| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$4,544.88 |
— |
1.3× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$4,544.88 |
$5,285 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$1,035.63 |
— |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$696.84 |
— |
0.8× |
| Abdomen Surgery Procedure (22999) |
$2,848.88 |
— |
11.4× |
| Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)… (51845) |
$5,409.38 |
$7,450 |
1.1× |
| Ablate inf turbinate submuc (30802) |
$997.54 |
$2,310 |
0.6× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$10,144.50 |
— |
0.9× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$5,757.66 |
— |
0.3× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$5,759.40 |
— |
0.5× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$7,784.94 |
— |
0.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$8,562.81 |
— |
1.2× |
| Abltj 1/> lvr tum prq rf (47382) |
$5,759.40 |
— |
0.9× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$997.54 |
$2,310 |
0.6× |
| Abortion (59841) |
$2,547.70 |
$4,264 |
0.8× |
| Abrasion single lesion (15786) |
$106.22 |
$652 |
0.5× |
| Acetabuloplasty (27120) |
$8,682.88 |
$23,326 |
0.7× |
| Acetabuloplasty resection femoral head (27122) |
$7,346.28 |
— |
1.0× |
| Acne surgery (10040) |
$106.22 |
— |
0.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$5,757.66 |
$5,988 |
1.7× |
| Adding Walker Previously Applied Cast (29440) |
$146.40 |
— |
0.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,015.34 |
$2,797 |
1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,015.34 |
$2,797 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,706.63 |
$4,996 |
0.8× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,015.34 |
$3,204 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,015.34 |
$4,092 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,015.34 |
$4,092 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,015.34 |
$3,720 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,015.34 |
$2,797 |
1.0× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
unusually low: confirm this is the full procedure |
$2,848.88 |
$12,312 |
0.4× |
| Allogeneic lymphocyte infusions (38242) |
$1,541.16 |
— |
1.0× |
| Amniocentesis diagnostic (59000) |
$369.46 |
— |
0.4× |
| Amniocentesis therapeutic (59001) |
$814.16 |
— |
2.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,205.24 |
$6,500 |
0.7× |
| Amputate metacarpal bone (26910) |
$2,319.40 |
$4,738 |
0.7× |
| Amputation Finger/Thumb (26951) |
$2,205.24 |
$6,983 |
0.7× |
| Amputation Foot Midtarsal (28800) |
$3,711.39 |
$3,861 |
1.1× |
| Amputation foot transmetarsal (28805) |
$4,074.54 |
$4,738 |
1.2× |
| Amputation metatarsal with toe single (28810) |
$2,789.88 |
$6,867 |
0.8× |
| Amputation of penis; partial Facility (54120) |
$4,544.88 |
— |
1.3× |
| Amputation thigh through femur any level (27590) |
$5,443.38 |
— |
1.6× |
| Amputation toe interphalangeal joint (28825) |
$2,789.88 |
$5,805 |
0.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,789.88 |
$5,600 |
0.8× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$4,542.96 |
— |
1.4× |
Amputation, arm through humerus; open, circular (guillotine) Facility (24920)
unusually low: confirm this is the full procedure |
$4,866.90 |
— |
0.4× |
| Amputation, arm through humerus; re-amputation Facility (24930) |
$5,147.49 |
— |
0.7× |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
$2,848.88 |
$4,738 |
0.9× |
Amputation, arm through humerus; with implant Facility (24931)
unusually low: confirm this is the full procedure |
$5,323.50 |
— |
0.4× |
Amputation, arm through humerus; with primary closure Facility (24900)
unusually low: confirm this is the full procedure |
$4,887.32 |
— |
0.4× |
| Amputation, forearm, through radius and ulna; Facility (25900) |
$4,703.66 |
— |
0.6× |
| Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905) |
$4,229.20 |
— |
0.6× |
| Amputation, forearm, through radius and ulna; re-amputation Facility (25909) |
$4,106.42 |
— |
0.6× |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
$2,848.88 |
$4,738 |
0.9× |
| Amputation, leg, through tibia and fibula; (27880) |
$6,211.17 |
$6,461 |
0.8× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$4,078.71 |
$4,242 |
1.2× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$4,438.36 |
$12,650 |
1.3× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$2,848.88 |
$4,738 |
0.9× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$5,917.83 |
$6,155 |
1.8× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
$6,463.70 |
— |
2.0× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$4,604.18 |
— |
1.4× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$4,887.32 |
$5,083 |
1.5× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$2,848.88 |
$7,911 |
0.9× |
| Analyze spine infus pump (62367) |
$311.67 |
$590 |
1.0× |
| Ankle disarticulation Facility (27889) |
$3,909.88 |
— |
0.5× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$3,046.62 |
$4,216 |
1.1× |
| Anorectal myomectomy Facility (45108) |
$3,046.62 |
$4,216 |
1.1× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$1,165.76 |
— |
1.2× |
| Anoscopy Ablation Lesion (46615) |
$2,874.92 |
$4,216 |
1.0× |
| Anoscopy diagnostic (46600) |
$84.52 |
$857 |
0.6× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,353.02 |
— |
1.9× |
| Anoscopy w/control bleeding (46614) |
$682.76 |
$1,770 |
0.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,165.76 |
— |
1.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$682.76 |
$1,770 |
0.6× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,165.76 |
$1,770 |
1.0× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$2,874.92 |
$4,216 |
1.0× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$2,874.92 |
$4,216 |
1.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,046.62 |
$5,762 |
1.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$4,343.02 |
$9,708 |
0.9× |
| Anterior tibial tubercleplasty (27418) |
$5,757.66 |
$19,350 |
0.8× |
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840)
unusually low: confirm this is the full procedure |
$2,039.70 |
$4,173 |
0.4× |
| Appendectomy (44950) |
$3,733.16 |
$5,322 |
0.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$146.40 |
— |
0.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$733.59 |
$1,704 |
0.5× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$196.54 |
— |
1.2× |
| Appl Multlay Comprs Arm/Hand (29584) |
$196.54 |
— |
1.2× |
| Application Body Cast Shoulder Hips (29035) |
$306.87 |
$504 |
1.1× |
| Application Body Cast Shoulder Hips Both Thighs (29046) |
$306.87 |
— |
1.1× |
| Application cast elbow finger short arm (29075) |
$306.87 |
$783 |
1.1× |
| Application Cast Finger (29086) |
$146.40 |
$363 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$306.87 |
— |
1.1× |
| Application Cast Shoulder Spica (29055) |
$306.87 |
— |
1.1× |
| Application Finger Splint Dynamic (29131) |
$146.40 |
— |
2.5× |
| Application finger splint static (29130) |
$146.40 |
$783 |
1.1× |
| Application Halo Cranial Including Removal (20661) |
$3,277.77 |
— |
2.0× |
| Application Halo Type Body Cast (29000) |
$146.40 |
— |
0.5× |
| Application Hip Spica Cast 1 Leg (29305) |
$306.87 |
$624 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$146.40 |
— |
0.9× |
| Application Long Leg Cast Brace (29358) |
$306.87 |
— |
1.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$306.87 |
— |
1.1× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
unusually low: confirm this is the full procedure |
$3,909.88 |
$11,222 |
0.3× |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
$306.87 |
— |
1.9× |
| Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) |
$146.40 |
— |
0.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$306.87 |
— |
1.1× |
| Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) |
$5,609.19 |
— |
3.5× |
| Application of halo, including removal; femoral Facility (20663) |
$2,848.88 |
— |
0.9× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$306.87 |
— |
1.1× |
| Application of long leg cast (29345) |
$306.87 |
$1,006 |
1.1× |
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge, not the full procedure |
$4,151.14 |
— |
0.2× |
| Application of pelvis brace (20662) |
$2,848.88 |
— |
1.8× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$146.40 |
— |
0.5× |
| Application of rigid total contact leg cast (29445) |
$306.87 |
— |
1.1× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$306.87 |
— |
1.1× |
| Application Patellar Tendon Bearing Cast (29435) |
$306.87 |
— |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$146.40 |
— |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$146.40 |
— |
1.1× |
| Application uniplane external fixation system (20690) |
$3,909.88 |
$10,293 |
0.5× |
| Application, cast; figure-of-eight Facility (29049) |
$146.40 |
— |
0.5× |
| Apply Body Cast,Risser Jacket (29010) |
$306.87 |
— |
1.1× |
| Apply Hand/Wrist Cast (29085) |
$146.40 |
$62 |
0.9× |
| Apply long leg splint (29505) |
$146.40 |
— |
0.9× |
| Apply short leg cast (29405) |
$306.87 |
$1,006 |
1.1× |
| Apply short leg cast (29425) |
$306.87 |
$424 |
1.1× |
| Apply short leg splint (29515) |
$146.40 |
— |
0.9× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$5,319.03 |
— |
1.0× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Facility (66179) |
$8,173.58 |
— |
1.5× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$3,909.88 |
— |
1.2× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$5,757.66 |
— |
1.7× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$3,909.88 |
— |
1.2× |
| Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Facility (27734) |
$3,909.88 |
— |
1.2× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Facility (27479) |
$5,926.35 |
$11,008 |
0.8× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475) |
$3,909.88 |
$11,008 |
0.5× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Facility (27477) |
$4,869.45 |
$9,208 |
0.7× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$4,456.22 |
$19,268 |
0.6× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$3,867.58 |
— |
1.2× |
| Arterial puncture (36600) |
$28.71 |
— |
0.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$5,192.72 |
$8,927 |
1.6× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,192.72 |
$19,962.01 |
0.9× |
| Artery-vein autograft (36825) |
$5,192.72 |
— |
0.9× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$27,750 |
$42,840 |
2.1× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
unusually low: confirm this is the full procedure |
$6,100.22 |
$12,567 |
0.5× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
unusually low: confirm this is the full procedure |
$5,929.60 |
$10,174 |
0.5× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$2,936.94 |
$11,765 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$310.92 |
— |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$598.30 |
— |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$310.92 |
— |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$598.30 |
$689 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$310.92 |
— |
1.0× |
| Arthrodesis ankle open (27870) |
$10,638.57 |
$25,843 |
0.8× |
| Arthrodesis Glenohumeral Joint (23800) |
$10,638.57 |
— |
1.5× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,789.88 |
$10,293 |
0.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$5,929.60 |
$14,801 |
0.8× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$3,524.18 |
$7,490 |
1.1× |
Arthrodesis pantalar (28705)
unusually low: confirm this is the full procedure |
$5,929.60 |
$13,991 |
0.3× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$15,656.76 |
$31,371 |
0.9× |
| Arthrodesis triple (28715) |
$10,638.57 |
$13,048 |
0.8× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$6,100.22 |
$14,141 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556)
unusually low: confirm this is the full procedure |
$6,100.22 |
$40,000 |
0.3× |
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548)
unusually low: confirm this is the full procedure |
$6,100.22 |
— |
0.5× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
$12,075.44 |
$53,000 |
0.7× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
$13,562.54 |
$53,000 |
0.8× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) |
$15,052.18 |
— |
0.8× |
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Facility (26844)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842)
unusually low: confirm this is the full procedure |
$2,989.35 |
$10,293 |
0.4× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low: confirm this is the full procedure |
$12,208.06 |
$14,973 |
0.4× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$10,638.57 |
$11,065 |
1.5× |
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802)
unusually low: confirm this is the full procedure |
$5,757.66 |
— |
0.4× |
Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) Facility (23802)
unusually low: confirm this is the full procedure |
$5,757.66 |
— |
0.4× |
| Arthrodesis, hip joint (including obtaining graft); Facility (27284) |
$10,845.94 |
— |
0.8× |
| Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Facility (27286) |
$11,062.77 |
— |
0.9× |
| Arthrodesis, knee, any technique Facility (27580) |
$9,606.26 |
— |
0.7× |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) |
$11,771.88 |
$11,131 |
0.9× |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) |
$11,095.92 |
— |
0.6× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
unusually low: confirm this is the full procedure |
$10,205.70 |
$61,000 |
0.4× |
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600)
unusually low: confirm this is the full procedure |
$8,440.54 |
$22,000 |
0.5× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$6,264.96 |
$30,000 |
0.4× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610)
unusually low: confirm this is the full procedure |
$8,297.72 |
$40,000 |
0.5× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) |
$9,823.08 |
$19,650 |
0.8× |
| Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) |
$10,307.73 |
$22,000 |
0.8× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$16,103.12 |
$20,000 |
0.9× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
$13,970.66 |
$61,000 |
0.8× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
$8,999.18 |
$6,100 |
0.5× |
| Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior… (22586) |
$12,473.36 |
— |
0.7× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
unusually low: confirm this is the full procedure |
$6,933.04 |
$7,212 |
0.4× |
| Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) |
$5,683.16 |
— |
1.7× |
| Arthrodesis, tibiofibular joint, proximal or distal Facility (27871) |
$10,638.57 |
$17,589 |
0.8× |
| Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) |
$5,929.60 |
$10,293 |
0.8× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737)
unusually low: confirm this is the full procedure |
$5,929.60 |
$10,052 |
0.5× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$10,638.57 |
$14,801 |
1.5× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$10,638.57 |
$17,819 |
0.8× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$5,757.66 |
$10,293 |
0.8× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$5,929.60 |
$26,725 |
0.5× |
Arthroplasty ankle revision total ankle (27703)
unusually low: confirm this is the full procedure |
$7,524.81 |
$7,826 |
0.4× |
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure |
$6,522.36 |
$11,323 |
0.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$33,000 |
$27,259 |
1.9× |
| Arthroplasty interphalangeal joint each (26535) |
$4,809.18 |
$7,360 |
1.5× |
| Arthroplasty patella w/prosthesis (27438) |
$6,816.16 |
$26,725 |
0.5× |
Arthroplasty radial head (24365)
unusually low: confirm this is the full procedure |
$4,809.18 |
$16,770 |
0.4× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$16,368.94 |
$15,477 |
0.9× |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
$16,368.94 |
— |
1.3× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$16,368.94 |
$15,477 |
0.9× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
$6,816.16 |
— |
0.5× |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) |
$6,816.16 |
— |
0.9× |
| Arthroplasty with prosthetic replacement; trapezium Facility (25445) |
$6,816.16 |
$10,293 |
0.9× |
| Arthroplasty, ankle; Facility (27700) |
$4,809.18 |
$12,137 |
0.7× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
$16,368.94 |
— |
0.9× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) |
$6,816.16 |
— |
0.5× |
| Arthroplasty, elbow; with membrane (eg, fascial) Facility (24360) |
$4,809.18 |
— |
0.7× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442)
unusually low: confirm this is the full procedure |
$4,809.18 |
$34,798 |
0.4× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443)
unusually low: confirm this is the full procedure |
$4,809.18 |
$26,725 |
0.4× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$4,809.18 |
$10,293 |
1.5× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
unusually low: confirm this is the full procedure |
$5,074.53 |
$28,200 |
0.4× |
Arthroplasty, knee, tibial plateau; Facility (27440)
unusually low: confirm this is the full procedure |
$4,809.18 |
$34,798 |
0.4× |
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441)
unusually low: confirm this is the full procedure |
$4,809.18 |
$34,798 |
0.4× |
| Arthroplasty, patella; without prosthesis Facility (27437) |
$4,809.18 |
$23,326 |
0.7× |
| Arthroplasty, radial head; with implant Facility (24366) |
$16,368.94 |
$26,725 |
1.3× |
| Arthroplasty, temporomandibular joint, with allograft Facility (21242) |
$5,341.42 |
$7,989 |
0.9× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$5,341.42 |
$7,989 |
0.9× |
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
likely a partial charge, not the full procedure |
$5,341.42 |
$12,395 |
0.2× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889)
unusually low: confirm this is the full procedure |
$6,009.82 |
$16,770 |
0.5× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$6,122.28 |
$14,801 |
0.8× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$6,122.28 |
$12,365 |
3.8× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$3,855 |
$5,073 |
2.4× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
unusually low: confirm this is the full procedure |
$6,122.28 |
$9,567 |
0.5× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$9,105.93 |
$12,182 |
1.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,855 |
$9,000 |
1.2× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$3,855 |
$9,000 |
1.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,855 |
$9,000 |
1.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,855 |
$6,867 |
1.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,855 |
$9,378 |
1.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$3,855 |
$11,272 |
1.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$3,855 |
$9,802 |
1.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$3,855 |
$4,308 |
1.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899) |
$6,122.28 |
$10,293 |
0.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$3,855 |
$4,738 |
1.2× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$6,122.28 |
$13,650 |
1.9× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$3,855 |
$9,802 |
1.2× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$3,855 |
$14,801 |
0.5× |
| Arthroscopy, elbow, surgical; synovectomy, partial Facility (29835) |
$3,765.76 |
$4,308 |
1.1× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,855 |
$9,098 |
1.2× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$6,122.28 |
$12,935 |
0.8× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$6,122.28 |
$13,907 |
0.8× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$6,122.28 |
$12,845 |
0.8× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$6,122.28 |
$29,868 |
1.9× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$3,855 |
$4,308 |
1.2× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) |
$3,855 |
$10,293 |
0.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,855 |
$7,063 |
1.2× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$6,122.28 |
$13,907 |
0.8× |
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867)
unusually low: confirm this is the full procedure |
$6,122.28 |
$10,222 |
0.5× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$6,122.28 |
$10,293 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,855 |
$9,614 |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,855 |
$11,272 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,855 |
$7,572 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,855 |
$9,802 |
1.2× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) |
$3,855 |
— |
1.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$3,855 |
— |
1.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$3,855 |
— |
2.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$6,122.28 |
$17,021 |
0.8× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,122.28 |
$14,801 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,122.28 |
$17,273 |
1.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,122.28 |
$16,198 |
0.8× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$6,122.28 |
$6,368 |
1.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,122.28 |
$17,273 |
0.8× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
$3,855 |
$8,049 |
1.2× |
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907)
unusually low: confirm this is the full procedure |
$6,122.28 |
— |
0.5× |
| Arthroscopy, subtalar joint, surgical; with synovectomy Facility (29905) |
$3,855 |
— |
0.5× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Facility (29800) |
$3,855 |
$4,738 |
1.2× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
$3,855 |
$4,738 |
1.2× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,855 |
$7,090 |
1.2× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) |
$3,855 |
— |
1.2× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$6,122.28 |
$10,293 |
0.8× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$3,855 |
$6,638 |
1.2× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$3,855 |
$7,063 |
1.2× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$2,205.24 |
$3,652 |
1.4× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$2,848.88 |
$5,526 |
1.8× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$2,848.88 |
$5,526 |
1.8× |
| Arthrotomy w/synovectomy ankle (27625) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$2,205.24 |
$4,738 |
0.7× |
| Arthrotomy with biopsy; interphalangeal joint Facility (28054) |
$2,789.88 |
$4,738 |
0.8× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Facility (28050) |
$2,789.88 |
$4,738 |
0.8× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$2,205.24 |
$4,738 |
0.7× |
| Arthrotomy with biopsy; metatarsophalangeal joint Facility (28052) |
$2,789.88 |
$4,738 |
0.8× |
| Arthrotomy wrist joint with synovectomy (25105) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage… (23101) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$2,848.88 |
— |
0.9× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) |
$3,909.88 |
$10,293 |
0.5× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$6,124.44 |
$10,601 |
0.8× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$2,789.88 |
$4,738 |
0.8× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$3,909.88 |
$9,098 |
1.2× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrotomy, temporomandibular joint Facility (21010) |
$3,211.56 |
— |
1.0× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$3,909.88 |
$9,098 |
1.2× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$3,909.88 |
$4,308 |
1.2× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) |
$3,909.88 |
$16,409 |
0.5× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$3,909.88 |
$9,098 |
1.2× |
| Arthrotomy, wrist joint; with biopsy Facility (25100) |
$2,848.88 |
$4,738 |
0.9× |
| Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Facility (23105) |
$3,909.88 |
$10,293 |
0.5× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$4,809.18 |
$5,001 |
1.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,045.74 |
$25,619 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,855 |
$9,000 |
1.2× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$3,909.88 |
$4,738 |
1.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,205.24 |
$2,372 |
1.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,789.88 |
$3,366 |
1.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,059.78 |
$4,738 |
0.3× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,909.88 |
$4,738 |
1.2× |
| Artificial Insemination Intra-Uterine (58322) |
$369.46 |
— |
1.8× |
| Artificial insemination; intra-cervical Facility (58321) |
$369.46 |
— |
1.2× |
| Aspirate pleura w/ imaging (32555) |
$263.78 |
— |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$310.92 |
— |
1.0× |
| Aspiration and injection for treatment of bone cyst (20615) |
$579.57 |
— |
0.8× |
| Aspiration and/or injection thyroid cyst (60300) |
$579.57 |
— |
0.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,590.70 |
— |
1.2× |
| Aspiration bladder needle (51100) |
$268.94 |
— |
1.1× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$3,729.72 |
— |
1.6× |
| Augmentation lower jaw bone (21127) |
$5,341.42 |
— |
0.9× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
$3,211.56 |
— |
0.5× |
| Autochondrocyte implant knee (27412) |
$6,122.28 |
$14,801 |
0.8× |
| Av fistula revision (36833) |
$5,192.72 |
— |
0.9× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,192.72 |
$19,962.01 |
0.9× |
| Av fusion/forearm vein (36820) |
$5,192.72 |
— |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$106.22 |
— |
0.5× |
| Axillary lymphadenectomy; complete (38745) |
$5,937.02 |
$8,300 |
1.0× |
| Axillary lymphadenectomy; superficial Facility (38740) |
$5,937.02 |
$12,365 |
1.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$3,842.68 |
— |
0.6× |
| Biliary Endoscopy Percut,Biopsy (47553) |
$3,842.68 |
— |
0.6× |
| Biliary endoscopy percut,dil strict (47555) |
$3,842.68 |
— |
0.6× |
Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554)
unusually low: confirm this is the full procedure |
$3,842.68 |
— |
0.4× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure |
$3,842.68 |
— |
0.4× |
| Biopsy bone open deep (20245) |
$2,827.58 |
$4,295 |
1.0× |
| Biopsy bone open superficial (20240) |
$730.54 |
$4,295 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,163.31 |
$2,484 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,163.31 |
$1,964 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$814.16 |
$1,007 |
0.9× |
| Biopsy External Auditory Canal (69105) |
$2,187.16 |
$2,310 |
1.4× |
| Biopsy external ear (69100) |
$334.89 |
$1,379 |
1.4× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$2,827.58 |
$4,295 |
1.0× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,163.31 |
$2,484 |
0.7× |
| Biopsy intranasal (30100) |
$997.54 |
$2,310 |
0.6× |
| Biopsy muscle deep (20205) |
$2,156.55 |
$4,295 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$953 |
$2,484 |
0.6× |
| Biopsy Muscle Superficial (20200) |
$2,156.55 |
$2,484 |
1.3× |
| Biopsy Nail Unit Separate Procedure (11755) |
$576.48 |
$1,045 |
0.8× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$2,187.16 |
$4,030 |
0.7× |
| Biopsy Nerve (64795) |
$2,417.97 |
$2,945 |
1.2× |
| Biopsy of bowel (44100) |
$1,138.94 |
— |
1.2× |
| Biopsy of breast; open, incisional (19101) |
$2,764.86 |
$5,086 |
0.7× |
| Biopsy of cornea (65410) |
$2,166.04 |
— |
0.9× |
| Biopsy of epididymis (54800) |
$579.57 |
— |
0.3× |
| Biopsy of extraocular muscle Facility (67346) |
$1,841.12 |
— |
0.5× |
| Biopsy of eyelid lining (68100) |
$685.40 |
— |
0.3× |
| Biopsy of floor of mouth (41108) |
$997.54 |
$2,484 |
0.6× |
| Biopsy of lacrimal gland (68510) |
$2,508.90 |
$3,273 |
1.0× |
| Biopsy of lip (40490) |
$334.89 |
$812 |
1.4× |
| Biopsy of mouth lesion (40808) |
$334.89 |
$1,032 |
0.6× |
| Biopsy of palate, uvula (42100) |
$997.54 |
$2,310 |
0.6× |
| Biopsy of penis (54105) |
$2,827.58 |
$4,295 |
1.0× |
| Biopsy of penis (54100) |
$2,156.55 |
$2,484 |
1.3× |
| Biopsy of shoulder joint (23100) |
$2,848.88 |
— |
0.9× |
| Biopsy of tear sac (68525) |
$2,508.90 |
— |
1.0× |
| Biopsy of testis (54500) |
$1,818.51 |
— |
0.6× |
| Biopsy of tongue (41100) |
$997.54 |
$1,037 |
1.8× |
| Biopsy of urethra (53200) |
$2,565.12 |
$3,142 |
1.2× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$3,075.18 |
$5,086 |
0.8× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$3,075.18 |
— |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,075.18 |
$7,176 |
0.8× |
| Biopsy Oropharynx (42800) |
$997.54 |
$3,396 |
0.6× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$2,547.70 |
$4,264 |
0.8× |
| Biopsy pleura percutaneous needle (32400) |
$1,250.44 |
$1,964 |
0.7× |
| Biopsy Salivary Gland Incisional (42405) |
$2,187.16 |
$3,396 |
1.4× |
| Biopsy Salivary Gland,Needle (42400) |
$953 |
$1,045 |
1.3× |
| Biopsy soft tissue back,superf (21920) |
$1,163.31 |
$2,484 |
0.7× |
| Biopsy soft tissue back/flank deep (21925) |
$2,827.58 |
$2,942 |
1.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,163.31 |
$2,484 |
0.7× |
| Biopsy soft tissue neck/thorax (21550) |
$1,163.31 |
$2,484 |
0.7× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$1,163.31 |
$3,559 |
0.7× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$1,163.31 |
$3,559 |
0.7× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,827.58 |
$4,295 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,163.31 |
$2,484 |
0.7× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,827.58 |
$5,975 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,163.31 |
$4,670 |
0.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,156.55 |
$2,484 |
1.3× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,250.44 |
— |
0.7× |
| Biopsy testis incisional separate procedure (54505) |
$2,990.36 |
$5,285 |
0.8× |
| Biopsy Tongue Posterior One-Third (41105) |
$2,187.16 |
$4,030 |
0.7× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,547.70 |
$4,264 |
0.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$814.16 |
$1,037 |
0.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$369.46 |
$1,007 |
0.4× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$1,477.95 |
$3,142 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$3,075.18 |
$7,201 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$3,075.18 |
$7,201 |
0.8× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$3,211.56 |
$4,030 |
1.0× |
| Bl exchange/transfuse nb (36450) |
$454.98 |
— |
1.0× |
| Bl push transfuse 2 yr/< (36440) |
$454.98 |
— |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$268.94 |
— |
0.4× |
| Bladder Irrigation Simple (51700) |
$268.94 |
— |
1.1× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$1,541.16 |
— |
1.0× |
| Blepharoplasty lower eyelid (15820) |
$2,706.63 |
$2,816 |
1.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,706.63 |
$2,816 |
1.3× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$2,706.63 |
$2,816 |
1.3× |
| Blepharoplasty, Upper Eyelid (15822) |
$2,706.63 |
$4,141 |
1.3× |
| Blepharotomy drain absc eyelid (67700) |
$388.74 |
$1,280 |
1.2× |
| Blood patch (62273) |
$548.72 |
$977 |
0.8× |
| Blood transfusion service (36430) |
$454.98 |
$497.10 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$454.98 |
$1,360 |
1.0× |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
$7,874.28 |
$12,365 |
1.1× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$15,136.95 |
$12,024 |
2.1× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
$15,776.34 |
$12,365 |
2.2× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
$13,717.56 |
— |
1.9× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$13,132.58 |
$27,900 |
1.8× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$3,909.88 |
$10,100 |
0.5× |
| Bone marrow aspiration only (38220) |
$415.35 |
$2,484 |
0.2× |
| Bone Marrow Biopsy (38221) |
$415.35 |
$2,484 |
0.2× |
| Bone marrow harvest allogen (38230) |
$4,099.22 |
$5,525 |
2.6× |
| Bone Marrow Harvest Autolog (38232) |
$6,215.25 |
$14,221 |
1.4× |
| Breast augmentation with implant (19325) |
$7,578.32 |
$13,450 |
0.9× |
| Breast Reduction (19318) |
$5,333.61 |
$8,877 |
0.8× |
| Breast surgery procedure (19499) |
$2,764.86 |
— |
0.7× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,333.77 |
$2,473 |
0.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,333.77 |
$2,473 |
0.7× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,934.44 |
— |
1.1× |
| Brnchsc removal bronchial valve initial (31648) |
$4,831.58 |
— |
1.3× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure |
$3,223.46 |
— |
0.5× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,223.46 |
— |
0.9× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,223.46 |
— |
0.9× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,333.77 |
— |
0.4× |
| Bronch Thermoplsty 1 Lobe (31660) |
$5,567.18 |
— |
0.8× |
| Bronchial valve init insert (31647) |
$4,831.58 |
— |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,333.77 |
$2,812 |
0.7× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$5,567.18 |
— |
0.8× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,934.44 |
— |
0.3× |
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure |
$3,223.46 |
— |
0.5× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,333.77 |
— |
0.4× |
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure |
$1,934.44 |
— |
0.3× |
Bronchoscopy W/Placement Tracheal Stent (31631)
unusually low: confirm this is the full procedure |
$3,223.46 |
$9,295 |
0.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,333.77 |
— |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,333.77 |
$2,473 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$1,333.77 |
— |
3.4× |
| Bronchoscopy w/tumor excise (31640) |
$3,223.46 |
$4,948 |
0.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,333.77 |
— |
0.7× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,333.77 |
— |
0.7× |
Buttock fasciotomy (27027)
unusually low: confirm this is the full procedure |
$3,025.78 |
$10,007 |
0.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,250.44 |
$2,484 |
0.7× |
| Bx anorectal wall anal approach (45100) |
$3,046.62 |
$4,216 |
1.1× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$2,156.55 |
$4,295 |
0.7× |
| Bx breast 1st lesion mr imag (19085) |
$1,331.07 |
— |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$1,331.07 |
— |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,331.07 |
— |
0.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$579.57 |
$2,484 |
0.3× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$2,827.58 |
$4,295 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$953 |
— |
0.6× |
| Canthoplasty (67950) |
$2,508.90 |
$3,273 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,789.88 |
$5,826 |
0.8× |
| Capsular contracture release (23020) |
$5,757.66 |
$5,988 |
1.7× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
$6,749.38 |
— |
0.9× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,205.24 |
$4,738 |
0.7× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$3,524.18 |
— |
1.1× |
Capsulodesis, metacarpophalangeal joint; 3 or 4 digits Facility (26518)
unusually low: confirm this is the full procedure |
$3,524.18 |
— |
0.5× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$3,524.18 |
$6,908 |
1.1× |
| Capsulorrhaphy, anterior, any type; with bone block Facility (23460) |
$10,638.57 |
$17,300 |
1.5× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$5,757.66 |
$12,323 |
0.8× |
| Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450) |
$10,638.57 |
$15,495 |
1.5× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$10,638.57 |
$14,802 |
1.5× |
| Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) |
$5,757.66 |
$12,182 |
0.8× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$10,638.57 |
$11,065 |
1.5× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$2,789.88 |
$2,901 |
1.7× |
| Capsulotomy wrist (25085) |
$2,848.88 |
$4,738 |
0.9× |
Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262)
unusually low: confirm this is the full procedure |
$2,789.88 |
$10,293 |
0.4× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$2,789.88 |
$4,738 |
0.8× |
| Capsulotomy, midfoot; with tendon lengthening Facility (28261) |
$2,789.88 |
$2,901 |
1.7× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Facility (28264) |
$5,929.60 |
— |
3.6× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$5,757.66 |
$9,098 |
1.7× |
| Carpectomy All Bones Proximal Row (25215) |
$3,524.18 |
$7,012 |
1.1× |
| Cartilage graft; costochondral (20910) |
$2,706.63 |
$2,145 |
3.6× |
| Cartilage graft; nasal septum Facility (20912) |
$2,706.63 |
$5,555 |
0.8× |
| Casting/strapping procedure (29799) |
$146.40 |
$222 |
0.9× |
| Cataract surg w/iol 1 stage (66983) |
$3,196.59 |
$3,462 |
1.4× |
| Cataract surgery complex (66982) |
$3,196.59 |
— |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$51.92 |
— |
0.2× |
| Catheterization with bronchial brush biopsy Facility (31717) |
$534.98 |
— |
1.4× |
| Cauterization,cervix,electro/thermal (57510) |
$2,547.70 |
$4,264 |
0.8× |
| Cautery cervix laser ablation (57513) |
$2,547.70 |
$4,264 |
0.8× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$181.08 |
— |
