| Abd paracentesis (49082) |
$2,225.26 |
$3,178.95 |
2.3× |
| Abd paracentesis w/imaging (49083) |
$1,915.20 |
$2,736 |
2.0× |
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 therapy 1+ pulm tumors perq cryoablation (32994)
unusually low: confirm this is the full procedure |
$3,704.71 |
$5,292.44 |
0.3× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$3,979.10 |
$5,684.43 |
0.6× |
| Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma Other Surgical Services (19105) |
$2,219.17 |
$3,170.24 |
0.5× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$6,235.05 |
$8,907.22 |
0.6× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$10,039.11 |
$14,341.58 |
1.3× |
| Adenoidectomy, primary; younger than age 12 Other Surgical Services (42830) |
$12,337.66 |
$17,625.24 |
3.6× |
| Adenoidectomy, secondary; age 12 or over Other Surgical Services (42836) |
$6,849.67 |
$9,785.25 |
2.0× |
| Adenoidectomy, secondary; younger than age 12 Other Surgical Services (42835) |
$3,926.07 |
$5,608.67 |
1.1× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$17,572.19 |
$25,103.13 |
8.2× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$21,697.87 |
$30,996.96 |
10.1× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Other Surgical… (14021) |
$19,463.86 |
$27,805.52 |
9.0× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Other Surgical Services (14000) |
$15,365.50 |
$21,950.72 |
7.1× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services (14001) |
$10,229.20 |
$14,613.15 |
4.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$26,889.35 |
$38,413.36 |
12.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$17,150.06 |
$24,500.08 |
8.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$16,076.02 |
$22,965.74 |
7.5× |
| Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs»… (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 w/dir clsr (26951) |
$16,743.97 |
$23,919.96 |
4.9× |
| Amputation of finger/thumb (26952) |
$19,197.52 |
$27,425.03 |
5.6× |
| 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 Other Surgical Services (27886) |
$16,079.44 |
$22,970.63 |
4.7× |
| Amputation, metatarsal, with toe, single Other Surgical Services (28810) |
$7,474.40 |
$10,677.72 |
2.2× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Other Surgical Services (45990) |
$14,125.66 |
$20,179.52 |
4.9× |
| Anoscopy and biopsy (46606) |
$14,659.34 |
$20,941.91 |
11.7× |
| Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent… (46607) |
$14,351.34 |
$20,501.92 |
11.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$19,256.06 |
$27,508.65 |
3.7× |
| Apheresis therapeutic rbc (36512) |
$1,053.50 |
$1,505 |
0.6× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$3,383.10 |
$4,833 |
4.4× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$7,969.14 |
$11,384.49 |
3.7× |
| Appl finger splint static (29130) |
$424.20 |
$606 |
3.1× |
| Appl mltlayr compres sys uparm lwarm hand&finger (29584) |
$329 |
$470 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$889.70 |
$1,271 |
14.4× |
| Application long leg splint thigh ankle/toes (29505) |
$624.80 |
$892.57 |
3.7× |
| 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 skin cell suspension autograft to wound and donor sites, including application of primary dressing,… (15015) |
$4,065.74 |
$5,808.20 |
1.9× |
| Application uniplane external fixation system (20690) |
$9,516.60 |
$13,595.15 |
1.3× |
| Application, cast; shoulder to hand (long arm) (29065) |
$17.74 |
$25.34 |
0.1× |
| Apply long arm splint (29105) |
$889.70 |
$1,271 |
5.2× |
| Apply Lower Leg Splint (29515) |
$667.10 |
$953 |
3.9× |
| Apply multi-layer compression lower leg (29581) |
$451.50 |
$645 |
2.7× |
| Apply rigid leg cast (29445) |
$770.70 |
$1,101 |
2.6× |
| Apply short arm splint static (29125) |
$455.70 |
$651 |
3.3× |
| Apply Short Leg Cast (29405) |
$766.50 |
$1,095 |
2.6× |
| Apply splint short arm dynamic (29126) |
$892.55 |
$1,275.07 |
6.4× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Other Surgical… (27479) |
$22,288.74 |
$31,841.05 |
2.9× |
| Arterial puncture (36600) |
$218.40 |
$312 |
1.6× |
| Arteriovenous anastomosis, open; by upper arm basilic vein transposition Other Surgical Services (36819) |
$10,963 |
$15,661.43 |
1.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Other Surgical Services (36818) |
$18,698.25 |
$26,711.79 |
3.2× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Other Surgical Services (36821) |
$19,927.74 |
$28,468.21 |
6.0× |
Arthrd ant interbody min dsc crv below c2 (22554)
unusually low: confirm this is the full procedure |
$4,760.09 |
$6,800.13 |
0.4× |
| 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, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551)
unusually low: confirm this is the full procedure |
$5,914.55 |
$8,449.36 |
0.4× |
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, great toe; interphalangeal joint Other Surgical Services (28755) |
$18,636.80 |
$26,624 |
2.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$29,602.77 |
$42,289.67 |
3.9× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Other Surgical Services (26850) |
$9,995.98 |
$14,279.97 |
1.3× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$9,021.93 |
$12,888.47 |
1.2× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Other Surgical Services (28730) |
$16,857.32 |
$24,081.89 |
1.3× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Other… (28735) |
$9,236.75 |
$13,195.36 |
0.7× |
| Arthrodesis, midtarsal or tarsometatarsal, single joint Other Surgical Services (28740) |
$17,913.92 |
$25,591.32 |
2.4× |
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, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279) |
$25,247.81 |
$36,068.30 |
1.4× |
| 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) Other Surgical Services (25825) |
$13,647.03 |
$19,495.76 |
1.8× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Other Surgical Services (25810) |
$10,777.82 |
$15,396.89 |
0.8× |
| Arthrodesis; subtalar (28725) |
$17,729.67 |
$25,328.10 |
1.3× |
| Arthrodesis; triple Other Surgical Services (28715) |
$16,811.79 |
$24,016.85 |
1.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$35,134.64 |
$50,192.34 |
1.9× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Other Surgical Services (24361) |
$15,554.65 |
$22,220.92 |
0.8× |
| Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Other Surgical Services (26536) |
$19,359.61 |
$27,656.58 |
2.6× |
| Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Other Surgical Services (26531) |
$17,111.36 |
$24,444.80 |
2.3× |
| Arthroplasty, patella; with prosthesis Other Surgical Services (27438) |
$11,738.25 |
$16,768.92 |
0.9× |
| Arthroplasty, patella; without prosthesis Other Surgical Services (27437) |
$29,157.49 |
$41,653.56 |
3.8× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Other Surgical Services (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, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Other Surgical Services (29898) |
$10,690.42 |
$15,272.03 |
3.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Other Surgical Services (29897) |
$11,909.90 |
$17,014.14 |
3.5× |
| Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Other Surgical Services (29915) |
$10,578.92 |
$15,112.75 |
1.4× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Other Surgical Services (29914) |
$10,578.92 |
$15,112.75 |
1.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$21,001.34 |
$30,001.92 |
6.1× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$10,169.57 |
$14,527.96 |
3.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$9,967.36 |
$14,239.08 |
2.9× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$24,873.76 |
$35,533.95 |
96.6× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Other Surgical… (29875) |
$18,104.55 |
$25,863.64 |
5.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$21,254.76 |
$30,363.95 |
6.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$6,759.84 |
$9,656.92 |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$15,132.40 |
$21,617.71 |
4.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Other… (29824) |
$8,046.21 |
$11,494.58 |
2.4× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Other Surgical Services (29807) |
$8,093.42 |
$11,562.03 |
1.1× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Other… (29846) |
$20,075.76 |
$28,679.66 |
5.9× |
| Arthroscopy, wrist, surgical; synovectomy, partial Other Surgical Services (29844) |
$7,860.44 |
$11,229.20 |
2.3× |
| Arthrotomy with meniscus repair, knee Other Surgical Services (27403) |
$14,595.66 |
$20,850.94 |
1.9× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Other Surgical Services (27331) |
$14,179.85 |
$20,256.93 |
4.1× |
| Arthrotomy, knee; with synovial biopsy only Other Surgical Services (27330) |
$14,619.57 |
$20,885.10 |
4.3× |
| Arthrotomy, with synovectomy, ankle; Other Surgical Services (27625) |
$7,620.21 |
$10,886.01 |
2.2× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Other Surgical Services (27335) |
$14,745.99 |
$21,065.70 |
1.9× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$33,555.41 |
$47,936.30 |
2.5× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$18,340.65 |
$26,200.93 |
10.9× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$11,744.23 |
$16,777.47 |
3.4× |
| Aspir/inj thyroid cyst (60300) |
$1,376.20 |
$1,966 |
1.9× |
| Aspiration and injection for treatment of bone cyst Other Surgical Services (20615) |
$528.18 |
$754.54 |
0.7× |
| 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× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$574 |
$820 |
2.7× |
| Axillary lymphadenectomy; complete Other Surgical Services (38745) |
$26,158.50 |
$37,369.28 |
4.1× |
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× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$4,420.14 |
$6,314.49 |
0.7× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$4,462.42 |
$6,374.88 |
0.7× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$2,162.74 |
$3,089.63 |
0.6× |
| 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 floor of mouth (41108) |
$11,767.22 |
$16,810.31 |
6.8× |
| Biopsy lacrimal gland (68510) |
$14,545.99 |
$20,779.99 |
5.9× |
| 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 of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Other Surgical Services (19100) |
$10.22 |
$14.60 |
0.0× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin facility (44389) |
$6,489.42 |
$9,270.61 |
5.2× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$5,563.29 |
$7,947.56 |
5.7× |
| Biopsy of nerve (64795) |
$15,151.28 |
$21,644.69 |
7.4× |
| Biopsy of penis; (separate procedure) (54100) |
$7,074.34 |
$10,106.20 |
4.1× |
| Biopsy of salivary gland; needle (42400) |
$2,332.40 |
$3,332 |
3.2× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin… (44382) |
$2,739.29 |
$3,913.27 |
2.9× |
| 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 soft tissue leg/ankle area deep (27614) |
$3,917.41 |
$5,596.30 |
1.3× |
| 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 thyroid percutaneous core needle (60100) |
$1,586.20 |
$2,266 |
2.1× |
| Biopsy vaginal mucosa simple (57100) |
$10,722.74 |
$15,318.21 |
11.1× |
| Biopsy Vulva/Perineum,One Lesn (56605) |
$6,706.77 |
$9,581.11 |
7.0× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services (49180) |
$2,683.80 |
$3,834 |
1.6× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Other Surgical Services (20245) |
$2,249.48 |
$3,213.55 |
0.7× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$20,084.06 |
$28,691.52 |
11.6× |
| Biopsy/removal lymph nodes (38510) |
$12,094.74 |
$17,278.20 |
3.0× |
| Bladder irrigation (51700) |
$646.80 |
$924 |
2.5× |
| Bladder Scan (51798) |
$142.80 |
$204 |
2.3× |
| Blepharoplasty lower eyelid (15820) |
$11,305.48 |
$16,150.69 |
5.2× |
| Blood transfusion service (36430) |
$411.60 |
$588 |
0.9× |
| Bone Biopsy Deep (20225) |
$3,467.10 |
$4,953 |
2.0× |
| Bone Biopsy Superficial (20220) |
$2,631.30 |
$3,759 |
1.5× |
| Bone graft, any donor area; major or large Other Surgical Services (20902) |
$14,183.58 |
$20,262.25 |
1.9× |
| Bone Marrow Biopsy (38221) |
$1,150.10 |
$1,643 |
0.7× |
| Brain canal shunt procedure (61070) |
$1,076.72 |
$1,538.17 |
1.5× |
| Breast augmentation with implant Other Surgical Services (19325) |
$9,678.05 |
$13,825.78 |
1.1× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$13,148.79 |
$18,783.99 |
3.2× |
| Breast reduction Other Surgical Services (19318) |
$28,320.24 |
$40,457.48 |
4.1× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$11,760.56 |
$16,800.80 |
3.0× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$11,663.20 |
$16,661.72 |
3.0× |
| Bronch diagnostic (31622) |
$5,579.62 |
$7,970.89 |
3.0× |
| Bronch foreign body removal (31635) |
$10,581.15 |
$15,115.93 |
5.7× |
| Bronch treat blockage (31641) |
$5,449.51 |
$7,785.02 |
1.4× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,783.21 |
$3,976.01 |
0.7× |
| Bronchoscopy w/biopsy(s) (31625) |
$4,129.07 |
$5,898.67 |
2.2× |
| Bronchoscopy w/markers (31626) |
$5,820.88 |
$8,315.55 |
0.8× |
| 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× |
| Bronchoscopy/lung bx each (31628) |
$2,476.29 |
$3,537.56 |
0.6× |
| 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/Exc Lymph Node Open Deep Axillary Node (38525) |
$8,077.08 |
$11,538.68 |
2.0× |
| Canthoplasty (67950) |
$14,522.62 |
$20,746.60 |
5.8× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$5,721.90 |
$8,174.15 |
22.2× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$10,046.27 |
$14,351.81 |
1.3× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Other Surgical… (28270) |
$11,348.73 |
$16,212.47 |
3.3× |
| Cardiac surg procedure unlist (33999) |
$1,512.70 |
$2,161 |
2.3× |
| Care of miscarriage (59820) |
$12,001.90 |
$17,145.57 |
3.6× |
| Carpectomy with capitate implant resurfacing (hemi-arthroplasty) (25999) |
$941.68 |
$1,345.25 |
3.7× |
| Carpectomy; all bones of proximal row Other Surgical Services (25215) |
$6,543.34 |
$9,347.63 |
1.9× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$5,785.50 |
$8,265 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$1,513.40 |
$2,162 |
5.8× |
| Change ext/int ureter stent (50387) |
$2,973.60 |
$4,248 |
1.4× |
| Change g-tube to g-j perc (49446) |
$3,919.30 |
$5,599 |
2.0× |
| Change of cystostomy tube; complicated (51710) |
$3,118.50 |
$4,455 |
4.3× |
