| Abd paracentesis w/imaging (49083) |
$480 |
$800 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,103.40 |
$1,839 |
1.4× |
| Abrasion single lesion (15786) |
$35,012.48 |
$58,354.13 |
202.4× |
| Acne surgery (10040) |
$13,026.68 |
$21,711.13 |
75.3× |
| Amniocentesis diagnostic (59000) |
$586.20 |
$977 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$10,978.16 |
$18,296.93 |
3.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$10,978.16 |
$18,296.93 |
3.9× |
| Amputate Metacarpal Bone (26910) |
$10,978.16 |
$18,296.93 |
3.9× |
| Amputate Thigh,Re-Amputatn (27596) |
$20,320.32 |
$33,867.20 |
7.2× |
| Amputation Foot Midtarsal (28800) |
$33,484.06 |
$55,806.77 |
11.9× |
| Amputation foot transmetarsal (28805) |
$3,911.47 |
$6,519.12 |
1.4× |
| Amputation thigh through femur any level (27590) |
$20,320.32 |
$33,867.20 |
7.2× |
| Amputation toe interphalangeal joint (28825) |
$19,746.58 |
$32,910.96 |
7.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,629.08 |
$6,048.46 |
1.3× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$33,484.06 |
$55,806.77 |
11.9× |
| Amputation, leg, through tibia and fibula; (27880) |
$16,505.12 |
$27,508.54 |
2.6× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$16,505.12 |
$27,508.54 |
5.9× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$16,505.12 |
$27,508.54 |
5.9× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$16,505.12 |
$27,508.54 |
5.9× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$16,505.12 |
$27,508.54 |
5.9× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
$20,320.32 |
$33,867.20 |
7.2× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$20,320.32 |
$33,867.20 |
7.2× |
| Anoscopy diagnostic (46600) |
$13,276.45 |
$22,127.42 |
115.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$3,584.97 |
$5,974.95 |
3.5× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,702.80 |
$4,504.66 |
1.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$9,162.14 |
$15,270.24 |
2.1× |
| Appendectomy (44950) |
$27,794.58 |
$46,324.30 |
5.0× |
| Application Cast Finger (29086) |
$99 |
$165 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$74.40 |
$124 |
1.5× |
| Application finger splint static (29130) |
$74.40 |
$124 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$192 |
$320 |
1.4× |
| Application Long Leg Splint (29505) |
$126 |
$210 |
0.9× |
| Application of rigid total contact leg cast (29445) |
$240 |
$400 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$155.40 |
$259 |
1.4× |
Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$155.40–$310.80 |
$259–$518 |
varies |
| Application short leg splint calf foot (29515) |
$144 |
$240 |
1.0× |
Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$280.80–$561.60 |
$468–$936 |
varies |
| Apply Short Leg Cast (29405) |
$192 |
$320 |
0.8× |
| Apply short leg cast (29425) |
$306.60 |
$511 |
1.3× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$22,857.43 |
$38,095.71 |
8.1× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$22,857.43 |
$38,095.71 |
8.1× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$22,857.43 |
$38,095.71 |
3.7× |
| Arterial puncture (36600) |
$155.40 |
$259 |
1.4× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$25,667.53 |
$42,779.21 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$360.60 |
$601 |
1.4× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$360.60–$721.20 |
$601–$1,202 |
varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$65,523.89 |
$109,206.48 |
23.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$8,840.39 |
$14,733.98 |
3.1× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$9,557.49–$9,950.11 |
$15,929.15–$16,583.52 |
varies |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$10,774.48 |
$17,957.46 |
3.8× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$23,012.05 |
$38,353.42 |
2.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$65,523.89 |
$109,206.48 |
10.5× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$65,523.89 |
$109,206.48 |
5.9× |
| Aspirate pleura w/ imaging (32555) |
$510 |
$850 |
0.9× |
| Aspirate Pleura W/O Imaging (32554) |
$739.20 |
$1,232 |
1.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,369.40 |
$3,949 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$2,776.45 |
$4,627.42 |
16.1× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,164.07 |
$16,940.12 |
1.1× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$10,164.07 |
$16,940.12 |
1.8× |
| Biopsy Abdominal Mass (49180) |
$840 |
$1,400 |
0.6× |
| Biopsy bone trocar/needle deep (20225) |
$1,440 |
$2,400 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,113.60 |
$1,856 |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$2,063.40 |
$3,439 |
1.4× |
| Biopsy of breast; open, incisional (19101) |
$4,876.20 |
$8,127 |
1.4× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$11,052.76 |
$18,421.27 |
14.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$840 |
$1,400 |
0.6× |
| Biopsy of rectum (45100) |
$5,306.30 |
$8,843.84 |
2.2× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,380 |
$2,300 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$856.20 |
$1,427 |
1.4× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,018.80 |
$1,698 |
0.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,018.80 |
$1,698 |
0.7× |
| Bladder Irrigation (51700) |
$7,823.53 |
$13,039.22 |
36.3× |
| Bladder Scan (51798) |
$60 |
$100 |
1.2× |
| Blood Transfusion Service (36430) |
$303.59 |
$505.98 |
0.8× |
| Bone Graft Any Donor Area Major/Large (20902) |
$25,024.93 |
$41,708.22 |
4.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$25,024.93 |
$41,708.22 |
4.0× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$22,857.43 |
$38,095.71 |
3.7× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
$25,667.53 |
$42,779.21 |
4.1× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$28,074.76 |
$46,791.27 |
4.5× |
| Bone Marrow Biopsy (38221) |
$1,018.80 |
$1,698 |
0.7× |
Brnchsc Brushing/Protected Brushings (31623) range across 3 matching MRF lines |
$3,245.66–$8,189.07 |
$5,409.44–$13,648.45 |
varies |
| Bronchoscopy W/Biopsy(S) (31625) |
$4,131.61 |
$6,886.02 |
2.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$55,220.46 |
$92,034.10 |
36.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$8,189.07 |
$13,648.45 |
2.5× |
| Bronchoscopy/Needle Bx Each (31629) |
$14,151.62 |
$23,586.03 |
4.4× |
| Bx breast 1st lesion mr imag (19085) |
$635.40 |
$1,059 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$2,064 |
$3,440 |
1.4× |
Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$900–$1,800 |
$1,500–$3,000 |
varies |
| Bx/exc lymph node open deep axillary node (38525) |
$3,847.67 |
$6,412.78 |
1.1× |
| Bx/exc lymph node open superficial (38500) |
$10,470.50 |
$17,450.83 |
3.1× |
Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$2,909.36–$3,893.16 |
$4,848.94–$6,488.60 |
varies |
| Cataract surgery complex (66982) |
$5,551.20 |
$9,252 |
2.8× |
| Catheter aspiration nasotracheal spx (31720) |
$244.80 |
$408 |
1.3× |
| Cessj Therapy Cath Removal (37214) |
$2,280 |
$3,800 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$7,823.53 |
$13,039.22 |
13.0× |
| Change Cystostomy Tube Simple (51705) |
$5,309.20 |
$8,848.66 |
24.6× |
| Change of Windpipe Airway (31502) |
$265.20 |
$442 |
1.3× |
Chest tube placement (32551) range across 3 matching MRF lines |
$1,640.40–$3,280.80 |
$2,734–$5,468 |
varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$12,520.24 |
$20,867.07 |
4.1× |
| Circumcision 28 days or older (54161) |
$3,676.86 |
$6,128.10 |
2.0× |
| Circumcision Neonate (54160) |
$3,805.52 |
$6,342.53 |
6.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,609.40 |
$4,349 |
1.4× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,956 |
$3,260 |
1.4× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,832.40 |
$3,054 |
1.3× |
| Clear outer ear canal (69200) |
$84 |
$140 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$286.80 |
$478 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$264.60 |
$441 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,969.80 |
$3,283 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$150 |
$250 |
0.7× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,248.80 |
$8,748 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,832.40 |
$3,054 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$165 |
$275 |
0.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$264.60 |
$441 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,832.40 |
$3,054 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,969.80 |
$3,283 |
1.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,969.80 |
$3,283 |
1.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$286.80 |
$478 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$192.60 |
$321 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,380 |