0.6× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,547.70 |
$4,264 |
0.8× |
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure |
$3,075.18 |
$13,450 |
0.5× |
| Cessj Therapy Cath Removal (37214) |
$4,446.28 |
— |
1.4× |
| Change Cystostomy Tube Complicated (51710) |
$2,056.68 |
— |
2.9× |
| Change of cystostomy tube simple (51705) |
$268.94 |
— |
1.1× |
| Change stent via transureth (50385) |
$2,403.26 |
— |
1.1× |
| Change Ureter Stent, Percut (50382) |
$3,318.48 |
— |
1.6× |
| Chemical cautery tissue (17250) |
$195.50 |
— |
1.0× |
| Chemical exfoliation for acne (eg, acne paste, acid) Facility (17360) |
$106.22 |
— |
0.5× |
| Chemical peel face dermal (15789) |
$195.50 |
$1,053 |
0.3× |
| Chemical Peel Facial Epidermal (15788) |
$106.22 |
— |
0.3× |
| Chemical peel, nonfacial; dermal Facility (15793) |
$106.22 |
— |
0.3× |
| Chemical peel, nonfacial; epidermal Facility (15792) |
$195.50 |
— |
0.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$145.06 |
— |
0.2× |
| Chemodenerv Eccrine Glands (64650) |
$310.92 |
— |
1.0× |
| Chemodenerv musc migraine (64615) |
$238.35 |
— |
0.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$93.46 |
— |
0.3× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$143.74 |
— |
0.5× |
| Chemodenerv trunk musc 1-5 (64646) |
$130.30 |
— |
0.2× |
| Chemodenerv trunk musc 6/> (64647) |
$149.40 |
— |
0.2× |
| Chemodenervation internal anal sphincter (46505) |
$642.06 |
$1,214 |
0.5× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$201 |
— |
0.3× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$310.92 |
— |
1.0× |
| Chemodenervation of extraocular muscle (67345) |
$388.74 |
$1,482 |
1.2× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$122.36 |
— |
0.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$310.92 |
— |
1.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,056.68 |
— |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,842.68 |
$5,322 |
1.1× |
| Chorionic villus sampling (59015) |
$369.46 |
— |
0.4× |
| Chromotubation oviduct (58350) |
$4,343.02 |
$7,450 |
0.9× |
| Ciliary body destruction; cryotherapy Facility (66720) |
$2,166.04 |
$3,273 |
0.9× |
| Ciliary body destruction; cyclodialysis Facility (66740) |
$3,104.31 |
— |
1.3× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$2,166.04 |
— |
0.9× |
| Ciliary body destruction; diathermy Facility (66700) |
$2,166.04 |
$3,462 |
0.9× |
Cineplasty, upper extremity, complete procedure (24940)
unusually low: confirm this is the full procedure |
$4,887.32 |
— |
0.4× |
| Circum 28 days or older (54161) |
$2,990.36 |
$3,705 |
1.4× |
| Circumcision (54150) |
$2,990.36 |
$6,850 |
1.4× |
| Circumcision Neonate (54160) |
$2,990.36 |
$2,571 |
4.2× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,142.06 |
$1,166 |
3.7× |
| Claviculectomy partial (23120) |
$3,909.88 |
$9,000 |
1.2× |
| Claviculectomy; total (23125) |
$3,909.88 |
$4,738 |
1.2× |
| Close mastoid fistula (69700) |
$5,341.42 |
— |
3.4× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$236.84 |
$926 |
1.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$6,507.06 |
— |
26.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$236.84 |
$5,420 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$236.84 |
— |
0.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$236.84 |
$766 |
1.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$997.54 |
— |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$236.84 |
$407 |
1.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$236.84 |
$3,564 |
0.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$236.84 |
$654 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$236.84 |
— |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$236.84 |
$834 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$236.84 |
— |
1.0× |
| Closed treat wrist dislocation (25660) |
$236.84 |
$1,517 |
1.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$236.84 |
$654 |
1.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$2,187.16 |
$5,810 |
0.7× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$236.84 |
$443 |
1.0× |
| Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint… (21431) |
$4,821 |
— |
0.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$236.84 |
$838 |
1.0× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$997.54 |
— |
1.8× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$236.84 |
— |
0.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,977.81 |
$3,621 |
1.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$236.84 |
$443 |
1.0× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$236.84 |
$5,780 |
0.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$236.84 |
— |
1.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$236.84 |
$1,018 |
1.0× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$236.84 |
— |
0.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$236.84 |
$605 |
1.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$236.84 |
— |
1.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$236.84 |
$3,245 |
0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$236.84 |
$1,938 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$236.84 |
$537 |
1.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$236.84 |
— |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$236.84 |
— |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$236.84 |
$669 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$236.84 |
— |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$236.84 |
$2,372 |
0.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$236.84 |
$447 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$236.84 |
$1,018 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$236.84 |
$2,372 |
0.1× |
| Closed tx femoral fracture prox head w manip (27268) |
$3,568.54 |
— |
2.2× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$236.84 |
$5,038 |
0.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$236.84 |
$902 |
1.0× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$2,187.16 |
— |
1.4× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,977.81 |
$3,699 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$236.84 |
$992 |
1.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$236.84 |
— |
0.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$334.89 |
— |
0.6× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,341.42 |
— |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$236.84 |
$1,018 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$236.84 |
$3,574 |
0.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$334.89 |
$2,310 |
0.2× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$3,211.56 |
$3,341 |
2.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,211.56 |
— |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,977.81 |
$1,701 |
7.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$236.84 |
$720 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$508.16 |
$2,372 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$236.84 |
$423 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$236.84 |
$2,372 |
0.1× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$236.84 |
$3,043 |
0.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$236.84 |
— |
1.0× |
| Closed tx septal&nose fx (21337) |
$2,187.16 |
$4,030 |
0.7× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$236.84 |
$444 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$236.84 |
— |
1.0× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$236.84 |
— |
0.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$236.84 |
— |
0.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$236.84 |
$460 |
1.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$2,187.16 |
— |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$334.89 |
— |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$236.84 |
$2,372 |
0.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$236.84 |
$447 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$236.84 |
$537 |
1.0× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$3,318.48 |
$5,285 |
0.9× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$4,656.48 |
— |
1.4× |
| Closure of gastrostomy, surgical (43870) |
$1,138.94 |
$3,769 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$334.89 |
— |
1.4× |
| Closure of lacrimal fistula (separate procedure) Facility (68770) |
$2,508.90 |
$3,273 |
1.0× |
| Closure of median sternotomy separation with or without debridement (separate procedure) Facility (21750) |
$4,092.60 |
— |
0.6× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$4,343.02 |
$4,517 |
1.3× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$291.87 |
— |
0.9× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$291.87 |
— |
0.9× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$3,989.74 |
— |
0.7× |
| Closure of urethrovaginal fistula; Facility (57310) |
$5,720.80 |
— |
0.8× |
| Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) |
$4,343.02 |
— |
0.6× |
| Closure of vesicovaginal fistula; vaginal approach Facility (57320) |
$4,343.02 |
— |
0.9× |
| Closure salivary fistula (42600) |
$2,187.16 |
$4,975 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$236.84 |
$624 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$236.84 |
$407 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,977.81 |
$2,372 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$236.84 |
$966 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$236.84 |
$992 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,977.81 |
— |
1.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$236.84 |
$2,372 |
0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$236.84 |
$1,219 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$236.84 |
$2,372 |
0.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$236.84 |
— |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$236.84 |
$3,564 |
0.1× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$236.84 |
— |
1.0× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$236.84 |
— |
0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$236.84 |
$1,212 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$236.84 |
$711 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$236.84 |
$572 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$236.84 |
$407 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$236.84 |
$1,018 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$236.84 |
$3,564 |
0.1× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,205.24 |
$3,699 |
1.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$236.84 |
$3,621 |
0.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$236.84 |
$992 |
1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$5,093.91 |
— |
3.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$236.84 |
$720 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$236.84 |
$3,699 |
0.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$236.84 |
$4,259 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$236.84 |
$6,984 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$236.84 |
$444 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$236.84 |
$447 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$236.84 |
$2,372 |
0.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$236.84 |
$741 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$236.84 |
$720 |
1.0× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$236.84 |
— |
1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$236.84 |
$3,564 |
0.1× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$236.84 |
$2,372 |
0.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$236.84 |
$3,621 |
0.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,977.81 |
— |
7.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$236.84 |
— |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$6,382.06 |
— |
3.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,977.81 |
$1,701 |
7.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$236.84 |
— |
1.0× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,211.56 |
— |
1.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$236.84 |
$739 |
1.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$236.84 |
$5,509 |
0.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$236.84 |
$1,018 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$236.84 |
$627 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$236.84 |
$2,372 |
0.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$236.84 |
— |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,977.81 |
— |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$236.84 |
$1,018 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$236.84 |
$1,774 |
1.0× |
| Cltx post ankle fx w/mnpj (27768) |
$236.84 |
$3,564 |
0.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,977.81 |
$3,699 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$236.84 |
$902 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$236.84 |
$3,564 |
0.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$236.84 |
$407 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$236.84 |
$2,372 |
0.1× |
| Cltx prox tibfib jt dislc req anes (27831) |
$236.84 |
— |
0.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$236.84 |
— |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$236.84 |
$5,986 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$236.84 |
— |
0.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$236.84 |
— |
0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$236.84 |
— |
0.1× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$236.84 |
$3,621 |
0.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$236.84 |
$902 |
1.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$1,126.95 |
$4,738 |
0.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$236.84 |
$1,018 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$236.84 |
$2,372 |
0.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$236.84 |
— |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$236.84 |
— |
1.0× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$236.84 |
— |
0.1× |
| Colonoscopy flex w/blln dilat (45386) |
$1,185.22 |
$1,770 |
1.0× |
| Colonoscopy flex w/inj submuc (45381) |
$1,185.22 |
$2,590 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,345.50 |
$4,917 |
1.1× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,185.22 |
— |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,185.22 |
$1,770 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,185.22 |
$1,770 |
1.0× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$1,185.22 |
— |
1.3× |
| Colonoscopy thru stoma (44388) |
$1,185.22 |
$1,346 |
1.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,185.22 |
— |
1.0× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,185.22 |
— |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,185.22 |
$1,770 |
1.0× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,185.22 |
$1,770 |
1.0× |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$814.16 |
$4,264 |
0.2× |
| Colpocleisis (le fort type) (57120) |
$4,343.02 |
— |
0.9× |
| Colpoperineorrhaphy non ob (57210) |
$2,547.70 |
$4,264 |
0.8× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$5,720.80 |
$11,456 |
0.8× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$5,720.80 |
$12,527 |
0.8× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,547.70 |
$4,264 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$369.46 |
$492 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$369.46 |
$857 |
1.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$369.46 |
$1,157 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,547.70 |
— |
0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$2,547.70 |
$4,264 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$369.46 |
$492 |
1.2× |
| Colposcopy vulva (56820) |
$181.08 |
— |
0.9× |
| Colposcopy vulva w/biopsy (56821) |
$181.08 |
— |
0.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$369.46 |
— |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$369.46 |
— |
0.4× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$2,547.70 |
$4,264 |
0.8× |
| Colpotomy; with exploration (57000) |
$2,547.70 |
$4,264 |
0.8× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$5,720.80 |
$7,450 |
1.1× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,343.02 |
$9,708 |
0.9× |
| Comp ext fixate strut change (20697) |
$2,760.68 |
— |
1.7× |
| Complex Cystometrogram (51726) |
$408.12 |
— |
1.6× |
| Complex cystometrogram urethral press profile (51727) |
$563.56 |
— |
0.8× |
| Complex Uroflowmetry (51741) |
$138.72 |
— |
0.6× |
| Conization of cervix (57520) |
$2,547.70 |
$5,029 |
0.8× |
| Conization of cervix (57522) |
$2,547.70 |
$4,264 |
0.8× |
| Conjunctival Flap Total (68362) |
$3,104.31 |
$3,273 |
1.3× |
| Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Facility (68326) |
$3,255.90 |
— |
0.8× |
| Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Facility (68325) |
$3,255.90 |
— |
0.8× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$3,255.90 |
$5,374 |
0.8× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Facility (68745) |
$3,255.90 |
— |
0.8× |
| Constj Tracheoesophgl Fstl&Insj Sp Prosth (31611) |
$3,211.56 |
— |
1.0× |
| Construct thumb replacement (26550) |
$3,524.18 |
$4,738 |
1.1× |
| Construction of artificial vagina; with graft Facility (57292) |
$4,343.02 |
— |
0.9× |
| Construction of artificial vagina; without graft Facility (57291) |
$4,343.02 |
— |
0.9× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate… (67882) |
$2,508.90 |
— |
1.0× |
| Contour cranial bone lesion (21181) |
$3,211.56 |
— |
0.5× |
| Contour of face bone lesion (21029) |
$5,341.42 |
$5,555 |
1.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$332.50 |
$745 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$150.69 |
$1,938 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$150.69 |
$1,321 |
1.1× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972) |
$2,187.16 |
$4,030 |
0.7× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$150.69 |
$1,037 |
0.3× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$5,341.42 |
$5,555 |
1.6× |
| Conversion ext bil drg cath (47535) |
$2,056.68 |
— |
0.6× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$11,256.62 |
$18,435 |
0.9× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,138.94 |
— |
0.6× |
| Convert nephrostomy catheter (50434) |
$703.42 |
— |
0.3× |
| Coracoacromial ligament release, with or without acromioplasty Facility (23415) |
$5,757.66 |
$10,293 |
0.8× |
| Cordocentesis (59012) |
$369.46 |
— |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,250.44 |
— |
0.7× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$116.49 |
— |
0.3× |
| Corneal transplant (65730) |
$5,021.58 |
$6,575 |
1.2× |
| Corneal transplant (65755) |
$5,021.58 |
$6,575 |
1.2× |
| Corneal transplant (65710) |
$5,021.58 |
— |
0.9× |
| Corneal transplant (65750) |
$5,021.58 |
$6,575 |
0.9× |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
$2,166.04 |
$3,273 |
0.9× |
| Coronoidectomy (separate procedure) Facility (21070) |
$5,341.42 |
— |
0.9× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$4,544.88 |
— |
1.3× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$4,544.88 |
— |
1.3× |
| Correction claw finger, other methods Facility (26499) |
$3,524.18 |
— |
1.1× |
| Correction eyelid w/implant (67912) |
$2,508.90 |
— |
1.0× |
| Correction hammertoe (28285) |
$2,789.88 |
$6,500 |
0.8× |
| Correction of astigmatism (65772) |
$2,166.04 |
— |
2.2× |
| Correction of bunion (28298) |
$3,940.24 |
$12,137 |
0.5× |
| Correction of bunion (28292) |
$3,940.24 |
$8,211 |
1.2× |
| Correction of bunion (28299) |
$3,940.24 |
$10,593 |
0.5× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$1,875.51 |
$12,137 |
0.1× |
| Correction of everted punctum, cautery (68705) |
$388.74 |
$1,708 |
1.2× |
| Correction of inverted nipples Facility (19355) |
$4,247.88 |
$5,086 |
1.1× |
| Correction of lid retraction (67911) |
$2,508.90 |
$3,273 |
1.0× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$975.75 |
$1,794 |
1.0× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$116.49 |
— |
0.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,940.24 |
$9,440 |
1.2× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$6,867 |
— |
| Costotransversectomy (separate procedure) Facility (21610) |
$3,909.88 |
$6,867 |
1.2× |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
$6,264.96 |
$14,750 |
0.9× |
| Cover eye w/membrane (65778) |
$3,093.24 |
— |
3.1× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$5,192.72 |
— |
0.9× |
| Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) |
$4,456.47 |
— |
0.5× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$1,940.60 |
— |
1.0× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61790) |
$2,417.97 |
— |
1.2× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$2,417.97 |
— |
1.2× |
Cricopharyngeal myotomy (43030)
unusually low: confirm this is the full procedure |
$2,187.16 |
— |
0.4× |
| Cross intrinsic transfer, each tendon Facility (26510) |
$3,524.18 |
$4,738 |
1.1× |
| Cross-over vein graft to venous system Facility (34520) |
$5,192.72 |
— |
0.9× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$4,247.88 |
— |
1.1× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$16,436.92 |
$38,221 |
1.7× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$106.22 |
— |
1.8× |
| Csf shunt reprogram (62252) |
$311.67 |
— |
1.0× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$150.69 |
$1,280 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$150.69 |
$444 |
1.1× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$642.06 |
— |
0.7× |
| Curettage postpartum (59160) |
$2,547.70 |
— |
0.8× |
| Curette/treat cornea (65436) |
$2,166.04 |
— |
0.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,403.26 |
$3,142 |
1.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,403.26 |
$3,142 |
1.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,318.48 |
$4,070 |
0.9× |
| Cysto w/destruction of lesions (52214) |
$3,318.48 |
$3,451 |
0.9× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
— |
$10,323 |
— |
| Cysto w/insert ureteral stent (52332) |
$3,318.48 |
$6,232 |
0.9× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,403.26 |
$4,545 |
0.7× |
| Cysto w/removal of tumors small (52234) |
$3,318.48 |
$5,285 |
0.9× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$3,318.48 |
— |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,403.26 |
$3,142 |
1.1× |
| Cysto w/ureter stricture tx (52341) |
$3,318.48 |
$3,451 |
0.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,318.48 |
$6,232 |
0.9× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,318.48 |
$5,285 |
0.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,318.48 |
$7,260 |
0.6× |
| Cysto/uretero w/lithotripsy (52356) |
$6,264.63 |
$9,800 |
1.2× |
| Cysto/uretero w/up stricture (52345) |
$3,318.48 |
$5,285 |
0.9× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$4,832.40 |
$7,260 |
0.9× |
| Cystolithotomy (51050) |
$3,318.48 |
— |
0.6× |
| Cystometrogram w/vp (51728) |
$563.56 |
— |
0.8× |
| Cystometrogram W/Vp&Up (51729) |
$563.56 |
— |
0.8× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
unusually low: confirm this is the full procedure |
$4,760.67 |
$7,260 |
0.5× |
| Cystoscopy implant stent (52282) |
$4,832.40 |
$5,285 |
1.4× |
| Cystoscopy inject material (52327) |
$3,318.48 |
— |
0.6× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$3,318.48 |
$1,898 |
1.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,318.48 |
$3,451 |
1.6× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$3,318.48 |
— |
0.9× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$3,318.48 |
— |
0.9× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$3,318.48 |
$5,285 |
0.9× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$800.14 |
$3,142 |
0.4× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) |
$3,318.48 |
— |
0.9× |
| Cystouretero & or pyeloscope (52351) |
$3,318.48 |
$3,451 |
0.9× |
| Cystourethroscopy (52000) |
$800.14 |
$1,014 |
1.1× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$3,318.48 |
$7,260 |
0.6× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,318.48 |
$5,285 |
0.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,177.40 |
$5,403 |
1.5× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$2,403.26 |
— |
3.4× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$3,318.48 |
$5,285 |
0.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,403.26 |
— |
1.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,318.48 |
$5,285 |
0.9× |
| Cystourethroscopy with biopsy (52204) |
$2,403.26 |
$5,600 |
1.1× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$3,318.48 |
$5,285 |
0.9× |
| Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Facility (52250) |
$3,318.48 |
$5,285 |
0.9× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,318.48 |
$5,285 |
0.9× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$3,318.48 |
— |
0.9× |
| Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) |
$3,318.48 |
— |
0.6× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$800.14 |
— |
0.4× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$800.14 |
$1,014 |
1.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$3,318.48 |
$7,260 |
0.6× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$2,403.26 |
— |
1.1× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$3,318.48 |
$6,860 |
1.6× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$3,318.48 |
— |
1.6× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$3,318.48 |
— |
0.9× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$3,318.48 |
— |
1.6× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$3,318.48 |
$5,285 |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$3,318.48 |
— |
0.6× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$3,318.48 |
$7,260 |
0.6× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$3,318.48 |
$13,274 |
0.9× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$3,318.48 |
— |
0.9× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$3,318.48 |
— |
0.9× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$2,403.26 |
— |
1.1× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$3,255.90 |
$5,374 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$106.22 |
$872 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$576.48 |
$4,295 |
0.2× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,848.88 |
$9,802 |
0.9× |
| Dcmprn fasct leg post compartment only (27601) |
$2,848.88 |
$6,500 |
0.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$576.48 |
$1,774 |
0.8× |
| Debride nail 1-5 (11720) |
$106.22 |
$110 |
1.8× |
| Debride nail 6 or more (11721) |
$106.22 |
— |
1.8× |
| Debride skin musc at fx site (11011) |
$576.48 |
$1,419 |
0.8× |
| Debride tissue/muscle (11043) |
$356.36 |
$1,475 |
0.5× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$2,187.16 |
$1,880 |
4.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$106.22 |
$613 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$356.36 |
$1,094 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$921.75 |
$3,043 |
0.6× |
| Declot vascular device (36593) |
$332.50 |
— |
1.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,848.88 |
$2,964 |
1.8× |
| Decompress optic nerve (67570) |
$5,052.99 |
— |
1.3× |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) |
$5,341.42 |
— |
0.9× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$3,025.78 |
$5,805 |
1.9× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$3,909.88 |
— |
2.4× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$3,909.88 |
— |
1.2× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$3,909.88 |
— |
1.2× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$3,909.88 |
— |
0.5× |
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893)
unusually low: confirm this is the full procedure |
$2,848.88 |
$10,293 |
0.4× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$2,848.88 |
$9,098 |
0.9× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$2,848.88 |
$6,686 |
0.9× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$2,848.88 |
$5,526 |
1.8× |
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499)
unusually low: confirm this is the full procedure |
$2,848.88 |
$11,008 |
0.4× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) Facility (26035) |
$2,205.24 |
$4,738 |
0.7× |
| Decompression internal auditory canal Facility (69960) |
$5,341.42 |
— |
0.9× |
| Decompression of leg (27894) |
$2,848.88 |
$4,738 |
0.9× |
| Decompression of leg (27892) |
$2,848.88 |
$4,738 |
0.9× |
| Decompression of lower leg (27600) |
$2,848.88 |
$7,911 |
0.9× |
| Decompression of orbit only, transcranial approach Facility (61330) |
$5,341.42 |
— |
1.6× |
| Decompression Of Tibia Nerve (28035) |
$2,417.97 |
$4,498 |
1.2× |
| Decompression; plantar digital nerve Facility (64726) |
$2,417.97 |
$2,945 |
1.2× |
| Decompressive fasciotomy hand (26037) |
$2,205.24 |
$4,738 |
0.7× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,706.63 |
$2,816 |
1.3× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$2,706.63 |
$4,141 |
1.3× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$2,706.63 |
— |
0.8× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Facility (15610) |
$2,706.63 |
— |
1.3× |
| Delivery placenta separate procedure (59414) |
$2,547.70 |
— |
0.8× |
| Denervation of hip joint (27035) |
$5,757.66 |
$6,686 |
1.7× |
| Derma-fat-fascia graft (15770) |
$2,706.63 |
$4,996 |
0.8× |
| Dermabrasion segmental face (15781) |
$576.48 |
$1,045 |
0.8× |
| Dermabrasion superficial any site (15783) |
$356.36 |
$984 |
0.9× |
| Dermabrasion total face (15780) |
$2,827.58 |
$4,295 |
1.0× |
| Dermabrasion; regional, other than face Facility (15782) |
$576.48 |
$2,484 |
0.2× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$2,015.34 |
— |
0.6× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$2,015.34 |
— |
1.0× |
| Design custom breast implant (19396) |
$4,247.88 |
$5,086 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,940.60 |
— |
1.0× |
| Destroy internal hemorrhoids (46930) |
$813 |
$10,989 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,940.60 |
$2,945 |
1.0× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$2,166.04 |
— |
0.9× |
| Destruction anal lesion(s) (46924) |
$2,666.06 |
$5,600 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$195.50 |
— |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$106.22 |
$895 |
0.5× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$944.94 |
$1,381 |
1.1× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$1,940.60 |
— |
1.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$1,940.60 |
— |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$944.94 |
$5,527 |
1.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$345.52 |
— |
1.1× |
| Destruction Lesions Vulva Extensive (56515) |
$2,666.06 |
$2,797 |
1.3× |
| Destruction Lesions Vulva Simple (56501) |
$2,666.06 |
$2,797 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$356.36 |
$568 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$356.36 |
$1,221 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$356.36 |
— |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$356.36 |
— |
0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$356.36 |
— |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$195.50 |
— |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$195.50 |
— |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$195.50 |
— |
1.0× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$195.50 |
— |
0.5× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$356.36 |
— |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$195.50 |
— |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$195.50 |
— |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$195.50 |
$859 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$195.50 |
$1,221 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$356.36 |
— |
0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$356.36 |
— |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$195.50 |
— |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$7,800 |
— |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$696.54 |
— |
1.3× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Facility (67227) |
$3,729.72 |
$5,374 |
0.9× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$291.87 |
— |
0.9× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$975.75 |
— |
1.0× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$2,666.06 |
$4,216 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$2,666.06 |
$2,797 |
1.3× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$2,666.06 |
$2,797 |
1.3× |
| Destruction of lesion, conjunctiva (68135) |
$975.75 |
— |
0.4× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$696.54 |
$1,594 |
1.3× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$2,442.50 |
— |
0.6× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$3,046.62 |
$4,216 |
1.1× |
| Destruction of skin lesions (17106) |
$356.36 |
$1,428 |
0.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$356.36 |
$568 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$106.22 |
$319 |
0.5× |
| Destruction Vaginal Lesions Extensive (57065) |
$2,547.70 |
$4,264 |
0.8× |
| Destruction Vaginal Lesions Simple (57061) |
$2,547.70 |
$4,264 |
0.8× |
| Diagnostic anoscopy (46601) |
$387.78 |
— |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$313 |
$1,761 |
0.3× |
| Dil urethra,female,subsequent (53661) |
$138.72 |
— |
1.0× |
| Dilat female urethra general/cndj spinal anes (53665) |
$2,565.12 |
$3,142 |
1.2× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$3,046.62 |
$2,881 |
2.5× |
| Dilate Urethra Stricture (53620) |
$2,590.70 |
$2,228 |
3.7× |
| Dilate urethra stricture (53621) |
$268.94 |
— |
1.1× |
| Dilate urethra stricture (53600) |
$408.12 |
$424 |
1.6× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$334.89 |
— |
0.6× |
| Dilation and curettage (58120) |
$2,547.70 |
$9,127 |
0.8× |
| Dilation and curettage of cervical stump Facility (57558) |
$2,547.70 |
— |
0.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$782.66 |
$1,374 |
0.9× |
| Dilation esophagus over guide wire (43453) |
$782.66 |
$2,678 |
0.4× |
| Dilation Nasolacrimal Duct (68801) |
$116.49 |
— |
0.3× |
| Dilation of anal sphincter (45905) |
$3,046.62 |
$2,881 |
2.5× |
| Dilation of cervical canal (57800) |
$2,547.70 |
$4,264 |
0.8× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$138.72 |
— |
1.1× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$138.72 |
— |
1.0× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$2,403.26 |
$3,142 |
0.7× |
| Dilation of vagina (57400) |
$2,547.70 |
$4,264 |
0.8× |
| Dilation Salivary Duct (42650) |
$997.54 |
$2,310 |
0.6× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$7,013.31 |
$7,903 |
1.2× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$5,420.34 |
— |
1.0× |
| Disarticulation At Knee (27598) |
$4,902.62 |
— |
1.5× |
Disarticulation of hip Facility (27295)
unusually low: confirm this is the full procedure |
$8,466.06 |
— |
0.5× |
| Disarticulation of shoulder; Facility (23920) |
$7,512.08 |
— |
0.6× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
$2,015.34 |
— |
1.0× |
| Disarticulation through wrist; Facility (25920) |
$4,611.82 |
$4,797 |
1.4× |
| Disarticulation through wrist; re-amputation Facility (25924) |
$4,076.16 |
— |
1.2× |
| Disarticulation through wrist; secondary closure or scar revision Facility (25922) |
$2,848.88 |
— |
1.8× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$6,264.96 |
$10,293 |
0.9× |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) |
$2,442.50 |
— |
1.0× |
| Discission Secondary Membranous Cataract (66820) |
$685.40 |
$3,462 |
0.3× |
| Dissection, deep jugular node(s) Facility (38542) |
$5,937.02 |
$8,300 |
1.0× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$5,192.72 |
— |
0.9× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$5,341.42 |
— |
0.9× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$2,789.88 |
$5,826 |
0.8× |
| Division of scalenus anticus; with resection of cervical rib Facility (21705) |
$3,713.94 |
— |
0.5× |
Division of scalenus anticus; without resection of cervical rib Facility (21700)
unusually low: confirm this is the full procedure |
$2,848.88 |
— |
0.4× |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) |
$188.40 |
— |
0.3× |
| Division of stricture of rectum Facility (45150) |
$3,046.62 |
— |
2.5× |
| Drain bladder by trocar/cath (51101) |
$138.72 |
— |
0.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,453.85 |
$3,699 |
1.5× |
| Drain lower leg bursa (27604) |
$2,848.88 |
$4,738 |
0.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$188.40 |
— |
0.3× |
| Drain penis lesion (54015) |
$2,453.85 |
— |
1.5× |
| Drain shoulder bursa (23031) |
$2,453.85 |
$2,552 |
0.8× |
| Drain Spinal Cord Cyst (62268) |
$1,142.06 |
— |
1.3× |
| Drain/inj small joint/bursa w/us (20604) |
$598.30 |
— |
1.9× |
| Drainage Abscess Parotid Simple (42300) |
$2,187.16 |
$26,147 |
1.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$334.89 |
— |
1.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$334.89 |
$880 |
0.6× |
| Drainage external auditory canal abscess (69020) |
$188.40 |
— |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$188.40 |
