| Abd paracentesis w/imaging (49083) |
$869.21 |
$2,556.51 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$739.98 |
$2,176.40 |
0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,567.84 |
$4,611.30 |
0.8× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,567.84 |
$4,611.30 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,567.84 |
$4,611.30 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$2,586.99 |
$7,608.78 |
0.9× |
| Amputation thigh through femur any level (27590) |
$14,503.49 |
$42,657.33 |
4.9× |
| Amputation toe interphalangeal joint (28825) |
$2,586.99 |
$7,608.78 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,586.99 |
$7,608.78 |
0.9× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$2,233.26 |
$6,568.41 |
0.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$947.78 |
$2,787.60 |
0.9× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,233.26 |
$6,568.41 |
0.9× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$4,030.33 |
$11,853.90 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$50.87 |
$149.63 |
1.0× |
| Application finger splint static (29130) |
$102.32 |
$300.95 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$129.04 |
$379.53 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$102.32 |
$300.95 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$102.32 |
$300.95 |
0.8× |
| Application short leg splint calf foot (29515) |
$129.04 |
$379.53 |
0.9× |
| Arterial puncture (36600) |
$102.32 |
$300.95 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$238.71 |
$702.09 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$238.71 |
$702.09 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$238.71 |
$702.09 |
0.9× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,586.99 |
$7,608.78 |
0.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,586.99 |
$7,608.78 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,586.99 |
$7,608.78 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$495.04 |
$1,455.99 |
0.9× |
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines |
$495.04 |
$1,455.99–$1,456 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$238.71 |
$702.09 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,638.79 |
$4,819.98 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$164.11 |
$482.67 |
0.9× |
| Biopsy bone open superficial (20240) |
$2,166.19 |
$6,371.16 |
0.8× |
| Biopsy external ear (69100) |
$193.40 |
$568.83 |
0.9× |
| Biopsy Muscle Superficial (20200) |
$1,286 |
$3,782.34 |
0.9× |
| Biopsy of breast; open, incisional (19101) |
$2,886.18 |
$8,488.77 |
0.8× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,286 |
$3,782.34 |
0.9× |
| Biopsy of palate, uvula (42100) |
$1,236.45 |
$3,636.63 |
0.9× |
| Biopsy of rectum (45100) |
$2,233.26 |
$6,568.41 |
0.9× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$2,886.18 |
$8,488.77 |
0.8× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$1,286 |
$3,782.34 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,286 |
$3,782.34 |
0.9× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,166.19 |
$6,371.16 |
0.8× |
| Biopsy Tongue Posterior One-Third (41105) |
$2,501.06 |
$7,356.06 |
0.8× |
| Biopsy, vestibule of mouth (40808) |
$427.01 |
$1,255.92 |
0.9× |
| Biopsy/removal lymph nodes (38510) |
$2,886.18 |
$8,488.77 |
0.8× |
| Bladder Irrigation (51700) |
$243.25 |
$715.44 |
1.1× |
| Bladder Scan (51798) |
$50.87 |
$149.63 |
1.0× |
| Blepharoplasty upper eyelid (15822) |
$1,567.84 |
$4,611.30 |
0.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$238.81 |
$702.39 |
0.8× |
| Blood Transfusion Service (36430) |
$362.91 |
$1,067.39 |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,286 |
$3,782.35 |
0.9× |
| Bone Marrow; Aspiration Only (38220) |
$1,286 |
$3,782.34 |
0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,286 |
$3,782.34 |
0.9× |
| Bx Cervix (57500) |
$578.94 |
$1,702.77 |
0.7× |
| Bx/exc lymph node open deep axillary node (38525) |
$2,886.18 |
$8,488.77 |
0.8× |
| Bx/exc lymph node open superficial (38500) |
$2,886.18 |
$8,488.77 |
0.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,586.99 |
$7,608.78 |
0.9× |
| Carpal Tunnel Surgery (64721) |
$1,603.51 |
$4,716.21 |
0.9× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$257.27 |
$756.69 |
0.9× |
| Chemical Cautery Tissue (17250) |
$164.11 |
$482.67 |
0.9× |
| Chemical Pleurodesis (32560) |
$495.04 |
$1,455.99 |
0.9× |
| Chest tube placement (32551) |
$1,285.21 |
$3,780.03 |
0.9× |
| Circumcision 28 days or older (54161) |
$1,638.79 |
$4,819.98 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,638.79 |
$4,819.98 |
0.9× |
| Clear outer ear canal (69200) |
$124.44 |
$366 |
