| Abd paracentesis w/imaging (49083) |
$1,673 |
$3,346 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$3,187.50 |
$6,375 |
3.7× |
| Abdomen Surgery Procedure (22999) |
$458 |
$916 |
1.9× |
| Ablate inf turbinate submuc (30802) |
$1,898.34 |
$3,796.66 |
1.3× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$8,195 |
$16,390 |
0.5× |
| Acne surgery (10040) |
$236.50 |
$473 |
1.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,101.67 |
$4,203.33 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$9,691.67 |
$19,383.34 |
2.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$9,422.76 |
$18,845.51 |
4.8× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$7,290.25 |
$14,580.50 |
3.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,276.44 |
$6,552.88 |
1.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$11,062.34 |
$22,124.67 |
5.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$10,682.50 |
$21,365 |
5.4× |
| Amniocentesis therapeutic (59001) |
$188.50 |
$377 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,799.50 |
$7,599 |
1.2× |
| Amputation Finger/Thumb (26951) |
$6,313.50 |
$12,627 |
2.0× |
| Amputation foot transmetarsal (28805) |
$10,658.25 |
$21,316.50 |
3.4× |
| Amputation metatarsal with toe single (28810) |
$3,551.25 |
$7,102.50 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$5,028.50 |
$10,057 |
1.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,285.50 |
$10,571 |
1.7× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$7,341.50 |
$14,683 |
2.3× |
| Analyze spine infus pump (62367) |
$491 |
$982 |
1.7× |
| Anoscopy diagnostic (46600) |
$3,019.50 |
$6,039 |
23.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$7,293 |
$14,586 |
6.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$6,678 |
$13,356 |
2.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$9,132 |
$18,264 |
1.9× |
| Appendectomy (44950) |
$19,253 |
$38,506 |
3.1× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$450.75 |
$901.50 |
2.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$327.50 |
$655 |
2.1× |
| Appl Multlay Comprs Arm/Hand (29584) |
$309.50 |
$619 |
2.0× |
| Application cast elbow finger short arm (29075) |
$247 |
$494 |
0.9× |
| Application Cast Finger (29086) |
$365.50 |
$731 |
2.3× |
| Application cast shoulder hand long arm (29065) |
$256.75 |
$513.50 |
1.0× |
| Application finger splint static (29130) |
$137.50 |
$275 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$168.50 |
$337 |
1.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$318 |
$636 |
1.2× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure |
$2,651.67 |
$5,303.33 |
0.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$318 |
$636 |
1.2× |
| Application of long leg cast (29345) |
$318 |
$636 |
1.2× |
| Application of rigid total contact leg cast (29445) |
$532 |
$1,064 |
2.0× |
| Application Patellar Tendon Bearing Cast (29435) |
$318 |
$636 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$151.25 |
$302.50 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$253 |
$506 |
2.0× |
| Application uniplane external fixation system (20690) |
$6,221.75 |
$12,443.50 |
0.9× |
| Apply Hand/Wrist Cast (29085) |
$217.25 |
$434.50 |
1.4× |
| Apply long leg splint (29505) |
$184 |
$368 |
1.2× |
| Apply short leg cast (29405) |
$242.25 |
$484.50 |
0.9× |
| Apply short leg cast (29425) |
$318 |
$636 |
1.2× |
| Apply short leg splint (29515) |
$321.50 |
$643 |
2.1× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$8,627.50 |
$17,255 |
1.7× |
| Arterial puncture (36600) |
$458 |
$916 |
3.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$18,042.50 |
$36,085 |
6.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$11,183 |
$22,366 |
2.1× |
| Artery-vein autograft (36825) |
$19,669 |
$39,338 |
3.7× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$39,348.50 |
$78,697 |
3.2× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$24,671.34 |
$49,342.67 |
2.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$21,379.34 |
$42,758.67 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$603.50 |
$1,207 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$674 |
$1,348 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,298.34 |
$2,596.66 |
4.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,483.50 |
$2,967 |
5.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,297.75 |
$2,595.50 |
4.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$10,126 |
$20,252 |
1.5× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$11,653.75 |
$23,307.50 |
3.7× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$8,469 |
$16,938 |
0.5× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$19,081 |
$38,162 |
0.7× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$25,013.50 |
$50,027 |
1.0× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge, not the full procedure |
$4,843 |
$9,686.01 |
0.3× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$27,216 |
$54,432 |
2.2× |
| Arthrodesis; subtalar (28725) |
$17,601.42 |
$35,202.84 |
1.4× |
| Arthroplasty Ankle W/Implant (27702) |
$22,359 |
$44,718 |
0.9× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,652.50 |
$35,305 |
1.0× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$6,827.67 |
$13,655.34 |
2.2× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$14,896 |
$29,792 |
1.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$5,754 |
$11,508 |
1.8× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$6,273.75 |
$12,547.50 |
2.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$8,156.75 |
$16,313.50 |
2.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$7,270.50 |
$14,541 |
2.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,677.40 |
$5,354.79 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$11,453.50 |
$22,907 |
3.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$7,039.63 |
$14,079.25 |
2.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$11,325 |
$22,650 |
3.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,284 |
$8,568 |
1.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$4,630.84 |
$9,261.66 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$8,254.25 |
$16,508.50 |
2.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$3,424.78 |
$6,849.54 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$8,128 |
$16,256 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,684.13 |
$5,368.25 |
0.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$9,191 |
$18,382 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,377.50 |
$14,755 |
1.1× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$11,453.50 |
$22,907 |
3.6× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$11,196.50 |
$22,393 |
3.6× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) |
$8,115.25 |
$16,230.50 |
1.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$14,657.58 |
$29,315.17 |
2.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$6,506.25 |
$13,012.50 |
2.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$7,417 |
$14,834 |
2.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$5,157 |
$10,314 |
3.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$6,955.67 |
$13,911.33 |
4.5× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,261 |
$6,522 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$1,838.50 |
$3,677 |
3.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$615.50 |
$1,231 |
2.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,192.50 |
$2,385 |
1.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,740.66 |
$3,481.33 |
0.9× |
| Av fistula revision (36833) |
$5,438 |
$10,876 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$14,966.50 |
$29,933 |
2.8× |
| Av fusion/forearm vein (36820) |
$16,191 |
$32,382 |
3.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$456 |
$912 |
2.4× |
| Axillary lymphadenectomy; complete (38745) |
$11,565.50 |
$23,131 |
2.0× |
| Biopsy bone open deep (20245) |
$14,409 |
$28,818 |
5.2× |
| Biopsy bone open superficial (20240) |
$4,570.50 |
$9,141 |
1.6× |
| Biopsy bone trocar/needle deep (20225) |
$1,959.75 |
$3,919.50 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,812 |
$5,624 |
1.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$2,990.50 |
$5,981 |
3.4× |
| Biopsy External Auditory Canal (69105) |
$2,663.50 |
$5,327 |
1.8× |
| Biopsy external ear (69100) |
$494 |
$988 |
2.2× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,903.50 |
$3,807 |
1.2× |
| Biopsy intranasal (30100) |
$2,672.50 |
$5,345 |
1.8× |
| Biopsy muscle deep (20205) |
$4,723 |
$9,446 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$2,812 |
$5,624 |
1.8× |
| Biopsy Nail Unit Separate Procedure (11755) |
$821.50 |
$1,643 |
1.2× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$5,096.50 |
$10,193 |
1.6× |
| Biopsy Nerve (64795) |
$2,361.50 |
$4,723 |
1.3× |
| Biopsy of breast; open, incisional (19101) |
$5,231.25 |
$10,462.50 |
1.4× |
| Biopsy of eyelid lining (68100) |
$2,777 |
$5,554 |
1.2× |
| Biopsy of floor of mouth (41108) |
$2,497 |
$4,994 |
1.6× |
| Biopsy of lip (40490) |
$2,054.25 |
$4,108.50 |
9.0× |
| Biopsy of mouth lesion (40808) |
$1,029.50 |
$2,059 |
2.0× |
| Biopsy of penis (54100) |
$1,903.50 |
$3,807 |
1.2× |
| Biopsy of tongue (41100) |
$1,072.50 |
$2,145 |
2.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$9,031.62 |
$18,063.25 |
2.4× |
| Biopsy Oropharynx (42800) |
$2,772 |
$5,544 |
1.9× |
| Biopsy pleura percutaneous needle (32400) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$2,137.25 |
$4,274.50 |
1.4× |
| Biopsy Salivary Gland,Needle (42400) |
$851 |
$1,702 |
1.3× |
| Biopsy soft tissue back,superf (21920) |
$1,981.50 |
$3,963 |
1.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$539.50 |
$1,079 |
0.3× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,903.50 |
$3,807 |
1.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,757.50 |
$3,515 |
1.1× |
| Biopsy Tongue Posterior One-Third (41105) |
$5,353 |
$10,706 |
1.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,384.50 |
$2,769 |
1.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$2,448.50 |
$4,897 |
2.8× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$10,729.67 |
$21,459.34 |
2.9× |
| Biopsy/removal lymph nodes (38510) |
$6,692.62 |
$13,385.25 |
1.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$798 |
$1,596 |
1.2× |
| Bladder Irrigation Simple (51700) |
$490 |
$980 |
2.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$5,099.75 |
$10,199.50 |
2.6× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$5,157.83 |
$10,315.66 |
2.6× |
| Blood patch (62273) |
$1,100 |
$2,200 |
1.6× |
| Blood transfusion service (36430) |
$860.50 |
$1,721 |
2.0× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$4,884.30 |
$9,768.60 |
0.7× |
| Bone marrow aspiration only (38220) |
$3,251.75 |
$6,503.50 |
2.1× |
| Bone Marrow Biopsy (38221) |
$3,368.50 |
$6,737 |
2.1× |
| Breast augmentation with implant (19325) |
$8,104 |
$16,208 |
1.0× |
| Breast Reduction (19318) |
$21,219.50 |
$42,439 |
3.3× |
| Breast surgery procedure (19499) |
$4,555.50 |
$9,111 |
1.2× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,790.34 |
$3,580.66 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,949.56 |
$3,899.12 |
1.1× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,792.50 |
$5,585 |
1.6× |
| Brnchsc removal bronchial valve initial (31648) |
$5,824 |
$11,648 |
1.6× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$2,530.50 |
$5,061 |
0.7× |
| Bronch ebus samplng 1/2 node (31652) |
$3,723.67 |
$7,447.34 |
1.0× |
| Bronch ebus samplng 3/> node (31653) |
$3,125.54 |
$6,251.08 |
0.9× |
| Bronchial valve init insert (31647) |
$6,831 |
$13,662 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,089.67 |
$6,179.33 |
1.8× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$7,336.50 |
$14,673 |
1.1× |
| Bronchoscopy Balloon Occlusion (31634) |
$6,354 |
$12,708 |
0.9× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,082.50 |
$8,165 |
1.1× |
| Bronchoscopy w/markers (31626) |
$4,506 |
$9,012 |
0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,543.50 |
$3,087 |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,104.20 |
$2,208.40 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,844.44 |
$3,688.88 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,917.50 |
$5,835 |
1.8× |
| Bx anorectal wall anal approach (45100) |
$5,170 |
$10,340 |
1.9× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$3,341.50 |
$6,683 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,346.75 |
$2,693.50 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$2,407.50 |
$4,815 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,901.25 |
$3,802.50 |
1.2× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$1,256.50 |
$2,513 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$1,696 |
$3,392 |
1.1× |
| Canthoplasty (67950) |
$4,488.75 |
$8,977.50 |
2.0× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$8,642.25 |
$17,284.50 |
2.8× |
| Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) |
$12,428.50 |
$24,857 |
1.8× |
| Car-t admn autologous (38228) |
$414.50 |
$829 |
1.3× |
| Carpectomy All Bones Proximal Row (25215) |
$13,313.92 |
$26,627.84 |
4.2× |
| Cataract surgery complex (66982) |
$3,785.50 |
$7,571 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$237.75 |
$475.50 |
1.1× |
| Cautery cervix laser ablation (57513) |
$5,265 |
$10,530 |
1.7× |
| Cessj Therapy Cath Removal (37214) |
$5,994 |
$11,988 |
2.0× |
| Change Cystostomy Tube Complicated (51710) |
$676.75 |
$1,353.50 |
1.0× |
| Change of cystostomy tube simple (51705) |
$614 |
$1,228 |
2.6× |
| Chemical cautery tissue (17250) |
$374.75 |
$749.50 |
1.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$3,472.50 |
$6,945 |
5.1× |
| Chemodenerv musc migraine (64615) |
$383.75 |
$767.50 |
1.3× |
| Chemodenerv Musc Neck Dyston (64616) |
$600.50 |
$1,201 |
2.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,731 |
$3,462 |
2.6× |
| Chemodenervation of extraocular muscle (67345) |
$2,477.88 |
$4,955.75 |
8.1× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$796.75 |
$1,593.50 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$402.50 |
$805 |
