| Abd paracentesis w/imaging (49083) |
$1,422.77 |
$2,371.29 |
1.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,092.20 |
$3,487 |
2.5× |
| Abdomen Surgery Procedure (22999) |
$5,719.20 |
$9,532 |
25.5× |
| Ablate inf turbinate submuc (30802) |
$7,616.60 |
$12,694.33 |
5.4× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$9,150 |
$15,250 |
0.9× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$8,700 |
$14,500 |
0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$10,728.71 |
$17,881.19 |
0.7× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$10,728.71 |
$17,881.19 |
1.6× |
| Abrasion single lesion (15786) |
$323.32 |
$538.86 |
1.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$7,129.09 |
$11,881.81 |
3.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$6,734.34 |
$11,223.90 |
2.1× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$9,702.60 |
$16,171 |
5.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,001.43 |
$5,002.38 |
1.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$5,740.16 |
$9,566.93 |
3.1× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$5,016.35 |
$8,360.58 |
2.7× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$11,370.60 |
$18,951 |
1.7× |
| Amniocentesis diagnostic (59000) |
$1,228.20 |
$2,047 |
1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$7,629.60 |
$13,339.50 |
2.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$7,440.60 |
$12,401 |
2.5× |
| Amputate Metacarpal Bone (26910) |
$10,822.78 |
$18,037.96 |
3.6× |
| Amputation metatarsal with toe single (28810) |
$9,126 |
$15,210 |
3.1× |
| Amputation toe interphalangeal joint (28825) |
$8,575.20 |
$14,292 |
2.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$8,514.60 |
$14,191 |
2.9× |
| Anoscopy Control Bleeding (46614) |
$1,791.93 |
$2,986.55 |
1.6× |
| Anoscopy diagnostic (46600) |
$201.01 |
$335.02 |
1.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$5,622.26 |
$9,370.43 |
2.2× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$6,038.70 |
$10,064.50 |
1.3× |
| Anterior Tibial Tubercleplasty (27418) |
$12,735.90 |
$21,226.50 |
1.9× |
| Apheresis Platelets (36513) |
$2,003.02 |
$3,338.37 |
5.0× |
| Application cast elbow finger short arm (29075) |
$454.06 |
$756.77 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$207.60 |
$346 |
3.9× |
| Application finger splint static (29130) |
$272.40 |
$454 |
2.3× |
| Application Halo Cranial Including Removal (20661) |
$3,912.60 |
$6,521 |
2.7× |
| Application long arm splint shoulder hand (29105) |
$333.60 |
$556 |
2.3× |
| Application Long Leg Splint (29505) |
$332.33 |
$553.88 |
2.3× |
| Application multiplane external fixation system (20692) |
$7,914 |
$13,190 |
0.7× |
| Application of long leg cast (29345) |
$129.60 |
$216 |
0.5× |
| Application of rigid total contact leg cast (29445) |
$579.37 |
$965.61 |
2.3× |
| Application Short Arm Splint Dynamic (29126) |
$250.80 |
$418 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$254.12 |
$423.53 |
2.1× |
| Application short leg splint calf foot (29515) |
$332.33 |
$553.88 |
2.3× |
| Application uniplane external fixation system (20690) |
$8,645.99 |
$14,409.98 |
1.3× |
| Apply hand/wrist cast (29085) |
$270 |
$450 |
1.8× |
| Apply long arm cast (29065) |
$454.06 |
$756.77 |
1.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$259.14 |
$431.90 |
1.8× |
| Apply Short Leg Cast (29405) |
$454.06 |
$756.77 |
1.8× |
| Apply short leg cast (29425) |
$454.06 |
$756.77 |
1.8× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$13,141.04 |
$21,901.74 |
2.7× |
| Arrest Epiphyseal Distal Femur (27475) |
$15,828.90 |
$26,381.50 |
2.4× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$16,999.50 |
$28,332.50 |
2.6× |
| Arterial puncture (36600) |
$272.40 |
$454 |
2.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$14,643.60 |
$24,248.50 |
5.1× |
| Artery-vein autograft (36825) |
$15,818.38 |
$26,363.97 |
3.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$7,214.25 |
$11,995.04 |
0.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$28,471.63 |
$47,452.72 |
2.4× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$468–$936 |
$780–$1,560 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,039.84 |
$1,733.06 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$468.28 |
$780.47 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$588.64 |
$981.07 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$468.28 |
$780.47 |
1.7× |
| Arthrodesis ankle open (27870) |
$48,792.16 |
$81,320.28 |
4.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,390.20 |
$12,317 |
1.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$16,853.40 |
$28,089 |
2.6× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$14,263.20 |
$23,772 |
4.8× |
Arthrodesis Posterior Interbody Lumbar (22630) unusually low: confirm this is the full procedure |
$9,952.14 |
$16,233.93 |
0.4× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$10,770.27 |
$17,950.46 |
0.7× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$20,794.21 |
$18,758.97 |
1.3× |
| Arthrodesis subtalar (28725) |
$36,656.56 |
$61,094.27 |
3.1× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) unusually low: confirm this is the full procedure |
$10,770.27 |
$17,950.46 |
0.4× |
| Arthroplasty Ankle W/Implant (27702) |
$43,025.76 |
$71,766.34 |
1.7× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$8,338.26 |
$13,897.10 |
0.5× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$6,668.16 |
$11,113.60 |
0.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$11,642.40 |
$19,404 |
3.9× |
| Arthroplasty Radial Head W/Implant (24366) |
$19,197.18 |
$31,995.30 |
1.6× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
$19,871.68 |
$33,119.46 |
1.7× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$12,300.19 |
$21,100.66 |
4.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$15,827.55 |
$26,379.25 |
5.3× |
| Arthroscopy knee synovectomy limited spx (29875) |
$18,387.78 |
$30,646.30 |
6.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$14,197.80 |
$24,827.29 |
4.8× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$40,431.16 |
$67,385.27 |
6.1× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$19,745.81 |
$32,909.68 |
3.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$23,741.33 |
$39,568.89 |
8.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$24,661.20 |
$41,102 |
8.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$10,912.20 |
$18,187 |
1.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$25,772.54 |
$42,954.24 |
8.7× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$20,321.70 |
$33,869.51 |
6.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$39,592.66 |
$65,987.76 |
6.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$32,171.65 |
$32,923.71 |
4.9× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$21,178.39 |
$35,297.31 |
7.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$28,109.38 |
$46,848.97 |
2.4× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$19,741.78 |
$32,902.97 |
6.6× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$23,046.33 |
$38,410.56 |
2.0× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$18,567.66 |
$26,876 |
2.8× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$15,901.91 |
$26,503.19 |
5.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$14,255.10 |
$35,361 |
2.2× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$21,431.97 |
$35,719.95 |
7.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$15,297.65 |
$25,496.09 |
5.1× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$15,715.42 |
$26,144.33 |
5.3× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$21,986.40 |
$36,644 |
7.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$9,082.67 |
$15,137.79 |
3.1× |
| Aspirate pleura w/ imaging (32555) |
$1,342.20 |
$2,237 |
2.4× |
| Aspirate Pleura W/O Imaging (32554) |
$1,172.24 |
$1,953.74 |
2.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$468.28 |
$780.47 |
1.7× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$1,185 |
$1,975 |
1.8× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,096.24 |
$1,827.07 |
1.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,433.40 |
$5,722.34 |
1.8× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,797 |
$2,995 |
2.3× |
| Autologous Chondrocyte Implantation Knee (27412) |
$18,805.20 |
$31,342 |
2.9× |
| Av Fistula Revision Open (36832) |
$14,074.50 |
$23,457.50 |
2.8× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,234.20 |
$12,057 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$323.32 |
$538.86 |
1.8× |
| Axillary lymphadenectomy; complete (38745) |
$10,926 |
$18,210 |
2.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$5,570.92 |
$9,284.87 |
0.9× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$8,940 |
$14,900 |
0.9× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$5,570.92 |
$9,284.87 |
0.9× |
| Biopsy Abdominal Mass (49180) |
$2,579.66 |
$4,299.44 |
1.7× |
| Biopsy bone open deep (20245) |
$9,111.60 |
$15,186 |
3.5× |
| Biopsy bone open superficial (20240) |
$5,142.60 |
$8,571 |
1.9× |
| Biopsy bone trocar/needle deep (20225) |
$2,579.66 |
$4,299.44 |
1.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,579.66 |
$4,299.44 |
1.7× |
| Biopsy external ear (69100) |
$880.03 |
$1,466.71 |
4.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,579.66 |
$4,299.44 |
1.7× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$7,639.32 |
$12,732.20 |
2.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,579.66 |
$4,299.44 |
1.7× |
| Biopsy of rectum (45100) |
$5,749.20 |
$9,582 |
2.3× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$2,973.24 |
$4,955.41 |
0.8× |
| Biopsy Oropharynx (42800) |
$2,760 |
$4,600 |
2.0× |
| Biopsy ovary uni/bi separate procedure (58900) |
$4,740 |
$7,900 |
1.6× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,579.40 |
$4,299 |
1.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$12,242.45 |
$20,404.08 |
3.8× |
| Biopsy Salivary Gland Needle (42400) |
$1,096.24 |
$1,827.07 |
1.7× |
| Biopsy soft tissue neck/thorax (21550) |
$2,785.80 |
$4,643 |
1.9× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$2,610 |
$4,350 |
1.7× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$2,785.80 |
$4,643 |
1.9× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$3,424.80 |
$5,708 |
2.3× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$2,610 |
$4,350 |
1.7× |
| Biopsy Tongue Posterior One-Third (41105) |
$4,876.80 |
$8,128 |
1.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$6,761.88 |
$10,145.62 |
8.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$6,902.20 |
$11,503.68 |
8.3× |
| Biopsy/removal lymph nodes (38510) |
$9,050.29 |
$15,010.11 |
2.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$450 |
$750 |
0.7× |
| Bladder Irrigation (51700) |
$439.24 |
$732.06 |
1.9× |
| Bladder Scan (51798) |
$120 |
$200 |
2.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$8,098.70 |
$13,497.83 |
4.3× |
| Blepharotomy drainage abscess eyelid (67700) |
$512.21 |
$853.69 |
1.8× |
| Blood Transfusion Service (36430) |
$924 |
$1,540 |
2.3× |
| Blood/Lymph System Procedure (38999) |
$10,324.62 |
$17,207.71 |
25.8× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$14,962.35 |
$24,937.25 |
2.3× |
| Bone Marrow Biopsy (38221) |
$2,579.66 |
$4,299.44 |
1.7× |
| Bone Marrow; Aspiration Only (38220) |
$2,579.66 |
$4,299.44 |
1.7× |
| Breast Reduction (19318) |
$18,810 |
$31,350 |
3.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,533.09 |
$4,221.81 |
1.6× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$18,184.80 |
$30,308 |
5.4× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$17,696.70 |
$29,494.50 |
5.2× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$9,308.29 |
$15,513.82 |
1.5× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$9,480.71 |
$15,801.18 |
2.8× |
| Bronchoscopy Bronch Stents (31636) |
$9,308.29 |
$15,513.82 |
1.5× |
| Bronchoscopy Clear Airways (31645) |
$2,700 |
$4,500 |
1.7× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,533.09 |
$4,221.81 |
1.6× |
| Bronchoscopy W/Excision Tumor (31640) |
$5,007.20 |
$8,345.33 |
1.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,533.09 |
$4,221.81 |
1.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$5,007.20 |
$8,345.33 |
1.5× |
| Bronchoscopy/Needle Bx Each (31629) |
$5,007.20 |
$8,345.33 |
1.5× |
| Bx breast 1st lesion mr imag (19085) |
$2,579.66 |
$4,299.44 |
1.7× |
| Bx breast 1st lesion strtctc (19081) |
$2,579.66 |
$4,299.44 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$2,579.66 |
$4,299.44 |
1.7× |
| Bx Cervix (57500) |
$975 |
$1,625 |
1.2× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$13,289.46 |
$22,149.10 |
4.2× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$13,612.55 |
$22,486.59 |
4.3× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$12,341.76 |
$20,531.40 |
3.9× |
| Bx/exc lymph node open deep axillary node (38525) |
$10,438.57 |
$17,397.61 |
2.9× |
| Bx/exc lymph node open superficial (38500) |
$6,535.46 |
$10,892.44 |
1.8× |
| Canthotomy Separate Procedure (67715) |
$2,985 |
$4,975 |
1.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$6,907.50 |
$11,512.50 |
2.3× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$4,597.31 |
$7,662.18 |
3.1× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$11,784.75 |
$19,641.25 |
1.8× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$13,770.17 |
$22,950.29 |
2.1× |
| Carpal Tunnel Surgery (64721) |
$7,561.64 |
$14,024.48 |
4.3× |
| Carpectomy All Bones Proximal Row (25215) |
$5,981.38 |
$9,968.98 |
2.0× |
| Catheter aspiration nasotracheal spx (31720) |
$356.66 |
$594.44 |
1.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$5,749.20 |
$9,716.30 |
2.0× |
Cerv artific diskectomy (22856) unusually low: confirm this is the full procedure |
$6,678.30 |
$11,130.50 |
0.4× |
| Cessj Therapy Cath Removal (37214) |
$2,144.52 |
$3,574.20 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$945 |
$1,575 |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$439.24 |
$732.06 |
1.9× |
| Change of Windpipe Airway (31502) |
$371.08 |
$618.47 |
1.7× |
| Change ureter stent percut (50382) |
$3,244.94 |
$5,408.24 |
1.7× |
| Chemical Cautery Tissue (17250) |
$323.32 |
$538.86 |
1.8× |
| Chemical Pleurodesis (32560) |
$1,172.24 |
$1,953.74 |
2.1× |
| Chest tube placement (32551) |
$1,881.05 |
$3,135.09 |
1.3× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$3,244.94 |
$5,408.24 |
1.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$5,570.92 |
$9,284.87 |
1.7× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$11,783.77 |
$19,639.61 |
5.5× |
| Circumcision 28 days or older (54161) |
$5,991.60 |
$9,986 |
3.2× |
| Circumcision Neonate (54160) |
$3,279.37 |
$5,465.61 |
5.2× |
