| Abd paracentesis w/imaging (49083) |
$1,154.93 |
$2,357 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$659.05 |
$605.50 |
0.7× |
| Ablate inf turbinate submuc (30802) |
$134.26 |
$267 |
0.1× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
— |
$18,358 |
— |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$6,213.44 |
$12,680.50 |
0.6× |
| Abltj 1/> lvr tum prq rf (47382) |
$6,086.29 |
$12,421 |
1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$371.42 |
$493.50 |
0.2× |
| Abortion (59841) |
$3,978.31 |
$8,119 |
1.2× |
| Abrasion single lesion (15786) |
$223.93 |
$469 |
1.1× |
| Acne surgery (10040) |
$169.05 |
$345 |
0.8× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$7,261.53 |
$14,819.45 |
2.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$31,047.12 |
$63,361.47 |
8.4× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$4,325.96 |
$8,828.50 |
2.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$3,190.27 |
$6,510.76 |
1.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,751.60 |
$5,615.50 |
1.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,992.83 |
$4,067 |
0.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,478.33 |
$3,017 |
0.7× |
| Amniocentesis diagnostic (59000) |
$201.39 |
$411 |
0.2× |
| Amniocentesis therapeutic (59001) |
$579.18 |
$1,182 |
1.8× |
| Amputation Finger/Thumb (26951) |
$4,648.38 |
$9,486.50 |
1.4× |
| Amputation metatarsal with toe single (28810) |
$3,841.35 |
$7,839.50 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$3,794.80 |
$7,744.50 |
1.1× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,598.98 |
$9,385.69 |
1.3× |
| Anoscopy diagnostic (46600) |
$159.50 |
$254 |
1.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$841.82 |
$1,005.50 |
0.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$4,162.55 |
$8,495 |
3.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$12,758.65 |
$26,038.07 |
2.4× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$424.83 |
$867 |
2.5× |
| Application cast elbow finger short arm (29075) |
$276.36 |
$310 |
0.9× |
| Application Cast Finger (29086) |
$154.10 |
$272 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$385.63 |
$787 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$93.10 |
$130 |
1.5× |
| Application finger splint static (29130) |
— |
$148 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$293 |
— |
| Application of long leg cast (29345) |
$385.63 |
$787 |
1.3× |
| Application of rigid total contact leg cast (29445) |
$647.29 |
$1,321 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$135.24 |
$276 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
— |
$236 |
— |
| Apply Hand/Wrist Cast (29085) |
$166.60 |
$222.50 |
1.0× |
| Apply long leg splint (29505) |
$177.87 |
$249.50 |
1.0× |
| Apply short leg cast (29405) |
$226.38 |
$462 |
0.8× |
| Apply short leg cast (29425) |
$257.74 |
$265 |
0.9× |
| Apply short leg splint (29515) |
— |
$255 |
— |
| Arterial puncture (36600) |
$12,055.46 |
$24,602.97 |
86.5× |
| Arteriovenous Anastomosis Open Direct (36821) |
$7,889.84 |
$16,101.71 |
2.4× |
| Artery-vein autograft (36825) |
$8,693.97 |
$17,742.80 |
1.5× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$25,993.25 |
$53,047.44 |
1.9× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$19,784.80 |
$40,377.14 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$426.66 |
$216 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$733.04 |
$1,496 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$674.24 |
$452 |
2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$336.63 |
$687 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$668.60 |
$782.75 |
2.1× |
| Arthrodesis ankle open (27870) |
$33,904.40 |
$69,192.64 |
2.5× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$854.56 |
$1,744 |
0.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$13,449.24 |
$27,447.44 |
1.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$25,235.24 |
$51,500.50 |
1.4× |
| Arthrodesis triple (28715) |
$33,423.15 |
$68,210.52 |
2.5× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$28,279.45 |
$57,713.17 |
1.0× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$41,834.58 |
$85,376.70 |
1.5× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) |
$32,527.09 |
$66,381.81 |
1.8× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$31,802.57 |
$64,903.20 |
1.7× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$16,933.04 |
$34,557.23 |
1.3× |
| Arthrodesis; subtalar (28725) |
$36,175.24 |
$73,827.03 |
2.7× |
| Arthroplasty ankle revision total ankle (27703) |
$35,341.15 |
$72,124.80 |
1.9× |
| Arthroplasty Ankle W/Implant (27702) |
$33,040.85 |
$67,430.31 |
1.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$23,481.08 |
$47,920.58 |
1.3× |
| Arthroplasty patella w/prosthesis (27438) |
$16,802.86 |
$34,291.55 |
1.2× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$16,656.25 |
$33,992.34 |
1.2× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$25,335.41 |
$51,704.91 |
1.9× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$13,404.10 |
$27,355.30 |
1.8× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$6,972.08 |
$14,228.75 |
2.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$5,904.25 |
$12,049.50 |
1.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$10,361.04 |
$21,144.98 |
3.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$8,937.63 |
$18,240.07 |
2.6× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$8,928.41 |
$18,221.24 |
2.6× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$10,341.94 |
$21,106 |
3.0× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$10,341.94 |
$21,106 |
1.4× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$7,654.53 |
$15,621.50 |
1.0× |
| Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) |
$12,825.52 |
$26,174.53 |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$5,695.02 |
$11,622.50 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$21,696.05 |
$44,277.66 |
6.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$12,825.52 |
$26,174.53 |
3.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$12,171.20 |
$24,839.20 |
1.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$16,390.06 |
$33,449.10 |
2.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$10,915.85 |
$22,277.25 |
3.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$12,268.61 |
$25,037.98 |
1.6× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$12,811.04 |
$26,144.98 |
3.7× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$6,545.42 |
$13,358 |
1.9× |
| Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) |
$5,287.44 |
$10,790.70 |
0.7× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$918.26 |
$1,236.50 |
0.3× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$7,083.68 |
$14,456.50 |
2.1× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) |
$8,345.21 |
$17,031.05 |
1.1× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$8,368.95 |
$17,079.50 |
2.4× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$8,703.72 |
$17,762.70 |
2.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$14,205.42 |
$28,990.65 |
1.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$11,519.01 |
$23,508.18 |
3.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$782.53 |
$1,597 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$824.67 |
$1,112 |
0.2× |
| Artificial Insemination Intra-Uterine (58322) |
$155.82 |
$318 |
0.7× |
| Artificial insemination; intra-cervical Facility (58321) |
$140.14 |
$286 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$1,259.30 |
$2,570 |
1.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$450.80 |
$920 |
1.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$605.15 |
$1,235 |
0.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,599.78 |
$7,346.50 |
1.6× |
| Aspiration bladder needle (51100) |
$306.74 |
$626 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$147.98 |
$302 |
0.7× |
| Axillary lymphadenectomy; complete (38745) |
$9,013.11 |
$18,394.10 |
1.4× |
| Axillary lymphadenectomy; superficial Facility (38740) |
$7,094.22 |
$14,478 |
1.1× |
| Biopsy bone open superficial (20240) |
$3,728.16 |
$7,608.50 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$9,087.05 |
$18,545 |
5.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,892.14 |
$3,861.50 |
1.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$5,093.55 |
$10,395 |
5.3× |
| Biopsy External Auditory Canal (69105) |
$245.49 |
$390.50 |
0.2× |
| Biopsy external ear (69100) |
$220.01 |
$449 |
0.9× |
| Biopsy intranasal (30100) |
$239.12 |
$369.50 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,321.13 |
$4,737 |
1.3× |
| Biopsy Nail Unit Separate Procedure (11755) |
$207.27 |
$319.50 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$557.13 |
$1,137 |
0.1× |
| Biopsy of floor of mouth (41108) |
$286.16 |
$425 |
0.2× |
| Biopsy of lip (40490) |
$195.51 |
$399 |
0.8× |
| Biopsy of mouth lesion (40808) |
$372.89 |
$761 |
0.7× |
| Biopsy of palate, uvula (42100) |
$248.92 |
$445.50 |
0.2× |
| Biopsy of penis (54100) |
$343.98 |
$702 |
0.2× |
| Biopsy of tongue (41100) |
$372.89 |
$761 |
0.7× |
| Biopsy of urethra (53200) |
$269.50 |
$550 |
0.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$18,681 |
$38,124.50 |
4.6× |
| Biopsy Oropharynx (42800) |
$2,505.37 |
$5,113 |
1.5× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$746.76 |
$1,524 |
0.2× |
| Biopsy pleura percutaneous needle (32400) |
$3,097.29 |
$6,321 |
1.8× |
| Biopsy Salivary Gland Incisional (42405) |
$4,488.64 |
$9,160.50 |
2.8× |
| Biopsy Salivary Gland,Needle (42400) |
$1,063.79 |
$2,171 |
1.4× |
| Biopsy soft tissue neck/thorax (21550) |
$1,950.69 |
$3,981 |
1.1× |
| Biopsy Tongue Posterior One-Third (41105) |
$240.59 |
$515 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$176.40 |
$360 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$4,410.73 |
$9,001.50 |
4.6× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$7,413.39 |
$15,129.36 |
2.0× |
| Biopsy/removal lymph nodes (38525) |
$11,128.51 |
$22,711.25 |
2.7× |
| Biopsy/removal lymph nodes (38510) |
$9,953.61 |
$20,313.50 |
2.4× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$411.11 |
$839 |
0.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$7,621.20 |
$15,553.46 |
10.4× |
| Bladder Irrigation Simple (51700) |
$227.85 |
$465 |
0.9× |
| Blepharoplasty lower eyelid (15820) |
$9,552.30 |
$19,494.50 |
4.4× |
| Blepharoplasty, Upper Eyelid (15822) |
$7,881.16 |
$16,084 |
3.6× |
| Blepharotomy drain absc eyelid (67700) |
$333.69 |
$681 |
1.0× |
| Blood patch (62273) |
$879.06 |
$1,794 |
1.2× |
| Blood transfusion service (36430) |
$9,875.30 |
$20,153.66 |
21.4× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$19,704.52 |
$40,213.30 |
2.6× |
| Bone Marrow Biopsy (38221) |
$1,479.31 |
$3,019 |
0.9× |
| Breast augmentation with implant (19325) |
$6,244.24 |
$12,743.35 |
0.7× |
| Breast Reduction (19318) |
$11,218.89 |
$22,895.70 |
1.6× |
| Breast surgery procedure (19499) |
$855.54 |
$1,746 |
0.2× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$4,028.29 |
$8,221 |
2.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,703.91 |
$7,559 |
2.0× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$9,832.09 |
$20,065.50 |
2.5× |
| Bronch ebus samplng 1/2 node (31652) |
$9,553.53 |
$19,497 |
2.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,203.44 |
$2,456 |
0.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,076.13 |
$4,237 |
0.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,304.14 |
$2,661.50 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,251.46 |
$945 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$2,205.49 |
$4,501 |
5.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,959.60 |
$6,040 |
1.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,230.32 |
$6,592.50 |
1.9× |
| Bx anorectal wall anal approach (45100) |
$8,330.73 |
$17,001.50 |
2.9× |
| Bx breast 1st lesion strtctc (19081) |
$3,446.66 |
$7,034 |
2.0× |
| Bx breast 1st lesion us imag (19083) |
$2,520.56 |
$5,144 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$252.84 |
$516 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$2,909.62 |
$5,938 |
1.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$823.69 |
$1,098.50 |
0.2× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$17,013.87 |
$34,722.19 |
2.2× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$13,042.31 |
$26,616.96 |
1.7× |
| Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) |
$28,575.11 |
$58,316.55 |
3.8× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$647.29 |
$883 |
0.4× |
| Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) |
$32,774.14 |
$66,886 |
4.3× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$9,194.60 |
$18,764.50 |
2.7× |
| Carpectomy All Bones Proximal Row (25215) |
$7,969.70 |
$16,264.70 |
2.3× |
| Cartilage graft; nasal septum Facility (20912) |
$824.18 |
$1,682 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$59.54 |
$121.50 |
0.3× |
| Cauterization,cervix,electro/thermal (57510) |
$285.18 |
$582 |
0.1× |
| Cautery cervix laser ablation (57513) |
$351.33 |
$717 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$340.55 |
$695 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,958.46 |
$8,078.50 |
1.2× |
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure |
$2,276.54 |
$4,646 |
0.3× |
| Change Cystostomy Tube Complicated (51710) |
$1,999.20 |
$4,080 |
2.7× |
| Change of cystostomy tube simple (51705) |
$8,762.38 |
$17,882.41 |
33.5× |
| Change Ureter Stent, Percut (50382) |
$12,227.21 |
$24,953.50 |
5.6× |
| Chemical cautery tissue (17250) |
$249.41 |
$302 |
1.2× |
| Chemodenerv Eccrine Glands (64650) |
$150.92 |
$308 |
0.5× |
| Chemodenerv musc migraine (64615) |
$1,914.43 |
$3,708 |
6.0× |
| Chemodenerv Musc Neck Dyston (64616) |
$236.18 |
$291.50 |
0.7× |
| Chemodenerv trunk musc 1-5 (64646) |
$274.89 |
$561 |
