| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$4,646.71 |
$7,744.52 |
1.3× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$4,627.96 |
$7,713.26 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$1,457.75 |
$2,429.58 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,459.63 |
$2,432.71 |
1.6× |
Abdomen Surgery Procedure (22999)
range across 9 matching MRF lines |
$674.12–$11,582.59 |
$1,123.54–$19,304.31 |
varies |
| Ablate inf turbinate submuc (30802) |
$2,188.42 |
$3,647.37 |
1.4× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$6,867 |
$11,445 |
0.6× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$7,014.56 |
$11,690.93 |
0.7× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$9,437.59 |
$15,729.31 |
0.5× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$6,727.70 |
$11,212.84 |
0.9× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,396 |
$5,660 |
2.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,463.19 |
$2,438.65 |
0.9× |
| Abrasion single lesion (15786) |
$259.59 |
$432.65 |
1.3× |
| Acne surgery (10040) |
$207.20 |
$345.33 |
1.0× |
| Acromiopl/Acromionect Partial (23130) |
$4,378.11 |
$7,296.85 |
1.3× |
| Adding Walker Previously Applied Cast (29440) |
$281.15 |
$468.59 |
1.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,406.77 |
$4,011.28 |
1.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,601.86 |
$6,003.10 |
1.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,452.47 |
$9,087.45 |
1.5× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$4,167.42 |
$6,945.70 |
2.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,925.81 |
$6,543.01 |
1.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,623.24 |
$4,372.07 |
1.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,903.05 |
$6,505.08 |
1.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,886.74 |
$4,811.23 |
1.4× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$5,886.74 |
$9,811.23 |
0.8× |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) |
$3,647.24 |
$6,078.74 |
1.1× |
| Amniocentesis diagnostic (59000) |
$762.70 |
$1,271.16 |
0.8× |
| Amniocentesis therapeutic (59001) |
$1,034.46 |
$1,724.10 |
3.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,653.51 |
$6,089.18 |
1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,503.41 |
$5,839.02 |
1.1× |
| Amputate Metacarpal Bone (26910) |
$3,456.08 |
$5,760.14 |
1.1× |
| Amputation follow-up surgery (27594) |
$3,305.98 |
$5,509.97 |
1.0× |
| Amputation foot transmetarsal (28805) |
$4,147.31 |
$6,912.18 |
1.3× |
| Amputation metatarsal with toe single (28810) |
$3,615.94 |
$6,026.56 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$3,901.72 |
$6,502.86 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,375.84 |
$7,293.07 |
1.3× |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
$2,777.50 |
$4,629.16 |
0.8× |
Amputation, forearm, through radius and ulna; re-amputation Facility (25909)
unusually low: confirm this is the full procedure |
$2,777.50 |
$4,629.16 |
0.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$4,175.98 |
$6,959.97 |
1.3× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$348.52 |
$580.87 |
1.1× |
| Anal/Urinary Muscle Study (51784) |
$484.04 |
$806.73 |
3.7× |
| Ankle Arthroscopy/Surgery (29892) |
$6,193.84 |
$10,323.07 |
0.8× |
| Ankle disarticulation (27889) |
$5,886.74 |
$9,811.23 |
0.8× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$3,723.60 |
$6,206 |
1.3× |
| Anoscopy diagnostic (46600) |
$134.55 |
$224.25 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,022.14 |
$3,370.23 |
2.2× |
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 3 matching MRF lines |
$1,208.70–$2,628.24 |
$2,014.50–$4,380.40 |
varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$4,934.17 |
$8,223.62 |
1.0× |
| Anterior Tibial Tubercleplasty (27418) |
$5,886.74 |
$9,811.23 |
0.8× |
| Apheresis Platelets (36513) |
$2,771.94 |
$4,619.90 |
6.3× |
| Appendectomy (44950) |
$5,681.93 |
$9,469.88 |
0.9× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$370.58 |
$617.63 |
2.3× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,417.44 |
$2,362.40 |
0.9× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$516.59 |
$860.98 |
1.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$196.93 |
$328.22 |
1.2× |
| Application Body Cast Shoulder Hips (29035) |
$390.73 |
$651.21 |
1.4× |
| Application cast elbow finger short arm (29075) |
$408.97 |
$681.62 |
1.5× |
| Application Cast Finger (29086) |
$218.95 |
$364.92 |
1.3× |
| Application Cast Shoulder Spica (29055) |
$744.63 |
$1,241.05 |
2.7× |
| Application Finger Splint Dynamic (29131) |
$224.58 |
$374.30 |
3.8× |
| Application finger splint static (29130) |
$358.57 |
$597.62 |
2.7× |
| Application Hip Spica Cast 1 Leg (29305) |
$544.48 |
$907.47 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$579.77 |
$966.29 |
3.6× |
| Application Long Leg Cast Brace (29358) |
$372.55 |
$620.91 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$376.61 |
$627.69 |
1.3× |
| Application Long Leg Splint (29505) |
$440 |
$733.34 |
2.7× |
| Application multiplane external fixation system (20692) |
$10,629.07 |
$17,715.11 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$493.76 |
$822.94 |
1.8× |
| Application of halo, including removal; femoral Facility (20663) |
$4,755.67 |
$7,926.12 |
1.4× |
| Application of long leg cast (29345) |
$469.61 |
$782.69 |
1.7× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$16,139.55 |
$26,899.25 |
0.6× |
| Application of rigid total contact leg cast (29445) |
$579.77 |
$966.29 |
2.1× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$390.73 |
$651.21 |
1.4× |
| Application Patellar Tendon Bearing Cast (29435) |
$420.21 |
$700.35 |
1.5× |
| Application risser jacket localizer body only (29010) |
$516.59 |
$860.98 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$401.08 |
$668.47 |
3.0× |
| Application short arm splint forearm-hand static (29125) |
$454.81 |
$758.01 |
3.4× |
| Application short leg splint calf foot (29515) |
$467.84 |
$779.74 |
2.9× |
| Application uniplane external fixation system (20690) |
$5,886.74 |
$9,811.23 |
0.8× |
| Application, cast; figure-of-eight Facility (29049) |
$249.14 |
$415.24 |
0.9× |
| Apply hand/wrist cast (29085) |
$264.75 |
$441.25 |
1.6× |
| Apply long arm cast (29065) |
$464.50 |
$774.17 |
1.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$431.32 |
$718.86 |
2.6× |
| Apply Short Leg Cast (29405) |
$463.27 |
$772.11 |
1.6× |
| Apply short leg cast (29425) |
$404.74 |
$674.57 |
1.4× |
| Apply shoulder cast,plastr velpeau (29058) |
$249.14 |
$415.24 |
0.9× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$4,646.69 |
$7,744.49 |
0.9× |
| Arrest Epiphyseal Distal Femur (27475) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$3,721.84 |
$6,203.06 |
1.1× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$5,545.94 |
$9,243.23 |
1.7× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$4,710.10 |
$7,850.16 |
1.4× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$3,594.47 |
$5,990.79 |
1.1× |
| Arterial puncture (36600) |
$94.55 |
$157.59 |
0.7× |
| Arteriovenous Anastomosis Open Direct (36821) |
$7,740.32 |
$12,900.54 |
2.4× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,740.32 |
$12,900.54 |
1.4× |
| Artery-vein autograft (36825) |
$7,529.30 |
$12,548.84 |
1.3× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$6,989.04 |
$11,648.40 |
0.5× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$8,260.30 |
$13,767.16 |
0.6× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$907.51 |
$1,512.52 |
2.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,008.92 |
$1,681.54 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,080.06 |
$1,800.10 |
3.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,111.46 |
$1,852.44 |
3.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$599.59 |
$999.32 |
1.9× |
| Arthrodesis ankle open (27870) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthrodesis Glenohumeral Joint (23800) |
$7,870.12 |
$13,116.86 |
1.1× |
| Arthrodesis great toe interphalangeal joint (28755) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,862.26 |
$11,437.10 |
0.9× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$5,255.82 |
$8,759.70 |
1.6× |
| Arthrodesis Pantalar (28705) |
$16,139.55 |
$26,899.25 |
0.9× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$10,629.07 |
$17,715.11 |
0.6× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$15,959.91 |
$26,599.85 |
0.9× |
| Arthrodesis subtalar (28725) |
$8,260.30 |
$13,767.16 |
0.6× |
| Arthrodesis triple (28715) |
$12,151.68 |
$20,252.80 |
0.9× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$7,992.89 |
$13,321.49 |
1.1× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$9,609.16 |
$16,015.27 |
1.3× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$8,851.75 |
$14,752.92 |
1.2× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroplasty interphalangeal joint each (26535) |
$4,160.64 |
$6,934.40 |
1.3× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$5,653.67 |
$9,422.78 |
1.7× |
| Arthroplasty Patella W/Prosthesis (27438) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroplasty radial head (24365) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroplasty Radial Head W/Implant (24366) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$16,139.55 |
$26,899.25 |
0.9× |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$16,139.55 |
$26,899.25 |
0.9× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
$16,139.55 |
$26,899.25 |
0.9× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroplasty, patella; without prosthesis (27437) |
$7,700.67 |
$12,834.45 |
1.1× |
| Arthroplasty, temporomandibular joint, with allograft Facility (21242) |
$6,942.99 |
$11,571.65 |
1.2× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$7,317.87 |
$12,196.45 |
1.2× |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) |
$16,139.55 |
$26,899.25 |
0.6× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$2,974.01 |
$4,956.68 |
1.8× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$4,488.38 |
$7,480.63 |
1.4× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$4,456.07 |
$7,426.78 |
1.4× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$8,334.74 |
$13,891.24 |
1.1× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$4,333.06 |
$7,221.76 |
1.3× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$5,439.24 |
$9,065.40 |
1.7× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$4,957.24 |
$8,262.07 |
1.5× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$5,669.53 |
$9,449.22 |
1.7× |
| Arthroscopy hip w/femoroplasty (29914) |
$6,223.52 |
$10,372.54 |
0.9× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,262.61 |
$7,104.35 |
1.3× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$5,755.79 |
$9,592.98 |
1.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$6,024.94 |
$10,041.57 |
1.8× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,263.95 |
$7,106.59 |
1.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$5,539.70 |
$9,232.83 |
1.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$4,022.93 |
$6,704.88 |
1.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$4,902.63 |
$8,171.05 |
1.5× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$5,953.01 |
$9,921.68 |
0.8× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$5,400.28 |
$9,000.47 |
1.6× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$7,589.85 |
$12,649.75 |
1.0× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$7,181.65 |
$11,969.41 |
1.0× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$5,352.45 |
$8,920.75 |
0.7× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$5,334.43 |
$8,890.71 |
1.6× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$6,573.34 |
$10,955.56 |
0.9× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$6,351.99 |
$10,586.65 |
0.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,198.40 |
$6,997.34 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$5,189.18 |
$8,648.64 |
1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,741.63 |
$9,569.39 |
1.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,485.13 |
$7,475.22 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,268.81 |
$7,114.69 |
1.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$5,080.04 |
$8,466.73 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,740.20 |
$11,233.67 |
0.9× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$4,399.11 |
$7,331.85 |
1.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,311.23 |
$7,185.38 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,880.57 |
$8,134.29 |
0.7× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
$3,406.76 |
$5,677.93 |
1.0× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
$5,669.53 |
$9,449.22 |
1.7× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$5,538.46 |
$9,230.76 |
1.7× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$6,010.63 |
$10,017.72 |
0.8× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$4,264.87 |
$7,108.12 |
1.3× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$2,360.09 |
$3,933.49 |
1.5× |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
$2,620.80 |
$4,368 |
0.8× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$2,087.99 |
$3,479.98 |
1.3× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$5,103.33 |
$8,505.55 |
0.7× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$4,158.94 |
$6,931.56 |
1.3× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$2,777.50 |
$4,629.16 |
0.8× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$2,777.50 |
$4,629.16 |
0.8× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$3,078.45 |
$5,130.75 |
0.9× |
| Arthrotomy wrist joint with synovectomy (25105) |
$3,529.86 |
$5,883.10 |
1.1× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$3,719.72 |
$6,199.54 |
1.1× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$5,447 |
$9,078.34 |
1.7× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$4,493.36 |
$7,488.94 |
1.4× |
| Arthrotomy, temporomandibular joint Facility (21010) |
$6,759.31 |
$11,265.51 |
2.0× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$3,767.02 |
$6,278.37 |
1.1× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$3,195.20 |
$5,325.34 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$12,836.37 |
$21,393.95 |
1.0× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$6,515.57 |
$10,859.29 |
2.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$8,358.27 |
$13,930.45 |
1.1× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$10,629.07 |
$17,715.11 |
0.8× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$5,927.23 |
$9,878.72 |
1.8× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$4,804.72 |
$8,007.87 |
1.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,304.96 |
$7,174.93 |
1.3× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$3,346.10 |
$5,576.84 |
1.0× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$6,826.30 |
$11,377.16 |
2.1× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$4,221.78 |
$7,036.30 |
1.3× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$4,351.84 |
$7,253.06 |
1.3× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$4,821.68 |
$8,036.13 |
1.5× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,706.42 |
$4,510.70 |
1.7× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$3,086.35 |
$5,143.91 |
0.9× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$4,177.88 |
$6,963.14 |
1.3× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$5,713.38 |
$9,522.30 |
1.7× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$3,181.97 |
$5,303.29 |
2.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,247.82 |
$5,413.04 |
1.0× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$3,832.27 |
$6,387.11 |
1.2× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$5,886.74 |
$9,811.23 |
0.8× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,726.78 |
$6,211.30 |
1.1× |
| Artificial insemination intra-cervical (58321) |
$336.08 |
$560.13 |
1.1× |
| Artificial insemination intra-uterine (58322) |
$425.77 |
$709.61 |
2.1× |
| Aspirate pleura w/ imaging (32555) |
$1,110.97 |
$1,851.62 |
1.8× |
| Aspirate Pleura W/O Imaging (32554) |
$1,347.27 |
$2,245.45 |
2.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$436.10 |
$726.84 |
1.4× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$852.12 |
$1,420.20 |
1.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$850.78 |
$1,417.96 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$5,024.61 |
$8,374.35 |
2.4× |
| Aspiration Bladder Needle (51100) |
$593.88 |
$989.80 |
2.4× |
| Aspiration bladder trocar/intracatheter (51101) |
$948.13 |
$1,580.22 |
1.1× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$4,505.20 |
$7,508.66 |
1.9× |
| Augmentation lower jaw bone (21127) |
$6,313.97 |
$10,523.29 |
1.1× |
| Autologous Chondrocyte Implantation Knee (27412) |
$9,931.04 |
$16,551.73 |
1.4× |
| Av fistula revision (36833) |
$7,740.32 |
$12,900.54 |
1.4× |
| Av Fistula Revision Open (36832) |
$8,037.35 |
$13,395.58 |
1.4× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,740.32 |
$12,900.54 |
1.4× |
| Av fusion/forearm vein (36820) |
$6,450.27 |
$10,750.45 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$356.75 |
$594.58 |
1.8× |
| Axillary lymphadenectomy; complete (38745) |
$8,072.24 |
$13,453.73 |
1.3× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$6,478.73 |
$10,797.88 |
0.6× |
Biliary ndsc prq t-tube w/bx single/multiple (47553)
unusually low: confirm this is the full procedure |
$3,008.88 |
$5,014.80 |
0.5× |
| Biopsy Abdominal Mass (49180) |
$1,665.74 |
$2,776.24 |
1.0× |
| Biopsy bone open deep (20245) |
$3,642.33 |
$6,070.55 |
1.2× |
| Biopsy bone open superficial (20240) |
$3,965.54 |
$6,609.23 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,718.59 |
$4,530.98 |
1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,601.82 |
$2,669.70 |
1.0× |
| Biopsy External Auditory Canal (69105) |
$2,742.72 |
$4,571.20 |
1.8× |
| Biopsy external ear (69100) |
$839.91 |
$1,399.85 |
3.5× |
| Biopsy eye muscle (67346) |
$3,099.14 |
$5,165.24 |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$1,812.02 |
$3,020.03 |
1.1× |
| Biopsy Muscle Superficial (20200) |
$2,653.97 |
$4,423.28 |
1.6× |
| Biopsy nail unit (11755) |
$888.07 |
$1,480.11 |
1.2× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$2,463.14 |
$4,105.24 |
0.7× |
| Biopsy of breast; open, incisional (19101) |
$4,365.38 |
$7,275.64 |
1.1× |
| Biopsy of conjunctiva (68100) |
$1,901.92 |
$3,169.87 |
0.8× |
| Biopsy of cornea (65410) |
$2,920.65 |
$4,867.75 |
1.2× |
| Biopsy of epididymis (54800) |
$1,415.44 |
$2,359.06 |
0.9× |
| Biopsy of floor of mouth (41108) |
$1,456.03 |
$2,426.72 |
0.9× |
| Biopsy of foot joint lining (28052) |
$3,258.31 |
$5,430.52 |
1.0× |
| Biopsy of foot joint lining (28050) |
$3,777.89 |
$6,296.48 |
1.1× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$1,682.92 |
$2,804.86 |
1.8× |
| Biopsy of lacrimal gland (68510) |
$2,871.95 |
$4,786.59 |
1.2× |
| Biopsy of lip (40490) |
$579.03 |
$965.05 |
2.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,867.11 |
$4,778.52 |
1.7× |
| Biopsy of nerve (64795) |
$3,080.74 |
$5,134.56 |
1.6× |
| Biopsy of palate, uvula (42100) |
$1,601.63 |
$2,669.39 |
1.0× |
| Biopsy of penis (54100) |
$2,670.23 |
$4,450.39 |
1.6× |
| Biopsy of penis; deep structures (54105) |
$3,361.18 |
$5,601.96 |
1.2× |
| Biopsy of rectum (45100) |
$2,738.06 |
$4,563.43 |
1.0× |
| Biopsy of tear sac (68525) |
$2,105.41 |
$3,509.02 |
0.9× |
| Biopsy of toe joint lining (28054) |
$2,995.88 |
$4,993.14 |
0.9× |
| Biopsy of upper nose/throat (42806) |
$2,891.72 |
$4,819.54 |
0.9× |
| Biopsy of urethra (53200) |
$2,889.10 |
$4,815.17 |
1.4× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$4,803.34 |
$8,005.57 |
1.2× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$3,065.57 |
$5,109.28 |
0.8× |
| Biopsy Oropharynx (42800) |
$3,047.33 |
$5,078.88 |
2.0× |
| Biopsy ovary uni/bi separate procedure (58900) |
$2,386.41 |
$3,977.35 |
0.7× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,764.77 |
$2,941.28 |
1.1× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$2,127.53 |
$3,545.88 |
0.6× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$3,139.32 |
$5,232.20 |
0.9× |
| Biopsy Salivary Gland Incisional (42405) |
$3,417.89 |
$5,696.49 |
2.2× |
| Biopsy Salivary Gland Needle (42400) |
$1,387.07 |
$2,311.79 |
1.9× |
| Biopsy soft tissue back/flank deep (21925) |
$3,382.25 |
$5,637.08 |
2.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$1,767.19 |
$2,945.32 |
1.1× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$3,310.73 |
$5,517.88 |
1.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$1,677.14 |
$2,795.23 |
1.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$3,225.86 |
$5,376.44 |
1.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,415.44 |
$2,359.06 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$3,284.35 |
$5,473.91 |
2.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,415.44 |
$2,359.06 |
0.9× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,425.91 |
$2,376.51 |
0.9× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,018.43 |
$5,030.72 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,714.60 |
$2,857.66 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,901.23 |
$4,835.38 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,037.79 |
$3,396.32 |
1.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,935.63 |
$3,226.05 |
1.2× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$4,281.73 |
$7,136.22 |
1.2× |
| Biopsy Testis Needle Separate Procedure (54500) |
$2,558.68 |
$4,264.46 |
0.9× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$1,576.07 |
$2,626.78 |
2.9× |
| Biopsy Tongue Posterior One-Third (41105) |
$2,472.96 |
$4,121.60 |
0.7× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,386.41 |
$3,977.35 |
0.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,550.78 |
$2,584.63 |
1.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,117.94 |
$1,863.23 |
1.2× |
| Biopsy, vestibule of mouth (40808) |
$902.61 |
$1,504.35 |
1.7× |
| Biopsy/removal lymph nodes (38510) |
$5,454.03 |
$9,090.05 |
1.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$783.25 |
$1,305.41 |
1.1× |
| Bladder Irrigation (51700) |
$652.79 |
$1,087.99 |
2.6× |
| Bladder Scan (51798) |
$212.82 |
$354.70 |
3.6× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$4,464.59 |
$7,440.99 |
2.9× |
| Blepharoplasty Lower Eyelid (15820) |
$3,055.04 |
$5,091.74 |
1.5× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$3,227.49 |
$5,379.15 |
1.6× |
| Blepharoplasty upper eyelid (15822) |
$4,783.01 |
$7,971.68 |
2.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,880.12 |
$6,466.86 |
1.9× |
| Blepharotomy drainage abscess eyelid (67700) |
$531.28 |
$885.47 |
1.7× |
| Blood Transfusion Service (36430) |
$1,098.56 |
$1,830.93 |
2.5× |
Blood/Lymph System Procedure (38999)
range across 6 matching MRF lines |
$448.63–$8,632.80 |
$747.72–$14,388 |
varies |
| Bone Graft Any Donor Area Major/Large (20902) |
$5,886.74 |
$9,811.23 |
0.8× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$5,886.74 |
$9,811.23 |
0.8× |
| Bone Marrow Biopsy (38221) |
$1,230.41 |
$2,050.69 |
0.7× |
| Bone marrow harvest allogen (38230) |
$5,783.78 |
$9,639.63 |
3.7× |
| Bone Marrow Harvest Autolog (38232) |
$5,476.96 |
$9,128.26 |
1.3× |
| Bone Marrow; Aspiration Only (38220) |
$1,871.09 |
$3,118.48 |
1.1× |
| Breast augmentation with implant (19325) |
$5,910.18 |
$9,850.30 |
0.7× |
| Breast Reduction (19318) |
$9,366.25 |
$15,610.42 |
1.4× |
| Buttock fasciotomy (27027) |
$5,886.74 |
$9,811.23 |
0.8× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$2,629.27 |
$4,382.11 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$3,231.90 |
$5,386.50 |
1.9× |
| Bx breast 1st lesion strtctc (19081) |
$3,742.20 |
$6,237 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$2,756.77 |
$4,594.61 |
1.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,078.43 |
$1,797.38 |
0.7× |
| Bx Cervix (57500) |
$1,479.08 |
$2,465.14 |
1.6× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
$3,139.32 |
$5,232.20 |
0.6× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$3,318.95 |
$5,531.58 |
0.9× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$3,139.32 |
$5,232.20 |
0.9× |
| Bx prostate transperineal ultrasound-guided (55709) |
$3,139.32 |
$5,232.20 |
0.9× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$3,139.32 |
$5,232.20 |
0.9× |
| Bx prst8 in-bore CT/MRI bx 1 (55713) |
$3,139.32 |
$5,232.20 |
0.6× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$3,139.32 |
$5,232.20 |
0.9× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$3,139.32 |
$5,232.20 |
0.9× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,529.65 |
$7,549.42 |
1.2× |
| Bx/exc lymph node open superficial (38500) |
$4,285.15 |
$7,141.92 |
1.1× |
| Canthoplasty (67950) |
$2,518.79 |
$4,197.98 |
1.1× |
| Canthotomy Separate Procedure (67715) |
$2,488.66 |
$4,147.77 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,168.02 |
$5,280.03 |
1.0× |
| Capsular contracture release (23020) |
$3,614.75 |
$6,024.59 |
1.1× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$2,903.68 |
$4,839.47 |
1.8× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,777.50 |
$4,629.16 |
0.8× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$4,259.84 |
$7,099.74 |
1.3× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$8,070.30 |
$13,450.50 |
1.1× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$8,119.20 |
$13,532 |
1.1× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$6,820.77 |
$11,367.95 |
0.9× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$7,154.78 |
$11,924.64 |
1.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$2,331.52 |
$3,885.87 |
1.4× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$3,135.41 |
$5,225.68 |
1.9× |
| Capsulotomy Midtarsal (28264) |
$4,238.61 |
$7,064.35 |
2.6× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$4,735.61 |
$7,892.68 |
1.4× |
| Capsulotomy wrist (25085) |
$2,777.50 |
$4,629.16 |
0.8× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$2,037.79 |
$3,396.32 |
0.6× |
| Carpal Tunnel Surgery (64721) |
$3,899.19 |
$6,498.65 |
2.0× |
| Carpectomy All Bones Proximal Row (25215) |
$5,205.58 |
$8,675.96 |
1.6× |
| Cartilage graft; costochondral (20910) |
$2,948.40 |
$4,914 |
4.0× |
| Cataract surg w/iol 1 stage (66983) |
$4,538.46 |
$7,564.10 |
2.0× |
| Cataract surgery complex (66982) |
$5,252.39 |
$8,753.98 |
2.3× |
| Catheter aspiration nasotracheal spx (31720) |
$246.73 |
$411.22 |
1.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$431.16 |
$718.60 |
1.4× |
| Cautery Cervix Electro/Thermal (57510) |
$2,386.41 |
$3,977.35 |
0.7× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,569.22 |
$5,948.70 |
1.1× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$2,386.41 |
$3,977.35 |
0.7× |
| Cerv artific diskectomy (22856) |
$16,139.55 |
$26,899.25 |
0.9× |
| Cervical lymphadenectomy (complete) (38720) |
$7,757.11 |
$12,928.52 |
1.2× |
| Cessj Therapy Cath Removal (37214) |
$5,225.80 |
$8,709.67 |
1.6× |
| Change Cystostomy Tube Complicated (51710) |
$1,324.56 |
$2,207.60 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$709.69 |
$1,182.81 |
2.8× |
| Change of Windpipe Airway (31502) |
$499.54 |
$832.56 |
2.1× |
| Change ureter stent percut (50382) |
$2,787.87 |
$4,646.45 |
1.3× |
| Chemical Cautery Tissue (17250) |
$446.41 |
$744.02 |
2.2× |
| Chemical exfoliation for acne (17360) |
$194.38 |
$323.96 |
1.0× |
| Chemical peel face dermal (15789) |
$811.45 |
$1,352.41 |
1.1× |
| Chemical peel nonfacial dermal (15793) |
$383.41 |
$639.02 |
0.9× |
| Chemical peel nonfacial epidermal (15792) |
$370.07 |
$616.78 |
0.5× |
| Chemical peel, facial; epidermal (15788) |
$259.59 |
$432.65 |
0.6× |
| Chemical Pleurodesis (32560) |
$1,074.68 |
$1,791.14 |
1.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$896.68 |
$1,494.46 |
1.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$988.79 |
$1,647.98 |
1.4× |
| Chemodenerv Eccrine Glands (64650) |
$536.87 |
$894.79 |
1.7× |
| Chemodenerv Musc Migraine (64615) |
$556.86 |
$928.10 |
1.8× |
| Chemodenerv musc neck dyston (64616) |
$822.58 |
$1,370.97 |
2.7× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$516.13 |
$860.21 |
1.7× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,064 |
$1,773.34 |
1.5× |
| Chemodenerv trunk musc 6/> (64647) |
$589.88 |
$983.14 |
0.8× |
| Chemodenervation eccrine glands oth area per day (64653) |
$432.89 |
$721.49 |
1.4× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$674.98 |
$1,124.97 |
1.0× |
| Chemodenervation of extraocular muscle (67345) |
$639.10 |
$1,065.17 |
2.0× |
| Chemodenervation of internal anal sphincter (46505) |
$1,759.68 |
$2,932.80 |
1.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$677.98 |
$1,129.97 |
2.2× |
| Chest tube placement (32551) |
$1,653.31 |
$2,755.51 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,690.90 |
$4,484.84 |
1.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,126.71 |
$5,211.19 |
0.9× |
| Chorionic Villus Sampling (59015) |
$736.99 |
$1,228.32 |
0.8× |
| Ciliary body destruction; cryotherapy Facility (66720) |
$3,228.83 |
$5,381.38 |
1.4× |
| Ciliary body destruction; cyclodialysis Facility (66740) |
$2,188.86 |
$3,648.10 |
0.9× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$2,017.15 |
$3,361.91 |
0.9× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$2,385.74 |
$3,976.23 |
1.0× |
| Circumcision 28 days or older (54161) |
$4,074.80 |
$6,791.33 |
1.9× |
| Circumcision Neonate (54160) |
$2,622.55 |
$4,370.91 |
3.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,150.42 |
$3,584.04 |
1.0× |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
$3,099.14 |
$5,165.24 |
0.8× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,683.92 |
$2,806.53 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,578.79 |
$4,297.99 |
1.6× |
| Claviculectomy partial (23120) |
$4,450.01 |
$7,416.69 |
1.4× |
| Claviculectomy; total (23125) |
$4,861.63 |
$8,102.72 |
1.5× |
| Clear outer ear canal (69200) |
$292.10 |
$486.84 |
2.2× |
| Close mastoid fistula (69700) |
$3,709.74 |
$6,182.90 |
2.4× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,617.93 |
$6,029.89 |
1.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$486.35 |
$810.59 |
2.0× |
| Closed rx talotarsal disloc,anesth (28575) |
$2,777.50 |
$4,629.16 |
0.8× |
| Closed Treat Vert Body Fract (22310) |
$519.75 |
$866.25 |
2.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$876.57 |
$1,460.95 |
3.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,559.18 |
$2,598.64 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$551.53 |
$919.21 |
2.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$332.53 |
$554.21 |
1.3× |
| Closed Treatment Sesamoid Fracture (28530) |
$345.38 |
$575.63 |
1.4× |
| Closed Treatment Sternum Fracture (21820) |
$331.53 |
$552.55 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$525.26 |
$875.44 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$701.73 |
$1,169.55 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,986.71 |
$3,311.19 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$525.26 |
$875.44 |
2.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,917.67 |
$3,196.12 |
7.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$412.37 |
$687.29 |
1.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,530.83 |
$2,551.39 |
0.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$445.60 |
$742.67 |
1.8× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$989.98 |
$1,649.96 |
0.6× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,996.56 |
$3,327.60 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$857.58 |
$1,429.30 |
3.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,220.89 |
$3,701.48 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$545.69 |
$909.48 |
2.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,450.72 |
$4,084.54 |
1.5× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,694.45 |
$4,490.75 |
1.7× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$720.25 |
$1,200.41 |
1.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$4,738.30 |
$7,897.16 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$339.05 |
$565.08 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,978.52 |
$3,297.53 |
1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,403.33 |
$4,005.55 |
1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,808.01 |
$4,680.02 |
0.8× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$2,903.97 |
$4,839.95 |
1.9× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,817.72 |
$6,362.86 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,792.16 |
$2,986.93 |
