| Abd paracentesis w/imaging (49083) |
$1,335.60 |
$1,908 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,133.60 |
$3,048 |
2.0× |
| Ablate inf turbinate submuc (30802) |
$3,438.40 |
$4,912 |
1.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$11,576.60 |
$16,538 |
0.6× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$15,107.40 |
$21,582 |
1.2× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$8,638.70 |
$12,341 |
0.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$13,174 |
$18,820 |
1.5× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,613.40 |
$5,162 |
1.9× |
| Abltj 1/> lvr tum prq rf (47382) |
$7,123.90 |
$10,177 |
1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$4,071.20 |
$5,816 |
2.2× |
| Abortion (59841) |
$5,385.10 |
$7,693 |
1.4× |
| Acne surgery (10040) |
$303.10 |
$433 |
1.3× |
| Adding Walker Previously Applied Cast (29440) |
$394.10 |
$563 |
2.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$12,285.70 |
$17,551 |
2.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,897.60 |
$5,568 |
1.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$4,337.90 |
$6,197 |
1.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,884.30 |
$5,549 |
1.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,867.20 |
$4,096 |
1.2× |
| Amniocentesis diagnostic (59000) |
$1,328.25 |
$1,897.50 |
1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$6,331.50 |
$9,045 |
1.6× |
| Amputation Finger/Thumb (26951) |
$8,330.34 |
$11,900.49 |
2.2× |
| Amputation foot transmetarsal (28805) |
$10,917.20 |
$15,596 |
2.8× |
| Amputation metatarsal with toe single (28810) |
$10,099.25 |
$14,427.50 |
2.6× |
| Amputation toe interphalangeal joint (28825) |
$8,815.80 |
$12,594 |
2.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$7,037.10 |
$10,053 |
1.8× |
| Analyze spine infus pump (62367) |
$677.95 |
$968.50 |
1.9× |
| Anoscopy Ablation Lesion (46615) |
$5,688.90 |
$8,127 |
1.7× |
| Anoscopy diagnostic (46600) |
$236.60 |
$338 |
1.5× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,303.70 |
$3,291 |
1.6× |
| Anoscopy w/control bleeding (46614) |
$2,083.90 |
$2,977 |
1.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,083.90 |
$2,977 |
1.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,217.25 |
$3,167.50 |
1.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$5,998.30 |
$8,569 |
1.8× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$338.10 |
$483 |
1.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$484.05 |
$691.50 |
2.5× |
| Appl Multlay Comprs Arm/Hand (29584) |
$527.10 |
$753 |
2.7× |
| Application cast elbow finger short arm (29075) |
$564.20 |
$806 |
1.7× |
| Application cast shoulder hand long arm (29065) |
$498.40 |
$712 |
1.5× |
| Application Finger Splint Dynamic (29131) |
$246.40 |
$352 |
3.5× |
| Application finger splint static (29130) |
$324.80 |
$464 |
2.1× |
| Application Hip Spica Cast 1 Leg (29305) |
$688.10 |
$983 |
2.1× |
| Application long arm splint shoulder hand (29105) |
$471.10 |
$673 |
2.5× |
| Application Long Leg Cast Brace (29358) |
$589.40 |
$842 |
1.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$688.10 |
$983 |
2.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$688.10 |
$983 |
2.1× |
| Application of long leg cast (29345) |
$688.10 |
$983 |
2.1× |
| Application of rigid total contact leg cast (29445) |
$792.05 |
$1,131.50 |
2.4× |
| Application Short Arm Splint Dynamic (29126) |
$234.50 |
$335 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$198.10 |
$283 |
1.3× |
| Application uniplane external fixation system (20690) |
$7,129.50 |
$10,185 |
0.8× |
| Apply Hand/Wrist Cast (29085) |
$797.30 |
$1,139 |
4.2× |
| Apply long leg splint (29505) |
$571.90 |
$817 |
3.0× |
| Apply short leg cast (29405) |
$845.60 |
$1,208 |
2.6× |
| Apply short leg cast (29425) |
$688.10 |
$983 |
2.1× |
| Apply short leg splint (29515) |
$506.10 |
$723 |
2.6× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$5,373.20 |
$7,676 |
0.9× |
| Arterial puncture (36600) |
$287 |
$410 |
1.8× |
| Arteriovenous Anastomosis Open Direct (36821) |
$7,689.50 |
$10,985 |
2.1× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$11,911.20 |
$17,016 |
1.8× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$24,817.10 |
$35,453 |
1.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$24,771.60 |
$35,388 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$957.60 |
$1,368 |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,845.20 |
$2,636 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$868.70 |
$1,241 |
2.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,627.50 |
$2,325 |
4.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,055.25 |
$1,507.50 |
2.9× |
| Arthrodesis ankle open (27870) |
$17,615.68 |
$25,165.25 |
1.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$11,987.85 |
$17,125.50 |
1.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$16,625.35 |
$23,750.50 |
1.9× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$12,742.80 |
$18,204 |
0.6× |
| Arthrodesis triple (28715) |
$30,649.85 |
$43,785.50 |
2.0× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$4,298.70 |
$6,141 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$7,964.84 |
$11,378.34 |
0.4× |
| Arthrodesis; subtalar (28725) |
$14,746.90 |
$21,067 |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$25,272.10 |
$36,103 |
0.8× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$20,135.50 |
$28,765 |
1.0× |
| Arthroplasty interphalangeal joint each (26535) |
$17,411.10 |
$24,873 |
4.5× |
| Arthroplasty patella w/prosthesis (27438) |
$16,877 |
$24,110 |
1.1× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$13,619.55 |
$19,456.50 |
3.5× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$14,872.20 |
$21,246 |
1.0× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$16,501.10 |
$23,573 |
1.9× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$25,774 |
$36,820 |
3.0× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$10,298.75 |
$14,712.50 |
2.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$6,227.20 |
$8,896 |
1.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$12,736.50 |
$18,195 |
3.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$17,843 |
$25,490 |
4.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$5,619.60 |
$8,028 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$3,595.62 |
$5,136.60 |
0.9× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$8,607.90 |
$12,297 |
2.2× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$20,008.80 |
$28,584 |
5.2× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$24,159.10 |
$34,513 |
2.8× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$6,559.35 |
$9,370.50 |
1.7× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$21,701.40 |
$31,002 |
2.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,284.58 |
$3,263.68 |
0.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$11,489.80 |
$16,414 |
3.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$8,250.90 |
$11,787 |
2.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$11,479.30 |
$16,399 |
1.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,625.90 |
$8,037 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,707.03 |
$6,724.33 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$10,236.10 |
$14,623 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$24,582.60 |
$35,118 |
2.9× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$7,981.05 |
$11,401.50 |
2.1× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$7,981.05 |
$11,401.50 |
2.1× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$10,987.20 |
$15,696 |
2.8× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$7,730.10 |
$11,043 |
2.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$10,249.05 |
$14,641.50 |
1.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$15,060.85 |
$21,515.50 |
3.9× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$14,752.50 |
$21,075 |
3.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$3,786.30 |
$5,409 |
2.0× |
| Artificial Insemination Intra-Uterine (58322) |
$360.50 |
$515 |
1.5× |
| Aspirate pleura w/ imaging (32555) |
$4,333.70 |
$6,191 |
5.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$791 |
$1,130 |
2.2× |
| Aspiration and injection for treatment of bone cyst (20615) |
$1,734.60 |
$2,478 |
2.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$2,485 |
$3,550 |
3.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,578.40 |
$5,112 |
1.4× |
| Aspiration bladder needle (51100) |
$1,029.70 |
$1,471 |
3.5× |
| Av fistula revision (36833) |
$16,265.90 |
$23,237 |
2.5× |
| Av Fuse Uppr Arm Basilic (36819) |
$18,304.30 |
$26,149 |
2.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$578.20 |
$826 |
2.4× |
| Axillary lymphadenectomy; complete (38745) |
$14,630 |
$20,900 |
2.0× |
| Biopsy bone open deep (20245) |
$5,600.70 |
$8,001 |
1.6× |
| Biopsy bone trocar/needle deep (20225) |
$3,183.25 |
$4,547.50 |
1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,852.50 |
$4,075 |
1.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$2,121 |
$3,030 |
1.9× |
| Biopsy external ear (69100) |
$518 |
$740 |
1.9× |
| Biopsy intranasal (30100) |
$3,208.80 |
$4,584 |
1.8× |
| Biopsy muscle deep (20205) |
$6,658.40 |
$9,512 |
1.9× |
| Biopsy muscle percutaneous needle (20206) |
$2,960.30 |
$4,229 |
1.5× |
| Biopsy Muscle Superficial (20200) |
$5,532.80 |
$7,904 |
2.8× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$5,596.50 |
$7,995 |
1.4× |
| Biopsy of breast; open, incisional (19101) |
$8,346.80 |
$11,924 |
1.8× |
| Biopsy of floor of mouth (41108) |
$3,449.60 |
$4,928 |
1.8× |
| Biopsy of lip (40490) |
$499.80 |
$714 |
1.8× |
| Biopsy of mouth lesion (40808) |
$1,220.10 |
$1,743 |
1.9× |
| Biopsy of palate, uvula (42100) |
$3,208.80 |
$4,584 |
1.8× |
| Biopsy of penis (54100) |
$2,313.50 |
$3,305 |
1.2× |
| Biopsy of tongue (41100) |
$1,138.90 |
$1,627 |
1.8× |
| Biopsy of urethra (53200) |
$4,249.70 |
$6,071 |
1.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$6,470.80 |
$9,244 |
1.4× |
| Biopsy Oropharynx (42800) |
$5,596.50 |
$7,995 |
3.1× |
| Biopsy Salivary Gland Incisional (42405) |
$5,154.80 |
$7,364 |
2.8× |
| Biopsy Salivary Gland,Needle (42400) |
$1,455.30 |
$2,079 |
1.7× |
| Biopsy soft tissue neck/thorax (21550) |
$4,130.70 |
$5,901 |
2.1× |
| Biopsy Tongue Posterior One-Third (41105) |
$4,172.70 |
$5,961 |
1.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,334.80 |
$4,764 |
0.9× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,271.90 |
$1,817 |
1.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,341.20 |
$1,916 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$9,941.40 |
$14,202 |
2.1× |
| Biopsy/removal lymph nodes (38510) |
$5,798.80 |
$8,284 |
1.3× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$5,596.50 |
$7,995 |
1.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,048.95 |
$1,498.50 |
1.3× |
| Bladder Irrigation Simple (51700) |
$616.70 |
$881 |
2.1× |
| Blepharotomy drain absc eyelid (67700) |
$796.60 |
$1,138 |
2.1× |
| Blood patch (62273) |
$2,321.90 |
$3,317 |
2.8× |
| Blood transfusion service (36430) |
$1,062.60 |
$1,518 |
2.0× |
| Blood/Lymph System Procedure (38999) |
$893.20 |
$1,276 |
1.7× |
| Bone marrow aspiration only (38220) |
$3,578.66 |
$5,112.38 |
1.8× |
| Bone Marrow Biopsy (38221) |
$2,919.70 |
$4,171 |
1.5× |
| Bone Marrow Harvest Autolog (38232) |
$5,682.25 |
$8,117.50 |
1.1× |
| Breast Reduction (19318) |
$31,968.65 |
$45,669.50 |
4.1× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,755.13 |
$2,507.33 |
0.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,938.60 |
$4,198 |
1.4× |
| Brnchsc removal bronchial valve initial (31648) |
$5,644.10 |
$8,063 |
1.3× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$6,853.70 |
$9,791 |
0.8× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$6,564.60 |
$9,378 |
1.5× |
| Bronch ebus samplng 1/2 node (31652) |
$5,157.60 |
$7,368 |
1.2× |
| Bronch ebus samplng 3/> node (31653) |
$7,783.30 |
$11,119 |
1.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,133.20 |
$4,476 |
1.5× |
| Bronchoscopy Bronch Stents (31636) |
$14,149.80 |
$20,214 |
1.7× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$10,411.80 |
$14,874 |
2.4× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$5,744.20 |
$8,206 |
0.7× |
| Bronchoscopy w/tumor excise (31640) |
$1,940.23 |
$2,771.75 |
0.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,829.70 |
$5,471 |
1.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,960.30 |
$4,229 |
1.5× |
| Bx breast 1st lesion mr imag (19085) |
$2,226.70 |
$3,181 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,110.10 |
$4,443 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$2,396.80 |
$3,424 |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,403.80 |
$3,434 |
1.2× |
| Bx/exc lymph node needle superficial (38505) |
$3,017.70 |
$4,311 |
1.5× |
| Canthoplasty (67950) |
$6,408.50 |
$9,155 |
2.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$6,477.10 |
$9,253 |
1.7× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$8,607.20 |
$12,296 |
2.2× |
| Carpectomy All Bones Proximal Row (25215) |
$8,125.60 |
$11,608 |
2.1× |
| Cartilage graft; nasal septum Facility (20912) |
$2,489.20 |
$3,556 |
0.6× |
| Casting/strapping procedure (29799) |
$366.80 |
$524 |
1.9× |
| Cataract surgery complex (66982) |
$5,532.80 |
$7,904 |
2.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$476.70 |
$681 |
1.8× |
| Cauterization,cervix,electro/thermal (57510) |
$5,691 |
$8,130 |
1.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$4,054.05 |
$5,791.50 |
1.1× |
| Cervical lymphadenectomy (complete) (38720) |
$12,234.60 |
$17,478 |
1.6× |
| Cessj Therapy Cath Removal (37214) |
$6,202 |
$8,860 |
1.7× |
| Change Cystostomy Tube Complicated (51710) |
$3,764.60 |
$5,378 |
4.6× |
| Change of cystostomy tube simple (51705) |
$732.20 |
$1,046 |
2.5× |
| Change Ureter Stent, Percut (50382) |
$5,052.60 |
$7,218 |
2.0× |
| Chemical cautery tissue (17250) |
$348.60 |
$498 |
1.5× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,600.90 |
$2,287 |
1.9× |
| Chemodenerv musc migraine (64615) |
$660.80 |
$944 |
1.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$1,068.20 |
$1,526 |
2.9× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$654.50 |
$935 |
1.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,947.40 |
$2,782 |
2.3× |
| Chemodenerv trunk musc 6/> (64647) |
$1,971.90 |
$2,817 |
2.4× |
| Chemodenervation internal anal sphincter (46505) |
$3,843.70 |
$5,491 |
2.7× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$1,262.80 |
$1,804 |
1.5× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,947.40 |
$2,782 |
2.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$991.20 |
$1,416 |
2.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$6,829.90 |
$9,757 |
2.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,421.20 |
$6,316 |
1.0× |
| Chorionic villus sampling (59015) |
$1,671.95 |
$2,388.50 |
1.5× |
| Chromotubation oviduct (58350) |
$8,052.10 |
$11,503 |
1.4× |
| Circum 28 days or older (54161) |
$7,212.80 |
$10,304 |
2.9× |
| Circumcision (54150) |
$3,586.80 |
$5,124 |
1.5× |
| Circumcision Neonate (54160) |
$1,384.60 |
$1,978 |
1.7× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$636.30 |
$909 |
2.2× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$950.60 |
$1,358 |
3.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$725.20 |
$1,036 |
2.5× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,394.70 |
$3,421 |
1.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$755.30 |
$1,079 |
2.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,904.60 |
$5,578 |
2.1× |
| Closed Rx Radial Shaft Fx (25500) |
$653.10 |
$933 |
2.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,479.10 |
$2,113 |
0.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$622.30 |
$889 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$553 |
$790 |