| Circumcision w/clamp/oth dev w/block (54150) |
$3,469.20 |
$5,782 |
1.8× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,214 |
$3,690 |
1.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,583.32 |
$4,305.53 |
1.8× |
| Claviculectomy partial (23120) |
$6,705.27 |
$11,199.77 |
2.3× |
| Clear outer ear canal (69200) |
$201.01 |
$335.02 |
1.7× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$8,389.36 |
$13,349.13 |
2.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$465 |
$775 |
2.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$435 |
$725 |
1.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,925 |
$4,875 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$570.55 |
$950.92 |
2.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$570.55 |
$950.92 |
2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$411.25 |
$685.41 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,583.32 |
$4,305.53 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$430.80 |
$718 |
1.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,583.32 |
$4,305.53 |
1.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$570.55 |
$950.92 |
2.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$4,117.20 |
$7,087.08 |
2.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$411 |
$685 |
1.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,580 |
$4,300 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$411.25 |
$685.41 |
1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,583.32 |
$4,305.53 |
1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$4,755.59 |
$7,925.99 |
3.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,402.55 |
$7,363.21 |
1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$495 |
$825 |
2.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$570.55 |
$950.92 |
2.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$480 |
$800 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,583.32 |
$4,305.53 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$450 |
$750 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,583.32 |
$4,305.53 |
1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,583.32 |
$4,305.53 |
1.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$515.70 |
$859.50 |
2.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$429.60 |
$716 |
1.9× |
| Closed tx septal&nose fx (21337) |
$6,355.40 |
$10,592.33 |
2.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$465 |
$775 |
2.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$411.25 |
$685.41 |
1.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,214 |
$3,690 |
1.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$411.25 |
$685.41 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$411.25 |
$685.41 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,583.32 |
$4,305.53 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$411.25 |
$685.41 |
1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$516 |
$860 |
2.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$3,463.21 |
$5,772.01 |
7.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$492 |
$820 |
2.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,925 |
$4,875 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$411.25 |
$685.41 |
1.8× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$900 |
$1,500 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,583.32 |
$4,305.53 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$570.55 |
$950.92 |
2.5× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$7,456.20 |
$6,892.50 |
3.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,550 |
$4,250 |
1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$393 |
$655 |
1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$411.25 |
$685.41 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$570.55 |
$950.92 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$420 |
$700 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$352.20 |
$587 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$411.25 |
$685.41 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$510 |
$850 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,715 |
$4,525 |
1.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$465 |
$775 |
2.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,909.40 |
$10,035.06 |
2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$411.25 |
$685.41 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$411.25 |
$685.41 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$570.55 |
$950.92 |
2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$411.25 |
$685.41 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$7,709.40 |
$12,849 |
5.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$411.25 |
$685.41 |
1.8× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,580 |
$4,300 |
1.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$570.55 |
$950.92 |
2.5× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$663.30 |
$1,105.50 |
3.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,730 |
$4,550 |
1.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,505 |
$4,175 |
1.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$590.40 |
$984 |
2.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$2,378.63 |
$3,964.39 |
9.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$411.25 |
$685.41 |
1.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,378.63 |
$3,964.39 |
9.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$478.20 |
$797 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$352.20 |
$587 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$411.25 |
$685.41 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$411 |
$685 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$411.25 |
$685.41 |
1.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$705.60 |
$1,176 |
3.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$2,580 |
$4,300 |
11.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$352.20 |
$587 |
1.6× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$3,384 |
$5,640 |
2.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$703.20 |
$1,172 |
3.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,940 |
$4,900 |
2.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$411.25 |
$685.41 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$502.20 |
$837 |
2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,583.32 |
$4,305.53 |
1.8× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$2,583.32 |
$4,305.53 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$201.01 |
$335.02 |
1.7× |
| Collection of venous blood by venipuncture (36415) |
$12.60 |
$21 |
1.3× |
| Colonoscopy Flexible With Decompression (45393) |
$1,536 |
$2,560 |
1.4× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$2,201.35 |
$3,668.92 |
2.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$2,201.35 |
$3,668.92 |
2.0× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
$8,216.46 |
$13,694.10 |
1.5× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$1,791.93 |
$2,986.55 |
2.1× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$2,201.35 |
$3,668.92 |
2.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colonoscopy thru stoma (44388) |
$1,419.53 |
$2,365.88 |
1.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colonoscopy w/ablation (45388) |
$2,514.60 |
$4,191 |
2.3× |
| Colonoscopy W/Band Ligation (45398) |
$1,536 |
$2,560 |
1.4× |
| Colonoscopy w/fb removal (45379) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colonoscopy W/Resection (45390) |
$2,201.35 |
$3,668.92 |
0.9× |
| Colonoscopy w/stent plcmt (45389) |
$8,216.46 |
$13,694.10 |
1.5× |
| Colonoscopy w/submucosal inj (45381) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colpocleisis (le fort type) (57120) |
$13,401.46 |
$22,335.76 |
2.9× |
| Colpopexy extraperitoneal (57282) |
$4,734 |
$7,890 |
0.7× |
| Colporrhaphy (57200) |
$9,573.60 |
$15,956 |
3.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$5,299.78 |
$8,832.97 |
19.2× |
| Colposcopy Vulva W/Biopsy (56821) |
$13,734.55 |
$22,890.91 |
49.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,325 |
$3,875 |
2.1× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,791.93 |
$2,986.55 |
1.6× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$1,536 |
$2,560 |
1.4× |
| Combined anteroposterior colporrhaphy; (57260) |
$8,719.80 |
$14,533 |
1.9× |
| Complex drainage wound (10180) |
$6,049.80 |
$10,083 |
2.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$6,962.17 |
$11,603.61 |
2.4× |
| Conization of cervix (57520) |
$6,433.45 |
$10,555 |
2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$214.20 |
$357 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$203.03 |
$338.39 |
1.7× |
| Control oropharyngeal hemorrhage simple (42960) |
$5,741.40 |
$9,569 |
11.7× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$84,680.65 |
$141,134.41 |
7.3× |
| Conversion ext bil drg cath (47535) |
$6,067.64 |
$10,112.73 |
1.9× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,731.51 |
$4,552.52 |
1.6× |
| Convert Nephrostomy Catheter (50434) |
$3,244.94 |
$5,408.24 |
1.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,700 |
$4,500 |
1.8× |
| Correction hammertoe (28285) |
$11,815.80 |
$19,693 |
4.0× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$205.29 |
$342.15 |
1.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,907.50 |
$11,512.50 |
2.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$33,531.93 |
$33,905.84 |
5.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$31,667.74 |
$52,779.57 |
4.8× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$19,987.20 |
$33,312 |
4.0× |
| Csf shunt reprogram (62252) |
$555 |
$925 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$203.03 |
$338.39 |
1.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$341.59 |
$569.31 |
1.6× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$2,855.52 |
$4,817.60 |
0.9× |
| Curettage postpartum (59160) |
$5,085 |
$8,946.50 |
1.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$9,058.80 |
$15,098 |
4.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$9,179.40 |
$14,870 |
4.8× |
| Cysto w/complex removal stone & stent (52315) |
$9,179.40 |
$15,299 |
4.8× |
| Cysto w/destruction of lesions (52214) |
$9,377.91 |
$15,629.85 |
2.9× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$9,213.60 |
$15,356 |
1.9× |
| Cysto w/insert ureteral stent (52332) |
$13,007.40 |
$21,679 |
4.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$9,670.20 |
$16,117 |
3.0× |
| Cysto w/removal of lesions small (52224) |
$9,368.40 |
$15,614 |
2.9× |
| Cysto w/removal of tumors small (52234) |
$9,444.90 |
$15,741.50 |
3.0× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$9,179.40 |
$15,299 |
2.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$9,093.08 |
$15,155.13 |
4.8× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$12,610.20 |
$21,017 |
2.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$9,624 |
$16,040 |
3.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$12,730.80 |
$21,218 |
4.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$9,179.40 |
$15,242 |
2.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$9,300 |
$15,500 |
1.9× |
| Cysto/uretero w/lithotripsy (52356) |
$13,650.60 |
$22,047 |
2.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,300 |
$5,500 |
1.7× |
| Cystouretero w/renal strict (52346) |
$12,730.80 |
$21,218 |
2.6× |
| Cystourethroscopy (52000) |
$8,922 |
$14,870 |
14.1× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$9,994.80 |
$22,109.22 |
2.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$9,733.80 |
$16,223 |
3.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$8,990.40 |
$14,870 |
4.7× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$9,179.40 |
$15,299 |
2.9× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$9,505.20 |
$15,570.50 |
2.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$9,179.40 |
$15,299 |
4.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$9,574.80 |
$15,958 |
3.0× |
| Cystourethroscopy with biopsy (52204) |
$9,119.10 |
$15,185 |
4.8× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,946.40 |
$4,910.67 |
1.6× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$3,840 |
$6,400 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,194.71 |
$1,991.19 |
3.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$6,703.80 |
$11,173 |
2.5× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$4,834.80 |
$8,058 |
7.5× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$2,552.80 |
$4,254.67 |
0.9× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$8,855.57 |
$14,759.29 |
5.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$5,711.10 |
$9,518.50 |
8.5× |
| Debride nail 1-5 (11720) |
$124.61 |
$207.68 |
2.3× |
| Debride nail 6 or more (11721) |
$124.61 |
$207.68 |
2.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$9,414.25 |
$15,690.41 |
6.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$867 |
$1,445 |
2.3× |
| Declot vascular device (36593) |
$569.44 |
$949.06 |
1.9× |
| Decompress Fingers/Hand (26035) |
$5,070 |
$8,450 |
1.7× |
| Decompress Spinal Cord Lmbr (63056) |
$31,004.40 |
$51,674 |
4.7× |
| Decompression of tibia nerve (28035) |
$7,097.40 |
$11,829 |
4.0× |
| Deep Muscle Biopsy (20205) |
$5,650.80 |
$9,304 |
2.1× |
| Delivery of placenta (59414) |
$4,349.27 |
$7,248.78 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$7,883.23 |
$6,896.12 |
4.4× |
| Destroy lumb/sac facet jnt (64635) |
$7,470.76 |
$13,107.23 |
4.2× |
| Destruct B9 Lesion 1-14 (17110) |
$7,655.17 |
$12,758.61 |
42.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,791.93 |
$2,986.55 |
1.6× |
| Destruction Lesions Vulva Extensive (56515) |
$14,270.58 |
$23,784.30 |
7.6× |
| Destruction Lesions Vulva Simple (56501) |
$13,610.15 |
$22,683.59 |
7.3× |
| Destruction premalignant lesion 1st (17000) |
$83.40 |
$139 |
0.5× |
| Destruction Vaginal Lesions Simple (57061) |
$6,372.05 |
$15,429.54 |
2.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,358.66 |
$2,264.43 |
1.6× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$3,010.80 |
$5,018 |
2.8× |
| Dilat Xst Trc New Access Rcs (50437) |
$6,322.20 |
$10,537 |
2.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,422.77 |
$2,371.29 |
1.7× |
| Dilate Urethra Stricture (53620) |
$1,125 |
$1,875 |
1.8× |
| Dilate Urethra Stricture (53600) |
$340.80 |
$568 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,461.80 |
$9,046 |
1.9× |
| Dilation Esophagus Guide Wire (43453) |
$2,731.51 |
$4,552.52 |
1.6× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$3,244.94 |
$5,408.24 |
1.0× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$8,500.80 |
$14,168 |
1.7× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$15,365.40 |