1.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,700.88 |
$7,401.75 |
1.1× |
| Chorionic villus sampling (59015) |
$1,065 |
$2,130 |
1.2× |
| Chromotubation oviduct (58350) |
$2,702.75 |
$5,405.50 |
0.6× |
| Circum 28 days or older (54161) |
$5,542.50 |
$11,085 |
2.8× |
| Circumcision (54150) |
$2,843.75 |
$5,687.50 |
1.4× |
| Circumcision Neonate (54160) |
$801.50 |
$1,603 |
1.2× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$851 |
$1,702 |
2.9× |
| Claviculectomy partial (23120) |
$5,008.92 |
$10,017.83 |
1.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$1,206.50 |
$2,413 |
5.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$547.50 |
$1,095 |
2.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$786.50 |
$1,573 |
3.3× |
| Closed Rx Radial Shaft Fx (25500) |
$548.50 |
$1,097 |
2.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$719.50 |
$1,439 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$610.50 |
$1,221 |
2.6× |
| Closed Treat Vert Body Fract (22310) |
$838 |
$1,676 |
3.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$288.50 |
$577 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,287 |
$8,574 |
1.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$513 |
$1,026 |
2.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$719 |
$1,438 |
3.0× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$3,799.50 |
$7,599 |
1.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$655.50 |
$1,311 |
2.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$565.50 |
$1,131 |
2.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$480.50 |
$961 |
2.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,274.75 |
$4,549.50 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,016.50 |
$2,033 |
4.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$571 |
$1,142 |
2.4× |
| Closed Treatment Sesamoid Fracture (28530) |
$263.25 |
$526.50 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$651.50 |
$1,303 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$293 |
$586 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,867.50 |
$3,735 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$747.50 |
$1,495 |
3.2× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,869 |
$3,738 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$286.50 |
$573 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$443.50 |
$887 |
1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,275.25 |
$4,550.50 |
1.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,570.75 |
$5,141.50 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$655 |
$1,310 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,867.50 |
$3,735 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$550.50 |
$1,101 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,423 |
$4,846 |
1.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,072.50 |
$2,145 |
0.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$474 |
$948 |
2.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$283.50 |
$567 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$337 |
$674 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$589 |
$1,178 |
2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$526 |
$1,052 |
2.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$324 |
$648 |
1.4× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$659.50 |
$1,319 |
2.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$474.50 |
$949 |
2.0× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$286.50 |
$573 |
1.2× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$286.50 |
$573 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,352.75 |
$2,705.50 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$658 |
$1,316 |
2.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$880 |
$1,760 |
3.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,954 |
$3,908 |
1.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$286.50 |
$573 |
1.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,867.50 |
$3,735 |
1.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,954 |
$3,908 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$575.75 |
$1,151.50 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$626.50 |
$1,253 |
2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$301 |
$602 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$371.50 |
$743 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$952 |
$1,904 |
4.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,585.42 |
$7,170.84 |
2.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,867.50 |
$3,735 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,130.50 |
$4,261 |
1.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,095.50 |
$2,191 |
4.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$292.50 |
$585 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$276 |
$552 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$286.50 |
$573 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,915.75 |
$3,831.50 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$447 |
$894 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$289.75 |
$579.50 |
1.2× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$668 |
$1,336 |
2.8× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$6,358.25 |
$12,716.50 |
4.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,867.50 |
$3,735 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$212 |
$424 |
0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$768 |
$1,536 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$394 |
$788 |
1.7× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$737 |
$1,474 |
3.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$679 |
$1,358 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$590 |
$1,180 |
2.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$264 |
$528 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$313.50 |
$627 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$687 |
$1,374 |
2.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,188.75 |
$6,377.50 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$824.25 |
$1,648.50 |
3.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$619 |
$1,238 |
2.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,867.50 |
$3,735 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$281.50 |
$563 |
1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,867.50 |
$3,735 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,910.75 |
$3,821.50 |
1.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,963.50 |
$3,927 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,061.50 |
$2,123 |
4.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,857.75 |
$3,715.50 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$627.50 |
$1,255 |
2.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$232.75 |
$465.50 |
1.8× |
| Colonoscopy flex w/blln dilat (45386) |
$3,398 |
$6,796 |
3.0× |
| Colonoscopy flex w/inj submuc (45381) |
$1,594.44 |
$3,188.88 |
1.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,508.50 |
$3,017 |
1.3× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,986.83 |
$3,973.66 |
1.7× |
| Colonoscopy stoma w/biopsy (44389) |
$3,290.34 |
$6,580.67 |
2.9× |
| Colonoscopy thru stoma (44388) |
$2,197 |
$4,394 |
2.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$4,628 |
$9,256 |
4.0× |
| Colonoscopy w/ablation (45388) |
$3,700.34 |
$7,400.67 |
3.2× |
| Colonoscopy w/band ligation (45398) |
$1,362 |
$2,724 |
1.2× |
| Colonoscopy w/fb removal (45379) |
$976 |
$1,952 |
0.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$620.17 |
$1,240.33 |
0.5× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$2,740.84 |
$5,481.67 |
1.0× |
| Colpoperineorrhaphy non ob (57210) |
$4,514.50 |
$9,029 |
1.5× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$5,929.02 |
$11,858.02 |
0.8× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$10,971.34 |
$21,942.67 |
1.5× |
| Colporrhaphy Suture Injury Vagina (57200) |
$15,754.50 |
$31,509 |
5.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$3,052.75 |
$6,105.50 |
10.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$231.50 |
$463 |
1.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$837 |
$1,674 |
2.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,780 |
$7,560 |
1.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,678.50 |
$7,357 |
1.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$353 |
$706 |
1.2× |
| Colposcopy vulva (56820) |
$230.50 |
$461 |
1.2× |
| Colposcopy vulva w/biopsy (56821) |
$761.50 |
$1,523 |
2.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$315.50 |
$631 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,570 |
$3,140 |
1.8× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$7,575.08 |
$15,150.16 |
1.6× |
| Combined anteroposterior colporrhaphy; (57260) |
$10,891 |
$21,782 |
2.3× |
| Complex Cystometrogram (51726) |
$509 |
$1,018 |
2.1× |
| Complex Uroflowmetry (51741) |
$280.75 |
$561.50 |
1.4× |
| Conization of cervix (57520) |
$6,267.50 |
$12,535 |
2.0× |
| Conization of cervix (57522) |
$4,286.25 |
$8,572.50 |
1.4× |
| Conjunctival Flap Total (68362) |
$5,799.50 |
$11,599 |
2.5× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$3,651.80 |
$7,303.58 |
1.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$381.50 |
$763 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$405 |
$810 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$271 |
$542 |
2.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,040.50 |
$4,081 |
1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,358.25 |
$4,716.50 |
1.5× |
| Corneal transplant (65730) |
$7,855.50 |
$15,711 |
2.0× |
| Corneal transplant (65755) |
$8,626.50 |
$17,253 |
2.2× |
| Corneal transplant (65750) |
$7,470 |
$14,940 |
1.5× |
| Correction hammertoe (28285) |
$4,890.38 |
$9,780.75 |
1.6× |
| Correction of bunion (28297) |
$19,561.50 |
$39,123 |
1.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$16,428.50 |
$32,857 |
5.2× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$11,644.25 |
$23,288.50 |
2.2× |
| Csf shunt reprogram (62252) |
$353 |
$706 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$153.50 |
$307 |
1.2× |
| Curettage postpartum (59160) |
$4,636.50 |
$9,273 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,606.38 |
$5,212.75 |
1.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,619 |
$7,238 |
1.8× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,743.67 |
$5,487.34 |
0.8× |
| Cysto w/destruction of lesions (52214) |
$5,324 |
$10,648 |
1.6× |
| Cysto w/insert ureteral stent (52332) |
$3,181.38 |
$6,362.75 |
0.9× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,083 |
$8,166 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$5,391 |
$10,782 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,773.50 |
$7,547 |
1.9× |
| Cysto w/ureter stricture tx (52341) |
$2,699.56 |
$5,399.12 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,646.50 |
$7,293 |
1.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,500.50 |
$7,001 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$6,093.67 |
$12,187.34 |
1.2× |
| Cysto/uretero w/lithotripsy (52356) |
$7,600.50 |
$15,201 |
1.5× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,975.83 |
$11,951.66 |
1.2× |
| Cystolithotomy (51050) |
$8,379.67 |
$16,759.34 |
1.6× |
| Cystometrogram w/vp (51728) |
$1,207.50 |
$2,415 |
1.8× |
| Cystometrogram W/Vp&Up (51729) |
$2,099 |
$4,198 |
3.1× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) |
$12,761 |
$25,522 |
1.4× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$6,569 |
$13,138 |
3.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$6,067.75 |
$12,135.50 |
3.0× |
| Cystouretero & or pyeloscope (52351) |
$1,655.57 |
$3,311.14 |
0.5× |
| Cystourethroscopy (52000) |
$1,406.16 |
$2,812.33 |
2.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$4,083 |
$8,166 |
1.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,128.67 |
$4,257.34 |
1.1× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$3,828 |
$7,656 |
5.7× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$5,437.62 |
$10,875.25 |
1.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,819.50 |
$5,639 |
1.4× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$4,083 |
$8,166 |
1.2× |
| Cystourethroscopy with biopsy (52204) |
$4,323 |
$8,646 |
2.2× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$7,927.79 |
$15,855.58 |
2.3× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,417 |
$4,834 |
1.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$7,855.50 |
$15,711 |
1.5× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,447.17 |
$4,894.33 |
1.2× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$2,417 |
$4,834 |
1.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$5,654.17 |
$11,308.33 |
1.1× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$4,406.67 |
$8,813.34 |
1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,341.50 |
$6,683 |
1.2× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$5,800.50 |
$11,601 |
0.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$983 |
$1,966 |
1.4× |
| Debride nail 1-5 (11720) |
$978.34 |
$1,956.66 |
17.3× |
| Debride nail 6 or more (11721) |
$183.25 |
$366.50 |
3.2× |
| Debride skin musc at fx site (11011) |
$859.50 |
$1,719 |
1.3× |
| Debride tissue/muscle (11043) |
$1,543.50 |
$3,087 |
2.2× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$1,132 |
$2,264 |
2.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$665.25 |
$1,330.50 |
3.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,732.50 |
$3,465 |
4.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,107.50 |
$6,215 |
2.0× |
| Declot vascular device (36593) |
$637.75 |
$1,275.50 |
2.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$5,285.50 |
$10,571 |
3.4× |
| Decompression Of Tibia Nerve (28035) |
$3,955.63 |
$7,911.25 |
2.1× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,404.50 |
$4,809 |
1.2× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$12,523 |
$25,046 |
6.3× |
| Dermabrasion segmental face (15781) |
$1,108 |
$2,216 |
1.6× |
| Dermabrasion superficial any site (15783) |
$965 |