1.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$822.50 |
$1,175 |
2.8× |
| Closed Treat Vert Body Fract (22310) |
$564.20 |
$806 |
1.9× |
| Closed treat wrist dislocation (25660) |
$912.80 |
$1,304 |
3.1× |
| Closed Treatment Coccygeal Fracture (27200) |
$522.20 |
$746 |
1.8× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,821.65 |
$5,459.50 |
1.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$660.10 |
$943 |
2.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$965.30 |
$1,379 |
3.3× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$1,293.60 |
$1,848 |
2.0× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$4,045.30 |
$5,779 |
2.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,343.20 |
$4,776 |
1.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$623.70 |
$891 |
2.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$765.10 |
$1,093 |
2.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$617.40 |
$882 |
2.1× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$4,045.30 |
$5,779 |
2.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$544.60 |
$778 |
1.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$651 |
$930 |
2.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,167.90 |
$3,097 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,092.70 |
$1,561 |
3.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$613.90 |
$877 |
2.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$522.20 |
$746 |
1.8× |
| Closed Treatment Sternum Fracture (21820) |
$338.80 |
$484 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$676.90 |
$967 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,003.80 |
$1,434 |
3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,592.50 |
$2,275 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$955.50 |
$1,365 |
3.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$2,198 |
$3,140 |
7.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,280.60 |
$3,258 |
1.2× |
| Closed tx femoral fracture prox head w manip (27268) |
$653.80 |
$934 |
0.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$2,963.10 |
$4,233 |
0.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,078.70 |
$1,541 |
3.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,073.80 |
$1,534 |
3.7× |
| Closed tx lunate dislocation w/manipulation (25690) |
$4,045.30 |
$5,779 |
2.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,199.10 |
$1,713 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$737.45 |
$1,053.50 |
2.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,512.60 |
$5,018 |
1.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$4,986.80 |
$7,124 |
2.7× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$3,208.80 |
$4,584 |
1.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$21,932.40 |
$31,332 |
75.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$884.10 |
$1,263 |
3.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,707.95 |
$3,868.50 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$676.90 |
$967 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,343.20 |
$4,776 |
1.8× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,774.10 |
$3,963 |
1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$522.20 |
$746 |
1.8× |
| Closed tx septal&nose fx (21337) |
$4,071.90 |
$5,817 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$748.30 |
$1,069 |
2.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$676.90 |
$967 |
2.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,394 |
$3,420 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$429.10 |
$613 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,510.60 |
$2,158 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$492.80 |
$704 |
1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$522.20 |
$746 |
1.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$954.80 |
$1,364 |
3.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$678.30 |
$969 |
2.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$548.80 |
$784 |
1.9× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$1,055.60 |
$1,508 |
3.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,190.20 |
$5,986 |
2.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$845.60 |
$1,208 |
2.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$764.40 |
$1,092 |
2.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,859.80 |
$5,514 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,641.80 |
$3,774 |
1.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$725.20 |
$1,036 |
2.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,586.20 |
$2,266 |
0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$754.60 |
$1,078 |
2.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$954.10 |
$1,363 |
3.3× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,556.80 |
$2,224 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,063.30 |
$1,519 |
3.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$644 |
$920 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$840 |
$1,200 |
2.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$683.90 |
$977 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$899.50 |
$1,285 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$4,345.25 |
$6,207.50 |
2.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$3,786.30 |
$5,409 |
2.0× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,479.10 |
$2,113 |
0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,106 |
$1,580 |
3.8× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,510.60 |
$2,158 |
0.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$497.70 |
$711 |
1.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,714.30 |
$2,449 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$525.70 |
$751 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$535.50 |
$765 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$668.85 |
$955.50 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$562.80 |
$804 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,133.50 |
$5,905 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$469.70 |
$671 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$10,183.95 |
$14,548.50 |
34.9× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$667.10 |
$953 |
2.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,280.60 |
$3,258 |
1.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,912.70 |
$4,161 |
1.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,510.60 |
$2,158 |
0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$685.30 |
$979 |
2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$521.50 |
$745 |
1.8× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,899.40 |
$4,142 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,040.55 |
$1,486.50 |
3.6× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,891.30 |
$5,559 |
1.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$676.20 |
$966 |
2.3× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,482.90 |
$3,547 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,003.80 |
$1,434 |
3.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$845.60 |
$1,208 |
2.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,681.70 |
$3,831 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$888.30 |
$1,269 |
3.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$525.70 |
$751 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$888.30 |
$1,269 |
3.0× |
| Cltx post ankle fx w/mnpj (27768) |
$1,510.60 |
$2,158 |
0.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,392.60 |
$3,418 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$702.10 |
$1,003 |
2.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,912.70 |
$4,161 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$660.10 |
$943 |
2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,816.10 |
$4,023 |
1.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$751.80 |
$1,074 |
2.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,003.80 |
$1,434 |
3.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,343.20 |
$4,776 |
1.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,280.60 |
$3,258 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,641.80 |
$3,774 |
1.4× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,479.10 |
$2,113 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$726.60 |
$1,038 |
2.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$525.70 |
$751 |
1.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$4,059.30 |
$5,799 |
2.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,048.60 |
$1,498 |
3.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$725.20 |
$1,036 |
2.5× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$2,993.20 |
$4,276 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$280 |
$400 |
1.8× |
| Colonoscopy flex w/inj submuc (45381) |
$1,555.75 |
$2,222.50 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$4,919.25 |
$7,027.50 |
3.5× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,779.40 |
$2,542 |
1.3× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,655.50 |
$2,365 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$6,221.60 |
$8,888 |
4.4× |
| Colonoscopy thru stoma (44388) |
$2,857.40 |
$4,082 |
2.6× |
| Colonoscopy w/ablation (45388) |
$1,470.17 |
$2,100.24 |
1.0× |
| Colonoscopy w/band ligation (45398) |
$2,180.50 |
$3,115 |
1.5× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$6,595.40 |
$9,422 |
2.0× |
| Colpocentesis (57020) |
$5,691 |
$8,130 |
1.0× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$10,191.30 |
$14,559 |
1.2× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$10,756.90 |
$15,367 |
1.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$4,541.25 |
$6,487.50 |
1.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$597.10 |
$853 |
1.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$360.50 |
$515 |
1.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$627.20 |
$896 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,689 |
$5,270 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,438.40 |
$4,912 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$597.10 |
$853 |
1.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$597.10 |
$853 |
1.7× |
| Complex Uroflowmetry (51741) |
$473.90 |
$677 |
1.9× |
| Conization of cervix (57520) |
$5,527.20 |
$7,896 |
1.4× |
| Conization of cervix (57522) |
$3,263.40 |
$4,662 |
0.9× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$4,813.90 |
$6,877 |
1.0× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Facility (68745) |
$5,371.80 |
$7,674 |
1.2× |
| Constj Tracheoesophgl Fstl&Insj Sp Prosth (31611) |
$4,602.50 |
$6,575 |
1.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$338.45 |
$483.50 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$501.90 |
$717 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$2,882.13 |
$4,117.33 |
18.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$4,284.35 |
$6,120.50 |
6.7× |
| Conversion ext bil drg cath (47535) |
$5,735.10 |
$8,193 |
1.4× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$23,645.48 |
$33,779.25 |
1.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,802.45 |
$4,003.50 |
1.2× |
| Convert nephrostomy catheter (50434) |
$5,737.20 |
$8,196 |
2.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,682 |
$5,260 |
1.9× |
| Corneal transplant (65755) |
$9,363.20 |
$13,376 |
1.9× |
| Correction eyelid w/implant (67912) |
$5,224.10 |
$7,463 |
1.9× |
| Correction hammertoe (28285) |
$10,985.80 |
$15,694 |
2.8× |
| Correction of bunion (28298) |
$4,303.95 |
$6,148.50 |
0.5× |
| Correction of bunion (28292) |
$6,580.88 |
$9,401.25 |
1.7× |
| Correction of bunion (28299) |
$11,740.40 |
$16,772 |
1.4× |
Correction of bunion (28297)
unusually low: confirm this is the full procedure |
$5,858.14 |
$8,368.77 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$12,499.20 |
$17,856 |
3.2× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$8,909.25 |
$12,727.50 |
1.4× |
| Cricopharyngeal myotomy (43030) |
$10,091.20 |
$14,416 |
1.4× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$19,594.40 |
$27,992 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$422.80 |
$604 |
2.7× |
| Curettage postpartum (59160) |
$3,595.55 |
$5,136.50 |
0.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,044.60 |
$5,778 |
1.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,060.35 |
$5,800.50 |
1.6× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$5,475.40 |
$7,822 |
1.3× |
| Cysto w/destruction of lesions (52214) |
$5,782 |
$8,260 |
1.4× |
| Cysto w/insert ureteral stent (52332) |
$4,251.45 |
$6,073.50 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,610.25 |
$5,157.50 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$5,782 |
$8,260 |
1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,056.20 |
$4,366 |
1.2× |
| Cysto w/ureter stricture tx (52341) |
$5,066.60 |
$7,238 |
1.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,106.20 |
$5,866 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$10,600.10 |
$15,143 |
2.5× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$6,598.90 |
$9,427 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$7,978.95 |
$11,398.50 |
1.3× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$6,906.20 |
$9,866 |
1.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$4,066.30 |
$5,809 |
1.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,243.75 |
$6,062.50 |
1.7× |
| Cystourethroscopy (52000) |
$3,245.90 |
$4,637 |
3.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,329.20 |
$4,756 |
1.3× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$5,782 |
$8,260 |
1.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,820.20 |
$6,886 |
2.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$1.01 |
— |
| Cystourethroscopy with biopsy (52204) |
$4,606.70 |
$6,581 |
1.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$6,344.10 |
$9,063 |
1.0× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$4,066.30 |
$5,809 |
1.6× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$7,926.80 |
$11,324 |
1.3× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$4,174.80 |
$5,964 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$871.50 |
$1,245 |
1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,176.20 |
$5,966 |
1.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,738.40 |
$3,912 |
3.3× |
| Debride nail 1-5 (11720) |
$168 |
$240 |
2.4× |
| Debride nail 6 or more (11721) |
$249.90 |
$357 |
3.6× |
| Debride skin musc at fx site (11011) |
$3,003.70 |
$4,291 |
3.6× |
| Debride tissue/muscle (11043) |
$2,859.73 |
$4,085.33 |
3.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$443.10 |
$633 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$620.20 |
$886 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$4,083.45 |
$5,833.50 |
2.1× |
| Declot vascular device (36593) |
$905.10 |
$1,293 |
2.3× |
| Decompression Of Tibia Nerve (28035) |
$3,931.90 |
$5,617 |
1.7× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$3,404.10 |
$4,863 |
1.4× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$8,386.70 |
$11,981 |
3.4× |
| Delivery placenta separate procedure (59414) |
$6,394.50 |
$9,135 |
1.7× |
| Destroy cerv/thor facet jnt (64633) |
$1,128.40 |
$1,612 |
0.5× |
| Destroy internal hemorrhoids (46930) |
$2,445.80 |
$3,494 |
1.7× |
| Destroy lumb/sac facet jnt (64635) |
$940.80 |
$1,344 |
0.4× |
| Destruction anal lesion(s) (46924) |
$5,307.40 |
$7,582 |
1.6× |
| Destruction Benign Lesions 15/> (17111) |
$380.10 |
$543 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$380.10 |
$543 |
1.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,214.10 |
$3,163 |
2.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,094.80 |
$1,564 |
1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$442.40 |
$632 |
1.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,300.60 |
$1,858 |
0.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$5,743.50 |
$8,205 |