$1,045 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,548.33 |
$3,699 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$188.40 |
$857 |
0.9× |
| Drainage Mouth Roof Lesion (42000) |
$334.89 |
— |
1.4× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$334.89 |
— |
0.6× |
| Drainage of abscess; submaxillary, external Facility (42320) |
$334.89 |
— |
0.6× |
| Drainage of deep periurethral abscess Facility (53040) |
$2,565.12 |
— |
0.7× |
| Drainage of eye (65815) |
$3,104.31 |
$3,462 |
1.3× |
| Drainage of eye (65810) |
$3,104.31 |
$3,462 |
1.3× |
| Drainage of eye (65800) |
$2,166.04 |
— |
0.9× |
| Drainage of gum lesion (41800) |
$188.40 |
— |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,548.33 |
— |
0.9× |
| Drainage of hydrocele (55000) |
$579.57 |
$2,385.02 |
0.8× |
| Drainage of lymph node abscess or lymphadenitis; extensive Facility (38305) |
$2,453.85 |
— |
0.8× |
| Drainage of mouth lesion (41017) |
$997.54 |
$5,600 |
0.3× |
| Drainage of ovarian abscess; vaginal approach, open Facility (58820) |
$4,343.02 |
$4,517 |
1.3× |
| Drainage of ovarian cyst(s) (58800) |
$2,547.70 |
$4,264 |
0.8× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$2,205.24 |
— |
0.7× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$2,205.24 |
— |
0.7× |
| Drainage of pelvic abscess (45000) |
$1,461.78 |
— |
1.2× |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
$2,565.12 |
— |
1.2× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
$2,565.12 |
— |
3.6× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$3,318.48 |
$3,137 |
1.6× |
| Drainage of salivary cyst (42409) |
$2,187.16 |
$4,030 |
0.7× |
| Drainage of salivary gland (42305) |
$2,187.16 |
— |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,548.33 |
$2,484 |
0.9× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,565.12 |
— |
1.2× |
| Drainage of throat abscess (42725) |
$5,341.42 |
$7,989 |
0.9× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$4,343.02 |
$4,517 |
1.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$2,205.24 |
$4,738 |
0.7× |
| Draw blood off venous device (36591) |
$76.20 |
— |
0.6× |
| Dressing change under anesthesia (15852) |
$84.52 |
$872 |
0.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$997.54 |
— |
1.8× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$1,548.33 |
— |
0.5× |
| Drg privesical/prevesical space absc (51080) |
$2,453.85 |
— |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$356.36 |
— |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$356.36 |
— |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.50 |
— |
1.0× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$356.36 |
$1,714 |
0.5× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$356.36 |
— |
0.2× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$2,187.16 |
$4,030 |
0.7× |
| Dstrj lesion anus simple chemical (46900) |
$356.36 |
$984 |
0.9× |
| Dstrj lesion anus simple cryosurgery (46916) |
$195.50 |
— |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,666.06 |
$5,600 |
1.0× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,666.06 |
$4,141 |
1.3× |
| Dstrj Lesion Choroid Pc 1/> Sess (67220) |
$553.59 |
— |
1.0× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$195.50 |
— |
0.5× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$106.22 |
— |
0.5× |
| Dstrj Lesion Penis Simple Laser (54057) |
$2,666.06 |
$2,797 |
1.3× |
| Dstrj lesion penis simple surg excision (54060) |
$2,666.06 |
$2,797 |
1.3× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$356.36 |
— |
0.9× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$944.94 |
— |
1.1× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,940.60 |
$2,052 |
2.2× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$236.78 |
— |
0.3× |
| Dx duod intub w/asp spec (43756) |
$236.78 |
— |
0.3× |
| Dx gastr intub w/asp spec (43754) |
$124.86 |
— |
0.6× |
| Dx gastr intub w/asp specs (43755) |
$142.48 |
— |
1.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,279.24 |
$2,473 |
1.3× |
| Dx laryngoscopy w/oper scope (31526) |
$3,043.12 |
$3,165 |
1.7× |
| Dynamic Cavernosometry Njx Vasoactive Drugs (54231) |
$2,590.70 |
— |
10.3× |
| Ear Cartilage Graft (21235) |
$3,211.56 |
$7,989 |
0.5× |
| Eardrum revision (69450) |
$5,341.42 |
$14,528 |
1.6× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,920.66 |
— |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,920.66 |
— |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,138.94 |
$2,678 |
0.6× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,138.94 |
— |
0.6× |
| Egd control bleeding any (43255) |
$1,138.94 |
— |
0.6× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$3,391.94 |
— |
0.9× |
| Egd dilate stricture (43245) |
$1,138.94 |
$2,678 |
0.6× |
| Egd endo mucosal resection (43254) |
$1,271.14 |
— |
0.7× |
| Egd endoscopic stent place (43266) |
$4,495.95 |
— |
0.7× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,138.94 |
$2,678 |
0.6× |
| Egd flexible foreign body removal (43247) |
$1,138.94 |
$1,374 |
1.2× |
| Egd guide wire insertion (43248) |
$1,138.94 |
$1,374 |
1.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,138.94 |
— |
0.6× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,138.94 |
— |
0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,138.94 |
— |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,138.94 |
$2,678 |
0.6× |
| Egd remove lesion snare (43251) |
$1,138.94 |
$2,678 |
0.6× |
| Egd tube/cath insertion (43241) |
$1,138.94 |
$2,678 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,138.94 |
— |
0.6× |
| Egd us transmural injxn/mark (43253) |
$1,920.66 |
— |
1.0× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$1,138.94 |
— |
0.2× |
| Elbow arthroscopy (29830) |
$3,855 |
$4,738 |
1.2× |
| Elbow Arthroscopy/Surgery (29837) |
$3,855 |
$9,098 |
1.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$236.96 |
— |
0.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$311.67 |
$2,113 |
1.0× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$236.96 |
— |
0.8× |
| Electrical stimulation bone healing noninvasive (20974) |
$106.71 |
$158 |
1.1× |
| Electroejaculation (55870) |
$369.46 |
— |
0.4× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$106.22 |
— |
0.1× |
| Embedded ip cath exit-site (49436) |
$2,056.68 |
— |
1.1× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$5,192.72 |
— |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$5,192.72 |
— |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$5,192.72 |
— |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$5,192.72 |
— |
0.9× |
| EMG anal/urethral sphincter (51785) |
$268.94 |
$417 |
1.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$138.72 |
— |
1.1× |
| Endocervical Curettage (57505) |
$814.16 |
$1,007 |
0.9× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,343.02 |
$7,450 |
0.9× |
| Endometrial Biopsy (58100) |
$181.08 |
$299 |
0.9× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$5,720.80 |
— |
1.1× |
| Endoscopic plantar fasciotomy (29893) |
$2,789.88 |
$5,587 |
0.8× |
| Endoscopic us exam esoph (43237) |
$1,138.94 |
— |
0.6× |
| Endoscopy bowel pouch/biop (44386) |
$1,185.22 |
— |
1.3× |
| Endoscopy of bowel pouch (44385) |
$1,185.22 |
$1,346 |
1.3× |
| Endoscopy Upper Small Intestine (44360) |
$1,276.40 |
— |
0.7× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,722.11 |
— |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$11,584.30 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$19,962.01 |
— |
| Endovenous laser, 1st vein (36478) |
$3,461.31 |
$11,584.30 |
1.1× |
| Endovenous rf 1st vein (36475) |
$5,707.62 |
$11,584.30 |
1.8× |
| Enterorrhaphy single perforation (44602) |
$9,437.91 |
$7,325 |
2.4× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,276.40 |
— |
0.7× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,276.40 |
— |
0.7× |
| Enucleation of eye; with implant, muscles not attached to implant Facility (65103) |
$5,052.99 |
$5,374 |
1.3× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,015.34 |
— |
1.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$606.30 |
$3,720 |
0.3× |
| Epididymectomy bilateral (54861) |
$2,990.36 |
— |
0.8× |
| Epididymectomy unilateral (54860) |
$2,990.36 |
$3,142 |
0.8× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
$2,990.36 |
— |
0.8× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Facility (54900) |
$2,990.36 |
— |
1.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$606.30 |
— |
0.3× |
| Epidural lysis mult sessions (62263) |
$1,940.60 |
— |
2.2× |
| Epidural lysis on single day (62264) |
$1,940.60 |
— |
2.2× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$4,037.90 |
— |
1.2× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$5,757.66 |
$5,988 |
1.7× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Facility (25450) |
$5,757.66 |
$6,951 |
1.7× |
| Episiotomy or vaginal repair (59300) |
$2,547.70 |
$4,264 |
0.8× |
| Ercp Duct Stent Placement (43274) |
$3,666.09 |
— |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,806.29 |
— |
0.7× |
| Ercp ea duct/ampulla dilate (43277) |
$3,666.09 |
— |
0.9× |
Ercp lithotripsy calculi (43265)
unusually low: confirm this is the full procedure |
$2,806.29 |
— |
0.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,806.29 |
— |
0.7× |
| Ercp remove forgn body duct (43275) |
$3,666.09 |
— |
1.9× |
| Ercp sphincter pressure meas (43263) |
$2,806.29 |
— |
1.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,666.09 |
— |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,666.09 |
— |
0.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,806.29 |
— |
0.7× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,806.29 |
— |
0.7× |
| Esc i p ulcer w ostect & flap (15946) |
$2,706.63 |
— |
1.3× |
| Escharotomy initial incision (16035) |
$356.36 |
$1,539 |
0.9× |
| Esoph optical endomicroscopy (43206) |
$1,631.43 |
— |
0.8× |
| Esoph Scope W/Submucous Inj (43201) |
$1,138.94 |
— |
0.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,138.94 |
— |
1.2× |
| Esophagoscopy control bleed (43227) |
$1,138.94 |
$2,678 |
0.6× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$1,920.66 |
— |
1.0× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,138.94 |
$2,678 |
0.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$3,732.54 |
— |
1.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,138.94 |
$2,678 |
0.6× |
| Esophagoscopy flexible guide wire dilation (43226) |
$1,138.94 |
$2,678 |
0.6× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,271.14 |
$1,633 |
1.4× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$1,271.14 |
— |
1.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,138.94 |
$2,162 |
1.2× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$1,271.14 |
— |
0.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,138.94 |
— |
0.6× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$1,138.94 |
— |
0.6× |
| Esophagoscopy Retro Balloon (43213) |
$1,920.66 |
— |
1.0× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$1,920.66 |
— |
1.0× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$1,920.66 |
— |
0.5× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$1,920.66 |
— |
1.0× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$1,920.66 |
$7,186 |
1.0× |
| Esophagoscopy rigid trnso dx (43191) |
$1,271.14 |
$2,678 |
0.7× |
| Esophagoscopy transoral stent placement (43212) |
$4,495.95 |
— |
0.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,138.94 |
$2,678 |
0.6× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$1,138.94 |
— |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,138.94 |
$2,678 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$1,138.94 |
— |
0.6× |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
$997.54 |
— |
0.6× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,138.94 |
— |
0.6× |
| Ethmoidectomy Intranasal Anterior (31200) |
$5,341.42 |
— |
0.9× |
| Ethmoidectomy; extranasal, total Facility (31205) |
$5,341.42 |
— |
1.6× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$5,341.42 |
— |
3.4× |
| Evacuation of subungual hematoma (11740) |
$39.69 |
— |
0.3× |
| Evisceration of ocular contents; with implant Facility (65093) |
$5,052.99 |
$5,374 |
1.3× |
| Evisceration of ocular contents; without implant Facility (65091) |
$5,052.99 |
$5,374 |
1.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,362.56 |
$5,805 |
2.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,362.56 |
$5,050 |
2.6× |
| Exc abdl tum deep 5 cm/> (22901) |
$4,362.56 |
$6,138 |
1.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,156.55 |
$3,699 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$576.48 |
$1,045 |
0.8× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,163.31 |
$2,484 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,156.55 |
$3,699 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,156.55 |
$2,484 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$576.48 |
$2,826 |
0.8× |
| Exc back les sc < 3 cm (21930) |
$2,827.58 |
$3,699 |
1.7× |
| Exc back tum deep < 5 cm (21932) |
$3,263.80 |
$3,905 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$576.48 |
$2,826 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,163.31 |
$2,484 |
0.7× |
| Exc forearm les sc 3 cm/> (25071) |
$4,362.56 |
$5,050 |
2.6× |
| Exc Frenum Labial/Buccal (40819) |
$997.54 |
$2,310 |
0.6× |
| Exc ganglion wrist recurrent (25112) |
$2,333.20 |
$4,729 |
1.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,990.36 |
$6,239 |
0.8× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$2,187.16 |
$4,030 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,789.88 |
$5,805 |
1.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,789.88 |
$2,901 |
1.7× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$2,187.16 |
— |
0.7× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$3,211.56 |
$4,030 |
1.0× |
| Exc neck tum deep < 5 cm (21556) |
$2,827.58 |
$6,110 |
1.0× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,417.97 |
$4,947 |
1.2× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$2,417.97 |
$2,945 |
1.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,417.97 |
$2,945 |
1.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,417.97 |
$4,947 |
1.2× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$4,471.18 |
$9,802 |
1.6× |
| Exc rect tum transanal part (45171) |
$2,632.68 |
$4,147 |
0.9× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,827.58 |
$12,703 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,163.31 |
$1,210 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$576.48 |
$2,448 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,163.31 |
$2,826 |
1.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,163.31 |
$2,484 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,827.58 |
$6,110 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,827.58 |
$6,138 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,156.55 |
$3,699 |
1.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,827.58 |
$6,110 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,827.58 |
$4,295 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,156.55 |
$3,699 |
1.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,362.56 |
$5,600 |
1.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$4,362.56 |
$5,600 |
1.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,156.55 |
$3,699 |
1.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,827.58 |
$3,699 |
1.7× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,827.58 |
$3,699 |
1.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,362.56 |
$5,555 |
1.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,362.56 |
$5,600 |
1.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,530.04 |
$4,295 |
0.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$765.03 |
— |
0.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,827.58 |
$2,942 |
1.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,827.58 |
$4,379 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,362.56 |
$6,138 |
1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,827.58 |
$4,295 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,827.58 |
$4,295 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,263.80 |
$3,699 |
2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,362.56 |
$5,975 |
1.5× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,789.88 |
$4,295 |
1.0× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,156.55 |
$3,699 |
1.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$4,362.56 |
$6,138 |
1.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,156.55 |
$3,699 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,362.56 |
$5,600 |
1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,827.58 |
$3,699 |
1.7× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,827.58 |
$5,975 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,827.58 |
$5,405 |
1.0× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$4,362.56 |
$6,138 |
1.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,421.79 |
$5,975 |
0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,362.56 |
$6,138 |
1.5× |
| Exc urethral diverticulum spx female (53230) |
$3,989.74 |
$7,260 |
0.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,789.88 |
$6,871 |
0.8× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,789.88 |
$2,901 |
1.7× |
| Exc/fulguration urethral caruncle (53265) |
$2,565.12 |
— |
1.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,056.68 |
— |
0.6× |
| Exchange intraocular lens (66986) |
$3,196.59 |
$3,634 |
1.4× |
| Exchange nephrostomy cath (50435) |
$2,056.68 |
— |
1.0× |
| Exchange transfusion, blood; other than newborn Facility (36455) |
$454.98 |
— |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,056.68 |
— |
1.1× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$3,211.56 |
$4,030 |
1.0× |
| Excis Pterygium (65420) |
$2,166.04 |
$3,273 |
0.9× |
| Excise cutaneous neurofibroma (64788) |
$2,417.97 |
$2,945 |
1.2× |
| Excise excessive skin arm (15836) |
$2,156.55 |
$4,295 |
0.7× |
| Excise Inferior Turbinate (30130) |
$2,187.16 |
$4,752 |
0.7× |
| Excise lesion testis (54512) |
$2,990.36 |
— |
0.8× |
| Excise mandible lesion (21040) |
$3,211.56 |
$4,752 |
1.0× |
| Excise pharynx lesion (42808) |
$2,187.16 |
$5,600 |
0.7× |
| Excise tendon forearm/wrist (25109) |
$2,848.88 |
$4,738 |
0.9× |
| Excise Wrist Tendon Sheath (25118) |
$3,909.88 |
$3,697 |
2.4× |
| Excise/repair mouth lesion (40812) |
$2,187.16 |
$3,927 |
1.4× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$2,508.90 |
$3,273 |
1.0× |
| Excision Aural Polyp (69540) |
$2,187.16 |
$2,310 |
1.4× |
| Excision Bone Mandible (21025) |
$5,341.42 |
— |
0.9× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$3,211.56 |
$5,806 |
1.0× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$5,341.42 |
$7,989 |
0.9× |
| Excision Breast Lesion (19125) |
$2,764.86 |
$6,853 |
0.7× |
| Excision Chalazion Single (67800) |
$388.74 |
$1,482 |
1.2× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$5,341.42 |
$7,989 |
0.9× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$3,909.88 |
$7,713 |
1.2× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$3,211.56 |
$7,989 |
0.5× |
| Excision external ear partial simple repair (69110) |
$2,156.55 |
$4,295 |
0.7× |
| Excision external ear; complete amputation Facility (69120) |
$3,211.56 |
— |
0.5× |
| Excision Facial Bone (21026) |
$5,341.42 |
$7,989 |
0.9× |
| Excision first and/or cervical rib for outlet compression syndrome or other cause; (21615) |
$4,224.10 |
— |
0.6× |
| Excision first and/or cervical rib for outlet compression syndrome or other cause; with sympathectomy (21616) |
$5,665.29 |
— |
0.8× |
Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Facility (26390)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Excision H/P/P/U Complex Repair (11471) |
$2,827.58 |
$4,295 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,827.58 |
$5,065 |
1.0× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$2,827.58 |
$5,600 |
1.0× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$2,827.58 |
$5,600 |
1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,827.58 |
$5,065 |
1.0× |
| Excision hydrocele bilateral (55041) |
$4,109.31 |
$5,322 |
1.1× |
| Excision interdigital morton neuroma single each (28080) |
$1,110.57 |
$5,400 |
0.7× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$2,166.04 |
$2,253 |
2.2× |
| Excision Lesion Floor Mouth (41116) |
$2,187.16 |
$4,030 |
0.7× |
| Excision lesion meniscus/capsule knee (27347) |
$2,848.88 |
$6,500 |
0.9× |
| Excision lesion mouth roof (42104) |
$2,187.16 |
$4,752 |
0.7× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$2,848.88 |
$2,964 |
1.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$997.54 |
$2,378 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$576.48 |
$1,045 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$576.48 |
$3,040 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$576.48 |
$599 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,163.31 |
$1,377 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,163.31 |
$1,377 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$576.48 |
$1,045 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$576.48 |
$1,045 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,163.31 |
$1,210 |
1.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,163.31 |
$2,484 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,156.55 |
$2,484 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,163.31 |
$2,484 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$576.48 |
$1,045 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,163.31 |
$1,210 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,163.31 |
$2,484 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,156.55 |
$2,484 |
1.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,046.62 |
$5,600 |
1.1× |
| Excision nasal polyp extensive (30115) |
$2,187.16 |
$4,030 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$576.48 |
$2,926 |
0.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,163.31 |
$2,826 |
1.6× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$5,341.42 |
— |
0.9× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$5,341.42 |
— |
0.9× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$3,211.56 |
$7,989 |
0.5× |
| Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally… (21049) |
$5,341.42 |
— |
0.9× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$3,909.88 |
$9,098 |
1.2× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
unusually low: confirm this is the full procedure |
$2,848.88 |
$11,008 |
0.4× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) |
$3,909.88 |
$11,008 |
0.5× |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
$2,565.12 |
— |
0.7× |
| Excision of cervical stump, vaginal approach; Facility (57550) |
$4,343.02 |
— |
0.9× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
$4,343.02 |
$7,450 |
0.9× |
| Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) |
$5,720.80 |
$7,450 |
1.1× |
| Excision of chalazion; multiple, different lids (67805) |
$388.74 |
— |
1.2× |
| Excision of chalazion; multiple, same lid (67801) |
$975.75 |
— |
1.0× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$2,508.90 |
$3,273 |
1.0× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$2,156.55 |
— |
0.7× |
| Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy Facility (21603) |
$11,973.39 |
— |
1.6× |
| Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy Facility (21602) |
$10,731.16 |
— |
1.5× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$2,205.24 |
— |
0.7× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) |
$5,937.02 |
$12,365 |
1.0× |
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555)
unusually low: confirm this is the full procedure |
$3,075.18 |
— |
0.5× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$3,075.18 |
$5,086 |
0.8× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$5,757.66 |
— |
1.7× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$3,524.18 |
$6,867 |
1.1× |
| Excision of fibrous tuberosities, dentoalveolar structures Facility (41822) |
$2,187.16 |
— |
1.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,333.20 |
$5,805 |
1.4× |
| Excision of gum flap (41821) |
$997.54 |
— |
0.6× |
| Excision of gum lesion (41828) |
$2,187.16 |
— |
1.4× |
| Excision of hydrocele unilateral (55040) |
$4,109.31 |
$9,000 |
1.1× |
| Excision of infected graft; extremity Facility (35903) |
$3,977.72 |
$4,801 |
1.2× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
$3,255.90 |
— |
0.8× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) |
$3,255.90 |
— |
0.8× |
| Excision of lacrimal gland tumor; frontal approach Facility (68540) |
$3,255.90 |
— |
1.4× |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
$3,255.90 |
— |
0.8× |
| Excision of lactiferous duct fistula Facility (19112) |
$2,764.86 |
$5,086 |
0.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$975.75 |
$1,794 |
1.0× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$2,187.16 |
$5,806 |
0.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$2,990.36 |
$5,157 |
0.8× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$2,187.16 |
$4,030 |
0.7× |
| Excision of lesion of tongue with closure; with local tongue flap Facility (41114) |
$3,211.56 |
$4,030 |
1.0× |
| Excision of lesion of tongue without closure (41110) |
$2,187.16 |
$4,030 |
0.7× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$3,211.56 |
$7,989 |
0.5× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$2,187.16 |
$4,030 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,163.31 |
$2,344 |
0.7× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$2,508.90 |
— |
1.0× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$1,841.12 |
$3,273 |
0.8× |
| Excision of lesion, conjunctiva; with adjacent sclera Facility (68130) |
$2,166.04 |
$3,273 |
0.9× |
| Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Facility (40527) |
$3,211.56 |
— |
0.5× |
| Excision of local lesion of epididymis (54830) |
$2,990.36 |
$3,142 |
0.8× |
| Excision of malignant tumor of mandible; Facility (21044) |
$5,341.42 |
— |
0.9× |
| Excision of malignant tumor of mandible; radical resection Facility (21045) |
$8,328.33 |
— |
1.4× |
| Excision of malignant tumor of maxilla or zygoma Facility (21034) |
$5,341.42 |
$7,989 |
0.9× |
| Excision of maxillary torus palatinus (21032) |
$3,211.56 |
$4,030 |
1.0× |
| Excision of mucosa of vestibule of mouth as donor graft Facility (40818) |
$334.89 |
— |
0.6× |
| Excision of Mullerian duct cyst Facility (55680) |
$2,990.36 |
— |
0.8× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Facility (64792) |
$4,456.47 |
— |
1.3× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$2,417.97 |
$4,947 |
1.2× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$4,456.47 |
$8,246 |
1.3× |
| Excision of osseous tuberosities, dentoalveolar structures Facility (41823) |
$3,211.56 |
$7,989 |
0.5× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$5,341.42 |
$11,454 |
0.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$5,341.42 |
$7,989 |
0.9× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$5,341.42 |
$15,554 |
0.9× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$5,341.42 |
$7,989 |
0.9× |
| Excision of penile plaque (Peyronie disease); Facility (54110) |
$4,544.88 |
— |
1.3× |
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112)
unusually low: confirm this is the full procedure |
$4,544.88 |
— |
0.5× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$4,544.88 |
— |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,827.58 |
$5,600 |
1.0× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$3,046.62 |
— |
1.1× |
| Excision of rib, partial Facility (21600) |
$3,909.88 |
$10,293 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$3,046.62 |
$3,699 |
2.5× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$2,827.58 |
$4,295 |
1.0× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$2,990.36 |
$5,600 |
1.4× |
| Excision of sublingual gland (42450) |
$3,211.56 |
$7,989 |
0.5× |
| Excision of sublingual salivary cyst (ranula) Facility (42408) |
$2,187.16 |
$5,806 |
0.7× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$5,341.42 |
$7,989 |
0.9× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,046.62 |
$3,699 |
2.5× |
| Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) |
$5,937.02 |
— |
1.0× |
| Excision of tongue lesion (41112) |
$2,187.16 |
$4,222 |
0.7× |
| Excision of tonsil tags (42860) |
$2,981.06 |
$4,030 |
0.9× |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
$3,211.56 |
— |
0.5× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$4,109.31 |
$4,901 |
0.7× |
Excision of urethral diverticulum (separate procedure); male Facility (53235)
unusually low: confirm this is the full procedure |
$2,565.12 |
— |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$2,547.70 |
$4,264 |
0.8× |
| Excision of vaginal septum (57130) |
$2,547.70 |
$4,264 |
0.8× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$2,990.36 |
$5,285 |
0.8× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
$4,109.31 |
$5,322 |
0.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Facility (55540) |
$4,109.31 |
$5,322 |
1.1× |
| Excision olecranon bursa (24105) |
$2,848.88 |
$6,983 |
0.9× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Facility (25136) |
$3,909.88 |
— |
0.5× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) |
$3,909.88 |
$8,485 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) |
$3,909.88 |
$10,293 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$3,909.88 |
— |
1.2× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$3,909.88 |
$9,802 |
1.2× |
Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356)
unusually low: confirm this is the full procedure |
$3,909.88 |
$34,798 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$3,909.88 |
$16,409 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$3,909.88 |
— |
0.5× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft… (24125) |
$3,909.88 |
— |
1.2× |
Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) Facility (26205)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$3,909.88 |
$4,738 |
1.2× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) |
$3,909.88 |
$10,293 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
$3,909.88 |
— |
0.5× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$3,909.88 |
$7,012 |
1.2× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25126) |
$3,909.88 |
$4,738 |
1.2× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25125) |
$3,909.88 |
— |
2.4× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$3,909.88 |
$8,719 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) |
$3,909.88 |
— |
0.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$2,789.88 |
$6,983 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) |
$5,929.60 |
$14,801 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) |
$5,929.60 |
$10,293 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft… (28107) |
$5,929.60 |
$12,261 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$5,929.60 |
$10,293 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$3,909.88 |
$10,293 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) |
$3,909.88 |
$10,293 |
0.5× |
Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870)
unusually low: confirm this is the full procedure |
$2,981.06 |
$7,989 |
0.5× |
| Excision or fulguration of carcinoma of urethra Facility (53220) |
$3,989.74 |
— |
1.1× |
| Excision or fulguration; Skene's glands Facility (53270) |
$2,565.12 |
$7,119 |
0.7× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$2,565.12 |
$3,142 |
0.7× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$2,565.12 |
— |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,827.58 |
$6,138 |
1.0× |
| Excision prepatellar bursa (27340) |
$2,848.88 |
$6,983 |
0.9× |
| Excision radial head (24130) |
$3,909.88 |
$4,738 |
1.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,156.55 |
$4,295 |
0.7× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,848.88 |
$6,983 |
0.9× |
| Excision tendon finger flexor/extensor each (26180) |
$2,205.24 |
$2,372 |
1.4× |
| Excision tendon palm flexor/extensor single each (26170) |
$2,205.24 |
$2,372 |
1.4× |
| Excision Torus Mandibularis (21031) |
$3,211.56 |
$4,030 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,362.56 |
$5,050 |
2.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$4,362.56 |
$7,157 |
1.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,081.90 |
$2,942 |
1.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,362.56 |
$6,600 |
2.6× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,156.55 |
$3,699 |
1.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,827.58 |
$5,371 |
1.7× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$2,706.63 |
— |
0.8× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$576.48 |
$4,295 |
0.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Facility (15835) |
$2,827.58 |
$4,295 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$2,156.55 |
$4,295 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$2,827.58 |
$4,295 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$2,827.58 |
$4,295 |
1.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$2,156.55 |
$6,506 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$2,156.55 |
$4,295 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,827.58 |
$4,295 |
1.0× |
| Excision, ischial pressure ulcer, with primary suture; Facility (15940) |
$2,827.58 |
— |
1.0× |
| Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Facility (15941) |
$2,827.58 |
— |
1.0× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$2,706.63 |
— |
0.8× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$2,706.63 |
— |
1.3× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$3,211.56 |
$7,989 |
0.5× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$2,187.16 |
$4,222 |
0.7× |
| Excision, nasal polyp(s), simple Facility (30110) |
$2,187.16 |
$2,310 |
1.4× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$2,015.34 |
$2,797 |
1.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$2,706.63 |
$2,816 |
1.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$2,827.58 |
$2,942 |
1.0× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$2,827.58 |
— |
1.0× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$2,706.63 |
— |
0.8× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$2,706.63 |
— |
0.8× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15956) |
$2,015.34 |
— |
1.0× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$2,015.34 |
— |
0.6× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$2,827.58 |
— |
1.7× |
| Excision, trochanteric pressure ulcer, with primary suture; with ostectomy Facility (15951) |
$2,827.58 |
— |
1.0× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$2,015.34 |
— |
1.0× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$2,015.34 |
— |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,362.56 |
$6,138 |
1.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,530.04 |
$3,559 |
0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$765.03 |
$2,484 |
0.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$4,362.56 |
$5,975 |
1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,362.56 |
$4,537 |
1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$2,827.58 |
$5,065 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,362.56 |
$6,138 |
1.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$4,362.56 |
$5,975 |
1.5× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$5,341.42 |
— |
0.9× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,909.88 |
$7,666 |
1.2× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$2,205.24 |
$3,699 |
1.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,187.16 |
$4,526 |
0.7× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$2,187.16 |
$4,030 |
0.7× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$3,104.31 |
$3,273 |
1.3× |
| Excision; trochanteric bursa or calcification (27062) |
$2,848.88 |
$6,983 |
0.9× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) |
$5,052.99 |
— |
1.3× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
$5,052.99 |
— |
1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,706.63 |
— |
1.3× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$4,900.06 |
$5,097 |
0.9× |
| Expl retroperitoneum w/wo bx spx (49010) |
$6,259.62 |
$6,510 |
1.0× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,848.88 |
$3,574 |
1.8× |
| Explo/Drain Breast Abscess (19020) |
$2,453.85 |
$3,010 |
1.5× |
| Exploration for undescended testis with abdominal exploration (54560) |
$2,990.36 |
— |
1.4× |
| Exploration maxillary sinus (31020) |
$3,211.56 |
$4,030 |
1.0× |
| Exploration Of Hip Joint (27033) |
$5,757.66 |
$13,356 |
0.8× |
| Exploration of knee joint (27310) |
$3,909.88 |
$9,098 |
1.2× |
| Exploration of middle ear (69440) |
$3,211.56 |
$4,030 |
1.0× |
| Exploration of spinal fusion (22830) |
$5,366.85 |
$4,538 |
0.7× |
| Exploration penetrating wound spx chest (20101) |
$2,706.63 |
— |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,290.44 |
$1,342 |
0.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,290.44 |
— |
2.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,205.24 |
$6,983 |
0.7× |
| Explore epididymis (54865) |
$2,990.36 |