7.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$479.12 |
$798.54 |
1.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$421.24 |
$702.06 |
1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,806.10 |
$3,010.17 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$470.08 |
$783.46 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,839.55 |
$3,065.92 |
1.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$412.37 |
$687.28 |
1.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,986.71 |
$3,311.19 |
1.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$456.55 |
$760.91 |
1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$416.50 |
$694.16 |
1.7× |
| Closed tx septal&nose fx (21337) |
$2,713.85 |
$4,523.09 |
0.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$804.79 |
$1,341.32 |
3.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$421.50 |
$702.50 |
1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,607.38 |
$2,678.96 |
1.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$276.31 |
$460.52 |
1.1× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$394.75 |
$657.91 |
1.6× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,562.64 |
$5,937.74 |
2.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$347.15 |
$578.59 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,607.38 |
$2,678.96 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$376.30 |
$627.17 |
1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$385.03 |
$641.72 |
1.6× |
| Closure Gastrostomy Surg (43870) |
$3,663.60 |
$6,106 |
0.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$487.69 |
$812.81 |
2.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,181.99 |
$1,969.98 |
2.2× |
| Closure Lacrimal Fistula Spx (68770) |
$3,586.17 |
$5,976.95 |
1.5× |
| Closure lacrimal punctum (68760) |
$540.38 |
$900.63 |
1.7× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$5,166.85 |
$8,611.41 |
1.5× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$3,688.03 |
$6,146.71 |
1.1× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$5,625.88 |
$9,376.46 |
1.7× |
| Closure of salivary fistula (42600) |
$3,149.40 |
$5,249 |
0.9× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$7,394.10 |
$12,323.50 |
1.4× |
| Closure of urethrovaginal fistula; Facility (57310) |
$7,093.16 |
$11,821.93 |
1.0× |
| Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) |
$7,607.20 |
$12,678.67 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$825.57 |
$1,375.95 |
3.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$385.03 |
$641.72 |
1.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,771.56 |
$2,952.60 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$440.64 |
$734.40 |
1.8× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$889.81 |
$1,483.02 |
1.6× |
| Clsd Tx Pelvic Ring Fx (27198) |
$2,015.44 |
$3,359.07 |
8.1× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$348.90 |
$581.50 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,000.75 |
$3,334.58 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$973.84 |
$1,623.06 |
3.9× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,839.79 |
$3,066.32 |
1.1× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$5,636.69 |
$9,394.48 |
2.0× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$608.62 |
$1,014.37 |
1.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$380.62 |
$634.37 |
1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,821.75 |
$4,702.92 |
1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,226.01 |
$3,710.01 |
1.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$533.24 |
$888.74 |
2.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,445.79 |
$2,409.65 |
0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$418.49 |
$697.48 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$388.01 |
$646.69 |
1.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$421.50 |
$702.50 |
1.7× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$574.95 |
$958.25 |
2.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$466.22 |
$777.04 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$548.92 |
$914.86 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$470.08 |
$783.46 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$512.21 |
$853.68 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,080.42 |
$3,467.37 |
1.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,889.72 |
$4,816.20 |
1.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$486.35 |
$810.59 |
2.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,966.30 |
$3,277.16 |
1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$486.35 |
$810.59 |
2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,184.08 |
$3,640.13 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$560.99 |
$934.99 |
2.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$373.11 |
$621.85 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$715.76 |
$1,192.94 |
2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$390.11 |
$650.19 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,016.05 |
$3,360.08 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$380.62 |
$634.37 |
1.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$387.39 |
$645.65 |
1.6× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$773.84 |
$1,289.74 |
3.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,072.29 |
$3,453.82 |
1.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,465.82 |
$4,109.70 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$885.31 |
$1,475.51 |
3.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$415.84 |
$693.06 |
1.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,530.83 |
$2,551.39 |
0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,488.31 |
$2,480.52 |
0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$486.35 |
$810.59 |
2.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,771.42 |
$2,952.37 |
6.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$564.50 |
$940.83 |
2.3× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,551.47 |
$2,585.79 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,248.75 |
$3,747.92 |
8.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$858.89 |
$1,431.49 |
3.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,862.77 |
$3,104.61 |
1.2× |
| Cltx Medial Ankle Fx (27760) |
$440.75 |
$734.59 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$548.92 |
$914.86 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$485.66 |
$809.44 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,383.09 |
$3,971.82 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$841.03 |
$1,401.72 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$529.34 |
$882.24 |
2.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,766.95 |
$4,611.58 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$666.88 |
$1,111.46 |
2.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,898.72 |
$3,164.53 |
1.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$404.29 |
$673.81 |
1.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,691.17 |
$2,818.61 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$616.97 |
$1,028.28 |
2.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$486.35 |
$810.59 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$550.58 |
$917.63 |
2.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,839.54 |
$3,065.90 |
1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,607.38 |
$2,678.96 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$438.97 |
$731.61 |
1.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,417.44 |
$2,362.40 |
0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$380.62 |
$634.37 |
1.5× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$3,935.24 |
$6,558.73 |
1.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$396.30 |
$660.50 |
1.6× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$452.81 |
$754.68 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$411.07 |
$685.12 |
1.7× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$459.82 |
$766.37 |
1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,806.10 |
$3,010.17 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$510.67 |
$851.12 |
2.1× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,417.44 |
$2,362.40 |
0.4× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$7,743.03 |
$12,905.05 |
1.5× |
| Coccygectomy, primary (27080) |
$6,599.78 |
$10,999.63 |
2.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$173.83 |
$289.72 |
1.3× |
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines |
$30.25–$32.66 |
$50.41–$54.44 |
varies |
| Colpocentesis (57020) |
$3,492.48 |
$5,820.80 |
0.7× |
| Colpocleisis (le fort type) (57120) |
$5,960.51 |
$9,934.18 |
1.2× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$3,379.09 |
$5,631.82 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$6,722.56 |
$11,204.27 |
0.9× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$6,152.63 |
$10,254.38 |
0.8× |
| Colporrhaphy (57200) |
$3,367.10 |
$5,611.84 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$771.19 |
$1,285.31 |
2.5× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$665.56 |
$1,109.27 |
2.2× |
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines |
$139.80–$481.48 |
$233–$802.47 |
varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$729.29 |
$1,215.48 |
2.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,467.23 |
$5,778.72 |
1.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,536.19 |
$5,893.65 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$758.98 |
$1,264.96 |
2.5× |
Colposcopy of vulva (56820)
range across 3 matching MRF lines |
$90–$386.44 |
$150–$644.06 |
varies |
| Colposcopy Vulva W/Biopsy (56821) |
$385.63 |
$642.72 |
1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$895.92 |
$1,493.20 |
1.0× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$3,309.79 |
$5,516.32 |
1.0× |
| Colpotomy; with exploration (57000) |
$3,905.53 |
$6,509.21 |
1.2× |
| Combined anteroposterior colporrhaphy; (57260) |
$7,063.81 |
$11,773.02 |
1.4× |
| Complex Cystometrogram (51726) |
$963.53 |
$1,605.88 |
3.8× |
| Complex drainage wound (10180) |
$3,834.59 |
$6,390.98 |
1.3× |
| Composite Skin Graft (15760) |
$3,703.68 |
$6,172.80 |
1.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$5,114.45 |
$8,524.08 |
1.6× |
| Conization of cervix (57520) |
$3,673.15 |
$6,121.91 |
1.1× |
| Conjunctival Flap Total (68362) |
$4,528.11 |
$7,546.85 |
1.9× |
| Conjunctivoplasty W/Buccal Muc Memb Graft (68325) |
$4,974.14 |
$8,290.24 |
1.3× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$4,036.38 |
$6,727.30 |
1.7× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$4,788.20 |
$7,980.34 |
1.2× |
| Conjunctivorhinostomy W/O Tube (68745) |
$3,413.83 |
$5,689.72 |
0.9× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$2,774.04 |
$4,623.40 |
1.2× |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
$2,470.39 |
$4,117.32 |
1.0× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$3,531.65 |
$5,886.09 |
1.1× |
| Construct thumb replacement (26550) |
$3,333.80 |
$5,556.33 |
1.0× |
| Construction of artificial vagina; with graft Facility (57292) |
$4,317.40 |
$7,195.67 |
0.9× |
| Construction of vagina (57291) |
$3,576.43 |
$5,960.71 |
0.7× |
| Contour cranial bone lesion (21181) |
$5,078.92 |
$8,464.87 |
0.9× |
| Contour of face bone lesion (21029) |
$3,672.09 |
$6,120.15 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$410.06 |
$683.43 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$469.94 |
$783.24 |
3.5× |
| Control nose/throat bleeding (42972) |
$2,309.02 |
$3,848.36 |
0.7× |
| Control oropharyngeal hemorrhage simple (42960) |
$482.86 |
$804.77 |
0.9× |
| Conversion ext bil drg cath (47535) |
$3,281.71 |
$5,469.52 |
0.9× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,146.22 |
$3,577.04 |
1.1× |
| Convert Nephrostomy Catheter (50434) |
$1,230.89 |
$2,051.48 |
0.6× |
| Cordocentesis (59012) |
$834.05 |
$1,390.09 |
2.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,952.39 |
$3,253.98 |
1.2× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$346.51 |
$577.52 |
0.8× |
| Corneal transplant (65710) |
$7,521.70 |
$12,536.16 |
1.4× |
| Corneal Transplant,Penetrat,Aphakia (65750) |
$7,163.63 |
$11,939.38 |
1.3× |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
$1,901.92 |
$3,169.87 |
0.8× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$7,004.95 |
$11,674.92 |
2.0× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$4,567.57 |
$7,612.62 |
1.3× |
| Correction claw finger, other methods Facility (26499) |
$3,333.80 |
$5,556.33 |
1.0× |
| Correction Everted Punctum Cautery (68705) |
$612.26 |
$1,020.44 |
1.9× |
| Correction hammertoe (28285) |
$3,825.13 |
$6,375.21 |
1.2× |
| Correction of inverted nipples (19355) |
$4,243.90 |
$7,073.16 |
1.1× |
| Correction of lid retraction (67911) |
$2,695.76 |
$4,492.93 |
1.1× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$272.86 |
$454.76 |
2.0× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$1,637.99 |
$2,729.99 |
1.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,739.75 |
$7,899.58 |
1.4× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,195.20 |
$5,325.34 |
1.0× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
unusually low: confirm this is the full procedure |
$6,004.47 |
$10,007.45 |
0.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$5,886.74 |
$9,811.23 |
0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,131.07 |
$6,885.11 |
1.3× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$4,359.01 |
$7,265.01 |
0.6× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$2,835.10 |
$4,725.17 |
1.2× |
| Costotransversectomy (separate procedure) Facility (21610) |
$4,755.67 |
$7,926.12 |
1.4× |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
$6,063.98 |
$10,106.64 |
0.8× |
| Create Eardrum Opening (69433) |
$1,047.93 |
$1,746.55 |
1.9× |
| Create Tear Sac-Nasal Fistula (68720) |
$3,732.12 |
$6,220.20 |
0.9× |
| Cricopharyngeal myotomy (43030) |
$4,832.78 |
$8,054.64 |
0.8× |
| Cricotracheal resection (31592) |
$5,413.19 |
$9,021.98 |
0.9× |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
$1,642.43 |
$2,737.39 |
1.6× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$2,777.50 |
$4,629.16 |
0.8× |
| Cross-over vein graft (34520) |
$4,809.64 |
$8,016.07 |
0.9× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$7,740.32 |
$12,900.54 |
1.4× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$3,778.34 |
$6,297.24 |
1.0× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$8,919.23 |
$14,865.39 |
0.9× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$163.96 |
$273.26 |
2.8× |
| Csf shunt reprogram (62252) |
$479.81 |
$799.68 |
1.6× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$297.37 |
$495.61 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$490.82 |
$818.03 |
3.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$330.43 |
$550.72 |
1.4× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$4,414.57 |
$7,357.61 |
1.3× |
| Curettage postpartum (59160) |
$3,871.96 |
$6,453.26 |
1.2× |
| Curette/treat cornea (65435) |
$1,090.57 |
$1,817.61 |
1.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,642.81 |
$7,738.02 |
2.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,294.68 |
$7,157.80 |
2.0× |
| Cysto w/complex removal stone & stent (52315) |
$4,402.40 |
$7,337.34 |
2.1× |
| Cysto w/destruction of lesions (52214) |
$4,408.51 |
$7,347.51 |
1.2× |
| Cysto w/insert ureteral stent (52332) |
$5,262.80 |
$8,771.34 |
1.5× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,236.11 |
$5,393.52 |
0.9× |
| Cysto w/removal of lesions small (52224) |
$5,050.13 |
$8,416.88 |
1.4× |
| Cysto w/removal of tumors small (52234) |
$6,313.04 |
$10,521.74 |
1.8× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$3,278.89 |
$5,464.81 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,020.31 |
$6,700.52 |
1.9× |
| Cysto w/up stricture tx (52342) |
$3,891.34 |
$6,485.56 |
1.1× |
| Cysto w/ureter stricture tx (52341) |
$4,170.18 |
$6,950.30 |
1.2× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$7,440.61 |
$12,401.01 |
1.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,884.23 |
$8,140.38 |
1.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$4,384.91 |
$7,308.19 |
1.2× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,013.63 |
$6,689.38 |
1.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,891.34 |
$6,485.56 |
0.7× |
| Cysto/uretero w/lithotripsy (52356) |
$10,101.74 |
$16,836.24 |
1.9× |
| Cysto/uretero w/up stricture (52345) |
$3,891.34 |
$6,485.56 |
1.1× |
| Cystolithotomy (51050) |
$4,735.36 |
$7,892.26 |
0.9× |
| Cystometrogram W/Up (51727) |
$981.28 |
$1,635.47 |
1.4× |
| Cystometrogram W/Vp (51728) |
$1,034.09 |
$1,723.49 |
1.5× |
| Cystometrogram W/Vp&Up (51729) |
$1,111.03 |
$1,851.71 |
1.6× |
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure |
$4,296.14 |
$7,160.24 |
0.5× |
| Cystoscopy and radiotracer (52250) |
$4,646.90 |
$7,744.83 |
1.3× |
| Cystoscopy implant stent (52282) |
$3,700.52 |
$6,167.54 |
1.0× |
| Cystoscopy inject material (52327) |
$4,085.90 |
$6,809.84 |
0.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$6,810.14 |
$11,350.24 |
3.2× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$3,079.75 |
$5,132.91 |
0.9× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$3,891.34 |
$6,485.56 |
1.1× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$1,780.46 |
$2,967.44 |
0.8× |
| Cystouretero W/Congen Repr (52400) |
$4,832.10 |
$8,053.50 |
1.4× |
| Cystouretero w/excise tumor (52355) |
$3,891.34 |
$6,485.56 |
0.7× |
| Cystouretero w/renal strict (52346) |
$3,891.34 |
$6,485.56 |
0.7× |
| Cystourethroscopy (52000) |
$2,748.03 |
$4,580.05 |
3.9× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$3,997.70 |
$6,662.84 |
0.7× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,106.80 |
$5,178 |
0.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,335.98 |
$7,226.63 |
2.1× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$1,780.46 |
$2,967.44 |
2.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$6,503.05 |
$10,838.41 |
1.8× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$6,664.68 |
$11,107.80 |
1.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,213.14 |
$5,355.24 |
1.5× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,891.34 |
$6,485.56 |
1.1× |
| Cystourethroscopy with biopsy (52204) |
$4,559.19 |
$7,598.65 |
2.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,284.70 |
$7,141.17 |
2.0× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,648.16 |
$6,080.26 |
1.0× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$3,734.33 |
$6,223.88 |
1.1× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$1,780.46 |
$2,967.44 |
0.8× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$822.50 |
$1,370.84 |
1.2× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$3,980.34 |
$6,633.90 |
1.9× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$3,418.99 |
$5,698.31 |
1.0× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$2,358.72 |
$3,931.20 |
1.1× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$4,127.76 |
$6,879.60 |
1.2× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$4,180.18 |
$6,966.96 |
0.8× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$3,900.67 |
$6,501.12 |
1.1× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$2,582.14 |
$4,303.57 |
0.7× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$3,587.87 |
$5,979.79 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$626.58 |
$1,044.30 |
1.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,593.25 |
$4,322.09 |
0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,233.31 |
$2,055.52 |
1.7× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,280.79 |
$2,134.65 |
1.8× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$4,755.67 |
$7,926.12 |
1.4× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$3,578.72 |
$5,964.53 |
1.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$6,426.61 |
$10,711.01 |
2.0× |
| Dcmprn fasct leg post compartment only (27601) |
$3,773.95 |
$6,289.92 |
1.1× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$5,553.11 |
$9,255.18 |
2.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,523.50 |
$2,539.17 |
2.1× |
| Debride nail 1-5 (11720) |
$196.21 |
$327.02 |
3.3× |
| Debride nail 6 or more (11721) |
$233.17 |
$388.62 |
3.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,131 |
$5,218.33 |
1.9× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$1,658.46 |
$2,764.10 |
3.1× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$252.43 |
$420.71 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,231.11 |
$2,051.85 |
3.0× |
| Declot vascular device (36593) |
$492.66 |
$821.10 |
1.5× |
| Decomp forearm,1 compart,w/o debride (25020) |
$3,183.16 |
$5,305.26 |
2.0× |
| Decompress Fingers/Hand (26035) |
$2,444.37 |
$4,073.95 |
0.7× |
| Decompress Spinal Cord Lmbr (63056) |
$12,584.42 |
$20,974.04 |
1.7× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$2,509.30 |
$4,182.17 |
1.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$4,755.67 |
$7,926.12 |
2.9× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$3,957.20 |
$6,595.33 |
1.2× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$5,886.74 |
$9,811.23 |
0.8× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$2,777.50 |
$4,629.16 |
0.8× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$3,578.69 |
$5,964.48 |
2.2× |
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499)
unusually low: confirm this is the full procedure |
$3,461.04 |
$5,768.40 |
0.5× |
| Decompression internal auditory canal Facility (69960) |
$5,289.89 |
$8,816.49 |
0.9× |
| Decompression of leg (27894) |
$3,721.84 |
$6,203.06 |
1.1× |
| Decompression of leg (27892) |
$3,721.84 |
$6,203.06 |
1.1× |
| Decompression of tibia nerve (28035) |
$3,353.97 |
$5,589.95 |
1.7× |
| Decompressive fasciotomy hand (26037) |
$1,575.22 |
$2,625.36 |
0.5× |
| Deep Muscle Biopsy (20205) |
$2,491.91 |
$4,153.18 |
0.9× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$4,777.42 |
$7,962.37 |
2.3× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$4,054.55 |
$6,757.59 |
2.0× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$4,054.55 |
$6,757.59 |
2.0× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$3,984.92 |
$6,641.54 |
1.1× |
| Delivery of placenta (59414) |
$3,073.67 |
$5,122.79 |
0.9× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$2,846 |
$4,743.34 |
0.8× |
| Derma-fat-fascia graft (15770) |
$3,210.56 |
$5,350.93 |
0.9× |
| Dermabrasion regional other than face (15782) |
$1,415.44 |
$2,359.06 |
0.5× |
| Dermabrasion segmental face (15781) |
$1,107.64 |
$1,846.07 |
1.6× |
| Dermabrasion superficial any site (15783) |
$719.36 |
$1,198.94 |
1.8× |
| Dermabrasion total face (15780) |
$3,425 |
$5,708.34 |
1.2× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$2,984.90 |
$4,974.83 |
1.4× |
| Design custom breast implant (19396) |
$4,007.21 |
$6,678.68 |
1.0× |
| Destr penis lesion(s) (54065) |
$3,556.35 |
$5,927.25 |
1.7× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$2,537.17 |
$4,228.61 |
2.9× |
| Destroy cerv/thor facet jnt (64633) |
$2,579.28 |
$4,298.80 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,812.90 |
$4,688.16 |
1.4× |
| Destruc retinal lesn,photocoag (67210) |
$1,522.19 |
$2,536.98 |
2.8× |
| Destruct B9 Lesion 1-14 (17110) |
$261.23 |
$435.38 |
1.3× |
| Destruction Benign Lesions 15/> (17111) |
$349.15 |
$581.92 |
1.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,245.97 |
$3,743.29 |
2.5× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$2,792.73 |
$4,654.55 |
1.4× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$453.92 |
$756.53 |
1.5× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$1,626.35 |
$2,710.58 |
1.8× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$900.53 |
$1,500.88 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$3,666.68 |
$6,111.13 |
1.8× |
| Destruction Lesions Vulva Simple (56501) |
$3,785 |
$6,308.34 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$564.46 |
$940.77 |
2.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$548.06 |
$913.43 |
2.7× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$683.48 |
$1,139.13 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$602.32 |
$1,003.87 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$512.61 |
$854.35 |
0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$349.15 |
$581.92 |
1.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$366.07 |
$610.11 |
1.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$401.53 |
$669.22 |
2.0× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$495.72 |
$826.20 |
1.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$615.05 |
$1,025.09 |
1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$307.26 |
$512.10 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$332.93 |
$554.88 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$336.09 |
$560.15 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$349.15 |
$581.92 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$639.42 |
$1,065.70 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$419.85 |
$699.75 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$319.99 |
$533.31 |
1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,834.84 |
$4,724.73 |
1.4× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$1,132.19 |
$1,886.98 |
2.0× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$431.53 |
$719.21 |
1.4× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$1,465.04 |
$2,441.73 |
1.5× |
| Destruction of lesion, conjunctiva (68135) |
$1,901.92 |
$3,169.87 |
0.8× |
| Destruction of rectal tumor transanal approach (45190) |
$2,998.42 |
$4,997.36 |
1.1× |
| Destruction of skin lesions (17106) |
$822.58 |
$1,370.97 |
2.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$609.45 |
$1,015.75 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$203.04 |
$338.40 |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,237.28 |
$5,395.47 |
1.0× |
| Destruction Vaginal Lesions Simple (57061) |
$3,149.41 |
$5,249.02 |
1.0× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$168.73 |
$281.22 |
0.8× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,969.12 |
$3,281.87 |
1.6× |
| Dilat female urethra general/cndj spinal anes (53665) |
$3,207.20 |
$5,345.34 |
1.5× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$235.61 |
$392.69 |
1.8× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$225.54 |
$375.90 |
1.7× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$2,219.41 |
$3,699.02 |
1.8× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$185.58 |
$309.30 |
1.4× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
$379 |
$631.66 |
1.5× |
| Dilat Xst Trc New Access Rcs (50437) |
$7,184.73 |
$11,974.55 |
2.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,168.01 |
$1,946.68 |
1.3× |
| Dilate Urethra Stricture (53620) |
$2,140.31 |
$3,567.18 |
3.1× |
| Dilate Urethra Stricture (53600) |
$716.91 |
$1,194.85 |
2.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,404.02 |
$5,673.36 |
1.0× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$551.84 |
$919.74 |
1.0× |
| Dilation And Curettage Of Cervical Stump (57558) |
$3,066.34 |
$5,110.56 |
0.9× |
| Dilation Cervical Canal (57800) |
$3,447.85 |
$5,746.42 |
1.1× |
| Dilation Esophagus Guide Wire (43453) |
$1,106.68 |
$1,844.46 |
0.6× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$360.51 |
$600.85 |
0.8× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$3,424.84 |
$5,708.06 |
1.0× |
| Dilation of vagina (57400) |
$2,643.08 |
$4,405.13 |
0.8× |
| Dilation Salivary Duct (42650) |
$2,675.71 |
$4,459.52 |
1.7× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$7,492.33 |
$12,487.21 |
1.3× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$6,305.95 |
$10,509.92 |
1.1× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
$1,793.59 |
$2,989.32 |
0.9× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$8,689.10 |
$14,481.83 |
1.2× |
| Discission Secondary Membranous Cataract (66820) |
$2,017.15 |
$3,361.91 |
0.9× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$196.32 |
$327.20 |
0.1× |
| Dissection, deep jugular node(s) Facility (38542) |
$6,224.40 |
$10,374 |
1.0× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$8,273.87 |
$13,789.79 |
1.5× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$5,817.32 |
$9,695.54 |
1.0× |
Division of scalenus anticus; without resection of cervical rib Facility (21700)
unusually low: confirm this is the full procedure |
$2,777.50 |
$4,629.16 |
0.4× |
| Division of stricture of rectum Facility (45150) |
$3,349.38 |
$5,582.30 |
2.8× |
| Division of symblepharon (68340) |
$1,926.33 |
$3,210.55 |
0.8× |
| Drain ant chmbr,remv vitreous (65810) |
$2,785.66 |
$4,642.76 |
1.2× |
| Drain Cerebro Spinal Fluid (62272) |
$1,312.35 |
$2,187.25 |
1.9× |
| Drain chest lesion (21502) |
$2,997.08 |
$4,995.13 |
0.9× |
| Drain Hand Tendon Sheath (26020) |
$2,889.70 |
$4,816.17 |
0.9× |
| Drain penis lesion (54015) |
$4,259.14 |
$7,098.57 |
2.6× |
| Drain shoulder bursa (23031) |
$2,719.83 |
$4,533.05 |
0.9× |
| Drain Spinal Cord Cyst (62268) |
$1,124.95 |
$1,874.92 |
1.3× |
| Drain/inj small joint/bursa w/us (20604) |
$944.18 |
$1,573.63 |
3.1× |
| Drainage abscess parotid simple (42300) |
$1,710.96 |
$2,851.60 |
1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$529.16 |
$881.94 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$750.31 |
$1,250.51 |
1.1× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,996.52 |
$4,994.20 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,005.88 |
$1,676.47 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$2,169.64 |
$3,616.07 |
1.3× |
| Drainage lymph node lesion (38305) |
$2,901.50 |
$4,835.84 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$601.96 |
$1,003.26 |
2.5× |
| Drainage of eye (65800) |
$2,017.15 |
$3,361.91 |
0.9× |
| Drainage of finger abscess simple (26010) |
$551.70 |
$919.50 |
2.7× |
| Drainage of gum lesion (41800) |
$560.02 |
$933.37 |
4.2× |
| Drainage of hematoma/fluid (10140) |
$4,096.10 |
$6,826.84 |
2.5× |
| Drainage of hydrocele (55000) |
$784.40 |
$1,307.34 |
1.1× |
| Drainage of mouth lesion (41006) |
$3,710.62 |
$6,184.37 |
2.4× |
| Drainage of mouth lesion (41017) |
$2,309.02 |
$3,848.36 |
0.7× |
| Drainage of nose lesion (30000) |
$733.94 |
$1,223.23 |
3.1× |
| Drainage of palmar bursa single bursa (26025) |
$2,444.37 |
$4,073.95 |
0.7× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$2,777.50 |
$4,629.16 |
0.8× |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
$2,688.62 |
$4,481.03 |
1.3× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
$2,308.48 |
$3,847.47 |
3.3× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$2,831.60 |
$4,719.33 |
1.3× |
| Drainage of rectal abscess (45020) |
$1,556.37 |
$2,593.95 |
0.6× |
| Drainage of rectal abscess (45005) |
$2,382.16 |
$3,970.26 |
2.0× |
| Drainage of salivary cyst (42409) |
$3,575.45 |
$5,959.09 |
1.1× |
| Drainage of salivary gland (42320) |
$482.86 |
$804.77 |
0.9× |
| Drainage of salivary gland (42305) |
$3,710.62 |
$6,184.37 |
1.1× |
| Drainage of scrotal wall abscess (55100) |
$2,437.31 |
$4,062.19 |
1.5× |
| Drainage of scrotum (54700) |
$3,686.06 |
$6,143.44 |
1.8× |
| Drainage of skene's gland abscess or cyst (53060) |
$1,780.46 |
$2,967.44 |
0.8× |
| Drainage of throat abscess (42725) |
$6,499.33 |
$10,832.22 |
1.1× |
| Drainage of urethra abscess (53040) |
$3,891.34 |
$6,485.56 |
1.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$3,964.27 |
$6,607.11 |
1.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$3,091.88 |
$5,153.13 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$181.55 |
$302.58 |
1.4× |
| Dressing Change Under Anesthesia (15852) |
$592.93 |
$988.21 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,350.97 |
$2,251.62 |
2.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$718.77 |
$1,197.95 |
1.0× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$482.86 |
$804.77 |
0.9× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$1,687.94 |
$2,813.23 |
0.6× |
| Drg privesical/prevesical space absc (51080) |
$2,902.06 |
$4,836.76 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$467.27 |
$778.78 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$504.09 |
$840.15 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$525.71 |
$876.18 |
2.6× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,066.45 |
$1,777.41 |
1.4× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,458.77 |
$4,097.95 |
1.2× |
| Dstrj Extensive Retinopathy (67227) |
$3,521.44 |
$5,869.06 |
0.9× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$2,641.78 |
$4,402.97 |
0.8× |
