| Abd paracentesis w/imaging (49083) |
$1,915.20 |
$2,736 |
2.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,225.26 |
$3,178.95 |
2.3× |
| Abdomen Surgery Procedure (22999) |
$12,799.46 |
$18,284.95 |
49.7× |
Ablation 1/> Liver Tumor Perq Cryoablation (47383)
unusually low: confirm this is the full procedure |
$3,704.71 |
$5,292.44 |
0.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$10,728.40 |
$15,326.28 |
0.6× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$6,235.05 |
$8,907.22 |
0.6× |
Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994)
unusually low: confirm this is the full procedure |
$3,704.71 |
$5,292.44 |
0.3× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$10,039.11 |
$14,341.58 |
1.3× |
| Abltj 1/> lvr tum prq rf (47382) |
$9,541 |
$13,630 |
1.5× |
| Abortion (59841) |
$14,166.08 |
$20,237.26 |
4.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$15,365.50 |
$21,950.72 |
7.1× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$10,229.20 |
$14,613.15 |
4.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$19,709.45 |
$28,156.36 |
5.3× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$26,889.35 |
$38,413.36 |
12.5× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$17,572.19 |
$25,103.13 |
8.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$16,076.02 |
$22,965.74 |
7.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$21,697.87 |
$30,996.96 |
10.1× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$19,463.86 |
$27,805.52 |
9.0× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$8,343.07 |
$11,918.67 |
1.1× |
| Amniocentesis diagnostic (59000) |
$1,685.30 |
$2,407.57 |
1.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$19,197.52 |
$27,425.03 |
5.6× |
| Amputation Finger/Thumb (26951) |
$16,743.97 |
$23,919.96 |
4.9× |
| Amputation foot transmetarsal (28805) |
$22,202.98 |
$31,718.54 |
6.5× |
| Amputation metatarsal with toe single (28810) |
$7,474.40 |
$10,677.72 |
2.2× |
| Amputation thigh through femur any level (27590) |
$20,630.46 |
$29,472.08 |
6.0× |
| Amputation toe interphalangeal joint (28825) |
$13,814.98 |
$19,735.68 |
4.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$9,723.12 |
$13,890.17 |
2.8× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$16,079.44 |
$22,970.63 |
4.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$14,351.34 |
$20,501.92 |
11.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$14,659.34 |
$20,941.91 |
11.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$14,125.66 |
$20,179.52 |
4.9× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$19,256.06 |
$27,508.65 |
3.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$451.50 |
$645 |
2.7× |
| Appl Multlay Comprs Arm/Hand (29584) |
$329 |
$470 |
1.9× |
| Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) |
$4,065.74 |
$5,808.20 |
1.9× |
| Application cast shoulder hand long arm (29065) |
$17.74 |
$25.34 |
0.1× |
| Application Finger Splint Dynamic (29131) |
$889.70 |
$1,271 |
14.4× |
| Application finger splint static (29130) |
$424.20 |
$606 |
3.1× |
| Application long arm splint shoulder hand (29105) |
$889.70 |
$1,271 |
5.2× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$8,606.99 |
$12,295.70 |
0.6× |
| Application of rigid total contact leg cast (29445) |
$770.70 |
$1,101 |
2.6× |
| Application Short Arm Splint Dynamic (29126) |
$892.55 |
$1,275.07 |
6.4× |
| Application short arm splint forearm-hand static (29125) |
$455.70 |
$651 |
3.3× |
| Application uniplane external fixation system (20690) |
$9,516.60 |
$13,595.15 |
1.3× |
| Apply long leg splint (29505) |
$624.80 |
$892.57 |
3.7× |
| Apply short leg cast (29405) |
$766.50 |
$1,095 |
2.6× |
| Apply short leg splint (29515) |
$667.10 |
$953 |
3.9× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Facility (27479) |
$22,288.74 |
$31,841.05 |
2.9× |
| Arterial puncture (36600) |
$218.40 |
$312 |
1.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$19,927.74 |
$28,468.21 |
6.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$18,698.25 |
$26,711.79 |
3.2× |
| Artery-vein autograft (36825) |
$13,354.36 |
$19,077.66 |
2.3× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
unusually low: confirm this is the full procedure |
$5,914.55 |
$8,449.36 |
0.4× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
unusually low: confirm this is the full procedure |
$4,760.09 |
$6,800.13 |
0.4× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$9,236.75 |
$13,195.36 |
0.7× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$16,857.32 |
$24,081.89 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$691.60 |
$988 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$599.92 |
$857.03 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,098.30 |
$1,569 |
3.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$7.28 |
$10.40 |
0.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$843.50 |
$1,205 |
2.6× |
| Arthrodesis ankle open (27870) |
$8,653.07 |
$12,361.53 |
0.6× |
| Arthrodesis great toe interphalangeal joint (28755) |
$18,636.80 |
$26,624 |
2.5× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$29,602.77 |
$42,289.67 |
3.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$19,691.50 |
$28,130.71 |
5.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$25,247.81 |
$36,068.30 |
1.4× |
| Arthrodesis triple (28715) |
$16,811.79 |
$24,016.85 |
1.3× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low: confirm this is the full procedure |
$9,400.21 |
$13,428.88 |
0.3× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$9,021.93 |
$12,888.47 |
1.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$7,204.65 |
$10,292.36 |
0.3× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$12,046.83 |
$17,209.76 |
0.7× |
| Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) |
$9,595.84 |
$13,708.34 |
1.3× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$8,717.86 |
$12,454.09 |
0.7× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$13,647.03 |
$19,495.76 |
1.8× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$10,777.82 |
$15,396.89 |
0.8× |
| Arthrodesis; subtalar (28725) |
$17,729.67 |
$25,328.10 |
1.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$35,134.64 |
$50,192.34 |
1.9× |
| Arthroplasty patella w/prosthesis (27438) |
$11,738.25 |
$16,768.92 |
0.9× |
| Arthroplasty radial head (24365) |
$11,977.10 |
$17,110.14 |
0.9× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
$15,554.65 |
$22,220.92 |
0.8× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$29,291.27 |
$41,844.67 |
8.6× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$16,104.11 |
$23,005.88 |
1.2× |
| Arthroplasty, patella; without prosthesis Facility (27437) |
$29,157.49 |
$41,653.56 |
3.8× |
| Arthroplasty, radial head; with implant Facility (24366) |
$21,510.05 |
$30,728.65 |
1.6× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$10,624.88 |
$15,178.40 |
0.8× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$9,003.56 |
$12,862.24 |
1.2× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$10,578.92 |
$15,112.75 |
1.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$21,001.34 |
$30,001.92 |
6.1× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$8,886.27 |
$12,694.67 |
2.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$18,104.55 |
$25,863.64 |
5.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$8,046.21 |
$11,494.58 |
2.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$10,690.42 |
$15,272.03 |
3.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$11,909.90 |
$17,014.14 |
3.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$16,325.01 |
$23,321.45 |
4.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$21,254.76 |
$30,363.95 |
6.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$10,538.24 |
$15,054.63 |
3.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$8,236.79 |
$11,766.84 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,759.84 |
$9,656.92 |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,093.42 |
$11,562.03 |
1.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,380.15 |
$11,971.65 |
1.1× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$20,075.76 |
$28,679.66 |
5.9× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$7,860.44 |
$11,229.20 |
2.3× |
| Arthrotomy w/synovectomy ankle (27625) |
$7,620.21 |
$10,886.01 |
2.2× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$14,619.57 |
$20,885.10 |
4.3× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) |
$14,745.99 |
$21,065.70 |
1.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$37,495.86 |
$53,565.52 |
4.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$21,772.63 |
$31,103.76 |
6.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$18,340.65 |
$26,200.93 |
10.9× |
| Aspirate pleura w/ imaging (32555) |
$1,915.20 |
$2,736 |
2.9× |
| Aspiration and injection for treatment of bone cyst (20615) |
$528.18 |
$754.54 |
0.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,376.20 |
$1,966 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$6,733.30 |
$9,619 |
3.1× |
| Autochondrocyte implant knee (27412) |
$16,325.01 |
$23,321.45 |
2.2× |
| Av fistula revision (36833) |
$25,186.16 |
$35,980.24 |
4.3× |
| Av Fuse Uppr Arm Basilic (36819) |
$10,963 |
$15,661.43 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$574 |
$820 |
2.7× |
| Axillary lymphadenectomy; complete (38745) |
$26,158.50 |
$37,369.28 |
4.1× |
| Biliary Endoscopy Percut,Biopsy (47553) |
$4,420.14 |
$6,314.49 |
0.7× |
| Biliary endoscopy percut,dil strict (47555) |
$4,462.42 |
$6,374.88 |
0.7× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure |
$5,209.13 |
$7,441.62 |
0.5× |
| Biopsy bone open deep (20245) |
$2,249.48 |
$3,213.55 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$3,467.10 |
$4,953 |
2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,631.30 |
$3,759 |
1.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$13,364.95 |
$19,092.78 |
13.9× |
| Biopsy external ear (69100) |
$5,566.17 |
$7,951.67 |
22.5× |
| Biopsy muscle deep (20205) |
$14,707.14 |
$21,010.20 |
4.8× |
| Biopsy muscle percutaneous needle (20206) |
$2,332.40 |
$3,332 |
1.4× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$9,429.04 |
$13,470.06 |
2.7× |
| Biopsy Nerve (64795) |
$15,151.28 |
$21,644.69 |
7.4× |
| Biopsy of breast; open, incisional (19101) |
$13,148.79 |
$18,783.99 |
3.2× |
| Biopsy of floor of mouth (41108) |
$11,767.22 |
$16,810.31 |
6.8× |
| Biopsy of lacrimal gland (68510) |
$14,545.99 |
$20,779.99 |
5.9× |
| Biopsy of penis (54100) |
$7,074.34 |
$10,106.20 |
4.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$20,157.07 |
$28,795.82 |
4.9× |
| Biopsy pleura percutaneous needle (32400) |
$2,580.20 |
$3,686 |
1.5× |
| Biopsy Salivary Gland,Needle (42400) |
$2,332.40 |
$3,332 |
3.2× |
| Biopsy soft tissue neck/thorax (21550) |
$3,192 |
$4,560 |
1.9× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$958.46 |
$1,369.23 |
0.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$20,084.06 |
$28,691.52 |
11.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$10,722.74 |
$15,318.21 |
11.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$6,706.77 |
$9,581.11 |
7.0× |
| Biopsy/removal lymph nodes (38525) |
$8,077.08 |
$11,538.68 |
2.0× |
| Biopsy/removal lymph nodes (38510) |
$12,094.74 |
$17,278.20 |
3.0× |
| Bl exchange/transfuse nb (36450) |
$1,048 |
$1,497.14 |
2.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$8,111.97 |
$11,588.53 |
11.1× |
| Bladder Irrigation Simple (51700) |
$646.80 |
$924 |
2.5× |
| Blepharoplasty lower eyelid (15820) |
$11,305.48 |
$16,150.69 |
5.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$13,141.10 |
$18,773 |
6.1× |
| Blepharoplasty, Upper Eyelid (15822) |
$10,740.14 |
$15,343.05 |
5.0× |
| Blood patch (62273) |
$1,423.54 |
$2,033.63 |
1.9× |
| Blood transfusion service (36430) |
$411.60 |
$588 |
0.9× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$23,471.41 |
$33,530.58 |
3.1× |
| Bone marrow aspiration only (38220) |
$1,015.63 |
$1,450.90 |
0.6× |
| Bone Marrow Biopsy (38221) |
$1,150.10 |
$1,643 |
0.7× |
| Breast augmentation with implant (19325) |
$9,678.05 |
$13,825.78 |
1.1× |
| Breast Reduction (19318) |
$28,320.24 |
$40,457.48 |
4.1× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$4,129.07 |
$5,898.67 |
2.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,621.40 |
$3,744.85 |
1.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$5,449.51 |
$7,785.02 |
1.4× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$2,476.29 |
$3,537.56 |
0.6× |
| Bronch ebus samplng 1/2 node (31652) |
$11,760.56 |
$16,800.80 |
3.0× |
| Bronch ebus samplng 3/> node (31653) |
$11,663.20 |
$16,661.72 |
3.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$5,579.62 |
$7,970.89 |
3.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,783.21 |
$3,976.01 |
0.7× |
| Bronchoscopy w/markers (31626) |
$5,820.88 |
$8,315.55 |
0.8× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$10,581.15 |
$15,115.93 |
5.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,352.71 |
$3,361.02 |
1.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$6,388.99 |
$9,127.13 |
3.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,683.80 |
$3,834 |
1.6× |
| Bx anorectal wall anal approach (45100) |
$8,016.16 |
$11,451.65 |
2.8× |
| Bx breast 1st lesion mr imag (19085) |
$3,199.48 |
$4,570.69 |
1.9× |
| Bx breast 1st lesion strtctc (19081) |
$4,386.90 |
$6,267 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$4,301.50 |
$6,145 |
2.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$10.22 |
$14.60 |
0.0× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$3,917.41 |
$5,596.30 |
1.3× |
| Bx/exc lymph node needle superficial (38505) |
$2,695 |
$3,850 |
1.6× |
| Canthoplasty (67950) |
$14,522.62 |
$20,746.60 |
5.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$11,348.73 |
$16,212.47 |
3.3× |
| Carpectomy All Bones Proximal Row (25215) |
$6,543.34 |
$9,347.63 |
1.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$321.30 |
$459 |
1.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$12,181.94 |
$17,402.78 |
3.6× |
| Cessj Therapy Cath Removal (37214) |
$5,785.50 |
$8,265 |
1.8× |
| Change Cystostomy Tube Complicated (51710) |
$3,118.50 |
$4,455 |
4.3× |
| Change of cystostomy tube simple (51705) |
$1,513.40 |
$2,162 |
5.8× |
| Change Ureter Stent, Percut (50382) |
$5,528.46 |
$7,897.80 |
2.5× |
| Chemical cautery tissue (17250) |
$574 |
$820 |
2.7× |
| Chemical Peel Facial Epidermal (15788) |
$13,366.14 |
$19,094.48 |
31.5× |
| Chemodenervation internal anal sphincter (46505) |
$13,491.86 |
$19,274.09 |
10.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$7,055.30 |
$10,079 |
1.9× |
| Chromotubation oviduct (58350) |
$15,563.63 |
$22,233.75 |
3.0× |
| Circum 28 days or older (54161) |
$13,659.76 |
$19,513.94 |
6.3× |
| Circumcision (54150) |
$1,864.56 |
$2,663.65 |
0.9× |
| Circumcision Neonate (54160) |
$1,106 |
$1,580 |
1.5× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,709.55 |