$25,609 |
3.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$8,372.59 |
$13,954.31 |
5.2× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$4,062.36 |
$6,770.60 |
0.8× |
| Drain Cerebro Spinal Fluid (62272) |
$1,230.60 |
$2,051 |
1.9× |
| Drain Hand Tendon Sheath (26020) |
$8,717.10 |
$14,528.50 |
2.9× |
| Drain Spinal Cord Cyst (62268) |
$1,286.32 |
$2,143.86 |
1.6× |
| Drain/inj small joint/bursa w/us (20604) |
$588.64 |
$981.07 |
2.1× |
| Drainage abscess parotid simple (42300) |
$2,666 |
$4,443.33 |
1.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$900 |
$1,500 |
1.8× |
| Drainage external auditory canal abscess (69020) |
$1,096.24 |
$1,827.07 |
1.7× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,702.71 |
$4,504.51 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,096.24 |
$1,827.07 |
1.7× |
| Drainage Finger Abscess Complicated (26011) |
$2,339.36 |
$4,299.44 |
1.6× |
| Drainage Mouth Roof Lesion (42000) |
$516 |
$860 |
2.4× |
| Drainage of eye (65800) |
$3,676.28 |
$6,127.14 |
1.8× |
| Drainage of finger abscess simple (26010) |
$323.32 |
$538.86 |
1.8× |
| Drainage of gum lesion (41800) |
$344.81 |
$574.69 |
2.9× |
| Drainage of hematoma/fluid (10140) |
$3,424.80 |
$5,708 |
2.3× |
| Drainage of hydrocele (55000) |
$1,155 |
$1,925 |
1.8× |
| Drainage of mouth lesion (41017) |
$4,208.21 |
$7,013.69 |
1.4× |
| Drainage of nose lesion (30000) |
$344.81 |
$574.69 |
1.6× |
| Drainage of palmar bursa single bursa (26025) |
$2,257.80 |
$3,763 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$2,700 |
$4,500 |
1.8× |
| Drainage of scrotum (54700) |
$5,650.80 |
$9,418 |
3.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$4,590 |
$7,650 |
1.6× |
| Draw Blood Off Venous Device (36591) |
$201.01 |
$335.02 |
1.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,096.24 |
$1,827.07 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$594.76 |
$991.27 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$323.32 |
$538.86 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$277.20 |
$462 |
1.5× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$12,799.20 |
$21,332 |
4.3× |
| Dstrj Lesion Anus Extensive (46924) |
$7,175.96 |
$11,959.93 |
2.8× |
| Dstrj lesion anus simple surg excision (46922) |
$6,158.08 |
$10,263.46 |
2.4× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$6,703.94 |
$10,248.60 |
3.6× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$594.76 |
$991.27 |
1.6× |
| Dstrj lesion penis simple laser (54057) |
$7,629.60 |
$12,716 |
4.1× |
| Dstrj lesion penis simple surg excision (54060) |
$6,333 |
$10,555 |
3.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,350 |
$2,250 |
1.7× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,579.66 |
$4,299.44 |
1.0× |
Dx Bronchoscope/Lavage (31624) range across 2 matching MRF lines |
$2,533.20–$5,066.40 |
$4,222–$8,444 |
varies |
| Dx Bronchoscope/Wash (31622) |
$2,533.09 |
$4,221.81 |
1.6× |
| Dx gastr intub w/asp spec (43754) |
$480 |
$800 |
2.4× |
| Dx laryngoscopy w/oper scope (31526) |
$6,456 |
$10,760 |
4.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,185 |
$1,975 |
1.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,823.38 |
$4,705.64 |
1.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd cautery tumor polyp (43250) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd control bleeding any (43255) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd endo mucosal resection (43254) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd Endoscopic Stent Place (43266) |
$8,216.46 |
$13,694.10 |
1.5× |
| Egd Flexible Foreign Body Removal (43247) |
$2,388.60 |
$3,981 |
2.9× |
| Egd guide wire insertion (43248) |
$1,422.77 |
$2,371.29 |
1.7× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,381 |
$5,635 |
1.9× |
| Egd lesion ablation (43270) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$14,534.94 |
$24,224.90 |
1.5× |
| Egd place gastrostomy tube (43246) |
$2,868 |
$4,780 |
1.6× |
| Egd remove lesion snare (43251) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd Tube/Cath Insertion (43241) |
$3,165 |
$5,275 |
1.8× |
| Egd us exam duodenum/jejunum (43259) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd us transmural injxn/mark (43253) |
$2,823.38 |
$4,705.64 |
1.6× |
| Egd Varices Ligation (43244) |
$2,731.51 |
$4,552.52 |
1.6× |
| Egd W/Thrml Txmnt Gerd (43257) |
$5,249.98 |
$8,749.97 |
1.5× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$9,111 |
$15,185 |
2.0× |
| Endometrial Biopsy (58100) |
$300 |
$500 |
1.6× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$14,185.08 |
$23,641.80 |
3.1× |
| Endoscopic plantar fasciotomy (29893) |
$8,851.80 |
$14,753 |
3.0× |
| Endoscopic us exam esoph (43237) |
$2,731.51 |
$4,552.52 |
1.6× |
| Endoscopy Upper Small Intestine (44360) |
$2,731.51 |
$4,552.52 |
1.6× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,731.51 |
$4,552.52 |
1.6× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$6,579.03 |
$10,965.05 |
2.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$5,250 |
$8,750 |
1.8× |
| Endoven ther chem adhes 1st (36482) |
$9,960 |
$16,600 |
2.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,731.51 |
$4,552.52 |
1.6× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$2,731.51 |
$4,552.52 |
1.6× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,731.51 |
$4,552.52 |
1.6× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$3,300 |
$5,500 |
1.9× |
| Epididymectomy bilateral (54861) |
$7,509 |
$12,515 |
2.3× |
| Epididymectomy unilateral (54860) |
$7,750.46 |
$12,917.44 |
2.4× |
| Epidural Blood Patch (62273) |
$1,039.84 |
$1,733.06 |
1.6× |
| Episiotomy or vaginal repair (59300) |
$5,010 |
$8,350 |
1.7× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$8,216.46 |
$13,694.10 |
1.5× |
| Ercp duct stent placement (43274) |
$8,216.46 |
$13,694.10 |
1.5× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$5,249.98 |
$8,749.97 |
1.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$5,249.98 |
$8,749.97 |
1.5× |
| Ercp remove forgn body duct (43275) |
$5,249.98 |
$8,749.97 |
3.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$8,216.46 |
$13,694.10 |
1.5× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$5,389.22 |
$8,982.04 |
1.5× |
| Ercp W/Biopsy Single/Multiple (43261) |
$5,249.98 |
$8,749.97 |
1.5× |
| Ercp,Sphincterotomy (43262) |
$5,249.98 |
$8,749.97 |
1.5× |
| Escharotomy; initial incision (16035) |
$594.76 |
$991.27 |
1.6× |
| Esoph Scope W/Submucous Inj (43201) |
$2,731.51 |
$4,552.52 |
1.6× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,533 |
$2,555 |
1.9× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,731.51 |
$4,552.52 |
1.6× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,731.51 |
$4,552.52 |
1.6× |
| Esophagoscopy rigid trnso dx (43191) |
$4,062.36 |
$6,770.60 |
2.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,731.51 |
$4,552.52 |
1.6× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$9,535.20 |
$15,892 |
1.8× |
| Evacuate mole of uterus (59870) |
$6,033.80 |
$10,056.33 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$201.01 |
$335.02 |
1.7× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$10,586.95 |
$17,644.92 |
7.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$8,383.44 |
$13,972.40 |
5.6× |
| Exc abdl tum deep 5 cm/> (22901) |
$5,779.50 |
$9,632.50 |
2.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$7,129.80 |
$11,883 |
4.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$5,393.40 |
$8,989 |
8.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,424.80 |
$7,348.50 |
2.3× |
| Exc Back Les Sc < 3 Cm (21930) |
$7,456.20 |
$12,427 |
5.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$5,839.80 |
$10,144 |
2.2× |
| Exc back tum deep < 5 cm (21932) |
$5,650.80 |
$9,418 |
2.1× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
$18,294.06 |
$30,490.10 |
3.4× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$6,849.51 |
$11,415.85 |
1.3× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$6,655.75 |
$11,092.91 |
2.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$9,989.80 |
$16,649.67 |
2.8× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$7,368.61 |
$12,274.11 |
3.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$4,008.90 |
$6,681.50 |
2.7× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$4,077.30 |
$6,795.50 |
2.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$4,882.28 |
$8,137.13 |
7.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$6,614.23 |
$11,023.72 |
10.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$6,266.78 |
$10,444.63 |
9.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$6,431.14 |
$10,718.56 |
4.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$2,830.31 |
$4,717.18 |
1.9× |
| Exc Frenum Labial/Buccal (40819) |
$2,640 |
$4,400 |
1.9× |
| Exc ganglion wrist recurrent (25112) |
$9,377.03 |
$15,628.38 |
6.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,424.80 |
$5,708 |
2.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$8,170.48 |
$11,442.23 |
12.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$6,263.70 |
$10,439.50 |
4.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$8,082.44 |
$13,470.73 |
5.4× |
| Exc hand tum deep < 1.5 cm (26116) |
$8,038.68 |
$13,033.03 |
5.4× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$6,894.60 |
$11,491 |
7.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$5,391.60 |
$8,986 |
3.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$6,378 |
$10,630 |
4.4× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$12,678.90 |
$21,131.50 |
2.4× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$4,720.20 |
$7,867 |
1.9× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$7,031.40 |
$11,719 |
2.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$5,582.40 |
$9,304 |
8.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$5,582.40 |
$9,304 |
3.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$9,135.78 |
$15,226.31 |
3.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,582.40 |
$9,304 |
3.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$5,771.40 |
$9,619 |
3.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$5,749.20 |
$9,582 |
2.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$5,771.40 |
$9,619 |
3.8× |
| Exc tendon shth lesion leg/ankle (27630) |
$8,001.01 |
$13,335.01 |
2.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,314.33 |
$7,190.55 |
1.6× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,835.20 |
$6,392 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,736 |
$4,560 |
2.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$6,253.93 |
$10,423.22 |
16.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$5,487.90 |
$9,146.50 |
8.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$5,771.40 |
$9,619 |
3.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,582.40 |
$9,304 |
2.1× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$7,785.02 |
$12,975.03 |
3.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$7,676.90 |
$12,794.83 |
5.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$8,289.22 |
$13,815.37 |
5.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$6,401.40 |
$10,669 |
2.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$5,065.80 |
$8,443 |
1.9× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$9,193.68 |
$15,322.80 |
3.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$10,978.11 |
$18,296.85 |
4.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,991.52 |
$9,733 |
2.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,839.80 |
$9,733 |
3.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,997.40 |
$8,329 |
1.9× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$8,077.30 |
$13,462.17 |
5.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$5,582.40 |
$9,304 |
3.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,056.68 |
$10,094.47 |
2.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,908.20 |
$9,847 |
3.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$6,469.80 |
$9,619 |
2.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$8,407.97 |
$14,013.29 |
3.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$5,676.90 |
$9,461.50 |
2.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$8,082.79 |
$13,471.31 |
2.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$13,229.40 |
$22,049 |
9.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,067.64 |
$10,112.73 |
1.9× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,244.94 |
$5,408.24 |
1.7× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,731.51 |
$4,552.52 |
1.6× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$9,120.60 |
$15,201 |
3.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$6,046.60 |
$10,077.66 |
4.3× |
| Excise breast duct fistula (19112) |
$9,173.44 |
$15,289.07 |
2.6× |
| Excise excessive skin arm (15836) |
$9,540 |
$15,900 |
3.6× |
| Excise intraspinal lesion (63267) |
$24,919.20 |
$41,532 |
3.8× |
| Excise Wrist Tendon Sheath (25118) |
$8,085.63 |
$13,476.05 |
5.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,223.96 |
$2,039.94 |
1.9× |
| Excision Aural Polyp (69540) |
$4,164.57 |
$6,940.95 |
3.0× |
| Excision Chalazion Single (67800) |
$5,415.88 |
$8,850.23 |
18.8× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$6,717.76 |
$11,196.27 |
2.5× |
| Excision External Ear Partial Simple Repair (69110) |
$5,771.40 |
$9,619 |
2.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$6,685.07 |
$11,141.78 |
2.5× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$5,995.50 |
$9,992.50 |
2.3× |
| Excision inferior turbinate partial/complete (30130) |
$10,441.80 |
$17,403 |
3.5× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$7,941.76 |
$13,236.28 |
3.7× |
| Excision Lesion Tongue W/O Closure (41110) |
$4,239.80 |
$7,066.33 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$6,367.03 |
$10,611.72 |
4.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$5,134.20 |
$8,557 |
13.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$3,728.10 |
$6,909.25 |
2.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,834.75 |
$6,391.25 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$6,340.05 |
$10,566.75 |
4.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$9,783.67 |
$16,306.12 |
15.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$5,650.80 |
$9,418 |
3.8× |
| Excision malignant tumor mandible (21044) |
$4,680.60 |
$7,801 |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,908.20 |
$9,847 |
2.3× |
| Excision of bartholin's gland or cyst (56740) |
$6,627.85 |
$11,046.42 |
2.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$8,505.71 |
$14,176.18 |
5.8× |
| Excision of hydrocele; bilateral (55041) |
$9,194.40 |
$15,324 |
2.8× |
| Excision of hydrocele; unilateral (55040) |