1.8× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$6,095.60 |
$8,708 |
1.9× |
| Destruction of skin lesions (17106) |
$1,092 |
$1,560 |
2.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$731.50 |
$1,045 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$380.10 |
$543 |
1.6× |
| Diagnostic anoscopy (46601) |
$828.10 |
$1,183 |
1.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,634.85 |
$2,335.50 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$2,432.85 |
$3,475.50 |
2.2× |
| Dilate Urethra Stricture (53620) |
$1,691.90 |
$2,417 |
2.1× |
| Dilate urethra stricture (53600) |
$660.10 |
$943 |
2.2× |
| Dilation and curettage (58120) |
$4,456.90 |
$6,367 |
1.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$3,896.55 |
$5,566.50 |
3.6× |
| Dilation esophagus over guide wire (43453) |
$3,927 |
$5,610 |
1.7× |
| Dilation of anal sphincter (45905) |
$4,838.05 |
$6,911.50 |
3.4× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$6,658.40 |
$9,512 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$3,416 |
$4,880 |
1.6× |
| Dissection, deep jugular node(s) Facility (38542) |
$11,413.04 |
$16,304.34 |
1.6× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$14,396.90 |
$20,567 |
2.1× |
| Drain bladder by trocar/cath (51101) |
$1,619.80 |
$2,314 |
1.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$3,536.40 |
$5,052 |
1.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,229.90 |
$1,757 |
1.5× |
| Drainage abscess/hematoma nasal int approach (30000) |
$600.60 |
$858 |
2.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,221.50 |
$1,745 |
1.9× |
| Drainage external auditory canal abscess (69020) |
$1,453.20 |
$2,076 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,768.20 |
$2,526 |
2.1× |
| Drainage Finger Abscess Complicated (26011) |
$2,668.40 |
$3,812 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$672.70 |
$961 |
2.8× |
| Drainage Mouth Roof Lesion (42000) |
$1,234.80 |
$1,764 |
4.4× |
| Drainage of eye (65800) |
$2,366.70 |
$3,381 |
0.9× |
| Drainage of gum lesion (41800) |
$483 |
$690 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$8,999.90 |
$12,857 |
4.6× |
| Drainage of hydrocele (55000) |
$1,538.60 |
$2,198 |
1.8× |
| Drainage of mouth lesion (41017) |
$5,596.50 |
$7,995 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$3,245.90 |
$4,637 |
1.7× |
| Drainage tendon sheath digit&/palm each (26020) |
$4,567.50 |
$6,525 |
1.2× |
| Draw blood off venous device (36591) |
$182 |
$260 |
1.2× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$2,160.90 |
$3,087 |
3.4× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$2,668.40 |
$3,812 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$903.70 |
$1,291 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$704.20 |
$1,006 |
3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$606.55 |
$866.50 |
2.6× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$4,933.60 |
$7,048 |
1.3× |
| Dstrj lesion anus simple chemical (46900) |
$815.50 |
$1,165 |
1.7× |
| Dstrj lesion anus simple cryosurgery (46916) |
$412.30 |
$589 |
1.7× |
| Dstrj lesion anus simple surg excision (46922) |
$5,688.90 |
$8,127 |
1.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,217.25 |
$3,167.50 |
0.9× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$2,130.10 |
$3,043 |
2.0× |
| Dx bone marrow bx & aspir (38222) |
$6,200.60 |
$8,858 |
1.8× |
| Dx duod intub w/asp spec (43756) |
$2,130.10 |
$3,043 |
2.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,661.28 |
$3,801.83 |
1.3× |
| Dx laryngoscopy w/oper scope (31526) |
$3,818.50 |
$5,455 |
1.8× |
| Ear Cartilage Graft (21235) |
$9,737.70 |
$13,911 |
1.4× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$3,882.20 |
$5,546 |
1.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,758 |
$3,940 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,964.50 |
$4,235 |
1.3× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,814.70 |
$4,021 |
1.2× |
| Egd control bleeding any (43255) |
$3,430 |
$4,900 |
1.5× |
| Egd dilate stricture (43245) |
$3,602.90 |
$5,147 |
1.6× |
| Egd endo mucosal resection (43254) |
$4,825.80 |
$6,894 |
2.1× |
| Egd endoscopic stent place (43266) |
$12,365.85 |
$17,665.50 |
1.7× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$3,093.65 |
$4,419.50 |
1.4× |
| Egd flexible foreign body removal (43247) |
$3,987.90 |
$5,697 |
3.7× |
| Egd guide wire insertion (43248) |
$3,155.95 |
$4,508.50 |
2.9× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,758 |
$3,940 |
1.2× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,698.80 |
$5,284 |
1.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$4,733.40 |
$6,762 |
2.1× |
| Egd place gastrostomy tube (43246) |
$3,336.90 |
$4,767 |
1.5× |
| Egd remove lesion snare (43251) |
$3,093.65 |
$4,419.50 |
1.4× |
| Egd tube/cath insertion (43241) |
$2,758 |
$3,940 |
1.2× |
| Egd us exam duodenum/jejunum (43259) |
$2,778.30 |
$3,969 |
1.2× |
| Egd us transmural injxn/mark (43253) |
$3,468.85 |
$4,955.50 |
1.5× |
| Egd w/transmural drain cyst (43240) |
$5,309.50 |
$7,585 |
0.7× |
| Elbow Arthroscopy/Surgery (29837) |
$6,559.35 |
$9,370.50 |
1.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$618.10 |
$883 |
1.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,001.70 |
$1,431 |
2.8× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$12,055.40 |
$17,222 |
1.8× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$13,342.70 |
$19,061 |
2.0× |
| Endocervical Curettage (57505) |
$1,341.20 |
$1,916 |
1.2× |
| Endometrial Biopsy (58100) |
$562.10 |
$803 |
2.4× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$22,139.60 |
$31,628 |
2.6× |
| Endoscopic plantar fasciotomy (29893) |
$6,352.50 |
$9,075 |
1.6× |
| Endoscopic us exam esoph (43237) |
$4,546.50 |
$6,495 |
2.0× |
| Endoscopy bowel pouch/biop (44386) |
$2,964.50 |
$4,235 |
2.7× |
| Endoscopy Upper Small Intestine (44360) |
$8,399.65 |
$11,999.50 |
3.7× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$13,271.65 |
$18,959.50 |
1.0× |
| Endoven ther chem adhes 1st (36482) |
$12,865.65 |
$18,379.50 |
2.0× |
| Endovenous rf 1st vein (36475) |
$12,502 |
$17,860 |
3.4× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,778.30 |
$3,969 |
1.2× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$7,340.20 |
$10,486 |
3.2× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,956.10 |
$4,223 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$5,000.10 |
$7,143 |
1.3× |
| Ercp Duct Stent Placement (43274) |
$6,925.10 |
$9,893 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$6,744.50 |
$9,635 |
1.5× |
| Ercp ea duct/ampulla dilate (43277) |
$5,309.50 |
$7,585 |
1.2× |
| Ercp lithotripsy calculi (43265) |
$9,702 |
$13,860 |
1.4× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$6,417.60 |
$9,168 |
1.4× |
| Ercp remove forgn body duct (43275) |
$4,939.20 |
$7,056 |
2.2× |
| Ercp Stent Exchange W/Dilate (43276) |
$7,340.20 |
$10,486 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$5,309.50 |
$7,585 |
1.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$7,999.60 |
$11,428 |
1.8× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$7,430.50 |
$10,615 |
1.6× |
| Escharotomy initial incision (16035) |
$871.50 |
$1,245 |
1.8× |
| Esoph Scope W/Submucous Inj (43201) |
$2,758 |
$3,940 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,554.48 |
$3,649.25 |
2.4× |
| Esophagoscopy control bleed (43227) |
$2,758 |
$3,940 |
1.2× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$2,758 |
$3,940 |
1.2× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$3,535.35 |
$5,050.50 |
1.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,881.80 |
$6,974 |
1.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$2,758 |
$3,940 |
1.2× |
| Esophagoscopy flexible guide wire dilation (43226) |
$2,758 |
$3,940 |
1.2× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,698.90 |
$2,427 |
1.6× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$3,925.95 |
$5,608.50 |
3.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$3,249.05 |
$4,641.50 |
3.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,758 |
$3,940 |
1.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,565.50 |
$3,665 |
1.1× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$5,151.30 |
$7,359 |
1.1× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$4,860.10 |
$6,943 |
2.1× |
| Esophagoscopy rigid trnso dx (43191) |
$2,778.30 |
$3,969 |
1.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,768.15 |
$3,954.50 |
1.2× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$2,758 |
$3,940 |
1.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$6,454.35 |
$9,220.50 |
2.8× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,768.15 |
$3,954.50 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$193.90 |
$277 |
1.2× |
| Evisceration of ocular contents; with implant Facility (65093) |
$4,960.90 |
$7,087 |
1.1× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$8,983.80 |
$12,834 |
4.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$5,726 |
$8,180 |
2.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$5,140.10 |
$7,343 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$12,420.80 |
$17,744 |
6.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,219.75 |
$1,742.50 |
1.5× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,586.50 |
$3,695 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$4,278.40 |
$6,112 |
2.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,167.60 |
$1,668 |
1.4× |
| Exc back tum deep < 5 cm (21932) |
$6,002.15 |
$8,574.50 |
1.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,453.20 |
$2,076 |
1.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$6,095.60 |
$8,708 |
3.1× |
| Exc forearm les sc 3 cm/> (25071) |
$8,157.80 |
$11,654 |
4.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$5,830.65 |
$8,329.50 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$7,267.75 |
$10,382.50 |
3.8× |
| Exc neck tum deep < 5 cm (21556) |
$6,752.20 |
$9,646 |
2.0× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$11,629.80 |
$16,614 |
5.0× |
| Exc rect tum transanal part (45171) |
$5,345.20 |
$7,636 |
1.6× |
| Exc skin abd (15830) |
$24,376.10 |
$34,823 |
3.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,167.60 |
$1,668 |
2.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,874.15 |
$5,534.50 |
4.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$3,476.90 |
$4,967 |
1.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$7,659.40 |
$10,942 |
3.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,634.75 |
$5,192.50 |
1.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$7,971.60 |
$11,388 |
2.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$9,753.80 |
$13,934 |
2.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$6,168.75 |
$8,812.50 |
3.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$8,274.35 |
$11,820.50 |
4.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$5,401.90 |
$7,717 |
2.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$7,502.60 |
$10,718 |
2.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$6,548.85 |
$9,355.50 |
1.9× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$9,750.30 |
$13,929 |
2.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$8,394.75 |
$11,992.50 |
4.3× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$5,600.70 |
$8,001 |
2.9× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$10,542.35 |
$15,060.50 |
3.1× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,219.60 |
$6,028 |
1.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$8,970.50 |
$12,815 |
2.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,720.40 |
$8,172 |
2.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$12,241.60 |
$17,488 |
3.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$7,091.70 |
$10,131 |
3.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$8,218 |
$11,740 |
4.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$7,918.40 |
$11,312 |
2.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$6,095.60 |
$8,708 |
3.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$16,625.70 |
$23,751 |
4.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$6,853.70 |
$9,791 |
2.0× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$10,785.60 |
$15,408 |
3.1× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$9,860.90 |
$14,087 |
2.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$8,956.15 |
$12,794.50 |
2.6× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$7,981.40 |
$11,402 |
4.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,228 |
$6,040 |
1.0× |
| Exchange intraocular lens (66986) |
$8,085.70 |
$11,551 |
3.0× |
| Exchange nephrostomy cath (50435) |
$5,385.80 |
$7,694 |
2.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,096.85 |
$2,995.50 |
0.9× |
| Excis Pterygium (65420) |
$957.60 |
$1,368 |
0.3× |
| Excise Inferior Turbinate (30130) |
$4,803.86 |
$6,862.66 |
1.2× |
| Excise lesion testis (54512) |
$4,753.70 |
$6,791 |
1.1× |
| Excise pharynx lesion (42808) |
$6,211.45 |
$8,873.50 |
1.6× |
| Excise/repair mouth lesion (40812) |
$7,974.40 |
$11,392 |
4.4× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$3,539.32 |
$5,056.17 |
1.3× |
| Excision Aural Polyp (69540) |
$3,208.80 |
$4,584 |
1.8× |
| Excision Bone Mandible (21025) |
$20,220.90 |
$28,887 |
2.9× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$5,479.60 |
$7,828 |
1.4× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$8,864.80 |
$12,664 |
1.3× |
| Excision Breast Lesion (19125) |
$11,655 |
$16,650 |
2.5× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$11,095.70 |
$15,851 |
1.6× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$16,059.05 |
$22,941.50 |
2.3× |
| Excision external ear partial simple repair (69110) |
$5,521.60 |
$7,888 |
1.6× |
| Excision external ear; complete amputation Facility (69120) |
$11,095.70 |
$15,851 |
1.6× |
| Excision interdigital morton neuroma single each (28080) |
$6,162.28 |
$8,803.25 |
3.2× |
| Excision lesion meniscus/capsule knee (27347) |
$9,485 |
$13,550 |
2.5× |
| Excision lesion mouth roof (42104) |
$2,676.80 |
$3,824 |
0.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$3,208.80 |
$4,584 |
1.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$731.50 |
$1,045 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$4,782.40 |
$6,832 |
5.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$4,424 |
$6,320 |
5.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$8,288 |
$11,840 |
9.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$11,143.30 |
$15,919 |
5.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,894.50 |
$4,135 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$4,819.50 |
$6,885 |
2.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$4,501 |
$6,430 |
2.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,615.05 |
$8,021.50 |
1.7× |
| Excision nasal polyp extensive (30115) |
$5,596.50 |
$7,995 |
1.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,780.10 |
$2,543 |
2.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$3,301.20 |
$4,716 |
3.9× |
| Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally… (21049) |
$4,603.20 |
$6,576 |
0.7× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$3,980.20 |
$5,686 |
1.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$6,853.70 |
$9,791 |
3.6× |
| Excision of infected graft; extremity Facility (35903) |
$5,016.90 |
$7,167 |
1.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$3,549.70 |
$5,071 |
3.0× |
| Excision of lesion of tongue without closure (41110) |
$4,071.90 |
$5,817 |
1.0× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$5,296.20 |
$7,566 |
1.4× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$4,497.50 |
$6,425 |
1.6× |
| Excision of malignant tumor of mandible; Facility (21044) |
$6,605.90 |
$9,437 |
0.9× |
| Excision of maxillary torus palatinus (21032) |
$11,619.30 |
$16,599 |
3.0× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Facility (64792) |