$2,442.21 |
5.3× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$21,204.89 |
$30,292.70 |
12.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$892.17 |
$1,274.53 |
3.5× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$17,730.10 |
$25,328.72 |
10.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$8,814.74 |
$12,592.49 |
34.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$11,500.74 |
$16,429.63 |
3.3× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,701.74 |
$2,431.06 |
1.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$799.53 |
$1,142.18 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$6,847.85 |
$9,782.64 |
26.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,075.34 |
$1,536.20 |
4.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,042.82 |
$1,489.75 |
4.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,681.95 |
$2,402.78 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$11,690.21 |
$16,700.30 |
7.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$8.82 |
$12.60 |
0.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$6,060.78 |
$8,658.26 |
10.8× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$17,623.24 |
$25,176.06 |
2.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$10,239.56 |
$14,627.94 |
39.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$969.97 |
$1,385.67 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$10,386.71 |
$14,838.16 |
6.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$889.70 |
$1,271 |
3.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$117.53 |
$167.90 |
0.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,589.32 |
$2,270.46 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$561.84 |
$802.63 |
0.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$835.93 |
$1,194.19 |
0.5× |
| Closed tx septal&nose fx (21337) |
$12,535.84 |
$17,908.34 |
3.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$146.76 |
$209.65 |
0.6× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$16,551.23 |
$23,644.61 |
4.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$860.23 |
$1,228.90 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$889.70 |
$1,271 |
3.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$46.83 |
$66.90 |
0.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$861.62 |
$1,230.89 |
0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$218.18 |
$311.69 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$45.57 |
$65.10 |
0.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$9.12 |
$13.03 |
0.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$893.34 |
$1,276.20 |
0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$247.47 |
$353.53 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$890.62 |
$1,272.32 |
3.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$27,119.20 |
$38,741.71 |
16.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,698.05 |
$2,425.78 |
6.6× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$942.21 |
$1,346.01 |
0.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$898.82 |
$1,284.03 |
3.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$891.84 |
$1,274.05 |
3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$164.50 |
$235 |
0.6× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$917.08 |
$1,310.11 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$889.70 |
$1,271 |
3.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$891.54 |
$1,273.63 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$741.46 |
$1,059.24 |
2.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,310.36 |
$1,871.94 |
0.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$547.72 |
$782.46 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$958.15 |
$1,368.78 |
3.7× |
| Cltx post ankle fx w/mnpj (27768) |
$821.08 |
$1,172.98 |
0.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,064.66 |
$1,520.95 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,047.56 |
$1,496.52 |
4.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,804.40 |
$2,577.72 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$63.13 |
$90.19 |
0.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$297.52 |
$425.03 |
1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$910.80 |
$1,301.15 |
0.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$957.27 |
$1,367.53 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,639.27 |
$2,341.82 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$975.71 |
$1,393.87 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$298.20 |
$426 |
2.1× |
| Colonoscopy flex w/blln dilat (45386) |
$2,543.87 |
$3,634.10 |
2.0× |
| Colonoscopy flex w/inj submuc (45381) |
$8,209.57 |
$11,727.96 |
6.6× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,512.54 |
$3,589.34 |
2.0× |
| Colonoscopy stoma w/biopsy (44389) |
$6,489.42 |
$9,270.61 |
5.2× |
| Colonoscopy thru stoma (44388) |
$5,380.14 |
$7,685.91 |
5.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$6,381.61 |
$9,116.59 |
5.1× |
| Colonoscopy w/ablation (45388) |
$8,613.20 |
$12,304.57 |
6.9× |
| Colonoscopy w/fb removal (45379) |
$2,712.62 |
$3,875.17 |
2.2× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$8,491.09 |
$12,130.13 |
6.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$10,831.04 |
$15,472.91 |
3.7× |
| Colpocleisis (le fort type) (57120) |
$10,937.21 |
$15,624.59 |
2.1× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$9,721.16 |
$13,887.37 |
1.3× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$8,979.92 |
$12,828.46 |
1.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$6,704.56 |
$9,577.94 |
2.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$6,152.31 |
$8,789.02 |
19.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$5,538.24 |
$7,911.77 |
26.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$12,872.45 |
$18,389.22 |
40.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$15,845.12 |
$22,635.88 |
4.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$6,599.21 |
$9,427.45 |
20.7× |
| Colposcopy vulva (56820) |
$6,599.21 |
$9,427.45 |
31.3× |
| Colposcopy vulva w/biopsy (56821) |
$12,198.25 |
$17,426.07 |
38.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$7,807.62 |
$11,153.74 |
24.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$17,220.36 |
$24,600.51 |
17.9× |
| Combined anteroposterior colporrhaphy; (57260) |
$11,524.08 |
$16,462.97 |
2.2× |
| Conization of cervix (57520) |
$14,978.43 |
$21,397.76 |
4.4× |
| Conization of cervix (57522) |
$13,222.51 |
$18,889.30 |
3.9× |
| Contour of face bone lesion (21029) |
$8,991.87 |
$12,845.52 |
2.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$803.86 |
$1,148.37 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$196.86 |
$281.23 |
1.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$13,085.62 |
$18,693.74 |
23.2× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$12,393.69 |
$17,705.27 |
3.6× |
| Conversion ext bil drg cath (47535) |
$1,822.93 |
$2,604.18 |
0.5× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$57,128.88 |
$81,612.69 |
4.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,919.30 |
$5,599 |
2.0× |
| Convert nephrostomy catheter (50434) |
$2,714.60 |
$3,878 |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,998.80 |
$4,284 |
1.7× |
| Coronoidectomy (separate procedure) Facility (21070) |
$17,820.94 |
$25,458.48 |
2.9× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$34.88 |
$49.83 |
0.0× |
| Correction hammertoe (28285) |
$7,811.08 |
$11,158.69 |
2.3× |
| Correction of bunion (28298) |
$7,203.69 |
$10,290.99 |
1.0× |
| Correction of bunion (28299) |
$13,905.73 |
$19,865.33 |
1.8× |
| Correction of bunion (28297) |
$9,099.83 |
$12,999.76 |
0.7× |
| Correction of everted punctum, cautery (68705) |
$4,580.14 |
$6,543.06 |
13.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$8,450.15 |
$12,071.65 |
2.5× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$22,394.38 |
$31,991.97 |
3.9× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$2,219.17 |
$3,170.24 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$240.86 |
$344.08 |
1.7× |
| Curettage postpartum (59160) |
$12,750.74 |
$18,215.34 |
3.8× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$11,872.56 |
$16,960.80 |
5.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$14,786.34 |
$21,123.34 |
6.8× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$16,316.54 |
$23,309.34 |
4.4× |
| Cysto w/destruction of lesions (52214) |
$20,783.84 |
$29,691.20 |
5.6× |
| Cysto w/insert ureteral stent (52332) |
$135.34 |
$193.35 |
0.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$14,779.43 |
$21,113.47 |
4.0× |
| Cysto w/removal of tumors small (52234) |
$15,124.31 |
$21,606.15 |
4.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$12,168.59 |
$17,383.70 |
5.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$21,288.67 |
$30,412.39 |
5.8× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,983.76 |
$5,691.08 |
0.7× |
| Cysto/uretero w/lithotripsy (52356) |
$11,779.07 |
$16,827.25 |
2.1× |
| Cysto/uretero w/up stricture (52345) |
$10,981.14 |
$15,687.34 |
3.0× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$18,118.32 |
$25,883.32 |
3.2× |
| Cystolithotomy (51050) |
$11,725.88 |
$16,751.26 |
2.1× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) |
$33,706.90 |
$48,152.71 |
3.4× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$15,478.48 |
$22,112.11 |
7.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$891.54 |
$1,273.63 |
0.4× |
| Cystouretero & or pyeloscope (52351) |
$16,656.85 |
$23,795.50 |
4.5× |
| Cystourethroscopy (52000) |
$11,955 |
$17,078.57 |
16.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$11,935.57 |
$17,050.82 |
5.5× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$17,349.05 |
$24,784.35 |
4.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$11,811.60 |
$16,873.71 |
5.4× |
| Cystourethroscopy with biopsy (52204) |
$14,388.25 |
$20,554.64 |
6.6× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$17,281.97 |
$24,688.53 |
3.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$13,390.59 |
$19,129.42 |
4.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$8,489.64 |
$12,128.05 |
2.5× |
| Debride nail 1-5 (11720) |
$142.25 |
$203.21 |
2.3× |
| Debride nail 6 or more (11721) |
$271.54 |
$387.92 |
4.4× |
| Debride tissue/muscle (11043) |
$1,929.90 |
$2,757 |
2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,806 |
$2,580 |
4.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$4,181.10 |
$5,973 |
2.4× |
| Declot vascular device (36593) |
$945.70 |
$1,351 |
2.7× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$12,611.49 |
$18,016.41 |
5.9× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Facility (15610) |
$19,393.14 |
$27,704.49 |
9.0× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$6,689.96 |
$9,557.09 |
3.1× |
| Destruction anal lesion(s) (46924) |
$17,800.97 |
$25,429.96 |
6.1× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$4,197.03 |
$5,995.76 |
2.1× |
| Destruction Lesions Vulva Extensive (56515) |
$148.75 |
$212.50 |
0.1× |
| Destruction Lesions Vulva Simple (56501) |
$5,477.02 |
$7,824.32 |
2.5× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$5,888.19 |
$8,411.70 |
1.4× |
| Destruction Vaginal Lesions Extensive (57065) |
$9,257.28 |
$13,224.69 |
2.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,283.80 |
$1,834 |
1.7× |
| Diagnostic sigmoidoscopy (45330) |
$4,524.23 |
$6,463.19 |
4.7× |
| Dilation and curettage (58120) |
$13,595.52 |
$19,422.17 |
4.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$8,262.33 |
$11,803.33 |
8.7× |
| Dilation of anal sphincter (45905) |
$14,574.29 |
$20,820.42 |
11.7× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$6,206.87 |
$8,866.96 |
1.7× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$20,485.31 |
$29,264.73 |
3.5× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,886.42 |
$4,123.46 |
1.6× |
| Division of scalenus anticus; without resection of cervical rib Facility (21700) |
$5,727.40 |
$8,182 |
0.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$599.92 |
$857.03 |
0.8× |
| Drainage external auditory canal abscess (69020) |
$345.12 |
$493.03 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$13,769.10 |
$19,670.15 |
8.0× |
| Drainage Finger Abscess Simple (26010) |
$590.80 |
$844 |
2.8× |
| Drainage Mouth Roof Lesion (42000) |
$182.80 |
$261.14 |
0.7× |
| Drainage of gum lesion (41800) |
$60.52 |
$86.46 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$5,902.40 |
$8,432 |
3.4× |
| Drainage of hydrocele (55000) |
$5,508.11 |
$7,868.74 |
7.4× |
| Drainage of ovarian abscess; vaginal approach, open Facility (58820) |
$7,973.29 |
$11,390.41 |
2.4× |
| Drainage of ovarian cyst(s) (58800) |
$2,732.51 |
$3,903.59 |
0.8× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$5,913.73 |
$8,448.18 |
1.7× |
| Drainage tendon sheath digit&/palm each (26020) |
$12,127.60 |
$17,325.14 |
3.5× |
| Draw blood off venous device (36591) |
$298.20 |
$426 |
2.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$49.56 |
$70.80 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$850.44 |
$1,214.92 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$800.10 |
$1,143 |
3.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$574 |
$820 |
2.7× |
| Dstrj lesion anus simple surg excision (46922) |
$13,466.59 |
$19,237.98 |
4.6× |
| Dx bone marrow bx & aspir (38222) |
$1,797.60 |
$2,568 |
0.6× |
| Dx Laryngoscopy Excl Nb (31525) |
$5,125.13 |
$7,321.62 |
2.8× |
| Dx laryngoscopy w/oper scope (31526) |
$6,092.01 |
$8,702.87 |
3.3× |
| Ear Cartilage Graft (21235) |
$21,235.54 |
$30,336.48 |
3.4× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$8,799.52 |
$12,570.75 |
4.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,420.52 |
$3,457.88 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$6,563.26 |
$9,376.08 |
3.3× |
| Egd band ligation esophgeal/gastric varices (43244) |
$6,344.06 |
$9,062.94 |
3.2× |
| Egd control bleeding any (43255) |
$7,098.05 |
$10,140.08 |
3.5× |
| Egd dilate stricture (43245) |
$11,115.34 |
$15,879.06 |
5.5× |
| Egd endo mucosal resection (43254) |
$2,720.66 |
$3,886.65 |
1.4× |
| Egd endoscopic stent place (43266) |
$4,238.69 |
$6,055.27 |
0.7× |
| Egd flexible foreign body removal (43247) |
$8,931.43 |
$12,759.19 |
9.4× |
| Egd guide wire insertion (43248) |
$7,112.62 |
$10,160.89 |
7.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$5,989.61 |
$8,556.59 |
3.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$6,143.09 |
$8,775.85 |
3.1× |
| Egd place gastrostomy tube (43246) |
$11,610.43 |
$16,586.34 |
5.8× |
| Egd remove lesion snare (43251) |
$4,104.04 |
$5,862.92 |
2.0× |
| Egd tube/cath insertion (43241) |
$8,275.22 |
$11,821.74 |
4.1× |
| Egd us exam duodenum/jejunum (43259) |
$5,736.37 |
$8,194.82 |
2.9× |
| Egd us transmural injxn/mark (43253) |
$5,414.07 |
$7,734.39 |
2.7× |
| Egd w/transmural drain cyst (43240) |