— |
0.8× |
| Explore eye socket,drainage (67405) |
$3,255.90 |
— |
1.4× |
| Explore for undescended testis (54550) |
$4,109.31 |
— |
1.1× |
| Explore inner ear (69806) |
$5,341.42 |
— |
0.9× |
| Explore inner ear (69805) |
$5,341.42 |
— |
0.9× |
| Explore limb vessels (35860) |
$4,035.70 |
$1,898 |
1.3× |
| Explore Parathyroid Glands (60500) |
$5,341.42 |
$7,989 |
0.9× |
| Explore/biopsy eye socket (67400) |
$3,255.90 |
— |
0.8× |
| Explore/irrigate tear ducts (68840) |
$291.87 |
$935 |
0.9× |
| Explore/Treat Elbow Joint (24101) |
$3,909.88 |
$8,269 |
1.2× |
| Explore/treat eye socket (67412) |
$3,255.90 |
$3,387 |
1.4× |
| Explore/treat hand joint (26070) |
$2,205.24 |
$2,372 |
1.4× |
| Explore/Treat Knee Joint (27331) |
$3,909.88 |
$9,098 |
1.2× |
Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860)
unusually low: confirm this is the full procedure |
$2,590.70 |
— |
0.5× |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) |
$116.49 |
— |
0.4× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$696.54 |
— |
1.3× |
| External cephalic version (59412) |
$2,547.70 |
— |
0.8× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$3,909.88 |
— |
2.4× |
| Extraction of lens (66940) |
$1,998.09 |
$3,462 |
0.9× |
| Extraction of lens (66920) |
$3,844.71 |
— |
1.6× |
| Extraction of lens (66930) |
$3,844.71 |
$6,575 |
0.9× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) |
$997.54 |
— |
0.6× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Facility (41015) |
$334.89 |
— |
0.6× |
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Facility (41016)
likely a partial charge, not the full procedure |
$997.54 |
— |
0.2× |
| Eye surgery procedure (67299) |
$553.59 |
— |
0.2× |
| Eye surgery procedure (66999) |
$685.40 |
— |
0.3× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$2,015.34 |
$3,720 |
1.0× |
| Fascia lata graft; by stripper Facility (20920) |
$2,015.34 |
— |
1.0× |
| Fasciectomy Palm Only (26121) |
$3,524.18 |
$7,406 |
1.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$2,789.88 |
$4,738 |
0.8× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$2,789.88 |
$4,738 |
0.8× |
| Fasciotomy foot and/or toe (28008) |
$2,789.88 |
$4,738 |
0.8× |
| Fasciotomy Iliotibial Open (27305) |
$2,848.88 |
$6,984 |
0.9× |
| Fasciotomy palmar open partial (26045) |
$3,524.18 |
$4,738 |
1.1× |
| Fasciotomy palmar percutaneous (26040) |
$3,524.18 |
$3,574 |
2.2× |
| Fasciotomy, hip or thigh, any type (27025) |
$6,106.59 |
$5,773 |
1.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,524.18 |
$9,000 |
1.1× |
| Fetal contraction stress test (59020) |
$181.08 |
— |
0.9× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$369.46 |
— |
1.2× |
| Fetal Invas Px W/ US (59897) |
$369.46 |
— |
1.8× |
| Fetal non-stress test (59025) |
$181.08 |
— |
0.9× |
| Fetal Scalp Blood Sampling (59030) |
$369.46 |
— |
1.2× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$369.46 |
— |
1.2× |
| Filleted finger/toe flap (14350) |
$2,706.63 |
$2,816 |
1.3× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$579.57 |
— |
0.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$579.57 |
— |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$579.57 |
— |
0.8× |
| Fine needle aspiration of orbital contents Facility (67415) |
$2,508.90 |
— |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$148.64 |
$568 |
0.4× |
| Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) |
$3,104.31 |
— |
0.7× |
| Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) |
$3,104.31 |
$6,575 |
0.7× |
| Fit/Insert Intravag Support Device (57160) |
$181.08 |
— |
0.9× |
| Fitting of diaphragm/cap (57170) |
$17.54 |
— |
0.1× |
| Fix Entropion,Extensv Lid Repair (67924) |
$2,508.90 |
$3,273 |
1.0× |
| Fixation contralateral testis separate procedure (54620) |
$2,990.36 |
$5,285 |
0.8× |
| Fixation of shoulder (23700) |
$1,977.81 |
$3,400 |
1.2× |
| Flap; neurovascular pedicle (15750) |
$2,706.63 |
$6,718 |
0.8× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) |
$10,638.57 |
— |
1.5× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
$10,638.57 |
— |
1.5× |
| Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) |
$5,757.66 |
— |
0.8× |
| Fluid pressure muscle (20950) |
$188.40 |
— |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$185.28 |
— |
0.8× |
| Fna bx w/fluor gdn 1st les (10007) |
$579.57 |
— |
0.8× |
| Follow-up surgery of eye (66250) |
$2,166.04 |
$3,273 |
0.9× |
| Forearm or wrist surgery (25999) |
$236.84 |
$1,669 |
1.0× |
| Forehead flap w/vasc pedicle (15731) |
$2,706.63 |
$4,996 |
0.8× |
| Foreskin manipulation (54450) |
$408.12 |
$829 |
1.6× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,706.63 |
$4,141 |
1.3× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$2,706.63 |
— |
0.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$2,187.16 |
$4,030 |
0.7× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
$5,929.60 |
— |
0.8× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$17,068.74 |
— |
2.3× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$5,929.60 |
— |
0.8× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
$16,853.34 |
— |
2.3× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$997.54 |
$4,030 |
0.3× |
| Frenulotomy of penis (54164) |
$2,990.36 |
— |
1.4× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,706.63 |
$2,816 |
1.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,015.34 |
$3,720 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,015.34 |
$2,797 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,015.34 |
$2,797 |
1.0× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,015.34 |
$2,797 |
1.0× |
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820)
unusually low: confirm this is the full procedure |
$3,524.18 |
— |
0.5× |
| Fusion of elbow joint (24800) |
$5,757.66 |
— |
0.8× |
| Fusion of finger tendons (26474) |
$2,205.24 |
$2,372 |
1.4× |
| Fusion of finger tendons (26471) |
$2,205.24 |
$4,738 |
0.7× |
| Fusion of foot bones (28740) |
$5,929.60 |
$12,182 |
0.8× |
Fusion of hand bones (25820)
unusually low: confirm this is the full procedure |
$2,205.24 |
$12,138 |
0.3× |
Fusion of hand joint (26843)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure |
$3,524.18 |
$9,358 |
0.5× |
Fusion of thumb (26841)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Fusion of toes (28280) |
$2,789.88 |
$4,738 |
0.8× |
| Fusion of wrist joint (25800) |
$10,638.57 |
$14,801 |
1.5× |
| Fusion/graft of finger joint (26862) |
$3,524.18 |
$4,738 |
1.1× |
| Gamete, zygote, or embryo intrafallopian transfer, any method Facility (58976) |
$369.46 |
$1,763 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$124.86 |
$455 |
0.6× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$2,706.63 |
$6,156 |
0.8× |
| Gastric restrictive procedure, open; removal of subcutaneous port component only Facility (43887) |
$606.30 |
— |
0.3× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$2,706.63 |
— |
0.8× |
| Gastrocnemius recession (27687) |
$3,909.88 |
$7,625 |
1.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$9,050.20 |
— |
2.3× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$3,391.94 |
— |
1.7× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
$1,138.94 |
— |
1.2× |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) |
$1,138.94 |
— |
1.2× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$3,211.56 |
$7,989 |
0.5× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$3,211.56 |
— |
0.5× |
| Genioplasty; sliding osteotomy, single piece Facility (21121) |
$3,211.56 |
$4,030 |
1.0× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) |
$3,211.56 |
$4,111 |
1.0× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$997.54 |
— |
0.3× |
| Glaucoma surgery (66160) |
$3,104.31 |
$3,462 |
1.3× |
| Glaucoma surgery (66170) |
$3,104.31 |
$3,462 |
1.3× |
| Glossectomy; less than one-half tongue Facility (41120) |
$3,211.56 |
$7,989 |
0.5× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) |
$3,046.62 |
— |
1.1× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$5,341.42 |
$7,989 |
0.9× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,706.63 |
$2,816 |
1.3× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$2,706.63 |
— |
0.8× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$2,706.63 |
— |
1.3× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
$2,706.63 |
— |
0.8× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
$2,706.63 |
— |
0.8× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
— |
$4,996 |
— |
| Guide Cathet Fluid Drainage (10030) |
$151.35 |
— |
0.2× |
| Gum graft (41870) |
$3,211.56 |
— |
2.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$12,182 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$2,789.88 |
$6,500 |
0.8× |
| Harvest cultured skin graft (15040) |
$281.96 |
— |
0.1× |
| Harvesting conjunctival allograft, living donor Facility (68371) |
$2,166.04 |
— |
0.9× |
| Hemiarthroplasty hip partial (27125) |
$7,580.94 |
$8,223 |
0.6× |
| Hemiepiphyseal Arrest (24470) |
$5,757.66 |
— |
1.7× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$2,789.88 |
$4,738 |
0.8× |
| Hemorrhoidectomy (46255) |
$3,046.62 |
$6,113 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,046.62 |
$5,600 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$3,046.62 |
$4,973 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$3,046.62 |
$4,216 |
1.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,046.62 |
$5,600 |
1.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$3,046.62 |
$4,216 |
1.1× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$1,461.78 |
$5,566 |
0.5× |
| Hemorrhoidopexy by stapling (46947) |
$4,039.89 |
$8,480 |
1.4× |
| Hip arthro acetabuloplasty (29915) |
$9,105.93 |
$12,972 |
1.2× |
| Hip arthro w/labral repair (29916) |
$9,105.93 |
$23,326 |
1.2× |
| Hymenotomy Simple Incision (56442) |
$2,547.70 |
— |
0.8× |
Hyoid myotomy and suspension Facility (21685)
likely a partial charge, not the full procedure |
$997.54 |
— |
0.2× |
| Hysteroscopy biopsy (58558) |
$2,900.94 |
$3,876 |
0.9× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$4,581.60 |
— |
0.9× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$2,900.94 |
$7,450 |
0.6× |
| Hysteroscopy removal leiomyomata (58561) |
$4,581.60 |
$10,855 |
0.9× |
Hysteroscopy w endometrial ablation (58563)
likely a partial charge, not the full procedure |
$1,076.16 |
$6,772 |
0.2× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$2,900.94 |
$4,264 |
0.9× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$5,720.80 |
$7,450 |
1.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$2,900.94 |
$4,264 |
0.9× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$2,187.16 |
$4,030 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$334.89 |
$382 |
1.4× |
| I&d abscess simple (10060) |
$188.40 |
— |
0.9× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,848.88 |
$5,201 |
1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,453.85 |
$5,600 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,453.85 |
$5,600 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,990.36 |
$3,142 |
1.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,848.88 |
$4,738 |
0.9× |
| I&d forearm/wrist bursa (25031) |
$2,848.88 |
— |
1.8× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$2,848.88 |
$4,738 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$188.40 |
— |
0.3× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,875.51 |
$4,295 |
0.6× |
| I&d submucosal abscess rectum (45005) |
$1,461.78 |
$1,770 |
1.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,875.51 |
$2,552 |
1.1× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$1,548.33 |
— |
0.5× |
| I&d vulva/perineal abscess (56405) |
$369.46 |
$875 |
1.2× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,513.50 |
— |
1.3× |
| Ileoscopy thru stoma (44380) |
$1,276.40 |
$1,374 |
1.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,276.40 |
$1,374 |
1.4× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$2,513.50 |
— |
1.3× |
| Image Cath Fluid Colxn Visc (49405) |
$4,053.18 |
— |
2.4× |
| Image Cath Fluid Peri/Retro (49406) |
$4,053.18 |
— |
2.4× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,436.64 |
— |
0.9× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$5,333.61 |
$8,877 |
0.6× |
| Implant cochlear device (69930) |
$52,670.73 |
$86,064 |
1.6× |
Implant eye drug system (67027)
unusually low: confirm this is the full procedure |
$4,983.81 |
— |
0.4× |
| Implant neuroelectrodes (63650) |
$8,543.96 |
$14,711 |
1.3× |
| Implantation of intrastromal corneal ring segments Facility (65785) |
$2,166.04 |
— |
0.5× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$24,631.66 |
— |
1.4× |
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714)
unusually low: confirm this is the full procedure |
$5,341.42 |
$6,638 |
0.4× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$6,264.96 |
$12,821 |
0.9× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$4,859.12 |
$11,959 |
0.5× |
| Impression & Preparation Oral Surgical Splint (21085) |
$2,187.16 |
— |
9.1× |
| Impression and custom preparation; auricular prosthesis Facility (21086) |
$5,341.42 |
— |
1.6× |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
$5,341.42 |
— |
1.6× |
| Impression and custom preparation; facial prosthesis Facility (21088) |
$5,341.42 |
$5,555 |
1.6× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$5,341.42 |
— |
1.6× |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
$5,341.42 |
— |
0.9× |
| Impression and custom preparation; nasal prosthesis Facility (21087) |
$5,341.42 |
— |
0.9× |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
$5,341.42 |
— |
0.9× |
| Impression and custom preparation; palatal augmentation prosthesis Facility (21082) |
$5,341.42 |
— |
1.6× |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
$5,341.42 |
— |
1.6× |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
$5,341.42 |
— |
1.6× |
| Impression and custom preparation; surgical obturator prosthesis Facility (21076) |
$3,211.56 |
— |
2.0× |
| Incise external hemorrhoid (46083) |
$268.94 |
$417 |
1.1× |
| Incise finger tendon sheath (26055) |
$2,205.24 |
$4,200 |
1.4× |
| Incise inner eye adhesions (65865) |
$2,166.04 |
$3,462 |
0.9× |
| Incise sperm duct pouch (55600) |
$2,990.36 |
— |
1.4× |
| Incise wrist/forearm tendon (25290) |
$3,909.88 |
$6,670 |
1.2× |
| Incise/drain tear gland (68400) |
$388.74 |
$1,596 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$188.40 |
— |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,453.85 |
$6,138 |
0.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,548.33 |
$1,611 |
2.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,156.55 |
— |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$188.40 |
— |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$181.08 |
$796 |
0.9× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,461.78 |
$4,216 |
0.5× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$3,046.62 |
$4,216 |
1.1× |
| Incision and drainage of thyroglossal duct cyst, infected Facility (60000) |
$997.54 |
— |
0.6× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$2,453.85 |
$4,295 |
0.8× |
| Incision and drainage perianal abscess superficial (46050) |
$1,461.78 |
$2,372 |
1.6× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,453.85 |
$4,854 |
0.8× |
| Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Facility (21502) |
$2,848.88 |
— |
0.9× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$5,564.12 |
$21,157 |
0.8× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$5,280.69 |
$6,239 |
0.7× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$2,848.88 |
$3,440 |
1.8× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$2,453.85 |
$2,552 |
0.8× |
| Incision bone cortex foot (28005) |
$2,789.88 |
$5,826 |
0.8× |
| Incision bone cortex hand/finger (26034) |
$1,875.51 |
$3,699 |
1.2× |
| Incision Drainage Lacrimal Sac (68420) |
$2,508.90 |
$3,273 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$2,848.88 |
$5,350 |
1.8× |
| Incision of conjunctiva, drainage of cyst (68020) |
$2,508.90 |
$2,372 |
2.5× |
| Incision of eardrum (69421) |
$2,187.16 |
$4,222 |
0.7× |
| Incision of eardrum (69420) |
$334.89 |
$496 |
1.4× |
| Incision of eye (66172) |
$3,104.31 |
$3,462 |
1.3× |
| Incision of eye (65850) |
$3,104.31 |
— |
1.3× |
| Incision of eyelid fold (67715) |
$2,508.90 |
$3,273 |
1.0× |
| Incision of fibula (27707) |
$2,848.88 |
$4,738 |
0.9× |
| Incision of iris (66500) |
$685.40 |
$3,462 |
0.3× |
| Incision of labial frenum (frenotomy) (40806) |
$334.89 |
$1,032 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$997.54 |
$2,378 |
0.6× |
| Incision of lymph channels (38308) |
$3,075.18 |
— |
0.8× |
| Incision of rectal abscess (46045) |
$3,046.62 |
$4,216 |
1.1× |
| Incision of rectal abscess (46040) |
$3,046.62 |
$3,168 |
2.5× |
| Incision of tibia (27705) |
$5,757.66 |
$10,293 |
0.8× |
Incision of tibia & fibula (27709)
unusually low: confirm this is the full procedure |
$3,909.88 |
$16,770 |
0.3× |
Incision of urethra (53010)
unusually low: confirm this is the full procedure |
$2,565.12 |
$7,260 |
0.5× |
| Incision of urethra (53025) |
$2,565.12 |
$3,142 |
1.2× |
| Incision of urethra (53000) |
$2,565.12 |
$3,142 |
1.2× |
| Incision of urethra (53020) |
$2,565.12 |
$3,142 |
1.2× |
| Incision of windpipe (31601) |
$3,211.56 |
— |
0.5× |
| Incision of windpipe (31610) |
$3,211.56 |
— |
0.5× |
| Incision&drainage bursa foot (28001) |
$1,548.33 |
— |
0.9× |
| Incision, anal septum (infant) Facility (46070) |
$1,461.78 |
— |
0.5× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$2,848.88 |
$2,694 |
1.8× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$6,412.68 |
— |
1.9× |
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Facility (25035)
unusually low: confirm this is the full procedure |
$2,848.88 |
$10,293 |
0.4× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$2,848.88 |
$4,738 |
0.9× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) |
$2,623.35 |
— |
0.8× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$3,772.89 |
$3,924 |
1.1× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Facility (25001) |
$2,848.88 |
$5,721 |
0.9× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$388.74 |
$894 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$106.22 |
— |
0.1× |
| Induced abortion by d&c (59840) |
$2,547.70 |
$4,264 |
0.8× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760)
unusually low: confirm this is the full procedure |
$3,075.18 |
$8,877 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$106.22 |
— |
0.5× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$238.35 |
— |
0.8× |
| Inj neurolytic subarachnoid (62280) |
$944.94 |
$1,381 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,814.91 |
$3,032 |
2.0× |
| Inj tendon sheath/ligament (20550) |
$310.92 |
— |
1.0× |
| Inj therapeutic carpal tunnel (20526) |
$310.92 |
$447 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$548.72 |
$2,826 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$548.72 |
$1,255 |
0.6× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$388.74 |
— |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$794.43 |
$593 |
0.9× |
| Inject Intravitreal Pharmcologic (67028) |
$291.87 |
— |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$548.72 |
$2,162 |
0.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$944.94 |
$1,381 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$461.91 |
$1,255 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$548.72 |
$983 |
0.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$794.43 |
$2,826 |
0.9× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,940.60 |
$2,018 |
2.2× |
| Inject Sinus Tract Theraputic (20500) |
$334.89 |
— |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$310.92 |
$447 |
1.0× |
| Inject/treat eye socket (67500) |
$291.87 |
— |
0.9× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$944.94 |
$1,995 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$2,515 |
— |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$944.94 |
— |
1.1× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$548.72 |
$2,515 |
0.8× |
| Injection aa&/strd pudendal nerve (64430) |
$944.94 |
$1,255 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$310.92 |
$406 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$310.92 |
— |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$944.94 |
— |
1.1× |
| Injection anesthetic agent femoral nerve single (64447) |
$548.72 |
$2,826 |
0.8× |
| Injection anesthetic agent suprascapular nerve (64418) |
$548.72 |
$983 |
0.8× |
| Injection for identification of sentinel node (38792) |
$388.74 |
$737 |
1.0× |
| Injection into skin lesions (11900) |
$106.22 |
$319 |
0.5× |
| Injection into spinal artery (62294) |
$1,142.06 |
— |
1.3× |
| Injection peyronie disease (54200) |
$268.94 |
— |
1.1× |
| Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar… (62292) |
$1,142.06 |
— |
0.6× |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) |
$4,544.88 |
— |
0.8× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$318.69 |
— |
0.5× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$106.22 |
$5,525 |
0.3× |
| Injection sclerosing solution hemorrhoids (46500) |
$1,461.78 |
$2,514 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$310.92 |
$595 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$149.06 |
$447 |
0.5× |
| Injection treatment of nerve (64681) |
$1,940.60 |
— |
2.2× |
| Injection Turbinate Therapeutic (30200) |
$997.54 |
$1,037 |
1.8× |
| Injection(s) spider veins (36468) |
$106.22 |
$984 |
0.3× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,940.60 |
$1,834 |
2.2× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$548.72 |
— |
0.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$548.72 |
— |
1.8× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Facility (66020) |
$2,166.04 |
— |
0.9× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$685.40 |
— |
0.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$106.22 |
— |
0.5× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$944.94 |
$1,381 |
1.1× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$944.94 |
$1,787 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$3,868.20 |
$11,584.30 |
1.2× |
| Ins cath ren art 1st unilat (36251) |
$3,868.20 |
$11,584.30 |
1.2× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,930.78 |
$11,584.30 |
2.2× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,930.78 |
$19,962.01 |
1.2× |
| Ins endovas vena cava filtr (37191) |
$5,707.62 |
— |
1.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$18,756.66 |
$40,115.29 |
1.8× |
| Ins tun ip cath for dial opn (49421) |
$4,113.44 |
$5,322 |
1.1× |
| Ins Vag Brachytx Device (57156) |
$768.21 |
— |
2.5× |
| Ins/Rep Subq Defibrillator (33270) |
$20,995.36 |
— |
0.7× |
| Insert and remove bone pin (20650) |
$2,848.88 |
$4,738 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$138.72 |
— |
1.1× |
| Insert cath pleura w/ image (32557) |
$263.78 |
— |
0.2× |
| Insert cath pleura w/o image (32556) |
$263.78 |
— |
0.1× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,461.78 |
— |
1.2× |
| Insert cervical dilator (59200) |
$369.46 |
— |
1.2× |
| Insert Drug Implant Device (11981) |
$84.52 |
$304 |
0.6× |
| Insert eye socket implant (67550) |
$5,052.99 |
$5,374 |
1.3× |
| Insert gastrostomy tube percutaneous (49440) |
$1,138.94 |
— |
0.6× |
| Insert heart pm atrial (33206) |
$16,294.62 |
$40,115.29 |
1.5× |
| Insert heart pm ventricular (33207) |
$16,294.62 |
$40,115.29 |
1.5× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$5,244.42 |
— |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,461.26 |
$1,975 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,461.26 |
— |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,461.26 |
— |
0.9× |
| Insert pulse gen dual leads (33213) |
$14,638.28 |
$40,115.29 |
1.4× |
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure |
$8,555.32 |
$72,519.10 |
0.4× |
| Insert pulse gen sngl lead (33212) |
$13,506.32 |
$31,702.89 |
1.6× |
Insert spine infusion device (62360)
likely a partial charge, not the full procedure |
$4,859.12 |
$6,963 |
0.3× |
| Insert subq implantable defib electrode (33271) |
$7,621.62 |
— |
0.9× |
| Insert tandem cuff (53444) |
$11,202.76 |
— |
0.5× |
| Insert Temp Bladder Cath (51702) |
$84.52 |
$162 |
0.6× |
| Insert testicular prosthesis (54660) |
$2,990.36 |
$4,129 |
0.6× |
| Insert Tissue Expander(S) (11960) |
$2,706.63 |
$4,996 |
0.8× |
| Insert tun ip cath perc (49418) |
$5,681.70 |
— |
1.6× |
| Insert tunneled cv cath (36561) |
$3,867.58 |
$7,987 |
1.2× |
| Insert Tunneled Cv Cath With Pump (36563) |
$3,867.58 |
$8,195 |
0.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,228.99 |
— |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$84.52 |
— |
0.6× |
| Insert/ replace infusn pump,programmable (62362) |
$24,631.66 |
$42,890 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,113.44 |
— |
1.1× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$997.54 |
$2,310 |
0.6× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement Facility (53855) |
$376.66 |
— |
0.2× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Facility (66183) |
$5,758.56 |
— |
1.4× |
| Insertion of cannula (36800) |
$3,977.72 |
— |
0.7× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$3,977.72 |
— |
1.2× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$3,977.72 |
— |
0.7× |
| Insertion of Heyman capsules for clinical brachytherapy Facility (58346) |
$2,547.70 |
— |
0.5× |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) |
$3,867.58 |
$4,662 |
0.7× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$19,304.88 |
$16,897 |
0.9× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
— |
$21,491 |
— |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$3,196.59 |
$3,462 |
1.4× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$19,304.88 |
$16,897 |
0.9× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
$5,052.99 |
— |
1.3× |
| Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Facility (65135) |
$3,255.90 |
— |
0.8× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
$3,255.90 |
— |
0.8× |
| Insertion of penile prosthesis; inflatable (self-contained) Facility (54401) |
$19,304.88 |
$16,897 |
0.9× |
| Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) |
$11,202.76 |
$11,651 |
0.8× |
Insertion of pin-retained palatal prosthesis Facility (42281)
unusually low: confirm this is the full procedure |
$2,187.16 |
$7,989 |
0.4× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
$4,859.12 |
— |
0.5× |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
$3,977.72 |
— |
1.2× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Facility (25430) |
$3,524.18 |
$4,738 |
1.1× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) |
$24,977.42 |
$25,137 |
0.8× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) |
$36,167.91 |
— |
1.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,457.56 |
$31,702.89 |
1.1× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$3,977.72 |
— |
0.7× |
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
likely a partial charge, not the full procedure |
$814.16 |
— |
0.2× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$24,977.42 |
$21,469 |
1.3× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$9,312.14 |
$31,702.89 |
1.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,312.14 |
$31,702.89 |
1.1× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$34,792.23 |
$40,115.29 |
3.3× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$44,712.39 |
$88,622.70 |
2.0× |
| Insj picc rs&i 5 yr+ (36573) |
— |
$5,310 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,228.99 |
$4,770 |
1.0× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,228.99 |
— |
1.0× |
| Insj rx elut implt lac canal (68841) |
$241.11 |
— |
0.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,867.58 |
$4,770 |
1.2× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$10,949.82 |
— |
1.9× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,867.58 |
— |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,228.99 |
$4,770 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$7,578.32 |
$13,450 |
0.9× |
| Insj/rplcmt defib w/lead(s) (33249) |
$54,228.54 |
$124,579.33 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,312.14 |
$31,702.89 |
1.1× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$9,312.14 |
$31,702.89 |
1.1× |
| Insrt pulse gen w/dual leads (33230) |
$18,598.96 |
$88,622.70 |
0.8× |
| Insrt pulse gen w/mult leads (33231) |
$18,598.96 |
$124,579.33 |
0.6× |
| Insrt/redo spine n generator (63685) |
$32,254.02 |
$58,760 |
1.0× |
| Install spinal shunt (63741) |
$4,859.12 |
— |
0.5× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$138.72 |
— |
0.5× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$1,461.78 |
$5,600 |
0.5× |
| Interdental Fixation (21110) |
$997.54 |
$2,310 |
0.6× |
| Interdental Wiring Other Than Fracture (21497) |
$2,187.16 |
— |
1.4× |
| Interpelviabdominal amputation (hindquarter amputation) Facility (27290) |
$10,866.34 |
— |
0.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,037.18 |
— |
1.5× |
| Interthoracoscapular amputation (forequarter) Facility (23900) |
$9,274.66 |
— |
0.7× |
| Intraoral i&d tongue/floor lingual (41000) |
$2,187.16 |
— |
4.0× |
| Intraoral i&d tongue/floor masticator space (41009) |
$334.89 |
— |
0.6× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$334.89 |
$371 |
1.4× |
| Intraoral i&d tongue/floor submental space (41007) |
$2,187.16 |
$2,310 |
1.4× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,187.16 |
— |
0.7× |
| Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep,… (41006) |
$3,211.56 |
— |
2.0× |
| Intro cath dialysis circuit (36901) |
— |
$5,778.57 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$41,228.17 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$20,255.78 |
— |
| Intro Gastrointestinal Tube (44500) |
$433.76 |
$1,374 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$329.37 |
$424 |
1.4× |
| Iridectomy, with corneoscleral or corneal section; for removal of lesion Facility (66600) |
$3,104.31 |
$6,575 |
0.7× |
| Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) |
$3,104.31 |
— |
1.3× |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) |
$685.40 |
— |
0.3× |
| Irrigation maxillary sinus (31000) |
$334.89 |
$745 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$268.94 |
— |
1.1× |
| Irrigation sphenoid sinus (31002) |
$997.54 |
— |
0.6× |
| Island pedicle flap graft (15740) |
$2,015.34 |
$2,797 |
1.0× |
| IV injection test vascular flow flap/graft (15860) |
$84.52 |
— |
0.2× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$5,274.27 |
— |
1.3× |
| Kidney endoscopy (50575) |
$4,832.40 |
$7,260 |
0.9× |
| Kidney endoscopy (50553) |
$3,318.48 |
— |
0.6× |
| Kidney endoscopy (50570) |
$800.14 |
— |
0.2× |
Kidney endoscopy (50551)
likely a partial charge, not the full procedure |
$800.14 |
— |
0.1× |
| Knee Arthroscopy/Surgery (29885) |
$6,122.28 |
$9,298 |
0.8× |
| Knee Arthroscopy/Surgery (29874) |
$3,855 |
$9,162 |
1.2× |
| Knee Arthroscopy/Surgery (29879) |
$3,855 |
$8,328 |
1.2× |
| Krukenberg procedure Facility (25915) |
$6,999.36 |
— |
1.0× |
| Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819) |
$17,768.79 |
— |
1.0× |
| Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818) |
$14,587.95 |
— |
0.8× |
| Labyrinthectomy; with mastoidectomy Facility (69910) |
$5,341.42 |
$7,989 |
0.9× |
| Labyrinthotomy Transcanal (69801) |
$5,341.42 |
$3,992 |
3.4× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Facility (63265)
unusually low: confirm this is the full procedure |
$3,204.98 |
$3,869 |
0.4× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267)
unusually low: confirm this is the full procedure |
$3,204.98 |
$9,500 |
0.4× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268)
unusually low: confirm this is the full procedure |
$3,204.98 |
$4,531 |
0.4× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266)
unusually low: confirm this is the full procedure |
$3,204.98 |
$12,365 |
0.4× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655)
likely a partial charge, not the full procedure |
$2,665.02 |
$9,540 |
0.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$6,264.96 |
$15,771 |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$6,264.96 |
$10,293 |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$6,264.96 |
$10,293 |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$6,264.96 |
$13,824 |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$6,264.96 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$6,264.96 |
$10,293 |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63016) |
$6,264.96 |
$14,801 |
0.9× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$6,264.96 |
$13,800 |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$12,529.92 |
$16,035 |
1.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$5,334.96 |
$11,270 |
0.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$6,264.96 |
$9,358 |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$6,264.96 |
$14,801 |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$6,264.96 |
$16,000 |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$6,264.96 |
$13,472 |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$6,264.96 |
$13,800 |
0.9× |
| Lap impl electrode antrum (43647) |
$11,098.71 |
— |
1.0× |
| Lap ing hernia repair init (49650) |
$6,098.79 |
$12,365 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$4,607.18 |
$7,156 |
0.8× |
| Lap paraesoph her rpr w/mesh (43282) |
$11,585.68 |
$18,500 |
1.1× |
| Lap paraesophag hern repair (43281) |
$13,608.84 |
$20,052 |
1.3× |
| Lap replace gastr adj device (43773) |
$8,450.76 |
— |
1.4× |
| Lap revision perm ip cath (49325) |
$4,607.18 |
$11,850 |
0.8× |
| Laparoscopic surgical splenectomy (38120) |
$6,098.79 |
— |
0.6× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$6,098.79 |
$8,300 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,098.79 |
$12,365 |
1.0× |
| Laparoscopy biopsy (49321) |
$4,607.18 |
$10,041 |
0.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$6,098.79 |
$20,052 |
0.6× |
| Laparoscopy tubal block (58671) |
$6,098.79 |
$12,365 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$6,098.79 |
$12,710 |
0.6× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,098.79 |
$12,365 |
1.0× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$4,607.18 |
— |
0.8× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) |
$6,098.79 |
$20,052 |
0.6× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Facility (47370) |
$9,331.38 |
— |
0.9× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure |
$4,607.18 |
— |
0.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,098.79 |
$12,365 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$9,331.38 |
$18,500 |
0.9× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
unusually low: confirm this is the full procedure |
$3,755.98 |
— |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$6,394.83 |
$9,994 |
1.6× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$6,348.90 |
— |
1.6× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$4,607.18 |
$10,041 |
0.8× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$6,098.79 |
— |
0.6× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541) |
$6,098.79 |
$8,300 |
0.6× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$6,098.79 |
— |
0.6× |
| Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550) |
$6,098.79 |
— |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$6,098.79 |
— |
0.6× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$6,098.79 |
$13,981 |
0.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$9,331.38 |
$9,706 |
1.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$6,098.79 |
$18,585 |
0.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) |
$6,098.79 |
— |
0.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$6,098.79 |
$12,710 |
0.6× |
Laparoscopy, surgical; ablation of renal cysts Facility (50541)
unusually low: confirm this is the full procedure |
$4,607.18 |
— |
0.4× |
| Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring,… (50542) |
$9,331.38 |
— |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,098.79 |
$12,365 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,098.79 |
$8,300 |
0.6× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$6,098.79 |
— |
1.0× |
| Laparoscopy, surgical; orchiectomy Facility (54690) |
$6,098.79 |
$8,300 |
1.0× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$9,331.38 |
— |
1.5× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$6,098.79 |
$20,052 |
0.6× |
Laparoscopy, surgical; pyeloplasty Facility (50544)
unusually low: confirm this is the full procedure |
$4,607.18 |
— |
0.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,098.79 |
$12,365 |
1.0× |
Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648)
unusually low: confirm this is the full procedure |
$4,607.18 |
— |
0.4× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$6,098.79 |
$12,365 |
1.0× |
| Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) |
$9,331.38 |
— |
1.5× |
| Laparoscopy, surgical; ureterolithotomy Facility (50945) |
$6,098.79 |
— |
1.0× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947) |
$6,098.79 |
$8,300 |
0.6× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$6,098.79 |
