| Abd paracentesis w/imaging (49083) |
$1,082.20 |
$1,546 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$919.80 |
$1,314 |
0.8× |
| Ablate inf turbinate submuc (30802) |
$2,417.10 |
$3,453 |
1.3× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$10,073.70 |
$14,391 |
0.8× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$8,519 |
$12,170 |
0.4× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$10,017.70 |
$14,311 |
0.8× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$8,519 |
$12,170 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$9,381.40 |
$13,402 |
1.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$2,417.10 |
$3,453 |
1.3× |
| Abortion (59841) |
$4,774.70 |
$6,821 |
1.2× |
| Abrasion single lesion (15786) |
$476.70 |
$681 |
2.0× |
| Acne surgery (10040) |
$333.90 |
$477 |
1.4× |
| Adding Walker Previously Applied Cast (29440) |
$366.10 |
$523 |
1.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$3,703.70 |
$5,291 |
1.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$5,617.50 |
$8,025 |
2.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,343.10 |
$7,633 |
1.3× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$4,774.70 |
$6,821 |
1.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$4,774.70 |
$6,821 |
1.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$5,968.38 |
$8,526.25 |
2.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$4,774.70 |
$6,821 |
1.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$4,774.70 |
$6,821 |
1.9× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$5,716.20 |
$8,166 |
0.7× |
| Allogeneic lymphocyte infusions (38242) |
$7,170.80 |
$10,244 |
3.8× |
| Amniocentesis diagnostic (59000) |
$877.80 |
$1,254 |
0.8× |
| Amniocentesis therapeutic (59001) |
$1,675.80 |
$2,394 |
4.6× |
| Amputate metacarpal bone (26910) |
$5,617.50 |
$8,025 |
1.4× |
| Amputation Finger/Thumb (26951) |
$3,147.90 |
$4,497 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$3,924.90 |
$5,607 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,924.90 |
$5,607 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,924.90 |
$5,607 |
1.0× |
| Analyze spine infus pump (62367) |
$1,467.90 |
$2,097 |
4.0× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$1,773.10 |
$2,533 |
1.6× |
| Anoscopy Ablation Lesion (46615) |
$4,745.30 |
$6,779 |
1.4× |
| Anoscopy diagnostic (46600) |
$606.90 |
$867 |
3.8× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,386.70 |
$1,981 |
1.0× |
| Anoscopy w/control bleeding (46614) |
$1,675.80 |
$2,394 |
1.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,773.10 |
$2,533 |
1.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,773.10 |
$2,533 |
1.2× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$3,794.70 |
$5,421 |
1.1× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$3,794.70 |
$5,421 |
1.1× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$353.50 |
$505 |
1.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$468.65 |
$669.50 |
2.4× |
| Appl Multlay Comprs Arm/Hand (29584) |
$145.60 |
$208 |
0.7× |
| Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) |
$4,561.90 |
$6,517 |
1.8× |
| Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017) |
$4,561.90 |
$6,517 |
1.8× |
| Application Body Cast Shoulder Hips (29035) |
$747.60 |
$1,068 |
2.2× |
| Application cast elbow finger short arm (29075) |
$717.50 |
$1,025 |
2.1× |
| Application Cast Finger (29086) |
$416.50 |
$595 |
2.1× |
| Application cast shoulder hand long arm (29065) |
$717.50 |
$1,025 |
2.1× |
| Application Cast Shoulder Spica (29055) |
$747.60 |
$1,068 |
2.2× |
| Application Finger Splint Dynamic (29131) |
$238 |
$340 |
3.4× |
| Application finger splint static (29130) |
$291.55 |
$416.50 |
1.8× |
| Application Halo Cranial Including Removal (20661) |
$5,617.50 |
$8,025 |
2.9× |
| Application Halo Type Body Cast (29000) |
$606.20 |
$866 |
1.8× |
| Application Hip Spica Cast 1 Leg (29305) |
$747.60 |
$1,068 |
2.2× |
| Application long arm splint shoulder hand (29105) |
$399.70 |
$571 |
2.1× |
| Application Long Leg Cast Brace (29358) |
$747.60 |
$1,068 |
2.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$747.60 |
$1,068 |
2.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$747.60 |
$1,068 |
2.2× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$747.60 |
$1,068 |
2.2× |
| Application of long leg cast (29345) |
$747.60 |
$1,068 |
2.2× |
| Application of rigid total contact leg cast (29445) |
$635.60 |
$908 |
1.9× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$747.60 |
$1,068 |
2.2× |
| Application Patellar Tendon Bearing Cast (29435) |
$747.60 |
$1,068 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$343.70 |
$491 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$390.78 |
$558.25 |
2.5× |
| Apply Body Cast,Risser Jacket (29010) |
$747.60 |
$1,068 |
2.2× |
| Apply Hand/Wrist Cast (29085) |
$457.80 |
$654 |
2.4× |
| Apply long leg splint (29505) |
$354.20 |
$506 |
1.8× |
| Apply short leg cast (29405) |
$762.12 |
$1,088.75 |
2.3× |
| Apply short leg cast (29425) |
$747.60 |
$1,068 |
2.2× |
| Apply short leg splint (29515) |
$370.30 |
$529 |
1.9× |
| Arterial puncture (36600) |
$366.80 |
$524 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$571.38 |
$816.25 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$534.62 |
$763.75 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$564.38 |
$806.25 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$480.38 |
$686.25 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,021.12 |
$1,458.75 |
2.8× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$5,716.20 |
$8,166 |
1.5× |
| Artificial Insemination Intra-Uterine (58322) |
$877.80 |
$1,254 |
3.6× |
| Aspirate pleura w/ imaging (32555) |
$1,645.70 |
$2,351 |
2.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$371 |
$530 |
1.0× |
| Aspiration and injection for treatment of bone cyst (20615) |
$683.20 |
$976 |
0.8× |
| Aspiration and/or injection thyroid cyst (60300) |
$877.80 |
$1,254 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,476.20 |
$4,966 |
1.4× |
| Aspiration bladder needle (51100) |
$894.60 |
$1,278 |
3.0× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$7,220.50 |
$10,315 |
2.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$1,140.12 |
$1,628.75 |
4.7× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$5,025.30 |
$7,179 |
0.6× |
| Biliary Endoscopy Percut,Biopsy (47553) |
$7,882.70 |
$11,261 |
1.0× |
| Biliary endoscopy percut,dil strict (47555) |
$5,617.50 |
$8,025 |
0.7× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$23,592.80 |
$33,704 |
1.9× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,028.20 |
$14,326 |
0.8× |
| Biopsy bone open deep (20245) |
$2,023 |
$2,890 |
0.6× |
| Biopsy bone open superficial (20240) |
$4,116.70 |
$5,881 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$2,190.30 |
$3,129 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,287.60 |
$3,268 |
1.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,068.38 |
$1,526.25 |
1.0× |
| Biopsy External Auditory Canal (69105) |
$2,417.10 |
$3,453 |
1.3× |
| Biopsy external ear (69100) |
$910 |
$1,300 |
3.2× |
| Biopsy intranasal (30100) |
$1,255.80 |
$1,794 |
0.7× |
| Biopsy muscle deep (20205) |
$6,178.90 |
$8,827 |
1.8× |
| Biopsy muscle percutaneous needle (20206) |
$933.98 |
$1,334.25 |
0.5× |
| Biopsy Muscle Superficial (20200) |
$3,703.70 |
$5,291 |
1.9× |
| Biopsy Nail Unit Separate Procedure (11755) |
$877.80 |
$1,254 |
1.0× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$2,843.40 |
$4,062 |
0.7× |
| Biopsy of breast; open, incisional (19101) |
$4,616.50 |
$6,595 |
1.0× |
| Biopsy of cornea (65410) |
$3,614.80 |
$5,164 |
1.3× |
| Biopsy of eyelid lining (68100) |
$1,478.40 |
$2,112 |
0.5× |
| Biopsy of floor of mouth (41108) |
$1,701.70 |
$2,431 |
0.9× |
| Biopsy of lip (40490) |
$746.20 |
$1,066 |
2.6× |
| Biopsy of mouth lesion (40808) |
$676.90 |
$967 |
1.0× |
| Biopsy of palate, uvula (42100) |
$1,260 |
$1,800 |
0.7× |
| Biopsy of penis (54100) |
$2,779.70 |
$3,971 |
1.4× |
| Biopsy of tongue (41100) |
$1,124.20 |
$1,606 |
1.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,792.38 |
$6,846.25 |
1.0× |
| Biopsy Oropharynx (42800) |
$2,417.10 |
$3,453 |
1.3× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$6,574.40 |
$9,392 |
1.7× |
| Biopsy pleura percutaneous needle (32400) |
$1,502.90 |
$2,147 |
0.8× |
| Biopsy Salivary Gland,Needle (42400) |
$1,354.50 |
$1,935 |
1.6× |
| Biopsy soft tissue back,superf (21920) |
$1,675.80 |
$2,394 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$2,362.50 |
$3,375 |
1.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,779.70 |
$3,971 |
1.4× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,768.20 |
$2,526 |
0.9× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,147.90 |
$4,497 |
0.8× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,703.70 |
$5,291 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,424.50 |
$2,035 |
1.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,125.60 |
$1,608 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$5,348.70 |
$7,641 |
1.1× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$4,460.40 |
$6,372 |
1.1× |
| Bl push transfuse 2 yr/< (36440) |
$1,311.10 |
$1,873 |
2.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,166.90 |
$1,667 |
1.4× |
| Bladder Irrigation Simple (51700) |
$544.60 |
$778 |
1.8× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,355.50 |
$3,365 |
1.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$5,968.38 |
$8,526.25 |
2.4× |
| Blepharoplasty, Upper Eyelid (15822) |
$3,976 |
$5,680 |
1.6× |
| Blepharotomy drain absc eyelid (67700) |
$712.60 |
$1,018 |
1.9× |
| Blood patch (62273) |
$1,675.80 |
$2,394 |
2.0× |
| Blood transfusion service (36430) |
$1,114.40 |
$1,592 |
2.1× |
| Blood/Lymph System Procedure (38999) |
$877.80 |
$1,254 |
1.7× |
| Bone marrow aspiration only (38220) |
$1,045.80 |
$1,494 |
0.5× |
| Bone Marrow Biopsy (38221) |
$1,045.80 |
$1,494 |
0.5× |
| Bone marrow harvest allogen (38230) |
$3,579.80 |
$5,114 |
1.9× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$3,703.70 |
$5,291 |
1.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,892.80 |
$2,704 |
0.9× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$5,436.90 |
$7,767 |
0.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,896.20 |
$5,566 |
0.9× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,896.20 |
$5,566 |
0.9× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$4,629.62 |
$6,613.75 |
1.0× |
| Bronch ebus samplng 1/2 node (31652) |
$7,597.10 |
$10,853 |
1.7× |
| Bronch ebus samplng 3/> node (31653) |
$8,937.60 |
$12,768 |
2.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,679.30 |
$2,399 |
0.8× |
| Bronchoscopy Bronch Stents (31636) |
$4,729.20 |
$6,756 |
0.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,870.25 |
$6,957.50 |
1.1× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$5,436.90 |
$7,767 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,703.70 |
$5,291 |
1.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,892.80 |
$2,704 |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$1,892.80 |
$2,704 |
4.0× |
| Bronchoscopy w/tumor excise (31640) |
$3,896.20 |
$5,566 |
0.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,892.80 |
$2,704 |
0.9× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,892.80 |
$2,704 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,178.10 |
$1,683 |
0.6× |
| Bx anorectal wall anal approach (45100) |
$2,408 |
$3,440 |
0.7× |
| Bx breast 1st lesion mr imag (19085) |
$1,274 |
$1,820 |
0.6× |
| Bx breast 1st lesion strtctc (19081) |
$639.62 |
$913.75 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$872.20 |
$1,246 |
0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,507.10 |
$2,153 |
0.8× |
| Bx/exc lymph node needle superficial (38505) |
$1,659 |
$2,370 |
0.8× |
| Canthoplasty (67950) |
$3,703.70 |
$5,291 |
1.3× |
| Car-t admn autologous (38228) |
$63,019.60 |
$90,028 |
159.2× |
| Casting/strapping procedure (29799) |
$383.60 |
$548 |
2.0× |
| Cataract surgery complex (66982) |
$7,170.80 |
$10,244 |
2.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$1,390.20 |
$1,986 |
5.3× |
| Cauterization,cervix,electro/thermal (57510) |
$3,604.30 |
$5,149 |
0.9× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$895.30 |
$1,279 |
2.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,251.50 |
$4,645 |
0.8× |
| Cessj Therapy Cath Removal (37214) |
$3,900.40 |
$5,572 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$2,016 |
$2,880 |
2.4× |
| Change of cystostomy tube simple (51705) |
$668.50 |
$955 |
2.2× |
| Change stent via transureth (50385) |
$4,730.60 |
$6,758 |
1.9× |
| Change Ureter Stent, Percut (50382) |
$5,617.50 |
$8,025 |
2.2× |
| Chemical cautery tissue (17250) |
$515.90 |
$737 |
2.1× |
| Chemical peel face dermal (15789) |
$962.50 |
$1,375 |
1.1× |
| Chemical Peel Facial Epidermal (15788) |
$266 |
$380 |
0.5× |
| Chemical peel, nonfacial; epidermal Facility (15792) |
$388.50 |
$555 |
0.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$837.90 |
$1,197 |
1.0× |
| Chemodenerv Eccrine Glands (64650) |
$746.20 |
$1,066 |
2.0× |
| Chemodenerv musc migraine (64615) |
$571.38 |
$816.25 |
1.6× |
| Chemodenerv Musc Neck Dyston (64616) |
$1,097.25 |
$1,567.50 |