$2,300 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$240 |
$400 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,380 |
$2,300 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,969.80 |
$3,283 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$286.80 |
$478 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$264.60 |
$441 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,832.40 |
$3,054 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$264.60 |
$441 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$8,193.21 |
$13,655.35 |
5.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$231 |
$385 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$327 |
$545 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$264.60 |
$441 |
1.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,956 |
$3,260 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$228 |
$380 |
1.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$7,773.41 |
$12,955.69 |
5.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$565.50 |
$942.50 |
2.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,800 |
$3,000 |
1.3× |
| Cltx prox tibfib jt dislc req anes (27831) |
$8,193.21 |
$13,655.35 |
2.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$286.80 |
$478 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$228 |
$380 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,956 |
$3,260 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,832.40 |
$3,054 |
1.3× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$12,236.46 |
$20,394.10 |
2.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$155.40 |
$259 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$15 |
1.0× |
| Colonoscopy Flexible With Decompression (45393) |
$26,584.87 |
$44,308.12 |
25.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$20,663.09 |
$34,438.49 |
20.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$20,663.09 |
$34,438.49 |
20.0× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$13,276.45 |
$22,127.42 |
12.9× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$8,272.75 |
$13,787.92 |
8.0× |
| Colonoscopy thru stoma (44388) |
$13,276.45 |
$22,127.42 |
16.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$20,663.09 |
$34,438.49 |
20.0× |
| Colonoscopy w/fb removal (45379) |
$13,276.45 |
$22,127.42 |
12.9× |
| Colonoscopy W/Resection (45390) |
$20,663.09 |
$34,438.49 |
8.6× |
| Colonoscopy w/submucosal inj (45381) |
$2,296.69 |
$3,827.81 |
2.2× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$25,296.21 |
$42,160.35 |
9.1× |
| Colpopexy extraperitoneal (57282) |
$14,616.14 |
$24,360.24 |
2.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,420.52 |
$7,367.53 |
1.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,106.37 |
$3,510.61 |
2.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$20,663.09 |
$34,438.49 |
20.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$12,058.55 |
$20,097.59 |
2.8× |
| Complex drainage wound (10180) |
$3,448.55 |
$5,747.58 |
1.4× |
| Composite Skin Graft (15760) |
$12,976.33 |
$21,627.21 |
7.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$24,112.64 |
$40,187.74 |
8.6× |
| Conization of cervix (57520) |
$4,612.82 |
$7,688.04 |
1.7× |
| Contour of face bone lesion (21029) |
$2,693.11 |
$4,488.52 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$108 |
$180 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$108 |
$180 |
0.9× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$24,713.90 |
$41,189.83 |
2.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$930 |
$1,550 |
0.7× |
| Correction hammertoe (28285) |
$2,992.13 |
$4,986.88 |
1.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$25,667.53 |
$42,779.21 |
9.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$26,469.94 |
$44,116.56 |
9.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$25,667.53 |
$42,779.21 |
2.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$26,469.94 |
$44,116.56 |
4.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,387.19 |
$7,311.98 |
1.6× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$26,469.94 |
$44,116.56 |
4.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$12,901.63 |
$21,502.71 |
112.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$12,901.63 |
$21,502.71 |
63.2× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$4,218.27 |
$7,030.45 |
1.5× |
| Curettage postpartum (59160) |
$14,495.86 |
$24,159.76 |
5.2× |
Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$3,577.03–$4,604.66 |
$5,961.72–$7,674.43 |
varies |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,555.42 |
$4,259.03 |
1.4× |
| Cysto w/complex removal stone & stent (52315) |
$17,003.58 |
$28,339.30 |
9.4× |
| Cysto w/destruction of lesions (52214) |
$2,581.27 |
$4,302.11 |
0.8× |
| Cysto w/insert ureteral stent (52332) |
$6,130.47 |
$10,217.45 |
2.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$13,032.85 |
$21,721.42 |
4.3× |
| Cysto w/removal of lesions small (52224) |
$3,280.34 |
$5,467.23 |
1.1× |
| Cysto w/removal of tumors small (52234) |
$3,375.47 |
$5,625.79 |
1.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,989.19 |
$3,315.32 |
1.1× |
| Cysto w/up stricture tx (52342) |
$13,938.87 |
$23,231.45 |
4.6× |
| Cysto w/ureter stricture tx (52341) |
$13,938.87 |
$23,231.45 |
4.6× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,229.33 |
$8,715.55 |
1.1× |
Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 3 matching MRF lines |
$5,304.53–$5,415.64 |
$8,840.89–$9,026.07 |
varies |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$13,938.87 |
$23,231.45 |
4.6× |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$3,544.55–$3,618.41 |
$5,907.59–$6,030.69 |
varies |
| Cysto/uretero w/lithotripsy (52356) |
$6,902.78 |
$11,504.64 |
1.5× |
| Cysto/uretero w/up stricture (52345) |
$13,938.87 |
$23,231.45 |
4.6× |
| Cystoscopy implant stent (52282) |
$12,132.22 |
$20,220.36 |
4.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,014.13 |
$6,690.22 |
2.2× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$3,901.61 |
$6,502.68 |
1.3× |
| Cystouretero W/Congen Repr (52400) |
$11,985.32 |
$19,975.54 |
3.9× |
| Cystouretero w/renal strict (52346) |
$13,938.87 |
$23,231.45 |
3.0× |
| Cystourethroscopy (52000) |
$2,484.22 |
$4,140.37 |
4.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$4,456.79 |
$7,427.98 |
1.5× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$10,935.50 |
$18,225.84 |
18.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$5,667.40 |
$9,445.67 |
3.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,231.88 |
$7,053.14 |
2.3× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$13,825.95 |
$23,043.25 |
4.5× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$6,118.66 |
$10,197.77 |
3.4× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$11,471.20 |
$19,118.67 |
3.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$26,443.43 |
$44,072.39 |
75.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$21,140.48 |
$35,234.13 |
34.6× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$19,253.08 |
$32,088.46 |
31.5× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$14,553.76 |
$24,256.26 |
5.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$4,506.50 |
$7,510.84 |
7.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$5,349.26 |
$8,915.44 |
3.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$3,774.56 |
$6,290.94 |
10.8× |
| Declot vascular device (36593) |
$412.20 |
$687 |
1.4× |
| Decomp forearm,1 compart,w/o debride (25020) |
$14,553.76 |
$24,256.26 |
10.5× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$16,337.47 |
$27,229.12 |
11.8× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$14,553.76 |
$24,256.26 |
10.5× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$14,553.76 |
$24,256.26 |
5.2× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$14,553.76 |
$24,256.26 |
2.3× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$22,266.95 |
$37,111.58 |
7.9× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$22,266.95 |
$37,111.58 |
7.9× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$22,266.95 |
$37,111.58 |
16.1× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
$22,266.95 |
$37,111.58 |
3.6× |
| Delivery of placenta (59414) |
$3,541.80 |
$5,903 |
1.3× |
| Dermabrasion regional other than face (15782) |
$35,012.48 |
$58,354.13 |
14.0× |
| Dermabrasion superficial any site (15783) |
$35,012.48 |
$58,354.13 |
99.9× |
| Diagnostic anoscopy (46601) |
$13,276.45 |
$22,127.42 |
34.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,136.52 |
$1,894.20 |
1.4× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$15,502.19 |
$25,836.99 |
139.7× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$15,502.19 |
$25,836.99 |
135.1× |
| Dilat Xst Trc New Access Rcs (50437) |
$13,648.55 |
$22,747.59 |