$1,930 |
2.5× |
| Destroy cerv/thor facet jnt (64633) |
$3,084 |
$6,168 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,735.75 |
$7,471.50 |
2.0× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$3,382 |
$6,764 |
1.5× |
| Destruction anal lesion(s) (46924) |
$7,524 |
$15,048 |
2.8× |
| Destruction Benign Lesions 15/> (17111) |
$8,218.50 |
$16,437 |
42.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$1,532.58 |
$3,065.16 |
8.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,579 |
$5,158 |
3.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$566.50 |
$1,133 |
1.9× |
| Destruction Lesions Vulva Extensive (56515) |
$4,593.75 |
$9,187.50 |
2.3× |
| Destruction Lesions Vulva Simple (56501) |
$3,801 |
$7,602 |
1.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$355 |
$710 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$410 |
$820 |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$492.50 |
$985 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$840 |
$1,680 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$840 |
$1,680 |
1.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$418 |
$836 |
2.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$347.50 |
$695 |
1.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$380.50 |
$761 |
2.0× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$466.50 |
$933 |
1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$1,709.96 |
$3,419.92 |
8.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$299.50 |
$599 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$326 |
$652 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$371.50 |
$743 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$466.50 |
$933 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$493 |
$986 |
1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$229 |
$458 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,805 |
$7,610 |
2.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$3,248.75 |
$6,497.50 |
1.6× |
| Destruction of lesion, conjunctiva (68135) |
$882.75 |
$1,765.50 |
0.4× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$2,068.83 |
$4,137.66 |
3.9× |
| Destruction of skin lesions (17106) |
$690.50 |
$1,381 |
1.8× |
| Destruction Premalignant Lesion 15/> (17004) |
$466.50 |
$933 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$551.82 |
$1,103.62 |
2.9× |
| Destruction Vaginal Lesions Simple (57061) |
$7,140.25 |
$14,280.50 |
2.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,457.50 |
$2,915 |
2.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,465.92 |
$2,931.83 |
1.6× |
| Dil urethra,female,subsequent (53661) |
$224.50 |
$449 |
1.8× |
| Dilate Urethra Stricture (53620) |
$798 |
$1,596 |
1.2× |
| Dilate urethra stricture (53621) |
$288.50 |
$577 |
1.2× |
| Dilate urethra stricture (53600) |
$490 |
$980 |
2.0× |
| Dilation and curettage (58120) |
$3,780 |
$7,560 |
1.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,216.25 |
$2,432.50 |
1.4× |
| Dilation Nasolacrimal Duct (68801) |
$1,695.75 |
$3,391.50 |
4.0× |
| Dilation of cervical canal (57800) |
$3,731.25 |
$7,462.50 |
1.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$291.50 |
$583 |
2.4× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$224.50 |
$449 |
1.8× |
| Drain lower leg bursa (27604) |
$3,955 |
$7,910 |
1.3× |
| Drain Spinal Cord Cyst (62268) |
$1,181 |
$2,362 |
1.4× |
| Drain/inj small joint/bursa w/us (20604) |
$305.75 |
$611.50 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$821.50 |
$1,643 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,773.50 |
$3,547 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$742 |
$1,484 |
3.9× |
| Drainage of eye (65800) |
$5,265 |
$10,530 |
2.4× |
| Drainage of gum lesion (41800) |
$154.75 |
$309.50 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$3,137.75 |
$6,275.50 |
2.0× |
| Drainage of hydrocele (55000) |
$1,315.50 |
$2,631 |
1.9× |
| Drainage of scrotal wall abscess (55100) |
$3,258 |
$6,516 |
2.1× |
| Drainage tendon sheath digit&/palm each (26020) |
$5,000 |
$10,000 |
1.6× |
| Draw blood off venous device (36591) |
$250.75 |
$501.50 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$466.50 |
$933 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$317.75 |
$635.50 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$388.50 |
$777 |
2.0× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$874 |
$1,748 |
1.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,404.50 |
$4,809 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$2,927 |
$5,854 |
1.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$744.50 |
$1,489 |
1.9× |
| Dstrj Lesion Penis Simple Laser (54057) |
$7,955 |
$15,910 |
4.0× |
| Dstrj lesion penis simple surg excision (54060) |
$2,404.50 |
$4,809 |
1.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$573 |
$1,146 |
1.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,427 |
$4,854 |
2.9× |
| Dx bone marrow bx & aspir (38222) |
$5,029 |
$10,058 |
1.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,097.25 |
$4,194.50 |
1.2× |
| Dx laryngoscopy w/oper scope (31526) |
$4,093 |
$8,186 |
2.4× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$721.38 |
$1,442.75 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,716 |
$5,432 |
1.5× |
| Egd band ligation esophgeal/gastric varices (43244) |
$951.75 |
$1,903.50 |
0.5× |
| Egd control bleeding any (43255) |
$1,256.12 |
$2,512.25 |
0.7× |
| Egd dilate stricture (43245) |
$1,391.51 |
$2,783.02 |
0.8× |
| Egd endoscopic stent place (43266) |
$6,484.50 |
$12,969 |
1.1× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,510 |
$3,020 |
0.8× |
| Egd flexible foreign body removal (43247) |
$992.38 |
$1,984.75 |
1.1× |
| Egd guide wire insertion (43248) |
$569.10 |
$1,138.18 |
0.7× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,743.50 |
$7,487 |
2.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,019.50 |
$6,039 |
1.6× |
| Egd place gastrostomy tube (43246) |
$3,373 |
$6,746 |
1.8× |
| Egd remove lesion snare (43251) |
$2,086.50 |
$4,173 |
1.1× |
| Egd tube/cath insertion (43241) |
$2,222.50 |
$4,445 |
1.2× |
| Egd us exam duodenum/jejunum (43259) |
$5,983.75 |
$11,967.50 |
3.3× |
| Egd us transmural injxn/mark (43253) |
$3,366 |
$6,732 |
1.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$222 |
$444 |
0.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$629 |
$1,258 |
2.1× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$355.50 |
$711 |
1.2× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$849.50 |
$1,699 |
1.2× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$10,377 |
$20,754 |
1.9× |
| EMG anal/urethral sphincter (51785) |
$288.50 |
$577 |
1.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$377 |
$754 |
3.1× |
| Endocervical Curettage (57505) |
$1,611.50 |
$3,223 |
1.8× |
| Endometrial Biopsy (58100) |
$2,430.66 |
$4,861.33 |
12.5× |
| Endoscopic plantar fasciotomy (29893) |
$7,955 |
$15,910 |
2.5× |
| Endoscopic us exam esoph (43237) |
$2,557.50 |
$5,115 |
1.4× |
| Endoven ther chem adhes 1st (36482) |
$7,278 |
$14,556 |
1.4× |
| Endovenous laser, 1st vein (36478) |
$2,669.50 |
$5,339 |
0.9× |
| Endovenous rf 1st vein (36475) |
$2,865 |
$5,730 |
0.9× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$3,403.50 |
$6,807 |
1.7× |
| Epididymectomy unilateral (54860) |
$7,207.34 |
$14,414.67 |
2.1× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,404.50 |
$4,809 |
1.2× |
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure |
$2,441.50 |
$4,883 |
0.4× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,176.75 |
$6,353.50 |
0.9× |
| Ercp ea duct/ampulla dilate (43277) |
$2,557.08 |
$5,114.17 |
0.7× |
| Ercp lithotripsy calculi (43265) |
$4,380.34 |
$8,760.67 |
0.8× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,033.67 |
$2,067.33 |
0.3× |
| Ercp remove forgn body duct (43275) |
$2,458.50 |
$4,917 |
1.3× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$1,422 |
$2,844 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,578.38 |
$3,156.75 |
0.4× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,067.34 |
$4,134.67 |
0.6× |
| Escharotomy initial incision (16035) |
$466.50 |
$933 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$898.62 |
$1,797.25 |
1.0× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,618 |
$3,236 |
1.9× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$118 |
$236 |
0.1× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$10,296 |
$20,592 |
5.6× |
| Esophagoscopy rigid trnso dx (43191) |
$1,237.50 |
$2,475 |
0.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,222.50 |
$4,445 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$155.50 |
$311 |
1.2× |
| Evisceration of ocular contents; with implant Facility (65093) |
$12,259 |
$24,518 |
3.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$9,832.75 |
$19,665.50 |
6.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,057 |
$8,114 |
2.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,123.34 |
$8,246.67 |
2.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,630.50 |
$5,261 |
3.9× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,903.50 |
$3,807 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,562.75 |
$9,125.50 |
2.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,771 |
$7,542 |
2.4× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$2,952 |
$5,904 |
4.3× |
| Exc back les sc < 3 cm (21930) |
$3,982.25 |
$7,964.50 |
2.5× |
| Exc back tum deep < 5 cm (21932) |
$5,779 |
$11,558 |
2.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,844 |
$5,688 |
4.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,759.75 |
$7,519.50 |
2.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,903.50 |
$3,807 |
1.2× |
| Exc ganglion wrist recurrent (25112) |
$5,799.50 |
$11,599 |
3.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,867.50 |
$3,735 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,964 |
$3,928 |
1.3× |
| Exc neck tum deep < 5 cm (21556) |
$6,699 |
$13,398 |
2.4× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$5,020 |
$10,040 |
2.7× |
| Exc skin abd (15830) |
$18,491.50 |
$36,983 |
2.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,384.67 |
$2,769.33 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$720 |
$1,440 |
1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$4,272.34 |
$8,544.67 |
6.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$3,138.50 |
$6,277 |
2.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,117.92 |
$8,235.84 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,611.88 |
$7,223.75 |
2.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$7,138.25 |
$14,276.50 |
2.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,530.34 |
$7,060.67 |
2.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$11,196.50 |
$22,393 |
4.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,735 |
$7,470 |
2.4× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$7,746 |
$15,492 |
4.9× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,018.58 |
$6,037.17 |
1.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,651.25 |
$11,302.50 |
2.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,570.50 |
$9,141 |
1.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$10,040 |
$20,080 |
3.6× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$6,442 |
$12,884 |
4.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,734.88 |
$5,469.75 |
1.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$4,049.30 |
$8,098.58 |
1.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$7,727 |
$15,454 |
2.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,257.50 |
$8,515 |
1.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$10,040 |
$20,080 |
3.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,141.92 |
$6,283.84 |
2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$7,214 |
$14,428 |
2.6× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$7,855.50 |
$15,711 |
2.8× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$5,090.50 |
$10,181 |
3.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$4,543.75 |
$9,087.50 |
2.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,179.34 |
$12,358.67 |
2.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,310.08 |
$8,620.17 |
2.7× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$11,961 |
$23,922 |
4.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,338.50 |
$6,677 |
1.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$6,185 |
$12,370 |
2.2× |
| Exchange intraocular lens (66986) |
$4,861.50 |
$9,723 |
2.2× |
| Exchange nephrostomy cath (50435) |
$3,690.50 |
$7,381 |
1.8× |
| Excise cutaneous neurofibroma (64788) |
$4,014.50 |
$8,029 |
2.1× |
| Excise Inferior Turbinate (30130) |
$11,710.50 |
$23,421 |
3.7× |
| Excise lesion testis (54512) |
$2,475.75 |
$4,951.50 |
0.7× |
| Excise Wrist Tendon Sheath (25118) |
$4,514.50 |
$9,029 |
2.9× |
| Excision Breast Lesion (19125) |
$10,719 |
$21,438 |
2.9× |
| Excision Chalazion Single (67800) |
$2,664 |
$5,328 |
8.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$8,369.50 |
$16,739 |
2.7× |
| Excision H/P/P/U Complex Repair (11471) |
$3,341.50 |
$6,683 |
1.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$4,589.08 |
$9,178.17 |
1.6× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$7,855.50 |
$15,711 |
2.8× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$8,096.50 |
$16,193 |
2.9× |
| Excision hydrocele bilateral (55041) |
$12,242 |
$24,484 |
3.6× |
| Excision interdigital morton neuroma single each (28080) |
$4,890.38 |
$9,780.75 |
3.2× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$2,503 |
$5,006 |
2.6× |
| Excision lesion mouth roof (42104) |
$3,827.50 |
$7,655 |
1.2× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$8,112.50 |
$16,225 |
5.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$5,280.42 |
$10,560.84 |
3.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,770.88 |
$3,541.75 |
2.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,323 |
$2,646 |
1.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$765 |
$1,530 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,315.50 |
$2,631 |