0.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$260.68 |
$346.50 |
0.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$234.71 |
$272 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,712.55 |
$3,495 |
0.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,810.80 |
$1,126 |
0.5× |
Chromotubation oviduct (58350)
likely a partial charge, not the full procedure |
$262.15 |
$369 |
0.1× |
| Circum 28 days or older (54161) |
$5,278.03 |
$10,771.50 |
2.4× |
| Circumcision (54150) |
$596.50 |
$513 |
0.3× |
| Claviculectomy partial (23120) |
$23,230.84 |
$47,409.88 |
6.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
— |
$731 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,069.18 |
$2,182 |
0.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$661.01 |
$1,349 |
2.6× |
| Closed Rx Radial Shaft Fx (25500) |
$447.62 |
$864.50 |
1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$349.86 |
$714 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$524.79 |
$1,116.50 |
2.0× |
| Closed treat wrist dislocation (25660) |
$686.98 |
$1,402 |
2.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$300.86 |
$614 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$206.78 |
$422 |
0.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$405.48 |
$796 |
1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$598.78 |
$805 |
2.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$575.75 |
$1,175 |
2.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$438.06 |
$916 |
1.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$325.85 |
$665 |
1.3× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$559.58 |
$1,355 |
0.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,028.18 |
$1,248.50 |
4.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$204.33 |
$235 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$485.10 |
$990 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$456.68 |
$1,156 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$559.58 |
$1,334.50 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$592.90 |
$1,101 |
2.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$554.68 |
$1,132 |
2.1× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
likely a partial charge, not the full procedure |
$1,849.75 |
$3,775 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$335.40 |
$590 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$538.51 |
$1,590 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,475.72 |
$529 |
1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$606.38 |
$1,224 |
2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$538.51 |
$1,099 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,468.22 |
$7,078 |
2.1× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$734.76 |
$1,658 |
0.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$439.04 |
$896 |
1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,103.57 |
$4,293 |
1.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,982.54 |
$4,046 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$214 |
$214 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,026.06 |
$2,094 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$460.11 |
$939 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$446.88 |
$912 |
1.7× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$788.90 |
$1,610 |
0.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$525.28 |
$787.50 |
2.1× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$1,045.66 |
$2,134 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$407.19 |
$831 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,386.70 |
$2,830 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$571.10 |
$1,106.50 |
2.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,871.80 |
$2,779 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$183.75 |
$788 |
0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$476.28 |
$972 |
1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,189.23 |
$2,427 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$461.58 |
$942 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$554.68 |
$1,253.50 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$530.67 |
$1,039 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$511.56 |
$986 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$306.74 |
$682 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$577.22 |
$1,151.50 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$752.40 |
$1,874.50 |
0.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,138.36 |
$4,364 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$290.08 |
$562 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$263.62 |
$506 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$235.69 |
$443.50 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$255.04 |
$520.50 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,468.13 |
$5,037 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$967.26 |
$1,296 |
3.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,166.20 |
$1,997 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$213.64 |
$341 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$264.36 |
$444 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$3,315 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$696.78 |
$784 |
2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,045 |
— |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$527 |
$1,107 |
2.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,828.46 |
$2,914 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$383.42 |
$1,071 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$456.19 |
$905 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$391.76 |
$1,127 |
1.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$294 |
$600 |
0.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$295.47 |
$495.50 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$393.72 |
$1,096 |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$939.33 |
$1,917 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$718.83 |
$1,475.50 |
2.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,009 |
$2,771.50 |
1.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$13,430.69 |
$27,409.58 |
52.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,551.83 |
$2,346 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$364 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,464.12 |
$2,210.50 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$2,034 |
— |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$903.07 |
$1,843 |
0.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$299.88 |
$576.50 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$559.58 |
$1,439.50 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$488.04 |
$1,028 |
1.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$410.86 |
$838.50 |
2.9× |
| Colonoscopy flex w/blln dilat (45386) |
$1,397.48 |
$2,852 |
1.1× |
| Colonoscopy flex w/inj submuc (45381) |
$5,010.25 |
$5,825 |
4.0× |
| Colonoscopy flex w/rem forcep (45384) |
$3,863.16 |
$7,884 |
3.1× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$417.97 |
$853 |
0.3× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$1,762.78 |
$3,597.50 |
0.3× |
| Colonoscopy stoma w/biopsy (44389) |
$4,225.02 |
$8,622.50 |
3.4× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$852.60 |
$1,740 |
0.7× |
| Colonoscopy thru stoma (44388) |
$1,692.46 |
$3,454 |
1.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$4,225.02 |
$8,622.50 |
3.4× |
| Colonoscopy w/ablation (45388) |
$4,328.90 |
$8,834.50 |
3.5× |
| Colonoscopy w/band ligation (45398) |
$1,376.41 |
$2,809 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$1,672.86 |
$3,414 |
1.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$5,932.68 |
$12,107.50 |
4.7× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,990.68 |
$8,144.25 |
1.4× |
| Colpocleisis (le fort type) (57120) |
$5,737.83 |
$11,709.86 |
1.1× |
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure |
$1,187.76 |
$2,424 |
0.2× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$20,505.23 |
$41,847.40 |
2.6× |
| Colporrhaphy Suture Injury Vagina (57200) |
$568.89 |
$1,161 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$287.63 |
$356 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$216.09 |
$441 |
1.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$275.87 |
$563 |
0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$593.39 |
$896 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$532.63 |
$1,087 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$226.87 |
$308 |
0.7× |
| Colposcopy vulva (56820) |
$213.64 |
$436 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$286.65 |
$585 |
0.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$260.19 |
$356.50 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$303.31 |
$409 |
0.3× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)
likely a partial charge, not the full procedure |
$1,478.82 |
$3,018 |
0.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$19,847.60 |
$40,505.30 |
3.8× |
| Complex Cystometrogram (51726) |
$367.99 |
$751 |
1.4× |
| Complex cystometrogram urethral press profile (51727) |
$442.47 |
$903 |
0.6× |
| Complex Uroflowmetry (51741) |
$12.25 |
$21 |
0.1× |
| Conization of cervix (57520) |
$7,104.51 |
$14,499 |
2.1× |
| Conization of cervix (57522) |
$4,562.63 |
$9,311.50 |
1.3× |
| Contour of face bone lesion (21029) |
$1,313.69 |
$2,681 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$563.74 |
$1,150.50 |
2.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$328.06 |
$530 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$220.50 |
$442 |
1.6× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972) |
$9,175 |
$18,724.50 |
2.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$274.89 |
$561 |
0.5× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$4,244.87 |
$8,663 |
1.2× |
| Conversion ext bil drg cath (47535) |
$2,489.94 |
$3,000 |
0.7× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$15,661.16 |
$31,961.55 |
1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,664.04 |
$3,396 |
0.8× |
| Convert nephrostomy catheter (50434) |
$10,812.09 |
$22,065.50 |
4.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,017.66 |
$6,158.50 |
1.7× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$1,184.82 |
$2,418 |
0.3× |
| Correction hammertoe (28285) |
$10,326.04 |
$21,073.56 |
3.0× |
| Correction of bunion (28298) |
$8,557.46 |
$17,464.20 |
1.1× |
| Correction of bunion (28292) |
$11,867.81 |
$24,220.02 |
3.5× |
| Correction of bunion (28299) |
$9,239.52 |
$18,856.17 |
1.2× |
| Correction of bunion (28297) |
$11,473.19 |
$23,414.67 |
0.9× |
| Correction of inverted nipples Facility (19355) |
$8,552.95 |
$17,455 |
2.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$8,585.38 |
$17,521.19 |
2.5× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$10,283.04 |
$20,985.80 |
1.8× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$89.18 |
$182 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$449.08 |
$734.50 |
3.2× |
| Curettage postpartum (59160) |
$4,150.30 |
$8,469.99 |
1.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$5,332.42 |
$10,882.49 |
2.4× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$12,508.02 |
$25,526.57 |
3.4× |
| Cysto w/destruction of lesions (52214) |
$3,887.90 |
$7,934.50 |
1.1× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$9,082.90 |
$18,536.53 |
1.6× |
| Cysto w/insert ureteral stent (52332) |
$6,744.48 |
$13,764.25 |
1.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$5,688.10 |
$11,608.36 |
1.5× |
| Cysto w/removal of tumors small (52234) |
$6,012.30 |
$12,270 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,852.27 |
$9,902.60 |
2.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$7,197.39 |
$14,688.56 |
1.9× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,905.14 |
$14,092.12 |
1.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$8,771.80 |
$17,901.64 |
1.6× |
| Cysto/uretero w/lithotripsy (52356) |
$8,144.62 |
$16,621.68 |
1.5× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$19,388.28 |
$39,567.91 |
3.5× |
| Cystometrogram w/vp (51728) |
$528.96 |
$904 |
0.7× |
| Cystometrogram W/Vp&Up (51729) |
$440.51 |
$899 |
0.6× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$1,259.30 |
$2,570 |
0.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$5,925.81 |
$12,093.49 |
2.7× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,427.09 |
$9,034.88 |
2.0× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$1,312.22 |
$2,678 |
0.4× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$10,447.73 |
$21,321.90 |
2.8× |
| Cystouretero & or pyeloscope (52351) |
$7,043.69 |
$14,374.88 |
1.9× |
| Cystourethroscopy (52000) |
$5,517.89 |
$11,261 |
7.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$8,896.64 |
$18,156.40 |
4.1× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$592.41 |
$1,209 |
0.8× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$7,332.85 |
$14,965 |
2.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$350.84 |
$716 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$5,721.53 |
$11,676.60 |
2.6× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$15,806.91 |
$32,259.01 |
4.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$10,659.56 |
$21,754.21 |
1.9× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$709.03 |
$1,447 |
0.3× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$6,044.15 |
$12,335 |
2.8× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$6,941.77 |
$14,166.88 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$100.45 |
$157.50 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,101.52 |
$1,426 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$757.54 |
$1,546 |
1.0× |
| Debride nail 1-5 (11720) |
$100.45 |
$205 |
1.6× |
| Debride nail 6 or more (11721) |