4.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$24,112.64 |
$40,187.74 |
8.6× |
| Dilation And Curettage Of Cervical Stump (57558) |
$24,112.64 |
$40,187.74 |
8.6× |
| Dilation Esophagus Guide Wire (43453) |
$14,235.18 |
$23,725.30 |
8.6× |
| Disarticulation At Knee (27598) |
$7,720.34 |
$12,867.24 |
2.7× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$40,186.55 |
$66,977.58 |
8.4× |
| Drain Cerebro Spinal Fluid (62272) |
$841.80 |
$1,403 |
1.4× |
| Drainage external auditory canal abscess (69020) |
$868.80 |
$1,448 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$868.80 |
$1,448 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,140 |
$1,900 |
0.8× |
| Drainage of finger abscess simple (26010) |
$210 |
$350 |
1.2× |
| Drainage of gum lesion (41800) |
$132 |
$220 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$4,144.33 |
$6,907.22 |
2.9× |
| Drainage of rectal abscess (45020) |
$24,689.57 |
$41,149.29 |
10.3× |
| Drainage of rectal abscess (45005) |
$24,689.57 |
$41,149.29 |
23.9× |
| Drainage of scrotal wall abscess (55100) |
$7,823.53 |
$13,039.22 |
5.5× |
| Drainage of scrotum (54700) |
$12,340.59 |
$20,567.65 |
6.8× |
| Draw Blood Off Venous Device (36591) |
$155.40 |
$259 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$373.80 |
$623 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$180.60 |
$301 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$180.60 |
$301 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,108.80 |
$1,848 |
0.4× |
| Dx Bronchoscope/Lavage (31624) |
$3,245.66 |
$5,409.44 |
2.1× |
| Dx Bronchoscope/Wash (31622) |
$2,053.80 |
$3,423 |
1.3× |
| Dx gastr intub w/asp spec (43754) |
$378.60 |
$631 |
2.0× |
| Dx gastr intub w/asp specs (43755) |
$16,526.17 |
$27,543.61 |
149.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,065.80 |
$3,443 |
1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$810.60 |
$1,351 |
1.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$13,884 |
$23,140 |
8.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,128.28 |
$3,547.13 |
1.3× |
| Egd cautery tumor polyp (43250) |
$14,058.52 |
$23,430.86 |
8.5× |
| Egd control bleeding any (43255) |
$3,287 |
$5,478.34 |
2.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$13,772.65 |
$22,954.42 |
8.3× |
| Egd endo mucosal resection (43254) |
$13,772.65 |
$22,954.42 |
8.3× |
| Egd Endoscopic Stent Place (43266) |
$13,737.67 |
$22,896.11 |
2.6× |
| Egd Flexible Foreign Body Removal (43247) |
$1,246.80 |
$2,078 |
1.6× |
| Egd guide wire insertion (43248) |
$1,988.81 |
$3,314.68 |
2.5× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$14,058.52 |
$23,430.86 |
8.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$13,908.91 |
$23,181.52 |
8.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$13,908.91 |
$23,181.52 |
8.4× |
| Egd lesion ablation (43270) |
$1,705.28 |
$2,842.14 |
1.0× |
| Egd Optical Endomicroscopy (43252) |
$13,908.91 |
$23,181.52 |
8.4× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$13,772.65 |
$22,954.42 |
1.5× |
| Egd place gastrostomy tube (43246) |
$3,245.65 |
$5,409.41 |
2.0× |
| Egd remove lesion snare (43251) |
$2,022.73 |
$3,371.22 |
1.2× |
| Egd Tube/Cath Insertion (43241) |
$13,908.91 |
$23,181.52 |
8.4× |
| Egd us exam duodenum/jejunum (43259) |
$13,908.91 |
$23,181.52 |
8.4× |
| Egd us transmural injxn/mark (43253) |
$13,772.65 |
$22,954.42 |
8.3× |
| Egd Varices Ligation (43244) |
$1,547.70 |
$2,579.50 |
0.9× |
| Egd W/Thrml Txmnt Gerd (43257) |
$13,772.65 |
$22,954.42 |
4.1× |
| Egd W/Transmural Drain Cyst (43240) |
$13,772.65 |
$22,954.42 |
2.6× |
| Embedded ip cath exit-site (49436) |
$31,080.10 |
$51,800.16 |
18.8× |
| Endocervical curettage (57505) |
$24,112.64 |
$40,187.74 |
30.4× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$24,112.64 |
$40,187.74 |
5.6× |
| Endoscopic us exam esoph (43237) |
$13,772.65 |
$22,954.42 |
8.3× |
| Endoscopy of ureter (50953) |
$13,938.87 |
$23,231.45 |
4.6× |
| Endoscopy Upper Small Intestine (44360) |
$1,704.90 |
$2,841.50 |
1.0× |
| Enterorrhaphy single perforation (44602) |
$20,943.32 |
$34,905.53 |
6.3× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$14,018.98 |
$23,364.97 |
8.5× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$11,743.78 |
$19,572.97 |
7.1× |
| Epidural Blood Patch (62273) |
$841.80 |
$1,403 |
1.4× |
| Ercp duct stent placement (43274) |
$4,466.45 |
$7,444.09 |
0.9× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$26,890.33 |
$44,817.22 |
8.1× |
| Ercp ea duct/ampulla dilate (43277) |
$13,477.96 |
$22,463.27 |
4.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,466.45 |
$7,444.09 |
1.3× |
| Ercp Stent Exchange W/Dilate (43276) |
$13,477.96 |
$22,463.27 |
2.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$13,477.96 |
$22,463.27 |
4.1× |
| Esc i p ulcer w ostect & flap (15946) |
$20,508.42 |
$34,180.70 |
11.5× |
| Esoph Optical Endomicroscopy (43206) |
$14,080.86 |
$23,468.10 |
8.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$2,512.88 |
$4,188.14 |
3.2× |
| Esophagosc Dilate Balloon 30 (43214) |
$13,207.89 |
$22,013.15 |
8.0× |
| Esophagoscop Mucosal Resect (43211) |
$14,080.86 |
$23,468.10 |
8.5× |
| Esophagoscop Stent Placement (43212) |
$14,080.86 |
$23,468.10 |
2.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$13,207.89 |
$22,013.15 |
8.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$14,235.18 |
$23,725.30 |
8.6× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$14,080.86 |
$23,468.10 |
18.0× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$12,572.18 |
$20,953.63 |
16.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$14,080.86 |
$23,468.10 |
18.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$14,080.86 |
$23,468.10 |
8.5× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$12,572.18 |
$20,953.63 |
7.6× |
| Esophagoscopy Retro Balloon (43213) |
$13,207.89 |
$22,013.15 |
8.0× |
| Esophagoscopy Rigid Balloon (43195) |
$14,080.86 |
$23,468.10 |
4.2× |
| Esophagoscopy rigid trnso dx (43191) |
$14,080.86 |
$23,468.10 |
8.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$12,572.18 |
$20,953.63 |
7.6× |
| Esophagoscp Guide Wire Dilat (43196) |
$17,830.71 |
$29,717.85 |
10.8× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$12,572.18 |
$20,953.63 |
7.6× |
| Evacuate mole of uterus (59870) |
$5,316.40 |
$8,860.66 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$159.60 |
$266 |
1.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$12,648.19 |
$21,080.32 |
8.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$15,984.51 |
$26,640.85 |
26.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,931.72 |
$6,552.87 |
2.8× |
| Exc Back Les Sc < 3 Cm (21930) |
$22,151.65 |
$36,919.41 |
15.6× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,663.05 |
$9,438.42 |
1.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$2,446.72 |
$4,077.86 |
4.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$6,503.71 |
$10,839.52 |
4.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,434.05 |
$5,723.41 |
5.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,814.62 |
$4,691.04 |
4.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$21,639.79 |
$36,066.32 |
15.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$3,406.36 |
$5,677.27 |
5.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,502.99 |
$5,838.31 |
2.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,353.68 |
$3,922.80 |
1.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$3,738.07 |
$6,230.11 |
2.7× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,701.95 |
$4,503.25 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,241.37 |
$5,402.28 |
5.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,250.29 |
$5,417.15 |
2.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,607.22 |
$6,012.04 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,765.74 |
$6,276.24 |
2.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$5,187.95 |
$8,646.59 |
3.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$19,764.26 |
$32,940.44 |
7.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$21,304.75 |
$35,507.92 |
15.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$19,395.19 |
$32,325.31 |
7.7× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$19,395.19 |
$32,325.31 |
7.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$4,352.09 |
$7,253.49 |
12.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$3,319.76 |
$5,532.93 |
5.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,696.81 |
$6,161.35 |
2.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,636.47 |
$6,060.78 |
1.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$32,186.56 |
$53,644.26 |
12.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$21,752.16 |
$36,253.60 |
8.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$21,752.16 |
$36,253.60 |
8.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$19,395.19 |
