| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$28,500 |
$38,000 |
1.8× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$4,125 |
$5,500 |
2.8× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$225–$424.61 |
$300–$566.15 |
varies |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$21,450 |
$28,600 |
1.8× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$15,000 |
$20,000 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,125 |
$1,500 |
4.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,125 |
$1,500 |
4.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,125 |
$1,500 |
4.0× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$15,000 |
$20,000 |
0.6× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$15,000 |
$20,000 |
0.6× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) |
$15,000 |
$20,000 |
1.3× |
| Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) |
$15,000 |
$20,000 |
1.3× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
$15,000 |
$20,000 |
0.9× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$26,745 |
$35,660 |
1.7× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$15,000 |
$20,000 |
0.9× |
| Biopsy bone open superficial (20240) |
$7,125 |
$9,500 |
2.7× |
| Biopsy bone trocar/needle deep (20225) |
$4,125 |
$5,500 |
2.8× |
| Biopsy of nerve (64795) |
$6,075 |
$8,100 |
3.4× |
| Biopsy soft tissue back/flank deep (21925) |
$4,125 |
$5,500 |
2.8× |
| Biopsy soft tissue neck/thorax (21550) |
$4,125 |
$5,500 |
2.8× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$4,242.75 |
$5,657 |
2.8× |
| Biopsy/removal lymph nodes (38510) |
$8,137.50 |
$10,850 |
2.3× |
| Bladder Scan (51798) |
$225 |
$300 |
4.2× |
| Blood Transfusion Service (36430) |
$487.50 |
$650 |
1.2× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$11,250 |
$15,000 |
1.7× |
| Bone Marrow Biopsy (38221) |
$4,125 |
$5,500 |
2.8× |
| Bone Marrow; Aspiration Only (38220) |
$4,125 |
$5,500 |
2.8× |
| Bx/exc lymph node open superficial (38500) |
$8,137.50 |
$10,850 |
2.3× |
| Carpal Tunnel Surgery (64721) |
$6,075 |
$8,100 |
3.4× |
| Cerv artific diskectomy (22856) |
$15,000 |
$20,000 |
0.9× |
| Chemodenerv 1 extremity 1-4 (64642) |
$2,062.50 |
$2,750 |
3.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$2,062.50 |
$2,750 |
3.2× |
| Chest tube placement (32551) |
$3,000 |
$4,000 |
2.1× |
| Coccygectomy, primary (27080) |
$7,935 |
$10,580 |
2.7× |
| Collection of venous blood by venipuncture (36415) |
$20.45 |
$27.27 |
2.2× |
| Complex drainage wound (10180) |
$4,875 |
$6,500 |
1.9× |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
$10,125 |
$13,500 |
1.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,687.50 |
$6,250 |
2.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,062.50 |
$2,750 |
3.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,125 |
$5,500 |
2.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,062.50 |
$2,750 |
5.6× |
| Decomp forearm,1 compart,w/o debride (25020) |
$3,225 |
$4,300 |
2.2× |
| Decompress Spinal Cord Lmbr (63056) |
$10,125 |
$13,500 |
1.5× |
| Decompression of tibia nerve (28035) |
$6,375 |
$8,500 |
3.6× |
| Deep Muscle Biopsy (20205) |
$7,125 |
$9,500 |
2.7× |
| Destroy cerv/thor facet jnt (64633) |
$3,112.50 |
$4,150 |
1.8× |
| Destroy lumb/sac facet jnt (64635) |
$3,112.50 |
$4,150 |
1.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,062.50 |
$2,750 |
2.6× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$2,062.50 |
$2,750 |
2.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,112.50 |
$4,150 |
1.8× |
| Dilate Urethra Stricture (53620) |
$2,062.50 |
$2,750 |
3.3× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$10,125 |
$13,500 |
1.5× |
| Drain Cerebro Spinal Fluid (62272) |
$2,062.50 |
$2,750 |
3.2× |
| Drainage of finger abscess simple (26010) |
$825 |
$1,100 |
4.5× |
| Drainage of hematoma/fluid (10140) |
$4,125 |
$5,500 |
2.8× |
| Drainage of throat abscess (42725) |
$11,250 |
$15,000 |
2.1× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$4,912.50 |
$6,550 |
2.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$3,112.50 |
$4,150 |
3.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,062.50 |
$2,750 |
2.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$2,062.50 |
$2,750 |
3.2× |
| Egd place gastrostomy tube (43246) |
$4,500 |
$6,000 |
2.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$1,387.50 |
$1,850 |
5.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,200 |
$1,600 |
4.3× |
| Enterorrhaphy single perforation (44602) |
$2,887.50 |
$3,850 |
0.8× |
| Epidural Blood Patch (62273) |
$2,062.50 |
$2,750 |
3.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,375 |
$4,500 |
2.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,137.50 |
$2,850 |
3.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,125 |
$5,500 |
2.8× |
| Exc Back Les Sc < 3 Cm (21930) |
$4,125 |
$5,500 |
2.8× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$7,125 |
$9,500 |
2.7× |