$243.53 |
$497 |
3.9× |
| Debride skin musc at fx site (11011) |
$846.23 |
$1,727 |
1.1× |
| Debride tissue/muscle (11043) |
$6,141.88 |
$12,534.44 |
7.9× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$367.99 |
$512.50 |
0.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$94.08 |
$187 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$420.42 |
$449 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,360.73 |
$1,926.50 |
0.8× |
| Declot vascular device (36593) |
$1,294.58 |
$2,642 |
3.7× |
| Decompression; plantar digital nerve Facility (64726) |
$4,095.12 |
$8,357.38 |
2.0× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$197.47 |
$413 |
0.1× |
| Delivery placenta separate procedure (59414) |
$1,388.90 |
$2,834.50 |
0.4× |
| Dermabrasion segmental face (15781) |
$908.95 |
$1,116 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$741.37 |
$1,182.50 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$7,368.86 |
$15,038.50 |
3.6× |
| Destruction Benign Lesions 15/> (17111) |
$121.52 |
$355 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$496.62 |
$395 |
2.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,862.49 |
$3,801 |
2.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$153.86 |
$198 |
0.5× |
| Destruction Lesions Vulva Extensive (56515) |
$472.85 |
$965 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$328.30 |
$670 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$306.25 |
$421 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$451.78 |
$922 |
2.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$413.07 |
$549.50 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$468.93 |
$616 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$601.72 |
$765 |
0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$209.72 |
$472 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$221.48 |
$452 |
1.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$274.89 |
$561 |
1.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$131.32 |
$493 |
0.3× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$399.84 |
$552.50 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$239.61 |
$338.50 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$161.21 |
$424.50 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$134.75 |
$275 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$163.17 |
$333 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$167.58 |
$342 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$415.52 |
$560.50 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$170.03 |
$225 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$378.77 |
$475.50 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$235.20 |
$313 |
0.1× |
| Destruction of skin lesions (17106) |
$586.04 |
$718 |
1.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$174.93 |
$357 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$96.04 |
$217.50 |
0.5× |
| Destruction Vaginal Lesions Simple (57061) |
$286.16 |
$584 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,340.64 |
$2,736 |
1.8× |
| Diagnostic sigmoidoscopy (45330) |
$1,177.47 |
$2,403 |
1.2× |
| Dil urethra,female,subsequent (53661) |
$126.91 |
$259 |
0.9× |
| Dilation and curettage (58120) |
$8,169.95 |
$16,673.36 |
2.4× |
| Dilation of cervical canal (57800) |
$132.79 |
$271 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$129.36 |
$264 |
1.0× |
| Dilation Salivary Duct (42650) |
$126.91 |
$156.50 |
0.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$7,797.12 |
$15,912.50 |
4.2× |
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure |
$891.31 |
$1,819 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$141.12 |
$288 |
0.1× |
| Drain lower leg bursa (27604) |
$753.38 |
$1,514 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$346.43 |
$556 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$303.31 |
$222 |
0.9× |
| Drainage Abscess Parotid Simple (42300) |
$47.53 |
$280 |
0.0× |
| Drainage abscess/hematoma nasal int approach (30000) |
$396.66 |
$809.50 |
1.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$459.13 |
$723 |
0.8× |
| Drainage external auditory canal abscess (69020) |
$2,256.32 |
$4,604.75 |
3.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$351.33 |
$542 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
— |
$1,192 |
— |
| Drainage Mouth Roof Lesion (42000) |
$273.66 |
$558.50 |
1.1× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$290.57 |
$358.50 |
0.5× |
| Drainage of abscess; submaxillary, external Facility (42320) |
$444.92 |
$908 |
0.8× |
| Drainage of gum lesion (41800) |
$345.20 |
$504 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$2,670.50 |
$3,019.50 |
1.5× |
| Drainage of mouth lesion (41017) |
$787.43 |
$1,014.50 |
0.2× |
| Drainage of salivary gland (42305) |
$739.90 |
$1,510 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$1,094.17 |
$693.50 |
0.6× |
Drainage of throat abscess (42725)
likely a partial charge, not the full procedure |
$1,357.30 |
$2,770 |
0.2× |
| Draw blood off venous device (36591) |
$9,365.95 |
$19,114.18 |
67.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$335.16 |
$684 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$288.86 |
$546 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$175.91 |
$246 |
0.8× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$760.48 |
$930 |
1.0× |
| Dstrj lesion anus simple chemical (46900) |
$408.66 |
$834 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$442.96 |
$657.50 |
2.1× |
| Dstrj lesion anus simple surg excision (46922) |
$532.14 |
$1,086 |
0.2× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$246.47 |
$317 |
0.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$57.33 |
$117 |
0.3× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$482.16 |
$984 |
1.1× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$810.46 |
$1,242.50 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$3,240.86 |
$6,614 |
1.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$425.32 |
$868 |
0.2× |
| Dx laryngoscopy w/oper scope (31526) |
$8,431.67 |
$17,207.50 |
4.5× |
| Ear Cartilage Graft (21235) |
$8,113.91 |
$16,559 |
1.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,599.85 |
$3,265 |
0.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$381.71 |
$779 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,981.98 |
$8,128.48 |
2.0× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,032.64 |
$4,148.25 |
1.0× |
| Egd control bleeding any (43255) |
$3,120.07 |
$6,367.50 |
1.6× |
| Egd dilate stricture (43245) |
$4,073.98 |
$8,314.26 |
2.0× |
| Egd endo mucosal resection (43254) |
$1,895.81 |
$3,869 |
0.9× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$1,775.27 |
$3,623 |
0.3× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$758.03 |
$1,257.50 |
0.4× |
| Egd flexible foreign body removal (43247) |
$15,447.60 |
$31,525.72 |
16.3× |
| Egd guide wire insertion (43248) |
$3,533.12 |
$6,813.20 |
3.7× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,100.05 |
$2,245 |
0.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,187.27 |
$2,423 |
0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,294.37 |
$6,723.20 |
1.6× |
| Egd place gastrostomy tube (43246) |
$10,162.23 |
$20,739.25 |
5.1× |
| Egd remove lesion snare (43251) |
$4,429.60 |
$9,040 |
2.2× |
| Egd us exam duodenum/jejunum (43259) |
$1,296.54 |
$2,646 |
0.6× |
| Egd us transmural injxn/mark (43253) |
$1,115 |
$2,275.50 |
0.6× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$650.72 |
$1,328 |
0.1× |
| Endocervical Curettage (57505) |
$264.60 |
$540 |
0.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,381.58 |
$8,942 |
0.8× |
| Endometrial Biopsy (58100) |
$172.48 |
$243 |
0.8× |
| Endoscopic us exam esoph (43237) |
$1,202.95 |
$2,455 |
0.6× |
| Endoscopy bowel pouch/biop (44386) |
$4,104.53 |
$8,376.59 |
4.2× |
| Endoscopy of bowel pouch (44385) |
$3,656.13 |
$7,461.50 |
3.8× |
| Endoscopy Upper Small Intestine (44360) |
$1,042.72 |
$489 |
0.5× |
| Endoven ther chem adhes 1st (36482) |
$7,852.10 |
$16,024.70 |
1.3× |
| Endovenous laser, 1st vein (36478) |
$2,517.13 |
$5,137 |
0.8× |
| Endovenous rf 1st vein (36475) |
$5,894.70 |
$12,030 |
1.8× |
| Episiotomy or vaginal repair (59300) |
$2,023.70 |
$4,130 |
0.6× |
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure |
$1,977.88 |
$4,036.50 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,278.16 |
$2,608.50 |
0.3× |
| Ercp ea duct/ampulla dilate (43277) |
$1,659.88 |
$3,387.50 |
0.4× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$1,076.28 |
$2,196.50 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$26,124.84 |
$53,316 |
6.5× |
| Ercp remove forgn body duct (43275) |
$26,124.84 |
$53,316 |
13.0× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$1,886.26 |
$3,849.50 |
0.3× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,291.40 |
$2,635.50 |
0.3× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$26,124.84 |
$53,316 |
6.5× |
| Esoph Scope W/Submucous Inj (43201) |
$439.04 |
$896 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$6,641.08 |
$13,553.24 |
7.0× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$2,373.56 |
$4,844 |
1.2× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$709.52 |
$1,448 |
0.4× |
| Esophagoscopy flexible guide wire dilation (43226) |
$651.21 |
$1,106 |
0.3× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$352.06 |
$707 |
0.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$2,888.55 |
$5,895 |
3.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,672.86 |
$3,414 |
0.8× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$5,408.37 |
$11,037.50 |
2.7× |
Esophagoscopy transoral stent placement (43212)
unusually low: confirm this is the full procedure |
$2,062.90 |
$4,210 |
0.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,136.80 |
$2,320 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,167.67 |
$2,383 |
0.6× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$10,730.36 |
$21,898.70 |
1.7× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,327.41 |
$2,709 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$86.73 |
$189 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,199.08 |
$1,843 |
1.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$194.04 |
$421 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$4,955.86 |
$10,114 |
2.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,426.56 |
$4,952.16 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$346.92 |
$708 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$2,171.68 |
$4,432 |
2.9× |
| Exc back les sc < 3 cm (21930) |
$4,663.57 |
$9,517.50 |
2.7× |
| Exc back tum deep < 5 cm (21932) |
$3,765.16 |
$7,684 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,172.32 |
$498 |
1.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$409.15 |
$835 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$5,701.15 |
$11,635 |
3.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$367.99 |
$588.50 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,346.62 |
$4,789.02 |
1.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$7,049.09 |
$14,385.90 |
4.2× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$374.36 |
$552.50 |
0.1× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$833.49 |
$1,093 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$8,277.32 |
$16,892.50 |
2.7× |
| Exc skin abd (15830) |
$7,714.07 |
$15,743 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,296.14 |
$4,686 |
3.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,062.90 |
$664 |
4.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$403.27 |
$823 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$5,340.51 |
$10,899 |
3.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$652.19 |
$783 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$506.66 |
$1,034 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,805.85 |
$9,807.85 |
2.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$688.45 |
$1,405 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,851.32 |
$9,900.65 |
2.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,957.66 |
$12,158.50 |
2.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,181.72 |
$4,452.50 |
1.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$5,549 |
$11,324.50 |
3.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,133.64 |
$8,436 |
1.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,460.71 |
$9,103.50 |
1.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$273.42 |
$564 |
0.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$966.77 |
$1,973 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,497.06 |
$11,218.50 |
3.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$7,668.25 |
$15,649.50 |
4.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,509 |
$1,509 |
0.9× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,335.76 |
$8,848.50 |
1.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$6,415.81 |
$13,093.50 |
2.1× |
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure |
$1,031.45 |
$2,105 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$8,394.19 |
$17,131 |
2.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$734.51 |
$995.50 |
0.4× |
| Exc/fulguration urethral caruncle (53265) |
$390.04 |
$469.50 |
0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,834.40 |
$5,784.50 |
0.8× |
| Exchange nephrostomy cath (50435) |
$1,951.18 |
$3,982 |
0.9× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,399.68 |
$1,983 |
0.7× |
| Excise cutaneous neurofibroma (64788) |
$701.19 |
$1,431 |
0.3× |
| Excise Inferior Turbinate (30130) |
$9,900.83 |
$20,205.77 |
2.9× |
| Excise pharynx lesion (42808) |
$396.90 |
$520.50 |
0.1× |
| Excise/repair mouth lesion (40812) |
$386.61 |
$789 |
0.2× |
| Excision Aural Polyp (69540) |
$359.66 |
$734 |
0.2× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$666.40 |
$865.50 |