$18,441.55 |
$26,345.07 |
2.9× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$6,269.61 |
$8,956.58 |
1.1× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$10,709.23 |
$15,298.89 |
1.8× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$37,560.80 |
$53,658.28 |
6.5× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$21,427.25 |
$30,610.35 |
3.7× |
| EMG anal/urethral sphincter (51785) |
$708.59 |
$1,012.27 |
2.7× |
| Endocervical Curettage (57505) |
$14,770.33 |
$21,100.47 |
15.4× |
| Endoscopic plantar fasciotomy (29893) |
$13,905.73 |
$19,865.33 |
4.1× |
| Endoscopic us exam esoph (43237) |
$4,856.19 |
$6,937.42 |
2.4× |
| Endoscopy bowel pouch/biop (44386) |
$5,299.64 |
$7,570.92 |
5.5× |
| Endoscopy of bowel pouch (44385) |
$2,495.88 |
$3,565.55 |
2.6× |
| Endoscopy Upper Small Intestine (44360) |
$4,752.31 |
$6,789.01 |
2.4× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,585.63 |
$16,550.90 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,666.20 |
$2,380.29 |
0.8× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$5,152 |
$7,360 |
2.4× |
| Epididymectomy unilateral (54860) |
$5,050.95 |
$7,215.64 |
1.4× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$18,198.68 |
$25,998.11 |
5.3× |
| Episiotomy or vaginal repair (59300) |
$11,162.93 |
$15,947.04 |
3.3× |
| Ercp Duct Stent Placement (43274) |
$14,020.36 |
$20,029.09 |
2.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,218.92 |
$4,598.46 |
0.8× |
| Ercp ea duct/ampulla dilate (43277) |
$5,516.96 |
$7,881.37 |
1.4× |
| Ercp lithotripsy calculi (43265) |
$19,191.67 |
$27,416.67 |
3.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$13,828.68 |
$19,755.26 |
3.4× |
| Ercp remove forgn body duct (43275) |
$10,827.80 |
$15,468.29 |
5.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$12,963.39 |
$18,519.13 |
2.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$18,093.91 |
$25,848.44 |
4.5× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,685.25 |
$6,693.21 |
1.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$12,913.64 |
$18,448.05 |
3.2× |
| Esoph Scope W/Submucous Inj (43201) |
$3,663.92 |
$5,234.17 |
1.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$6,981.88 |
$9,974.11 |
7.4× |
| Esophagoscopy control bleed (43227) |
$2,420.52 |
$3,457.88 |
1.2× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$3,663.92 |
$5,234.17 |
1.8× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,542.24 |
$6,488.92 |
1.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$2,420.52 |
$3,457.88 |
1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$7,304.18 |
$10,434.54 |
7.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$4,910.06 |
$7,014.37 |
2.5× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$11,235.13 |
$16,050.19 |
5.6× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$9,706.94 |
$13,867.06 |
2.4× |
| Esophagoscopy rigid trnso dx (43191) |
$6,174.95 |
$8,821.36 |
3.1× |
| Esophagoscopy transoral stent placement (43212) |
$5,052.06 |
$7,217.23 |
0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$11,480.58 |
$16,400.83 |
5.7× |
| Evacuation of subungual hematoma (11740) |
$590.80 |
$844 |
4.3× |
| Evisceration of ocular contents; with implant Facility (65093) |
$24,482.37 |
$34,974.81 |
6.0× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$5,554.35 |
$7,934.78 |
3.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$15,872.34 |
$22,674.77 |
9.2× |
| Exc abdl tum deep 5 cm/> (22901) |
$13,391.22 |
$19,130.31 |
4.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$7,640.26 |
$10,914.66 |
4.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$22.16 |
$31.66 |
0.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$13,561.29 |
$19,373.27 |
7.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$13,447.02 |
$19,210.03 |
7.8× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$12,357.39 |
$17,653.41 |
16.7× |
| Exc back les sc < 3 cm (21930) |
$15,745.81 |
$22,494.01 |
9.1× |
| Exc back tum deep < 5 cm (21932) |
$15,399.67 |
$21,999.53 |
5.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$13,211.32 |
$18,873.32 |
17.9× |
| Exc forearm les sc 3 cm/> (25071) |
$14,268.95 |
$20,384.21 |
8.3× |
| Exc ganglion wrist recurrent (25112) |
$21,013.50 |
$30,019.28 |
12.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$13,907.10 |
$19,867.29 |
8.3× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$10,296.28 |
$14,708.98 |
3.0× |
| Exc neck tum deep < 5 cm (21556) |
$14,777.10 |
$21,110.14 |
4.9× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$14,442.92 |
$20,632.75 |
7.1× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$22,870.97 |
$32,672.81 |
11.2× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$24,953.63 |
$35,648.04 |
8.6× |
| Exc rect tum transanal part (45171) |
$14,764.01 |
$21,091.44 |
5.1× |
| Exc skin abd (15830) |
$12,914.11 |
$18,448.72 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$7,227.94 |
$10,325.63 |
9.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$618.03 |
$882.90 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$14,285.33 |
$20,407.62 |
19.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$5,076.63 |
$7,252.32 |
2.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$15,962.11 |
$22,803.01 |
5.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$17,045.09 |
$24,350.13 |
5.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$14,850.03 |
$21,214.33 |
8.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$9,158.84 |
$13,084.05 |
3.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$20,484.58 |
$29,263.68 |
6.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$13,815.69 |
$19,736.71 |
8.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,396.36 |
$7,709.09 |
1.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$19,942.89 |
$28,489.84 |
6.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$12,530.34 |
$17,900.49 |
7.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$9,021.93 |
$12,888.47 |
5.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$14,401.59 |
$20,573.71 |
4.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$15,106.39 |
$21,580.56 |
5.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$14,659.03 |
$20,941.47 |
4.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$15,150.84 |
$21,644.06 |
8.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$13,241.56 |
$18,916.51 |
4.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$10,562.69 |
$15,089.56 |
3.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$6,160.94 |
$8,801.34 |
2.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$12,532.75 |
$17,903.93 |
4.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$13,590.44 |
$19,414.92 |
7.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,878.38 |
$8,397.68 |
1.9× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$14,478.60 |
$20,683.71 |
4.8× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$6,160.94 |
$8,801.34 |
3.6× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$3,329.91 |
$4,757.01 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$15,096.70 |
$21,566.71 |
5.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,689.33 |
$5,270.48 |
2.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$9,131.60 |
$13,045.15 |
3.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$19,811.39 |
$28,301.99 |
6.5× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$14,613.79 |
$20,876.84 |
4.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$10,952.68 |
$15,646.69 |
3.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$6,068.42 |
$8,669.17 |
2.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$6,304.01 |
$9,005.74 |
1.8× |
| Exc/fulguration urethral caruncle (53265) |
$12,660.30 |
$18,086.14 |
5.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,909 |
$9,870 |
1.8× |
| Exchange intraocular lens (66986) |
$7,818.62 |
$11,169.46 |
3.2× |
| Exchange nephrostomy cath (50435) |
$4,441.50 |
$6,345 |
2.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$3,330.13 |
$4,757.33 |
1.7× |
| Excise cutaneous neurofibroma (64788) |
$15,198.03 |
$21,711.47 |
7.5× |
| Excise Inferior Turbinate (30130) |
$10,627.79 |
$15,182.56 |
3.1× |
| Excise lesion testis (54512) |
$3,833.78 |
$5,476.83 |
1.0× |
| Excise mandible lesion (21040) |
$6,190.75 |
$8,843.93 |
1.8× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$17,263.52 |
$24,662.17 |
7.0× |
| Excision Bone Mandible (21025) |
$9,164.54 |
$13,092.21 |
1.5× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$16,101.69 |
$23,002.41 |
4.7× |
| Excision Breast Lesion (19125) |
$13,793.39 |
$19,704.85 |
3.4× |
| Excision Chalazion Single (67800) |
$14,521.86 |
$20,745.51 |
43.8× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$18,145.55 |
$25,922.21 |
6.0× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$15,767.40 |
$22,524.85 |
5.2× |
| Excision hydrocele bilateral (55041) |
$23,336.80 |
$33,338.28 |
6.2× |
| Excision interdigital morton neuroma single each (28080) |
$22,165.02 |
$31,664.31 |
13.2× |
| Excision Lesion Floor Mouth (41116) |
$6,166.19 |
$8,808.84 |
1.8× |
| Excision lesion mouth roof (42104) |
$4,337.59 |
$6,196.56 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$3,956.39 |
$5,651.99 |
5.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$8,034.15 |
$11,477.36 |
10.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,602.24 |
$2,288.92 |
3.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$3,809.05 |
$5,441.51 |
5.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$5,752.91 |
$8,218.44 |
7.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$2,296.37 |
$3,280.53 |
3.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$6,582.52 |
$9,403.60 |
8.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$5,247.06 |
$7,495.79 |
3.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$5,734.54 |
$8,192.20 |
3.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$9,668.74 |
$13,812.49 |
5.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$20,012.61 |
$28,589.44 |
27.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$7,131.06 |
$10,187.23 |
4.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$6,826.30 |
$9,751.85 |
2.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$11,740.06 |
$16,771.52 |
15.9× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$17,820.94 |
$25,458.48 |
2.9× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$10,643.01 |
$15,204.31 |
1.7× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$11,938.02 |
$17,054.32 |
3.9× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$14,209.05 |
$20,298.65 |
8.5× |
| Excision of hydrocele unilateral (55040) |
$14,881.48 |
$21,259.26 |
4.0× |
| Excision of infected graft; extremity Facility (35903) |
$18,359.47 |
$26,227.81 |
5.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$11,036.55 |
$15,766.50 |
10.6× |
| Excision of lesion of tongue without closure (41110) |
$21,836.65 |
$31,195.21 |
6.3× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$6,639.34 |
$9,484.77 |
1.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$10,771.78 |
$15,388.26 |
6.2× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$4,923.43 |
$7,033.47 |
2.0× |
| Excision of lesion, conjunctiva; with adjacent sclera Facility (68130) |
$8,448.68 |
$12,069.55 |
3.4× |
| Excision of local lesion of epididymis (54830) |
$8,776.87 |
$12,538.39 |
2.4× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$31,308.14 |
$44,725.92 |
5.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$15,345.23 |
$21,921.76 |
2.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$14,861.10 |
$21,230.14 |
4.9× |
| Excision of single external papilla or tag, anus (46220) |
$13,027.85 |
$18,611.22 |
10.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$15,041.97 |
$21,488.53 |
5.0× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$15,076.52 |
$21,537.89 |
6.9× |
| Excision of sublingual gland (42450) |
$29,293.20 |
$41,847.43 |
4.7× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$18,226.78 |
$26,038.26 |
2.9× |
| Excision of thrombosed hemorrhoid, external (46320) |
$13,244.12 |
$18,920.17 |
10.6× |
| Excision of tongue lesion (41112) |
$12,083.92 |
$17,262.75 |
3.5× |
| Excision of vaginal cyst or tumor (57135) |
$11,324.88 |
$16,178.40 |
3.4× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$10,381.32 |
$14,830.45 |
2.8× |
| Excision olecranon bursa (24105) |
$22,261.56 |
$31,802.23 |
6.5× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$24,013.03 |
$34,304.33 |
7.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$7,809.90 |
$11,157 |
2.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) |
$25,302.49 |
$36,146.41 |
3.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$18,080.99 |
$25,829.99 |
6.0× |
| Excision prepatellar bursa (27340) |
$19,652.57 |
$28,075.10 |
5.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$5,423.85 |
$7,748.36 |
1.8× |
| Excision tendon finger flexor/extensor each (26180) |
$8,843.55 |
$12,633.65 |
5.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$16,079.33 |
$22,970.47 |
9.3× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$12,218.04 |
$17,454.34 |
4.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$18,296.57 |
$26,137.96 |
10.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$12,670.56 |
$18,100.80 |
7.3× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$4,783.76 |
$6,833.95 |
2.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Facility (15835) |
$5,950 |
$8,500 |
2.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$5,950 |
$8,500 |
2.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$14,364.10 |
$20,520.14 |
4.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$7,082.59 |
$10,117.98 |
2.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$15,490.87 |
$22,129.81 |
5.1× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$20,619.37 |
$29,456.24 |
9.6× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$13,420.71 |
$19,172.44 |
3.9× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$9,589.47 |
$13,699.25 |
3.2× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$7,116.69 |
$10,166.70 |
1.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$7,668.15 |
$10,954.50 |
2.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$16,275.44 |
$23,250.63 |
9.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$5,465.02 |
$7,807.17 |
3.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$13,619.08 |
$19,455.83 |
4.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$20,579.89 |
$29,399.84 |
6.8× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$14,878.02 |
$21,254.32 |
4.3× |
| Excision; trochanteric bursa or calcification (27062) |
$10,600.71 |
$15,143.88 |
3.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$9,324.22 |
$13,320.32 |
4.3× |
| Explo/Drain Breast Abscess (19020) |
$14,873.19 |
$21,247.41 |
8.6× |
| Exploration of knee joint (27310) |
$11,744.23 |
$16,777.47 |
3.4× |
| Exploration of middle ear (69440) |
$15,326.42 |