1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,459.50 |
$2,919 |
2.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,928.31 |
$5,856.62 |
4.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,419 |
$2,838 |
2.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,659.50 |
$3,319 |
2.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,931.75 |
$3,863.50 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$4,041.67 |
$8,083.34 |
2.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,260.25 |
$2,520.50 |
1.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,579.75 |
$3,159.50 |
2.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,352.34 |
$4,704.67 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,903.50 |
$3,807 |
1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,028.50 |
$10,057 |
1.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,116.58 |
$4,233.17 |
3.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$3,501.25 |
$7,002.50 |
5.2× |
| Excision of chalazion; multiple, different lids (67805) |
$2,784 |
$5,568 |
9.1× |
| Excision of chalazion; multiple, same lid (67801) |
$3,712.50 |
$7,425 |
3.9× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$3,481.50 |
$6,963 |
1.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,330.92 |
$6,661.83 |
2.2× |
| Excision of hydrocele unilateral (55040) |
$4,551.67 |
$9,103.34 |
1.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,607.75 |
$3,215.50 |
1.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$3,874.33 |
$7,748.66 |
1.1× |
| Excision of lesion of tongue without closure (41110) |
$3,827.50 |
$7,655 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,812 |
$5,624 |
1.8× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$3,422.25 |
$6,844.50 |
1.5× |
| Excision of local lesion of epididymis (54830) |
$9,397.50 |
$18,795 |
2.8× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$4,983.63 |
$9,967.25 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,819.25 |
$13,638.50 |
2.4× |
| Excision of single external papilla or tag, anus (46220) |
$1,430.50 |
$2,861 |
1.2× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$11,036.67 |
$22,073.34 |
5.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,543.50 |
$5,087 |
2.2× |
| Excision of tongue lesion (41112) |
$1,816 |
$3,632 |
0.6× |
| Excision of vaginal cyst or tumor (57135) |
$4,987.50 |
$9,975 |
1.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$12,610 |
$25,220 |
3.7× |
| Excision olecranon bursa (24105) |
$6,249.25 |
$12,498.50 |
2.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$7,551.50 |
$15,103 |
2.4× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft… (24125) |
$19,035 |
$38,070 |
6.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$11,872 |
$23,744 |
3.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,928 |
$7,856 |
1.4× |
| Excision prepatellar bursa (27340) |
$5,803 |
$11,606 |
1.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,341.50 |
$6,683 |
1.2× |
| Excision tendon finger flexor/extensor each (26180) |
$1,867.50 |
$3,735 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,512.58 |
$11,025.16 |
3.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$5,084.50 |
$10,169 |
1.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,501.75 |
$5,003.50 |
1.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$6,808.38 |
$13,616.76 |
4.3× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$4,172.75 |
$8,345.50 |
2.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,534.69 |
$5,069.38 |
1.6× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$1,650.17 |
$3,300.33 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,184.75 |
$8,369.50 |
1.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$6,305 |
$12,610 |
4.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,448.25 |
$8,896.50 |
2.8× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$5,498 |
$10,996 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$7,727 |
$15,454 |
2.8× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$6,313.50 |
$12,627 |
2.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,984 |
$9,968 |
1.8× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$6,100.67 |
$12,201.34 |
1.9× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,263.25 |
$6,526.50 |
1.0× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$8,448.50 |
$16,897 |
2.7× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$3,936.25 |
$7,872.50 |
1.7× |
| Excision; trochanteric bursa or calcification (27062) |
$7,322.25 |
$14,644.50 |
2.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,405 |
$4,810 |
1.2× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$8,486.67 |
$16,973.33 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$5,414 |
$10,828 |
3.4× |
| Exploration of knee joint (27310) |
$5,237 |
$10,474 |
1.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,904 |
$3,808 |
1.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$10,415.50 |
$20,831 |
3.3× |
| Explore Parathyroid Glands (60500) |
$11,003.75 |
$22,007.50 |
1.9× |
| External cephalic version (59412) |
$3,464.75 |
$6,929.50 |
1.1× |
| Eye surgery procedure (66999) |
$1,351.50 |
$2,703 |
0.6× |
| Fasciectomy Palm Only (26121) |
$8,112.50 |
$16,225 |
2.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,955.63 |
$7,911.25 |
1.3× |
| Fasciotomy palmar open partial (26045) |
$4,643 |
$9,286 |
1.5× |
| Fasciotomy palmar percutaneous (26040) |
$6,699 |
$13,398 |
4.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$12,443.50 |
$24,887 |
4.0× |
| Fetal contraction stress test (59020) |
$364.50 |
$729 |
1.9× |
| Fetal non-stress test (59025) |
$344.50 |
$689 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,273 |
$2,546 |
1.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,653 |
$3,306 |
2.4× |
| Fine needle aspiration without imaging guidance (10021) |
$792 |
$1,584 |
2.0× |
| Fit/Insert Intravag Support Device (57160) |
$465.50 |
$931 |
2.4× |
| Fix Entropion,Extensv Lid Repair (67924) |
$10,315.67 |
$20,631.34 |
4.5× |
| Fixation contralateral testis separate procedure (54620) |
$13,928 |
$27,856 |
4.1× |
| Fixation of shoulder (23700) |
$9,428 |
$18,856 |
6.1× |
| Fluid pressure muscle (20950) |
$1,027.50 |
$2,055 |
1.5× |
| Fluoro exam of g/colon tube (49465) |
$332.50 |
$665 |
1.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,279 |
$2,558 |
1.9× |
| Follow-up surgery of eye (66250) |
$3,095.34 |
$6,190.66 |
1.4× |
| Forearm or wrist surgery (25999) |
$5,577.12 |
$11,154.25 |
23.6× |
| Foreskin manipulation (54450) |
$544.50 |
$1,089 |
2.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$6,678.42 |
$13,356.84 |
3.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$5,256.62 |
$10,513.25 |
2.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,404.50 |
$4,809 |
1.2× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,404.50 |
$4,809 |
1.2× |
| Fusion of knuckle (26850) |
$12,150 |
$24,300 |
1.7× |
| Gastrocnemius recession (27687) |
$7,265.33 |
$14,530.66 |
2.3× |
| Glaucoma surgery (66170) |
$11,582 |
$23,164 |
5.2× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,404.50 |
$4,809 |
1.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,216.75 |
$6,433.50 |
0.9× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$4,760.17 |
$9,520.33 |
1.4× |
| Gstr rstcv px trnsorl esg (43889) |
$10,522 |
$21,044 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$729.50 |
$1,459 |
1.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$9,012 |
$18,024 |
2.9× |
| Hemorrhoidectomy (46255) |
$7,464.34 |
$14,928.67 |
2.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$14,280.50 |
$28,561 |
5.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,431 |
$6,862 |
1.3× |
| Hysteroscopy biopsy (58558) |
$4,683.75 |
$9,367.50 |
1.5× |
| Hysteroscopy removal leiomyomata (58561) |
$7,313 |
$14,626 |
1.5× |
| Hysteroscopy w endometrial ablation (58563) |
$8,112.50 |
$16,225 |
1.7× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$4,241.63 |
$8,483.25 |
1.4× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$2,325 |
$4,650 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$680 |
$1,360 |
3.0× |
| I&d abscess simple (10060) |
$469 |
$938 |
2.4× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$6,570.50 |
$13,141 |
4.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,608 |
$7,216 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,858.50 |
$9,717 |
1.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,417 |
$4,834 |
1.2× |
| I&d forearm/wrist bursa (25031) |
$1,963.50 |
$3,927 |
1.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,303 |
$6,606 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$586.25 |
$1,172.50 |
0.9× |
| I&d shoulder deep abscess/hematoma (23030) |
$5,735.25 |
$11,470.50 |
2.1× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,903.50 |
$3,807 |
1.2× |
| I&d vulva/perineal abscess (56405) |
$353 |
$706 |
1.2× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,963 |
$3,926 |
2.3× |
| Image Cath Fluid Colxn Visc (49405) |
$1,696 |
$3,392 |
1.1× |
| Image Cath Fluid Peri/Retro (49406) |
$11,823 |
$23,646 |
7.5× |
| Implant neuroelectrodes (63650) |
$3,174.25 |
$6,348.50 |
0.5× |
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350)
unusually low: confirm this is the full procedure |
$3,348.42 |
$6,696.83 |
0.4× |
| Incise external hemorrhoid (46083) |
$298 |
$596 |
1.2× |
| Incise finger tendon sheath (26055) |
$3,343.83 |
$6,687.66 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$573.25 |
$1,146.50 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,501 |
$11,002 |
2.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$840.25 |
$1,680.50 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,395.75 |
$6,791.50 |
2.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$713.50 |
$1,427 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$217.25 |
$434.50 |
1.1× |
| Incision and drainage perianal abscess superficial (46050) |
$1,802 |
$3,604 |
2.0× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$4,358.50 |
$8,717 |
1.6× |
| Incision extensor tendon sheath wrist (25000) |
$4,218.08 |
$8,436.16 |
2.7× |
| Incision of eardrum (69421) |
$3,827.50 |
$7,655 |
1.2× |
| Incision of eardrum (69420) |
$647.50 |
$1,295 |
2.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,683.66 |
$3,367.33 |
1.1× |
| Incision of rectal abscess (46040) |
$3,294.25 |
$6,588.50 |
2.9× |
| Incision of urethra (53020) |
$2,400.56 |
$4,801.12 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$686.50 |
$1,373 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$474.50 |
$949 |
2.5× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$351.50 |
$703 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,675.25 |
$7,350.50 |
4.3× |
| Inj tendon sheath/ligament (20550) |
$1,201 |
$2,402 |
4.1× |
| Inj therapeutic carpal tunnel (20526) |
$1,093.50 |
$2,187 |
3.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,926.25 |
$3,852.50 |
2.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,837 |
$3,674 |
2.2× |
| Inject Intravitreal Pharmcologic (67028) |
$4,319.75 |
$8,639.50 |
13.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,890.50 |
$3,781 |
2.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,652.50 |
$5,305 |
3.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$3,567 |
$7,134 |
4.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,459 |
$2,918 |
2.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,107.25 |
$4,214.50 |
2.5× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,891 |
$3,782 |
2.2× |
| Inject Tendon Origin/Insert (20551) |
$615 |
$1,230 |
2.1× |
| Inject/treat eye socket (67500) |
$688 |
$1,376 |
2.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,469.25 |
$2,938.50 |
2.2× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,181 |
$2,362 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,476.50 |
$2,953 |
2.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,479.50 |
$2,959 |
2.2× |
| Injection aa&/strd pudendal nerve (64430) |
$1,459 |
$2,918 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$607.75 |
$1,215.50 |
2.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$774.75 |
$1,549.50 |
2.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,891 |
$3,782 |
2.2× |
| Injection anesthetic agent femoral nerve single (64447) |
$2,390.62 |
$4,781.25 |
3.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,459 |
$2,918 |
2.2× |
| Injection for identification of sentinel node (38792) |
$5,519.04 |
$11,038.08 |
14.4× |
| Injection into skin lesions (11900) |
$169.50 |
$339 |
0.9× |
| Injection peyronie disease (54200) |
$544 |
$1,088 |
2.3× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,071 |
$2,142 |
1.8× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$690.50 |
$1,381 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,218.50 |
$2,437 |
4.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$646.50 |
$1,293 |
2.2× |
| Injection(s) spider veins (36468) |
$725 |
$1,450 |
1.9× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$1,187.50 |
$2,375 |
1.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$229 |
$458 |
1.2× |
| Ins cath ren art 1st bilat (36252) |
$5,581.25 |
$11,162.50 |
1.8× |
| Ins cath ren art 1st unilat (36251) |
$5,581.25 |
$11,162.50 |
1.8× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,870 |
$5,740 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,039.50 |
$10,079 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$5,039.50 |
$10,079 |
0.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$5,362.50 |
$10,725 |
0.5× |
| Ins tun ip cath for dial opn (49421) |
$3,332.50 |
$6,665 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$468.50 |
$937 |
1.6× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$10,875 |
$21,750 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$347.50 |
$695 |
2.8× |
| Insert cath pleura w/ image (32557) |
$1,188 |
$2,376 |
0.8× |
| Insert cath pleura w/o image (32556) |
$2,222.50 |
$4,445 |
1.2× |
| Insert cervical dilator (59200) |
$588 |
$1,176 |
2.0× |
| Insert Drug Implant Device (11981) |
$287.50 |
$575 |
2.3× |
| Insert gastrostomy tube percutaneous (49440) |