| Change Ureter Stent, Percut (50382) |
$5,528.46 |
$7,897.80 |
2.5× |
| Chemical cauterization of granulation tissue (17250) |
$574 |
$820 |
2.7× |
| Chemical peel, facial; epidermal Other Surgical Services (15788) |
$13,366.14 |
$19,094.48 |
31.5× |
| Chemodenervation Internal Anal Sphincter (46505) |
$13,491.86 |
$19,274.09 |
10.8× |
| Chest tube placement (32551) |
$3,738.70 |
$5,341 |
2.3× |
| Chromotubation of oviduct, including materials Other Surgical Services (58350) |
$15,563.63 |
$22,233.75 |
3.0× |
| Circumcision age >28 days (54161) |
$13,659.76 |
$19,513.94 |
6.3× |
| Circumcision neonate (54160) |
$1,106 |
$1,580 |
1.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,864.56 |
$2,663.65 |
0.9× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$1,709.55 |
$2,442.21 |
5.3× |
| Closed Rx Big Toe Fx,Manip (28495) |
$247.47 |
$353.53 |
1.0× |
| Closed rx humer epicondylr fx,manip (24565) |
$21,204.89 |
$30,292.70 |
12.6× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$917.08 |
$1,310.11 |
0.5× |
| Closed Rx Monteggia Fx/Disloc Elbow (24620) |
$969.97 |
$1,385.67 |
0.6× |
| Closed Rx Prox Humerus Fx,Manip (23605) |
$63.13 |
$90.19 |
0.0× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$860.23 |
$1,228.90 |
0.5× |
| Closed Rx Tib Plat Fx+Manip (27532) |
$8,343.07 |
$11,918.67 |
2.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$8,814.74 |
$12,592.49 |
34.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,701.74 |
$2,431.06 |
1.0× |
| Closed Rx Ulna Styloid Fx (25650) |
$1,075.34 |
$1,536.20 |
4.2× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$861.62 |
$1,230.89 |
0.5× |
| Closed treatment of dislocated jaw joint (21480) |
$146.76 |
$209.65 |
0.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$218.18 |
$311.69 |
0.8× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$8.82 |
$12.60 |
0.0× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$889.70 |
$1,271 |
3.5× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$958.15 |
$1,368.78 |
3.7× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,064.66 |
$1,520.95 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,804.40 |
$2,577.72 |
1.1× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$297.52 |
$425.03 |
1.2× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$889.70 |
$1,271 |
3.5× |
| 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 mandibular fracture w/manipulation (21451) |
$17,730.10 |
$25,328.72 |
10.9× |
| 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 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 shaft fracture w/manipulation (25505) |
$561.84 |
$802.63 |
0.3× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$835.93 |
$1,194.19 |
0.5× |
| Closed tx septal&nose fx (21337) |
$12,535.84 |
$17,908.34 |
3.6× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$892.17 |
$1,274.53 |
3.5× |
| Closed tx ulnar shaft fracture w/manipulation (25535) |
$6,847.85 |
$9,782.64 |
26.6× |
| Closure of rectovaginal fistula; vaginal or transanal approach Other Surgical Services (57300) |
$16,551.23 |
$23,644.61 |
4.9× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$10,386.71 |
$14,838.16 |
6.4× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$11,500.74 |
$16,429.63 |
3.3× |
| Cltx carpo/metacarpal fx dislc thumb w/manj (26645) |
$891.54 |
$1,273.63 |
0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$46.83 |
$66.90 |
0.2× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (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 phlx/phlg oth/thn grt toe w/manj (28515) |
$890.62 |
$1,272.32 |
3.5× |
| 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 TechFee (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 metacarpophalangeal dislc w/manj w/anes (26705) |
$891.54 |
$1,273.63 |
0.5× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$741.46 |
$1,059.24 |
2.9× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$1,310.36 |
$1,871.94 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/mnpj (23665) |
$910.80 |
$1,301.15 |
0.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/mnpj (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 TechFee (27752) |
$975.71 |
$1,393.87 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$799.53 |
$1,142.18 |
0.5× |
| Coccygectomy, primary Other Surgical Services (27080) |
$16,453.74 |
$23,505.35 |
4.8× |
| Collect blood from catheter venous nos (36592) |
$298.20 |
$426 |
2.1× |
| Colonoscopy dilate stricture (45386) |
$2,543.87 |
$3,634.10 |
2.0× |
| Colonoscopy thru stoma spx (44388) |
$5,380.14 |
$7,685.91 |
5.5× |
| 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 w/resection (45390) |
$10,831.04 |
$15,472.91 |
3.7× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$9,721.16 |
$13,887.37 |
1.3× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Other Surgical Services (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 (57452) |
$5,538.24 |
$7,911.77 |
26.2× |
| 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,Cervix W/Adj Vagina,W/Bx (57455) |
$12,872.45 |
$18,389.22 |
40.5× |
| Colposcopy,Entire Vagina (57420) |
$6,599.21 |
$9,427.45 |
20.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$17,220.36 |
$24,600.51 |
17.9× |
| Colsc flexible w/control bleeding any method (45382) |
$8,491.09 |
$12,130.13 |
6.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$8,209.57 |
$11,727.96 |
6.6× |
| Complete replacement picc rs&i (36584) |
$3,668 |
$5,240 |
2.2× |
| Complex Drainage, Wound (10180) |
$7,206.50 |
$10,295 |
2.4× |
| Composite skin graft (15760) |
$2,296.37 |
$3,280.53 |
1.1× |
| Conization of cervix (57520) |
$14,978.43 |
$21,397.76 |
4.4× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$13,222.51 |
$18,889.30 |
3.9× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Other Surgical Services (67880) |
$4,663.36 |
$6,661.95 |
1.9× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$803.86 |
$1,148.37 |
3.6× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$196.86 |
$281.23 |
1.4× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$2,512.54 |
$3,589.34 |
2.0× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$12,393.69 |
$17,705.27 |
3.6× |
| Control Throat Bleed,Simple (42960) |
$13,085.62 |
$18,693.74 |
23.2× |
| Conv ext bil drg cath to int-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 Other Surgical… (27132) |
$57,128.88 |
$81,612.69 |
4.3× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$2,714.60 |
$3,878 |
1.2× |
| Conz of cervix w/scope leep (57461) |
$15,845.12 |
$22,635.88 |
4.7× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,998.80 |
$4,284 |
1.7× |
| Coronoidectomy (separate procedure) Other Surgical Services (21070) |
$17,820.94 |
$25,458.48 |
2.9× |
| Correction of everted punctum, cautery Other Surgical Services (68705) |
$4,580.14 |
$6,543.06 |
13.8× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method… (28299) |
$13,905.73 |
$19,865.33 |
1.8× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) |
$9,099.83 |
$12,999.76 |
0.7× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) |
$7,203.69 |
$10,290.99 |
1.0× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$7,811.08 |
$11,158.69 |
2.3× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$8,450.15 |
$12,071.65 |
2.5× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft… (36825) |
$13,354.36 |
$19,077.66 |
2.3× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$22,394.38 |
$31,991.97 |
3.9× |
| CT Biopsy Lymph Node (38505) |
$2,695 |
$3,850 |
1.6× |
| 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 w/removal of tumors small (52234) |
$15,124.31 |
$21,606.15 |
4.1× |
| Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt (52356) |
$11,779.07 |
$16,827.25 |
2.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$18,118.32 |
$25,883.32 |
3.2× |
| Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Other Surgical Services (51050) |
$11,725.88 |
$16,751.26 |
2.1× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Other Surgical Services (51860) |
$33,706.90 |
$48,152.71 |
3.4× |
| Cystoscopy and treatment (52310) |
$12,168.59 |
$17,383.70 |
5.6× |
| Cystoscopy removal of clots (52001) |
$14,779.43 |
$21,113.47 |
4.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$14,786.34 |
$21,123.34 |
6.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$891.54 |
$1,273.63 |
0.4× |
| Cystourethroscopy (52000) |
$11,955 |
$17,078.57 |
16.4× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$11,935.57 |
$17,050.82 |
5.5× |
| Cystourethroscopy W Cath (52005) |
$11,872.56 |
$16,960.80 |
5.4× |
| Cystourethroscopy with direct vision internal urethrotomy Other Surgical Services (52276) |
$15,478.48 |
$22,112.11 |
7.1× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser,… (52345) |
$10,981.14 |
$15,687.34 |
3.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Other… (52260) |
$11,811.60 |
$16,873.71 |
5.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$17,281.97 |
$24,688.53 |
3.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$17,349.05 |
$24,784.35 |
4.7× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$16,316.54 |
$23,309.34 |
4.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Other Surgical Services (52351) |
$16,656.85 |
$23,795.50 |
4.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354) |
$3,983.76 |
$5,691.08 |
0.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$21,288.67 |
$30,412.39 |
5.8× |
| Cystourethroscopy,biopsy (52204) |
$14,388.25 |
$20,554.64 |
6.6× |
| Cystourethroscopy,Fulguratn (52214) |
$20,783.84 |
$29,691.20 |
5.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$8,489.64 |
$12,128.05 |
2.5× |
| Deb bone/muscle 20 sq cm/< (11044) |
$4,181.10 |
$5,973 |
2.4× |
| Deb musc/fascia 20 sq cm/< (11043) |
$1,929.90 |
$2,757 |
2.5× |
| Debride Assoc Open Fx/Dislo Skin/Mus/Bone (11012) |
$13,390.59 |
$19,129.42 |
4.4× |
| Debridement nails 1-5 (11720) |
$142.25 |
$203.21 |
2.3× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$271.54 |
$387.92 |
4.4× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,806 |
$2,580 |
4.3× |
| 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 Other Surgical Services (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 Other Surgical… (15130) |
$6,689.96 |
$9,557.09 |
3.1× |
| Destroy vulva lesion/s compl (56515) |
$148.75 |
$212.50 |
0.1× |
| 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 Lesion(S) Anus Extensive (46924) |
$17,800.97 |
$25,429.96 |
6.1× |
| Destruction lesions vulva simple (56501) |
$5,477.02 |
$7,824.32 |
2.5× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$13,466.59 |
$19,237.98 |
4.6× |
| 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 of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other… (57065) |
$9,257.28 |
$13,224.69 |
2.7× |
| Diagnostic bone marrow aspirations (38220) |
$1,015.63 |
$1,450.90 |
0.6× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$1,797.60 |
$2,568 |
0.6× |
| 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 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× |
| Dilation/Curettage,Diagnostic (58120) |
$13,595.52 |
$19,422.17 |
4.0× |
| 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 Other Surgical Services (21700) |
$5,727.40 |
$8,182 |
0.8× |
| Drain blood under nail (11740) |
$590.80 |
$844 |
4.3× |
| Drain neck/chest lesion (21501) |
$19,780.74 |
$28,258.20 |
6.5× |
| Drainage external auditory canal, abscess (69020) |
$345.12 |
$493.03 |
0.5× |
| Drainage finger abscess simple (26010) |
$590.80 |
$844 |
2.8× |
| Drainage of abscess of palate, uvula (42000) |
$182.80 |
$261.14 |
0.7× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$49.56 |
$70.80 |
0.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$599.92 |
$857.03 |
0.8× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$13,769.10 |
$19,670.15 |
8.0× |
| Drainage of hydrocele (55000) |
$5,508.11 |
$7,868.74 |
7.4× |
| Drainage of mouth lesion (41018) |
$7,277.67 |
$10,396.68 |
4.5× |
| Drainage of ovarian abscess; vaginal approach, open Other Surgical Services (58820) |
$7,973.29 |
$11,390.41 |
2.4× |
| Drainage of ovarian cyst(s) (58800) |
$2,732.51 |
$3,903.59 |
0.8× |
| Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Other Surgical Services (58805) |
$5,913.73 |
$8,448.18 |
1.7× |
| Drainage of scrotum (54700) |
$15,879.21 |
$22,684.59 |
7.3× |
| Drainage of tendon sheath, digit and/or palm, each Other Surgical Services (26020) |
$12,127.60 |
$17,325.14 |
3.5× |
| Draw blood off venous device (36591) |
$298.20 |
$426 |
2.1× |
| Dstrj neurolytic w/wo rad monitor celiac plexus (64680) |
$1,987.22 |
$2,838.88 |
2.2× |
| Dx bronchoscope/brush (31623) |
$2,621.40 |
$3,744.85 |
1.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$14,352.14 |
$20,503.05 |
106.8× |
| Ed proc remve fb nasal- hospital (30300) |
$590.80 |
$844 |
4.3× |
| Ed prof burn - large - hospital (16030) |
$850.44 |
$1,214.92 |
2.0× |
| Ed prof burn medium - hospital (16025) |
$800.10 |
$1,143 |
3.8× |
| Ed prof burn small - hospital (16020) |
$574 |
$820 |
2.7× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,047.56 |
$1,496.52 |
4.1× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$821.08 |
$1,172.98 |
0.5× |
| Ed prof drain dental abscess-hospital (41800) |
$60.52 |
$86.46 |
0.4× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$3,423 |
$4,890 |
1.0× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$926.62 |
$1,323.74 |
2.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$776.39 |
$1,109.14 |
1.8× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$164.50 |
$235 |
0.6× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$912.10 |
$1,303 |
2.0× |
| 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 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 intraluminal tube/catheter insertion (43241) |
$8,275.22 |
$11,821.74 |
4.1× |
| Egd intrmural needle aspir/biop altered anatomy (43242) |
$5,989.61 |
$8,556.59 |
3.0× |
| Egd lesion ablation (43270) |
$8,799.52 |
$12,570.75 |
4.4× |
| Egd percutaneous placement gastrostomy tube (43246) |
$11,610.43 |
$16,586.34 |
5.8× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$4,104.04 |
$5,862.92 |
2.0× |
| Egd transoral control bleeding any method (43255) |
$7,098.05 |
$10,140.08 |
3.5× |
| 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 Dilation (43245) |
$11,115.34 |
$15,879.06 |
5.5× |
| Egd W Gd Wire Dilation (43248) |
$7,112.62 |
$10,160.89 |
7.5× |