3.0× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$452.20 |
$646 |
1.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,097.25 |
$1,567.50 |
1.3× |
| Chemodenerv trunk musc 6/> (64647) |
$1,149.40 |
$1,642 |
1.4× |
| Chemodenervation internal anal sphincter (46505) |
$3,675.88 |
$5,251.25 |
2.6× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$877.80 |
$1,254 |
1.0× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$746.20 |
$1,066 |
2.0× |
| Chemodenervation of extraocular muscle (67345) |
$912.62 |
$1,303.75 |
2.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,383.38 |
$1,976.25 |
1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$571.38 |
$816.25 |
1.6× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,164 |
$4,520 |
1.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,719.50 |
$3,885 |
0.6× |
| Chorionic villus sampling (59015) |
$1,045.10 |
$1,493 |
0.9× |
| Ciliary body destruction; cryotherapy Facility (66720) |
$3,703.70 |
$5,291 |
1.3× |
| Ciliary body destruction; diathermy Facility (66700) |
$3,703.70 |
$5,291 |
1.3× |
| Circum 28 days or older (54161) |
$4,204.90 |
$6,007 |
1.7× |
| Circumcision (54150) |
$4,204.90 |
$6,007 |
1.7× |
| Circumcision Neonate (54160) |
$4,204.90 |
$6,007 |
5.0× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,416.10 |
$2,023 |
3.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$1,712.90 |
$2,447 |
5.8× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$4,443.60 |
$6,348 |
15.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$3,703.70 |
$5,291 |
1.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$5,617.50 |
$8,025 |
3.0× |
| Closed Rx Radial Shaft Fx (25500) |
$742.70 |
$1,061 |
2.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,703.70 |
$5,291 |
1.9× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$3,703.70 |
$5,291 |
12.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Treat Vert Body Fract (22310) |
$1,675.80 |
$2,394 |
5.7× |
| Closed treat wrist dislocation (25660) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$1,114.40 |
$1,592 |
3.8× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,703.70 |
$5,291 |
0.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,675.80 |
$2,394 |
5.7× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$3,703.70 |
$5,291 |
5.7× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$3,703.70 |
$5,291 |
1.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,703.70 |
$5,291 |
1.9× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,675.80 |
$2,394 |
5.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,675.80 |
$2,394 |
5.7× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$866.60 |
$1,238 |
2.9× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$2,403.80 |
$3,434 |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,006.25 |
$1,437.50 |
3.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$1,155.70 |
$1,651 |
3.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,675.80 |
$2,394 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$388.50 |
$555 |
1.3× |
| Closed Treatment Sesamoid Fracture (28530) |
$1,155.70 |
$1,651 |
3.9× |
| Closed Treatment Sternum Fracture (21820) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,114.40 |
$1,592 |
3.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,675.80 |
$2,394 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$3,703.70 |
$5,291 |
12.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,703.70 |
$5,291 |
1.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,675.80 |
$2,394 |
5.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,675.80 |
$2,394 |
5.7× |
| Closed tx lunate dislocation w/manipulation (25690) |
$2,403.80 |
$3,434 |
1.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$5,617.50 |
$8,025 |
8.7× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$8,125.60 |
$11,608 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$851.90 |
$1,217 |
2.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,703.70 |
$5,291 |
1.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,843.40 |
$4,062 |
1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,733.20 |
$2,476 |
5.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,424.50 |
$2,035 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$742.70 |
$1,061 |
2.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,675.80 |
$2,394 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,703.70 |
$5,291 |
1.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,675.80 |
$2,394 |
5.7× |
| Closed tx septal&nose fx (21337) |
$3,703.70 |
$5,291 |
0.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,675.80 |
$2,394 |
5.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,703.70 |
$5,291 |
1.9× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$5,539.62 |
$7,913.75 |
3.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$2,094.75 |
$2,992.50 |
7.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,675.80 |
$2,394 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,675.80 |
$2,394 |
5.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$742.70 |
$1,061 |
2.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,114.40 |
$1,592 |
3.9× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$836.50 |
$1,195 |
2.2× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$1,097.25 |
$1,567.50 |
2.9× |
| Closure salivary fistula (42600) |
$2,660 |
$3,800 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,675.80 |
$2,394 |
5.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,675.80 |
$2,394 |
5.7× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$2,393.30 |
$3,419 |
8.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$1,282.40 |
$1,832 |
4.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,575.30 |
$3,679 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,424.50 |
$2,035 |
4.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$877.80 |
$1,254 |
3.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,703.70 |
$5,291 |
1.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,114.40 |
$1,592 |
3.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,675.80 |
$2,394 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,114.40 |
$1,592 |
3.8× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,675.80 |
$2,394 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$388.50 |
$555 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,733.20 |
$2,476 |
5.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,085.70 |
$1,551 |
3.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,330.25 |
$4,757.50 |
1.7× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$5,420.10 |
$7,743 |
2.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,675.80 |
$2,394 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,703.70 |
$5,291 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,114.40 |
$1,592 |
3.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,481.90 |
$2,117 |
5.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$388.50 |
$555 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$1,593.20 |
$2,276 |
5.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,403.80 |
$3,434 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,421 |
$2,030 |
4.8× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,675.80 |
$2,394 |
0.9× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,888.60 |
$2,698 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,647 |
$5,210 |
1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$1,114.40 |
$1,592 |
3.8× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,780 |
$5,400 |
2.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,575.30 |
$3,679 |
7.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,665.30 |
$2,379 |
5.6× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$5,617.50 |
$8,025 |
1.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,403.80 |
$3,434 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$3,147.90 |
$4,497 |
10.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$724.50 |
$1,035 |
2.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,114.40 |
$1,592 |
3.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$1,155.70 |
$1,651 |
3.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,424.50 |
$2,035 |
4.8× |
| Cltx post ankle fx w/mnpj (27768) |
$1,538.60 |
$2,198 |
0.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,601.20 |
$3,716 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,655.50 |
$2,365 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,703.70 |
$5,291 |
1.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,668.80 |
$2,384 |
5.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,147.90 |
$4,497 |
1.6× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,703.70 |
$5,291 |
1.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,675.80 |
$2,394 |
0.9× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,703.70 |
$5,291 |
1.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$3,703.70 |
$5,291 |
12.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$1,155.70 |
$1,651 |
3.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,403.80 |
$3,434 |
1.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$3,703.70 |
$5,291 |
12.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,675.80 |
$2,394 |
5.7× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,703.70 |
$5,291 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$187.60 |
$268 |
1.2× |
| Colonoscopy flex w/blln dilat (45386) |
$1,474.20 |
$2,106 |
1.0× |
| Colonoscopy flex w/inj submuc (45381) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$1,961.40 |
$2,802 |
1.4× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$4,106.90 |
$5,867 |
2.9× |
Colonoscopy Flx With Endoscopic Stent Placement (45389) unusually low: confirm this is the full procedure |
$3,112.20 |
$4,446 |
0.4× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,302.70 |
$1,861 |
0.9× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,281 |
$1,830 |
0.9× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$1,281 |
$1,830 |
0.9× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy stoma w/us gid ndl aspir/bx (44407) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy Through Stoma With Decompression (44408) |
$4,106.90 |
$5,867 |
3.7× |
| Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage,… (44402) |
$5,246.50 |
$7,495 |
0.7× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$1,281 |
$1,830 |
1.1× |
| Colonoscopy thru stoma (44388) |
$1,281 |
$1,830 |
1.1× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$3,147.90 |
$4,497 |
2.2× |
| Colonoscopy w/ablation (45388) |
$2,914.80 |
$4,164 |
2.0× |
| Colonoscopy w/band ligation (45398) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy w/fb removal (45379) |
$1,712.90 |
$2,447 |
1.2× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,983.10 |
$2,833 |
1.4× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,284.68 |
$1,835.25 |
0.4× |
| Colpocentesis (57020) |
$4,842.60 |
$6,918 |
0.8× |
| Colporrhaphy Suture Injury Vagina (57200) |
$4,842.60 |
$6,918 |
1.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$1,163.40 |
$1,662 |
3.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$388.50 |
$555 |
1.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$1,043 |
$1,490 |
2.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,774.70 |
$6,821 |
1.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,604.30 |
$5,149 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,278.90 |
$1,827 |
3.5× |
| Colposcopy vulva (56820) |
$295.40 |
$422 |
1.2× |
| Colposcopy vulva w/biopsy (56821) |
$441.70 |
$631 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$1,604.40 |
$2,292 |
4.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,087.10 |
$1,553 |
1.0× |
| Complex Cystometrogram (51726) |
$1,685.60 |
$2,408 |
5.6× |
| Complex cystometrogram urethral press profile (51727) |
$1,685.60 |
$2,408 |
2.0× |
| Complex Uroflowmetry (51741) |
$467.60 |
$668 |
1.8× |
| Conization of cervix (57522) |
$3,604.30 |
$5,149 |
0.9× |
| Conjunctival Flap Total (68362) |
$4,155.20 |
$5,936 |
1.5× |
| Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Facility (68326) |
$5,617.50 |
$8,025 |
1.2× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$5,596.50 |
$7,995 |
1.2× |
| Constj Tracheoesophgl Fstl&Insj Sp Prosth (31611) |
$4,774.70 |
$6,821 |
1.2× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate… (67882) |
$5,617.50 |
$8,025 |
2.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$426.30 |
$609 |
1.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$984.38 |
$1,406.25 |
6.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$429.62 |
$613.75 |
2.7× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$1,675.80 |
$2,394 |
2.6× |
| Conversion ext bil drg cath (47535) |
$4,139.80 |
$5,914 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,748.60 |
$2,498 |
0.8× |
| Convert nephrostomy catheter (50434) |
$1,456.88 |
$2,081.25 |
0.6× |
| Cordocentesis (59012) |
$877.80 |
$1,254 |
2.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,422.22 |
$2,031.75 |
0.7× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$402.50 |
$575 |
0.8× |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
$5,617.50 |
$8,025 |
2.0× |
| Correction eyelid w/implant (67912) |
$4,774.70 |
$6,821 |
1.7× |
| Correction of astigmatism (65772) |
