| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$2,326.36 |
$3,323.37 |
0.7× |
| Ablate inf turbinate submuc (30802) |
$999.14 |
$1,427.34 |
0.7× |
| Acromiopl/Acromionect Partial (23130) |
$2,498.35 |
$3,569.07 |
0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,233.83 |
$1,762.61 |
0.7× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$1,233.83 |
$1,762.61 |
0.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,195.65 |
$3,136.64 |
1.2× |
| Amputate Metacarpal Bone (26910) |
$2,188.52 |
$3,126.45 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$2,188.52 |
$3,126.45 |
0.7× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,183.28 |
$7,404.68 |
1.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$179.14 |
$255.91 |
0.7× |
| Application uniplane external fixation system (20690) |
$4,818.50 |
$6,883.57 |
0.7× |
| Arteriovenous Anastomosis Open Direct (36821) |
$2,123.02 |
$3,032.88 |
0.7× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$3,646.19 |
$5,208.84 |
0.7× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$8,678.77 |
$12,398.24 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$442.11 |
$631.58 |
1.6× |
| Arthrodesis ankle open (27870) |
$8,678.77 |
$12,398.24 |
0.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$4,818.50 |
$6,883.57 |
0.7× |
Arthroplasty Ankle W/Implant (27702) unusually low: confirm this is the full procedure |
$12,404.23 |
$17,720.33 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$12,404.23 |
$17,720.33 |
0.8× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$8,678.77 |
$12,398.24 |
0.7× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$2,188.52 |
$3,126.45 |
0.7× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$2,188.52 |
$3,126.45 |
0.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,188.52 |
$3,126.45 |
0.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,188.52 |
$3,126.45 |
0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,703.06 |
$5,290.08 |
1.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,848.44 |
$11,212.06 |
1.2× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$2,188.52 |
$3,126.45 |
0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,703.06 |
$5,290.08 |
1.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,848.44 |
$11,212.06 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,703.06 |
$5,290.08 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,703.06 |
$5,290.08 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,848.44 |
$11,212.06 |
1.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,703.06 |
$5,290.08 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,848.44 |
$11,212.06 |
1.2× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,703.06 |
$5,290.08 |
1.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$12,600 |
$18,000 |
1.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,848.44 |
$11,212.06 |
1.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$2,188.52 |
$3,126.45 |
0.7× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,188.52 |
$3,126.45 |
0.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,703.06 |
$5,290.08 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,381.74 |
$1,973.91 |
0.7× |
| Biopsy External Auditory Canal (69105) |
$991.41 |
$1,416.30 |
0.7× |
| Biopsy of breast; open, incisional (19101) |
$2,582.88 |
$3,689.83 |
0.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$513.19 |
$733.13 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$2,582.88 |
$3,689.83 |
0.7× |
| Blepharoplasty upper eyelid (15822) |
$1,233.83 |
$1,762.61 |
0.7× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,920.70 |
$2,743.85 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$2,582.88 |
$3,689.83 |
0.7× |
| Bx/exc lymph node open superficial (38500) |
$2,582.88 |
$3,689.83 |
0.7× |
| Carpal Tunnel Surgery (64721) |
$2,254.55 |
$3,220.78 |
1.3× |
| Carpectomy All Bones Proximal Row (25215) |
$2,188.52 |
$3,126.45 |
0.7× |
| Cataract surgery complex (66982) |
$1,538.37 |
$2,197.67 |
0.7× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,144.62 |
$3,063.74 |
0.7× |
| Circumcision 28 days or older (54161) |