1.0× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$4,109.02 |
$12,085.35 |
0.8× |
| Collection of venous blood by venipuncture (36415) |
$8.84 |
$26 |
0.9× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$257.27 |
$756.69 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$155.67 |
$457.86 |
0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,397.62 |
$7,051.83 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$283.56 |
$834 |
1.0× |
| Complex drainage wound (10180) |
$2,653.40 |
$7,804.11 |
1.0× |
| Composite Skin Graft (15760) |
$1,567.84 |
$4,611.30 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$111.18 |
$327 |
0.9× |
| Correction hammertoe (28285) |
$2,586.99 |
$7,608.78 |
0.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,586.99 |
$7,608.78 |
0.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$2,586.99 |
$7,608.78 |
0.9× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$5,726.18 |
$16,841.70 |
0.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cysto w/complex removal stone & stent (52315) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cysto w/insert ureteral stent (52332) |
$3,033.82 |
$8,923 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$2,811.78 |
$8,269.95 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$2,811.78 |
$8,269.95 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$4,034.31 |
$11,865.63 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,811.78 |
$8,269.95 |
0.9× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$2,811.78 |
$8,269.95 |
0.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,034.31 |
$11,865.63 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$4,034.31 |
$11,865.63 |
0.8× |
| Cystoscopy implant stent (52282) |
$2,811.78 |
$8,269.95 |
0.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cystourethroscopy (52000) |
$525.34 |
$1,545.12 |
0.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cystourethroscopy with biopsy (52204) |
$1,638.79 |
$4,819.98 |
0.9× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$1,638.79 |
$4,819.98 |
0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$479.09 |
$1,409.10 |
0.7× |
| Debride nail 1-5 (11720) |
$50.88 |
$149.64 |
1.0× |
| Debride nail 6 or more (11721) |
$50.88 |
$149.64 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,286 |
$3,782.34 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$316.10 |
$929.70 |
0.9× |
| Deep Muscle Biopsy (20205) |
$2,166.19 |
$6,371.16 |
0.8× |
| Destr penis lesion(s) (54065) |
$1,567.84 |
$4,611.30 |
0.8× |
| Destruct B9 Lesion 1-14 (17110) |
$174.42 |
$513 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$174.42 |
$513 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$1,567.84 |
$4,611.30 |
0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$164.11 |
$482.67 |
0.9× |
| Destruction of rectal tumor transanal approach (45190) |
$2,233.26 |
$6,568.41 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$164.11 |
$482.67 |
0.9× |
| Destruction Vaginal Lesions Simple (57061) |
$2,397.62 |
$7,051.83 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$725.39 |
$2,133.51 |
0.9× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$947.78 |
$2,787.60 |
0.9× |
| Dilate Esophagus 1/Mult Pass (43450) |
$837.76 |
$2,464 |
1.0× |
| Dilate Urethra Stricture (53600) |
$243.25 |
$715.44 |
1.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,397.62 |
$7,051.83 |
0.8× |
| Drain Cerebro Spinal Fluid (62272) |
$580.01 |
$1,705.92 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$568.48 |
$1,671.99 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,286 |
$3,782.34 |
0.9× |
| Drainage of finger abscess simple (26010) |
$164.11 |
$482.67 |
0.9× |
| Drainage of gum lesion (41800) |
$102.33 |
$300.96 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$1,575.90 |
$4,635 |
1.1× |
| Drainage of scrotal wall abscess (55100) |
$1,286 |
$3,782.34 |
0.9× |
| Drainage of scrotum (54700) |
$1,638.79 |
$4,819.98 |
0.9× |
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines |
$102.32–$124.44 |
$300.95–$366 |
varies |
| Dressing Change Under Anesthesia (15852) |
$479.09 |
$1,409.10 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$316.10 |
$929.70 |
0.9× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines |
$164.11–$184.21 |
$482.67–$541.80 |
varies |
| Dstrj Lesion Anus Extensive (46924) |
$2,233.26 |
$6,568.41 |
0.9× |
| Dstrj lesion anus simple surg excision (46922) |
$2,233.26 |
$6,568.41 |
0.9× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$1,567.84 |
$4,611.30 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$1,567.84 |
$4,611.30 |
0.8× |
| Dx Bronchoscope/Lavage (31624) |
$1,367.71 |
$4,022.67 |
0.8× |
| Dx Bronchoscope/Wash (31622) |