$4,774.70 |
$6,821 |
4.0× |
| Correction of everted punctum, cautery (68705) |
$1,870.40 |
$2,672 |
4.9× |
| Correction of lid retraction (67911) |
$5,617.50 |
$8,025 |
2.0× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$4,629.62 |
$6,613.75 |
3.9× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$235.20 |
$336 |
1.5× |
| Cover eye w/membrane (65778) |
$2,790.20 |
$3,986 |
2.3× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$205.10 |
$293 |
2.9× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$1,673.70 |
$2,391 |
5.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,675.80 |
$2,394 |
10.5× |
| Curettage postpartum (59160) |
$3,703.70 |
$5,291 |
1.0× |
| Curette/treat cornea (65436) |
$2,799.30 |
$3,999 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,528.30 |
$6,469 |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,147.90 |
$4,497 |
1.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$4,020.80 |
$5,744 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$5,913.25 |
$8,447.50 |
1.4× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,703.70 |
$5,291 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,521.70 |
$5,031 |
1.4× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$7,021.88 |
$10,031.25 |
1.1× |
| Cystometrogram w/vp (51728) |
$1,692.60 |
$2,418 |
2.0× |
| Cystometrogram W/Vp&Up (51729) |
$1,959.30 |
$2,799 |
2.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$5,617.50 |
$8,025 |
2.2× |
| Cystourethroscopy (52000) |
$3,147.90 |
$4,497 |
3.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,835.30 |
$5,479 |
1.5× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$3,703.70 |
$5,291 |
4.4× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$3,703.70 |
$5,291 |
4.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$527.80 |
$754 |
1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,599.10 |
$3,713 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,155.70 |
$1,651 |
1.4× |
| Debride nail 1-5 (11720) |
$202.30 |
$289 |
2.9× |
| Debride nail 6 or more (11721) |
$266 |
$380 |
3.8× |
| Debride skin musc at fx site (11011) |
$1,138.90 |
$1,627 |
1.3× |
| Debride tissue/muscle (11043) |
$1,288.70 |
$1,841 |
1.5× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$1,424.50 |
$2,035 |
2.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$336.70 |
$481 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,385.12 |
$1,978.75 |
2.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,147.90 |
$4,497 |
1.6× |
| Declot vascular device (36593) |
$610.40 |
$872 |
1.5× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$4,774.70 |
$6,821 |
1.9× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$5,617.50 |
$8,025 |
2.3× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$5,617.50 |
$8,025 |
1.3× |
| Delivery placenta separate procedure (59414) |
$3,075.80 |
$4,394 |
0.8× |
| Dermabrasion segmental face (15781) |
$1,028.30 |
$1,469 |
1.2× |
| Dermabrasion superficial any site (15783) |
$1,409.80 |
$2,014 |
2.9× |
| Dermabrasion total face (15780) |
$4,116.70 |
$5,881 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,815.75 |
$4,022.50 |
1.2× |
| Destroy internal hemorrhoids (46930) |
$1,088.50 |
$1,555 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$3,678.50 |
$5,255 |
1.6× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$3,703.70 |
$5,291 |
1.3× |
| Destruction anal lesion(s) (46924) |
$2,986.20 |
$4,266 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$480.20 |
$686 |
2.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$326.20 |
$466 |
1.4× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,965.90 |
$4,237 |
2.8× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$1,459.50 |
$2,085 |
0.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,424.50 |
$2,035 |
1.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$452.20 |
$646 |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$4,986.10 |
$7,123 |
2.0× |
| Destruction Lesions Vulva Simple (56501) |
$3,513.30 |
$5,019 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$448.70 |
$641 |
1.9× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$1,049.30 |
$1,499 |
4.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$1,049.30 |
$1,499 |
2.2× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$1,366.40 |
$1,952 |
1.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$497 |
$710 |
2.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$342.30 |
$489 |
1.4× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$388.50 |
$555 |
1.6× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$389.20 |
$556 |
0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$572.60 |
$818 |
1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$389.20 |
$556 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$389.20 |
$556 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$354.20 |
$506 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$331.10 |
$473 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$527.80 |
$754 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$1,120 |
$1,600 |
2.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$330.40 |
$472 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,030 |
$2,900 |
0.9× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$1,675.80 |
$2,394 |
2.5× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Facility (67227) |
$3,573.50 |
$5,105 |
0.8× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$620.90 |
$887 |
1.6× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$1,675.80 |
$2,394 |
1.4× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$4,167.10 |
$5,953 |
1.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$3,525.20 |
$5,036 |
1.4× |
| Destruction of lesion, conjunctiva (68135) |
$1,675.80 |
$2,394 |
0.6× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$1,185.10 |
$1,693 |
1.8× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$6,060.60 |
$8,658 |
1.8× |
| Destruction of skin lesions (17106) |
$1,423.10 |
$2,033 |
2.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$590.10 |
$843 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$296.10 |
$423 |
1.2× |
| Destruction Vaginal Lesions Extensive (57065) |
$4,842.60 |
$6,918 |
1.2× |
| Destruction Vaginal Lesions Simple (57061) |
$3,251.50 |
$4,645 |
0.8× |
| Diagnostic anoscopy (46601) |
$356.30 |
$509 |
0.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,005.90 |
$1,437 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,256.85 |
$1,795.50 |
1.1× |
| Dil urethra,female,subsequent (53661) |
$895.30 |
$1,279 |
5.6× |
| Dilate Urethra Stricture (53620) |
$5,617.50 |
$8,025 |
6.7× |
| Dilate urethra stricture (53621) |
$962.50 |
$1,375 |
3.2× |
| Dilate urethra stricture (53600) |
$818.30 |
$1,169 |
2.7× |
| Dilation and curettage (58120) |
$3,616.90 |
$5,167 |
0.9× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,583.40 |
$2,262 |
1.5× |
| Dilation esophagus over guide wire (43453) |
$1,944.60 |
$2,778 |
0.8× |
| Dilation Nasolacrimal Duct (68801) |
$392 |
$560 |
0.7× |
| Dilation of cervical canal (57800) |
$2,703.22 |
$3,861.75 |
0.7× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$895.30 |
$1,279 |
5.8× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$962.50 |
$1,375 |
6.0× |
| Dilation Salivary Duct (42650) |
$3,703.70 |
$5,291 |
2.0× |
| Discission Secondary Membranous Cataract (66820) |
$1,675.80 |
$2,394 |
0.6× |
Dissection, deep jugular node(s) Facility (38542) unusually low: confirm this is the full procedure |
$3,256.40 |
$4,652 |
0.4× |
| Drain bladder by trocar/cath (51101) |
$1,082.90 |
$1,547 |
1.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,670.90 |
$2,387 |
0.8× |
| Drain lower leg bursa (27604) |
$5,716.20 |
$8,166 |
1.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$640.50 |
$915 |
0.8× |
| Drain shoulder bursa (23031) |
$3,703.70 |
$5,291 |
1.1× |
| Drain Spinal Cord Cyst (62268) |
$1,675.80 |
$2,394 |
1.6× |
| Drain/inj small joint/bursa w/us (20604) |
$629.12 |
$898.75 |
1.7× |
| Drainage Abscess Parotid Simple (42300) |
$1,820 |
$2,600 |
1.0× |
| Drainage abscess/hematoma nasal int approach (30000) |
$877.80 |
$1,254 |
3.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$877.80 |
$1,254 |
1.4× |
| Drainage external auditory canal abscess (69020) |
$640.50 |
$915 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$640.50 |
$915 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$1,454.60 |
$2,078 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$383.60 |
$548 |
1.6× |
| Drainage Mouth Roof Lesion (42000) |
$2,132.90 |
$3,047 |
7.5× |
| Drainage of eye (65815) |
$4,155.20 |
$5,936 |
1.5× |
| Drainage of eye (65800) |
$1,640.10 |
$2,343 |
0.6× |
| Drainage of gum lesion (41800) |
$1,424.50 |
$2,035 |
8.9× |
| Drainage of hematoma/fluid (10140) |
$2,079.70 |
$2,971 |
1.1× |
| Drainage of hydrocele (55000) |
$1,155.70 |
$1,651 |
1.4× |
| Drainage of mouth lesion (41017) |
$2,843.40 |
$4,062 |
0.7× |
| Drainage of ovarian cyst(s) (58800) |
$5,617.50 |
$8,025 |
1.4× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$2,937.90 |
$4,197 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,671.60 |
$2,388 |
0.8× |
| Drainage of skene's gland abscess or cyst (53060) |
$3,816.40 |
$5,452 |
1.5× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$6,540.80 |
$9,344 |
1.7× |
| Drainage tendon sheath digit&/palm each (26020) |
$3,703.70 |
$5,291 |
0.9× |
| Draw blood off venous device (36591) |
$259 |
$370 |
1.6× |
| Dressing change under anesthesia (15852) |
$708.40 |
$1,012 |
0.8× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$3,703.70 |
$5,291 |
5.7× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$1,820.70 |
$2,601 |
0.5× |
| Drg privesical/prevesical space absc (51080) |
$3,269 |
$4,670 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,059.10 |
$1,513 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$431.90 |
$617 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$369.60 |
$528 |
1.5× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,908.20 |
$2,726 |
2.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$1,870.40 |
$2,672 |
0.8× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$2,694.30 |
$3,849 |
0.7× |
| Dstrj lesion anus simple chemical (46900) |
$1,351.70 |
$1,931 |
2.8× |
| Dstrj lesion anus simple cryosurgery (46916) |
$389.20 |
$556 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
$3,525.20 |
$5,036 |
1.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,986.20 |
$4,266 |
1.2× |
| Dstrj Lesion Choroid Pc 1/> Sess (67220) |
$1,599.50 |
$2,285 |
2.4× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$381.50 |
$545 |
0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$277.90 |
$397 |
1.2× |
| Dstrj lesion penis simple surg excision (54060) |
$4,167.10 |
$5,953 |
1.7× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$618.10 |
$883 |
1.3× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$3,703.70 |
$5,291 |
3.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,965.90 |
$4,237 |
2.8× |
| Dx bone marrow bx & aspir (38222) |
$2,970.62 |
$4,243.75 |
0.9× |
| Dx gastr intub w/asp spec (43754) |
$379.40 |
$542 |
1.5× |
| Dx gastr intub w/asp specs (43755) |
$369.60 |
$528 |
2.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,350.90 |
$4,787 |
1.6× |
| Ear Cartilage Graft (21235) |
$7,170.80 |
$10,244 |
1.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$4,774.70 |
$6,821 |
2.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,952.30 |
$2,789 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,722 |
$2,460 |
0.7× |
| Egd band ligation esophgeal/gastric varices (43244) |
$3,147.90 |
$4,497 |
1.4× |
| Egd control bleeding any (43255) |
$3,147.90 |
$4,497 |
1.4× |
| Egd dilate stricture (43245) |
$3,147.90 |
$4,497 |
1.4× |
| Egd endo mucosal resection (43254) |
$1,583.40 |
$2,262 |
0.7× |
| Egd endoscopic stent place (43266) |
$5,246.50 |
$7,495 |
0.7× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$3,147.90 |
$4,497 |
1.4× |
| Egd flexible foreign body removal (43247) |
$3,147.90 |
$4,497 |
2.9× |
| Egd guide wire insertion (43248) |
$2,350.60 |
$3,358 |
2.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$3,703.70 |
$5,291 |
1.6× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,360.92 |
$3,372.75 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,296.70 |
$3,281 |
1.0× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$8,673.70 |
$12,391 |
0.7× |
| Egd place gastrostomy tube (43246) |
$2,915.50 |
$4,165 |
1.3× |
| Egd remove lesion snare (43251) |
$3,147.90 |
$4,497 |
1.4× |
| Egd tube/cath insertion (43241) |
$3,147.90 |
$4,497 |
1.4× |
| Egd us exam duodenum/jejunum (43259) |
$3,147.90 |
$4,497 |
1.4× |
| Egd us transmural injxn/mark (43253) |
$3,703.70 |
$5,291 |
1.6× |
| Egd w/transmural drain cyst (43240) |
$4,774.70 |
$6,821 |
0.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$1,307.60 |
$1,868 |
3.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,099 |
$1,570 |
3.0× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$1,366.40 |
$1,952 |
3.7× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$1,001 |
$1,430 |
1.1× |
| Embedded ip cath exit-site (49436) |
$2,977.80 |
$4,254 |
1.3× |
| EMG anal/urethral sphincter (51785) |
$764.40 |
$1,092 |
2.6× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$467.60 |
$668 |
3.0× |