$21,894.88 |
4.4× |
| Exploration penetrating wound spx extremity (20103) |
$7,956.09 |
$11,365.84 |
4.6× |
| Explore for undescended testis (54550) |
$6,936.88 |
$9,909.82 |
1.9× |
| Explore Parathyroid Glands (60500) |
$19,706 |
$28,151.43 |
3.2× |
| Explore/Treat Knee Joint (27331) |
$14,179.85 |
$20,256.93 |
4.1× |
| External cephalic version (59412) |
$1,866.05 |
$2,665.79 |
0.6× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) |
$7,277.67 |
$10,396.68 |
4.5× |
| Eye surgery procedure (66999) |
$6,387.17 |
$9,124.53 |
2.7× |
| Fasciotomy foot and/or toe (28008) |
$19,228.71 |
$27,469.59 |
5.6× |
| Fasciotomy Iliotibial Open (27305) |
$10,018.54 |
$14,312.20 |
2.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$22,024.72 |
$31,463.89 |
6.4× |
| Fetal non-stress test (59025) |
$763 |
$1,090 |
3.6× |
| Filleted finger/toe flap (14350) |
$7,837.31 |
$11,196.16 |
3.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,586.20 |
$2,266 |
2.1× |
| Fine needle aspiration without imaging guidance (10021) |
$610.80 |
$872.58 |
1.4× |
| Fix Entropion,Extensv Lid Repair (67924) |
$13,627.28 |
$19,467.55 |
5.5× |
| Fixation of shoulder (23700) |
$12,251.76 |
$17,502.51 |
7.3× |
| Fluoro exam of g/colon tube (49465) |
$1,018.50 |
$1,455 |
4.1× |
| Forearm or wrist surgery (25999) |
$941.68 |
$1,345.25 |
3.7× |
| Forehead flap w/vasc pedicle (15731) |
$30,144.83 |
$43,064.04 |
8.1× |
| Foreskin manipulation (54450) |
$11,848.42 |
$16,926.31 |
45.4× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$19,614.04 |
$28,020.05 |
9.1× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$5,177.47 |
$7,396.39 |
1.5× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$6,951.74 |
$9,931.05 |
2.0× |
| Frenulotomy of penis (54164) |
$10,182.98 |
$14,547.12 |
4.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$7,116.69 |
$10,166.70 |
3.3× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$18,351.65 |
$26,216.64 |
8.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$7,270.98 |
$10,387.11 |
3.4× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$14,070.31 |
$20,100.45 |
6.5× |
| Fusion of foot bones (28740) |
$17,913.92 |
$25,591.32 |
2.4× |
| Fusion of knuckle (26850) |
$9,995.98 |
$14,279.97 |
1.3× |
| Gastrocnemius recession (27687) |
$10,228.52 |
$14,612.17 |
3.0× |
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120)
likely a partial charge, not the full procedure |
$770 |
$1,100 |
0.1× |
| Glossectomy; less than one-half tongue Facility (41120) |
$10,708.79 |
$15,298.27 |
1.7× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$20,054.97 |
$28,649.96 |
3.2× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,296.37 |
$3,280.53 |
1.1× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$8,670.49 |
$12,386.42 |
4.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$4,517.18 |
$6,453.12 |
1.2× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$10,554.64 |
$15,078.05 |
2.9× |
| Guide Cathet Fluid Drainage (10030) |
$485.08 |
$692.97 |
0.7× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$9,558.60 |
$13,655.14 |
2.8× |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less (15011) |
$4,065.74 |
$5,808.20 |
1.9× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$14,719.56 |
$21,027.95 |
4.3× |
| Hemorrhoidectomy (46255) |
$8,417.25 |
$12,024.65 |
2.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$13,696.84 |
$19,566.91 |
4.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$12,946.65 |
$18,495.21 |
4.5× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$17,121.59 |
$24,459.42 |
5.9× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$14,433.25 |
$20,618.93 |
5.0× |
| Hemorrhoidopexy by stapling (46947) |
$5,994.84 |
$8,564.06 |
2.1× |
| Hip arthro acetabuloplasty (29915) |
$10,578.92 |
$15,112.75 |
1.4× |
| Hysteroscopy biopsy (58558) |
$14,378.22 |
$20,540.31 |
4.3× |
| Hysteroscopy removal leiomyomata (58561) |
$17,883.76 |
$25,548.24 |
3.4× |
| Hysteroscopy w endometrial ablation (58563) |
$13,835.14 |
$19,764.49 |
2.6× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$13,083.55 |
$18,690.78 |
3.9× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$14,638.66 |
$20,912.37 |
4.3× |
| I&D Abscess Peritonsillar (42700) |
$673.63 |
$962.34 |
2.7× |
| I&d abscess simple (10060) |
$574 |
$820 |
2.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,052.90 |
$2,932.71 |
0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$19,780.74 |
$28,258.20 |
6.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$15,879.21 |
$22,684.59 |
7.3× |
| I&d pilonidal cyst simple (10080) |
$1,478.60 |
$2,112.28 |
2.0× |
| I&d vulva/perineal abscess (56405) |
$225.52 |
$322.17 |
0.7× |
| Ileoscopy thru stoma (44380) |
$2,527.66 |
$3,610.94 |
2.7× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,739.29 |
$3,913.27 |
2.9× |
| Image Cath Fluid Colxn Visc (49405) |
$4,909.80 |
$7,014 |
2.8× |
| Image Cath Fluid Peri/Retro (49406) |
$4,909.80 |
$7,014 |
2.8× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,669.40 |
$5,242 |
2.1× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$8,626.78 |
$12,323.97 |
1.0× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$24,524.19 |
$35,034.56 |
1.3× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$19,839.97 |
$28,342.81 |
1.5× |
| Incise external hemorrhoid (46083) |
$590.80 |
$844 |
2.3× |
| Incise finger tendon sheath (26055) |
$17,298.58 |
$24,712.26 |
10.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,105.30 |
$1,579 |
2.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,589.49 |
$2,270.70 |
2.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,595.68 |
$5,136.69 |
2.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$883.82 |
$1,262.60 |
2.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$590.80 |
$844 |
2.8× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$14,241 |
$20,344.29 |
4.9× |
| Incision and drainage perianal abscess superficial (46050) |
$1,205.11 |
$1,721.59 |
1.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$7,206.50 |
$10,295 |
2.4× |
| Incision extensor tendon sheath wrist (25000) |
$20,415.97 |
$29,165.67 |
12.2× |
| Incision of eyelid fold (67715) |
$8,448.68 |
$12,069.55 |
3.4× |
| Incision of fibula (27707) |
$10,705.84 |
$15,294.06 |
3.1× |
| Incision of rectal abscess (46040) |
$614.46 |
$877.80 |
0.5× |
| Incision of tibia (27705) |
$17,729.67 |
$25,328.10 |
2.3× |
| Incision of urethra (53020) |
$9,855.24 |
$14,078.91 |
4.5× |
| Incisional biopsy skin single lesion (11106) |
$931.27 |
$1,330.38 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,064 |
$1,520 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$6,001.75 |
$8,573.93 |
18.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$9,995.98 |
$14,279.97 |
10.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$12,797.45 |
$18,282.07 |
13.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$5,077.89 |
$7,254.13 |
5.5× |
| Inject Intravitreal Pharmcologic (67028) |
$11,670.39 |
$16,671.99 |
33.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,128 |
$3,040 |
2.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$3,846.50 |
$5,495 |
4.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,128 |
$3,040 |
2.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,614.90 |
$2,307 |
2.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,128 |
$3,040 |
2.3× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,987.22 |
$2,838.88 |
2.2× |
| Inject Sinus Tract Theraputic (20500) |
$1,692.06 |
$2,417.23 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$763 |
$1,090 |
2.4× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$10,662.99 |
$15,232.85 |
11.5× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$2,128 |
$3,040 |
2.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,614.90 |
$2,307 |
2.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$56.01 |
$80.01 |
0.2× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,614.90 |
$2,307 |
2.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,614.90 |
$2,307 |
2.2× |
| Injection for identification of sentinel node (38792) |
$616.76 |
$881.08 |
1.5× |
| Injection into skin lesions (11900) |
$18.77 |
$26.81 |
0.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,466.50 |
$2,095 |
2.2× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$1,381.23 |
$1,973.19 |
3.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$515.77 |
$736.81 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$515.77 |
$736.81 |
1.6× |
| Ins cath ren art 1st bilat (36252) |
$8,714.51 |
$12,449.30 |
2.6× |
| Ins cath ren art 1st unilat (36251) |
$7,439.55 |
$10,627.93 |
2.3× |
| Ins cath ren art 2nd+ bilat (36254) |
$7,426.08 |
$10,608.69 |
2.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,317.80 |
$10,454 |
1.3× |
| Ins endovas vena cava filtr (37191) |
$12,824.70 |
$18,321 |
2.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$31,810.10 |
$45,443 |
2.9× |
| Ins Vag Brachytx Device (57156) |
$1,021.25 |
$1,458.93 |
3.2× |
| Ins/Rep Subq Defibrillator (33270) |
$55,759.90 |
$79,657 |
1.7× |
| Insert Bladder Cath Complex (51703) |
$14,352.14 |
$20,503.05 |
106.8× |
| Insert cath pleura w/ image (32557) |
$1,915.20 |
$2,736 |
1.2× |
| Insert cath pleura w/o image (32556) |
$1,849.41 |
$2,642.02 |
0.9× |
| Insert cervical dilator (59200) |
$542.50 |
$775 |
1.7× |
| Insert Drug Implant Device (11981) |
$770 |
$1,100 |
5.5× |
| Insert gastrostomy tube percutaneous (49440) |
$3,798.90 |
$5,427 |
1.9× |
| Insert heart pm atrial (33206) |
$17,598.70 |
$25,141 |
1.6× |
| Insert heart pm ventricular (33207) |
$25,265.10 |
$36,093 |
2.3× |
| Insert hepatic shunt (tips) (37182) |
$18,761.40 |
$26,802 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,423 |
$4,890 |
1.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$7,441 |
$10,630 |
2.3× |
| Insert pulse gen dual leads (33213) |
$20,518.76 |
$29,312.52 |
1.9× |
| Insert pulse gen mult leads (33221) |
$25,361.70 |
$36,231 |
1.3× |
| Insert pulse gen sngl lead (33212) |
$16,971.22 |
$24,244.60 |
2.0× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$3,447.96 |
$4,925.66 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$298.20 |
$426 |
2.1× |
| Insert tun ip cath perc (49418) |
$2,967.30 |
$4,239 |
0.8× |
| Insert tunneled cv cath (36561) |
$8,507.80 |
$12,154 |
2.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$298.20 |
$426 |
2.1× |
| Insert/ replace infusn pump,programmable (62362) |
$32,548.37 |
$46,497.67 |
1.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,217 |
$10,310 |
1.9× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$8,879.01 |
$12,684.29 |
3.7× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$26,345.24 |
$37,636.05 |
1.2× |
| Insertion of penile prosthesis; inflatable (self-contained) Facility (54401) |
$25,920.99 |
$37,029.99 |
1.2× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
unusually low: confirm this is the full procedure |
$16,077.36 |
$22,967.65 |
0.5× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) |
$20,881.60 |
$29,830.86 |
0.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$3,679.90 |
$5,257 |
5.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$18,130.70 |
$25,901 |
2.1× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$21,554.20 |
$30,791.72 |
3.7× |
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
unusually low: confirm this is the full procedure |
$2,016.29 |
$2,880.42 |
0.4× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$18,078.01 |
$25,825.73 |
0.9× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$13,539.40 |
$19,342 |
1.6× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$13,078.80 |
$18,684 |
1.5× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$35,098.85 |
$50,141.21 |
3.2× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$44,568.16 |
$63,668.80 |
1.9× |
| Insj picc rs&i 5 yr+ (36573) |
$3,679.90 |
$5,257 |
2.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,626.42 |
$8,037.75 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,300.30 |
$10,429 |
2.2× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$9,709.18 |
$13,870.26 |
1.1× |
| Insj/rplcmt defib w/lead(s) (33249) |
$65,017.40 |
$92,882 |
2.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$13,403.60 |
$19,148 |
1.6× |
| Insrt pulse gen w/dual leads (33230) |
$51,504.08 |
$73,577.26 |
2.2× |
| Insrt pulse gen w/mult leads (33231) |
$51,504.08 |
$73,577.26 |
1.6× |
| Insrt/redo spine n generator (63685) |
$45,764.34 |
$65,377.63 |
1.4× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$14,727.34 |
$21,039.05 |
5.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,685.50 |
$5,265 |
2.5× |
| Intraoral i&d tongue/floor masticator space (41009) |
$8,189.40 |
$11,699.15 |
14.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$5,782.08 |
$8,260.11 |
1.7× |
| Intro cath dialysis circuit (36901) |
$4,370.10 |
$6,243 |
2.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$26,047 |
$37,210 |
2.2× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$16,606.80 |
$23,724 |
2.8× |
| Intro Gastrointestinal Tube (44500) |
$961.80 |
$1,374 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$2,076.20 |
$2,966 |
8.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$129.49 |
$184.99 |
0.5× |
| IV injection test vascular flow flap/graft (15860) |
$4,780.55 |
$6,829.36 |
10.2× |
| Knee Arthroscopy/Surgery (29874) |
$9,967.36 |
$14,239.08 |
2.9× |
| Knee Arthroscopy/Surgery (29879) |
$10,169.57 |
$14,527.96 |
3.0× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$32,259.09 |
$46,084.41 |
4.3× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$62,621.13 |
$89,458.76 |
3.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$23,267.45 |
$33,239.22 |
3.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,794.90 |
$12,564.14 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$15,339.21 |
$21,913.16 |
2.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$22,767.99 |
$32,525.70 |
3.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$25,697.69 |
$36,710.98 |
3.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$25,064.27 |
$35,806.10 |
3.3× |
| Lap ing hernia repair init (49650) |
$12,822.13 |
$18,317.33 |
2.0× |
| Lap insert tunnel ip cath (49324) |
$18,969.48 |
$27,099.25 |
3.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$16,604.19 |
$23,720.27 |
1.5× |
| Lap paraesophag hern repair (43281) |
$8,401.13 |
$12,001.61 |
0.8× |
| Lap revision perm ip cath (49325) |
$21,232.27 |
$30,331.82 |
3.4× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$24,766.69 |
$35,380.99 |
3.9× |
| Laparoscopy appendectomy (44970) |
$25,441.32 |
$36,344.75 |
4.0× |
| Laparoscopy biopsy (49321) |
$22,133.46 |
$31,619.23 |
3.5× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$33,701.02 |
$48,144.31 |
3.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$30,920.90 |
$44,172.71 |
2.8× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$24,911.77 |
$35,588.25 |