| Egd w/transmural drain cyst (43240) |
$18,441.55 |
$26,345.07 |
2.9× |
| 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; femoropopliteal, aortoiliac artery, by leg incision Other… (34201) |
$6,269.61 |
$8,956.58 |
1.1× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Other Surgical… (34203) |
$37,560.80 |
$53,658.28 |
6.5× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Other Surgical Services (34111) |
$21,427.25 |
$30,610.35 |
3.7× |
| Endocervical curettage (57505) |
$14,770.33 |
$21,100.47 |
15.4× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$2,495.88 |
$3,565.55 |
2.6× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$5,299.64 |
$7,570.92 |
5.5× |
| Endoscopic Injection/Implant (51715) |
$12,466.38 |
$17,809.12 |
3.4× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Other Surgical Services (43261) |
$4,685.25 |
$6,693.21 |
1.2× |
| Endoscopic us exam esoph (43237) |
$4,856.19 |
$6,937.42 |
2.4× |
| Endoscopy upper small intestine (44360) |
$4,752.31 |
$6,789.01 |
2.4× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$11,585.63 |
$16,550.90 |
1.0× |
| Enucleation of eye; without implant Other Surgical Services (65101) |
$11,805.94 |
$16,865.63 |
2.9× |
| Epididymectomy; unilateral Other Surgical Services (54860) |
$5,050.95 |
$7,215.64 |
1.4× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Other Surgical Services (27185) |
$18,198.68 |
$25,998.11 |
5.3× |
| Episiotomy or vaginal repair (59300) |
$11,162.93 |
$15,947.04 |
3.3× |
| Ercp diagnostic (43260) |
$3,218.92 |
$4,598.46 |
0.8× |
| Ercp duct stent placement (43274) |
$14,020.36 |
$20,029.09 |
2.2× |
| 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/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× |
| Esophageal dilation (43450) |
$8,262.33 |
$11,803.33 |
8.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$6,981.88 |
$9,974.11 |
7.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Other Surgical… (43244) |
$6,344.06 |
$9,062.94 |
3.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$8,931.43 |
$12,759.19 |
9.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$6,143.09 |
$8,775.85 |
3.1× |
| Esophagoscop stent placement (43212) |
$5,052.06 |
$7,217.23 |
0.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$11,480.58 |
$16,400.83 |
5.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$7,304.18 |
$10,434.54 |
7.7× |
| Esophagoscopy lesion ablate (43229) |
$4,542.24 |
$6,488.92 |
1.1× |
| 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, flexible, transoral; with control of bleeding, any method Other Surgical Services (43227) |
$2,420.52 |
$3,457.88 |
1.2× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Other Surgical Services (43231) |
$4,910.06 |
$7,014.37 |
2.5× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other… (43217) |
$2,420.52 |
$3,457.88 |
1.2× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Other Surgical… (43220) |
$3,663.92 |
$5,234.17 |
1.8× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$11,235.13 |
$16,050.19 |
5.6× |
| Evisceration of ocular contents; with implant Other Surgical Services (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 face les sbq 2 cm/> (21012) |
$16,275.44 |
$23,250.63 |
9.4× |
| Exc face-mm b9 (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 h-f-nk-sp b9+marg 0.5/< (11420) |
$13,561.29 |
$19,373.27 |
7.9× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$10,771.78 |
$15,388.26 |
6.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$13,907.10 |
$19,867.29 |
8.3× |
| Exc neck tum deep < 5 cm (21556) |
$14,777.10 |
$21,110.14 |
4.9× |
| Exc rect tum transanal part (45171) |
$14,764.01 |
$21,091.44 |
5.1× |
| Exc Skin Benig 0.6-1cm Remaindr Body (11421) |
$7,227.94 |
$10,325.63 |
9.8× |
| Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) |
$618.03 |
$882.90 |
1.5× |
| Exc skin malig 0.6-1cm face,facial (11641) |
$2,296.37 |
$3,280.53 |
3.1× |
| Exc skin malig 1.1-2 cm face,facial (11642) |
$6,582.52 |
$9,403.60 |
8.9× |
| Exc skin malig >4 cm remaindr body (11626) |
$20,484.58 |
$29,263.68 |
6.8× |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
$14,285.33 |
$20,407.62 |
19.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$22.16 |
$31.66 |
0.0× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$12,357.39 |
$17,653.41 |
16.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$9,021.93 |
$12,888.47 |
5.2× |
| Exc tumor soft tiss back/flank subfascial 5+cm (21933) |
$15,106.39 |
$21,580.56 |
5.0× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$15,399.67 |
$21,999.53 |
5.1× |
| 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/> (22901) |
$13,391.22 |
$19,130.31 |
4.4× |
| 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 3+cm (21552) |
$14,401.59 |
$20,573.71 |
4.7× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$20,579.89 |
$29,399.84 |
6.8× |
| 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 upper arm/elbow subq 3cm/> (24071) |
$6,068.42 |
$8,669.17 |
2.0× |
| 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 catheter prq w/img gid rs&i (50435) |
$4,441.50 |
$6,345 |
2.0× |
| Exchange transfusion, blood; newborn Other Surgical Services (36450) |
$1,048 |
$1,497.14 |
2.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$3,330.13 |
$4,757.33 |
1.7× |
| Excis Tongue Lesn,Ant 2/3+Clos (41112) |
$12,083.92 |
$17,262.75 |
3.5× |
| Excise Varicocele (55530) |
$10,381.32 |
$14,830.45 |
2.8× |
| 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 and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$9,720.21 |
$13,886.02 |
3.9× |
| Excision aural glomus tumor; transcanal Other Surgical Services (69550) |
$15,546.12 |
$22,208.75 |
2.5× |
| Excision bone mandible (21025) |
$9,164.54 |
$13,092.21 |
1.5× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Other Surgical Services (42810) |
$16,101.69 |
$23,002.41 |
4.7× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$14,209.05 |
$20,298.65 |
8.5× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$18,145.55 |
$25,922.21 |
6.0× |
| Excision hydrocele unilateral (55040) |
$14,881.48 |
$21,259.26 |
4.0× |
| Excision inferior turbinate, partial or complete, any method Other Surgical Services (30130) |
$10,627.79 |
$15,182.56 |
3.1× |
| Excision lesion mouth roof (42104) |
$4,337.59 |
$6,196.56 |
1.3× |
| Excision lesion tongue w/o closure (41110) |
$21,836.65 |
$31,195.21 |
6.3× |
| 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 3.1-4.0 Cm (11644) |
$5,734.54 |
$8,192.20 |
3.3× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$9,158.84 |
$13,084.05 |
3.0× |
| 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 malignant lesion trunk/arm/leg > 4.0 cm (11606) |
$13,815.69 |
$19,736.71 |
8.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$6,826.30 |
$9,751.85 |
2.4× |
| Excision of bartholin's gland or cyst (56740) |
$18,592.28 |
$26,560.41 |
5.5× |
| Excision of benign tumor or cyst of mandible, by enucleation and/or curettage Other Surgical Services (21040) |
$6,190.75 |
$8,843.93 |
1.8× |
| 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 Other Surgical Services (21030) |
$10,643.01 |
$15,204.31 |
1.7× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Other… (19125) |
$13,793.39 |
$19,704.85 |
3.4× |
| Excision of chalazion; single Other Surgical Services (67800) |
$14,521.86 |
$20,745.51 |
43.8× |
| Excision of chest wall tumor including rib(s) Other Surgical Services (21601) |
$11,938.02 |
$17,054.32 |
3.9× |
| Excision of extraparenchymal lesion of testis Other Surgical Services (54512) |
$3,833.78 |
$5,476.83 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Other Surgical Services (25112) |
$21,013.50 |
$30,019.28 |
12.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services (67840) |
$11,036.55 |
$15,766.50 |
10.6× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$11,763.02 |
$16,804.31 |
7.0× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Other Surgical Services (41826) |
$6,639.34 |
$9,484.77 |
1.9× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair (41825) |
$10,296.28 |
$14,708.98 |
3.0× |
| Excision of lesion, conjunctiva; up to 1 cm Other Surgical Services (68110) |
$4,923.43 |
$7,033.47 |
2.0× |
| Excision of lesion, conjunctiva; with adjacent sclera Other Surgical Services (68130) |
$8,448.68 |
$12,069.55 |
3.4× |
| Excision of local lesion of epididymis Other Surgical Services (54830) |
$8,776.87 |
$12,538.39 |
2.4× |
| Excision of mouth lesion (41116) |
$6,166.19 |
$8,808.84 |
1.8× |
| Excision of neurofibroma or neurolemmoma; cutaneous nerve Other Surgical Services (64788) |
$15,198.03 |
$21,711.47 |
7.5× |
| Excision of neurofibroma or neurolemmoma; major peripheral nerve Other Surgical Services (64790) |
$14,442.92 |
$20,632.75 |
7.1× |
| Excision of neuroma; hand or foot, except digital nerve Other Surgical Services (64782) |
$22,870.97 |
$32,672.81 |
11.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Other… (42415) |
$31,308.14 |
$44,725.92 |
5.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Other Surgical Services (42410) |
$15,345.23 |
$21,921.76 |
2.5× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Other Surgical Services (45172) |
$24,953.63 |
$35,648.04 |
8.6× |
| 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 Other Surgical Services (11451) |
$15,041.97 |
$21,488.53 |
5.0× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$15,767.40 |
$22,524.85 |
5.2× |
| Excision of spermatocele, with or without epididymectomy Other Surgical Services (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 Other Surgical Services (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 vaginal cyst or tumor (57135) |
$11,324.88 |
$16,178.40 |
3.4× |
| Excision olecranon bursa (24105) |
$22,261.56 |
$31,802.23 |
6.5× |
| Excision or curettage of bone cyst or benign tumor of femur; Other Surgical Services (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 Other Surgical Services (28103) |
$25,302.49 |
$36,146.41 |
3.3× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Other Surgical… (28104) |
$6,304.01 |
$9,005.74 |
1.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Other Surgical Services (27635) |
$11,040.43 |
$15,772.05 |
3.2× |
| Excision or fulguration; urethral caruncle Other Surgical Services (53265) |
$12,660.30 |
$18,086.14 |
5.8× |
| Excision or surgical planing of skin of nose for rhinophyma Other Surgical Services (30120) |
$14,878.02 |
$21,254.32 |
4.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$18,080.99 |
$25,829.99 |
6.0× |
| Excision pilonidal cyst/sinus extensive (11771) |
$18,089.32 |
$25,841.89 |
6.0× |
| Excision pilonidal cyst/sinus simple (11770) |
$14,861.10 |
$21,230.14 |
4.9× |
| 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 tiss face/scalp subq < 2cm (21011) |
$5,465.02 |
$7,807.17 |
3.2× |
| Excision tumor soft tissue back/flank subq 3+cm (21931) |
$16,079.33 |
$22,970.47 |
9.3× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$15,745.81 |
$22,494.01 |
9.1× |
| Excision tumor soft tissue 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, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$17,045.09 |
$24,350.13 |
5.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$12,530.34 |
$17,900.49 |
7.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$14,850.03 |
$21,214.33 |
8.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Other… (15830) |
$12,914.11 |
$18,448.72 |
1.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Other Surgical Services (15835) |
$5,950 |
$8,500 |
2.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Other Surgical Services (15834) |
$5,950 |
$8,500 |
2.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Other Surgical Services (15833) |
$14,364.10 |
$20,520.14 |
4.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area Other Surgical Services (15839) |
$7,082.59 |
$10,117.98 |
2.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Other Surgical Services (15832) |
$15,490.87 |
$22,129.81 |
5.1× |
| Excision, interdigital (Morton) neuroma, single, each Other Surgical Services (28080) |
$22,165.02 |
$31,664.31 |
13.2× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Other Surgical Services (15945) |
$20,619.37 |
$29,456.24 |
9.6× |
| Excision, lesion of palate, uvula; with simple primary closure Other Surgical Services (42106) |
$13,420.71 |
$19,172.44 |
3.9× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Other… (11643) |
$5,247.06 |
$7,495.79 |
3.0× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$3,956.39 |
$5,651.99 |
5.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$11,740.06 |
$16,771.52 |
15.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$5,076.63 |
$7,252.32 |
2.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$15,962.11 |
$22,803.01 |
5.3× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Other Surgical Services (15933) |
$9,589.47 |
$13,699.25 |
3.2× |
| Excision, sacral pressure ulcer, with skin flap closure; Other Surgical Services (15934) |
$7,116.69 |
$10,166.70 |
1.9× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Other… (25073) |
$13,619.08 |
$19,455.83 |
4.5× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$3,689.33 |
$5,270.48 |
2.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Other Surgical Services (23075) |
$4,783.76 |
$6,833.95 |
2.8× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services (23073) |
$14,613.79 |
$20,876.84 |
4.8× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical… (27339) |
$19,942.89 |
$28,489.84 |
6.6× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Other Surgical… (27328) |
$10,952.68 |
$15,646.69 |
3.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Other Surgical Services (24075) |
$7,640.26 |
$10,914.66 |
4.4× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$5,396.36 |
$7,709.09 |
1.8× |
| Expl undescended tstis ingun/scrotal area (54550) |
$6,936.88 |
$9,909.82 |
1.9× |
| Exploration penetrating wound spx extremity (20103) |
$7,956.09 |
$11,365.84 |
4.6× |
| Explore wound abdomen (20102) |
$9,324.22 |
$13,320.32 |
4.3× |
| Extensive partial removal of external female genitals (56630) |
$7,433.46 |
$10,619.23 |
1.4× |
| External cannula declotting (36860) |
$2,074.23 |
$2,963.19 |
1.3× |
| External cephalic version (59412) |
$1,866.05 |
$2,665.79 |
0.6× |
| Fasciotomy, iliotibial (tenotomy), open Other Surgical Services (27305) |
$10,018.54 |
$14,312.20 |