$2,205.50 |
$4,411 |
1.2× |
| Insert heart pm atrial (33206) |
$5,362.50 |
$10,725 |
0.5× |
| Insert heart pm ventricular (33207) |
$5,175.50 |
$10,351 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$4,028.25 |
$8,056.50 |
1.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,870 |
$5,740 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$3,278.25 |
$6,556.50 |
2.2× |
| Insert pulse gen dual leads (33213) |
$5,363 |
$10,726 |
0.5× |
| Insert pulse gen sngl lead (33212) |
$5,915 |
$11,830 |
0.7× |
Insert spine infusion device (62360)
unusually low: confirm this is the full procedure |
$5,672.50 |
$11,345 |
0.3× |
| Insert subq implantable defib electrode (33271) |
$5,915 |
$11,830 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$250.50 |
$501 |
2.0× |
| Insert testicular prosthesis (54660) |
$10,554 |
$21,108 |
2.1× |
| Insert tun ip cath perc (49418) |
$3,332.50 |
$6,665 |
1.0× |
| Insert tunneled cv cath (36561) |
$4,563.58 |
$9,127.16 |
1.5× |
| Insert Tunneled Cv Cath With Pump (36563) |
$5,039.50 |
$10,079 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$309 |
$618 |
2.4× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$6,275.75 |
$12,551.50 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,135 |
$6,270 |
0.9× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Facility (66183) |
$1,620.50 |
$3,241 |
0.4× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$3,045.75 |
$6,091.50 |
1.4× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405)
unusually low: confirm this is the full procedure |
$9,263.34 |
$18,526.67 |
0.5× |
| Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) |
$8,406.67 |
$16,813.34 |
0.7× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$9,581.50 |
$19,163 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$15,591.25 |
$31,182.50 |
2.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$4,578 |
$9,156 |
1.0× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$4,032.50 |
$8,065 |
0.2× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$5,915 |
$11,830 |
0.7× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$5,915 |
$11,830 |
0.7× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$5,363 |
$10,726 |
0.5× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
unusually low: confirm this is the full procedure |
$8,489 |
$16,978 |
0.4× |
| Insj picc rs&i 5 yr+ (36573) |
$3,123 |
$6,246 |
2.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,745.75 |
$9,491.50 |
1.6× |
| Insj rx elut implt lac canal (68841) |
$2,777 |
$5,554 |
1.2× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$8,195 |
$16,390 |
0.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,870 |
$5,740 |
0.9× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,039.50 |
$10,079 |
0.9× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,870 |
$5,740 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,865 |
$5,730 |
0.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$15,688.34 |
$31,376.67 |
2.0× |
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure |
$11,117.67 |
$22,235.34 |
0.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,915 |
$11,830 |
0.7× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$5,915 |
$11,830 |
0.7× |
Insrt pulse gen w/dual leads (33230)
unusually low: confirm this is the full procedure |
$8,489 |
$16,978 |
0.4× |
Insrt pulse gen w/mult leads (33231)
unusually low: confirm this is the full procedure |
$11,268 |
$22,536 |
0.4× |
Insrt/redo spine n generator (63685)
unusually low: confirm this is the full procedure |
$10,604.34 |
$21,208.67 |
0.4× |
| Intro cath dialysis circuit (36901) |
$2,689.25 |
$5,378.50 |
1.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$19,213 |
$38,426 |
1.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$9,481.25 |
$18,962.50 |
1.7× |
| Intro Gastrointestinal Tube (44500) |
$1,695.50 |
$3,391 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$283.75 |
$567.50 |
1.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$455 |
$910 |
1.9× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$3,151.34 |
$6,302.67 |
0.8× |
| Knee Arthroscopy/Surgery (29874) |
$6,699 |
$13,398 |
2.1× |
| Knee Arthroscopy/Surgery (29879) |
$5,303.34 |
$10,606.67 |
1.7× |
| Labyrinthotomy Transcanal (69801) |
$2,790 |
$5,580 |
1.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$20,867 |
$41,734 |
3.0× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655)
likely a partial charge, not the full procedure |
$5,237 |
$10,474 |
0.3× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$15,775.76 |
$31,551.52 |
2.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,472.85 |
$18,945.70 |
1.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$18,700.34 |
$37,400.67 |
2.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$14,411 |
$28,822 |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$19,656.50 |
$39,313 |
2.8× |
| Lap ing hernia repair init (49650) |
$16,282.25 |
$32,564.50 |
2.8× |
| Lap insert tunnel ip cath (49324) |
$7,820.50 |
$15,641 |
1.3× |
| Lap revision perm ip cath (49325) |
$7,727 |
$15,454 |
1.3× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$10,040 |
$20,080 |
1.7× |
| Laparoscopy appendectomy (44970) |
$9,434.50 |
$18,869 |
1.6× |
| Laparoscopy biopsy (49321) |
$5,142.46 |
$10,284.92 |
0.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$42,206.50 |
$84,413 |
4.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$14,732.54 |
$29,465.08 |
1.4× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$8,224 |
$16,448 |
1.4× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$16,288.34 |
$32,576.67 |
1.6× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$30,978.34 |
$61,956.67 |
3.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$11,445 |
$22,890 |
2.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$35,789 |
$71,578 |
3.5× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$8,618 |
$17,236 |
1.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$23,827 |
$47,654 |
2.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$15,621.50 |
$31,243 |
2.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$32,703 |
$65,406 |
3.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$19,856 |
$39,712 |
1.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,795.42 |
$21,590.83 |
1.9× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$13,584.50 |
$27,169 |
2.3× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$15,419.75 |
$30,839.50 |
1.5× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$15,115.75 |
$30,231.50 |
1.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$25,172.75 |
$50,345.50 |
4.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$7,805.17 |
$15,610.33 |
0.8× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$5,484.58 |
$10,969.16 |
0.9× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,712.25 |
$13,424.50 |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$9,054.88 |
$18,109.76 |
1.6× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$8,498 |
$16,996 |
1.5× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,394.92 |
$2,789.83 |
0.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$2,844 |
$5,688 |
0.8× |
Laryngoplasty, medialization, unilateral Facility (31591)
unusually low: confirm this is the full procedure |
$2,153 |
$4,306 |
0.4× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$1,076.50 |
$2,153 |
0.3× |
| Laryngoscopy diagnostic (31505) |
$242.50 |
$485 |
1.3× |
| Laryngoscopy Direct Aspiration (31515) |
$447 |
$894 |
1.2× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$470 |
$940 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$249 |
$498 |
1.3× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,075.75 |
$4,151.50 |
1.2× |
| Laryngoscopy w/biopsy (31535) |
$2,664.75 |
$5,329.50 |
0.7× |
| Laryngoscopy w/bx op scope (31536) |
$2,475 |
$4,950 |
0.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,022.50 |
$4,045 |
1.2× |
| Larynscop w/tumr exc + scope (31541) |
$4,386 |
$8,772 |
1.2× |
| Laser treatment of retina (67040) |
$6,204 |
$12,408 |
1.6× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$13,205.58 |
$26,411.17 |
2.6× |
| Late closure of wound (13160) |
$4,117.50 |
$8,235 |
1.2× |
| Lateral canthopexy (21282) |
$12,045.67 |
$24,091.34 |
3.8× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$10,618.25 |
$21,236.50 |
3.5× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$14,747.25 |
$29,494.50 |
2.1× |
| Ligation of a-v fistula (37607) |
$4,203.92 |
$8,407.83 |
1.4× |
| Ligation of hemorrhoid(s) (46221) |
$1,303.50 |
$2,607 |
1.5× |
| Ligation Of Neck Artery (37615) |
$5,671 |
$11,342 |
1.9× |
| Ligation or biopsy temporal artery (37609) |
$6,216.75 |
$12,433.50 |
3.9× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,281 |
$6,562 |
1.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$9,035.50 |
$18,071 |
2.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,064.75 |
$6,129.50 |
0.9× |
| Lithotripsy (50590) |
$8,584.25 |
$17,168.50 |
2.5× |
| Liver Biopsy (47000) |
$2,917.50 |
$5,835 |
1.8× |
| Lyse chest fibrin init day (32561) |
$748 |
$1,496 |
1.2× |
| Lyse Chest Fibrin Subq Day (32562) |
$748 |
$1,496 |
1.2× |
| Lysis of labial adhesions (56441) |
$3,780 |
$7,560 |
1.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,851.25 |
$7,702.50 |
1.9× |
| Manipulat Palm Cord Post Inj (26341) |
$286.50 |
$573 |
1.2× |
| Manipulation knee joint under general anesthesia (27570) |
$2,326.50 |
$4,653 |
1.5× |
| Marsupialization Bartholins Gland Cyst (56440) |
$7,984 |
$15,968 |
2.6× |
| Mast mod rad (19307) |
$14,815.26 |
$29,630.51 |
2.3× |
| Mastectomy for gynecomastia (19300) |
$14,149.83 |
$28,299.66 |
3.8× |
| Mastectomy partial (19301) |
$8,024.92 |
$16,049.83 |
2.1× |
| Mastectomy simple complete (19303) |
$6,302.17 |
$12,604.33 |
1.0× |
| Mastopexy (19316) |
$19,187.50 |
$38,375 |
3.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,668.50 |
$5,337 |
1.8× |
| Mech remov tunneled cv cath (36595) |
$2,870 |
$5,740 |
0.9× |
| Mediastinoscpy w/lmph nod bx (39402) |
$6,179.34 |
$12,358.67 |
1.1× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,315.50 |
$2,631 |
1.9× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,227.50 |
$2,455 |
1.7× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$1,559 |
$3,118 |
0.7× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$19,072.16 |
$38,144.33 |
9.6× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$6,163.83 |
$12,327.66 |
0.9× |
| Myelography Lumbar Injection (62305) |
$434.25 |
$868.50 |
0.6× |
| Myelography Lumbar Injection (62304) |
$2,210.50 |
$4,421 |
2.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,210.50 |
$4,421 |
2.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,210.50 |
$4,421 |
2.9× |
| Myringoplasty (69620) |
$5,385 |
$10,770 |
1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,376 |
$2,752 |
2.0× |
| N Block Inj, Plantar Digit (64455) |
$336.75 |
$673.50 |
1.1× |
| Nasal endoscopy dx (31231) |
$442 |
$884 |
2.3× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure |
$3,132.50 |
$6,265 |
0.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$2,424.33 |
$4,848.66 |
0.7× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$5,610.38 |
$11,220.76 |
0.8× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
unusually low: confirm this is the full procedure |
$2,560.38 |
$5,120.75 |
0.4× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,028.13 |
$4,056.25 |
1.2× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$6,290.58 |
$12,581.17 |
1.8× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
likely a partial charge, not the full procedure |
$1,095.08 |
$2,190.16 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,905.92 |
$3,811.83 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,379.17 |
$6,758.34 |
2.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$6,121.21 |
$12,242.42 |
0.9× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$8,018.62 |
$16,037.25 |
1.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$4,926.75 |
$9,853.50 |
0.7× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$14,276.50 |
$28,553 |
2.1× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$4,506 |
$9,012 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$463.50 |
$927 |
1.1× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$3,638 |
$7,276 |
1.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$7,388.08 |
$14,776.16 |
4.8× |
| Needle biopsy of pancreas (48102) |
$3,023 |
$6,046 |
1.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28 |
$56 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$40.50 |
$81 |
1.5× |
| Neurectomy Popliteal (27326) |
$7,216 |
$14,432 |
3.9× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$8,369.50 |
$16,739 |
4.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$4,771.50 |
$9,543 |
2.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$10,037 |
$20,074 |
5.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$679.25 |
$1,358.50 |
1.6× |
| Njx aa&/strd sciatic nerve (64445) |
$1,459 |
$2,918 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,961.50 |
$3,923 |
2.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$581.25 |
$1,162.50 |
2.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,336 |
$6,672 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,332.50 |
$6,665 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,568 |
$7,136 |
4.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,479.50 |
$2,959 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$530.25 |
$1,060.50 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,016.50 |
$2,033 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$973.50 |
$1,947 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,479.50 |
$2,959 |
2.2× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$3,403.50 |
$6,807 |
1.7× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$3,403.50 |
$6,807 |
1.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$779.25 |
$1,558.50 |
1.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$690.50 |
$1,381 |
1.8× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$1,871.08 |
$3,742.16 |
0.3× |