| Endocervical Curettage (57505) |
$1,424.50 |
$2,035 |
1.3× |
| Endometrial Biopsy (58100) |
$821.80 |
$1,174 |
3.4× |
| Endoscopic us exam esoph (43237) |
$1,722.52 |
$2,460.75 |
0.7× |
| Endoscopy bowel pouch/biop (44386) |
$1,719.20 |
$2,456 |
1.5× |
| Endoscopy of bowel pouch (44385) |
$1,712.90 |
$2,447 |
1.5× |
| Endoscopy Upper Small Intestine (44360) |
$3,147.90 |
$4,497 |
1.4× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$19,010.60 |
$27,158 |
1.4× |
| Endoven ther chem adhes 1st (36482) |
$9,330.12 |
$13,328.75 |
1.4× |
| Endovenous rf 1st vein (36475) |
$6,371.40 |
$9,102 |
1.7× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,860.60 |
$2,658 |
0.8× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$3,703.70 |
$5,291 |
1.6× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,754.50 |
$3,935 |
1.1× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$5,617.50 |
$8,025 |
2.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$4,179.70 |
$5,971 |
1.7× |
| Ercp Duct Stent Placement (43274) |
$4,280.50 |
$6,115 |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,280.50 |
$6,115 |
0.9× |
| Ercp ea duct/ampulla dilate (43277) |
$4,196.50 |
$5,995 |
0.9× |
| Ercp lithotripsy calculi (43265) |
$4,280.50 |
$6,115 |
0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,280.50 |
$6,115 |
0.9× |
| Ercp remove forgn body duct (43275) |
$4,571.70 |
$6,531 |
2.0× |
| Ercp sphincter pressure meas (43263) |
$4,280.50 |
$6,115 |
1.9× |
| Ercp Stent Exchange W/Dilate (43276) |
$4,571.70 |
$6,531 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$4,280.50 |
$6,115 |
0.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,280.50 |
$6,115 |
0.9× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$4,280.50 |
$6,115 |
0.9× |
| Esoph Scope W/Submucous Inj (43201) |
$2,296.70 |
$3,281 |
1.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$960.75 |
$1,372.50 |
0.9× |
| Esophagoscopy control bleed (43227) |
$3,703.70 |
$5,291 |
1.6× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$2,296.70 |
$3,281 |
1.0× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$2,296.70 |
$3,281 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,627.70 |
$6,611 |
1.0× |
| Esophagoscopy flexible guide wire dilation (43226) |
$2,662.10 |
$3,803 |
1.2× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,675.80 |
$2,394 |
1.5× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$1,675.80 |
$2,394 |
1.5× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,675.80 |
$2,394 |
1.5× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$2,068.50 |
$2,955 |
0.9× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$3,401.30 |
$4,859 |
1.5× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$3,703.70 |
$5,291 |
1.6× |
| Esophagoscopy Retro Balloon (43213) |
$3,703.70 |
$5,291 |
1.6× |
| Esophagoscopy rig transoral guide wire dilation (43196) |
$3,703.70 |
$5,291 |
1.6× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$3,703.70 |
$5,291 |
1.6× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$3,703.70 |
$5,291 |
0.8× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$3,703.70 |
$5,291 |
1.6× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$3,703.70 |
$5,291 |
1.6× |
| Esophagoscopy rigid trnso dx (43191) |
$1,675.80 |
$2,394 |
0.7× |
| Esophagoscopy transoral stent placement (43212) |
$5,246.50 |
$7,495 |
0.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,675.80 |
$2,394 |
0.7× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,296.70 |
$3,281 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$261.80 |
$374 |
1.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,156.60 |
$5,938 |
2.1× |
| Exc abdl tum deep 5 cm/> (22901) |
$5,617.50 |
$8,025 |
1.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,919.25 |
$7,027.50 |
2.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$973 |
$1,390 |
1.1× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,515.50 |
$2,165 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,147.90 |
$4,497 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,147.90 |
$4,497 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,070.30 |
$1,529 |
1.3× |
| Exc back les sc < 3 cm (21930) |
$3,147.90 |
$4,497 |
1.6× |
| Exc back tum deep < 5 cm (21932) |
$3,703.70 |
$5,291 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,070.30 |
$1,529 |
1.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,287.60 |
$3,268 |
1.2× |
| Exc forearm les sc 3 cm/> (25071) |
$5,617.50 |
$8,025 |
2.8× |
| Exc Frenum Labial/Buccal (40819) |
$2,417.10 |
$3,453 |
1.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$2,843.40 |
$4,062 |
0.7× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$3,371.90 |
$4,817 |
0.8× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$4,460.40 |
$6,372 |
1.1× |
| Exc neck tum deep < 5 cm (21556) |
$4,116.70 |
$5,881 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,424.50 |
$2,035 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$877.80 |
$1,254 |
1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,424.50 |
$2,035 |
1.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,675.80 |
$2,394 |
0.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$4,116.70 |
$5,881 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,116.70 |
$5,881 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,629.62 |
$6,613.75 |
2.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,499.30 |
$4,999 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,499.30 |
$4,999 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,147.90 |
$4,497 |
1.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$7,021.88 |
$10,031.25 |
2.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,779.70 |
$3,971 |
1.4× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$4,156.60 |
$5,938 |
2.1× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,703.70 |
$5,291 |
1.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,617.50 |
$8,025 |
1.6× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,617.50 |
$8,025 |
1.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$2,599.10 |
$3,713 |
0.7× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$5,617.50 |
$8,025 |
2.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,703.70 |
$5,291 |
1.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$5,617.50 |
$8,025 |
1.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,703.70 |
$5,291 |
1.1× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,617.50 |
$8,025 |
1.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,147.90 |
$4,497 |
1.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,703.70 |
$5,291 |
1.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,800 |
$4,000 |
1.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,617.50 |
$8,025 |
1.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,719.80 |
$5,314 |
1.9× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$5,617.50 |
$8,025 |
1.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$7,021.88 |
$10,031.25 |
2.0× |
| Exc/fulguration urethral caruncle (53265) |
$3,816.40 |
$5,452 |
1.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,139.80 |
$5,914 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,001.12 |
$2,858.75 |
0.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,495.90 |
$2,137 |
0.7× |
| Excis Pterygium (65420) |
$3,703.70 |
$5,291 |
1.3× |
| Excise pharynx lesion (42808) |
$4,460.40 |
$6,372 |
1.1× |
| Excise/repair mouth lesion (40812) |
$2,691.50 |
$3,845 |
1.4× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$4,774.70 |
$6,821 |
1.7× |
| Excision Aural Polyp (69540) |
$2,843.40 |
$4,062 |
1.5× |
| Excision Bone Mandible (21025) |
$6,906.90 |
$9,867 |
1.0× |
| Excision Breast Lesion (19125) |
$5,770.62 |
$8,243.75 |
1.2× |
| Excision Chalazion Single (67800) |
$728 |
$1,040 |
1.9× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$8,125.60 |
$11,608 |
1.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$4,116.70 |
$5,881 |
1.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$4,116.70 |
$5,881 |
1.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$4,116.70 |
$5,881 |
1.2× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$2,379.30 |
$3,399 |
2.0× |
| Excision lesion mouth roof (42104) |
$3,147.90 |
$4,497 |
0.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,675.80 |
$2,394 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,424.50 |
$2,035 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$877.80 |
$1,254 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$877.80 |
$1,254 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,286.20 |
$3,266 |
2.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$3,147.90 |
$4,497 |
3.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,045.80 |
$1,494 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,045.80 |
$1,494 |
1.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,045.80 |
$1,494 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,287.60 |
$3,268 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,147.90 |
$4,497 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,675.80 |
$2,394 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,230.60 |
$1,758 |
1.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,424.50 |
$2,035 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,424.50 |
$2,035 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,147.90 |
$4,497 |
1.6× |
| Excision nasal polyp extensive (30115) |
$4,460.40 |
$6,372 |
1.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$973 |
$1,390 |
1.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,486.80 |
$2,124 |
1.8× |
| Excision of chalazion; multiple, different lids (67805) |
$952 |
$1,360 |
2.5× |
| Excision of chalazion; multiple, same lid (67801) |
$1,675.80 |
$2,394 |
1.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,046.70 |
$5,781 |
2.1× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,478.40 |
$2,112 |
1.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$5,289.20 |
$7,556 |
1.3× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$3,703.70 |
$5,291 |
0.9× |
| Excision of lesion of tongue without closure (41110) |
$2,417.10 |
$3,453 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,424.50 |
$2,035 |
0.7× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$3,390.10 |
$4,843 |
1.2× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$3,840.38 |
$5,486.25 |
1.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,617.50 |
$8,025 |
1.6× |
| Excision of single external papilla or tag, anus (46220) |
$3,168.90 |
$4,527 |
2.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,703.70 |
$5,291 |
2.6× |
| Excision of tongue lesion (41112) |
$3,703.70 |
$5,291 |
0.9× |
| Excision of vaginal cyst or tumor (57135) |
$3,703.70 |
$5,291 |
1.0× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$5,617.50 |
$8,025 |
1.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,617.50 |
$8,025 |
2.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$5,617.50 |
$8,025 |
2.8× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$3,703.70 |
$5,291 |
1.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,116.70 |
$5,881 |
2.1× |
| Excision, nasal polyp(s), simple Facility (30110) |
$1,339.10 |
$1,913 |
0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,617.50 |
$8,025 |
1.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$2,571.80 |
$3,674 |
1.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,274 |
$1,820 |
0.6× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$5,617.50 |
$8,025 |
1.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$7,021.88 |
$10,031.25 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$5,617.50 |
$8,025 |
1.6× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,774.70 |
$6,821 |
1.2× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$4,460.40 |
$6,372 |
1.1× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$8,963.50 |
$12,805 |
3.1× |
| Excision; trochanteric bursa or calcification (27062) |
$9,381.40 |
$13,402 |
2.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,742.20 |
$5,346 |
1.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,854.20 |
$5,506 |
2.0× |
| Explo/Drain Breast Abscess (19020) |
$4,629.62 |
$6,613.75 |
2.3× |
| Exploration penetrating wound spx chest (20101) |
$3,742.20 |
$5,346 |
1.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,798.30 |
$2,569 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,551.90 |
$2,217 |
2.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$5,617.50 |
$8,025 |
1.4× |
| Explore/biopsy eye socket (67400) |
$4,774.70 |
$6,821 |
1.0× |
| Explore/irrigate tear ducts (68840) |
$485.62 |
$693.75 |
1.3× |
| Explore/treat eye socket (67412) |
$8,963.50 |
$12,805 |
3.1× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$1,219.40 |
$1,742 |
1.8× |
| External cephalic version (59412) |
$3,703.70 |
$5,291 |
1.0× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) |
$1,675.80 |
$2,394 |
0.9× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Facility (41015) |
$1,155.70 |
$1,651 |
1.8× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Facility (41016) |
$4,460.40 |
$6,372 |
0.6× |
| Eye surgery procedure (67299) |
$3,319.40 |
$4,742 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$5,332.60 |
$7,618 |
1.4× |
| Fasciotomy foot and/or toe (28008) |
$7,418.60 |