0.2× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$7,035.08 |
$14,357.31 |
1.1× |
| Excision Breast Lesion (19125) |
$6,366.81 |
$12,993.50 |
1.6× |
| Excision Chalazion Single (67800) |
$217.56 |
$444 |
0.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$8,133.86 |
$16,599.72 |
2.4× |
| Excision external ear partial simple repair (69110) |
$798.70 |
$1,385 |
0.3× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$902.58 |
$1,500.50 |
0.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$711.48 |
$1,161 |
0.2× |
| Excision interdigital morton neuroma single each (28080) |
$4,420.53 |
$9,021.50 |
2.6× |
| Excision Lesion Floor Mouth (41116) |
$566.93 |
$780.50 |
0.2× |
| Excision lesion meniscus/capsule knee (27347) |
$10,140.56 |
$20,695.03 |
3.0× |
| Excision lesion mouth roof (42104) |
$369.95 |
$520 |
0.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$443.94 |
$906 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$335.65 |
$685 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$252.35 |
$654 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$2,229.50 |
$4,550 |
5.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,954.12 |
$3,988 |
2.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,503.81 |
$3,069 |
2.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$191.10 |
$390 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,995.04 |
$822 |
2.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,869.47 |
$3,815.25 |
2.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$4,307.96 |
$8,791.75 |
2.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$7,870.13 |
$16,061.50 |
4.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$337.12 |
$474.50 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$389.55 |
$795 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$3,438.70 |
$7,017.75 |
4.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$412.09 |
$841 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$410.13 |
$837 |
0.2× |
| Excision nasal polyp extensive (30115) |
$795.27 |
$1,623 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,554.86 |
$5,214 |
3.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,351.02 |
$4,798 |
3.2× |
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
likely a partial charge, not the full procedure |
$776.16 |
$960.50 |
0.1× |
Excision of cervical stump, vaginal approach; Facility (57550)
likely a partial charge, not the full procedure |
$738.43 |
$1,507 |
0.1× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
likely a partial charge, not the full procedure |
$1,054.48 |
$2,152 |
0.2× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) |
$12,152.42 |
$24,800.85 |
1.9× |
| Excision of hydrocele unilateral (55040) |
$5,831.49 |
$11,901 |
1.6× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$629.65 |
$795 |
0.2× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$613.97 |
$795.50 |
0.2× |
| Excision of lesion of tongue with closure; with local tongue flap Facility (41114) |
$1,055.46 |
$2,154 |
0.3× |
| Excision of lesion of tongue without closure (41110) |
$390.53 |
$571 |
0.1× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
likely a partial charge, not the full procedure |
$732.06 |
$994.50 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$4,323.27 |
$623 |
2.5× |
| Excision of local lesion of epididymis (54830) |
$4,745.65 |
$9,685 |
1.3× |
| Excision of maxillary torus palatinus (21032) |
$631.12 |
$836.50 |
0.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$13,365.73 |
$27,277 |
2.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$11,827.62 |
$24,138 |
1.9× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
— |
$4,103 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,090.52 |
$8,348 |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$4,326.21 |
$8,829 |
3.5× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$5,741.57 |
$11,717.50 |
2.6× |
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure |
$807.03 |
$1,011.50 |
0.1× |
| Excision of sublingual salivary cyst (ranula) Facility (42408) |
$917.77 |
$1,269.50 |
0.3× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$8,635.17 |
$17,622.80 |
1.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$4,677.78 |
$9,546.50 |
3.7× |
Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281)
likely a partial charge, not the full procedure |
$1,016.26 |
$2,074 |
0.2× |
| Excision of tongue lesion (41112) |
$266.56 |
$544 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$4,217.43 |
$8,607 |
1.2× |
| Excision of vaginal septum (57130) |
$392.98 |
$802 |
0.1× |
| Excision or fulguration; Skene's glands Facility (53270) |
$360.15 |
$735 |
0.1× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$7,596.65 |
$15,503.36 |
2.1× |
| Excision soft tissue lesion, external auditory canal (69145) |
$699.72 |
$978.50 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,663.57 |
$9,517.50 |
2.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$6,966.48 |
$14,217.30 |
2.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,672.79 |
$7,495.50 |
2.1× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$877.59 |
$1,213.50 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$5,957.66 |
$12,158.50 |
3.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$9,630.97 |
$19,655.05 |
3.2× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$425.32 |
$590 |
0.1× |
| Excision, nasal polyp(s), simple Facility (30110) |
$6,360.93 |
$12,981.50 |
3.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,701.15 |
$11,635 |
1.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$4,395.05 |
$8,969.50 |
2.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$637 |
$1,105 |
0.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$2,828.28 |
$5,772 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$11,766.61 |
$24,013.50 |
3.9× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,675.31 |
$2,700 |
0.5× |
| Excision; trochanteric bursa or calcification (27062) |
$7,422.39 |
$15,147.74 |
2.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,022.81 |
$6,169 |
1.4× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure |
$1,231.86 |
$2,514 |
0.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$734.02 |
$1,498 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$3,777.65 |
$7,709.50 |
2.2× |
| Exploration of knee joint (27310) |
$7,728.03 |
$15,771.50 |
2.3× |
| Exploration of middle ear (69440) |
$9,794.85 |
$19,989.50 |
2.8× |
| Explore Parathyroid Glands (60500) |
$9,776.65 |
$19,952.35 |
1.6× |
| Explore/Treat Knee Joint (27331) |
$8,825.67 |
$18,011.58 |
2.6× |
| External cephalic version (59412) |
$1,585.15 |
$3,235 |
0.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) |
$887.88 |
$1,121 |
0.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Facility (41015) |
$675.71 |
$1,379 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$5,851.58 |
$11,942 |
1.7× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$3,456.70 |
$7,054.50 |
1.0× |
| Fasciotomy foot and/or toe (28008) |
$24,137.10 |
$49,259.38 |
7.0× |
| Fetal non-stress test (59025) |
$587.51 |
$1,199 |
2.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,036.84 |
$2,116 |
1.4× |
| Fine needle aspiration without imaging guidance (10021) |
$171.50 |
$350 |
0.4× |
| Fit/Insert Intravag Support Device (57160) |
$126.42 |
$258 |
0.6× |
| Fitting of diaphragm/cap (57170) |
$132.30 |
$270 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$425.08 |
$867.50 |
1.7× |
| Forehead flap w/vasc pedicle (15731) |
$1,903.16 |
$2,163.50 |
0.5× |
| Foreskin manipulation (54450) |
$250.14 |
$217 |
1.0× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$1,503.32 |
$1,789.50 |
0.7× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$202.37 |
$413 |
0.1× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$4,345.07 |
$8,867.50 |
1.3× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,127 |
$2,347 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,942.85 |
$3,965 |
0.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,979.60 |
$4,040 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$267.05 |
$560 |
0.1× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,426.88 |
$2,912 |
0.7× |
| Fusion of foot bones (28740) |
$19,523.50 |
$39,843.88 |
2.6× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$794.78 |
$1,622 |
0.2× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$9,052.57 |
$18,474.63 |
2.4× |
| Gastrocnemius recession (27687) |
$19,566.04 |
$39,930.70 |
5.7× |
Glossectomy; less than one-half tongue Facility (41120)
likely a partial charge, not the full procedure |
$1,786.54 |
$3,646 |
0.3× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$1,436.19 |
$1,725 |
0.7× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$8,080.59 |
$16,491 |
2.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,603.28 |
$3,272 |
2.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$5,836.81 |
$11,911.86 |
1.7× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$4,184.35 |
$8,539.50 |
1.2× |
| Hemorrhoidectomy (46255) |
$4,748.83 |
$9,691.50 |
1.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,556.26 |
$9,298.50 |
1.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$4,750.79 |
$9,695.50 |
1.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$4,679.74 |
$9,550.50 |
1.6× |
| Hip arthro w/labral repair (29916) |
$13,404.10 |
$27,355.30 |
1.8× |
| Hymenotomy Simple Incision (56442) |
$80.85 |
$165 |
0.0× |
| Hysteroscopy biopsy (58558) |
$4,787.54 |
$9,770.50 |
1.4× |
Hysteroscopy div/rescj intrauterine septum (58560)
likely a partial charge, not the full procedure |
$527.24 |
$1,076 |
0.1× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$6,176.85 |
$12,605.81 |
1.2× |
| Hysteroscopy removal leiomyomata (58561) |
$6,542.23 |
$13,351.49 |
1.2× |
| Hysteroscopy w endometrial ablation (58563) |
$5,512.50 |
$11,249.99 |
1.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$3,775.54 |
$7,705.18 |
1.1× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$2,801.33 |
$5,717 |
0.5× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,086.26 |
$6,298.50 |
0.9× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$760.48 |
$885 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$47.53 |
$326.50 |
0.2× |
| I&d abscess simple (10060) |
$3,580.18 |
$3,873.75 |
17.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$415.03 |
$606 |
0.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,012.45 |
$10,229.50 |
1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,805.13 |
$11,847.20 |
1.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$308.94 |
$630.50 |
0.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$5,155.04 |
$10,520.50 |
1.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,361.78 |
$10,942.40 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$4,178.23 |
$8,527 |
5.6× |
| I&d submucosal abscess rectum (45005) |
$4,230.17 |
$8,633 |
3.4× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$309.19 |
$631 |
0.1× |
| I&d vulva/perineal abscess (56405) |
— |
$511 |
— |
| Ileoscopy thru stoma (44380) |
$3,467.73 |
$7,077 |
3.7× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,287.81 |
$4,669 |
2.4× |
| Image Cath Fluid Colxn Visc (49405) |
$1,679.23 |
$3,427 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,884.29 |
$3,845.50 |
1.1× |
| Implant neuroelectrodes (63650) |
$4,968.35 |
$10,139.50 |
0.7× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$14,594.62 |
$29,784.93 |
1.1× |
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714)
likely a partial charge, not the full procedure |
$841.33 |
$1,717 |
0.1× |
| Incise external hemorrhoid (46083) |
$322.18 |
$488 |
1.2× |
| Incise finger tendon sheath (26055) |
$3,097.16 |
$6,320.75 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$3,372.42 |
$745 |
7.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$718.10 |
$894.50 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,157.45 |
$8,484.60 |
2.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,525.12 |
$528 |
3.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$291.30 |
$463.50 |
1.4× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$545.37 |
$1,113 |
0.2× |
| Incision and drainage perianal abscess superficial (46050) |
$5,228.79 |
$5,745 |
5.4× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$446.39 |
$601 |
0.1× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$32,238.19 |
$65,792.22 |
4.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$611.03 |
$871.50 |
0.2× |
| Incision bone cortex foot (28005) |
$971.18 |
$1,982 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$6,343.05 |
$12,945 |
3.8× |
| Incision of eardrum (69421) |
$258.72 |
$528 |
0.1× |
| Incision of eardrum (69420) |
$1,968.45 |
$4,017.25 |
7.9× |
| Incision of labial frenum (frenotomy) (40806) |
$169.05 |
$293.50 |
0.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,563.43 |
$5,231.50 |
1.6× |
| Incision of rectal abscess (46040) |
$4,474.43 |
$9,131.50 |
3.6× |
Incision of windpipe (31610)
likely a partial charge, not the full procedure |
$1,623.86 |
$3,314 |
0.3× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$310.17 |
$517 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$263.62 |
$441 |
0.3× |
| Induced abortion by d&c (59840) |
$429.24 |
$876 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$149.94 |
$276 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$326.34 |
$485 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$8,842.86 |
$18,046.65 |
27.5× |
| Inj therapeutic carpal tunnel (20526) |
$140.14 |
$188 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$21,708.37 |
$44,302.79 |
23.4× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$86.24 |
$96 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$449.82 |
$918 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$9,081.40 |
$18,533.46 |