2.9× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$22,024.72 |
$31,463.89 |
6.4× |
| Fetal Non Stress Test (59025) |
$763 |
$1,090 |
3.6× |
| Filleted finger or toe flap, including preparation of recipient site Other Surgical Services (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× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$6,935.48 |
$9,907.83 |
2.0× |
| Fluoro exam of g/colon tube (49465) |
$1,018.50 |
$1,455 |
4.1× |
| Fna w/o imaging guidance (10021) |
$610.80 |
$872.58 |
1.4× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Other Surgical… (15731) |
$30,144.83 |
$43,064.04 |
8.1× |
| 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) Other Surgical Services (41520) |
$6,951.74 |
$9,931.05 |
2.0× |
| Frenulotomy of penis (54164) |
$10,182.98 |
$14,547.12 |
4.7× |
| Fth/gft fr dir clsr f/c/c/m/n/ax/g/h/f 20sqcm/< (15240) |
$7,116.69 |
$10,166.70 |
3.3× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$18,351.65 |
$26,216.64 |
8.5× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Other… (15220) |
$7,270.98 |
$10,387.11 |
3.4× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Other Surgical Services (15200) |
$14,070.31 |
$20,100.45 |
6.5× |
| Fusion Finger Joint (26860) |
$19,691.50 |
$28,130.71 |
5.8× |
| Gastrocnemius recession (27687) |
$10,228.52 |
$14,612.17 |
3.0× |
Genioplasty; augmentation (autograft, allograft, prosthetic material) Other Surgical Services (21120)
likely a partial charge, not the full procedure |
$770 |
$1,100 |
0.1× |
| Genital surgery procedure (55899) |
$942.98 |
$1,347.11 |
3.6× |
| Glossectomy; less than one-half tongue Other Surgical Services (41120) |
$10,708.79 |
$15,298.27 |
1.7× |
| Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) Other Surgical Services (21210) |
$20,054.97 |
$28,649.96 |
3.2× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Other Surgical Services (21235) |
$21,235.54 |
$30,336.48 |
3.4× |
| 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× |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less Other Surgical Services (15011) |
$4,065.74 |
$5,808.20 |
1.9× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$14,719.56 |
$21,027.95 |
4.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$8,417.25 |
$12,024.65 |
2.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$13,069.23 |
$18,670.33 |
4.5× |
| 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 (eg, for prolapsing internal hemorrhoids) by stapling Other Surgical Services (46947) |
$5,994.84 |
$8,564.06 |
2.1× |
| Hysteroscopy rmvl impacted fb (58562) |
$14,638.66 |
$20,912.37 |
4.3× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$13,835.14 |
$19,764.49 |
2.6× |
| Hysteroscopy, surgical; with removal of leiomyomata Other Surgical Services (58561) |
$17,883.76 |
$25,548.24 |
3.4× |
| Hysteroscopy,Dx,Sep Proc (58555) |
$13,083.55 |
$18,690.78 |
3.9× |
| Hysteroscopy,W/Endo Bx (58558) |
$14,378.22 |
$20,540.31 |
4.3× |
| I&d abscess peritonsillar (42700) |
$673.63 |
$962.34 |
2.7× |
| I&d bartholins gland abscess (56420) |
$590.80 |
$844 |
2.8× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$2,052.90 |
$2,932.71 |
0.7× |
| I&d hematoma/seroma/fluid (10140) |
$5,902.40 |
$8,432 |
3.4× |
| I&d perianal abscess superficial (46050) |
$1,205.11 |
$1,721.59 |
1.2× |
| I&d perirectal abscess (46040) |
$614.46 |
$877.80 |
0.5× |
| 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 dx w/collj spec when prfmd (44380) |
$2,527.66 |
$3,610.94 |
2.7× |
| Image cath fluid colxn visc (49405) |
$4,909.80 |
$7,014 |
2.8× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$3,669.40 |
$5,242 |
2.1× |
| Image-guided catheter fluid collection drainage (10030) |
$485.08 |
$692.97 |
0.7× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$4,909.80 |
$7,014 |
2.8× |
| Impl oi implt skull perq attachment esp (69714) |
$19,839.97 |
$28,342.81 |
1.5× |
| Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415) |
$30,105.02 |
$43,007.17 |
2.2× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Other Surgical… (62361) |
$24,524.19 |
$35,034.56 |
1.3× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) |
$32,548.37 |
$46,497.67 |
1.7× |
| 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 TechFee (10061) |
$1,105.30 |
$1,579 |
2.6× |
| Incision & Drainage Abscess Simple/Single (10060) |
$574 |
$820 |
2.7× |
| 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 of pilonidal cyst; complicated (10081) |
$1,589.49 |
$2,270.70 |
2.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$3,595.68 |
$5,136.69 |
2.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$883.82 |
$1,262.60 |
2.1× |
| Incision and repair of bony defect of cheek bone including bony segment reduction (21209) |
$28,050.64 |
$40,072.34 |
4.5× |
| Incision extensor tendon sheath wrist (25000) |
$20,415.97 |
$29,165.67 |
12.2× |
| Incision of connective tissue of foot and/or toe facility (28008) |
$19,228.71 |
$27,469.59 |
5.6× |
| Incision of eyelid fold (67715) |
$8,448.68 |
$12,069.55 |
3.4× |
| Incision or partial removal of forearm bone on thumb side near hand (25350) |
$13,633.28 |
$19,476.11 |
1.8× |
| Incision or partial removal of lower leg bone (27707) |
$10,705.84 |
$15,294.06 |
3.1× |
| Incisional biopsy skin single lesion (11106) |
$931.27 |
$1,330.38 |
1.2× |
| Induced abortion dilation & evacuation (59841) |
$14,166.08 |
$20,237.26 |
4.2× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,128 |
$3,040 |
2.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$12,797.45 |
$18,282.07 |
13.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,614.90 |
$2,307 |
2.2× |
| Inj,Lumb Epidur,Blood/Clot Patch (62273) |
$1,423.54 |
$2,033.63 |
1.9× |
| 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,Intercostal,One (64420) |
$1,614.90 |
$2,307 |
2.2× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$1,614.90 |
$2,307 |
2.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,128 |
$3,040 |
2.3× |
| Inject Nerv Blck,Suprascap N. (64418) |
$1,614.90 |
$2,307 |
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× |
| Inject Tendon Sheath/Ligament (20550) |
$6,001.75 |
$8,573.93 |
18.7× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$9,995.98 |
$14,279.97 |
10.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,614.90 |
$2,307 |
2.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,128 |
$3,040 |
2.3× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$2,128 |
$3,040 |
2.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,614.90 |
$2,307 |
2.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$56.01 |
$80.01 |
0.2× |
| Injection for identification of sentinel node (38792) |
$616.76 |
$881.08 |
1.5× |
| Injection px prq tx 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(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$10,662.99 |
$15,232.85 |
11.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$515.77 |
$736.81 |
1.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$515.77 |
$736.81 |
1.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$18.77 |
$26.81 |
0.1× |
| 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 pacemakr w/trans eltrd atrial (33206) |
$17,598.70 |
$25,141 |
1.6× |
| Ins tunn cv cath no pump 5yrs (36558) |
$7,300.30 |
$10,429 |
2.2× |
| Ins/rep subq defibrillator (33270) |
$55,759.90 |
$79,657 |
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 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 < 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 tun ip cath w/port (49419) |
$21,554.20 |
$30,791.72 |
3.7× |
Insert uterine tandem/ovoids (57155)
unusually low: confirm this is the full procedure |
$2,016.29 |
$2,880.42 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$298.20 |
$426 |
2.1× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$298.20 |
$426 |
2.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,217 |
$10,310 |
1.9× |
| Insertion of breast implant on same day of mastectomy (ie, immediate) Other Surgical Services (19340) |
$8,626.78 |
$12,323.97 |
1.0× |
| Insertion of cervical dilator (59200) |
$542.50 |
$775 |
1.7× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Other… (66985) |
$8,879.01 |
$12,684.29 |
3.7× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir Other… (54405) |
$26,345.24 |
$37,636.05 |
1.2× |
| Insertion of penile prosthesis; inflatable (self-contained) Other Surgical Services (54401) |
$25,920.99 |
$37,029.99 |
1.2× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$135.34 |
$193.35 |
0.0× |
| 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 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 peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590) |
$18,078.01 |
$25,825.73 |
0.9× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$3,679.90 |
$5,257 |
2.2× |
| 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 vaginal radiation device (57156) |
$1,021.25 |
$1,458.93 |
3.2× |
| 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 intraperitoneal catheter w/img guid (49418) |
$2,967.30 |
$4,239 |
0.8× |
Insj of subq implantable defibrillator electrode (33271)
unusually low: confirm this is the full procedure |
$3,447.96 |
$4,925.66 |
0.4× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,626.42 |
$8,037.75 |
1.7× |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
$8,507.80 |
$12,154 |
2.6× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$9,709.18 |
$13,870.26 |
1.1× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$65,017.40 |
$92,882 |
2.0× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$45,764.34 |
$65,377.63 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$13,403.60 |
$19,148 |
1.6× |
| Insrt heart pm atrial & vent (33208) |
$31,810.10 |
$45,443 |
2.9× |
| 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× |
| Internal hrhc lig w/o img (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 dx angrph fluor s&i (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 (31500) |
$2,076.20 |
$2,966 |
8.4× |
| Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Other Surgical Services (66625) |
$9,250.07 |
$13,214.39 |
3.8× |
| Irrigat Corpus Cavern,Priapism (54220) |
$129.49 |
$184.99 |
0.5× |
| IV injection test vascular flow flap/graft (15860) |
$4,780.55 |
$6,829.36 |
10.2× |
| Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366) |
$21,510.05 |
$30,728.65 |
1.6× |
| Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow without an implant (24365) |
$11,977.10 |
$17,110.14 |
0.9× |
| Knee arthroscopy/surgery (29876) |
$8,886.27 |
$12,694.67 |
2.6× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Other Surgical Services (63655) |
$62,621.13 |
$89,458.76 |
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× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$23,267.45 |
$33,239.22 |
3.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$25,064.27 |
$35,806.10 |
3.3× |
| 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× |
| Lap, ureteroneocystostomy; anastomosis of single ureter to bladder (50949) |
$17,992.33 |
$25,703.32 |
2.8× |
| Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379) |
$11,052.63 |
$15,789.46 |
1.8× |
| Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) |
$10,188.12 |
$14,554.46 |
1.6× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Other Surgical Services (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 Enterolysis Separate Procedure (44180) |
$20,105.72 |
$28,722.45 |
3.2× |
| Laparoscopy surg colpopexy (57425) |
$12,352.69 |
$17,646.70 |
1.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$12,822.13 |
$18,317.33 |
2.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$33,701.02 |
$48,144.31 |
3.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$20,187.94 |
$28,839.92 |
3.2× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$21,040.39 |
$30,057.70 |
3.3× |
| 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, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh… (43282) |
$16,604.19 |
$23,720.27 |
1.5× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542) |
$27,549.48 |
$39,356.40 |
2.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Laprascopic Hysterectomy/Prostatectomy (58570) |
$30,192.42 |
$43,132.03 |
2.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Laprascopic Hysterectomy/Prostatectomy (58572) |
$35,206.25 |
$50,294.64 |
3.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Laprascopic Hysterectomy/Prostatectomy (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; appendectomy when done for indicated purpose at time of other major procedure (44979) |
$10,087.97 |
$14,411.38 |
1.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Other Surgical Services (47564) |
$9,188.79 |
$13,126.85 |
0.8× |
| 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 fulguration of oviducts (with or without transection) Other Surgical Services (58670) |
$22,012.01 |
$31,445.73 |
3.5× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$24,082.82 |
$34,404.03 |
3.8× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Other… (58661) |
$24,911.77 |
$35,588.25 |
3.9× |
| Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of… (49325) |
$21,232.27 |
$30,331.82 |
3.4× |
| Laparoscopy; w abd lymph node sampling (biopsy), single or multiple, other than retroperitoneal (38589) |
$10,397.99 |
$14,854.28 |
1.6× |
| Laps abltj uterine fibroids w/intraop us gdn (58674) |
$17,831.69 |
$25,473.84 |
1.6× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$10,849.51 |
$15,499.30 |
2.7× |
| Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281) |
$8,401.13 |
$12,001.61 |
0.8× |
| Laps Surg Esopg/Gstr Fundoplasty (43280) |
$10,329.23 |
$14,756.04 |
0.9× |
| 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 Rpr Recurrent Inguinal Hernia (49651) |
$14,250.17 |
$20,357.38 |
2.3× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$11,849.13 |
$16,927.33 |
1.9× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$30,920.90 |
$44,172.71 |
2.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$11,438.09 |
$16,340.13 |
2.9× |
| Laryngoscope w/vc inj (31570) |
$6,236.56 |
$8,909.37 |
1.6× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Other Surgical… (31526) |
$6,092.01 |
$8,702.87 |
3.3× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Other Surgical Services (31515) |
$4,098.79 |
$5,855.42 |
10.0× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Other Surgical Services (31528) |
$12,291.43 |
$17,559.18 |
3.2× |