$10,598 |
1.9× |
| Fasciotomy palmar percutaneous (26040) |
$5,617.50 |
$8,025 |
2.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$8,234.80 |
$11,764 |
2.1× |
| Fetal contraction stress test (59020) |
$553.70 |
$791 |
2.3× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$877.80 |
$1,254 |
2.4× |
| Fetal non-stress test (59025) |
$568.40 |
$812 |
2.3× |
| Fetal Scalp Blood Sampling (59030) |
$997.50 |
$1,425 |
2.7× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$3,703.70 |
$5,291 |
10.1× |
| Filleted finger/toe flap (14350) |
$5,617.50 |
$8,025 |
2.3× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$547.40 |
$782 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$547.40 |
$782 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$547.40 |
$782 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$347.90 |
$497 |
0.7× |
| Fit/Insert Intravag Support Device (57160) |
$330.40 |
$472 |
1.4× |
| Fitting of diaphragm/cap (57170) |
$330.40 |
$472 |
1.4× |
| Fix Entropion,Extensv Lid Repair (67924) |
$7,021.88 |
$10,031.25 |
2.5× |
| Fluid pressure muscle (20950) |
$599.90 |
$857 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$314.30 |
$449 |
1.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$547.40 |
$782 |
0.6× |
| Follow-up surgery of eye (66250) |
$3,072.30 |
$4,389 |
1.1× |
| Foreskin manipulation (54450) |
$1,424.50 |
$2,035 |
4.8× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$4,774.70 |
$6,821 |
1.9× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$7,021.88 |
$10,031.25 |
1.8× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$6,843.20 |
$9,776 |
1.7× |
| Frenulotomy of penis (54164) |
$4,596.20 |
$6,566 |
1.8× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$5,617.50 |
$8,025 |
2.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$4,774.70 |
$6,821 |
1.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,147.90 |
$4,497 |
1.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,241 |
$4,630 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$379.40 |
$542 |
1.5× |
| Glaucoma surgery (66160) |
$4,155.20 |
$5,936 |
1.5× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$3,476.90 |
$4,967 |
1.4× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$2,813.30 |
$4,019 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$553 |
$790 |
0.7× |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less (15011) |
$4,561.90 |
$6,517 |
1.8× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$3,738 |
$5,340 |
1.0× |
| Hemorrhoidectomy (46255) |
$4,213.12 |
$6,018.75 |
1.3× |
| Hymenotomy Simple Incision (56442) |
$3,703.70 |
$5,291 |
1.0× |
| Hysteroscopy biopsy (58558) |
$4,774.70 |
$6,821 |
1.2× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$3,126.38 |
$4,466.25 |
0.8× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$8,439.20 |
$12,056 |
1.4× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$5,617.50 |
$8,025 |
1.4× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$2,843.40 |
$4,062 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$1,675.80 |
$2,394 |
5.9× |
| I&d abscess simple (10060) |
$370.65 |
$529.50 |
1.5× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$5,617.50 |
$8,025 |
2.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,617.50 |
$8,025 |
1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,147.90 |
$4,497 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$4,204.90 |
$6,007 |
1.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,854.20 |
$5,506 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$3,854.20 |
$5,506 |
2.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,854.20 |
$5,506 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$1,675.80 |
$2,394 |
2.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,269 |
$4,670 |
0.9× |
| I&d submucosal abscess rectum (45005) |
$3,703.70 |
$5,291 |
2.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$3,703.70 |
$5,291 |
1.9× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$3,703.70 |
$5,291 |
1.1× |
| I&d vulva/perineal abscess (56405) |
$1,169.70 |
$1,671 |
3.2× |
| Ileoscopy stoma w/balloon dilation (44381) |
$6,585.60 |
$9,408 |
2.9× |
| Ileoscopy thru stoma (44380) |
$1,860.60 |
$2,658 |
1.7× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,860.60 |
$2,658 |
1.7× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$7,170.80 |
$10,244 |
3.1× |
| Image Cath Fluid Colxn Visc (49405) |
$2,777.78 |
$3,968.25 |
1.4× |
| Image Cath Fluid Peri/Retro (49406) |
$1,958.78 |
$2,798.25 |
1.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,562 |
$3,660 |
1.3× |
| Implant neuroelectrodes (63650) |
$10,903.20 |
$15,576 |
1.4× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$8,057 |
$11,510 |
0.8× |
| Incise external hemorrhoid (46083) |
$689.50 |
$985 |
2.3× |
| Incise finger tendon sheath (26055) |
$4,046.70 |
$5,781 |
2.1× |
| Incise/drain tear gland (68400) |
$877.80 |
$1,254 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$622.30 |
$889 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,703.70 |
$5,291 |
1.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,446.50 |
$3,495 |
2.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,779.70 |
$3,971 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$395.85 |
$565.50 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,424.50 |
$2,035 |
5.9× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$3,703.70 |
$5,291 |
1.1× |
| Incision and drainage perianal abscess superficial (46050) |
$963.90 |
$1,377 |
0.9× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,703.70 |
$5,291 |
1.1× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$4,571 |
$6,530 |
2.4× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$3,279.50 |
$4,685 |
0.9× |
| Incision Drainage Lacrimal Sac (68420) |
$2,881.90 |
$4,117 |
1.0× |
| Incision of conjunctiva, drainage of cyst (68020) |
$1,147.30 |
$1,639 |
1.0× |
| Incision of eardrum (69421) |
$7,021.88 |
$10,031.25 |
1.8× |
| Incision of eardrum (69420) |
$1,048.25 |
$1,497.50 |
3.7× |
| Incision of eyelid fold (67715) |
$2,683.10 |
$3,833 |
0.9× |
| Incision of labial frenum (frenotomy) (40806) |
$941.50 |
$1,345 |
1.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,675.80 |
$2,394 |
0.9× |
| Incision of rectal abscess (46040) |
$5,617.50 |
$8,025 |
3.9× |
| Incision of urethra (53025) |
$3,816.40 |
$5,452 |
1.5× |
| Incision of urethra (53020) |
$3,816.40 |
$5,452 |
1.5× |
| Incision&drainage bursa foot (28001) |
$1,798.30 |
$2,569 |
0.9× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$932.75 |
$1,332.50 |
2.5× |
| Incisional biopsy skin single lesion (11106) |
$527.80 |
$754 |
0.6× |
| Induced abortion by d&c (59840) |
$4,774.70 |
$6,821 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$431.90 |
$617 |
1.8× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$565.25 |
$807.50 |
1.5× |
| Inj neurolytic subarachnoid (62280) |
$1,675.80 |
$2,394 |
1.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,492 |
$3,560 |
2.4× |
| Inj tendon sheath/ligament (20550) |
$571.38 |
$816.25 |
1.6× |
| Inj therapeutic carpal tunnel (20526) |
$574 |
$820 |
1.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,044.75 |
$1,492.50 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,029 |
$1,470 |
1.0× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$1,051.75 |
$1,502.50 |
2.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,257.90 |
$1,797 |
1.2× |
| Inject Intravitreal Pharmcologic (67028) |
$932.75 |
$1,332.50 |
2.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$838.60 |
$1,198 |
0.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,229.20 |
$1,756 |
1.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,471.40 |
$2,102 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,466.50 |
$2,095 |
1.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,623.12 |
$2,318.75 |
1.5× |
| Inject Rx Celiac Plexus Nerve (64680) |
$3,703.70 |
$5,291 |
3.5× |
| Inject Sinus Tract Theraputic (20500) |
$523.60 |
$748 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$565.25 |
$807.50 |
1.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$590.80 |
$844 |
0.7× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$560.70 |
$801 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,118.38 |
$3,026.25 |
2.5× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,234.62 |
$1,763.75 |
1.5× |
| Injection aa&/strd pudendal nerve (64430) |
$2,094.75 |
$2,992.50 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$746.20 |
$1,066 |
2.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$373.10 |
$533 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$3,147.90 |
$4,497 |
3.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,252.12 |
$1,788.75 |
1.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$847 |
$1,210 |
1.0× |
| Injection for identification of sentinel node (38792) |
$1,886.50 |
$2,695 |
3.9× |
| Injection into skin lesions (11900) |
$235.90 |
$337 |
1.0× |
| Injection peyronie disease (54200) |
$760.90 |
$1,087 |
2.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$683.20 |
$976 |
0.9× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$745.50 |
$1,065 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$586.25 |
$837.50 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$571.38 |
$816.25 |
1.6× |
| Injection(s) spider veins (36468) |
$469.70 |
$671 |
1.0× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,538.60 |
$2,198 |
1.5× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$865.90 |
$1,237 |
1.0× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Facility (66020) |
$2,379.30 |
$3,399 |
0.9× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$2,379.30 |
$3,399 |
0.9× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$238.70 |
$341 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$5,617.50 |
$8,025 |
1.5× |
| Ins cath ren art 1st unilat (36251) |
$5,617.50 |
$8,025 |
1.5× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,617.50 |
$8,025 |
1.5× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,617.50 |
$8,025 |
0.8× |
| Ins endovas vena cava filtr (37191) |
$8,937.60 |
$12,768 |
1.3× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$16,634.10 |
$23,763 |
1.3× |
| Ins tun ip cath for dial opn (49421) |
$5,598.60 |
$7,998 |
1.3× |
| Ins/Rep Subq Defibrillator (33270) |
$49,275.80 |
$70,394 |
1.3× |
| Insert and remove bone pin (20650) |
$5,716.20 |
$8,166 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$763 |
$1,090 |
4.9× |
| Insert cath pleura w/ image (32557) |
$1,258.60 |
$1,798 |
0.7× |
| Insert cath pleura w/o image (32556) |
$1,675.80 |
$2,394 |
0.7× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$3,168.90 |
$4,527 |
2.2× |
| Insert cervical dilator (59200) |
$1,054.20 |
$1,506 |
2.9× |
| Insert Drug Implant Device (11981) |
$478.10 |
$683 |
3.0× |
| Insert gastrostomy tube percutaneous (49440) |
$1,513.40 |
$2,162 |
0.7× |
| Insert heart pm atrial (33206) |
$20,807.50 |
$29,725 |
1.7× |
| Insert heart pm ventricular (33207) |
$16,634.10 |
$23,763 |
1.3× |
Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$6,713.70 |
$9,591 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$2,505.30 |
$3,579 |
0.7× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,948.10 |
$2,783 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$3,703.70 |
$5,291 |
2.0× |
| Insert pulse gen dual leads (33213) |
$20,070.40 |
$28,672 |
1.6× |
| Insert pulse gen mult leads (33221) |
$33,763.10 |
$48,233 |
1.5× |
| Insert pulse gen sngl lead (33212) |
$18,055.10 |
$25,793 |
1.8× |
| Insert spine infusion device (62360) |
$18,377.10 |
$26,253 |
0.9× |
| Insert subq implantable defib electrode (33271) |
$18,055.10 |
$25,793 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$275.80 |
$394 |
1.7× |
| Insert tun ip cath perc (49418) |
$5,598.60 |
$7,998 |
1.3× |
| Insert tunneled cv cath (36561) |
$4,693.50 |
$6,705 |
1.2× |
| Insert Tunneled Cv Cath With Pump (36563) |
$5,617.50 |
$8,025 |
0.8× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$4,347 |
$6,210 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$275.80 |
$394 |
1.7× |
| Insert/ replace infusn pump,programmable (62362) |
$33,763.10 |
$48,233 |
1.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,719.50 |
$3,885 |
0.6× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$3,703.70 |
$5,291 |
2.0× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement Facility (53855) |
$1,895.60 |
$2,708 |
0.8× |
| Insertion of cannula (36800) |
$6,640.90 |
$9,487 |
1.0× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$6,640.90 |
$9,487 |
1.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,812.30 |
$2,589 |
2.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,466.30 |
$17,809 |
1.3× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$6,640.90 |
$9,487 |
1.0× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$16,840.60 |
$24,058 |
1.7× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$18,055.10 |
$25,793 |
1.8× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$20,325.90 |
$29,037 |
1.6× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$48,025.60 |
$68,608 |
1.8× |
| Insj picc rs&i 5 yr+ (36573) |
$2,769.90 |
$3,957 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,347 |
$6,210 |
1.1× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$4,347 |
$6,210 |