9.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,258.32 |
$2,568 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$56.35 |
$72 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$506.17 |
$339 |
0.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$390.04 |
$649.50 |
0.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,022.88 |
$1,177 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
— |
$199 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$375.34 |
$625 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$385.63 |
$647 |
0.5× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
— |
$390 |
— |
| Injection aa&/strd pudendal nerve (64430) |
$438.55 |
$340 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$300.86 |
$358 |
0.9× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$329.28 |
$455.50 |
0.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$15,986.58 |
$32,625.67 |
21.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$648.02 |
$244 |
0.9× |
| Injection for identification of sentinel node (38792) |
$15,370.32 |
$31,368 |
36.7× |
| Injection into skin lesions (11900) |
$105.84 |
$207.50 |
0.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$400.58 |
$528 |
0.6× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$3,470.67 |
$7,083 |
8.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$182 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$210 |
— |
| Injection Turbinate Therapeutic (30200) |
$187.67 |
$279.50 |
0.3× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$490.98 |
$279 |
0.7× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$90.65 |
$214 |
0.4× |
| Ins cath ren art 1st bilat (36252) |
$2,312.80 |
$4,720 |
0.7× |
| Ins cath ren art 1st unilat (36251) |
$2,131.99 |
$4,351 |
0.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,326.12 |
$6,788 |
0.6× |
| Ins endovas vena cava filtr (37191) |
$6,387.64 |
$13,036 |
1.1× |
| Ins tun ip cath for dial opn (49421) |
$4,792.20 |
$9,780 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$258.23 |
$517 |
1.9× |
| Insert cath pleura w/ image (32557) |
$1,120.63 |
$1,395 |
0.7× |
| Insert cath pleura w/o image (32556) |
$1,323.49 |
$2,701 |
0.7× |
| Insert cervical dilator (59200) |
$477.26 |
$974 |
1.5× |
| Insert Drug Implant Device (11981) |
$171.01 |
$241 |
1.2× |
| Insert gastrostomy tube percutaneous (49440) |
$8,377.04 |
$17,096 |
4.2× |
| Insert hepatic shunt (tips) (37182) |
$28,027.63 |
$57,199.25 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$3,028.69 |
$6,181 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,732.24 |
$2,931 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,061.92 |
$2,259.50 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$19,558.64 |
$34,079.67 |
140.4× |
| Insert tun ip cath perc (49418) |
$6,091.68 |
$12,432 |
1.6× |
| Insert tunneled cv cath (36561) |
$5,353 |
$10,924.50 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$19,356.79 |
$36,388.97 |
138.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$6,247.99 |
$12,751 |
1.7× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$296.94 |
$606 |
0.2× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$21,743.28 |
$44,374.05 |
1.1× |
| Insj picc rs&i 5 yr+ (36573) |
$2,538.93 |
$5,181.50 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,150.79 |
$8,471 |
1.3× |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure |
$733.53 |
$1,497 |
0.1× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,053.10 |
$4,190 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,320.75 |
$12,899.50 |
1.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,698.97 |
$17,753 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,663.82 |
$9,518 |
0.5× |
| Insrt/redo spine n generator (63685) |
$42,997.74 |
$87,750.50 |
1.3× |
| Intraoral i&d tongue/floor lingual (41000) |
$503 |
$432.50 |
0.9× |
| Intraoral i&d tongue/floor masticator space (41009) |
$718.83 |
$972.50 |
1.3× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$386.12 |
$788 |
1.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,895.08 |
$1,127 |
0.5× |
| Intro cath dialysis circuit (36901) |
$11,952.08 |
$24,392 |
7.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$9,530.26 |
$19,449.50 |
0.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$7,903.94 |
$16,130.50 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$14,798.94 |
$30,201.92 |
59.7× |
| Irrigation maxillary sinus (31000) |
$5,084.24 |
$10,376 |
20.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$402.29 |
$617.50 |
1.5× |
| Island pedicle flap graft (15740) |
$1,239.21 |
$2,529 |
0.6× |
| IV injection test vascular flow flap/graft (15860) |
$35,303.64 |
$72,048.25 |
75.5× |
| Knee Arthroscopy/Surgery (29874) |
$5,436.79 |
$11,095.50 |
1.6× |
| Knee Arthroscopy/Surgery (29879) |
$11,962.54 |
$24,413.35 |
3.5× |
| Labyrinthotomy Transcanal (69801) |
$231.28 |
$472 |
0.1× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Facility (63265) |
$11,360.54 |
$23,184.78 |
1.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$9,670.26 |
$29,672.50 |
1.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$15,226.38 |
$31,074.25 |
2.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$18,624.04 |
$66,381.81 |
2.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$12,537.63 |
$25,587 |
1.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$9,243.11 |
$28,078 |
1.2× |
| Lap ing hernia repair init (49650) |
$11,130.35 |
$22,715 |
1.8× |
| Lap paraesoph her rpr w/mesh (43282) |
$16,496.58 |
$33,666.50 |
1.5× |
| Lap paraesophag hern repair (43281) |
$15,359.78 |
$31,346.50 |
1.4× |
| Laparoscopic surgical splenectomy (38120) |
$18,859.64 |
$38,489.06 |
1.7× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$8,169.95 |
$16,673.36 |
1.3× |
| Laparoscopy appendectomy (44970) |
$8,310.99 |
$16,961.21 |
1.3× |
| Laparoscopy biopsy (49321) |
$6,932.03 |
$14,147 |
1.1× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$13,451.51 |
$27,452.06 |
1.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$634.06 |
$1,294 |
0.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,962.40 |
$24,413.06 |
1.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$8,295.70 |
$16,930 |
1.3× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$20,004.20 |
$40,824.90 |
1.8× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$18,440.46 |
$37,633.59 |
1.7× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,556.73 |
$3,177 |
0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$13,162.01 |
$26,861.24 |
1.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$9,420.38 |
$19,225.26 |
2.3× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
likely a partial charge, not the full procedure |
$1,532.23 |
$3,127 |
0.2× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$12,028.52 |
$24,548 |
1.1× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$18,529.53 |
$37,815.36 |
1.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,872.24 |
$24,229.06 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$13,863.11 |
$28,292.06 |
1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$13,698.86 |
$27,956.86 |
2.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$12,708.57 |
$25,935.86 |
1.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) |
$10,711.15 |
$21,859.50 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$13,654.76 |
$27,866.86 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$9,609.39 |
$19,611 |
1.5× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure |
$1,105.93 |
$2,257 |
0.2× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$16,918.93 |
$34,528.42 |
1.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$12,160.82 |
$24,818 |
1.9× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$18,281.97 |
$37,310.14 |
1.6× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$8,765.36 |
$17,888.50 |
1.4× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$7,159.39 |
$14,611 |
1.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,892.67 |
$16,107.50 |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$10,780.03 |
$22,000.06 |
1.7× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$18,664.49 |
$38,090.80 |
1.7× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge, not the full procedure |
$985.39 |
$2,011 |
0.2× |
| Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) |
$18,057.79 |
$36,852.63 |
1.6× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$14,948.43 |
$30,507 |
2.4× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$10,577.21 |
$21,586.14 |
1.7× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,826.68 |
$13,932 |
1.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$5,757.50 |
$11,750 |
1.5× |
Laryngoplasty, medialization, unilateral Facility (31591)
unusually low: confirm this is the full procedure |
$1,870.33 |
$3,817 |
0.3× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$5,117.31 |
$10,443.50 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$158.76 |
$324 |
0.8× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$1,579.27 |
$2,965.50 |
0.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$340.06 |
$576.50 |
0.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$670.81 |
$1,369 |
1.6× |
| Laryngoscopy w/biopsy (31535) |
$5,020.54 |
$10,246 |
1.3× |
| Laryngoscopy w/bx op scope (31536) |
$5,339.53 |
$10,897 |
1.4× |
| Laryngoscopy w/exc of tumor (31540) |
$404.74 |
$826 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$334.18 |
$682 |
0.2× |
| Larynscop w/tumr exc + scope (31541) |
$4,255.65 |
$8,685 |
1.1× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$8,340.05 |
$17,020.52 |
1.5× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$6,340.84 |
$12,940.50 |
1.1× |
| Late closure of wound (13160) |
$4,248.05 |
$8,669.50 |
1.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$16,666.62 |
$34,013.52 |
2.2× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$30,351.03 |
$61,940.87 |
2.3× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$1,484.70 |
$3,030 |
0.4× |
| Ligation of a-v fistula (37607) |
$4,886.03 |
$9,971.50 |
1.5× |
| Ligation of hemorrhoid(s) (46221) |
$480.69 |
$647.50 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$5,445.12 |
$11,112.50 |
3.1× |
| Lip shave (40500) |
$901.60 |
$1,194 |
0.3× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$9,226.60 |
$18,829.80 |
2.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$7,861.19 |
$16,043.25 |
2.1× |
| Lithotripsy (50590) |
$5,658.84 |
$11,548.66 |
1.5× |
| Liver Biopsy (47000) |
$1,881.35 |
$3,839.50 |
1.1× |
| Lyse chest fibrin init day (32561) |
$505.19 |
$1,031 |
0.8× |
| Lyse Chest Fibrin Subq Day (32562) |
$496.62 |
$1,013.50 |
0.8× |
| Lysis Intranasal Synechia (30560) |
$546.35 |
$1,115 |
1.0× |
| Lysis of labial adhesions (56441) |
$313.60 |
$640 |
0.1× |
| Manipulation hip joint general anesthesia (27275) |
$2,893.94 |
$5,906 |
1.7× |
| Manipulation knee joint under general anesthesia (27570) |
$15,693.37 |
$32,027.29 |
9.3× |
| Marsupialization Bartholins Gland Cyst (56440) |
$309.68 |
$632 |
0.1× |
| Mast mod rad (19307) |
$12,760.63 |
$26,042.10 |
1.8× |
| Mastectomy for gynecomastia (19300) |
$12,525.79 |
$25,562.83 |
3.1× |
| Mastectomy partial (19301) |
$10,568.15 |
$21,567.65 |
2.6× |
| Mastectomy simple complete (19303) |
$26,284.51 |
$53,641.85 |
3.8× |
Mastoidectomy; complete (69502)
likely a partial charge, not the full procedure |
$1,605.73 |
$3,277 |
0.3× |
| Mastopexy (19316) |
$19,707.96 |
$40,220.31 |
2.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$5,543.12 |
$11,312.50 |
3.4× |
| Mech remov tunneled cv cath (36595) |
$985.39 |
$2,011 |
0.3× |
| Metatarsectomy (28140) |
$961.38 |
$1,962 |
0.3× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,239.21 |
$2,529 |
1.6× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,089.52 |
$2,223.50 |
1.4× |
| Myelography Lumbar Injection (62305) |
$1,275.96 |
$2,604 |
1.6× |
| Myelography Lumbar Injection (62304) |
$1,984.01 |
$4,049 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,958.53 |
$3,997 |
2.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$4,109.14 |
$8,386 |
5.0× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$970.69 |
$1,981 |
0.3× |
| Myringoplasty (69620) |
$3,559.11 |
$7,263.50 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$187.18 |
$288.50 |
0.3× |
| N Block Inj, Plantar Digit (64455) |
$264.11 |
$539 |
0.8× |
| Nasal endoscopy dx (31231) |
$277.34 |
$566 |
1.3× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$9,900.83 |
$20,205.77 |
1.3× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$9,803.43 |
$20,007 |
2.5× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$457.90 |
$920 |
1.1× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$13,540.17 |
$14,272 |
1.8× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$12,737.30 |
$25,994.50 |
1.7× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$11,741.42 |
$23,962.08 |
6.3× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
likely a partial charge, not the full procedure |
$393.47 |
$803 |
0.1× |
| Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243) |
$8,217.08 |
$16,769.56 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,638.62 |
$7,425.75 |
2.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$184.73 |
$377 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$10,738.84 |
$21,916 |
1.5× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure |
$2,777.81 |
$5,669 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$8,150.90 |
$16,634.50 |
1.1× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$11,218.01 |
$22,893.90 |
1.5× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$10,885.59 |
$22,215.50 |
1.5× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$12,385.73 |
$25,277 |
1.7× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$9,586.60 |
$19,564.50 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$66.64 |
$136 |