| Exc back tum deep < 5 cm (21932) |
$7,125 |
$9,500 |
2.7× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$4,125 |
$5,500 |
2.8× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$6,450 |
$8,600 |
2.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$4,125 |
$5,500 |
2.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$4,125 |
$5,500 |
2.8× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$6,075 |
$8,100 |
3.4× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$6,075 |
$8,100 |
3.4× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$6,075 |
$8,100 |
3.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,137.50 |
$2,850 |
3.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$7,125 |
$9,500 |
2.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,125 |
$5,500 |
2.8× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$7,125 |
$9,500 |
2.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$2,137.50 |
$2,850 |
3.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$4,125 |
$5,500 |
2.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$7,125 |
$9,500 |
2.7× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$7,125 |
$9,500 |
2.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$4,125 |
$5,500 |
2.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,375 |
$4,500 |
2.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$7,125 |
$9,500 |
2.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$7,125 |
$9,500 |
2.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,125 |
$5,500 |
2.8× |
| Excise intraspinal lesion (63267) |
$10,125 |
$13,500 |
1.5× |
| Excise intraspinl lesion crv (63265) |
$10,125 |
$13,500 |
1.5× |
| Excise Neurofibroma Extensive (64792) |
$11,250 |
$15,000 |
3.6× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$7,125 |
$9,500 |
2.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,062.50 |
$2,750 |
3.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$7,125 |
$9,500 |
2.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,125 |
$5,500 |
2.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,375 |
$4,500 |
2.3× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$7,125 |
$9,500 |
2.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$7,125 |
$9,500 |
2.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,125 |
$5,500 |
2.8× |
Exploration of spinal fusion (22830)
unusually low: confirm this is the full procedure |
$2,062.50 |
$2,750 |
0.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,800 |
$2,400 |
2.8× |
| Fine needle aspiration without imaging guidance (10021) |
$900 |
$1,200 |
2.4× |
| Guide Cathet Fluid Drainage (10030) |
$1,800 |
$2,400 |
2.8× |
| I&d abscess simple (10060) |
$900 |
$1,200 |
5.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$7,125 |
$9,500 |
2.7× |
| Implant neuroelectrodes (63650) |
$10,125 |
$13,500 |
1.8× |
| Implant Neuroelectrodes (64561) |
$11,250 |
$15,000 |
1.9× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$18,750 |
$25,000 |
1.1× |
| Implant Spine Infusion Pump (62362) |
$18,750 |
$25,000 |
1.1× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$6,375 |
$8,500 |
0.8× |
| Incise finger tendon sheath (26055) |
$3,750 |
$5,000 |
2.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,125 |
$5,500 |
2.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$900 |
$1,200 |
2.4× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
likely a partial charge, not the full procedure |
$1,162.50 |
$1,550 |
0.2× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
likely a partial charge, not the full procedure |
$1,162.50 |
$1,550 |
0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,062.50 |
$2,750 |
2.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,062.50 |
$2,750 |
2.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$1,125 |
$1,500 |
4.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,062.50 |
$2,750 |
2.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,062.50 |
$2,750 |
3.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,062.50 |
$2,750 |
2.6× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$2,062.50 |
$2,750 |
2.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,062.50 |
$2,750 |
3.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$2,062.50 |
$2,750 |
3.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,062.50 |
$2,750 |
2.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$2,062.50 |
$2,750 |
3.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,125 |
$1,500 |
4.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,125 |
$1,500 |
4.0× |
| Injection therapeutic carpal tunnel (20526) |
$1,125 |
$1,500 |
4.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,062.50 |
$2,750 |
2.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$2,062.50 |
$2,750 |
3.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$2,062.50 |
$2,750 |
3.2× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$2,250 |
$3,000 |
2.8× |
| Ins endovas vena cava filtr (37191) |
$6,375 |
