–$6,650.25 |
$1,294–$8,867 |
varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$947.25 |
$1,263 |
3.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$912.75 |
$1,217 |
0.5× |
| Tracheostomy planned (31600) |
$6,692.25 |
$8,923 |
1.8× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$2,547 |
$3,396 |
1.9× |
Treat Ankle Dislocation (27846)
range across 2 matching MRF lines |
$2,124.75–$15,558 |
$2,833–$20,744 |
varies |
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure |
$3,054 |
$4,072 |
0.4× |
| Treat Big Toe Fracture (28505) |
$7,001.25 |
$9,335 |
1.9× |
| Treat Dental Ridge Fracture (21440) |
$6,692.25 |
$8,923 |
1.8× |
| Treat dental ridge fracture (21445) |
$12,558.75 |
$16,745 |
1.9× |
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure |
$2,247 |
$2,996 |
0.3× |
| Treat Elbow Fracture (24635) |
$15,558 |
$20,744 |
1.9× |
| Treat Finger Fracture Each (26727) |
$1,416 |
$1,888 |
0.4× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$2,663.25 |
$3,551 |
0.3× |
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure |
$2,195.25 |
$2,927 |
0.3× |
| Treat Hip Socket Fracture (27222) |
$543.75 |
$725 |
2.0× |
| Treat humerus fracture (24500) |
$1,101.75 |
$1,469 |
4.0× |
| Treat Humerus Fracture (24505) |
$1,515.75 |
$2,021 |
0.8× |
| Treat humerus fracture (23600) |
$1,017 |
$1,356 |
3.7× |
| Treat knee fracture (27532) |
$1,848 |
$2,464 |
0.5× |
| Treat Knee Fracture(S) (27538) |
$487.50 |
$650 |
1.8× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$2,217 |
$2,956 |
0.3× |
| Treat Knuckle Dislocation (26700) |
$1,034.25 |
$1,379 |
3.8× |
| Treat metacarpal fracture (26607) |
$7,001.25 |
$9,335 |
1.9× |
| Treat Metatarsal Fracture (28475) |
$778.50 |
$1,038 |
2.8× |
| Treat Tail Bone Fracture (27200) |
$573.75 |
$765 |
2.1× |
Treat Thumb Dislocation (26641)
range across 3 matching MRF lines |
$846.75–$1,156.50 |
$1,129–$1,542 |
varies |
| Treat Vaginal Bleeding (57180) |
$564.75 |
$753 |
2.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,422 |
$1,896 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,142.25 |
$1,523 |
4.2× |
| Treatment mouth roof lesion (42160) |
$6,692.25 |
$8,923 |
1.8× |
Treatment of ankle fracture (27823)
unusually low: confirm this is the full procedure |
$2,869.50 |
$3,826 |
0.4× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$3,580.50 |
$4,774 |
0.4× |
| Treatment of tibia fracture (27756) |
$15,558 |
$20,744 |
1.9× |
| Trim skin lesion (11055) |
$201.75 |
$269 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$234 |
$312 |
1.0× |
| Trim skin lesions over 4 (11057) |
$483.75 |
$645 |
2.2× |
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines |
$21–$147.75 |
$28–$197 |
varies |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$3,759.75 |
$5,013 |
1.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,408.50 |
$1,878 |
0.5× |
| Tx Gastro Intub W/Asp (43753) |
$61.50 |
$82 |
0.3× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines |
$2,517.75–$30,688.50 |
$3,357–$40,918 |
varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,048.50 |
$1,398 |
0.3× |
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure |
$3,576 |
$4,768 |
0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,272 |
$1,696 |
0.4× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$1,252.50 |
$1,670 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,373.50 |
$4,498 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$861.75 |
$1,149 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$508.50 |
$678 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$635.25 |
$847 |
2.3× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$2,917.50 |
$3,890 |
0.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$1,103.25 |
$1,471 |
0.6× |
| Tympanostomy general anesthesia (69436) |
$465.75 |
$621 |
0.3× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$752.25 |
$1,003 |
0.1× |
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure |
$1,926 |
$2,568 |
0.3× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure |
$1,073.25 |
$1,431 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure |
$2,385 |
$3,180 |
0.4× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure |
$2,073.75 |
$2,765 |
0.3× |
| Unlisted procedure anus (46999) |
$321 |
$428 |
0.3× |
| Unlisted Procedure Hands/Fingers (26989) |
$388.50 |
$518 |
1.4× |
| Unlisted Procedure Intestine (44799) |
$504.75 |
$673 |
0.5× |
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines |
$221.25–$954 |
$295–$1,272 |
varies |
| Unlisted Procedure Rectum (45999) |
$1,954.50 |
$2,606 |
1.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$109.50 |
$146 |
0.2× |
| Unlisted Procedure, Urinary System (53899) |
$504.75 |
$673 |
1.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$412.50 |
$550 |
1.8× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$489 |
$652 |
1.9× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$6,650.25 |
$8,867 |
1.8× |
| Vaginal delivery only (59409) |
$2,303.25 |
$3,071 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$2,424.75 |
$3,233 |
0.4× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$2,680.50 |
$3,574 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$960.75 |
$1,281 |
0.4× |
| Vein Access Cutdown < 1 Yr (36420) |
$134.25 |
$179 |
0.9× |
| Venous Cutdown >1 Y/O (36425) |
$112.50 |
$150 |
0.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$177.75 |
$237 |
0.0× |
| Vulvectomy simple partial (56620) |
$1,703.25 |
$2,271 |
0.5× |
| Wedge excision skin nail fold (11765) |
$474 |
$632 |
1.0× |
| Wedging of cast (29740) |
$564.75 |
$753 |
1.8× |
| Windowing of cast (29730) |
$342.75 |
$457 |
1.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,365.75 |
$1,821 |
3.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$983.25 |
$1,311 |
1.2× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$3,124.50 |
$4,166 |
1.8× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$1,074 |
$1,432 |
1.8× |