$14,997.50 |
$21,425 |
3.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$6,388.20 |
$9,126 |
0.9× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$8,835.75 |
$12,622.50 |
1.3× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$13,741.70 |
$19,631 |
2.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,623.10 |
$8,033 |
1.6× |
| Excision of single external papilla or tag, anus (46220) |
$4,831.40 |
$6,902 |
3.4× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$13,038.20 |
$18,626 |
5.3× |
| Excision of sublingual gland (42450) |
$12,868.80 |
$18,384 |
1.8× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$10,575.25 |
$15,107.50 |
1.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$6,477.45 |
$9,253.50 |
4.6× |
| Excision of tongue lesion (41112) |
$5,576.20 |
$7,966 |
1.4× |
| Excision of vaginal cyst or tumor (57135) |
$3,829.70 |
$5,471 |
1.0× |
| Excision of vaginal septum (57130) |
$3,435.95 |
$4,908.50 |
0.9× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$11,403 |
$16,290 |
2.7× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) |
$17,880.10 |
$25,543 |
2.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$12,286.40 |
$17,552 |
3.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$8,136.80 |
$11,624 |
2.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$9,193.10 |
$13,133 |
4.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$5,937.40 |
$8,482 |
1.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$5,532.80 |
$7,904 |
2.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,970 |
$7,100 |
2.5× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$3,662.40 |
$5,232 |
0.5× |
| Excision, nasal polyp(s), simple Facility (30110) |
$2,601.20 |
$3,716 |
1.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,908 |
$8,440 |
1.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$18,195.80 |
$25,994 |
9.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$9,301.60 |
$13,288 |
4.8× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$6,470.80 |
$9,244 |
1.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$6,853.70 |
$9,791 |
2.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,715.20 |
$6,736 |
1.2× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$6,721.05 |
$9,601.50 |
1.7× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$8,964.20 |
$12,806 |
3.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,554.90 |
$6,507 |
1.9× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$7,191.80 |
$10,274 |
3.8× |
| Explo/Drain Breast Abscess (19020) |
$5,041.40 |
$7,202 |
2.6× |
| Exploration of middle ear (69440) |
$5,596.50 |
$7,995 |
1.4× |
| Exploration penetrating wound spx chest (20101) |
$4,789.40 |
$6,842 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$3,329.90 |
$4,757 |
1.7× |
| Exploration Penetrating Wound Spx Neck (20100) |
$2,094.40 |
$2,992 |
3.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$4,567.50 |
$6,525 |
1.2× |
| Explore inner ear (69805) |
$11,424 |
$16,320 |
1.6× |
| Explore Parathyroid Glands (60500) |
$12,837.65 |
$18,339.50 |
1.8× |
| Explore/biopsy eye socket (67400) |
$14,139.30 |
$20,199 |
3.0× |
| Explore/treat eye socket (67412) |
$5,053.30 |
$7,219 |
1.8× |
| External cephalic version (59412) |
$3,927 |
$5,610 |
1.0× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Facility (41015) |
$1,221.50 |
$1,745 |
1.9× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Facility (41016) |
$11,095.70 |
$15,851 |
1.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$6,477.80 |
$9,254 |
1.7× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$7,104.30 |
$10,149 |
1.8× |
| Fasciotomy foot and/or toe (28008) |
$4,473 |
$6,390 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$16,072.70 |
$22,961 |
4.2× |
| Fetal contraction stress test (59020) |
$277.90 |
$397 |
1.2× |
| Fetal non-stress test (59025) |
$338.80 |
$484 |
1.4× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$2,501.80 |
$3,574 |
3.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$3,285.10 |
$4,693 |
3.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$5,215 |
$7,450 |
6.2× |
| Fine needle aspiration without imaging guidance (10021) |
$701.40 |
$1,002 |
1.5× |
| Fixation contralateral testis separate procedure (54620) |
$7,315 |
$10,450 |
1.8× |
| Fixation of shoulder (23700) |
$4,347.70 |
$6,211 |
2.3× |
| Flap; neurovascular pedicle (15750) |
$4,641 |
$6,630 |
1.1× |
| Fluid pressure muscle (20950) |
$1,171.10 |
$1,673 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$542.50 |
$775 |
1.9× |
| Fna bx w/fluor gdn 1st les (10007) |
$2,129.40 |
$3,042 |
2.5× |
| Forehead flap w/vasc pedicle (15731) |
$4,568.89 |
$6,526.99 |
1.1× |
| Foreskin manipulation (54450) |
$765.10 |
$1,093 |
2.6× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,008.53 |
$2,869.33 |
0.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$5,596.50 |
$7,995 |
1.4× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,727.55 |
$3,896.50 |
1.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$4,231.50 |
$6,045 |
1.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$10,168.20 |
$14,526 |
4.2× |
| Fusion of foot bones (28740) |
$12,240.55 |
$17,486.50 |
1.4× |
| Fusion of knuckle (26850) |
$26,774.30 |
$38,249 |
3.1× |
| Fusion of toes (28280) |
$10,182.20 |
$14,546 |
2.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$2,125.90 |
$3,037 |
8.3× |
| Gastrocnemius recession (27687) |
$10,986.50 |
$15,695 |
2.8× |
| Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing… (0430U) |
$214.90 |
$307 |
3.5× |
Glossectomy; less than one-half tongue Facility (41120)
unusually low: confirm this is the full procedure |
$2,129.88 |
$3,042.68 |
0.3× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$4,092.20 |
$5,846 |
1.7× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$5,293.16 |
$7,561.66 |
1.3× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$8,836.80 |
$12,624 |
2.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,778 |
$2,540 |
2.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$6,615.52 |
$9,450.75 |
0.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$6,603.10 |
$9,433 |
1.7× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$5,623.10 |
$8,033 |
1.5× |
| Hemorrhoidectomy (46255) |
$7,174.30 |
$10,249 |
2.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,752.20 |
$9,646 |
2.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$6,512.45 |
$9,303.50 |
2.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$9,472.40 |
$13,532 |
2.9× |
| Hemorrhoidopexy by stapling (46947) |
$4,938.50 |
$7,055 |
1.5× |
| Hip arthro acetabuloplasty (29915) |
$18,588.15 |
$26,554.50 |
2.2× |
| Hip arthro w/labral repair (29916) |
$12,166.52 |
$17,380.75 |
1.4× |
| Hysteroscopy biopsy (58558) |
$4,148.55 |
$5,926.50 |
1.1× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
unusually low: confirm this is the full procedure |
$2,127.30 |
$3,039 |
0.4× |
Hysteroscopy removal leiomyomata (58561)
unusually low: confirm this is the full procedure |
$2,127.30 |
$3,039 |
0.4× |
| Hysteroscopy w endometrial ablation (58563) |
$7,492.62 |
$10,703.75 |
1.3× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$5,103 |
$7,290 |
1.3× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,113.20 |
$5,876 |
1.1× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$5,596.50 |
$7,995 |
1.4× |
| I&D Abscess Peritonsillar (42700) |
$1,161.30 |
$1,659 |
4.2× |
| I&d abscess simple (10060) |
$412.30 |
$589 |
1.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$8,453.55 |
$12,076.50 |
2.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,316.90 |
$6,167 |
1.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$8,074.50 |
$11,535 |
3.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$7,137.20 |
$10,196 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$1,229.90 |
$1,757 |
1.5× |
| I&d submucosal abscess rectum (45005) |
$4,485.60 |
$6,408 |
3.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,731.10 |
$2,473 |
0.9× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$5,931.10 |
$8,473 |
1.7× |
| I&d vulva/perineal abscess (56405) |
$938.70 |
$1,341 |
2.6× |
| Ileoscopy stoma w/balloon dilation (44381) |
$4,564 |
$6,520 |
2.0× |
| Ileoscopy thru stoma (44380) |
$2,142.70 |
$3,061 |
2.0× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$3,243.80 |
$4,634 |
3.0× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$8,173.90 |
$11,677 |
3.6× |
| Image Cath Fluid Colxn Visc (49405) |
$3,061.80 |
$4,374 |
1.6× |
| Image Cath Fluid Peri/Retro (49406) |
$2,890.65 |
$4,129.50 |
1.5× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,619 |
$5,170 |
1.9× |
Implant cochlear device (69930)
unusually low: confirm this is the full procedure |
$15,307.60 |
$21,868 |
0.4× |
| Implant neuroelectrodes (63650) |
$7,210.35 |
$10,300.50 |
1.0× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$15,337 |
$21,910 |
1.5× |
| Incise external hemorrhoid (46083) |
$680.40 |
$972 |
2.3× |
| Incise finger tendon sheath (26055) |
$3,566.85 |
$5,095.50 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,029 |
$1,470 |
2.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,772.60 |
$6,818 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$3,245.90 |
$4,637 |
3.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,644.15 |
$6,634.50 |
2.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$954.80 |
$1,364 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$581.35 |
$830.50 |
2.4× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$6,393.80 |
$9,134 |
1.9× |
| Incision and drainage of thyroglossal duct cyst, infected Facility (60000) |
$3,208.80 |
$4,584 |
1.8× |
| Incision and drainage perianal abscess superficial (46050) |
$2,178.40 |
$3,112 |
2.0× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$5,332.25 |
$7,617.50 |
1.6× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$5,041.40 |
$7,202 |
1.5× |
| Incision Drainage Lacrimal Sac (68420) |
$2,869.30 |
$4,099 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$3,971.80 |
$5,674 |
2.1× |
| Incision of eardrum (69421) |
$2,882.13 |
$4,117.33 |
0.7× |
| Incision of eardrum (69420) |
$1,120 |
$1,600 |
4.0× |
| Incision of eyelid fold (67715) |
$2,684.50 |
$3,835 |
1.0× |
| Incision of iris (66500) |
$2,675.63 |
$3,822.33 |
1.0× |
| Incision of labial frenum (frenotomy) (40806) |
$1,221.50 |
$1,745 |
1.9× |
| Incision of rectal abscess (46040) |
$5,522.65 |
$7,889.50 |
3.9× |
| Incision of windpipe (31601) |
$11,095.70 |
$15,851 |
1.6× |
| Incision of windpipe (31610) |
$11,095.70 |
$15,851 |
1.6× |
| Incisional biopsy skin single lesion (11106) |
$1,049.30 |
$1,499 |
1.2× |
| Induced abortion by d&c (59840) |
$5,196.45 |
$7,423.50 |
1.4× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$18,195.10 |
$25,993 |
2.3× |
| Initial tx 1st degree burn local tx (16000) |
$389.20 |
$556 |
1.6× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$620.90 |
$887 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,329.65 |
$1,899.50 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$700 |
$1,000 |
1.9× |
| Inj therapeutic carpal tunnel (20526) |
$976.50 |
$1,395 |
2.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$3,171.70 |
$4,531 |
3.0× |
| Inject Intravitreal Pharmcologic (67028) |
$2,340.80 |
$3,344 |
6.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$864.50 |
$1,235 |
0.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,585.15 |
$2,264.50 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,280.04 |
$1,828.62 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,029 |
$1,470 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,181.95 |
$1,688.50 |
1.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$3,642.80 |
$5,204 |
3.5× |
| Inject Tendon Origin/Insert (20551) |
$756 |
$1,080 |
2.1× |
| Inject/treat eye socket (67500) |
$2,905.23 |
$4,150.33 |
7.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$974.40 |
$1,392 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,026.20 |
$1,466 |
1.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$2,059.05 |
$2,941.50 |
2.5× |
| Injection aa&/strd pudendal nerve (64430) |
$1,028.30 |
$1,469 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$942.20 |
$1,346 |
2.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$866.60 |
$1,238 |
2.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,029.70 |
$1,471 |
1.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$2,354.72 |
$3,363.88 |
2.8× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,688.40 |
$2,412 |
2.0× |
| Injection for identification of sentinel node (38792) |
$894.60 |
$1,278 |
1.9× |
| Injection into skin lesions (11900) |
$303.10 |
$433 |
1.3× |
| Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar… (62292) |
$4,721.50 |
$6,745 |
2.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,150.10 |
$1,643 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$719.95 |
$1,028.50 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$933.80 |
$1,334 |
2.6× |
| Injection treatment of nerve (64681) |
$2,059.40 |
$2,942 |
2.0× |
| Injection Turbinate Therapeutic (30200) |
$1,221.50 |
$1,745 |
1.9× |
| Injection, anesthetic agent; vagus nerve (64408) |
$532.70 |
$761 |
1.5× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Facility (66020) |
$3,697.40 |
$5,282 |
1.4× |
| Ins cath ren art 1st bilat (36252) |
$3,152.80 |
$4,504 |
0.8× |
| Ins cath ren art 1st unilat (36251) |
$3,152.80 |
$4,504 |
0.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,684.40 |
$6,692 |
0.7× |
| Ins endovas vena cava filtr (37191) |
$5,344.50 |
$7,635 |
0.8× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$6,433.70 |
$9,191 |
0.5× |
| Ins tun ip cath for dial opn (49421) |
$6,658.40 |
$9,512 |
1.6× |
| Ins Vag Brachytx Device (57156) |
$2,980.60 |
$4,258 |
8.3× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$9,198.70 |
$13,141 |
0.2× |
| Insert and remove bone pin (20650) |
$7,677.60 |
$10,968 |
2.0× |
| Insert Bladder Cath Complex (51703) |
$3,663.45 |
$5,233.50 |
24.1× |
| Insert cath pleura w/ image (32557) |
$4,182.85 |
$5,975.50 |
2.2× |
| Insert cath pleura w/o image (32556) |
$2,643.20 |
$3,776 |
1.2× |
| Insert cervical dilator (59200) |
$626.50 |
$895 |
1.7× |
| Insert Drug Implant Device (11981) |
$1,713.25 |
$2,447.50 |
10.9× |
| Insert gastrostomy tube percutaneous (49440) |
$2,802.45 |
$4,003.50 |
1.2× |
| Insert heart pm atrial (33206) |
$14,066.15 |
$20,094.50 |
1.1× |
| Insert heart pm ventricular (33207) |
$11,114.25 |
$15,877.50 |
0.9× |
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure |
$10,122 |
$14,460 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$4,125.80 |
$5,894 |
1.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,011.40 |
$4,302 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,632 |
$3,760 |
1.4× |
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure |
$2,249.10 |
$3,213 |
0.2× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$2,361.10 |
$3,373 |
0.1× |
Insert pulse gen sngl lead (33212)
likely a partial charge, not the full procedure |
$2,136.40 |
$3,052 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$207.90 |
$297 |
1.3× |
| Insert tun ip cath perc (49418) |
$7,382.20 |
$10,546 |
1.7× |
| Insert tunneled cv cath (36561) |
$7,781.20 |
$11,116 |
2.1× |
| Insert Tunneled Cv Cath With Pump (36563) |
$6,566 |
$9,380 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,903.70 |
$11,291 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$214.20 |
$306 |
1.4× |
| Insert/ replace infusn pump,programmable (62362) |
$22,666.35 |
$32,380.50 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$6,226.50 |
$8,895 |
1.5× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$3,208.80 |
$4,584 |
1.8× |
| Insertion of cannula (36800) |
$5,677.70 |
$8,111 |
0.9× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$4,800.60 |
$6,858 |
1.3× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$12,395.60 |
$17,708 |