0.1× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$4,866.68 |
$9,932 |
1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$6,892.95 |
$14,067.25 |
4.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32.34 |
$66 |
1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$32.34 |
$66 |
1.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,669.52 |
$5,448 |
1.3× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$6,726 |
$21,724.50 |
3.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$419.93 |
$857 |
1.0× |
| Nipple exploration (19110) |
$6,254.36 |
$12,764 |
1.5× |
| Njx aa&/strd sciatic nerve (64445) |
$22,838.36 |
$46,608.90 |
30.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$247.94 |
$373.50 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$727.16 |
$1,484 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,576.42 |
$5,258 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$300.37 |
$457.50 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$716.62 |
$908 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$903.07 |
$1,843 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$12,863.29 |
$26,251.62 |
13.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,015.03 |
$2,071.50 |
1.4× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$3,035.55 |
$6,195 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$705.11 |
$1,439 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,055.46 |
$2,154 |
1.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$4,293.13 |
$8,761.50 |
10.1× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$12,212.51 |
$24,923.50 |
1.7× |
| Obstructive material removal from gi tube (49460) |
$854.56 |
$2,309 |
0.9× |
| Occipital Nerve Block (64405) |
— |
$393 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,625.60 |
$9,440 |
1.1× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581)
likely a partial charge, not the full procedure |
$1,105.93 |
$2,257 |
0.2× |
Open nasoethmoid fx w/o fixj (21338)
likely a partial charge, not the full procedure |
$1,140.72 |
$2,328 |
0.2× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$16,493.25 |
$33,659.70 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$14,457.69 |
$29,505.49 |
1.9× |
| Open treatment calcaneal fracture (28415) |
$12,652.46 |
$25,821.34 |
1.7× |
| Open treatment fracture distal tibia only (27827) |
$16,698.87 |
$34,079.32 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$10,262.09 |
$20,943.04 |
1.4× |
| Open treatment metatarsal fracture each (28485) |
$6,279.13 |
$12,814.56 |
0.8× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$23,992.17 |
$48,963.61 |
3.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$11,713.66 |
$23,905.42 |
1.5× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$9,836.54 |
$20,074.58 |
1.6× |
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470)
unusually low: confirm this is the full procedure |
$1,971.27 |
$4,023 |
0.3× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$8,812.89 |
$17,985.50 |
1.4× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) |
$19,868.75 |
$40,548.47 |
1.5× |
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
likely a partial charge, not the full procedure |
$993.72 |
$2,028 |
0.2× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$25,689.53 |
$52,427.62 |
3.4× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$14,123.65 |
$28,823.78 |
1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$17,541.25 |
$35,798.46 |
1.3× |
Open treatment of mandibular condylar fracture Facility (21465)
likely a partial charge, not the full procedure |
$1,348.48 |
$2,752 |
0.2× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$3,303.58 |
$6,742 |
0.5× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$9,651.23 |
$19,696.38 |
1.6× |
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
likely a partial charge, not the full procedure |
$1,175.02 |
$2,398 |
0.2× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
likely a partial charge, not the full procedure |
$1,360.73 |
$2,777 |
0.2× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$48,164.64 |
$98,295.18 |
3.6× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$11,268.42 |
$22,996.77 |
1.5× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure |
$1,526.35 |
$1,883.50 |
0.2× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$9,431.33 |
$19,247.62 |
0.7× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$19,906.26 |
$40,625.03 |
2.6× |
| Open Treatment Proximal Humeral Fracture (23615) |
$18,800.91 |
$38,369.20 |
1.4× |
| Open treatment talus fracture (28445) |
$10,262.09 |
$20,943.04 |
1.4× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$6,783.62 |
$13,844.12 |
0.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$11,654.70 |
$23,785.12 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$9,073.48 |
$18,517.30 |
2.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$13,333.61 |
$27,211.44 |
1.8× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$15,738.72 |
$32,119.84 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$9,969.29 |
$20,345.50 |
2.9× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$20,944.90 |
$42,744.70 |
6.1× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,301.01 |
$14,900.03 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$13,343.50 |
$27,231.64 |
1.8× |
| Open tx ulnar fx proximal end (24685) |
$12,418.90 |
$25,344.68 |
1.6× |
| Open/Perq Place Stent Same (37238) |
$7,667.28 |
$11,649 |
0.6× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$13,389 |
$27,324.50 |
1.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$11,590.52 |
$23,654.10 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$10,470.59 |
$21,368.56 |
1.4× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$10,285.66 |
$20,991.14 |
1.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,742.65 |
$34,168.67 |
1.2× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$11,958.59 |
$24,405.28 |
1.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,019.65 |
$12,285 |
1.6× |
| Ostectomy calcaneus (28118) |
$9,490.24 |
$19,367.82 |
2.8× |
| Ostectomy complete 1st metatarsal head (28111) |
$4,308.32 |
$8,792.50 |
1.3× |
| Ostectomy complete 5th metatarsal head (28113) |
$16,947.04 |
$34,585.80 |
4.9× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$3,272.95 |
$6,679.50 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,589.68 |
$11,407.50 |
1.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,528.09 |
$9,241 |
1.3× |
| Osteochondral allograft, knee, open (27415) |
$12,108.79 |
$24,711.81 |
0.9× |
| Osteochondral knee autograft (27416) |
$9,631.40 |
$19,655.91 |
1.3× |
| Osteot shrt corrj prox phalanx 1st toe (28310) |
$15,427.23 |
$31,484.14 |
2.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$11,372.24 |
$23,208.66 |
3.3× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$14,787.75 |
$30,179.09 |
1.9× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
— |
$5,502 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
$42,086.69 |
$85,891.20 |
5.5× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$21,536.86 |
$43,952.77 |
2.8× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$14,425.39 |
$29,439.57 |
1.9× |
Ovarian cystectomy (58925)
likely a partial charge, not the full procedure |
$1,305.36 |
$2,664 |
0.2× |
| Palatopharyngoplasty (42145) |
$7,797.12 |
$15,912.50 |
1.3× |
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
likely a partial charge, not the full procedure |
$1,412.18 |
$2,882 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$9,017.03 |
$18,402.11 |
2.6× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$4,518.29 |
$9,221 |
1.3× |
| Partial excision of lip (40520) |
$856.03 |
$1,747 |
0.2× |
| Partial hymenectomy or revision (56700) |
$3,360.66 |
$6,858.50 |
1.0× |
| Partial removal of thyroid (60220) |
$10,262.24 |
$20,943.35 |
1.6× |
| Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60212) |
$9,118.83 |
$18,609.85 |
1.4× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$7,462.38 |
$15,229.35 |
1.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,247.88 |
$10,709.97 |
1.5× |
| Patellectomy or hemipatellectomy (27350) |
$8,791.70 |
$17,942.24 |
1.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,531.83 |
$5,167 |
0.7× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$14,924.17 |
$30,457.50 |
2.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$940.80 |
$1,920 |
1.3× |
| Percut Mech Thrombectomy, Venous (37187) |
$26,827.99 |
$54,751 |
2.2× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,493.54 |
$7,129.68 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$3,100.23 |
$6,327 |
1.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$465.50 |
$950 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$1,994.30 |
$4,070 |
2.7× |
| Perq device breast 1st imag (19281) |
$1,338.92 |
$2,732.50 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$360.15 |
$431.50 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$2,323.09 |
$4,741 |
3.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,601.79 |
$9,391.41 |
1.3× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure |
$5,844.72 |
$11,928 |
0.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,141.57 |
$10,493 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$11,383.14 |
$23,230.89 |
1.5× |
| Perq Vertebral Augmentation (22513) |
$15,051.33 |
$30,717 |
2.0× |
| Phleb veins - extrem 20+ (37766) |
$8,326.19 |
$16,992.22 |
2.5× |
| Picc line placement (36569) |
$157.29 |
$321 |
0.1× |
| Place Cath Thoracic Aorta (36221) |
$1,641.01 |
$3,349 |
0.5× |
| Place duod/jej tube perc (49441) |
$1,312.46 |
$3,258 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$264.11 |
$539 |
0.6× |
| Placement of seton (46020) |
$7,022.43 |
$14,331.50 |
2.4× |
| Plastic Repair Introitus (56800) |
$6,188.70 |
$12,630 |
1.8× |
Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500)
likely a partial charge, not the full procedure |
$766.36 |
$961.50 |
0.1× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$3,846.01 |
$7,849 |
0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$4,092.97 |
$8,353 |
0.6× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$6,330.80 |
$12,920 |
2.9× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$6,648.81 |
$13,569 |
1.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,644.55 |
$11,519.50 |
1.5× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,648.38 |
$9,486.50 |
1.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$7,803.47 |
$15,925.45 |
1.5× |
| Prim art mech thrombectomy (37184) |
$27,868.75 |
$56,875 |
1.5× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$14,779.98 |
$30,163.22 |
1.9× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$17,591.56 |
$35,901.14 |
2.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,159.34 |
$2,366 |
1.6× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$25,073.10 |
$51,169.60 |
3.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$3,587.29 |
$6,764 |
0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,422.56 |
$4,944 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,314.45 |
$8,805 |
1.2× |
| Prq skel fixj metar fx w/manj (28476) |
$4,640.89 |
$9,471.20 |
1.4× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$3,235.88 |
$6,603.84 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$781.06 |
$1,013.50 |
1.8× |
| Puncture Aspiration Cyst Breast (19000) |
$1,126.02 |
$2,298 |
1.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$886.41 |
$1,129.50 |
2.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$576.73 |
$463 |
0.8× |
| Rad resect elbow caps/sr bone w rels (24149) |
$17,831.98 |
$36,391.79 |
2.3× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842)
likely a partial charge, not the full procedure |
$1,710.59 |
$3,491 |
0.3× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$797.23 |
$1,627 |
0.5× |
| Radical styloidectomy separate procedure (25230) |
$7,969.70 |
$16,264.70 |
2.3× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$6,991.24 |
$14,267.83 |
0.9× |
| Reconstruct Shoulder Joint (23470) |
$25,436.54 |
$51,911.31 |
1.9× |
| Reconstruct ulna/radioulnar (25337) |
$20,080.20 |
$40,980 |
2.6× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$10,862.92 |
$22,169.22 |
1.4× |
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
unusually low: confirm this is the full procedure |
$1,895.81 |
$3,869 |
0.3× |
| Reinforce tibia (27745) |
$21,775.77 |
$44,440.34 |
2.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$9,329.49 |
$19,039.78 |
1.2× |
| Reinsertion of spinal fixation device Facility (22849) |
$25,177.65 |
$51,382.96 |
1.9× |
| Rem Endovas Vena Cava Filter (37193) |
$6,355.30 |
$12,970 |
1.9× |
| Removal biliary drg cath (47537) |
$1,215.20 |
$2,480 |
1.3× |
| Removal entire oi implt skl perq attachment esp (69726) |
$1,232.98 |
$1,655 |
0.4× |
| Removal Foreign Body Foot Complicated (28193) |
$1,517.04 |
$1,796 |
0.9× |
| Removal foreign body foot deep (28192) |
$4,475.41 |
$9,133.50 |
2.6× |
| Removal foreign body foot subcutaneous (28190) |
$3,138.69 |
$3,618.25 |
4.2× |
| Removal foreign body intranasal (30300) |
$360.64 |
$736 |
2.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$176.89 |
$356.50 |
0.1× |
| Removal foreign body pharynx (42809) |
$337.12 |
$549 |
0.7× |
| Removal foreign body shoulder subcutaneous (23330) |
$513.03 |
$753 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$7,265.47 |
$14,827.50 |
2.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$411.11 |
$112 |
6.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$66.15 |
$224 |
1.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$299.88 |
$612 |
0.1× |
| Removal implant deep (20680) |
$6,423.14 |
$13,108.44 |
2.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,149.96 |
$6,428.50 |
1.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$246.47 |
$343.50 |
0.3× |
| Removal of adenoids (42835) |