$1,381.74 |
$1,973.91 |
0.7× |
| Claviculectomy partial (23120) |
$2,188.52 |
$3,126.45 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,079.49 |
$1,542.13 |
0.7× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$3,428.94 |
$4,898.49 |
0.7× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$1,849.76 |
$2,642.52 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,079.49 |
$1,542.13 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,079.49 |
$1,542.13 |
0.7× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$766.79 |
$1,095.41 |
0.7× |
| Colonoscopy W/Band Ligation (45398) |
$766.79 |
$1,095.41 |
0.7× |
| Colonoscopy w/ndl aspir/bx (44407) |
$753.31 |
$1,076.15 |
0.7× |
| Colonoscopy W/Resection (45390) |
$1,783.45 |
$2,547.79 |
0.7× |
| Colonoscopy w/submucosal inj (45381) |
$766.79 |
$1,095.41 |
0.7× |
| Colpocleisis (le fort type) (57120) |
$3,329.68 |
$4,756.68 |
0.7× |
| Colpopexy extraperitoneal (57282) |
$4,987.86 |
$7,125.51 |
0.7× |
| Colporrhaphy (57200) |
$2,144.62 |
$3,063.74 |
0.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$766.79 |
$1,095.41 |
0.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$766.79 |
$1,095.41 |
0.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$766.79 |
$1,095.41 |
0.7× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,183.28 |
$7,404.68 |
1.1× |
| Complex drainage wound (10180) |
$1,930.47 |
$2,757.82 |
0.7× |
| Conization of cervix (57520) |
$2,144.62 |
$3,063.74 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$86.95 |
$124.21 |
0.7× |
| Correction hammertoe (28285) |
$2,188.52 |
$3,126.45 |
0.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,188.52 |
$3,126.45 |
0.7× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,188.52 |
$3,126.45 |
0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$2,188.52 |
$3,126.45 |
0.7× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$3,646.19 |
$5,208.84 |
0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,381.74 |
$1,973.91 |
0.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,381.74 |
$1,973.91 |
0.7× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$3,428.94 |
$4,898.49 |
0.7× |
| Cysto w/insert ureteral stent (52332) |
$3,621.42 |
$5,173.46 |
1.1× |
| Cysto w/removal of lesions small (52224) |
$2,655.71 |
$3,793.87 |
0.8× |
| Cysto w/removal of tumors small (52234) |
$2,655.71 |
$3,793.87 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,381.74 |
$1,973.91 |
0.7× |
| Cysto w/ureter stricture tx (52341) |
$2,326.36 |
$3,323.37 |
0.7× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,337.80 |
$7,625.43 |
1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,017.85 |
$4,311.21 |
0.9× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,326.36 |
$3,323.37 |
0.7× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$2,326.36 |
$3,323.37 |
0.7× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,337.80 |
$7,625.43 |
1.1× |
| Cysto/uretero w/lithotripsy (52356) |
$5,337.80 |
$7,625.43 |
1.1× |
| Cystolithotomy (51050) |
$3,428.94 |
$4,898.49 |
0.7× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$6,237.27 |
$8,910.39 |
0.7× |
| Cystourethroscopy (52000) |
$624.96 |
$892.80 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,381.74 |
$1,973.91 |
0.7× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$2,655.71 |
$3,793.87 |
0.8× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$3,914.39 |
$5,591.98 |
0.8× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,460.20 |
$2,086 |
0.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$2,326.36 |
$3,323.37 |
0.7× |
| Cystourethroscopy with biopsy (52204) |
$1,381.74 |
$1,973.91 |
0.7× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$2,326.36 |
$3,323.37 |
0.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,254.58 |
$4,649.40 |
1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$412.89 |
$589.84 |
0.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,092.86 |
$1,561.23 |
0.7× |
| Destruction Lesions Vulva Simple (56501) |
$1,233.83 |
$1,762.61 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$670.11 |
$957.30 |