— |
0.6× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$6,098.79 |
— |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$6,098.79 |
— |
0.6× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$9,331.38 |
— |
0.9× |
| Laparoscopy, surgical; with fimbrioplasty Facility (58672) |
$6,098.79 |
— |
1.0× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$1,398.86 |
$8,300 |
0.2× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$6,098.79 |
$12,825 |
1.0× |
| Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673) |
$6,098.79 |
$8,300 |
0.6× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,607.18 |
$8,712 |
0.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,098.79 |
$13,432 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$6,098.79 |
$13,981 |
0.6× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$6,098.79 |
— |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,098.79 |
$8,300 |
1.0× |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
$9,331.38 |
— |
1.5× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$4,607.18 |
$9,128 |
0.8× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,098.79 |
$8,300 |
1.0× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$3,043.12 |
$6,908 |
0.8× |
| Laryngoplasty, cricoid split, without graft placement Facility (31587) |
$6,810.60 |
— |
1.1× |
| Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) |
$5,341.42 |
— |
0.9× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
$10,175.08 |
— |
1.7× |
Laryngoscop w/arytenoidectom (31560)
unusually low: confirm this is the full procedure |
$3,043.12 |
— |
0.4× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$2,279.24 |
$6,908 |
0.6× |
| Laryngoscopy diagnostic (31505) |
$110.14 |
$297 |
0.5× |
| Laryngoscopy Direct Aspiration (31515) |
$2,279.24 |
$1,938 |
5.8× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$215.85 |
$698 |
0.5× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$2,279.24 |
— |
0.6× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$2,279.24 |
— |
0.6× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
$3,043.12 |
— |
0.8× |
| Laryngoscopy flexible diagnostic (31575) |
$215.85 |
$297 |
1.1× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$3,043.12 |
$5,679 |
0.8× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,043.12 |
— |
1.7× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$4,656 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$534.98 |
$698 |
1.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$534.98 |
— |
1.4× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$215.85 |
— |
1.1× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$2,279.24 |
$4,948 |
0.6× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$215.85 |
— |
0.5× |
| Laryngoscopy w/biopsy (31535) |
$3,043.12 |
$6,908 |
0.8× |
| Laryngoscopy w/bx op scope (31536) |
$3,043.12 |
$4,948 |
0.8× |
| Laryngoscopy w/exc of tumor (31540) |
$3,043.12 |
$8,277 |
0.8× |
| Laryngoscopy w/fb & op scope (31531) |
$3,043.12 |
— |
0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,043.12 |
— |
1.7× |
Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Facility (31561)
unusually low: confirm this is the full procedure |
$3,043.12 |
$9,295 |
0.4× |
| Laryngoscopy,Indirect With Biopsy (31510) |
$2,279.24 |
$4,948 |
0.6× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$3,211.56 |
— |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$3,043.12 |
$6,908 |
0.8× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$6,054.92 |
$13,697 |
1.1× |
| Laser surgery of eye (65855) |
$696.54 |
— |
1.3× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$696.54 |
$1,634 |
1.3× |
| Laser treatment of retina (67040) |
$4,983.81 |
— |
1.2× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$6,054.92 |
$7,260 |
1.1× |
| Late closure of wound (13160) |
$2,706.63 |
$8,324 |
0.8× |
| Lateral canthopexy (21282) |
$2,187.16 |
— |
0.7× |
| Lateral retinacular release open (27425) |
$3,909.88 |
$9,802 |
1.2× |
Lengthen metacarpal/finger (26568)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$3,909.88 |
$11,008 |
0.5× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$5,757.66 |
$9,098 |
1.7× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$3,909.88 |
$11,008 |
0.5× |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
$5,341.42 |
— |
0.9× |
| Lengthening of palate, with island flap Facility (42227) |
$5,341.42 |
— |
0.9× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$2,205.24 |
$4,738 |
0.7× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$2,205.24 |
— |
0.7× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,461.31 |
$4,770 |
1.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,757.66 |
$14,801 |
0.8× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$10,638.57 |
$26,725 |
0.8× |
| Ligamentous reconstruction knee intra-articular (27428) |
$10,638.57 |
$26,725 |
0.8× |
| Ligate leg veins open (37761) |
$4,956.33 |
— |
1.6× |
| Ligate leg veins radical (37760) |
$3,461.31 |
$4,770 |
1.1× |
| Ligate/strip long leg vein (37722) |
$5,707.62 |
$6,325 |
1.8× |
| Ligate/strip short leg vein (37718) |
$3,461.31 |
$6,549 |
1.1× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$5,707.62 |
$5,937 |
1.8× |
| Ligation arteries; ethmoidal Facility (30915) |
$3,461.31 |
— |
1.1× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$3,461.31 |
— |
1.1× |
| Ligation Internal/Common Carotid Artery (37605) |
$5,707.62 |
— |
1.8× |
| Ligation major artery abdomen (37617) |
$9,055.30 |
— |
1.6× |
| Ligation of a-v fistula (37607) |
$3,461.31 |
$11,584.30 |
1.1× |
| Ligation of femoral vein Facility (37650) |
$3,461.31 |
$4,770 |
1.1× |
| Ligation of hemorrhoid(s) (46221) |
$642.06 |
$1,341 |
0.7× |
| Ligation Of Inf Vena Cava (37619) |
$6,403 |
— |
1.1× |
| Ligation Of Neck Artery (37615) |
$3,461.31 |
$3,601 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$2,156.55 |
$3,699 |
1.3× |
| Ligation salivary duct, intraoral Facility (42665) |
$3,211.56 |
— |
1.0× |
| Ligation, internal jugular vein Facility (37565) |
$4,035.70 |
— |
1.3× |
| Ligation; external carotid artery Facility (37600) |
$4,035.70 |
— |
1.3× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) |
$3,461.31 |
— |
1.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,461.31 |
$4,770 |
1.1× |
| Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Facility (38562) |
$4,693.44 |
— |
0.6× |
| Limited pharyngectomy Facility (42890) |
$5,341.42 |
— |
0.9× |
| Lip shave (40500) |
$2,187.16 |
$4,030 |
0.7× |
| Lip Surgery Procedure (40799) |
$334.89 |
$1,693 |
1.4× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,318.48 |
$5,285 |
0.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,318.48 |
$5,285 |
0.9× |
| Lithotripsy (50590) |
$5,787.21 |
$14,328.62 |
1.6× |
| Liver Biopsy (47000) |
$1,250.44 |
$2,484 |
0.7× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
$84.52 |
— |
2.9× |
| Lower jaw bone graft (21215) |
$5,341.42 |
— |
0.9× |
| Lsh uterus above 250 g (58543) |
$6,098.79 |
— |
0.6× |
| Lyse chest fibrin init day (32561) |
$1,035.63 |
— |
1.6× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,035.63 |
— |
1.6× |
| Lysis Intranasal Synechia (30560) |
$334.89 |
$880 |
0.6× |
| Lysis of labial adhesions (56441) |
$2,547.70 |
$4,264 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,990.36 |
$5,600 |
1.4× |
| Malar augmentation, prosthetic material Facility (21270) |
$5,341.42 |
$7,989 |
0.9× |
| Male sling procedure (53440) |
$11,202.76 |
$10,592 |
0.8× |
| Manipulat Palm Cord Post Inj (26341) |
$894.34 |
— |
3.6× |
| Manipulation hip joint general anesthesia (27275) |
$1,977.81 |
$3,699 |
1.2× |
| Manipulation knee joint under general anesthesia (27570) |
$1,977.81 |
$5,250 |
1.2× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$1,977.81 |
$4,906 |
0.6× |
| Manipulation spine requiring anesthesia (22505) |
$1,977.81 |
$2,372 |
1.2× |
| Manipulation Tmj Therapeutic Require Anesthesia (21073) |
$997.54 |
— |
0.6× |
| Manipulation, elbow, under anesthesia (24300) |
$1,977.81 |
$2,372 |
1.2× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$236.84 |
$2,155 |
0.1× |
| Manipulation, wrist, under anesthesia (25259) |
$236.84 |
$2,372 |
0.1× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$268.94 |
— |
0.4× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
$138.72 |
— |
1.1× |
| Marsupialization Bartholins Gland Cyst (56440) |
$2,547.70 |
$4,264 |
0.8× |
| Marsupialization of urethral diverticulum, male or female Facility (53240) |
$3,989.74 |
— |
1.1× |
| Mast mod rad (19307) |
$5,333.61 |
$8,877 |
0.8× |
| Mastectomy for gynecomastia (19300) |
$2,764.86 |
$5,229 |
0.7× |
| Mastectomy partial (19301) |
$2,764.86 |
$7,201 |
0.7× |
| Mastectomy simple complete (19303) |
$4,247.88 |
$9,045 |
0.6× |
| Mastoid obliteration (separate procedure) Facility (69670) |
$5,341.42 |
— |
0.9× |
| Mastoidectomy (69501) |
$5,341.42 |
— |
0.9× |
| Mastoidectomy; complete (69502) |
$3,211.56 |
$7,989 |
0.5× |
| Mastoidectomy; modified radical Facility (69505) |
$5,341.42 |
$7,989 |
0.9× |
| Mastoidectomy; radical (69511) |
$5,341.42 |
— |
0.9× |
| Mastopexy (19316) |
$4,247.88 |
$8,877 |
0.6× |
| Maxillary impression for palatal prosthesis Facility (42280) |
$334.89 |
— |
0.6× |
| Maxillofacial fixation (21100) |
$5,341.42 |
— |
0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,461.26 |
— |
0.9× |
| Mech remov tunneled cv cath (36595) |
$3,228.99 |
— |
1.0× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$4,362.16 |
— |
0.7× |
| Mediastinoscpy w/lmph nod bx (39402) |
$4,362.16 |
— |
0.7× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
$5,341.42 |
— |
0.9× |
| Metatarsectomy (28140) |
$2,789.88 |
$4,738 |
0.8× |
| Middle ear surgery proc unlisted (69799) |
$334.89 |
$776 |
1.4× |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
$2,508.90 |
— |
1.0× |
| Mohs 1 stage h/n/hf/g (17311) |
$486.50 |
— |
0.7× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$486.50 |
— |
0.7× |
| Multifetal Pregnancy Reduction (59866) |
$369.46 |
— |
1.2× |
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410)
unusually low: confirm this is the full procedure |
$3,909.88 |
— |
0.3× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
$5,757.66 |
— |
1.7× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
$5,757.66 |
— |
1.7× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$2,508.90 |
— |
1.0× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,706.63 |
$2,816 |
1.3× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$2,706.63 |
$4,996 |
0.8× |
| Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Facility (24301) |
$3,909.88 |
$10,293 |
0.5× |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
$10,638.57 |
$11,065 |
1.5× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$5,757.66 |
$12,182 |
0.8× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$2,706.63 |
$8,132 |
0.8× |
| Muscle-skin graft trunk (15734) |
$2,706.63 |
$4,996 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,976.86 |
$1,651 |
2.5× |
| Myelography Lumbar Injection (62304) |
$1,976.86 |
$2,130 |
2.5× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,976.86 |
$2,236 |
2.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,976.86 |
— |
2.5× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$4,343.02 |
$4,517 |
1.3× |
| Myringoplasty (69620) |
$3,211.56 |
$4,030 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$548.72 |
$983 |
0.8× |
| N Block Inj, Plantar Digit (64455) |
$345.52 |
$593 |
1.1× |
| Nasal endoscopy dx (31231) |
$215.85 |
$1,938 |
1.1× |
| Nasal sinus therapy (30210) |
$997.54 |
— |
0.6× |
| Nasal surgery procedure (30999) |
$334.89 |
$338 |
1.4× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure |
$3,102.30 |
$5,204 |
0.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,102.30 |
$5,204 |
0.8× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$215.85 |
— |
0.5× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$2,279.24 |
— |
1.3× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
unusually low: confirm this is the full procedure |
$3,043.12 |
$5,175 |
0.4× |
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294)
unusually low: confirm this is the full procedure |
$3,043.12 |
— |
0.4× |
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292)
unusually low: confirm this is the full procedure |
$3,043.12 |
— |
0.4× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
unusually low: confirm this is the full procedure |
$3,043.12 |
$5,175 |
0.4× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,295.28 |
$4,934 |
1.3× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$1,875.51 |
$4,948 |
0.5× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) |
— |
$5,600 |
— |
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293)
unusually low: confirm this is the full procedure |
$3,043.12 |
— |
0.4× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
unusually low: confirm this is the full procedure |
$3,043.12 |
$5,175 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,279.24 |
$3,699 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,279.24 |
$3,699 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
— |
$6,332 |
— |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure |
$2,730.02 |
$5,169 |
0.4× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure |
$2,730.02 |
$9,295 |
0.4× |
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
unusually low: confirm this is the full procedure |
$2,730.02 |
$6,332 |
0.4× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$4,966 |
— |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
— |
$4,966 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$4,966 |
— |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
unusually low: confirm this is the full procedure |
$3,102.30 |
$4,864.50 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$177.76 |
$628 |
0.4× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$3,989.74 |
— |
1.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,855 |
$3,644 |
2.4× |
| Needle biopsy of pancreas (48102) |
$1,250.44 |
$1,964 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$538 |
— |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
$4,456.47 |
— |
1.3× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Facility (64892) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) |
$4,456.47 |
— |
0.5× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
$4,456.47 |
$9,129 |
0.5× |
| Nerve pedicle transfer; first stage Facility (64905) |
$4,456.47 |
— |
0.5× |
| Nerve pedicle transfer; second stage Facility (64907) |
$4,456.47 |
— |
0.5× |
Nerve repair w/allograft (64910)
likely a partial charge, not the full procedure |
$2,417.97 |
$9,597.28 |
0.3× |
| Nerve repair w/nerve allograft first strand (64912) |
— |
$8,246 |
— |
Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve Facility (64911)
likely a partial charge, not the full procedure |
$2,417.97 |
$8,246 |
0.3× |
| Neurectomy Popliteal (27326) |
$2,417.97 |
$4,598 |
1.2× |
| Neurectomy, hamstring muscle Facility (27325) |
$2,417.97 |
$4,598 |
1.2× |
| Neurectomy, intrinsic musculature of foot Facility (28055) |
$2,417.97 |
$6,860 |
1.2× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,417.97 |
$5,805 |
1.2× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$2,417.97 |
$5,805 |
1.2× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,417.97 |
$5,805 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$2,417.97 |
$2,950 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$2,417.97 |
$2,945 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$2,417.97 |
$2,945 |
1.2× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,417.97 |
$5,805 |
1.2× |
| Nipple exploration (19110) |
$2,764.86 |
$5,086 |
0.7× |
| Nipple/areola reconstruction (19350) |
$2,764.86 |
$5,086 |
0.7× |
| Njx aa&/strd sciatic nerve (64445) |
$548.72 |
$2,027 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$944.94 |
$1,381 |
1.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$268.94 |
— |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,056.68 |
— |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,007.37 |
$3,306 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$4,200 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$3,207 |
— |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
— |
$6,702.96 |
— |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
— |
$6,702.96 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$106.22 |
$5,525 |
0.3× |
| Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) |
$268.94 |
— |
1.1× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure |
$3,043.12 |
$5,175 |
0.4× |
| Obstructive material removal from gi tube (49460) |
$433.76 |
— |
0.5× |
| Occipital Nerve Block (64405) |
$461.91 |
$812.98 |
1.5× |
| Occlude fallopian tube(s) (58615) |
$2,547.70 |
$4,264 |
0.8× |
| Ocular photodynamic ther (67221) |
$553.59 |
— |
1.0× |
| Ocular reconst transplant (65780) |
$5,021.58 |
— |
1.3× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$5,021.58 |
— |
1.3× |
| Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781) |
$5,021.58 |
— |
0.9× |
| Omntc epiploectomy rescj omentum spx (49255) |
$5,287.77 |
$5,500 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$5,816 |
— |
Open bone biopsy (20251)
unusually low: confirm this is the full procedure |
$2,848.88 |
— |
0.4× |
| Open bone biopsy (20250) |
$2,848.88 |
$4,738 |
0.9× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure |
$9,103.24 |
$12,757 |
0.2× |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
$11,098.71 |
— |
0.6× |
| Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Facility (64575) |
$11,098.71 |
$11,330 |
1.0× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$11,098.71 |
$10,495 |
1.7× |
| Open nasoethmoid fx w/o fixj (21338) |
$3,211.56 |
— |
0.5× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446) |
$5,929.60 |
$12,075 |
0.8× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$5,506.40 |
$10,293 |
0.8× |
| Open thrombect av fistula (36831) |
$5,192.72 |
— |
0.9× |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) |
$9,445.84 |
— |
0.7× |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) |
$10,502.43 |
$16,009 |
0.8× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$9,465.98 |
$8,952 |
0.7× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) |
$9,797.58 |
$9,264 |
0.8× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) |
$9,744.02 |
$8,059 |
0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,506.40 |
$11,500 |
0.8× |
| Open treatment calcaneal fracture (28415) |
$7,932.70 |
$14,801 |
1.1× |
| Open treatment fracture distal tibia only (27827) |
$7,932.70 |
$17,204 |
0.6× |
| Open treatment greater trochanteric fracture (27248) |
$4,966.38 |
— |
0.7× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,503.90 |
$4,738 |
1.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,506.40 |
$13,219 |
0.8× |
| Open treatment metacarpophalangeal dislocation (26715) |
$3,503.90 |
$4,738 |
1.1× |
| Open treatment metatarsal fracture each (28485) |
$5,506.40 |
$10,120 |
0.8× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
$12,692.72 |
— |
1.7× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
$11,136.74 |
$15,135 |
1.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$5,506.40 |
$13,492 |
0.8× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$5,506.40 |
$13,490 |
0.8× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) |
$5,506.40 |
$12,583 |
0.8× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$5,506.40 |
$10,293 |
0.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,932.70 |
$23,428 |
1.1× |
| Open treatment of coccygeal fracture Facility (27202) |
$5,506.40 |
$9,098 |
1.7× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) |
$8,004.38 |
— |
1.3× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$5,341.42 |
$1,862 |
0.9× |
| Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) |
$10,141.94 |
$10,548 |
1.7× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$5,341.42 |
— |
0.9× |
| Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433) |
$11,817.80 |
— |
2.0× |
| Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal… (21436) |
$13,855.88 |
— |
2.3× |
| Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435) |
$8,626.77 |
— |
1.4× |
| Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) |
$4,410.30 |
— |
0.7× |
| Open treatment of depressed frontal sinus fracture Facility (21343) |
$8,131.90 |
— |
1.4× |
| Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360) |
$3,211.56 |
$1,862 |
0.5× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$3,211.56 |
$1,862 |
0.5× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
$5,950.98 |
— |
0.8× |
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676)
unusually low: confirm this is the full procedure |
$3,503.90 |
$10,293 |
0.5× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure |
$6,476.44 |
$6,737 |
0.5× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$8,335.96 |
— |
1.1× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$6,514.71 |
$9,200 |
0.9× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$8,953.26 |
$10,601 |
1.2× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$8,325.76 |
— |
0.6× |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
$6,683.06 |
$6,951 |
0.5× |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) |
$5,341.42 |
— |
0.9× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$5,341.42 |
— |
0.9× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$5,341.42 |
$2,067 |
0.9× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
unusually low: confirm this is the full procedure |
$2,709.26 |
$10,293 |
0.4× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$7,932.70 |
$14,801 |
1.1× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$8,476.26 |
— |
1.2× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$6,292.78 |
— |
1.9× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$7,932.70 |
$16,770 |
0.6× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$7,932.70 |
$16,851 |
0.6× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) |
$7,007.01 |
$7,288 |
1.0× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$7,991.61 |
$10,601 |
1.1× |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) |
$5,833.65 |
$6,066 |
0.8× |
Open treatment of lunate dislocation Facility (25695)
unusually low: confirm this is the full procedure |
$3,503.90 |
$14,801 |
0.5× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$5,341.42 |
— |
0.9× |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
$3,211.56 |
— |
0.5× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$5,341.42 |
— |
0.9× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$5,341.42 |
$7,989 |
0.9× |
| Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Facility (21445) |
$3,211.56 |
— |
0.5× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$3,211.56 |
$7,012 |
1.0× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$3,211.56 |
$5,806 |
1.0× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$3,503.90 |
$6,831 |
1.1× |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) |
$3,211.56 |
— |
0.5× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) |
$7,453.40 |
— |
1.2× |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)… (21348) |
$8,022.22 |
— |
1.3× |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) |
$4,656.48 |
$7,989 |
0.8× |
| Open treatment of orbital floor blowout fracture; combined approach Facility (21387) |
$8,017.53 |
$1,908 |
1.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$8,017.53 |
$2,385 |
1.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) |
$8,017.53 |
— |
1.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$5,341.42 |
$2,646 |
0.9× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$5,341.42 |
$2,646 |
0.9× |
| Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) |
$5,553.08 |
$5,776 |
0.9× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$4,514.90 |
$4,697 |
0.8× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$5,506.40 |
$11,008 |
0.8× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616)
unusually low: confirm this is the full procedure |
$7,932.70 |
$14,135 |
0.4× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$5,506.40 |
$10,293 |
0.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$7,932.70 |
$14,801 |
1.1× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$7,932.70 |
$16,851 |
0.6× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
unusually low: confirm this is the full procedure |
$2,466.82 |
$10,293 |
0.3× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$5,506.40 |
$9,292 |
0.8× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670)
unusually low: confirm this is the full procedure |
$3,503.90 |
$4,738 |
0.5× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) |
$6,164.08 |
— |
0.8× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$6,164.08 |
— |
0.8× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$6,164.08 |
— |
3.8× |
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
unusually low: confirm this is the full procedure |
$3,503.90 |
$10,293 |
0.5× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$7,932.70 |
$10,293 |
1.1× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
unusually low: confirm this is the full procedure |
$5,506.40 |
$16,770 |
0.4× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
$6,114.24 |
— |
1.8× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
$12,400.50 |
$23,326 |
1.7× |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
$6,820.80 |
— |
0.9× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$7,427.90 |
— |
2.2× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$7,407.50 |
— |
2.2× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
$10,379.14 |
— |
3.1× |
| Open treatment of sternoclavicular dislocation, acute or chronic; Facility (23530) |
$5,506.40 |
$10,293 |
0.8× |
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532)
unusually low: confirm this is the full procedure |
$3,503.90 |
— |
0.5× |
Open treatment of sternum fracture with or without skeletal fixation Facility (21825)
unusually low: confirm this is the full procedure |
$3,642.52 |
— |
0.5× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
unusually low: confirm this is the full procedure |
$3,503.90 |
$5,517 |
0.5× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) |
$5,506.40 |
$10,293 |
0.8× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$5,341.42 |
— |
1.6× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
unusually low: confirm this is the full procedure |
$5,506.40 |
$17,589 |
0.4× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$7,932.70 |
$23,326 |
1.1× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$5,506.40 |
$13,490 |
0.8× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,872.24 |
$10,293 |
0.3× |
| Open treatment posterior malleolus fracture (27769) |
$5,506.40 |
$14,801 |
0.8× |
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure |
$4,537.26 |
$26,725 |
0.3× |
| Open treatment talus fracture (28445) |
$5,506.40 |
$13,219 |
0.8× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$5,506.40 |
$14,801 |
0.8× |
| Open tx acute shoulder dislocation (23660) |
$5,506.40 |
$10,293 |
0.8× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$3,503.90 |
$6,983 |
1.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$5,506.40 |
$11,439 |
1.7× |
| Open tx carpal scaphoid navicular fracture (25628) |
$5,506.40 |
$13,490 |
0.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,506.40 |
$12,650 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,503.90 |
$6,983 |
1.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,506.40 |
$14,802 |
0.8× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$3,503.90 |
$6,867 |
1.1× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$7,932.70 |
$26,725 |
0.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$7,932.70 |
$11,091 |
0.6× |
| Open tx interphalangeal joint dislocation (26785) |
$3,503.90 |
$4,738 |
1.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$5,506.40 |
$12,365 |
1.7× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$3,503.90 |
$4,738 |
1.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,503.90 |
$6,983 |
1.1× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$5,506.40 |
$14,801 |
0.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$5,506.40 |
$11,500 |
0.8× |
| Open tx ulnar fx proximal end (24685) |
$5,506.40 |
$13,500 |
0.8× |
| Open/Perq Place Stent Same (37238) |
$17,290.08 |
$41,228.17 |
1.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$18,197.76 |
$41,228.17 |
1.6× |
| Opponensplasty; hypothenar muscle transfer Facility (26494) |
$3,524.18 |
$4,738 |
1.1× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Facility (26492) |
$3,524.18 |
$6,908 |
1.1× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$2,165.43 |
$19,793 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,932.70 |
$14,801 |
1.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,932.70 |
$14,801 |
1.1× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,932.70 |
$14,801 |
1.1× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$8,009.48 |
$8,910 |
1.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$7,932.70 |
$18,855 |
0.6× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
$7,080.98 |
$10,350 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$3,685.89 |
$3,954 |
0.5× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach… (21268) |
$12,032.06 |
— |
2.0× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) |
$5,341.42 |
— |
0.9× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$5,052.99 |
— |
1.3× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) |
$5,052.99 |
— |
1.3× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$5,052.99 |
— |
1.3× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) |
$5,052.99 |
— |
1.3× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Facility (67420) |
$5,052.99 |
— |
1.3× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$5,052.99 |
— |
1.3× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Facility (67413) |
$3,255.90 |
$3,387 |
1.4× |
| Orchiectomy partial (54522) |
$2,990.36 |
— |
0.8× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,109.31 |
$5,322 |
1.1× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$6,506.84 |
— |
1.8× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$5,963 |
— |
1.6× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$2,789.88 |
$4,738 |
0.8× |
| Ostectomy calcaneus (28118) |
$2,789.88 |
$6,983 |
0.8× |
| Ostectomy complete 1st metatarsal head (28111) |
$2,789.88 |
$4,738 |
0.8× |
| Ostectomy complete 5th metatarsal head (28113) |
$2,789.88 |
$4,738 |
0.8× |
| Ostectomy of sternum, partial Facility (21620) |
$3,387.45 |
— |
1.0× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,875.51 |
$4,738 |
0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,789.88 |
$6,983 |
0.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,789.88 |
$4,738 |
0.8× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$6,122.28 |
$24,380 |
0.5× |
| Osteochondral knee autograft (27416) |
$5,757.66 |
$14,801 |
0.8× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$2,205.24 |
$4,738 |
0.7× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$5,341.42 |
— |
0.9× |
| Osteoplasty, facial bones; reduction Facility (21209) |
$5,341.42 |
$7,989 |
0.9× |
| Osteoplasty, femur; lengthening Facility (27466) |
$7,871.73 |
— |
1.1× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$8,374.23 |
— |
1.1× |
| Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) Facility (24420) |
$5,757.66 |
— |
0.8× |
| Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) |
$5,757.66 |
— |
0.8× |
| Osteoplasty, radius AND ulna; shortening (excluding 64876) Facility (25392) |
$3,909.88 |
— |
0.5× |
Osteoplasty, radius OR ulna; lengthening with autograft Facility (25391)
unusually low: confirm this is the full procedure |
$5,757.66 |
$9,547 |
0.4× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$3,909.88 |
$12,645 |
0.5× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
$7,142.20 |
$7,428 |
0.6× |
Osteot shrt corrj prox phalanx 1st toe (28310)
unusually low: confirm this is the full procedure |
$2,789.88 |
$4,738 |
0.4× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure |
$2,789.88 |
$11,008 |
0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,789.88 |
$4,738 |
0.8× |
| Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140) |
$5,958.64 |
— |
0.8× |
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure |
$2,304.66 |
$14,801 |
0.3× |
| Osteotomy Metacarpal Each (26565) |
$3,524.18 |
$6,908 |
1.1× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) |
$10,641.88 |
— |
1.5× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
$10,550.06 |
$9,975 |
1.4× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) |
$6,264.96 |
— |
0.9× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) |
$11,685.15 |
$12,154 |
1.6× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
$9,823.08 |
$9,289 |
1.3× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) |
$9,764.42 |
$9,232 |
1.3× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) |
$15,819.98 |
— |
2.2× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) |
$15,873.54 |
$12,365 |
2.2× |
| Osteotomy Phalanx Finger Each (26567) |
$3,524.18 |
$6,908 |
1.1× |
| Osteotomy radius distal third (25350) |
$10,638.57 |
$11,065 |
1.5× |
Osteotomy talus (28302)
unusually low: confirm this is the full procedure |
$2,789.88 |
$10,293 |
0.4× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure |
$2,149.05 |
$10,293 |
0.3× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$5,757.66 |
$10,293 |
0.8× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$10,638.57 |
$26,725 |
0.8× |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
$8,134.47 |
— |
1.1× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$6,762.14 |
$6,153 |
0.9× |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
$5,384.72 |
$11,431 |
0.7× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$8,583.40 |
— |
1.2× |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) |
$11,483.64 |
— |
1.6× |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Facility (27151) |
$10,646.98 |
— |
1.5× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) |
$9,828.18 |
— |
1.3× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$9,218.54 |
$8,716 |
1.3× |
| Osteotomy, mandible, segmental; Facility (21198) |
$5,341.42 |
— |
0.9× |
| Osteotomy, mandible, segmental; with genioglossus advancement (21199) |
$5,341.42 |
— |
0.9× |
| Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Facility (21206) |
$5,341.42 |
$7,989 |
0.9× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$8,680.32 |
— |
1.2× |
| Osteotomy, pelvis, bilateral (eg, congenital malformation) Facility (27158) |
$9,371.60 |
— |
1.3× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$6,389.73 |
$6,042 |
0.9× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455) |
$6,274.95 |
$5,934 |
0.9× |
| Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) |
$5,929.60 |
$10,293 |
0.8× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
unusually low: confirm this is the full procedure |
$2,789.88 |
$4,738 |
0.4× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$5,929.60 |
$10,293 |
0.8× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$7,371.78 |
— |
0.6× |
| Ovarian cystectomy (58925) |
$4,343.02 |
$11,813 |
0.9× |
| P-mastectomy w/ln removal (19302) |
$5,333.61 |
$8,877 |
0.8× |
| Palatopharyngoplasty (42145) |
$3,211.56 |
$11,454 |
0.5× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$5,341.42 |
— |
0.9× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$5,341.42 |
— |
1.6× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$5,341.42 |
— |
0.9× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$5,341.42 |
— |
0.9× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$5,341.42 |
— |
0.9× |
| Palatoplasty for cleft palate; secondary lengthening procedure Facility (42220) |
$5,341.42 |
— |
0.9× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$5,720.80 |
$7,450 |
1.1× |
| Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) |
$5,341.42 |
— |
0.9× |
| Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) |
$5,341.42 |
— |
0.9× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$5,341.42 |
— |
1.6× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,909.88 |
$9,802 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$3,909.88 |
$4,738 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$3,909.88 |
$10,635 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$3,909.88 |
$10,293 |
0.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Facility (24145) |
$3,909.88 |
$10,293 |
0.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$3,909.88 |
$8,485 |
0.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$3,909.88 |
$7,012 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$3,909.88 |
$7,012 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$3,909.88 |
$7,012 |
1.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,789.88 |
$6,843 |
0.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,789.88 |
$5,826 |
0.8× |
| Partial excision bone clavicle (23180) |
$3,909.88 |
$4,738 |
0.5× |
| Partial excision bone tibia (27640) |
$5,757.66 |
$7,012 |