| Dstrj Lesion Anus Extensive (46924) |
$3,363.79 |
$5,606.32 |
1.2× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$535.46 |
$892.44 |
1.3× |
| Dstrj lesion anus simple cryosurgery (46916) |
$305.03 |
$508.38 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$3,292.47 |
$5,487.45 |
1.2× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,772.60 |
$4,621 |
1.3× |
| Dstrj lesion choroid pc 1/> sess (67220) |
$1,242.48 |
$2,070.80 |
2.2× |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
$1,117.62 |
$1,862.70 |
2.0× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$326.34 |
$543.90 |
0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$288.05 |
$480.09 |
1.4× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$2,236.85 |
$3,728.09 |
1.1× |
| Dstrj lesion penis simple laser (54057) |
$3,679.60 |
$6,132.67 |
1.8× |
| Dstrj lesion penis simple surg excision (54060) |
$2,479.33 |
$4,132.22 |
1.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$604.09 |
$1,006.82 |
1.5× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$4,613.80 |
$7,689.66 |
2.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,900.99 |
$3,168.32 |
2.1× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
$2,025.45 |
$3,375.75 |
2.3× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$3,551.65 |
$5,919.41 |
4.0× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$207.47 |
$345.79 |
0.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,201.83 |
$5,336.39 |
1.1× |
| Dx duod intub w/asp spec (43756) |
$215.77 |
$359.62 |
0.2× |
| Dx gastr intub w/asp spec (43754) |
$248.83 |
$414.72 |
1.1× |
| Dx gastr intub w/asp specs (43755) |
$120.90 |
$201.50 |
0.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,072.59 |
$5,120.98 |
1.7× |
| Dx laryngoscopy w/oper scope (31526) |
$3,316.47 |
$5,527.45 |
1.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,030.57 |
$1,717.62 |
1.5× |
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure |
$786.71 |
$1,311.19 |
0.1× |
| Elbow arthroscopy (29830) |
$4,022.93 |
$6,704.88 |
1.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$420.84 |
$701.40 |
1.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$601.17 |
$1,001.95 |
1.9× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$535.43 |
$892.39 |
1.7× |
| Electro-Uroflowmetry First (51741) |
$316.04 |
$526.74 |
1.5× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$572.83 |
$954.71 |
0.8× |
| Embedded ip cath exit-site (49436) |
$3,226.64 |
$5,377.74 |
1.7× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$6,590.12 |
$10,983.54 |
1.2× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$7,310.39 |
$12,183.98 |
1.3× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$6,708.28 |
$11,180.46 |
1.2× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$5,740.15 |
$9,566.91 |
1.0× |
| Endocervical curettage (57505) |
$1,425.89 |
$2,376.49 |
1.5× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,317.40 |
$7,195.67 |
0.9× |
Endometrial Biopsy (58100)
range across 2 matching MRF lines |
$468.39–$487.91 |
$780.65–$813.18 |
varies |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$5,441.87 |
$9,069.79 |
1.1× |
| Endoscopic injection/implant (51715) |
$6,646.33 |
$11,077.21 |
1.9× |
| Endoscopic plantar fasciotomy (29893) |
$4,042.58 |
$6,737.64 |
1.2× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,634.84 |
$19,391.40 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$4,338.28 |
$7,230.46 |
1.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$4,126.29 |
$6,877.15 |
1.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$7,207.63 |
$12,012.71 |
2.3× |
| Endoven ther chem adhes 1st (36482) |
$9,045.62 |
$15,076.03 |
1.6× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,035.22 |
$3,392.03 |
1.1× |
| Enucleation Eye Implt Musc X Attached Implt (65103) |
$5,725.97 |
$9,543.28 |
1.4× |
| Enucleation of Eye W/O Implant (65101) |
$5,931.34 |
$9,885.57 |
1.5× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$3,212.11 |
$5,353.52 |
1.5× |
| Epididymectomy bilateral (54861) |
$5,268.91 |
$8,781.51 |
1.5× |
| Epididymectomy unilateral (54860) |
$4,515.64 |
$7,526.06 |
1.3× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
$3,673.67 |
$6,122.79 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,856.87 |
$4,761.45 |
1.4× |
| Epidural Blood Patch (62273) |
$1,942.35 |
$3,237.25 |
2.7× |
| Epidural lysis mult sessions (62263) |
$2,710.96 |
$4,518.26 |
3.1× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$7,702.65 |
$12,837.75 |
2.3× |
| Episiotomy or vaginal repair (59300) |
$2,800.34 |
$4,667.23 |
0.9× |
| Esc i p ulcer w ostect & flap (15946) |
$3,696.64 |
$6,161.06 |
1.8× |
| Escharotomy; initial incision (16035) |
$428.33 |
$713.88 |
1.0× |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
$1,195.09 |
$1,991.82 |
0.8× |
| Ethmoidectomy Extranasal Total (31205) |
$3,615.13 |
$6,025.22 |
1.1× |
| Ethmoidectomy Intranasal Anterior (31200) |
$4,555.73 |
$7,592.89 |
0.8× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$2,638.74 |
$4,397.90 |
1.7× |
| Evacuate mole of uterus (59870) |
$3,427.35 |
$5,712.25 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$190.10 |
$316.84 |
1.4× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$4,130.83 |
$6,884.72 |
2.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,155.32 |
$5,258.87 |
1.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$4,246 |
$7,076.67 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,979.60 |
$8,299.34 |
3.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,196.08 |
$1,993.47 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,303.15 |
$3,838.58 |
1.4× |
| Exc Back Les Sc < 3 Cm (21930) |
$4,244.10 |
$7,073.50 |
2.6× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$5,366.32 |
$8,943.87 |
1.8× |
| Exc back tum deep < 5 cm (21932) |
$3,383.79 |
$5,639.65 |
1.2× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
$6,410.84 |
$10,684.73 |
1.1× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) |
$5,601.49 |
$9,335.82 |
0.9× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$5,591.74 |
$9,319.57 |
0.9× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$3,497.38 |
$5,828.97 |
1.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,525.37 |
$5,875.62 |
0.9× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$2,741.28 |
$4,568.80 |
1.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$1,250.83 |
$2,084.72 |
1.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,712.59 |
$2,854.31 |
2.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$2,106.86 |
$3,511.44 |
1.3× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$2,678.76 |
$4,464.60 |
1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,175.11 |
$1,958.52 |
1.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,020.35 |
$1,700.59 |
1.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,512.62 |
$2,521.04 |
2.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,117.89 |
$3,529.82 |
1.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,722.99 |
$2,871.65 |
1.0× |
| Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) |
$2,729.48 |
$4,549.13 |
1.8× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$5,886.74 |
$9,811.23 |
0.8× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$4,115.09 |
$6,858.48 |
2.5× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$4,328.90 |
$7,214.84 |
1.5× |
| Exc Frenum Labial/Buccal (40819) |
$1,475.16 |
$2,458.60 |
0.9× |
| Exc ganglion wrist recurrent (25112) |
$3,542.59 |
$5,904.32 |
2.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,690.30 |
$2,817.16 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,645.93 |
$2,743.22 |
2.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,981.25 |
$3,302.09 |
1.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,640.04 |
$4,400.07 |
1.6× |
| Exc hand tum deep < 1.5 cm (26116) |
$2,889.77 |
$4,816.29 |
1.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,518.91 |
$7,531.52 |
1.3× |
| Exc Lacrimal Gland Tumor Frontal Approach (68540) |
$3,275.35 |
$5,458.91 |
1.4× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$1,909.33 |
$3,182.22 |
1.9× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$3,951.95 |
$6,586.59 |
1.2× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$3,276 |
$5,460 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$3,904.69 |
$6,507.81 |
2.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,901.59 |
$4,835.99 |
1.8× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$2,583.98 |
$4,306.63 |
0.8× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$3,936.75 |
$6,561.25 |
1.2× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$2,309.02 |
$3,848.36 |
0.7× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$5,061.26 |
$8,435.44 |
1.5× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$3,780.73 |
$6,301.21 |
1.1× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$3,355.58 |
$5,592.63 |
1.7× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$4,613.80 |
$7,689.66 |
2.4× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,705.96 |
$4,509.94 |
1.4× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$4,201.79 |
$7,002.99 |
2.1× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$6,831.82 |
$11,386.37 |
1.1× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$5,595.41 |
$9,325.68 |
2.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,594.40 |
$4,324 |
0.9× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$4,460.78 |
$7,434.63 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,691.11 |
$2,818.51 |
2.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,565.94 |
$4,276.56 |
1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,045.48 |
$6,742.47 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,858.66 |
$6,431.10 |
2.3× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,522.94 |
$4,204.90 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$2,341.76 |
$3,902.94 |
1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,559.49 |
$4,265.82 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,429.48 |
$5,715.80 |
2.1× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,319.42 |
$5,532.37 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,714.52 |
$7,857.54 |
1.6× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$4,512.41 |
$7,520.69 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,563.73 |
$4,272.88 |
2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$924.82 |
$1,541.37 |
2.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,064.30 |
$1,773.83 |
1.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,857.71 |
$4,762.85 |
1.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,642.39 |
$9,403.98 |
1.9× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,847.31 |
$4,745.52 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$2,206.43 |
$3,677.38 |
1.3× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,439.15 |
$5,731.91 |
2.1× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$4,710.69 |
$7,851.15 |
1.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,849.30 |
$6,415.50 |
1.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,336.54 |
$7,227.57 |
1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,243.84 |
$7,073.07 |
1.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,003.93 |
$6,673.21 |
1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,199.17 |
$6,998.62 |
2.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,864.76 |
$8,107.94 |
1.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,155.77 |
$5,259.62 |
1.1× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$2,852.63 |
$4,754.39 |
1.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$3,531.45 |
$5,885.75 |
1.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,849.30 |
$6,415.50 |
1.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,855.52 |
$6,425.87 |
2.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,841.85 |
$9,736.41 |
2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,267.57 |
$7,112.62 |
2.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,849.30 |
$6,415.50 |
1.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,857.13 |
$4,761.88 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,306.79 |
$5,511.32 |
1.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,168.59 |
$6,947.65 |
1.4× |
| Exc urethral diverticulum spx female (53230) |
$6,949.31 |
$11,582.18 |
1.3× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$4,345.52 |
$7,242.53 |
1.2× |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
$5,886.74 |
$9,811.23 |
0.8× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$6,683.04 |
$11,138.40 |
0.9× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$5,886.74 |
$9,811.23 |
0.8× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,273.78 |
$5,456.30 |
1.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,649.06 |
$4,415.10 |
1.6× |
| Exc/fulguration urethral caruncle (53265) |
$3,427.35 |
$5,712.25 |
1.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,631.78 |
$6,052.96 |
1.0× |
| Exchange Intraocular Lens (66986) |
$5,092.44 |
$8,487.40 |
2.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,909.32 |
$6,515.53 |
1.9× |
| Exchange Transfusion (36455) |
$740.24 |
$1,233.74 |
1.7× |
| Exchange Transfusion Blood Newborn (36450) |
$627.91 |
$1,046.51 |
1.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,946.91 |
$3,244.85 |
1.0× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$5,238.98 |
$8,731.63 |
1.6× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$2,591.37 |
$4,318.95 |
0.8× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$3,362.44 |
$5,604.07 |
2.2× |
| Excis penile plaque (54110) |
$5,528.58 |
$9,214.30 |
1.6× |
| Excis urethral prolapse (53275) |
$3,820.82 |
$6,368.04 |
1.1× |
| Excise breast duct fistula (19112) |
$3,847.45 |
$6,412.42 |
1.0× |
| Excise excessive skin arm (15836) |
$2,441.11 |
$4,068.52 |
0.8× |
| Excise mandible lesion (21040) |
$3,578.38 |
$5,963.97 |
1.1× |
| Excise Neurofibroma Extensive (64792) |
$6,138.43 |
$10,230.72 |
1.8× |
| Excise oral mucosa for graft (40818) |
$788.48 |
$1,314.14 |
1.5× |
| Excise tendon forearm/wrist (25109) |
$2,778.48 |
$4,630.80 |
0.8× |
| Excise Wrist Tendon Sheath (25118) |
$3,264.16 |
$5,440.27 |
2.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,867.36 |
$3,112.26 |
2.6× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$2,965.41 |
$4,942.35 |
1.2× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$3,417.95 |
$5,696.58 |
1.4× |
| Excision Aural Polyp (69540) |
$2,164.33 |
$3,607.21 |
1.4× |
| Excision Bone Mandible (21025) |
$6,289.53 |
$10,482.55 |
1.1× |
| Excision Chalazion Multiple Same Lid (67801) |
$1,360.71 |
$2,267.85 |
1.4× |
| Excision Chalazion Single (67800) |
$777.20 |
$1,295.33 |
2.4× |
| Excision Chest Wall Tumor Including Ribs (21601) |
$2,441.11 |
$4,068.52 |
0.8× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$6,759.31 |
$11,265.51 |
1.1× |
| Excision Distal Ulna Partial/Complete (25240) |
$3,842.97 |
$6,404.95 |
1.2× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
$2,680.44 |
$4,467.40 |
0.9× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$3,163.12 |
$5,271.87 |
1.1× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$7,390.88 |
$12,318.13 |
1.2× |
| Excision External Ear Partial Simple Repair (69110) |
$2,789.84 |
$4,649.74 |
1.0× |
| Excision external ear; complete amputation Facility (69120) |
$4,555.73 |
$7,592.89 |
0.8× |
| Excision Facial Bone (21026) |
$4,555.73 |
$7,592.89 |
0.8× |
| Excision gum each quadrant (41820) |
$3,242 |
$5,403.33 |
1.0× |
| Excision H/P/P/U Complex Repair (11471) |
$4,410.80 |
$7,351.34 |
1.5× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,996.19 |
$6,660.31 |
1.4× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$4,586.40 |
$7,644 |
1.6× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$4,362.32 |
$7,270.54 |
1.5× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,738.93 |
$4,564.88 |
0.9× |
| Excision Infected Graft Extremity (35903) |
$5,616.29 |
$9,360.49 |
1.8× |
| Excision inferior turbinate partial/complete (30130) |
$2,822.87 |
$4,704.79 |
0.8× |
| Excision Lacrimal Sac (68520) |
$4,907.21 |
$8,178.68 |
1.2× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$2,676.37 |
$4,460.61 |
1.1× |
| Excision lesion conjunctiva > 1 cm (68115) |
$3,241.60 |
$5,402.66 |
1.4× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$2,600.55 |
$4,334.25 |
2.6× |
| Excision lesion meniscus/capsule knee (27347) |
$3,965.23 |
$6,608.72 |
1.2× |
| Excision lesion mouth roof (42104) |
$1,982.80 |
$3,304.66 |
0.6× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$2,736.94 |
$4,561.57 |
1.7× |
| Excision Lesion Tongue W/O Closure (41110) |
$2,094.14 |
$3,490.24 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,675.06 |
$2,791.77 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,218.88 |
$2,031.47 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,092.37 |
$1,820.61 |
1.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,030.42 |
$1,717.37 |
2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,140.67 |
$3,567.78 |
3.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,260.97 |
$2,101.61 |
1.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,458.53 |
$4,097.55 |
1.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,083.21 |
$5,138.68 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,122 |
$1,870 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,325.11 |
$2,208.52 |
1.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,533.89 |
$2,556.49 |
2.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,661.46 |
$4,435.77 |
1.6× |
| Excision malignant tumor mandible (21044) |
$6,168.05 |
$10,280.09 |
1.0× |
| Excision Malignant Tumor Maxilla/Zygoma (21034) |
$6,517.80 |
$10,863 |
1.1× |
| Excision Maxillary Torus Palatinus (21032) |
$3,666.17 |
$6,110.29 |
1.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,431.41 |
$4,052.35 |
0.9× |
| Excision Nasal Polyp Extensive (30115) |
$3,147.51 |
$5,245.85 |
0.9× |
| Excision nasal polyp(s) simple (30110) |
$1,533.63 |
$2,556.05 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$2,533.01 |
$4,221.68 |
0.8× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$6,219.35 |
$10,365.59 |
1.0× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$4,832.78 |
$8,054.64 |
0.8× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$5,004.50 |
$8,340.84 |
1.5× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
unusually low: confirm this is the full procedure |
$3,006.19 |
$5,010.31 |
0.4× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
$4,317.40 |
$7,195.67 |
0.9× |
| Excision of chalazion; multiple, different lids (67805) |
$746.31 |
$1,243.85 |
2.3× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$2,777.50 |
$4,629.16 |
0.8× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) |
$5,052.47 |
$8,420.79 |
0.8× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$3,390.68 |
$5,651.14 |
0.9× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$5,823.24 |
$9,705.40 |
1.8× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$3,217.69 |
$5,362.81 |
1.0× |
| Excision of extraparenchymal lesion of testis (54512) |
$4,137.59 |
$6,895.98 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,287.08 |
$5,478.46 |
2.0× |
| Excision of gum lesion (41828) |
$3,710.62 |
$6,184.37 |
2.4× |
| Excision of hydrocele; bilateral (55041) |
$5,578.37 |
$9,297.29 |
1.6× |
| Excision of hydrocele; unilateral (55040) |
$4,088.85 |
$6,814.75 |
1.1× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) |
$3,413.83 |
$5,689.72 |
0.9× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$5,148.70 |
$8,581.16 |
0.9× |
| Excision of lingual tonsil (42870) |
$4,555.73 |
$7,592.89 |
0.8× |
| Excision of local lesion of epididymis (54830) |
$3,923.56 |
$6,539.27 |
1.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$3,226.17 |
$5,376.95 |
1.6× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$7,282.24 |
$12,137.06 |
2.1× |
| Excision of osseous tuberosities, dentoalveolar structures (41823) |
$5,204.98 |
$8,674.97 |
0.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$9,040.60 |
$15,067.67 |
1.5× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$8,803.45 |
$14,672.42 |
1.5× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$7,479.05 |
$12,465.08 |
1.3× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
$7,976.07 |
$13,293.45 |
0.8× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$7,360.78 |
$12,267.97 |
1.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,588.30 |
$5,980.50 |
1.2× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$2,526.60 |
$4,211 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$2,272.02 |
$3,786.70 |
1.9× |
| Excision of sublingual gland (42450) |
$6,663.23 |
$11,105.38 |
1.1× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$5,004.18 |
$8,340.30 |
1.5× |
| Excision of submandibular (submaxillary) gland (42440) |
$5,314.01 |
$8,856.68 |
0.9× |
| Excision of tonsil tags (42860) |
$5,171.20 |
$8,618.67 |
1.6× |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
$4,555.73 |
$7,592.89 |
0.8× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$3,891.34 |
$6,485.56 |
0.7× |
| Excision of vaginal cyst or tumor (57135) |
$3,004.98 |
$5,008.30 |
0.9× |
| Excision of vaginal septum (57130) |
$3,887.27 |
$6,478.79 |
1.2× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
$6,619.51 |
$11,032.52 |
1.0× |
| Excision olecranon bursa (24105) |
$2,868.65 |
$4,781.09 |
0.9× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) |
$5,886.74 |
$9,811.23 |
0.8× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$5,728.04 |
$9,546.73 |
1.7× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$5,886.74 |
$9,811.23 |
0.8× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$5,886.74 |
$9,811.23 |
0.8× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
$5,886.74 |
$9,811.23 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$5,886.74 |
$9,811.23 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) |
$5,886.74 |
$9,811.23 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$3,195.61 |
$5,326.01 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$5,886.74 |
$9,811.23 |
0.8× |
| Excision or fulguration; Skene's glands Facility (53270) |
$3,868.34 |
$6,447.23 |
1.1× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$2,935.76 |
$4,892.93 |
0.8× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$4,479.77 |
$7,466.29 |
1.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$4,060.13 |
$6,766.88 |
1.4× |
| Excision prepatellar bursa (27340) |
$3,816.21 |
$6,360.35 |
1.2× |
| Excision Radial Head (24130) |
$4,990.68 |
$8,317.80 |
1.5× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$5,093.44 |
$8,489.06 |
0.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,980.01 |
$4,966.69 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$3,957.53 |
$6,595.88 |
1.9× |
| Excision synovial cyst popliteal space (27345) |
$3,780.44 |
$6,300.74 |
1.2× |
| Excision tendon finger flexor/extensor each (26180) |
$2,274.40 |
$3,790.66 |
1.4× |
| Excision tendon palm flexor/extensor single each (26170) |
$2,167.61 |
$3,612.69 |
1.3× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$5,346.18 |
$8,910.30 |
0.9× |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) |
$7,778.63 |
$12,964.39 |
1.3× |
| Excision Torus Mandibularis (21031) |
$3,734.64 |
$6,224.40 |
1.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,522.97 |
$7,538.29 |
2.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,819.38 |
$6,365.63 |
1.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,855.10 |
$4,758.50 |
1.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$6,041.34 |
$10,068.90 |
3.6× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$3,229.48 |
$5,382.47 |
1.9× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$3,113.11 |
$5,188.51 |
0.9× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$2,441.11 |
$4,068.52 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$2,441.11 |
$4,068.52 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$2,448.48 |
$4,080.80 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$4,460.78 |
$7,434.63 |
1.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$2,610.83 |
$4,351.38 |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$4,074.75 |
$6,791.25 |
1.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$2,385.98 |
$3,976.63 |
1.5× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$3,220 |
$5,366.67 |
0.9× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$4,144.66 |
$6,907.76 |
2.0× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$5,413.19 |
$9,021.98 |
0.9× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$2,984.90 |
$4,974.83 |
1.4× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$4,140.86 |
$6,901.44 |
1.4× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$4,460.78 |
$7,434.63 |
1.5× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$4,054.55 |
$6,757.59 |
1.1× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$2,846 |
$4,743.34 |
0.8× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$3,051.23 |
$5,085.38 |
0.9× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$2,678.75 |
$4,464.59 |
1.6× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$1,842.45 |
$3,070.75 |
0.9× |
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953)
range across 2 matching MRF lines |
$3,933.13–$4,129.78 |
$6,555.21–$6,882.97 |
varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,646.94 |
$6,078.23 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,765.61 |
$2,942.69 |
1.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,591.03 |
$5,985.05 |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,889.63 |
$8,149.38 |
1.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$5,984.89 |
$9,974.81 |
2.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,776.16 |
$4,626.93 |
1.7× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$4,227.85 |
$7,046.42 |
1.3× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$2,570.66 |
$4,284.43 |
1.6× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$3,329 |
$5,548.34 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,383.25 |
$7,305.42 |
1.3× |
| Excision/destruction lesion pharynx any method (42808) |
$2,588.41 |
$4,314.01 |
0.8× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$4,003.10 |
$6,671.83 |
1.2× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$4,537 |
$7,561.67 |
1.9× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$2,737.35 |
$4,562.25 |
1.1× |
Excision; trochanteric bursa or calcification (27062)
range across 2 matching MRF lines |
$805.80–$4,175.98 |
$1,343–$6,959.97 |
varies |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
$5,078 |
$8,463.34 |
1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,872.39 |
$4,787.32 |
1.4× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$4,508.77 |
$7,514.61 |
1.4× |
| Explo/Drain Breast Abscess (19020) |
$3,207.17 |
$5,345.28 |
1.9× |
| Exploration for undescended testis with abdominal exploration (54560) |
$2,738.14 |
$4,563.56 |
1.3× |
| Exploration maxillary sinus (31020) |
$2,766.91 |
$4,611.51 |
0.8× |
| Exploration of hip joint (27033) |
$5,705.27 |
$9,508.79 |
0.8× |
| Exploration of knee joint (27310) |
$4,795.64 |
$7,992.74 |
1.5× |
| Exploration penetrating wound spx chest (20101) |
$2,179.44 |
$3,632.40 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,656.32 |
$2,760.53 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,270.95 |
$2,118.25 |
2.3× |
| Exploratory elbow surgery (24000) |
$5,726.92 |
$9,544.87 |
1.7× |
| Explore epididymis (54865) |
$3,159.40 |
$5,265.66 |
0.9× |
| Explore eye socket,drainage (67405) |
$4,364.94 |
$7,274.90 |
1.8× |
| Explore for undescended testis (54550) |
$3,919.49 |
$6,532.49 |
1.1× |
| Explore inner ear (69806) |
$7,907.61 |
$13,179.35 |
1.3× |
| Explore inner ear (69805) |
$6,473.38 |
$10,788.97 |
1.1× |
| Explore treat shoulder joint (23107) |
$5,886.74 |
$9,811.23 |
0.8× |
| Explore/Treat Elbow Joint (24101) |
$5,051.58 |
$8,419.30 |
1.5× |
| Explore/Treat Hand Joint (26070) |
$2,449.93 |
$4,083.21 |
1.5× |
| Explore/Treat Knee Joint (27331) |
$5,233.55 |
$8,722.58 |
1.6× |
| Explore/Treat Wrist Joint (25040) |
$4,477.10 |
$7,461.84 |
1.4× |
| Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) |
$3,891.34 |
$6,485.56 |
0.7× |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) |
$281.05 |
$468.41 |
0.9× |
| Extensive ear canal surgery (69150) |
$5,299.82 |
$8,833.03 |
0.9× |
| Extensive mastoid surgery (69511) |
$8,521.48 |
$14,202.46 |
1.4× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$884.17 |
$1,473.61 |
1.6× |
| External cephalic version (59412) |
$3,327.44 |
$5,545.74 |
1.0× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$3,455.06 |
$5,758.44 |
2.1× |
| Extraction of lens (66940) |
$2,275.17 |
$3,791.95 |
1.0× |
| Extraction of lens (66920) |
$4,038.92 |
$6,731.53 |
1.7× |
| Extraction of lens (66930) |
$3,791.29 |
$6,318.82 |
0.9× |
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 4 matching MRF lines |
$1,504.18–$3,110.31 |
$2,506.96–$5,183.85 |
varies |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$3,492.02 |
$5,820.03 |
1.7× |
| Fascia lata graft; by stripper Facility (20920) |
$2,059.44 |
$3,432.40 |
1.0× |
| Fasciectomy Palm Only (26121) |
$4,044.07 |
$6,740.11 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,762 |
$6,270 |
1.1× |
| Fasciotomy Iliotibial Open (27305) |
$3,585.11 |
$5,975.18 |
1.1× |
| Fasciotomy palmar open partial (26045) |
$3,483.35 |
$5,805.58 |
1.1× |
| Fasciotomy palmar percutaneous (26040) |
$2,926.88 |
$4,878.14 |
1.8× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$4,480.78 |
$7,467.96 |
1.4× |
| Fasciotomy, foot and/or toe (28008) |
$3,684.35 |
$6,140.58 |
1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$5,013.64 |
$8,356.06 |
1.5× |
| Fetal Contraction Stress Test (59020) |
$559.32 |
$932.20 |
2.8× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$576.78 |
$961.30 |
1.9× |
| Fetal non-stress test (59025) |
$497.73 |
$829.55 |
2.5× |
| Fetal Scalp Blood Sampling (59030) |
$584.47 |
$974.11 |
1.9× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$2,122.77 |
$3,537.95 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,212.98 |
$2,021.64 |
1.7× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$908.69 |
$1,514.48 |
1.3× |
| Fine Needle Aspiration Orbital Contents (67415) |
$3,514.71 |
$5,857.85 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$535.38 |
$892.30 |
1.3× |
| Finger tendon transfer (26497) |
$3,842.75 |
$6,404.58 |
1.2× |
| Fixation contralateral testis separate procedure (54620) |
$3,538.08 |
$5,896.80 |
1.0× |
| Flap; neurovascular pedicle (15750) |
$3,009.34 |
$5,015.56 |
0.8× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) |
$8,715.43 |
$14,525.72 |
1.2× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
$12,085.39 |
$20,142.32 |
1.7× |
| Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) |
$7,086.47 |
$11,810.79 |
1.0× |
| Fluid Pressure Muscle (20950) |
$839.21 |
$1,398.68 |
1.2× |
| Fluoro exam of g/colon tube (49465) |
$478.87 |
$798.11 |
2.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$908.69 |
$1,514.48 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,273.63 |
$2,122.72 |
1.8× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$736.99 |
$1,228.32 |
0.8× |
| Forehead flap w/vasc pedicle (15731) |
$3,177.72 |
$5,296.20 |
0.9× |
| Foreskin manipulation (54450) |
$775.98 |
$1,293.30 |
3.1× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$3,040.42 |
$5,067.37 |
0.9× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$2,828.86 |
$4,714.76 |
0.8× |
| Frenulotomy of penis (54164) |
$3,897.55 |
$6,495.92 |
1.9× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$3,430.81 |
$5,718.02 |
1.7× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,928.52 |
$4,880.87 |
1.4× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$4,188.22 |
$6,980.36 |
1.8× |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$3,915.32 |
$6,525.53 |
1.7× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,806.38 |
$6,343.97 |
1.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,499.37 |
$4,165.62 |
1.2× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$2,499.37 |
$4,165.62 |
1.2× |
| Fuse hand bones with graft (25825) |
$8,006.14 |
$13,343.56 |
1.1× |
| Fusion Finger Joint (26860) |
$4,341.02 |
$7,235.04 |
1.3× |
| Fusion of foot bones (28740) |
$6,288.57 |
$10,480.95 |
0.9× |
| Fusion of hand bones (25820) |
$7,192.28 |
$11,987.13 |
1.0× |
| Fusion of hand joint (26843) |
$5,886.74 |
$9,811.23 |
0.8× |
| Fusion of knuckle (26850) |
$5,886.74 |
$9,811.23 |
0.8× |
| Fusion of knuckle joint (26516) |
$2,777.50 |
$4,629.16 |
0.8× |
| Fusion of knuckle with graft (26852) |