| Laryngoscopy flex 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 indirect diagnostic (31505) |
$440.64 |
$629.48 |
2.1× |
| Laryngoscopy w/biopsy (31535) |
$15,518.20 |
$22,168.86 |
4.0× |
| Laryngoscopy w/foreign body removal (31530) |
$11,461.98 |
$16,374.25 |
6.2× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$11,922.20 |
$17,031.72 |
3.1× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$5,125.13 |
$7,321.62 |
2.8× |
| 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× |
| Lateral retinacular release open (27425) |
$10,298.71 |
$14,712.45 |
3.0× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$632.34 |
$903.35 |
1.5× |
| Leg surgery procedure (27599) |
$28,525.92 |
$40,751.32 |
110.7× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Other Surgical Services (27685) |
$10,462.36 |
$14,946.24 |
3.1× |
| 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× |
| Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Other Surgical Services (37700) |
$8,943.85 |
$12,776.94 |
2.7× |
| Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Other Surgical Services (37780) |
$19,091.06 |
$27,272.94 |
5.8× |
| Ligation of a-v fistula (37607) |
$15,786.81 |
$22,552.59 |
4.8× |
| Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Other… (37722) |
$5,374.74 |
$7,678.21 |
1.6× |
| Ligation/biopsy temporal artery (37609) |
$15,282.35 |
$21,831.93 |
8.9× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$17,136.34 |
$24,480.48 |
4.7× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$23,949.51 |
$34,213.59 |
6.5× |
| Lithotripsy Eswl Lt|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF… (50590) |
$17,217.84 |
$24,596.92 |
4.7× |
| Lumbar puncture (62270) |
$1,150.39 |
$1,643.41 |
1.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$5,773.80 |
$8,248.28 |
2.6× |
| Manipulate wrist w/anesthes (25259) |
$5,852.19 |
$8,360.27 |
3.5× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Other… (27860) |
$8,418.91 |
$12,027.01 |
2.5× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Other… (27570) |
$17,918.44 |
$25,597.77 |
10.7× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Other… (23700) |
$12,251.76 |
$17,502.51 |
7.3× |
| Marsupialization bartholin's gland cyst (56440) |
$14,268.31 |
$20,383.30 |
4.2× |
| Mastectomy gynecomastia (19300) |
$28,893.66 |
$41,276.66 |
7.1× |
| Mastectomy partial (19301) |
$65.09 |
$92.98 |
0.0× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$28,918.81 |
$41,312.59 |
4.2× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$9,295.19 |
$13,278.85 |
1.3× |
| Mastopexy (19316) |
$29,840.96 |
$42,629.95 |
4.3× |
| Mastotomy expl drg absc dp (19020) |
$14,873.19 |
$21,247.41 |
8.6× |
| Meatotomy cutting meatus spx except infant (53020) |
$9,855.24 |
$14,078.91 |
4.5× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$2,405 |
$3,435.71 |
1.5× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$4,649.67 |
$6,642.38 |
1.4× |
| Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) Other Surgical Services (39402) |
$27,220.54 |
$38,886.49 |
4.3× |
| Metatarsectomy Other Surgical Services (28140) |
$7,451.59 |
$10,645.13 |
2.2× |
| Middle ear exploration through postauricular or ear canal incision Other Surgical Services (69440) |
$15,326.42 |
$21,894.88 |
4.4× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Other Surgical… (25375) |
$12,896.56 |
$18,423.66 |
3.8× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$5,247.06 |
$7,495.79 |
1.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Other Surgical Services (15738) |
$9,241.96 |
$13,202.80 |
2.5× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Other Surgical Services (15736) |
$4,752.11 |
$6,788.72 |
2.2× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,291.50 |
$1,845 |
1.6× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$3,853.50 |
$5,505 |
4.7× |
| 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, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$12,258.88 |
$17,512.69 |
3.6× |
| Myringoplasty (69620) |
$15,421.65 |
$22,030.93 |
4.5× |
| Nasal endoscopy, dx (31231) |
$3,631.04 |
$5,187.20 |
17.4× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$7,429.51 |
$10,613.59 |
18.2× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$4,796.72 |
$6,852.46 |
0.7× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Other… (31257) |
$4,324.59 |
$6,177.99 |
0.6× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Other Surgical Services (31296) |
$5,343.89 |
$7,634.13 |
0.7× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Other Surgical Services (31256) |
$6,029.07 |
$8,612.96 |
1.5× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Other Surgical… (31267) |
$11,297.49 |
$16,139.28 |
1.5× |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Other Surgical Services (31294) |
$8,678.26 |
$12,397.52 |
1.2× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Other Surgical Services (31237) |
$12,014.33 |
$17,163.33 |
6.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Other Surgical Services (31240) |
$3,676.52 |
$5,252.17 |
2.0× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Other Surgical Services (31238) |
$14,402.88 |
$20,575.54 |
7.7× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Other Surgical Services (31239) |
$16,449.80 |
$23,499.71 |
4.2× |
| Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259) |
$7,399.74 |
$10,571.06 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$5,331.31 |
$7,616.15 |
0.7× |
| Nasal/sinus ndsc w/rmvl tiss from frontal sinus (31276) |
$4,841.43 |
$6,916.33 |
0.7× |
| Nasal/sinus ndsc w/total ethoidectomy (31255) |
$4,315.37 |
$6,164.81 |
0.6× |
| Nasotracheal suctioning (31720) |
$321.30 |
$459 |
1.4× |
| Ndl EMG stds EMG anal/urtl sphnctr any tq (51785) |
$708.59 |
$1,012.27 |
2.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$14,035.80 |
$20,051.15 |
8.4× |
| Needle Biopsy Liver (47000) |
$2,789.50 |
$3,985 |
1.6× |
| Needle biopsy, pancreas (48102) |
$2,362.82 |
$3,375.46 |
1.4× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) Other Surgical Services (64912) |
$16,201.26 |
$23,144.66 |
1.8× |
| Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Other Surgical Services (64910) |
$16,659.33 |
$23,799.05 |
1.8× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$11,933.87 |
$17,048.39 |
5.9× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Other Surgical Services (64713) |
$18,027.92 |
$25,754.17 |
8.8× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Other Surgical Services (64708) |
$7,479.90 |
$10,685.57 |
3.7× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Other… (19110) |
$11,390.83 |
$16,272.61 |
2.8× |
| Nipple/areola reconstruction (19350) |
$14,724.38 |
$21,034.84 |
3.6× |
| Njx aa&/strd plantar common digital nerves (64455) |
$691.60 |
$988 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,470.98 |
$2,101.40 |
1.6× |
| 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 crv/thrc 1 level (64490) |
$1,064 |
$1,520 |
1.2× |
| 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× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$7,301.74 |
$10,431.05 |
2.2× |
| Obstructive material removal from gi tube (49460) |
$1,575 |
$2,250 |
1.7× |
| 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 Other Surgical… (64568) |
$24,204.28 |
$34,577.55 |
0.5× |
| Open implantation of neurostimulator electrode array; neuromuscular Other Surgical Services (64580) |
$26,305.98 |
$37,579.97 |
1.3× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Other Surgical Services (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 rx distal radius fx, extra-articular (25607) |
$25,773.87 |
$36,819.82 |
3.4× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$29,811.14 |
$42,587.35 |
3.9× |
| Open rx distal radius fx, intra-articular, 3+ frag (25609) |
$29,529.98 |
$42,185.69 |
3.9× |
| 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) Other… (23552) |
$9,370.25 |
$13,386.08 |
1.2× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$25,908.55 |
$37,012.21 |
7.6× |
| Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Other Surgical… (25628) |
$10,099.33 |
$14,427.62 |
1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Other Surgical Services (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 Other Surgical… (21432) |
$14,460.97 |
$20,658.54 |
2.3× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Other Surgical Services (21356) |
$15,936.96 |
$22,767.09 |
2.6× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Other… (27829) |
$12,063.62 |
$17,233.75 |
1.6× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Other Surgical… (27269) |
$24,434.54 |
$34,906.49 |
3.2× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement Other Surgical… (27236) |
$25,387.85 |
$36,268.36 |
3.4× |
| 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 Other Surgical Services (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 fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) |
$38,123.75 |
$54,462.50 |
2.8× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Other Surgical… (28505) |
$9,423.35 |
$13,461.93 |
2.8× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Other… (24579) |
$32,692.22 |
$46,703.17 |
2.4× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Other… (24575) |
$24,506.70 |
$35,009.57 |
1.8× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage Other Surgical Services (24515) |
$32,913.56 |
$47,019.37 |
2.5× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) |
$40,013.97 |
$57,162.82 |
3.0× |
| 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 intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$14,264.43 |
$20,377.76 |
1.9× |
| Open treatment of mandibular condylar fracture Other Surgical Services (21465) |
$41,205.90 |
$58,865.57 |
6.7× |
| Open treatment of mandibular fracture; without interdental fixation Other Surgical Services (21461) |
$21,681.84 |
$30,974.06 |
3.5× |
| Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635) |
$8,658.54 |
$12,369.35 |
1.1× |
| Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Other Surgical Services (21330) |
$4,735.75 |
$6,765.36 |
0.8× |
| Open treatment of nasal fracture; uncomplicated Other Surgical Services (21325) |
$11,752.34 |
$16,789.05 |
3.4× |
| Open treatment of orbital floor blowout fracture; periorbital approach Other Surgical Services (21386) |
$23,683.65 |
$33,833.78 |
3.8× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Other Surgical… (21385) |
$18,778.41 |
$26,826.31 |
3.0× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Other Surgical Services (21422) |
$14,460.97 |
$20,658.54 |
2.3× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Other Surgical Services (27566) |
$16,325.01 |
$23,321.45 |
2.2× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$30,143.49 |
$43,062.13 |
4.0× |
| Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Other Surgical Services (27784) |
$7,836.27 |
$11,194.67 |
1.0× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Other… (25575) |
$30,717.01 |
$43,881.44 |
4.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Other… (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 scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Other… (23585) |
$15,352.28 |
$21,931.83 |
2.0× |
| 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 tibial fracture, proximal (plateau); bicondylar, with or without internal fixation Other Surgical… (27536) |
$35,651.56 |
$50,930.80 |
4.7× |
| Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed Other… (27535) |
$13,250.71 |
$18,929.59 |
1.7× |
| 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 fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$28,421.36 |
$40,601.95 |
3.8× |
| Open treatment of ulnar shaft fracture (25545) |
$24,075.04 |
$34,392.92 |
3.2× |
| Open treatment radial shaft fracture (25515) |
$26,316.84 |
$37,595.49 |
3.5× |
| Open treatment talus fracture (28445) |
$30,082.39 |
$42,974.84 |
4.0× |
| 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 fracture phalanx/phalanges not great toe (28525) |
$13,167.98 |
$18,811.41 |
3.9× |
| 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 prox humeral fx (23615) |
$16,456.29 |
$23,508.98 |
1.2× |
| Open tx tarsal fracture xcp talus &calcaneus ea (28465) |
$8,314.94 |
$11,878.49 |
1.1× |
| Open/perq placement intravascular stent initial (37236) |
$26,047 |
$37,210 |
2.2× |
| Open/perq placement intravascular stent same 1st (37238) |
$26,047 |
$37,210 |
2.2× |
| Orbicularis oculi lateral myectomy, unilateral (comp code 15823) (67999) |
$17,808.24 |
$25,440.34 |
53.7× |
| Orchiectomy, partial Other Surgical Services (54522) |
$5,050.95 |
$7,215.64 |
1.4× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Other… (54520) |
$16,505.87 |
$23,579.82 |
4.5× |
| Ostectomy, calcaneus; Other Surgical Services (28118) |
$12,006.66 |
$17,152.37 |
3.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Other Surgical Services (28110) |
$9,142.29 |
$13,060.42 |
2.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Other Surgical Services (28288) |
$3,897 |
$5,567.14 |
1.1× |
| Osteotomy tibia (27705) |
$17,729.67 |
$25,328.10 |
2.3× |
| 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; Other Surgical Services (27146) |
$12,632.49 |
$18,046.42 |
1.7× |
| Osteotomy, mandible, segmental; Other Surgical Services (21198) |
$8,245.76 |
$11,779.65 |
1.3× |
| Osteotomy, pelvis, bilateral (eg, congenital malformation) Other Surgical Services (27158) |
$12,632.49 |
$18,046.42 |
1.7× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$8,328.91 |
$11,898.44 |
1.1× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$10,234.21 |
$14,620.30 |
3.0× |
| Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Other Surgical Services (28300) |
$9,099.83 |
$12,999.76 |
1.2× |
| Osteotomy; phalanx of finger, each Other Surgical Services (26567) |
$25,755.65 |
$36,793.78 |
7.5× |
| Ot strapping hand or finger (29280) |
$286.80 |
$409.71 |
4.7× |
| Other procedure on upper arm or elbow (24999) |
$28,392.06 |
$40,560.08 |
110.2× |
| Other procedure on uterus accessed through vagina using an endoscope (58579) |
$8,941.29 |
$12,773.27 |
42.4× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Other Surgical Services (42145) |
$16,341.59 |
$23,345.13 |
2.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Other Surgical… (23180) |
$11,346.35 |
$16,209.07 |
1.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$13,498.11 |