3.9× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$17,831.69 |
$25,473.84 |
1.6× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$12,352.69 |
$17,646.70 |
1.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$20,105.72 |
$28,722.45 |
3.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$10,329.23 |
$14,756.04 |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$10,849.51 |
$15,499.30 |
2.7× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$16,002.14 |
$22,860.20 |
4.0× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$17,577.16 |
$25,110.23 |
2.8× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$57,260.84 |
$81,801.20 |
5.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$30,192.42 |
$43,132.03 |
2.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$35,206.25 |
$50,294.64 |
3.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$15,915.63 |
$22,736.61 |
2.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$29,910.42 |
$42,729.17 |
2.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$36,258.59 |
$51,797.98 |
3.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$24,093.05 |
$34,418.65 |
3.8× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$9,188.79 |
$13,126.85 |
0.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$14,250.17 |
$20,357.38 |
2.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$14,726.19 |
$21,037.41 |
1.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573) |
$13,115.45 |
$18,736.36 |
1.2× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$16,659.50 |
$23,799.28 |
1.5× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$22,012.01 |
$31,445.73 |
3.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$20,187.94 |
$28,839.92 |
3.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$24,082.82 |
$34,404.03 |
3.8× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$27,549.48 |
$39,356.40 |
2.5× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$23,862.08 |
$34,088.69 |
3.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$11,939.82 |
$17,056.89 |
1.9× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$11,849.13 |
$16,927.33 |
1.9× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$11,438.09 |
$16,340.13 |
2.9× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$6,236.56 |
$8,909.37 |
1.6× |
| Laryngoscopy diagnostic (31505) |
$440.64 |
$629.48 |
2.1× |
| Laryngoscopy Direct Aspiration (31515) |
$4,098.79 |
$5,855.42 |
10.0× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$12,291.43 |
$17,559.18 |
3.2× |
| Laryngoscopy flexible diagnostic (31575) |
$2,979.98 |
$4,257.12 |
14.3× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$8,952.25 |
$12,788.92 |
4.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$858.35 |
$1,226.22 |
2.1× |
| Laryngoscopy w/biopsy (31535) |
$15,518.20 |
$22,168.86 |
4.0× |
| Laryngoscopy w/bx op scope (31536) |
$13,932.30 |
$19,903.29 |
3.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$11,461.98 |
$16,374.25 |
6.2× |
| Larynscop w/tumr exc + scope (31541) |
$11,922.20 |
$17,031.72 |
3.1× |
| Laser treatment of retina (67040) |
$22,767.40 |
$32,524.86 |
5.3× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$22,237.04 |
$31,767.20 |
4.0× |
| Late closure of wound (13160) |
$1,981 |
$2,830 |
0.5× |
| Lateral retinacular release open (27425) |
$10,298.71 |
$14,712.45 |
3.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$8,943.85 |
$12,776.94 |
2.7× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$10,624.88 |
$15,178.40 |
1.4× |
| Ligamentous reconstruction knee intra-articular (27428) |
$22,866.23 |
$32,666.04 |
1.7× |
| Ligate/strip long leg vein (37722) |
$5,374.74 |
$7,678.21 |
1.6× |
| Ligation of a-v fistula (37607) |
$15,786.81 |
$22,552.59 |
4.8× |
| Ligation or biopsy temporal artery (37609) |
$15,282.35 |
$21,831.93 |
8.9× |
| Lip shave (40500) |
$15,799.86 |
$22,571.23 |
4.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$17,136.34 |
$24,480.48 |
4.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$23,949.51 |
$34,213.59 |
6.5× |
| Lithotripsy (50590) |
$17,217.84 |
$24,596.92 |
4.7× |
| Liver Biopsy (47000) |
$2,789.50 |
$3,985 |
1.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$5,773.80 |
$8,248.28 |
2.6× |
| Male sling procedure (53440) |
$35,947.34 |
$51,353.35 |
2.6× |
| Manipulation knee joint under general anesthesia (27570) |
$17,918.44 |
$25,597.77 |
10.7× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$8,418.91 |
$12,027.01 |
2.5× |
| Manipulation, wrist, under anesthesia (25259) |
$5,852.19 |
$8,360.27 |
3.5× |
| Marsupialization Bartholins Gland Cyst (56440) |
$14,268.31 |
$20,383.30 |
4.2× |
| Mast mod rad (19307) |
$9,295.19 |
$13,278.85 |
1.3× |
| Mastectomy for gynecomastia (19300) |
$28,893.66 |
$41,276.66 |
7.1× |
| Mastectomy partial (19301) |
$65.09 |
$92.98 |
0.0× |
| Mastectomy simple complete (19303) |
$24,235.46 |
$34,622.09 |
3.5× |
| Mastopexy (19316) |
$29,840.96 |
$42,629.95 |
4.3× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,405 |
$3,435.71 |
1.5× |
| Mech remov tunneled cv cath (36595) |
$4,649.67 |
$6,642.38 |
1.4× |
| Mediastinoscpy w/lmph nod bx (39402) |
$27,220.54 |
$38,886.49 |
4.3× |
| Metatarsectomy (28140) |
$7,451.59 |
$10,645.13 |
2.2× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
$12,896.56 |
$18,423.66 |
3.8× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$4,752.11 |
$6,788.72 |
2.2× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$5,247.06 |
$7,495.79 |
1.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$9,241.96 |
$13,202.80 |
2.5× |
| Muscle-skin graft trunk (15734) |
$31,394.90 |
$44,849.85 |
8.5× |
| Myelography Lumbar Injection (62305) |
$3,853.50 |
$5,505 |
4.7× |
| Myelography Lumbar Injection (62304) |
$1,291.50 |
$1,845 |
1.6× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,247.11 |
$1,781.58 |
1.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,253.70 |
$1,791 |
1.5× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$12,258.88 |
$17,512.69 |
3.6× |
| Myringoplasty (69620) |
$15,421.65 |
$22,030.93 |
4.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,614.90 |
$2,307 |
2.2× |
| N Block Inj, Plantar Digit (64455) |
$691.60 |
$988 |
2.2× |
| Nasal endoscopy dx (31231) |
$3,631.04 |
$5,187.20 |
17.4× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$5,331.31 |
$7,616.15 |
0.7× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$6,029.07 |
$8,612.96 |
1.5× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$7,429.51 |
$10,613.59 |
18.2× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$4,841.43 |
$6,916.33 |
0.7× |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) |
$8,678.26 |
$12,397.52 |
1.2× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$4,796.72 |
$6,852.46 |
0.7× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$3,676.52 |
$5,252.17 |
2.0× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$16,449.80 |
$23,499.71 |
4.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$12,014.33 |
$17,163.33 |
6.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$14,402.88 |
$20,575.54 |
7.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$5,343.89 |
$7,634.13 |
0.7× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,399.74 |
$10,571.06 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$4,324.59 |
$6,177.99 |
0.6× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$4,315.37 |
$6,164.81 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$912.10 |
$1,303 |
2.0× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$12,466.38 |
$17,809.12 |
3.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$14,035.80 |
$20,051.15 |
8.4× |
| Needle biopsy of pancreas (48102) |
$2,362.82 |
$3,375.46 |
1.4× |
| Nerve repair w/allograft (64910) |
$16,659.33 |
$23,799.05 |
1.8× |
| Nerve repair w/nerve allograft first strand (64912) |
$16,201.26 |
$23,144.66 |
1.8× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$11,844.18 |
$16,920.26 |
5.8× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$11,933.87 |
$17,048.39 |
5.9× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$18,027.92 |
$25,754.17 |
8.8× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$7,479.90 |
$10,685.57 |
3.7× |
| Nipple exploration (19110) |
$11,390.83 |
$16,272.61 |
2.8× |
| Nipple/areola reconstruction (19350) |
$14,724.38 |
$21,034.84 |
3.6× |
| Njx aa&/strd sciatic nerve (64445) |
$1,614.90 |
$2,307 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,470.98 |
$2,101.40 |
1.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$927.30 |
$1,324.71 |
3.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,868.53 |
$4,097.90 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$938.58 |
$1,340.83 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,128 |
$3,040 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$2,536.68 |
$3,623.83 |
3.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,101 |
$4,430 |
4.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$2,084.60 |
$2,978 |
2.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,193.84 |
$1,705.48 |
1.6× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$11,297.49 |
$16,139.28 |
1.5× |
| Obstructive material removal from gi tube (49460) |
$1,575 |
$2,250 |
1.7× |
| Omntc epiploectomy rescj omentum spx (49255) |
$7,920.10 |
$11,314.44 |
1.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$22,278.13 |
$31,825.90 |
5.4× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$24,204.28 |
$34,577.55 |
0.5× |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
$26,305.98 |
$37,579.97 |
1.3× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$14,673.86 |
$20,962.66 |
2.2× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$25,079.12 |
$35,827.32 |
3.3× |
| Open thrombect av fistula (36831) |
$6,648.70 |
$9,498.15 |
1.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$11,181.10 |
$15,973 |
1.5× |
| Open treatment calcaneal fracture (28415) |
$26,287.29 |
$37,553.27 |
3.5× |
| Open treatment fracture distal tibia only (27827) |
$18,867.68 |
$26,953.84 |
1.4× |
| Open Treatment Medial Malleolus Fracture (27766) |
$24,986.31 |
$35,694.73 |
3.3× |
| Open treatment metatarsal fracture each (28485) |
$15,083.71 |
$21,548.16 |
2.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$9,370.25 |
$13,386.08 |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$29,577.50 |
$42,253.57 |
3.9× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$19,324.92 |
$27,607.03 |
3.1× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$25,458.84 |
$36,369.77 |
4.1× |
| Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) |
$14,460.97 |
$20,658.54 |
2.3× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$15,936.96 |
$22,767.09 |
2.6× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$24,434.54 |
$34,906.49 |
3.2× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$26,569.10 |
$37,955.85 |
3.5× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$30,450.90 |
$43,501.29 |
2.3× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$6,132.04 |
$8,760.06 |
1.0× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$14,936.38 |
$21,337.69 |
2.0× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$32,692.22 |
$46,703.17 |
2.4× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$16,921.42 |
$24,173.45 |
1.3× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$41,205.90 |
$58,865.57 |
6.7× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$35,251.30 |
$50,359 |
5.7× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$21,681.84 |
$30,974.06 |
3.5× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$11,752.34 |
$16,789.05 |
3.4× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$23,683.65 |
$33,833.78 |
3.8× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$18,778.41 |
$26,826.31 |
3.0× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$14,460.97 |
$20,658.54 |
2.3× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$16,325.01 |
$23,321.45 |
2.2× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$6,847.85 |
$9,782.64 |
0.9× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$9,822.73 |
$14,032.47 |
0.7× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$26,316.84 |
$37,595.49 |
3.5× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$12,247.75 |
$17,496.79 |
1.6× |
| Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) |
$14,757.45 |
$21,082.07 |
1.1× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$8,475.04 |
$12,107.20 |
1.1× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$24,075.04 |
$34,392.92 |
3.2× |
| Open Treatment Proximal Humeral Fracture (23615) |
$16,456.29 |
$23,508.98 |
1.2× |
| Open treatment talus fracture (28445) |
$30,082.39 |
$42,974.84 |
4.0× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$25,908.55 |
$37,012.21 |
7.6× |
| Open tx carpal scaphoid navicular fracture (25628) |
$10,099.33 |
$14,427.62 |
1.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$12,063.62 |
$17,233.75 |
1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$24,792.54 |
$35,417.92 |
7.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$12,063.62 |
$17,233.75 |
1.6× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$13,167.98 |
$18,811.41 |
3.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$24,506.70 |
$35,009.57 |
1.8× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$40,013.97 |
$57,162.82 |
3.0× |
| Open tx interphalangeal joint dislocation (26785) |
$6,935.48 |
$9,907.83 |
2.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$13,763.68 |
$19,662.40 |
4.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$22,366.32 |
$31,951.89 |
6.5× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$8,314.94 |
$11,878.49 |
1.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$35,300.76 |
$50,429.65 |
4.7× |
| Open tx ulnar fx proximal end (24685) |
$28,421.36 |
$40,601.95 |
3.8× |
| Open/Perq Place Stent Same (37238) |
$26,047 |
$37,210 |
2.2× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$26,047 |
$37,210 |
2.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$29,811.14 |
$42,587.35 |
3.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$29,529.98 |
$42,185.69 |
3.9× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$25,773.87 |
$36,819.82 |
3.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$25,387.85 |
$36,268.36 |
3.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$32,913.56 |
$47,019.37 |
2.5× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$35,651.56 |
$50,930.80 |
4.7× |
| Orchiectomy partial (54522) |
$5,050.95 |
$7,215.64 |
1.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$17,242.33 |
$24,631.90 |
4.6× |
| Ostectomy calcaneus (28118) |
$12,006.66 |
$17,152.37 |
3.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$9,142.29 |
$13,060.42 |
2.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,897 |
$5,567.14 |
1.1× |
| Osteochondral allograft, knee, open (27415) |
$30,105.02 |
$43,007.17 |
2.2× |
| Osteoplasty, facial bones; reduction Facility (21209) |
$28,050.64 |
$40,072.34 |