0.5× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$5,357.10 |
$7,653 |
2.0× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$12,395.60 |
$17,708 |
0.5× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge, not the full procedure |
$8,031.10 |
$11,473 |
0.2× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
unusually low: confirm this is the full procedure |
$11,458.30 |
$16,369 |
0.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,735.60 |
$3,908 |
3.7× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure |
$4,280.50 |
$6,115 |
0.4× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$10,781.40 |
$15,402 |
1.8× |
Insertion/rplcmt peripheral/gastric npgr (64590)
unusually low: confirm this is the full procedure |
$7,576.80 |
$10,824 |
0.3× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$7,766.50 |
$11,095 |
0.8× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,289.70 |
$13,271 |
1.0× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$7,570.50 |
$10,815 |
0.6× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$4,699.10 |
$6,713 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$4,240.60 |
$6,058 |
2.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,851.30 |
$8,359 |
1.6× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$16,694.65 |
$23,849.50 |
1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,534.20 |
$7,906 |
1.5× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$7,913.50 |
$11,305 |
1.2× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$7,373.80 |
$10,534 |
2.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,891.30 |
$5,559 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$10,711.75 |
$15,302.50 |
1.1× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$9,575.65 |
$13,679.50 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$2,837.80 |
$4,054 |
0.3× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$4,945.50 |
$7,065 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$5,194 |
$7,420 |
0.1× |
| Insrt/redo spine n generator (63685) |
$40,481.70 |
$57,831 |
1.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$5,875.80 |
$8,394 |
1.8× |
| Interdental Wiring Other Than Fracture (21497) |
$1,994.30 |
$2,849 |
1.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$4,274.90 |
$6,107 |
2.6× |
| Intraoral i&d tongue/floor lingual (41000) |
$2,310 |
$3,300 |
3.6× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$1,120 |
$1,600 |
4.0× |
| Intro cath dialysis circuit (36901) |
$7,327.95 |
$10,468.50 |
3.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$13,853.70 |
$19,791 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$13,630.40 |
$19,472 |
2.0× |
| Intro Gastrointestinal Tube (44500) |
$1,522.50 |
$2,175 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$367.50 |
$525 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$824.60 |
$1,178 |
2.8× |
| Island pedicle flap graft (15740) |
$2,391.20 |
$3,416 |
1.0× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$9,682.40 |
$13,832 |
2.0× |
| Knee Arthroscopy/Surgery (29879) |
$6,706.52 |
$9,580.75 |
1.7× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$20,386.10 |
$29,123 |
2.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$15,373.40 |
$21,962 |
1.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$41,645.11 |
$59,493.01 |
4.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$18,005.40 |
$25,722 |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$28,326.90 |
$40,467 |
3.3× |
| Lap ing hernia repair init (49650) |
$14,008.40 |
$20,012 |
2.0× |
| Lap insert tunnel ip cath (49324) |
$5,251.40 |
$7,502 |
0.7× |
Lap paraesoph her rpr w/mesh (43282)
likely a partial charge, not the full procedure |
$2,812.60 |
$4,018 |
0.2× |
| Lap paraesophag hern repair (43281) |
$15,944.60 |
$22,778 |
1.3× |
| Lap revision perm ip cath (49325) |
$9,680.30 |
$13,829 |
1.4× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$7,365.05 |
$10,521.50 |
1.0× |
| Laparoscopy appendectomy (44970) |
$7,408.80 |
$10,584 |
1.0× |
| Laparoscopy biopsy (49321) |
$7,152.60 |
$10,218 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$17,969.35 |
$25,670.50 |
1.4× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,030.85 |
$18,615.50 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,092.80 |
$8,704 |
0.9× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$27,875.05 |
$39,821.50 |
2.2× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$11,068.40 |
$15,812 |
1.5× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$15,000.30 |
$21,429 |
1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$10,193.40 |
$14,562 |
0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$19,151.82 |
$27,359.75 |
1.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,504.20 |
$15,006 |
1.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$20,584.20 |
$29,406 |
2.9× |
| Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648) |
$16,125.90 |
$23,037 |
1.3× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$4,811.80 |
$6,874 |
0.7× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
— |
$1.01 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$18,365.20 |
$26,236 |
1.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$8,862.70 |
$12,661 |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$15,375.15 |
$21,964.50 |
2.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$5,241.25 |
$7,487.50 |
1.2× |
| Laryngoplasty, medialization, unilateral Facility (31591) |
$12,468.40 |
$17,812 |
1.8× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$12,212.90 |
$17,447 |
2.8× |
| Laryngoscopy diagnostic (31505) |
$514.50 |
$735 |
2.2× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$2,604 |
$3,720 |
0.6× |
| Laryngoscopy flexible diagnostic (31575) |
$7,677.95 |
$10,968.50 |
32.6× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$7,430.50 |
$10,615 |
1.7× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$3,133.20 |
$4,476 |
1.5× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,712.80 |
$5,304 |
1.8× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,133.20 |
$4,476 |
1.5× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,299.20 |
$1,856 |
2.8× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$353.50 |
$505 |
1.5× |
| Laryngoscopy w/biopsy (31535) |
$6,533.80 |
$9,334 |
1.5× |
| Laryngoscopy w/bx op scope (31536) |
$3,886.40 |
$5,552 |
0.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,189.20 |
$4,556 |
1.5× |
| Larynscop w/tumr exc + scope (31541) |
$7,553 |
$10,790 |
1.7× |
| Laser surgery of eye (65855) |
$2,340.80 |
$3,344 |
3.6× |
| Laser treatment of retina (67040) |
$5,133.80 |
$7,334 |
1.1× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$9,154.60 |
$13,078 |
1.4× |
| Late closure of wound (13160) |
$4,323.90 |
$6,177 |
1.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$27,024.90 |
$38,607 |
3.2× |
| Ligate/strip long leg vein (37722) |
$20,185.20 |
$28,836 |
5.4× |
| Ligation arteries; ethmoidal Facility (30915) |
$4,020.80 |
$5,744 |
1.1× |
| Ligation Internal/Common Carotid Artery (37605) |
$7,627.20 |
$10,896 |
2.0× |
| Ligation of a-v fistula (37607) |
$14,383.60 |
$20,548 |
3.9× |
| Ligation of hemorrhoid(s) (46221) |
$2,070.60 |
$2,958 |
1.9× |
| Ligation or biopsy temporal artery (37609) |
$14,966 |
$21,380 |
7.7× |
| Limited pharyngectomy Facility (42890) |
$11,095.70 |
$15,851 |
1.6× |
| Lithotripsy (50590) |
$8,414.70 |
$12,021 |
2.0× |
| Liver Biopsy (47000) |
$2,403.80 |
$3,434 |
1.2× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$1,444.10 |
$2,063 |
2.3× |
| Lyse chest fibrin init day (32561) |
$1,215.90 |
$1,737 |
1.6× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,125.60 |
$1,608 |
1.5× |
| Lysis Intranasal Synechia (30560) |
$1,221.50 |
$1,745 |
1.9× |
| Lysis of labial adhesions (56441) |
$5,454.40 |
$7,792 |
1.4× |
| Male sling procedure (53440) |
$16,107 |
$23,010 |
1.0× |
| Manipulat Palm Cord Post Inj (26341) |
$564.20 |
$806 |
1.9× |
| Manipulation hip joint general anesthesia (27275) |
$8,232 |
$11,760 |
4.3× |
| Manipulation knee joint under general anesthesia (27570) |
$4,097.10 |
$5,853 |
2.2× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$5,223.40 |
$7,462 |
2.7× |
| Marsupialization Bartholins Gland Cyst (56440) |
$5,691 |
$8,130 |
1.5× |
| Mast mod rad (19307) |
$23,213.05 |
$33,161.50 |
3.0× |
| Mastectomy partial (19301) |
$10,785.60 |
$15,408 |
2.3× |
| Mastectomy simple complete (19303) |
$28,840.70 |
$41,201 |
3.7× |
| Mastoidectomy (69501) |
$10,830.40 |
$15,472 |
1.5× |
| Mastoidectomy; complete (69502) |
$14,033.60 |
$20,048 |
2.0× |
| Mastopexy (19316) |
$6,790.70 |
$9,701 |
0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,845.20 |
$2,636 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$5,135.20 |
$7,336 |
1.4× |
| Middle ear surgery proc unlisted (69799) |
$4,995.20 |
$7,136 |
17.9× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$6,937.70 |
$9,911 |
1.7× |
| Mrgfus strtctc ablt trgt icr (61715) |
$27,809.60 |
$39,728 |
2.1× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$3,884.30 |
$5,549 |
1.6× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$6,735.75 |
$9,622.50 |
1.6× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$7,148.93 |
$10,212.75 |
0.8× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$6,935.60 |
$9,908 |
1.7× |
| Myelography Lumbar Injection (62305) |
$1,720.60 |
$2,458 |
1.9× |
| Myelography Lumbar Injection (62304) |
$1,962.45 |
$2,803.50 |
2.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,033.50 |
$2,905 |
2.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,962.45 |
$2,803.50 |
2.1× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$8,851.15 |
$12,644.50 |
2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,420.30 |
$2,029 |
1.7× |
| N Block Inj, Plantar Digit (64455) |
$682.50 |
$975 |
1.9× |
| Nasal endoscopy dx (31231) |
$525.70 |
$751 |
2.2× |
| Nasal sinus therapy (30210) |
$3,208.80 |
$4,584 |
1.8× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$9,189.60 |
$13,128 |
1.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$5,348 |
$7,640 |
1.2× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$3,712.80 |
$5,304 |
1.8× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$4,444.08 |
$6,348.68 |
0.5× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
unusually low: confirm this is the full procedure |
$4,071.20 |
$5,816 |
0.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$3,814.16 |
$5,448.80 |
1.8× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$4,614.05 |
$6,591.50 |
1.0× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$13,956.60 |
$19,938 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,712.80 |
$5,304 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,512.60 |
$5,018 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$13,956.60 |
$19,938 |
1.7× |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure |
$3,537.34 |
$5,053.34 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$7,788.43 |
$11,126.33 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$13,956.60 |
$19,938 |
1.7× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$10,754.80 |
$15,364 |
1.3× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$12,938.10 |
$18,483 |
1.6× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$4,444.06 |
$6,348.66 |
0.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$10,648.18 |
$15,211.68 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$653.80 |
$934 |
1.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$4,568.20 |
$6,526 |
1.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$8,858.50 |
$12,655 |
4.7× |
| Needle biopsy of pancreas (48102) |
$1,745.10 |
$2,493 |
0.9× |
| Nerve pedicle transfer; first stage Facility (64905) |
$25,071.90 |
$35,817 |
2.4× |
| Nerve repair w/nerve allograft first strand (64912) |
$37,549.40 |
$53,642 |
3.6× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$11,525.74 |
$16,465.34 |
5.0× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$5,696.83 |
$8,138.33 |
2.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$17,411.81 |
$24,874.01 |
7.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$518.35 |
$740.50 |
1.2× |
| Nipple/areola reconstruction (19350) |
$11,382.70 |
$16,261 |
2.5× |
| Njx aa&/strd sciatic nerve (64445) |
$1,436.40 |
$2,052 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,027.24 |
$1,467.49 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$410.90 |
$587 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,957.45 |
$5,653.50 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,074.70 |
$5,821 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$478.80 |
$684 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,457.75 |
$2,082.50 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$991.90 |
$1,417 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$2,214.10 |
$3,163 |
2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,621.55 |
$2,316.50 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$956.90 |
$1,367 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,773.10 |
$2,533 |
1.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$969.50 |
$1,385 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$881.30 |
$1,259 |
1.1× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$10,533.25 |
$15,047.50 |
1.3× |
| Ob pe sflt-1/plgf ia srm/pls (0524U) |
$336 |
$480 |
2.6× |
| Obstructive material removal from gi tube (49460) |
$914.90 |
$1,307 |
0.9× |
| Occipital Nerve Block (64405) |
$2,208.15 |
$3,154.50 |
6.1× |
| Ocular photodynamic ther (67221) |
$5,099.50 |
$7,285 |
7.8× |
| Ocular reconst transplant (65780) |
$3,457.30 |
$4,939 |
0.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$9,142.35 |
$13,060.50 |
2.0× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
unusually low: confirm this is the full procedure |
$18,783.10 |
$26,833 |
0.4× |
| Open thrombect av fistula (36831) |
$10,344.25 |
$14,777.50 |
1.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$20,385.40 |
$29,122 |
2.4× |
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure |
$5,502.53 |
$7,860.75 |
0.4× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,083.10 |
$5,833 |
1.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$10,611.30 |
$15,159 |
1.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$14,371.70 |
$20,531 |
1.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$19,007.80 |
$27,154 |
2.2× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$12,397 |
$17,710 |
1.8× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$7,926.10 |
$11,323 |
1.1× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$18,754.40 |
$26,792 |
2.2× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$15,750 |
$22,500 |
1.0× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$15,569.75 |
$22,242.50 |
2.2× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$7,831.60 |
$11,188 |
1.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$5,596.50 |
$7,995 |
1.4× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$12,635 |
$18,050 |
1.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$11,615.11 |
$16,593.01 |
1.4× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$16,752.40 |
$23,932 |
2.0× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$15,248.80 |
$21,784 |
1.8× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$13,139.70 |
$18,771 |
1.5× |
| Open treatment posterior malleolus fracture (27769) |
$5,360.25 |
$7,657.50 |
0.6× |
| Open treatment talus fracture (28445) |
$15,325.02 |
$21,892.88 |
1.8× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$15,123.50 |
$21,605 |
3.9× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$19,383 |
$27,690 |
5.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$11,547.20 |
$16,496 |
1.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,680.75 |
$10,972.50 |
0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,610.80 |
$9,444 |
1.7× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$3,694.60 |
$5,278 |