$1,367.71 |
$4,022.67 |
0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,772.42 |
$5,213 |
1.0× |
| Egd cautery tumor polyp (43250) |
$1,772.42 |
$5,213 |
1.0× |
| Egd control bleeding any (43255) |
$1,772.42 |
$5,213 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,772.42 |
$5,213 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$837.76 |
$2,464 |
1.0× |
| Egd lesion ablation (43270) |
$1,772.42 |
$5,213 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,772.42 |
$5,213 |
1.0× |
| Egd remove lesion snare (43251) |
$1,772.42 |
$5,213 |
1.0× |
| Endoscopic injection/implant (51715) |
$2,811.78 |
$8,269.95 |
0.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$568.48 |
$1,671.99 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,286 |
$3,782.34 |
0.9× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$568.48 |
$1,671.99 |
0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$568.48 |
$1,671.99 |
0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,286 |
$3,782.34 |
0.9× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$568.48 |
$1,671.99 |
0.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$568.48 |
$1,671.99 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,286 |
$3,782.34 |
0.9× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,286 |
$3,782.34 |
0.9× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$2,653.40 |
$7,804.11 |
1.0× |
| Exc ganglion wrist recurrent (25112) |
$1,419.84 |
$4,176 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,286 |
$3,782.34 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$568.48 |
$1,671.99 |
0.9× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
$1,286 |
$3,782.34–$3,782.35 |
0.9× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,286 |
$3,782.34 |
0.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,811.78 |
$8,269.95 |
0.9× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$739.92 |
$2,176.23 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,272.61 |
$3,742.98 |
0.9× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$2,501.06 |
$7,356.06 |
0.8× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$2,501.06 |
$7,356.06 |
0.8× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$2,501.06 |
$7,356.06 |
0.8× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,233.26 |
$6,568.41 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$568.48 |
$1,671.99 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,286 |
$3,782.34 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,286 |
$3,782.34 |
0.9× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,286 |
$3,782.34 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,286 |
$3,782.34 |
0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,093.44 |
$3,216 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$316.10 |
$929.70 |
0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$568.48 |
$1,671.99 |
0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,286 |
$3,782.34 |
0.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,286 |
$3,782.34 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,286 |
$3,782.34 |
0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,662.88 |
$7,832 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,653.40 |
$7,804.11 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,166.19 |
$6,371.16 |
0.8× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,272.61 |
$3,742.98 |
0.9× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$568.48 |
$1,671.99 |
0.9× |
| Excision External Ear Partial Simple Repair (69110) |
$2,166.19 |
$6,371.16 |
0.8× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,166.19 |
$6,371.16 |
0.8× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$2,166.19 |
$6,371.16 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$568.48 |
$1,671.99 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$316.10 |
$929.70 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$568.48 |
$1,671.99 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,286 |
$3,782.34 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,166.19 |
$6,371.16 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$568.48 |
$1,671.99 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,286 |
$3,782.34 |
0.9× |
| Excision malignant tumor mandible (21044) |
$4,648.66 |
$13,672.53 |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,233.26 |
$6,568.41 |
0.9× |
| Excision of bartholin's gland or cyst (56740) |
$2,397.62 |
$7,051.83 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,272.61 |
$3,742.98 |
0.9× |
| Excision of hydrocele; bilateral (55041) |
$2,909.64 |
$8,557.77 |
0.9× |
| Excision of hydrocele; unilateral (55040) |
$2,909.64 |