$19,283.02 |
4.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Other… (25151) |
$5,852.19 |
$8,360.27 |
1.7× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Other Surgical… (25150) |
$11,746.33 |
$16,780.47 |
3.4× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Other Surgical… (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 metacarpal (26230) |
$5,852.19 |
$8,360.27 |
1.7× |
| 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 of hymenal ring (56700) |
$13,451.99 |
$19,217.14 |
4.0× |
| Partial removal humerus (24140) |
$19,708.37 |
$28,154.82 |
5.8× |
| 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 Other Surgical Services (27350) |
$14,745.99 |
$21,065.70 |
1.9× |
| Pelvic examination under anesthesia (other than local) Other Surgical Services (57410) |
$11,952.71 |
$17,075.30 |
3.5× |
| Pelvis/hip joint surgery unlisted (27299) |
$32,000.84 |
$45,715.48 |
124.2× |
| Penile injection (54235) |
$927.30 |
$1,324.71 |
3.6× |
| Perc rf ablate renal tumor (50592) |
$4,974.20 |
$7,106 |
0.8× |
| Percut ablate liver rf (47382) |
$9,541 |
$13,630 |
1.5× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$18,854.50 |
$26,935 |
1.6× |
| Percutaneous cholecystostomy (47490) |
$7,055.30 |
$10,079 |
1.9× |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080) |
$17,992.33 |
$25,703.32 |
1.8× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Other… (26676) |
$6,190.05 |
$8,842.93 |
1.8× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation… (26650) |
$9,402.93 |
$13,432.76 |
2.8× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Other Surgical Services (28496) |
$10,025.55 |
$14,322.21 |
2.9× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Other Surgical… (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 supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$21,631.26 |
$30,901.80 |
2.9× |
| Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Other… (27756) |
$20,315.12 |
$29,021.60 |
2.7× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$21,754.18 |
$31,077.40 |
6.4× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$9,511.70 |
$13,588.15 |
2.9× |
| Percutaneous treatment of mandibular fracture, with external fixation Other Surgical Services (21452) |
$9,164.54 |
$13,092.21 |
1.5× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Other Surgical Services (19371) |
$16,985.63 |
$24,265.19 |
4.2× |
| Pericardiocentesis w/img guidance when performed (33016) |
$3,944.50 |
$5,635 |
2.4× |
| 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 drainage pleura insert cath w/imaging (32557) |
$1,915.20 |
$2,736 |
1.2× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,849.41 |
$2,642.02 |
0.9× |
| Perq nl/pl lithotrp complex >2 cm mlt locations (50081) |
$12,112.90 |
$17,304.15 |
1.2× |
| 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 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 cannulation (22513) |
$31,096.43 |
$44,423.47 |
4.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,416.33 |
$19,166.18 |
1.8× |
| 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× |
| Picc Or Central Cath Rep (36575) |
$1,476.24 |
$2,108.91 |
2.3× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$1,860.80 |
$2,658.29 |
1.1× |
| Pin finger fracture each (26756) |
$24,502.18 |
$35,003.11 |
7.2× |
| Place cath carotd art (36224) |
$9,579.03 |
$13,684.33 |
1.6× |
| Place cath subclavian art (36225) |
$5,877.61 |
$8,396.59 |
1.8× |
| 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 Needle Intraosseous Infusion (36680) |
$930.30 |
$1,329 |
2.0× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$1,431.50 |
$2,045 |
1.0× |
| Placement of seton (46020) |
$13,520.01 |
$19,314.30 |
4.7× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$7,412.97 |
$10,589.96 |
2.2× |
| Plastic operation on penis to correct angulation Other Surgical Services (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 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 Ntrstl Dev Radj Thx Gid Prq Intrathrc 1/Mlt (32553) |
$3,234.70 |
$4,621 |
2.2× |
| 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× |
| PR Adjacent Tissue Transfer or Rearrangement Any Area Defect 30.1 Sq Cm to 60 Sq Cm|ASSISTANT AT SURGERY… (14301) |
$19,709.45 |
$28,156.36 |
5.3× |
| PR Amputation Foot Transmetatarsal|ASSISTANT AT SURGERY SERVICE (28805) |
$22,202.98 |
$31,718.54 |
6.5× |
| PR Amputation Thigh Through Femur Any Level|ASSISTANT AT SURGERY SERVICE (27590) |
$20,630.46 |
$29,472.08 |
6.0× |
| PR Arthrodesis Ankle Open|ASSISTANT AT SURGERY SERVICE (27870) |
$8,653.07 |
$12,361.53 |
0.6× |
| PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment|ASSISTANT AT SURGERY SERVICE (27446) |
$16,104.11 |
$23,005.88 |
1.2× |
| PR Arthroscopically Aided Acl Repair/Augmentation/Reconstruction|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29888) |
$37,495.86 |
$53,565.52 |
4.9× |
| PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29877) |
$21,772.63 |
$31,103.76 |
6.4× |
| PR Arthroscopy Knee Surgical With Meniscus Repair (Medial or Lateral)|ASSISTANT AT SURGERY SERVICE (29882) |
$10,538.24 |
$15,054.63 |
3.1× |
| PR Arthroscopy Shoulder Surgical Biceps Tenodesis|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29828) |
$8,236.79 |
$11,766.84 |
1.1× |
| PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29827) |
$8,380.15 |
$11,971.65 |
1.1× |
| PR Bone Graft Any Donor Area Minor/Small|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (20900) |
$23,471.41 |
$33,530.58 |
3.1× |
| PR Colpocleisis (Le Fort Type)|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57120) |
$10,937.21 |
$15,624.59 |
2.1× |
| PR Colpopexy Vaginal Extra-Peritoneal Approach (Sacrospinous Ilococcygeus)|ASSISTANT AT SURGERY SERVICE|MULTIPLE… (57282) |
$8,979.92 |
$12,828.46 |
1.2× |
| PR Colporrhaphy Anteroposterior Combined Incl Cystourethroscopy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57260) |
$11,524.08 |
$16,462.97 |
2.2× |
| PR Excision Graft Infected Extremity|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (35903) |
$18,359.47 |
$26,227.81 |
5.6× |
| PR Excision Tumor Soft Tissue Abdominal Wall Subcutaneous >= 3 Cm|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (22903) |
$7,668.15 |
$10,954.50 |
2.5× |
| PR Lam for Exc/Evac of Intraspinal Lesion Oth Than Neoplasm Extradural Lumb|ASSISTANT AT SURGERY SERVICE|MULTIPLE… (63267) |
$32,259.09 |
$46,084.41 |
4.3× |
| PR Laparoscopic Surgical Cholecystectomy W Cholangiography|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (47563) |
$24,093.05 |
$34,418.65 |
3.8× |
| PR Laparoscopy Surg Bilateral Total Pelvic Lymphadenectomy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (38571) |
$16,659.50 |
$23,799.28 |
1.5× |
| PR Laparoscopy Surgical W Insertion Tunneled Intraperitoneal Catheter|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (49324) |
$18,969.48 |
$27,099.25 |
3.0× |
| PR Laryngoscopy Direct Operative W Biopsy W Operating Microscope/Telescope|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY… (31536) |
$13,932.30 |
$19,903.29 |
3.6× |
| PR Mastectomy Simple Complete|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (19303) |
$24,235.46 |
$34,622.09 |
3.5× |
| PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (15734) |
$31,394.90 |
$44,849.85 |
8.5× |
| PR Omentectomy Epiploectomy Resection Omentum|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (49255) |
$7,920.10 |
$11,314.44 |
1.2× |
| PR Orchiectomy Radical Tumor Inguinal Approach|ASSISTANT AT SURGERY SERVICE (54530) |
$17,242.33 |
$24,631.90 |
4.6× |
| PR Orchiopexy Inguinal or Scrotal Approach|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (54640) |
$113.12 |
$161.60 |
0.0× |
| PR Parathyroidectomy/Exploration of Parathyroid|ASSISTANT AT SURGERY SERVICE (60500) |
$19,706 |
$28,151.43 |
3.2× |
| PR Percutaneous Skeletal Fixation of Femoral Fracture Proximal End Neck|ASSISTANT AT SURGERY SERVICE (27235) |
$12,489.46 |
$17,842.09 |
1.6× |
| PR Posterior Colporrhaphy Repair Rectocele W/WO Perineorrhaphy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57250) |
$11,162.93 |
$15,947.04 |
2.1× |
| PR Repair Primary Torn Ligament and/or Capsule Knee Collateral|ASSISTANT AT SURGERY SERVICE (27405) |
$10,624.88 |
$15,178.40 |
1.4× |
| PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (49507) |
$17,679.16 |
$25,255.94 |
4.7× |
| PR Revision Total Hip Arthroplasty Both Comp W/WO Autograft/Allograft|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (27134) |
$46,118.42 |
$65,883.46 |
3.4× |
| PR Revision Total Knee Arthroplasty With or Without Allograft 1 Component|ASSISTANT AT SURGERY SERVICE (27486) |
$14,820.22 |
$21,171.75 |
1.1× |
| PR Sling Operation for Stress Incontinence|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57288) |
$16,331.50 |
$23,330.71 |
3.1× |
| PR Suture of Infrapatellar Tendon Primary|ASSISTANT AT SURGERY SERVICE (27380) |
$17,390.59 |
$24,843.70 |
2.3× |
| PR Suture of Quadriceps or Hamstring Muscle Rupture Primary|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (27385) |
$27,517.30 |
$39,310.43 |
3.6× |
| PR Vaginectomy Partial Removal Vaginal Wall|ASSISTANT AT SURGERY SERVICE (57106) |
$10,762.60 |
$15,375.15 |
3.2× |
| Preputial stretching (54450) |
$11,848.42 |
$16,926.31 |
45.4× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$13,735.40 |
$19,622 |
0.7× |
| Prineoplasty rpr pr nonobal spx (56810) |
$6,028.90 |
$8,612.72 |
1.8× |
| Probe nasolacrimal duct (68815) |
$11,449.51 |
$16,356.44 |
4.6× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Other Surgical Services (68811) |
$8,009.78 |
$11,442.55 |
3.2× |
| Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Other Surgical… (68816) |
$9,566.67 |
$13,666.67 |
3.9× |
| Proctosigmoidoscopy diagnostic (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× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy… (67141) |
$10,749.80 |
$15,356.86 |
32.4× |
| 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 iphal jt dislc 1 w/mnpj (26776) |
$1,753.07 |
$2,504.39 |
0.5× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$15,432.90 |
$22,047 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$956.20 |
$1,366 |
2.3× |
| Puncture Aspiration (10160) |
$956.20 |
$1,366 |
2.3× |
| Puncture aspiration of cyst of breast (19000) |
$956.20 |
$1,366 |
1.3× |
| 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 resection tumor soft tissue back/flank 5+cm (21936) |
$43,153 |
$61,647.14 |
14.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Other Surgical… (21558) |
$10,840.30 |
$15,486.15 |
3.6× |
| Radical resection of tumor; talus or calcaneus Other Surgical Services (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× |
| 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 Other… (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 Other Surgical Services (21246) |
$19,794.84 |
$28,278.34 |
3.2× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Other Surgical Services (21245) |
$20,054.97 |
$28,649.96 |
3.2× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Other Surgical… (21244) |
$14,183.58 |
$20,262.25 |
2.3× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Other Surgical Services (21196) |
$10,075.92 |
$14,394.17 |
1.6× |
| Reconstruction of polydactylous digit, soft tissue and bone Other Surgical Services (26587) |
$7,506.57 |
$10,723.68 |
2.2× |
| 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, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) |
$47,641.24 |
$68,058.92 |
7.7× |
| Reconstruction, toe(s); polydactyly Other Surgical Services (28344) |
$15,191.82 |
$21,702.60 |
4.4× |
| 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 Other Surgical Services (24342) |
$26,141 |
$37,344.29 |
3.4× |
| Release i-p jt contracture (26525) |
$1,314.80 |
$1,878.29 |
0.8× |
| Release of ligaments at outer side of knee joint using an endoscope professional (29873) |
$16,325.01 |
$23,321.45 |
4.8× |
| Relieve pressure on nerve(s) (64722) |
$24,596.79 |
$35,138.27 |
12.1× |
| Relocate skin pocket implantable defibrillator (33223) |
$5,152 |
$7,360 |
2.4× |
| Relocation of skin pocket for pacemaker (33222) |
$6,059.90 |
$8,657 |
2.8× |
| 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 catheter req fluor gid rs&i (47537) |
$2,248.47 |
$3,212.10 |
2.4× |
| Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Other Surgical Services (21029) |
$8,991.87 |
$12,845.52 |
2.6× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$1,845.30 |
$2,636.15 |
2.5× |
| Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services (69205) |
$30.16 |
$43.09 |
0.0× |
| Removal foreign body, intranasal; requiring general anesthesia Other Surgical Services (30310) |
$7,663.97 |
$10,948.52 |
2.2× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$142.25 |
$203.21 |
2.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22.55 |
$32.22 |
0.4× |
| Removal implant deep (20680) |
$18,900.93 |
$27,001.33 |
6.2× |
| Removal implant superficial (20670) |
$5,857.39 |
$8,367.70 |
3.4× |
| Removal implantable defib pulse generator only (33241) |
$8,953 |
$12,790 |
2.3× |
| Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Other… (54406) |
$10,934.80 |
$15,621.15 |
3.0× |
| Removal of anterior instrumentation Other Surgical Services (22855) |
$6,692.32 |
$9,560.45 |
0.9× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Other Surgical Services (64570) |
$17,934.52 |
$25,620.74 |
5.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$6,797.01 |
$9,710.02 |
5.4× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$23,336.80 |
$33,338.28 |
6.2× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis professional (27062) |
$10,600.71 |
$15,143.88 |
3.1× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$19,652.57 |
$28,075.10 |
5.8× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$590.80 |
$844 |
0.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$22.55 |
$32.22 |
0.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$47.79 |
$68.27 |
0.1× |
| Removal of foreign body, foot; deep (28192) |
$3.68 |
$5.26 |
0.0× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$21,589.31 |
$30,841.87 |
87.3× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$6,381.61 |
$9,116.59 |
5.1× |
| Removal of heel spur (28119) |
$9,697.88 |
$13,854.11 |
2.8× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$13,696.84 |
$19,566.91 |
4.7× |
| Removal of nail bed (11750) |