| Obstructive material removal from gi tube (49460) |
$1,470 |
$2,940 |
1.7× |
| Occipital Nerve Block (64405) |
$612 |
$1,224 |
2.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,185 |
$12,370 |
1.6× |
Open bone biopsy (20251)
unusually low: confirm this is the full procedure |
$2,696.50 |
$5,393 |
0.4× |
| Open thrombect av fistula (36831) |
$5,039.50 |
$10,079 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$17,773.50 |
$35,547 |
2.6× |
| Open treatment calcaneal fracture (28415) |
$16,284.25 |
$32,568.50 |
2.3× |
| Open treatment fracture distal tibia only (27827) |
$9,487.25 |
$18,974.50 |
0.8× |
| Open treatment greater trochanteric fracture (27248) |
$6,304.83 |
$12,609.66 |
0.9× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,826.50 |
$11,653 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$12,969.84 |
$25,939.66 |
1.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$11,889.50 |
$23,779 |
1.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$14,545.50 |
$29,091 |
2.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$10,899 |
$21,798 |
1.6× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$15,545.67 |
$31,091.33 |
1.3× |
| Open Treatment Proximal Humeral Fracture (23615) |
$17,109.50 |
$34,219 |
1.4× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$7,955 |
$15,910 |
2.5× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$12,656 |
$25,312 |
4.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$5,072.67 |
$10,145.33 |
0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,953.42 |
$11,906.83 |
0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,389.75 |
$10,779.50 |
1.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,925.34 |
$11,850.67 |
0.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$11,317.50 |
$22,635 |
0.9× |
| Open tx interphalangeal joint dislocation (26785) |
$8,867.58 |
$17,735.16 |
2.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,799.50 |
$7,599 |
1.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$7,721.34 |
$15,442.67 |
2.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$13,286.92 |
$26,573.84 |
1.9× |
| Open tx ulnar fx proximal end (24685) |
$17,066 |
$34,132 |
2.5× |
| Open/Perq Place Stent Same (37238) |
$19,214.50 |
$38,429 |
1.7× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$18,520 |
$37,040 |
1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,610 |
$13,220 |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,820.50 |
$15,641 |
1.1× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,215.25 |
$14,430.50 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$12,610 |
$25,220 |
3.7× |
| Ostectomy calcaneus (28118) |
$8,116.19 |
$16,232.38 |
2.6× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,799.50 |
$7,599 |
1.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$12,096 |
$24,192 |
3.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$5,494 |
$10,988 |
1.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$7,207.34 |
$14,414.67 |
2.3× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$5,803 |
$11,606 |
1.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$5,213.67 |
$10,427.34 |
1.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,916.21 |
$5,832.42 |
1.9× |
| Partial excision of lip (40520) |
$14,666 |
$29,332 |
4.6× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$8,064 |
$16,128 |
1.2× |
| Partial hymenectomy or revision (56700) |
$3,780 |
$7,560 |
1.2× |
| Partial removal of hand bone (26230) |
$3,050.33 |
$6,100.66 |
1.0× |
| Partial removal of thyroid (60220) |
$12,353 |
$24,706 |
2.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,845 |
$9,690 |
1.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,553 |
$7,106 |
1.1× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$7,644 |
$15,288 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$819.50 |
$1,639 |
1.2× |
| Percut Mech Thrombectomy, Venous (37187) |
$20,297.25 |
$40,594.50 |
1.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,870 |
$5,740 |
0.9× |
| Percutaneous diskectomy (62287) |
$1,825.25 |
$3,650.50 |
1.0× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$6,513.84 |
$13,027.67 |
2.1× |
| Pericardiocentesis W/Imaging (33016) |
$2,000.75 |
$4,001.50 |
1.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$6,295.25 |
$12,590.50 |
2.0× |
| Peritoneal Lavage (49084) |
$1,054.50 |
$2,109 |
1.2× |
| Perq dev breast 1st strtctc (19283) |
$3,288.50 |
$6,577 |
4.8× |
| Perq dev breast 1st us imag (19285) |
$750 |
$1,500 |
1.1× |
| Perq device breast 1st imag (19281) |
$1,696 |
$3,392 |
1.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,941.83 |
$9,883.66 |
1.5× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,706.83 |
$9,413.66 |
1.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$570 |
$1,140 |
2.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$991.50 |
$1,983 |
1.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$6,946.25 |
$13,892.50 |
2.2× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$30,817.50 |
$61,635 |
1.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$20,108.50 |
$40,217 |
1.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,289.25 |
$8,578.50 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,596.75 |
$11,193.50 |
0.8× |
| Perq Vertebral Augmentation (22513) |
$8,222.75 |
$16,445.50 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,192.50 |
$8,385 |
1.3× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$4,192.50 |
$8,385 |
1.3× |
| Phleb veins - extrem 20+ (37766) |
$9,631.50 |
$19,263 |
3.2× |
| Picc line placement (36569) |
$3,278.50 |
$6,557 |
2.2× |
| Pin hand dislocation (26676) |
$3,256.92 |
$6,513.83 |
1.0× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$2,477.88 |
$4,955.75 |
0.7× |
| Place Cath Subclavian Art (36225) |
$2,870 |
$5,740 |
0.9× |
| Place Cath Thoracic Aorta (36221) |
$2,870 |
$5,740 |
0.9× |
| Place Cath Vertebral Art (36226) |
$5,039.50 |
$10,079 |
0.9× |
| Place duod/jej tube perc (49441) |
$2,398 |
$4,796 |
1.3× |
| Placement needle pelvic organ radioelement appl (55920) |
$4,578 |
$9,156 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$643.50 |
$1,287 |
1.5× |
| Placement of seton (46020) |
$2,490 |
$4,980 |
0.9× |
| Plastic operation on penis to correct angulation Facility (54360) |
$10,425.50 |
$20,851 |
3.1× |
| Plastic Repair Introitus (56800) |
$7,984 |
$15,968 |
2.6× |
| Plastic repair of canaliculi (68700) |
$659.50 |
$1,319 |
0.3× |
| Plmt Expandable Cath Brst Following Prtl Mast (19296) |
$7,397.50 |
$14,795 |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,556.08 |
$3,112.16 |
1.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,689.50 |
$7,379 |
1.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,584 |
$11,168 |
1.2× |
| Prim art mech thrombectomy (37184) |
$20,296.75 |
$40,593.50 |
1.2× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,918.33 |
$5,836.66 |
1.3× |
| Probe nl duct w/balloon (68816) |
$1,287 |
$2,574 |
0.6× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$1,806.75 |
$3,613.50 |
0.8× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$3,437 |
$6,874 |
6.5× |
| Prostate Saturation Sampling (55706) |
$4,349.63 |
$8,699.25 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$924 |
$1,848 |
1.4× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$3,712.25 |
$7,424.50 |
0.6× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$3,572 |
$7,144 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,332.50 |
$6,665 |
1.0× |
| Prq skel fixj metar fx w/manj (28476) |
$10,645 |
$21,290 |
3.4× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$5,265 |
$10,530 |
1.7× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,206.50 |
$12,413 |
0.9× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$7,148 |
$14,296 |
2.3× |
| Punch biopsy skin single lesion (11104) |
$466.50 |
$933 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,422.50 |
$2,845 |
2.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$807 |
$1,614 |
2.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,479.50 |
$2,959 |
2.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$896.50 |
$1,793 |
1.3× |
| Rad resect elbow caps/sr bone w rels (24149) |
$30,013 |
$60,026 |
4.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$21,219.50 |
$42,439 |
7.6× |
| Radical resection of tumor, femur or knee Facility (27365) |
$11,721 |
$23,442 |
3.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,033.50 |
$8,067 |
2.2× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$285 |
$570 |
0.4× |
| Re-explore parathyroids (60502) |
$3,086.83 |
$6,173.66 |
0.5× |
| Realignment extensor tendon hand each tendon (26437) |
$6,062.25 |
$12,124.50 |
1.9× |
| Reconstruct extra finger (26587) |
$13,604 |
$27,208 |
4.3× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$16,294 |
$32,588 |
2.3× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$7,230.50 |
$14,461 |
2.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$11,646.25 |
$23,292.50 |
1.7× |
| Release eye tissue (67343) |
$7,690.62 |
$15,381.25 |
3.4× |
| Release wrist/forearm tendon (25295) |
$5,880.12 |
$11,760.25 |
1.9× |
| Relieve inner eye pressure (65820) |
$2,613.34 |
$5,226.67 |
0.7× |
| Relocation of skin pocket for pacemaker (33222) |
$2,436.50 |
$4,873 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$5,475.50 |
$10,951 |
1.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$6,506.25 |
$13,012.50 |
2.3× |
| Removal foreign body foot deep (28192) |
$5,880.25 |
$11,760.50 |
3.7× |
| Removal foreign body foot subcutaneous (28190) |
$1,466.25 |
$2,932.50 |
2.2× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$7,855.50 |
$15,711 |
2.8× |
| Removal foreign body intranasal (30300) |
$177.25 |
$354.50 |
1.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,769.25 |
$3,538.50 |
1.1× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,334 |
$6,668 |
1.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,099.75 |
$6,199.50 |
1.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,972.50 |
$5,945 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$137.50 |
$275 |
2.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$459.16 |
$918.33 |
8.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,881.50 |
$7,763 |
1.2× |
| Removal implant deep (20680) |
$5,821.75 |
$11,643.50 |
2.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,007 |
$4,014 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,285 |
$2,570 |
1.9× |
| Removal Intact Mammary Implant (19328) |
$4,052 |
$8,104 |
1.1× |
| Removal of adenoids (42831) |
$5,153.60 |
$10,307.20 |
1.6× |
| Removal of adenoids (42830) |
$2,370 |
$4,740 |
0.7× |
| Removal of anal fissure (46200) |
$9,608.50 |
$19,217 |
3.6× |
| Removal of arm foreign body (24200) |
$1,903.75 |
$3,807.50 |
1.2× |
| Removal of breast capsule (19371) |
$14,534.67 |
$29,069.34 |
3.9× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,217 |
$2,434 |
1.3× |
| Removal of finger lesion (26210) |
$7,538.50 |
$15,077 |
4.9× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$368 |
$736 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$478.50 |
$957 |
1.1× |
| Removal of heel spur (28119) |
$7,911.25 |
$15,822.50 |
2.5× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$15,751.50 |
$31,503 |
1.3× |
| Removal of implant from finger or hand (26320) |
$1,898.50 |
$3,797 |
1.2× |
| Removal of implant material (19330) |
$8,517.38 |
$17,034.75 |
2.3× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$2,306 |
$4,612 |
1.0× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$5,303.34 |
$10,606.66 |
2.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$587 |
$1,174 |
1.0× |
| Removal of iris (66625) |
$2,257.50 |
$4,515 |
1.0× |
| Removal of iud (58301) |
$1,539.34 |
$3,078.66 |
5.3× |
| Removal of kidney stone (50081) |
$12,227.08 |
$24,454.17 |
1.3× |
| Removal of kidney stone (50080) |
$10,498.08 |
$20,996.17 |
1.2× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$9,386.42 |
$18,772.84 |
2.4× |
| Removal of nail bed (11750) |
$708.50 |
$1,417 |
1.8× |
| Removal of salivary stone (42330) |
$5,897.25 |
$11,794.50 |
1.9× |
| Removal of sesamoid bone (28315) |
$13,494.75 |
$26,989.50 |
4.3× |
| Removal Of Tendon Lesion (27630) |
$5,576.50 |
$11,153 |
1.8× |
| Removal of testis (54520) |
$12,288.75 |
$24,577.50 |
3.6× |
| Removal of thyroid (60271) |
$20,320 |
$40,640 |
3.6× |
| Removal of tonsils (42825) |
$6,056.50 |
$12,113 |
1.1× |
| Removal of tonsils (42826) |
$5,671 |
$11,342 |
1.8× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,752.83 |
$7,505.66 |
1.2× |
| Removal of wrist bone (25210) |
$6,009.38 |
$12,018.75 |
1.9× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,780 |
$7,560 |
1.2× |
| Removal ppm generator only (33233) |
$4,458.75 |
$8,917.50 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$615 |
$1,230 |
3.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,313.50 |
$2,627 |
1.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,871.25 |
$7,742.50 |
2.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$8,953.88 |
$17,907.75 |
5.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$328.50 |
$657 |
1.2× |
| Remove anal fist subq (46270) |
$6,022.50 |
$12,045 |
2.3× |
| Remove drug implant device (11982) |
$508 |
$1,016 |
1.2× |
| Remove ext hem groups 2+ (46250) |
$9,853.50 |
$19,707 |
3.7× |
| Remove foreign body from eye (65235) |
$3,033.75 |
$6,067.50 |
1.4× |
| Remove intrvas foreign body (37197) |
$2,870 |
$5,740 |
0.9× |
| Remove muti-comp penis pros (54406) |
$13,766.50 |
$27,533 |
4.1× |
| Remove Pilonidal Cyst Exten (11771) |
$4,827.50 |
$9,655 |
1.7× |
| Remove Prostate Regrowth (52630) |
$3,695 |
$7,390 |
0.7× |
| Remove pulse generator (33241) |
$3,274 |
$6,548 |
0.9× |
| Remove renal tube w/fluoro (50389) |
$610.50 |
$1,221 |
0.9× |
| Remove spine eltrd perq aray (63661) |
$2,404.33 |
$4,808.66 |
1.3× |
| Remove spine eltrd plate (63662) |
$7,622.75 |
$15,245.50 |
2.3× |
| Remove Tendon Sheath Lesion (26160) |
$4,129 |
$8,258 |
2.7× |
| Remove tissue expander (11971) |
$5,928 |
$11,856 |
2.1× |
| Remove vagina gland lesion (56740) |
$3,720.50 |
$7,441 |
1.2× |
| Remove&replace pm gen singl (33227) |