0.8× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$766.79 |
$1,095.41 |
0.7× |
| Dilate Esophagus 1/Mult Pass (43450) |
$609.72 |
$871.03 |
0.7× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,163.17 |
$1,661.67 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$1,092.86 |
$1,561.23 |
0.7× |
| Dstrj lesion penis simple laser (54057) |
$1,233.83 |
$1,762.61 |
0.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,233.67 |
$1,762.38 |
0.7× |
| Egd control bleeding any (43255) |
$1,233.67 |
$1,762.38 |
0.7× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,233.67 |
$1,762.38 |
0.7× |
| Egd Flexible Foreign Body Removal (43247) |
$721.92 |
$1,031.32 |
0.9× |
| Egd remove lesion snare (43251) |
$1,233.67 |
$1,762.38 |
0.7× |
| Egd Varices Ligation (43244) |
$1,233.67 |
$1,762.38 |
0.7× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,319.39 |
$6,170.56 |
0.9× |
| Endoscopy of ureter (50953) |
$2,326.36 |
$3,323.37 |
0.7× |
Ercp duct stent placement (43274) range across 2 matching MRF lines |
$4,375.32–$6,250.45 |
$6,250.45–$8,929.22 |
varies |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,566.19 |
$3,665.98 |
0.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,566.19 |
$3,665.98 |
0.7× |
| Ercp,Sphincterotomy (43262) |
$2,566.19 |
$3,665.98 |
0.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$721.92 |
$1,031.32 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,092.86 |
$1,561.23 |
0.7× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,092.86 |
$1,561.23 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,092.86 |
$1,561.23 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$679.28 |
$970.40 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,092.86 |
$1,561.23 |
0.7× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,887.12 |
$2,695.88 |
1.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,429.40 |
$2,042 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,429.40 |
$2,042 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$1,930.47 |
$2,757.82 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$731.92 |
$1,045.60 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,092.86 |
$1,561.23 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,930.47 |
$2,757.82 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,092.86 |
$1,561.23 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,930.47 |
$2,757.82 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,092.86 |
$1,561.23 |
0.7× |
| Exc tendon shth lesion leg/ankle (27630) |
$2,188.52 |
$3,126.45 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,930.47 |
$2,757.82 |
0.7× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,930.47 |
$2,757.82 |
0.7× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$1,930.47 |
$2,757.82 |
0.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,930.47 |
$2,757.82 |
0.7× |
| Exc urethral diverticulum spx female (53230) |
$3,428.94 |
$4,898.49 |
0.7× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$2,326.36 |
$3,323.37 |
0.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,188.52 |
$3,126.45 |
0.7× |
| Exchange Intraocular Lens (66986) |
$1,538.37 |
$2,197.67 |
0.7× |
| Excise oral mucosa for graft (40818) |
$343.49 |
$490.70 |
0.7× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$1,930.47 |
$2,757.82 |
0.7× |
| Excision inferior turbinate partial/complete (30130) |
$2,187.48 |
$3,124.97 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,092.86 |
$1,561.23 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,930.47 |
$2,757.82 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,092.86 |
$1,561.23 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,170.81 |
$3,101.16 |
0.9× |
| Excision of bartholin's gland or cyst (56740) |
$2,144.62 |
$3,063.74 |
0.7× |
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$928.30–$1,079.49 |
$1,326.14–$1,542.13 |
varies |
| Excision of hydrocele; bilateral (55041) |
$2,380.38 |
$3,400.54 |
0.7× |
| Excision of hydrocele; unilateral (55040) |
$2,380.38 |
$3,400.54 |
0.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$3,990.16 |
$5,700.23 |
0.7× |
| Excision of vaginal cyst or tumor (57135) |
