| Abd paracentesis w/imaging (49083) |
$1,242.27 |
$2,343.90 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,242.27 |
$2,343.90 |
1.1× |
| Acne surgery (10040) |
$37,329.81 |
$70,433.60 |
144.7× |
| Adding Walker Previously Applied Cast (29440) |
$36,272.23 |
$68,438.17 |
173.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$567.74 |
$1,071.20 |
0.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$11,321.80 |
$21,361.88 |
4.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$60,209.41 |
$113,602.66 |
13.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$873.67 |
$1,648.44 |
0.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$801.24 |
$1,511.78 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,299.11 |
$8,111.53 |
1.0× |
| Amputation Foot Midtarsal (28800) |
$596.12 |
$1,124.76 |
0.1× |
| Amputation foot transmetarsal (28805) |
$539.78 |
$1,018.46 |
0.1× |
| Amputation metatarsal with toe single (28810) |
$8,842.30 |
$16,683.58 |
2.1× |
| Amputation thigh through femur any level (27590) |
$857.06 |
$1,617.10 |
0.2× |
| Amputation toe interphalangeal joint (28825) |
$6,581.07 |
$12,417.11 |
1.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$8,007.36 |
$15,108.22 |
1.9× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$48,891.99 |
$92,249.03 |
11.6× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$818.68 |
$1,544.67 |
0.1× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$649.62 |
$1,225.70 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$704.21 |
$1,328.70 |
0.2× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$674.73 |
$1,273.08 |
0.2× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$71,098.93 |
$134,148.92 |
16.9× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$30,168.23 |
$56,921.18 |
76.4× |
| Anal/Urinary Muscle Study (51784) |
$154.13 |
$290.81 |
0.9× |
| Anoscopy diagnostic (46600) |
$170.79 |
$322.25 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$14,493.29 |
$27,345.83 |
4.1× |
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure |
$983.99 |
$1,856.58 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$951.37 |
$1,795.04 |
0.1× |
| Application cast elbow finger short arm (29075) |
$90.93 |
$171.56 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$49.81 |
$93.98 |
0.7× |
| Application finger splint static (29130) |
$201.40 |
$380 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$343.84 |
$648.76 |
1.6× |
| Application Long Leg Splint (29505) |
$225.25 |
$425 |
1.1× |
| Application multiplane external fixation system (20692) |
$21,211.83 |
$40,022.32 |
1.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$128.57 |
$242.59 |
0.4× |
| Application of long leg cast (29345) |
$142.47 |
$268.81 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$80.50 |
$151.89 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$325.95 |
$615 |
1.9× |
| Application short leg splint calf foot (29515) |
$209.35 |
$395 |
1.0× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$671.46 |
$1,266.90 |
0.1× |
| Apply hand/wrist cast (29085) |
$148.93 |
$281 |
0.7× |
| Apply long arm cast (29065) |
$101.35 |
$191.23 |
0.3× |
| Apply Short Leg Cast (29405) |
$86.29 |
$162.81 |
0.2× |
| Apply short leg cast (29425) |
$82.24 |
$155.17 |
0.2× |
| Arterial puncture (36600) |
$1,139.97 |
$2,150.89 |
6.7× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$72,188.24 |
$136,204.23 |
4.4× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$802.47 |
$1,514.10 |
0.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$437.25 |
$825 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$458.25 |
$864.63 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$14,783.18 |
$27,892.79 |
37.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$715.50 |
$1,350 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$49.23 |
$92.89 |
0.1× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$382.13 |
$721 |
0.0× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$2,168.70 |
$4,091.89 |
0.2× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$884.36 |
$1,668.60 |
0.2× |
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure |
$955.31 |
$1,802.47 |
0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$58,182.50 |
$109,778.31 |
2.6× |
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure |
$1,348.37 |
$2,544.10 |
0.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$16,157.69 |
$30,486.21 |
3.8× |
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure |
$955.33 |
$1,802.50 |
0.1× |
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure |
$775.18 |
$1,462.60 |
0.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$65,412.27 |
$123,419.37 |
31.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$483.56 |
$912.37 |
0.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$21,529.09 |
$40,620.93 |
5.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$10,217.22 |
$19,277.78 |
2.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$15,685.30 |
$29,594.91 |
3.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$22,584.14 |
$42,611.58 |
2.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$562.28 |
$1,060.90 |
0.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$616.87 |
$1,163.90 |
0.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$30,660.57 |
$57,850.13 |
7.3× |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 3 matching MRF lines |
$14,998.42–$30,469.05 |
$28,298.91–$57,488.78 |
varies |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
$26,727.72–$48,771.77 |
$50,429.66–$92,022.21 |
varies |
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines |
$18,001.21–$20,562.47 |
$33,964.55–$38,797.11 |
varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$16,958.04 |
$31,996.31 |
4.0× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$1,214.52 |
$2,291.54 |
0.1× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 3 matching MRF lines |
$20,332.32–$20,934.51 |
$38,362.87–$39,499.08 |
varies |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$387.97 |
$732.02 |
0.2× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$76,377.12 |
$144,107.78 |
18.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$39,666.71 |
$74,842.84 |
2.4× |
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines |
$18,209.51–$19,435.41 |
$34,357.57–$36,670.58 |
varies |
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines |
$35,182.82–$36,041.79 |
$66,382.67–$68,003.37 |
varies |
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
likely a partial charge, not the full procedure |
$720.59 |
$1,359.60 |
0.1× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines |
$28,772.76–$47,003.39 |
$54,288.22–$88,685.64 |
varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$665.17 |
$1,255.04 |
0.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$16,646.68 |
$31,408.83 |
4.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$12,166.46 |
$22,955.59 |
2.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$6,619.13 |
$12,488.92 |
3.2× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$404.84 |
$763.85 |
0.1× |
| Aspirate pleura w/ imaging (32555) |
$954 |
$1,800 |
1.2× |
| Aspirate Pleura W/O Imaging (32554) |
$1,470.75 |
$2,775 |
1.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$461.10 |
$870 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,714.28 |
$5,121.28 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$263.28 |
$496.75 |
1.0× |
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure |
$1,341.59 |
$2,531.31 |
0.1× |
| Biopsy Abdominal Mass (49180) |
$2,146.82 |
$4,050.60 |
1.0× |
| Biopsy bone open superficial (20240) |
$152.85 |
$288.40 |
0.0× |
| Biopsy external ear (69100) |
$167.91 |
$316.81 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$1,717.20 |
$3,240 |
0.8× |
| Biopsy nail unit (11755) |
$155.12 |
$292.68 |
0.2× |
| Biopsy of breast; open, incisional (19101) |
$10,247.15 |
$19,334.24 |
2.0× |
| Biopsy of epididymis (54800) |
$9,026.57 |
$17,031.26 |
4.2× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$60,104.84 |
$113,405.35 |
51.5× |
| Biopsy of lip (40490) |
$131.57 |
$248.25 |
0.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,146.82 |
$4,050.60 |
1.0× |
| Biopsy of nerve (64795) |
$212.90 |
$401.70 |
0.1× |
| Biopsy of penis (54100) |
$282.49 |
$533 |
0.1× |
| Biopsy of rectum (45100) |
$15,940.12 |
$30,075.69 |
4.5× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$327.54 |
$618 |
0.1× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$480.18 |
$906 |
0.1× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$185.55 |
$350.10 |
0.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$180.15 |
$339.90 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$143.38 |
$270.53 |
0.1× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$230.53 |
$434.97 |
0.1× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$483.56 |
$912.37 |
0.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$208.04 |
$392.53 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$80.97 |
$152.77 |
0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$899.08 |
$1,696.38 |
0.8× |
| Bladder Irrigation (51700) |
$322.24 |
$608 |
1.0× |
| Bladder Scan (51798) |
$78.71 |
$148.50 |
1.0× |
| Blood Transfusion Service (36430) |
$588.30 |
$1,110 |
1.0× |
| Bone Graft Any Donor Area Major/Large (20902) |
$72,188.24 |
$136,204.23 |
7.7× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$72,188.24 |
$136,204.23 |
7.7× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
$72,188.24 |
$136,204.23 |
7.7× |
| Bone Marrow Biopsy (38221) |
$3,019.65 |
$5,697.45 |
1.4× |
Breast Reduction (19318)
range across 4 matching MRF lines |
$14,862.38–$45,727.10 |
$28,042.23–$86,277.55 |
varies |
| Brnchsc Brushing/Protected Brushings (31623) |
$251.34 |
$474.22 |
0.1× |
| Bronchoscopy Clear Airways (31645) |
$168.68 |
$318.27 |
0.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$980.05 |
$1,849.15 |
0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$38,018.18 |
$71,732.42 |
16.6× |
| Bx breast 1st lesion mr imag (19085) |
$20,535.24 |
$38,745.74 |
9.7× |
| Bx breast 1st lesion strtctc (19081) |
$2,146.82 |
$4,050.60 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,060 |
$2,000 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$212 |
$400 |
0.1× |
| Bx Cervix (57500) |
$142.82 |
$269.47 |
0.1× |
Bx/exc lymph node open deep axillary node (38525)
likely a partial charge, not the full procedure |
$391.35 |
$738.39 |
0.1× |
Bx/exc lymph node open superficial (38500)
likely a partial charge, not the full procedure |
$306.44 |
$578.19 |
0.1× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$8,267.55 |
$15,599.15 |
2.0× |
Capsulorrhaphy Anterior W/Labral Repair (23455)
likely a partial charge, not the full procedure |
$1,204.40 |
$2,272.45 |
0.1× |
Capsulorrhaphy Anterior With Bone Block (23460)
likely a partial charge, not the full procedure |
$1,211.90 |
$2,286.60 |
0.1× |
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines |
$6,559.66–$7,277.18 |
$12,376.71–$13,730.52 |
varies |
| Cataract surgery complex (66982) |
$840.69 |
$1,586.20 |
0.3× |
| Catheter aspiration nasotracheal spx (31720) |
$269.24 |
$508 |
1.0× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$154.85 |
$292.17 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$521.71 |
$984.36 |
1.6× |
| Chemical Cautery Tissue (17250) |
$91.66 |
$172.95 |
0.4× |
| Chemical Pleurodesis (32560) |
$299.44 |
$564.98 |
0.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$11,389.50 |
$21,489.62 |
12.5× |
| Chemodenerv 1 extremity 1-4 (64642) |
$11,389.50 |
$21,489.62 |
12.5× |
| Chemodenerv Musc Migraine (64615) |
$196.10 |
$370 |
0.5× |
| Chemodenerv musc neck dyston (64616) |
$11,389.50 |
$21,489.62 |
28.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$11,389.50 |
$21,489.62 |
12.5× |
| Chemodenerv trunk musc 6/> (64647) |
$11,389.50 |
$21,489.62 |
12.5× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$11,389.50 |
$21,489.62 |
12.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$217.11 |
$409.64 |
0.5× |
| Chest tube placement (32551) |
$2,058.31 |
$3,883.60 |
1.0× |
| Circumcision 28 days or older (54161) |
$20,579.53 |
$38,829.30 |
7.7× |
| Circumcision Neonate (54160) |
$332.87 |
$628.05 |
0.4× |
| Circumcision w/clamp/oth dev w/block (54150) |
$9,294.69 |
$17,537.15 |
3.5× |
| Cl Tx Scapular Fx; W Manip (23575) |
$17,773.59 |
$33,535.07 |
8.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,120.55 |
$4,001.03 |
1.0× |