$5,886.74 |
$9,811.23 |
0.8× |
| Fusion of spermatic ducts (54900) |
$3,498.74 |
$5,831.23 |
1.7× |
| Fusion of tibiofibular joint (27871) |
$10,629.07 |
$17,715.11 |
0.8× |
| Fusion/graft of hand joint (26844) |
$5,886.74 |
$9,811.23 |
0.8× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$3,094.13 |
$5,156.89 |
0.9× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$3,094.13 |
$5,156.89 |
0.9× |
| Gastrocnemius recession (27687) |
$4,309.64 |
$7,182.74 |
1.3× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$2,749.01 |
$4,581.68 |
1.4× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
$1,154.78 |
$1,924.64 |
1.3× |
| Gene analysis for detection of infectious agent and drug resistance gene (0112U) |
$532.50 |
$887.50 |
1.5× |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
$2,903.97 |
$4,839.95 |
0.9× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$4,555.73 |
$7,592.89 |
0.8× |
| Gi malabs eval aat calprotectin pncrtc elastase (0430U) |
$1,050 |
$1,750 |
17.1× |
| Glaucoma surgery (66160) |
$3,895.82 |
$6,493.03 |
1.7× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$750 |
$1,250 |
20.5× |
| Goniotomy (65820) |
$4,769.10 |
$7,948.50 |
1.1× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$6,946.42 |
$11,577.37 |
1.2× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$6,385.40 |
$10,642.34 |
1.1× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$4,101.49 |
$6,835.82 |
1.2× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$3,113.11 |
$5,188.51 |
1.5× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
$3,423.64 |
$5,706.06 |
1.0× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$5,095.16 |
$8,491.94 |
0.9× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$7,757.11 |
$12,928.52 |
2.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,026.01 |
$1,710.02 |
1.4× |
| Gum graft (41870) |
$5,713.09 |
$9,521.81 |
3.7× |
| Hair xplant punch grft 1-15 (15775) |
$326.34 |
$543.90 |
0.8× |
| Hair xplant punch grft >15 (15776) |
$326.34 |
$543.90 |
0.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$5,886.74 |
$9,811.23 |
0.8× |
| Hand tendon reconstruction (26500) |
$5,886.74 |
$9,811.23 |
0.8× |
| Head Surgery Procedure (21499) |
$187.43 |
$312.38 |
0.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,638.59 |
$6,064.31 |
1.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,644.06 |
$6,073.44 |
1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,409.39 |
$7,348.99 |
1.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$4,330.87 |
$7,218.12 |
1.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$4,574.31 |
$7,623.85 |
1.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,983.62 |
$6,639.36 |
1.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,137.61 |
$1,896.02 |
1.2× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$4,951.66 |
$8,252.76 |
1.8× |
| Hemorrhoidopexy by stapling (46947) |
$4,473 |
$7,455 |
1.6× |
| Hepcidin-25 elisa serum or plasma (0251U) |
$270 |
$450 |
15.6× |
| Hip arthro acetabuloplasty (29915) |
$5,886.74 |
$9,811.23 |
0.8× |
| Hip arthro w/labral repair (29916) |
$6,920.22 |
$11,533.70 |
0.9× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$4,994.98 |
$8,324.97 |
1.8× |
| Hymenotomy Simple Incision (56442) |
$2,386.41 |
$3,977.35 |
0.7× |
| Hyoid myotomy and suspension Facility (21685) |
$4,555.73 |
$7,592.89 |
0.8× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
$6,333.02 |
$10,555.04 |
1.3× |
| Hysteroscopy Biopsy (58558) |
$6,678.35 |
$11,130.59 |
2.1× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$4,533.27 |
$7,555.45 |
0.9× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,039.01 |
$5,065.02 |
0.9× |
| Hysteroscopy Endometrial Ablation (58563) |
$4,669.48 |
$7,782.47 |
0.9× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$4,317.40 |
$7,195.67 |
0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,087.52 |
$6,812.54 |
1.3× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,317.40 |
$7,195.67 |
0.9× |
| Hysterotomy Abdominal (59100) |
$4,258.45 |
$7,097.41 |
0.8× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$2,309.02 |
$3,848.36 |
0.7× |
| I&d abscess peritonsillar (42700) |
$844.18 |
$1,406.96 |
3.5× |
| I&d abscess simple (10060) |
$807.74 |
$1,346.23 |
4.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,614.25 |
$4,357.08 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,620.47 |
$6,034.11 |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,074.02 |
$5,123.36 |
1.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,148.15 |
$5,246.91 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$2,509.30 |
$4,182.17 |
1.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$2,147.18 |
$3,578.63 |
0.8× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$3,202.91 |
$5,338.18 |
1.1× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$601.34 |
$1,002.23 |
1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$2,953.76 |
$4,922.94 |
0.9× |
| I&d perianal abscess superficial (46050) |
$1,800.89 |
$3,001.48 |
1.9× |
| I&d pilonidal cyst complicated (10081) |
$2,255.78 |
$3,759.64 |
3.2× |
| I&d pilonidal cyst simple (10080) |
$962.84 |
$1,604.74 |
1.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,904.61 |
$6,507.69 |
1.3× |
| I&d thyroglossal duct cyst infected (60000) |
$1,195.09 |
$1,991.82 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,004.47 |
$5,007.45 |
1.0× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$1,734.56 |
$2,890.94 |
0.6× |
| Icd Pocket Revision (33223) |
$3,239.18 |
$5,398.64 |
1.6× |
| Image Cath Fluid Colxn Visc (49405) |
$2,550.61 |
$4,251.01 |
1.5× |
| Image Cath Fluid Peri/Retro (49406) |
$3,053.18 |
$5,088.64 |
1.8× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,477.16 |
$2,461.94 |
0.9× |
| Immediate breast prosthesis (19340) |
$4,782.11 |
$7,970.19 |
0.6× |
| Implant cochlear device (69930) |
$34,229.98 |
$57,049.97 |
1.0× |
| Implant eye drug system (67027) |
$10,009.03 |
$16,681.72 |
0.7× |
| Implant neuroelectrodes (63650) |
$10,489.79 |
$17,482.99 |
1.6× |
| Implant Neuroelectrodes (64561) |
$7,266.73 |
$12,111.22 |
1.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$14,695.12 |
$24,491.86 |
0.8× |
| Implant Spine Infusion Pump (62362) |
$17,262.84 |
$28,771.40 |
1.0× |
| Implant temple bone w/stimul (69714) |
$10,629.07 |
$17,715.11 |
0.8× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$17,262.84 |
$28,771.40 |
1.0× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$6,060.97 |
$10,101.61 |
0.8× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure |
$3,702.07 |
$6,170.12 |
0.4× |
| Impression & Preparation Auricular Prosthesis (21086) |
$6,557.24 |
$10,928.74 |
2.0× |
| Impression & Preparation Nasal Prosthesis (21087) |
$6,401.96 |
$10,669.93 |
1.1× |
| Impression & Preparation Oral Surgical Splint (21085) |
$1,432.65 |
$2,387.75 |
6.0× |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
$6,960.85 |
$11,601.41 |
2.1× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$6,174.37 |
$10,290.62 |
1.9× |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
$6,174.37 |
$10,290.62 |
1.0× |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
$5,289.89 |
$8,816.49 |
0.9× |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
$6,759.31 |
$11,265.51 |
2.0× |
| Impression&Preparation Surg Obturator Prosthes (21076) |
$2,945.12 |
$4,908.54 |
1.9× |
| Incise external hemorrhoid (46083) |
$535.54 |
$892.56 |
2.1× |
| Incise finger tendon sheath (26055) |
$3,379.60 |
$5,632.66 |
2.1× |
| Incise flexor carpi radialis (25001) |
$3,041.84 |
$5,069.73 |
0.9× |
Incise tendon(s) & muscle(s) (23406)
range across 2 matching MRF lines |
$3,896.67–$7,855.87 |
$6,494.45–$13,093.12 |
varies |
| Incise Wrist/Forearm Tendon (25290) |
$2,777.50 |
$4,629.16 |
0.8× |
| Incise/Drain Conjunctiva (68020) |
$848.78 |
$1,414.64 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,032.04 |
$1,720.06 |
2.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,186.11 |
$5,310.18 |
1.1× |
| Incision & drainage leg/ankle infected bursa (27604) |
$3,721.84 |
$6,203.06 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,173.77 |
$5,289.62 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$843.22 |
$1,405.36 |
2.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$602.26 |
$1,003.77 |
3.0× |
| Incision and drainage of the tear gland (68400) |
$848.78 |
$1,414.64 |
0.8× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$3,325.14 |
$5,541.90 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$451.35 |
$752.25 |
1.5× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$3,763.91 |
$6,273.19 |
2.3× |
| Incision bone cortex foot (28005) |
$3,700.57 |
$6,167.62 |
1.1× |
| Incision Drainage Lacrimal Sac (68420) |
$3,205.90 |
$5,343.16 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$2,750.60 |
$4,584.33 |
1.7× |
| Incision of eardrum (69421) |
$2,872.80 |
$4,788 |
0.9× |
| Incision of eardrum (69420) |
$469.15 |
$781.91 |
2.0× |
| Incision of eye (65850) |
$3,320.43 |
$5,534.05 |
1.4× |
| Incision of fibula (27707) |
$4,287.89 |
$7,146.49 |
1.3× |
| Incision of Foot Tendon (28234) |
$2,116.27 |
$3,527.12 |
1.3× |
| Incision of hip tendon (27001) |
$3,990.76 |
$6,651.26 |
1.2× |
| Incision of iris (66500) |
$2,017.15 |
$3,361.91 |
0.9× |
| Incision of labial frenum (frenotomy) (40806) |
$507.01 |
$845.01 |
0.9× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,616.55 |
$2,694.25 |
1.0× |
| Incision of lymph channels (38308) |
$4,570.46 |
$7,617.44 |
1.2× |
| Incision of rectal abscess (46040) |
$3,668.87 |
$6,114.79 |
3.1× |
| Incision of sperm duct (55200) |
$2,738.14 |
$4,563.56 |
0.8× |
| Incision of thigh tendons (27392) |
$4,755.67 |
$7,926.12 |
1.4× |
| Incision of tibia & fibula (27709) |
$10,629.07 |
$17,715.11 |
0.8× |
| Incision of urethra (53010) |
$5,283.79 |
$8,806.31 |
1.0× |
| Incision of urethra (53025) |
$2,484.76 |
$4,141.26 |
1.2× |
| Incision of urethra (53000) |
$3,344.14 |
$5,573.57 |
1.6× |
| Incision of urethra (53020) |
$3,914.85 |
$6,524.75 |
1.9× |
| Incision&drainage bursa foot (28001) |
$1,905.20 |
$3,175.33 |
1.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,697.35 |
$2,828.91 |
1.0× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$3,366.64 |
$5,611.07 |
2.1× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$3,206.33 |
$5,343.89 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$754.48 |
$1,257.46 |
2.4× |
| Incisional biopsy skin single lesion (11106) |
$789.90 |
$1,316.50 |
1.1× |
| Induced abortion dilation and curettage (59840) |
$2,847.98 |
$4,746.63 |
0.9× |
| Induced abortion, by dilation and evacuation (59841) |
$3,001.32 |
$5,002.20 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$276.70 |
$461.17 |
1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,595.15 |
$2,658.59 |
1.8× |
| Inj W/Fluor Eval Cv Device (36598) |
$703.21 |
$1,172.01 |
3.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,046.51 |
$3,410.85 |
2.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,603.97 |
$2,673.28 |
1.8× |
| Inject Intravitreal Pharmcologic (67028) |
$505.70 |
$842.84 |
1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$508.01 |
$846.69 |
1.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,075.96 |
$1,793.26 |
1.2× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,396.62 |
$2,327.70 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,030.57 |
$1,717.62 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,639.50 |
$2,732.50 |
1.8× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,247.28 |
$2,078.80 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$749.98 |
$1,249.96 |
1.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$2,206.40 |
$3,677.34 |
3.1× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,772.02 |
$2,953.37 |
2.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$718.88 |
$1,198.13 |
2.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,114.16 |
$3,523.60 |
2.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,058.35 |
$1,763.92 |
1.5× |
| Injection enzyme palmar fascial cord (20527) |
$353.64 |
$589.40 |
1.1× |
| Injection for identification of sentinel node (38792) |
$1,481.87 |
$2,469.78 |
3.7× |
| Injection Into Brain Canal (61055) |
$980.28 |
$1,633.80 |
3.2× |
| Injection medication/other subst tenon capsule (67515) |
$822.14 |
$1,370.23 |
2.6× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$1,133.20 |
$1,888.66 |
1.2× |
| Injection procedure for peyronie disease (54200) |
$374.54 |
$624.24 |
1.5× |
| Injection single tendon origin/insertion (20551) |
$438.38 |
$730.64 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$624.56 |
$1,040.94 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$684.48 |
$1,140.80 |
2.2× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$1,036.42 |
$1,727.37 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$518.54 |
$864.24 |
1.7× |
| Injection Turbinate Therapeutic (30200) |
$781.45 |
$1,302.41 |
1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,421.27 |
$4,035.45 |
2.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$2,297.51 |
$3,829.18 |
3.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,784.85 |
$2,974.75 |
2.5× |
| Injection, anesthetic agent; vagus nerve (64408) |
$405.60 |
$676 |
1.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$238.04 |
$396.73 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$255.02 |
$425.04 |
1.3× |
| Injx anterior chamber eye air/liquid spx (66020) |
$2,449.41 |
$4,082.35 |
1.1× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$2,017.15 |
$3,361.91 |
0.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,521.98 |
$2,536.63 |
1.7× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,278.64 |
$2,131.06 |
1.4× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$973.70 |
$1,622.84 |
1.1× |
Inner ear surgery proc unlisted (69949)
range across 2 matching MRF lines |
$209.74–$17,114.99 |
$349.56–$28,524.99 |
varies |
| Ins cath ren art 1st bilat (36252) |
$5,291.97 |
$8,819.95 |
1.7× |
| Ins cath ren art 1st unilat (36251) |
$7,640.49 |
$12,734.15 |
2.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$4,864.95 |
$8,108.25 |
1.5× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,034.14 |
$8,390.24 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$7,210.78 |
$12,017.97 |
1.3× |
| Ins Vag Brachytx Device (57156) |
$1,162.67 |
$1,937.79 |
3.8× |
| Ins/Rep Subq Defibrillator (33270) |
$43,759.87 |
$72,933.11 |
1.4× |
| Insert 1 Electrode Pm-Defib (33216) |
$9,465.05 |
$15,775.08 |
1.1× |
| Insert and remove bone pin (20650) |
$3,178.36 |
$5,297.27 |
1.0× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$5,458.03 |
$9,096.71 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$352.34 |
$587.24 |
2.7× |
| Insert cath pleura w/ image (32557) |
$1,579.11 |
$2,631.85 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,768.26 |
$2,947.10 |
0.9× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$2,294.99 |
$3,824.98 |
1.9× |
| Insert cervical dilator (59200) |
$664.66 |
$1,107.76 |
2.2× |
| Insert Drug Implant Device (11981) |
$826.70 |
$1,377.84 |
6.2× |
| Insert eye socket implant (67550) |
$4,713.51 |
$7,855.85 |
1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,100.77 |
$3,501.28 |
1.1× |
| Insert Heart Pm Atrial (33206) |
$14,874.40 |
$24,790.66 |
1.4× |
| Insert Heart Pm Ventricular (33207) |
$15,987.70 |
$26,646.17 |
1.5× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$3,180.79 |
$5,301.32 |
0.2× |
| Insert multi-comp penis pros (54405) |
$16,482.71 |
$27,471.18 |
0.8× |
| Insert Nasal Septal Button (30220) |
$2,260.42 |
$3,767.36 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$2,928.01 |
$4,880.02 |
0.9× |
| Insert ocular implant (65135) |
$3,939.04 |
$6,565.06 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$17,299.23 |
$28,832.05 |
1.6× |
| Insert pessary/other device (57160) |
$281.23 |
$468.72 |
1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,436 |
$4,060 |
1.5× |
| Insert prost urethral stent (53855) |
$1,780.46 |
$2,967.44 |
0.8× |
| Insert pulse gen dual leads (33213) |
$10,930.91 |
$18,218.19 |
1.0× |
| Insert pulse gen mult leads (33221) |
$16,463.38 |
$27,438.97 |
0.9× |
| Insert Pulse Gen Sngl Lead (33212) |
$11,030.18 |
$18,383.63 |
1.3× |
| Insert self-contd prosthesis (54401) |
$16,482.71 |
$27,471.18 |
0.8× |
| Insert semi-rigid prosthesis (54400) |
$16,482.71 |
$27,471.18 |
1.2× |
| Insert spine infusion device (62360) |
$17,262.84 |
$28,771.40 |
1.0× |
| Insert tandem cuff (53444) |
$16,482.71 |
$27,471.18 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$405.91 |
$676.51 |
3.0× |
| Insert testicular prosthesis (54660) |
$3,891.34 |
$6,485.56 |
0.7× |
| Insert tissue expander(s) (11960) |
$3,703.68 |
$6,172.80 |
1.0× |
| Insert tun ip cath perc (49418) |
$5,597.45 |
$9,329.09 |
1.6× |
| Insert tunneled cv cath (36561) |
$7,897.88 |
$13,163.14 |
2.5× |
| Insert tunneled cv cath (36563) |
$5,117.95 |
$8,529.92 |
0.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,976.97 |
$6,628.29 |
0.7× |
| Insert Uro/Ves Nck Sphincter (53445) |
$12,558.25 |
$20,930.42 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$239.36 |
$398.94 |
1.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,698.52 |
$9,497.53 |
1.6× |
| Insertion of cannula (36800) |
$5,977.85 |
$9,963.08 |
1.1× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$3,648.16 |
$6,080.26 |
1.2× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$8,339.60 |
$13,899.34 |
1.5× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
$5,785.42 |
$9,642.36 |
1.5× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
$4,169.11 |
$6,948.52 |
1.1× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
$6,619.99 |
$11,033.31 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,992.46 |
$4,987.44 |
1.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$14,760.60 |
$24,601 |
1.8× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,304.35 |
$5,507.25 |
0.9× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$4,497.42 |
$7,495.70 |
0.8× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$3,000.05 |
$5,000.09 |
0.6× |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$7,086.47 |
$11,810.79 |
2.2× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$7,904.96 |
$13,174.94 |
1.0× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$4,772.44 |
$7,954.07 |
2.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,966.54 |
$3,277.57 |
0.6× |
| Insj Picc Rs&I <5 Yr (36572) |
$3,785.62 |
$6,309.36 |
6.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,194.33 |
$8,657.21 |
1.6× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$2,526.17 |
$4,210.29 |
0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,079.43 |
$3,465.72 |
1.3× |
| Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) |
$2,572.70 |
$4,287.84 |
1.1× |
| Insj Stablj Dev W/Dcmprn (22867) |
$16,139.55 |
$26,899.25 |
0.9× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$16,139.55 |
$26,899.25 |
1.3× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$11,335.59 |
$18,892.65 |
1.4× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,800.20 |
$6,333.66 |
1.2× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$6,218.89 |
$10,364.81 |
1.1× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$4,350.11 |
$7,250.18 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,390.27 |
$8,983.78 |
1.7× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$7,698.09 |
$12,830.15 |
0.9× |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) |
$22,759.70 |
$37,932.84 |
0.7× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,970.38 |
$68,283.97 |
1.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$29,286.38 |
$48,810.64 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,513.67 |
$12,522.79 |
0.9× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,513.49 |
$14,189.15 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$21,444.40 |
$35,740.67 |
2.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$29,876.42 |
$49,794.04 |
1.3× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$37,154.56 |
$61,924.26 |
1.2× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$27,661.55 |
$46,102.58 |
1.2× |
Insrt/Redo Neurostim 1 Array (61885)
unusually low: confirm this is the full procedure |
$14,695.12 |
$24,491.86 |
0.5× |
| Install spinal shunt (63741) |
$8,480.07 |
$14,133.45 |
1.0× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$289.21 |
$482.01 |
1.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,814 |
$4,690 |
1.0× |
| Interdental fixation (21110) |
$1,809.68 |
$3,016.13 |
1.2× |
| Interdental Wiring Other Than Fracture (21497) |
$1,809.68 |
$3,016.13 |
1.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,220.12 |
$5,366.87 |
2.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$849.30 |
$1,415.50 |
2.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$880.81 |
$1,468.01 |
2.2× |
| Intranasal Biopsy (30100) |
$1,583.14 |
$2,638.56 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,682.20 |
$2,803.66 |
3.1× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$455.56 |
$759.27 |
1.9× |
| Intraoral i&d tongue/floor submental space (41007) |
$2,209.55 |
$3,682.59 |
1.4× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,125.36 |
$3,542.27 |
0.6× |
| Intro cath dialysis circuit (36901) |
$3,395.54 |
$5,659.24 |
2.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$20,749.61 |
$34,582.69 |
1.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$14,186.89 |
$23,644.81 |
2.5× |
| Intro Gastrointestinal Tube (44500) |
$930.31 |
$1,550.51 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$898.45 |
$1,497.42 |
3.8× |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
$2,017.15 |
$3,361.91 |
0.9× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
$1,257.24 |
$2,095.40 |
2.3× |
| Iridotomy/irridectomy laser surg per session (66761) |
$1,811.38 |
$3,018.97 |
3.3× |
| Irrigation maxillary sinus (31000) |
$833.97 |
$1,389.95 |
3.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$865.21 |
$1,442.01 |
3.4× |
| Island pedicle flap graft (15740) |
$2,363.04 |
$3,938.40 |
1.1× |
| IV injection test vascular flow flap/graft (15860) |
$346.51 |
$577.52 |
0.8× |
| Jaw arthroscopy/surgery (29800) |
$4,913.60 |
$8,189.33 |
1.5× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$5,667.08 |
$9,445.13 |
1.4× |
| Keratoplasty Penetrating Pseudophakia (65755) |
$6,332.99 |
$10,554.98 |
1.5× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$6,186.10 |
$10,310.16 |
1.5× |
| Kidney endoscopy (50575) |
$6,236.46 |
$10,394.10 |
1.2× |
| Kidney endoscopy (50553) |
$4,065.97 |
$6,776.61 |
0.8× |
| Kidney endoscopy (50570) |
$1,780.46 |
$2,967.44 |
0.5× |
| Kidney endoscopy (50551) |
$3,891.34 |
$6,485.56 |
0.7× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$750 |
$1,250 |
20.5× |
| Knee arthroscopy/drainage (29871) |
$5,603.27 |
$9,338.78 |
1.7× |
| Knee Arthroscopy/Surgery (29885) |
$6,260.32 |
$10,433.86 |
0.9× |
| Knee Arthroscopy/Surgery (29874) |
$5,059.72 |
$8,432.87 |
1.5× |
| Knee Arthroscopy/Surgery (29850) |
$2,834.77 |
$4,724.62 |
1.8× |
| Labyrinthectomy; with mastoidectomy Facility (69910) |
$6,590.27 |
$10,983.78 |
1.1× |
| Labyrinthotomy Transcanal (69801) |
$2,574.08 |
$4,290.13 |
1.7× |
| Lam facetec & foramot lumbar (63047) |
$10,901.66 |
$18,169.44 |
1.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$10,466.68 |
$17,444.46 |
1.4× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$8,388.71 |
$13,981.18 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$5,886.74 |
$9,811.23 |
0.8× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$10,596.26 |
$17,660.44 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,549.13 |
$12,581.88 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$9,772.89 |
$16,288.15 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$8,996.16 |
$14,993.60 |
1.2× |
| Laminotomy Single Lumbar (63042) |
$9,428.33 |
$15,713.88 |
1.3× |
| Lap insert tunnel ip cath (49324) |
$8,445.25 |
$14,075.42 |
1.4× |
| Lap paraesophag hern repair (43281) |
$8,854.66 |
$14,757.77 |
0.8× |
| Lap revision perm ip cath (49325) |
$7,000.29 |
$11,667.15 |
1.2× |
| Laparo ablate liver tumor rf (47370) |
$10,948.04 |
$18,246.74 |
1.0× |
| Laparo ablate renal cyst (50541) |
$9,367.23 |
$15,612.05 |
0.9× |
| Laparo ablate renal mass (50542) |
$13,994.13 |
$23,323.55 |
1.3× |
| Laparo ligate spermatic vein (55550) |
$6,604.38 |
$11,007.30 |
1.1× |
| Laparo new ureter/bladder (50947) |
$10,689.72 |
$17,816.20 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$8,066.52 |
$13,444.20 |
0.8× |
| Laparoscope proc ureter (50949) |
$5,787.59 |
$9,645.99 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,461.32 |
$10,768.87 |
1.1× |
| Laparoscopy aspiration (49322) |
$5,922.01 |
$9,870.02 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,161.68 |
$10,269.47 |
1.0× |
| Laparoscopy fimbrioplasty (58672) |
$7,189.03 |
$11,981.71 |
1.2× |
| Laparoscopy fulguration oviducts (58670) |
$4,713.11 |
$7,855.19 |
0.8× |
| Laparoscopy gastrostomy (43653) |
$3,907.68 |
$6,512.80 |
0.6× |
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure |
$5,214.15 |
$8,690.25 |
0.5× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$14,745.53 |
$24,575.89 |
2.4× |
| Laparoscopy surgical orchiectomy (54690) |
$4,713.11 |
$7,855.19 |
0.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,700.71 |
$17,834.52 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,720.51 |
$17,867.52 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$5,814.32 |
$9,690.54 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$9,567.72 |
$15,946.20 |
1.6× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$6,956.92 |
$11,594.86 |
1.1× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) |
$12,899.64 |
$21,499.40 |
1.2× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$9,114.50 |
$15,190.84 |
0.9× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$10,500.26 |
$17,500.44 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,750.67 |
$19,584.45 |
1.1× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$7,314.45 |
$12,190.75 |
0.7× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$7,975.19 |
$13,291.98 |
0.7× |
| Laparoscopy, surgical, splenectomy (38120) |
$7,975.19 |
$13,291.98 |
0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$8,196.46 |
$13,660.77 |
0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$9,521.63 |
$15,869.38 |
1.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$9,363.12 |
$15,605.20 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,442.08 |
$17,403.47 |
1.7× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$8,770.20 |
$14,617 |
0.8× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$6,060.83 |
$10,101.38 |
1.0× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$10,558.08 |
$17,596.80 |
1.7× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$9,363.13 |
$15,605.21 |
0.9× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$11,963.98 |
$19,939.97 |
1.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$10,653.19 |
$17,755.31 |
1.8× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$5,183.56 |
$8,639.27 |
0.9× |
| Laparoscopy, surgical; ureterolithotomy Facility (50945) |
$5,794.33 |
$9,657.21 |
1.0× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$7,975.19 |
$13,291.98 |
0.7× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$9,329.72 |
$15,549.53 |
1.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$9,372.17 |
$15,620.28 |
0.9× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$12,924.32 |
$21,540.54 |
1.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$5,954.23 |
$9,923.72 |
1.0× |
| Laparoscopy, Tubal Block (58671) |
$5,166.25 |
$8,610.42 |
0.9× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,649.52 |
$9,415.87 |
0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,898.61 |
$13,164.35 |
1.3× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$10,984.04 |
$18,306.73 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$10,635.94 |
$17,726.56 |
1.8× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,515.57 |
$10,859.28 |
1.1× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$8,917.26 |
$14,862.10 |
0.8× |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
$5,107.38 |
$8,512.30 |
0.7× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,182.65 |
$6,971.09 |
1.1× |
| Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) |
$5,413.19 |
$9,021.98 |
0.9× |
| Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) |
$5,413.19 |
$9,021.98 |
0.9× |
| Laryngoplasty Medialization Unliateral (31591) |
$5,413.19 |
$9,021.98 |
0.9× |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) |
$5,413.19 |
$9,021.98 |
0.9× |
| Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) |
$5,413.19 |
$9,021.98 |
0.9× |
| Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) |
$6,103.72 |
$10,172.87 |
1.0× |
| Laryngoscop w/arytenoidectom (31560) |
$5,107.38 |
$8,512.30 |
0.7× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$2,865.83 |
$4,776.39 |
0.8× |
| Laryngoscopy and dilation (31528) |
$4,278.61 |
$7,131.02 |
1.1× |
| Laryngoscopy diagnostic (31505) |
$231.71 |
$386.19 |
1.2× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$3,773.21 |
$6,288.68 |
1.0× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$3,176.60 |
$5,294.33 |
0.8× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$6,816.47 |
$11,360.79 |
1.8× |
| Laryngoscopy flexible diagnostic (31575) |
$485.26 |
$808.76 |
2.4× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$3,630.67 |
$6,051.11 |
1.0× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$1,663.93 |
$2,773.22 |
0.9× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,905.46 |
$4,842.43 |
1.6× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,297.97 |
$5,496.62 |
1.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$765.97 |
$1,276.62 |
1.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$877.17 |
$1,461.95 |
2.2× |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
$3,549.99 |
$5,916.65 |
0.9× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$3,630.67 |
$6,051.11 |
1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$350.90 |
$584.84 |
1.7× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$3,630.67 |
$6,051.11 |
1.0× |
| Laryngoscopy W/Biopsy (31535) |
$5,479.70 |
$9,132.83 |
1.5× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$3,020.22 |
$5,033.70 |
0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,957.77 |
$4,929.62 |
1.7× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$2,115.04 |
$3,525.06 |
5.4× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
$623.70 |
$1,039.50 |
1.6× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$4,470.94 |
$7,451.56 |
1.3× |
| Larynscop w/tumr exc + scope (31541) |
$3,817.85 |
$6,363.09 |
1.0× |
| Laser Surgery Anal Lesions (46917) |
$2,770.80 |
$4,618 |
1.0× |
| Laser Surgery of Cervix (57513) |
$3,287.80 |
$5,479.66 |
1.0× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$1,297.30 |
$2,162.16 |
2.3× |
| Laser treatment of retina (67040) |
$7,913.42 |
$13,189.04 |
1.9× |
| Laser vaporization of prostate (52648) |
$10,505.35 |
$17,508.92 |
2.0× |
| Late closure of wound (13160) |
$5,197.54 |
$8,662.56 |
1.5× |
| Lateral Canthopexy (21282) |
$2,704.18 |
$4,506.97 |
0.8× |
| Lateral retinacular release open (27425) |
$4,261.85 |
$7,103.09 |
1.3× |
| Lengthen metacarpal/finger (26568) |
$5,886.74 |
$9,811.23 |
0.8× |
| Lengthen radius or ulna (25391) |
$10,629.07 |
$17,715.11 |
0.8× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$5,886.74 |
$9,811.23 |
0.8× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$5,545.94 |
$9,243.23 |
1.7× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$4,566 |
$7,610 |
0.6× |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
$5,289.89 |
$8,816.49 |
0.9× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$2,777.50 |
$4,629.16 |
0.8× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$6,221.91 |
$10,369.85 |
2.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$4,911.91 |
$8,186.51 |
1.5× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$10,629.07 |
$17,715.11 |
0.8× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,388.66 |
$12,314.43 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$10,629.07 |
$17,715.11 |
0.8× |
| Ligate leg veins open (37761) |
$1,714.10 |
$2,856.83 |
0.5× |
| Ligate/strip long leg vein (37722) |
$5,719.74 |
$9,532.90 |
1.8× |
| Ligate/strip short leg vein (37718) |
$5,258.89 |
$8,764.82 |
1.7× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$6,410.83 |
$10,684.71 |
2.0× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$3,318.32 |
$5,530.54 |
1.0× |
| Ligation External Carotid Artery (37600) |
$3,467.79 |
$5,779.65 |
1.1× |
| Ligation Internal/Common Carotid Artery (37605) |