$32,325.31 |
7.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,404.28 |
$5,673.80 |
1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$19,395.19 |
$32,325.31 |
13.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$32,186.56 |
$53,644.26 |
12.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$32,186.56 |
$53,644.26 |
22.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$16,337.47 |
$27,229.12 |
6.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$22,667.92 |
$37,779.87 |
9.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,292.04 |
$5,486.73 |
1.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$25,667.53 |
$42,779.21 |
9.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$28,074.76 |
$46,791.27 |
20.3× |
| Exchange Transfusion Blood Newborn (36450) |
$520.80 |
$868 |
1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$21,304.75 |
$35,507.92 |
34.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$20,961.97 |
$34,936.61 |
34.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$20,902.12 |
$34,836.87 |
34.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$4,876.20 |
$8,127 |
13.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$6,216.76 |
$10,361.26 |
10.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$19,764.26 |
$32,940.44 |
13.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$19,764.26 |
$32,940.44 |
32.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$19,764.26 |
$32,940.44 |
32.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$19,764.26 |
$32,940.44 |
13.9× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$18,771.92 |
$31,286.53 |
3.0× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$25,024.93 |
$41,708.22 |
8.9× |
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$3,346.56–$3,954.94 |
$5,577.60–$6,591.57 |
varies |
| Excision of hydrocele; unilateral (55040) |
$3,940.36 |
$6,567.26 |
1.3× |
| Excision olecranon bursa (24105) |
$4,568.23 |
$7,613.72 |
1.6× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$25,667.53 |
$42,779.21 |
4.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$21,500.71 |
$35,834.51 |
8.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$21,500.71 |
$35,834.51 |
8.6× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$31,080.10 |
$51,800.16 |
5.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,140.48 |
$5,234.14 |
1.3× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$4,401 |
$7,335 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,400.48 |
$9,000.80 |
3.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,417.15 |
$5,695.25 |
1.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$21,826.03 |
$36,376.72 |
15.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,087.71 |
$5,146.18 |
2.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,687.37 |
$4,478.95 |
1.9× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$20,508.42 |
$34,180.70 |
6.7× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$20,508.42 |
$34,180.70 |
11.5× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$21,826.69 |
$36,377.81 |
12.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$21,826.69 |
$36,377.81 |
8.7× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$21,826.69 |
$36,377.81 |
8.7× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$15,984.51 |
$26,640.85 |
5.2× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$15,984.51 |
$26,640.85 |
5.2× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$18,771.92 |
$31,286.53 |
6.1× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$18,771.92 |
$31,286.53 |
13.2× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$18,771.92 |
$31,286.53 |
10.6× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$18,771.92 |
$31,286.53 |
6.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,359.63 |
$5,599.38 |
1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,943.11 |
$4,905.18 |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$18,771.92 |
$31,286.53 |
7.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$16,337.47 |
$27,229.12 |
6.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$31,080.10 |
$51,800.16 |
17.5× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$11,430.77 |
$19,051.28 |
4.2× |
| Explo/Drain Breast Abscess (19020) |
$1,973.40 |
$3,289 |
1.4× |
| Exploration of knee joint (27310) |
$18,886.90 |
$31,478.17 |
6.7× |
| Exploration penetrating wound spx extremity (20103) |
$2,547.21 |
$4,245.35 |
1.8× |
| Explore/Treat Knee Joint (27331) |
$35,111.75 |
$58,519.58 |
12.4× |
| Fasciectomy Palm Only (26121) |
$12,648.19 |
$21,080.32 |
4.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$21,826.03 |
$36,376.72 |
7.7× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$21,826.03 |
$36,376.72 |
7.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$12,648.19 |
$21,080.32 |
4.5× |
| Fetal Contraction Stress Test (59020) |
$343.20 |
$572 |
2.0× |
| Fetal non-stress test (59025) |
$168 |
$280 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$856.20 |
$1,427 |
1.4× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$14,722.74 |
$24,537.90 |
24.1× |
| Fine needle aspiration without imaging guidance (10021) |
$476.40 |
$794 |
1.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$14,722.74 |
$24,537.90 |
24.1× |
| Fna bx w/us gdn 1st les (10005) |
$840 |
$1,400 |
1.4× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
$28,074.76 |
$46,791.27 |
4.5× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$25,667.53 |
$42,779.21 |
4.1× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
$22,857.43 |
$38,095.71 |
3.7× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$6,503.71 |
$10,839.52 |
3.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$12,976.33 |
$21,627.21 |
7.3× |
| Fusion Finger Joint (26860) |
$8,570.48 |
$14,284.14 |
3.0× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$59,225.60 |
$98,709.33 |
17.8× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
$16,493.14 |
$27,488.57 |
21.1× |
| Guide Cathet Fluid Drainage (10030) |
$856.20 |
$1,427 |
1.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$25,667.53 |
$42,779.21 |
4.1× |
| Hemiarthroplasty hip partial (27125) |
$24,297.26 |
$40,495.43 |
2.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,802.50 |
$8,004.16 |
2.0× |
| Hemorrhoidopexy by stapling (46947) |
$4,425.43 |
$7,375.72 |
1.8× |
| Hysteroscopy Biopsy (58558) |
$3,656.86 |
$6,094.77 |
1.3× |
| Hysteroscopy Endometrial Ablation (58563) |
$7,473.99 |
$12,456.65 |
1.7× |
| I&d abscess simple (10060) |
$3,622.50 |
$6,037.50 |
20.9× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$23,564.35 |
$39,273.91 |
9.8× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$12,998.02 |
$21,663.36 |
4.6× |
| I&d perianal abscess superficial (46050) |
$2,298.01 |
$3,830.02 |
2.9× |
| I&d pilonidal cyst complicated (10081) |
$829.20 |
$1,382 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$3,803.72 |
$6,339.53 |
6.2× |
| Icd Pocket Revision (33223) |
$2,220 |
$3,700 |
1.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$14,080.86 |
$23,468.10 |
18.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,320 |
$2,200 |
0.9× |
| Image Cath Fluid Peri/Retro (49406) |
$1,560 |
$2,600 |
1.1× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,680 |
$2,800 |
1.2× |
| Incise external hemorrhoid (46083) |
$160.50 |
$267.50 |
0.7× |
Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$2,737.81–$3,638.23 |
$4,563.02–$6,063.72 |
varies |
| Incision & drainage abscess complicated/multiple (10061) |
$3,287.74 |
$5,479.56 |
9.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$13,479.58 |
$22,465.97 |
5.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,915.20 |
$3,192 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$3,249.38 |
$5,415.64 |
9.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$162 |
$270 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$211.20 |
$352 |
0.8× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$14,833.10 |
$24,721.83 |
2.4× |
| Incision of rectal abscess (46040) |
$3,320.35 |
$5,533.92 |
3.2× |
| Incision of urethra (53025) |
$10,527.96 |
$17,546.60 |
5.8× |
| Incision of urethra (53020) |
$10,527.96 |
$17,546.60 |
5.8× |
| Incisional biopsy skin single lesion (11106) |
$17,874.39 |
$29,790.65 |
28.1× |
| Inj W/Fluor Eval Cv Device (36598) |
$261 |
$435 |
1.4× |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$2,214.07–$3,081.74 |
$3,690.11–$5,136.23 |
varies |
| Injection for identification of sentinel node (38792) |
$360 |
$600 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$480 |
$800 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$868.80 |
$1,448 |
5.0× |
| Ins endovas vena cava filtr (37191) |
$24,085.72 |
$40,142.87 |
5.0× |
| Ins/Rep Subq Defibrillator (33270) |
$71,412.90 |
$119,021.50 |
2.6× |
| Insert 1 Electrode Pm-Defib (33216) |