0.4× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$14,829.15 |
$21,184.50 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$4,916.80 |
$7,024 |
1.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$12,474.35 |
$17,820.50 |
3.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$11,113.90 |
$15,877 |
2.9× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$15,421.70 |
$22,031 |
1.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$19,758.90 |
$28,227 |
2.3× |
| Open tx ulnar fx proximal end (24685) |
$20,511.40 |
$29,302 |
2.4× |
| Open/Perq Place Stent Same (37238) |
$13,696.90 |
$19,567 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$15,614.90 |
$22,307 |
1.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$19,870.20 |
$28,386 |
2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$16,063.25 |
$22,947.50 |
1.9× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$15,060.50 |
$21,515 |
1.8× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$14,829.15 |
$21,184.50 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$17,628.80 |
$25,184 |
2.1× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$6,649.30 |
$9,499 |
1.4× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$9,123.10 |
$13,033 |
2.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Facility (67420) |
$6,290.20 |
$8,986 |
1.4× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$14,184.45 |
$20,263.50 |
3.1× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Facility (67413) |
$1,609.30 |
$2,299 |
0.6× |
| Ostectomy calcaneus (28118) |
$4,742.50 |
$6,775 |
1.2× |
| Ostectomy complete 1st metatarsal head (28111) |
$5,989.20 |
$8,556 |
1.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$4,108.70 |
$5,869.58 |
1.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,320.35 |
$7,600.50 |
1.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$9,129.75 |
$13,042.50 |
2.4× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$22,640.80 |
$32,344 |
2.6× |
Osteot shrt corrj prox phalanx 1st toe (28310)
unusually low: confirm this is the full procedure |
$3,746.40 |
$5,352 |
0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$8,607.90 |
$12,297 |
2.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$13,619.20 |
$19,456 |
1.6× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) |
$11,413.03 |
$16,304.33 |
1.3× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$20,761.65 |
$29,659.50 |
1.4× |
| Ovarian cystectomy (58925) |
$9,557.10 |
$13,653 |
1.6× |
| P-mastectomy w/ln removal (19302) |
$48,335.70 |
$69,051 |
6.2× |
| Palatopharyngoplasty (42145) |
$8,487.50 |
$12,125 |
1.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$4,162.38 |
$5,946.25 |
1.1× |
| Partial excision bone tibia (27640) |
$11,113.90 |
$15,877 |
2.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$5,623.10 |
$8,033 |
3.0× |
| Partial removal of thyroid (60220) |
$17,538.50 |
$25,055 |
2.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$9,847.60 |
$14,068 |
1.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,520.65 |
$5,029.50 |
0.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,911.30 |
$4,159 |
0.8× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$8,837.15 |
$12,624.50 |
1.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$16,392.08 |
$23,417.25 |
1.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,589.30 |
$3,699 |
3.1× |
| Percut Mech Thrombectomy, Venous (37187) |
$17,577 |
$25,110 |
1.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$8,215.20 |
$11,736 |
2.2× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$5,596.50 |
$7,995 |
1.4× |
| Pericardiocentesis W/Imaging (33016) |
$3,061.80 |
$4,374 |
1.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,354.40 |
$4,792 |
0.9× |
| Peritoneal Lavage (49084) |
$978.60 |
$1,398 |
0.9× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$20,236.30 |
$28,909 |
0.9× |
| Perq dev breast 1st mr guide (19287) |
$1,671.60 |
$2,388 |
2.0× |
| Perq dev breast 1st us imag (19285) |
$1,478.05 |
$2,111.50 |
1.8× |
| Perq device breast 1st imag (19281) |
$1,426.60 |
$2,038 |
0.7× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,862.90 |
$6,947 |
1.2× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$6,472.20 |
$9,246 |
1.6× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$5,499.20 |
$7,856 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$755.30 |
$1,079 |
2.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,309.35 |
$1,870.50 |
1.6× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$22,430.80 |
$32,044 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$16,515.10 |
$23,593 |
1.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$8,735.30 |
$12,479 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,281.25 |
$14,687.50 |
1.2× |
| Perq Vertebral Augmentation (22513) |
$8,528.80 |
$12,184 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,774.40 |
$5,392 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,774.40 |
$5,392 |
1.0× |
| Picc line placement (36569) |
$2,054.50 |
$2,935 |
1.1× |
| Place Cath Subclavian Art (36225) |
$17,816.40 |
$25,452 |
4.8× |
| Place Cath Thoracic Aorta (36221) |
$5,214.30 |
$7,449 |
1.4× |
| Place Cath Vertebral Art (36226) |
$19,292 |
$27,560 |
2.9× |
| Place duod/jej tube perc (49441) |
$2,903.60 |
$4,148 |
1.3× |
| Placement needle pelvic organ radioelement appl (55920) |
$9,272.90 |
$13,247 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$507.50 |
$725 |
1.0× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) |
$11,095.70 |
$15,851 |
1.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$11,879 |
$16,970 |
1.7× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$10,998.40 |
$15,712 |
1.5× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$10,998.40 |
$15,712 |
1.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$5,828.90 |
$8,327 |
2.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$5,737.90 |
$8,197 |
1.4× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$8,231.30 |
$11,759 |
2.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$6,606.60 |
$9,438 |
1.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$7,076.30 |
$10,109 |
1.7× |
| Prim art mech thrombectomy (37184) |
$12,651.80 |
$18,074 |
0.6× |
| Probe nasolacrimal duct (68810) |
$1,103.90 |
$1,577 |
2.9× |
| Proctopexy Perineal Approach (45541) |
$9,377.90 |
$13,397 |
2.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,869.70 |
$2,671 |
1.7× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,275.70 |
$3,251 |
0.7× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
$8,465.80 |
$12,094 |
1.2× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$7,714 |
$11,020 |
11.9× |
| Prostate Saturation Sampling (55706) |
$6,395.20 |
$9,136 |
1.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$3,298.40 |
$4,712 |
3.9× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$5,456.50 |
$7,795 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$5,534.20 |
$7,906 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$8,099 |
$11,570 |
1.9× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$23,665.60 |
$33,808 |
6.1× |
| Prq skel fixj metar fx w/manj (28476) |
$2,911.08 |
$4,158.68 |
0.8× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$9,814.35 |
$14,020.50 |
2.5× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$12,863.55 |
$18,376.50 |
1.5× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$11,991 |
$17,130 |
3.1× |
| Punch biopsy skin single lesion (11104) |
$664.30 |
$949 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$1,139.60 |
$1,628 |
1.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$952.35 |
$1,360.50 |
2.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$2,062.20 |
$2,946 |
2.5× |
| Puncture/clear windpipe (31612) |
$5,576.20 |
$7,966 |
1.4× |
| Rad resect elbow caps/sr bone w rels (24149) |
$13,619.90 |
$19,457 |
1.6× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$12,661.60 |
$18,088 |
3.7× |
Radical excision external auditory canal lesion; without neck dissection Facility (69150)
unusually low: confirm this is the full procedure |
$2,125.20 |
$3,036 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Facility (22905) |
$12,498.50 |
$17,855 |
3.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$13,854.40 |
$19,792 |
4.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$17,437.70 |
$24,911 |
5.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$8,908.90 |
$12,727 |
2.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$2,654.40 |
$3,792 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Facility (23078) |
$10,641.05 |
$15,201.50 |
3.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Facility (27364) |
$13,708.10 |
$19,583 |
4.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,197.70 |
$1,711 |
0.5× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$4,856.36 |
$6,937.66 |
0.6× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$1,503.60 |
$2,148 |
1.4× |
| Reconstruct lip with flap (40525) |
$5,699.40 |
$8,142 |
1.5× |
| Reconstruct Shoulder Joint (23470) |
$35,170.80 |
$50,244 |
2.3× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$11,095.70 |
$15,851 |
1.6× |
| Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346) |
$22,010.10 |
$31,443 |
1.5× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$9,798.25 |
$13,997.50 |
1.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$2,500.40 |
$3,572 |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$4,732.70 |
$6,761 |
1.7× |
| Reconstruction of nail bed with graft (11762) |
$4,337.90 |
$6,197 |
1.8× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$17,411.80 |
$24,874 |
2.5× |
| Reconstruction of throat (42950) |
$9,324.35 |
$13,320.50 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$21,823.20 |
$31,176 |
2.5× |
| Release finger contracture (26525) |
$6,352.50 |
$9,075 |
3.3× |
| Release of big toe (28240) |
$5,756.24 |
$8,223.20 |
1.5× |
| Relieve inner eye pressure (65820) |
$3,608.38 |
$5,154.83 |
0.7× |
| Relocation of skin pocket for pacemaker (33222) |
$2,722.30 |
$3,889 |
1.1× |
| Rem Endovas Vena Cava Filter (37193) |
$4,248.30 |
$6,069 |
1.1× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$15,388.80 |
$21,984 |
0.6× |
| Removal biliary drg cath (47537) |
$1,096.55 |
$1,566.50 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$2,671.20 |
$3,816 |
1.4× |
| Removal foreign body foot deep (28192) |
$3,445.40 |
$4,922 |
1.8× |
| Removal foreign body foot subcutaneous (28190) |
$3,496.50 |
$4,995 |
4.2× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$5,041.40 |
$7,202 |
1.5× |
| Removal foreign body intranasal (30300) |
$354.90 |
$507 |
2.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$7,229.60 |
$10,328 |
3.7× |
| Removal foreign body pharynx (42809) |
$918.40 |
$1,312 |
1.7× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$3,208.80 |
$4,584 |
1.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,596.50 |
$7,995 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$439.60 |
$628 |
6.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$404.60 |
$578 |
5.8× |
| Removal implant deep (20680) |
$9,359.70 |
$13,371 |
2.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,134.90 |
$5,907 |
2.1× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,316 |
$1,880 |
1.6× |
| Removal of adenoids (42831) |
$2,674.46 |
$3,820.66 |
0.7× |
| Removal of adenoids (42830) |
$1,498.94 |
$2,141.34 |
0.4× |
| Removal of arm foreign body (24200) |
$2,317 |
$3,310 |
1.2× |
| Removal of bone lesion (23140) |
$30,074.10 |
$42,963 |
7.8× |
| Removal of breast capsule (19371) |
$14,378.70 |
$20,541 |
3.1× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$5,443.90 |
$7,777 |
4.6× |
| Removal of embedded foreign body, eyelid (67938) |
$716.10 |
$1,023 |
1.9× |
| Removal of esophageal sphincter augmentation device (43285) |
$12,397.70 |
$17,711 |
1.7× |
| Removal of eye (65110) |
$10,320.10 |
$14,743 |
2.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$6,045.90 |
$8,637 |
4.3× |
| Removal of finger lesion (26210) |
$9,735.60 |
$13,908 |
5.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$518 |
$740 |
1.0× |
| Removal of implant material (19330) |
$9,123.80 |
$13,034 |
2.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$2,614.85 |
$3,735.50 |
3.5× |
| Removal of intranasal lesion (30118) |
$13,016.85 |
$18,595.50 |
3.3× |
| Removal of iud (58301) |
$786.10 |
$1,123 |
2.2× |
| Removal of kidney stone (50081) |
$13,756.05 |
$19,651.50 |
1.2× |
| Removal of kidney stone (50080) |
$17,250.80 |
$24,644 |
1.5× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$4,926.60 |
$7,038 |
1.0× |
| Removal of nail bed (11750) |
$6,728.40 |
$9,612 |
14.0× |
| Removal of nose (30160) |
$15,489.61 |
$22,128.01 |
2.2× |
| Removal of nose lesion (30124) |
$3,208.80 |
$4,584 |
1.8× |
| Removal of salivary stone (42330) |
$5,596.50 |
$7,995 |
1.4× |
| Removal of testis (54520) |
$5,577.60 |
$7,968 |
1.3× |
| Removal of thyroid (60271) |
$19,321.40 |
$27,602 |
2.8× |
| Removal of tonsils (42825) |
$4,351.20 |
$6,216 |
0.6× |
| Removal of tonsils (42826) |
$4,715.20 |
$6,736 |
1.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$5,483.45 |
$7,833.50 |
1.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$6,032.60 |
$8,618 |
1.6× |
| Removal ppm generator only (33233) |
$12,887.35 |
$18,410.50 |
1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$360.50 |
$515 |
1.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$3,147.90 |
$4,497 |
3.8× |
| Removal Submand Stone,Complicated (42335) |
$5,596.50 |
$7,995 |
1.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,000.60 |
$2,858 |
0.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$4,347.70 |
$6,211 |
2.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$688.10 |
$983 |
2.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$413.70 |
$591 |
1.3× |
| Remove anal fist subq (46270) |
$4,079.25 |
$5,827.50 |
1.2× |
| Remove drug implant device (11982) |
$574 |
$820 |
1.1× |
| Remove ear lesion (69550) |
$11,095.70 |
$15,851 |
1.6× |
| Remove eye/attach implant (65105) |
$6,902 |
$9,860 |
1.5× |
| Remove foreign body from eye (65235) |
$4,484.20 |
$6,406 |
1.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$4,478.60 |
$6,398 |
1.8× |
| Remove intrvas foreign body (37197) |
$4,985.05 |
$7,121.50 |
1.3× |
| Remove Lower Leg Bone Lesion (27635) |
$5,661.86 |
$8,088.38 |
1.5× |
| Remove Peritoneal Foreign Body (49402) |
$6,658.40 |
$9,512 |
1.6× |
| Remove Pilonidal Cyst Exten (11771) |
$9,566.20 |
$13,666 |
2.8× |
| Remove pulse generator (33241) |
$4,906.65 |
$7,009.50 |
1.1× |
| Remove renal tube w/fluoro (50389) |
$1,079.40 |
$1,542 |
1.3× |
| Remove spine eltrd perq aray (63661) |
$4,721.50 |
$6,745 |
2.0× |
| Remove Tendon Sheath Lesion (26160) |
$4,911.55 |
$7,016.50 |
2.6× |
| Remove thyroid duct lesion (60280) |
$13,596.80 |
$19,424 |
1.9× |
| Remove ureter stent, percut (50384) |
$5,457.20 |
$7,796 |
2.2× |
| Remove vagina gland lesion (56740) |
$7,939.40 |
$11,342 |
2.1× |
| Remove vc lesion w/scope (31545) |
$6,899.20 |
$9,856 |
1.6× |
| Remove&replace pm gen singl (33227) |
$6,768.65 |
$9,669.50 |
0.7× |
| Remove/Insert Drug Implant (11983) |
$574 |
$820 |
1.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$4,947.60 |
$7,068 |
2.5× |
| Remv Ext Canal Foreign Body (69200) |
$289.10 |
$413 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$359.80 |
$514 |
2.3× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$10,477.60 |
$14,968 |
0.4× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$10,772.30 |
$15,389 |
0.3× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$10,185 |
$14,550 |
0.4× |
| Remv&replc pm gen dual lead (33228) |
$7,151.20 |
$10,216 |
0.6× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$7,036.05 |
$10,051.50 |
0.3× |
| Remv/revisn shldr/hip spica cast (29710) |
$688.10 |
$983 |
2.1× |
| Renal Biopsy Percutaneous (50200) |
$3,025.40 |
$4,322 |