$4,879.97 |
$8,133.28 |
1.5× |
Ligation Major Artery Abdomen (37617)
unusually low: confirm this is the full procedure |
$2,200.20 |
$3,667 |
0.4× |
| Ligation nasal sinus artery (30915) |
$5,802.45 |
$9,670.75 |
1.8× |
| Ligation of a-v fistula (37607) |
$5,893.65 |
$9,822.75 |
1.9× |
| Ligation of femoral vein (37650) |
$3,160 |
$5,266.67 |
1.0× |
| Ligation of hemorrhoids (46946) |
$1,727.16 |
$2,878.60 |
0.6× |
| Ligation Of Inf Vena Cava (37619) |
$5,872.94 |
$9,788.24 |
1.1× |
| Ligation Of Neck Artery (37615) |
$4,163.29 |
$6,938.82 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$6,038.64 |
$10,064.40 |
3.6× |
| Ligation, internal jugular vein Facility (37565) |
$3,467.79 |
$5,779.65 |
1.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$4,303.40 |
$7,172.33 |
1.4× |
| Limited pharyngectomy Facility (42890) |
$5,416.89 |
$9,028.15 |
0.9× |
| Lip Surgery Procedure (40799) |
$187.43 |
$312.38 |
0.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$5,052.96 |
$8,421.60 |
1.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,356 |
$8,926.67 |
1.5× |
Lithotripsy, extracorporeal shock wave (50590)
range across 3 matching MRF lines |
$3,600–$13,092.17 |
$6,000–$21,820.28 |
varies |
| Low Back Disk Surgery (63030) |
$11,779.73 |
$19,632.89 |
1.6× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$1,146.04 |
$1,910.06 |
1.8× |
| Lsh uterus 250 g or less (58541) |
$9,184.73 |
$15,307.88 |
0.9× |
| Lsh uterus above 250 g (58543) |
$11,886.69 |
$19,811.15 |
1.1× |
| Lsh w/t/o uterus above 250 g (58544) |
$12,000.38 |
$20,000.63 |
1.1× |
| Lyse chest fibrin init day (32561) |
$1,110.55 |
$1,850.91 |
1.8× |
| Lyse Chest Fibrin Subq Day (32562) |
$840.48 |
$1,400.80 |
1.3× |
| Lysis Intranasal Synechia (30560) |
$833.97 |
$1,389.95 |
1.5× |
| Lysis of labial adhesions (56441) |
$2,847.40 |
$4,745.66 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$4,173.43 |
$6,955.71 |
2.0× |
| Malar Augmentation Prosthetic Material (21270) |
$4,555.73 |
$7,592.89 |
0.8× |
| Male sling procedure (53440) |
$8,465.18 |
$14,108.64 |
0.6× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$492.74 |
$821.23 |
2.0× |
| Manipulation Ankle Under General Anesthesia (27860) |
$2,621.98 |
$4,369.96 |
0.8× |
| Manipulation Elbow Under Anesthesia (24300) |
$3,062.56 |
$5,104.27 |
1.9× |
| Manipulation hip joint general anesthesia (27275) |
$2,994 |
$4,990 |
1.9× |
| Manipulation knee joint under general anesthesia (27570) |
$2,142.84 |
$3,571.40 |
1.3× |
| Manipulation spine requiring anesthesia (22505) |
$2,852.63 |
$4,754.38 |
1.8× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$2,317.65 |
$3,862.75 |
1.5× |
| Manipulation wrist under anesthesia (25259) |
$1,998.19 |
$3,330.31 |
1.2× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,417.44 |
$2,362.40 |
0.9× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,633.40 |
$4,389 |
1.6× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,780.46 |
$2,967.44 |
2.5× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,520.47 |
$5,867.45 |
1.1× |
| Marsupialization of urethral diverticulum, male or female Facility (53240) |
$4,892.98 |
$8,154.97 |
1.4× |
| Mast mod rad (19307) |
$8,079.05 |
$13,465.08 |
1.2× |
| Mastectomy for gynecomastia (19300) |
$3,514.50 |
$5,857.50 |
0.9× |
| Mastectomy partial (19301) |
$5,127.80 |
$8,546.34 |
1.3× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$5,428.78 |
$9,047.97 |
0.8× |
| Mastectomy simple complete (19303) |
$6,052.48 |
$10,087.47 |
0.9× |
| Mastoid obliteration separate procedure (69670) |
$5,385.89 |
$8,976.49 |
0.9× |
| Mastoidectomy (69501) |
$6,260.10 |
$10,433.50 |
1.1× |
| Mastoidectomy; complete (69502) |
$6,969.40 |
$11,615.67 |
1.2× |
| Mastopexy (19316) |
$5,774.26 |
$9,623.76 |
0.9× |
Maternity Care Procedure (59899)
range across 5 matching MRF lines |
$168.73–$4,826.48 |
$281.22–$8,044.14 |
varies |
| Maxillary impression for palatal prosthesis Facility (42280) |
$583.82 |
$973.04 |
1.1× |
| Maxillofacial fixation (21100) |
$5,164.84 |
$8,608.07 |
0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,503.98 |
$2,506.63 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,193.94 |
$5,323.23 |
1.0× |
| Medial Canthopexy Separate Procedure (21280) |
$4,848.58 |
$8,080.97 |
1.5× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$4,713.11 |
$7,855.19 |
0.8× |
| Mediastinoscpy w/lmph nod bx (39402) |
$4,713.11 |
$7,855.19 |
0.8× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
$7,268.14 |
$12,113.56 |
1.2× |
| Metatarsectomy (28140) |
$3,430.19 |
$5,716.99 |
1.0× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$5,718.78 |
$9,531.30 |
1.7× |
Middle ear surgery proc unlisted (69799)
range across 3 matching MRF lines |
$187.43–$1,975.05 |
$312.38–$3,291.75 |
varies |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$1,254.01 |
$2,090.01 |
1.7× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$1,221.12 |
$2,035.20 |
1.6× |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
$12,202.34 |
$20,337.24 |
0.9× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
$5,545.94 |
$9,243.23 |
1.7× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$1,909.91 |
$3,183.18 |
0.8× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,973.95 |
$4,956.59 |
1.4× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,086.40 |
$5,144 |
0.9× |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
$9,458.14 |
$15,763.56 |
1.3× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$8,434.13 |
$14,056.88 |
1.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$4,633.78 |
$7,722.96 |
1.3× |
| Muscle-skin graft trunk (15734) |
$3,527.31 |
$5,878.85 |
1.0× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$6,021.07 |
$10,035.12 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,242.29 |
$2,070.49 |
1.6× |
| Myelography Lumbar Injection (62304) |
$1,242.29 |
$2,070.49 |
1.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,185.83 |
$1,976.38 |
1.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,074.97 |
$1,791.61 |
1.4× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$3,980.03 |
$6,633.38 |
1.2× |
| Myringoplasty (69620) |
$4,064.96 |
$6,774.94 |
1.2× |
| N Block Inj Celiac Pelus (64530) |
$1,901.86 |
$3,169.77 |
2.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,164.15 |
$1,940.25 |
1.6× |
| N block inj intercost sng (64420) |
$1,303.74 |
$2,172.90 |
1.8× |
| N Block Inj Paracervical (64435) |
$786.91 |
$1,311.52 |
1.1× |
| N Block Inj Plantar Digit (64455) |
$430.55 |
$717.59 |
1.4× |
| N Block Inj Pudendal (64430) |
$1,278.73 |
$2,131.22 |
1.4× |
| N Block Lumbar/Thoracic (64520) |
$2,327.15 |
$3,878.58 |
2.6× |
| Nasal Endoscopy Dx (31231) |
$525.95 |
$876.58 |
2.6× |
| Nasal sinus therapy (30210) |
$1,195.09 |
$1,991.82 |
0.8× |
Nasal surgery procedure (30999)
range across 8 matching MRF lines |
$187.43–$4,650.92 |
$312.38–$7,751.53 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$404.41 |
$674.01 |
0.9× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$901.29 |
$1,502.15 |
2.3× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,429.67 |
$5,716.12 |
0.9× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$4,340.45 |
$7,234.09 |
0.6× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
$5,107.38 |
$8,512.30 |
0.7× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$5,107.38 |
$8,512.30 |
0.7× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$6,695.65 |
$11,159.42 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$2,831.51 |
$4,719.19 |
1.6× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$2,517.67 |
$4,196.12 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,088.24 |
$5,147.07 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$3,597.57 |
$5,995.95 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$5,837 |
$9,728.34 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$5,107.38 |
$8,512.30 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$5,107.38 |
$8,512.30 |
0.7× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$6,128.86 |
$10,214.76 |
0.9× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$6,128.86 |
$10,214.76 |
0.9× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$6,128.86 |
$10,214.76 |
0.9× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$5,107.38 |
$8,512.30 |
0.7× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$5,107.38 |
$8,512.30 |
0.7× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$5,107.38 |
$8,512.30 |
0.7× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$1,960.88 |
$3,268.13 |
1.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$484.78 |
$807.97 |
1.9× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,487.77 |
$2,479.61 |
1.6× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,669.27 |
$2,782.12 |
1.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,676.37 |
$6,127.28 |
2.3× |
| Neck spine disk surgery (63020) |
$9,795.24 |
$16,325.40 |
1.3× |
| Needle Biopsy Lymph Nodes (38505) |
$1,879.09 |
$3,131.82 |
1.1× |
| Needle Biopsy Pancreas (48102) |
$1,767.94 |
$2,946.56 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$48 |
$80 |
1.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$56.65 |
$94.42 |
1.9× |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) |
$4,858.97 |
$8,098.28 |
0.6× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
$5,133 |
$8,555 |
0.6× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$4,858.97 |
$8,098.28 |
0.6× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$4,858.97 |
$8,098.28 |
0.6× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
$4,858.97 |
$8,098.28 |
0.6× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) |
$4,858.97 |
$8,098.28 |
0.6× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
$4,858.97 |
$8,098.28 |
1.4× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
$5,860.99 |
$9,768.32 |
0.7× |
| Nerve graft arm/leg <4 cm (64892) |
$4,858.97 |
$8,098.28 |
0.6× |
| Nerve Pedicle Transfer First Stage (64905) |
$4,858.97 |
$8,098.28 |
0.6× |
| Nerve repair w/conduit each nerve (64910) |
$5,054.87 |
$8,424.78 |
0.6× |
| Neurectomy Popliteal (27326) |
$2,772.37 |
$4,620.62 |
1.4× |
| Neurectomy, hamstring muscle Facility (27325) |
$2,772.37 |
$4,620.62 |
1.4× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
$3,757.45 |
$6,262.42 |
1.9× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$1,141.80 |
$1,903 |
4.4× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) |
$2,175 |
$3,625 |
2.9× |
| Neuro cere folate defncy srm (0399U) |
$495 |
$825 |
1.7× |
| Neuroeltrd Stim Post Tibial (64566) |
$491.24 |
$818.74 |
1.6× |
| Neurology tbi alys gfap&uch-l1 ia whl blood/plsm (0570U) |
$312.60 |
$521 |
1.2× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$3,222.99 |
$5,371.65 |
1.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$5,067.54 |
$8,445.90 |
2.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$4,613.80 |
$7,689.66 |
2.4× |
| Neurorraphy w/vein autograft (64911) |
$6,486.48 |
$10,810.80 |
0.7× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,751.39 |
$4,585.65 |
1.4× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$4,613.80 |
$7,689.66 |
2.4× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$4,613.80 |
$7,689.66 |
2.4× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$810 |
$1,350 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$200.75 |
$334.58 |
0.5× |
| Nfct ds bct/viral trail ip-10 c-react prtn srm (0351U) |
$312.60 |
$521 |
1.2× |
| Nfct ds csf metagenomic ngs bioinformatic alys (0480U) |
$4,500 |
$7,500 |
2.1× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$3,000 |
$5,000 |
1.4× |
| Nipple Exploration (19110) |
$3,847.45 |
$6,412.42 |
1.0× |
| Nipple/areola reconstruction (19350) |
$3,386.11 |
$5,643.52 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,526.09 |
$2,543.49 |
1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$807.04 |
$1,345.06 |
2.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,987.17 |
$4,978.61 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,888.76 |
$4,814.60 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,690.45 |
$2,817.41 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,775.47 |
$2,959.11 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,817.24 |
$3,028.73 |
2.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,258.14 |
$2,096.90 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,338.40 |
$2,230.67 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,987.92 |
$3,313.20 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,824.76 |
$3,041.26 |
2.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,388.14 |
$2,313.56 |
1.6× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$2,058.43 |
$3,430.72 |
1.0× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$2,058.43 |
$3,430.72 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,884.14 |
$3,140.23 |
2.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$2,302.21 |
$3,837.01 |
3.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$525.83 |
$876.38 |
1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$535.38 |
$892.30 |
1.3× |
| Njx Sclrsnt Spider Veins (36468) |
$382.05 |
$636.75 |
0.9× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$4,885.54 |
$8,142.57 |
0.7× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$5,107.38 |
$8,512.30 |
0.7× |
| Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) |
$543.75 |
$906.25 |
4.2× |
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U)
range across 2 matching MRF lines |
$236.25–$472.50 |
$393.75–$787.50 |
varies |
| Obstructive material removal from gi tube (49460) |
$946.52 |
$1,577.53 |
1.0× |
| Occipital Nerve Block (64405) |
$960.64 |
$1,601.07 |
3.1× |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$2,609.11 |
$4,348.51 |
0.8× |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
$5,645.17 |
$9,408.61 |
1.4× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$3,099.14 |
$5,165.24 |
0.8× |
| Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781) |
$6,138.17 |
$10,230.29 |
1.1× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$12,682.50 |
$21,137.50 |
1.5× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$3,531.55 |
$5,885.91 |
1.2× |
| Open bone biopsy (20251) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open bone biopsy (20250) |
$4,592.30 |
$7,653.83 |
1.4× |
| Open Implantation Nea Peripheral Nerve (64575) |
$19,287.34 |
$32,145.56 |
1.7× |
| Open Implantation Nea Sacral Nerve (64581) |
$9,085.29 |
$15,142.15 |
1.4× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$29,286.38 |
$48,810.64 |
0.7× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$36,076.18 |
$60,126.96 |
1.2× |
| Open nasoethmoid fx w/o fixj (21338) |
$6,759.31 |
$11,265.51 |
1.1× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$7,386.73 |
$12,311.21 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,789.77 |
$14,649.62 |
1.2× |
| Open treatment calcaneal fracture (28415) |
$8,683.23 |
$14,472.05 |
1.2× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$10,629.07 |
$17,715.11 |
0.8× |
| Open treatment fracture distal tibia only (27827) |
$10,629.07 |
$17,715.11 |
0.8× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$8,926.15 |
$14,876.91 |
1.2× |
| Open Treatment Humeral Condylar Fracture (24579) |
$10,629.07 |
$17,715.11 |
0.8× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,584.08 |
$5,973.46 |
1.1× |
| Open Treatment Lunate Dislocation (25695) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,596.05 |
$10,993.41 |
0.9× |
| Open treatment metacarpophalangeal dislocation (26715) |
$5,036.85 |
$8,394.75 |
1.5× |
| Open treatment metatarsal fracture each (28485) |
$4,485.13 |
$7,475.22 |
0.6× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$6,721.67 |
$11,202.79 |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$8,322.97 |
$13,871.62 |
1.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,809.42 |
$16,349.04 |
1.3× |
| Open treatment of coccygeal fracture Facility (27202) |
$3,127.64 |
$5,212.73 |
1.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$6,605.19 |
$11,008.65 |
1.1× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$8,803.45 |
$14,672.42 |
1.5× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$4,832.78 |
$8,054.64 |
0.8× |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) |
$5,289.89 |
$8,816.49 |
0.9× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$5,487.79 |
$9,146.31 |
0.9× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$6,430.79 |
$10,717.98 |
1.1× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$16,139.55 |
$26,899.25 |
1.3× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$8,803.45 |
$14,672.42 |
1.5× |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
$5,289.89 |
$8,816.49 |
0.9× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$4,173.52 |
$6,955.87 |
1.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$4,402.67 |
$7,337.79 |
1.3× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$4,308.40 |
$7,180.67 |
1.3× |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) |
$4,555.73 |
$7,592.89 |
0.8× |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) |
$5,724.50 |
$9,540.83 |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$7,160.86 |
$11,934.77 |
1.2× |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) |
$5,289.89 |
$8,816.49 |
0.9× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$7,438.54 |
$12,397.57 |
1.3× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$5,232.76 |
$8,721.26 |
0.9× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$6,665.84 |
$11,109.74 |
0.9× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$8,084.83 |
$13,474.71 |
1.1× |
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812)
unusually low: confirm this is the full procedure |
$2,716.88 |
$4,528.14 |
0.4× |
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
unusually low: confirm this is the full procedure |
$2,777.50 |
$4,629.16 |
0.4× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$2,716.88 |
$4,528.14 |
1.7× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
$9,931.04 |
$16,551.73 |
1.4× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$6,759.31 |
$11,265.51 |
2.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,292.83 |
$12,154.72 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open treatment posterior malleolus fracture (27769) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$7,069.90 |
$11,783.17 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,147.50 |
$20,245.84 |
0.9× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,572.41 |
$12,620.69 |
1.0× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open tx acute shoulder dislocation (23660) |
$6,554.95 |
$10,924.91 |
0.9× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$6,629.92 |
$11,049.87 |
0.9× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,521.61 |
$7,536.01 |
1.4× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$5,876.49 |
$9,794.15 |
1.8× |
| Open tx carpal scaphoid navicular fracture (25628) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$3,565.60 |
$5,942.67 |
1.1× |
| Open Tx Depressed Malar Fracture (21360) |
$6,814.22 |
$11,357.03 |
1.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,141.80 |
$11,903 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,301.50 |
$7,169.16 |
1.3× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,886.74 |
$9,811.23 |
0.8× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$4,318.29 |
$7,197.15 |
1.3× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$10,629.07 |
$17,715.11 |
0.8× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$10,629.07 |
$17,715.11 |
0.8× |
| Open tx interphalangeal joint dislocation (26785) |
$4,416.30 |
$7,360.50 |
1.3× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$8,803.45 |
$14,672.42 |
1.5× |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
$7,180.34 |
$11,967.23 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$5,464.97 |
$9,108.29 |
1.7× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$5,317.77 |
$8,862.95 |
1.6× |
| Open Tx Radial Head/Neck Fracture (24665) |
$7,547.90 |
$12,579.84 |
1.0× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$10,629.07 |
$17,715.11 |
0.8× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
$4,840.09 |
$8,066.82 |
0.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$6,192.78 |
$10,321.30 |
0.8× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
$3,935.24 |
$6,558.73 |
0.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,348.32 |
$12,247.20 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$5,926.25 |
$9,877.08 |
0.8× |
| Open/Perq Place Stent 1St (37236) |
$14,934.35 |
$24,890.59 |
1.3× |
| Open/Perq Place Stent Same (37238) |
$12,223.60 |
$20,372.66 |
1.1× |
| Opn tx orbit fx combined (21387) |
$6,493.99 |
$10,823.31 |
1.1× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$4,307.91 |
$7,179.85 |
1.3× |
| Optic Nerve Decompression (67570) |
$5,998.70 |
$9,997.83 |
1.5× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$7,492.98 |
$12,488.30 |
2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$8,280.41 |
$13,800.69 |
1.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$9,217.75 |
$15,362.92 |
1.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$10,629.07 |
$17,715.11 |
0.8× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$12,630.95 |
$21,051.58 |
1.0× |
| Orbital implant removal/revision (67560) |
$5,008.35 |
$8,347.25 |
1.3× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) |
$5,289.89 |
$8,816.49 |
0.9× |
| Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) |
$5,809.13 |
$9,681.89 |
1.5× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$3,732.12 |
$6,220.20 |
0.9× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$3,320.43 |
$5,534.05 |
1.4× |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
$3,995.76 |
$6,659.60 |
1.7× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$6,340.24 |
$10,567.06 |
1.6× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$4,483.72 |
$7,472.87 |
1.1× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$5,821.06 |
$9,701.77 |
1.5× |
| Orchiectomy partial (54522) |
$4,860.68 |
$8,101.13 |
1.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$5,698.35 |
$9,497.25 |
1.6× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$4,478.01 |
$7,463.35 |
1.3× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,981.86 |
$6,636.44 |
1.1× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$3,558.53 |
$5,930.88 |
1.0× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$2,903.31 |
$4,838.85 |
0.9× |
| Ostc prtl exostc/condylc metar head (28288) |
$2,926.39 |
$4,877.32 |
0.9× |
| Ostectomy calcaneus (28118) |
$4,070.16 |
$6,783.60 |
1.2× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,067.16 |
$5,111.93 |
0.9× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,942.23 |
$4,903.71 |
0.9× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$3,542.56 |
$5,904.26 |
1.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,795.71 |
$6,326.18 |
1.2× |
| Osteochondral allograft knee open (27415) |
$10,629.07 |
$17,715.11 |
0.8× |
| Osteochondral knee autograft (27416) |
$7,952.51 |
$13,254.19 |
1.1× |
| Osteochondral talus autogrft (28446) |
$6,982.66 |
$11,637.77 |
1.0× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$6,609.96 |
$11,016.60 |
0.9× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$6,541.52 |
$10,902.53 |
2.0× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$5,311.70 |
$8,852.84 |
0.9× |
| Osteoplasty, facial bones; reduction (21209) |
$6,495.98 |
$10,826.63 |
1.1× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$5,886.74 |
$9,811.23 |
0.8× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$5,886.74 |
$9,811.23 |
0.8× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$5,886.74 |
$9,811.23 |
0.8× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,237.76 |
$5,396.27 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$6,004.47 |
$10,007.45 |
0.8× |
| Osteotomy Clavicle W Bone Graft (23485) |
$10,629.07 |
$17,715.11 |
0.8× |
| Osteotomy Metacarpal Each (26565) |
$4,351.50 |
$7,252.50 |
1.3× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) |
$6,063.98 |
$10,106.64 |
0.8× |
| Osteotomy Phalanx Finger Each (26567) |
$5,399.50 |
$8,999.17 |
1.6× |
| Osteotomy radius distal third (25350) |
$6,871.42 |
$11,452.37 |
0.9× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$5,545.94 |
$9,243.23 |
1.7× |
| Osteotomy talus (28302) |
$5,886.74 |
$9,811.23 |
0.8× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$6,004.47 |
$10,007.45 |
0.8× |
| Osteotomy Tibia (27705) |
$5,886.74 |
$9,811.23 |
0.8× |
| Osteotomy Ulna (25360) |
$5,886.74 |
$9,811.23 |
0.8× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$5,886.74 |
$9,811.23 |
0.8× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
unusually low: confirm this is the full procedure |
$2,945.02 |
$4,908.37 |
0.4× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$7,040.37 |
$11,733.95 |
1.4× |
| Palatop cl palate soft&/hard palate only (42200) |
$5,493.56 |
$9,155.94 |
0.9× |
| Palatopharyngoplasty (42145) |
$4,690.22 |
$7,817.03 |
0.8× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$5,289.89 |
$8,816.49 |
1.6× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$4,555.73 |
$7,592.89 |
0.8× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$5,289.89 |
$8,816.49 |
0.9× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$2,984.06 |
$4,973.43 |
1.3× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$7,783.94 |
$12,973.23 |
1.3× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$7,150.85 |
$11,918.09 |
1.4× |
| Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) |
$5,286.68 |
$8,811.13 |
0.9× |
| Part exc bone femur prox tibia (27360) |
$5,160.97 |
$8,601.62 |
1.6× |
| Part remv talus or calcaneus (28120) |
$2,627.55 |
$4,379.25 |
0.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$5,886.74 |
$9,811.23 |
0.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$4,755.67 |
$7,926.12 |
0.7× |
| Partial excision bone clavicle (23180) |
$4,842.92 |
$8,071.54 |
0.7× |
| Partial Excision Bone Humerus (24140) |
$4,298.11 |
$7,163.52 |
1.3× |
| Partial excision bone metacarpal (26230) |
$3,668.02 |
$6,113.36 |
1.1× |
| Partial excision bone olecranon process (24147) |
$3,819.82 |
$6,366.36 |
1.2× |
| Partial Excision Bone Radius (25151) |
$4,566 |
$7,610 |
1.4× |
| Partial Excision Bone Ulna (25150) |
$3,803.90 |
$6,339.83 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,630.32 |
$4,383.87 |
1.6× |
| Partial excision of lip (40520) |
$3,750.37 |
$6,250.61 |
1.1× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$7,304.17 |
$12,173.62 |
1.0× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,542.18 |
$4,236.96 |
1.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,822.37 |
$4,703.95 |
0.9× |
| Partial removal of fibula (27641) |
$3,410.35 |
$5,683.91 |
1.0× |
| Partial removal of lip (40530) |
$3,983.62 |
$6,639.36 |
1.2× |
| Partial removal of nose (30150) |
$6,603.11 |
$11,005.18 |
1.1× |
| Partial removal of penis (54120) |
$6,301.67 |
$10,502.79 |
1.8× |
| Partial removal of radius (24145) |
$5,886.74 |
$9,811.23 |
0.8× |
| Partial removal of rib (21600) |
$7,080.26 |
$11,800.44 |
1.0× |
| Partial removal of scapula (23190) |
$3,252.74 |
$5,421.23 |
1.0× |
| Partial removal of thyroid (60220) |
$8,586.34 |
$14,310.57 |
1.4× |
| Partial removal of tibia (27640) |
$4,369.53 |
$7,282.55 |
1.3× |
| Partial removal of toe (28160) |
$2,977.13 |
$4,961.88 |
0.9× |
| Partial removal of tongue (41120) |
$5,978.70 |
$9,964.50 |
1.0× |
| Partial thyroid excision (60212) |
$9,285.92 |
$15,476.53 |
1.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$7,679.61 |
$12,799.35 |
1.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,552.01 |
$5,920.02 |
1.1× |
| Patellectomy or hemipatellectomy (27350) |
$6,193.88 |
$10,323.13 |
0.8× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) |
$2,250 |
$3,750 |
1.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,760.31 |
$4,600.52 |
0.8× |
| Penile Injection (54235) |
$545.38 |
$908.96 |
2.2× |
| Penile Plethysmography (54240) |
$247.83 |
$413.05 |
1.1× |
| Penis plastic surgery (54360) |
$4,947.43 |
$8,245.71 |
1.4× |
| Perc Cryo Ablate Renal Tum (50593) |
$8,517.04 |
$14,195.06 |
0.8× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,569.25 |
$4,282.08 |
1.8× |
| Perc Rf Ablate Renal Tumor (50592) |
$5,580 |
$9,300 |
0.9× |
| Percut Ablate Liver Rf (47382) |
$7,024.12 |
$11,706.87 |
1.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$10,099.69 |
$16,832.81 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,783.27 |
$2,972.11 |
2.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,288.32 |
$8,813.86 |
1.7× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$3,671.97 |
$6,119.95 |
1.1× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure |
$3,079.75 |
$5,132.91 |
0.4× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$3,079.75 |
$5,132.91 |
1.9× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$4,057.54 |
$6,762.57 |
1.2× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
$5,886.74 |
$9,811.23 |
0.8× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$3,935.24 |
$6,558.73 |
2.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$2,777.50 |
$4,629.16 |
0.8× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$7,799.20 |
$12,998.67 |
2.3× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$6,759.31 |
$11,265.51 |
2.0× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$3,959.84 |
$6,599.74 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,522.88 |
$4,204.80 |
1.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,951.97 |
$6,586.62 |
1.2× |
| Perirectal inj sclerosing solution prolapse (45520) |
$194.79 |
$324.65 |
0.2× |
| Peritoneal Lavage (49084) |
$1,094.95 |
$1,824.91 |
1.2× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$3,363.47 |
$5,605.79 |
0.2× |
| Perq av fistula creation uxtr sep access sites (36837) |
$16,135.50 |
$26,892.50 |
0.9× |
| Perq av fistula creation uxtr single access (36836) |
$17,860.50 |
$29,767.50 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$4,896.31 |
$8,160.52 |
1.5× |
| Perq dev breast 1st mr guide (19287) |
$630.14 |
$1,050.23 |
0.9× |
| Perq dev breast 1st strtctc (19283) |
$661.64 |
$1,102.74 |
0.9× |
| Perq dev breast 1st us imag (19285) |
$1,332.43 |
$2,220.72 |
1.9× |
| Perq device breast 1st imag (19281) |
$1,351.81 |
$2,253.02 |
0.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$7,184.73 |
$11,974.55 |
2.0× |
| Perq Lumbosacral Injection (22511) |
$4,172.87 |
$6,954.78 |
1.3× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$7,413.21 |
$12,355.35 |
0.8× |
| Perq p-art revsc 1 nm nt uni (33900) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$20,071.40 |
$33,452.34 |
1.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$8,632.80 |
$14,388 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,328.97 |
$2,214.95 |
1.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,101.23 |
$6,835.39 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$19,636.34 |
$32,727.24 |
1.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,175.49 |
$15,292.49 |
1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$12,736.87 |
$21,228.12 |
1.7× |
| Perq Vertebral Augmentation (22513) |
$12,666.07 |
$21,110.11 |
1.7× |
| Phalangectomy toe each toe (28150) |
$3,309.58 |
$5,515.97 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$4,453.46 |
$7,422.43 |
1.4× |
| Pin Finger Dislocation (26776) |
$3,494.18 |
$5,823.64 |
1.1× |
| Pin hand dislocation (26676) |
$2,976.51 |
$4,960.85 |
0.9× |
| Pin knuckle dislocation (26706) |
$2,866.16 |
$4,776.94 |
0.9× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
$2,550.48 |
$4,250.80 |
2.5× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$3,099.14 |
$5,165.24 |
0.8× |
Place breast rad tube/caths (19298)
unusually low: confirm this is the full procedure |
$6,215.93 |
$10,359.89 |
0.4× |
| Place Cath Subclavian Art (36225) |
$5,043.57 |
$8,405.95 |
1.6× |
| Place Cath Thoracic Aorta (36221) |
$6,903.94 |
$11,506.57 |
2.2× |
| Place Cath Vertebral Art (36226) |
$10,963.59 |
$18,272.65 |
2.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,617.21 |
$4,362.02 |
1.4× |
| Place ndl musc/tis for rt (20555) |
$3,132.79 |
$5,221.31 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$2,830.59 |
$4,717.65 |
2.0× |
| Placement needle head/neck radioelement applicat (41019) |
$4,555.73 |
$7,592.89 |
0.8× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$4,317.40 |
$7,195.67 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$356 |
$593.33 |
0.8× |
| Placement of seton (46020) |
$3,375 |
$5,625 |
1.2× |
| Plastic Repair Canaliculi (68700) |
$2,542.15 |
$4,236.92 |
1.1× |
| Plastic Repair Introitus (56800) |