1.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,205.24 |
$2,456 |
1.4× |
| Partial excision of lip (40520) |
$2,187.16 |
$4,030 |
0.7× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102) |
$6,264.96 |
$10,293 |
0.9× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$6,264.96 |
$25,690 |
0.9× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22101) |
$6,264.96 |
$20,140 |
0.9× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) |
$6,943.24 |
— |
0.9× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110) |
$7,032.52 |
$6,399 |
1.0× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) |
$6,634.60 |
— |
0.9× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,205.24 |
$2,372 |
1.4× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$6,104.02 |
$6,348 |
1.8× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
$5,662.76 |
$5,889 |
1.7× |
| Partial hymenectomy or revision (56700) |
$2,547.70 |
$4,264 |
0.8× |
| Partial removal of hand bone (26230) |
$2,205.24 |
$6,843 |
0.7× |
| Partial removal of scapula (23190) |
$3,909.88 |
$7,012 |
1.2× |
| Partial removal of thyroid (60220) |
$5,937.02 |
$14,477 |
1.0× |
| Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60212) |
$5,937.02 |
$15,182 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,937.02 |
$8,300 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,789.88 |
$4,738 |
0.8× |
| Patellectomy or hemipatellectomy (27350) |
$3,909.88 |
$9,944 |
0.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,547.70 |
$4,264 |
0.8× |
| Penile Plethysmography (54240) |
$138.72 |
— |
0.6× |
| Penile venous occlusive procedure Facility (37790) |
$4,544.88 |
— |
1.3× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,236.28 |
— |
1.6× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$5,759.40 |
— |
0.9× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,722.11 |
— |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,250.44 |
$1,164.50 |
1.7× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$5,192.72 |
$41,228.17 |
0.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,192.72 |
$11,584.30 |
1.6× |
| Percutaneous diskectomy (62287) |
$4,456.47 |
$6,814 |
2.3× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) |
$29,570.43 |
— |
2.6× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$3,503.90 |
$4,738 |
1.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$3,909.88 |
$14,801 |
0.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$3,503.90 |
$4,738 |
1.1× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure |
$3,503.90 |
$4,738 |
0.5× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$3,503.90 |
— |
2.2× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,503.90 |
$6,983 |
1.1× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706) |
$236.84 |
$4,738 |
0.1× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$3,503.90 |
— |
1.1× |
Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation Facility (28576)
unusually low: confirm this is the full procedure |
$3,503.90 |
$4,738 |
0.5× |
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
unusually low: confirm this is the full procedure |
$3,503.90 |
— |
0.5× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$3,503.90 |
$3,574 |
2.2× |
Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456)
unusually low: confirm this is the full procedure |
$3,503.90 |
— |
0.5× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$3,503.90 |
$4,738 |
1.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,503.90 |
$6,867 |
1.1× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$5,341.42 |
$14,244 |
1.6× |
Percutaneous treatment of mandibular fracture, with external fixation Facility (21452)
unusually low: confirm this is the full procedure |
$2,187.16 |
— |
0.4× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$5,341.42 |
$5,555 |
1.6× |
| Pereyra procedure, including anterior colporrhaphy Facility (57289) |
$4,343.02 |
$11,456 |
0.6× |
| Pericardiocentesis W/Imaging (33016) |
$696.84 |
$4,334 |
0.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$2,547.70 |
$5,350 |
0.8× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) |
$5,341.42 |
— |
0.9× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) |
$5,341.42 |
— |
0.9× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) |
$5,341.42 |
— |
0.9× |
| Perirectal inj sclerosing solution prolapse (45520) |
$106.22 |
— |
0.1× |
| Peritoneal Lavage (49084) |
$1,035.63 |
$3,554 |
1.1× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$7,486.56 |
— |
0.4× |
| Perq av fistula creation uxtr single access (36836) |
— |
$66,715.05 |
— |
| Perq dev breast 1st mr guide (19287) |
$332.07 |
— |
0.5× |
| Perq dev breast 1st strtctc (19283) |
$332.07 |
— |
0.5× |
| Perq dev breast 1st us imag (19285) |
$332.07 |
$3,340 |
0.5× |
| Perq device breast 1st imag (19281) |
$332.07 |
— |
0.2× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,403.26 |
— |
0.7× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$2,403.26 |
— |
0.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$5,759.40 |
— |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$433.76 |
$1,035 |
1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,503.90 |
$6,544 |
1.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$66,715.05 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$41,228.17 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$20,255.78 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$16,418.79 |
$17,692 |
2.2× |
| Perq Vertebral Augmentation (22513) |
$16,418.79 |
$17,692 |
2.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$7,668.10 |
— |
2.3× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$7,668.10 |
— |
2.3× |
| Petrous apicectomy including radical mastoidectomy Facility (69530) |
$5,341.42 |
— |
0.9× |
| Phalangectomy toe each toe (28150) |
$2,789.88 |
$4,738 |
0.8× |
| Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) |
$3,211.56 |
— |
2.0× |
| Phleb veins - extrem 20+ (37766) |
$3,461.31 |
$11,584.30 |
1.1× |
| Photopheresis, extracorporeal (36522) |
$4,099.22 |
— |
0.9× |
| Picc line placement (36569) |
$1,461.26 |
$2,889 |
0.9× |
| Pin hand dislocation (26676) |
$3,503.90 |
$4,738 |
1.1× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$3,093.24 |
— |
0.8× |
| Place Cath Subclavian Art (36225) |
$9,638.42 |
— |
3.0× |
| Place Cath Thoracic Aorta (36221) |
$7,055 |
$11,584.30 |
2.2× |
| Place Cath Vertebral Art (36226) |
$10,914.10 |
— |
1.9× |
| Place duod/jej tube perc (49441) |
$1,138.94 |
— |
0.6× |
| Place ndl musc/tis for rt (20555) |
$3,909.88 |
— |
1.2× |
| Placement needle head/neck radioelement applicat (41019) |
$3,211.56 |
— |
0.5× |
| Placement needle pelvic organ radioelement appl (55920) |
$3,441.69 |
— |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$148.64 |
— |
0.3× |
| Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for… (19298) |
$7,578.32 |
— |
0.5× |
| Placement of seton (46020) |
$3,046.62 |
$6,113 |
1.1× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$5,611.72 |
$15,200 |
2.9× |
| Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) |
$4,544.88 |
— |
2.2× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) |
$4,544.88 |
— |
2.2× |
| Plastic operation on penis to correct angulation Facility (54360) |
$4,544.88 |
$5,285 |
1.3× |
| Plastic Repair Introitus (56800) |
$2,547.70 |
$4,264 |
0.8× |
| Plastic repair of canaliculi (68700) |
$3,255.90 |
$3,387 |
1.4× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Facility (40702) |
$5,341.42 |
— |
0.9× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$5,341.42 |
— |
0.9× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) |
$5,341.42 |
$7,989 |
0.9× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) |
$5,341.42 |
$5,555 |
1.6× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500) |
$3,211.56 |
— |
0.5× |
| Plastic Repair Of Urethrocele (57230) |
$4,343.02 |
$4,993 |
1.3× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure |
$2,056.68 |
— |
0.3× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$3,842.68 |
— |
0.6× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$3,842.68 |
— |
0.6× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$3,842.68 |
— |
0.6× |
| Plmt Expandable Cath Brst Following Prtl Mast (19296) |
$7,578.32 |
— |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$408.12 |
— |
0.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,403.26 |
$6,860 |
1.1× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,020.44 |
— |
0.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,318.48 |
— |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,318.48 |
— |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,318.48 |
— |
0.9× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$238.38 |
— |
0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,343.02 |
$7,450 |
0.9× |
| Prepare face/oral prosthesis (21089) |
$334.89 |
$1,341 |
1.4× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$5,192.72 |
$41,228.17 |
0.3× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,508.90 |
— |
1.0× |
| Probe nasolacrimal duct (68810) |
$291.87 |
— |
0.9× |
| Probe nl duct w/balloon (68816) |
$2,508.90 |
— |
1.0× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$2,508.90 |
$5,805 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$4,039.89 |
$4,216 |
1.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$682.76 |
$1,346 |
0.7× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$1,165.76 |
— |
0.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,165.76 |
— |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,874.92 |
$5,437 |
1.0× |
| Proctosigmoid w/biopsy (45305) |
$1,165.76 |
$1,770 |
1.0× |
| Proctosigmoidoscopy dilate (45303) |
$1,165.76 |
$1,770 |
1.0× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$2,874.92 |
— |
1.0× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$1,165.76 |
— |
1.0× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$2,874.92 |
— |
1.0× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$1,165.76 |
— |
1.0× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
$3,346.17 |
— |
0.5× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$6,624.40 |
— |
0.9× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$10,638.57 |
— |
0.8× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) |
$5,757.66 |
— |
1.7× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Facility (25490) |
$5,757.66 |
$10,293 |
0.8× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$7,542.68 |
— |
1.0× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$696.54 |
— |
1.3× |
| Prostate Saturation Sampling (55706) |
$1,604.19 |
$12,567 |
0.5× |
| Prostatic microwave thermotx (53850) |
$6,054.92 |
$6,297 |
1.7× |
| Prostatotomy external drg abscess simple (55720) |
$3,318.48 |
— |
0.9× |
| Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) |
$3,318.48 |
— |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$621.33 |
— |
0.9× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$8,543.96 |
$8,080 |
1.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$8,543.96 |
$8,080 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,056.68 |
— |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,056.68 |
— |
0.6× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,503.90 |
$6,983 |
1.1× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$3,503.90 |
$4,738 |
1.1× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$3,503.90 |
$4,870 |
1.1× |
| Prq skel fixj metar fx w/manj (28476) |
$3,503.90 |
$6,500 |
1.1× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$3,503.90 |
$8,729 |
1.1× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure |
$3,503.90 |
$12,138 |
0.5× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,503.90 |
$6,983 |
1.1× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
unusually low: confirm this is the full procedure |
$3,503.90 |
$14,801 |
0.5× |
| Pterygomaxillary fossa surgery, any approach Facility (31040) |
$3,211.56 |
$7,301 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$106.22 |
— |
0.3× |
| Punch graft for hair transplant; 1 to 15 punch grafts Facility (15775) |
$171.34 |
— |
0.4× |
| Punch graft for hair transplant; more than 15 punch grafts Facility (15776) |
$171.34 |
— |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$579.57 |
$1,045 |
0.8× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$188.40 |
$568 |
0.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$433.76 |
— |
0.6× |
| Puncture/clear windpipe (31612) |
$3,211.56 |
— |
1.0× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$5,757.66 |
$11,008 |
0.8× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,848.88 |
$6,500 |
0.9× |
| Rad resect elbow caps/sr bone w rels (24149) |
$3,909.88 |
$10,293 |
0.5× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$4,362.56 |
$7,275 |
1.5× |
Radical excision external auditory canal lesion; without neck dissection Facility (69150)
likely a partial charge, not the full procedure |
$997.54 |
$7,989 |
0.2× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$2,848.88 |
$4,729 |
1.8× |
| Radical resection of sternum; Facility (21630) |
$8,154.87 |
— |
1.1× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$5,341.42 |
— |
0.9× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
$3,211.56 |
— |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Facility (22905) |
$4,362.56 |
$9,000 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$3,263.80 |
$6,135 |
1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$4,362.56 |
$6,551 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$2,827.58 |
$5,614 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$4,362.56 |
$6,138 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$2,187.16 |
$4,295 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$4,362.56 |
$6,530 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$2,789.88 |
$4,295 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$2,827.58 |
— |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Facility (26118) |
$4,362.56 |
$7,270 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Facility (26117) |
$2,827.58 |
— |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$4,362.56 |
$6,551 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$2,827.58 |
— |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Facility (23078) |
$4,362.56 |
$6,551 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Facility (27364) |
$4,362.56 |
$6,138 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$2,827.58 |
$5,975 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$4,362.56 |
$6,600 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$2,827.58 |
$4,295 |
1.0× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$2,205.24 |
— |
1.4× |
| Radical resection of tumor, femur or knee Facility (27365) |
$13,881.38 |
— |
4.2× |
| Radical resection of tumor, proximal humerus Facility (23220) |
$13,082.98 |
— |
1.8× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
$2,205.24 |
$4,738 |
0.7× |
| Radical resection of tumor, radial head or neck Facility (24152) |
$5,757.66 |
— |
0.8× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
$5,757.66 |
— |
0.8× |
| Radical resection of tumor; clavicle Facility (23200) |
$10,134.27 |
$9,583 |
1.4× |
| Radical resection of tumor; fibula Facility (27646) |
$10,330.70 |
— |
3.1× |
| Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Facility (27076) |
$16,939.77 |
— |
2.3× |
| Radical resection of tumor; innominate bone, total Facility (27077) |
$19,046.73 |
— |
2.6× |
| Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078) |
$13,881.38 |
— |
1.9× |
| Radical resection of tumor; metatarsal Facility (28173) |
$2,789.88 |
— |
0.8× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$2,789.88 |
— |
1.7× |
| Radical resection of tumor; scapula Facility (23210) |
$11,924.94 |
— |
1.6× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$5,757.66 |
$5,988 |
1.7× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
$2,789.88 |
— |
0.8× |
| Radical resection of tumor; tibia Facility (27645) |
$11,924.94 |
$11,276 |
3.6× |
| Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) |
$14,080.34 |
— |
1.9× |
| Radical Resection Tumor Metacarpal (26250) |
$2,205.24 |
— |
0.7× |
| Radical styloidectomy separate procedure (25230) |
$3,909.88 |
$9,802 |
1.2× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,789.88 |
$4,738 |
0.8× |
| Rcnstj Dislocating Patella (27420) |
$5,757.66 |
$14,801 |
0.8× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$5,929.60 |
$12,138 |
0.8× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$642.06 |
— |
0.7× |
| Re-explore parathyroids (60502) |
$5,341.42 |
$7,989 |
0.9× |
| Realignment extensor tendon hand each tendon (26437) |
$2,205.24 |
$4,738 |
0.7× |
| Realignment of hand (25335) |
$5,757.66 |
— |
1.7× |
| Reconstruct extra finger (26587) |
$2,205.24 |
$4,738 |
0.7× |
| Reconstruct Finger Joint (26548) |
$3,524.18 |
$4,738 |
1.1× |
| Reconstruct lip with flap (40525) |
$3,211.56 |
$4,030 |
1.0× |
| Reconstruct Shoulder Joint (23470) |
$16,368.94 |
$26,725 |
1.3× |
| Reconstruct ulna/radioulnar (25337) |
$5,757.66 |
$10,293 |
0.8× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$5,341.42 |
$7,989 |
0.9× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$10,638.57 |
$15,495 |
1.5× |
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346)
unusually low: confirm this is the full procedure |
$5,757.66 |
$26,725 |
0.4× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
$3,260.40 |
$5,129 |
0.5× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft Facility (21142) |
$3,260.40 |
$7,161 |
0.5× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
$3,260.40 |
$3,813 |
0.5× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Facility (21143) |
$3,260.40 |
$5,245 |
0.5× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$3,260.40 |
$4,870 |
0.5× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$3,260.40 |
$3,512 |
0.5× |
| Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) |
$5,341.42 |
— |
0.9× |
| Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) |
$3,260.40 |
— |
0.5× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21159) |
$3,260.40 |
— |
0.5× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21160) |
$3,260.40 |
— |
0.5× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21155) |
$3,260.40 |
— |
0.5× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21154) |
$3,260.40 |
— |
0.5× |
| Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) Facility (21188) |
$10,680.15 |
— |
1.8× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$5,757.66 |
$14,801 |
0.8× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$5,757.66 |
$11,008 |
0.8× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$5,341.42 |
$7,989 |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$2,508.90 |
$3,273 |
1.0× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$3,255.90 |
$3,387 |
1.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$3,255.90 |
— |
0.8× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$3,255.90 |
$3,387 |
1.4× |
| Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete Facility (21249) |
$5,341.42 |
$10,100 |
0.9× |
| Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial Facility (21248) |
$5,341.42 |
— |
0.9× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$5,341.42 |
— |
0.9× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) |
$5,341.42 |
— |
0.9× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$5,341.42 |
— |
0.9× |
| Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247) |
$10,662.28 |
— |
1.8× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196) |
$6,085.54 |
$10,601 |
1.0× |
| Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation Facility (21195) |
$5,341.42 |
— |
0.9× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) |
$9,318.02 |
— |
1.6× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) |
$8,017.53 |
— |
1.3× |
| Reconstruction of nail bed with graft (11762) |
$2,015.34 |
$2,797 |
1.0× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$8,017.53 |
— |
1.3× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21183) |
$16,026.60 |
— |
2.7× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21184) |
$14,950.17 |
— |
2.5× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21182) |
$13,121.25 |
— |
2.2× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500)
unusually low: confirm this is the full procedure |
$2,205.24 |
$10,293 |
0.3× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$3,524.18 |
$7,599 |
1.1× |
| Reconstruction of throat (42950) |
$3,211.56 |
$7,989 |
0.5× |
| Reconstruction of urethra (54326) |
$4,544.88 |
— |
1.3× |
| Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) |
$9,389.46 |
— |
1.6× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$8,017.53 |
$8,339 |
1.3× |
| Reconstruction Toe Polydactyly (28344) |
$2,789.88 |
$4,738 |
0.8× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$5,341.42 |
$7,989 |
0.9× |
| Reconstruction, cleft foot Facility (28360) |
$5,929.60 |
— |
0.8× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$3,524.18 |
$4,738 |
1.1× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$3,524.18 |
$6,908 |
1.1× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)… (21180) |
$10,481.19 |
— |
1.8× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) |
$10,455.68 |
— |
1.7× |
| Reconstruction, toe, macrodactyly; soft tissue resection Facility (28340) |
$2,789.88 |
$4,738 |
0.8× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) |
$5,757.66 |
— |
1.7× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without… (21742) |
$5,757.66 |
— |
1.7× |
| Reconstructive repair of pectus excavatum or carinatum; open Facility (21740) |
$6,864.16 |
$6,489 |
0.9× |
| Reduce testis torsion (54600) |
$2,990.36 |
$3,142 |
0.8× |
| Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) |
$5,341.42 |
— |
0.9× |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) |
$5,341.42 |
— |
0.9× |
| Reduction forehead; contouring only Facility (21137) |
$3,211.56 |
— |
1.0× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) |
$997.54 |
$2,310 |
0.6× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) |
$3,211.56 |
— |
1.0× |
| Reinforce clavicle (23490) |
$5,757.66 |
— |
0.8× |
| Reinforce humerus (24498) |
$10,638.57 |
— |
0.8× |
| Reinforce tibia (27745) |
$10,638.57 |
$14,801 |
1.5× |
Reinforce ulna (25491)
unusually low: confirm this is the full procedure |
$5,757.66 |
— |
0.4× |
| Reinforce/graft eye wall (67255) |
$3,729.72 |
— |
0.9× |
| Reinnervate larynx (31590) |
$5,341.42 |
— |
0.9× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$5,052.99 |
— |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$5,757.66 |
$14,801 |
0.8× |
| Reinsertion of spinal fixation device Facility (22849) |
$8,606.36 |
$12,591 |
0.7× |
| Release elbow joint (24006) |
$3,909.88 |
$7,713 |
1.2× |
| Release eye tissue (67343) |
$3,232 |
— |
1.3× |
| Release facial nerve (69955) |
$5,341.42 |
— |
0.9× |
| Release facial nerve (69720) |
$5,341.42 |
— |
0.9× |
| Release finger contracture (26525) |
$2,205.24 |
$3,699 |
1.4× |
| Release muscles of hand (26593) |
$2,205.24 |
$4,738 |
0.7× |
| Release of big toe (28240) |
$2,789.88 |
$4,738 |
0.8× |
| Release of encircling material (posterior segment) Facility (67115) |
$2,442.50 |
$6,575 |
0.6× |
| Release of thenar muscle(s) (eg, thumb contracture) Facility (26508) |
$2,205.24 |
$4,738 |
0.7× |
| Release or recession, hamstring, proximal Facility (27097) |
$3,909.88 |
$450 |
1.2× |
| Release wrist/forearm tendon (25295) |
$2,848.88 |
$6,867 |
0.9× |
| Relieve inner eye pressure (65820) |
$685.40 |
— |
0.2× |
| Relieve pressure on nerve(s) (64722) |
$2,417.97 |
$4,947 |
1.2× |
| Relocation of skin pocket for pacemaker (33222) |
$2,015.34 |
$6,702.96 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$5,565.90 |
— |
1.7× |
| Removal Anal Seton Other Marker (46030) |
$642.06 |
$1,770 |
0.5× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$19,304.88 |
$16,897 |
0.9× |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
unusually low: confirm this is the full procedure |
$6,986.60 |
— |
0.3× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$19,304.88 |
$16,897 |
0.9× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$19,304.88 |
— |
0.9× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417)
likely a partial charge, not the full procedure |
$6,121.89 |
— |
0.3× |
| Removal biliary drg cath (47537) |
$2,056.68 |
— |
2.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,827.58 |
$6,138 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$1,163.31 |
$2,484 |
0.7× |
| Removal foreign body foot deep (28192) |
$2,156.55 |
$3,699 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$576.48 |
$1,045 |
0.8× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$2,453.85 |
— |
0.8× |
| Removal foreign body intranasal (30300) |
$84.52 |
— |
0.6× |
| Removal foreign body jawbone (41806) |
$2,187.16 |
$2,310 |
1.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$576.48 |
$3,559 |
0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$2,848.88 |
$7,911 |
0.9× |
| Removal foreign body pharynx (42809) |
$84.52 |
— |
0.2× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,163.31 |
$1,210 |
0.7× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,156.55 |
$4,295 |
0.7× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$2,187.16 |
— |
1.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,187.16 |
$4,222 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$201 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$84.52 |
$244 |
1.4× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,547.70 |
$4,264 |
0.8× |
| Removal implant deep (20680) |
$2,827.58 |
$7,336 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,156.55 |
$3,699 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$576.48 |
$1,045 |
0.8× |
| Removal Intact Mammary Implant (19328) |
$4,247.88 |
$5,086 |
1.1× |
| Removal of adenoids (42835) |
$2,981.06 |
$4,030 |
0.9× |
| Removal of adenoids (42831) |
$2,981.06 |
$6,785 |
0.9× |
| Removal of adenoids (42830) |
$2,981.06 |
$6,600 |
0.9× |
| Removal of adenoids (42836) |
$2,981.06 |
$5,806 |
0.9× |
| Removal of anal fissure (46200) |
$3,046.62 |
$5,600 |
1.1× |
| Removal of ankle implant (27704) |
$2,848.88 |
$4,738 |
0.9× |
Removal of anterior instrumentation (eg, dwyer device) (22855)
likely a partial charge, not the full procedure |
$1,829.08 |
$3,819 |
0.2× |
| Removal of arm foreign body (24200) |
$576.48 |
$2,484 |
0.3× |
| Removal of blood clot, anterior segment of eye Facility (65930) |
$3,104.31 |
$3,462 |
1.3× |
| Removal of bone for graft (20902) |
$3,909.88 |
$10,000 |
0.5× |
| Removal of bone lesion (23140) |
$2,848.88 |
$5,721 |
0.9× |
| Removal of breast capsule (19371) |
$4,247.88 |
$5,086 |
1.1× |
| Removal of cervix (57530) |
$4,343.02 |
— |
0.9× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$975.75 |
— |
1.0× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$6,953.92 |
— |
2.0× |
| Removal of embedded foreign body, eyelid (67938) |
$291.87 |
$1,060 |
0.9× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$758.31 |
— |
0.4× |
| Removal of epiglottis (31420) |
$5,341.42 |
— |
0.9× |
| Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) |
$2,166.04 |
— |
0.9× |
| Removal of eye (65110) |
$5,052.99 |
— |
1.3× |
| Removal of eye (65101) |
$5,052.99 |
— |
1.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,461.78 |
— |
1.2× |
| Removal of finger lesion (26210) |
$2,205.24 |
$3,699 |
1.4× |
| Removal of fixation device (20665) |
$84.52 |
— |
0.2× |
| Removal of foreign body in scrotum (55120) |
$2,990.36 |
$3,142 |
1.4× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$2,508.90 |
$1,938 |
7.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$116.49 |
— |
0.3× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$2,442.50 |
— |
1.0× |
| Removal of Gum Tissue (41830) |
$2,187.16 |
— |
0.7× |
| Removal of heel spur (28119) |
$2,789.88 |
$4,738 |
0.8× |
| Removal of hip joint lining (27054) |
$4,558.26 |
— |
1.4× |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
$5,519.91 |
— |
0.8× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$10,723.50 |
— |
0.8× |
| Removal of implant from finger or hand (26320) |
$2,156.55 |
$2,484 |
1.3× |
| Removal of implant material (19330) |
$4,247.88 |
$5,086 |
1.1× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$3,104.31 |
$3,462 |
1.3× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$3,729.72 |
$3,879 |
1.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$263.78 |
— |
0.4× |
| Removal of infusion pump (36262) |
$3,212.02 |
— |
0.9× |
| Removal of intranasal lesion (30118) |
$3,211.56 |
$4,030 |
1.0× |
| Removal of iris (66625) |
$685.40 |
$3,462 |
0.3× |
| Removal of iris (66635) |
$3,104.31 |
— |
1.3× |
| Removal of iris (66630) |
$3,104.31 |
$3,462 |
1.3× |
Removal of ischial bursa (27060)
unusually low: confirm this is the full procedure |
$2,848.88 |
$6,686 |
0.4× |
| Removal of iud (58301) |
$181.08 |
$2,448 |
0.6× |
| Removal of jaw joint (21050) |
$5,341.42 |
— |
0.9× |
| Removal of kidney stone (50081) |
$6,054.92 |
$12,559 |
0.6× |
| Removal of kidney stone (50080) |
$6,054.92 |
$16,545 |
0.6× |
| Removal of knee cartilage (27332) |
$3,909.88 |
$9,098 |
1.2× |
| Removal Of Knee Prosthesis (27488) |
$8,042.62 |
$8,365 |
0.6× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$3,844.71 |
— |
0.9× |
| Removal of nail bed (11750) |
$576.48 |
— |
1.4× |
| Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of… (54415) |
$4,544.88 |
— |
1.3× |
| Removal of nose (30160) |
$5,341.42 |
— |
0.9× |
| Removal of nose lesion (30124) |
$997.54 |
$2,310 |
0.6× |
| Removal of ocular implant (65175) |
$2,508.90 |
$5,374 |
0.6× |
| Removal of peritoneal-venous shunt Facility (49429) |
$3,212.02 |
— |
1.0× |
Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850)
unusually low: confirm this is the full procedure |
$3,120 |
$12,365 |
0.4× |
Removal of posterior segmental instrumentation Facility (22852)
likely a partial charge, not the full procedure |
$1,829.08 |
$2,637 |
0.2× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$8,565.54 |
$23,000 |
1.2× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Facility (24160) |
$3,909.88 |
$4,738 |
1.2× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Facility (24164) |
$3,909.88 |
$7,012 |
1.2× |
| Removal of salivary stone (42330) |
$2,187.16 |
$4,030 |
0.7× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$685.40 |
— |
0.3× |
| Removal of sesamoid bone (28315) |
$1,303.84 |
$6,500 |
0.4× |
| Removal of skin wrinkles (15829) |
$2,706.63 |
$4,996 |
0.8× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$2,156.55 |
$4,295 |
0.7× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$3,524.18 |
$4,738 |
1.1× |
Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod… (26392)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Removal of tail bone (27080) |
$3,909.88 |
$9,098 |
1.2× |
| Removal of tear sac (68520) |
$3,255.90 |
$5,374 |
0.8× |
| Removal Of Tendon Lesion (27630) |
$2,848.88 |
$5,721 |
0.9× |
| Removal of testis (54520) |
$2,990.36 |
$3,142 |
0.8× |
| Removal of Thiersch wire or suture, anal canal Facility (46754) |
$3,046.62 |
— |
1.1× |
| Removal of thyroid (60271) |
$5,341.42 |
$7,989 |
0.9× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,981.06 |
$10,340 |
0.5× |
| Removal of tonsils (42826) |
$2,981.06 |
$5,448 |
0.9× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
— |
$4,247 |
— |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Facility (22865) |
$13,751.30 |
— |
1.9× |
| Removal of tumor, temporal bone Facility (69970) |
$5,341.42 |
— |
0.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,212.02 |
$6,074 |
1.0× |
| Removal of urethra (53210) |
$3,989.74 |
— |
1.1× |
| Removal of vein clot (34421) |
$5,192.72 |
— |
1.6× |
| Removal of vein clot (34490) |
$5,192.72 |
— |
1.6× |
| Removal of wrist bone (25210) |
$3,524.18 |
$7,012 |
1.1× |
| Removal of wrist prosthesis; (separate procedure) Facility (25250) |
$3,909.88 |
— |
2.4× |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
$3,909.88 |
— |
1.2× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711) |
$5,341.42 |
— |
1.6× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$3,989.74 |
$7,260 |
0.7× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$4,343.02 |
$4,517 |
1.3× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$3,212.02 |
$31,702.89 |
0.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,215.10 |
— |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$106.22 |
$2,448 |
0.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,163.31 |
$3,339.85 |
1.6× |
| Removal Submand Stone,Complicated (42335) |
$2,187.16 |
$4,030 |
0.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$356.36 |
$2,797 |
0.2× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,848.88 |
$3,699 |
1.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$146.40 |
$262 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$146.40 |
— |
0.5× |
| Remove anal fist subq (46270) |
$3,046.62 |
$5,600 |
1.1× |
| Remove brain canal fluid (61050) |
$1,142.06 |
— |
3.7× |
| Remove cerclage suture (59871) |
$2,547.70 |
— |
0.8× |
| Remove cranial cavity fluid (61000) |
$1,142.06 |
— |
1.6× |
| Remove drug implant device (11982) |
$84.52 |
$162 |
0.2× |
| Remove ear lesion (69552) |
$5,341.42 |
— |
0.9× |
| Remove ear lesion (69550) |
$5,341.42 |
$7,989 |
0.9× |
| Remove Elbow Joint Lining (24102) |
$3,909.88 |
$4,738 |
1.2× |
| Remove elbow lesion (24120) |
$2,848.88 |
$5,721 |
0.9× |
| Remove ext hem groups 2+ (46250) |
$3,046.62 |
$8,287 |
1.1× |
| Remove eye lesion (66130) |
$3,104.31 |
— |
1.3× |
| Remove eye/attach implant (65105) |
$5,052.99 |
$5,374 |
1.3× |
| Remove foreign body from eye (65265) |
$3,729.72 |
— |
1.6× |
| Remove foreign body from eye (65235) |
$2,166.04 |
$3,462 |
0.9× |
| Remove humerus lesion (24110) |
$2,848.88 |
$5,721 |
0.9× |
| Remove inner ear (69905) |
$5,341.42 |
— |
0.9× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$800.14 |
$8,139 |
0.4× |
| Remove intrvas foreign body (37197) |
$4,147.68 |
$11,584.30 |
1.3× |
| Remove Lower Leg Bone Lesion (27635) |
$3,909.88 |
$8,269 |
1.2× |
| Remove middle ear nerve (69676) |
$5,341.42 |
— |
1.6× |
| Remove muti-comp penis pros (54406) |
$4,544.88 |
— |
1.3× |
| Remove palate/lesion (42120) |
$5,341.42 |
$7,989 |
0.9× |
| Remove Peritoneal Foreign Body (49402) |
$3,441.69 |
— |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$2,827.58 |
$5,600 |
1.0× |
| Remove Prostate Regrowth (52630) |
$4,832.40 |
$7,260 |
0.9× |
| Remove pulse generator (33241) |
$3,212.02 |
$11,584 |
0.9× |
| Remove renal tube w/fluoro (50389) |
$800.14 |
— |
1.1× |
| Remove spine eltrd perq aray (63661) |
$3,663.09 |
$5,052 |
1.9× |
| Remove spine eltrd plate (63662) |
$3,663.09 |
$8,960 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$2,205.24 |
$3,699 |
1.4× |
| Remove thyroid duct lesion (60280) |
$5,937.02 |
$12,365 |
1.0× |
| Remove tissue expander (11971) |
$2,827.58 |
$4,295 |
1.0× |
| Remove tumor hip/pelvis (27049) |
$2,827.58 |
$5,975 |
1.0× |
| Remove ureter stent, percut (50384) |
$2,403.26 |
— |
1.1× |
| Remove uro sphincter (53446) |
$3,989.74 |
$7,260 |
0.7× |
| Remove uterus lesion (59100) |
$4,343.02 |
— |
0.9× |
| Remove vagina gland lesion (56740) |
$2,547.70 |
$6,930 |
0.8× |
Remove vc lesion scope/graft (31546)
unusually low: confirm this is the full procedure |
$3,043.12 |
— |
0.4× |
| Remove vc lesion w/scope (31545) |
$3,043.12 |
$6,908 |
0.8× |
| Remove&replace pm gen singl (33227) |
$8,739.06 |
$31,702.89 |
1.0× |
| Remove/graft finger lesion (26215) |
$2,205.24 |
$6,983 |
0.7× |
| Remove/Insert Drug Implant (11983) |
$84.52 |
— |
0.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,827.58 |
$3,699 |
1.7× |
| Remv Ext Canal Foreign Body (69200) |
$84.52 |
— |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$116.49 |
$935 |
0.9× |
| Remv Post Eye Implnt Mater,Extraocul (67120) |
$2,442.50 |
$3,462 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$18,598.96 |
$88,622.70 |
0.8× |
| Remv&replc cvd gen mult lead (33264) |
$18,598.96 |
$124,579.33 |
0.6× |
| Remv&replc cvd gen sing lead (33262) |
$18,598.96 |
$88,622.70 |
0.8× |
| Remv&replc pm gen dual lead (33228) |
$8,555.32 |
$40,115.29 |
0.8× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$8,555.32 |
$72,519.10 |
0.4× |
| Remv/revisn shldr/hip spica cast (29710) |
$306.87 |
— |
1.1× |
| Renal Biopsy Percutaneous (50200) |
$1,250.44 |
$1,964 |
0.7× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557)
unusually low: confirm this is the full procedure |
$3,318.48 |
— |
0.3× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge, not the full procedure |
$800.14 |
— |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562)
likely a partial charge, not the full procedure |
$800.14 |
— |
0.1× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580)
unusually low: confirm this is the full procedure |
$2,403.26 |
— |
0.4× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$800.14 |
— |
1.1× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576)
likely a partial charge, not the full procedure |
$2,403.26 |
— |
0.3× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$800.14 |
— |
0.2× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$3,318.48 |
— |
0.6× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$2,547.70 |