$598.08 |
$854.40 |
1.4× |
| Removal of pm generator (33233) |
$11,869.90 |
$16,957 |
1.4× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Other Surgical Services (19330) |
$18,800.63 |
$26,858.04 |
4.6× |
| Removal of scar tissue of tendon on bottom side of foot professional (28220) |
$6,051.65 |
$8,645.22 |
3.6× |
| Removal of skin lesion (11423) |
$13,447.02 |
$19,210.03 |
7.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$10,411.14 |
$14,873.05 |
49.7× |
| Removal of small bone underlying long bone of foot at big toe joint professional (28315) |
$7,451.59 |
$10,645.13 |
2.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$7,230.33 |
$10,329.04 |
2.0× |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Other Surgical… (62365) |
$10,569.80 |
$15,099.72 |
3.0× |
| Removal of transvenous pacemaker electrode(s); dual lead system Other Surgical Services (33235) |
$8,747.90 |
$12,497 |
2.2× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Other Surgical Services (33234) |
$6,757.80 |
$9,654 |
1.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$12,473.53 |
$17,819.33 |
3.8× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Other Surgical Services (67005) |
$14,092.87 |
$20,132.67 |
5.8× |
| 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) Other Surgical Services (57287) |
$13,166.03 |
$18,808.61 |
3.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$3,882.20 |
$5,546 |
5.2× |
| Removal Tissue Expander W/O Insertion Implant (11971) |
$14,172.81 |
$20,246.87 |
4.7× |
| Removal tunneled cv cath (36590) |
$4,723.60 |
$6,748 |
2.9× |
| Removal, non-biodegradable drug delivery implant (11982) |
$930.30 |
$1,329 |
2.0× |
| Removal, under anesthesia, of external fixation system Other Surgical Services (20694) |
$17,766.18 |
$25,380.26 |
10.6× |
| Remove cerclage suture (59871) |
$9,333.98 |
$13,334.25 |
2.8× |
| Remove eye implant material (67120) |
$12,931.30 |
$18,473.29 |
5.4× |
| Remove intrauterine device (58301) |
$440.22 |
$628.88 |
1.4× |
| Remove intrvas foreign body (37197) |
$5,379.25 |
$7,684.64 |
1.6× |
| Remove lung catheter (32552) |
$624.40 |
$892 |
1.0× |
| Remove ureter stent percut (50384) |
$4,783.95 |
$6,834.22 |
2.2× |
| Remove&replace pm gen singl (33227) |
$19,820.50 |
$28,315 |
2.3× |
| Remv Ext Canal Foreign Body (69200) |
$590.80 |
$844 |
4.3× |
| Remv foreign body,knee/thigh,deep (27372) |
$612.42 |
$874.88 |
0.2× |
| 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× |
| Remv/Revisn Full Arm/Leg Cast (29705) |
$590.80 |
$844 |
2.0× |
| Renal biopsy percutaneous (50200) |
$2,681.70 |
$3,831 |
1.6× |
| Renal Cyst Aspiration (50390) |
$2,213.11 |
$3,161.58 |
3.0× |
| 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; Upr Extrem (35206) |
$6,787.93 |
$9,697.04 |
2.1× |
| Repair blood vessel with graft other than vein; upper extremity Other Surgical Services (35266) |
$24,494.20 |
$34,991.72 |
4.2× |
| Repair brow defect (67900) |
$13,827.47 |
$19,753.54 |
5.6× |
| 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 TechFee (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 2.6-7.5 cm (13101) |
$14,085.61 |
$20,122.30 |
18.3× |
| Repair ectropion, extensive (67917) |
$9,373.84 |
$13,391.20 |
3.8× |
| Repair elbow deb/attch open (24359) |
$7,819.65 |
$11,170.93 |
2.3× |
| Repair entropion excision tarsal wedge (67923) |
$14,498.68 |
$20,712.40 |
5.8× |
| Repair entropion suture (67921) |
$8,987.75 |
$12,839.65 |
3.6× |
| Repair Exten Tendon,Dorsum Fingr,Ea (26418) |
$21,397.22 |
$30,567.45 |
12.7× |
| Repair extensor tendon hand w/o graft each (26410) |
$12,777.12 |
$18,253.03 |
7.6× |
| Repair eyelid defect (67908) |
$14,274.77 |
$20,392.53 |
5.7× |
| Repair eyelid defect (67924) |
$13,627.28 |
$19,467.55 |
5.5× |
| Repair eyelid defect (67904) |
$15,654.33 |
$22,363.34 |
6.3× |
| Repair finger/hand tendon (26350) |
$21,388.58 |
$30,555.11 |
6.3× |
| Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) Other Surgical Services (30580) |
$3,146.40 |
$4,494.85 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$609.57 |
$870.81 |
0.2× |
| Repair hallux rigidus (28289) |
$9,558.60 |
$13,655.14 |
2.8× |
| Repair incomplete circumcision (54163) |
$14,872.82 |
$21,246.88 |
6.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Other Surgical Services (49553) |
$16,725.03 |
$23,892.90 |
4.5× |
| Repair initial femoral hernia, any age; reducible Other Surgical Services (49550) |
$15,343.29 |
$21,918.98 |
4.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$590.80 |
$844 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$396.76 |
$566.80 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$23,590.16 |
$33,700.23 |
55.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$402.91 |
$575.59 |
0.9× |
| 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 2.6-7.5 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 2.5 CM/< TechFee (12031) |
$15.51 |
$22.16 |
0.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$730.10 |
$1,043 |
1.7× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$925.86 |
$1,322.66 |
1.2× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$598.08 |
$854.40 |
1.4× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$4,526.37 |
$6,466.24 |
2.1× |
| Repair Lip,Full Thick,Vermilion (40650) |
$6,110 |
$8,728.57 |
10.8× |
| Repair nail bed (11760) |
$403.40 |
$576.29 |
0.5× |
| Repair nasal vestibular stenosis (30465) |
$8,069.34 |
$11,527.62 |
1.3× |
| Repair non/malunion humerus w/o graft (24430) |
$11,909.41 |
$17,013.45 |
0.9× |
| Repair of biceps tendon at elbow (24340) |
$26,113.22 |
$37,304.60 |
3.4× |
| Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Other… (67902) |
$14,959.85 |
$21,371.22 |
3.6× |
| 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 digit nerve (64831) |
$15,094.37 |
$21,563.39 |
7.4× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula)… (27675) |
$26,351.98 |
$37,645.69 |
7.7× |
| Repair of ectropion; excision tarsal wedge Other Surgical Services (67916) |
$4,923.43 |
$7,033.47 |
2.0× |
| Repair of enterocele, vaginal approach (separate procedure) Other Surgical Services (57268) |
$21,189.94 |
$30,271.34 |
4.1× |
| Repair of entropion; thermocauterization Other Surgical Services (67922) |
$4,663.36 |
$6,661.95 |
1.9× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$13,905.73 |
$19,865.33 |
4.1× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$1,265.17 |
$1,807.39 |
2.7× |
| Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Other Surgical… (65285) |
$19,874.88 |
$28,392.68 |
3.6× |
| Repair of leg tendon each (27658) |
$31,038.01 |
$44,340.01 |
9.1× |
| 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) Other Surgical Services (30468) |
$12,790.62 |
$18,272.31 |
2.1× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Other Surgical… (24435) |
$14,067.70 |
$20,096.71 |
1.0× |
| Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Other Surgical Services (25415) |
$30,102.75 |
$43,003.93 |
4.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Other Surgical Services (25405) |
$23,541.55 |
$33,630.79 |
3.1× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Other Surgical Services (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 autograft (includes obtaining graft) Other Surgical Services (27724) |
$25,138.57 |
$35,912.24 |
3.3× |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$31,528.59 |
$45,040.84 |
13.1× |
| Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling… (67107) |
$27,635.17 |
$39,478.81 |
6.4× |
| Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) |
$30,186.68 |
$43,123.83 |
7.0× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$14,053.64 |
$20,076.64 |
4.1× |
| Repair Profundus Tendon,Primary (26370) |
$15,094.37 |
$21,563.39 |
4.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Other Surgical Services (49521) |
$10,679.86 |
$15,256.95 |
1.6× |
| Repair rotator cuff, acute (23410) |
$9,370.25 |
$13,386.08 |
1.2× |
| Repair rotator cuff, chronic (23412) |
$7,837.65 |
$11,196.64 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea Tdn/Musc (24341) |
$26,292.21 |
$37,560.30 |
3.5× |
| Repair Testis Injury (54670) |
$15,565.55 |
$22,236.51 |
4.2× |
| Repair wrist joints (25447) |
$29,291.27 |
$41,844.67 |
8.6× |
| Repair, acquired or traumatic arteriovenous fistula; extremities Other Surgical Services (35190) |
$16,905.36 |
$24,150.51 |
2.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$302.68 |
$432.40 |
0.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$16,322.14 |
$23,317.35 |
21.1× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$4,543 |
$6,490.01 |
5.9× |
| Repair, extensor tendon, leg; primary, without graft, each tendon Other Surgical Services (27664) |
$28,662.80 |
$40,946.85 |
3.8× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Other Surgical Services (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) Other Surgical… (27470) |
$15,397.54 |
$21,996.49 |
2.0× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Other Surgical Services (28322) |
$24,705.25 |
$35,293.21 |
3.3× |
| Repair, primary, disrupted ligament, ankle; collateral Other Surgical Services (27695) |
$10,491.54 |
$14,987.92 |
1.4× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Other Surgical Services (27407) |
$22,866.23 |
$32,666.04 |
3.0× |
| Repair, secondary, Achilles tendon, with or without graft Other Surgical Services (27654) |
$6,719.61 |
$9,599.44 |
0.9× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Other Surgical Services (28208) |
$16,064.99 |
$22,949.99 |
4.7× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Other Surgical Services (28200) |
$18,923.25 |
$27,033.22 |
5.5× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Other Surgical Services (28202) |
$11,794.96 |
$16,849.95 |
1.6× |
| Replace duod/jej tube perc (49451) |
$2,107.70 |
$3,011 |
2.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,237.90 |
$3,197 |
2.4× |
| Replace tunneled cv cath (36582) |
$9,185.40 |
$13,122 |
2.8× |
| 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× |
| Replacement of tissue expander with permanent implant Other Surgical Services (11970) |
$7,640.26 |
$10,914.66 |
1.0× |
| Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Other… (62230) |
$16,411.26 |
$23,444.65 |
1.8× |
| Reposition central venous cath (36597) |
$2,050.31 |
$2,929.01 |
1.2× |
| Reposition gastrostomy tube (43761) |
$1,991.31 |
$2,844.73 |
7.6× |
| Repositioning of previously implanted subcutaneous implantable defibrillator electrode (33273) |
$3,404.48 |
$4,863.54 |
0.9× |
| 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× |
| Reshaping of tooth socket|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (41874) |
$4,003.53 |
$5,719.33 |
1.2× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$607.16 |
$867.38 |
2.9× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$630.80 |
$901.15 |
3.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$50,395.11 |
$71,993.02 |
3.8× |
| Revise Av Fistula,W/O Thrombectomy (36832) |
$19,881.62 |
$28,402.31 |
3.4× |
| Revise ulnar nerve at elbow (64718) |
$7,826.52 |
$11,180.74 |
3.8× |
| Revise ulnar nerve at wrist (64719) |
$11,844.18 |
$16,920.26 |
5.8× |
Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via… (63664)
unusually low: confirm this is the full procedure |
$5,038.42 |
$7,197.74 |
0.4× |
| Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services (69601) |
$11,976 |
$17,108.57 |
1.9× |
| Revision of arthroplasty, including removal of implant, wrist joint Other Surgical Services (25449) |
$9,995.98 |
$14,279.97 |
1.3× |
| Revision of cervix (59320) |
$12,181.94 |
$17,402.78 |
3.6× |
| Revision of iris (66761) |
$10,342.77 |
$14,775.39 |
18.0× |
| Revision of penis (54435) |
$34.88 |
$49.83 |
0.0× |
| Revision of reconstructed breast (19380) |
$23,669.48 |
$33,813.55 |
3.4× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Other Surgical… (27137) |
$42,839.33 |
$61,199.04 |
3.2× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft Other Surgical Services (27138) |
$25,482.79 |
$36,403.99 |
1.9× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Other Surgical… (27487) |
$19,444.16 |
$27,777.37 |
1.1× |
| Revision of upper eyelid (15822) |
$10,740.14 |
$15,343.05 |
5.0× |
| Revision of upper eyelid (15823) |
$13,141.10 |
$18,773 |
6.1× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$9,419.35 |
$13,456.22 |
2.6× |
| Revision peri-implant capsule breast (19370) |
$10,591.35 |
$15,130.50 |
2.6× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Other Surgical… (35879) |
$11,027.08 |
$15,752.97 |
1.9× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$24,392.52 |
$34,846.46 |
3.7× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$7,963.53 |
$11,376.47 |
1.3× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$41,411.74 |
$59,159.63 |
11.3× |
| Revj/rmvl perph neurostimulator electrode array (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 Other Surgical Services (15826) |
$455 |
$650 |
0.1× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (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 intact breast implant (19328) |
$6,621.78 |
$9,459.69 |
1.6× |
| Rmvl nfros tube req fluoro guidance (50389) |
$1,168.30 |
$1,669 |
1.6× |
| Rmvl of access device (36589) |
$2,792.30 |
$3,989 |
4.3× |
| 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 spinal nstim eltrd prq array incl fluor (63661) |
$6,024.50 |
$8,606.43 |
3.0× |
| 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 tun cvc w/o subq port/pmp (36581) |
$6,615.70 |
$9,451 |
2.0× |
| Rpr 1 transvns eltrd prm pm/pacing implntbl dfb (33218) |
$13,539.40 |
$19,342 |
3.5× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$13,395.42 |
$19,136.31 |
2.0× |
| Rpr 2 transvns electrodes prm pm/implantable dfb (33220) |
$12,595.10 |
$17,993 |
3.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$15,482.85 |
$22,118.36 |
2.5× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$16,332.16 |
$23,331.66 |
2.4× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$17,039.90 |
$24,342.71 |
2.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$14,409.54 |
$20,585.06 |
3.9× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$50,865.60 |
$72,665.14 |
7.5× |
| 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 blvsl w/grf other/than vein lower extremity (35286) |
$6,269.61 |
$8,956.58 |
1.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,346.70 |