$3,905.53 |
$6,509.21 |
1.2× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$5,289.89 |
$8,816.49 |
0.9× |
| Plastic Repair Of Urethrocele (57230) |
$3,852.58 |
$6,420.96 |
1.2× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$3,468.06 |
$5,780.10 |
0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$8,505 |
$14,175 |
1.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$4,847.95 |
$8,079.92 |
0.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,021.16 |
$10,035.26 |
1.0× |
| Plmt expandable cath brst following prtl mast (19296) |
$6,781.93 |
$11,303.22 |
0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$4,233.03 |
$7,055.05 |
2.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,158.05 |
$5,263.42 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,882.47 |
$8,137.45 |
1.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$5,087.15 |
$8,478.59 |
1.4× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,788.58 |
$7,980.96 |
1.4× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$4,555.73 |
$7,592.89 |
0.8× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$5,244.80 |
$8,741.33 |
0.9× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$7,923.49 |
$13,205.81 |
1.6× |
Prepare face/oral prosthesis (21089)
range across 2 matching MRF lines |
$214.20–$1,432.65 |
$357–$2,387.75 |
varies |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$7,318.36 |
$12,197.26 |
0.4× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$362.24 |
$603.74 |
1.1× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$2,388.16 |
$3,980.27 |
1.0× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$2,088.62 |
$3,481.03 |
0.9× |
| Probe nl duct w/balloon (68816) |
$2,511.16 |
$4,185.26 |
1.1× |
| Probing nasolacrimal duct (68810) |
$537.77 |
$896.28 |
1.7× |
| Proctopexy Perineal Approach (45541) |
$4,248.05 |
$7,080.08 |
1.5× |
| Proctoplasty Stenosis (45500) |
$2,574.90 |
$4,291.50 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,650.30 |
$2,750.50 |
1.8× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$1,655.24 |
$2,758.74 |
3.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$10,629.07 |
$17,715.11 |
0.8× |
| Prostate laser enucleation (52649) |
$12,006.11 |
$20,010.19 |
2.2× |
| Prostatic microwave thermotx (53850) |
$5,506.40 |
$9,177.33 |
1.6× |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
$3,870.38 |
$6,450.63 |
0.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,518.79 |
$2,531.31 |
2.1× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$4,844.48 |
$8,074.14 |
0.8× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$2,770.80 |
$4,618 |
3.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,614.38 |
$6,023.97 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,762.80 |
$7,938 |
1.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,910.33 |
$6,517.21 |
1.2× |
| Prq skel fixj femoral fx prox end neck (27235) |
$7,372.60 |
$12,287.66 |
1.0× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$3,111.65 |
$5,186.08 |
0.9× |
| Prq skel fixj metar fx w/manj (28476) |
$3,834.85 |
$6,391.42 |
1.2× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$5,886.74 |
$9,811.23 |
0.8× |
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
unusually low: confirm this is the full procedure |
$3,079.75 |
$5,132.91 |
0.4× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$3,778.28 |
$6,297.13 |
1.1× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$4,737.59 |
$7,895.98 |
1.4× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
$5,886.74 |
$9,811.23 |
0.8× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$3,603.83 |
$6,006.39 |
1.1× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$5,886.74 |
$9,811.23 |
0.8× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,881.50 |
$6,469.17 |
1.2× |
| Prtl Exchange Transfuse Nb (36456) |
$464.59 |
$774.31 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$1,003.33 |
$1,672.21 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$520.85 |
$868.09 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$673.86 |
$1,123.10 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$971.78 |
$1,619.64 |
1.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$994.24 |
$1,657.06 |
1.4× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$999.06 |
$1,665.10 |
2.3× |
| Pvb thoracic cont infusion (64463) |
$2,170.80 |
$3,618 |
3.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$963.98 |
$1,606.64 |
1.4× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,496.72 |
$5,827.86 |
2.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,219.93 |
$5,366.55 |
1.0× |
| Rad resect elbow caps/sr bone w rels (24149) |
$7,626.53 |
$12,710.88 |
1.0× |
| Rad resect hand tumor 3 cm/> (26118) |
$4,137.20 |
$6,895.33 |
1.4× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$4,738.04 |
$7,896.74 |
1.6× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$3,012.49 |
$5,020.82 |
1.0× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$4,460.78 |
$7,434.63 |
1.5× |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
$4,180.83 |
$6,968.05 |
1.4× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$4,766.50 |
$7,944.17 |
1.6× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$5,153.07 |
$8,588.45 |
0.9× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
$7,021.85 |
$11,703.08 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$3,849.30 |
$6,415.50 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$4,910.07 |
$8,183.45 |
1.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$3,072.74 |
$5,121.24 |
1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$4,460.78 |
$7,434.63 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$2,951.46 |
$4,919.10 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$3,012.49 |
$5,020.82 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$4,010.81 |
$6,684.68 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$3,012.49 |
$5,020.82 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$4,460.78 |
$7,434.63 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$3,012.49 |
$5,020.82 |
1.0× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$4,067.93 |
$6,779.88 |
2.5× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
$3,608.81 |
$6,014.68 |
1.1× |
| Radical resection of tumor, radius or ulna (25170) |
$5,886.74 |
$9,811.23 |
0.8× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
$5,886.74 |
$9,811.23 |
0.8× |
| Radical Resection Tumor Metatarsal (28173) |
$3,889.27 |
$6,482.11 |
1.2× |
| Radical styloidectomy separate procedure (25230) |
$3,275.98 |
$5,459.96 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,272.60 |
$3,787.66 |
1.2× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,777.50 |
$4,629.16 |
0.8× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$3,336.65 |
$5,561.08 |
1.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$4,239.27 |
$7,065.45 |
1.3× |
| Rcnstj Dislocating Patella (27420) |
$6,036.13 |
$10,060.21 |
0.8× |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
$3,910.89 |
$6,518.15 |
1.6× |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
$4,415.44 |
$7,359.06 |
1.8× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
$2,584.75 |
$4,307.91 |
1.1× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) |
$6,245.56 |
$10,409.27 |
1.1× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$4,006.88 |
$6,678.13 |
1.1× |
| Re-explore parathyroids (60502) |
$4,832.78 |
$8,054.64 |
0.8× |
| Realignment extensor tendon hand each tendon (26437) |
$2,280.89 |
$3,801.49 |
0.7× |
| Realignment of hand (25335) |
$5,545.94 |
$9,243.23 |
1.7× |
| Reconst lwr jaw w/o fixation (21195) |
$4,555.73 |
$7,592.89 |
0.8× |
| Reconstr lwr jaw segment (21198) |
$4,832.78 |
$8,054.64 |
0.8× |
| Reconstruct cleft palate (42220) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reconstruct cleft palate (42210) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reconstruct elbow joint (24360) |
$5,886.74 |
$9,811.23 |
0.8× |
| Reconstruct elbow lat ligmnt (24344) |
$9,961.01 |
$16,601.68 |
1.4× |
| Reconstruct elbow med ligmnt (24346) |
$11,365.24 |
$18,942.06 |
0.9× |
| Reconstruct extra finger (26587) |
$2,777.50 |
$4,629.16 |
0.8× |
| Reconstruct finger joint (26545) |
$4,056.34 |
$6,760.57 |
1.2× |
| Reconstruct Finger Joint (26548) |
$4,017.51 |
$6,695.85 |
1.2× |
| Reconstruct lip with flap (40525) |
$5,509.69 |
$9,182.81 |
1.7× |
| Reconstruct lip with flap (40527) |
$8,251.59 |
$13,752.65 |
1.4× |
| Reconstruct ulna/radioulnar (25337) |
$5,886.74 |
$9,811.23 |
0.8× |
| Reconstruct upper jaw bone (21206) |
$6,215.99 |
$10,359.99 |
1.0× |
| Reconstruct wrist joint (25445) |
$7,400.25 |
$12,333.75 |
1.0× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,000.41 |
$3,334.02 |
1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$7,112.94 |
$11,854.90 |
1.0× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$5,886.74 |
$9,811.23 |
0.8× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$6,017.08 |
$10,028.46 |
1.0× |
| Reconstruction of jaw (21249) |
$6,720.89 |
$11,201.48 |
1.1× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) |
$5,095.85 |
$8,493.09 |
0.9× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$6,349.67 |
$10,582.79 |
1.1× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$4,498.52 |
$7,497.54 |
1.4× |
| Reconstruction of throat (42950) |
$4,555.73 |
$7,592.89 |
0.8× |
| Reconstruction of urethra (54326) |
$4,478.01 |
$7,463.35 |
1.3× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$6,612.37 |
$11,020.62 |
1.1× |
| Reconstruction Toe Polydactyly (28344) |
$4,253.25 |
$7,088.75 |
1.3× |
| Reconstruction Tongue Fold (41520) |
$2,923.73 |
$4,872.89 |
0.9× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reconstruction, cleft foot Facility (28360) |
$8,624.12 |
$14,373.53 |
1.2× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) |
$5,545.94 |
$9,243.23 |
1.7× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without… (21742) |
$5,545.94 |
$9,243.23 |
1.7× |
| Redo Endovas Vena Cava Filtr (37192) |
$5,196.69 |
$8,661.15 |
1.6× |
| Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reduction of rectal prolapse (45900) |
$1,155.24 |
$1,925.40 |
1.2× |
| Reduction Overcorrection Ptosis (67909) |
$2,923.50 |
$4,872.50 |
1.2× |
| Reinforce clavicle (23490) |
$9,458.14 |
$15,763.56 |
1.3× |
| Reinforce humerus (24498) |
$10,629.07 |
$17,715.11 |
0.8× |
| Reinforce tibia (27745) |
$7,824.40 |
$13,040.66 |
1.1× |
| Reinforce ulna (25491) |
$10,629.07 |
$17,715.11 |
0.8× |
| Reinnervate larynx (31590) |
$5,289.89 |
$8,816.49 |
0.9× |
| Reinsert ocular implant (65150) |
$5,681.30 |
$9,468.84 |
1.4× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$4,060.51 |
$6,767.51 |
1.0× |
| Release encircling material (67115) |
$3,791.29 |
$6,318.82 |
0.9× |
| Release eye tissue (67343) |
$2,189.95 |
$3,649.91 |
0.9× |
| Release facial nerve (69955) |
$5,289.89 |
$8,816.49 |
0.9× |
| Release facial nerve (69720) |
$6,759.31 |
$11,265.51 |
1.1× |
| Release foot/toe nerve (64726) |
$2,375.24 |
$3,958.73 |
1.2× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$2,777.50 |
$4,629.16 |
0.8× |
| Release of big toe (28240) |
$3,091.89 |
$5,153.15 |
0.9× |
| Release of shoulder ligament (23415) |
$5,886.74 |
$9,811.23 |
0.8× |
| Release or recession, hamstring, proximal Facility (27097) |
$3,333.37 |
$5,555.61 |
1.0× |
| Release Thenar Muscle (26508) |
$2,777.50 |
$4,629.16 |
0.8× |
| Relieve Pressure on Nerve(S) (64722) |
$3,932.93 |
$6,554.89 |
2.0× |
| Relocation Pocket Pacemaker (33222) |
$3,809.25 |
$6,348.75 |
1.8× |
| Rem Endovas Vena Cava Filter (37193) |
$6,151.19 |
$10,251.98 |
1.9× |
| Removal Anal Seton Other Marker (46030) |
$1,150.67 |
$1,917.79 |
1.0× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$16,482.71 |
$27,471.18 |
0.8× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$16,482.71 |
$27,471.18 |
0.8× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
$18,393 |
$30,655 |
0.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,135.69 |
$1,892.82 |
1.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$501.04 |
$835.07 |
1.6× |
| Removal entire oi implt skl perq attachment esp (69726) |
$3,700.84 |
$6,168.06 |
1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,151.54 |
$5,252.57 |
1.1× |
| Removal Foreign Body Foot Complicated (28193) |
$2,059.83 |
$3,433.05 |
1.2× |
| Removal foreign body foot deep (28192) |
$3,157.05 |
$5,261.75 |
1.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,402.33 |
$2,337.22 |
2.0× |
| Removal foreign body jawbone (41806) |
$2,365.55 |
$3,942.58 |
1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,768.18 |
$2,946.97 |
1.1× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$4,608.17 |
$7,680.28 |
1.4× |
| Removal Foreign Body Scrotum (55120) |
$2,414.55 |
$4,024.25 |
1.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,704.75 |
$4,507.92 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,309.02 |
$3,848.36 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$123.74 |
$206.23 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$210.65 |
$351.09 |
3.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,269.95 |
$5,449.92 |
1.0× |
| Removal Implant Deep (20680) |
$5,931.11 |
$9,885.19 |
2.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,475.49 |
$5,792.49 |
2.1× |
| Removal implantable contraceptive capsules (11976) |
$976.85 |
$1,628.09 |
1.4× |
| Removal intact breast implant (19328) |
$4,072.55 |
$6,787.59 |
1.0× |
| Removal of a lesion from the floor of the mouth (41116) |
$3,789.36 |
$6,315.60 |
1.1× |
| Removal of adenoids (42835) |
$3,307.96 |
$5,513.26 |
1.0× |
| Removal of adenoids (42831) |
$2,646.57 |
$4,410.95 |
0.8× |
| Removal of adenoids (42830) |
$3,749 |
$6,248.34 |
1.1× |
| Removal of adenoids (42836) |
$4,089.82 |
$6,816.37 |
1.2× |
| Removal of anal fissure (46200) |
$2,521.20 |
$4,202 |
0.9× |
| Removal of ankle implant (27704) |
$3,129.55 |
$5,215.92 |
1.0× |
| Removal of bladder cyst (51500) |
$6,082.67 |
$10,137.78 |
1.0× |
| Removal of bone lesion (23140) |
$4,323.80 |
$7,206.33 |
1.3× |
| Removal of brow wrinkles (15826) |
$3,113.11 |
$5,188.51 |
0.9× |
| Removal of calcium deposits (23000) |
$3,134.03 |
$5,223.38 |
1.1× |
| Removal of cervix (57530) |
$4,933.66 |
$8,222.76 |
1.0× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$6,663.02 |
$11,105.04 |
1.9× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$2,300.50 |
$3,834.16 |
1.2× |
| Removal of epiglottis (31420) |
$4,988.85 |
$8,314.75 |
0.8× |
| Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) |
$2,017.15 |
$3,361.91 |
0.9× |
| Removal of esophageal sphincter augmentation device (43285) |
$5,022.89 |
$8,371.49 |
0.8× |
| Removal of eye (65110) |
$6,247.03 |
$10,411.72 |
1.6× |
| Removal of foot joint lining (28072) |
$2,777.50 |
$4,629.16 |
0.8× |
| Removal of foreign body from pharynx (42809) |
$381.72 |
$636.20 |
0.9× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$2,017.15 |
$3,361.91 |
0.9× |
| Removal of heel spur (28119) |
$3,561.39 |
$5,935.65 |
1.1× |
| Removal of humerus lesion (23150) |
$4,246.54 |
$7,077.57 |
1.3× |
| Removal of humerus lesion (23156) |
$5,886.74 |
$9,811.23 |
0.8× |
| Removal of implant from finger or hand (26320) |
$3,047.56 |
$5,079.27 |
1.8× |
| Removal of implanted material, anterior segment of eye (65920) |
$4,188.22 |
$6,980.36 |
1.8× |
| Removal of infusion pump (36262) |
$3,054.44 |
$5,090.73 |
0.8× |
| Removal of intranasal lesion (30118) |
$4,039.07 |
$6,731.79 |
1.2× |
| Removal of iris (66635) |
$2,375.86 |
$3,959.76 |
1.0× |
| Removal of iris (66630) |
$2,133.17 |
$3,555.28 |
0.9× |
| Removal of ischial bursa (27060) |
$4,502.02 |
$7,503.37 |
0.6× |
| Removal of jaw joint (21050) |
$6,759.31 |
$11,265.51 |
1.1× |
| Removal of kidney stone (50081) |
$7,976.07 |
$13,293.45 |
0.8× |
| Removal of lens material (66852) |
$5,721.87 |
$9,536.45 |
1.4× |
| Removal of mammary implant material (19330) |
$2,871.66 |
$4,786.10 |
0.7× |
| Removal of nail bed (11750) |
$961.75 |
$1,602.91 |
2.4× |
| Removal of nose (30160) |
$8,803.45 |
$14,672.42 |
1.5× |
| Removal of nose lesion (30124) |
$2,675.94 |
$4,459.90 |
1.7× |
| Removal of ocular implant (65175) |
$4,081.91 |
$6,803.18 |
1.0× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
unusually low: confirm this is the full procedure |
$2,213.40 |
$3,689 |
0.3× |
| Removal of residual cervix (57550) |
$4,913.60 |
$8,189.33 |
1.0× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$2,017.15 |
$3,361.91 |
0.9× |
| Removal of sesamoid bone (28315) |
$2,897.46 |
$4,829.10 |
0.9× |
| Removal of skin wrinkles (15829) |
$4,101.49 |
$6,835.82 |
1.2× |
| Removal of sperm cord lesion (55520) |
$2,831.60 |
$4,719.33 |
0.8× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$2,777.50 |
$4,629.16 |
0.8× |
| Removal of tendon for graft (20924) |
$5,886.74 |
$9,811.23 |
0.8× |
| Removal of testis (54520) |
$4,375.86 |
$7,293.10 |
1.2× |
| Removal of thymus gland (60520) |
$4,682.81 |
$7,804.68 |
0.8× |
| Removal of thyroid (60271) |
$8,803.45 |
$14,672.42 |
1.5× |
| Removal of tonsils (42825) |
$4,555.73 |
$7,592.89 |
0.8× |
| Removal of tonsils (42826) |
$4,424.11 |
$7,373.52 |
1.3× |
| Removal of tumor, temporal bone Facility (69970) |
$5,289.89 |
$8,816.49 |
0.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,601.70 |
$6,002.83 |
1.1× |
| Removal of urethra (53210) |
$5,231.87 |
$8,719.78 |
1.5× |
| Removal of vein clot (34490) |
$4,729.24 |
$7,882.06 |
1.5× |
| Removal of wrist bone (25210) |
$3,668.21 |
$6,113.68 |
1.1× |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
$3,721.84 |
$6,203.06 |
1.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$284.74 |
$474.56 |
1.0× |
| Removal or destruction of bladder canal (urethra) malignancy (53220) |
$3,891.34 |
$6,485.56 |
1.1× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$6,132.67 |
$10,221.12 |
1.1× |
| Removal Pacemaker Electrode (33235) |
$6,520.86 |
$10,868.10 |
1.7× |
| Removal parotid stone (42340) |
$4,015.49 |
$6,692.48 |
1.2× |
| Removal peritoneal-venous shunt (49429) |
$3,061.72 |
$5,102.86 |
1.0× |
| Removal ppm generator only (33233) |
$8,286.08 |
$13,810.13 |
1.0× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,428.92 |
$2,381.53 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$420.02 |
$700.03 |
2.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,766.44 |
$4,610.74 |
3.9× |
| Removal Submand Stone,Complicated (42335) |
$2,930.96 |
$4,884.93 |
0.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,646.85 |
$2,744.75 |
0.8× |
| Removal sweat gland lesion (11450) |
$3,261.36 |
$5,435.60 |
1.1× |
| Removal tong/halo applied by another individual (20665) |
$346.51 |
$577.52 |
0.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$4,122.44 |
$6,870.74 |
2.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$282.53 |
$470.88 |
1.0× |
| Remove & graft wrist lesion (25136) |
$5,886.74 |
$9,811.23 |
0.8× |
Remove & graft wrist lesion (25135)
unusually low: confirm this is the full procedure |
$3,632.43 |
$6,054.05 |
0.5× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$3,040.20 |
$5,067 |
1.4× |
| Remove Ankle Joint Lining (27626) |
$3,520.61 |
$5,867.68 |
1.1× |
| Remove armpit lymph nodes (38740) |
$6,094.22 |
$10,157.03 |
1.0× |
| Remove blood clot from eye (65930) |
$4,028.36 |
$6,713.94 |
1.7× |
| Remove brain canal fluid (61050) |
$927.26 |
$1,545.43 |
3.0× |
| Remove Brain Cavity Fluid (61020) |
$884.17 |
$1,473.61 |
1.0× |
| Remove cerclage suture (59871) |
$3,749.62 |
$6,249.37 |
1.2× |
| Remove coronoid process (21070) |
$6,776.06 |
$11,293.43 |
1.1× |
| Remove cranial cavity fluid (61000) |
$878.24 |
$1,463.74 |
1.2× |
| Remove drug implant device (11982) |
$669.86 |
$1,116.43 |
1.5× |
| Remove ear lesion (69552) |
$6,969.40 |
$11,615.67 |
1.2× |
| Remove ear lesion (69550) |
$7,480.20 |
$12,467 |
1.3× |
| Remove elbow joint implant (24160) |
$6,208.22 |
$10,347.03 |
1.9× |
| Remove Elbow Joint Lining (24102) |
$4,302.49 |
$7,170.81 |
1.3× |
| Remove elbow lesion (24120) |
$3,142.72 |
$5,237.87 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$7,314.94 |
$12,191.56 |
1.9× |
| Remove eye lesion (66130) |
$3,872.68 |
$6,454.47 |
1.6× |
| Remove eye/attach implant (65105) |
$5,641.17 |
$9,401.95 |
1.4× |
| Remove femur lesion/graft (27356) |
$10,629.07 |
$17,715.11 |
0.8× |
| Remove Forearm Foreign Body (25248) |
$4,244.63 |
$7,074.38 |
2.6× |
| Remove foreign body from eye (65265) |
$4,190.11 |
$6,983.52 |
1.8× |
| Remove foreign body from eye (65235) |
$2,914.75 |
$4,857.91 |
1.3× |
| Remove foreign body from eye (65205) |
$329.84 |
$549.74 |
2.5× |
| Remove Gastric Port Open (43887) |
$2,277.85 |
$3,796.42 |
1.1× |
| Remove groin lymph nodes (38760) |
$6,349.54 |
$10,582.57 |
1.0× |
| Remove Hand Bone Lesion (26200) |
$2,416.05 |
$4,026.75 |
1.5× |
| Remove hip pressure sore (15941) |
$5,699.89 |
$9,499.82 |
2.0× |
| Remove hip pressure sore (15940) |
$4,305.32 |
$7,175.53 |
1.5× |
| Remove humerus lesion (23174) |
$4,755.67 |
$7,926.12 |
0.7× |
| Remove humerus lesion (24110) |
$3,968.54 |
$6,614.24 |
1.2× |
| Remove inner ear (69905) |
$4,555.73 |
$7,592.89 |
0.8× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,107.79 |
$3,512.99 |
1.0× |
| Remove Intrauterine Device (58301) |
$491.31 |
$818.85 |
1.6× |
| Remove intrvas foreign body (37197) |
$4,274.73 |
$7,124.55 |
1.3× |
| Remove iris and lesion (66600) |
$3,791.29 |
$6,318.82 |
0.9× |
| Remove knee joint lining (27334) |
$4,513.67 |
$7,522.79 |
1.4× |
| Remove lamina/facets lumbar (63012) |
$10,207.69 |
$17,012.81 |
1.4× |
| Remove Lower Leg Bone Lesion (27635) |
$3,961.07 |
$6,601.79 |
1.2× |
| Remove lung catheter (32552) |
$1,077.92 |
$1,796.53 |
1.7× |
| Remove mastoid structures (69505) |
$8,803.45 |
$14,672.42 |
1.5× |
| Remove middle ear nerve (69676) |
$2,633.61 |
$4,389.35 |
0.8× |
| Remove muti-comp penis pros (54406) |
$5,899.73 |
$9,832.89 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$276.02 |
$460.04 |
2.1× |
| Remove palate/lesion (42120) |
$4,579.87 |
$7,633.12 |
0.8× |
| Remove part lumbar vertebra (22102) |
$8,796.71 |
$14,661.19 |
1.2× |
| Remove part thorax vertebra (22101) |
$7,553.59 |
$12,589.32 |
1.0× |
| Remove Peritoneal Foreign Body (49402) |
$4,808.21 |
$8,013.69 |
1.3× |
| Remove prostate regrowth (52630) |
$6,642.37 |
$11,070.62 |
1.2× |
| Remove Pulse Generator (33241) |
$4,563.57 |
$7,605.95 |
1.2× |
| Remove radius head implant (24164) |
$5,767.73 |
$9,612.88 |
1.8× |
| Remove renal tube w/fluoro (50389) |
$1,141.31 |
$1,902.19 |
1.6× |
| Remove sacrum pressure sore (15937) |
$2,984.90 |
$4,974.83 |
1.4× |
| Remove self-contd penis pros (54415) |
$6,894.61 |
$11,491.01 |
1.9× |
| Remove Shoulder Foreign Body (23330) |
$1,658.05 |
$2,763.41 |
1.0× |
| Remove shoulder joint lining (23105) |
$5,886.74 |
$9,811.23 |
0.8× |
| Remove Skin Nerve Lesion (64774) |
$3,252.87 |
$5,421.45 |
1.7× |
| Remove spine eltrd plate (63662) |
$3,866.99 |
$6,444.98 |
1.1× |
| Remove spine lamina 1/2 lmbr (63005) |
$10,596.26 |
$17,660.44 |
1.5× |
| Remove spine lamina 1/2 thrc (63003) |
$7,734.04 |
$12,890.06 |
1.1× |
| Remove spine lamina >2 thrc (63016) |
$6,996.90 |
$11,661.50 |
1.0× |
| Remove sympathetic nerves (64821) |
$3,172.67 |
$5,287.79 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$2,650.53 |
$4,417.55 |
1.6× |
| Remove thigh pressure sore (15951) |
$3,425 |
$5,708.34 |
1.2× |
| Remove thigh pressure sore (15956) |
$3,768.41 |
$6,280.69 |
1.8× |
| Remove thyroid lesion (60200) |
$5,822.89 |
$9,704.82 |
1.0× |
| Remove tissue expander (11971) |
$3,128.35 |
$5,213.92 |
1.1× |
| Remove ureter stent percut (50384) |
$2,226.19 |
$3,710.31 |
1.1× |
| Remove vc lesion scope/graft (31546) |
$5,107.38 |
$8,512.30 |
0.7× |
| Remove vc lesion w/scope (31545) |
$3,976.95 |
$6,628.25 |
1.1× |
| Remove wrist joint cartilage (25107) |
$4,598.56 |
$7,664.27 |
1.4× |
| Remove&replace pm gen singl (33227) |
$11,293.45 |
$18,822.42 |
1.4× |
| Remove/graft finger lesion (26215) |
$4,067.93 |
$6,779.88 |
1.2× |
| Remove/graft foot lesion (28102) |
$6,434.35 |
$10,723.91 |
0.9× |
| Remove/graft foot lesion (28107) |
$5,951.77 |
$9,919.62 |
0.8× |
| Remove/graft forearm lesion (25126) |
$4,692.77 |
$7,821.29 |
1.4× |
| Remove/graft forearm lesion (25125) |
$4,566.74 |
$7,611.24 |
2.8× |
| Remove/graft leg bone lesion (27637) |
$5,886.74 |
$9,811.23 |
0.8× |
| Remove/Insert Drug Implant (11983) |
$449.21 |
$748.69 |
1.0× |
| Remove/replace penis prosth (54410) |
$16,482.71 |
$27,471.18 |
0.8× |
| Remv cartilage for graft nasal (20912) |
$3,041.48 |
$5,069.13 |
0.9× |
| Remv&replc cvd gen dual lead (33263) |
$31,991.42 |
$53,319.04 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$40,970.38 |
$68,283.97 |
1.3× |
| Remv&replc cvd gen sing lead (33262) |
$28,337.36 |
$47,228.93 |
1.3× |
| Remv&replc pm gen dual lead (33228) |
$12,059.87 |
$20,099.78 |
1.1× |
| Remv&replc pm gen mult leads (33229) |
$21,154.47 |
$35,257.45 |
1.1× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$5,821.22 |
$9,702.03 |
1.1× |
| Renal Biopsy Perq (50200) |
$2,424.94 |
$4,041.57 |
1.5× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) |
$7,976.07 |
$13,293.45 |
0.8× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
unusually low: confirm this is the full procedure |
$3,891.34 |
$6,485.56 |
0.4× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$3,891.34 |
$6,485.56 |
0.7× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576)
unusually low: confirm this is the full procedure |
$4,565.45 |
$7,609.08 |
0.5× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$1,780.46 |
$2,967.44 |
0.5× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$4,965.89 |
$8,276.49 |
0.9× |
| Renal scope w/tumor resect (50562) |
$7,976.07 |
$13,293.45 |
0.8× |
| Reopen fallopian tube (58350) |
$4,317.40 |
$7,195.67 |
0.9× |
| Repair Achilles Tendon (27650) |
$8,963.70 |
$14,939.50 |
1.2× |
| Repair Anorectal Fistula Plug (46707) |
$4,677.52 |
$7,795.86 |
1.7× |
| Repair arm/leg nerve (64857) |
$5,174.96 |
$8,624.94 |
1.5× |
| Repair Bladder-Vagina Lesion (57320) |
$6,804.26 |
$11,340.43 |
1.4× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,779.52 |
$6,299.20 |
1.2× |
| Repair blood vessel direct neck (35201) |
$4,478.21 |
$7,463.68 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,255.67 |
$7,092.78 |
1.3× |
| Repair blood vessel lesion (35190) |
$4,063.80 |
$6,773 |
0.7× |
| Repair blood vessel lesion (35236) |
$4,478.21 |
$7,463.68 |
0.8× |
| Repair blood vessel lesion (35266) |
$5,517.71 |
$9,196.18 |
1.0× |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
$4,478.21 |
$7,463.68 |
0.8× |
| Repair blood vessel with vein graft; neck Facility (35231) |
$3,334.42 |
$5,557.36 |
1.1× |
| Repair brow ptosis (67900) |
$3,511.84 |
$5,853.06 |
1.5× |
| Repair Choanal Atresia Intranasal (30540) |
$5,289.89 |
$8,816.49 |
0.9× |
| Repair cleft hand deformity (26580) |
$2,777.50 |
$4,629.16 |
0.8× |
| Repair cleft lip/nasal (40720) |
$5,289.89 |
$8,816.49 |
1.6× |
| Repair cleft lip/nasal (40702) |
$5,289.89 |
$8,816.49 |
0.9× |
| Repair cleft lip/nasal (40700) |
$5,289.89 |
$8,816.49 |
0.9× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,154.08 |
$1,923.46 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,622.55 |
$2,704.25 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,110.86 |
$1,851.43 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,631.57 |
$2,719.29 |
4.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$746.06 |
$1,243.43 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$962.47 |
$1,604.12 |
2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,594.51 |
$2,657.51 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,445.50 |
$2,409.17 |
1.9× |
| Repair defect w/autograft radius/ulna (25425) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair Detached Retina (67101) |
$2,017.15 |
$3,361.91 |
0.9× |
| Repair detached retina (67105) |
$1,401.08 |
$2,335.13 |
2.5× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$3,059.41 |
$5,099.01 |
1.3× |
| Repair Ectropion Extensive (67917) |
$3,331.54 |
$5,552.56 |
1.4× |
| Repair Ectropion Suture (67914) |
$2,729.16 |
$4,548.60 |
1.1× |
| Repair Ectropion Thermocauterization (67915) |
$2,234.50 |
$3,724.16 |
0.9× |
| Repair Elbow Perc (24357) |
$3,854.28 |
$6,423.80 |
1.2× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$3,232.50 |
$5,387.50 |
1.4× |
| Repair Entropion Extensive (67924) |
$3,732.85 |
$6,221.41 |
1.6× |
| Repair Entropion Suture (67921) |
$3,529.83 |
$5,883.05 |
1.5× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$3,791.08 |
$6,318.46 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,479.03 |
$4,131.72 |
1.5× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$3,931.20 |
$6,552 |
1.2× |
| Repair Eyelid Wound (67935) |
$2,904.52 |
$4,840.87 |
1.2× |
| Repair facial nerve (69740) |
$6,759.31 |
$11,265.51 |
1.1× |
| Repair finger deformity (26590) |
$1,500.41 |
$2,500.68 |
0.9× |
| Repair Finger Tendon (26433) |
$3,383.44 |
$5,639.07 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$3,758.58 |
$6,264.30 |
1.1× |
| Repair Fistula Oromaxillary (30580) |
$4,889.81 |
$8,149.68 |
0.8× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$4,256.24 |
$7,093.73 |
1.3× |
| Repair Foot Dislocation (28615) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair Forearm Tendon Sheath (25275) |
$4,924.70 |
$8,207.83 |
1.5× |
| Repair forearm tendon/muscle (25265) |
$6,053.39 |
$10,088.99 |
1.8× |
| Repair gum (41872) |
$2,730.39 |
$4,550.65 |
0.8× |
| Repair Hallux Rigidus (28289) |
$4,261.52 |
$7,102.53 |
1.3× |
| Repair Hand Joint (26540) |
$3,736.53 |
$6,227.55 |
1.1× |
| Repair Hand Tendon (26410) |
$2,993.10 |
$4,988.50 |
1.9× |
| Repair humerus with graft (24435) |
$14,241.43 |
$23,735.71 |
1.1× |
| Repair incomplete circumcision (54163) |
$2,323.93 |
$3,873.21 |
1.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$5,861.78 |
$9,769.64 |
1.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,984.45 |
$8,307.41 |
1.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,729.09 |
$7,881.81 |
1.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,690.72 |
$9,484.53 |
1.6× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$5,008.24 |
$8,347.07 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$931.57 |
$1,552.61 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$965.85 |
$1,609.75 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$902.24 |
$1,503.74 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$522.76 |
$871.26 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$870.43 |
$1,450.72 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$706.51 |
$1,177.52 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$624.34 |
$1,040.57 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,043.14 |
$1,738.56 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$719.66 |
$1,199.43 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,646.85 |
$2,744.75 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,599.65 |
$2,666.09 |
3.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$831.16 |
$1,385.27 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,166.11 |
$1,943.52 |
2.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,122.16 |
$1,870.26 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$880.79 |
$1,467.98 |
2.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,646.85 |
$2,744.75 |
0.8× |
| Repair intrinsic muscles hand each muscle (26591) |
$2,510.47 |
$4,184.12 |
0.8× |
| Repair iris ciliary body (66680) |
$3,799.53 |
$6,332.55 |
1.6× |
| Repair Laceration Palate </2 Cm (42180) |
$686.89 |
$1,144.82 |
1.3× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$4,555.73 |
$7,592.89 |
0.8× |
| Repair lead pace-defib dual (33220) |
$4,495.26 |
$7,492.10 |
1.2× |
| Repair Lead Pace-Defib One (33218) |
$4,823.76 |
$8,039.60 |
1.3× |
| Repair Leg Fascia Defect (27656) |
$3,699.61 |
$6,166.01 |
1.1× |
| Repair lower leg epiphyses (27734) |
$3,721.84 |
$6,203.06 |
1.1× |
| Repair lower leg tendons (27676) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair lumbar hernia (49540) |
$6,838.32 |
$11,397.20 |
1.1× |
| Repair mouth/nose fistula (30600) |
$6,705.77 |
$11,176.28 |
1.1× |
| Repair nasal septal perforations (30630) |
$3,108.75 |
$5,181.25 |
0.9× |
| Repair Nasal Vestibular Stenosis (30465) |
$4,650.92 |
$7,751.53 |
0.8× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$12,591.64 |
$20,986.06 |
1.0× |
| Repair Nonunion Carpal Bone Each Bone (25431) |
$6,095.33 |
$10,158.88 |
0.8× |
| Repair Nonunion Hand (26546) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$10,629.07 |
$17,715.11 |
0.8× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$7,349.27 |
$12,248.78 |
1.0× |
| Repair nose to lip fistula (42260) |
$4,555.73 |
$7,592.89 |