| Claviculectomy partial (23120) |
$18,629.83 |
$35,150.63 |
4.4× |
| Clear outer ear canal (69200) |
$170.79 |
$322.25 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$479.06 |
$903.89 |
0.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,209.46 |
$2,282 |
3.8× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$534.17 |
$1,007.86 |
0.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$18,370.55 |
$34,661.41 |
57.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$525.76 |
$992 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,120.55 |
$4,001.03 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$500.74 |
$944.80 |
1.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$382.50 |
$721.70 |
1.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$505.78 |
$954.31 |
1.6× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,120.55 |
$4,001.03 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$458.97 |
$865.98 |
1.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,288.99 |
$6,205.65 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$363.64 |
$686.12 |
1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,329.99 |
$6,283 |
1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$387.36 |
$730.86 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$581.96 |
$1,098.03 |
1.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$484.72 |
$914.57 |
1.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,120.55 |
$4,001.03 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$395.83 |
$746.85 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,446.40 |
$4,615.84 |
1.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$383.93 |
$724.40 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,120.55 |
$4,001.03 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$318 |
$600 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$306.65 |
$578.58 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$17,773.59 |
$33,535.07 |
56.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$318 |
$600 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$377.26 |
$711.82 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$17,773.59 |
$33,535.07 |
8.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$436.66 |
$823.88 |
1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$397.96 |
$750.87 |
1.3× |
| Closure Gastrostomy Surg (43870) |
$64,617.62 |
$121,920.03 |
13.0× |
| Closure lacrimal punctum (68760) |
$2,733.10 |
$5,156.79 |
6.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$17,773.59 |
$33,535.07 |
8.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$17,773.59 |
$33,535.07 |
56.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,136.75 |
$5,918.39 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$440.26 |
$830.68 |
1.4× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$17,773.59 |
$33,535.07 |
8.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$774.27 |
$1,460.89 |
2.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$470.06 |
$886.91 |
1.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$447.64 |
$844.60 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$465.62 |
$878.52 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$341.30 |
$643.97 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$318 |
$600 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$508.15 |
$958.78 |
1.6× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$9,772.46–$12,725.30 |
$18,438.60–$24,010 |
varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$4,160.71 |
$7,850.40 |
2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$318 |
$600 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$387.59 |
$731.31 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$318 |
$600 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$364.25 |
$687.27 |
1.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$17,773.59 |
$33,535.07 |
56.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$318 |
$600 |
1.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$516.83 |
$975.16 |
1.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$17,773.59 |
$33,535.07 |
8.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,586.70 |
$4,880.56 |
1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$318 |
$600 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$633.69 |
$1,195.65 |
1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$521.61 |
$984.17 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$526.85 |
$994.06 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$387.97 |
$732.02 |
1.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx Medial Ankle Fx (27760) |
$538.04 |
$1,015.17 |
1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$447.01 |
$843.42 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$451.46 |
$851.81 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$459.38 |
$866.76 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$318 |
$600 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$608.38 |
$1,147.89 |
1.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$643.43 |
$1,214.01 |
0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$426.88 |
$805.44 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$61,494.21 |
$116,026.81 |
14.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$61,494.21 |
$116,026.81 |
193.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$402.80 |
$760 |
1.3× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,744.04 |
$3,290.64 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,804.34 |
$3,404.41 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,800.65 |
$7,171.03 |
1.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$568.63 |
$1,072.88 |
1.8× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$493.17 |
$930.51 |
1.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$515.48 |
$972.60 |
1.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$387.97 |
$732.02 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,120.55 |
$4,001.03 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$318 |
$600 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$172.25 |
$325 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$20.64 |
$38.95 |
2.2× |
| Colonoscopy Flexible With Decompression (45393) |
$267.49 |
$504.70 |
0.2× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$66,568.90 |
$125,601.70 |
43.3× |
| Colonoscopy Stoma Control Bleeding (44391) |
$66,568.90 |
$125,601.70 |
43.3× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$30,393.64 |
$57,346.49 |
19.7× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$208.04 |
$392.53 |
0.1× |
| Colonoscopy thru stoma (44388) |
$179.93 |
$339.49 |
0.2× |
| Colonoscopy w/ablation (45388) |
$5,313.75 |
$10,025.95 |
3.5× |
| Colonoscopy W/Band Ligation (45398) |
$283.39 |
$534.69 |
0.2× |
| Colonoscopy w/fb removal (45379) |
$262.03 |
$494.40 |
0.2× |
| Colonoscopy W/Resection (45390) |
$7,497.79 |
$14,146.77 |
2.1× |
| Colonoscopy w/submucosal inj (45381) |
$1,239.82 |
$2,339.28 |
0.8× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$472.31 |
$891.16 |
0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$232.27 |
$438.25 |
0.6× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$766.23 |
$1,445.71 |
2.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$88.90 |
$167.73 |
0.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$116.43 |
$219.67 |
0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$258.08 |
$486.95 |
0.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$927.96 |
$1,750.87 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$7,105.35 |
$13,406.33 |
4.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$7,275.17 |
$13,726.73 |
4.7× |
| Complex drainage wound (10180) |
$30,564.83 |
$57,669.49 |
8.2× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$249.09 |
$469.98 |
0.1× |
| Conization of cervix (57520) |
$11,163.27 |
$21,062.77 |
2.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$292.03 |
$551 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$232.26 |
$438.23 |
1.4× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$18,675.97 |
$35,237.68 |
1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,146.82 |
$4,050.60 |
1.0× |
Correction hammertoe (28285)
range across 2 matching MRF lines |
$8,670.91–$8,938.19 |
$16,360.21–$16,864.50 |
varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$17,661.86 |
$33,324.27 |
4.2× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$23,727.55 |
$44,768.96 |
5.6× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure |
$1,065.52 |
$2,010.41 |
0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$72,188.24 |
$136,204.23 |
7.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$28,160.45 |
$53,132.92 |
6.7× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$72,188.24 |
$136,204.23 |
7.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$221.01 |
$417 |
1.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$307.40 |
$580 |
1.0× |
| Curettage postpartum (59160) |
$14,708.29 |
$27,751.49 |
3.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$151.81 |
$286.44 |
0.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$169.23 |
$319.30 |
0.1× |
| Cysto w/complex removal stone & stent (52315) |
$15,063.93 |
$28,422.51 |
5.6× |
| Cysto w/insert ureteral stent (52332) |
$19,563.15 |
$36,911.60 |
4.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,195.50 |
$4,142.46 |
0.5× |
| Cysto w/removal of lesions small (52224) |
$9,350.37 |
$17,642.21 |
2.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$375.37 |
$708.25 |
0.1× |
| Cysto w/ureter stricture tx (52341) |
$7,632.61 |
$14,401.15 |
1.7× |
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure |
$449.82 |
$848.72 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$387.59 |
$731.30 |
0.1× |
| Cysto/uretero w/lithotripsy (52356) |
$18,058.71 |
$34,073.03 |
2.6× |
| Cystometrogram W/Vp (51728) |
$619.99 |
$1,169.79 |
0.7× |
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure |
$871.53 |
$1,644.40 |
0.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$8,031.70 |
$15,154.16 |
3.0× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$8,738.51 |
$16,487.75 |
3.3× |
| Cystourethroscopy (52000) |
$12,529.06 |
$23,639.74 |
14.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$544.26 |
$1,026.91 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$10,097.20 |
$19,051.33 |
3.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$34.30 |
$64.71 |
0.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$41,127.49 |
$77,599.03 |
45.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$9,410.64 |
$17,755.92 |
9.9× |
| Debride nail 1-5 (11720) |
$78.71 |
$148.50 |
1.0× |
| Debride nail 6 or more (11721) |
$63.07 |
$119 |
0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$5,414.78 |
$10,216.56 |
2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$11,075.81 |
$20,897.75 |
21.2× |
| Declot vascular device (36593) |
$439.90 |
$830 |
1.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$3,617.94 |
$6,826.30 |
1.7× |
| Deep Muscle Biopsy (20205) |
$179.93 |
$339.49 |
0.0× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$404.84 |
$763.85 |
0.2× |
| Delivery of placenta (59414) |
— |
$244.01 |
— |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$24,985.23 |
$47,141.94 |
9.4× |
| Destruct B9 Lesion 1-14 (17110) |
$128.84 |
$243.09 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$153.20 |
$289.05 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$596.13 |
$1,124.77 |
2.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$282.13 |
$532.33 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$260.34 |
$491.21 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$173.84 |
$328 |
0.7× |
| Destruction of skin lesions (17106) |
$460.80 |
$869.43 |
0.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$173.07 |
$326.54 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$75.64 |
$142.72 |
0.3× |
| Destruction Vaginal Lesions Simple (57061) |
$155.37 |
$293.15 |
0.0× |
| Diagnostic anoscopy (46601) |
$30,393.64 |
$57,346.49 |
52.9× |
| Diagnostic sigmoidoscopy (45330) |
$3,625.40 |
$6,840.38 |
3.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$220.97 |
$416.93 |
0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$11,427.38 |
$21,561.10 |
2.7× |
| Disarticulation of hip Facility (27295) |
$33,174.16 |
$62,592.76 |
1.5× |
| Drain Cerebro Spinal Fluid (62272) |
$917.59 |