$8,500 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$2,565 |
$3,420 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$1,125 |
$1,500 |
9.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$877.50 |
$1,170 |
0.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$3,375 |
$4,500 |
2.4× |
| Insj Stablj Dev W/Dcmprn (22867) |
$15,000 |
$20,000 |
0.9× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$15,000 |
$20,000 |
1.3× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$2,565 |
$3,420 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,087.50 |
$9,450 |
2.5× |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) |
$26,250 |
$35,000 |
0.9× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$27,000 |
$36,000 |
1.0× |
| Insrt/Redo Neurostim 1 Array (61885) |
$18,750 |
$25,000 |
0.7× |
| Install spinal shunt (63741) |
$11,250 |
$15,000 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$750 |
$1,000 |
3.5× |
| Lam facetec & foramot lumbar (63047) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$10,125 |
$13,500 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$10,125 |
$13,500 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$10,125 |
$13,500 |
1.5× |
| Laminotomy Single Lumbar (63042) |
$10,125 |
$13,500 |
1.5× |
| Late closure of wound (13160) |
$4,875 |
$6,500 |
1.5× |
| Ligation Of Neck Artery (37615) |
$3,675 |
$4,900 |
1.3× |
| Low Back Disk Surgery (63030) |
$10,125 |
$13,500 |
1.5× |
| Lumbar spine fusion combined (22633) |
$15,000 |
$20,000 |
0.6× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$2,887.50 |
$3,850 |
0.9× |
| Muscle-skin graft trunk (15734) |
$8,137.50 |
$10,850 |
2.5× |
Myelography Lumbar Injection (62305)
range across 4 matching MRF lines |
$720.93–$7,236.75 |
$961.24–$9,649 |
varies |
| Myelography Lumbar Injection (62304) |
$3,591 |
$4,788 |
5.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$7,236.75 |
$9,649 |
10.2× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$2,550 |
$3,400 |
3.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$2,062.50 |
$2,750 |
3.2× |
| N block inj intercost sng (64420) |
$2,062.50 |
$2,750 |
3.2× |
| N Block Inj Pudendal (64430) |
$2,062.50 |
$2,750 |
2.6× |
| N Block Lumbar/Thoracic (64520) |
$2,062.50 |
$2,750 |
2.6× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$1,125 |
$1,500 |
2.8× |
| Neck spine disk surgery (63020) |
$10,125 |
$13,500 |
1.5× |
| Neck spine fusion (22600) |
$15,000 |
$20,000 |
0.9× |
| Neurectomy, hamstring muscle Facility (27325) |
$4,687.50 |
$6,250 |
2.7× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$6,075 |
$8,100 |
3.4× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$6,075 |
$8,100 |
3.4× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$6,075 |
$8,100 |
3.4× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$6,075 |
$8,100 |
3.4× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$6,075 |
$8,100 |
3.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,062.50 |
$2,750 |
2.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$2,062.50 |
$2,750 |
7.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,062.50 |
$2,750 |
2.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,062.50 |
$2,750 |
3.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,062.50 |
$2,750 |
3.2× |
| Occipital Nerve Block (64405) |
$2,062.50 |
$2,750 |
7.4× |
| Open bone biopsy (20251) |
$11,250 |
$15,000 |
1.7× |
| Open bone biopsy (20250) |
$7,350 |
$9,800 |
2.5× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
likely a partial charge, not the full procedure |
$2,887.50 |
$3,850 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
likely a partial charge, not the full procedure |
$2,887.50 |
$3,850 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
likely a partial charge, not the full procedure |
$2,887.50 |
$3,850 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
likely a partial charge, not the full procedure |
$2,887.50 |
$3,850 |
0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$10,125 |
$13,500 |
1.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$10,125 |
$13,500 |
1.5× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$10,125 |
$13,500 |
1.5× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$11,250 |
$15,000 |
1.7× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
| Perq Cervicothoracic Inject (22510) |
$7,125 |
$9,500 |
2.4× |
| Perq Lumbosacral Injection (22511) |
$7,125 |
$9,500 |
2.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,000 |
$12,000 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$9,000 |
$12,000 |
1.4× |
| Prescrl Fuse W/ Instr L5/S1 (22586) |
$15,000 |
$20,000 |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,875 |
$2,500 |
2.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$900 |
$1,200 |
2.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$2,062.50 |
$2,750 |
3.2× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$7,125 |
$9,500 |
2.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$6,450 |