$4,781 |
2.0× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$17,877.34 |
$25,539.06 |
4.8× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$23,324.83 |
$33,321.19 |
6.8× |
| Rpr Xtnsr Tdn Cntrl Slip Tiss W/Lat Band Ea Fngr (26426) |
$7,602.81 |
$10,861.16 |
2.2× |
| 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× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$8,686.30 |
$12,409 |
2.6× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$3,523.10 |
$5,033 |
2.0× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,981 |
$2,830 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$1,443.94 |
$2,062.77 |
6.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$5,775.75 |
$8,251.07 |
27.6× |
| 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 control bleeding (45334) |
$9,790.52 |
$13,986.45 |
7.8× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$4,875.87 |
$6,965.53 |
5.0× |
| Sigmoidoscopy w/ablation (45346) |
$9,266.28 |
$13,237.55 |
7.4× |
| Sigmoidoscopy W/Endo Mucosal Resection (45349) |
$1,719.43 |
$2,456.33 |
0.6× |
| 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× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services (45335) |
$5,292.16 |
$7,560.23 |
5.4× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical… (45338) |
$7,571.78 |
$10,816.83 |
6.1× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services (45340) |
$6,511.44 |
$9,302.05 |
5.2× |
| 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 SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$583.77 |
$833.96 |
2.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$131.18 |
$187.41 |
0.6× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$889.70 |
$1,271 |
2.1× |
| 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 Other Surgical Services (31032) |
$14,008.25 |
$20,011.79 |
2.3× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Other Surgical Services (31030) |
$37,691.21 |
$53,844.58 |
6.1× |
| Skin Tissue Procedure (17999) |
$590.80 |
$844 |
2.8× |
| 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× |
| Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Other Surgical Services (53440) |
$35,947.34 |
$51,353.35 |
2.6× |
| Small bowel endoscopy (44366) |
$3,366.17 |
$4,808.81 |
1.7× |
| Small bowel endoscopy (44376) |
$1,666.20 |
$2,380.29 |
0.8× |
| Small bowel endoscopy/biopsy (44377) |
$2,739.29 |
$3,913.27 |
1.4× |
| Small bowel endoscopy/biopsy (44361) |
$5,122.92 |
$7,318.45 |
2.6× |
| 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 ablation of… (44369) |
$7,100.56 |
$10,143.65 |
3.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$3,131.32 |
$4,473.31 |
1.6× |
| 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 TechFee (12002) |
$583.77 |
$833.96 |
2.8× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (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 of sphincter (separate procedure) Other Surgical Services (46080) |
$13,771.23 |
$19,673.18 |
4.8× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$19,857.17 |
$28,367.39 |
5.4× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$16,185.19 |
$23,121.70 |
7.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$21,172.36 |
$30,246.23 |
6.4× |
| Stab phlebt varicose veins 1 xtr > 20 incs (37766) |
$17,034.32 |
$24,334.74 |
5.2× |
| Stomach surgery procedure unlisted (43999) |
$9,766.40 |
$13,952 |
10.3× |
| Strabismus surgery, recession or resection procedure; 1 horizontal muscle Other Surgical Services (67311) |
$20,180.63 |
$28,829.48 |
8.1× |
| Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Other Surgical… (67314) |
$7,310.09 |
$10,442.99 |
2.9× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Other Surgical Services (67312) |
$20,871.56 |
$29,816.51 |
5.1× |
| Straighten Penis (54300) |
$4,772.90 |
$6,818.43 |
1.3× |
| Strapping unna boot (29580) |
$451.50 |
$645 |
2.7× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$3,383.10 |
$4,833 |
4.4× |
| Sub grft f/s/n/h/f/g/m/d >/= 100scm 1st 100sq cm (15277) |
$5,105.54 |
$7,293.62 |
2.4× |
| Submucous resection inferior turbinate, partial or complete, any method Other Surgical Services (30140) |
$7,436.52 |
$10,623.60 |
2.1× |
| Suction assisted lipectomy; head and neck Other Surgical Services (15876) |
$16,071.19 |
$22,958.84 |
4.3× |
| Suction assisted lipectomy; lower extremity Other Surgical Services (15879) |
$15,490.87 |
$22,129.81 |
4.2× |
| Suction assisted lipectomy; trunk Other Surgical Services (15877) |
$26,036.28 |
$37,194.68 |
7.0× |
| Suction assisted lipectomy; upper extremity Other Surgical Services (15878) |
$1,735.30 |
$2,479 |
0.8× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$6,717.75 |
$9,596.79 |
8.7× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$6,952.48 |
$9,932.11 |
16.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Other Surgical Services (46275) |
$11,863.48 |
$16,947.83 |
4.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services (46270) |
$15,471.40 |
$22,102 |
5.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$12,851.44 |
$18,359.20 |
4.4× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$20,794.89 |
$29,706.98 |
8.4× |
| 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 of eyelids by suture (eg, Frost suture) Other Surgical Services (67875) |
$7,449.74 |
$10,642.49 |
7.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Other Surgical… (25310) |
$5,551.22 |
$7,930.32 |
1.6× |
| Tenodesis long tendon biceps (23430) |
$11,812.13 |
$16,874.47 |
1.6× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,080.65 |
$4,400.93 |
0.9× |
| Tenolysis, extensor, foot; single tendon Other Surgical Services (28225) |
$11,018.33 |
$15,740.47 |
3.2× |
| Tenotomy percutaneous toe single tendon (28010) |
$4,310.38 |
$6,157.68 |
2.6× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$20,113.67 |
$28,733.82 |
5.9× |
| Tenotomy, flexor, finger, open, each tendon Other Surgical Services (26455) |
$8,174.14 |
$11,677.34 |
4.9× |
| Tenotomy, open, extensor, foot or toe, each tendon Other Surgical Services (28234) |
$5,680.23 |
$8,114.61 |
3.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Other Surgical Services (28232) |
$11,057.44 |
$15,796.34 |
6.6× |
| Tenotomy, shoulder area; multiple tendons through same incision Other Surgical Services (23406) |
$5,727.40 |
$8,182 |
0.8× |
| Tenotomy, shoulder area; single tendon Other Surgical Services (23405) |
$5,727.40 |
$8,182 |
0.8× |
| Therapeutic 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× |
| Therapeutic spinal puncture drainage csf (62272) |
$2,187.50 |
$3,125 |
3.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,915.20 |
$2,736 |
2.9× |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
$1,720.60 |
$2,458 |
2.6× |
| Throat surgery procedure (42999) |
$5,940.82 |
$8,486.89 |
24.0× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Other Surgical Services (35875) |
$24,084.84 |
$34,406.91 |
4.1× |
| 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× |
| Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate… (36831) |
$6,648.70 |
$9,498.15 |
1.1× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral Other Surgical Services (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× |
| Thrombolysis cerebral IV infus (37195) |
$111.82 |
$159.75 |
0.3× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$7,331.10 |
$10,473 |
2.2× |
| Thrombolytic art therapy (37211) |
$9,164.40 |
$13,092 |
1.6× |
| Thyroidectomy, including substernal thyroid; cervical approach Other Surgical Services (60271) |
$31,366.65 |
$44,809.50 |
5.1× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Other… (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 breast reconstruction (19357) |
$19,009.41 |
$27,156.30 |
1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over Other Surgical Services (42821) |
$5,968.67 |
$8,526.68 |
1.7× |
| Tonsillectomy, primary or secondary; age 12 or over Other Surgical Services (42826) |
$12,173.97 |
$17,391.39 |
3.5× |
| Tonsillectomy, primary or secondary; younger than age 12 Other Surgical Services (42825) |
$11,001.52 |
$15,716.45 |
1.8× |
| Total knee arthroplasty (27447) |
$31,771.70 |
$45,388.15 |
2.4× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services (60220) |
$28,567.29 |
$40,810.41 |
4.5× |
| Tracheobronchoscopy through established tracheostomy incision (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× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624) |
$11,274.90 |
$16,107 |
0.6× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$16,744.85 |
$23,921.22 |
8.2× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691) |
$7,451.95 |
$10,645.65 |
1.0× |
| 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 Other Surgical Services (15650) |
$4,248.66 |
$6,069.51 |
2.0× |
| Transperi needle place pros (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× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Other Surgical Services (53852) |
$5,526.10 |
$7,894.43 |
1.5× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$20,234.26 |
$28,906.08 |
3.6× |
| Transurethral resection of bladder neck (separate procedure) Other Surgical Services (52500) |
$12,921.64 |
$18,459.48 |
3.5× |
| Treat elbow fracture (24586) |
$28,672.09 |
$40,960.13 |
2.1× |
| Treat fx distal radial (25606) |
$1.84 |
$2.63 |
0.0× |
| Treat lower leg fracture (27825) |
$27,119.20 |
$38,741.71 |
16.2× |
| 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 radius fracture (24655) |
$1,589.32 |
$2,270.46 |
0.9× |
| Treat toe dislocation (28630) |
$547.72 |
$782.46 |
2.1× |
| Treat vaginal bleeding (57180) |
$260.74 |
$372.48 |
1.2× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$907.96 |
$1,297.08 |
0.5× |
| Treatment of ankle fracture (27822) |
$35,300.76 |
$50,429.65 |
4.7× |
| Treatment of bladder lesion (51720) |
$8,111.97 |
$11,588.53 |
11.1× |
| Treatment of broken lower jaw bone with placement of stabilizing device to teeth|BILATERAL PROCEDURE (21462) |
$35,251.30 |
$50,359 |
5.7× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,005.48 |
$1,436.41 |
3.9× |
| Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516) |
$29,752.22 |
$42,503.18 |
2.2× |
| Treatment of missed abortion, completed surgically; second trimester Other Surgical Services (59821) |
$12,388.93 |
$17,698.48 |
3.7× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ Other Surgical Services (27176) |
$28,957.03 |
$41,367.19 |
8.5× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$12,994.92 |
$18,564.17 |
7.7× |
| Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) |
$28,046.44 |
$40,066.34 |
2.1× |
| Trim Benign Hyperkeratotic Skin Lesion,2-4 (11056) |
$332.30 |
$474.72 |
1.6× |
| Trim skin lesion (11055) |
$534.10 |
$763 |
2.5× |
| Trim skin lesion 4 or more (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 (53854) |
$12,100.10 |
$17,285.85 |
3.3× |
| Tx incomplete abortion (59812) |
$11,815.35 |
$16,879.07 |
3.5× |
| Tx superficial wound dehiscence simple closure (12020) |
$9,722.30 |
$13,889 |
12.6× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other… (69610) |
$5,291.33 |
$7,559.05 |
3.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$4,576.10 |
$6,537.28 |
0.7× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services (69436) |
$3,962.10 |
$5,660.14 |
2.4× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$6,387.17 |
$9,124.53 |
2.7× |
| Unlisted craniofacial and maxillofacial procedure Other Surgical Services (21299) |
$17,688.80 |
$25,269.71 |
71.5× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Other Surgical Services (49659) |
$13,964.69 |
$19,949.56 |
2.2× |
| Unlisted laparoscopy procedure, intestine (except rectum) Other Surgical Services (44238) |
$26,656.42 |
$38,080.60 |
4.2× |
| Unlisted laparoscopy procedure, oviduct, ovary Other Surgical Services (58679) |
$23,571.41 |
$33,673.44 |
3.7× |
| Unlisted proc; robotic laparoscopic trachelectomy amputation of (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 colon (45399) |
$2,512.54 |
$3,589.34 |
2.6× |
| Unlisted procedure leg/ankle (27899) |
$914.92 |
$1,307.03 |
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 rectum (45999) |
$13,744.93 |
$19,635.62 |
14.2× |
| Unlisted Procedure Trachea Bronchi (31899) |
$8,658.34 |
$12,369.05 |
41.5× |
| Unlisted procedure, abdomen, musculoskeletal system Other Surgical Services (22999) |
$12,799.46 |
$18,284.95 |
49.7× |
| Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services (49999) |
$4,892.32 |
$6,989.03 |
5.2× |
| Unlisted procedure, dentoalveolar structures (41899) |
$16,157.92 |
$23,082.75 |
65.3× |
| Unlisted procedure, female genital system (nonobstetrical) Other Surgical Services (58999) |
$13,611.27 |
$19,444.67 |
64.5× |
| Unlisted procedure, hands or fingers (26989) |
$19,412.93 |
$27,732.76 |
75.4× |
| Unlisted procedure, intestine (44799) |
$3,436.02 |
$4,908.60 |
3.6× |
| Unlisted procedure, liver (47399) |
$5,574.69 |
$7,963.84 |
7.5× |
| Upgrade impl pacemkr; sc to dc (33214) |
$26,810.35 |
$38,300.50 |
2.5× |
| Urethrorrhaphy, suture of urethral wound or injury, female Other Surgical Services (53502) |
$5,364.01 |
$7,662.87 |
1.5× |
| Urology surgery procedure unlisted (53899) |
$302.28 |
$431.83 |
1.2× |
| 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; Other Surgical Services (58260) |
$16,961.13 |
$24,230.19 |
3.2× |
| Vasc embolize/occlude bleed (37244) |
$29,059.10 |
$41,513 |
2.4× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$31,238.90 |
$44,627 |
1.6× |
| Vascular embolization or occlusion venous rs&i (37241) |
$29,059.10 |
$41,513 |
2.4× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$29,059.10 |
$41,513 |
2.4× |
| Vascular surgery procedure (37799) |
$20,164.61 |
$28,806.58 |
30.8× |
| Vasectomy (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× |
| Vermilionectomy (lip shave), with mucosal advancement Other Surgical Services (40500) |
$15,799.86 |
$22,571.23 |
4.6× |
| 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 Other Surgical Services (67039) |
$29,389.79 |
$41,985.42 |
6.8× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Other… (67041) |
$22,881.37 |
$32,687.67 |
5.3× |
| Vulvectomy Simple Partial (56620) |
$16,071.05 |
$22,958.64 |
4.8× |
| Vulvectomy simple; complete Other Surgical Services (56625) |
$17,304.80 |
$24,721.14 |
5.1× |
| Xtrnl cannula decltng spx w/balo cath (36861) |
$7,129.68 |
$10,185.25 |
1.2× |