$8,557.77 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,166.19 |
$6,371.16 |
0.8× |
| Excision of single external papilla or tag, anus (46220) |
$947.78 |
$2,787.60 |
0.9× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$2,501.06 |
$7,356.06 |
0.8× |
| Excision olecranon bursa (24105) |
$2,586.99 |
$7,608.78 |
0.9× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,653.40 |
$7,804.11 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,166.19 |
$6,371.16 |
0.8× |
| Excision synovial cyst popliteal space (27345) |
$2,586.99 |
$7,608.78 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,286 |
$3,782.34 |
0.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,286 |
$3,782.34 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,166.19 |
$6,371.16 |
0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,286 |
$3,782.34 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,761.82 |
$8,123 |
1.1× |
| Explo/Drain Breast Abscess (19020) |
$1,286 |
$3,782.34 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$568.48 |
$1,671.99 |
0.4× |
| Fasciotomy, foot and/or toe (28008) |
$2,586.99 |
$7,608.78 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$316.10 |
$929.70 |
0.9× |
| Foreskin manipulation (54450) |
$243.25 |
$715.44 |
1.1× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$1,567.84 |
$4,611.30 |
0.8× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,567.84 |
$4,611.30 |
0.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,567.84 |
$4,611.30 |
0.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,567.84 |
$4,611.30 |
0.8× |
| Fusion Finger Joint (26860) |
$2,586.99 |
$7,608.78 |
0.9× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$1,485.27 |
$4,368.45 |
0.9× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,233.26 |
$6,568.41 |
0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,233.26 |
$6,568.41 |
0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,233.26 |
$6,568.41 |
0.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$725.39 |
$2,133.51 |
0.9× |
| Hemorrhoidopexy by stapling (46947) |
$2,233.26 |
$6,568.41 |
0.9× |
| I&d abscess simple (10060) |
$164.11 |
$482.67 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,166.19 |
$6,371.16 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,166.19 |
$6,371.16 |
0.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,007.98 |
$8,847 |
1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$2,233.26 |
$6,568.41 |
0.9× |
| I&d perianal abscess superficial (46050) |
$725.39 |
$2,133.51 |
0.9× |
| I&d pilonidal cyst complicated (10081) |
$652.46 |
$1,919 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$568.48 |
$1,671.99 |
0.9× |
| Incise external hemorrhoid (46083) |
$243.25 |
$715.44 |
1.1× |
| Incise finger tendon sheath (26055) |
$1,272.61 |
$3,742.98 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$316.10 |
$929.70 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,166.19 |
$6,371.16 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,286 |
$3,782.34 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$316.10 |
$929.70 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$155.67 |
$457.86 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$257.27 |
$756.69 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$1,272.61 |
$3,742.98 |
0.9× |
| Incision of rectal abscess (46040) |
$947.78 |
$2,787.60 |
0.9× |
| Incision of urethra (53020) |
$1,638.79 |
$4,819.98 |
0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,286.17 |
$3,782.85 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$487.77 |
$1,434.63 |
0.7× |
| Ins endovas vena cava filtr (37191) |
$4,360.12 |
$12,823.89 |
0.9× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$3,580.82 |
$10,531.83 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$127.55 |
$375.14 |
1.1× |
| Insert cath pleura w/o image (32556) |
$1,485.27 |
$4,368.45 |
0.9× |
| Insert Drug Implant Device (11981) |
$102.33 |
$300.96 |
0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,485.27 |
$4,368.44 |
0.9× |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$2,615.56–$2,615.57 |
$7,692.83–$7,692.84 |
varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,285.21 |
$3,780.04 |
0.9× |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
$96.24–$102.32 |
$283.05–$300.95 |
varies |
| Insert tun ip cath perc (49418) |
$2,909.64 |
$8,557.77 |
0.9× |
| Insert tunneled cv cath (36561) |
$2,615.57 |
$7,692.84 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$102.32 |
$300.95 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,615.57 |
$7,692.84 |
0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,285.21 |
$3,780.04 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,615.57 |