$2,144.62 |
$3,063.74 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$2,188.52 |
$3,126.45 |
0.7× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$1,930.47 |
$2,757.82 |
0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$1,930.47 |
$2,757.82 |
0.7× |
| Excision prepatellar bursa (27340) |
$2,188.52 |
$3,126.45 |
0.7× |
| Excision spermatocele w/wo epididymectomy (54840) |
$1,381.74 |
$1,973.91 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,930.47 |
$2,757.82 |
0.7× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,079.49 |
$1,542.13 |
0.7× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$1,573.60 |
$2,248 |
0.7× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$1,573.60 |
$2,248 |
0.7× |
| Excision; trochanteric bursa or calcification (27062) |
$2,188.52 |
$3,126.45 |
0.7× |
| Exploration of knee joint (27310) |
$2,188.52 |
$3,126.45 |
0.7× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$179.20 |
$256 |
0.1× |
| Fasciectomy Palm Only (26121) |
$2,188.52 |
$3,126.45 |
0.7× |
| Fasciotomy Iliotibial Open (27305) |
$2,188.52 |
$3,126.45 |
0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,188.52 |
$3,126.45 |
0.7× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$1,538.37 |
$2,197.67 |
0.7× |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$1,538.37 |
$2,197.67 |
0.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,233.83 |
$1,762.61 |
0.7× |
| Fusion Finger Joint (26860) |
$2,188.52 |
$3,126.45 |
0.7× |
| Fusion of knuckle (26850) |
$4,818.50 |
$6,883.57 |
0.7× |
| Fusion of tibiofibular joint (27871) |
$8,401.53 |
$12,002.18 |
0.7× |
| Goniotomy (65820) |
$2,713.45 |
$3,876.36 |
0.7× |
| Hysteroscopy Biopsy (58558) |
$2,448.24 |
$3,497.48 |
0.8× |
| Hysteroscopy Endometrial Ablation (58563) |
$3,329.68 |
$4,756.68 |
0.7× |
| I&d abscess simple (10060) |
$236.50 |
$337.86 |
1.3× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$609.72 |
$871.03 |
0.7× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$14,464.41 |
$20,663.44 |
0.8× |
| Incise finger tendon sheath (26055) |
$1,889.78 |
$2,699.68 |
1.3× |
| Incise Wrist/Forearm Tendon (25290) |
$2,188.52 |
$3,126.45 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$307.64 |
$439.48 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$135.69 |
$193.84 |
0.7× |
| Incision extensor tendon sheath wrist (25000) |
$1,232.32 |
$1,760.45 |
0.8× |
| Incision of labial frenum (frenotomy) (40806) |
$343.49 |
$490.70 |
0.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$999.14 |
$1,427.34 |
0.7× |
| Incision of rectal abscess (46040) |
$892.50 |
$1,275 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$199.11 |
$284.44 |
0.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$600.51 |
$857.87 |
0.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$467.11 |
$667.30 |
0.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$940.98 |
$1,344.26 |
1.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$467.11 |
$667.30 |
0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$760.68 |
$1,086.68 |
1.2× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$2,713.45 |
$3,876.36 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$86.95 |
$124.21 |
0.7× |
| Insert tun ip cath perc (49418) |
$2,380.38 |
$3,400.54 |
0.7× |
| Insert tunneled cv cath (36561) |
$2,123.02 |
$3,032.88 |
0.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,380.38 |
$3,400.54 |
0.7× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$1,538.37 |
$2,197.67 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,123.02 |
$3,032.88 |
0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$767.20 |
$1,096 |
2.1× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$2,713.45 |
$3,876.36 |
0.7× |
| Knee arthroscopy/drainage (29871) |
$2,188.52 |
$3,126.45 |
0.7× |
| Lap insert tunnel ip cath (49324) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laparo-vag hyst incl t/o (58552) |
$7,022.45 |
$10,032.07 |
0.7× |
| Laparoscopy aspiration (49322) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laparoscopy fulguration oviducts (58670) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$3,935.32 |