$1,731.30 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$454.32 |
$857.21 |
1.2× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$190.61 |
$359.65 |
0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$932.26 |
$1,758.98 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,565.05 |
$4,839.71 |
1.2× |
| Drainage of finger abscess simple (26010) |
$517.11 |
$975.68 |
2.0× |
| Drainage of gum lesion (41800) |
$236.38 |
$446 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$2,571.39 |
$4,851.67 |
1.2× |
| Drainage of mouth lesion (41017) |
$410.46 |
$774.46 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$28,773 |
$54,288.67 |
13.5× |
| Drainage of scrotum (54700) |
$9,831.37 |
$18,549.76 |
3.7× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$474.93 |
$896.10 |
0.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$360.29 |
$679.80 |
0.1× |
| Draw Blood Off Venous Device (36591) |
$178.85 |
$337.46 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$528.94 |
$998 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$263.28 |
$496.75 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$263.28 |
$496.75 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$19,835.42 |
$37,425.32 |
5.6× |
| Dx Bone Marrow Bx & Aspir (38222) |
$9,989.88 |
$18,848.83 |
2.7× |
| Dx Bronchoscope/Lavage (31624) |
$322.19 |
$607.90 |
0.1× |
| Dx Bronchoscope/Wash (31622) |
$222.10 |
$419.06 |
0.1× |
| Dx gastr intub w/asp specs (43755) |
$13,871.85 |
$26,173.30 |
83.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,417.75 |
$2,675 |
1.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$23,977.49 |
$45,240.54 |
9.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$6,678.89 |
$12,601.67 |
2.7× |
| Egd cautery tumor polyp (43250) |
$367.73 |
$693.83 |
0.1× |
| Egd control bleeding any (43255) |
$5,540.15 |
$10,453.12 |
2.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$5,953.07 |
$11,232.21 |
2.4× |
| Egd endo mucosal resection (43254) |
$314.87 |
$594.10 |
0.1× |
| Egd Endoscopic Stent Place (43266) |
$36,141.18 |
$68,190.90 |
4.6× |
| Egd Flexible Foreign Body Removal (43247) |
$11,014.31 |
$20,781.72 |
9.4× |
| Egd guide wire insertion (43248) |
$5,167.27 |
$9,749.56 |
4.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$243.80 |
$460 |
0.1× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$23,977.49 |
$45,240.54 |
9.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$23,977.49 |
$45,240.54 |
9.7× |
| Egd lesion ablation (43270) |
$6,501.32 |
$12,266.64 |
2.6× |
| Egd Optical Endomicroscopy (43252) |
$196.80 |
$371.32 |
0.1× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$36,141.18 |
$68,190.90 |
2.6× |
| Egd place gastrostomy tube (43246) |
$5,042.25 |
$9,513.67 |
2.0× |
| Egd remove lesion snare (43251) |
$7,886.28 |
$14,879.77 |
3.2× |
| Egd Tube/Cath Insertion (43241) |
$152.85 |
$288.40 |
0.1× |
| Egd us exam duodenum/jejunum (43259) |
$27,716.38 |
$52,295.05 |
11.2× |
| Egd us transmural injxn/mark (43253) |
$36,438.25 |
$68,751.41 |
14.8× |
| Egd Varices Ligation (43244) |
$4,588.48 |
$8,657.50 |
1.9× |
| Egd W/Thrml Txmnt Gerd (43257) |
$36,141.18 |
$68,190.90 |
7.3× |
| Egd W/Transmural Drain Cyst (43240) |
$36,141.18 |
$68,190.90 |
4.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$30,168.23 |
$56,921.18 |
76.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$30,168.23 |
$56,921.18 |
76.4× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$30,168.23 |
$56,921.18 |
76.4× |
| Electro-Uroflowmetry First (51741) |
$154.13 |
$290.81 |
0.6× |
| Embedded ip cath exit-site (49436) |
$33,702.38 |
$63,589.39 |
13.7× |
| Endocervical curettage (57505) |
$132.70 |
$250.37 |
0.1× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$6,540.80 |
$12,341.13 |
1.0× |
| Endometrial Biopsy (58100) |
$92.78 |
$175.05 |
0.4× |
Endoscopic plantar fasciotomy (29893)
range across 2 matching MRF lines |
$6,520.15–$7,347.73 |
$12,302.17–$13,863.65 |
varies |
| Endoscopic us exam esoph (43237) |
$36,141.18 |
$68,190.90 |
14.6× |
| Endoscopy Upper Small Intestine (44360) |
$17,895.64 |
$33,765.36 |
7.3× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$17,656.91 |
$33,314.92 |
4.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$17,656.91 |
$33,314.92 |
4.3× |
| Endoven ther chem adhes 1st (36482) |
$17,656.91 |
$33,314.92 |
2.5× |
| Enterorrhaphy single perforation (44602) |
$59,760.62 |
$112,755.88 |
12.1× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$64,459.24 |
$121,621.20 |
26.1× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$331.74 |
$625.93 |
0.1× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$224.91 |
$424.36 |
0.1× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$262.03 |
$494.40 |
0.1× |
| Epidural Blood Patch (62273) |
$1,249.38 |
$2,357.32 |
1.4× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$421.71 |
$795.68 |
0.1× |
| Esc i p ulcer w ostect & flap (15946) |
$39,072.20 |
$73,721.13 |
14.7× |
| Esoph Optical Endomicroscopy (43206) |
$17,895.64 |
$33,765.36 |
7.3× |
| Esoph Scope W/Submucous Inj (43201) |
$37,626.55 |
$70,993.49 |
15.2× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$163.06 |
$307.66 |
0.1× |
| Esophagoscop Mucosal Resect (43211) |
$17,895.64 |
$33,765.36 |
7.3× |
| Esophagoscop Stent Placement (43212) |
$17,895.64 |
$33,765.36 |
2.3× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$17,895.64 |
$33,765.36 |
15.3× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$23,010.80 |
$43,416.60 |
19.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$17,895.64 |
$33,765.36 |
15.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$17,895.64 |
$33,765.36 |
7.3× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$37,626.55 |
$70,993.49 |
15.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$23,010.80 |
$43,416.60 |
9.3× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$54,126.55 |
$102,125.56 |
21.9× |
| Esophagoscopy Rigid Balloon (43195) |
$482.43 |
$910.25 |
0.1× |
| Esophagoscopy rigid trnso dx (43191) |
$17,895.64 |
$33,765.36 |
7.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,018.28 |
$1,921.29 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$167.56 |
$316.15 |
0.1× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$23,010.80 |
$43,416.60 |
9.3× |
| Evacuate mole of uterus (59870) |
$637.06 |
$1,202 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$170.79 |
$322.25 |
1.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$665.74 |
$1,256.11 |
0.3× |
| Exc abdl tum deep 5 cm/> (22901) |
$736.97 |
$1,390.50 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$5,809.72 |
$10,961.74 |
2.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$143.58 |
$270.91 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$8,300.43 |
$15,661.19 |
3.9× |
| Exc Back Les Sc < 3 Cm (21930) |
$39,467.27 |
$74,466.55 |
18.6× |
| Exc back tum deep < 5 cm (21932) |
$799 |
$1,507.54 |
0.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$8,199.43 |
$15,470.63 |
1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$274.35 |
$517.64 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$311.52 |
$587.78 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$451.26 |
$851.44 |
0.2× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$10,696.27 |
$20,181.65 |
5.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$6,938.61 |
$13,091.72 |
7.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$192.94 |
$364.03 |
0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$10,025.22 |
$18,915.50 |
11.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$9,059.38 |
$17,093.17 |
4.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$321.78 |
$607.13 |
0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$10,986.78 |
$20,729.77 |
5.2× |
| Exc ganglion wrist recurrent (25112) |
$453.10 |
$854.90 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$141.66 |
$267.29 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$180.76 |
$341.05 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,254.16 |
$4,253.13 |
1.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$5,696.71 |
$10,748.50 |
2.7× |
| Exc hand tum deep < 1.5 cm (26116) |
$600.49 |
$1,133 |
0.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$442.18 |
$834.30 |
0.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$5,401.36 |
$10,191.25 |
4.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$656.14 |
$1,238 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$311.16 |
$587.10 |
0.2× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$6,039.09 |
$11,394.51 |
1.4× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$6,039.09 |
$11,394.51 |
1.4× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$6,039.09 |
$11,394.51 |
1.4× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$458.56 |
$865.20 |
0.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$6,733.04 |
$12,703.85 |
2.7× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$546.53 |
$1,031.19 |
0.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$622.44 |
$1,174.42 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$5,861.88 |
$11,060.15 |
6.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$9,283 |
$17,515.10 |
4.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$9,542.20 |
$18,004.15 |
2.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$10,763.79 |
$20,309.03 |
5.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$344.86 |
$650.67 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$423.06 |
$798.22 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$513.44 |
$968.75 |
0.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$7,460.71 |
$14,076.82 |
2.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$40,839.64 |
$77,055.92 |
10.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$9,891.13 |
$18,662.50 |
6.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$217.83 |
$411 |
0.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$191.02 |
$360.41 |
0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$7,618.80 |
$14,375.09 |
3.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$399.78 |
$754.30 |
0.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$630.87 |
$1,190.33 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$616.87 |
$1,163.90 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$6,226.73 |
$11,748.54 |
2.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$409.34 |
$772.34 |
0.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$17,661.86 |
$33,324.27 |
4.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$5,665.95 |
$10,690.47 |
2.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$40,839.64 |
$77,055.92 |
10.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$40,839.64 |
$77,055.92 |
10.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$40,839.64 |
$77,055.92 |
19.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$434.36 |
$819.55 |
0.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$35,724.92 |
$67,405.51 |
9.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$35,724.92 |
$67,405.51 |
9.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$40,839.64 |
$77,055.92 |
10.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$5,702.83 |
$10,760.05 |
1.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$7,759.12 |
$14,639.84 |
1.8× |
Exchange Intraocular Lens (66986)
range across 2 matching MRF lines |
$9,014.39–$12,615.73 |
$17,008.29–$23,803.27 |
varies |
| Exchange Transfusion (36455) |
$23,862.07 |
$45,022.78 |
42.1× |
| Exchange Transfusion Blood Newborn (36450) |
$23,862.07 |
$45,022.78 |
42.1× |
| Excise excessive skin arm (15836) |
$28,246.96 |
$53,296.15 |
7.6× |
| Excise Wrist Tendon Sheath (25118) |
$1,621.61 |
$3,059.64 |
0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$324.34 |
$611.97 |
0.4× |
| Excision Chalazion Single (67800) |
$4,667.23 |
$8,806.09 |
11.4× |
| Excision Distal Ulna Partial/Complete (25240) |
$18,584.69 |
$35,065.45 |
4.4× |
| Excision H/P/P/U Complex Repair (11471) |
$23,396.15 |
$44,143.67 |
6.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$254.15 |
$479.53 |
0.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$8,280.73 |
$15,624.02 |
4.0× |
| Excision Lesion Tongue W/O Closure (41110) |
$6,039.09 |
$11,394.51 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$174.31 |
$328.88 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$207.04 |
$390.65 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$960.37 |
$1,812.02 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$285.25 |