$4,705.25 |
$9,410.50 |
0.6× |
| Remove/Insert Drug Implant (11983) |
$487.50 |
$975 |
1.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,091 |
$4,182 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$518.75 |
$1,037.50 |
4.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$161.75 |
$323.50 |
1.3× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$8,488.50 |
$16,977 |
0.4× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$11,267.50 |
$22,535 |
0.4× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$8,192.50 |
$16,385 |
0.4× |
| Remv&replc pm gen dual lead (33228) |
$5,303.50 |
$10,607 |
0.5× |
| Remv&replc pm gen mult leads (33229) |
$11,977 |
$23,954 |
0.6× |
| Renal Biopsy Percutaneous (50200) |
$2,917.50 |
$5,835 |
1.8× |
| Repair achilles tendon (27650) |
$10,425.50 |
$20,851 |
1.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$7,892.67 |
$15,785.34 |
2.6× |
| Repair brow defect (67900) |
$15,746.25 |
$31,492.50 |
6.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$2,928.31 |
$5,856.62 |
4.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,064.50 |
$2,129 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,104.50 |
$2,209 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,036.50 |
$2,073 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,989 |
$3,978 |
5.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$3,603.67 |
$7,207.33 |
9.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$840 |
$1,680 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$846 |
$1,692 |
1.2× |
| Repair Ectropion Extensive (67917) |
$3,615 |
$7,230 |
1.6× |
| Repair Entropion Suture (67921) |
$3,101 |
$6,202 |
1.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$7,341.50 |
$14,683 |
4.8× |
| Repair eyelid defect (67916) |
$5,316.25 |
$10,632.50 |
2.3× |
| Repair eyelid defect (67904) |
$5,542.50 |
$11,085 |
2.4× |
| Repair Finger Tendon (26433) |
$3,799.50 |
$7,599 |
1.2× |
| Repair Fistula Oromaxillary (30580) |
$3,670.75 |
$7,341.50 |
0.6× |
| Repair Forearm Tendon Sheath (25275) |
$15,897 |
$31,794 |
5.1× |
| Repair forearm tendon/muscle (25260) |
$5,742 |
$11,484 |
1.8× |
| Repair hand tendon (26410) |
$6,275 |
$12,550 |
4.1× |
| Repair incomplete circumcision (54163) |
$11,839 |
$23,678 |
5.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,036.50 |
$2,073 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,158.50 |
$2,317 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$637.50 |
$1,275 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$487.50 |
$975 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$747.50 |
$1,495 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$767.50 |
$1,535 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$844.75 |
$1,689.50 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$524 |
$1,048 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$626.50 |
$1,253 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$776 |
$1,552 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$890.21 |
$1,780.41 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$839 |
$1,678 |
2.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,548.08 |
$3,096.16 |
4.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,233.75 |
$2,467.50 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$950.75 |
$1,901.50 |
2.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,217.62 |
$6,435.25 |
1.6× |
| Repair lead pace-defib dual (33220) |
$3,273.50 |
$6,547 |
0.9× |
| Repair lead pace-defib one (33218) |
$3,273.50 |
$6,547 |
0.9× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$24,303.50 |
$48,607 |
3.9× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$9,838 |
$19,676 |
1.9× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$4,922 |
$9,844 |
1.0× |
| Repair of eye wound (65280) |
$3,486.50 |
$6,973 |
0.7× |
| Repair of eye wound (65270) |
$3,095.34 |
$6,190.67 |
1.4× |
| Repair of iris, ciliary body (as for iridodialysis) Facility (66680) |
$2,166.67 |
$4,333.34 |
1.0× |
| Repair of leg tendon each (27658) |
$15,197.12 |
$30,394.25 |
4.8× |
| Repair of nail bed (11760) |
$4,347.75 |
$8,695.50 |
6.1× |
| Repair of nasal septum (30520) |
$2,575.67 |
$5,151.33 |
0.8× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$27,457.50 |
$54,915 |
2.2× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$20,463.50 |
$40,927 |
2.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$22,016.50 |
$44,033 |
3.2× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$3,859.25 |
$7,718.50 |
0.6× |
| Repair of tibia (27720) |
$17,908 |
$35,816 |
2.6× |
| Repair of traumatic corporeal tear(s) (54437) |
$11,325 |
$22,650 |
3.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$10,297 |
$20,594 |
1.7× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$7,820.50 |
$15,641 |
2.0× |
| Repair rotator cuff acute (23410) |
$17,504.50 |
$35,009 |
2.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,799.50 |
$7,599 |
1.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$12,353 |
$24,706 |
1.8× |
| Repair tympanic membrane (69610) |
$2,823 |
$5,646 |
1.9× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$19,719 |
$39,438 |
2.8× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$6,910.83 |
$13,821.66 |
1.0× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$7,470 |
$14,940 |
1.1× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$9,511.17 |
$19,022.33 |
1.4× |
| Repair/revise wrist joint (25320) |
$10,376 |
$20,752 |
1.5× |
| Repair/transpose nerve (64856) |
$11,484 |
$22,968 |
1.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,482 |
$2,964 |
1.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,042.50 |
$2,085 |
1.2× |
| Replace Tissue Expander (11970) |
$6,433.50 |
$12,867 |
0.9× |
| Replace tunneled cv cath (36578) |
$2,870 |
$5,740 |
0.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,273.50 |
$6,547 |
0.9× |
| Reposition cv cath w/fluoro (36597) |
$2,961 |
$5,922 |
2.0× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$2,590.92 |
$5,181.83 |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$5,488.33 |
$10,976.66 |
1.7× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$2,870 |
$5,740 |
0.9× |
| Resection of scrotum (55150) |
$15,308.50 |
$30,617 |
4.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,799.50 |
$7,599 |
1.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$2,858 |
$5,716 |
0.9× |
| Revis reconst shoulder joint (23473) |
$26,381.75 |
$52,763.50 |
2.1× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$19,008.50 |
$38,017 |
1.5× |
| Revise eyelid defect (67909) |
$2,777 |
$5,554 |
1.2× |
| Revise Hand/Foot Nerve (64704) |
$7,955 |
$15,910 |
4.2× |
| Revise knuckle with implant (26531) |
$8,752.25 |
$17,504.50 |
1.3× |
| Revise spine eltrd perq aray (63663) |
$4,824.50 |
$9,649 |
0.8× |
| Revise Spine Eltrd Plate (63664) |
$13,642.34 |
$27,284.67 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$6,200 |
$12,400 |
3.3× |
| Revise/graft eyelid lining (68320) |
$4,795.50 |
$9,591 |
2.1× |
| Revise/Implant Finger Joint (26536) |
$10,587.25 |
$21,174.50 |
1.5× |
| Revise/Remove Neuroreceiver (63688) |
$3,742.42 |
$7,484.83 |
1.1× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$7,625.75 |
$15,251.50 |
3.4× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Facility (66184) |
$2,838.34 |
$5,676.67 |
1.3× |
| Revision of eyelid (67880) |
$1,397 |
$2,794 |
0.6× |
| Revision of eyelid (67961) |
$2,018.83 |
$4,037.66 |
0.9× |
| Revision of iris (66761) |
$1,173.50 |
$2,347 |
2.2× |
| Revision of iris (66762) |
$3,872.50 |
$7,745 |
7.3× |
| Revision of lower leg tendon (27685) |
$4,122.25 |
$8,244.50 |
1.3× |
| Revision of penis (54300) |
$2,101.67 |
$4,203.33 |
0.6× |
| Revision of reconstructed breast (19380) |
$7,320.58 |
$14,641.16 |
1.1× |
| Revision of scrotum (55180) |
$6,305.01 |
$12,610.01 |
1.2× |
| Revision of scrotum (55175) |
$4,631.67 |
$9,263.33 |
1.4× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$14,593.08 |
$29,186.17 |
1.2× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$18,669.50 |
$37,339 |
1.1× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$16,966.50 |
$33,933 |
3.2× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$20,561.50 |
$41,123 |
1.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$8,366 |
$16,732 |
2.5× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$9,138.50 |
$18,277 |
1.7× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$9,138.50 |
$18,277 |
1.7× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$18,519.50 |
$37,039 |
1.1× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$18,519.50 |
$37,039 |
1.1× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$29,610 |
$59,220 |
1.7× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$29,610 |
$59,220 |
1.7× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$18,520 |
$37,040 |
1.7× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$18,520 |
$37,040 |
1.7× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$7,965 |
$15,930 |
0.7× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$7,965 |
$15,930 |
0.7× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$4,649.50 |
$9,299 |
0.9× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$4,649.50 |
$9,299 |
0.9× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$18,706 |
$37,412 |
1.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$18,706 |
$37,412 |
1.7× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$18,521 |
$37,042 |
1.7× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$18,521 |
$37,042 |
1.7× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$29,610 |
$59,220 |
1.7× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$29,610 |
$59,220 |
1.7× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$9,515 |
$19,030 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$169.50 |
$339 |
1.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$4,056.75 |
$8,113.50 |
9.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,472.50 |
$6,945 |
1.2× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$2,306 |
$4,612 |
1.0× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$2,170 |
$4,340 |
1.0× |
| Rmvl of subq defibrillator (33272) |
$3,273.50 |
$6,547 |
0.9× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$1,761.83 |
$3,523.66 |
0.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$10,554 |
$21,108 |
3.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,274 |
$6,548 |
0.9× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,159.75 |
$6,319.50 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,802.25 |
$3,604.50 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,314.75 |
$2,629.50 |
2.2× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$1,620.50 |
$3,241 |
0.7× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,274 |
$6,548 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$191.50 |
$383 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,429 |
$2,858 |
0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,616 |
$3,232 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,980.50 |
$5,961 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,942 |
$11,884 |
2.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$9,165.50 |
$18,331 |
1.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$10,267 |
$20,534 |
3.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$22,212 |
$44,424 |
3.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$30,873.50 |
$61,747 |
5.3× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$20,931.50 |
$41,863 |
6.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$10,376 |
$20,752 |
1.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$8,369.50 |
$16,739 |
1.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$7,455.34 |
$14,910.67 |
2.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$841.50 |
$1,683 |
0.6× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$13,252.50 |
$26,505 |
1.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$764.25 |
$1,528.50 |
1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$620 |
$1,240 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$11,839 |
$23,678 |
22.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$12,738.50 |
$25,477 |
8.6× |
| Rpr non-union mtcrpl/phalanx (26546) |
$5,853.50 |
$11,707 |
0.8× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$7,551.50 |
$15,103 |
14.3× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$7,148 |
$14,296 |
1.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$7,590.88 |
$15,181.75 |
2.4× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$9,263.34 |
$18,526.67 |
3.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$726.50 |
$1,453 |
1.2× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$13,316.75 |
$26,633.50 |
4.2× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,980.50 |
$5,961 |
1.0× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$4,027 |
$8,054 |
1.3× |
| Sclerotx Fluid Collection (49185) |
$2,544 |
$5,088 |
1.6× |
| Scrotal exploration (55110) |
$8,626.50 |
$17,253 |
2.6× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$16,563 |
$33,126 |
7.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,090.50 |
$6,181 |
2.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$467 |
$934 |
1.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$228 |
$456 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$398.50 |
$797 |
2.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$368 |
$736 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$256.50 |
$513 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$431 |
$862 |
2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$466.50 |
$933 |
1.2× |
| Shoulder Arthroscopy/Surgery (29825) |
$5,992.25 |
$11,984.50 |
1.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$229 |
$458 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$373.25 |
$746.50 |
1.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$902.94 |
$1,805.88 |
2.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$360.75 |
$721.50 |
1.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$962.34 |
$1,924.67 |
0.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$3,193 |