$5,621.89 |
0.7× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$7,022.45 |
$10,032.07 |
0.7× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$7,022.45 |
$10,032.07 |
0.7× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laparoscopy, surgical, appendectomy (44970) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$7,022.45 |
$10,032.07 |
0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$7,022.45 |
$10,032.07 |
0.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$3,935.32 |
$5,621.89 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$3,935.32 |
$5,621.89 |
0.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$3,935.32 |
$5,621.89 |
0.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$3,935.32 |
$5,621.89 |
0.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,492.46 |
$6,417.80 |
0.8× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$7,022.45 |
$10,032.07 |
0.7× |
| Late closure of wound (13160) |
$1,233.83 |
$1,762.61 |
0.4× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$4,818.50 |
$6,883.57 |
0.7× |
| Ligate/strip short leg vein (37718) |
$2,123.02 |
$3,032.88 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$1,092.86 |
$1,561.23 |
0.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$2,326.36 |
$3,323.37 |
0.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,326.36 |
$3,323.37 |
0.7× |
| Lithotripsy, extracorporeal shock wave (50590) |
$2,906.38 |
$4,151.97 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,381.74 |
$1,973.91 |
0.7× |
| Manipulation hip joint general anesthesia (27275) |
$1,079.49 |
$1,542.13 |
0.7× |
| Manipulation knee joint under general anesthesia (27570) |
$1,079.49 |
$1,542.13 |
0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,889.78 |
$2,699.68 |
1.3× |
| Mastectomy partial (19301) |
$2,582.88 |
$3,689.83 |
0.7× |
| Mastectomy simple complete (19303) |
$4,398.77 |
$6,283.96 |
0.7× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$618.43 |
$883.47 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,079.49 |
$1,542.13 |
0.7× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,254.55 |
$3,220.78 |
1.3× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,254.55 |
$3,220.78 |
1.3× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,849.10 |
$11,213 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,818.50 |
$6,883.57 |
0.7× |
| Open Treatment Humeral Condylar Fracture (24579) |
$8,678.77 |
$12,398.24 |
0.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,818.50 |
$6,883.57 |
0.7× |
| Open treatment metatarsal fracture each (28485) |
$4,818.50 |
$6,883.57 |
0.7× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$4,818.50 |
$6,883.57 |
0.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,848.44 |
$11,212.06 |
1.2× |
| Open Treatment Proximal Humeral Fracture (23615) |
$8,678.77 |
$12,398.24 |
0.7× |
| Open Treatment Radial Shaft Fracture (25515) |
$4,818.50 |
$6,883.57 |
0.7× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$2,188.52 |
$3,126.45 |
0.7× |
| Open tx carpal scaphoid navicular fracture (25628) |
$4,818.50 |
$6,883.57 |
0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,848.44 |
$11,212.06 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,703.06 |
$5,290.08 |
1.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,848.44 |
$11,212.06 |
1.2× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$8,678.77 |
$12,398.24 |
0.7× |
| Open tx interphalangeal joint dislocation (26785) |
$2,188.52 |
$3,126.45 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,703.06 |
$5,290.08 |
1.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$4,088.70 |
$5,841 |
0.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,848.44 |
$11,212.06 |
1.2× |
| Open tx ulnar fx proximal end (24685) |
$4,818.50 |
$6,883.57 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,848.40 |
$11,212 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,848.40 |
$11,212 |
1.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$7,505.72 |
$10,722.46 |
1.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$8,678.77 |
$12,398.24 |