$8,917.20 |
$14,862 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$3,129.16 |
$5,215.26 |
28.2× |
| Insert cath pleura w/ image (32557) |
$1,949.40 |
$3,249 |
1.4× |
| Insert cath pleura w/o image (32556) |
$2,224.80 |
$3,708 |
1.3× |
| Insert cervical dilator (59200) |
$5,899.40 |
$9,832.34 |
22.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$11,806.85 |
$19,678.08 |
7.1× |
| Insert Heart Pm Atrial (33206) |
$24,273.91 |
$40,456.51 |
2.7× |
| Insert Heart Pm Ventricular (33207) |
$11,792.40 |
$19,654 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$3,879.60 |
$6,466 |
1.4× |
| Insert Pacing Lead & Connect (33224) |
$13,193.40 |
$21,989 |
1.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$17,076.41 |
$28,460.68 |
12.6× |
| Insert pulse gen dual leads (33213) |
$27,053.17 |
$45,088.61 |
3.0× |
| Insert pulse gen mult leads (33221) |
$24,273.91 |
$40,456.51 |
1.5× |
| Insert Pulse Gen Sngl Lead (33212) |
$24,273.91 |
$40,456.51 |
3.4× |
| Insert spine infusion device (62360) |
$21,940.27 |
$36,567.11 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$8,463.78 |
$14,106.30 |
73.8× |
| Insert tun ip cath perc (49418) |
$31,642.78 |
$52,737.96 |
10.3× |
| Insert tunneled cv cath (36561) |
$3,509.21 |
$5,848.68 |
1.3× |
| Insert tunneled cv cath (36563) |
$18,825.61 |
$31,376.02 |
3.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$18,159.11 |
$30,265.18 |
3.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$159.60 |
$266 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,518.30 |
$5,863.83 |
1.1× |
| Insertion of cannula (36800) |
$6,564.60 |
$10,941 |
1.4× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$25,596.56 |
$42,660.94 |
5.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$15,507.10 |
$25,845.17 |
11.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,800 |
$13,000 |
1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,917.20 |
$14,862 |
1.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,879.60 |
$6,466 |
1.4× |
| Insj Picc Rs&I <5 Yr (36572) |
$15,507.10 |
$25,845.17 |
28.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,077.68 |
$6,796.13 |
1.5× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$18,195.35 |
$30,325.59 |
6.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,949.40 |
$3,249 |
1.4× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$18,825.61 |
$31,376.02 |
6.9× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$25,833.71 |
$43,056.19 |
5.4× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$25,833.71 |
$43,056.19 |
9.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,436.09 |
$9,060.15 |
2.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$37,456.20 |
$62,427 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,917.20 |
$14,862 |
1.2× |
| Insrt heart pm atrial & vent (33208) |
$13,193.36 |
$21,988.93 |
1.5× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$71,412.90 |
$119,021.50 |
3.7× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$71,412.90 |
$119,021.50 |
2.6× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$71,412.90 |
$119,021.50 |
3.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$609.60 |
$1,016 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$333.13 |
$555.21 |
1.6× |
| Kidney endoscopy (50553) |
$13,938.87 |
$23,231.45 |
3.0× |
| Kidney endoscopy (50551) |
$13,938.87 |
$23,231.45 |
3.0× |
| Knee arthroscopy/drainage (29871) |
$65,523.89 |
$109,206.48 |
23.2× |
| Lap replace gastr adj device (43773) |
$13,772.65 |
$22,954.42 |
2.6× |
| Lap revision perm ip cath (49325) |
$31,080.10 |
$51,800.16 |
6.0× |
| Laparoscopy aspiration (49322) |
$13,575.59 |
$22,625.98 |
2.6× |
| Laparoscopy gastrostomy (43653) |
$13,772.65 |
$22,954.42 |
2.6× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 3 matching MRF lines |
$13,317.32–$17,983.20 |
$22,195.54–$29,972 |
varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$22,438.35 |
$37,397.25 |
2.4× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$20,989.72 |
$34,982.87 |
2.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$7,473.99 |
$12,456.65 |
1.4× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,199.20 |
$10,332 |
1.2× |
| Laparoscopy, surgical, appendectomy (44970) |
$9,985.52 |
$16,642.53 |
1.9× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$13,772.65 |
$22,954.42 |
1.5× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$13,772.65 |
$22,954.42 |
4.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,040.56 |
$13,400.94 |
1.5× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$17,836.18 |
$29,726.97 |
1.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$8,817.77 |
$14,696.28 |
1.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,668.05 |
$12,780.08 |
1.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$13,262.37 |
$22,103.95 |
2.5× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$13,772.65 |
$22,954.42 |
4.1× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$19,103.44 |
$31,839.07 |
2.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$55,220.46 |
$92,034.10 |
163.8× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$55,220.46 |
$92,034.10 |
320.9× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$2,978.89 |
$4,964.81 |
0.9× |
| Larynscop w/tumr exc + scope (31541) |
$3,492.81 |
$5,821.35 |
1.1× |
| Laser vaporization of prostate (52648) |
$11,355.79 |
$18,926.32 |
2.5× |
| Late closure of wound (13160) |
$31,080.10 |
$51,800.16 |
10.2× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$19,644.49 |
$32,740.82 |
7.2× |
| Ligate leg veins open (37761) |
$19,644.49 |
$32,740.82 |
7.2× |
| Ligation of a-v fistula (37607) |
$3,805.20 |
$6,342 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$6,320.37 |
$10,533.95 |
4.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,906.93 |
$6,511.55 |
1.3× |
| Lithotripsy, extracorporeal shock wave (50590) |
$9,600 |
$16,000 |
3.2× |
| Lsh w/t/o uterus above 250 g (58544) |
$19,103.44 |
$31,839.07 |
2.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,135.39 |
$1,892.32 |
0.8× |
| Mast mod rad (19307) |
$9,547.45 |
$15,912.41 |
1.7× |
Mastectomy partial (19301) range across 2 matching MRF lines |
$4,679.83–$8,254.07 |
$7,799.71–$13,756.78 |
varies |
| Mastectomy simple complete (19303) |
$9,762.85 |
$16,271.42 |
1.7× |
| Maternity Care Procedure (59899) |
$242.40 |
$404 |
1.4× |
| Metatarsectomy (28140) |
$25,667.53 |
$42,779.21 |
9.1× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$19,764.26 |
$32,940.44 |
31.0× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$15,984.51 |
$26,640.85 |
25.1× |
| Myelography Lumbar Injection (62304) |
$1,374 |
$2,290 |
2.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,275 |
$2,125 |
1.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$840 |
$1,400 |
1.2× |
| N Block Inj Celiac Pelus (64530) |
$1,074 |
$1,790 |
1.4× |
| Nasal surgery procedure (30999) |
$14,705.88 |
$24,509.80 |
72.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$482.40 |
$804 |
1.3× |
Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 3 matching MRF lines |
$3,772.65–$5,372.65 |
$6,287.75–$8,954.41 |
varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,858.10 |
$3,096.84 |
1.2× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$5,133.50 |
$8,555.84 |
0.8× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 2 matching MRF lines |
$4,489.07–$7,175.83 |
$7,481.78–$11,959.72 |
varies |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$14,080.86 |
$23,468.10 |
17.6× |
| Needle Biopsy Lymph Nodes (38505) |
$900 |
$1,500 |
0.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$3,893.16 |
$6,488.60 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$625.17 |
$1,041.95 |
1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$300 |
$500 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$579 |
$965 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$843.60 |
$1,406 |
1.4× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 4 matching MRF lines |
$3,589.21–$5,840.18 |
$5,982.01–$9,733.64 |
varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$3,589.21 |
$5,982.01 |
0.6× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$37,651.06 |
$62,751.76 |
6.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$8,370.35 |
$13,950.58 |
2.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,018.03 |
$15,030.05 |
1.4× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$21,368.27 |
$35,613.79 |
1.9× |
| Open treatment fracture distal tibia only (27827) |
$16,258.13 |
$27,096.89 |
1.5× |
| Open treatment greater trochanteric fracture (27248) |
$21,513.54 |
$35,855.90 |
3.4× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$21,460.74 |
$35,767.90 |
3.4× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
$28,034.41 |
$46,724.02 |
4.5× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$28,034.41 |