1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,521.60 |
$7,888 |
1.5× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,617.50 |
$8,025 |
0.8× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$5,521.60 |
$7,888 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,505.30 |
$3,579 |
0.7× |
| Insj/rplcmt defib w/lead(s) (33249) |
$52,451 |
$74,930 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,711.40 |
$15,302 |
1.1× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$12,601.40 |
$18,002 |
1.3× |
| Insrt pulse gen w/dual leads (33230) |
$48,025.60 |
$68,608 |
1.8× |
| Insrt pulse gen w/mult leads (33231) |
$48,025.60 |
$68,608 |
1.3× |
| Insrt/redo spine n generator (63685) |
$33,763.10 |
$48,233 |
0.9× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$406 |
$580 |
1.4× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$5,617.50 |
$8,025 |
1.7× |
| Interdental Fixation (21110) |
$3,703.70 |
$5,291 |
2.0× |
| Interdental Wiring Other Than Fracture (21497) |
$3,703.70 |
$5,291 |
2.0× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,703.70 |
$5,291 |
2.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,675.80 |
$2,394 |
2.6× |
| Intraoral i&d tongue/floor masticator space (41009) |
$1,155.70 |
$1,651 |
1.8× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$1,155.70 |
$1,651 |
4.1× |
| Intraoral i&d tongue/floor submental space (41007) |
$4,460.40 |
$6,372 |
2.4× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,843.40 |
$4,062 |
0.7× |
| Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep,… (41006) |
$4,460.40 |
$6,372 |
2.4× |
| Intro cath dialysis circuit (36901) |
$1,578.50 |
$2,255 |
0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$31,254.65 |
$44,649.50 |
2.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$9,510.20 |
$13,586 |
1.4× |
| Intro Gastrointestinal Tube (44500) |
$1,675.80 |
$2,394 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$569.80 |
$814 |
2.0× |
| Irrigation maxillary sinus (31000) |
$877.80 |
$1,254 |
3.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,675.80 |
$2,394 |
5.6× |
| Island pedicle flap graft (15740) |
$3,703.70 |
$5,291 |
1.5× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$114.80 |
$164 |
3.1× |
| Labyrinthotomy Transcanal (69801) |
$7,170.80 |
$10,244 |
3.9× |
| Lap ing hernia repair init (49650) |
$10,801.88 |
$15,431.25 |
1.5× |
| Laparoscopy tubal block (58671) |
$8,699.60 |
$12,428 |
1.2× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Facility (47370) |
$15,736.70 |
$22,481 |
1.2× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$8,573.60 |
$12,248 |
1.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,656.40 |
$6,652 |
1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$3,703.70 |
$5,291 |
0.8× |
| Laryngoscopy diagnostic (31505) |
$1,231.30 |
$1,759 |
5.1× |
| Laryngoscopy Direct Aspiration (31515) |
$3,350.90 |
$4,787 |
7.1× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$1,155.70 |
$1,651 |
2.5× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$6,071.10 |
$8,673 |
1.4× |
| Laryngoscopy flexible diagnostic (31575) |
$744.80 |
$1,064 |
3.1× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$3,703.70 |
$5,291 |
0.8× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$3,145.10 |
$4,493 |
1.5× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,147.90 |
$4,497 |
1.5× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,931.38 |
$5,616.25 |
1.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,129.10 |
$1,613 |
2.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,628.20 |
$2,326 |
3.5× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$1,036 |
$1,480 |
2.2× |
| Laryngoscopy w/biopsy (31535) |
$3,703.70 |
$5,291 |
0.8× |
| Laryngoscopy w/bx op scope (31536) |
$5,617.50 |
$8,025 |
1.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,703.70 |
$5,291 |
1.7× |
| Larynscop w/tumr exc + scope (31541) |
$4,720.10 |
$6,743 |
1.1× |
| Laser surgery of eye (65855) |
$2,094.75 |
$2,992.50 |
3.2× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$1,675.80 |
$2,394 |
2.5× |
| Late closure of wound (13160) |
$3,742.20 |
$5,346 |
0.9× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$4,853.80 |
$6,934 |
1.3× |
| Ligation major artery abdomen (37617) |
$5,617.50 |
$8,025 |
0.8× |
| Ligation of a-v fistula (37607) |
$4,853.80 |
$6,934 |
1.3× |
| Ligation of hemorrhoid(s) (46221) |
$1,255.80 |
$1,794 |
1.1× |
| Ligation Of Inf Vena Cava (37619) |
$8,937.60 |
$12,768 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$4,045.12 |
$5,778.75 |
2.0× |
| Lip shave (40500) |
$3,703.70 |
$5,291 |
0.9× |
| Lip Surgery Procedure (40799) |
$483.70 |
$691 |
1.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,730.60 |
$6,758 |
1.1× |
| Liver Biopsy (47000) |
$2,287.60 |
$3,268 |
1.2× |
| Lyse chest fibrin init day (32561) |
$1,424.50 |
$2,035 |
1.9× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,675.80 |
$2,394 |
2.2× |
| Lysis Intranasal Synechia (30560) |
$3,703.70 |
$5,291 |
5.7× |
| Lysis of labial adhesions (56441) |
$3,604.30 |
$5,149 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$4,153.10 |
$5,933 |
1.7× |
| Manipulat Palm Cord Post Inj (26341) |
$840 |
$1,200 |
2.8× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,675.80 |
$2,394 |
0.9× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,895.60 |
$2,708 |
2.3× |
| Marsupialization Bartholins Gland Cyst (56440) |
$3,703.70 |
$5,291 |
1.0× |
| Mastopexy (19316) |
$7,616.88 |
$10,881.25 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$3,147.90 |
$4,497 |
1.7× |
| Mech remov tunneled cv cath (36595) |
$4,774.70 |
$6,821 |
1.3× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,068.20 |
$1,526 |
1.2× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,022 |
$1,460 |
1.2× |
| Multifetal Pregnancy Reduction (59866) |
$3,703.70 |
$5,291 |
10.1× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$3,390.10 |
$4,843 |
1.2× |
| Myelography Lumbar Injection (62305) |
$1,675.80 |
$2,394 |
1.8× |
| Myelography Lumbar Injection (62304) |
$1,424.50 |
$2,035 |
1.5× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,724.10 |
$2,463 |
1.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,724.10 |
$2,463 |
1.8× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$9,381.40 |
$13,402 |
2.4× |
| Myringoplasty (69620) |
$4,332.12 |
$6,188.75 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$877.80 |
$1,254 |
1.0× |
| N Block Inj, Plantar Digit (64455) |
$1,022.88 |
$1,461.25 |
2.8× |
| Nasal endoscopy dx (31231) |
$558.60 |
$798 |
2.3× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$7,021.88 |
$10,031.25 |
1.6× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$1,292.90 |
$1,847 |
2.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$5,082 |
$7,260 |
2.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,957.50 |
$4,225 |
1.4× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$4,409.12 |
$6,298.75 |
0.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$7,643.12 |
$10,918.75 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$388.50 |
$555 |
0.7× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$4,999.40 |
$7,142 |
1.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,058.38 |
$7,226.25 |
2.6× |
| Needle biopsy of pancreas (48102) |
$1,365.70 |
$1,951 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$119 |
$170 |
3.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$119 |
$170 |
3.4× |
| Nerve repair w/nerve allograft first strand (64912) |
$11,544.40 |
$16,492 |
1.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$4,914.70 |
$7,021 |
2.1× |
| Nipple/areola reconstruction (19350) |
$7,021.88 |
$10,031.25 |
1.5× |
| Njx aa&/strd sciatic nerve (64445) |
$1,582.70 |
$2,261 |
1.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,675.80 |
$2,394 |
1.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$774.20 |
$1,106 |
2.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,719.50 |
$3,885 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,719.50 |
$3,885 |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,862.12 |
$4,088.75 |
2.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,582.70 |
$2,261 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,491.70 |
$2,131 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,192.10 |
$1,703 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,402.10 |
$2,003 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,582.70 |
$2,261 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,570.62 |
$2,243.75 |
1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$2,123.10 |
$3,033 |
2.0× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,745.40 |
$3,922 |
1.1× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,333.80 |
$3,334 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,032.50 |
$1,475 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$826 |
$1,180 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$791.88 |
$1,131.25 |
1.6× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$5,968.38 |
$8,526.25 |
0.7× |
| Obstructive material removal from gi tube (49460) |
$804.30 |
$1,149 |
0.7× |
| Occipital Nerve Block (64405) |
$1,049.12 |
$1,498.75 |
2.9× |
| Ocular photodynamic ther (67221) |
$1,289.75 |
$1,842.50 |
2.0× |
| Ocular reconst transplant (65780) |
$8,020.60 |
$11,458 |
1.7× |
| Open thrombect av fistula (36831) |
$7,682.50 |
$10,975 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,617.50 |
$8,025 |
1.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$5,617.50 |
$8,025 |
1.4× |
| Open/Perq Place Stent Same (37238) |
$26,816.12 |
$38,308.75 |
1.9× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,396.88 |
$16,281.25 |
0.8× |
| Palatopharyngoplasty (42145) |
$8,125.60 |
$11,608 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$5,617.50 |
$8,025 |
2.9× |
| Partial hymenectomy or revision (56700) |
$3,032.40 |
$4,332 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,738 |
$5,340 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$3,147.90 |
$4,497 |
1.9× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$7,098 |
$10,140 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$19,010.60 |
$27,158 |
1.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,707.12 |
$2,438.75 |
2.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$10,808 |
$15,440 |
0.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$7,682.50 |
$10,975 |
2.0× |
| Percutaneous diskectomy (62287) |
$7,170.80 |
$10,244 |
3.1× |
| Pericardiocentesis W/Imaging (33016) |
$2,177.70 |
$3,111 |
1.2× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$5,617.50 |
$8,025 |
1.4× |
| Peritoneal Lavage (49084) |
$1,082.20 |
$1,546 |
1.0× |
| Periurethral tprnl adjtbl balo cntnc dev adjmt (53454) |
$256.90 |
$367 |
0.9× |
| Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) |
$2,967.30 |
$4,239 |
0.7× |
| Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451) |
$11,084.50 |
$15,835 |
0.7× |
Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and… (53452) unusually low: confirm this is the full procedure |
$4,258.10 |
$6,083 |
0.4× |
Perm Occlusion/Embolization,Percut,Cns (61624) unusually low: confirm this is the full procedure |
$8,963.50 |
$12,805 |
0.4× |
| Perq dev breast 1st mr guide (19287) |
$121.80 |
$174 |
0.1× |
| Perq dev breast 1st strtctc (19283) |
$640.50 |
$915 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$152.25 |
$217.50 |
0.2× |
| Perq device breast 1st imag (19281) |
$1,390.38 |
$1,986.25 |
0.7× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,644.30 |
$2,349 |
0.4× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$1,644.30 |
$2,349 |
0.4× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$10,028.20 |
$14,326 |
1.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$388.50 |
$555 |
1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,424.50 |
$2,035 |
1.7× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$40,554.15 |
$57,934.50 |
1.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$24,136.70 |
$34,481 |
1.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,253.40 |
$10,362 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$28,698.60 |
$40,998 |
3.3× |
| Perq Vertebral Augmentation (22513) |
$28,698.60 |
$40,998 |
3.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$5,526.50 |
$7,895 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$5,716.20 |
$8,166 |
1.5× |
| Phleb veins - extrem 20+ (37766) |
$6,067.25 |
$8,667.50 |
1.6× |
| Photopheresis, extracorporeal (36522) |
$10,425.10 |
$14,893 |
2.0× |
| Picc line placement (36569) |
$3,147.90 |
$4,497 |
1.7× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$3,053.40 |
$4,362 |
0.6× |
| Place Cath Subclavian Art (36225) |
$8,963.50 |
$12,805 |
2.4× |
| Place Cath Thoracic Aorta (36221) |
$7,170.80 |
$10,244 |
1.9× |
| Place Cath Vertebral Art (36226) |
$11,245.50 |
$16,065 |
1.7× |
| Place duod/jej tube perc (49441) |
$2,061.50 |
$2,945 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$1,114.40 |
$1,592 |
2.1× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$5,823.30 |
$8,319 |
0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$7,830.20 |
$11,186 |
1.1× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$7,830.20 |
$11,186 |
1.1× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$7,830.20 |
$11,186 |
1.1× |