0.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$2,380.38 |
$3,400.54 |
0.7× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$2,380.38 |
$3,400.54 |
0.7× |
| Ostectomy calcaneus (28118) |
$2,188.52 |
$3,126.45 |
0.7× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$4,818.50 |
$6,883.57 |
0.7× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$3,990.16 |
$5,700.23 |
0.7× |
| Part exc bone femur prox tibia (27360) |
$2,188.52 |
$3,126.45 |
0.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,889.78 |
$2,699.68 |
1.3× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,079.49 |
$1,542.13 |
0.7× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,144.62 |
$3,063.74 |
0.7× |
| Partial removal of thyroid (60220) |
$3,935.32 |
$5,621.89 |
0.7× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,188.52 |
$3,126.45 |
0.7× |
| Patellectomy or hemipatellectomy (27350) |
$4,818.50 |
$6,883.57 |
0.7× |
| Penis plastic surgery (54360) |
$2,326.36 |
$3,323.37 |
0.7× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$2,188.52 |
$3,126.45 |
0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$504.83 |
$721.18 |
0.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,188.52 |
$3,126.45 |
0.7× |
| Pin hand dislocation (26676) |
$2,188.52 |
$3,126.45 |
0.7× |
| Place Rt Device/Marker Pros (55876) |
$922.90 |
$1,318.43 |
0.7× |
| Placement of seton (46020) |
$1,849.76 |
$2,642.52 |
0.7× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,183.28 |
$7,404.68 |
1.1× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$1,573.60 |
$2,248 |
0.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,188.52 |
$3,126.45 |
0.7× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$4,818.50 |
$6,883.57 |
0.7× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$2,188.52 |
$3,126.45 |
0.7× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$2,188.52 |
$3,126.45 |
0.7× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,188.52 |
$3,126.45 |
0.7× |
| Realignment extensor tendon hand each tendon (26437) |
$2,188.52 |
$3,126.45 |
0.7× |
| Reconst lwr jaw w/fixation (21196) |
$3,990.16 |
$5,700.23 |
0.7× |
| Reconstruct elbow med ligmnt (24346) |
$8,678.77 |
$12,398.24 |
0.7× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,187.48 |
$3,124.97 |
0.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,144.62 |
$3,063.74 |
0.7× |
| Removal Implant Deep (20680) |
$3,254.82 |
$4,649.74 |
1.2× |
| Removal of adenoids (42831) |
$2,187.48 |
$3,124.97 |
0.7× |
| Removal of adenoids (42830) |
$2,187.48 |
$3,124.97 |
0.7× |
| Removal of heel spur (28119) |
$2,188.52 |
$3,126.45 |
0.7× |
| Removal of implanted material, anterior segment of eye (65920) |
$1,538.37 |
$2,197.67 |
0.7× |
| Removal of nail bed (11750) |
$269.49 |
$384.98 |
0.7× |
| Removal of sperm cord lesion (55520) |
$2,326.36 |
$3,323.37 |
0.7× |
| Removal of testis (54520) |
$2,326.36 |
$3,323.37 |
0.7× |
| Removal of tonsils (42825) |
$3,990.16 |
$5,700.23 |
0.7× |
| Removal of tonsils (42826) |
$2,187.48 |
$3,124.97 |
0.7× |
| Removal of wrist bone (25210) |
$2,188.52 |
$3,126.45 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$154 |
$220 |
0.8× |
| Remove drug implant device (11982) |
$269.16 |
$384.51 |
0.7× |
| Remove Intrauterine Device (58301) |
$204.79 |
$292.56 |
0.7× |
| Remove prostate regrowth (52630) |
$3,914.39 |
$5,591.98 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$1,889.78 |
$2,699.68 |
1.3× |
| Remove/graft forearm lesion (25125) |
$1,079.49 |
$1,542.13 |
0.7× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$3,428.94 |
$4,898.49 |
0.7× |
| Reopen fallopian tube (58350) |
$4,319.39 |
$6,170.56 |
0.9× |
| Repair Achilles Tendon (27650) |
$4,818.50 |
$6,883.57 |
0.7× |
| Repair Anorectal Fistula Plug (46707) |
$1,849.76 |
$2,642.52 |
0.7× |
| Repair blood vessel direct neck (35201) |
$3,646.19 |
$5,208.84 |
0.7× |
| Repair brow ptosis (67900) |
$1,573.60 |
$2,248 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$412.89 |
$589.84 |
1.1× |
| Repair Ectropion Extensive (67917) |
$1,573.60 |
$2,248 |
0.7× |
| Repair Entropion Extensive (67924) |
$1,573.60 |
$2,248 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,889.78 |