$9,876.49 |
$16,460.81 |
3.0× |
| Excision of local lesion of epididymis (54830) |
$8,377.80 |
$13,963 |
2.6× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$7,484.54 |
$12,474.23 |
4.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$20,859.40 |
$34,765.67 |
3.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,771.40 |
$9,619 |
2.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,815 |
$3,025 |
1.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$10,690.80 |
$17,818 |
2.0× |
| Excision of vaginal cyst or tumor (57135) |
$6,354.77 |
$10,591.29 |
2.2× |
| Excision of vaginal septum (57130) |
$5,983.54 |
$9,972.56 |
2.0× |
| Excision olecranon bursa (24105) |
$8,899.48 |
$14,832.48 |
3.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$4,293.41 |
$10,669 |
1.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$10,380.90 |
$17,301.50 |
3.5× |
| Excision or fulguration; Skene's glands Facility (53270) |
$5,719.20 |
$9,532 |
1.8× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$7,456.20 |
$12,427 |
2.8× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$5,839.80 |
$9,733 |
2.2× |
| Excision prepatellar bursa (27340) |
$5,536.88 |
$9,228.13 |
1.9× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$8,173.80 |
$13,623 |
1.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$6,676.04 |
$11,126.73 |
2.5× |
| Excision spermatocele w/wo epididymectomy (54840) |
$9,673.20 |
$16,122 |
5.1× |
| Excision synovial cyst popliteal space (27345) |
$7,470 |
$12,450 |
2.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,771.40 |
$9,619 |
3.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$8,360.29 |
$13,933.82 |
5.6× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$5,771.40 |
$9,619 |
3.8× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$6,333 |
$10,555 |
4.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,771.40 |
$9,619 |
2.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$6,333 |
$10,555 |
2.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$5,854.80 |
$9,758 |
2.2× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$7,981.24 |
$13,302.06 |
5.5× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$5,044.18 |
$8,406.96 |
1.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$5,741.80 |
$15,500 |
1.9× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$8,934.46 |
$14,890.76 |
3.0× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$7,952.61 |
$13,254.36 |
3.7× |
| Excision; trochanteric bursa or calcification (27062) |
$7,667.86 |
$12,779.76 |
2.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,017.89 |
$5,029.81 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$6,759.13 |
$9,304 |
4.5× |
| Exploration of knee joint (27310) |
$15,407.60 |
$25,679.34 |
5.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,553.40 |
$2,589 |
1.0× |
| Explore/Treat Elbow Joint (24101) |
$11,897.36 |
$19,828.94 |
4.0× |
| Explore/Treat Hand Joint (26070) |
$10,084.12 |
$16,806.86 |
6.9× |
| Explore/Treat Knee Joint (27331) |
$8,386.70 |
$13,977.84 |
2.8× |
| Explore/Treat Wrist Joint (25040) |
$14,317.80 |
$23,863 |
4.8× |
| External cephalic version (59412) |
$4,349.27 |
$7,248.78 |
1.5× |
| Fasciectomy Palm Only (26121) |
$11,319.49 |
$18,865.81 |
3.8× |
| Fasciotomy Iliotibial Open (27305) |
$11,019.37 |
$18,365.62 |
3.7× |
| Fasciotomy, foot and/or toe (28008) |
$7,182.30 |
$11,970.50 |
2.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$8,453.38 |
$13,802.05 |
2.8× |
| Fetal non-stress test (59025) |
$307.52 |
$512.54 |
1.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,487.40 |
$2,479 |
2.3× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$1,487.40 |
$2,479 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$815.53 |
$1,359.22 |
2.2× |
| Fluoro exam of g/colon tube (49465) |
$444.55 |
$740.92 |
2.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,487.40 |
$2,479 |
2.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,487.40 |
$2,479 |
2.3× |
| Foreskin manipulation (54450) |
$480 |
$800 |
2.1× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$6,310.45 |
$10,517.42 |
2.1× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$10,139.74 |
$16,899.58 |
4.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,728.10 |
$6,213.50 |
2.0× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$5,345.40 |
$8,909 |
2.9× |
| Fusion Finger Joint (26860) |
$15,250.88 |
$25,418.13 |
5.1× |
| Fusion of foot bones (28740) |
$25,126.61 |
$41,877.68 |
3.8× |
| Gastrocnemius recession (27687) |
$17,671.11 |
$29,451.85 |
5.9× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$8,598 |
$13,627.84 |
4.9× |
| Goniotomy (65820) |
$9,499.51 |
$15,832.51 |
2.5× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$7,333.50 |
$12,691.75 |
2.3× |
| Guide Cathet Fluid Drainage (10030) |
$1,552.80 |
$2,588 |
2.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$8,577.22 |
$14,295.37 |
3.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,803.40 |
$11,456.03 |
2.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,358.66 |
$2,264.43 |
1.6× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$8,170.50 |
$13,617.50 |
3.2× |
| Hymenotomy Simple Incision (56442) |
$4,349.27 |
$7,248.78 |
1.5× |
| Hyoid myotomy and suspension Facility (21685) |
$15,598.54 |
$25,997.57 |
2.9× |
| Hysteroscopy Biopsy (58558) |
$10,889.01 |
$16,250.10 |
3.7× |
| Hysteroscopy Dx Sep Proc (58555) |
$10,802.14 |
$18,003.58 |
3.7× |
| Hysteroscopy Endometrial Ablation (58563) |
$14,122.64 |
$23,537.15 |
3.1× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$11,450.29 |
$21,543.32 |
2.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$9,452.99 |
$15,754.65 |
3.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$13,703.47 |
$22,839.12 |
3.0× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$5,880 |
$9,800 |
2.0× |
| I&d abscess peritonsillar (42700) |
$516 |
$860 |
2.4× |
| I&d abscess simple (10060) |
$420 |
$700 |
2.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,847.40 |
$8,079 |
1.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$8,563.96 |
$14,273.27 |
3.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$8,221.20 |
$13,702 |
2.8× |
| I&d forearm/wrist bursa (25031) |
$3,381.71 |
$5,636.19 |
2.3× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$7,311.26 |
$12,185.44 |
2.9× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$885 |
$1,475 |
1.8× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$22,581 |
$37,635 |
7.6× |
| I&d perianal abscess superficial (46050) |
$1,358.66 |
$2,264.43 |
1.6× |
| I&d pilonidal cyst complicated (10081) |
$1,487.40 |
$2,479 |
2.3× |
| I&d pilonidal cyst simple (10080) |
$1,487.40 |
$2,479 |
2.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,206.03 |
$2,010.05 |
0.5× |
| Icd Pocket Revision (33223) |
$3,017.89 |
$5,029.81 |
1.6× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$2,731.51 |
$4,552.52 |
1.6× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,502.10 |
$2,503.50 |
1.8× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,502.10 |
$2,503.50 |
1.8× |
| Image Cath Fluid Colxn Visc (49405) |
$3,409.22 |
$5,682.03 |
2.3× |
| Image Cath Fluid Peri/Retro (49406) |
$3,409.22 |
$5,682.03 |
2.3× |
| Immediate breast prosthesis (19340) |
$9,255.30 |
$15,425.50 |
1.2× |
| Implant Neuroelectrodes (64561) |
$4,621.80 |
$7,703 |
0.8× |
Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$4,621.80 |
$7,703 |
0.3× |
Implant Spine Infusion Pump (62362) unusually low: confirm this is the full procedure |
$6,011.38 |
$10,018.96 |
0.4× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$8,754.58 |
$14,590.96 |
1.1× |
| Incise external hemorrhoid (46083) |
$581.29 |
$968.82 |
2.6× |
| Incise finger tendon sheath (26055) |
$7,629.60 |
$12,716 |
5.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$844.80 |
$1,408 |
2.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,424.80 |
$5,708 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$844.80 |
$1,408 |
2.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$394.83 |
$658.05 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$552 |
$920 |
2.0× |
| Incision extensor tendon sheath wrist (25000) |
$8,281.23 |
$13,802.05 |
5.7× |
| Incision of labial frenum (frenotomy) (40806) |
$4,022.95 |
$6,704.91 |
8.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,670 |
$4,450 |
1.9× |
| Incision of rectal abscess (46040) |
$5,783.40 |
$9,639 |
5.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,702.71 |
$4,504.51 |
1.8× |
| Incisional biopsy skin single lesion (11106) |
$1,294.20 |
$2,157 |
1.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$323.32 |
$538.86 |
1.8× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$714–$1,428 |
$1,190–$2,380 |
varies |
| Inj W/Fluor Eval Cv Device (36598) |
$376.80 |
$628 |
2.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,881.60 |
$3,136 |
2.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,675.20 |
$2,792 |
2.1× |
| Inject Intravitreal Pharmcologic (67028) |
$701.40 |
$1,169 |
2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$477 |
$795 |
1.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,680 |
$2,800 |
2.1× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,881.60 |
$3,136 |
2.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,215 |
$2,025 |
1.9× |
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$941.40–$1,882.80 |
$1,569–$3,138 |
varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,185 |
$1,975 |
1.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,039.84 |
$1,733.06 |
1.6× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,881.60 |
$3,136 |
2.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$450 |
$750 |
1.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,500 |
$2,500 |
1.9× |
| Injection for identification of sentinel node (38792) |
$735 |
$1,225 |
2.0× |
| Injection single tendon origin/insertion (20551) |
$468.28 |
$780.47 |
1.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$468.28 |
$780.47 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$468.28 |
$780.47 |
1.7× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$2,178.08 |
$3,630.13 |
1.5× |
| Injection therapeutic carpal tunnel (20526) |
$288 |
$480 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,286.32 |
$2,143.86 |
1.6× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$1,039.80–$2,079.60 |
$1,733–$3,466 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,039.84 |
$1,733.06 |
1.6× |
| Ins cath ren art 1st bilat (36252) |
$8,916.39 |
$14,860.65 |
3.1× |
| Ins cath ren art 1st unilat (36251) |
$5,465.25 |
$9,108.75 |
1.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,799.61 |
$9,666.01 |
2.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$8,161.63 |
$13,602.72 |
1.6× |
| Ins endovas vena cava filtr (37191) |
$8,630.29 |
$14,383.82 |
1.7× |
| Ins/Rep Subq Defibrillator (33270) |
$85,891.42 |
$143,152.36 |
3.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$14,105.47 |
$23,509.12 |
1.9× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$6,400.76 |
$10,667.94 |
1.7× |
| Insert Bladder Cath Complex (51703) |
$260.86 |
$434.77 |
2.2× |
| Insert cath pleura w/ image (32557) |
$1,881.05 |
$3,135.09 |
1.3× |
| Insert cath pleura w/o image (32556) |
$2,731.51 |
$4,552.52 |
1.6× |
| Insert cervical dilator (59200) |
$513.53 |
$855.89 |
1.9× |
| Insert Drug Implant Device (11981) |
$7,690.80 |
$12,818 |
63.6× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,731.51 |
$4,552.52 |
1.6× |
| Insert Heart Pm Atrial (33206) |
$18,654.20 |
$31,090.33 |
2.0× |
| Insert Heart Pm Ventricular (33207) |
$18,654.20 |
$31,090.33 |
2.0× |
Insert hepatic shunt (tips) (37182) range across 2 matching MRF lines |
$8,001–$16,002 |
$13,335–$26,670 |
varies |
| Insert multi-comp penis pros (54405) |
$9,769.20 |
$16,282 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,881.05 |
$3,135.09 |
0.7× |
| Insert Pacing Lead & Connect (33224) |
$18,654.20 |
$31,090.33 |
2.0× |
| Insert pessary/other device (57160) |
$360 |
$600 |
2.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,500 |
$2,500 |
1.0× |
| Insert pulse gen dual leads (33213) |
$18,654.20 |
$31,090.33 |
2.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$14,105.47 |
$23,509.12 |
1.9× |
Insert semi-rigid prosthesis (54400) likely a partial charge, not the full procedure |
$2,288.22 |
$3,813.70 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$218.40 |
$364 |
1.8× |
| Insert tun ip cath perc (49418) |
$5,950.88 |
$9,918.14 |
1.8× |
| Insert tunneled cv cath (36561) |
$6,936.25 |
$12,047.91 |
2.4× |
Insert Uro/Ves Nck Sphincter (53445) unusually low: confirm this is the full procedure |
$6,566.68 |
$10,944.47 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$201.01 |
$335.02 |
1.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,570.92 |
$9,284.87 |
1.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,362.20 |
$3,937 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$15,993 |
$26,655 |
2.1× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$8,400 |
$14,000 |
1.7× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$14,105.47 |
$23,509.12 |
1.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,881.05 |
$3,135.09 |
0.7× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,339.20 |
$2,232 |
2.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,770.22 |
$7,950.36 |
1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,882.20 |
$3,137 |
1.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,601.80 |
$6,003 |
1.3× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$5,790 |
$9,650 |
2.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,770.22 |
$7,950.36 |
1.7× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$12,531.45 |
$20,885.76 |
1.7× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$59,250.56 |
$98,750.93 |
2.1× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) unusually low: confirm this is the full procedure |
$9,361.20 |
$15,602 |
0.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$14,105.47 |
$23,509.12 |
1.9× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$14,105.47 |
$23,509.12 |
1.9× |
| Insrt heart pm atrial & vent (33208) |
$18,654.20 |
$31,090.33 |
2.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$42,754.32 |
$71,257.20 |
2.1× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$66,655.55 |
$111,092.59 |
2.3× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$47,521.52 |
$79,202.54 |
2.4× |
Insrt/Redo Neurostim 1 Array (61885) likely a partial charge, not the full procedure |
$8,103.75 |
$13,286 |
0.3× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,431.29 |
$7,385.49 |
1.8× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,520 |
$4,200 |
2.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$594.76 |