$538.20 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$932.80 |
$1,760 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$231.40 |
$436.61 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$367.29 |
$693 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$224.35 |
$423.30 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$264.73 |
$499.49 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$294.22 |
$555.13 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,863.97 |
$5,403.72 |
1.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$12,926.83 |
$24,390.25 |
3.6× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$72,188.24 |
$136,204.23 |
17.2× |
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines |
$6,755.40–$7,206.46 |
$12,746.04–$13,597.10 |
varies |
| Excision of hydrocele; bilateral (55041) |
$562.28 |
$1,060.90 |
0.1× |
| Excision of hydrocele; unilateral (55040) |
$9,999.19 |
$18,866.40 |
2.2× |
| Excision of local lesion of epididymis (54830) |
$4,798.38 |
$9,053.55 |
1.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$6,511.64 |
$12,286.12 |
2.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$10,536.69 |
$19,880.55 |
2.8× |
| Excision of single external papilla or tag, anus (46220) |
$8,981.38 |
$16,946 |
5.8× |
| Excision of vaginal cyst or tumor (57135) |
$212.90 |
$401.70 |
0.1× |
Excision olecranon bursa (24105)
range across 3 matching MRF lines |
$7,560.87–$8,445.87 |
$14,265.79–$15,935.61 |
varies |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$72,188.24 |
$136,204.23 |
7.7× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$685.98 |
$1,294.30 |
0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$12,602.67 |
$23,778.62 |
3.4× |
| Excision prepatellar bursa (27340) |
$449.82 |
$848.72 |
0.1× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$34,585.22 |
$65,255.14 |
4.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$9,658.76 |
$18,224.08 |
3.6× |
| Excision tendon finger flexor/extensor each (26180) |
$518.61 |
$978.50 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$11,010.57 |
$20,774.66 |
5.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$461.58 |
$870.91 |
0.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$4,944.60 |
$9,329.44 |
2.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,230.68 |
$2,322.04 |
0.6× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$431.26 |
$813.70 |
0.2× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$39,072.20 |
$73,721.13 |
8.6× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$39,072.20 |
$73,721.13 |
14.7× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$1,094.19 |
$2,064.51 |
0.4× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$39,335.58 |
$74,218.08 |
10.5× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$39,335.58 |
$74,218.08 |
10.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$9,194.41 |
$17,347.95 |
2.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$330.11 |
$622.85 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$525.23 |
$991 |
0.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$35,724.92 |
$67,405.51 |
9.6× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$539.78 |
$1,018.46 |
0.1× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$13,980.95 |
$26,379.15 |
6.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$33,702.38 |
$63,589.39 |
12.7× |
| Explo/Drain Breast Abscess (19020) |
$7,904.73 |
$14,914.59 |
3.7× |
| Exploration of knee joint (27310) |
$865.91 |
$1,633.79 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$518.98 |
$979.21 |
0.2× |
| External cephalic version (59412) |
$121.45 |
$229.15 |
0.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$427.33 |
$806.28 |
0.1× |
| Fasciotomy Iliotibial Open (27305) |
$573.52 |
$1,082.12 |
0.1× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$44,037.94 |
$83,090.45 |
10.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$949.87 |
$1,792.20 |
0.2× |
| Fetal Contraction Stress Test (59020) |
$810.90 |
$1,530 |
3.1× |
| Fetal non-stress test (59025) |
$1,144.80 |
$2,160 |
4.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$27,406.76 |
$51,710.86 |
30.1× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$27,406.76 |
$51,710.86 |
30.1× |
| Fine needle aspiration without imaging guidance (10021) |
$349.80 |
$660 |
0.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$27,406.76 |
$51,710.86 |
30.1× |
| Fna bx w/us gdn 1st les (10005) |
$1,632.55 |
$3,080.28 |
1.8× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$72,188.24 |
$136,204.23 |
7.7× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$990.98 |
$1,869.77 |
0.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,109.65 |
$2,093.68 |
0.4× |
| Fusion Finger Joint (26860) |
$726.05 |
$1,369.90 |
0.2× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$698.75 |
$1,318.40 |
0.1× |
Fusion of knuckle (26850)
likely a partial charge, not the full procedure |
$846.15 |
$1,596.50 |
0.1× |
Fusion/graft of hand joint (26844)
likely a partial charge, not the full procedure |
$999 |
$1,884.90 |
0.1× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$64,617.62 |
$121,920.03 |
14.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$1,343.28 |
$2,534.49 |
0.3× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$854.10 |
$1,611.51 |
0.3× |
Graft Ear Crtlg Autogenous Nose/Ear (21235)
likely a partial charge, not the full procedure |
$674.73 |
$1,273.08 |
0.1× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$573.20 |
$1,081.50 |
0.1× |
| Grafting of autologous soft tiss by direct exc (15769) |
$534.98 |
$1,009.40 |
0.1× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$540.44 |
$1,019.70 |
0.1× |
| Hemiarthroplasty hip partial (27125) |
$46,776.35 |
$88,257.27 |
2.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$11,358.36 |
$21,430.86 |
3.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$14,007.85 |
$26,429.90 |
3.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,290.99 |
$2,435.83 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$23,396.15 |
$44,143.67 |
6.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$23,396.15 |
$44,143.67 |
6.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$23,396.15 |
$44,143.67 |
6.6× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$291.26 |
$549.55 |
0.2× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$567.90 |
$1,071.51 |
0.2× |
| Hymenotomy Simple Incision (56442) |
$64.60 |
$121.88 |
0.0× |
| Hysteroscopy Biopsy (58558) |
$8,181.09 |
$15,436.02 |
2.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$4,684.74 |
$8,839.13 |
1.1× |
| Hysteroscopy Endometrial Ablation (58563) |
$9,477.28 |
$17,881.66 |
1.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$349.74 |
$659.88 |
0.1× |
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure |
$416.09 |
$785.07 |
0.1× |
| I&d abscess peritonsillar (42700) |
$307.40 |
$580 |
1.0× |
| I&d abscess simple (10060) |
$7,143.94 |
$13,479.14 |
27.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$619.63 |
$1,169.11 |
0.2× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$579.15 |
$1,092.73 |
0.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$22,304.25 |
$42,083.49 |
5.3× |
| I&d perianal abscess superficial (46050) |
$13,700.38 |
$25,849.77 |
11.5× |
| I&d pilonidal cyst complicated (10081) |
$980.50 |
$1,850 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$927.50 |
$1,750 |
1.0× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$84.34 |
$159.14 |
0.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$65.51 |
$123.60 |
0.1× |
| Image Cath Fluid Peri/Retro (49406) |
$2,254.16 |
$4,253.13 |
1.1× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure |
$5,374.24 |
$10,140.08 |
0.5× |
| Incise external hemorrhoid (46083) |
$322.26 |
$608.03 |
1.0× |
Incise finger tendon sheath (26055)
range across 2 matching MRF lines |
$5,246.07–$6,249.64 |
$9,898.24–$11,791.78 |
varies |
| Incise Wrist/Forearm Tendon (25290) |
$18,193.63 |
$34,327.61 |
4.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$12,868.02 |
$24,279.28 |
24.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$474.56 |
$895.40 |
0.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,146.50 |
$4,050 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$6,475.58 |
$12,218.07 |
12.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$266.59 |
$503 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$14,058.45 |
$26,525.37 |
35.9× |
| Incision bone cortex foot (28005) |
$674.73 |
$1,273.08 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$7,607.59 |
$14,353.95 |
3.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,022.78 |
$1,929.78 |
0.5× |
| Incision of rectal abscess (46040) |
$515.04 |
$971.78 |
0.3× |
| Incision of sperm duct (55200) |
$1,781.29 |
$3,360.93 |
0.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,347.27 |
$4,428.82 |
1.1× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$165.43 |
$312.14 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$11,126.57 |
$20,993.52 |
11.7× |
| Induced abortion dilation and curettage (59840) |
$7,273.56 |
$13,723.69 |
1.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$263.28 |
$496.75 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$6,443.60 |
$12,157.74 |
5.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,122.65 |
$4,005 |
1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$15,921.74 |
$30,041.02 |
14.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$392.20 |
$740 |
1.0× |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
$15,043.93–$19,531.83 |
$28,384.78–$36,852.51 |
varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$2,122.65 |
$4,005 |
1.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,682.22 |
$3,174 |
1.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,179.64 |
$2,225.73 |
1.0× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$2,122.65 |
$4,005 |
1.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,701.95 |
$3,211.22 |
1.9× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$2,107.28 |
$3,976 |
1.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,682.22 |
$3,174 |
1.9× |
| Injection enzyme palmar fascial cord (20527) |
$86.87 |
$163.91 |
0.2× |
| Injection procedure for peyronie disease (54200) |
$19,618.79 |
$37,016.58 |
61.1× |
| Injection single tendon origin/insertion (20551) |
$11,645.04 |
$21,971.78 |
29.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$392.20 |
$740 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$461.10 |
$870 |
1.2× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$13,724.16 |
$25,894.65 |
6.9× |
| Injection therapeutic carpal tunnel (20526) |
$121.37 |
$229 |
0.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,107.28 |
$3,976 |
1.9× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines |
$34,163.49–$42,758.60 |
$64,459.41–$80,676.61 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,682.22 |
$3,174 |
1.9× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$80.13 |
$151.18 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$80.03 |
$151 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$214.35 |
$404.43 |
1.3× |
| Insert cath pleura w/ image (32557) |
$2,058.31 |
$3,883.60 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,513.51 |
$4,742.48 |
1.0× |
| Insert cervical dilator (59200) |
$748.36 |
$1,412 |
1.9× |
| Insert Drug Implant Device (11981) |
$162.17 |
$305.98 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,219.93 |
$2,301.75 |
0.5× |
Insert Heart Pm Ventricular (33207)
likely a partial charge, not the full procedure |
$556.65 |
$1,050.29 |
0.0× |
| Insert non-tunnel cv cath (36556) |
$6,809.93 |
$12,848.92 |
1.7× |
| Insert pessary/other device (57160) |
$246.61 |
$465.31 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$128,301.90 |
$242,079.05 |
63.4× |
| Insert spine infusion device (62360) |
$18,748.64 |
$35,374.79 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$146.02 |
$275.50 |
0.9× |
| Insert tun ip cath perc (49418) |
$206.70 |
$390 |
0.0× |
| Insert tunneled cv cath (36561) |
$8,086.37 |
$15,257.30 |
2.0× |
| Insert tunneled cv cath (36563) |
$65,999.29 |
$124,526.96 |
9.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$67,022.14 |
$126,456.87 |
9.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170.66 |
$322 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$42,829.17 |
$80,809.75 |
9.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$58,453.04 |
$110,288.76 |