4.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$10,234.21 |
$14,620.30 |
3.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$9,099.83 |
$12,999.76 |
1.2× |
| Osteotomy Phalanx Finger Each (26567) |
$25,755.65 |
$36,793.78 |
7.5× |
| Osteotomy radius distal third (25350) |
$13,633.28 |
$19,476.11 |
1.8× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$8,328.91 |
$11,898.44 |
1.1× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$17,235.76 |
$24,622.52 |
1.3× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$12,632.49 |
$18,046.42 |
1.7× |
| Osteotomy, mandible, segmental; Facility (21198) |
$8,245.76 |
$11,779.65 |
1.3× |
| Osteotomy, pelvis, bilateral (eg, congenital malformation) Facility (27158) |
$12,632.49 |
$18,046.42 |
1.7× |
| P-mastectomy w/ln removal (19302) |
$28,918.81 |
$41,312.59 |
4.2× |
| Palatopharyngoplasty (42145) |
$16,341.59 |
$23,345.13 |
2.6× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$13,498.11 |
$19,283.02 |
4.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$19,708.37 |
$28,154.82 |
5.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$5,852.19 |
$8,360.27 |
1.7× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$11,746.33 |
$16,780.47 |
3.4× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$7,620.21 |
$10,886.01 |
2.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$12,870.35 |
$18,386.22 |
3.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$10,140.97 |
$14,487.10 |
3.0× |
| Partial excision bone clavicle (23180) |
$11,346.35 |
$16,209.07 |
1.5× |
| Partial excision bone tibia (27640) |
$20,016.54 |
$28,595.06 |
5.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$18,118.90 |
$25,884.15 |
10.8× |
| Partial hymenectomy or revision (56700) |
$13,451.99 |
$19,217.14 |
4.0× |
| Partial removal of hand bone (26230) |
$5,852.19 |
$8,360.27 |
1.7× |
| Partial removal of thyroid (60220) |
$28,567.29 |
$40,810.41 |
4.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$19,886.20 |
$28,408.85 |
3.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$8,216.27 |
$11,737.53 |
2.4× |
| Patellectomy or hemipatellectomy (27350) |
$14,745.99 |
$21,065.70 |
1.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$11,952.71 |
$17,075.30 |
3.5× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$3,234.70 |
$4,621 |
2.2× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$4,974.20 |
$7,106 |
0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$18,854.50 |
$26,935 |
1.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,213.11 |
$3,161.58 |
3.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$15,432.90 |
$22,047 |
1.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$9,511.70 |
$13,588.15 |
2.9× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$12,489.46 |
$17,842.09 |
1.6× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$10,025.55 |
$14,322.21 |
2.9× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$20,829.99 |
$29,757.14 |
2.7× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$21,315.88 |
$30,451.25 |
6.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$7,412.97 |
$10,589.96 |
2.2× |
| Percutaneous treatment of mandibular fracture, with external fixation Facility (21452) |
$9,164.54 |
$13,092.21 |
1.5× |
| Pericardiocentesis W/Imaging (33016) |
$3,944.50 |
$5,635 |
2.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$6,028.90 |
$8,612.72 |
1.8× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$11,274.90 |
$16,107 |
0.6× |
| Perq dev breast 1st mr guide (19287) |
$56.67 |
$80.96 |
0.1× |
| Perq dev breast 1st strtctc (19283) |
$1,934.10 |
$2,763 |
2.6× |
| Perq dev breast 1st us imag (19285) |
$2,296 |
$3,280 |
3.1× |
| Perq device breast 1st imag (19281) |
$125.71 |
$179.59 |
0.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,006.74 |
$1,438.20 |
0.3× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$3,979.10 |
$5,684.43 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,000.30 |
$1,429 |
3.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,554 |
$2,220 |
2.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1.84 |
$2.63 |
0.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$36,047.90 |
$51,497 |
1.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$25,109.70 |
$35,871 |
2.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$11,431.70 |
$16,331 |
1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,416.33 |
$19,166.18 |
1.8× |
| Perq Vertebral Augmentation (22513) |
$31,096.43 |
$44,423.47 |
4.1× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$23,575.41 |
$33,679.16 |
6.9× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$22,621.83 |
$32,316.90 |
6.6× |
| Phleb veins - extrem 20+ (37766) |
$17,034.32 |
$24,334.74 |
5.2× |
| Picc line placement (36569) |
$1,860.80 |
$2,658.29 |
1.1× |
| Pin hand dislocation (26676) |
$6,190.05 |
$8,842.93 |
1.8× |
| Place Cath Subclavian Art (36225) |
$5,877.61 |
$8,396.59 |
1.8× |
| Place Cath Thoracic Aorta (36221) |
$7,301.74 |
$10,431.05 |
2.2× |
| Place Cath Vertebral Art (36226) |
$9,579.03 |
$13,684.33 |
1.6× |
| Place duod/jej tube perc (49441) |
$2,884.49 |
$4,120.70 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$930.30 |
$1,329 |
2.0× |
| Placement of seton (46020) |
$13,520.01 |
$19,314.30 |
4.7× |
| Plastic operation on penis to correct angulation Facility (54360) |
$11,953.33 |
$17,076.18 |
3.2× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure |
$1,822.93 |
$2,604.18 |
0.3× |
Plmt Bile Duct Stent Prq Existing Access (47538)
likely a partial charge, not the full procedure |
$1,822.93 |
$2,604.18 |
0.3× |
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
likely a partial charge, not the full procedure |
$1,822.93 |
$2,604.18 |
0.3× |
Plmt bile duct stent prq new access w/sep cath (47540)
unusually low: confirm this is the full procedure |
$2,279.20 |
$3,256 |
0.4× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,431.50 |
$2,045 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$6,256.60 |
$8,938 |
2.9× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,714.60 |
$3,878 |
0.7× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$2,279.20 |
$3,256 |
0.6× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,279.20 |
$3,256 |
0.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$8,074.50 |
$11,535 |
2.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$11,162.93 |
$15,947.04 |
2.1× |
| Prim art mech thrombectomy (37184) |
$13,735.40 |
$19,622 |
0.7× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$11,449.51 |
$16,356.44 |
4.6× |
| Probe nl duct w/balloon (68816) |
$9,566.67 |
$13,666.67 |
3.9× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$8,009.78 |
$11,442.55 |
3.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$6,262.80 |
$8,946.86 |
6.4× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$21,917.88 |
$31,311.25 |
2.9× |
| Prostate Saturation Sampling (55706) |
$2,162.74 |
$3,089.63 |
0.6× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$19,374.27 |
$27,677.53 |
2.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$1,173.90 |
$1,677 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$1,173.90 |
$1,677 |
0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$24,502.18 |
$35,003.11 |
7.2× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$1,753.07 |
$2,504.39 |
0.5× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$21,754.18 |
$31,077.40 |
6.4× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$21,631.26 |
$30,901.80 |
2.9× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$9,402.93 |
$13,432.76 |
2.8× |
| Punch biopsy skin single lesion (11104) |
$956.20 |
$1,366 |
2.3× |
| Puncture Aspiration Cyst Breast (19000) |
$956.20 |
$1,366 |
1.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$956.20 |
$1,366 |
2.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,076.72 |
$1,538.17 |
1.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,614.90 |
$2,307 |
2.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$13,647.03 |
$19,495.76 |
4.0× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$10,840.30 |
$15,486.15 |
3.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$43,153 |
$61,647.14 |
14.2× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$6,719.61 |
$9,599.44 |
2.0× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$6,304.01 |
$9,005.74 |
0.8× |
| Reconstruct extra finger (26587) |
$7,506.57 |
$10,723.68 |
2.2× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$25,059.50 |
$35,799.29 |
4.1× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$10,624.88 |
$15,178.40 |
1.4× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$11,976 |
$17,108.57 |
1.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$15,494.92 |
$22,135.61 |
6.2× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$9,919.04 |
$14,170.06 |
4.0× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$18,613.40 |
$26,590.57 |
7.5× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$19,794.84 |
$28,278.34 |
3.2× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) |
$20,054.97 |
$28,649.96 |
3.2× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$14,183.58 |
$20,262.25 |
2.3× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196) |
$10,075.92 |
$14,394.17 |
1.6× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$28,163.67 |
$40,233.81 |
4.6× |
| Reconstruction Toe Polydactyly (28344) |
$15,191.82 |
$21,702.60 |
4.4× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) |
$47,641.24 |
$68,058.92 |
7.7× |
| Reduce testis torsion (54600) |
$14,363.48 |
$20,519.26 |
3.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$26,141 |
$37,344.29 |
3.4× |
| Release finger contracture (26525) |
$1,314.80 |
$1,878.29 |
0.8× |
| Relieve pressure on nerve(s) (64722) |
$24,596.79 |
$35,138.27 |
12.1× |
| Relocation of skin pocket for pacemaker (33222) |
$6,059.90 |
$8,657 |
2.8× |
| Rem Endovas Vena Cava Filter (37193) |
$8,686.30 |
$12,409 |
2.6× |
| Removal Anal Seton Other Marker (46030) |
$13,598.64 |
$19,426.63 |
10.9× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$25,865 |
$36,950 |
1.2× |
| Removal biliary drg cath (47537) |
$2,248.47 |
$3,212.10 |
2.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$612.42 |
$874.88 |
0.2× |
| Removal foreign body foot deep (28192) |
$3.68 |
$5.26 |
0.0× |
| Removal foreign body foot subcutaneous (28190) |
$1,845.30 |
$2,636.15 |
2.5× |
| Removal foreign body intranasal (30300) |
$590.80 |
$844 |
4.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$590.80 |
$844 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$7,663.97 |
$10,948.52 |
2.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22.55 |
$32.22 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$142.25 |
$203.21 |
2.3× |
| Removal implant deep (20680) |
$18,900.93 |
$27,001.33 |
6.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$5,857.39 |
$8,367.70 |
3.4× |
| Removal Intact Mammary Implant (19328) |
$6,621.78 |
$9,459.69 |
1.6× |
| Removal of adenoids (42835) |
$3,926.07 |
$5,608.67 |
1.1× |
| Removal of adenoids (42830) |
$12,337.66 |
$17,625.24 |
3.6× |
| Removal of adenoids (42836) |
$6,849.67 |
$9,785.25 |
2.0× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$6,692.32 |
$9,560.45 |
0.9× |
| Removal of bone for graft (20902) |
$14,183.58 |
$20,262.25 |
1.9× |
| Removal of breast capsule (19371) |
$16,985.63 |
$24,265.19 |
4.2× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$17,934.52 |
$25,620.74 |
5.0× |
| Removal of eye (65101) |
$11,805.94 |
$16,865.63 |
2.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$6,797.01 |
$9,710.02 |
5.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$47.79 |
$68.27 |
0.1× |
| Removal of heel spur (28119) |
$9,697.88 |
$13,854.11 |
2.8× |
| Removal of implant material (19330) |
$18,800.63 |
$26,858.04 |
4.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$624.40 |
$892 |
1.0× |
| Removal of iris (66625) |
$9,250.07 |
$13,214.39 |
3.8× |
| Removal of iud (58301) |
$440.22 |
$628.88 |
1.4× |
| Removal of kidney stone (50081) |
$12,112.90 |
$17,304.15 |
1.2× |
| Removal of kidney stone (50080) |
$17,992.33 |
$25,703.32 |
1.8× |
| Removal of nail bed (11750) |
$598.08 |
$854.40 |
1.4× |
| Removal of sesamoid bone (28315) |
$7,451.59 |
$10,645.13 |
2.2× |
| Removal of tail bone (27080) |
$16,453.74 |
$23,505.35 |
4.8× |
| Removal of testis (54520) |
$16,505.87 |
$23,579.82 |
4.5× |
| Removal of thyroid (60271) |
$31,366.65 |
$44,809.50 |
5.1× |
| Removal of tonsils (42825) |
$11,001.52 |
$15,716.45 |
1.8× |
| Removal of tonsils (42826) |
$12,173.97 |
$17,391.39 |
3.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$12,473.53 |
$17,819.33 |
3.8× |
| Removal of wrist bone (25210) |
$8,391.11 |
$11,987.29 |
2.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$13,166.03 |
$18,808.61 |
3.9× |
| Removal ppm generator only (33233) |
$11,869.90 |
$16,957 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$10,411.14 |
$14,873.05 |
49.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$3,882.20 |
$5,546 |
5.2× |
| Removal, under anesthesia, of external fixation system (20694) |
$17,766.18 |
$25,380.26 |
10.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$590.80 |
$844 |
2.0× |
| Remove anal fist subq (46270) |
$15,471.40 |
$22,102 |
5.3× |
| Remove cerclage suture (59871) |
$9,333.98 |
$13,334.25 |
2.8× |
| Remove drug implant device (11982) |
$930.30 |
$1,329 |
2.0× |
| Remove ear lesion (69550) |
$15,546.12 |
$22,208.75 |
2.5× |
| Remove ext hem groups 2+ (46250) |
$13,069.23 |
$18,670.33 |
4.5× |
| Remove intrvas foreign body (37197) |
$5,379.25 |
$7,684.64 |
1.6× |
| Remove Lower Leg Bone Lesion (27635) |
$11,040.43 |
$15,772.05 |
3.2× |
| Remove muti-comp penis pros (54406) |
$10,934.80 |
$15,621.15 |
3.0× |
| Remove Pilonidal Cyst Exten (11771) |
$18,089.32 |
$25,841.89 |
6.0× |
| Remove pulse generator (33241) |
$8,953 |
$12,790 |
2.3× |
| Remove renal tube w/fluoro (50389) |
$1,168.30 |
$1,669 |
1.6× |
| Remove spine eltrd perq aray (63661) |
$6,024.50 |
$8,606.43 |
3.0× |
| Remove spine eltrd plate (63662) |
$7,230.33 |
$10,329.04 |
2.0× |
| Remove Tendon Sheath Lesion (26160) |
$11,763.02 |
$16,804.31 |
7.0× |
| Remove tissue expander (11971) |
$14,172.81 |
$20,246.87 |
4.7× |
| Remove ureter stent, percut (50384) |
$4,783.95 |
$6,834.22 |
2.2× |
| Remove vagina gland lesion (56740) |
$18,592.28 |
$26,560.41 |
5.5× |
| Remove&replace pm gen singl (33227) |
$19,820.50 |
$28,315 |
2.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$30.16 |
$43.09 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$590.80 |
$844 |
4.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$22.55 |
$32.22 |
0.2× |
| Remv Post Eye Implnt Mater,Extraocul (67120) |
$12,931.30 |
$18,473.29 |
5.4× |
| Remv&replc cvd gen dual lead (33263) |
$60,151 |
$85,930 |
2.6× |
| Remv&replc cvd gen mult lead (33264) |
$60,151 |
$85,930 |
1.8× |
| Remv&replc cvd gen sing lead (33262) |
$60,151 |
$85,930 |
2.6× |
| Remv&replc pm gen dual lead (33228) |
$23,963.80 |
$34,234 |
2.2× |