$46,724.02 |
2.5× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$19,289.81 |
$32,149.68 |
3.1× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$21,513.54 |
$35,855.90 |
3.4× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$17,394.06 |
$28,990.10 |
6.2× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$21,460.74 |
$35,767.90 |
3.4× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$19,289.81 |
$32,149.68 |
3.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$8,706.60 |
$14,511 |
1.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$10,891.91 |
$18,153.18 |
1.7× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$28,034.41 |
$46,724.02 |
2.5× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$28,034.41 |
$46,724.02 |
2.5× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$24,278.12 |
$40,463.54 |
3.9× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$24,278.12 |
$40,463.54 |
3.9× |
| Open/Perq Place Stent 1St (37236) |
$12,715.20 |
$21,192 |
1.3× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$21,513.54 |
$35,855.90 |
3.4× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$24,278.12 |
$40,463.54 |
3.9× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$21,368.27 |
$35,613.79 |
1.9× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$26,469.94 |
$44,116.56 |
9.4× |
| Ostc prtl exostc/condylc metar head (28288) |
$25,667.53 |
$42,779.21 |
9.1× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,156.01 |
$5,260.02 |
1.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$25,667.53 |
$42,779.21 |
9.1× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$25,667.53 |
$42,779.21 |
9.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$25,667.53 |
$42,779.21 |
9.1× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$23,826.16 |
$39,710.27 |
3.8× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$25,667.53 |
$42,779.21 |
4.1× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$25,667.53 |
$42,779.21 |
4.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,992.13 |
$4,986.88 |
1.1× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$28,034.41 |
$46,724.02 |
4.5× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$25,667.53 |
$42,779.21 |
4.1× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$27,096.29 |
$45,160.49 |
2.4× |
| Part exc bone femur prox tibia (27360) |
$22,857.43 |
$38,095.71 |
8.1× |
| Partial removal of fibula (27641) |
$22,857.43 |
$38,095.71 |
8.1× |
| Partial removal of toe (28160) |
$28,074.76 |
$46,791.27 |
10.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,612.90 |
$4,354.83 |
0.9× |
| Pericardiocentesis W/Imaging (33016) |
$806.70 |
$1,344.50 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$868.80 |
$1,448 |
1.4× |
| Perq device breast 1st imag (19281) |
$868.80 |
$1,448 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$13,938.87 |
$23,231.45 |
4.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,802.20 |
$6,337 |
1.3× |
| Phalangectomy toe each toe (28150) |
$28,074.76 |
$46,791.27 |
10.0× |
Place Cath Subclavian Art (36225) range across 3 matching MRF lines |
$3,879.60–$7,759.20 |
$6,466–$12,932 |
varies |
| Place Cath Thoracic Aorta (36221) |
$2,880 |
$4,800 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$522 |
$870 |
1.4× |
| Placement of seton (46020) |
$4,325.87 |
$7,209.79 |
1.8× |
Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$2,926.80 |
$4,878 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$13,276.45 |
$22,127.42 |
16.6× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$13,276.45 |
$22,127.42 |
12.9× |
| Prostate laser enucleation (52649) |
$12,535.55 |
$20,892.58 |
2.7× |
| Prostatic microwave thermotx (53850) |
$12,367.01 |
$20,611.69 |
4.1× |
| Prq skel fixj femoral fx prox end neck (27235) |
$18,782.36 |
$31,303.93 |
3.0× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$18,772.60 |
$31,287.66 |
3.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$25,667.53 |
$42,779.21 |
9.1× |
| Pseudoaneurysm Injection Trt (36002) |
$930 |
$1,550 |
1.7× |
| Punch biopsy skin single lesion (11104) |
$4,444.33 |
$7,407.21 |
12.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$960 |
$1,600 |
2.7× |
| Puncture Aspiration Cyst Breast (19000) |
$829.20 |
$1,382 |
1.4× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$12,276.75 |
$20,461.25 |
32.3× |
| Rad resect hand tumor 3 cm/> (26118) |
$12,648.19 |
$21,080.32 |
5.1× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$32,186.56 |
$53,644.26 |
12.9× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$12,648.19 |
$21,080.32 |
5.1× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$19,395.19 |
$32,325.31 |
7.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$22,151.65 |
$36,919.41 |
8.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$21,492.71 |
$35,821.18 |
8.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$21,492.71 |
$35,821.18 |
8.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$19,395.19 |
$32,325.31 |
7.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$32,186.56 |
$53,644.26 |
12.9× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$28,074.76 |
$46,791.27 |
20.3× |
| Radical Resection Tumor Metatarsal (28173) |
$25,667.53 |
$42,779.21 |
9.1× |
| Realignment of knee (27455) |
$21,368.27 |
$35,613.79 |
3.4× |
| Reconstruction Tongue Fold (41520) |
$732 |
$1,220 |
0.3× |
| Reinforce hip bones (27187) |
$17,394.06 |
$28,990.10 |
2.8× |
| Release or recession, hamstring, proximal Facility (27097) |
$22,266.95 |
$37,111.58 |
7.9× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$57,283.17 |
$95,471.95 |
3.2× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$57,283.17 |
$95,471.95 |
3.2× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
$57,283.17 |
$95,471.95 |
3.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$307.70 |
$512.84 |
1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,139.40 |
$1,899 |
1.9× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$66–$132 |
$110–$220 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$38.40 |
$64 |
0.8× |
| Removal Implant Deep (20680) |
$3,228.34 |
$5,380.56 |
1.3× |
| Removal of adenoids (42830) |
$2,148.54 |
$3,580.90 |
0.8× |
| Removal of anal fissure (46200) |
$3,912.75 |
$6,521.25 |
1.6× |
| Removal of bladder cyst (51500) |
$31,080.10 |
$51,800.16 |
6.0× |
| Removal of infusion pump (36262) |
$4,978.80 |
$8,298 |
1.5× |
| Removal of knee prosthesis (27488) |
$41,605.61 |
$69,342.69 |
3.8× |
| Removal of mammary implant material (19330) |
$6,542.21 |
$10,903.68 |
1.9× |
Removal of sperm cord lesion (55520) range across 3 matching MRF lines |
$5,505.18–$7,192.64 |
$9,175.30–$11,987.73 |
varies |
Removal of testis (54520) range across 2 matching MRF lines |
$4,938.65–$5,818.50 |
$8,231.08–$9,697.50 |
varies |
Removal of tonsils (42825) unusually low: confirm this is the full procedure |
$1,866.74 |
$3,111.24 |
0.4× |
| Removal of tonsils (42826) |
$2,194.75 |
$3,657.92 |
0.8× |
| Removal of urethra (53210) |
$11,343.05 |
$18,905.08 |
3.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$353.40 |
$589 |
1.5× |
| Removal peritoneal-venous shunt (49429) |
$31,080.10 |
$51,800.16 |
11.4× |
| Removal ppm generator only (33233) |
$8,917.20 |
$14,862 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$4,909.91 |
$8,183.18 |
28.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,018.80 |
$1,698 |
1.7× |
| Removal sweat gland lesion (11450) |
$4,396.99 |
$7,328.31 |
1.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$16,258.13 |
$27,096.89 |
11.7× |
| Remove Elctrd Transvenously (33244) |
$4,695.60 |
$7,826 |
1.5× |
| Remove foreign body from eye (65205) |
$109.20 |
$182 |
1.0× |
| Remove hip pressure sore (15941) |
$20,508.42 |
$34,180.70 |
8.2× |
| Remove hip pressure sore (15940) |
$20,508.42 |
$34,180.70 |
8.2× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$9,602.94 |
$16,004.90 |
5.3× |
| Remove intrvas foreign body (37197) |
$2,880 |
$4,800 |
1.1× |
| Remove Lower Leg Bone Lesion (27635) |
$22,857.43 |
$38,095.71 |
8.1× |
| Remove lung catheter (32552) |
$764.40 |
$1,274 |
1.4× |
| Remove muti-comp penis pros (54406) |
$57,283.17 |
$95,471.95 |
18.8× |
| Remove Nasal Foreign Body (30300) |
$84 |
$140 |
0.7× |
| Remove prostate regrowth (52630) |
$12,535.55 |
$20,892.58 |
2.7× |
| Remove Pulse Generator (33241) |
$4,280.40 |
$7,134 |
1.3× |
| Remove sacrum pressure sore (15937) |
$21,826.69 |
$36,377.81 |
12.3× |
| Remove self-contd penis pros (54415) |
$57,283.17 |
$95,471.95 |
18.8× |
| Remove Tendon Sheath Lesion (26160) |
$3,199.52 |
$5,332.54 |
2.3× |
| Remove thigh pressure sore (15951) |
$18,771.92 |
$31,286.53 |
7.5× |
| Remove thigh pressure sore (15956) |
$18,771.92 |
$31,286.53 |
10.6× |
| Remove&replace pm gen singl (33227) |
$4,800 |
$8,000 |
0.7× |
| Remove/graft foot lesion (28107) |
$25,667.53 |
$42,779.21 |
4.1× |