5.5× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$58,262.59 |
$109,929.41 |
12.7× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$58,262.59 |
$109,929.41 |
8.1× |
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985)
range across 2 matching MRF lines |
$9,014.39–$10,780.22 |
$17,008.29–$20,340.03 |
varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$65,225.98 |
$123,067.88 |
16.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$10,707.91 |
$20,203.61 |
2.6× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
$2,058.31–$2,058.52 |
$3,883.60–$3,884 |
varies |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$65,999.29 |
$124,526.96 |
16.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$65,999.29 |
$124,526.96 |
9.2× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$65,999.29 |
$124,526.96 |
16.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,336.35 |
$6,295 |
0.8× |
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure |
$1,448.43 |
$2,732.88 |
0.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,965.67 |
$20,689.95 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$25,765.15 |
$48,613.49 |
1.9× |
Insrt Pulse Gen W/Dual Leads (33230)
likely a partial charge, not the full procedure |
$420.34 |
$793.10 |
0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$837.40 |
$1,580 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$639.87 |
$1,207.30 |
2.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$712.01 |
$1,343.42 |
2.2× |
| Knee Arthroscopy/Surgery (29874) |
$653.93 |
$1,233.83 |
0.2× |
| Knee Arthroscopy/Surgery (29850) |
$758.51 |
$1,431.15 |
0.4× |
| Lap replace gastr adj device (43773) |
$36,141.18 |
$68,190.90 |
4.6× |
| Lap revision perm ip cath (49325) |
$33,702.38 |
$63,589.39 |
4.3× |
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure |
$1,152.67 |
$2,174.85 |
0.1× |
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure |
$438.58 |
$827.50 |
0.1× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure |
$1,364.64 |
$2,574.80 |
0.2× |
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure |
$412.71 |
$778.70 |
0.1× |
| Laparoscopy gastrostomy (43653) |
$36,141.18 |
$68,190.90 |
4.6× |
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure |
$821.50 |
$1,550 |
0.1× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$455.80 |
$860 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,068.33 |
$2,015.71 |
0.1× |
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure |
$822.05 |
$1,551.04 |
0.1× |
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines |
$10,256.73–$20,272.29 |
$19,352.32–$38,249.60 |
varies |
| Laparoscopy, surgical, appendectomy (44970) |
$23,621.52 |
$44,568.91 |
3.0× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$36,141.18 |
$68,190.90 |
2.6× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$36,141.18 |
$68,190.90 |
7.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$20,033.51 |
$37,799.08 |
1.5× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure |
$1,065.52 |
$2,010.41 |
0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$24,691.28 |
$46,587.32 |
3.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$30,318.20 |
$57,204.16 |
2.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$726.10 |
$1,370 |
0.1× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure |
$404.84 |
$763.85 |
0.1× |
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure |
$451.51 |
$851.90 |
0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$14,125.48 |
$26,651.84 |
1.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$13,549.74 |
$25,565.54 |
1.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$36,141.18 |
$68,190.90 |
7.3× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$978.36 |
$1,845.97 |
0.1× |
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure |
$1,457.55 |
$2,750.10 |
0.1× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$9,434.51 |
$17,800.97 |
4.1× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$9,434.51 |
$17,800.97 |
4.1× |
| Late closure of wound (13160) |
$1,147.05 |
$2,164.24 |
0.3× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$40,839.64 |
$77,055.92 |
10.1× |
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure |
$1,908.37 |
$3,600.69 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428)
range across 2 matching MRF lines |
$23,118.45–$23,685.10 |
$43,619.72–$44,688.87 |
varies |
| Ligate leg veins open (37761) |
$40,839.64 |
$77,055.92 |
10.1× |
| Ligation or biopsy temporal artery (37609) |
$236.16 |
$445.58 |
0.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$4,170.44 |
$7,868.75 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$545.41 |
$1,029.07 |
0.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$9,426.64 |
$17,786.11 |
2.1× |
| Lsh uterus 250 g or less (58541) |
$20,033.51 |
$37,799.08 |
1.5× |
| Lsh uterus above 250 g (58543) |
$20,033.51 |
$37,799.08 |
1.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,761.17 |
$7,096.55 |
1.4× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$103.09 |
$194.51 |
0.3× |
| Manipulation Elbow Under Anesthesia (24300) |
$518.61 |
$978.50 |
0.3× |
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines |
$4,410.82–$6,276.77 |
$8,322.30–$11,842.97 |
varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$340.18 |
$641.84 |
0.2× |
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines |
$2,479.47–$4,190.04 |
$4,678.25–$7,905.73 |
varies |
| Marsupialization of bartholin's gland cyst (56440) |
$211.63 |
$399.30 |
0.1× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,447.86 |
$2,731.82 |
0.2× |
Mastectomy for gynecomastia (19300)
likely a partial charge, not the full procedure |
$521.23 |
$983.45 |
0.1× |
Mastectomy partial (19301)
likely a partial charge, not the full procedure |
$793.37 |
$1,496.93 |
0.2× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,100.38 |
$2,076.18 |
0.1× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,152.10 |
$2,173.78 |
0.1× |
| Maternity Care Procedure (59899) |
$23,562.42 |
$44,457.39 |
90.6× |
| Metatarsectomy (28140) |
$6,110.20 |
$11,528.67 |
1.5× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$764.07 |
$1,441.64 |
0.8× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$715.35 |
$1,349.72 |
0.8× |
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
likely a partial charge, not the full procedure |
$1,551.88 |
$2,928.08 |
0.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$1,526.40 |
$2,880 |
0.3× |
| Muscle-skin graft trunk (15734) |
$1,353.40 |
$2,553.59 |
0.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,046.75 |
$1,975 |
1.0× |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines |
$13,251.25–$15,448.34 |
$25,002.35–$29,147.82 |
varies |
| N block inj intercost sng (64420) |
$1,682.22 |
$3,174 |
1.9× |
| N Block Inj Plantar Digit (64455) |
$731.40 |
$1,380 |
1.9× |
| N Block Inj Pudendal (64430) |
$2,107.28 |
$3,976 |
1.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$528.73 |
$997.60 |
0.9× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$17,895.64 |
$33,765.36 |
15.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$64,459.24 |
$121,621.20 |
53.9× |
| Needle Biopsy Lymph Nodes (38505) |
$2,146.82 |
$4,050.60 |
1.0× |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines |
$10,543.57–$11,578.68 |
$19,893.53–$21,846.57 |
varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$578.65 |
$1,091.80 |
0.2× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$988.98 |
$1,866 |
0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$296.77 |
$559.94 |
0.7× |
| Nipple/areola reconstruction (19350) |
$12,207.29 |
$23,032.62 |
2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$529.41 |
$998.88 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,676 |
$8,822.65 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$109.65 |
$206.88 |
0.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$2,107.28 |
$3,976 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$2,107.28 |
$3,976 |
1.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,065.30 |
$2,010 |
1.2× |
| Obstructive material removal from gi tube (49460) |
$9,359.24 |
$17,658.94 |
8.0× |
| Occipital Nerve Block (64405) |
$994.91 |
$1,877.18 |
2.5× |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$220.41 |
$415.87 |
0.1× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$927.76 |
$1,750.49 |
0.1× |
Open biopsy/excision inguinofemoral nodes (38531)
likely a partial charge, not the full procedure |
$535.29 |
$1,009.98 |
0.1× |
| Open bowel to skin (44300) |
$928.03 |
$1,751 |
0.4× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$13,045.57 |
$24,614.29 |
1.4× |
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure |
$933.49 |
$1,761.30 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,156.60 |
$2,182.27 |
0.1× |
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure |
$1,372.52 |
$2,589.66 |
0.1× |
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure |
$1,404.50 |
$2,650 |
0.1× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$1,694.70 |
$3,197.55 |
0.1× |
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure |
$829.77 |
$1,565.60 |
0.1× |
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure |
$889.82 |
$1,678.90 |
0.1× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$949.87 |
$1,792.20 |
0.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$17,288.07 |
$32,619 |
1.9× |
| Open treatment metatarsal fracture each (28485) |
$15,192.38 |
$28,664.86 |
1.6× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$25,098.20 |
$47,355.09 |
2.7× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure |
$810.80 |
$1,529.82 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines |
$20,648.21–$26,399.36 |
$38,958.88–$49,810.11 |
varies |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
$40,587.02 |
$76,579.28 |
4.3× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$38,836.82 |
$73,277.02 |
4.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure |
$1,053.59 |
$1,987.90 |
0.1× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$41,779.12 |
$78,828.52 |
4.5× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure |
$1,445.05 |
$2,726.51 |
0.1× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$45,996.94 |
$86,786.68 |
4.9× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$42,438.72 |
$80,073.05 |
4.5× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure |
$1,256.69 |
$2,371.11 |
0.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$31,932.51 |
$60,250.02 |
3.4× |
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
likely a partial charge, not the full procedure |
$1,130.18 |
$2,132.41 |
0.1× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$11,362.50 |
$21,438.67 |
1.2× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
$38,836.82 |
$73,277.02 |
9.2× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
$38,836.82 |
$73,277.02 |
4.2× |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
$38,836.82 |
$73,277.02 |
4.2× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$38,836.82 |
$73,277.02 |
9.2× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$41,127.49 |
$77,599.03 |
4.4× |
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure |
$742.21 |
$1,400.39 |
0.1× |
| Open treatment of ulnar styloid fracture (25652) |
$12,725.30 |
$24,010 |
1.4× |
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure |
$891.77 |
$1,682.59 |
0.1× |
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure |
$862.53 |
$1,627.42 |
0.1× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$1,040.22 |
$1,962.67 |
0.1× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$769.72 |
$1,452.30 |
0.1× |
Open tx acute shoulder dislocation (23660)
likely a partial charge, not the full procedure |
$671.46 |
$1,266.90 |
0.1× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$11,113.11 |
$20,968.13 |
2.6× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$926.63 |
$1,748.36 |
0.1× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$660.54 |
$1,246.30 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$796.18 |
$1,502.23 |
0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$584.11 |
$1,102.10 |
0.1× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines |
$28,210.05–$30,270.76 |
$53,226.50–$57,114.65 |
varies |
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure |
$1,169.54 |
$2,206.67 |
0.1× |
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure |
$1,119.10 |
$2,111.50 |