— |
0.8× |
| Repair achilles tendon (27650) |
$5,757.66 |
$12,182 |
0.8× |
| Repair anal fistula (46288) |
$3,046.62 |
$4,216 |
1.1× |
| Repair anorectal fistula w/plug (46707) |
$6,002.74 |
$7,436 |
2.1× |
| Repair arm/leg nerve (64857) |
$4,456.47 |
$9,129 |
1.3× |
| Repair blood vessel direct hand finger (35207) |
$5,192.72 |
$5,402 |
1.6× |
| Repair blood vessel direct neck (35201) |
$4,035.70 |
— |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,035.70 |
$4,770 |
1.3× |
| Repair blood vessel lesion (35190) |
$4,035.70 |
$7,903 |
0.7× |
| Repair blood vessel lesion (35236) |
$4,035.70 |
— |
0.7× |
| Repair blood vessel with graft other than vein; neck Facility (35261) |
$5,420.34 |
— |
1.7× |
| Repair blood vessel with graft other than vein; upper extremity Facility (35266) |
$5,420.34 |
— |
1.0× |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
$4,035.70 |
— |
0.7× |
| Repair blood vessel with vein graft; neck Facility (35231) |
$4,035.70 |
— |
1.3× |
| Repair brow defect (67900) |
$2,508.90 |
$3,273 |
1.0× |
| Repair Choanal Atresia Intranasal (30540) |
$5,341.42 |
$7,989 |
0.9× |
| Repair choanal atresia; transpalatine Facility (30545) |
$5,341.42 |
— |
0.9× |
| Repair cleft hand deformity (26580) |
$2,205.24 |
— |
0.7× |
| Repair cleft lip/nasal (40761) |
$5,341.42 |
— |
0.9× |
| Repair clitoris (56805) |
$2,547.70 |
— |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$606.30 |
$1,517 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$606.30 |
$2,665 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$606.30 |
$1,379 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$606.30 |
$2,145 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$281.96 |
$987 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$606.30 |
$2,145 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$606.30 |
— |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$606.30 |
$1,147 |
0.8× |
| Repair Detached Retina (67101) |
$2,442.50 |
— |
1.0× |
| Repair detached retina (67110) |
$2,442.50 |
— |
1.0× |
| Repair Ectropion Extensive (67917) |
$2,508.90 |
$3,273 |
1.0× |
| Repair ectropion suture (67914) |
$2,508.90 |
$3,273 |
1.0× |
| Repair Entropion Suture (67921) |
$2,508.90 |
$3,273 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,205.24 |
$3,699 |
1.4× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$3,524.18 |
$7,906.88 |
1.1× |
| Repair eyelid defect (67916) |
$2,508.90 |
$3,273 |
1.0× |
| Repair eyelid defect (67908) |
$2,508.90 |
$3,273 |
1.0× |
| Repair eyelid defect (67923) |
$2,508.90 |
$3,273 |
1.0× |
| Repair eyelid defect (67904) |
$2,508.90 |
$3,273 |
1.0× |
| Repair eyelid defect (67903) |
$2,508.90 |
$3,273 |
1.0× |
| Repair eyelid defect (67901) |
$2,508.90 |
$3,273 |
1.0× |
| Repair Eyelid Wound (67935) |
$2,508.90 |
$3,273 |
1.0× |
| Repair eyelid wound (67930) |
$2,508.90 |
$3,273 |
1.0× |
| Repair facial nerve (69740) |
$5,341.42 |
— |
0.9× |
| Repair Fibula Nonunion (27726) |
$4,040.07 |
$13,490 |
0.6× |
| Repair finger deformity (26590) |
$2,205.24 |
— |
1.4× |
| Repair Finger Tendon (26433) |
$2,205.24 |
$4,738 |
0.7× |
| Repair Fistula Oromaxillary (30580) |
$5,341.42 |
$7,989 |
0.9× |
| Repair fistula; oronasal Facility (30600) |
$5,341.42 |
$7,989 |
0.9× |
| Repair Forearm Tendon Sheath (25275) |
$3,909.88 |
$4,738 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$3,909.88 |
$7,012 |
1.2× |
| Repair forearm tendon/muscle (25265) |
$3,909.88 |
$4,738 |
1.2× |
| Repair gum (41872) |
$2,187.16 |
$1,150 |
0.7× |
| Repair hand joint with graft (26542) |
$2,205.24 |
$4,738 |
0.7× |
| Repair hand tendon (26410) |
$2,205.24 |
$3,699 |
1.4× |
| Repair incomplete circumcision (54163) |
$2,990.36 |
$5,600 |
1.4× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,109.31 |
$9,802 |
1.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,109.31 |
$8,287 |
1.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,775.60 |
$6,276 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,109.31 |
$7,935 |
1.1× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$4,109.31 |
$5,322 |
1.1× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$4,109.31 |
$5,322 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$281.96 |
— |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$281.96 |
$1,003 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$281.96 |
$534 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$281.96 |
— |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$281.96 |
— |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$281.96 |
$534 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$281.96 |
— |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$281.96 |
$546 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$281.96 |
$1,247 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$281.96 |
$513 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$281.96 |
$990 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$281.96 |
— |
0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$281.96 |
$642 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$281.96 |
— |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$281.96 |
— |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$281.96 |
— |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$281.96 |
$1,348 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$281.96 |
— |
0.1× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,524.18 |
$4,738 |
1.1× |
| Repair Laceration Palate </2 Cm (42180) |
$334.89 |
$880 |
0.6× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$5,341.42 |
— |
0.9× |
| Repair lead pace-defib dual (33220) |
$3,212.02 |
$13,014.48 |
0.9× |
| Repair lead pace-defib one (33218) |
$3,212.02 |
$13,014.48 |
0.9× |
| Repair Leg Fascia Defect (27656) |
$2,848.88 |
$4,738 |
0.9× |
| Repair lower leg tendons (27676) |
$3,909.88 |
$12,138 |
0.5× |
| Repair Lower Leg Tendons (27675) |
$2,848.88 |
$6,984 |
0.9× |
| Repair lumbar hernia (49540) |
$4,109.31 |
$8,300 |
0.7× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$3,909.88 |
$14,801 |
0.5× |
| Repair Mouth Laceration (40831) |
$997.54 |
— |
1.8× |
| Repair nasal septal perforations (30630) |
$3,211.56 |
$5,806 |
1.0× |
| Repair Nasal Stenosis (30465) |
$5,341.42 |
$11,454 |
0.9× |
| Repair of anal fistula with fibrin glue (46706) |
$4,039.89 |
— |
1.4× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$4,109.31 |
— |
0.6× |
| Repair of arm tendon (24320) |
$5,757.66 |
$10,293 |
0.8× |
| Repair of biceps tendon (24340) |
$5,757.66 |
$12,323 |
0.8× |
| Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Facility (67906) |
$2,508.90 |
— |
0.6× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$4,983.81 |
— |
0.9× |
| Repair of component(s) of a multi-component, inflatable penile prosthesis Facility (54408) |
$4,544.88 |
— |
0.8× |
| Repair of congenital pseudarthrosis, tibia Facility (27727) |
$6,162.70 |
— |
1.9× |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
$5,757.66 |
$8,999 |
1.7× |
| Repair of defect with autograft; radius OR ulna Facility (25425) |
$5,757.66 |
— |
0.8× |
| Repair of ectropion; thermocauterization (67915) |
$2,508.90 |
— |
1.0× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$4,343.02 |
$4,517 |
0.9× |
| Repair of entropion; thermocauterization (67922) |
$2,508.90 |
— |
1.0× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$3,524.18 |
$4,738 |
1.1× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$3,524.18 |
$6,908 |
1.1× |
Repair of eye wound (65280)
unusually low: confirm this is the full procedure |
$2,442.50 |
$6,575 |
0.5× |
| Repair of eye wound (65275) |
$3,104.31 |
— |
0.8× |
| Repair of eye wound (65270) |
$2,508.90 |
— |
1.0× |
| Repair of fibula epiphysis (27732) |
$3,909.88 |
$9,802 |
1.2× |
Repair of foot bones (28320)
likely a partial charge, not the full procedure |
$2,001.63 |
$17,589 |
0.2× |
| Repair of hammertoe (28286) |
$2,789.88 |
$4,738 |
0.8× |
| Repair of humerus (24430) |
$6,728.91 |
$16,330 |
0.5× |
| Repair of hydrocele (55060) |
$2,990.36 |
$3,142 |
0.8× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$4,544.88 |
— |
1.3× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$4,544.88 |
— |
0.8× |
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344)
unusually low: confirm this is the full procedure |
$4,544.88 |
— |
0.5× |
| Repair of iris, ciliary body (as for iridodialysis) Facility (66680) |
$3,104.31 |
$3,462 |
1.3× |
| Repair of knee cartilage (27403) |
$3,909.88 |
$9,944 |
0.5× |
| Repair of laceration; application of tissue glue, wounds of cornea and/or sclera (65286) |
$685.40 |
— |
0.3× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$3,104.31 |
— |
1.3× |
| Repair of leg nerve (64840) |
$4,456.47 |
— |
0.5× |
Repair of leg tendon each (27664)
unusually low: confirm this is the full procedure |
$2,848.88 |
$10,293 |
0.4× |
| Repair of leg tendon each (27658) |
$2,848.88 |
$4,617 |
0.9× |
| Repair of nail bed (11760) |
$281.96 |
— |
0.4× |
| Repair of nasal septum (30520) |
$3,211.56 |
$5,975 |
1.0× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
— |
$6,095 |
— |
| Repair of nasolabial fistula Facility (42260) |
$3,211.56 |
— |
0.5× |
Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary… (25431)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$10,638.57 |
$16,388 |
0.8× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$10,638.57 |
$17,942 |
1.5× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$10,638.57 |
$14,801 |
1.5× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$10,638.57 |
$14,801 |
1.5× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$8,137 |
$14,613 |
1.1× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$8,504.32 |
$8,042 |
1.2× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
$7,932.70 |
— |
1.1× |
| Repair of penis (54440) |
$4,544.88 |
— |
1.3× |
| Repair of rectocele (45560) |
$4,039.89 |
$4,216 |
1.4× |
| Repair of rectum (45505) |
$4,039.89 |
$9,802 |
1.4× |
| Repair of rectum (45500) |
$3,046.62 |
— |
1.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$5,974.89 |
$14,801 |
0.8× |
| Repair of scleral staphyloma with graft Facility (66225) |
$5,319.03 |
— |
1.0× |
| Repair of shoulder (23420) |
$5,757.66 |
$12,182 |
0.8× |
| Repair of small omphalocele, with primary closure Facility (49600) |
$4,109.31 |
— |
1.1× |
| Repair of sperm duct (55400) |
$2,990.36 |
$5,285 |
0.8× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Facility (68340) |
$2,508.90 |
— |
1.0× |
| Repair of tibia (27720) |
$5,506.40 |
$12,138 |
0.8× |
| Repair of urethra injury (53502) |
$2,565.12 |
$5,285 |
0.7× |
| Repair of web finger (26562) |
$3,524.18 |
— |
1.1× |
| Repair of web finger (26560) |
$2,205.24 |
$2,372 |
1.4× |
| Repair of web finger (26561) |
$3,524.18 |
$7,048 |
1.1× |
| Repair of windpipe (31755) |
$5,341.42 |
— |
0.9× |
| Repair of windpipe (31750) |
$5,341.42 |
— |
0.9× |
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$3,524.18 |
— |
1.1× |
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352)
unusually low: confirm this is the full procedure |
$3,524.18 |
$4,738 |
0.5× |
| Repair oval window fistula Facility (69666) |
$5,341.42 |
$5,555 |
1.6× |
Repair palate (42235)
unusually low: confirm this is the full procedure |
$2,187.16 |
— |
0.4× |
| Repair paravag defect lap (57423) |
$5,720.80 |
— |
0.5× |
| Repair paravag defect vag (57285) |
$4,343.02 |
$11,456 |
0.6× |
| Repair Profundus Tendon,Primary (26370) |
$3,524.18 |
$8,507 |
1.1× |
| Repair radius & ulna (25415) |
$10,638.57 |
$12,513 |
1.5× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$4,109.31 |
$9,802 |
1.1× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$4,109.31 |
$5,322 |
1.1× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,914.82 |
$9,802 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$4,109.31 |
$6,966 |
1.1× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$4,983.81 |
— |
1.2× |
| Repair rotator cuff acute (23410) |
$5,974.89 |
$14,801 |
0.8× |
| Repair round window fistula Facility (69667) |
$5,341.42 |
$5,555 |
1.6× |
| Repair salivary duct (42505) |
$5,341.42 |
— |
0.9× |
| Repair sciatic nerve (64858) |
$4,456.47 |
— |
2.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,757.66 |
$14,801 |
0.8× |
| Repair Spica Body Cast/Jacket (29720) |
$146.40 |
— |
0.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,789.88 |
$5,587 |
0.8× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$5,757.66 |
$13,500 |
0.8× |
| Repair tongue laceration (41252) |
$997.54 |
$857 |
4.2× |
| Repair Tongue Laceration (41250) |
$334.89 |
— |
0.7× |
| Repair tooth socket (41874) |
$3,211.56 |
$4,030 |
1.0× |
| Repair tympanic membrane (69610) |
$3,211.56 |
$5,600 |
2.0× |
Repair uro sphincter (53449)
unusually low: confirm this is the full procedure |
$3,989.74 |
— |
0.4× |
| Repair valve femoral vein (34501) |
$5,192.72 |
— |
0.9× |
| Repair webbed toe(s) (28345) |
$2,789.88 |
$2,901 |
1.7× |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) |
$5,192.72 |
— |
0.9× |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
$4,035.70 |
— |
1.3× |
| Repair, congenital arteriovenous fistula; head and neck Facility (35180) |
$4,035.70 |
— |
2.5× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$3,909.88 |
— |
0.5× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$4,109.31 |
— |
1.1× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49492) |
$4,109.31 |
— |
1.1× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$4,109.31 |
— |
0.7× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$8,458.41 |
$8,796 |
1.2× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$7,866.63 |
— |
1.1× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$5,929.60 |
$14,801 |
0.8× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$3,909.88 |
$11,033 |
0.5× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$3,909.88 |
$11,989 |
0.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$5,757.66 |
$13,637 |
0.8× |
| Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Facility (27409) |
$5,757.66 |
$11,008 |
0.8× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$10,638.57 |
$14,801 |
1.5× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
unusually low: confirm this is the full procedure |
$2,943.48 |
$11,155 |
0.4× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$3,909.88 |
$4,738 |
1.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$3,909.88 |
$7,012 |
1.2× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
$3,909.88 |
— |
0.5× |
| Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28210) |
$5,929.60 |
— |
0.8× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202)
unusually low: confirm this is the full procedure |
$2,789.88 |
— |
0.4× |
| Repair/graft achilles tendon (27652) |
$10,638.57 |
$12,245 |
1.5× |
| Repair/graft finger tendon (26420) |
$3,524.18 |
$6,867 |
1.1× |
| Repair/graft wrist bone (25440) |
$10,638.57 |
$14,801 |
1.5× |
| Repair/revise wrist joint (25320) |
$5,757.66 |
$13,471 |
0.8× |
| Repair/transpose nerve (64856) |
$4,456.47 |
$10,517 |
0.5× |
| Repeat control of nosebleed (30906) |
$150.69 |
— |
0.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$433.76 |
— |
0.5× |
| Replace elbow joint (24363) |
$16,368.94 |
$29,182 |
0.9× |
| Replace eye fluid (67025) |
$3,729.72 |
— |
1.6× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$433.76 |
— |
0.5× |
| Replace Tissue Expander (11970) |
$5,757.66 |
$10,293 |
0.8× |
| Replace tunneled cv cath (36578) |
$3,228.99 |
— |
1.0× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to… (69717) |
$5,341.42 |
— |
0.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$433.76 |
— |
0.5× |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) |
$1,142.06 |
— |
0.6× |
| Replantation Hand Complete Amputation (20808) |
$26,607.27 |
— |
1.5× |
| Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation Facility (20802) |
$16,041.90 |
— |
0.9× |
| Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) |
$13,516.62 |
— |
8.3× |
| Replantation, foot, complete amputation Facility (20838) |
$17,932.04 |
— |
1.0× |
| Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation Facility (20805) |
$20,538.94 |
— |
1.2× |
| Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Facility (20824) |
$14,307.38 |
$12,365 |
8.8× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
$12,185.12 |
— |
7.5× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$5,407.48 |
— |
1.4× |
| Reposition cv cath w/fluoro (36597) |
$1,461.26 |
— |
0.9× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,138.94 |
— |
4.5× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$3,104.31 |
$3,462 |
1.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,909.88 |
$5,810 |
1.2× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$5,565.90 |
— |
1.7× |
| Resect enlarged toe (28341) |
$2,789.88 |
— |
0.8× |
| Resect forarm/wrist tum 3cm> (25078) |
$4,362.56 |
$6,487 |
1.5× |
| Resect hip/pelv tum 5 cm/> (27059) |
$4,362.56 |
$5,908 |
1.5× |
| Resect leg/ankle tum < 5 cm (27615) |
$3,909.88 |
— |
1.3× |
| Resect radius/ulnar tumor (25170) |
$5,757.66 |
— |
0.8× |
| Resect shoulder tumor < 5 cm (23077) |
$2,827.58 |
$4,295 |
1.0× |
| Resection of elbow joint (arthrectomy) Facility (24155) |
$5,757.66 |
$5,988 |
1.7× |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
$5,341.42 |
— |
0.9× |
| Resection of lip, more than one-fourth, without reconstruction Facility (40530) |
$3,211.56 |
$4,030 |
1.0× |
| Resection of scrotum (55150) |
$2,990.36 |
$3,142 |
0.8× |
| Resection or transplantation of long tendon of biceps (23440) |
$5,757.66 |
$10,888 |
0.8× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$2,789.88 |
$4,738 |
0.8× |
| Resection, humeral head Facility (23195) |
$3,909.88 |
— |
0.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,789.88 |
$4,738 |
0.8× |
| Retrieval of oocyte (58970) |
$369.46 |
$1,955 |
0.4× |
| Retrobulbar inject,alcohol (67505) |
$388.74 |
— |
1.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$4,609.95 |
$5,200 |
1.3× |
| Revis reconst shoulder joint (23473) |
$15,211.24 |
$26,725 |
1.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$11,807.60 |
$15,589 |
0.9× |
| Revise abdomen-venous shunt (49426) |
$3,441.69 |
— |
1.0× |
| Revise cornea with implant (65770) |
$11,359.14 |
— |
0.8× |
| Revise external ear (69300) |
$3,211.56 |
$4,030 |
1.0× |
| Revise eye muscle(s) (67318) |
$3,232 |
$3,361 |
1.3× |
| Revise eye socket implant (67560) |
$3,255.90 |
— |
0.8× |
| Revise eyelashes (67835) |
$2,508.90 |
— |
1.0× |
| Revise eyelashes (67825) |
$388.74 |
$1,631 |
1.2× |
| Revise eyelid defect (67909) |
$2,508.90 |
— |
1.0× |
| Revise eyelid lining (68330) |
$3,104.31 |
$3,462 |
1.3× |
| Revise eyelid lining (68360) |
$3,104.31 |
— |
0.8× |
| Revise finger/toe nerve (64702) |
$2,417.97 |
$4,697 |
1.2× |
| Revise graft w/vein (35884) |
$5,192.72 |
— |
0.9× |
| Revise Hand/Foot Nerve (64704) |
$2,417.97 |
$5,657 |
1.2× |
| Revise knuckle joint (26530) |
$4,809.18 |
$5,001 |
0.7× |
| Revise knuckle with implant (26531) |
$6,816.16 |
$13,527 |
0.9× |
Revise Lower Leg Tendon (27691)
unusually low: confirm this is the full procedure |
$2,609.34 |
$11,960 |
0.4× |
| Revise Lower Leg Tendons (27686) |
$3,909.88 |
$4,738 |
1.2× |
| Revise ocular implant (65150) |
$3,255.90 |
— |
0.8× |
| Revise palsy hand tendon(s) (25315) |
$5,757.66 |
— |
0.8× |
| Revise penis/urethra (54328) |
$4,544.88 |
— |
1.3× |
| Revise penis/urethra (54332) |
$6,506.84 |
$6,768 |
1.8× |
| Revise penis/urethra (54336) |
$6,506.84 |
— |
1.8× |
Revise radius & ulna (25365)
unusually low: confirm this is the full procedure |
$3,909.88 |
$16,770 |
0.3× |
| Revise reconst elbow joint (24370) |
$9,404.16 |
$17,620 |
0.7× |
| Revise reconst elbow joint (24371) |
$9,404.16 |
$17,620 |
0.5× |
| Revise spine eltrd perq aray (63663) |
$3,663.09 |
$13,373 |
0.6× |
Revise Spine Eltrd Plate (63664)
unusually low: confirm this is the full procedure |
$3,663.09 |
$14,711 |
0.3× |
| Revise thumb tendon (26490) |
$3,524.18 |
$4,738 |
1.1× |
| Revise thumb tendon (26496) |
$3,524.18 |
$4,738 |
1.1× |
| Revise ulnar nerve at elbow (64718) |
$2,417.97 |
$5,805 |
1.2× |
| Revise ureter (50727) |
$3,735.10 |
— |
1.0× |
| Revise vag graft via vagina (57295) |
$2,547.70 |
$5,083 |
0.8× |
| Revise wrist/forearm tendon (25280) |
$3,909.88 |
$4,738 |
1.2× |
| Revise/graft eyelid lining (68328) |
$3,255.90 |
— |
1.4× |
| Revise/graft eyelid lining (68320) |
$2,508.90 |
$3,273 |
1.0× |
| Revise/Implant Finger Joint (26536) |
$6,816.16 |
$13,527 |
0.9× |
| Revise/Remove Neuroreceiver (63688) |
$4,609.95 |
$9,143 |
1.3× |
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426)
unusually low: confirm this is the full procedure |
$3,739.02 |
— |
0.5× |
| Revision eyelid unlisted (67999) |
$388.74 |
$1,432 |
1.2× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862) |
$14,289.51 |
— |
0.8× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
— |
$15,571 |
— |
| Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601) |
$5,341.42 |
— |
0.9× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
$5,341.42 |
— |
0.9× |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) |
$5,341.42 |
— |
0.9× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$5,341.42 |
— |
0.9× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$5,319.03 |
— |
2.3× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Facility (66184) |
$3,957.06 |
— |
1.7× |
| Revision of arthroplasty, including removal of implant, wrist joint Facility (25449) |
$4,809.18 |
$7,964 |
0.7× |
| Revision of cervix (57700) |
$2,547.70 |
$4,264 |
0.8× |
| Revision of colostomy simple (44340) |
$2,706.63 |
$5,555 |
0.8× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$7,055.48 |
— |
2.0× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$7,935.50 |
— |
2.2× |
| Revision of eyelid (67880) |
$2,166.04 |
$3,273 |
0.9× |
| Revision of eyelid (67961) |
$2,508.90 |
$3,273 |
1.0× |
| Revision of eyelid (21280) |
$5,341.42 |
— |
1.6× |
| Revision of foot (28116) |
$2,789.88 |
$6,500 |
0.8× |
| Revision of humerus (24400) |
$3,909.88 |
$10,477 |
0.5× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$6,772.34 |
$9,802 |
1.9× |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
$3,212.02 |
— |
0.9× |
| Revision of iris (66761) |
$696.54 |
$1,594 |
1.3× |
| Revision of iris (66762) |
$696.54 |
$1,594 |
1.3× |
| Revision of larynx (31400) |
$5,341.42 |
$9,719 |
0.9× |
| Revision of leg vein (37780) |
$3,461.31 |
$3,601 |
1.1× |
| Revision of lower leg tendon (27685) |
$1,472.56 |
$4,738 |
0.4× |
| Revision of neck muscle (21720) |
$2,848.88 |
— |
0.9× |
| Revision of nose (30430) |
$3,211.56 |
$7,989 |
0.5× |
| Revision of nose (30462) |
$5,341.42 |
$7,989 |
0.9× |
| Revision of nose (30460) |
$5,341.42 |
$7,989 |
0.9× |
| Revision of nose (30435) |
$5,341.42 |
$7,989 |
0.9× |
| Revision of nose (30450) |
$5,341.42 |
$7,989 |
0.9× |
| Revision of penis (54300) |
$4,544.88 |
— |
1.3× |
| Revision of penis (54304) |
$4,544.88 |
$5,285 |
1.3× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$4,544.88 |
— |
0.8× |
| Revision of radius (25355) |
$5,757.66 |
— |
1.7× |
| Revision of reconstructed breast (19380) |
$5,333.61 |
$8,877 |
0.8× |
| Revision of scrotum (55180) |
$2,990.36 |
— |
0.6× |
| Revision of scrotum (55175) |
$2,990.36 |
$10,289 |
0.8× |
| Revision of spinal shunt (63744) |
$4,859.12 |
— |
1.4× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$5,341.42 |
$7,989 |
0.9× |
| Revision of tips (37183) |
$11,859.14 |
— |
2.1× |
| Revision of toe (28312) |
$2,789.88 |
$4,738 |
0.8× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$9,894.51 |
$9,356 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$9,443.01 |
$27,030 |
0.7× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$11,822.90 |
$25,200 |
0.7× |
| Revision of tracheostomy scar (31830) |
$3,211.56 |
$4,030 |
1.0× |
| Revision of ulna (25360) |
$3,909.88 |
$12,182 |
0.5× |
| Revision of urethra (53460) |
$2,565.12 |
— |
0.7× |
| Revision of urethra (57220) |
$5,720.80 |
$7,450 |
1.1× |
| Revision of urethra (53450) |
$3,989.74 |
— |
1.1× |
| Revision or removal of intracranial neurostimulator electrodes Facility (61880) |
$3,010.20 |
— |
0.9× |
Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569)
unusually low: confirm this is the full procedure |
$3,663.09 |
— |
0.3× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$5,192.72 |
— |
0.9× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Facility (35881) |
$5,192.72 |
— |
0.9× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
$5,192.72 |
— |
0.9× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$2,706.63 |
— |
0.8× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$5,192.72 |
— |
0.9× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$12,896.79 |
$18,435 |
1.0× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$10,287.33 |
$10,700 |
0.8× |
Revj/rmvl neurostimulator pulse generator (61888)
unusually low: confirm this is the full procedure |
$4,609.95 |
— |
0.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,010.20 |
$5,200 |
0.9× |
| Rhinectomy; partial (30150) |
$5,341.42 |
— |
0.9× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$5,341.42 |
$11,454 |
0.9× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$5,341.42 |
$11,454 |
0.9× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) |
$5,341.42 |
$8,766 |
0.9× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$2,706.63 |
$4,996 |
0.8× |
| Rhytidectomy Forehead (15824) |
$2,706.63 |
$2,816 |
1.3× |
| Rhytidectomy Glabellar Frown Lines (15826) |
$2,706.63 |
$4,996 |
0.8× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$2,706.63 |
$4,996 |
0.8× |
| Rib cartilage graft (21230) |
$5,341.42 |
$7,989 |
0.9× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,056.68 |
— |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,211.56 |
$3,341 |
2.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$997.54 |
— |
1.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$84.52 |
— |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$116.49 |
— |
0.9× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$116.49 |
$1,745 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,827.58 |
$5,600 |
1.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,163.31 |
$5,016 |
0.4× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$1,998.09 |
$3,462 |
0.9× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$3,844.71 |
$3,999 |
1.6× |
| Rmvl of subq defibrillator (33272) |
$5,407.48 |
— |
1.4× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$1,940.60 |
$2,945 |
1.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$4,456.47 |
$8,246 |
1.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,212.02 |
$13,014.48 |
0.9× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,212.02 |
$13,014.48 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,461.26 |
$3,412 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$758.31 |
$1,120 |
1.2× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$3,729.72 |
— |
1.6× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$3,729.72 |
$3,879 |
1.6× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,212.02 |
— |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$433.76 |
— |
1.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,461.26 |
— |
0.9× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,228.99 |
— |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,461.26 |
— |
0.9× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$3,867.58 |
— |
0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,867.58 |
— |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,228.99 |
— |
1.0× |
| Rplcmt/Irrigation Ventricular Catheter (62225) |
$2,056.68 |
— |
0.6× |
| Rplcmt/revj csf shunt valve/cath shunt sys (62230) |
$4,859.12 |
— |
0.5× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$3,524.18 |
— |
2.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,109.31 |
$20,243 |
0.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,109.31 |
$13,756 |
1.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,109.31 |
$13,756 |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,109.31 |
$20,243 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,109.31 |
$13,756 |
1.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,109.31 |
$13,756 |
0.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$4,109.31 |
$12,395.41 |
0.7× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$2,508.90 |
$5,374 |
0.6× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$4,035.70 |
$3,017 |
5.6× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$5,420.34 |
— |
1.0× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,205.24 |
$8,500 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,461.26 |
— |
0.9× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$2,848.88 |
$14,801 |
0.4× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,109.31 |
— |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$281.96 |
— |
0.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$334.89 |
— |
1.4× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$4,983.81 |
$6,575 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$997.54 |
$1,164 |
1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$997.54 |
$1,127 |
1.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$997.54 |
$2,310 |
0.6× |
Rpr non-union mtcrpl/phalanx (26546)
unusually low: confirm this is the full procedure |
$3,524.18 |
$10,293 |
0.5× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$696.54 |
— |
1.3× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$4,983.81 |
— |
1.2× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$3,255.90 |
$5,374 |
0.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,789.88 |
$4,738 |
0.8× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$3,909.88 |
$4,738 |
1.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$758.31 |
— |
1.2× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$3,232 |
— |
0.8× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,524.18 |
$7,406 |
1.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,165.43 |
$5,587 |
0.7× |
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)
unusually low: confirm this is the full procedure |
$3,524.18 |
$5,587 |
0.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,524.18 |
$9,802 |
1.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$3,524.18 |
$4,738 |
1.1× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,212.02 |
$11,584.30 |
1.0× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$3,212.02 |
$11,584.30 |
1.0× |
| Salpingostomy (salpingoneostomy) (58770) |
$4,343.02 |
$4,107 |
1.3× |
| Saphenopopliteal vein anastomosis Facility (34530) |
$5,192.72 |
— |
1.6× |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
$3,909.88 |
$9,358 |
0.5× |
| Scleral reinforcement (separate procedure); without graft Facility (67250) |
$2,508.90 |
— |
1.0× |
| Scrotal exploration (55110) |
$2,990.36 |
$5,285 |
0.8× |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
$5,341.42 |
$7,989 |
0.9× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$5,341.42 |
$7,989 |
0.9× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$3,909.88 |
$6,867 |
1.2× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$3,909.88 |
— |
1.2× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck Facility (23174) |
$3,909.88 |
$4,738 |
0.5× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process Facility (24138) |
$3,909.88 |
— |
0.5× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) |
$3,909.88 |
— |
1.2× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) |
$3,909.88 |
— |
1.2× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) |
$3,909.88 |
— |
0.5× |
| Sesamoidectomy, thumb or finger (separate procedure) Facility (26185) |
$2,205.24 |
$2,372 |
1.4× |
| Sever cranial nerve (64771) |
$2,417.97 |
— |
1.2× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$3,104.31 |
$3,462 |
1.3× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$2,166.04 |
— |
0.5× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Facility (65860) |
$696.54 |
— |
1.3× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$3,104.31 |
$3,462 |
1.3× |
| Severing of tarsorrhaphy (67710) |
$975.75 |
— |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$682.76 |
— |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,165.76 |
$1,770 |
1.0× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
— |
$7,485 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
$106.22 |
$319 |
0.3× |
| Shave skin lesion 0.5 cm/< (11305) |
$106.22 |
$319 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$106.22 |
$652 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$106.22 |
— |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$106.22 |
$319 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$106.22 |
— |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$106.22 |
— |
0.3× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$2,205.24 |
$4,738 |
0.7× |
| Shoulder arthroscopy (29820) |
$6,122.28 |
$14,801 |
0.8× |
| Shoulder arthroscopy (29805) |
$3,855 |
$4,738 |
1.2× |
| Shoulder Arthroscopy/Surgery (29819) |
$6,122.28 |
$12,365 |
1.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$21,600 |
$15,840 |
6.5× |
Shoulder prosthesis removal (23334)
unusually low: confirm this is the full procedure |
$3,292.32 |
$3,905 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$106.22 |
$319 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$106.22 |
— |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$106.22 |
$319 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$195.50 |
$781 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$106.22 |
$319 |
0.5× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$2,187.16 |
$4,030 |
0.7× |
| Sigmoidoscopy & decompress (45337) |
$682.76 |
— |
0.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,165.76 |
— |
1.0× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,165.76 |
— |
1.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,165.76 |
— |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,165.76 |
$1,346 |
1.2× |
| Sigmoidoscopy w/biopsy (45331) |
$682.76 |
$2,162 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$682.76 |
— |
0.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,165.76 |
— |
1.0× |
| Simple Cystometrogram (51725) |
$408.12 |
— |
1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$171.34 |
— |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$171.34 |
— |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$171.34 |
— |
0.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$171.34 |
— |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$171.34 |
— |
0.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$171.34 |
— |
0.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$171.34 |
— |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$171.34 |
— |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$171.34 |
— |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$171.34 |
$390 |
0.8× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$3,211.56 |
$7,989 |
0.5× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) |
$5,341.42 |
— |
0.9× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) |
$5,341.42 |
— |
0.9× |
| Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) |
$5,341.42 |
— |
0.9× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) |
$5,341.42 |
— |
0.9× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) |
$5,341.42 |
— |
0.9× |
| Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) |
$5,341.42 |
— |
0.9× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
$5,341.42 |
— |
0.9× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$5,341.42 |
$7,989 |
0.9× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030) |
$5,341.42 |
$7,989 |
0.9× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$5,341.42 |
$7,989 |
0.9× |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) |
$5,341.42 |
— |
0.9× |
| Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) |
$5,341.42 |
$7,989 |
0.9× |
| Skin Pedicle Flap Trunk (15570) |
$2,706.63 |
$2,816 |
1.3× |
| Skin pinch graft (15050) |
$606.30 |
$1,083 |
0.8× |
| Skin splt grft trnk/arm/leg (15100) |
$1,978.71 |
$2,816 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$281.96 |
$2,797 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$281.96 |
$2,797 |
0.4× |
| Skin sub grft t/arm/lg child (15273) |
$827.94 |
$4,996 |
0.4× |
| Skin Tissue Procedure (17999) |
$39.69 |
$77 |
0.2× |
| Skin tissue rearrangement (14040) |
$2,015.34 |
$4,092 |
1.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,706.63 |
$4,996 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$827.94 |
— |
0.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,732.99 |
— |
1.7× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$8,936.85 |
— |
2.8× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,701.09 |
— |
1.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,720.80 |
$10,855 |
1.1× |
| Slitting of prepuce (54001) |
$2,565.12 |
— |
1.2× |
| Slitting of prepuce (54000) |
$2,565.12 |
— |
0.7× |
| Small Bowel Endoscopy (44373) |
$1,276.40 |
— |
0.7× |
| Small bowel endoscopy (44366) |
$1,276.40 |
— |
0.7× |
| Small bowel endoscopy (44364) |
$1,276.40 |
— |
0.7× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,276.40 |
— |
0.7× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,276.40 |
— |