$991.27 |
1.6× |
| Intranasal Biopsy (30100) |
$5,956.93 |
$9,928.21 |
4.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$900 |
$1,500 |
1.8× |
| Intro cath dialysis circuit (36901) |
$1,906.68 |
$3,177.80 |
1.3× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$20,113.30 |
$33,522.16 |
1.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$9,730.90 |
$16,218.16 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$427.20 |
$712 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$439.24 |
$732.06 |
1.9× |
| Island pedicle flap graft (15740) |
$4,871 |
$7,748.42 |
2.6× |
| Knee Arthroscopy/Surgery (29874) |
$16,039.20 |
$26,732 |
5.4× |
| Lam facetec & foramot lumbar (63047) |
$23,718.60 |
$39,531 |
3.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$6,351.45 |
$10,585.75 |
1.0× |
| Laminotomy Single Lumbar (63042) |
$24,165 |
$40,275 |
3.7× |
| Lap insert tunnel ip cath (49324) |
$12,730.80 |
$21,218 |
2.3× |
| Lap paraesoph her rpr w/mesh (43282) |
$15,545.60 |
$25,909.33 |
1.6× |
| Lap paraesophag hern repair (43281) |
$6,254.21 |
$10,423.68 |
0.6× |
| Lap revision perm ip cath (49325) |
$13,559.30 |
$22,598.83 |
2.5× |
| Laparoscopic myomectomy (58545) |
$50,721.56 |
$84,535.94 |
9.2× |
| Laparoscopy aspiration (49322) |
$13,610.70 |
$22,684.50 |
2.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$12,799.20 |
$21,332 |
2.3× |
| Laparoscopy fulguration oviducts (58670) |
$15,871.83 |
$26,453.05 |
2.9× |
| Laparoscopy gastrostomy (43653) |
$12,751.20 |
$21,252 |
2.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$28,671.45 |
$47,785.75 |
5.2× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$28,794 |
$48,129 |
3.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$28,710.60 |
$45,989 |
3.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$26,845.20 |
$44,742 |
4.9× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$19,357.29 |
$32,262.15 |
3.5× |
| Laparoscopy, surgical, appendectomy (44970) |
$13,260.90 |
$22,097 |
2.4× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$40,226.41 |
$56,335 |
4.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$29,044.20 |
$48,407 |
3.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$18,082.80 |
$30,138 |
1.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$20,041.80 |
$33,403 |
2.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$16,058.70 |
$25,977 |
2.9× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$11,006.80 |
$18,344.67 |
1.1× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$11,726.20 |
$19,543.67 |
1.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$7,702.35 |
$12,837.25 |
1.4× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$23,853.21 |
$39,755.36 |
2.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$12,610.20 |
$21,017 |
2.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$12,747 |
$21,245 |
2.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$24,227.40 |
$40,379 |
4.4× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$22,379.40 |
$37,299 |
2.3× |
| Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) |
$54,010.83 |
$90,018.05 |
5.6× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$43,089.60 |
$71,816 |
4.5× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$16,245 |
$27,075 |
3.0× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$13,461 |
$22,435 |
2.5× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$10,310.41 |
$17,184.02 |
3.0× |
| Laryngoscop w/arytenoidectom (31560) |
$7,568.40 |
$12,614 |
1.2× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$5,553 |
$9,255 |
1.6× |
| Laryngoscopy diagnostic (31505) |
$300.59 |
$500.99 |
1.7× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$16,738.80 |
$27,898 |
4.9× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$5,007 |
$8,345 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$300.59 |
$500.99 |
1.7× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$2,533.09 |
$4,221.81 |
1.6× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,510.38 |
$5,850.64 |
2.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$765 |
$1,275 |
2.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$750 |
$1,250 |
2.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$357 |
$595 |
2.0× |
| Laryngoscopy W/Biopsy (31535) |
$9,284.29 |
$15,473.81 |
2.7× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$9,111 |
$16,170 |
2.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,700 |
$4,500 |
1.7× |
| Larynscop w/tumr exc + scope (31541) |
$10,554.86 |
$17,499.40 |
3.1× |
| Laser Surgery of Cervix (57513) |
$12,541.80 |
$20,903 |
4.3× |
| Laser vaporization of prostate (52648) |
$13,171.20 |
$21,952 |
2.7× |
| Late closure of wound (13160) |
$7,112.01 |
$11,853.35 |
2.2× |
| Lateral retinacular release open (27425) |
$20,433.41 |
$34,055.68 |
6.9× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$28,381.76 |
$47,302.93 |
4.3× |
| Ligation of a-v fistula (37607) |
$7,509 |
$12,515 |
2.6× |
| Ligation Of Inf Vena Cava (37619) |
$8,731.17 |
$14,551.95 |
1.7× |
| Ligation or biopsy temporal artery (37609) |
$5,719.20 |
$9,532 |
3.8× |
| Limited pharyngectomy Facility (42890) |
$23,809.20 |
$39,682 |
4.4× |
| Lip Surgery Procedure (40799) |
$411 |
$685 |
1.9× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$12,730.80 |
$21,218 |
4.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$8,990.40 |
$14,984 |
2.8× |
| Lithotripsy, extracorporeal shock wave (50590) |
$12,610.20 |
$21,017 |
3.9× |
| Low Back Disk Surgery (63030) |
$15,922.80 |
$26,538 |
2.4× |
Lumbar spine fusion combined (22633) unusually low: confirm this is the full procedure |
$11,478.34 |
$18,722.25 |
0.5× |
| Lyse chest fibrin init day (32561) |
$1,306.80 |
$2,178 |
2.3× |
| Lysis Intranasal Synechia (30560) |
$9,505.20 |
$15,842 |
19.4× |
| Lysis of labial adhesions (56441) |
$5,787.60 |
$9,689.50 |
2.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$4,420.54 |
$7,367.56 |
2.3× |
| Manipulation Elbow Under Anesthesia (24300) |
$2,034.15 |
$3,390.25 |
1.4× |
| Manipulation knee joint under general anesthesia (27570) |
$6,076.90 |
$10,128.17 |
4.2× |
| Manipulation wrist under anesthesia (25259) |
$4,117.20 |
$6,862 |
2.8× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$4,627.20 |
$7,712 |
3.2× |
| Marsupialization of bartholin's gland cyst (56440) |
$6,033.20 |
$9,747.21 |
2.1× |
| Mast mod rad (19307) |
$20,837.33 |
$34,728.88 |
3.5× |
| Mastectomy for gynecomastia (19300) |
$6,857.10 |
$11,428.50 |
1.9× |
| Mastectomy partial (19301) |
$10,183.35 |
$18,160.82 |
2.9× |
| Mastectomy simple complete (19303) |
$20,647 |
$34,411.66 |
3.4× |
| Mastopexy (19316) |
$12,531.45 |
$20,885.76 |
2.1× |
| Maternity Care Procedure (59899) |
$390 |
$650 |
2.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,881.05 |
$3,135.09 |
1.3× |
| Mech remov tunneled cv cath (36595) |
$4,770.22 |
$7,950.36 |
1.7× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$8,787.23 |
$14,645.38 |
1.6× |
| Mediastinoscpy w/lmph nod bx (39402) |
$5,811.93 |
$10,197.37 |
1.1× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$7,486.35 |
$12,477.25 |
2.3× |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
$7,931.10 |
$13,218.51 |
1.2× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$28,588.45 |
$47,647.42 |
4.3× |
| Muscle-skin graft trunk (15734) |
$5,516.40 |
$9,194 |
1.7× |
| Myelography Lumbar Injection (62305) |
$1,712 |
$2,853.34 |
2.4× |
| Myelography Lumbar Injection (62304) |
$1,712 |
$2,853.34 |
2.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,712 |
$2,853.34 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,712 |
$2,853.34 |
2.4× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$11,655.52 |
$19,425.86 |
4.0× |
| Myringoplasty (69620) |
$5,996.56 |
$9,994.26 |
2.0× |
| N Block Inj Celiac Pelus (64530) |
$1,286.32 |
$2,143.86 |
1.6× |
| N block inj intercost sng (64420) |
$1,039.84 |
$1,733.06 |
1.6× |
| N Block Inj Plantar Digit (64455) |
$102.60 |
$171 |
0.4× |
| N Block Inj Pudendal (64430) |
$1,620 |
$2,700 |
2.0× |
N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,286.40–$2,572.80 |
$2,144–$4,288 |
varies |
| Nasal Endoscopy Dx (31231) |
$330 |
$550 |
1.8× |
| Nasal sinus therapy (30210) |
$4,020.88 |
$6,701.48 |
2.9× |
| Nasal surgery procedure (30999) |
$5,604 |
$9,340 |
26.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$631.51 |
$1,052.52 |
1.6× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$14,941.78 |
$24,902.96 |
4.4× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$11,096.92 |
$18,494.87 |
1.7× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$5,143.08 |
$6,981.50 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$8,235.88 |
$16,953.30 |
5.1× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$9,603.60 |
$16,006 |
5.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$9,477.94 |
$15,796.56 |
5.9× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$15,868.16 |
$26,446.94 |
2.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$12,956.90 |
$21,594.83 |
2.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$12,792.19 |
$21,320.31 |
2.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$12,458.85 |
$19,036.46 |
1.9× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$18,144.07 |
$30,240.12 |
2.8× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$9,782.50 |
$16,304.16 |
1.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$8,715 |
$14,525 |
1.4× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,747.50 |
$2,912.50 |
2.1× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,815 |
$3,025 |
2.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$14,531.68 |
$24,219.46 |
10.0× |
| Neck spine disk surgery (63020) |
$22,188.25 |
$36,980.41 |
3.4× |
| Needle Biopsy Lymph Nodes (38505) |
$2,579.66 |
$4,299.44 |
1.7× |
| Needle Biopsy Pancreas (48102) |
$2,579.66 |
$4,299.44 |
1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$255 |
$425 |
9.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$285 |
$475 |
10.8× |
| Nerve repair w/conduit each nerve (64910) |
$15,878.71 |
$26,464.52 |
2.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$9,341.66 |
$15,643.40 |
5.3× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$11,720.02 |
$19,533.38 |
6.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$875.40 |
$1,459 |
2.1× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
$811.20 |
$1,352 |
1.9× |
| Nipple/areola reconstruction (19350) |
$8,446.20 |
$14,077 |
2.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,286.32 |
$2,143.86 |
1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$468.28 |
$780.47 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$5,570.92 |
$9,284.87 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,067.64 |
$10,112.73 |
1.9× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,286.40–$2,572.80 |
$2,144–$4,288 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,780.70 |
$2,967.84 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,413.55 |
$2,355.92 |
2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,320.81 |
$2,234.15 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,286.32 |
$2,143.86 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,780.70 |
$2,967.84 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$6,477.60 |
$10,796 |
10.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$2,070 |
$3,450 |
2.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,461.73 |
$2,436.22 |
2.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,461.73 |
$2,436.22 |
2.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$594.76 |
$991.27 |
1.6× |
| Njx Sclrsnt Spider Veins (36468) |
$750 |
$1,250 |
2.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$13,874.21 |
$23,123.68 |
2.2× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$4,025.80 |
$6,709.67 |
0.6× |
Occipital Nerve Block (64405) range across 2 matching MRF lines |
$493.20–$986.40 |
$822–$1,644 |
varies |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,809.40 |
$11,349 |
1.9× |
| Open bone biopsy (20251) |
$10,728.71 |
$17,881.19 |
1.6× |
| Open bone biopsy (20250) |
$5,062.03 |
$8,436.72 |
1.7× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) unusually low: confirm this is the full procedure |
$13,142.49 |
$21,904.15 |
0.3× |
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) unusually low: confirm this is the full procedure |
$13,779.15 |
$22,965.25 |
0.5× |
| Open Repair of Rotator Cuff Acute (23410) |
$4,910.40 |
$8,184 |
0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$26,145.48 |
$43,575.80 |
4.0× |
| Open treatment calcaneal fracture (28415) |
$44,289.86 |
$33,580.94 |
6.7× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$41,666.50 |
$69,444.17 |
3.6× |
| Open treatment fracture distal tibia only (27827) |
$18,659.41 |
$31,099.02 |
1.6× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$18,285.53 |
$30,571.01 |
2.8× |
| Open Treatment Humeral Condylar Fracture (24579) |
$18,261.60 |
$30,436 |
1.6× |
| Open Treatment Lunate Dislocation (25695) |
$14,979.92 |
$24,966.54 |
2.3× |
| Open Treatment Medial Malleolus Fracture (27766) |
$17,698.28 |
$29,497.14 |
2.7× |
| Open treatment metatarsal fracture each (28485) |
$23,882.63 |
$39,804.39 |
3.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$19,871.02 |
$33,118.36 |
3.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$18,975.63 |
$31,626.05 |
3.5× |
| Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) |
$18,124.80 |
$30,208 |
3.4× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$22,883.40 |
$38,139 |
3.5× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$13,366.20 |
$22,277 |
2.0× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$12,281.06 |
$20,468.43 |
4.1× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$7,372.78 |
$12,287.97 |
2.5× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$17,573.41 |
$29,289.02 |
2.7× |
| Open treatment of ulnar styloid fracture (25652) |
$11,182.15 |
$18,636.92 |
1.7× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$16,619.62 |
$27,699.38 |
2.5× |
| Open Treatment Proximal Humeral Fracture (23615) |
$24,879.60 |
$41,466 |
2.1× |
| Open Treatment Radial Shaft Fracture (25515) |
$17,607.90 |
$29,346.50 |
2.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$14,963.57 |
$24,939.29 |
5.0× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$9,041.56 |
$15,069.27 |
3.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$15,090.08 |
$25,150.13 |
2.3× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$8,168.69 |
$13,614.48 |
2.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$19,927.10 |
$33,211.83 |
3.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$7,629.60 |
$12,716 |
2.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$13,530.47 |