$2,699.68 |
1.3× |
| Repair Finger/Hand Tendon (26350) |
$3,703.06 |
$5,290.08 |
1.2× |
| Repair Hallux Rigidus (28289) |
$2,188.52 |
$3,126.45 |
0.7× |
| Repair Hand Tendon (26410) |
$1,079.49 |
$1,542.13 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$269.49 |
$384.98 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$404.60 |
$578 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$269.49 |
$384.98 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$404.60 |
$578 |
1.1× |
| Repair lower leg tendons (27676) |
$4,566.86 |
$6,524.08 |
0.7× |
| Repair of hydrocele (55060) |
$2,326.36 |
$3,323.37 |
0.7× |
| Repair of metatarsals (28322) |
$4,818.50 |
$6,883.57 |
0.7× |
| Repair of nail bed (11760) |
$683.44 |
$976.34 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$4,818.50 |
$6,883.57 |
0.7× |
| Repair of Ruptured Tendon (24342) |
$7,848.44 |
$11,212.06 |
1.2× |
| Repair Rotator Cuff Chronic (23412) |
$7,849.10 |
$11,213 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$4,818.50 |
$6,883.57 |
0.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$4,818.50 |
$6,883.57 |
0.7× |
| Repair/graft achilles tendon (27652) |
$4,818.50 |
$6,883.57 |
0.7× |
| Repair/Revise Wrist Joint (25320) |
$4,818.50 |
$6,883.57 |
0.7× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$1,538.37 |
$2,197.67 |
0.7× |
| Repr torn cruciate knee ligam (27407) |
$4,818.50 |
$6,883.57 |
0.7× |
| Rerepair ing hernia reduce (49520) |
$2,380.38 |
$3,400.54 |
0.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$2,319.64 |
$3,313.77 |
0.7× |
| Revise knuckle joint (26530) |
$4,818.50 |
$6,883.57 |
0.7× |
| Revise ulnar nerve at wrist (64719) |
$2,254.55 |
$3,220.78 |
1.3× |
| Revision of penis (54304) |
$2,326.36 |
$3,323.37 |
0.7× |
| Revj/rpr oprative wound anterior segment (66250) |
$1,573.60 |
$2,248 |
0.7× |
| Rhinoplasty primary w/major septal repair (30420) |
$3,990.16 |
$5,700.23 |
0.7× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,092.86 |
$1,561.23 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,047.81 |
$1,496.87 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$164.05 |
$234.35 |
0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,123.02 |
$3,032.88 |
0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,935.32 |
$5,621.89 |
0.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$2,380.38 |
$3,400.54 |
0.7× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,208.76 |
$6,012.51 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,380.38 |
$3,400.54 |
0.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,208.76 |
$6,012.51 |
0.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$3,935.32 |
$5,621.89 |
0.7× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$1,573.60 |
$2,248 |
0.7× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$1,573.60 |
$2,248 |
0.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$4,818.50 |
$6,883.57 |
0.7× |
| Rpr ing hernia init reduce (49500) |
$4,208.76 |
$6,012.51 |
0.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,188.52 |
$3,126.45 |
0.7× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$2,188.52 |
$3,126.45 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,703.06 |
$5,290.08 |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$2,188.52 |
$3,126.45 |
0.7× |
| Scrotoplasty Simple (55175) |
$2,326.36 |
$3,323.37 |
0.7× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$2,187.48 |
$3,124.97 |
0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$670.11 |
$957.30 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$766.79 |
$1,095.41 |
0.7× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$766.79 |
$1,095.41 |
0.7× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$766.79 |
$1,095.41 |
0.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$670.11 |
$957.30 |
0.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$766.79 |
$1,095.41 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$154 |
$220 |
0.8× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,233.83 |
$1,762.61 |
0.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,183.07 |