0.7× |
| Small bowel endoscopy/biopsy (44377) |
$1,276.40 |
— |
0.7× |
| Small bowel endoscopy/stent (44370) |
$3,346.17 |
— |
0.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$1,276.40 |
— |
0.7× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$3,346.17 |
— |
0.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$1,276.40 |
— |
0.7× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$1,276.40 |
— |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$171.34 |
— |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$171.34 |
$642 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$171.34 |
— |
0.4× |
| Snip incision lacrimal punctum (68440) |
$388.74 |
— |
1.2× |
| Sperm washing for artificial insemination Facility (58323) |
$369.46 |
— |
1.8× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$4,039.89 |
$4,216 |
1.4× |
| Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Facility (46761) |
$4,039.89 |
$4,216 |
1.4× |
| Sphincteroplasty, anal, for incontinence, adult; muscle transplant Facility (46760) |
$4,039.89 |
— |
1.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,046.62 |
$4,216 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$548.72 |
$1,081 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$548.72 |
$1,081 |
0.8× |
| Spine Surgery Procedure Unlisted (22899) |
$2,848.88 |
$2,089 |
11.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,461.31 |
$11,584.30 |
1.1× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$5,341.42 |
$10,303 |
0.9× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$5,341.42 |
$7,989 |
0.9× |
| Stapes mobilization Facility (69650) |
$3,211.56 |
$4,030 |
1.0× |
| Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) |
$4,456.47 |
— |
1.3× |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) |
$2,417.97 |
— |
1.2× |
| Sternal Debridement (21627) |
$3,609.36 |
— |
1.1× |
| Stimulus evoked response (51792) |
$138.72 |
— |
2.3× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$3,232 |
$3,361 |
1.3× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$3,232 |
$3,361 |
1.3× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$3,232 |
$5,374 |
0.8× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Facility (67316) |
$3,232 |
$3,361 |
1.3× |
| Strapping ankle (29540) |
$146.40 |
— |
0.9× |
| Strapping elbow or wrist (29260) |
$146.40 |
— |
2.5× |
| Strapping hand/finger (29280) |
$146.40 |
— |
2.5× |
| Strapping Hip (29520) |
$146.40 |
— |
1.1× |
| Strapping knee (29530) |
$146.40 |
— |
1.1× |
| Strapping shoulder (29240) |
$146.40 |
— |
1.1× |
| Strapping thorax (29200) |
$146.40 |
— |
0.9× |
| Strapping toes (29550) |
$146.40 |
— |
2.5× |
| Strapping unna boot (29580) |
$146.40 |
— |
0.9× |
| Stump elongation, upper extremity Facility (24935) |
$10,638.57 |
— |
1.5× |
| Subconjunctival injection (68200) |
$116.49 |
— |
0.3× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$84.52 |
— |
0.2× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$171.34 |
$319 |
0.8× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$171.34 |
— |
0.2× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$171.34 |
$894 |
0.2× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$171.34 |
$872 |
0.2× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$1,142.06 |
— |
1.6× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) |
$2,394.99 |
— |
0.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,211.56 |
$5,975 |
1.0× |
| Subtalar Arthro W/Deb (29906) |
$3,855 |
$4,738 |
1.2× |
| Suction assisted lipectomy lower extremity (15879) |
$2,706.63 |
$4,996 |
0.8× |
| Suction Assisted Lipectomy Trunk (15877) |
$2,706.63 |
$4,996 |
0.8× |
| Suction assisted lipectomy; head and neck (15876) |
$2,706.63 |
$4,996 |
0.8× |
| Suction assisted lipectomy; upper extremity (15878) |
$2,706.63 |
$2,816 |
1.3× |
Suprahyoid lymphadenectomy (38700)
unusually low: confirm this is the full procedure |
$3,075.18 |
$8,877 |
0.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$3,134 |
— |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
— |
$3,789 |
— |
| Surgery of breast capsule (19370) |
$4,247.88 |
$5,086 |
1.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,855 |
$9,378 |
1.2× |
| Surgical closure tracheostomy or fistula; with plastic repair Facility (31825) |
$3,211.56 |
$4,030 |
1.0× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$2,187.16 |
$4,030 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,046.62 |
$5,600 |
1.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$3,046.62 |
$4,216 |
1.1× |
| Suspension of testis (54640) |
$4,109.31 |
$8,121 |
1.1× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$4,456.47 |
$8,246 |
1.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$4,456.47 |
$16,486 |
2.3× |
| Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) |
$5,341.42 |
— |
0.9× |
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure |
$2,848.88 |
$14,801 |
0.4× |
| Suture of 1 nerve ulnar motor (64836) |
$4,456.47 |
$8,246 |
1.3× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$4,456.47 |
$12,217 |
1.3× |
| Suture of facial nerve; extracranial Facility (64864) |
$4,456.47 |
— |
0.5× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$4,456.47 |
— |
1.3× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
unusually low: confirm this is the full procedure |
$2,848.88 |
$14,801 |
0.4× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$3,104.31 |
$3,462 |
1.3× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
unusually low: confirm this is the full procedure |
$2,370.18 |
$13,570 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure |
$2,848.88 |
$16,409 |
0.4× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) |
$2,187.16 |
— |
0.7× |
| Suture of; brachial plexus Facility (64861) |
$4,456.47 |
— |
2.3× |
| Suture of; lumbar plexus Facility (64862) |
$4,456.47 |
— |
1.3× |
| Suture pharynx for wound or injury Facility (42900) |
$997.54 |
— |
0.6× |
| Suture/repair testicular injury (54670) |
$2,990.36 |
$3,142 |
0.8× |
| Sympathectomy cervical (64802) |
$2,417.97 |
— |
1.2× |
| Sympathectomy, cervicothoracic Facility (64804) |
$2,417.97 |
— |
1.2× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$2,417.97 |
— |
1.2× |
| Sympathectomy; radial artery Facility (64821) |
$3,524.18 |
— |
1.1× |
| Sympathectomy; superficial palmar arch (64823) |
$3,524.18 |
$4,738 |
1.1× |
| Sympathectomy; ulnar artery (64822) |
$3,524.18 |
— |
1.1× |
| Synovectomy tendon sheath foot extensor (28088) |
$2,789.88 |
$5,805 |
0.8× |
| Synovectomy, carpometacarpal joint Facility (26130) |
$2,205.24 |
$4,738 |
0.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$3,909.88 |
$4,738 |
1.2× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$3,524.18 |
$4,738 |
1.1× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$2,205.24 |
$2,372 |
1.4× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$2,789.88 |
$5,826 |
0.8× |
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure |
$2,789.88 |
$4,738 |
0.4× |
| Synovectomy; metatarsophalangeal joint, each Facility (28072) |
$2,789.88 |
$4,738 |
0.8× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,205.24 |
$3,603 |
1.4× |
| T-cell depletion of harvest (38210) |
$762.44 |
— |
1.7× |
Talectomy (astragalectomy) Facility (28130)
unusually low: confirm this is the full procedure |
$2,789.88 |
$4,738 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$106.22 |
— |
0.3× |
| Tattooing Incl Micropigmentation 6.0 Cm/< (11920) |
$281.96 |
$872 |
0.4× |
| Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) |
$281.96 |
— |
0.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$25,507.83 |
$66,715.05 |
1.3× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$5,063.42 |
$11,584.30 |
1.6× |
| Temporary Closure Eyelids Suture (67875) |
$975.75 |
$1,457 |
1.0× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) |
$3,909.88 |
$10,264 |
0.5× |
| Tendon lengthening, upper arm or elbow, each tendon Facility (24305) |
$3,909.88 |
$4,738 |
1.2× |
| Tendon shortening (26477) |
$2,205.24 |
$4,738 |
0.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$5,757.66 |
$10,300 |
1.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$5,757.66 |
$10,450 |
1.7× |
| Tenodesis at wrist; extensors of fingers Facility (25301) |
$3,909.88 |
$7,012 |
1.2× |
| Tenodesis at wrist; flexors of fingers Facility (25300) |
$3,909.88 |
$8,020 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$5,757.66 |
$14,801 |
0.8× |
| Tenolysis extensor foot single tendon (28225) |
$2,789.88 |
$4,738 |
0.8× |
| Tenolysis extensor tendon hand/finger each (26445) |
$2,205.24 |
$4,738 |
0.7× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$2,789.88 |
$4,738 |
0.8× |
| Tenolysis flexor foot single tendon (28220) |
$2,789.88 |
— |
1.7× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,205.24 |
$3,603 |
1.4× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,909.88 |
$9,582 |
1.2× |
| Tenolysis Triceps (24332) |
$2,848.88 |
$5,549 |
0.9× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Facility (26449) |
$3,524.18 |
$4,738 |
1.1× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$2,789.88 |
$7,023 |
0.8× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$3,909.88 |
$11,584 |
1.2× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$3,524.18 |
$4,738 |
1.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$2,848.88 |
$5,526 |
1.8× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$3,909.88 |
$6,097 |
1.2× |
| Tenotomy flexor finger open each tendon (26455) |
$2,205.24 |
$2,372 |
1.4× |
| Tenotomy Hip Flexor Open (27005) |
$4,836.30 |
$5,030 |
1.5× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$2,789.88 |
$5,297 |
1.7× |
| Tenotomy percutaneous single each digit (26060) |
$2,205.24 |
$2,372 |
1.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,789.88 |
$2,901 |
1.7× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,789.88 |
$2,901 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,848.88 |
— |
0.9× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$2,848.88 |
$9,098 |
0.9× |
| Tenotomy shoulder area single tendon (23405) |
$3,909.88 |
$10,293 |
0.5× |
| Tenotomy Shoulder Multiple Thru Same Incision (23406) |
$3,909.88 |
— |
0.5× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$3,909.88 |
$9,098 |
1.2× |
| Tenotomy, adductor of hip, open Facility (27001) |
$3,909.88 |
$9,098 |
1.2× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
$3,909.88 |
$11,008 |
0.5× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$2,205.24 |
$5,768 |
1.4× |
| Tenotomy, flexor, palm, open, each tendon Facility (26450) |
$2,205.24 |
$4,830 |
0.7× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$2,848.88 |
$4,738 |
0.9× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$2,848.88 |
$7,911 |
0.9× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral Facility (27392) |
$2,848.88 |
$9,098 |
0.9× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$2,848.88 |
— |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,789.88 |
$5,297 |
1.7× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$2,848.88 |
$4,738 |
0.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,789.88 |
$2,901 |
1.7× |
| Thaw preserved stem cells (38208) |
$454.98 |
— |
1.0× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$4,099.22 |
— |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,541.16 |
— |
1.0× |
| Ther Apheresis,Platelets (36513) |
$1,541.16 |
— |
3.5× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,541.16 |
— |
1.0× |
| Ther Apheresis,White Blood Cells (36511) |
$1,541.16 |
— |
1.0× |
| Therapeutic pneumothorax (32960) |
$696.84 |
— |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$263.78 |
— |
0.4× |
| Thoracoscopy w/bx nodule (32608) |
$6,343.58 |
— |
0.6× |
| Thoracoscopy w/bx pleura (32609) |
$6,343.58 |
— |
1.0× |
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607)
unusually low: confirm this is the full procedure |
$4,362.16 |
— |
0.4× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$4,362.16 |
— |
0.7× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)
unusually low: confirm this is the full procedure |
$4,362.16 |
— |
0.4× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$4,362.16 |
— |
0.7× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$5,192.72 |
— |
0.9× |
| Throat Surgery Procedure (42999) |
$334.89 |
$1,254 |
1.4× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$5,192.72 |
— |
0.9× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
$5,192.72 |
— |
8.2× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$4,035.70 |
— |
0.7× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$6,785.10 |
— |
1.2× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,446.28 |
— |
1.4× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$1,790.98 |
— |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$332.50 |
— |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$1,790.98 |
— |
0.6× |
| Thymectomy, partial or total; transcervical approach (separate procedure) Facility (60520) |
$5,341.42 |
— |
0.9× |
| Thyroid biopsy (60100) |
$579.57 |
$3,040 |
0.8× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$5,341.42 |
$9,421 |
0.9× |
| Thyroidectomy, total or complete (60240) |
$5,937.02 |
$12,365 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,341.42 |
$11,454 |
0.9× |
| Tibial Arthroscopy/Surgery (29855) |
$6,122.28 |
$15,000 |
0.8× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$606.30 |
— |
0.2× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$606.30 |
— |
0.3× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$7,578.32 |
$19,909 |
0.5× |
| Tnot elbow lateral/medial debride open (24358) |
$3,909.88 |
$7,713 |
1.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,909.88 |
$9,000 |
1.2× |
| Tongue and mouth surg unlisted (41599) |
$334.89 |
$1,938 |
1.4× |
Tongue suspension (41512)
likely a partial charge, not the full procedure |
$1,046.48 |
— |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,981.06 |
$5,448 |
0.9× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$27,750 |
$29,254 |
1.6× |
| Total hip arthroplasty (27130) |
$33,000 |
$28,200 |
2.5× |
| Total Knee Arthroplasty (27447) |
$30,000 |
$28,200 |
2.3× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$5,937.02 |
$8,300 |
1.0× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$2,547.70 |
— |
0.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,333.77 |
$1,164 |
2.4× |
| Tracheostoma revision; complex, with flap rotation Facility (31614) |
$5,341.42 |
$7,989 |
0.9× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$3,211.56 |
$5,806 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$997.54 |
— |
4.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$997.54 |
$2,310 |
0.6× |
| Tracheostomy planned (31600) |
$3,211.56 |
— |
1.0× |
| Tracheotomy tube change (31502) |
$178.98 |
$371 |
0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$369.46 |
— |
1.2× |
| Transcatheter biopsy (37200) |
$3,867.58 |
— |
0.7× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
$2,417.97 |
— |
1.2× |
| Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) |
$4,456.47 |
— |
2.3× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$2,417.97 |
$5,400 |
1.2× |
| Transection or avulsion of; facial nerve, differential or complete Facility (64742) |
$2,417.97 |
— |
1.2× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$2,971.34 |
$2,950 |
1.5× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) |
$2,417.97 |
— |
1.2× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$2,417.97 |
— |
1.2× |
| Transection or avulsion of; lingual nerve Facility (64740) |
$2,417.97 |
— |
1.2× |
| Transection or avulsion of; mental nerve Facility (64736) |
$2,417.97 |
— |
1.2× |
| Transection or avulsion of; phrenic nerve Facility (64746) |
$2,417.97 |
— |
1.2× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$2,417.97 |
— |
1.2× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) |
$5,757.66 |
$16,409 |
0.8× |
| Transfer iliopsoas; to femoral neck Facility (27111) |
$5,757.66 |
$9,098 |
1.7× |
| Transfer of embryo (58974) |
$369.46 |
$1,007 |
0.4× |
| Transfer of iliopsoas muscle (27110) |
$5,757.66 |
$11,008 |
0.8× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$3,524.18 |
— |
1.1× |
| Transfer of tendon to restore intrinsic function; ring and small finger Facility (26497) |
$3,524.18 |
$6,908 |
1.1× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$5,757.66 |
$14,803 |
0.8× |
| Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Facility (26489) |
$3,524.18 |
$6,908 |
1.1× |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) |
$5,757.66 |
$9,098 |
1.7× |
| Transfer, adductor to ischium Facility (27098) |
$3,909.88 |
$450 |
1.2× |
Transfer, finger to another position without microvascular anastomosis Facility (26555)
unusually low: confirm this is the full procedure |
$3,524.18 |
— |
0.5× |
| Transfer, free toe joint, with microvascular anastomosis Facility (26556) |
$18,796.76 |
— |
2.6× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) |
$2,706.63 |
$2,816 |
1.3× |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
$5,757.66 |
$10,293 |
0.8× |
| Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft Facility (26551) |
$19,684.42 |
— |
2.7× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double Facility (26554) |
$21,936.76 |
— |
3.0× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single Facility (26553) |
$20,936.85 |
— |
2.9× |
| Transfusion intrauterine fetal (36460) |
$454.98 |
— |
1.0× |
| Translum Dil Eye Canal (66174) |
$5,319.03 |
— |
1.3× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$5,319.03 |
— |
1.0× |
| Transmetacarpal amputation; Facility (25927) |
$5,343.90 |
— |
1.6× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$2,848.88 |
— |
0.9× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$2,015.34 |
— |
1.0× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$6,264.96 |
$10,293 |
0.9× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$6,264.96 |
$16,000 |
0.9× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
— |
$21,002 |
— |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$4,832.40 |
— |
0.9× |
| Transplant hand tendon (26480) |
$3,524.18 |
$9,802 |
1.1× |
| Transplant of thigh tendon (27396) |
$3,909.88 |
$11,008 |
0.5× |
| Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) |
$5,757.66 |
$11,008 |
0.8× |
| Transplant palm tendon (26485) |
$3,524.18 |
$4,738 |
1.1× |
| Transplant/graft hand tendon (26483) |
$3,524.18 |
$6,908 |
1.1× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$2,990.36 |
— |
0.8× |
| Transplj Hematopoietic Boost (38243) |
$2,227.60 |
— |
1.4× |
| Transur electr resection of prostate (52601) |
$4,832.40 |
$7,784 |
0.9× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Facility (53852) |
$6,054.92 |
$6,297 |
1.7× |
| Transurethral incision of prostate (52450) |
$3,318.48 |
$5,285 |
0.9× |
| Transurethral resection bladder neck (52500) |
$3,318.48 |
$5,285 |
0.9× |
| Transvesical ureterolithotomy Facility (51060) |
$6,752.52 |
— |
3.2× |
| Treat Big Toe Fracture (28505) |
$3,503.90 |
$5,587 |
1.1× |
| Treat clavicle dislocation (23540) |
$236.84 |
— |
1.0× |
| Treat clavicle fracture (23505) |
$236.84 |
— |
0.1× |
| Treat elbow dislocation (24615) |
$7,932.70 |
$14,801 |
1.1× |
| Treat elbow fracture (24586) |
$7,932.70 |
$16,770 |
0.6× |
| Treat Elbow Fracture (24635) |
$7,932.70 |
$14,801 |
1.1× |
| Treat elbow fracture (24587) |
$7,932.70 |
$7,217 |
0.6× |
| Treat fracture radius/ulna (25575) |
$7,932.70 |
$14,801 |
1.1× |
| Treat Hand Dislocation (26685) |
$3,503.90 |
$6,867 |
1.1× |
| Treat humerus fracture (24500) |
$236.84 |
— |
1.0× |
| Treat humerus fracture (23600) |
$236.84 |
— |
1.0× |
| Treat knee fracture (27532) |
$236.84 |
$4,738 |
0.1× |
| Treat Knee Fracture (27535) |
$3,685.89 |
$5,533 |
0.5× |
| Treat Knee Fracture (27540) |
$3,685.89 |
$4,521 |
0.5× |
| Treat Knee Fracture(S) (27538) |
$236.84 |
$902 |
1.0× |
| Treat Kneecap Fracture (27524) |
$5,506.40 |
$13,490 |
0.8× |
| Treat Lower Leg Bone Lesion (27607) |
$2,848.88 |
$4,738 |
0.9× |
| Treat Lower Leg Fracture (27828) |
$7,932.70 |
$27,824 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$236.84 |
$1,120 |
1.0× |
| Treat pleurodesis w/agent (32560) |
$696.84 |
— |
1.1× |
| Treat radius fracture (24665) |
$5,506.40 |
$13,490 |
0.8× |
| Treat scapula fracture (23585) |
$7,932.70 |
$14,801 |
1.1× |
| Treat shoulder blade fx (23575) |
$236.84 |
$590 |
0.1× |
| Treat skull fracture (62000) |
$3,211.56 |
— |
1.0× |
| Treat Thigh Fracture (27246) |
$236.84 |
$992 |
1.0× |
| Treat Thigh Fracture (27245) |
$8,239.05 |
$21,971 |
1.1× |
| Treat Thumb Dislocation (26641) |
$236.84 |
$708 |
1.0× |
| Treat thumb fracture (26665) |
$5,506.40 |
$11,846 |
1.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$236.84 |
$2,372 |
0.1× |
| Treat vagina infection (57150) |
$181.08 |
— |
3.0× |
| Treat Vaginal Bleeding (57180) |
$181.08 |
— |
0.9× |
| Treat wrist bone fracture (25622) |
$236.84 |
$447 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$236.84 |
$407 |
1.0× |
Treat wrist fracture (25685)
unusually low: confirm this is the full procedure |
$3,503.90 |
$4,738 |
0.5× |
Treat/graft heel fracture (28420)
unusually low: confirm this is the full procedure |
$5,506.40 |
$11,018 |
0.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,977.81 |
$4,229 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$236.84 |
— |
1.0× |
| Treatment extensive retinopathy photocoagulation (67228) |
$696.54 |
$1,594 |
1.3× |
| Treatment mouth roof lesion (42160) |
$2,187.16 |
$4,030 |
0.7× |
| Treatment of anal fissure (46940) |
$3,046.62 |
$4,216 |
1.1× |
| Treatment of fibula fracture (27784) |
$5,506.40 |
$12,583 |
0.8× |
| Treatment of foot infection (28003) |
$2,848.88 |
— |
0.9× |
| Treatment of gum lesion (41850) |
$2,187.16 |
— |
1.4× |
Treatment of heel fracture (28406)
unusually low: confirm this is the full procedure |
$3,503.90 |
$10,293 |
0.5× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$8,236.48 |
— |
1.1× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$2,547.70 |
$6,000 |
0.8× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$2,547.70 |
— |
0.8× |
| Treatment of nose fracture (21330) |
$3,211.56 |
$7,989 |
0.5× |
| Treatment of retina (67141) |
$553.59 |
— |
1.7× |
| Treatment of retinal lesion (67208) |
$2,442.50 |
— |
7.6× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$5,434.89 |
— |
1.6× |
| Treatment of slipped femoral epiphysis; by traction, without reduction Facility (27175) |
$3,503.07 |
— |
1.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$236.84 |
$1,018 |
1.0× |
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure |
$3,503.90 |
$10,293 |
0.5× |
| Trim skin lesion (11055) |
$106.22 |
$568 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$106.22 |
$319 |
0.5× |
| Trim skin lesions over 4 (11057) |
$195.50 |
— |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$106.22 |
— |
1.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$20,255.78 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$20,255.78 |
— |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$454.98 |
— |
1.0× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$762.44 |
— |
1.7× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$762.44 |
— |
1.7× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$762.44 |
— |
1.7× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$762.44 |
— |
1.7× |
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure |
$4,099.22 |
— |
0.1× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$4,099.22 |
— |
2.6× |
| Trurl drainage prostatic abscess (52700) |
$3,318.48 |
— |
0.9× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$6,593.50 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
$3,318.48 |
$5,285 |
0.9× |
| Trurl Rf Female Bladder Neck Strs Urin Incont (53860) |
$2,783.20 |
— |
1.3× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$534.98 |
— |
0.3× |
| Tubal ligation (58600) |
$4,343.02 |
$12,365 |
1.3× |
| Tube thoracostomy includes water seal (32551) |
$696.84 |
$1,975 |
0.4× |
| Tumor cell deplete of harvst (38211) |
$762.44 |
— |
1.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,046.62 |
$5,600 |
1.1× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$7,932.70 |
$17,589 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,547.70 |
$4,264 |
0.8× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,789.88 |
$5,297 |
1.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,977.81 |
$3,621 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$317.78 |
$1,308 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$606.30 |
$1,042 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$236.84 |
$2,372 |
0.1× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$7,932.70 |
$17,589 |
0.6× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$5,341.42 |
$7,989 |
0.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$5,341.42 |
$11,454 |
0.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$5,341.42 |
— |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$5,341.42 |
$7,989 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$5,341.42 |
— |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$5,341.42 |
$7,989 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$5,341.42 |
$10,100 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$5,341.42 |
— |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$5,341.42 |
$14,529 |
0.9× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$5,341.42 |
$8,050 |
0.9× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$5,341.42 |
$13,256 |
0.9× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$5,341.42 |
$7,989 |
0.9× |
| Tympanostomy (69433) |
$997.54 |
$1,037 |
1.8× |
| Tympanostomy general anesthesia (69436) |
$2,187.16 |
$9,041 |
1.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$3,441.69 |
$9,386 |
1.0× |
| Umbilical cord occlud w/us (59072) |
$369.46 |
— |
1.2× |
| Unlisted Cardiac Surgery (33999) |
$696.84 |
— |
1.1× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$334.89 |
$604 |
1.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$2,900.94 |
— |
14.2× |
| Unlisted laparoscopic procedure liver (47379) |
$4,607.18 |
$11,850 |
0.8× |
| Unlisted laparoscopic procedure, ureter (50949) |
$4,607.18 |
$8,300 |
0.8× |
| Unlisted laparoscopy procedure stomach (43659) |
$4,607.18 |
$8,411 |
0.8× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$4,607.18 |
$11,850 |
0.8× |
| Unlisted laparoscopy procedure, appendix (44979) |
$4,607.18 |
$11,850 |
0.8× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$4,607.18 |
$7,546 |
0.8× |
| Unlisted laparoscopy procedure, bladder (51999) |
$4,607.18 |
— |
0.8× |
| Unlisted laparoscopy procedure, endocrine system (60659) |
$4,607.18 |
— |
0.8× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$4,607.18 |
$7,920 |
0.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$4,607.18 |
$7,546 |
0.8× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$4,607.18 |
$12,494 |
0.8× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$4,607.18 |
$7,920 |
0.8× |
| Unlisted laparoscopy procedure, maternity care and delivery (59898) |
$4,607.18 |
— |
0.8× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$4,607.18 |
$7,546 |
0.8× |
| Unlisted laparoscopy procedure, rectum (45499) |
$4,607.18 |
— |
0.8× |
| Unlisted laparoscopy procedure, renal (50549) |
$4,607.18 |
— |
0.8× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$4,607.18 |
$13,556 |
0.8× |
| Unlisted laparoscopy procedure, spleen (38129) |
$4,607.18 |
$7,546 |
0.8× |
| Unlisted laparoscopy procedure, testis (54699) |
$4,607.18 |
— |
0.8× |
| Unlisted laparoscopy procedure, uterus (58578) |
$4,607.18 |
— |
0.8× |
| Unlisted musculoskeletal procedure head (21499) |
$334.89 |
— |
1.4× |
| Unlisted Procedure Accessory Sinuses (31299) |
$334.89 |
— |
1.4× |
| Unlisted procedure anus (46999) |
$642.06 |
$1,618 |
0.7× |
| Unlisted procedure arthroscopy (29999) |
$3,855 |
$7,350 |
15.5× |
| Unlisted Procedure Biliary Tract (47999) |
$3,842.68 |
— |
4.2× |
| Unlisted procedure colon (45399) |
$2,585.10 |
— |
2.8× |
| Unlisted Procedure Conjunctiva (68399) |
$388.74 |
— |
1.2× |
| Unlisted procedure dentoalveolar structures (41899) |
$334.89 |
$482 |
1.4× |
| Unlisted Procedure Endocrine System (60699) |
$5,937.02 |
— |
1.0× |
| Unlisted Procedure Esophagus (43499) |
$1,138.94 |
— |
1.2× |
| Unlisted procedure excision pressure ulcer (15999) |
$576.48 |
— |
0.8× |
| Unlisted Procedure External Ear (69399) |
$334.89 |
$845 |
1.4× |
| Unlisted procedure femur or knee (27599) |
$236.84 |
$929 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$236.84 |
$3,500 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$236.84 |
$1,938 |
1.0× |
| Unlisted procedure larynx (31599) |
$334.89 |
— |
1.4× |
| Unlisted procedure liver (47399) |
$579.57 |
— |
0.8× |
| Unlisted Procedure Lungs & Pleura (32999) |
$696.84 |
— |
1.1× |
| Unlisted Procedure Male Genital System (55899) |
$138.72 |
$1,693 |
0.5× |
| Unlisted Procedure Muscskeletal System General (20999) |
$2,848.88 |
$6,122 |
11.4× |
| Unlisted procedure neck or thorax (21899) |
$334.89 |
— |
1.4× |
| Unlisted procedure nervous system (64999) |
$310.92 |
$1,475 |
1.0× |
| Unlisted procedure palate uvula (42299) |
$334.89 |
— |
1.4× |
| Unlisted procedure pancreas (48999) |
$579.57 |
— |
0.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$236.84 |
$720 |
1.0× |
| Unlisted procedure rectum (45999) |
$642.06 |
— |
0.7× |
| Unlisted procedure shoulder (23929) |
$236.84 |
$1,887 |
1.0× |
| Unlisted Procedure Small Intestine (44799) |
$3,441.69 |
$3,255 |
3.8× |
| Unlisted Procedure Trachea Bronchi (31899) |
$1,333.77 |
— |
6.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,963.32 |
$5,525 |
3.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,441.69 |
$3,699 |
3.8× |
| Unlisted procedure, hands or fingers (26989) |
$236.84 |
$1,224 |
1.0× |
| Unlisted procedure, inner ear (69949) |
$334.89 |
— |
1.4× |
| Unlisted procedure, lacrimal system (68899) |
$388.74 |
— |
1.2× |
| Unlisted procedure, leg or ankle (27899) |
$236.84 |
$812 |
1.0× |
| Unlisted procedure, maternity care and delivery (59899) |
$17.54 |
— |
0.1× |
| Unlisted procedure, orbit (67599) |
$388.74 |
— |
1.2× |
| Unlisted procedure, stomach (43999) |
$1,138.94 |
$3,699 |
1.2× |
| Unlisted procedure, temporal bone, middle fossa approach (69979) |
$334.89 |
— |
1.4× |
| Unlisted procedure, vestibule of mouth (40899) |
$334.89 |
— |
1.4× |
| Unlisted px extraocular musc (67399) |
$3,232 |
$2,416 |
10.1× |
| Unlisted px female genital system nonobstetrical (58999) |
$17.54 |
$1,917 |
0.1× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$334.89 |
— |
1.4× |
| Unlisted vascular endoscopy procedure (37501) |
$3,461.31 |
— |
5.5× |
| Upgrade of pacemaker system (33214) |
$18,756.66 |
$40,115.29 |
1.8× |
| Uppr gi opticl endomicrscopy (43252) |
$1,631.43 |
— |
0.8× |
| Ureter endoscopy (50970) |
$800.14 |
— |
0.2× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$3,318.48 |
— |
0.6× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50955) |
$3,318.48 |
$7,260 |
0.6× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) |
$3,318.48 |
— |
0.6× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50953) |
$800.14 |
— |
0.2× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$3,318.48 |
— |
0.6× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974)
unusually low: confirm this is the full procedure |
$2,403.26 |
— |
0.4× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$800.14 |
$5,285 |
0.2× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976)
unusually low: confirm this is the full procedure |
$2,403.26 |
— |
0.4× |
| Ureteral endoscopy via ureterostomy (50951) |
$800.14 |
— |
0.2× |
Urethrectomy, total, including cystostomy; male Facility (53215)
unusually low: confirm this is the full procedure |
$2,565.12 |
— |
0.5× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$3,989.74 |
$5,285 |
1.1× |
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316)
unusually low: confirm this is the full procedure |
$4,544.88 |
— |
0.5× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$4,544.88 |
$5,285 |
1.3× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$4,544.88 |
— |
0.8× |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) |
$4,544.88 |
— |
1.3× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$3,989.74 |
— |
0.7× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$3,989.74 |
— |
0.7× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) |
$3,989.74 |
— |
0.7× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$3,989.74 |
— |
0.7× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$3,989.74 |
$7,260 |
0.7× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$3,989.74 |
$7,260 |
0.7× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$3,989.74 |
$7,260 |
0.7× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$3,989.74 |
— |
0.7× |
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510)
unusually low: confirm this is the full procedure |
$2,565.12 |
— |
0.5× |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) |
$3,989.74 |
— |
0.7× |
| Urine flow measurement (51736) |
$138.72 |
— |
1.0× |
| Urology Surgery Procedure (53899) |
$138.72 |
$1,837 |
0.5× |
| Us urine capacity measure (51798) |
$84.52 |
— |
1.4× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$2,547.70 |
— |
0.8× |
| Uvulectomy excision of uvula (42140) |
$997.54 |
$5,427 |
0.3× |
| Vag hyst complex (58290) |
$5,720.80 |
$11,456 |
0.8× |
| Vaginal delivery only (59409) |
$2,547.70 |
— |
0.8× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,547.70 |
— |
0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$4,343.02 |
$11,813 |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$4,343.02 |
$7,450 |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$4,343.02 |
$7,450 |
0.9× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$5,720.80 |
$7,450 |
1.1× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$5,720.80 |
— |
0.8× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
$5,720.80 |
— |
1.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$4,343.02 |
$9,708 |
0.9× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$2,547.70 |
$4,264 |
0.8× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) |
$4,343.02 |
— |
1.3× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$4,343.02 |
— |
1.3× |
| Vaginoplasty for intersex state Facility (57335) |
$4,343.02 |
— |
0.9× |
| Vasc embolize/occlude artery (37242) |
$21,453.28 |
$41,228.17 |
1.2× |
| Vasc Embolize/Occlude Bleed (37244) |
$21,453.28 |
$41,228.17 |
1.8× |
| Vasc embolize/occlude organ (37243) |
$21,453.28 |
$41,228.17 |
1.8× |
| Vasc embolize/occlude venous (37241) |
$21,453.28 |
$41,228.17 |
1.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,990.36 |
$3,705 |
1.4× |
| Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) Facility (55200) |
$2,990.36 |
— |
0.8× |
| Venipuncture (36415) |
$6.30 |
— |
0.7× |
| Venipuncture cutdown under age 1 yr (36420) |
$28.71 |
— |
0.2× |
| Venipuncture, cutdown; age 1 or over (36425) |
$28.71 |
— |
0.1× |
| Venous valve transposition, any vein donor Facility (34510) |
$5,192.72 |
— |
0.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,187.16 |
$4,030 |
0.7× |
| Ventricular puncture previous burr hole w/inj (61026) |
$1,142.06 |
— |
1.6× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,142.06 |
— |
1.3× |
| Vestibular nerve section, translabyrinthine approach Facility (69915) |
$5,341.42 |
— |
1.6× |
| Vestibuloplasty Anterior (40840) |
$3,211.56 |
— |
0.5× |
| Vestibuloplasty; complex (including ridge extension, muscle repositioning) Facility (40845) |
$5,341.42 |
— |
0.9× |
| Vestibuloplasty; entire arch Facility (40844) |
$5,341.42 |
— |
0.9× |
| Vestibuloplasty; posterior, bilateral Facility (40843) |
$3,211.56 |
— |
0.5× |
| Vestibuloplasty; posterior, unilateral Facility (40842) |
$3,211.56 |
— |
0.5× |
| Vitrectomy mechanical pars plana (67036) |
$4,983.81 |
$6,575 |
1.2× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,983.81 |
— |
1.2× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$4,983.81 |
— |
1.2× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$4,983.81 |
— |
1.2× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$4,983.81 |
— |
1.2× |
| Vulvectomy Simple Partial (56620) |
$2,547.70 |
$4,264 |
0.8× |
| Vulvectomy simple; complete (56625) |
$2,547.70 |
— |
0.8× |
| Vulvectomy, radical, partial; Facility (56630) |
$6,137.19 |
— |
1.2× |
| Wash harvest stem cells (38209) |
$454.98 |
— |
1.0× |
| Wedge excision skin nail fold (11765) |
$195.50 |
$568 |
0.5× |
| Wedge resection or bisection of ovary, unilateral or bilateral Facility (58920) |
$4,343.02 |
$10,414 |
0.6× |
| Wedging of cast (29740) |
$146.40 |
— |
0.5× |
| Wedging of clubfoot cast (29750) |
$146.40 |
— |
0.5× |
| Windowing of cast (29730) |
$146.40 |
— |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$606.30 |
$1,327 |
1.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$606.30 |
$2,797 |
0.8× |
| Wrist arthroscopy (29840) |
$3,855 |
$4,738 |
1.2× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,551.69 |
— |
0.8× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$4,551.69 |
— |
0.8× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$3,977.72 |
— |
0.7× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$332.50 |
— |
0.2× |