$22,550.79 |
2.1× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$12,602.10 |
$21,003.50 |
1.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$13,271.32 |
$22,118.87 |
4.5× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$14,361.60 |
$23,936 |
1.2× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$29,855.71 |
$38,348 |
2.6× |
| Open tx interphalangeal joint dislocation (26785) |
$6,614.70 |
$11,024.50 |
2.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$15,646.89 |
$26,078.15 |
5.3× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$13,923 |
$22,905 |
4.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$21,061.80 |
$35,103 |
3.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$3,632.01 |
$6,053.35 |
0.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$25,178.69 |
$41,964.49 |
3.8× |
| Open tx ulnar fx proximal end (24685) |
$18,773.21 |
$31,288.69 |
2.8× |
| Open/Perq Place Stent 1St (37236) |
$21,105 |
$35,175 |
2.0× |
| Open/Perq Place Stent Same (37238) |
$21,105 |
$35,175 |
2.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$17,789.18 |
$29,648.63 |
2.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$18,099.52 |
$30,211.18 |
2.7× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,924.83 |
$28,305.27 |
1.5× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$3,850.31 |
$6,417.19 |
0.6× |
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) unusually low: confirm this is the full procedure |
$4,233 |
$7,055 |
0.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,989.87 |
$14,983.11 |
2.8× |
| Ostc prtl exostc/condylc metar head (28288) |
$6,963 |
$11,605 |
2.3× |
| Ostectomy calcaneus (28118) |
$11,580.47 |
$19,300.79 |
3.9× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$11,439 |
$19,065 |
3.8× |
| Osteochondral knee autograft (27416) |
$11,340.82 |
$18,901.38 |
1.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$19,868.99 |
$33,114.99 |
3.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$7,181.40 |
$11,855 |
2.4× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$24,597.67 |
$40,996.11 |
3.7× |
| Osteotomy Phalanx Finger Each (26567) |
$8,039.21 |
$13,398.68 |
2.7× |
| Osteotomy Tibia (27705) |
$17,479.24 |
$29,132.08 |
2.7× |
| Palatop cl palate soft&/hard palate only (42200) |
$4,984.50 |
$8,307.50 |
0.9× |
| Palatopharyngoplasty (42145) |
$9,840.45 |
$16,400.75 |
1.8× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$11,439 |
$19,204 |
2.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$6,846.83 |
$13,310.69 |
4.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$11,717.21 |
$25,278 |
8.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,590 |
$7,650 |
1.6× |
| Partial removal of lip (40530) |
$7,343.72 |
$12,239.53 |
2.4× |
| Partial removal of thyroid (60220) |
$14,526.61 |
$24,922.63 |
2.6× |
| Partial removal of toe (28160) |
$6,614.70 |
$11,024.50 |
2.2× |
| Partial removal of tongue (41120) |
$6,963 |
$11,605 |
1.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$10,314.60 |
$17,191 |
1.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$8,153.70 |
$13,589.50 |
2.7× |
| Pelvic examination under anesthesia (other than local) (57410) |
$4,349.27 |
$7,248.78 |
1.5× |
| Penile Injection (54235) |
$439.24 |
$732.06 |
1.9× |
| Perc Cryo Ablate Renal Tum (50593) |
$14,534.94 |
$24,224.90 |
1.5× |
| Perc Rf Ablate Renal Tumor (50592) |
$9,876 |
$16,460 |
1.8× |
| Percut Ablate Liver Rf (47382) |
$8,589.74 |
$14,316.23 |
1.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,222.20 |
$2,037 |
1.9× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,419.26 |
$9,032.10 |
1.9× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$8,238.90 |
$13,731.50 |
1.3× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$7,747.80 |
$12,913 |
5.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$8,539.25 |
$14,232.09 |
2.9× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$2,932.91 |
$4,888.18 |
0.8× |
| Pericardiocentesis W/Imaging (33016) |
$3,090 |
$5,150 |
2.2× |
| Peritoneal Lavage (49084) |
$1,422.77 |
$2,371.29 |
1.7× |
| Perq Cervicothoracic Inject (22510) |
$5,062.03 |
$8,436.72 |
1.7× |
| Perq dev breast 1st mr guide (19287) |
$1,260 |
$2,100 |
2.0× |
| Perq dev breast 1st us imag (19285) |
$5,098.99 |
$8,498.32 |
7.9× |
| Perq device breast 1st imag (19281) |
$2,880 |
$4,800 |
1.9× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,817.80 |
$6,363 |
1.2× |
| Perq Lumbosacral Injection (22511) |
$5,062.03 |
$8,436.72 |
1.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$8,589.74 |
$14,316.23 |
1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,487.40 |
$2,479 |
2.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$8,659.07 |
$14,431.78 |
2.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$20,113.30 |
$33,522.16 |
1.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,730.90 |
$16,218.16 |
1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$11,806.20 |
$19,677 |
1.8× |
Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$11,806.20–$23,612.40 |
$19,677–$39,354 |
varies |
| Place Cath Subclavian Art (36225) |
$6,186.67 |
$10,311.11 |
2.2× |
| Place Cath Thoracic Aorta (36221) |
$6,186.67 |
$10,311.11 |
2.2× |
| Place Cath Vertebral Art (36226) |
$10,117.97 |
$16,863.29 |
2.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,731.51 |
$4,552.52 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$631.51 |
$1,052.52 |
1.6× |
| Placement of seton (46020) |
$5,745.30 |
$9,575.50 |
2.3× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$6,067.64 |
$10,112.73 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$11,477.57 |
$19,129.28 |
2.1× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$11,477.57 |
$19,129.28 |
2.1× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$11,477.57 |
$19,129.28 |
2.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$4,198.42 |
$6,997.36 |
2.2× |
| Plmt Nephroureteral Catheter (50433) |
$4,198.42 |
$6,997.36 |
1.3× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$6,252.64 |
$10,421.06 |
2.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$6,252.64 |
$10,421.06 |
2.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,252.64 |
$10,421.06 |
2.0× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$11,672.24 |
$19,453.74 |
2.2× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$4,560.71 |
$7,601.18 |
0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$8,841.37 |
$14,735.61 |
1.9× |
| Prim art mech thrombectomy (37184) |
$9,730.90 |
$16,218.16 |
0.6× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$7,980.73 |
$13,475.02 |
3.7× |
| Probe nl duct w/balloon (68816) |
$6,890.97 |
$11,484.95 |
3.2× |
| Prostate laser enucleation (52649) |
$13,141.20 |
$21,902 |
2.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,185 |
$1,975 |
1.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$11,588.29 |
$19,313.81 |
2.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,067.64 |
$10,112.73 |
1.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$6,067.64 |
$10,112.73 |
1.9× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$5,605.95 |
$9,246 |
1.9× |
| Prq skel fixj femoral fx prox end neck (27235) |
$5,623.41 |
$9,372.36 |
0.9× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$4,665.32 |
$7,775.54 |
1.6× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$8,805.51 |
$14,675.86 |
1.3× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$2,950.20 |
$4,917 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$6,945.87 |
$11,576.45 |
2.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$9,223.20 |
$15,372 |
3.1× |
| Prtl Exchange Transfuse Nb (36456) |
$988.20 |
$1,647 |
2.5× |
| Pseudoaneurysm Injection Trt (36002) |
$1,172.24 |
$1,953.74 |
2.1× |
| Punch biopsy skin single lesion (11104) |
$844.80 |
$1,408 |
2.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$844.80 |
$1,408 |
2.3× |
| Puncture Aspiration Cyst Breast (19000) |
$1,096.24 |
$1,827.07 |
1.7× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$228.60 |
$381 |
0.4× |
| Pvb thoracic cont infusion (64463) |
$1,630.88 |
$2,718.13 |
2.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,630.88 |
$2,718.13 |
2.5× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$10,823.10 |
$18,038.50 |
1.6× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$6,937.64 |
$11,562.74 |
4.8× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$7,967.49 |
$13,279.16 |
2.7× |
| Radical styloidectomy separate procedure (25230) |
$5,981.38 |
$9,968.98 |
2.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$18,871.39 |
$31,452.32 |
2.9× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$5,980.80 |
$9,968 |
1.9× |
Re-explore parathyroids (60502) unusually low: confirm this is the full procedure |
$1,855.68 |
$3,092.80 |
0.3× |
| Realignment extensor tendon hand each tendon (26437) |
$5,413.98 |
$9,023.31 |
1.8× |
| Reconstruct extra finger (26587) |
$6,255.61 |
$10,426.01 |
2.1× |
| Reconstruct Finger Joint (26548) |
$10,716.42 |
$17,860.70 |
3.6× |
| Reconstruct ulna/radioulnar (25337) |
$7,460.70 |
$12,434.51 |
1.1× |
| Reconstruction of throat (42950) |
$4,266 |
$6,690.25 |
0.8× |
| Reconstruction Tongue Fold (41520) |
$6,438.43 |
$10,730.72 |
2.1× |
| Redo Endovas Vena Cava Filtr (37192) |
$5,922.49 |
$9,870.82 |
2.1× |
| Reduction of rectal prolapse (45900) |
$1,358.66 |
$2,264.43 |
1.6× |
Reinforce hip bones (27187) unusually low: confirm this is the full procedure |
$2,751.22 |
$4,585.38 |
0.4× |
| Release of big toe (28240) |
$5,062.03 |
$8,436.72 |
1.7× |
| Release Thenar Muscle (26508) |
$2,552.80 |
$4,254.67 |
0.9× |
| Relocation Pocket Pacemaker (33222) |
$3,017.89 |
$5,029.81 |
1.6× |
| Rem Endovas Vena Cava Filter (37193) |
$5,922.49 |
$9,870.82 |
2.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,422.77 |
$2,371.29 |
1.7× |
| Removal Embedded Foreign Body Eyelid (67938) |
$512.21 |
$853.69 |
1.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,448.98 |
$7,414.96 |
1.7× |
| Removal Foreign Body Foot Complicated (28193) |
$2,579.66 |
$4,299.44 |
1.7× |
| Removal foreign body foot deep (28192) |
$2,277 |
$3,795 |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,096.24 |
$1,827.07 |
1.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,579.66 |
$4,299.44 |
1.7× |
| Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) |
$2,385.60 |
$3,976 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$155.90 |
$259.84 |
2.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$195.60 |
$326 |
3.7× |
| Removal Implant Deep (20680) |
$8,583 |
$14,305 |
3.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$7,290.68 |
$12,151.13 |
4.9× |
| Removal intact breast implant (19328) |
$3,303.30 |
$5,505.50 |
0.9× |
| Removal of a lesion from the floor of the mouth (41116) |
$5,839.80 |
$9,733 |
1.9× |
| Removal of adenoids (42835) |
$6,212.27 |
$10,361.64 |
2.1× |
| Removal of adenoids (42831) |
$6,350.54 |
$10,584.23 |
2.1× |
| Removal of adenoids (42830) |
$6,347.11 |
$10,578.52 |
2.1× |
| Removal of adenoids (42836) |
$6,048.43 |
$10,080.72 |
2.0× |
| Removal of anal fissure (46200) |
$5,839.80 |
$9,733 |
2.3× |
| Removal of foreign body from pharynx (42809) |
$631.51 |
$1,052.52 |
1.6× |
| Removal of implanted material, anterior segment of eye (65920) |
$11,759.29 |
$19,598.82 |
5.6× |
| Removal of kidney stone (50081) |
$18,142.80 |
$30,238 |
2.1× |
| Removal of nail bed (11750) |
$688 |
$1,146.67 |
1.9× |
| Removal of sesamoid bone (28315) |
$9,289.20 |
$15,482 |
3.1× |
| Removal of sperm cord lesion (55520) |
$5,500.82 |
$9,168.03 |
1.7× |
| Removal of testis (54520) |
$7,766.40 |
$13,752 |
2.4× |
| Removal of tonsils (42825) |
$6,216.22 |
$10,280.76 |
1.2× |
| Removal of tonsils (42826) |
$6,504.61 |
$10,776.66 |
2.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$5,582.40 |
$9,304 |
1.9× |
| Removal of wrist bone (25210) |
$5,850.06 |
$9,750.10 |
2.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$454.06 |
$756.77 |
1.8× |
| Removal Pacemaker Electrode (33235) |
$5,488.25 |
$9,147.08 |
1.6× |
| Removal ppm generator only (33233) |
$14,105.47 |
$23,509.12 |
1.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$5,195.40 |
$8,659 |
28.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,251.60 |
$2,086 |
1.9× |
| Removal Submand Stone,Complicated (42335) |
$7,402.68 |
$12,337.80 |
2.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$7,468.39 |
$12,447.31 |
4.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$8,377.80 |
$13,963 |
5.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$454.06 |
$756.77 |
1.8× |
| Remove armpit lymph nodes (38740) |
$7,543.01 |
$12,571.68 |
1.4× |
| Remove cerclage suture (59871) |
$4,349.27 |
$7,248.78 |
1.5× |
| Remove drug implant device (11982) |
$477 |
$795 |
1.2× |
| Remove elbow joint implant (24160) |
$5,632.80 |
$9,388 |
1.9× |
| Remove elbow lesion (24120) |
$5,621.06 |
$9,368.43 |
1.9× |
| Remove Elctrd Transvenously (33244) |
$5,488.25 |
$9,147.08 |
1.6× |
| Remove foreign body from eye (65235) |
$3,840 |
$6,400 |
1.8× |
| Remove foreign body from eye (65205) |
$249.60 |
$416 |
2.1× |
| Remove Hand Bone Lesion (26200) |
$7,342.95 |
$12,238.25 |
5.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$3,510 |
$5,850 |
1.8× |
| Remove Intrauterine Device (58301) |
$414 |
$690 |
1.5× |
| Remove intrvas foreign body (37197) |
$6,209.47 |
$10,349.11 |
2.2× |
| Remove Lower Leg Bone Lesion (27635) |
$11,979.74 |
$19,966.24 |
4.0× |
| Remove lung catheter (32552) |
$1,172.24 |
$1,953.74 |
2.1× |
| Remove Nasal Foreign Body (30300) |
$231.60 |
$386 |
1.9× |
| Remove prostate regrowth (52630) |
$10,605 |
$15,728 |
2.2× |
| Remove Pulse Generator (33241) |
$5,488.25 |
$9,147.08 |
1.6× |
| Remove radius head implant (24164) |
$11,897.36 |
$19,828.94 |
4.0× |
| Remove renal tube w/fluoro (50389) |
$1,082.36 |
$1,803.94 |
1.7× |
| Remove spine lamina 1/2 thrc (63003) |
$5,824.80 |
$9,708 |
0.9× |
| Remove Tendon Sheath Lesion (26160) |
$7,136.38 |
$10,905.82 |
4.9× |
| Remove thyroid lesion (60200) |
$10,120.80 |
$16,868 |
1.8× |
| Remove tissue expander (11971) |
$7,463.40 |
$12,439 |
2.8× |
| Remove ureter stent percut (50384) |
$3,480 |
$5,800 |
1.8× |
| Remove vc lesion w/scope (31545) |
$11,174.40 |
$18,624 |
3.3× |
| Remove&replace pm gen singl (33227) |
$18,386.06 |
$30,643.44 |
2.4× |
| Remv&replc cvd gen dual lead (33263) |
$42,754.32 |
$71,257.20 |
2.1× |
| Remv&replc cvd gen mult lead (33264) |
$66,655.55 |
$111,092.59 |
2.3× |
| Remv&replc cvd gen sing lead (33262) |
$42,754.32 |
$71,257.20 |
2.1× |
| Remv&replc pm gen dual lead (33228) |
$20,165.66 |
$33,609.44 |
2.1× |
| Remv&replc pm gen mult leads (33229) |
$33,652.50 |
$56,087.50 |
1.9× |
| Renal Biopsy Perq (50200) |
$2,579.66 |
$4,299.44 |
1.7× |
| Reopen fallopian tube (58350) |