$7,404.38 |
1.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,187.48 |
$3,124.97 |
0.7× |
| Surg tx anal fistula subq (46270) |
$1,849.76 |
$2,642.52 |
0.7× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$4,818.50 |
$6,883.57 |
0.7× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,079.49 |
$1,542.13 |
0.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,188.52 |
$3,126.45 |
0.7× |
| Tenodesis long tendon biceps (23430) |
$7,848.44 |
$11,212.06 |
1.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,889.78 |
$2,699.68 |
1.3× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$2,188.52 |
$3,126.45 |
0.7× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$2,188.52 |
$3,126.45 |
0.7× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,079.49 |
$1,542.13 |
0.7× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$3,990.16 |
$5,700.23 |
0.7× |
| Thyroidectomy, total or complete (60240) |
$3,935.32 |
$5,621.89 |
0.7× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$1,233.83 |
$1,762.61 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,187.48 |
$3,124.97 |
0.7× |
| Tooth extraction (41899) |
$725.20 |
$1,036 |
3.3× |
| Total Knee Arthroplasty (27447) |
$8,678.77 |
$12,398.24 |
0.7× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$3,935.32 |
$5,621.89 |
0.7× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$3,428.94 |
$4,898.49 |
0.7× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$1,317.16 |
$1,881.65 |
0.7× |
| Transfer, adductor to ischium Facility (27098) |
$2,066.26 |
$2,951.80 |
0.7× |
| Transur electr resection of prostate (52601) |
$3,914.39 |
$5,591.98 |
0.8× |
| Treat ankle fracture (28445) |
$4,818.50 |
$6,883.57 |
0.7× |
| Treat dislocation/fracture (23680) |
$8,678.77 |
$12,398.24 |
0.7× |
| Treat ectopic pregnancy (59151) |
$3,935.32 |
$5,621.89 |
0.7× |
| Treat Finger Fracture Each (26727) |
$3,703.06 |
$5,290.08 |
1.2× |
| Treat fracture radius/ulna (25575) |
$4,818.50 |
$6,883.57 |
0.7× |
| Treat Fx Rad Extra-Articul (25607) |
$7,848.40 |
$11,212 |
1.2× |
| Treat kneecap dislocation (27566) |
$4,818.50 |
$6,883.57 |
0.7× |
| Treat Kneecap Fracture (27524) |
$7,848.44 |
$11,212.06 |
1.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$2,326.36 |
$3,323.37 |
0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,144.62 |
$3,063.74 |
0.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,144.62 |
$3,063.74 |
0.7× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$4,813.20 |
$6,876 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$412.89 |
$589.84 |
0.6× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$1,296.12 |
$1,851.60 |
0.9× |
| Tympanoplasty (69631) |
$3,990.16 |
$5,700.23 |
0.7× |
| Tympanostomy general anesthesia (69436) |
$1,296.12 |
$1,851.60 |
0.9× |
| Unlisted laparoscopic procedure liver (47379) |
$3,935.32 |
$5,621.89 |
0.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$4,492.46 |
$6,417.80 |
0.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$3,935.32 |
$5,621.89 |
0.7× |
| Unlisted procedure arthroscopy (29999) |
$1,076.60 |
$1,538 |
4.7× |
| Unlisted procedure femur or knee (27599) |
$161.80 |
$231.14 |
0.7× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$3,428.94 |
$4,898.49 |
0.7× |
| Vag hyst complex (58290) |
$4,987.86 |
$7,125.51 |
0.7× |
| Vag hyst incl t/o complex (58291) |
$4,319.39 |
$6,170.56 |
0.9× |
| Vag hyst w/t/o & vag repair (58263) |
$5,183.07 |
$7,404.38 |
1.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,183.07 |
$7,404.38 |
1.1× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$5,183.28 |
$7,404.68 |
1.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,183.07 |
$7,404.38 |
1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,381.74 |
$1,973.91 |
0.7× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,187.48 |
$3,124.97 |
0.7× |
| Vulvectomy simple partial (56620) |
$2,144.62 |
$3,063.74 |
0.7× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$3,480.27 |
$4,971.81 |
0.7× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) |
$3,480.27 |
$4,971.81 |
0.7× |
| Xfer Single Deep Low Leg Tendon (27691) |
$4,818.50 |
$6,883.57 |
0.7× |