0.1× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$865.91 |
$1,633.79 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$685.98 |
$1,294.30 |
0.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$1,145.36 |
$2,161.05 |
0.3× |
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure |
$810.80 |
$1,529.82 |
0.1× |
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure |
$813.39 |
$1,534.70 |
0.0× |
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure |
$1,009.92 |
$1,905.50 |
0.1× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines |
$21,896.12–$28,346.36 |
$41,313.43–$53,483.69 |
varies |
Open tx ulnar fx proximal end (24685)
range across 3 matching MRF lines |
$20,030.94–$26,419.41 |
$37,794.23–$49,847.95 |
varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$19,810.74 |
$37,378.75 |
2.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$19,613.96 |
$37,007.47 |
2.1× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure |
$1,196.53 |
$2,257.60 |
0.1× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$1,040.22 |
$1,962.67 |
0.1× |
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure |
$1,057.08 |
$1,994.49 |
0.1× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$4,338.39 |
$8,185.65 |
0.9× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$72,188.24 |
$136,204.23 |
17.2× |
| Ostc prtl exostc/condylc metar head (28288) |
$7,020.02 |
$13,245.33 |
1.7× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$72,188.24 |
$136,204.23 |
17.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$466.40 |
$880 |
0.1× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$72,188.24 |
$136,204.23 |
17.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$8,442.81 |
$15,929.83 |
2.0× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$26,627.76 |
$50,241.05 |
2.9× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$42,186.64 |
$79,597.43 |
4.5× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$72,188.24 |
$136,204.23 |
7.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$72,188.24 |
$136,204.23 |
7.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$468.94 |
$884.79 |
0.1× |
| Osteotomy radius distal third (25350) |
$34,614.18 |
$65,309.77 |
3.7× |
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure |
$894.02 |
$1,686.83 |
0.1× |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
$38,836.82 |
$73,277.02 |
4.2× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$40,825.44 |
$77,029.13 |
4.4× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge, not the full procedure |
$1,176.60 |
$2,220 |
0.1× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$24,908.01 |
$46,996.25 |
1.5× |
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge, not the full procedure |
$1,207.84 |
$2,278.94 |
0.2× |
Parathyroidectomy or exploration of parathyroid(s); (60500)
likely a partial charge, not the full procedure |
$1,159.98 |
$2,188.64 |
0.2× |
| Part remv talus or calcaneus (28120) |
$12,630.29 |
$23,830.73 |
3.0× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182)
likely a partial charge, not the full procedure |
$769.72 |
$1,452.30 |
0.1× |
| Partial excision bone olecranon process (24147) |
$7,305.56 |
$13,784.07 |
1.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$6,211.47 |
$11,719.75 |
3.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$241.78 |
$456.19 |
0.1× |
| Partial removal of scapula (23190) |
$660.54 |
$1,246.30 |
0.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$868.72 |
$1,639.09 |
0.1× |
| Partial removal of tibia (27640) |
$1,028.73 |
$1,941 |
0.2× |
| Partial removal of tongue (41120) |
$6,039.09 |
$11,394.51 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$11,641 |
$21,964.16 |
2.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$120.10 |
$226.60 |
0.0× |
| Penile Injection (54235) |
$339.61 |
$640.78 |
1.1× |
| Penis plastic surgery (54360) |
$4,798.38 |
$9,053.55 |
1.1× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
likely a partial charge, not the full procedure |
$967.12 |
$1,824.75 |
0.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$10,277.15 |
$19,390.84 |
2.4× |
| Pericardiocentesis W/Imaging (33016) |
$2,058.31 |
$3,883.60 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$305.70 |
$576.80 |
0.1× |
| Peritoneal Lavage (49084) |
$1,242.27 |
$2,343.90 |
1.1× |
Perq device breast 1st imag (19281)
range across 3 matching MRF lines |
$286.11–$2,146.82 |
$539.83–$4,050.60 |
varies |
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines |
$6,653.15–$8,049.40 |
$12,553.11–$15,187.54 |
varies |
| Pin Finger Dislocation (26776) |
$8,288.46 |
$15,638.60 |
2.0× |
| Pin hand dislocation (26676) |
$668.33 |
$1,261 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$516.43 |
$974.39 |
0.9× |
| Placement of seton (46020) |
$19,835.42 |
$37,425.32 |
5.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$1,416.26 |
$2,672.18 |
0.3× |
| Prim art mech thrombectomy (37184) |
$58,453.04 |
$110,288.76 |
2.5× |
| Proctopexy Perineal Approach (45541) |
$3,633.67 |
$6,855.98 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$81.69 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$30,393.64 |
$57,346.49 |
19.7× |
| Prostatic Rf Thermotx (53852) |
$8,854.23 |
$16,706.10 |
2.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,610.18 |
$3,038.07 |
1.8× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$511.67 |
$965.42 |
0.1× |
| Prq skel fixj femoral fx prox end neck (27235) |
$36,705.18 |
$69,255.06 |
3.9× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,854.74 |
$12,933.48 |
0.7× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$5,731.85 |
$10,814.81 |
1.4× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$1,437.18 |
$2,711.66 |
0.3× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$36,705.18 |
$69,255.06 |
3.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$496.77 |
$937.30 |
0.1× |
| Prtl Exchange Transfuse Nb (36456) |
$23,862.07 |
$45,022.78 |
42.1× |
| Punch biopsy skin single lesion (11104) |
$11,199.04 |
$21,130.27 |
21.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$492.71 |
$929.64 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$1,687.52 |
$3,184 |
1.9× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$617.45 |
$1,165 |
1.1× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
likely a partial charge, not the full procedure |
$877.15 |
$1,655 |
0.1× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$40,839.64 |
$77,055.92 |
10.9× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$6,039.09 |
$11,394.51 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$14,708.95 |
$27,752.74 |
3.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$38,219.82 |
$72,112.87 |
10.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$42,667.24 |
$80,504.22 |
11.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$42,667.24 |
$80,504.22 |
11.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$40,839.64 |
$77,055.92 |
10.9× |
| Radical Resection Tumor Metatarsal (28173) |
$72,188.24 |
$136,204.23 |
17.2× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$439.70 |
$829.62 |
0.1× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$971.70 |
$1,833.40 |
0.2× |
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure |
$877.15 |
$1,655 |
0.1× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$16,653.11 |
$31,420.97 |
1.8× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$528.54 |
$997.25 |
0.1× |
| Realignment of knee (27455) |
$45,996.94 |
$86,786.68 |
4.9× |
| Reconstruct extra finger (26587) |
$6,885.92 |
$12,992.31 |
1.6× |
| Reconstruct ulna/radioulnar (25337) |
$11,475.31 |
$21,651.53 |
1.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$24,364.80 |
$45,971.32 |
2.6× |
| Reduction of rectal prolapse (45900) |
$1,208.40 |
$2,280 |
1.0× |
Release of shoulder ligament (23415)
likely a partial charge, not the full procedure |
$791.56 |
$1,493.50 |
0.1× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$17,272.21 |
$32,589.08 |
0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,792.22 |
$7,155.13 |
1.0× |
| Removal foreign body foot deep (28192) |
$2,146.82 |
$4,050.60 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$932.26 |
$1,758.98 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,146.82 |
$4,050.60 |
1.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$24,798.28 |
$46,789.20 |
5.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$458.56 |
$865.20 |
0.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$566.21 |
$1,068.33 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$78.71 |
$148.50 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$111.17 |
$209.76 |
1.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,423.52 |
$8,346.27 |
1.1× |
| Removal Implant Deep (20680) |
$18,730.53 |
$35,340.62 |
5.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$219.61 |
$414.35 |
0.1× |
| Removal implantable contraceptive capsules (11976) |
$219.22 |
$413.63 |
0.2× |
Removal intact breast implant (19328)
likely a partial charge, not the full procedure |
$627.79 |
$1,184.50 |
0.1× |
| Removal of anal fissure (46200) |
$23,396.15 |
$44,143.67 |
6.6× |
| Removal of bladder cyst (51500) |
$33,702.38 |
$63,589.39 |
4.3× |
| Removal of foreign body from pharynx (42809) |
$917.11 |
$1,730.40 |
1.6× |
Removal of heel spur (28119)
range across 3 matching MRF lines |
$7,811.53–$13,176.46 |
$14,738.74–$24,861.25 |
varies |
Removal of implant from finger or hand (26320)
range across 2 matching MRF lines |
$6,027.46–$8,267.55 |
$11,372.57–$15,599.15 |
varies |
Removal of kidney stone (50081)
likely a partial charge, not the full procedure |
$1,484.41 |
$2,800.78 |
0.1× |
Removal of mammary implant material (19330)
likely a partial charge, not the full procedure |
$731.51 |
$1,380.20 |
0.1× |
| Removal of nail bed (11750) |
$492.71 |
$929.64 |
0.9× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
likely a partial charge, not the full procedure |
$1,484.41 |
$2,800.78 |
0.2× |
| Removal of sesamoid bone (28315) |
$7,795.77 |
$14,709 |
1.9× |
| Removal of sperm cord lesion (55520) |
$14,600.82 |
$27,548.72 |
3.2× |
| Removal of tendon for graft (20924) |
$79,514.44 |
$150,027.25 |
8.5× |
| Removal of testis (54520) |
$382.35 |
$721.41 |
0.1× |
| Removal of wrist bone (25210) |
$567.74 |
$1,071.20 |
0.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$351.89 |
$663.95 |
1.0× |
| Removal peritoneal-venous shunt (49429) |
$33,702.38 |
$63,589.39 |
8.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$7,489.49 |
$14,131.12 |
29.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$104.02 |
$196.27 |
0.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$12,207.29 |
$23,032.62 |
4.6× |
| Removal sweat gland lesion (11450) |
$260.89 |
$492.24 |
0.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$393.05 |
$741.60 |
0.2× |
| Remove drug implant device (11982) |
$7,022.24 |
$13,249.50 |
12.2× |
Remove elbow lesion (24120)
range across 2 matching MRF lines |
$8,409.31–$8,555.54 |
$15,866.63–$16,142.52 |
varies |
| Remove foreign body from eye (65235) |
$5,938.34 |
$11,204.41 |
2.0× |
| Remove foreign body from eye (65205) |
$172.25 |
$325 |
1.0× |
| Remove hip pressure sore (15941) |
$39,072.20 |
$73,721.13 |
10.5× |
| Remove hip pressure sore (15940) |
$39,072.20 |
$73,721.13 |
10.5× |
Remove humerus lesion (23174)
likely a partial charge, not the full procedure |
$905.27 |
$1,708.05 |
0.1× |
| Remove Intrauterine Device (58301) |
$7,639.08 |
$14,413.36 |
19.5× |
| Remove knee joint lining (27334) |
$836.67 |
$1,578.62 |
0.2× |
| Remove Lower Leg Bone Lesion (27635) |
$7,795.77 |
$14,709 |
1.9× |
| Remove lung catheter (32552) |
$37,367.41 |
$70,504.55 |
46.3× |
| Remove Nasal Foreign Body (30300) |
$189.67 |
$357.87 |
1.1× |
| Remove Peritoneal Foreign Body (49402) |
$760.76 |
$1,435.40 |
0.2× |
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure |
$472.31 |
$891.16 |
0.1× |
| Remove radius head implant (24164) |
$802.47 |
$1,514.10 |
0.2× |
| Remove sacrum pressure sore (15937) |
$39,335.58 |
$74,218.08 |
14.8× |
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines |
$5,430.42–$9,325.84 |
$10,246.08–$17,595.92 |
varies |
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure |
$787.19 |
$1,485.26 |
0.1× |
| Remove tissue expander (11971) |
$646.62 |
$1,220.04 |
0.2× |
| Remove&replace pm gen singl (33227) |
$28,052.59 |
$52,929.42 |
2.6× |
| Remove/graft foot lesion (28107) |
$72,188.24 |
$136,204.23 |
7.7× |