| Remv&replc pm gen mult leads (33229) |
$27,692.70 |
$39,561 |
1.4× |
| Renal Biopsy Percutaneous (50200) |
$2,681.70 |
$3,831 |
1.6× |
| Repair achilles tendon (27650) |
$26,374.56 |
$37,677.94 |
3.5× |
| Repair anal fistula (46288) |
$17,001.42 |
$24,287.74 |
5.9× |
| Repair blood vessel direct hand finger (35207) |
$493.30 |
$704.72 |
0.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$6,787.93 |
$9,697.04 |
2.1× |
| Repair blood vessel lesion (35190) |
$16,905.36 |
$24,150.51 |
2.9× |
| Repair blood vessel with graft other than vein; upper extremity Facility (35266) |
$24,494.20 |
$34,991.72 |
4.2× |
| Repair brow defect (67900) |
$13,827.47 |
$19,753.54 |
5.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$302.68 |
$432.40 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$16,322.14 |
$23,317.35 |
21.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$6,574.40 |
$9,392 |
15.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$659.08 |
$941.54 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$5,853.41 |
$8,362.01 |
13.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$590.80 |
$844 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$4,543 |
$6,490.01 |
5.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$14,085.61 |
$20,122.30 |
18.3× |
| Repair Detached Retina (67101) |
$31,528.59 |
$45,040.84 |
13.1× |
| Repair Ectropion Extensive (67917) |
$9,373.84 |
$13,391.20 |
3.8× |
| Repair Entropion Suture (67921) |
$8,987.75 |
$12,839.65 |
3.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$21,397.22 |
$30,567.45 |
12.7× |
| Repair eyelid defect (67916) |
$4,923.43 |
$7,033.47 |
2.0× |
| Repair eyelid defect (67908) |
$14,274.77 |
$20,392.53 |
5.7× |
| Repair eyelid defect (67923) |
$14,498.68 |
$20,712.40 |
5.8× |
| Repair eyelid defect (67904) |
$15,654.33 |
$22,363.34 |
6.3× |
| Repair Eyelid Wound (67935) |
$20,794.89 |
$29,706.98 |
8.4× |
| Repair Fistula Oromaxillary (30580) |
$3,146.40 |
$4,494.85 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$609.57 |
$870.81 |
0.2× |
| Repair hand tendon (26410) |
$12,777.12 |
$18,253.03 |
7.6× |
| Repair incomplete circumcision (54163) |
$14,872.82 |
$21,246.88 |
6.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$16,725.03 |
$23,892.90 |
4.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$15,343.29 |
$21,918.98 |
4.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$17,679.16 |
$25,255.94 |
4.7× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$13,395.42 |
$19,136.31 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$402.91 |
$575.59 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$590.80 |
$844 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$396.76 |
$566.80 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$598.08 |
$854.40 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$23,590.16 |
$33,700.23 |
55.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$609.57 |
$870.81 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$632.34 |
$903.35 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$37.59 |
$53.70 |
0.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$590.80 |
$844 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$926.62 |
$1,323.74 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$15.51 |
$22.16 |
0.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$730.10 |
$1,043 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$925.86 |
$1,322.66 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$776.39 |
$1,109.14 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$4,526.37 |
$6,466.24 |
2.1× |
| Repair lead pace-defib dual (33220) |
$12,595.10 |
$17,993 |
3.2× |
| Repair lead pace-defib one (33218) |
$13,539.40 |
$19,342 |
3.5× |
| Repair Lower Leg Tendons (27675) |
$26,351.98 |
$37,645.69 |
7.7× |
| Repair Nasal Stenosis (30465) |
$8,069.34 |
$11,527.62 |
1.3× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$50,865.60 |
$72,665.14 |
7.5× |
| Repair of biceps tendon (24340) |
$26,113.22 |
$37,304.60 |
3.4× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$25,381.56 |
$36,259.37 |
4.6× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$21,189.94 |
$30,271.34 |
4.1× |
| Repair of entropion; thermocauterization (67922) |
$4,663.36 |
$6,661.95 |
1.9× |
| Repair of humerus (24430) |
$11,909.41 |
$17,013.45 |
0.9× |
| Repair of knee cartilage (27403) |
$14,595.66 |
$20,850.94 |
1.9× |
| Repair of leg tendon each (27664) |
$28,662.80 |
$40,946.85 |
3.8× |
| Repair of leg tendon each (27658) |
$31,038.01 |
$44,340.01 |
9.1× |
| Repair of nail bed (11760) |
$403.40 |
$576.29 |
0.5× |
| Repair of nasal septum (30520) |
$18,556.99 |
$26,509.99 |
5.4× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
$12,790.62 |
$18,272.31 |
2.1× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$14,067.70 |
$20,096.71 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$23,541.55 |
$33,630.79 |
3.1× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure |
$1,583.18 |
$2,261.69 |
0.2× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$25,138.57 |
$35,912.24 |
3.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$7,837.65 |
$11,196.64 |
1.0× |
| Repair of urethra injury (53502) |
$5,364.01 |
$7,662.87 |
1.5× |
| Repair Profundus Tendon,Primary (26370) |
$15,094.37 |
$21,563.39 |
4.4× |
| Repair radius & ulna (25415) |
$30,102.75 |
$43,003.93 |
4.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$10,679.86 |
$15,256.95 |
1.6× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$17,877.34 |
$25,539.06 |
4.8× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$27,635.17 |
$39,478.81 |
6.4× |
| Repair rotator cuff acute (23410) |
$9,370.25 |
$13,386.08 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,719.61 |
$9,599.44 |
0.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$16,064.99 |
$22,949.99 |
4.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$26,292.21 |
$37,560.30 |
3.5× |
| Repair Tongue Laceration (41250) |
$1,265.17 |
$1,807.39 |
2.7× |
| Repair tooth socket (41874) |
$4,003.53 |
$5,719.33 |
1.2× |
| Repair tympanic membrane (69610) |
$5,291.33 |
$7,559.05 |
3.3× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$30,201.30 |
$43,144.71 |
4.0× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$16,060.85 |
$22,944.08 |
2.1× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$15,397.54 |
$21,996.49 |
2.0× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$24,705.25 |
$35,293.21 |
3.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$10,491.54 |
$14,987.92 |
1.4× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$10,624.88 |
$15,178.40 |
1.4× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$22,866.23 |
$32,666.04 |
3.0× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$11,794.96 |
$16,849.95 |
1.6× |
| Repair/revise wrist joint (25320) |
$10,046.27 |
$14,351.81 |
1.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,107.70 |
$3,011 |
2.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,237.90 |
$3,197 |
2.4× |
| Replace Tissue Expander (11970) |
$7,640.26 |
$10,914.66 |
1.0× |
| Replace tunneled cv cath (36578) |
$12,039.47 |
$17,199.24 |
3.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,174.20 |
$3,106 |
2.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,404.48 |
$4,863.54 |
0.9× |
| Reposition cv cath w/fluoro (36597) |
$2,050.31 |
$2,929.01 |
1.2× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,991.31 |
$2,844.73 |
7.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$15,721.21 |
$22,458.88 |
4.6× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$7,651.70 |
$10,931 |
2.3× |
| Resection of scrotum (55150) |
$3,905.30 |
$5,579 |
1.1× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$9,419.35 |
$13,456.22 |
2.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$50,395.11 |
$71,993.02 |
3.8× |
| Revise knuckle with implant (26531) |
$17,111.36 |
$24,444.80 |
2.3× |
| Revise Lower Leg Tendon (27691) |
$7,451.95 |
$10,645.65 |
1.0× |
| Revise spine eltrd perq aray (63663) |
$24,392.52 |
$34,846.46 |
3.7× |
Revise Spine Eltrd Plate (63664)
unusually low: confirm this is the full procedure |
$5,038.42 |
$7,197.74 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$7,826.52 |
$11,180.74 |
3.8× |
| Revise/Implant Finger Joint (26536) |
$19,359.61 |
$27,656.58 |
2.6× |
| Revise/Remove Neuroreceiver (63688) |
$41,411.74 |
$59,159.63 |
11.3× |
| Revision eyelid unlisted (67999) |
$17,808.24 |
$25,440.34 |
53.7× |
| Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601) |
$11,976 |
$17,108.57 |
1.9× |
| Revision of arthroplasty, including removal of implant, wrist joint Facility (25449) |
$9,995.98 |
$14,279.97 |
1.3× |
| Revision of eyelid (67880) |
$4,663.36 |
$6,661.95 |
1.9× |
| Revision of eyelid (67961) |
$9,720.21 |
$13,886.02 |
3.9× |
| Revision of iris (66761) |
$10,342.77 |
$14,775.39 |
18.0× |
| Revision of leg vein (37780) |
$19,091.06 |
$27,272.94 |
5.8× |
| Revision of lower leg tendon (27685) |
$10,462.36 |
$14,946.24 |
3.1× |
| Revision of penis (54300) |
$4,772.90 |
$6,818.43 |
1.3× |
| Revision of reconstructed breast (19380) |
$23,669.48 |
$33,813.55 |
3.4× |
| Revision of tips (37183) |
$7,963.53 |
$11,376.47 |
1.3× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$42,839.33 |
$61,199.04 |
3.2× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$14,820.22 |
$21,171.75 |
1.1× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$19,444.16 |
$27,777.37 |
1.1× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
$11,027.08 |
$15,752.97 |
1.9× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$19,881.62 |
$28,402.31 |
3.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$46,118.42 |
$65,883.46 |
3.4× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$25,482.79 |
$36,403.99 |
1.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$19,761.42 |
$28,230.60 |
5.4× |
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410)
unusually low: confirm this is the full procedure |
$2,450 |
$3,500 |
0.4× |
| Rhytidectomy Forehead (15824) |
$7,527.24 |
$10,753.20 |
3.5× |
| Rhytidectomy Glabellar Frown Lines (15826) |
$455 |
$650 |
0.1× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,973.60 |
$4,248 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$45.40 |
$64.86 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$13,959.04 |
$19,941.49 |
4.6× |
| Rmvl of subq defibrillator (33272) |
$8,756.30 |
$12,509 |
2.2× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$5,315.90 |
$7,594.15 |
1.5× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$10,569.80 |
$15,099.72 |
3.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$6,757.80 |
$9,654 |
1.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$8,747.90 |
$12,497 |
2.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$4,723.60 |
$6,748 |
2.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,792.30 |
$3,989 |
4.3× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$14,092.87 |
$20,132.67 |
5.8× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$9,077.60 |
$12,968 |
2.3× |
| Rplc gtube revj gstrst trc (43763) |
$1,771.70 |
$2,531 |
6.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,830.30 |
$4,043.28 |
1.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,668 |
$5,240 |
2.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$9,185.40 |
$13,122 |
2.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$6,615.70 |
$9,451 |
2.0× |
| Rplcmt/revj csf shunt valve/cath shunt sys (62230) |
$16,411.26 |
$23,444.65 |
1.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$15,482.85 |
$22,118.36 |
2.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$14,409.54 |
$20,585.06 |
3.9× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$26,771.20 |
$38,244.57 |
4.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,848.42 |
$14,069.17 |
1.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$16,332.16 |
$23,331.66 |
2.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$17,039.90 |
$24,342.71 |
2.7× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$14,959.85 |
$21,371.22 |
3.6× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$6,269.61 |
$8,956.58 |
1.1× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$6,935.48 |
$9,907.83 |
2.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,346.70 |
$4,781 |
2.0× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$19,874.88 |
$28,392.68 |
3.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$6,110 |
$8,728.57 |
10.8× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$30,186.68 |
$43,123.83 |
7.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$18,923.25 |
$27,033.22 |
5.5× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$23,324.83 |
$33,321.19 |
6.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,476.24 |
$2,108.91 |
2.3× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$7,602.81 |
$10,861.16 |
2.2× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$21,388.58 |
$30,555.11 |
6.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$14,053.64 |
$20,076.64 |
4.1× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$6,541.91 |
$9,345.58 |
2.0× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$6,722.80 |
$9,604 |
2.0× |
| Sclerotx Fluid Collection (49185) |
$3,523.10 |
$5,033 |
2.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$5,292.16 |
$7,560.23 |
5.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$7,571.78 |
$10,816.83 |
6.1× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,719.43 |
$2,456.33 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$5,775.75 |
$8,251.07 |
27.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$1,443.94 |
$2,062.77 |
6.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$13,760.87 |
$19,658.38 |
65.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$9,266.28 |
$13,237.55 |
7.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$9,790.52 |
$13,986.45 |
7.8× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$4,875.87 |
$6,965.53 |
5.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$6,511.44 |
$9,302.05 |
5.2× |
| Sigmoidoscopy w/biopsy (45331) |
$5,563.29 |
$7,947.56 |
5.7× |
| Sigmoidoscopy w/fb removal (45332) |
$8,931.74 |
$12,759.63 |
7.1× |
| Sigmoidoscopy w/us guide bx (45342) |
$3,070.32 |
$4,386.17 |
2.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$889.70 |
$1,271 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$590.80 |
$844 |
2.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$592.64 |
$846.63 |
2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$607.16 |
$867.38 |
2.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$630.80 |
$901.15 |
3.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$583.77 |
$833.96 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$131.18 |
$187.41 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$583.77 |
$833.96 |
2.8× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$14,008.25 |
$20,011.79 |
2.3× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030) |