0.8× |
| Repair of anal fistula with fibrin glue (46706) |
$3,228 |
$5,380 |
1.2× |
| Repair of anal sphincter (46760) |
$4,877.72 |
$8,129.54 |
1.7× |
| Repair of arm tendon (24320) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair of biceps tendon (24340) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
$5,545.94 |
$9,243.23 |
1.7× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$4,287.76 |
$7,146.27 |
0.9× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$4,259.84 |
$7,099.74 |
1.3× |
| Repair of fibula epiphysis (27732) |
$3,252.74 |
$5,421.23 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,284.25 |
$10,473.75 |
0.9× |
| Repair of hammertoe (28286) |
$3,183.94 |
$5,306.57 |
1.0× |
| Repair of hydrocele (55060) |
$4,049.14 |
$6,748.56 |
1.1× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$4,478.01 |
$7,463.35 |
1.3× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$3,891.34 |
$6,485.56 |
0.7× |
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344)
unusually low: confirm this is the full procedure |
$4,478.01 |
$7,463.35 |
0.5× |
| Repair of knee ligaments (27409) |
$9,458.14 |
$15,763.56 |
1.3× |
| Repair of leg nerve (64840) |
$4,858.97 |
$8,098.28 |
0.6× |
| Repair of metatarsals (28322) |
$6,693 |
$11,155 |
0.9× |
| Repair of nail bed (11760) |
$847.39 |
$1,412.32 |
1.1× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$8,762.92 |
$14,604.86 |
1.2× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$9,392.04 |
$15,653.40 |
1.3× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$8,090.41 |
$13,484.02 |
1.1× |
| Repair of rectocele (45560) |
$2,233.66 |
$3,722.77 |
0.8× |
| Repair of rectum (45505) |
$3,432.60 |
$5,721 |
1.2× |
| Repair of Ruptured Tendon (24342) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair of scleral staphyloma with graft Facility (66225) |
$4,876.21 |
$8,127.02 |
0.9× |
| Repair of shoulder (23420) |
$6,661.18 |
$11,101.97 |
0.9× |
| Repair of traumatic corporeal tear(s) (54437) |
$1,974.01 |
$3,290.02 |
0.6× |
| Repair of urethra injury (53502) |
$4,272.89 |
$7,121.48 |
1.2× |
| Repair of web finger (26562) |
$2,777.50 |
$4,629.16 |
0.8× |
| Repair of web finger (26560) |
$1,500.41 |
$2,500.68 |
0.9× |
| Repair of web finger (26561) |
$3,268.46 |
$5,447.44 |
1.0× |
| Repair of windpipe (31755) |
$5,289.89 |
$8,816.49 |
0.9× |
| Repair of windpipe (31750) |
$5,269.27 |
$8,782.11 |
0.9× |
| Repair of windpipe defect (31825) |
$3,866.23 |
$6,443.71 |
1.2× |
| Repair oval window fistula (69666) |
$4,735.46 |
$7,892.43 |
1.4× |
| Repair palate (42235) |
$4,555.73 |
$7,592.89 |
0.8× |
| Repair paravag defect lap (57423) |
$7,975.19 |
$13,291.98 |
0.7× |
| Repair paravag defect vag (57285) |
$6,601.73 |
$11,002.88 |
0.9× |
| Repair penis post injury (54440) |
$5,771 |
$9,618.34 |
1.6× |
| Repair radius & ulna (25415) |
$10,263.71 |
$17,106.18 |
1.4× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$5,635.76 |
$9,392.94 |
1.6× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$5,525.24 |
$9,208.74 |
1.5× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,692.54 |
$7,820.90 |
0.7× |
| Repair retinal detach cplx (67113) |
$8,692.45 |
$14,487.41 |
1.6× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$7,719.76 |
$12,866.27 |
1.9× |
| Repair Rotator Cuff Chronic (23412) |
$7,061.76 |
$11,769.60 |
1.0× |
| Repair round window fistula (69667) |
$3,805.09 |
$6,341.81 |
1.1× |
| Repair secondary achilles tendon w/wo graft (27654) |
$4,988.80 |
$8,314.67 |
0.7× |
| Repair shoulder capsule (23462) |
$8,347.25 |
$13,912.08 |
1.1× |
| Repair shoulder capsule (23466) |
$7,690.89 |
$12,818.15 |
1.1× |
| Repair Spica/Body/Jacket Cast (29720) |
$214.25 |
$357.09 |
1.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,461.75 |
$5,769.59 |
1.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,225.73 |
$10,376.21 |
0.9× |
| Repair Toe Dislocation (28645) |
$3,806.93 |
$6,344.89 |
1.2× |
| Repair tongue laceration (41252) |
$1,632.23 |
$2,720.38 |
6.9× |
| Repair tongue laceration (41250) |
$408.99 |
$681.65 |
0.9× |
| Repair Tooth Socket (41874) |
$2,821.15 |
$4,701.91 |
0.8× |
| Repair umbilical lesion (49600) |
$3,919.49 |
$6,532.49 |
1.1× |
| Repair uro sphincter (53449) |
$5,943.97 |
$9,906.62 |
0.6× |
| Repair webbed toe(s) (28345) |
$2,549.44 |
$4,249.06 |
1.6× |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) |
$4,809.64 |
$8,016.07 |
0.9× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$7,177.39 |
$11,962.31 |
1.0× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$3,919.49 |
$6,532.49 |
1.1× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$4,713.11 |
$7,855.19 |
0.8× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$6,004.47 |
$10,007.45 |
0.8× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$3,856.70 |
$6,427.83 |
1.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$4,920.55 |
$8,200.92 |
1.5× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
$3,957.20 |
$6,595.33 |
0.5× |
| Repair/graft achilles tendon (27652) |
$8,477.74 |
$14,129.56 |
1.2× |
| Repair/graft finger tendon (26428) |
$3,341.09 |
$5,568.49 |
1.0× |
| Repair/Graft Wrist Bone (25440) |
$7,897.93 |
$13,163.21 |
1.1× |
| Repair/Revise Wrist Joint (25320) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repair/transpose nerve (64856) |
$5,406.49 |
$9,010.81 |
0.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,177.99 |
$1,963.31 |
1.3× |
| Replace elbow joint (24363) |
$16,139.55 |
$26,899.25 |
0.9× |
| Replace eye fluid (67025) |
$4,036.21 |
$6,727.02 |
1.7× |
| Replace G-J Tube Perc (49452) |
$1,163.10 |
$1,938.50 |
1.3× |
| Replace g/c tube perc (49450) |
$1,243.19 |
$2,071.99 |
1.4× |
| Replace/Revise Brain Shunt (62230) |
$6,455.33 |
$10,758.88 |
0.7× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$6,943.04 |
$11,571.74 |
1.0× |
| Replantation digit complete (20822) |
$3,045.29 |
$5,075.49 |
1.9× |
| Reposition Gastrostomy Tube (43761) |
$1,036.13 |
$1,726.88 |
4.1× |
| Reposition L Ventric Lead (33226) |
$4,525.58 |
$7,542.64 |
1.4× |
| Reposition Pacing-Defib Lead (33215) |
$4,621.12 |
$7,701.87 |
1.5× |
| Reposition Venous Catheter (36597) |
$2,061.20 |
$3,435.34 |
1.3× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$4,150.90 |
$6,918.17 |
1.8× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,405.56 |
$5,675.93 |
1.0× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$5,886.74 |
$9,811.23 |
0.8× |
| Repr torn cruciate knee ligam (27407) |
$7,338.57 |
$12,230.95 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$7,391.59 |
$12,319.31 |
2.1× |
| Resect back tum < 5 cm (21935) |
$3,012.49 |
$5,020.82 |
1.0× |
| Resect enlarged toe (28341) |
$2,777.50 |
$4,629.16 |
0.8× |
| Resect forarm/wrist tum 3cm> (25078) |
$4,127.76 |
$6,879.60 |
1.4× |
| Resect hip/pelv tum 5 cm/> (27059) |
$4,460.78 |
$7,434.63 |
1.5× |
| Resect hip/pelv tum < 5 cm (27049) |
$3,012.49 |
$5,020.82 |
1.0× |
| Resect leg/ankle tum < 5 cm (27615) |
$3,012.49 |
$5,020.82 |
1.0× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$4,460.78 |
$7,434.63 |
1.5× |
| Resect shoulder tumor < 5 cm (23077) |
$3,012.49 |
$5,020.82 |
1.0× |
| Resect thigh/knee tum < 5 cm (27329) |
$3,012.49 |
$5,020.82 |
1.0× |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
$5,047.51 |
$8,412.51 |
0.8× |
| Resection of scrotum (55150) |
$4,407.85 |
$7,346.42 |
1.2× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$2,795.74 |
$4,659.56 |
0.9× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,671.83 |
$4,453.05 |
0.8× |
Resection/transplantation long tendon biceps (23440)
unusually low: confirm this is the full procedure |
$3,114.14 |
$5,190.23 |
0.4× |
| Retrobulbar inject,alcohol (67505) |
$750.70 |
$1,251.16 |
2.4× |
| Retrobulbar injection (67500) |
$507.21 |
$845.35 |
1.6× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,958.14 |
$6,596.90 |
1.1× |
| Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) |
$11,142.98 |
$18,571.64 |
0.9× |
| Revis reconst shoulder joint (23473) |
$10,629.07 |
$17,715.11 |
0.8× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$3,445.15 |
$5,741.91 |
0.3× |
| Revise Abdomen-Venous Shunt (49426) |
$2,719.05 |
$4,531.75 |
0.8× |
| Revise cornea with implant (65770) |
$9,646.43 |
$16,077.39 |
0.7× |
| Revise external ear (69300) |
$2,404.08 |
$4,006.80 |
0.7× |
| Revise eye (65091) |
$6,602.06 |
$11,003.43 |
1.7× |
| Revise eye with implant (65093) |
$4,844.26 |
$8,073.77 |
1.2× |
| Revise eyelashes (67835) |
$3,184.54 |
$5,307.56 |
1.3× |
| Revise eyelashes (67825) |
$863.78 |
$1,439.64 |
2.7× |
| Revise eyelid lining (68360) |
$3,482.06 |
$5,803.43 |
0.9× |
| Revise finger joint each (26140) |
$2,457 |
$4,095 |
1.5× |
| Revise graft w/vein (35884) |
$5,002.03 |
$8,336.71 |
0.9× |
| Revise Hand/Foot Nerve (64704) |
$3,157.18 |
$5,261.96 |
1.6× |
| Revise hernia & sperm veins (55540) |
$7,323.83 |
$12,206.38 |
2.0× |
| Revise knuckle joint (26530) |
$4,642.16 |
$7,736.93 |
0.6× |
| Revise lower leg tendon (27690) |
$5,886.74 |
$9,811.23 |
0.8× |
| Revise Lower Leg Tendons (27686) |
$3,350.85 |
$5,584.75 |
1.0× |
| Revise palsy hand tendon(s) (25315) |
$5,886.74 |
$9,811.23 |
0.8× |
| Revise penis/urethra (54328) |
$4,478.01 |
$7,463.35 |
1.3× |
| Revise penis/urethra (54332) |
$4,478.01 |
$7,463.35 |
1.3× |
| Revise penis/urethra (54336) |
$4,478.01 |
$7,463.35 |
1.3× |
| Revise radius & ulna (25365) |
$10,629.07 |
$17,715.11 |
0.8× |
| Revise reconst elbow joint (24371) |
$16,139.55 |
$26,899.25 |
0.9× |
| Revise Spine Eltrd Plate (63664) |
$19,287.34 |
$32,145.56 |
1.7× |
| Revise thumb tendon (26496) |
$4,116.39 |
$6,860.65 |
1.3× |
| Revise ulnar nerve at wrist (64719) |
$2,229.04 |
$3,715.07 |
1.1× |
| Revise ureter (50727) |
$3,785.21 |
$6,308.68 |
1.1× |
| Revise Wrist/Forearm Tendon (25280) |
$3,017.99 |
$5,029.98 |
0.9× |
| Revise/Implant Finger Joint (26536) |
$5,886.74 |
$9,811.23 |
0.8× |
| Revise/remove neuroelectrode (61880) |
$3,023.35 |
$5,038.92 |
0.9× |
| Revise/Repair Finger/Toe Nerve (64702) |
$2,983.68 |
$4,972.80 |
1.5× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$6,601.73 |
$11,002.88 |
0.9× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$4,100.80 |
$6,834.67 |
1.3× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
$8,803.45 |
$14,672.42 |
1.5× |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) |
$7,337.51 |
$12,229.18 |
1.2× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$8,176.78 |
$13,627.96 |
1.4× |
Revision of big toe (28310)
unusually low: confirm this is the full procedure |
$3,310.51 |
$5,517.52 |
0.5× |
| Revision of eyelid (67880) |
$2,714.99 |
$4,524.99 |
1.1× |
| Revision of foot (28116) |
$4,253.25 |
$7,088.75 |
1.3× |
| Revision of foot and ankle (28262) |
$5,886.74 |
$9,811.23 |
0.8× |
| Revision of foot bones (28737) |
$10,629.07 |
$17,715.11 |
0.8× |
| Revision of foot fascia (28250) |
$2,833.02 |
$4,721.70 |
0.9× |
| Revision of humerus (24400) |
$5,886.74 |
$9,811.23 |
0.8× |
| Revision of knee joint (27442) |
$10,629.07 |
$17,715.11 |
0.8× |
| Revision of larynx (31400) |
$7,548.55 |
$12,580.92 |
1.3× |
| Revision of leg vein (37780) |
$4,885.17 |
$8,141.95 |
1.5× |
| Revision of lower leg tendon (27685) |
$4,529.22 |
$7,548.70 |
1.4× |
| Revision of neck muscle (21720) |
$2,777.50 |
$4,629.16 |
0.8× |
| Revision of nose (30462) |
$6,759.31 |
$11,265.51 |
1.1× |
| Revision of penis (54300) |
$4,861.43 |
$8,102.39 |
1.4× |
| Revision of penis (54304) |
$4,646.71 |
$7,744.52 |
1.3× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$7,976.07 |
$13,293.45 |
1.5× |
| Revision of reconstructed breast (19380) |
$4,269.35 |
$7,115.59 |
0.6× |
| Revision of scrotum (55180) |
$4,011.71 |
$6,686.19 |
0.7× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$6,373.79 |
$10,622.98 |
1.1× |
| Revision of toe (28312) |
$2,777.50 |
$4,629.16 |
0.8× |
| Revision of tracheostomy scar (31830) |
$3,866.23 |
$6,443.71 |
1.2× |
| Revision of urethra (53460) |
$3,891.34 |
$6,485.56 |
1.1× |
| Revision of urethra (57220) |
$4,441.08 |
$7,401.80 |
0.9× |
| Revision of wrist joint (25450) |
$7,086.47 |
$11,810.79 |
2.2× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$13,780.06 |
$22,966.76 |
1.2× |
| Revision Peri-Implant Capsule Breast (19370) |
$3,612.87 |
$6,021.45 |
0.9× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$8,324.36 |
$13,873.93 |
1.5× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
$4,973.33 |
$8,288.89 |
0.9× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) |
$6,358.39 |
$10,597.31 |
0.6× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$4,538.03 |
$7,563.39 |
2.0× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
$7,606.60 |
$12,677.66 |
1.0× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$3,953.62 |
$6,589.37 |
1.1× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$3,094.13 |
$5,156.89 |
0.9× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,358.39 |
$10,597.31 |
1.0× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
$7,685.50 |
$12,809.16 |
1.3× |
| Revj Shunt Extraocular Reservoir W/O Graft (66184) |
$2,315.72 |
$3,859.53 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$13,111.45 |
$21,852.41 |
2.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$5,394.24 |
$8,990.40 |
1.5× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$6,358.39 |
$10,597.31 |
0.6× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,121.65 |
$6,869.41 |
1.2× |
| Revj/rpr oprative wound anterior segment (66250) |
$2,954.80 |
$4,924.66 |
1.2× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$20,128.76 |
$33,547.93 |
3.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$13,419.17 |
$22,365.29 |
2.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$34,354.35 |
$57,257.25 |
1.9× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$22,902.90 |
$38,171.50 |
1.2× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$49,899.01 |
$83,165.01 |
2.7× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$33,266 |
$55,443.34 |
1.8× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$31,963.48 |
$53,272.47 |
2.8× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$21,308.99 |
$35,514.98 |
1.8× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$21,828.65 |
$36,381.09 |
1.9× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$9,024.23 |
$15,040.38 |
0.8× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$21,828.65 |
$36,381.09 |
3.8× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$14,552.44 |
$24,254.06 |
2.5× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$31,238.46 |
$52,064.10 |
2.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$20,825.64 |
$34,709.40 |
1.8× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$22,209.07 |
$37,015.12 |
1.9× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$14,806.05 |
$24,676.75 |
1.3× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$29,940.41 |
$49,900.68 |
1.6× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$19,960.27 |
$33,267.12 |
1.1× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$46,949.26 |
$78,248.76 |
2.5× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$31,299.50 |
$52,165.84 |
1.7× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$42,054.41 |
$70,090.69 |
2.3× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$28,036.28 |
$46,727.13 |
1.5× |
| Rhinoplasty primary w/major septal repair (30420) |
$7,369.11 |
$12,281.85 |
1.2× |
| Rhinoplasty Secondary Intermediate Revision (30435) |
$4,555.73 |
$7,592.89 |
0.8× |
| Rhinoplasty Secondary Major Revision (30450) |
$7,232.45 |
$12,054.09 |
1.2× |
| Rhinoplasty Secondary Minor Revision (30430) |
$4,601.08 |
$7,668.47 |
0.8× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
$6,759.31 |
$11,265.51 |
1.1× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$5,925.35 |
$9,875.59 |
1.0× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
$6,016.66 |
$10,027.77 |
1.0× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$3,823.13 |
$6,371.89 |
1.1× |
| Rhytidectomy Forehead (15824) |
$3,306.46 |
$5,510.76 |
1.6× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$4,732.48 |
$7,887.47 |
1.3× |
| Rib cartilage graft (21230) |
$4,832.78 |
$8,054.64 |
0.8× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,955.50 |
$3,259.16 |
0.9× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$1,901.92 |
$3,169.87 |
0.8× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,724.40 |
$6,207.34 |
2.4× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,929.76 |
$3,216.27 |
3.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$843.12 |
$1,405.20 |
0.9× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$2,836.96 |
$4,728.27 |
1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$485.68 |
$809.46 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$282.50 |
$470.83 |
2.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$392.95 |
$654.91 |
0.9× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$795.53 |
$1,325.89 |
2.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,259.13 |
$3,765.21 |
1.9× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$4,388.27 |
$7,313.78 |
2.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,838.02 |
$4,730.03 |
1.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,415.44 |
$2,359.06 |
0.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,272.44 |
$2,120.74 |
0.8× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$3,127.16 |
$5,211.94 |
1.3× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$5,414.41 |
$9,024.02 |
2.3× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$2,957.05 |
$4,928.41 |
1.3× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$3,953.57 |
$6,589.28 |
1.7× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$4,294.57 |
$7,157.62 |
1.1× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$2,300.50 |
$3,834.16 |
1.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$3,636.18 |
$6,060.30 |
1.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$5,698.35 |
$9,497.25 |
1.7× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,946 |
$8,243.34 |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,384.86 |
$5,641.43 |
2.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,973.39 |
$3,288.99 |
3.1× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,766.06 |
$4,610.10 |
1.2× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$3,423.98 |
$5,706.63 |
1.5× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$314.60 |
$524.33 |
1.1× |
| Rmvl/revj sling stress incontinence (57287) |
$5,475.02 |
$9,125.04 |
1.7× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$4,973.29 |
$8,288.81 |
1.5× |
| Rplc Gtube No Revj Trc (43762) |
$891.29 |
$1,485.49 |
3.6× |
| Rplc gtube revj gstrst trc (43763) |
$565.11 |
$941.85 |
2.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,818.67 |
$4,697.78 |
0.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,308.01 |
$3,846.69 |
1.5× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,732.08 |
$6,220.14 |
1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,193.33 |
$3,655.55 |
1.4× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$4,602.08 |
$7,670.13 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,738 |
$7,896.66 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,354.07 |
$8,923.45 |
1.7× |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) |
$7,769.63 |
$12,949.38 |
2.3× |
| Rplcmt/irrigation ventricular catheter (62225) |
$4,858.97 |
$8,098.28 |
1.4× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$5,536.44 |
$9,227.40 |
1.4× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
$1,944.28 |
$3,240.47 |
0.8× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$2,951.87 |
$4,919.78 |
1.2× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$3,728.67 |
$6,214.45 |
1.6× |
| Rpr blood vessel direct lower extremity (35226) |
$1,574.14 |
$2,623.56 |
2.2× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$3,531.15 |
$5,885.25 |
1.5× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$5,836.04 |
$9,726.73 |
1.0× |
| Rpr Component Inflatable Penile Prosthesis (54408) |
$7,452.29 |
$12,420.49 |
1.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,129.46 |
$3,549.10 |
1.3× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$3,174.30 |
$5,290.50 |
1.0× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$624.34 |
$1,040.57 |
3.1× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rpr ing hern premie blocked (49492) |
$3,919.49 |
$6,532.49 |
1.1× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$3,919.49 |
$6,532.49 |
1.1× |
| Rpr ing hernia init reduce (49500) |
$5,411.37 |
$9,018.95 |
0.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$624.83 |
$1,041.39 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$562.84 |
$938.07 |
2.4× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$2,017.15 |
$3,361.91 |
0.9× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,985.24 |
$3,308.74 |
0.8× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$6,709.94 |
$11,183.24 |
1.3× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$4,625.45 |
$7,709.08 |
1.2× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$4,302.68 |
$7,171.14 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,672.41 |
$2,787.35 |
3.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,562.95 |
$2,604.91 |
2.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,847.06 |
$3,078.43 |
1.2× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
$3,267.09 |
$5,445.15 |
1.4× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$8,569.89 |
$14,283.15 |
2.1× |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
$3,358.82 |
$5,598.03 |
1.4× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$4,455.36 |
$7,425.60 |
1.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,561.39 |
$5,935.65 |
1.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,798.95 |
$6,331.59 |
1.2× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$4,041.79 |
$6,736.32 |
1.2× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
$8,061.19 |
$13,435.31 |
1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,344.89 |
$2,241.49 |
2.1× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$3,423.42 |
$5,705.70 |
0.9× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,712.24 |
$6,187.06 |
1.1× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$5,560.25 |
$9,267.08 |
0.8× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$4,448.20 |
$7,413.66 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,655.82 |
$7,759.70 |
1.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$4,351.50 |
$7,252.50 |
1.3× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$4,094.02 |
$6,823.37 |
1.2× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
$5,886.74 |
$9,811.23 |
0.8× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$3,285.83 |
$5,476.38 |
1.0× |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
$5,886.74 |
$9,811.23 |
0.8× |
| Scleral Reinforcement Spx W/Graft (67255) |
$3,602.81 |
$6,004.69 |
0.9× |
| Sclerotx Fluid Collection (49185) |
$2,068.42 |
$3,447.36 |
1.2× |
| Scrotal exploration (55110) |
$4,200.19 |
$7,000.31 |
1.2× |
| Scrotoplasty Simple (55175) |
$3,276 |
$5,460 |
0.9× |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
$6,103.72 |
$10,172.87 |
1.0× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$5,421.47 |
$9,035.78 |
0.9× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,652.15 |
$6,086.92 |
1.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$4,755.67 |
$7,926.12 |
1.4× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$4,755.67 |
$7,926.12 |
1.4× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) |
$4,528.94 |
$7,548.23 |
1.4× |
| Sever cranial nerve (64771) |
$3,141.46 |
$5,235.77 |
1.6× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$1,202.90 |
$2,004.83 |
2.2× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$3,791.29 |
$6,318.82 |
0.9× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
$2,372.48 |
$3,954.14 |
1.0× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$2,175.79 |
$3,626.31 |
0.9× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$2,447.31 |
$4,078.85 |
1.1× |
| Severing tarsorrhaphy (67710) |
$1,434.11 |
$2,390.19 |
1.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$253.40 |
$422.33 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$262.64 |
$437.74 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$461.54 |
$769.24 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$255.46 |
$425.76 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$232.77 |
$387.95 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$244.52 |
$407.53 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$415.83 |
$693.05 |
1.0× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$1,474.73 |
$2,457.88 |
0.4× |
| Shoulder arthroscopy (29820) |
$5,886.74 |
$9,811.23 |
0.8× |
| Shoulder arthroscopy diagnostic (29805) |
$3,665.55 |
$6,109.25 |
1.1× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,816.16 |
$8,026.94 |
1.5× |
| Shoulder joint surgery (23101) |
$3,614.75 |
$6,024.59 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$232.83 |
$388.05 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$432.64 |
$721.06 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$266.02 |
$443.37 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$398.61 |
$664.35 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$237.65 |
$396.08 |
1.2× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$2,763.47 |
$4,605.79 |
0.8× |
| Simple Cystometrogram (51725) |
$881.99 |
$1,469.99 |
3.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$430.77 |
$717.95 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$886.50 |
$1,477.50 |
4.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$723.38 |
$1,205.64 |
3.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$326.34 |
$543.90 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$624.34 |
$1,040.57 |
3.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$624.25 |
$1,040.42 |
3.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$886.50 |
$1,477.50 |
4.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$353.59 |
$589.31 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$545.35 |
$908.91 |
2.7× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$4,555.73 |
$7,592.89 |
0.8× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) |
$5,289.89 |
$8,816.49 |
0.9× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) |
$5,289.89 |
$8,816.49 |
0.9× |
| Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) |
$5,289.89 |
$8,816.49 |
0.9× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
$5,324.42 |
$8,874.03 |
0.9× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$5,181.19 |
$8,635.32 |
0.9× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$5,181.19 |
$8,635.32 |
0.9× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$4,555.73 |
$7,592.89 |
0.8× |
| Skin Full Grft Face/Genit/Hf (15240) |
$3,152.60 |
$5,254.33 |
1.5× |
| Skin Pedicle Flap Trunk (15570) |
$2,501.86 |
$4,169.77 |
1.2× |
| Skin Pinch Graft (15050) |
$863.24 |
$1,438.73 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$2,341.69 |
$3,902.81 |
3.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,976.22 |
$3,293.70 |
2.7× |
| Skin sub grft t/arm/lg child (15273) |
$2,168.39 |
$3,613.98 |
1.0× |
Skin Tissue Procedure (17999)
range across 7 matching MRF lines |
$177.40–$7,517.56 |
$295.66–$12,529.26 |
varies |
| Skn sub grft f/n/hf/g child (15277) |
$1,843.38 |
$3,072.30 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,225.61 |
$15,376.02 |
1.7× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$6,160.04 |
$10,266.73 |
1.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$12,757.35 |
$21,262.25 |
2.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$8,531.75 |
$14,219.58 |
1.7× |
| Slitting of prepuce (54001) |
$2,851.12 |
$4,751.87 |
1.4× |
| Slitting of prepuce (54000) |
$2,484.76 |
$4,141.26 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$695.56 |
$1,159.26 |
3.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$624.34 |
$1,040.57 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$522.76 |
$871.26 |
1.3× |
| Snip Incision Lacrimal Punctum (68440) |
$841.43 |
$1,402.38 |
2.6× |
| Sperm washing artificial insemination (58323) |
$174.22 |
$290.37 |
0.9× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$4,349.40 |
$7,249 |
1.6× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,061.53 |
$5,102.55 |
1.1× |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
$4,895.65 |
$8,159.42 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,326.88 |
$2,211.47 |
1.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,158.71 |
$6,931.18 |
1.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,730 |
$4,550 |
1.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$5,767.79 |
$9,612.98 |
1.8× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$7,274.03 |
$12,123.38 |
1.2× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$6,680.76 |
$11,134.60 |
1.1× |
| Stapes mobilization (69650) |
$5,268.98 |
$8,781.64 |
1.6× |
| Strabismus Any Superior Oblique Muscle (67318) |
$2,865.19 |
$4,775.32 |
1.2× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$3,773.24 |
$6,288.74 |
1.6× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$3,878.44 |
$6,464.07 |
1.6× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$4,580.62 |
$7,634.36 |
1.2× |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
$3,642.91 |
$6,071.52 |
1.5× |
| Strapping ankle (29540) |
$254.25 |
$423.75 |
1.6× |
| Strapping elbow or wrist (29260) |
$199.99 |
$333.31 |
3.4× |
| Strapping hand/finger (29280) |
$230.72 |
$384.53 |
3.9× |
| Strapping Hip (29520) |
$170.08 |
$283.46 |
1.3× |
| Strapping knee (29530) |
$206.78 |
$344.63 |
1.5× |
| Strapping shoulder (29240) |
$210.91 |
$351.52 |
1.6× |
| Strapping thorax (29200) |
$196.93 |
$328.22 |
1.2× |
| Strapping toes (29550) |
$195.43 |
$325.71 |
3.3× |
| Strapping Unna Boot (29580) |
$421.59 |
$702.65 |
2.6× |
| Subconjunctival injection (68200) |
$176.04 |
$293.40 |
0.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$393.91 |
$656.52 |
0.9× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$538.11 |
$896.85 |
2.7× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$804.23 |
$1,340.39 |
1.1× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$1,827.21 |
$3,045.35 |
2.5× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$748.14 |
$1,246.90 |
1.0× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$878.24 |
$1,463.74 |
1.2× |
| Submucosal abltj tongue rf 1/> sites pr session (41530) |
$2,495.61 |
$4,159.35 |
0.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,944.83 |
$4,908.05 |
0.9× |
| Subtalar arthro w/deb (29906) |
$2,777.50 |
$4,629.16 |
0.8× |
Subtalar arthro w/exc (29905)
unusually low: confirm this is the full procedure |
$3,543.46 |
$5,905.77 |
0.5× |
| Suction assisted lipectomy; head and neck (15876) |
$4,957.97 |
$8,263.29 |
1.4× |
| Suction assisted lipectomy; trunk (15877) |
$3,358.22 |
$5,597.03 |
0.9× |
| Suction assisted lipectomy; upper extremity (15878) |
$5,180.83 |
$8,634.71 |
2.5× |
| Suction Lipectomy Lwr Extrem (15879) |
$4,732.48 |
$7,887.47 |
1.3× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$4,624.43 |
$7,707.39 |
13.9× |
| Suprahyoid lymphadenectomy (38700) |
$6,244.35 |
$10,407.25 |
0.9× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$3,866.23 |
$6,443.71 |
1.2× |
| Surg Implnt Neuroelect,Epidural (63655) |
$19,287.34 |
$32,145.56 |
1.0× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
unusually low: confirm this is the full procedure |
$2,962.58 |
$4,937.63 |
0.5× |
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
unusually low: confirm this is the full procedure |
$1,975.05 |
$3,291.75 |
0.3× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$3,978.37 |
$6,630.62 |
1.4× |
| Surg tx anal fistula subq (46270) |
$3,721.44 |
$6,202.40 |
1.3× |
| Surgery to stop leg growth (27479) |
$5,886.74 |
$9,811.23 |
0.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,423.95 |
$7,373.25 |
1.6× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$2,391.13 |
$3,985.21 |
1.0× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$4,858.97 |
$8,098.28 |
1.4× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$4,858.97 |
$8,098.28 |
1.4× |
| Suture 1 Nerve Ulnar Motor (64836) |
$4,858.97 |
$8,098.28 |
1.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$4,858.97 |
$8,098.28 |
2.5× |
| Suture infrapatellar tendon primary (27380) |
$5,886.74 |
$9,811.23 |
0.8× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$3,110.11 |
$5,183.51 |
1.3× |
| Suture of facial nerve; extracranial Facility (64864) |
$6,555.93 |
$10,926.55 |
0.7× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$4,858.97 |
$8,098.28 |