$7,692.84 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$316.10 |
$929.70 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$193.40 |
$568.83 |
0.9× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$4,625.25 |
$13,603.68 |
0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$4,625.25 |
$13,603.68 |
0.8× |
| Laparoscopy, surgical, appendectomy (44970) |
$4,625.25 |
$13,603.68 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,625.25 |
$13,603.68 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$1,286 |
$3,782.34 |
0.9× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$2,811.78 |
$8,269.95 |
0.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,811.78 |
$8,269.95 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,638.79 |
$4,819.98 |
0.9× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,272.61 |
$3,742.98 |
0.9× |
| Mastectomy simple complete (19303) |
$5,058.03 |
$14,876.55 |
0.8× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$370.86 |
$1,090.77 |
0.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,886.18 |
$8,488.77 |
0.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,586.99 |
$7,608.78 |
0.9× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$4,648.66 |
$13,672.53 |
0.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,272.61 |
$3,742.98 |
0.9× |
| Partial removal of fibula (27641) |
$2,586.99 |
$7,608.78 |
0.9× |
| Partial removal of toe (28160) |
$2,586.99 |
$7,608.78 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,586.99 |
$7,608.78 |
0.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,397.62 |
$7,051.83 |
0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,030.33 |
$11,853.90 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$725.39 |
$2,133.51 |
0.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$2,586.99 |
$7,608.78 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$316.10 |
$929.70 |
0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$370.40 |
$1,089.42 |
1.0× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$2,166.19 |
$6,371.16 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$2,166.19 |
$6,371.16 |
0.8× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$5,726.18 |
$16,841.70 |
0.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,166.19 |
$6,371.16 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$50.88 |
$149.64 |
1.0× |
| Removal Implant Deep (20680) |
$2,166.19 |
$6,371.16 |
0.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,286 |
$3,782.34 |
0.9× |
| Removal of anal fissure (46200) |
$2,233.26 |
$6,568.41 |
0.9× |
| Removal of heel spur (28119) |
$2,586.99 |
$7,608.78 |
0.9× |
| Removal of nail bed (11750) |
$345.10 |
$1,015 |
0.9× |
| Removal of sperm cord lesion (55520) |
$2,811.78 |
$8,269.95 |
0.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,815.54 |
$8,281 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$164.11 |
$482.67 |
0.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$568.56 |
$1,672.23 |
0.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,695.92 |
$4,988 |
0.9× |
| Removal sweat gland lesion (11450) |
$2,166.19 |
$6,371.16 |
0.8× |
| Remove drug implant device (11982) |
$246.98 |
$726.42 |
0.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$1,638.79 |
$4,819.98 |
0.9× |
| Remove Intrauterine Device (58301) |
$257.27 |
$756.69 |
0.9× |
| Remove Tendon Sheath Lesion (26160) |
$1,272.61 |
$3,742.98 |
0.9× |
| Remove tissue expander (11971) |
$2,166.19 |
$6,371.16 |
0.8× |
| Remove/Insert Drug Implant (11983) |
$246.98 |
$726.42 |
0.6× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$4,034.31 |
$11,865.63 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$479.09 |
$1,409.10 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$534.65 |
$1,572.51 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$479.09 |
$1,409.10 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$479.09 |
$1,409.10 |
0.7× |
| Repair Hallux Rigidus (28289) |
$2,586.99 |
$7,608.78 |
0.9× |
| Repair incomplete circumcision (54163) |
$1,638.79 |
$4,819.98 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,909.64 |
$8,557.77 |
0.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,909.64 |
$8,557.77 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$479.09 |
$1,409.10 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$316.10 |
$929.70 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,568.06 |
$4,611.93 |
0.8× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$2,586.99 |
$7,608.78 |
0.9× |
| Revj/rpr oprative wound anterior segment (66250) |
$1,830.16 |
$5,382.81 |
0.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$413.46 |
$1,216.05 |