| Remove/graft leg bone lesion (27637) |
$22,857.43 |
$38,095.71 |
3.7× |
| Remove/replace penis prosth (54410) |
$57,283.17 |
$95,471.95 |
3.2× |
| Remv&replc cvd gen dual lead (33263) |
$32,994.60 |
$54,991 |
1.7× |
| Remv&replc cvd gen mult lead (33264) |
$37,456.20 |
$62,427 |
1.4× |
| Remv&replc cvd gen sing lead (33262) |
$28,687.20 |
$47,812 |
1.5× |
| Remv&replc pm gen dual lead (33228) |
$7,316.40 |
$12,194 |
0.8× |
| Remv&replc pm gen mult leads (33229) |
$21,274.20 |
$35,457 |
1.3× |
| Renal Biopsy Perq (50200) |
$2,063.40 |
$3,439 |
1.4× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$13,938.87 |
$23,231.45 |
23.2× |
| Reopen fallopian tube (58350) |
$6,147.34 |
$10,245.56 |
1.4× |
Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$12,371.61–$13,370.08 |
$20,619.35–$22,283.47 |
varies |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$8,286.38 |
$13,810.63 |
3.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$742.20 |
$1,237 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$742.20 |
$1,237 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$742.20 |
$1,237 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$742.20 |
$1,237 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$742.20 |
$1,237 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$3,404.28 |
$5,673.80 |
9.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$742.20 |
$1,237 |
1.2× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$20,579.08 |
$34,298.46 |
7.3× |
| Repair forearm tendon/muscle (25265) |
$21,525.92 |
$35,876.53 |
7.6× |
Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$2,776.49–$3,492.32 |
$4,627.48–$5,820.53 |
varies |
| Repair incomplete circumcision (54163) |
$3,805.52 |
$6,342.53 |
2.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$13,452 |
$22,420 |
4.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,810.49 |
$13,017.49 |
2.5× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$13,452 |
$22,420 |
4.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$609.60 |
$1,016 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$609.60 |
$1,016 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$609.60 |
$1,016 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$3,219.85 |
$5,366.42 |
9.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$4,732.67 |
$7,887.79 |
7.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$609.60 |
$1,016 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$609.60 |
$1,016 |
0.3× |
| Repair lower leg epiphyses (27734) |
$22,857.43 |
$38,095.71 |
8.1× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$14,962.76 |
$24,937.94 |
1.4× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$24,278.12 |
$40,463.54 |
3.9× |
| Repair of fibula epiphysis (27732) |
$22,857.43 |
$38,095.71 |
8.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$8,904.25 |
$14,840.41 |
1.4× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$10,527.96 |
$17,546.60 |
2.3× |
| Repair of nail bed (11760) |
$764.40 |
$1,274 |
1.2× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$24,278.12 |
$40,463.54 |
3.9× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
$24,278.12 |
$40,463.54 |
3.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$13,452 |
$22,420 |
2.4× |
| Repair secondary achilles tendon w/wo graft (27654) |
$20,579.08 |
$34,298.46 |
3.3× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$21,525.92 |
$35,876.53 |
3.4× |
| Repair umbilical lesion (49600) |
$31,080.10 |
$51,800.16 |
10.1× |
| Repair webbed toe(s) (28345) |
$21,485.66 |
$35,809.43 |
15.5× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$20,579.08 |
$34,298.46 |
3.3× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$13,452 |
$22,420 |
4.4× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$13,452 |
$22,420 |
2.6× |
| Repair/graft achilles tendon (27652) |
$20,579.08 |
$34,298.46 |
3.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$9,431.49 |
$15,719.15 |
12.1× |
| Replace G-J Tube Perc (49452) |
$9,431.49 |
$15,719.15 |
12.1× |
| Replace g/c tube perc (49450) |
$1,054.20 |
$1,757 |
1.3× |
| Reposition L Ventric Lead (33226) |
$3,879.60 |
$6,466 |
1.4× |
| Reposition Pacing-Defib Lead (33215) |
$3,962.40 |
$6,604 |
1.5× |
| Rerepair ing hernia reduce (49520) |
$5,995.42 |
$9,992.37 |
1.9× |
| Resect back tum < 5 cm (21935) |
$22,151.65 |
$36,919.41 |
8.8× |
| Resect enlarged toe (28341) |
$28,074.76 |
$46,791.27 |
10.0× |
| Resect leg/ankle tum < 5 cm (27615) |
$19,395.19 |
$32,325.31 |
7.7× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$18,454.66 |
$30,757.77 |
6.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$28,074.76 |
$46,791.27 |
10.0× |
| Revision of big toe (28310) |
$28,074.76 |
$46,791.27 |
4.5× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$21,727.46 |
$36,212.44 |
7.1× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$21,727.46 |
$36,212.44 |
7.1× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$10,527.96 |
$17,546.60 |
2.3× |
| Revision of toe (28312) |
$28,074.76 |
$46,791.27 |
10.0× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$21,205.18 |
$35,341.97 |
1.9× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$20,650.48 |
$34,417.47 |
1.9× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$32,414.42 |
$54,024.03 |
2.1× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$42,533.31 |
$70,888.85 |
3.8× |
Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$657–$1,117.42 |
$1,095–$1,862.37 |
varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$522 |
$870 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$174.90 |
$291.50 |
1.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$18,771.92 |
$31,286.53 |
7.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,915.20 |
$3,192 |
1.3× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$22,986.94 |
$38,311.57 |
7.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,801.61 |
$6,336.01 |
2.8× |
| Rplc Gtube No Revj Trc (43762) |
$225.30 |
$375.50 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$25,596.56 |
$42,660.94 |
9.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$25,596.56 |
$42,660.94 |
18.9× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$25,596.56 |
$42,660.94 |
9.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$25,596.56 |
$42,660.94 |
18.9× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$23,245.07 |
$38,741.79 |
4.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$25,596.56 |
$42,660.94 |
9.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$25,596.56 |
$42,660.94 |
9.4× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,911.35 |
$8,185.59 |
1.6× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$43,621.81 |
$72,703.01 |
7.8× |
Rpr aa hernia recr 3-10 cm reducible (49615) range across 2 matching MRF lines |
$20,749.06–$26,330.15 |
$34,581.76–$43,883.58 |
varies |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$11,319.82 |
$18,866.37 |
2.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$16,383.64 |
$27,306.06 |
3.1× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$20,579.08 |
$34,298.46 |
3.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$285 |
$475 |
1.6× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$20,579.08 |
$34,298.46 |
3.3× |
| Rpr ing hern premie blocked (49492) |
$13,452 |
$22,420 |
4.4× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$13,452 |
$22,420 |
4.4× |
| Rpr ing hernia init reduce (49500) |
$13,452 |
$22,420 |
2.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$609.60 |
$1,016 |
1.0× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$24,278.12 |
$40,463.54 |
3.9× |
| Sclerotx Fluid Collection (49185) |
$1,973.40 |
$3,289 |
1.4× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$5,906.10 |
$9,843.50 |
2.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,848.68 |
$3,081.14 |
1.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$15,984.51 |
$26,640.85 |
45.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$19,764.26 |
$32,940.44 |
114.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$19,764.26 |
$32,940.44 |
114.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$19,764.26 |
$32,940.44 |
114.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$19,764.26 |
$32,940.44 |
56.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$6,766.60 |
$11,277.66 |
2.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$15,984.51 |
$26,640.85 |
92.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$15,984.51 |
$26,640.85 |
45.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$15,984.51 |
$26,640.85 |
92.4× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$11,407.54 |
$19,012.56 |
11.1× |
| Sigmoidoscopy W/Ultrasound (45341) |
$13,276.45 |
$22,127.42 |
16.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$7,084.24 |
$11,807.07 |
8.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$285 |