$37,691.21 |
$53,844.58 |
6.1× |
| Skin splt grft trnk/arm/leg (15100) |
$16,185.19 |
$23,121.70 |
7.5× |
| Skin sub graft face/nk/hf/g (15275) |
$3,383.10 |
$4,833 |
4.4× |
| Skin sub graft trnk/arm/leg (15271) |
$3,383.10 |
$4,833 |
4.4× |
| Skin sub grft t/arm/lg child (15273) |
$7,969.14 |
$11,384.49 |
3.7× |
| Skin Tissue Procedure (17999) |
$590.80 |
$844 |
2.8× |
| Skin tissue rearrangement (14040) |
$17,150.06 |
$24,500.08 |
8.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$19,857.17 |
$28,367.39 |
5.4× |
| Skn sub grft f/n/hf/g child (15277) |
$5,105.54 |
$7,293.62 |
2.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,075.43 |
$8,679.18 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,318.43 |
$9,026.33 |
1.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$9,579.03 |
$13,684.33 |
1.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$16,331.50 |
$23,330.71 |
3.1× |
| Small bowel endoscopy (44366) |
$3,366.17 |
$4,808.81 |
1.7× |
| Small bowel endoscopy (44364) |
$3,131.32 |
$4,473.31 |
1.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$7,100.56 |
$10,143.65 |
3.5× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$5,122.92 |
$7,318.45 |
2.6× |
| Small bowel endoscopy/biopsy (44377) |
$2,739.29 |
$3,913.27 |
1.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$2,837.65 |
$4,053.79 |
1.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$3,338.33 |
$4,769.04 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$583.77 |
$833.96 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$845.23 |
$1,207.47 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$16.10 |
$23 |
0.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$13,771.23 |
$19,673.18 |
4.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,150.39 |
$1,643.41 |
1.6× |
| Spinal Puncture Therapeutic (62272) |
$2,187.50 |
$3,125 |
3.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$21,172.36 |
$30,246.23 |
6.4× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$20,180.63 |
$28,829.48 |
8.1× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$7,310.09 |
$10,442.99 |
2.9× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$20,871.56 |
$29,816.51 |
5.1× |
| Strapping hand/finger (29280) |
$286.80 |
$409.71 |
4.7× |
| Strapping unna boot (29580) |
$451.50 |
$645 |
2.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$7,436.52 |
$10,623.60 |
2.1× |
| Suction assisted lipectomy lower extremity (15879) |
$15,490.87 |
$22,129.81 |
4.2× |
| Suction Assisted Lipectomy Trunk (15877) |
$26,036.28 |
$37,194.68 |
7.0× |
| Suction assisted lipectomy; head and neck (15876) |
$16,071.19 |
$22,958.84 |
4.3× |
| Suction assisted lipectomy; upper extremity (15878) |
$1,735.30 |
$2,479 |
0.8× |
| Surgery of breast capsule (19370) |
$10,591.35 |
$15,130.50 |
2.6× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$15,132.40 |
$21,617.71 |
4.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$11,863.48 |
$16,947.83 |
4.1× |
| Suspension of testis (54640) |
$113.12 |
$161.60 |
0.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$15,094.37 |
$21,563.39 |
7.4× |
| Suture infrapatellar tendon primary (27380) |
$17,390.59 |
$24,843.70 |
2.3× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$27,517.30 |
$39,310.43 |
3.6× |
| Suture/repair testicular injury (54670) |
$15,565.55 |
$22,236.51 |
4.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$24,923.82 |
$35,605.45 |
14.8× |
| Tangential biopsy skin single lesion (11102) |
$574 |
$820 |
1.4× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$52,402 |
$74,860 |
1.7× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$35,150.50 |
$50,215 |
1.7× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$7,327.68 |
$10,468.11 |
2.2× |
| Temporary Closure Eyelids Suture (67875) |
$7,449.74 |
$10,642.49 |
7.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$5,551.22 |
$7,930.32 |
1.6× |
| Tenodesis long tendon biceps (23430) |
$11,812.13 |
$16,874.47 |
1.6× |
| Tenolysis extensor foot single tendon (28225) |
$11,018.33 |
$15,740.47 |
3.2× |
| Tenolysis extensor tendon hand/finger each (26445) |
$3,080.65 |
$4,400.93 |
0.9× |
| Tenolysis flexor foot single tendon (28220) |
$6,051.65 |
$8,645.22 |
3.6× |
| Tenotomy flexor finger open each tendon (26455) |
$8,174.14 |
$11,677.34 |
4.9× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$5,680.23 |
$8,114.61 |
3.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$4,310.38 |
$6,157.68 |
2.6× |
| Tenotomy shoulder area single tendon (23405) |
$5,727.40 |
$8,182 |
0.8× |
| Tenotomy Shoulder Multiple Thru Same Incision (23406) |
$5,727.40 |
$8,182 |
0.8× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$11,057.44 |
$15,796.34 |
6.6× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$20,113.67 |
$28,733.82 |
5.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,053.50 |
$1,505 |
0.6× |
| Ther Apheresis,White Blood Cells (36511) |
$978.25 |
$1,397.50 |
0.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,305.33 |
$3,293.33 |
3.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,720.60 |
$2,458 |
2.6× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$24,084.84 |
$34,406.91 |
4.1× |
| Throat Surgery Procedure (42999) |
$5,940.82 |
$8,486.89 |
24.0× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$8,327.67 |
$11,896.67 |
1.4× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$24,938.29 |
$35,626.13 |
4.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,568.51 |
$9,383.59 |
2.0× |
| Thrombolytic Art Therapy (37211) |
$9,164.40 |
$13,092 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$111.82 |
$159.75 |
0.3× |
| Thrombolytic Venous Therapy (37212) |
$7,331.10 |
$10,473 |
2.2× |
| Thyroid biopsy (60100) |
$1,586.20 |
$2,266 |
2.1× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$26,476.91 |
$37,824.16 |
4.3× |
| Thyroidectomy, total or complete (60240) |
$25,547.90 |
$36,497 |
4.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$18,892.18 |
$26,988.83 |
3.1× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$19,009.41 |
$27,156.30 |
1.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$7,819.65 |
$11,170.93 |
2.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,968.67 |
$8,526.68 |
1.7× |
| Total hip arthroplasty (27130) |
$33,555.41 |
$47,936.30 |
2.5× |
| Total Knee Arthroplasty (27447) |
$31,771.70 |
$45,388.15 |
2.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$2,023.97 |
$2,891.38 |
3.6× |
| Tracheotomy tube change (31502) |
$345.80 |
$494 |
1.4× |
| Transcatheter biopsy (37200) |
$6,358.10 |
$9,083 |
1.1× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$16,744.85 |
$23,921.22 |
8.2× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$9,595.84 |
$13,708.34 |
1.3× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) |
$4,248.66 |
$6,069.51 |
2.0× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$8,203.66 |
$11,719.51 |
1.5× |
| Transplant hand tendon (26480) |
$7,330.13 |
$10,471.61 |
2.1× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$22,543.20 |
$32,204.57 |
2.3× |
| Transur electr resection of prostate (52601) |
$20,234.26 |
$28,906.08 |
3.6× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Facility (53852) |
$5,526.10 |
$7,894.43 |
1.5× |
| Transurethral resection bladder neck (52500) |
$12,921.64 |
$18,459.48 |
3.5× |
| Treat Big Toe Fracture (28505) |
$9,423.35 |
$13,461.93 |
2.8× |
| Treat elbow fracture (24586) |
$28,672.09 |
$40,960.13 |
2.1× |
| Treat Elbow Fracture (24635) |
$8,658.54 |
$12,369.35 |
1.1× |
| Treat fracture radius/ulna (25575) |
$30,717.01 |
$43,881.44 |
4.1× |
| Treat knee fracture (27532) |
$8,343.07 |
$11,918.67 |
2.4× |
| Treat Knee Fracture (27535) |
$13,250.71 |
$18,929.59 |
1.7× |
| Treat Knee Fracture (27540) |
$14,264.43 |
$20,377.76 |
1.9× |
| Treat Kneecap Fracture (27524) |
$30,143.49 |
$43,062.13 |
4.0× |
| Treat Lower Leg Fracture (27828) |
$38,123.75 |
$54,462.50 |
2.8× |
| Treat pleurodesis w/agent (32560) |
$1,105.17 |
$1,578.82 |
1.7× |
| Treat radius fracture (24665) |
$17,142.37 |
$24,489.10 |
2.3× |
| Treat scapula fracture (23585) |
$15,352.28 |
$21,931.83 |
2.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$891.54 |
$1,273.63 |
0.5× |
| Treat Vaginal Bleeding (57180) |
$260.74 |
$372.48 |
1.2× |
| Treatment closed elbow dislocation req anes (24605) |
$907.96 |
$1,297.08 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,005.48 |
$1,436.41 |
3.9× |
| Treatment of fibula fracture (27784) |
$7,836.27 |
$11,194.67 |
1.0× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$12,001.90 |
$17,145.57 |
3.6× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$12,388.93 |
$17,698.48 |
3.7× |
| Treatment of nose fracture (21330) |
$4,735.75 |
$6,765.36 |
0.8× |
| Treatment of retina (67141) |
$10,749.80 |
$15,356.86 |
32.4× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$28,957.03 |
$41,367.19 |
8.5× |
| Treatment of tibia fracture (27756) |
$20,315.12 |
$29,021.60 |
2.7× |
| Trim skin lesion (11055) |
$534.10 |
$763 |
2.5× |
| Trim skin lesions 2 to 4 (11056) |
$332.30 |
$474.72 |
1.6× |
| Trim skin lesions over 4 (11057) |
$397.06 |
$567.23 |
1.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$182.27 |
$260.39 |
3.0× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$17,852.10 |
$25,503 |
3.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$16,186.80 |
$23,124 |
2.7× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$12,100.10 |
$17,285.85 |
3.3× |
| Tube thoracostomy includes water seal (32551) |
$3,738.70 |
$5,341 |
2.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$12,851.44 |
$18,359.20 |
4.4× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$29,752.22 |
$42,503.18 |
2.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$11,815.35 |
$16,879.07 |
3.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$12,994.92 |
$18,564.17 |
7.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$9,722.30 |
$13,889 |
12.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$28,046.44 |
$40,066.34 |
2.1× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$4,576.10 |
$6,537.28 |
0.7× |
| Tympanostomy general anesthesia (69436) |
$3,962.10 |
$5,660.14 |
2.4× |
| Unlisted Cardiac Surgery (33999) |
$1,512.70 |
$2,161 |
2.3× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$17,688.80 |
$25,269.71 |
71.5× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$8,941.29 |
$12,773.27 |
42.4× |
| Unlisted laparoscopic procedure liver (47379) |
$11,052.63 |
$15,789.46 |
1.8× |
| Unlisted laparoscopic procedure, ureter (50949) |
$17,992.33 |
$25,703.32 |
2.8× |
| Unlisted laparoscopy procedure stomach (43659) |
$10,188.12 |
$14,554.46 |
1.6× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$21,040.39 |
$30,057.70 |
3.3× |
| Unlisted laparoscopy procedure, appendix (44979) |
$10,087.97 |
$14,411.38 |
1.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$13,964.69 |
$19,949.56 |
2.2× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$26,656.42 |
$38,080.60 |
4.2× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$10,397.99 |
$14,854.28 |
1.6× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$23,571.41 |
$33,673.44 |
3.7× |
| Unlisted laparoscopy procedure, uterus (58578) |
$18,426.15 |
$26,323.07 |
2.9× |
| Unlisted Procedure Accessory Sinuses (31299) |
$14,008.25 |
$20,011.79 |
56.6× |
| Unlisted procedure anus (46999) |
$14,808.26 |
$21,154.65 |
15.2× |
| Unlisted procedure arthroscopy (29999) |
$24,873.76 |
$35,533.95 |
96.6× |
| Unlisted procedure colon (45399) |
$2,512.54 |
$3,589.34 |
2.6× |
| Unlisted procedure dentoalveolar structures (41899) |
$16,157.92 |
$23,082.75 |
65.3× |
| Unlisted Procedure External Ear (69399) |
$21,589.31 |
$30,841.87 |
87.3× |
| Unlisted procedure femur or knee (27599) |
$28,525.92 |
$40,751.32 |
110.7× |
| Unlisted procedure foot or toes (28899) |
$5,721.90 |
$8,174.15 |
22.2× |
| Unlisted procedure humerus/elbow (24999) |
$28,392.06 |
$40,560.08 |
110.2× |
| Unlisted procedure liver (47399) |
$5,574.69 |
$7,963.84 |
7.5× |
| Unlisted Procedure Male Genital System (55899) |
$942.98 |
$1,347.11 |
3.6× |
| Unlisted Procedure Muscskeletal System General (20999) |
$25,776.58 |
$36,823.68 |
100.1× |
| Unlisted procedure nervous system (64999) |
$12,000.53 |
$17,143.62 |
37.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$32,000.84 |
$45,715.48 |
124.2× |
| Unlisted procedure rectum (45999) |
$13,744.93 |
$19,635.62 |
14.2× |
| Unlisted Procedure Small Intestine (44799) |
$3,436.02 |
$4,908.60 |
3.6× |
| Unlisted Procedure Trachea Bronchi (31899) |
$8,658.34 |
$12,369.05 |
41.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$20,164.61 |
$28,806.58 |
30.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$4,892.32 |
$6,989.03 |
5.2× |
| Unlisted procedure, hands or fingers (26989) |
$19,412.93 |
$27,732.76 |
75.4× |
| Unlisted procedure, leg or ankle (27899) |
$914.92 |
$1,307.03 |
3.6× |
| Unlisted procedure, stomach (43999) |
$9,766.40 |
$13,952 |
10.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$13,611.27 |
$19,444.67 |
64.5× |
| Upgrade of pacemaker system (33214) |
$26,810.35 |
$38,300.50 |
2.5× |
| Urology Surgery Procedure (53899) |
$302.28 |
$431.83 |
1.2× |
| Us urine capacity measure (51798) |
$142.80 |
$204 |
2.3× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$7,215.28 |
$10,307.55 |
2.1× |
| Uvulectomy excision of uvula (42140) |
$5,461.07 |
$7,801.54 |
1.6× |
| Vaginal delivery only (59409) |
$5,178.44 |
$7,397.77 |
1.5× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$16,961.13 |
$24,230.19 |
3.2× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$10,762.60 |
$15,375.15 |
3.2× |
| Vasc embolize/occlude artery (37242) |
$31,238.90 |
$44,627 |
1.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$29,059.10 |
$41,513 |
2.4× |
| Vasc embolize/occlude organ (37243) |
$29,059.10 |
$41,513 |
2.4× |
| Vasc embolize/occlude venous (37241) |
$29,059.10 |
$41,513 |
2.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$11,865.67 |
$16,950.96 |
5.4× |
| Venipuncture (36415) |
$35.70 |
$51 |
3.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,576.10 |
$6,537.28 |
1.3× |
| Vitrectomy mechanical pars plana (67036) |
$26,080.97 |
$37,258.54 |
6.0× |
| Vitrectomy pars plana remove int memb retina (67042) |
$24,032.11 |
$34,331.59 |
5.6× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$29,389.79 |
$41,985.42 |
6.8× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$22,881.37 |
$32,687.67 |
5.3× |
| Vulvectomy Simple Partial (56620) |
$16,071.05 |
$22,958.64 |
4.8× |
| Vulvectomy simple; complete (56625) |
$17,304.80 |
$24,721.14 |
5.1× |
| Vulvectomy, radical, partial; Facility (56630) |
$7,433.46 |
$10,619.23 |
1.4× |
| Wound Prep F/N/Hf/G (15004) |
$6,952.48 |
$9,932.11 |
16.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$6,717.75 |
$9,596.79 |
8.7× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$7,129.68 |
$10,185.25 |
1.2× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$2,074.23 |
$2,963.19 |
1.3× |