| Remove/Insert Drug Implant (11983) |
$253.19 |
$477.72 |
0.4× |
| Remv&replc cvd gen dual lead (33263) |
$29,741.20 |
$56,115.48 |
1.0× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$399.22 |
$753.24 |
0.0× |
| Remv&replc cvd gen sing lead (33262) |
$35,611.53 |
$67,191.57 |
1.2× |
| Remv&replc pm gen dual lead (33228) |
$23,982.90 |
$45,250.76 |
1.8× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$451.51 |
$851.90 |
0.0× |
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446)
likely a partial charge, not the full procedure |
$698.75 |
$1,318.40 |
0.1× |
| Renal Biopsy Perq (50200) |
$2,146.82 |
$4,050.60 |
1.0× |
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure |
$112.46 |
$212.18 |
0.0× |
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure |
$804.62 |
$1,518.15 |
0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$837.40 |
$1,580 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$916.90 |
$1,730 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$837.40 |
$1,580 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$916.90 |
$1,730 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$837.40 |
$1,580 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$22,144.93 |
$41,782.88 |
42.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$837.40 |
$1,580 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$916.90 |
$1,730 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$770.32 |
$1,453.43 |
0.4× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$13,913.76 |
$26,252.37 |
3.3× |
| Repair Hallux Rigidus (28289) |
$8,226.50 |
$15,521.70 |
2.0× |
| Repair Hand Joint (26540) |
$10,179.55 |
$19,206.70 |
2.4× |
| Repair Hand Tendon (26410) |
$742.21 |
$1,400.39 |
0.4× |
Repair humerus with graft (24435)
likely a partial charge, not the full procedure |
$1,270.74 |
$2,397.63 |
0.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$19,275 |
$36,367.92 |
4.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$19,051.07 |
$35,945.42 |
4.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$8,988.29 |
$16,959.04 |
2.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$17,535.35 |
$33,085.57 |
3.8× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$27,899.01 |
$52,639.64 |
6.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$519.40 |
$980 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$598.90 |
$1,130 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$678.40 |
$1,280 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$757.90 |
$1,430 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$757.90 |
$1,430 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$519.40 |
$980 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$12,822.60 |
$24,193.58 |
24.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$8,365.20 |
$15,783.40 |
8.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,938.74 |
$3,658 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$10,849.63 |
$20,471 |
20.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$519.40 |
$980 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$6,218.70 |
$11,733.40 |
11.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$17,272.21 |
$32,589.08 |
18.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$678.40 |
$1,280 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$36,306.69 |
$68,503.19 |
13.7× |
| Repair Leg Fascia Defect (27656) |
$36,306.69 |
$68,503.19 |
8.6× |
Repair Nonunion Hand (26546)
likely a partial charge, not the full procedure |
$1,253.88 |
$2,365.81 |
0.1× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$687.83 |
$1,297.80 |
0.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$45,996.94 |
$86,786.68 |
4.9× |
| Repair of metatarsals (28322) |
$11,477.02 |
$21,654.75 |
1.2× |
| Repair of nail bed (11760) |
$811.07 |
$1,530.33 |
0.9× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$31,932.51 |
$60,250.02 |
3.4× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure |
$2,766.97 |
$5,220.69 |
0.3× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$24,324.72 |
$45,895.69 |
2.6× |
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines |
$16,809.90–$17,124.23 |
$31,716.79–$32,309.86 |
varies |
| Repair penis post injury (54440) |
$878.90 |
$1,658.30 |
0.2× |
| Repair radius & ulna (25415) |
$31,932.51 |
$60,250.02 |
3.4× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$708.47 |
$1,336.73 |
0.2× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$11,883.97 |
$22,422.59 |
1.4× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$807.93 |
$1,524.40 |
0.1× |
Repair shoulder capsule (23462)
likely a partial charge, not the full procedure |
$1,200.98 |
$2,266 |
0.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$4,299.11 |
$8,111.53 |
1.0× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$882.77 |
$1,665.61 |
0.1× |
| Repair tongue laceration (41252) |
$307.40 |
$580 |
1.0× |
| Repair tongue laceration (41250) |
$528.73 |
$997.60 |
0.9× |
| Repair umbilical lesion (49600) |
$33,702.38 |
$63,589.39 |
7.3× |
| Repair webbed toe(s) (28345) |
$44,037.94 |
$83,090.45 |
21.3× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure |
$485.85 |
$916.70 |
0.1× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$27,899.01 |
$52,639.64 |
6.1× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$27,899.01 |
$52,639.64 |
3.6× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$3,301.13 |
$6,228.54 |
0.8× |
Repair/Graft Wrist Bone (25440)
range across 2 matching MRF lines |
$22,601.52–$23,941.35 |
$42,644.37–$45,172.36 |
varies |
Repair/Revise Wrist Joint (25320)
likely a partial charge, not the full procedure |
$1,163.91 |
$2,196.06 |
0.1× |
| Replace elbow joint (24363) |
$72,205.64 |
$136,237.06 |
3.2× |
| Replace g/c tube perc (49450) |
$1,242.27 |
$2,343.90 |
1.1× |
| Replantation digit complete (20822) |
$4,461.98 |
$8,418.83 |
2.2× |
Repositioning Io Lens Prosthesis Req Inc Spx (66825)
range across 3 matching MRF lines |
$8,723.12–$10,348.63 |
$16,458.71–$19,525.71 |
varies |
| Repr elbow lat ligmnt w/tiss (24343) |
$35,866.81 |
$67,673.22 |
8.5× |
| Rerepair ing hernia reduce (49520) |
$10,414 |
$19,649.06 |
2.3× |
| Resect back tum < 5 cm (21935) |
$38,219.82 |
$72,112.87 |
10.2× |
| Resect enlarged toe (28341) |
$79,514.44 |
$150,027.25 |
18.9× |
| Resect enlarged toe tissue (28340) |
$11,362.50 |
$21,438.67 |
2.7× |
| Resect hip/pelv tum 5 cm/> (27059) |
$31,122 |
$58,720.75 |
8.3× |
| Resect hip/pelv tum < 5 cm (27049) |
$35,724.92 |
$67,405.51 |
9.6× |
| Resect leg/ankle tum < 5 cm (27615) |
$40,839.64 |
$77,055.92 |
10.9× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$14,611.12 |
$27,568.16 |
3.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$6,110.20 |
$11,528.67 |
1.5× |
Resection/transplantation long tendon biceps (23440)
likely a partial charge, not the full procedure |
$851.60 |
$1,606.80 |
0.1× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$1,883.63 |
$3,554.02 |
0.1× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$2,029.82 |
$3,829.85 |
0.1× |
| Revise Hand/Foot Nerve (64704) |
$371.21 |
$700.40 |
0.1× |
| Revise hernia & sperm veins (55540) |
$39,047.81 |
$73,675.11 |
8.5× |
Revise knuckle joint (26530)
likely a partial charge, not the full procedure |
$646.62 |
$1,220.04 |
0.1× |
| Revise ulnar nerve at wrist (64719) |
$464.02 |
$875.50 |
0.2× |
| Revise/Implant Finger Joint (26536) |
$12,068.03 |
$22,769.86 |
1.3× |
| Revise/Repair Finger/Toe Nerve (64702) |
$625.25 |
$1,179.72 |
0.2× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$1,086.50 |
$2,050 |
0.2× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$172,224.07 |
$324,951.08 |
37.8× |
| Revision of foot (28116) |
$703.41 |
$1,327.19 |
0.2× |
Revision of foot bones (28737)
likely a partial charge, not the full procedure |
$775.18 |
$1,462.60 |
0.0× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,230.66 |
$2,322 |
0.3× |
Revision of knee joint (27442)
likely a partial charge, not the full procedure |
$1,023.35 |
$1,930.84 |
0.1× |
| Revision of lower leg tendon (27685) |
$716.90 |
$1,352.65 |
0.2× |
| Revision of penis (54300) |
$23,074.52 |
$43,536.83 |
5.1× |
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure |
$900.74 |
$1,699.50 |
0.1× |
| Revision of scrotum (55180) |
$17,613.64 |
$33,233.29 |
2.6× |
| Revision of wrist joint (25450) |
$709.67 |
$1,339 |
0.2× |
Revj Arthrp W/Removal Implant Wrist Joint (25449)
likely a partial charge, not the full procedure |
$2,756.28 |
$5,200.53 |
0.3× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$8,964.10 |
$16,913.40 |
2.0× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$18,675.97 |
$35,237.68 |
1.1× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$18,695.29 |
$35,274.13 |
0.8× |
| Revj/rpr oprative wound anterior segment (66250) |
$7,233.14 |
$13,647.43 |
2.4× |
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400)
likely a partial charge, not the full procedure |
$1,506.90 |
$2,843.21 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,097.26 |
$2,070.30 |
0.9× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$2,146.82 |
$4,050.60 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$528.94 |
$998 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$336.31 |
$634.55 |
2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$528.94 |
$998 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$980.61 |
$1,850.21 |
0.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$272.95 |
$515 |
0.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$24,798.28 |
$46,789.20 |
6.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,146.82 |
$4,050.60 |
1.0× |
Rmvl Lens Material Phacofragmentation Aspir (66850)
range across 3 matching MRF lines |
$8,111.48–$9,104.79 |
$15,304.67–$17,178.84 |
varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$980.95 |
$1,850.84 |
0.4× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$18,748.64 |
$35,374.79 |
4.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$5,850.59 |
$11,038.85 |
2.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$819.19 |
$1,545.65 |
1.0× |
Rmvl Vitreous Ant Appr Partial Removal (67005)
range across 2 matching MRF lines |
$7,741.25–$10,105.98 |
$14,606.13–$19,067.89 |
varies |
| Rplc Gtube No Revj Trc (43762) |
$323.30 |
$610 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$101.21 |
$190.96 |
0.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$236.16 |
$445.58 |
0.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,383.83 |
$2,611 |
0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,710.18 |
$5,113.54 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$222.66 |
$420.12 |
0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$18,625.20 |
$35,141.88 |
2.4× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$13,840.55 |
$26,114.24 |
3.0× |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure |
$840.69 |
$1,586.20 |
0.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$16,134.91 |
$30,443.23 |
1.9× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$673.10 |
$1,270 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$14,986.82 |
$28,277.01 |
3.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$16,103.57 |
$30,384.09 |
1.9× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$17,299.18 |
$32,639.96 |
2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$371 |
$700 |
1.4× |
| Rpr ing hern premie blocked (49492) |
$27,899.01 |
$52,639.64 |
6.1× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$27,899.01 |
$52,639.64 |
6.1× |
| Rpr ing hernia init reduce (49500) |
$27,899.01 |
$52,639.64 |
3.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$307.40 |
$580 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$674.76 |
$1,273.13 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$674.76 |
$1,273.13 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$371.21 |
$700.40 |
0.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$726.05 |
$1,369.90 |
0.2× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$590.39 |
$1,113.95 |
0.1× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$79,514.44 |
$150,027.25 |
8.5× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$79,514.44 |
$150,027.25 |
8.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$950.25 |
$1,792.92 |
0.2× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$922.57 |
$1,740.70 |
0.2× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
$79,514.44 |
$150,027.25 |
8.5× |
| Scrotoplasty Simple (55175) |
$17,613.64 |
$33,233.29 |