$4,455.60 |
$7,426 |
1.0× |
| Repair Achilles Tendon (27650) |
$20,961.38 |
$34,935.64 |
3.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$5,220 |
$8,700 |
1.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,790 |
$9,650 |
2.0× |
| Repair brow ptosis (67900) |
$3,796.50 |
$6,327.50 |
1.8× |
| Repair cleft lip/nasal (40700) |
$7,474.90 |
$12,458.17 |
1.4× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$13,177.77 |
$21,242.63 |
2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$934.25 |
$1,557.08 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$934.25 |
$12,107.95 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$594.76 |
$991.27 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,194.71 |
$1,991.19 |
3.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$934.25 |
$1,557.08 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$10,652.69 |
$17,754.49 |
28.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$934.25 |
$1,557.08 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$6,455.69 |
$10,759.48 |
9.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$10,810.27 |
$18,017.11 |
7.4× |
| Repair Eyelid Wound (67935) |
$3,466.28 |
$5,777.14 |
1.6× |
| Repair Finger/Hand Tendon (26350) |
$17,093.17 |
$12,764.50 |
5.8× |
| Repair Foot Dislocation (28615) |
$13,408.85 |
$22,348.09 |
2.0× |
| Repair Hallux Rigidus (28289) |
$14,496.80 |
$24,161.34 |
4.9× |
| Repair Hand Joint (26540) |
$15,197.81 |
$25,329.68 |
5.1× |
| Repair Hand Tendon (26410) |
$12,925.55 |
$22,049 |
8.9× |
Repair humerus with graft (24435) unusually low: confirm this is the full procedure |
$5,052.17 |
$8,420.28 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,402.53 |
$7,337.55 |
1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$9,468 |
$15,780 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$628.61 |
$1,047.69 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$628.61 |
$1,047.69 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$594.76 |
$991.27 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$594.76 |
$991.27 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$960 |
$1,600 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$594.76 |
$991.27 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$628.61 |
$1,047.69 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$934.25 |
$1,557.08 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$594.76 |
$991.27 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$628.61 |
$1,047.69 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$628.61 |
$1,047.69 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$934.25 |
$1,557.08 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$628.61 |
$1,047.69 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,001.43 |
$5,002.38 |
1.6× |
| Repair lead pace-defib dual (33220) |
$5,669.77 |
$9,449.62 |
1.7× |
| Repair Lead Pace-Defib One (33218) |
$5,925 |
$9,875 |
1.7× |
| Repair lower leg epiphyses (27734) |
$17,479.24 |
$29,132.08 |
5.9× |
| Repair lower leg tendons (27676) |
$24,386.81 |
$40,644.68 |
3.7× |
| Repair Nasal Vestibular Stenosis (30465) |
$6,212.77 |
$10,354.62 |
1.2× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$34,563.39 |
$57,605.66 |
3.0× |
| Repair Nonunion Hand (26546) |
$19,144.80 |
$31,908 |
2.9× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$14,514.60 |
$24,191 |
3.2× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$16,766.09 |
$27,943.48 |
2.5× |
| Repair of metatarsals (28322) |
$20,343.50 |
$33,905.84 |
3.1× |
| Repair of nail bed (11760) |
$706.80 |
$1,178 |
1.1× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$8,892.30 |
$14,820.50 |
1.3× |
| Repair of Ruptured Tendon (24342) |
$12,687.04 |
$21,145.07 |
1.9× |
| Repair palate (42235) |
$4,984.50 |
$8,307.50 |
0.9× |
| Repair paravag defect vag (57285) |
$12,077.40 |
$20,129 |
1.8× |
| Repair penis post injury (54440) |
$3,025.60 |
$5,042.67 |
0.9× |
| Repair Rotator Cuff Chronic (23412) |
$23,939.06 |
$39,898.44 |
3.6× |
| Repair secondary achilles tendon w/wo graft (27654) |
$12,774.90 |
$21,291.50 |
1.9× |
| Repair shoulder capsule (23462) |
$40,714.36 |
$67,857.27 |
6.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$25,371.92 |
$42,286.54 |
8.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,490.15 |
$12,483.58 |
1.1× |
| Repair Toe Dislocation (28645) |
$25,120.37 |
$16,031.70 |
8.5× |
| Repair tongue laceration (41252) |
$405 |
$675 |
1.9× |
| Repair tongue laceration (41250) |
$345 |
$575 |
0.9× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$13,733.49 |
$22,889.15 |
2.1× |
| Repair/graft achilles tendon (27652) |
$15,228.60 |
$25,381 |
2.3× |
| Repair/Revise Wrist Joint (25320) |
$16,807.15 |
$28,050.12 |
2.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,422.77 |
$2,371.29 |
1.7× |
| Replace elbow joint (24363) |
$13,395.90 |
$22,326.50 |
0.8× |
| Replace G-J Tube Perc (49452) |
$1,422.77 |
$2,371.29 |
1.7× |
| Replace g/c tube perc (49450) |
$1,422.77 |
$2,371.29 |
1.7× |
| Replace/Revise Brain Shunt (62230) |
$8,736.83 |
$14,561.39 |
1.1× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$4,631.40 |
$7,719 |
0.7× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$7,692.60 |
$12,821 |
2.3× |
| Reposition Gastrostomy Tube (43761) |
$964.20 |
$1,607 |
4.2× |
| Reposition L Ventric Lead (33226) |
$4,770.22 |
$7,950.36 |
1.7× |
| Reposition Pacing-Defib Lead (33215) |
$4,770.22 |
$7,950.36 |
1.7× |
| Reposition Venous Catheter (36597) |
$1,881.05 |
$3,135.09 |
1.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,937.10 |
$8,228.50 |
1.7× |
| Rerepair ing hernia reduce (49520) |
$5,500.82 |
$9,168.03 |
1.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,509 |
$12,515 |
2.4× |
| Revis reconst shoulder joint (23473) |
$7,627.55 |
$12,712.58 |
0.7× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$5,052.17 |
$8,420.28 |
0.4× |
| Revise external ear (69300) |
$12,351.38 |
$20,585.63 |
4.1× |
| Revise Hand/Foot Nerve (64704) |
$4,713.56 |
$7,855.93 |
2.7× |
| Revise ulnar nerve at wrist (64719) |
$8,385.08 |
$13,975.13 |
4.7× |
| Revise/Implant Finger Joint (26536) |
$16,213.53 |
$27,022.55 |
2.5× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$12,244.20 |
$20,407 |
4.2× |
| Revision of big toe (28310) |
$13,570.96 |
$22,618.27 |
2.1× |
| Revision of foot (28116) |
$13,937.25 |
$23,228.75 |
4.7× |
| Revision of lower leg tendon (27685) |
$10,660.80 |
$17,768 |
3.6× |
| Revision of reconstructed breast (19380) |
$5,413.80 |
$9,023 |
0.9× |
| Revision Peri-Implant Capsule Breast (19370) |
$8,687.43 |
$10,974.02 |
2.4× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$6,902.11 |
$11,503.52 |
3.3× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
$14,825.62 |
$22,457.64 |
2.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) unusually low: confirm this is the full procedure |
$5,212.31 |
$8,687.18 |
0.4× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$9,037.84 |
$20,487.60 |
0.6× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$29,558.51 |
$15,076.71 |
2.5× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$12,650.87 |
$21,084.79 |
2.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$2,874 |
$4,790 |
0.9× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$8,928.60 |
$14,881 |
1.7× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$11,904.60 |
$19,841 |
2.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$19,172.40 |
$31,954 |
1.2× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$12,073.80 |
$20,123 |
0.7× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$12,073.80 |
$20,123 |
1.2× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$5,952.60 |
$9,921 |
0.6× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$24,147 |
$40,245 |
2.3× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$11,904.60 |
$19,841 |
2.3× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$12,073.80 |
$20,123 |
1.2× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$24,147 |
$40,245 |
2.3× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$24,147 |
$40,245 |
2.3× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$24,147 |
$40,245 |
2.3× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$38,344.20 |
$63,907 |
2.3× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$38,344.20 |
$63,907 |
2.3× |
| Rhinoplasty primary w/major septal repair (30420) |
$12,009.85 |
$20,016.41 |
2.2× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
$7,474.90 |
$12,458.17 |
1.4× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$5,186.90 |
$8,644.83 |
1.6× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$3,244.94 |
$5,408.24 |
1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,665 |
$2,775 |
2.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$4,037.35 |
$6,728.92 |
2.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$631.51 |
$1,052.52 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$205.29 |
$342.15 |
1.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$525 |
$875 |
1.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$6,333.60 |
$10,556 |
5.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$6,049.80 |
$10,083 |
2.3× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$6,680.60 |
$11,134.33 |
3.2× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$7,692.60 |
$12,821 |
2.3× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,081.92 |
$5,136.53 |
1.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,874 |
$4,790 |
1.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$5,488.25 |
$9,147.08 |
1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,067.47 |
$5,112.45 |
2.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$3,067.20 |
$5,112 |
5.4× |
| Rplc Gtube No Revj Trc (43762) |
$498 |
$830 |
2.2× |
| Rplc gtube revj gstrst trc (43763) |
$498 |
$830 |
2.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$4,770.22 |
$7,950.36 |
1.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,881.05 |
$3,135.09 |
1.3× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$4,770.22 |
$7,950.36 |
1.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,882.20 |
$3,137 |
1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,770.22 |
$7,950.36 |
1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,770.22 |
$7,950.36 |
1.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$27,189.60 |
$45,316 |
5.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$7,698 |
$12,830 |
2.4× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$5,237.52 |
$8,729.20 |
0.9× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$10,964.40 |
$18,274 |
1.9× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,108.90 |
$14,077 |
1.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$8,305.23 |
$13,842.05 |
2.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$26,469 |
$18,103.50 |
4.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,815.60 |
$13,164 |
1.4× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$6,933.50 |
$11,555.84 |
3.2× |
| Rpr blood vessel direct lower extremity (35226) |
$2,484 |
$4,140 |
3.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,881.05 |
$3,135.09 |
1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$323.32 |
$538.86 |
1.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$594.76 |
$991.27 |
0.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$490.80 |
$818 |
2.3× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,338 |
$2,230 |
0.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,344.01 |
$2,240.02 |
2.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,137 |
$1,895 |
2.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,430 |
$4,050 |
1.7× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$4,272.78 |
$7,121.30 |
0.6× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$5,439.82 |
$9,066.36 |
1.0× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$14,670.87 |
$24,451.45 |
2.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$13,424.21 |
$22,373.69 |
4.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$8,398.86 |
$13,998.10 |
2.8× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$6,598.22 |
$10,997.04 |
2.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,365.23 |
$2,275.38 |
2.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$4,617.38 |
$7,695.63 |
1.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$16,513.32 |
$27,522.20 |
5.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$14,932.43 |
$24,887.39 |
5.0× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$7,441.80 |
$12,403 |
2.5× |
| Sclerotx Fluid Collection (49185) |
$1,553.40 |
$2,589 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$10,446.16 |
$17,315.59 |
3.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,358.66 |
$2,264.43 |
1.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,791.93 |
$2,986.55 |
1.6× |
| Shoulder arthroscopy diagnostic (29805) |
$13,531.80 |
$22,553 |
4.6× |
| Shoulder Arthroscopy/Surgery (29825) |
$16,506.90 |
$27,511.50 |
5.6× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$6,855 |
$11,425 |
2.3× |
| Sigmoidoscopy & decompress (45337) |
$1,791.93 |
$2,986.55 |
2.1× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,465.80 |
$2,443 |
1.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,926 |
$3,210 |
1.8× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,791.93 |
$2,986.55 |
1.6× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$2,446.20 |
$4,077 |
2.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$2,306.03 |
$3,843.38 |
2.1× |
| Sigmoidoscopy w/fb removal (45332) |
$1,791.93 |
$2,986.55 |
1.6× |
| Sigmoidoscopy W/Resection (45349) |
$2,280 |
$3,800 |
0.9× |
| Sigmoidoscopy W/Ultrasound (45341) |
$1,881.60 |
$3,136 |
2.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,363.80 |
$2,273 |
1.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,791.93 |
$2,986.55 |
1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$594.76 |
$991.27 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$277.20 |
$462 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$328.40 |
$547.33 |
1.8× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$594.76 |
$991.27 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$323.32 |
$538.86 |
1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$323.32 |
$538.86 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$328.40 |
$547.33 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$323.32 |
$538.86 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$277.20 |
$462 |
1.5× |
| Skin Full Grft Face/Genit/Hf (15240) |
$4,940.84 |
$8,234.73 |
2.6× |
| Skin sub graft face/nk/hf/g (15275) |
$6,465.13 |
$10,775.22 |
9.6× |
| Skin sub graft trnk/arm/leg (15271) |
$3,001.43 |
$5,002.38 |
4.5× |
| Skin sub grft t/arm/lg child (15273) |