1.4× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$6,193.88 |
$10,323.13 |
0.8× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$6,005.54 |
$10,009.23 |
0.8× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$5,943.97 |
$9,906.62 |
0.8× |
| Suture of sciatic nerve (64858) |
$4,858.97 |
$8,098.28 |
2.5× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) |
$2,365.55 |
$3,942.58 |
0.7× |
| Suture of; brachial plexus Facility (64861) |
$4,858.97 |
$8,098.28 |
2.5× |
| Suture pharynx for wound or injury (42900) |
$2,199.13 |
$3,665.21 |
1.4× |
| Suture/repair testicular injury (54670) |
$3,498.74 |
$5,831.23 |
1.0× |
| Sympathectomy, cervicothoracic Facility (64804) |
$2,169.70 |
$3,616.16 |
1.1× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$1,965.60 |
$3,276 |
1.0× |
| Sympathectomy; superficial palmar arch (64823) |
$3,127.67 |
$5,212.78 |
1.0× |
| Sympathectomy; ulnar artery (64822) |
$2,828.06 |
$4,713.44 |
0.9× |
| Syndactylization toes (28280) |
$2,777.50 |
$4,629.16 |
0.8× |
| Synovectomy carpometacarpal joint (26130) |
$2,777.50 |
$4,629.16 |
0.8× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$2,613.37 |
$4,355.62 |
0.8× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$3,317.38 |
$5,528.97 |
1.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$5,831.70 |
$9,719.50 |
1.8× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$2,885.17 |
$4,808.61 |
0.9× |
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure |
$2,777.50 |
$4,629.16 |
0.4× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,254.85 |
$3,758.09 |
1.4× |
Talectomy (astragalectomy) Facility (28130)
unusually low: confirm this is the full procedure |
$3,473.02 |
$5,788.36 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$360.34 |
$600.56 |
0.9× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$887.16 |
$1,478.60 |
1.2× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$953.29 |
$1,588.82 |
1.3× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$40,831.56 |
$68,052.60 |
1.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$26,661.60 |
$44,436 |
1.4× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$3,361.99 |
$5,603.32 |
1.1× |
| Temple bone implant revision (69717) |
$7,359.08 |
$12,265.13 |
1.0× |
| Temporary Closure Eyelids Suture (67875) |
$1,342.22 |
$2,237.04 |
1.3× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$3,671.74 |
$6,119.57 |
1.1× |
| Tendon shortening (26477) |
$2,777.50 |
$4,629.16 |
0.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,291.75 |
$5,486.25 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$4,389.91 |
$7,316.51 |
1.3× |
| Tenodesis distal joint each (26474) |
$2,019.85 |
$3,366.41 |
1.3× |
| Tenodesis long tendon biceps (23430) |
$6,445.38 |
$10,742.30 |
0.9× |
| Tenodesis proximal interphalangeal joint each (26471) |
$2,777.50 |
$4,629.16 |
0.8× |
| Tenodesis Wrist Extensors Fingers (25301) |
$3,273.55 |
$5,455.91 |
1.0× |
| Tenodesis Wrist Flexors Fingers (25300) |
$4,443.10 |
$7,405.16 |
1.4× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$3,051.96 |
$5,086.60 |
0.9× |
| Tenolysis extensor foot single tendon (28225) |
$3,437.27 |
$5,728.79 |
1.0× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$3,037.51 |
$5,062.51 |
0.9× |
| Tenolysis flexor foot single tendon (28220) |
$2,214.14 |
$3,690.23 |
1.4× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$3,272.47 |
$5,454.12 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,518.63 |
$4,197.71 |
1.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,375.58 |
$5,625.96 |
1.0× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$2,777.50 |
$4,629.16 |
0.8× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$2,777.50 |
$4,629.16 |
0.8× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$4,040.02 |
$6,733.37 |
1.2× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$3,885.29 |
$6,475.48 |
2.4× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$2,007.15 |
$3,345.25 |
1.2× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$2,206.03 |
$3,676.72 |
1.4× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$2,777.50 |
$4,629.16 |
0.8× |
| Tenotomy Hip Abd/Ext Open (27006) |
$4,656.11 |
$7,760.19 |
1.4× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$2,455.97 |
$4,093.28 |
1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,981.79 |
$4,969.65 |
1.8× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$3,561.39 |
$5,935.65 |
1.1× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,768.01 |
$4,613.35 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$3,899.36 |
$6,498.94 |
1.2× |
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307)
range across 2 matching MRF lines |
$6,331.52–$10,290.72 |
$10,552.53–$17,151.20 |
varies |
| Tenotomy shoulder area single tendon (23405) |
$5,886.74 |
$9,811.23 |
0.8× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
$5,886.74 |
$9,811.23 |
0.8× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$2,777.50 |
$4,629.16 |
0.8× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$3,206.33 |
$5,343.89 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,459.09 |
$4,098.48 |
1.5× |
| Thaw preserved stem cells (38208) |
$900.90 |
$1,501.50 |
2.0× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$5,365.01 |
$8,941.68 |
1.2× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,136.33 |
$3,560.55 |
1.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$749.98 |
$1,249.96 |
1.1× |
| Therapeutic Apheresis White Blood Cells (36511) |
$2,961.82 |
$4,936.36 |
1.9× |
| Therapeutic plasma exchange (36514) |
$3,110.11 |
$5,183.51 |
2.0× |
| Therapeutic pneumothorax (32960) |
$811.82 |
$1,353.04 |
1.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$15,111.95 |
$25,186.58 |
1.2× |
| Thoracoscopy w/bx nodule (32608) |
$5,508.80 |
$9,181.34 |
0.5× |
| Thoracoscopy w/bx pleura (32609) |
$6,350.41 |
$10,584.02 |
1.0× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$5,508.80 |
$9,181.34 |
0.5× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$5,508.80 |
$9,181.34 |
0.9× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)
unusually low: confirm this is the full procedure |
$4,713.11 |
$7,855.19 |
0.4× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$4,713.11 |
$7,855.19 |
0.8× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$7,161.04 |
$11,935.06 |
1.3× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$8,042.96 |
$13,404.93 |
1.4× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$4,624.66 |
$7,707.76 |
1.5× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$7,740.32 |
$12,900.54 |
1.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$26,173.74 |
$43,622.90 |
1.4× |
| Thromblytic art/ven therapy (37213) |
$4,409.40 |
$7,349 |
1.4× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$5,117.95 |
$8,529.92 |
0.9× |
| Thrombolytic Art Therapy (37211) |
$4,202.93 |
$7,004.89 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$1,019.74 |
$1,699.57 |
3.1× |
| Thrombolytic Venous Therapy (37212) |
$3,979.80 |
$6,633 |
1.3× |
| Thumb fusion with graft (26842) |
$7,089.25 |
$11,815.41 |
1.0× |
| Thyroid biopsy (60100) |
$1,366.97 |
$2,278.28 |
1.9× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$7,317.87 |
$12,196.45 |
1.2× |
| Thyroidectomy, total or complete (60240) |
$9,490.92 |
$15,818.20 |
1.6× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$9,243.62 |
$15,406.04 |
1.6× |
| Tibial Arthroscopy/Surgery (29855) |
$6,736.50 |
$11,227.50 |
0.9× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$4,549.10 |
$7,581.84 |
2.2× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$3,413.59 |
$5,689.32 |
1.0× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$9,110.84 |
$15,184.74 |
0.7× |
| Tlh uterus over 250 g (58572) |
$9,363.13 |
$15,605.21 |
0.9× |
| Tma/tmao profile ms/ms urine alg alys&report (0256U) |
$787.50 |
$1,312.50 |
4.9× |
| Tnot elbow lateral/medial debride open (24358) |
$4,298.51 |
$7,164.18 |
1.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,426.51 |
$7,377.51 |
1.3× |
| Tongue suspension (41512) |
$4,555.73 |
$7,592.89 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,638.49 |
$6,064.15 |
1.1× |
| Tooth extraction (41899) |
$192.26 |
$320.43 |
0.8× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$10,425.20 |
$17,375.34 |
1.7× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$6,105.61 |
$10,176.01 |
1.1× |
| Trabeculoplasty by laser surgery (65855) |
$1,671.96 |
$2,786.60 |
3.0× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
$4,281.42 |
$7,135.70 |
1.3× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$2,888.12 |
$4,813.54 |
0.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,691.67 |
$2,819.45 |
3.1× |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
$5,896.80 |
$9,828 |
1.0× |
| Tracheostoma revj smpl w/o flap rotation (31613) |
$4,467.89 |
$7,446.48 |
1.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,557.88 |
$2,596.47 |
6.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,388.32 |
$2,313.87 |
0.9× |
| Tracheostomy Fenestration W/Skin Flaps (31610) |
$5,014.64 |
$8,357.73 |
0.8× |
| Tracheostomy planned (31600) |
$4,245.51 |
$7,075.85 |
1.3× |
| Tracheostomy Planned Under 2 Years Spx (31601) |
$4,338.79 |
$7,231.32 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$460.32 |
$767.20 |
1.5× |
| Transcatheter biopsy (37200) |
$4,285.93 |
$7,143.21 |
0.8× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$2,694.39 |
$4,490.65 |
0.8× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
$2,169.70 |
$3,616.16 |
1.1× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$4,613.80 |
$7,689.66 |
2.4× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$2,772.37 |
$4,620.62 |
1.4× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$3,591.55 |
$5,985.92 |
1.8× |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) |
$3,645.20 |
$6,075.34 |
1.9× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$3,684.32 |
$6,140.54 |
1.9× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) |
$5,886.74 |
$9,811.23 |
0.8× |
| Transfer of embryo (58974) |
$604.38 |
$1,007.30 |
0.7× |
| Transfer of iliopsoas muscle (27110) |
$5,886.74 |
$9,811.23 |
0.8× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$5,377.88 |
$8,963.14 |
1.6× |
| Transfer skin pedicle flap (15650) |
$3,209.30 |
$5,348.84 |
1.5× |
| Transfer, finger to another position without microvascular anastomosis Facility (26555) |
$5,886.74 |
$9,811.23 |
0.8× |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
$7,086.47 |
$11,810.79 |
1.0× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$3,819.05 |
$6,365.09 |
1.2× |
| Transfusion Intrauterine Fetal (36460) |
$740.24 |
$1,233.74 |
1.7× |
| Translum Dil Eye Canal (66174) |
$5,497.39 |
$9,162.32 |
1.3× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$5,954.46 |
$9,924.10 |
1.1× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$3,136.63 |
$5,227.71 |
1.0× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$10,091.68 |
$16,819.47 |
1.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$7,113.96 |
$11,856.60 |
1.3× |
| Transplant hand tendon (26480) |
$3,703.12 |
$6,171.86 |
1.1× |
| Transplant of thigh tendon (27396) |
$7,507.19 |
$12,511.99 |
1.0× |
| Transplant/graft hand tendon (26483) |
$2,777.50 |
$4,629.16 |
0.8× |
| Transplant/graft palm tendon (26489) |
$2,777.50 |
$4,629.16 |
0.8× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$3,498.74 |
$5,831.23 |
1.0× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$5,077.94 |
$8,463.24 |
0.5× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$3,070.50 |
$5,117.50 |
2.6× |
| Transur electr resection of prostate (52601) |
$6,999.96 |
$11,666.60 |
1.3× |
| Transurethral incision of prostate (52450) |
$4,042.58 |
$6,737.64 |
1.1× |
| Transurethral resection bladder neck (52500) |
$3,733.66 |
$6,222.77 |
1.1× |
| Treat ankle dislocation (27848) |
$5,886.74 |
$9,811.23 |
0.8× |
| Treat Ankle Dislocation (27846) |
$5,886.74 |
$9,811.23 |
0.8× |
| Treat ankle fracture (28445) |
$5,886.74 |
$9,811.23 |
0.8× |
| Treat Big Toe Fracture (28505) |
$4,962.95 |
$8,271.59 |
1.5× |
| Treat clavicle dislocation (23530) |
$6,072.59 |
$10,120.99 |
0.8× |
| Treat Dental Ridge Fracture (21440) |
$3,473.43 |
$5,789.05 |
1.0× |
| Treat dental ridge fracture (21445) |
$4,555.73 |
$7,592.89 |
0.8× |
| Treat dislocation/fracture (23670) |
$9,238.32 |
$15,397.20 |
1.3× |
| Treat dislocation/fracture (23680) |
$10,629.07 |
$17,715.11 |
0.8× |
| Treat ectopic pregnancy (59151) |
$6,707.99 |
$11,179.98 |
1.1× |
| Treat elbow fracture (24586) |
$10,629.07 |
$17,715.11 |
0.8× |
| Treat Elbow Fracture (24635) |
$10,443.23 |
$17,405.39 |
1.4× |
| Treat elbow fracture (24587) |
$10,629.07 |
$17,715.11 |
0.8× |
| Treat Finger Fracture Each (26727) |
$3,714.93 |
$6,191.55 |
1.1× |
| Treat forearm bone lesion (25035) |
$5,886.74 |
$9,811.23 |
0.8× |
| Treat fracture radius/ulna (25575) |
$8,770.85 |
$14,618.09 |
1.2× |
| Treat Fx Rad Extra-Articul (25607) |
$7,218.81 |
$12,031.35 |
1.0× |
| Treat Hand Bone Lesion (26034) |
$4,149.29 |
$6,915.48 |
2.6× |
| Treat Hip Socket Fracture (27222) |
$1,903.18 |
$3,171.96 |
7.7× |
| Treat humerus fracture (24500) |
$431.74 |
$719.57 |
1.7× |
| Treat Humerus Fracture (24505) |
$1,354.43 |
$2,257.39 |
0.8× |
| Treat humerus fracture (23616) |
$16,139.55 |
$26,899.25 |
0.9× |
| Treat humerus fracture (23600) |
$456.21 |
$760.35 |
1.8× |
| Treat knee fracture (27532) |
$2,777.50 |
$4,629.16 |
0.8× |
| Treat Knee Fracture(S) (27538) |
$381.15 |
$635.25 |
1.5× |
| Treat kneecap dislocation (27566) |
$5,886.74 |
$9,811.23 |
0.8× |
| Treat Kneecap Fracture (27524) |
$11,051.25 |
$18,418.75 |
1.5× |
| Treat Knuckle Dislocation (26700) |
$735.91 |
$1,226.51 |
3.0× |
| Treat lower jaw fracture (21452) |
$4,555.73 |
$7,592.89 |
0.8× |
| Treat lower leg bone lesion (27607) |
$4,092.85 |
$6,821.41 |
1.2× |
| Treat lower leg dislocation (27832) |
$6,072.59 |
$10,120.99 |
0.8× |
| Treat metacarpal fracture (26607) |
$2,248.36 |
$3,747.27 |
0.7× |
| Treat Metatarsal Fracture (28475) |
$484.06 |
$806.76 |
2.0× |
| Treat midfoot fracture (28456) |
$5,886.74 |
$9,811.23 |
0.8× |
| Treat scapula fracture (23585) |
$9,081.73 |
$15,136.21 |
1.2× |
| Treat skull fracture (62000) |
$2,903.97 |
$4,839.95 |
0.9× |
| Treat Tail Bone Fracture (27200) |
$292.64 |
$487.73 |
1.2× |
| Treat Thumb Dislocation (26641) |
$535.76 |
$892.94 |
2.2× |
| Treat Thumb Fracture (26645) |
$1,488.31 |
$2,480.52 |
0.9× |
| Treat thumb fracture (26665) |
$6,841.45 |
$11,402.42 |
2.1× |
| Treat toe dislocation (28630) |
$541.26 |
$902.10 |
2.2× |
| Treat Trigeminal Nerve (61790) |
$3,610.79 |
$6,017.99 |
1.8× |
| Treat vagina infection (57150) |
$167.90 |
$279.84 |
2.8× |
| Treat Vaginal Bleeding (57180) |
$341.34 |
$568.90 |
1.7× |
| Treat/graft heel fracture (28420) |
$10,629.07 |
$17,715.11 |
0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,184.47 |
$3,640.78 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$715.76 |
$1,192.94 |
2.9× |
| Treatment extensive retinopathy photocoagulation (67228) |
$1,782.20 |
$2,970.33 |
3.2× |
| Treatment mouth roof lesion (42160) |
$2,424.47 |
$4,040.78 |
0.7× |
| Treatment of anal fissure (46940) |
$2,943.60 |
$4,906 |
1.1× |
| Treatment of ankle fracture (27823) |
$8,647.07 |
$14,411.78 |
1.2× |
| Treatment of foot infection (28003) |
$2,777.50 |
$4,629.16 |
0.8× |
| Treatment of gum lesion (41850) |
$3,164.85 |
$5,274.75 |
2.0× |
| Treatment of nose fracture (21330) |
$5,977.18 |
$9,961.96 |
1.0× |
| Treatment of penis lesion (54115) |
$3,922.84 |
$6,538.06 |
1.3× |
| Treatment of retina (67141) |
$1,086.98 |
$1,811.64 |
3.4× |
| Treatment of retinal lesion (67208) |
$1,242.48 |
$2,070.80 |
3.9× |
| Treatment of tibia fracture (27756) |
$5,886.74 |
$9,811.23 |
0.8× |
| Trim skin lesion (11055) |
$275.89 |
$459.82 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$293.06 |
$488.43 |
1.5× |
| Trim skin lesions over 4 (11057) |
$320.23 |
$533.72 |
1.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$125.32 |
$208.87 |
2.1× |
| Trluml Balo Angiop 1St Art (37246) |
$16,894.29 |
$28,157.15 |
3.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$12,528.82 |
$20,881.37 |
2.2× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$3,521.57 |
$5,869.29 |
7.9× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$1,195.46 |
$1,992.43 |
2.7× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$1,443.33 |
$2,405.55 |
3.3× |
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure |
$7,185.31 |
$11,975.52 |
0.1× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$9,000 |
$15,000 |
5.8× |
| Trnsplj Hematopoietic Cell Boost (38243) |
$1,600.42 |
$2,667.36 |
1.0× |
| Trurl drainage prostatic abscess (52700) |
$3,891.34 |
$6,485.56 |
1.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,812.54 |
$4,687.56 |
0.8× |
| Trurl rescj postop bladder neck contracture (52640) |
$4,825.16 |
$8,041.93 |
1.4× |
| Trurl Rf Female Bladder Neck Strs Urin Incont (53860) |
$2,906.29 |
$4,843.81 |
1.4× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,389.89 |
$2,316.48 |
0.8× |
| Tubal ligation (58600) |
$3,964.81 |
$6,608.02 |
1.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,165.15 |
$6,941.91 |
1.5× |
| Tx Gastro Intub W/Asp (43753) |
$130.25 |
$217.08 |
0.6× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$11,850.08 |
$19,750.13 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,916.04 |
$6,526.73 |
1.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,638.60 |
$6,064.33 |
1.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,958.20 |
$6,597 |
1.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,089.96 |
$3,483.26 |
1.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,820.58 |
$4,700.96 |
1.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,743.15 |
$4,571.92 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,240.18 |
$2,066.97 |
1.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$581.78 |
$969.63 |
1.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,417.44 |
$2,362.40 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$380.44 |
$634.07 |
1.5× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$10,629.07 |
$17,715.11 |
0.8× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,638.87 |
$4,398.12 |
1.7× |
| Tympanolysis transcanal (69450) |
$5,550.20 |
$9,250.33 |
1.7× |
| Tympanoplasty (69631) |
$7,696.95 |
$12,828.25 |
1.3× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$9,779.49 |
$16,299.15 |
1.6× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$11,063.54 |
$18,439.24 |
1.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$9,481.40 |
$15,802.33 |
1.6× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$9,304.33 |
$15,507.22 |
1.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$11,248.86 |
$18,748.10 |
1.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$10,349.88 |
$17,249.80 |
1.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$9,928.33 |
$16,547.21 |
1.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$8,966.73 |
$14,944.55 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$9,310.27 |
$15,517.11 |
1.6× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$7,583.59 |
$12,639.32 |
1.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$7,474.67 |
$12,457.78 |
1.3× |
| Tympanostomy general anesthesia (69436) |
$3,340.97 |
$5,568.28 |
2.1× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$2,670 |
$4,450 |
0.7× |
| Umbilical cord occlud w/us (59072) |
$374.48 |
$624.14 |
1.2× |
Unlisted Cardiac Surgery (33999)
range across 30 matching MRF lines |
$768.42–$45,364.64 |
$1,280.70–$75,607.74 |
varies |
Unlisted Craniofacial & Maxillofacial Procedure (21299)
range across 2 matching MRF lines |
$187.43–$6,289.53 |
$312.38–$10,482.55 |
varies |
| Unlisted fetal invasive px w/ultrasound (59897) |
$694.58 |
$1,157.63 |
3.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$2,803.60 |
$4,672.67 |
13.8× |
Unlisted laparoscopic procedure liver (47379)
range across 4 matching MRF lines |
$493.82–$6,307.38 |
$823.04–$10,512.30 |
varies |
Unlisted laparoscopy procedure appendix (44979)
range across 2 matching MRF lines |
$2,627.35–$3,617.40 |
$4,378.92–$6,029 |
varies |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$4,713.11 |
$7,855.19 |
0.8× |
Unlisted laparoscopy procedure stomach (43659)
range across 3 matching MRF lines |
$3,663.60–$9,122.07 |
$6,106–$15,203.45 |
varies |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 6 matching MRF lines |
$5,649.52–$7,307.83 |
$9,415.87–$12,179.71 |
varies |
Unlisted laparoscopy procedure, biliary tract (47579)
range across 2 matching MRF lines |
$3,628.41–$9,492.80 |
$6,047.35–$15,821.34 |
varies |
Unlisted laparoscopy procedure, bladder (51999)
range across 2 matching MRF lines |
$4,296.14–$5,082.74 |
$7,160.24–$8,471.23 |
varies |
| Unlisted laparoscopy procedure, endocrine system (60659) |
$5,631.01 |
$9,385.01 |
0.9× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$5,042.16 |
$8,403.60 |
0.8× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 4 matching MRF lines |
$4,547.20–$6,838.32 |
$7,578.67–$11,397.20 |
varies |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$4,981.62 |
$8,302.70 |
0.8× |
Unlisted laparoscopy procedure, lymphatic system (38589)
range across 3 matching MRF lines |
$5,269.27–$10,635.94 |
$8,782.11–$17,726.56 |
varies |
| Unlisted laparoscopy procedure, rectum (45499) |
$5,082.74 |
$8,471.23 |
0.8× |
Unlisted laparoscopy procedure, renal (50549)
range across 2 matching MRF lines |
$3,891.34–$8,914.07 |
$6,485.56–$14,856.79 |
varies |
Unlisted laparoscopy procedure, spermatic cord (55559)
range across 2 matching MRF lines |
$3,665.52–$4,713.11 |
$6,109.20–$7,855.19 |
varies |
| Unlisted laparoscopy procedure, testis (54699) |
$5,628.67 |
$9,381.11 |
0.9× |
| Unlisted laparoscopy procedure, uterus (58578) |
$8,151.73 |
$13,586.22 |
1.3× |
| Unlisted Procedure Accessory Sinuses (31299) |
$235.82 |
$393.03 |
1.0× |
Unlisted procedure anus (46999)
range across 3 matching MRF lines |
$745.48–$1,369.03 |
$1,242.47–$2,281.72 |
varies |
Unlisted procedure arthroscopy (29999)
range across 22 matching MRF lines |
$3,853.11–$13,708.47 |
$6,421.85–$22,847.45 |
varies |
Unlisted Procedure Biliary Tract (47999)
range across 15 matching MRF lines |
$2,793–$11,636.44 |
$4,655–$19,394.07 |
varies |
Unlisted procedure breast (19499)
range across 3 matching MRF lines |
$2,850–$8,632.80 |
$4,750–$14,388 |
varies |
| Unlisted Procedure Casting/Strapping (29799) |
$224.93 |
$374.88 |
1.4× |
Unlisted procedure colon (45399)
range across 2 matching MRF lines |
$1,569.10–$1,839.55 |
$2,615.17–$3,065.92 |
varies |
| Unlisted Procedure Conjunctiva (68399) |
$479.62 |
$799.37 |
1.5× |
Unlisted Procedure Endocrine System (60699)
range across 5 matching MRF lines |
$4,713.11–$15,103.18 |
$7,855.19–$25,171.96 |
varies |
Unlisted Procedure Esophagus (43499)
range across 3 matching MRF lines |
$404.41–$5,817.32 |
$674.01–$9,695.54 |
varies |
| Unlisted procedure excision pressure ulcer (15999) |
$626.83 |
$1,044.71 |
0.9× |
Unlisted Procedure External Ear (69399)
range across 5 matching MRF lines |
$187.43–$7,359.08 |
$312.38–$12,265.13 |
varies |
| Unlisted procedure eyelids (67999) |
$479.62 |
$799.37 |
1.5× |
Unlisted procedure femur or knee (27599)
range across 9 matching MRF lines |
$242.21–$12,836.37 |
$403.69–$21,393.95 |
varies |
Unlisted procedure foot or toes (28899)
range across 12 matching MRF lines |
$258.77–$7,763 |
$431.28–$12,938.34 |
varies |
Unlisted procedure forearm or wrist (25999)
range across 2 matching MRF lines |
$249.51–$6,515.57 |
$415.85–$10,859.29 |
varies |
Unlisted Procedure Hands/Fingers (26989)
range across 3 matching MRF lines |
$359.86–$6,841.45 |
$599.77–$11,402.42 |
varies |
Unlisted procedure humerus/elbow (24999)
range across 4 matching MRF lines |
$311.89–$5,450.31 |
$519.82–$9,083.85 |
varies |
Unlisted Procedure Intestine (44799)
range across 8 matching MRF lines |
$749.34–$3,029.95 |
$1,248.90–$5,049.91 |
varies |
| Unlisted procedure lacrimal system (68899) |
$479.62 |
$799.37 |
1.5× |
Unlisted procedure larynx (31599)
range across 3 matching MRF lines |
$187.43–$5,107.38 |
$312.38–$8,512.30 |
varies |
Unlisted Procedure Leg/Ankle (27899)
range across 5 matching MRF lines |
$242.21–$6,818.24 |
$403.69–$11,363.73 |
varies |
Unlisted procedure liver (47399)
range across 3 matching MRF lines |
$462.16–$3,950.78 |
$770.26–$6,584.63 |
varies |
Unlisted procedure lungs and pleura (32999)
range across 3 matching MRF lines |
$888.06–$6,350.41 |
$1,480.10–$10,584.02 |
varies |
Unlisted Procedure Male Genital System (55899)
range across 6 matching MRF lines |
$241.01–$6,664.68 |
$401.68–$11,107.80 |
varies |
Unlisted Procedure Muscskeletal System General (20999)
range across 8 matching MRF lines |
$387.05–$8,632.80 |
$645.08–$14,388 |
varies |
Unlisted procedure neck or thorax (21899)
range across 3 matching MRF lines |
$2,441.11–$2,680.22 |
$4,068.52–$4,467.04 |
varies |
Unlisted procedure nervous system (64999)
range across 36 matching MRF lines |
$195–$9,362.69 |
$325–$15,604.48 |
varies |
| Unlisted Procedure Palate Uvula (42299) |
$187.43 |
$312.38 |
0.8× |
Unlisted procedure pancreas (48999)
range across 3 matching MRF lines |
$762.92–$7,194.87 |
$1,271.53–$11,991.45 |
varies |
Unlisted procedure pelvis/hip joint (27299)
range across 11 matching MRF lines |
$230.68–$10,031.98 |
$384.47–$16,719.97 |
varies |
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 4 matching MRF lines |
$187.43–$4,889.81 |
$312.38–$8,149.68 |
varies |
Unlisted Procedure Rectum (45999)
range across 3 matching MRF lines |
$709.98–$745.48 |
$1,183.30–$1,242.47 |
varies |
| Unlisted procedure shoulder (23929) |
$263.63 |
$439.39 |
1.1× |
Unlisted procedure spine (22899)
range across 8 matching MRF lines |
$4,168.96–$9,362.69 |
$6,948.27–$15,604.48 |
varies |
Unlisted procedure stomach (43999)
range across 5 matching MRF lines |
$833.63–$3,216.57 |
$1,389.38–$5,360.95 |
varies |
Unlisted Procedure Tongue Floor Mouth (41599)
range across 3 matching MRF lines |
$187.43–$220.76 |
$312.38–$367.93 |
varies |
Unlisted Procedure Trachea Bronchi (31899)
range across 4 matching MRF lines |
$370.80–$1,643.44 |
$618–$2,739.06 |
varies |
Unlisted Procedure Vascular Surgery (37799)
range across 32 matching MRF lines |
$126.44–$13,889.68 |
$210.73–$23,149.46 |
varies |
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 7 matching MRF lines |
$789.90–$3,985.64 |
$1,316.50–$6,642.74 |
varies |
| Unlisted procedure, orbit (67599) |
$479.62 |
$799.37 |
1.5× |
Unlisted Procedure, Urinary System (53899)
range across 15 matching MRF lines |
$241.01–$6,949.31 |
$401.68–$11,582.18 |
varies |
| Unlisted procedure, vestibule of mouth (40899) |
$187.43 |
$312.38 |
0.8× |
| Unlisted px extraocular musc (67399) |
$3,718.79 |
$6,197.98 |
11.7× |
Unlisted px female genital system nonobstetrical (58999)
range across 5 matching MRF lines |
$168.73–$3,061 |
$281.22–$5,101.67 |
varies |
Unlisted Px Salivary Glands/Ducts (42699)
range across 3 matching MRF lines |
$187.43–$4,032 |
$312.38–$6,720 |
varies |
| Unlisted vascular endoscopy procedure (37501) |
$3,160 |
$5,266.67 |
5.0× |
| Upgrade of pacemaker system (33214) |
$16,123.59 |
$26,872.65 |
1.5× |
| Ureter endoscopy (50970) |
$1,780.46 |
$2,967.44 |
0.5× |
| Ureter endoscopy & biopsy (50955) |
$4,704.07 |
$7,840.12 |
0.9× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$4,627.89 |
$7,713.15 |
0.9× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$3,935.24 |
$6,558.73 |
0.7× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$1,780.46 |
$2,967.44 |
0.5× |
| Ureteral endoscopy via ureterostomy (50951) |
$1,780.46 |
$2,967.44 |
0.5× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$4,135.14 |
$6,891.90 |
0.8× |
| Urethrlys Transvag W/ Scope (53500) |
$6,379.33 |
$10,632.22 |
1.8× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$3,504.67 |
$5,841.11 |
1.0× |
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316)
unusually low: confirm this is the full procedure |
$4,447.15 |
$7,411.91 |
0.5× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$3,467.79 |
$5,779.65 |
1.0× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$4,478.01 |
$7,463.35 |
0.8× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$3,891.34 |
$6,485.56 |
0.7× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$8,142.90 |
$13,571.50 |
1.5× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) |
$4,892.98 |
$8,154.97 |
0.9× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$4,892.98 |
$8,154.97 |
0.9× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$6,131.41 |
$10,219.01 |
1.1× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$7,438.23 |
$12,397.05 |
1.4× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$5,645.75 |
$9,409.58 |
1.0× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$3,891.34 |
$6,485.56 |
0.7× |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) |
$4,586.40 |
$7,644 |
0.9× |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) |
$4,892.98 |
$8,154.97 |
0.9× |
| Urinary Reflex Study (51792) |
$316.14 |
$526.90 |
5.3× |
| Urine Flow Measurement (51736) |
$249.76 |
$416.27 |
1.9× |
| Uvulectomy excision of uvula (42140) |
$2,638.87 |
$4,398.12 |
0.8× |
| Vag hyst complex (58290) |
$6,872.92 |
$11,454.87 |
0.9× |
| Vag hyst incl t/o complex (58291) |
$7,530.43 |
$12,550.72 |
1.5× |
| Vag hyst w/t/o & vag repair (58263) |
$5,345.59 |
$8,909.31 |
1.1× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$3,759.08 |
$6,265.13 |
1.2× |
| Vaginal delivery only (59409) |
$3,433.76 |
$5,722.94 |
1.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$8,216.20 |
$13,693.66 |
1.6× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$5,885.27 |
$9,808.78 |
1.2× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$6,287.36 |
$10,478.93 |
0.8× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
$5,232.57 |
$8,720.95 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$6,515.38 |
$10,858.96 |
1.3× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$3,091.88 |
$5,153.13 |
1.0× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) |
$5,140.31 |
$8,567.19 |
1.6× |
| Vasc embolize/occlude artery (37242) |
$11,909.14 |
$19,848.57 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,565.91 |
$25,943.19 |
1.3× |
| Vasc Embolize/Occlude Organ (37243) |
$14,633.25 |
$24,388.75 |
1.3× |
| Vasc embolize/occlude venous (37241) |
$18,620.78 |
$31,034.64 |
1.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,572.37 |
$7,620.62 |
2.2× |
| Vasovasostomy vasovasorrhaphy (55400) |
$3,390.96 |
$5,651.60 |
1.0× |
| Vein Access Cutdown < 1 Yr (36420) |
$259.27 |
$432.11 |
1.9× |
| Venous Cutdown >1 Y/O (36425) |
$346.51 |
$577.52 |
0.8× |
| Venous Mech Thrombectomy (37187) |
$5,828.91 |
$9,714.85 |
0.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,408.96 |
$4,014.94 |
0.7× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
$4,133.59 |
$6,889.31 |
1.2× |
| Vestibular nerve section, translabyrinthine approach Facility (69915) |
$5,289.89 |
$8,816.49 |
1.6× |
| Vestibuloplasty Anterior (40840) |
$4,978.30 |
$8,297.16 |
0.8× |
| Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) |
$6,740.73 |
$11,234.55 |
1.1× |
| Vit for membrane dissect (67043) |
$6,827.54 |
$11,379.23 |
1.6× |
| Vitrectomy mechanical pars plana (67036) |
$5,345.18 |
$8,908.64 |
1.3× |
| Vitrectomy pars plana remove int memb retina (67042) |
$6,877.57 |
$11,462.62 |
1.7× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$6,675.32 |
$11,125.54 |
1.6× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$7,295.48 |
$12,159.14 |
1.8× |
| Vulvectomy simple partial (56620) |
$3,756.08 |
$6,260.13 |
1.2× |
| Vulvectomy simple; complete (56625) |
$3,905.53 |
$6,509.21 |
1.2× |
| Wedge excision skin nail fold (11765) |
$376.93 |
$628.22 |
0.9× |
| Wedging of cast (29740) |
$249.14 |
$415.24 |
0.9× |
| Wedging of clubfoot cast (29750) |
$249.14 |
$415.24 |
0.9× |
| Windowing of cast (29730) |
$216.80 |
$361.34 |
1.3× |
| Wound Prep F/N/Hf/G (15004) |
$816.63 |
$1,361.05 |
2.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,882.12 |
$3,136.86 |
2.5× |
| Wrist arthroscopy (29840) |
$4,006.52 |
$6,677.54 |
1.2× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$4,171.26 |
$6,952.10 |
1.3× |
| Xfer Single Deep Low Leg Tendon (27691) |
$4,780.10 |
$7,966.83 |
0.7× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$5,271.13 |
$8,785.22 |
0.9× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$1,471.82 |
$2,453.03 |
0.9× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
$1,555.21 |
$2,592.02 |
1.0× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$482.86 |
$804.77 |
0.9× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$4,555.73 |
$7,592.89 |
0.8× |
| Xtroral I&D Floor Masticator Space (41018) |
$1,195.09 |
$1,991.82 |
0.8× |