1.6× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$3,905.30 |
$5,579 |
1.0× |
| Repair achilles tendon (27650) |
$13,056.75 |
$18,652.50 |
1.5× |
| Repair anal fistula (46288) |
$8,628.20 |
$12,326 |
2.6× |
| Repair blood vessel direct hand finger (35207) |
$6,815.20 |
$9,736 |
1.8× |
| Repair blood vessel direct neck (35201) |
$5,292.70 |
$7,561 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,439 |
$7,770 |
1.5× |
| Repair Choanal Atresia Intranasal (30540) |
$7,574.70 |
$10,821 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,920.80 |
$2,744 |
2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,920.80 |
$2,744 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$848.40 |
$1,212 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$5,474.35 |
$7,820.50 |
11.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,111.60 |
$1,588 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,920.80 |
$2,744 |
4.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,326.50 |
$1,895 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,814.54 |
$2,592.20 |
2.1× |
| Repair Detached Retina (67101) |
$5,293.41 |
$7,562.01 |
1.9× |
| Repair Ectropion Extensive (67917) |
$3,284.52 |
$4,692.16 |
1.2× |
| Repair ectropion suture (67914) |
$3,740.80 |
$5,344 |
1.3× |
| Repair Entropion Suture (67921) |
$3,274.60 |
$4,678 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$9,986.20 |
$14,266 |
5.3× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$14,067.20 |
$20,096 |
3.6× |
| Repair eyelid defect (67904) |
$15,746.85 |
$22,495.50 |
5.6× |
| Repair eyelid defect (67901) |
$9,205.35 |
$13,150.50 |
3.3× |
| Repair Eyelid Wound (67935) |
$3,438.40 |
$4,912 |
1.2× |
| Repair eyelid wound (67930) |
$3,274.60 |
$4,678 |
1.2× |
| Repair facial nerve (69740) |
$11,095.70 |
$15,851 |
1.6× |
| Repair Finger Tendon (26433) |
$4,567.50 |
$6,525 |
1.2× |
| Repair Fistula Oromaxillary (30580) |
$11,095.70 |
$15,851 |
1.6× |
| Repair fistula; oronasal Facility (30600) |
$3,818.50 |
$5,455 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$5,010.60 |
$7,158 |
1.3× |
| Repair gum (41872) |
$7,457.10 |
$10,653 |
1.9× |
| Repair hand tendon (26410) |
$5,290.60 |
$7,558 |
2.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$6,939.80 |
$9,914 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$9,191 |
$13,130 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,992.20 |
$2,846 |
4.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$3,016.65 |
$4,309.50 |
6.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,070.30 |
$1,529 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,928.50 |
$2,755 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,184.40 |
$1,692 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,587.25 |
$2,267.50 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,183.30 |
$3,119 |
4.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$888.30 |
$1,269 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$3,188.51 |
$4,555.01 |
6.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$584.50 |
$835 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$795.20 |
$1,136 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,368.10 |
$3,383 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,169 |
$1,670 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$636.30 |
$909 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,401.05 |
$2,001.50 |
2.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,249.15 |
$1,784.50 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$942.20 |
$1,346 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,487.10 |
$3,553 |
1.0× |
| Repair intrinsic muscles hand each muscle (26591) |
$4,418.40 |
$6,312 |
1.1× |
| Repair Laceration Palate </2 Cm (42180) |
$1,120 |
$1,600 |
1.8× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$7,739.20 |
$11,056 |
1.1× |
| Repair lead pace-defib dual (33220) |
$3,980.90 |
$5,687 |
0.9× |
| Repair lead pace-defib one (33218) |
$3,980.90 |
$5,687 |
0.9× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$20,760.60 |
$29,658 |
2.4× |
| Repair Mouth Laceration (40831) |
$1,994.30 |
$2,849 |
3.1× |
| Repair nasal septal perforations (30630) |
$6,037.15 |
$8,624.50 |
1.5× |
| Repair Nasal Stenosis (30465) |
$9,798.13 |
$13,997.33 |
1.4× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$15,018.51 |
$21,455.01 |
2.0× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$8,285.90 |
$11,837 |
1.3× |
| Repair of eye wound (65270) |
$2,681.35 |
$3,830.50 |
1.0× |
| Repair of hydrocele (55060) |
$11,095.70 |
$15,851 |
2.7× |
| Repair of knee cartilage (27403) |
$8,376.20 |
$11,966 |
1.0× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$5,212.90 |
$7,447 |
1.9× |
| Repair of leg tendon each (27664) |
$12,467.35 |
$17,810.50 |
1.5× |
| Repair of leg tendon each (27658) |
$6,620.60 |
$9,458 |
1.7× |
| Repair of nail bed (11760) |
$1,033.20 |
$1,476 |
1.2× |
| Repair of nasal septum (30520) |
$6,860.12 |
$9,800.16 |
1.8× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
$9,443 |
$13,490 |
1.4× |
| Repair of nasolabial fistula Facility (42260) |
$11,095.70 |
$15,851 |
1.6× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$18,381.30 |
$26,259 |
1.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$13,619.90 |
$19,457 |
1.6× |
| Repair of rectum (45505) |
$8,346.80 |
$11,924 |
2.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$20,885.90 |
$29,837 |
2.4× |
| Repair oval window fistula Facility (69666) |
$5,596.50 |
$7,995 |
1.4× |
| Repair Profundus Tendon,Primary (26370) |
$15,248.80 |
$21,784 |
3.9× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$10,146.15 |
$14,494.50 |
2.4× |
| Repair round window fistula Facility (69667) |
$10,248 |
$14,640 |
2.6× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,229.60 |
$10,328 |
0.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$9,610.30 |
$13,729 |
2.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,258.88 |
$8,941.25 |
0.7× |
| Repair tongue laceration (41252) |
$1,433.60 |
$2,048 |
5.1× |
| Repair Tongue Laceration (41250) |
$546 |
$780 |
1.0× |
| Repair tooth socket (41874) |
$13,789.30 |
$19,699 |
3.5× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure |
$3,273.06 |
$4,675.80 |
0.4× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$6,434.05 |
$9,191.50 |
0.8× |
| Repair/graft achilles tendon (27652) |
$7,045.98 |
$10,065.68 |
0.8× |
| Repair/graft wrist bone (25440) |
$30,477.30 |
$43,539 |
3.6× |
| Repeat control of nosebleed (30906) |
$1,197 |
$1,710 |
4.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,741.60 |
$2,488 |
1.6× |
| Replace elbow joint (24363) |
$27,778.10 |
$39,683 |
1.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,360.10 |
$1,943 |
1.3× |
| Replace Tissue Expander (11970) |
$36,248.10 |
$51,783 |
4.2× |
| Replace tunneled cv cath (36578) |
$4,752.30 |
$6,789 |
1.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,675.45 |
$2,393.50 |
1.6× |
| Reposition cv cath w/fluoro (36597) |
$2,590 |
$3,700 |
1.4× |
| Reposition gastric feeding tube thru duodenum (43761) |
$2,563.40 |
$3,662 |
8.7× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$6,054.30 |
$8,649 |
1.6× |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
$11,095.70 |
$15,851 |
1.6× |
Resection or transplantation of long tendon of biceps (23440)
unusually low: confirm this is the full procedure |
$2,874.34 |
$4,106.20 |
0.3× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,081.20 |
$10,116 |
1.7× |
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure |
$7,451.33 |
$10,644.75 |
0.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$17,993.85 |
$25,705.50 |
1.2× |
| Revise external ear (69300) |
$5,596.50 |
$7,995 |
1.4× |
| Revise Lower Leg Tendon (27691) |
$10,527.12 |
$15,038.75 |
1.2× |
| Revise spine eltrd perq aray (63663) |
$16,575.30 |
$23,679 |
2.2× |
| Revise thumb tendon (26490) |
$6,811.70 |
$9,731 |
1.8× |
| Revise ulnar nerve at elbow (64718) |
$8,935.92 |
$12,765.60 |
3.9× |
| Revise/graft eyelid lining (68320) |
$4,494.70 |
$6,421 |
1.6× |
| Revise/Remove Neuroreceiver (63688) |
$5,092.15 |
$7,274.50 |
1.2× |
| Revision eyelid unlisted (67999) |
$1,609.30 |
$2,299 |
4.3× |
| Revision of eyelid (67961) |
$3,274.60 |
$4,678 |
1.2× |
| Revision of iris (66761) |
$3,338.30 |
$4,769 |
5.1× |
| Revision of larynx (31400) |
$18,713.80 |
$26,734 |
2.7× |
| Revision of lower leg tendon (27685) |
$7,045.96 |
$10,065.66 |
1.8× |
| Revision of nose (30430) |
$11,095.70 |
$15,851 |
1.6× |
| Revision of nose (30460) |
$11,095.70 |
$15,851 |
1.6× |
| Revision of reconstructed breast (19380) |
$16,645.48 |
$23,779.25 |
2.1× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$16,580.90 |
$23,687 |
2.4× |
| Revision of tips (37183) |
$10,774.05 |
$15,391.50 |
1.6× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$10,459.87 |
$14,942.67 |
0.5× |
| Revision of urethra (57220) |
$3,845.56 |
$5,493.66 |
0.7× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$8,739.50 |
$12,485 |
1.3× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$19,992 |
$28,560 |
1.5× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$11,765.60 |
$16,808 |
1.7× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$11,765.60 |
$16,808 |
1.7× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$24,432.80 |
$34,904 |
1.8× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$23,865.80 |
$34,094 |
1.7× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$23,865.80 |
$34,094 |
1.7× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$23,865.80 |
$34,094 |
1.7× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$11,765.60 |
$16,808 |
1.7× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$11,765.60 |
$16,808 |
1.7× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$23,865.80 |
$34,094 |
1.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$23,865.80 |
$34,094 |
1.7× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$23,865.80 |
$34,094 |
1.7× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$23,865.80 |
$34,094 |
1.7× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$37,898 |
$54,140 |
1.8× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$37,898 |
$54,140 |
1.8× |
| Rhinectomy; partial (30150) |
$11,095.70 |
$15,851 |
1.6× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$11,095.70 |
$15,851 |
1.6× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$14,469 |
$20,670 |
2.1× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) |
$11,095.70 |
$15,851 |
1.6× |
| Rib cartilage graft (21230) |
$11,095.70 |
$15,851 |
1.6× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$3,578.40 |
$5,112 |
1.4× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,402.70 |
$4,861 |
1.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$5,999 |
$8,570 |
9.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,123.50 |
$1,605 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$569.80 |
$814 |
3.6× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$457.10 |
$653 |
0.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$6,052.20 |
$8,646 |
1.8× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$4,016.60 |
$5,738 |
1.5× |
| Rmvl of subq defibrillator (33272) |
$5,427.10 |
$7,753 |
1.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$6,447.70 |
$9,211 |
1.5× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$6,965.35 |
$9,950.50 |
1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,842 |
$4,060 |
1.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,478.40 |
$2,112 |
2.0× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$6,729.10 |
$9,613 |
2.5× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$5,970.65 |
$8,529.50 |
1.4× |
| Rplc gtube revj gstrst trc (43763) |
$1,106 |
$1,580 |
3.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,024.70 |
$4,321 |
1.6× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$4,754.40 |
$6,792 |
1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,279.50 |
$4,685 |
1.8× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$7,903.70 |
$11,291 |
1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$7,963.90 |
$11,377 |
2.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,271.70 |
$7,531 |
1.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$22,735.65 |
$32,479.50 |
3.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$12,206.95 |
$17,438.50 |
2.9× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$28,602.70 |
$40,861 |
4.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$15,557.50 |
$22,225 |
2.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$30,403.80 |
$43,434 |
4.3× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$6,218.80 |
$8,884 |
1.3× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,572.20 |
$2,246 |
1.9× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$13,442.80 |
$19,204 |
3.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,944.85 |
$5,635.50 |
2.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$879.90 |
$1,257 |
1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$954.80 |
$1,364 |
3.4× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$8,164.80 |
$11,664 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,156.70 |
$3,081 |
3.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,265.90 |
$3,237 |
3.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,559.90 |
$3,657 |
1.4× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$4,096.40 |
$5,852 |
6.3× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$10,533.60 |
$15,048 |
2.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$8,019.90 |
$11,457 |
2.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,377.60 |
$1,968 |
1.9× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$3,599.40 |
$5,142 |
0.8× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$6,902.70 |
$9,861 |
1.8× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$6,811.70 |
$9,731 |
1.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$15,426.60 |
$22,038 |
4.0× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$6,090 |
$8,700 |
1.6× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$5,363.75 |
$7,662.50 |
1.4× |
| Sclerotx Fluid Collection (49185) |
$4,058.95 |
$5,798.50 |
2.1× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$11,095.70 |
$15,851 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,353.80 |
$1,934 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,744.35 |
$3,920.50 |
1.9× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$4,151.70 |
$5,931 |
1.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$443.10 |
$633 |
0.9× |
| Shave skin lesion 0.5 cm/< (11305) |
$303.10 |
$433 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$451.50 |
$645 |
1.9× |
| Shoulder arthroscopy (29805) |
$14,245.70 |
$20,351 |
3.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$12,197.85 |
$17,425.50 |
3.2× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$5,596.50 |
$7,995 |
1.4× |
| Sigmoidoscopy & decompress (45337) |
$1,353.80 |
$1,934 |
1.2× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,655.50 |
$2,365 |
1.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,779.40 |
$2,542 |
1.3× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$2,345 |
$3,350 |
2.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,353.80 |
$1,934 |
1.2× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$4,625.95 |
$6,608.50 |
3.3× |
| Sigmoidoscopy place stent (45347) |
$4,939.20 |
$7,056 |
0.7× |
| Sigmoidoscopy w/biopsy (45331) |
$3,104.15 |
$4,434.50 |
2.8× |
| Sigmoidoscopy w/fb removal (45332) |
$1,655.50 |
$2,365 |
1.2× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,779.40 |
$2,542 |
1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,304.80 |
$1,864 |
2.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$359.80 |
$514 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$307.30 |
$439 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,335.60 |
$1,908 |
2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$644 |
$920 |