$475 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$285 |
$475 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$285 |
$475 |
1.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$9,234.54 |
$15,390.90 |
53.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$285 |
$475 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$285 |
$475 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$285 |
$475 |
1.6× |
| Skin graft, harvest cultured tissue (15040) |
$17,874.39 |
$29,790.65 |
10.0× |
| Skin Pinch Graft (15050) |
$17,874.39 |
$29,790.65 |
28.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,978.55 |
$3,297.58 |
3.1× |
| Skin Tissue Procedure (17999) |
$243.60 |
$406 |
1.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$2,880 |
$4,800 |
0.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,565.20 |
$10,942 |
1.4× |
| Small bowel endoscopy (44366) |
$5,727.19 |
$9,545.32 |
3.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$285 |
$475 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$285 |
$475 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$285 |
$475 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$841.80 |
$1,403 |
1.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$8,370.35 |
$13,950.58 |
4.7× |
| Strapping elbow or wrist (29260) |
$73.20 |
$122 |
1.4× |
| Strapping knee (29530) |
$148.20 |
$247 |
1.3× |
| Strapping shoulder (29240) |
$72 |
$120 |
0.6× |
Strapping Unna Boot (29580) range across 3 matching MRF lines |
$109.80–$219.60 |
$183–$366 |
varies |
| Surg tx anal fistula subq (46270) |
$3,090.35 |
$5,150.58 |
1.3× |
| Surgery to stop leg growth (27479) |
$22,857.43 |
$38,095.71 |
3.7× |
| Surgery to stop leg growth (27477) |
$22,857.43 |
$38,095.71 |
3.7× |
| Tangential biopsy skin single lesion (11102) |
$17,874.39 |
$29,790.65 |
51.0× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$11,430.77 |
$19,051.28 |
2.4× |
| Thrombolytic Art Therapy (37211) |
$6,564.60 |
$10,941 |
1.4× |
| Thyroidectomy, total or complete (60240) |
$9,214.23 |
$15,357.05 |
1.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$3,290.78 |
$5,484.64 |
1.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,866.82 |
$4,778.03 |
1.0× |
| Tooth extraction (41899) |
$1,129.20 |
$1,882 |
5.5× |
| Total Knee Arthroplasty (27447) |
$20,071.48 |
$33,452.46 |
1.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$192,988.96 |
$321,648.26 |
945.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$192,988.96 |
$321,648.26 |
144.3× |
| Tracheostomy Fenestration W/Skin Flaps (31610) |
$192,988.96 |
$321,648.26 |
37.8× |
| Tracheostomy planned (31600) |
$192,988.96 |
$321,648.26 |
67.5× |
| Tracheostomy Planned Under 2 Years Spx (31601) |
$192,988.96 |
$321,648.26 |
37.8× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$390.60 |
$651 |
1.5× |
| Translum Dil Eye Canal (66174) |
$4,390.52 |
$7,317.53 |
1.2× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$10,978.16 |
$18,296.93 |
6.2× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$11,355.79 |
$18,926.32 |
1.4× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$24,689.57 |
$41,149.29 |
23.9× |
| Transur electr resection of prostate (52601) |
$10,409.93 |
$17,349.88 |
2.3× |
| Transurethral resection bladder neck (52500) |
$3,689.77 |
$6,149.62 |
1.2× |
| Treat ectopic pregnancy (59151) |
$19,103.44 |
$31,839.07 |
3.7× |
| Treat Humerus Fracture (24505) |
$1,969.80 |
$3,283 |
1.4× |
| Treat knee fracture (27532) |
$8,193.21 |
$13,655.35 |
2.9× |
| Treat Knee Fracture(S) (27538) |
$8,193.21 |
$13,655.35 |
38.5× |
| Treat Knuckle Dislocation (26700) |
$240 |
$400 |
1.1× |
| Treat lower leg dislocation (27832) |
$21,581.01 |
$35,968.35 |
3.4× |
| Treat metacarpal fracture (26607) |
$3,802.20 |
$6,337 |
1.3× |
| Treat toe dislocation (28630) |
$277.50 |
$462.50 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$228 |
$380 |
1.1× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$21,513.54 |
$35,855.90 |
3.4× |
| Treatment of penis lesion (54115) |
$57,283.17 |
$95,471.95 |
22.9× |
| Trim skin lesion (11055) |
$17,874.39 |
$29,790.65 |
103.3× |
| Trim skin lesions 2 to 4 (11056) |
$17,874.39 |
$29,790.65 |
103.3× |
| Trim skin lesions over 4 (11057) |
$17,874.39 |
$29,790.65 |
103.3× |
| Trluml Balo Angiop 1St Art (37246) |
$6,956.40 |
$11,594 |
1.4× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$11,355.79 |
$18,926.32 |
3.7× |
| Trurl rescj postop bladder neck contracture (52640) |
$12,306.46 |
$20,510.77 |
4.0× |
| Tx Gastro Intub W/Asp (43753) |
$378.60 |
$631 |
2.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$17,876.12 |
$29,793.54 |
1.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,541.29 |
$5,902.15 |
1.3× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$21,513.54 |
$35,855.90 |
3.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,084.96 |
$8,474.94 |
1.8× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$5,316.40 |
$8,860.66 |
1.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,832.40 |
$3,054 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$3,582.89 |
$5,971.48 |
5.6× |
Tympanostomy general anesthesia (69436) range across 4 matching MRF lines |
$871.91–$3,826.84 |
$1,453.18–$6,378.06 |
varies |
| Unlisted Cardiac Surgery (33999) |
$77,456.24 |
$129,093.73 |
143.2× |
| Unlisted fetal invasive px w/ultrasound (59897) |
$4,437.72 |
$7,396.20 |
25.5× |
| Unlisted laparoscopy procedure stomach (43659) |
$13,772.65 |
$22,954.42 |
2.6× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$4,803.55 |
$8,005.91 |
0.9× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$37,132.14 |
$61,886.90 |
7.1× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$21,908.42 |
$36,514.04 |
4.2× |
| Unlisted procedure anus (46999) |
$40,973.52 |
$68,289.20 |
51.1× |
| Unlisted Procedure Biliary Tract (47999) |
$40,084.46 |
$66,807.43 |
51.3× |
| Unlisted procedure colon (45399) |
$26,584.87 |
$44,308.12 |
33.2× |
Unlisted Procedure Endocrine System (60699) unusually low: confirm this is the full procedure |
$1,569.18 |
$2,615.30 |
0.3× |
| Unlisted procedure excision pressure ulcer (15999) |
$21,389.72 |
$35,649.54 |
35.0× |
| Unlisted procedure femur or knee (27599) |
$12,379.99 |
$20,633.31 |
58.2× |
| Unlisted procedure foot or toes (28899) |
$12,379.99 |
$20,633.31 |
58.2× |
| Unlisted Procedure Hands/Fingers (26989) |
$12,648.19 |
$21,080.32 |
59.5× |
| Unlisted Procedure Intestine (44799) |
$26,224.70 |
$43,707.83 |
33.5× |
| Unlisted Procedure Leg/Ankle (27899) |
$18,796.36 |
$31,327.26 |
88.4× |
| Unlisted procedure liver (47399) |
$4,437.72 |
$7,396.20 |
7.3× |
| Unlisted Procedure Male Genital System (55899) |
$11,355.79 |
$18,926.32 |
52.7× |
| Unlisted Procedure Muscskeletal System General (20999) |
$10,703.46 |
$17,839.10 |
50.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$11,885.98 |
$19,809.97 |
55.9× |
| Unlisted Procedure Rectum (45999) |
$23,986.70 |
$39,977.83 |
29.9× |
| Unlisted procedure shoulder (23929) |
$286.80 |
$478 |
1.3× |
| Unlisted procedure stomach (43999) |
$31,509.39 |
$52,515.65 |
40.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$22,816.94 |
$38,028.23 |
132.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,839.01 |
$4,731.69 |
5.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$8,051.50 |
$13,419.16 |
10.3× |
| Unlisted Procedure, Urinary System (53899) |
$19,166.08 |
$31,943.47 |
89.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$23,507.18 |
$39,178.63 |
134.9× |
| Unlisted vascular endoscopy procedure (37501) |
$15,496.76 |
$25,827.93 |
28.7× |
| Upgrade of pacemaker system (33214) |
$27,053.17 |
$45,088.61 |
3.0× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$9,602.94 |
$16,004.90 |
2.1× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$13,938.87 |
$23,231.45 |
4.6× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$4,523.41 |
$7,539.02 |
1.6× |
| Vaginal delivery only (59409) |
$4,525.48 |
$7,542.47 |
1.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$13,312.96 |
$22,188.27 |
3.1× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$14,616.14 |
$24,360.24 |
3.4× |
| Vaginoplasty for intersex state Facility (57335) |
$5,899.40 |
$9,832.34 |
1.4× |
| Vasc Embolize/Occlude Bleed (37244) |
$7,800 |
$13,000 |
0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,733.64 |
$4,556.07 |
1.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$758.33 |
$1,263.89 |
0.3× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
$3,913.45 |
$6,522.42 |
1.4× |
| Wound Prep F/N/Hf/G (15004) |
$21,333.33 |
$35,555.55 |
60.9× |
| Wound Prep Trk/Arm/Leg (15002) |
$21,333.33 |
$35,555.55 |
33.5× |
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) range across 2 matching MRF lines |
$5,550.73–$5,766.89 |
$9,251.22–$9,611.49 |
varies |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$11,430.77 |
$19,051.28 |
2.4× |