$5,186.90 |
$8,644.83 |
2.8× |
| Skin Tissue Procedure (17999) |
$323.32 |
$538.86 |
1.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,801.60 |
$2,937.17 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$8,161.63 |
$13,602.72 |
1.6× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$6,186.67 |
$10,311.11 |
2.2× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,117.97 |
$16,863.29 |
2.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,384.60 |
$15,641 |
2.1× |
| Small bowel endoscopy (44384) |
$5,249.98 |
$8,749.97 |
3.0× |
| Small bowel endoscopy (44366) |
$2,731.51 |
$4,552.52 |
1.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,731.51 |
$4,552.52 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$328.40 |
$547.33 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$594.76 |
$991.27 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$594.76 |
$991.27 |
1.6× |
| Sphincterotomy anal division sphincter spx (46080) |
$6,403.53 |
$10,672.55 |
2.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,230.60 |
$2,051 |
1.9× |
| Strabismus Any Superior Oblique Muscle (67318) |
$8,068.69 |
$13,447.81 |
3.7× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$8,256.39 |
$13,760.65 |
3.8× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$9,729.38 |
$16,215.63 |
4.5× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$8,350.90 |
$13,918.16 |
2.3× |
| Strapping ankle (29540) |
$259.14 |
$431.90 |
1.8× |
| Strapping elbow or wrist (29260) |
$52.20 |
$87 |
1.0× |
| Strapping hand/finger (29280) |
$52.20 |
$87 |
1.0× |
| Strapping knee (29530) |
$201.01 |
$335.02 |
1.7× |
| Strapping shoulder (29240) |
$201.01 |
$335.02 |
1.7× |
| Strapping toes (29550) |
$105 |
$175 |
2.0× |
| Strapping Unna Boot (29580) |
$321.60 |
$536 |
2.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$10,885.98 |
$18,143.29 |
3.6× |
| Suction assisted lipectomy; trunk (15877) |
$6,104.10 |
$10,173.50 |
1.9× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,883.10 |
$9,805.17 |
1.1× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$6,343.15 |
$10,660.33 |
1.2× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$5,771.40 |
$9,619 |
2.3× |
| Surg tx anal fistula subq (46270) |
$6,524.19 |
$10,873.65 |
2.6× |
| Surgery to stop leg growth (27479) |
$17,296.20 |
$28,827 |
2.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$6,492.22 |
$10,820.36 |
2.6× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$3,466.28 |
$5,777.14 |
1.6× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$8,526.68 |
$14,211.13 |
2.7× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$17,424.60 |
$29,041 |
9.8× |
| Suture infrapatellar tendon primary (27380) |
$13,634.60 |
$21,835.24 |
2.1× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$6,912.44 |
$11,520.74 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$10,823.10 |
$18,038.50 |
1.6× |
| Suture/repair testicular injury (54670) |
$4,427.10 |
$7,378.50 |
1.4× |
| Synovectomy carpometacarpal joint (26130) |
$8,494.73 |
$14,157.89 |
2.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$7,954.47 |
$13,257.45 |
5.4× |
| Tangential biopsy skin single lesion (11102) |
$420 |
$700 |
1.1× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$63,376.20 |
$105,627 |
2.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$29,220 |
$48,700 |
1.7× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$5,220 |
$8,700 |
1.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$6,717.81 |
$11,744.62 |
2.3× |
| Tenodesis long tendon biceps (23430) |
$17,037.22 |
$28,395.37 |
2.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$9,799.96 |
$15,838.58 |
6.7× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$11,833.78 |
$19,722.96 |
4.0× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$8,307.67 |
$13,846.12 |
2.8× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$10,074.14 |
$16,790.24 |
3.4× |
| Tenotomy Hip Abd/Ext Open (27006) |
$7,093.10 |
$11,821.84 |
2.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$11,954.40 |
$19,924 |
8.2× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$13,372.21 |
$22,287.01 |
4.5× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$3,150 |
$5,250 |
2.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,950.40 |
$6,584 |
2.7× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,245 |
$2,075 |
1.9× |
| Therapeutic plasma exchange (36514) |
$2,160 |
$3,600 |
1.5× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$30,657.35 |
$51,095.59 |
1.8× |
| Thromblytic art/ven therapy (37213) |
$2,095.38 |
$3,492.30 |
0.7× |
| Thrombolytic Art Therapy (37211) |
$8,161.63 |
$13,602.72 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$569.44 |
$949.06 |
1.9× |
| Thrombolytic Venous Therapy (37212) |
$4,770.22 |
$7,950.36 |
1.7× |
| Thyroid biopsy (60100) |
$1,096.24 |
$1,827.07 |
1.7× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$11,098.80 |
$18,498 |
2.1× |
| Thyroidectomy, total or complete (60240) |
$13,590 |
$23,073 |
2.5× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$6,118.42 |
$10,602.43 |
1.1× |
Tissue Expander Placement Breast Reconstruction (19357) unusually low: confirm this is the full procedure |
$4,294.99 |
$7,158.31 |
0.3× |
| Tlh uterus over 250 g (58572) |
$20,101.80 |
$33,503 |
2.1× |
| Tnot elbow lateral/medial debride open (24358) |
$9,358.49 |
$15,436.59 |
3.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$12,812.11 |
$21,353.52 |
4.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,412.64 |
$10,687.73 |
2.1× |
| Tooth extraction (41899) |
$4,542.49 |
$7,570.81 |
21.1× |
| Total Knee Arthroplasty (27447) |
$50,154.54 |
$83,590.90 |
4.3× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$2,492.40 |
$4,154 |
0.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,559.56 |
$2,599.26 |
3.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,344.01 |
$2,240.02 |
6.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,178.08 |
$3,630.13 |
1.5× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$513.53 |
$855.89 |
1.9× |
| Transcatheter biopsy (37200) |
$8,361.36 |
$13,935.60 |
1.7× |
| Transfusion Intrauterine Fetal (36460) |
$924 |
$1,540 |
2.3× |
| Translum Dil Eye Canal (66174) |
$15,354.17 |
$25,590.28 |
4.1× |
Transoral lower esophageal myotomy (43497) likely a partial charge, not the full procedure |
$600 |
$1,000 |
0.1× |
| Transplant hand tendon (26480) |
$15,000.55 |
$25,000.91 |
5.0× |
| Transur electr resection of prostate (52601) |
$11,311.20 |
$18,852 |
2.3× |
| Transurethral incision of prostate (52450) |
$10,257 |
$17,095 |
3.2× |
| Transurethral resection bladder neck (52500) |
$5,211.60 |
$8,755.50 |
1.6× |
| Treat ankle fracture (28445) |
$21,726.98 |
$36,211.63 |
3.3× |
| Treat Big Toe Fracture (28505) |
$6,333 |
$10,555 |
2.1× |
| Treat ectopic pregnancy (59151) |
$14,302.20 |
$24,729 |
2.6× |
| Treat elbow fracture (24586) |
$16,604.40 |
$27,674 |
1.4× |
| Treat Elbow Fracture (24635) |
$17,227.80 |
$28,713 |
2.6× |
| Treat Finger Fracture Each (26727) |
$8,332.60 |
$13,785.12 |
2.8× |
| Treat fracture radius/ulna (25575) |
$12,382.78 |
$20,637.97 |
1.9× |
| Treat Fx Rad Extra-Articul (25607) |
$18,060.95 |
$30,101.58 |
2.7× |
| Treat humerus fracture (24500) |
$405 |
$675 |
1.8× |
| Treat Humerus Fracture (24505) |
$2,583.32 |
$4,305.53 |
1.8× |
| Treat humerus fracture (23600) |
$411.25 |
$685.41 |
1.8× |
| Treat knee fracture (27532) |
$5,520 |
$9,200 |
1.9× |
| Treat kneecap dislocation (27566) |
$16,446.25 |
$27,410.41 |
2.5× |
| Treat Kneecap Fracture (27524) |
$9,444.49 |
$15,740.82 |
1.4× |
| Treat Knuckle Dislocation (26700) |
$411.25 |
$685.41 |
1.8× |
| Treat lower leg bone lesion (27607) |
$6,568.10 |
$10,946.84 |
2.2× |
| Treat metacarpal fracture (26607) |
$5,175 |
$8,625 |
1.7× |
| Treat Metatarsal Fracture (28475) |
$492 |
$820 |
2.2× |
| Treat scapula fracture (23585) |
$4,329.24 |
$13,627.44 |
0.7× |
| Treat Tail Bone Fracture (27200) |
$411.25 |
$685.41 |
1.8× |
| Treat Thumb Dislocation (26641) |
$570.55 |
$950.92 |
2.5× |
| Treat Thumb Fracture (26645) |
$2,161.20 |
$3,602 |
1.5× |
| Treat thumb fracture (26665) |
$9,168.44 |
$15,280.73 |
3.1× |
| Treat toe dislocation (28630) |
$411.25 |
$685.41 |
1.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,583.32 |
$4,305.53 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$570.55 |
$950.92 |
2.5× |
| Treatment of ankle fracture (27823) |
$31,118.05 |
$51,863.41 |
4.7× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$18,420 |
$30,732 |
6.2× |
| Trim skin lesion (11055) |
$420 |
$700 |
2.3× |
| Trim skin lesions 2 to 4 (11056) |
$420 |
$700 |
2.3× |
| Trim skin lesions over 4 (11057) |
$420 |
$700 |
2.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$124.61 |
$207.68 |
2.3× |
| Trluml Balo Angiop 1St Art (37246) |
$9,730.90 |
$16,218.16 |
1.9× |
| Trluml Balo Angiop 1St Vein (37248) |
$9,730.90 |
$16,218.16 |
1.9× |
| Trnspl prepj hematop progen tum cell deplj (38211) |
$735 |
$1,225 |
1.8× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$119,011.80 |
$198,353 |
2.1× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$2,580 |
$4,300 |
1.8× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$3,817.80 |
$6,363 |
1.2× |
| Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) |
$15,007.20 |
$25,012 |
1.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$6,495.99 |
$10,690.83 |
2.6× |
| Tx Gastro Intub W/Asp (43753) |
$476.18 |
$793.63 |
2.4× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$19,818.23 |
$33,030.39 |
1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,771.40 |
$9,619 |
2.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$6,105.47 |
$10,147 |
2.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$11,720.64 |
$19,534.41 |
4.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$3,306.77 |
$5,511.28 |
2.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,640 |
$4,400 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$934.25 |
$1,557.08 |
1.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$594.76 |
$991.27 |
1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,580 |
$4,300 |
1.8× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$20,599.20 |
$34,332 |
1.8× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$4,659.76 |
$7,766.26 |
3.3× |
| Tympanostomy general anesthesia (69436) |
$5,625.12 |
$9,333.84 |
4.0× |
| Unlisted Cardiac Surgery (33999) |
$1,320 |
$2,200 |
2.3× |
| Unlisted laparoscopy procedure appendix (44979) |
$16,714.50 |
$27,857.50 |
3.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$14,890.15 |
$24,816.92 |
2.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$12,773.10 |
$21,288.50 |
2.3× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$5,526.77 |
$9,211.28 |
1.0× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$15,476.10 |
$25,793.50 |
2.8× |
| Unlisted laparoscopy procedure, renal (50549) |
$5,292.48 |
$8,820.80 |
1.0× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$26,400.60 |
$44,001 |
4.8× |
| Unlisted laparoscopy procedure, uterus (58578) |
$18,844.62 |
$31,407.71 |
3.4× |
| Unlisted Procedure Accessory Sinuses (31299) |
$10,841.70 |
$18,069.51 |
50.4× |
| Unlisted procedure anus (46999) |
$6,239.34 |
$10,398.91 |
7.4× |
| Unlisted procedure arthroscopy (29999) |
$11,221.45 |
$17,527.80 |
50.1× |
| Unlisted procedure breast (19499) |
$3,567.73 |
$5,946.21 |
1.0× |
| Unlisted Procedure Endocrine System (60699) |
$8,589.74 |
$14,316.23 |
1.6× |
| Unlisted procedure femur or knee (27599) |
$5,137.20 |
$8,562 |
22.9× |
| Unlisted procedure foot or toes (28899) |
$10,919.40 |
$18,199 |
48.7× |
| Unlisted procedure forearm or wrist (25999) |
$13,503 |
$22,505 |
60.3× |
| Unlisted Procedure Hands/Fingers (26989) |
$14,415.36 |
$24,025.60 |
64.4× |
| Unlisted procedure humerus/elbow (24999) |
$8,869.50 |
$14,782.50 |
39.6× |
| Unlisted Procedure Intestine (44799) |
$2,236.80 |
$3,728 |
2.7× |
| Unlisted procedure larynx (31599) |
$5,719.50 |
$9,532.50 |
26.6× |
| Unlisted procedure lungs and pleura (32999) |
$1,172.24 |
$1,953.74 |
2.1× |
| Unlisted Procedure Male Genital System (55899) |
$6,894.60 |
$11,491 |
30.4× |
| Unlisted Procedure Muscskeletal System General (20999) |
$405 |
$675 |
1.8× |
| Unlisted procedure nervous system (64999) |
$525 |
$875 |
1.9× |
| Unlisted Procedure Palate Uvula (42299) |
$6,755.54 |
$11,259.23 |
31.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$7,580.10 |
$12,633.50 |
33.8× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$344.81 |
$6,709.67 |
1.6× |
| Unlisted Procedure Rectum (45999) |
$5,310.51 |
$8,850.86 |
6.3× |
| Unlisted procedure spine (22899) |
$868.20 |
$1,447 |
3.9× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$420 |
$700 |
2.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,422 |
$2,370 |
2.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$13,225.50 |
$22,042.50 |
16.1× |
| Unlisted Procedure, Urinary System (53899) |
$12,936 |
$21,560 |
57.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$5,910.42 |
$9,850.70 |
32.2× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$12,084.20 |
$20,140.33 |
56.2× |
| Upgrade of pacemaker system (33214) |
$18,654.20 |
$31,090.33 |
2.0× |
| Uvulectomy excision of uvula (42140) |
$12,251.14 |
$20,418.58 |
4.1× |
| Vaginal delivery only (59409) |
$4,349.27 |
$7,248.78 |
1.5× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$3,048.60 |
$5,081 |
0.7× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$23,595.30 |
$39,325.50 |
8.0× |
| Vasc embolize/occlude artery (37242) |
$20,113.30 |
$33,522.16 |
1.2× |
| Vasc Embolize/Occlude Bleed (37244) |
$20,113.30 |
$33,522.16 |
1.9× |
Vasc Embolize/Occlude Organ (37243) range across 2 matching MRF lines |
$20,113.20–$40,226.40 |
$33,522–$67,044 |
varies |
| Vasc embolize/occlude venous (37241) |
$20,113.30 |
$33,522.16 |
1.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$8,363.58 |
$13,939.31 |
4.4× |
| Venous Cutdown >1 Y/O (36425) |
$910.20 |
$1,517 |
2.2× |
| Venous Mech Thrombectomy (37187) |
$9,730.90 |
$16,218.16 |
0.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,985.80 |
$6,643.01 |
1.3× |
| Vulvectomy simple partial (56620) |
$7,629.60 |
$13,272.12 |
2.6× |
| Wedge excision skin nail fold (11765) |
$594.76 |
$991.27 |
1.6× |
| Wound Prep F/N/Hf/G (15004) |
$4,940.84 |
$8,234.73 |
13.4× |
| Wound Prep Trk/Arm/Leg (15002) |
$20,698.02 |
$34,496.71 |
30.8× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$12,684.71 |
$21,141.19 |
4.3× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$8,972.08 |
$14,953.47 |
1.9× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$1,185 |
$1,975 |
0.3× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) |
$6,825 |
$11,375 |
1.4× |
| Xfer Single Deep Low Leg Tendon (27691) |
$6,907.68 |
$11,512.80 |
1.0× |