$341.53 |
$697 |
0.1× |
| Removal of adenoids (42831) |
$5,823.65 |
$11,885 |
1.7× |
| Removal of adenoids (42830) |
$5,288.32 |
$10,792.50 |
1.5× |
| Removal of adenoids (42836) |
$421.40 |
$860 |
0.1× |
| Removal of anal fissure (46200) |
$4,492.32 |
$9,168 |
1.5× |
| Removal of ankle implant (27704) |
$47,833.60 |
$97,619.60 |
14.0× |
| Removal of arm foreign body (24200) |
— |
$765 |
— |
| Removal of breast capsule (19371) |
$6,244.24 |
$12,743.35 |
1.5× |
Removal of cervix (57530)
likely a partial charge, not the full procedure |
$640.43 |
$1,307 |
0.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
— |
$210 |
— |
| Removal of heel spur (28119) |
$9,655.61 |
$19,705.33 |
2.8× |
| Removal of implant from finger or hand (26320) |
$3,059.07 |
$6,243 |
1.8× |
| Removal of implant material (19330) |
$8,698.97 |
$17,753 |
2.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$307.72 |
$628 |
0.5× |
| Removal of intranasal lesion (30118) |
$10,424.75 |
$21,275 |
3.0× |
| Removal of iud (58301) |
$6,661.05 |
$13,593.98 |
20.9× |
| Removal of kidney stone (50081) |
$13,098.04 |
$26,730.70 |
1.3× |
| Removal of kidney stone (50080) |
$12,515.36 |
$25,541.56 |
1.3× |
| Removal of nail bed (11750) |
$147.49 |
$301 |
0.3× |
| Removal of posterior segmental instrumentation Facility (22852) |
$13,950.02 |
$28,469.43 |
1.8× |
| Removal of salivary stone (42330) |
$159.74 |
$326 |
0.0× |
| Removal of sesamoid bone (28315) |
$6,591.23 |
$13,451.50 |
1.9× |
| Removal Of Tendon Lesion (27630) |
$3,932.74 |
$8,026 |
1.1× |
| Removal of testis (54520) |
$4,766.96 |
$9,728.50 |
1.3× |
| Removal of tonsils (42825) |
$4,665.78 |
$9,522 |
0.8× |
| Removal of tonsils (42826) |
$5,038.42 |
$5,611.25 |
1.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,366.94 |
$4,830.50 |
0.7× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711) |
$6,605.20 |
$13,480 |
1.9× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,263.22 |
$2,578 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$99.47 |
$321 |
0.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$11,121.78 |
$22,697.51 |
15.0× |
| Removal Submand Stone,Complicated (42335) |
$737.94 |
$1,046.50 |
0.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$13,235.19 |
$27,010.59 |
6.1× |
| Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69727) |
$5,060.23 |
$10,327 |
1.5× |
| Removal, under anesthesia, of external fixation system (20694) |
$16,698.87 |
$34,079.32 |
9.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$110.25 |
$225 |
0.4× |
| Remove anal fist subq (46270) |
$4,184.60 |
$8,540 |
1.4× |
| Remove cerclage suture (59871) |
$226.87 |
$463 |
0.1× |
| Remove drug implant device (11982) |
$6,951.32 |
$14,186.36 |
14.9× |
| Remove elbow lesion (24120) |
$7,137.34 |
$14,566 |
2.1× |
| Remove ext hem groups 2+ (46250) |
$812.42 |
$1,658 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$5,353.89 |
$10,926.30 |
1.8× |
| Remove Prostate Regrowth (52630) |
$5,488.49 |
$11,201 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$1,444.76 |
$2,812 |
2.0× |
| Remove spine eltrd perq aray (63661) |
$1,162.28 |
$1,799.50 |
0.6× |
| Remove spine eltrd plate (63662) |
$11,589.97 |
$23,653 |
3.2× |
| Remove Tendon Sheath Lesion (26160) |
$3,539.88 |
$7,224.25 |
2.1× |
| Remove thyroid duct lesion (60280) |
$11,258.97 |
$22,977.50 |
1.8× |
| Remove tissue expander (11971) |
$4,805.85 |
$9,807.85 |
1.6× |
| Remove ureter stent, percut (50384) |
$10,812.09 |
$22,065.50 |
4.9× |
| Remove vagina gland lesion (56740) |
$4,743.69 |
$9,681 |
1.4× |
| Remove/Insert Drug Implant (11983) |
$241.08 |
$314.50 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,374.54 |
$4,846 |
1.4× |
| Remv Ext Canal Foreign Body (69200) |
$99.47 |
$328 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$899.50 |
— |
| Renal Biopsy Percutaneous (50200) |
$2,081.76 |
$4,248.50 |
1.2× |
| Repair achilles tendon (27650) |
$7,272.95 |
$14,842.76 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$711.48 |
$1,444 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$782.04 |
$1,313 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$673.75 |
$1,375 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$497.84 |
$1,016 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$496.62 |
$801 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$509.60 |
$1,040 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$576.73 |
$932.50 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$630.14 |
$1,286 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$5,081.05 |
$10,369.50 |
3.0× |
| Repair Eyelid Wound (67935) |
$1,009.89 |
$1,313.50 |
0.4× |
| Repair eyelid wound (67930) |
$2,224.11 |
$4,539 |
0.9× |
| Repair hand joint with graft (26542) |
$8,439.06 |
$17,222.57 |
2.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$9,126.30 |
$18,625.10 |
2.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$12,539.33 |
$25,590.47 |
3.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$9,650.11 |
$19,694.10 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$852.60 |
$1,219.50 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,670.04 |
$3,408.25 |
3.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$777.14 |
$1,586 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$3,241.10 |
$6,614.50 |
7.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$7,870.13 |
$16,061.50 |
18.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$336.14 |
$686 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$3,438.70 |
$7,017.75 |
8.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$705.84 |
$1,324 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$3,063.24 |
$6,251.50 |
7.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$401.31 |
$864.50 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,197.90 |
$4,485.50 |
5.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$6,110.05 |
$12,469.50 |
7.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,760.82 |
$3,593.50 |
4.1× |
| Repair Laceration Palate </2 Cm (42180) |
$434.14 |
$886 |
0.8× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$561.54 |
$1,146 |
0.1× |
| Repair Mouth Laceration (40831) |
$430.22 |
$878 |
0.8× |
| Repair nasal septal perforations (30630) |
$8,175.40 |
$16,684.50 |
2.4× |
| Repair Nasal Stenosis (30465) |
$6,161.50 |
$12,574.50 |
1.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$10,561.65 |
$21,554.38 |
1.6× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
likely a partial charge, not the full procedure |
$863.87 |
$1,763 |
0.2× |
| Repair of humerus (24430) |
$12,907.54 |
$26,341.91 |
1.0× |
| Repair of leg tendon each (27658) |
$9,494.71 |
$19,376.96 |
2.8× |
| Repair of nail bed (11760) |
— |
$640 |
— |
| Repair of nasal septum (30520) |
$5,814.58 |
$11,866.50 |
1.7× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
$8,448.09 |
$17,241 |
1.4× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$12,697.24 |
$25,912.74 |
1.7× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$20,857.83 |
$42,567 |
2.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$12,323.74 |
$25,150.50 |
1.6× |
| Repair of tibia (27720) |
$17,560.19 |
$35,837.12 |
2.3× |
| Repair of traumatic corporeal tear(s) (54437) |
$6,060.45 |
$12,368.26 |
1.6× |
| Repair oval window fistula Facility (69666) |
$1,376.41 |
$2,809 |
0.4× |
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure |
$1,176.49 |
$2,401 |
0.2× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$18,809.14 |
$38,386.01 |
5.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$10,497.37 |
$21,423.21 |
1.5× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$8,177.90 |
$16,689.60 |
2.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,584.80 |
$19,560.82 |
1.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$8,341.26 |
$17,022.98 |
2.4× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$13,370.78 |
$27,287.30 |
1.8× |
| Repair tongue laceration (41252) |
$708.54 |
$1,446 |
2.9× |
| Repair Tongue Laceration (41250) |
$5,477.22 |
$11,178 |
11.7× |
| Repair tympanic membrane (69610) |
$2,942.94 |
$6,006 |
1.8× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$20,529.42 |
$41,896.78 |
2.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$19,161.42 |
$39,104.94 |
2.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$16,832.52 |
$34,352.08 |
2.2× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$17,074.53 |
$34,845.98 |
2.2× |
| Repeat control of nosebleed (30906) |
$456 |
$758 |
1.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,467.30 |
$2,994.50 |
1.5× |
| Replace elbow joint (24363) |
$33,776.98 |
$68,932.60 |
1.8× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$984.90 |
$2,010 |
1.0× |
| Replace Tissue Expander (11970) |
$8,832.74 |
$18,026 |
1.2× |
| Replace tunneled cv cath (36578) |
$718.34 |
$1,466 |
0.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,507.97 |
$3,077.50 |
1.6× |
| Reposition cv cath w/fluoro (36597) |
$185.71 |
$379 |
0.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$645.58 |
$426 |
2.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$662.97 |
$1,353 |
0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,502.37 |
$7,147.70 |
1.0× |
| Revis reconst shoulder joint (23473) |
$16,897.50 |
$34,484.70 |
1.3× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$28,077.70 |
$57,301.43 |
2.1× |
| Revise Lower Leg Tendon (27691) |
$17,162.18 |
$35,024.84 |
2.3× |
| Revise reconst elbow joint (24370) |
$12,838.24 |
$26,200.50 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$6,316.58 |
$12,891 |
3.1× |
| Revise vag graft via vagina (57295) |
$854.56 |
$1,744 |
0.3× |
| Revise/Remove Neuroreceiver (63688) |
$6,138.23 |
$12,527 |
1.7× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$34,710.79 |
$70,838.34 |
1.9× |
Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601)
likely a partial charge, not the full procedure |
$1,730.19 |
$3,531 |
0.3× |
| Revision of foot (28116) |
$12,373.29 |
$25,251.61 |
3.6× |
| Revision of lower leg tendon (27685) |
$7,068.74 |
$14,426 |
2.1× |
| Revision of reconstructed breast (19380) |
$7,783.89 |
$15,885.50 |
1.1× |
Revision of stapedectomy or stapedotomy Facility (69662)
unusually low: confirm this is the full procedure |
$1,965.88 |
$4,012 |
0.3× |
| Revision of tips (37183) |
$4,926.46 |
$10,054 |
0.8× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$22,537.20 |
$45,994.28 |
1.7× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$12,042.11 |
$24,575.73 |
0.9× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$29,225.54 |
$59,643.97 |
1.6× |
| Revision of ulna (25360) |
$21,990.95 |
$44,879.50 |
2.9× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$591.43 |
$1,207 |
0.1× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$16,788.23 |
$34,261.70 |
1.2× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$15,759.38 |
$32,162 |
1.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,502.37 |
$7,147.70 |
1.0× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$10,158.68 |
$20,732 |
1.6× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$3,491.25 |
$7,125 |
1.6× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$519.89 |
$724 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$246.22 |
$372.50 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$171.74 |
$234 |
1.2× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$270.72 |
$552.50 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,992.83 |
$4,067 |
0.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$1,081 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,096.22 |
$4,278 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,034.88 |
$2,112 |
1.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,823.13 |
$5,761.50 |
1.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,729.45 |
$3,529.50 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$6,443.01 |
$13,149 |
1.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,306.85 |
$8,789.50 |
1.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$11,557.61 |
$23,586.95 |
1.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,261.73 |
$18,901.50 |
2.5× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$12,375.45 |
$25,256.03 |
1.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$11,896.62 |
$24,278.82 |
1.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$10,696.70 |
$21,830 |
1.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$10,118.69 |
$20,650.38 |
1.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,585.24 |
$5,276 |
1.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,801 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$853.62 |
$1,166 |
1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$2,041 |
— |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$8,945.93 |
$18,257 |
1.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$9,751.98 |
$19,902 |
2.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$241.57 |
$493 |
0.4× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$10,314.33 |
$21,049.65 |
3.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$11,555.18 |
$23,582 |
3.4× |
| Sclerotx Fluid Collection (49185) |
$1,630.72 |
$3,328 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,841.76 |
$2,395 |
2.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,801.36 |
$3,538 |
1.4× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,014.06 |
$2,069.50 |
0.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$265.09 |
$444.50 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$169.54 |
$355 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$298.41 |
$609 |
1.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$189.14 |
$386 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$416.50 |
$850 |
2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$184.24 |
$376 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$233.73 |