| Plmt Expandable Cath Brst Following Prtl Mast (19296) |
$33,763.10 |
$48,233 |
3.4× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$3,035.20 |
$4,336 |
1.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,350.25 |
$3,357.50 |
0.9× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,508.75 |
$5,012.50 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,427.10 |
$7,753 |
1.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$8,556.62 |
$12,223.75 |
2.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,427.10 |
$7,753 |
1.3× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$452.20 |
$646 |
1.2× |
| Preparation skin cell ssp agrft 1st 25 sq cm/< (15013) |
$18,081.70 |
$25,831 |
2.1× |
| Prim art mech thrombectomy (37184) |
$13,782.30 |
$19,689 |
0.6× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$4,237.62 |
$6,053.75 |
1.5× |
| Probe nasolacrimal duct (68810) |
$728 |
$1,040 |
1.9× |
| Probe nl duct w/balloon (68816) |
$3,854.20 |
$5,506 |
1.4× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$5,025.12 |
$7,178.75 |
1.8× |
| Proctosigmoid w/biopsy (45305) |
$1,773.10 |
$2,533 |
1.2× |
| Proctosigmoidoscopy dilate (45303) |
$1,773.10 |
$2,533 |
1.2× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$2,078.12 |
$2,968.75 |
3.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$2,039.10 |
$2,913 |
2.4× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$8,750 |
$12,500 |
1.1× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$11,844.70 |
$16,921 |
1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,270.70 |
$6,101 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,270.70 |
$6,101 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$326.20 |
$466 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$877.80 |
$1,254 |
1.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$399.70 |
$571 |
0.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,106 |
$1,580 |
1.3× |
| Puncture/clear windpipe (31612) |
$8,125.60 |
$11,608 |
2.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,182.12 |
$1,688.75 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$4,200 |
$6,000 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,030 |
$2,900 |
0.9× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$920.50 |
$1,315 |
0.8× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$6,537.30 |
$9,339 |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$4,774.70 |
$6,821 |
1.7× |
| Reinforce/graft eye wall (67255) |
$5,617.50 |
$8,025 |
1.1× |
| Relocation of skin pocket for pacemaker (33222) |
$2,754.50 |
$3,935 |
1.1× |
| Rem Endovas Vena Cava Filter (37193) |
$2,505.30 |
$3,579 |
0.7× |
| Removal biliary drg cath (47537) |
$3,610.60 |
$5,158 |
3.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$7,170.80 |
$10,244 |
2.1× |
| Removal Foreign Body Foot Complicated (28193) |
$5,617.50 |
$8,025 |
2.8× |
| Removal foreign body foot deep (28192) |
$3,703.70 |
$5,291 |
1.9× |
| Removal foreign body foot subcutaneous (28190) |
$1,136.62 |
$1,623.75 |
1.3× |
| Removal foreign body intranasal (30300) |
$646.80 |
$924 |
4.1× |
| Removal foreign body jawbone (41806) |
$2,843.40 |
$4,062 |
1.5× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,517.60 |
$2,168 |
0.8× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$5,617.50 |
$8,025 |
1.4× |
| Removal foreign body pharynx (42809) |
$815.50 |
$1,165 |
1.5× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,675.80 |
$2,394 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,703.70 |
$5,291 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$210.88 |
$301.25 |
3.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$216.30 |
$309 |
3.1× |
| Removal implant deep (20680) |
$5,145.88 |
$7,351.25 |
1.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,779.70 |
$3,971 |
1.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$931.70 |
$1,331 |
1.1× |
| Removal Intact Mammary Implant (19328) |
$7,616.88 |
$10,881.25 |
1.6× |
| Removal of arm foreign body (24200) |
$1,675.80 |
$2,394 |
0.8× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,505 |
$2,150 |
1.3× |
| Removal of embedded foreign body, eyelid (67938) |
$330.40 |
$472 |
0.9× |
| Removal of fixation device (20665) |
$643.30 |
$919 |
1.2× |
| Removal of foreign body in scrotum (55120) |
$4,204.90 |
$6,007 |
1.7× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$1,147.30 |
$1,639 |
3.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$1,684.20 |
$2,406 |
3.1× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$8,459.50 |
$12,085 |
3.1× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$7,220.50 |
$10,315 |
2.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,493.10 |
$2,133 |
2.0× |
| Removal of intranasal lesion (30118) |
$5,617.50 |
$8,025 |
1.4× |
| Removal of iud (58301) |
$1,125.60 |
$1,608 |
3.1× |
| Removal of kidney stone (50081) |
$8,937.60 |
$12,768 |
0.8× |
| Removal of kidney stone (50080) |
$8,081.50 |
$11,545 |
0.7× |
| Removal of nail bed (11750) |
$1,257.38 |
$1,796.25 |
2.6× |
| Removal of salivary stone (42330) |
$3,147.90 |
$4,497 |
0.8× |
| Removal of skin wrinkles (15829) |
$5,617.50 |
$8,025 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,438 |
$6,340 |
1.2× |
| Removal ppm generator only (33233) |
$7,003.50 |
$10,005 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$331.10 |
$473 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,580.60 |
$2,258 |
1.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$319.20 |
$456 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$606.20 |
$866 |
1.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$501.90 |
$717 |
1.5× |
| Remove anal fist subq (46270) |
$5,617.50 |
$8,025 |
1.7× |
| Remove cerclage suture (59871) |
$5,617.50 |
$8,025 |
1.4× |
| Remove cranial cavity fluid (61000) |
$1,675.80 |
$2,394 |
2.0× |
| Remove drug implant device (11982) |
$668.50 |
$955 |
1.2× |
| Remove eye lesion (66130) |
$7,170.80 |
$10,244 |
2.5× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$1,675.80 |
$2,394 |
0.7× |
| Remove intrvas foreign body (37197) |
$4,909.10 |
$7,013 |
1.3× |
| Remove Peritoneal Foreign Body (49402) |
$5,617.50 |
$8,025 |
1.3× |
| Remove pulse generator (33241) |
$5,259.10 |
$7,513 |
1.2× |
| Remove renal tube w/fluoro (50389) |
$2,094.75 |
$2,992.50 |
2.5× |
| Remove spine eltrd perq aray (63661) |
$3,183.60 |
$4,548 |
1.4× |
| Remove Tendon Sheath Lesion (26160) |
$4,046.70 |
$5,781 |
2.1× |
| Remove ureter stent, percut (50384) |
$5,617.50 |
$8,025 |
2.2× |
| Remove&replace pm gen singl (33227) |
$29,437.10 |
$42,053 |
3.0× |
| Remove/Insert Drug Implant (11983) |
$786.10 |
$1,123 |
1.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$5,145.88 |
$7,351.25 |
2.6× |
| Remv Ext Canal Foreign Body (69200) |
$337.40 |
$482 |
2.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$314.30 |
$449 |
2.0× |
| Remv&replc cvd gen dual lead (33263) |
$37,035.60 |
$52,908 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$51,616.60 |
$73,738 |
1.4× |
| Remv&replc cvd gen sing lead (33262) |
$37,035.60 |
$52,908 |
1.4× |
| Remv&replc pm gen dual lead (33228) |
$29,437.10 |
$42,053 |
2.4× |
| Remv&replc pm gen mult leads (33229) |
$28,698.60 |
$40,998 |
1.2× |
| Remv/revisn shldr/hip spica cast (29710) |
$747.60 |
$1,068 |
2.2× |
| Renal Biopsy Percutaneous (50200) |
$1,300.42 |
$1,857.75 |
0.7× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$4,730.60 |
$6,758 |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,326.30 |
$7,609 |
1.4× |
| Repair brow defect (67900) |
$5,968.38 |
$8,526.25 |
2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,990.80 |
$2,844 |
2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,288.70 |
$1,841 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$746.20 |
$1,066 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,199.40 |
$3,142 |
4.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,451.80 |
$2,074 |
3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,556.80 |
$2,224 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,534.40 |
$2,192 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,906.80 |
$2,724 |
2.2× |
| Repair Detached Retina (67101) |
$5,617.50 |
$8,025 |
2.0× |
| Repair detached retina (67110) |
$5,617.50 |
$8,025 |
2.0× |
| Repair Ectropion Extensive (67917) |
$5,968.38 |
$8,526.25 |
2.1× |
| Repair ectropion suture (67914) |
$7,021.88 |
$10,031.25 |
2.5× |
| Repair Entropion Suture (67921) |
$7,021.88 |
$10,031.25 |
2.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$5,617.50 |
$8,025 |
2.9× |
| Repair eyelid defect (67916) |
$7,021.88 |
$10,031.25 |
2.5× |
| Repair eyelid defect (67908) |
$7,021.88 |
$10,031.25 |
2.5× |
| Repair eyelid defect (67923) |
$5,617.50 |
$8,025 |
2.0× |
| Repair eyelid defect (67904) |
$7,021.88 |
$10,031.25 |
2.5× |
| Repair eyelid defect (67903) |
$7,262.50 |
$10,375 |
2.5× |
| Repair Eyelid Wound (67935) |
$3,147.90 |
$4,497 |
1.1× |
| Repair eyelid wound (67930) |
$3,390.10 |
$4,843 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$5,716.20 |
$8,166 |
1.5× |
| Repair hand tendon (26410) |
$5,617.50 |
$8,025 |
2.9× |
| Repair incomplete circumcision (54163) |
$4,204.90 |
$6,007 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,614.20 |
$2,306 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$940.10 |
$1,343 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,201.90 |
$1,717 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,534.40 |
$2,192 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$962.50 |
$1,375 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,318.80 |
$1,884 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,534.40 |
$2,192 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,925 |
$2,750 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,402.10 |
$2,003 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,293.60 |
$1,848 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,325.10 |
$1,893 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,673.70 |
$2,391 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,079.40 |
$1,542 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$787.50 |
$1,125 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,178.62 |
$1,683.75 |
2.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,255.10 |
$1,793 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$837.20 |
$1,196 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,673.70 |
$2,391 |
0.7× |
| Repair Laceration Palate </2 Cm (42180) |
$877.80 |
$1,254 |
1.4× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$4,918.20 |
$7,026 |
0.7× |
| Repair lead pace-defib dual (33220) |
$7,170.80 |
$10,244 |
1.6× |
| Repair lead pace-defib one (33218) |
$8,937.60 |
$12,768 |
2.0× |
| Repair Mouth Laceration (40831) |
$1,675.80 |
$2,394 |
2.6× |
| Repair of anal fistula with fibrin glue (46706) |
$4,533.90 |
$6,477 |
1.4× |
| Repair of eye wound (65280) |
$6,574.40 |
$9,392 |
1.0× |
| Repair of eye wound (65275) |
$5,617.50 |
$8,025 |
1.2× |
| Repair of laceration; application of tissue glue, wounds of cornea and/or sclera (65286) |
$1,675.80 |
$2,394 |
0.6× |
| Repair of nail bed (11760) |
$554.40 |
$792 |
0.6× |
| Repair of urethra injury (53502) |
$3,816.40 |
$5,452 |
0.9× |
| Repair Spica Body Cast/Jacket (29720) |
$416.50 |
$595 |
2.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$5,617.50 |
$8,025 |
1.4× |
| Repair tongue laceration (41252) |
$3,703.70 |
$5,291 |
13.0× |
| Repair Tongue Laceration (41250) |
$3,099.60 |
$4,428 |
5.8× |
| Repair tympanic membrane (69610) |
$5,575.50 |
$7,965 |
3.0× |
| Repeat control of nosebleed (30906) |
$1,675.80 |
$2,394 |
5.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$791 |
$1,130 |
0.7× |
| Replace eye fluid (67025) |
$9,025.62 |
$12,893.75 |
3.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$828.80 |
$1,184 |
0.8× |
| Replace tunneled cv cath (36578) |
$5,617.50 |
$8,025 |
1.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$828.80 |
$1,184 |
0.8× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,171.30 |
$5,959 |
0.9× |
| Reposition cv cath w/fluoro (36597) |
$1,258.60 |
$1,798 |
0.7× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,338.40 |
$1,912 |
4.5× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$5,617.50 |
$8,025 |
1.5× |
| Resect forarm/wrist tum 3cm> (25078) |
$7,310.10 |
$10,443 |
2.1× |
| Resection of lip, more than one-fourth, without reconstruction Facility (40530) |
$4,460.40 |
$6,372 |
1.1× |
| Revise eyelashes (67825) |
$746.20 |
$1,066 |
2.0× |
| Revise eyelid defect (67909) |
$5,617.50 |
$8,025 |
2.0× |
| Revise eyelid lining (68360) |
$4,155.20 |
$5,936 |
0.9× |
| Revise spine eltrd perq aray (63663) |
$10,903.20 |
$15,576 |
1.4× |
| Revise ulnar nerve at elbow (64718) |
$4,914.70 |
$7,021 |
2.1× |
| Revise/Remove Neuroreceiver (63688) |
$6,438.60 |
$9,198 |
1.5× |
| Revision eyelid unlisted (67999) |
$932.75 |
$1,332.50 |
2.5× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$7,379.40 |
$10,542 |
2.7× |
| Revision of eyelid (67880) |
$4,774.70 |
$6,821 |
1.7× |
| Revision of eyelid (67961) |
$4,774.70 |
$6,821 |
1.7× |
| Revision of iris (66761) |
$1,737.75 |
$2,482.50 |
2.6× |
| Revision of iris (66762) |
$1,675.80 |
$2,394 |
2.5× |
| Revision of leg vein (37780) |
$5,617.50 |
$8,025 |
1.5× |
| Revision of tips (37183) |
$21,452.90 |
$30,647 |