$8,600 |
2.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,112.50 |
$4,150 |
1.8× |
| Reinsert spinal fixation (22849) |
$11,250 |
$15,000 |
1.0× |
| Relieve Pressure on Nerve(S) (64722) |
$6,075 |
$8,100 |
3.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$4,125 |
$5,500 |
2.8× |
| Removal Implant Deep (20680) |
$7,125 |
$9,500 |
2.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,125 |
$5,500 |
2.8× |
| Removal of anterior instrumentation (22855) |
$11,250 |
$15,000 |
1.7× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$15,000 |
$20,000 |
4.8× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$11,250 |
$15,000 |
6.4× |
Removal of posterior segmental instrumentation Facility (22852)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
| Remove lamina/facets lumbar (63012) |
$10,125 |
$13,500 |
1.5× |
| Remove part lumbar vertebra (22102) |
$11,250 |
$15,000 |
1.7× |
Remove part of neck vertebra (22110)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
| Remove part thorax vertebra (22101) |
$7,125 |
$9,500 |
1.1× |
| Remove Skin Nerve Lesion (64774) |
$6,075 |
$8,100 |
3.4× |
| Remove spine eltrd plate (63662) |
$6,375 |
$8,500 |
2.0× |
Remove spine fixation device (22850)
unusually low: confirm this is the full procedure |
$2,887.50 |
$3,850 |
0.4× |
| Remove spine lamina 1/2 lmbr (63005) |
$10,125 |
$13,500 |
1.5× |
| Remove spine lamina 1/2 thrc (63003) |
$10,125 |
$13,500 |
1.5× |
| Remove spine lamina >2 thrc (63016) |
$10,125 |
$13,500 |
1.5× |
| Repair blood vessel direct neck (35201) |
$4,500 |
$6,000 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,500 |
$2,000 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,125 |
$1,500 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,125 |
$1,500 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,125 |
$1,500 |
3.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,125 |
$1,500 |
3.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,125 |
$1,500 |
3.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,125 |
$1,500 |
3.1× |
| Replace/Revise Brain Shunt (62230) |
$11,250 |
$15,000 |
1.4× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$6,375 |
$8,500 |
2.0× |
| Revise Hand/Foot Nerve (64704) |
$6,075 |
$8,100 |
3.4× |
| Revise Spine Eltrd Plate (63664) |
$20,250 |
$27,000 |
2.0× |
| Revise ulnar nerve at wrist (64719) |
$6,075 |
$8,100 |
3.4× |
| Revise/remove neuroelectrode (61880) |
$11,250 |
$15,000 |
3.6× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$15,000 |
$20,000 |
0.9× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$11,250 |
$15,000 |
1.9× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$6,375 |
$8,500 |
2.0× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$10,125 |
$13,500 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$6,375 |
$8,500 |
2.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$7,125 |
$9,500 |
2.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,725 |
$2,300 |
0.7× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,000 |
$4,000 |
1.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$6,375 |
$8,500 |
3.6× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$6,375 |
$8,500 |
2.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$7,935 |
$10,580 |
2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$750 |
$1,000 |
4.1× |
| Spinal puncture lumbar diagnostic (62270) |
$2,062.50 |
$2,750 |
3.2× |
| Surg Implnt Neuroelect,Epidural (63655) |
$18,750 |
$25,000 |
1.1× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$11,250 |
$15,000 |
6.4× |
| Suture of; lumbar plexus Facility (64862) |
$11,250 |
$15,000 |
3.6× |
| Suture pharynx for wound or injury (42900) |
$3,750 |
$5,000 |
2.7× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$2,062.50 |
$2,750 |
3.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$15,000 |
$20,000 |
1.3× |
| Tnot elbow lateral/medial debride open (24358) |
$7,935 |
$10,580 |
2.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$7,935 |
$10,580 |
2.7× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$15,000 |
$20,000 |
0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$750 |
$1,000 |
3.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$3,375 |
$4,500 |
2.4× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$6,075 |
$8,100 |
3.4× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$10,125 |
$13,500 |
1.5× |
| Treat Fx Rad Extra-Articul (25607) |
$10,125 |
$13,500 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,500 |
$2,000 |
2.2× |
| Unlisted Procedure Esophagus (43499) |
$2,962.50 |
$3,950 |
3.6× |
| Unlisted Procedure Muscskeletal System General (20999) |
$3,375 |
$4,500 |
15.1× |
| Unlisted procedure nervous system (64999) |
$2,100 |
$2,800 |
7.6× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,100 |
$2,800 |
9.4× |
| Unlisted procedure spine (22899) |
$4,687.50 |
$6,250 |
21.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$4,500 |
$6,000 |
7.9× |