0.8× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,286 |
$3,782.34 |
0.9× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$1,900.35 |
$5,589.27 |
0.9× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$1,900.35 |
$5,589.27 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,285.21 |
$3,780.03 |
0.9× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$1,900.35 |
$5,589.27 |
0.9× |
| Rmvl/revj sling stress incontinence (57287) |
$2,397.62 |
$7,051.83 |
0.8× |
| Rplc Gtube No Revj Trc (43762) |
$230.76 |
$678.72 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,615.57 |
$7,692.84 |
0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,285.21 |
$3,780.03 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,615.57 |
$7,692.84 |
0.9× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,307.18 |
$9,727 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$5,979.26 |
$17,586.06 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$5,979.26 |
$17,586.06 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$177.14 |
$521 |
1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$2,587.33 |
$7,609.80 |
0.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$316.10 |
$929.70 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$316.10 |
$929.70 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$164.11 |
$482.67 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$164.11 |
$482.67 |
0.9× |
| Sigmoidoscopy & decompress (45337) |
$725.39 |
$2,133.51 |
0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$725.39 |
$2,133.51 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$177.14 |
$521 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$177.14 |
$521 |
1.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,567.84 |
$4,611.30 |
0.8× |
| Skin Tissue Procedure (17999) |
$164.11 |
$482.67 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,030.33 |
$11,853.90 |
0.9× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,542.52 |
$7,478 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$580.02 |
$1,705.93 |
0.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,219.25 |
$9,468.39 |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$1,567.84 |
$4,611.30 |
0.8× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$246.98 |
$726.42 |
0.6× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$2,563.94 |
$7,541 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,233.26 |
$6,568.41 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,233.26 |
$6,568.41 |
0.9× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$1,567.84 |
$4,611.30 |
0.8× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$1,042.44 |
$3,066 |
1.0× |
| Treatment of anal fissure (46940) |
$2,275.28 |
$6,692.01 |
0.9× |
| Trim skin lesion (11055) |
$184.21 |
$541.80 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$164.11 |
$482.67 |
0.9× |
| Trimming Nondystrophic Nails Any Number (11719) |
$50.88 |
$149.64 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,542.46 |
$7,477.83 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,272.61 |
$3,742.98 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$479.09 |
$1,409.10 |
0.7× |
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines |
$316.10–$352.24 |
$929.70–$1,036 |
varies |
| Unlisted laparoscopic procedure liver (47379) |
$4,625.25 |
$13,603.68 |
0.8× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$4,625.25 |
$13,603.68 |
0.8× |
| Unlisted procedure anus (46999) |
$725.39 |
$2,133.51 |
0.9× |
| Unlisted procedure arthroscopy (29999) |
$188.46 |
$554.28 |
0.8× |
| Unlisted procedure colon (45399) |
$725.39 |
$2,133.51 |
0.9× |
| Unlisted Procedure External Ear (69399) |
$193.40 |
$568.83 |
0.9× |
| Unlisted procedure foot or toes (28899) |
$188.46 |
$554.28 |
0.8× |
| Unlisted Procedure Intestine (44799) |
$739.98 |
$2,176.41 |
0.9× |
| Unlisted Procedure Leg/Ankle (27899) |
$188.46 |
$554.28 |
0.8× |
| Unlisted Procedure Muscskeletal System General (20999) |
$188.46 |
$554.28 |
0.8× |
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines |
$725.39–$725.40 |
$2,133.51–$2,133.52 |
varies |
| Unlisted procedure stomach (43999) |
$739.98 |
$2,176.41 |
0.9× |
| Unlisted Procedure Trachea Bronchi (31899) |
$150.26 |
$441.93 |
0.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$739.98 |
$2,176.41 |
0.9× |
| Unlisted Procedure, Urinary System (53899) |
$243.25 |
$715.44 |
1.1× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$4,034.31 |
$11,865.63 |
0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,638.79 |
$4,819.98 |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$479.09 |
$1,409.10 |
1.3× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,567.84 |
$4,611.30 |
2.3× |