$477 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$230.30 |
$471.50 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$182.77 |
$373 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$283.22 |
$499 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$276.36 |
$564 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$296.94 |
$606 |
1.4× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$908.46 |
$1,854 |
0.3× |
| Sigmoidoscopy & decompress (45337) |
$650.72 |
$1,328 |
0.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$3,426.20 |
$6,992.25 |
2.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,767.92 |
$3,608 |
1.4× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$685.76 |
$1,399.50 |
0.7× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,412.18 |
$2,882 |
1.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$554.19 |
$970 |
0.6× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$256.76 |
$524 |
0.0× |
| Sigmoidoscopy w/biopsy (45331) |
$1,557.46 |
$3,178.50 |
1.6× |
| Sigmoidoscopy w/fb removal (45332) |
$1,813.49 |
$3,701 |
1.4× |
| Sigmoidoscopy w/us guide bx (45342) |
$973.88 |
$1,987.50 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$316.05 |
$542 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$389 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$405 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$253.82 |
$376.50 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$291.55 |
$593 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$327 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$406.70 |
$662.50 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$278.32 |
$357.50 |
1.3× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
likely a partial charge, not the full procedure |
$1,012.34 |
$2,066 |
0.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,984.01 |
$2,299 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$2,396.10 |
$2,711.50 |
3.1× |
| Skin sub grft t/arm/lg child (15273) |
$4,271.82 |
$8,718 |
2.0× |
| Skin Tissue Procedure (17999) |
$13,460.10 |
$27,469.60 |
64.1× |
| Skin tissue rearrangement (14040) |
$2,444.98 |
$4,989.75 |
1.1× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,434.72 |
$2,928 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$3,032.12 |
$6,188 |
1.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$8,022.94 |
$16,373.35 |
1.5× |
| Slitting of prepuce (54001) |
$6,558.16 |
$13,384 |
3.0× |
| Small bowel endoscopy (44366) |
$1,844.36 |
$3,764 |
0.9× |
| Small bowel endoscopy (44364) |
$1,058.40 |
$2,160 |
0.5× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$407.68 |
$832 |
0.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$3,300.64 |
$6,736 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$13,252.51 |
$27,045.94 |
6.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$396 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$328.54 |
$615 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$364.32 |
$709 |
0.9× |
| Sperm washing for artificial insemination Facility (58323) |
$25.48 |
$52 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,313.20 |
$2,680 |
1.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$8,326.19 |
$16,992.22 |
2.5× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
likely a partial charge, not the full procedure |
$1,571.43 |
$3,207 |
0.3× |
| Strapping ankle (29540) |
$87.46 |
$178.50 |
0.5× |
| Strapping elbow or wrist (29260) |
$67.38 |
$137.50 |
1.1× |
| Strapping shoulder (29240) |
$192.57 |
$393 |
1.4× |
| Strapping unna boot (29580) |
$718.83 |
$442 |
4.2× |
| Subconjunctival injection (68200) |
$70.07 |
$84.50 |
0.1× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) |
$1,539.58 |
$2,489.50 |
0.4× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$6,473.63 |
$13,211.50 |
1.9× |
| Suction assisted lipectomy lower extremity (15879) |
$17,593.73 |
$35,905.57 |
4.7× |
| Suction Assisted Lipectomy Trunk (15877) |
$19,707.96 |
$40,220.31 |
5.3× |
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure |
$1,368.08 |
$2,792 |
0.2× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$4,789.50 |
$9,774.50 |
0.8× |
| Surgery of breast capsule (19370) |
$8,832.74 |
$18,026 |
2.2× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$9,657.65 |
$19,709.50 |
2.8× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$6,534.64 |
$13,336 |
1.9× |
| Suspension of testis (54640) |
$6,097.07 |
$12,443 |
1.6× |
| Suture infrapatellar tendon primary (27380) |
$8,547.65 |
$17,444.18 |
1.1× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$11,960.44 |
$24,409.06 |
1.6× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$10,092.62 |
$20,597.17 |
1.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$5,391.71 |
$11,003.50 |
3.2× |
| Tangential biopsy skin single lesion (11102) |
$1,004.99 |
$2,051 |
2.4× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) |
$11,506.67 |
$23,483 |
1.5× |
| Tenodesis long tendon biceps (23430) |
$12,323.74 |
$25,150.50 |
1.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$43.61 |
$89 |
0.0× |
| Tenotomy shoulder area single tendon (23405) |
$6,922.33 |
$14,127.20 |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$13,738.86 |
$28,038.50 |
8.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$4,503.59 |
$9,191 |
2.7× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$17,301.41 |
$35,309 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$987.84 |
$1,158.50 |
1.5× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$9,341.52 |
$19,064.33 |
1.5× |
| Throat Surgery Procedure (42999) |
$265.09 |
$541 |
1.1× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$636.02 |
$1,298 |
0.1× |
| Thrombolytic Therapy Stroke (37195) |
$447.37 |
$913 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$2,474.50 |
$5,050 |
0.7× |
| Thymectomy, partial or total; transcervical approach (separate procedure) Facility (60520) |
$11,628.36 |
$23,731.35 |
1.9× |
| Thyroid biopsy (60100) |
$1,223.04 |
$2,496 |
1.6× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$10,298.01 |
$21,016.35 |
1.7× |
| Thyroidectomy, total or complete (60240) |
$11,754.05 |
$23,987.85 |
1.9× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$11,345.14 |
$23,153.35 |
1.8× |
| Tibial Arthroscopy/Surgery (29855) |
$15,548.37 |
$31,731.37 |
2.0× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$37,208.30 |
$75,935.30 |
2.6× |
| Tnot elbow lateral/medial debride open (24358) |
$6,718.33 |
$13,710.88 |
2.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,317.97 |
$10,853 |
1.5× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$22,593.91 |
$46,110.03 |
1.2× |
| Total hip arthroplasty (27130) |
$16,549.97 |
$33,775.44 |
1.2× |
| Total Knee Arthroplasty (27447) |
$16,547.22 |
$33,769.83 |
1.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$571.83 |
$1,167 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$150.92 |
$308 |
0.3× |
| Tracheostomy planned (31600) |
$511.56 |
$1,044 |
0.1× |
| Tracheotomy tube change (31502) |
$150.92 |
$308 |
0.6× |
| Transcatheter biopsy (37200) |
$36,282.78 |
$74,046.50 |
6.2× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$5,361.82 |
$10,942.50 |
2.6× |
| Transplant hand tendon (26480) |
$8,133.86 |
$16,599.72 |
2.4× |
| Transur electr resection of prostate (52601) |
$4,714.39 |
$9,621.20 |
0.8× |
| Transurethral resection bladder neck (52500) |
$4,374.77 |
$8,928.10 |
1.2× |
| Treat Big Toe Fracture (28505) |
$3,454.74 |
$7,050.50 |
1.0× |
| Treat elbow fracture (24586) |
$17,909.12 |
$36,549.23 |
1.3× |
| Treat humerus fracture (24500) |
$519.89 |
$1,133.50 |
2.0× |
| Treat humerus fracture (23600) |
$488.04 |
$996 |
1.9× |
| Treat knee fracture (27532) |
— |
$2,045 |
— |
| Treat Knee Fracture (27535) |
$18,327.68 |
$37,403.44 |
2.4× |
| Treat Kneecap Fracture (27524) |
$11,297.44 |
$23,056.01 |
1.5× |
| Treat Thigh Fracture (27245) |
$19,212.84 |
$39,209.88 |
2.5× |
| Treat Thumb Dislocation (26641) |
$737.94 |
$1,506 |
2.9× |
| Treat wrist bone fracture (25622) |
$545.37 |
$600 |
2.1× |
| Treat Wrist Bone Fracture (25630) |
$540.47 |
$590.50 |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$468.20 |
$1,226 |
1.8× |
| Treatment mouth roof lesion (42160) |
$384.65 |
$540.50 |
0.1× |
| Treatment of foot infection (28003) |
$637.49 |
$1,094 |
0.2× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$3,326.61 |
$6,789 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$4,683.91 |
$9,559 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$369.95 |
$413 |
1.4× |
| Trim skin lesion (11055) |
$133.28 |
$270 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$141.61 |
$287.50 |
0.7× |
| Trim skin lesions over 4 (11057) |
$164.64 |
$336 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$138.67 |
$283 |
2.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,462.03 |
$11,147 |
0.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$16,699.20 |
$34,080 |
2.8× |
| Trurl rescj postop bladder neck contracture (52640) |
$6,108.36 |
$12,466.04 |
1.7× |
| Tubal ligation (58600) |
$9,327.57 |
$19,035.86 |
2.8× |
| Tube thoracostomy includes water seal (32551) |
$698.25 |
$528 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,649.85 |
$9,489.50 |
1.6× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$16,053.26 |
$32,761.76 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,542.21 |
$7,229 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$7,068.74 |
$14,426 |
4.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$462.56 |
$750 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$5,882.69 |
$12,005.50 |
13.8× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$15,041.63 |
$30,697.21 |
1.1× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646)
unusually low: confirm this is the full procedure |
$2,665.11 |
$5,439 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645)
unusually low: confirm this is the full procedure |
$2,504.88 |
$5,112 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)
unusually low: confirm this is the full procedure |
$2,552.90 |
$5,210 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low: confirm this is the full procedure |
$2,273.60 |
$4,640 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
likely a partial charge, not the full procedure |
$1,771.35 |
$3,615 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
likely a partial charge, not the full procedure |
$1,790.46 |
$3,654 |
0.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$7,497.73 |
$15,301.50 |
1.2× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
likely a partial charge, not the full procedure |
$1,837.99 |
$3,751 |
0.3× |
| Tympanostomy (69433) |
$302.58 |
$617.50 |
0.5× |
| Tympanostomy general anesthesia (69436) |
$3,057.11 |
$6,239 |
1.9× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$5,415.72 |
$11,052.48 |
25.6× |
| Unlisted laparoscopic procedure liver (47379) |
$9,739.24 |
$19,876 |
1.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$10,100.31 |
$20,612.88 |
1.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$10,961.34 |
$22,370.09 |
1.7× |
| Unlisted procedure anus (46999) |
$4,601.59 |
$9,391 |
4.7× |
| Unlisted procedure arthroscopy (29999) |
$18,541.26 |
$37,839.31 |
71.8× |
| Unlisted procedure excision pressure ulcer (15999) |
$3,707.58 |
$7,566.50 |
5.0× |
| Unlisted procedure femur or knee (27599) |
$17,098.46 |
$34,894.82 |
66.2× |
| Unlisted procedure foot or toes (28899) |
$3,600.27 |
$7,347.50 |
13.9× |
| Unlisted procedure nervous system (64999) |
$16,306.66 |
$33,278.90 |
50.7× |
| Unlisted procedure pelvis/hip joint (27299) |
$8,259.92 |
$16,856.98 |
32.0× |
| Unlisted Procedure Small Intestine (44799) |
$6,164.29 |
$12,580.18 |
6.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$7,830.45 |
$15,980.51 |
11.9× |
| Unlisted procedure, leg or ankle (27899) |
$29,878.24 |
$60,976 |
115.7× |
| Unlisted procedure, maternity care and delivery (59899) |
$209.72 |
$428 |
1.0× |
| Unlisted procedure, stomach (43999) |
$1,487.64 |
$3,036 |
1.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$4,173.33 |
$8,516.99 |
19.7× |
| Urology Surgery Procedure (53899) |
$19,896.15 |
$40,604.38 |
76.0× |
| Us urine capacity measure (51798) |
$16,346.76 |
$31,939.99 |
264.6× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$919.73 |
$1,877 |
0.3× |
| Uvulectomy excision of uvula (42140) |
$5,823.65 |
$11,885 |
1.7× |
Vag hyst complex (58290)
likely a partial charge, not the full procedure |
$1,952.16 |
$3,984 |
0.3× |
| Vaginal delivery only (59409) |
$5,959.38 |
$12,162 |
1.8× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$1,533.70 |
$3,130 |
0.5× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$8,654.31 |
$17,661.86 |
1.7× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263)
unusually low: confirm this is the full procedure |
$1,688.54 |
$3,446 |
0.3× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$12,326.37 |
$25,155.86 |
2.4× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291)
unusually low: confirm this is the full procedure |
$2,108.47 |
$4,303 |
0.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$15,715.88 |
$32,073.22 |
3.0× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$5,350.49 |
$10,919.36 |
1.6× |
| Vasc embolize/occlude artery (37242) |
$34,387.95 |
$70,179.50 |
1.8× |
| Vasc Embolize/Occlude Bleed (37244) |
$10,567.10 |
$22,075 |
0.9× |
| Vasc embolize/occlude organ (37243) |
$21,279.96 |
$50,611.25 |
1.8× |
| Vasc embolize/occlude venous (37241) |
$22,438.08 |
$45,792 |
1.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,938.37 |
$8,037.50 |
1.8× |
| Venipuncture (36415) |
$8.82 |
$16 |
0.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,371.93 |
$6,881.50 |
1.0× |
| Vulvectomy Simple Partial (56620) |
$4,185.33 |
$8,541.50 |
1.2× |
| Wedge excision skin nail fold (11765) |
$294.49 |
$448.50 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$4,845.85 |
$9,889.50 |
11.4× |