3.9× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$13,589.79 |
$25,641.12 |
3.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$113.45 |
$214.06 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$131.40 |
$247.93 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$243.69 |
$459.80 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$114.74 |
$216.49 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$152.69 |
$288.10 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$75 |
$141.50 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$38,952 |
$73,494.34 |
74.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$128.20 |
$241.89 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$185.25 |
$349.52 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$138.46 |
$261.24 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$162.82 |
$307.20 |
0.6× |
| Sigmoidoscopy & Polypectomy (45333) |
$273.83 |
$516.66 |
0.2× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$57,360.81 |
$108,227.95 |
37.3× |
| Sigmoidoscopy w/fb removal (45332) |
$13,364.57 |
$25,216.17 |
8.7× |
| Sigmoidoscopy W/Ultrasound (45341) |
$30,393.64 |
$57,346.49 |
25.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$5,285.57 |
$9,972.78 |
4.4× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$4,310.68 |
$8,133.35 |
2.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$413.40 |
$780 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$265 |
$500 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$296.80 |
$560 |
1.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$455.80 |
$860 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$328.60 |
$620 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$265 |
$500 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$583 |
$1,100 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$328.60 |
$620 |
1.3× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,075.59 |
$2,029.42 |
0.4× |
| Skin graft, harvest cultured tissue (15040) |
$38,952 |
$73,494.34 |
14.7× |
| Skin Pedicle Flap Trunk (15570) |
$807.93 |
$1,524.40 |
0.3× |
| Skin Pinch Graft (15050) |
$38,952 |
$73,494.34 |
41.0× |
| Skin sub graft trnk/arm/leg (15271) |
$75.91 |
$143.22 |
0.1× |
| Skin Tissue Procedure (17999) |
$201.98 |
$381.10 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$296.80 |
$560 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$371 |
$700 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$402.80 |
$760 |
0.8× |
| Sphincterotomy anal division sphincter spx (46080) |
$15,126.54 |
$28,540.64 |
4.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,264.05 |
$2,385 |
1.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$12,368.69 |
$23,337.15 |
4.7× |
| Strapping ankle (29540) |
$209.35 |
$395 |
1.0× |
| Strapping elbow or wrist (29260) |
$92.75 |
$175 |
1.2× |
| Strapping hand/finger (29280) |
$92.75 |
$175 |
1.2× |
| Strapping Hip (29520) |
$172.25 |
$325 |
1.0× |
| Strapping knee (29530) |
$172.25 |
$325 |
1.0× |
| Strapping shoulder (29240) |
$201.40 |
$380 |
1.2× |
| Strapping thorax (29200) |
$209.35 |
$395 |
1.0× |
| Strapping toes (29550) |
$92.75 |
$175 |
1.2× |
| Strapping Unna Boot (29580) |
$209.07 |
$394.48 |
1.0× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$13,724.16 |
$25,894.65 |
53.2× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$13,724.16 |
$25,894.65 |
14.4× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$13,724.16 |
$25,894.65 |
14.4× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$13,724.16 |
$25,894.65 |
14.4× |
| Suction assisted lipectomy; trunk (15877) |
$49.13 |
$92.70 |
0.0× |
| Surg tx anal fistula subq (46270) |
$466.13 |
$879.49 |
0.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$23,396.15 |
$44,143.67 |
6.6× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$11,734.42 |
$22,140.41 |
4.7× |
| Suture infrapatellar tendon primary (27380) |
$12,551.43 |
$23,681.94 |
1.3× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$18,946.46 |
$35,748.03 |
2.0× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$29,559.37 |
$55,772.40 |
3.2× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$79,514.44 |
$150,027.25 |
18.9× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$79,514.44 |
$150,027.25 |
18.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$6,500.70 |
$12,265.48 |
3.1× |
| Tangential biopsy skin single lesion (11102) |
$118.39 |
$223.38 |
0.2× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$47,093.43 |
$88,855.53 |
11.2× |
| Tendon shortening (26477) |
$770.32 |
$1,453.43 |
0.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$736.58 |
$1,389.78 |
0.2× |
Tenodesis long tendon biceps (23430)
range across 3 matching MRF lines |
$16,958.04–$36,814.97 |
$31,996.31–$69,462.20 |
varies |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$804.06 |
$1,517.09 |
0.4× |
| Tenolysis Triceps (24332) |
$17,627.07 |
$33,258.62 |
4.2× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$605.95 |
$1,143.30 |
0.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$447.64 |
$844.60 |
0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$257.72 |
$486.26 |
0.1× |
| Tenotomy shoulder area single tendon (23405) |
$46,883.79 |
$88,459.98 |
5.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,616.50 |
$3,050 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$610.99 |
$1,152.81 |
1.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$892.27 |
$1,683.52 |
0.3× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$24,985.23 |
$47,141.94 |
9.4× |
Tissue Expander Placement Breast Reconstruction (19357)
likely a partial charge, not the full procedure |
$1,366.33 |
$2,577.99 |
0.1× |
| Tlh uterus over 250 g (58572) |
$20,033.51 |
$37,799.08 |
1.5× |
| Tnot elbow lateral/medial debride open (24358) |
$7,844.38 |
$14,800.71 |
1.9× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$659.55 |
$1,244.44 |
0.2× |
| Total Knee Arthroplasty (27447) |
$42,154.06 |
$79,535.97 |
2.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$307.69 |
$580.55 |
1.0× |
Tracheostomy Fenestration W/Skin Flaps (31610)
likely a partial charge, not the full procedure |
$1,152.67 |
$2,174.85 |
0.2× |
| Tracheostomy planned (31600) |
$286.20 |
$540 |
0.1× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$683.16 |
$1,288.99 |
0.3× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$2,779.90 |
$5,245.09 |
0.7× |
| Transplant hand tendon (26480) |
$908.92 |
$1,714.95 |
0.2× |
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines |
$16,211.58–$17,986.92 |
$30,587.89–$33,937.59 |
varies |
| Treat Elbow Fracture (24635) |
$31,932.51 |
$60,250.02 |
3.4× |
| Treat elbow fracture (24587) |
$31,932.51 |
$60,250.02 |
1.9× |
| Treat Finger Fracture Each (26727) |
$9,091.19 |
$17,153.19 |
2.2× |
| Treat fracture radius/ulna (25575) |
$21,349.69 |
$40,282.43 |
2.3× |
| Treat Fx Rad Extra-Articul (25607) |
$23,931.81 |
$45,154.36 |
2.6× |
| Treat Hand Bone Lesion (26034) |
$657.86 |
$1,241.25 |
0.3× |
| Treat humerus fracture (24500) |
$539.78 |
$1,018.46 |
1.7× |
| Treat Humerus Fracture (24505) |
$2,586.68 |
$4,880.53 |
1.3× |
| Treat humerus fracture (23600) |
$496.97 |
$937.67 |
1.6× |
| Treat knee fracture (27532) |
$660.54 |
$1,246.30 |
0.2× |
| Treat Knee Fracture(S) (27538) |
$612.15 |
$1,155 |
1.9× |
Treat kneecap dislocation (27566)
likely a partial charge, not the full procedure |
$1,082.94 |
$2,043.29 |
0.1× |
| Treat Kneecap Fracture (27524) |
$15,600.80 |
$29,435.48 |
1.7× |
| Treat Knuckle Dislocation (26700) |
$318 |
$600 |
1.0× |
| Treat lower leg dislocation (27832) |
$45,996.94 |
$86,786.68 |
4.9× |
| Treat Metatarsal Fracture (28475) |
$382.66 |
$722 |
1.2× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$1,152.67 |
$2,174.85 |
0.1× |
| Treat Thumb Dislocation (26641) |
$546.80 |
$1,031.69 |
1.7× |
| Treat Thumb Fracture (26645) |
$2,120.55 |
$4,001.03 |
1.0× |
| Treat thumb fracture (26665) |
$1,686.27 |
$3,181.64 |
0.4× |
| Treat toe dislocation (28630) |
$318 |
$600 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,056.99 |
$5,767.90 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$318 |
$600 |
1.0× |
Treatment of ankle fracture (27823)
range across 2 matching MRF lines |
$24,938.21–$28,210.05 |
$47,053.23–$53,226.50 |
varies |
| Treatment of foot infection (28003) |
$1,899.93 |
$3,584.78 |
0.5× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure |
$1,439.43 |
$2,715.90 |
0.2× |
| Trim skin lesion (11055) |
$100.17 |
$189 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$115.54 |
$218 |
0.4× |
| Trim skin lesions over 4 (11057) |
$78.84 |
$148.76 |
0.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$8.33 |
$15.72 |
0.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,248.45 |
$4,242.35 |
0.5× |
| Tubal ligation (58600) |
$13,074.88 |
$24,669.58 |
3.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$8,424.22 |
$15,894.75 |
2.4× |
| Tx Gastro Intub W/Asp (43753) |
$412.61 |
$778.50 |
1.5× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,064.24 |
$2,008 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$14,123.62 |
$26,648.34 |
3.4× |
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure |
$1,229.70 |
$2,320.19 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$8,738.79 |
$16,488.29 |
2.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$438.58 |
$827.50 |
0.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,120.55 |
$4,001.03 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$6,623.51 |
$12,497.19 |
7.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$170.37 |
$321.45 |
0.3× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$665.74 |
$1,256.11 |
0.0× |
| Unlisted fetal invasive px w/ultrasound (59897) |
$12,282.42 |
$23,174.37 |
47.2× |
| Unlisted laparoscopic procedure liver (47379) |
$19,848.72 |
$37,450.41 |
2.6× |
| Unlisted laparoscopy procedure stomach (43659) |
$36,141.18 |
$68,190.90 |
4.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$52,301.92 |
$98,682.87 |
6.7× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure |
$2,052.69 |
$3,873 |
0.3× |
| Unlisted Procedure Biliary Tract (47999) |
$59,760.62 |
$112,755.88 |
51.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$78.19 |
$147.52 |
0.4× |
| Unlisted procedure excision pressure ulcer (15999) |
$39,773.24 |
$75,043.85 |
43.7× |
| Unlisted procedure femur or knee (27599) |
$4,143.96 |
$7,818.80 |
13.1× |
| Unlisted procedure forearm or wrist (25999) |
$15,854.14 |
$29,913.47 |
50.0× |
| Unlisted procedure humerus/elbow (24999) |
$27,839.98 |
$52,528.27 |
87.8× |
| Unlisted Procedure Intestine (44799) |
$900.74 |
$1,699.50 |
0.8× |
| Unlisted Procedure Leg/Ankle (27899) |
$73,611.31 |
$138,889.26 |
232.0× |
| Unlisted procedure liver (47399) |
$12,282.42 |
$23,174.37 |
13.5× |
| Unlisted Procedure Male Genital System (55899) |
$205.79 |
$388.29 |
0.6× |
| Unlisted procedure nervous system (64999) |
$731.40 |
$1,380 |
1.9× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$307.40 |
$580 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$173,611.25 |
$327,568.39 |
145.2× |
| Unlisted Procedure Trachea Bronchi (31899) |
$40,121.07 |
$75,700.13 |
156.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$7,373.89 |
$13,913 |
9.1× |
| Unlisted Procedure, Urinary System (53899) |
$21,817.06 |
$41,164.27 |
67.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$851.60 |
$1,606.80 |
3.3× |
| Unlisted vascular endoscopy procedure (37501) |
$45,908.41 |
$86,619.65 |
56.9× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$461.09 |
$869.99 |
0.1× |
Urethrorrhaphy sutr urethral wound/inj penile (53505)
likely a partial charge, not the full procedure |
$529.52 |
$999.10 |
0.1× |
| Urine Flow Measurement (51736) |
$121.66 |
$229.55 |
0.7× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$12,282.42 |
$23,174.37 |
3.0× |
| Vaginal delivery only (59409) |
$4,212.88 |
$7,948.83 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$6,874.55 |
$12,970.84 |
2.6× |
| Vitrectomy mechanical pars plana (67036) |
$5,675.01 |
$10,707.56 |
1.1× |
| Vulvectomy simple partial (56620) |
$13,444.40 |
$25,366.79 |
3.2× |
| Vulvectomy simple; complete (56625) |
$16,789.15 |
$31,677.64 |
4.0× |
| Wedge excision skin nail fold (11765) |
$106.83 |
$201.57 |
0.2× |
| Wound Prep F/N/Hf/G (15004) |
$40,087.61 |
$75,637 |
76.7× |
| Wound Prep Trk/Arm/Leg (15002) |
$40,087.61 |
$75,637 |
42.2× |
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure |
$846.15 |
$1,596.50 |
0.1× |