$6,386 |
2.8× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$938 |
$1,876 |
0.8× |
| Sigmoidoscopy w/biopsy (45331) |
$1,216.66 |
$2,433.33 |
1.4× |
| Sigmoidoscopy w/fb removal (45332) |
$2,068 |
$4,136 |
1.8× |
| Simple Cystometrogram (51725) |
$1,068 |
$2,136 |
4.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$466.50 |
$933 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$398.50 |
$797 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$397.75 |
$795.50 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$314 |
$628 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$365.50 |
$731 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$435 |
$870 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$183.50 |
$367 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$4,096.16 |
$8,192.33 |
2.1× |
| Skin sub graft face/nk/hf/g (15275) |
$2,647.38 |
$5,294.75 |
3.7× |
| Skin sub graft trnk/arm/leg (15271) |
$2,882.17 |
$5,764.33 |
4.1× |
| Skin sub grft t/arm/lg child (15273) |
$2,371.50 |
$4,743 |
1.2× |
| Skin Tissue Procedure (17999) |
$356 |
$712 |
1.8× |
| Skin tissue rearrangement (14040) |
$3,518 |
$7,036 |
1.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,859.16 |
$7,718.33 |
1.1× |
| Skn sub grft f/n/hf/g child (15277) |
$2,371.50 |
$4,743 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,039.50 |
$10,079 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$2,870 |
$5,740 |
0.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,039.50 |
$10,079 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,626.84 |
$11,253.66 |
1.2× |
| Slitting of prepuce (54001) |
$2,417 |
$4,834 |
1.2× |
| Small bowel endoscopy (44366) |
$2,302.08 |
$4,604.17 |
1.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,240.34 |
$2,480.67 |
0.7× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$849.50 |
$1,699 |
0.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$1,758 |
$3,516 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$397.75 |
$795.50 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$445.50 |
$891 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$425.50 |
$851 |
1.1× |
| Snip incision lacrimal punctum (68440) |
$1,120.92 |
$2,241.83 |
3.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,158.50 |
$2,317 |
1.7× |
| Spinal Puncture Therapeutic (62272) |
$670.50 |
$1,341 |
1.0× |
| Spine Surgery Procedure Unlisted (22899) |
$1,277.38 |
$2,554.75 |
5.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$10,811 |
$21,622 |
3.6× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$5,753.84 |
$11,507.67 |
2.5× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$5,231.33 |
$10,462.66 |
2.3× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$10,554 |
$21,108 |
2.8× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Facility (67316) |
$10,120 |
$20,240 |
4.4× |
| Strapping unna boot (29580) |
$396.75 |
$793.50 |
2.5× |
| Subconjunctival injection (68200) |
$1,518 |
$3,036 |
3.5× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$349.50 |
$699 |
0.8× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$229 |
$458 |
1.2× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$840 |
$1,680 |
1.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$5,151.34 |
$10,302.67 |
1.6× |
| Suction assisted lipectomy lower extremity (15879) |
$33,812.50 |
$67,625 |
9.9× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$7,460.46 |
$14,920.92 |
2.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,980 |
$9,960 |
1.9× |
| Suspension of testis (54640) |
$11,068 |
$22,136 |
3.2× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$10,311.75 |
$20,623.50 |
5.5× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$2,257.50 |
$4,515 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$7,470 |
$14,940 |
1.1× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$13,805.75 |
$27,611.50 |
2.0× |
| Tangential biopsy skin single lesion (11102) |
$257.50 |
$515 |
0.7× |
| Tattooing Incl Micropigmentation 6.0 Cm/< (11920) |
$840 |
$1,680 |
1.2× |
| Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) |
$840 |
$1,680 |
1.2× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
unusually low: confirm this is the full procedure |
$8,238.25 |
$16,476.50 |
0.4× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,980.50 |
$5,961 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$4,041.50 |
$8,083 |
1.3× |
| Tenodesis long tendon biceps (23430) |
$7,718.50 |
$15,437 |
1.1× |
| Tenolysis extensor tendon hand/finger each (26445) |
$8,883.50 |
$17,767 |
2.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,156.75 |
$6,313.50 |
2.0× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$7,464.34 |
$14,928.67 |
2.4× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$3,799.50 |
$7,599 |
1.2× |
| Tenotomy percutaneous single each digit (26060) |
$2,330.50 |
$4,661 |
1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,010.25 |
$4,020.50 |
1.3× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$3,799.50 |
$7,599 |
1.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,575 |
$7,150 |
2.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,457.50 |
$2,915 |
2.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$9,159 |
$18,318 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$826 |
$1,652 |
1.4× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$8,111.25 |
$16,222.50 |
1.5× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$19,522 |
$39,044 |
3.7× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,870 |
$5,740 |
0.9× |
| Thrombolytic Art Therapy (37211) |
$5,039.50 |
$10,079 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$425 |
$850 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$2,870 |
$5,740 |
0.9× |
| Thyroid biopsy (60100) |
$1,116 |
$2,232 |
1.6× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$12,031.75 |
$24,063.50 |
2.1× |
| Thyroidectomy, total or complete (60240) |
$17,814.25 |
$35,628.50 |
3.1× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$17,233.17 |
$34,466.34 |
3.0× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$11,894.76 |
$23,789.51 |
0.9× |
| Tnot elbow lateral/medial debride open (24358) |
$4,551.67 |
$9,103.34 |
1.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$5,249.25 |
$10,498.50 |
1.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,414 |
$10,828 |
1.7× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$41,238 |
$82,476 |
2.5× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$4,532.50 |
$9,065 |
0.4× |
| Total Knee Arthroplasty (27447) |
$11,884.58 |
$23,769.17 |
1.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$16,015.25 |
$32,030.50 |
2.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$614.50 |
$1,229 |
1.2× |
| Tracheostomy planned (31600) |
$3,827.50 |
$7,655 |
1.2× |
| Tracheotomy tube change (31502) |
$1,110.25 |
$2,220.50 |
4.9× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$5,788.17 |
$11,576.33 |
3.1× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$8,090.25 |
$16,180.50 |
1.2× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) |
$3,152.50 |
$6,305 |
1.6× |
| Translum Dil Eye Canal (66174) |
$1,758.25 |
$3,516.50 |
0.4× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$4,278.67 |
$8,557.34 |
0.8× |
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
likely a partial charge, not the full procedure |
$871.63 |
$1,743.25 |
0.2× |
| Transplant hand tendon (26480) |
$4,803.67 |
$9,607.33 |
1.5× |
| Transur electr resection of prostate (52601) |
$6,129.50 |
$12,259 |
1.2× |
| Transurethral resection bladder neck (52500) |
$3,478 |
$6,956 |
1.0× |
| Treat Big Toe Fracture (28505) |
$7,417 |
$14,834 |
2.4× |
| Treat clavicle dislocation (23540) |
$471.50 |
$943 |
2.0× |
| Treat clavicle fracture (23505) |
$1,858 |
$3,716 |
1.2× |
| Treat fracture radius/ulna (25575) |
$5,830 |
$11,660 |
0.8× |
| Treat humerus fracture (24500) |
$728 |
$1,456 |
3.1× |
| Treat humerus fracture (23600) |
$659 |
$1,318 |
2.8× |
| Treat knee fracture (27532) |
$3,955.50 |
$7,911 |
1.3× |
| Treat Kneecap Fracture (27524) |
$13,839 |
$27,678 |
2.0× |
Treat Lower Leg Fracture (27828)
unusually low: confirm this is the full procedure |
$4,407.88 |
$8,815.75 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$2,264.25 |
$4,528.50 |
9.6× |
| Treat pleurodesis w/agent (32560) |
$726.50 |
$1,453 |
1.2× |
| Treat radius fracture (24665) |
$8,627.50 |
$17,255 |
1.2× |
| Treat shoulder blade fx (23575) |
$2,039.50 |
$4,079 |
1.3× |
| Treat Thigh Fracture (27246) |
$788.50 |
$1,577 |
3.3× |
| Treat Thigh Fracture (27245) |
$11,183 |
$22,366 |
1.6× |
| Treat wrist bone fracture (25622) |
$611.50 |
$1,223 |
2.6× |
| Treat Wrist Bone Fracture (25630) |
$575.50 |
$1,151 |
2.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,090 |
$2,180 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$756.50 |
$1,513 |
3.2× |
| Treatment extensive retinopathy photocoagulation (67228) |
$4,774.50 |
$9,549 |
9.0× |
| Treatment of fibula fracture (27784) |
$3,682.83 |
$7,365.66 |
0.5× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$5,676 |
$11,352 |
1.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$438 |
$876 |
1.9× |
| Trim skin lesion (11055) |
$381.50 |
$763 |
2.0× |
| Trim skin lesions 2 to 4 (11056) |
$401 |
$802 |
2.1× |
| Trim skin lesions over 4 (11057) |
$363.50 |
$727 |
1.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$133.50 |
$267 |
2.4× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$9,481.25 |
$18,962.50 |
1.7× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$9,481.25 |
$18,962.50 |
1.7× |
| Tube thoracostomy includes water seal (32551) |
$1,554.75 |
$3,109.50 |
1.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$17,639 |
$35,278 |
1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,577 |
$7,154 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$4,406.67 |
$8,813.34 |
6.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$416.50 |
$833 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,867.50 |
$3,735 |
1.2× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$11,631.34 |
$23,262.67 |
0.9× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$11,581.50 |
$23,163 |
2.0× |
| Tympanostomy (69433) |
$2,243 |
$4,486 |
4.3× |
| Tympanostomy general anesthesia (69436) |
$1,719 |
$3,438 |
1.2× |
| Unlisted laparoscopic procedure liver (47379) |
$11,131.67 |
$22,263.34 |
1.9× |
| Unlisted laparoscopic procedure, ureter (50949) |
$7,575.09 |
$15,150.17 |
1.3× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$5,616.83 |
$11,233.66 |
1.0× |
| Unlisted laparoscopy procedure, appendix (44979) |
$17,639 |
$35,278 |
3.0× |
| Unlisted laparoscopy procedure, bladder (51999) |
$11,998.25 |
$23,996.50 |
2.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$24,004.67 |
$48,009.34 |
4.1× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$6,380.50 |
$12,761 |
1.1× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$4,936.78 |
$9,873.54 |
0.9× |
| Unlisted laparoscopy procedure, uterus (58578) |
$9,690.50 |
$19,381 |
1.7× |
| Unlisted procedure anus (46999) |
$1,166.83 |
$2,333.66 |
1.3× |
| Unlisted procedure arthroscopy (29999) |
$2,661.33 |
$5,322.66 |
11.2× |
| Unlisted Procedure Conjunctiva (68399) |
$882.75 |
$1,765.50 |
2.9× |
| Unlisted procedure dentoalveolar structures (41899) |
$316 |
$632 |
1.4× |
| Unlisted Procedure Esophagus (43499) |
$210.17 |
$420.33 |
0.2× |
| Unlisted procedure femur or knee (27599) |
$1,239 |
$2,478 |
5.2× |
| Unlisted procedure foot or toes (28899) |
$2,657.50 |
$5,315 |
11.2× |
| Unlisted procedure humerus/elbow (24999) |
$5,799.50 |
$11,599 |
24.5× |
| Unlisted Procedure Lungs & Pleura (32999) |
$748 |
$1,496 |
1.2× |
| Unlisted procedure nervous system (64999) |
$600.50 |
$1,201 |
2.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$3,394.75 |
$6,789.50 |
14.3× |
| Unlisted procedure shoulder (23929) |
$2,121.79 |
$4,243.58 |
9.0× |
| Unlisted Procedure Trachea Bronchi (31899) |
$2,458.50 |
$4,917 |
12.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$6,442 |
$12,884 |
10.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$7,984 |
$15,968 |
9.2× |
| Unlisted procedure, hands or fingers (26989) |
$2,298.84 |
$4,597.66 |
9.7× |
| Unlisted procedure, leg or ankle (27899) |
$313.50 |
$627 |
1.3× |
| Unlisted procedure, maternity care and delivery (59899) |
$102.50 |
$205 |
0.5× |
| Unlisted procedure, stomach (43999) |
$1,117.25 |
$2,234.50 |
1.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$3,909.50 |
$7,819 |
20.2× |
| Upgrade of pacemaker system (33214) |
$5,363 |
$10,726 |
0.5× |
| Urine flow measurement (51736) |
$267 |
$534 |
2.1× |
| Urology Surgery Procedure (53899) |
$2,444.42 |
$4,888.83 |
10.2× |
| Us urine capacity measure (51798) |
$129 |
$258 |
2.3× |
| Vasc embolize/occlude artery (37242) |
$20,298.75 |
$40,597.50 |
1.2× |
| Vasc Embolize/Occlude Bleed (37244) |
$7,644 |
$15,288 |
0.7× |
| Vasc embolize/occlude organ (37243) |
$7,644 |
$15,288 |
0.7× |
| Vasc embolize/occlude venous (37241) |
$7,644 |
$15,288 |
0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,520.75 |
$7,041.50 |
1.8× |
| Venipuncture (36415) |
$14 |
$28 |
1.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,091 |
$4,182 |
0.7× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,114 |
$2,228 |
1.3× |
| Vitrectomy mechanical pars plana (67036) |
$6,625.75 |
$13,251.50 |
1.7× |
| Vitrectomy pars plana remove int memb retina (67042) |
$7,686 |
$15,372 |
1.9× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$6,072 |
$12,144 |
1.5× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$3,977.50 |
$7,955 |
1.0× |
| Vulvectomy Simple Partial (56620) |
$6,377.75 |
$12,755.50 |
2.1× |
| Wedge excision skin nail fold (11765) |
$445.50 |
$891 |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$5,476.17 |
$10,952.33 |
14.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$5,745.33 |
$11,490.66 |
8.1× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,189 |
$8,378 |
0.8× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$5,039.50 |
$10,079 |
0.9× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$2,349 |
$4,698 |
1.6× |