2.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$917 |
$1,310 |
3.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,444.10 |
$2,063 |
6.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$412.30 |
$589 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,446.20 |
$2,066 |
6.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$606.20 |
$866 |
2.6× |
| Skin pinch graft (15050) |
$1,326.50 |
$1,895 |
1.5× |
| Skin splt grft trnk/arm/leg (15100) |
$6,052.55 |
$8,646.50 |
2.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,015.30 |
$2,879 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$2,015.30 |
$2,879 |
2.3× |
| Skin sub grft t/arm/lg child (15273) |
$3,410.40 |
$4,872 |
1.4× |
| Skin Tissue Procedure (17999) |
$14,499.45 |
$20,713.50 |
61.2× |
| Skin tissue rearrangement (14040) |
$4,010.30 |
$5,729 |
1.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,550.40 |
$5,072 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$2,966.60 |
$4,238 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$37,932.30 |
$54,189 |
5.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$9,077.60 |
$12,968 |
2.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$53,691.40 |
$76,702 |
8.2× |
| Slitting of prepuce (54001) |
$3,081.40 |
$4,402 |
1.2× |
| Small Bowel Endoscopy (44373) |
$4,564 |
$6,520 |
2.0× |
| Small bowel endoscopy (44366) |
$7,059.50 |
$10,085 |
3.1× |
| Small bowel endoscopy (44364) |
$4,245.50 |
$6,065 |
1.9× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$4,564 |
$6,520 |
2.0× |
| Small bowel endoscopy/biopsy (44377) |
$7,991.20 |
$11,416 |
3.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$4,245.50 |
$6,065 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$347.20 |
$496 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$982.80 |
$1,404 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,221.85 |
$1,745.50 |
2.5× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$8,065.40 |
$11,522 |
2.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,331.05 |
$1,901.50 |
1.6× |
| Spinal Puncture Therapeutic (62272) |
$931.70 |
$1,331 |
1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$11,685.10 |
$16,693 |
3.1× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$7,700 |
$11,000 |
1.1× |
| Stapes mobilization Facility (69650) |
$5,596.50 |
$7,995 |
1.4× |
| Strapping ankle (29540) |
$394.10 |
$563 |
2.1× |
| Strapping elbow or wrist (29260) |
$295.40 |
$422 |
4.2× |
| Strapping hand/finger (29280) |
$295.40 |
$422 |
4.2× |
| Strapping Hip (29520) |
$172.20 |
$246 |
1.1× |
| Strapping knee (29530) |
$172.20 |
$246 |
1.1× |
| Strapping shoulder (29240) |
$266 |
$380 |
1.7× |
| Strapping thorax (29200) |
$394.10 |
$563 |
2.1× |
| Strapping toes (29550) |
$172.20 |
$246 |
2.5× |
| Strapping unna boot (29580) |
$314.30 |
$449 |
1.6× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$574 |
$820 |
1.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$5,633.25 |
$8,047.50 |
1.4× |
| Suction Assisted Lipectomy Trunk (15877) |
$12,536.65 |
$17,909.50 |
3.0× |
| Suction assisted lipectomy; head and neck (15876) |
$7,800.45 |
$11,143.50 |
1.9× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
unusually low: confirm this is the full procedure |
$2,809.34 |
$4,013.34 |
0.4× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$3,808 |
$5,440 |
0.5× |
| Surgery of breast capsule (19370) |
$8,747.90 |
$12,497 |
1.9× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$9,484.30 |
$13,549 |
2.5× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$4,132.80 |
$5,904 |
1.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$7,033.60 |
$10,048 |
2.1× |
| Suspension of testis (54640) |
$3,022.60 |
$4,318 |
0.7× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$17,073.70 |
$24,391 |
7.4× |
| Suture of facial nerve; extracranial Facility (64864) |
$7,105 |
$10,150 |
0.7× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$14,891.80 |
$21,274 |
1.7× |
| Suture pharynx for wound or injury Facility (42900) |
$3,208.80 |
$4,584 |
1.8× |
| Synovectomy tendon sheath foot extensor (28088) |
$4,930.45 |
$7,043.50 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$2,676.45 |
$3,823.50 |
5.6× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
unusually low: confirm this is the full procedure |
$14,787.15 |
$21,124.50 |
0.4× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
likely a partial charge, not the full procedure |
$5,083.40 |
$7,262 |
0.2× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$13,442.80 |
$19,204 |
3.6× |
| Temporary Closure Eyelids Suture (67875) |
$5,559.40 |
$7,942 |
4.7× |
| Tenodesis long tendon biceps (23430) |
$13,993 |
$19,990 |
1.6× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$11,123.70 |
$15,891 |
2.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$6,698.65 |
$9,569.50 |
3.5× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$3,485.30 |
$4,979 |
1.8× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$6,620.60 |
$9,458 |
1.7× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$6,101.90 |
$8,717 |
1.6× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,453.80 |
$4,934 |
1.9× |
| Ther Apheresis,Platelets (36513) |
$4,053 |
$5,790 |
7.8× |
| Ther Apheresis,White Blood Cells (36511) |
$3,215.10 |
$4,593 |
1.7× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,829.80 |
$2,614 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$2,750.30 |
$3,929 |
3.7× |
| Thoracoscopy w/bx pleura (32609) |
$25,762.10 |
$36,803 |
3.6× |
| Throat Surgery Procedure (42999) |
$1,978.90 |
$2,827 |
7.1× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,202 |
$8,860 |
1.7× |
| Thrombolytic Art Therapy (37211) |
$6,669.60 |
$9,528 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$606.20 |
$866 |
1.6× |
| Thrombolytic Venous Therapy (37212) |
$3,331.30 |
$4,759 |
0.9× |
| Thymectomy, partial or total; transcervical approach (separate procedure) Facility (60520) |
$16,328.20 |
$23,326 |
2.3× |
| Thyroid biopsy (60100) |
$1,291.85 |
$1,845.50 |
1.5× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$16,601.20 |
$23,716 |
2.4× |
| Thyroidectomy, total or complete (60240) |
$16,413.60 |
$23,448 |
2.3× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$16,319.80 |
$23,314 |
2.3× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$18,386.91 |
$26,267.01 |
1.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$8,670.55 |
$12,386.50 |
2.2× |
| Tongue and mouth surg unlisted (41599) |
$2,374.40 |
$3,392 |
8.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,569.60 |
$6,528 |
1.2× |
| Total hip arthroplasty (27130) |
$21,952.35 |
$31,360.50 |
1.4× |
| Total Knee Arthroplasty (27447) |
$27,752.90 |
$39,647 |
1.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,628.90 |
$2,327 |
2.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,293.60 |
$1,848 |
4.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$3,717 |
$5,310 |
2.0× |
| Tracheostomy planned (31600) |
$5,876.50 |
$8,395 |
1.5× |
| Tracheotomy tube change (31502) |
$482.30 |
$689 |
1.7× |
| Transcatheter biopsy (37200) |
$5,537.70 |
$7,911 |
0.8× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$12,286.92 |
$17,552.75 |
5.3× |
| Translum Dil Eye Canal (66174) |
$4,169.20 |
$5,956 |
0.9× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$4,044.60 |
$5,778 |
0.6× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$17,819.90 |
$25,457 |
2.8× |
| Transplant hand tendon (26480) |
$5,630.94 |
$8,044.20 |
1.5× |
| Transur electr resection of prostate (52601) |
$7,110.60 |
$10,158 |
1.1× |
| Transurethral resection bladder neck (52500) |
$5,985.70 |
$8,551 |
1.4× |
| Treat clavicle dislocation (23540) |
$566.30 |
$809 |
1.9× |
| Treat clavicle fracture (23505) |
$2,338 |
$3,340 |
1.2× |
| Treat elbow fracture (24586) |
$18,806.20 |
$26,866 |
1.2× |
| Treat Elbow Fracture (24635) |
$18,918.90 |
$27,027 |
2.2× |
| Treat elbow fracture (24587) |
$17,880.10 |
$25,543 |
1.2× |
| Treat fracture radius/ulna (25575) |
$26,337.85 |
$37,625.50 |
3.1× |
| Treat Hand Dislocation (26685) |
$2,122.54 |
$3,032.20 |
0.5× |
| Treat humerus fracture (24500) |
$819.70 |
$1,171 |
2.8× |
| Treat humerus fracture (23600) |
$667.10 |
$953 |
2.3× |
| Treat knee fracture (27532) |
$5,290.60 |
$7,558 |
1.4× |
| Treat Knee Fracture (27535) |
$8,376.20 |
$11,966 |
1.0× |
| Treat Knee Fracture(S) (27538) |
$985.60 |
$1,408 |
3.4× |
| Treat Kneecap Fracture (27524) |
$17,574.55 |
$25,106.50 |
2.1× |
| Treat Lower Leg Fracture (27828) |
$22,009.40 |
$31,442 |
1.5× |
| Treat Metatarsal Fracture (28475) |
$870.10 |
$1,243 |
3.0× |
| Treat pleurodesis w/agent (32560) |
$1,563.10 |
$2,233 |
2.1× |
| Treat shoulder blade fx (23575) |
$1,510.60 |
$2,158 |
0.8× |
| Treat Thigh Fracture (27246) |
$865.90 |
$1,237 |
3.0× |
| Treat Thumb Dislocation (26641) |
$867.30 |
$1,239 |
3.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,641.80 |
$3,774 |
1.4× |
| Treat Vaginal Bleeding (57180) |
$403.20 |
$576 |
1.7× |
| Treat wrist bone fracture (25622) |
$676.90 |
$967 |
2.3× |
| Treat Wrist Bone Fracture (25630) |
$709.80 |
$1,014 |
2.4× |
| Treatment closed elbow dislocation req anes (24605) |
$6,492.15 |
$9,274.50 |
3.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$793.10 |
$1,133 |
2.7× |
| Treatment mouth roof lesion (42160) |
$5,596.50 |
$7,995 |
1.4× |
| Treatment of foot infection (28003) |
$11,525.50 |
$16,465 |
3.0× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$4,903.15 |
$7,004.50 |
1.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$4,890.90 |
$6,987 |
1.3× |
| Treatment of nose fracture (21330) |
$11,095.70 |
$15,851 |
1.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$522.20 |
$746 |
1.8× |
| Trim skin lesion (11055) |
$303.10 |
$433 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$359.80 |
$514 |
1.5× |
| Trim skin lesions over 4 (11057) |
$478.80 |
$684 |
2.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$134.40 |
$192 |
1.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$14,767.20 |
$21,096 |
2.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,456.80 |
$19,224 |
2.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$3,154.38 |
$4,506.25 |
1.7× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$6,869.10 |
$9,813 |
1.6× |
| Trurl rescj postop bladder neck contracture (52640) |
$7,518.70 |
$10,741 |
1.8× |
| Tube thoracostomy includes water seal (32551) |
$3,539.20 |
$5,056 |
1.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,439 |
$7,770 |
1.7× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$21,275.45 |
$30,393.50 |
1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,404 |
$7,720 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,326.50 |
$1,895 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$916.30 |
$1,309 |
1.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,459.40 |
$4,942 |
1.8× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$28,594.65 |
$40,849.50 |
1.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$13,070.40 |
$18,672 |
1.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$6,162.80 |
$8,804 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$17,236.80 |
$24,624 |
2.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$21,207.20 |
$30,296 |
3.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$13,014.40 |
$18,592 |
1.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$11,258.80 |
$16,084 |
1.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$8,836.80 |
$12,624 |
1.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$11,886 |
$16,980 |
1.7× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$7,849.45 |
$11,213.50 |
1.1× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$9,374.40 |
$13,392 |
1.3× |
| Tympanostomy (69433) |
$1,832.25 |
$2,617.50 |
2.9× |
| Tympanostomy general anesthesia (69436) |
$2,681 |
$3,830 |
1.5× |
| Unlisted Cardiac Surgery (33999) |
$24,881.50 |
$35,545 |
33.6× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$3,759.70 |
$5,371 |
15.7× |
| Unlisted laparoscopic procedure liver (47379) |
$15,323 |
$21,890 |
2.1× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$13,536.60 |
$19,338 |
1.9× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$9,284.80 |
$13,264 |
1.3× |
| Unlisted musculoskeletal procedure head (21499) |
$11,413.03 |
$16,304.33 |
40.8× |
| Unlisted Procedure Accessory Sinuses (31299) |
$2,539.60 |
$3,628 |
9.1× |
| Unlisted procedure arthroscopy (29999) |
$7,491.80 |
$10,702.58 |
25.7× |
| Unlisted procedure colon (45399) |
$1,813.70 |
$2,591 |
1.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$8,254.05 |
$11,791.50 |
29.5× |
| Unlisted Procedure Endocrine System (60699) |
$13,337.45 |
$19,053.50 |
1.9× |
| Unlisted Procedure Esophagus (43499) |
$3,810.10 |
$5,443 |
3.6× |
| Unlisted procedure femur or knee (27599) |
$13,682.20 |
$19,546 |
47.0× |
| Unlisted procedure foot or toes (28899) |
$5,682.25 |
$8,117.50 |
19.5× |
| Unlisted procedure humerus/elbow (24999) |
$1,813.70 |
$2,591 |
6.2× |
| Unlisted procedure liver (47399) |
$6,595.40 |
$9,422 |
7.9× |
| Unlisted Procedure Male Genital System (55899) |
$547.40 |
$782 |
1.9× |
| Unlisted Procedure Muscskeletal System General (20999) |
$957.60 |
$1,368 |
3.3× |
| Unlisted procedure nervous system (64999) |
$8,824.55 |
$12,606.50 |
24.3× |
| Unlisted procedure palate uvula (42299) |
$3,122 |
$4,460 |
11.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$22,351.70 |
$31,931 |
76.7× |
| Unlisted procedure shoulder (23929) |
$3,721.20 |
$5,316 |
12.8× |
| Unlisted Procedure Small Intestine (44799) |
$1,813.70 |
$2,591 |
1.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$5,532.80 |
$7,904 |
7.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$5,063.80 |
$7,234 |
4.7× |
| Unlisted procedure, leg or ankle (27899) |
$338.80 |
$484 |
1.2× |
| Unlisted procedure, stomach (43999) |
$6,658.40 |
$9,512 |
6.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$408.10 |
$583 |
1.7× |
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure |
$4,286.10 |
$6,123 |
0.3× |
| Uppr gi opticl endomicrscopy (43252) |
$5,309.50 |
$7,585 |
2.3× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
— |
$1.01 |
— |
| Urology Surgery Procedure (53899) |
$624.40 |
$892 |
2.1× |
| Us urine capacity measure (51798) |
$104.30 |
$149 |
1.5× |
| Uvulectomy excision of uvula (42140) |
$5,596.50 |
$7,995 |
1.4× |
| Vaginal delivery only (59409) |
$2,597.70 |
$3,711 |
0.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$12,525.10 |
$17,893 |
2.1× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$11,677.40 |
$16,682 |
2.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$8,495.90 |
$12,137 |
1.4× |
| Vasc embolize/occlude artery (37242) |
$14,824.25 |
$21,177.50 |
0.7× |
| Vasc Embolize/Occlude Bleed (37244) |
$17,507.70 |
$25,011 |
1.3× |
| Vasc embolize/occlude organ (37243) |
$14,821.45 |
$21,173.50 |
1.1× |
| Vasc embolize/occlude venous (37241) |
$13,622.70 |
$19,461 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$5,986.40 |
$8,552 |
2.4× |
| Venipuncture (36415) |
$22.40 |
$32 |
2.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,312.80 |
$3,304 |
0.6× |
| Ventricular puncture previous burr hole w/inj (61026) |
$1,708 |
$2,440 |
2.0× |
| Vitrectomy mechanical pars plana (67036) |
$5,855.50 |
$8,365 |
1.2× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,654.65 |
$6,649.50 |
1.0× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$5,053.65 |
$7,219.50 |
1.0× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$4,894.40 |
$6,992 |
1.0× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$6,889.40 |
$9,842 |
1.4× |
| Vulvectomy Simple Partial (56620) |
$6,092.10 |
$8,703 |
1.6× |
| Wedge excision skin nail fold (11765) |
$636.30 |
$909 |
1.3× |
| Wedging of cast (29740) |
$413.70 |
$591 |
1.3× |
| Windowing of cast (29730) |
$394.10 |
$563 |
2.1× |
| Wound Prep F/N/Hf/G (15004) |
$1,103.90 |
$1,577 |
2.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$17,272.50 |
$24,675 |
19.8× |