3.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,745 |
$5,350 |
0.9× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$29,053.50 |
$41,505 |
2.1× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$4,339.30 |
$6,199 |
1.0× |
| Rhytidectomy Forehead (15824) |
$3,742.20 |
$5,346 |
1.5× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$3,516.80 |
$5,024 |
0.8× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$3,722.25 |
$5,317.50 |
1.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$4,460.40 |
$6,372 |
2.4× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$3,703.70 |
$5,291 |
5.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,414.70 |
$2,021 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$314.30 |
$449 |
2.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$322 |
$460 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$5,617.50 |
$8,025 |
1.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,675.80 |
$2,394 |
0.5× |
| Rmvl of subq defibrillator (33272) |
$4,734.10 |
$6,763 |
1.1× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$2,965.90 |
$4,237 |
1.3× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$6,149.50 |
$8,785 |
1.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,697.70 |
$6,711 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,449.20 |
$6,356 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,519 |
$2,170 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,367.80 |
$1,954 |
1.8× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$5,617.50 |
$8,025 |
2.0× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$5,259.10 |
$7,513 |
1.2× |
| Rplc gtube revj gstrst trc (43763) |
$388.50 |
$555 |
1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,258.60 |
$1,798 |
0.7× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$4,347 |
$6,210 |
1.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,258.60 |
$1,798 |
0.7× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$5,521.60 |
$7,888 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,521.60 |
$7,888 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,505.30 |
$3,579 |
0.7× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$5,159 |
$7,370 |
2.7× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$6,619.90 |
$9,457 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,258.60 |
$1,798 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,673.70 |
$2,391 |
1.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$1,673.70 |
$2,391 |
5.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$5,617.50 |
$8,025 |
8.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$5,617.50 |
$8,025 |
8.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$5,617.50 |
$8,025 |
3.0× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$2,845.50 |
$4,065 |
4.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,005.20 |
$1,436 |
1.3× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$4,171.30 |
$5,959 |
1.1× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$3,545.50 |
$5,065 |
0.9× |
| Sclerotx Fluid Collection (49185) |
$2,334.50 |
$3,335 |
1.2× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Facility (65860) |
$1,675.80 |
$2,394 |
2.5× |
| Severing of tarsorrhaphy (67710) |
$1,424.50 |
$2,035 |
1.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,281 |
$1,830 |
1.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,773.10 |
$2,533 |
1.2× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,773.10 |
$2,533 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$235.90 |
$337 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$343 |
$490 |
1.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$389.20 |
$556 |
1.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$709.10 |
$1,013 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$331.10 |
$473 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$281.40 |
$402 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$389.20 |
$556 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$381.50 |
$545 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$397.60 |
$568 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$238 |
$340 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$1,121.40 |
$1,602 |
2.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$298.20 |
$426 |
1.2× |
| Sigmoidoscopy & decompress (45337) |
$1,773.10 |
$2,533 |
1.6× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,773.10 |
$2,533 |
1.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,773.10 |
$2,533 |
1.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,329.82 |
$1,899.75 |
1.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,773.10 |
$2,533 |
1.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,041.60 |
$1,488 |
0.9× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,773.10 |
$2,533 |
1.2× |
| Sigmoidoscopy place stent (45347) |
$5,246.50 |
$7,495 |
0.7× |
| Sigmoidoscopy w/biopsy (45331) |
$843.15 |
$1,204.50 |
0.8× |
| Sigmoidoscopy w/fb removal (45332) |
$1,041.60 |
$1,488 |
0.7× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,773.10 |
$2,533 |
1.2× |
| Simple Cystometrogram (51725) |
$804.30 |
$1,149 |
2.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$3,703.70 |
$5,291 |
7.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,346.10 |
$1,923 |
5.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,424.50 |
$2,035 |
5.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$3,703.70 |
$5,291 |
7.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,454.60 |
$2,078 |
6.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$370.30 |
$529 |
1.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$3,703.70 |
$5,291 |
15.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$359.80 |
$514 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$3,703.70 |
$5,291 |
15.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,675.80 |
$2,394 |
7.0× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
$8,125.60 |
$11,608 |
1.1× |
| Skin pinch graft (15050) |
$1,670.90 |
$2,387 |
1.9× |
| Skin splt grft trnk/arm/leg (15100) |
$4,339.30 |
$6,199 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$2,862.30 |
$4,089 |
3.2× |
| Skin sub graft trnk/arm/leg (15271) |
$2,237.20 |
$3,196 |
2.5× |
| Skin sub grft t/arm/lg child (15273) |
$4,339.30 |
$6,199 |
1.8× |
| Skin Tissue Procedure (17999) |
$316.75 |
$452.50 |
1.3× |
| Skin tissue rearrangement (14040) |
$3,147.90 |
$4,497 |
1.3× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,339.30 |
$6,199 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,632 |
$3,760 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$8,963.50 |
$12,805 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$7,170.80 |
$10,244 |
1.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$9,558.50 |
$13,655 |
1.4× |
| Slitting of prepuce (54001) |
$3,816.40 |
$5,452 |
1.5× |
| Small Bowel Endoscopy (44373) |
$3,703.70 |
$5,291 |
1.6× |
| Small bowel endoscopy (44366) |
$3,147.90 |
$4,497 |
1.4× |
| Small bowel endoscopy (44364) |
$3,703.70 |
$5,291 |
1.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$3,703.70 |
$5,291 |
1.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$3,147.90 |
$4,497 |
1.4× |
| Small bowel endoscopy/biopsy (44377) |
$3,703.70 |
$5,291 |
1.6× |
| Small bowel endoscopy/stent (44370) |
$7,170.80 |
$10,244 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$3,703.70 |
$5,291 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$7,170.80 |
$10,244 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$3,703.70 |
$5,291 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$2,746.10 |
$3,923 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$486.50 |
$695 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,496.60 |
$2,138 |
3.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$3,703.70 |
$5,291 |
7.6× |
| Snip incision lacrimal punctum (68440) |
$1,097.25 |
$1,567.50 |
2.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,594.60 |
$2,278 |
1.9× |
| Spinal Puncture Therapeutic (62272) |
$1,635.20 |
$2,336 |
1.9× |
| Spine Surgery Procedure Unlisted (22899) |
$7,170.80 |
$10,244 |
24.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$6,067.25 |
$8,667.50 |
1.6× |
| Strapping ankle (29540) |
$319.20 |
$456 |
1.6× |
| Strapping elbow or wrist (29260) |
$478.80 |
$684 |
6.8× |
| Strapping hand/finger (29280) |
$230.30 |
$329 |
3.3× |
| Strapping Hip (29520) |
$319.20 |
$456 |
2.0× |
| Strapping knee (29530) |
$478.80 |
$684 |
3.0× |
| Strapping shoulder (29240) |
$384.30 |
$549 |
2.4× |
| Strapping thorax (29200) |
$319.20 |
$456 |
1.6× |
| Strapping toes (29550) |
$204.75 |
$292.50 |
2.9× |
| Strapping unna boot (29580) |
$486.50 |
$695 |
2.5× |
| Subconjunctival injection (68200) |
$390.60 |
$558 |
0.7× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$424.90 |
$607 |
0.8× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$877.80 |
$1,254 |
3.7× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$877.80 |
$1,254 |
1.0× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$638.40 |
$912 |
0.7× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$877.80 |
$1,254 |
1.0× |
| T-cell depletion of harvest (38210) |
$14,700 |
$21,000 |
27.8× |
| Tangential biopsy skin single lesion (11102) |
$326.20 |
$466 |
0.7× |
| Tattooing Incl Micropigmentation 6.0 Cm/< (11920) |
$877.80 |
$1,254 |
1.0× |
| Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) |
$963.20 |
$1,376 |
1.1× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$21,813.40 |
$31,162 |
0.6× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$23,216.20 |
$33,166 |
1.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$111.30 |
$159 |
0.0× |
| Temporary Closure Eyelids Suture (67875) |
$1,780.62 |
$2,543.75 |
1.5× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$4,528.30 |
$6,469 |
2.3× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$7,086.80 |
$10,124 |
1.8× |
| Tenotomy Hip Flexor Open (27005) |
$7,086.80 |
$10,124 |
1.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,336.20 |
$4,766 |
1.7× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$3,924.90 |
$5,607 |
2.0× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$7,086.80 |
$10,124 |
1.8× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$7,086.80 |
$10,124 |
1.8× |
| Tenotomy shoulder area single tendon (23405) |
$11,585.70 |
$16,551 |
1.3× |
| Tenotomy Shoulder Multiple Thru Same Incision (23406) |
$5,332.60 |
$7,618 |
0.6× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,419.60 |
$2,028 |
0.7× |
| Thaw preserved stem cells (38208) |
$1,673.70 |
$2,391 |
3.2× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$10,722.60 |
$15,318 |
2.1× |
| Ther Apheresis,Plasma Pheresis (36514) |
$4,326.70 |
$6,181 |
2.3× |
| Ther Apheresis,Platelets (36513) |
$2,767.10 |
$3,953 |
5.2× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,290.70 |
$4,701 |
1.8× |
| Ther Apheresis,White Blood Cells (36511) |
$3,290.70 |
$4,701 |
1.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$590.80 |
$844 |
0.7× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$18,510.80 |
$26,444 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,675.80 |
$2,394 |
2.2× |
| Thoracoscopy w/bx nodule (32608) |
$7,170.80 |
$10,244 |
0.6× |
| Thoracoscopy w/bx pleura (32609) |
$7,170.80 |
$10,244 |
1.0× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$7,170.80 |
$10,244 |
0.6× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$6,354.60 |
$9,078 |
0.9× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,699 |
$9,570 |
1.8× |
| Thrombolytic Art Therapy (37211) |
$5,398.75 |
$7,712.50 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$1,675.80 |
$2,394 |
4.2× |
| Thrombolytic Venous Therapy (37212) |
$3,131.62 |
$4,473.75 |
0.8× |
| Thyroid biopsy (60100) |
$916.30 |
$1,309 |
1.1× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$11,046 |
$15,780 |
0.5× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$5,617.50 |
$8,025 |
1.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,424.50 |
$2,035 |
2.2× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$4,460.40 |
$6,372 |
1.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,675.80 |
$2,394 |
5.9× |
| Tracheostomy planned (31600) |
$4,460.40 |
$6,372 |
1.1× |
| Tracheotomy tube change (31502) |
$592.90 |
$847 |
2.1× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$793.10 |
$1,133 |
2.2× |
| Transcatheter biopsy (37200) |
$6,617.10 |
$9,453 |
1.0× |
| Transfusion intrauterine fetal (36460) |
$3,703.70 |
$5,291 |
7.0× |
| Translum Dil Eye Canal (66174) |
$8,828.40 |
$12,612 |
1.8× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$8,828.40 |
$12,612 |
1.4× |
Transoral Lower Esophageal Myotomy (43497) unusually low: confirm this is the full procedure |
$2,963.10 |
$4,233 |
0.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$7,717.50 |
$11,025 |
1.2× |
| Transplj Hematopoietic Boost (38243) |
$4,528.30 |
$6,469 |
2.4× |
| Treat clavicle dislocation (23540) |
$1,675.80 |
$2,394 |
5.7× |
| Treat clavicle fracture (23505) |
$1,655.50 |
$2,365 |
0.9× |
| Treat humerus fracture (24500) |
$1,675.80 |
$2,394 |
5.7× |
| Treat humerus fracture (23600) |
$1,424.50 |
$2,035 |
4.8× |
| Treat knee fracture (27532) |
$2,403.80 |
$3,434 |
0.6× |
| Treat Knee Fracture(S) (27538) |
$1,675.80 |
$2,394 |
5.7× |
| Treat Metatarsal Fracture (28475) |
$1,114.40 |
$1,592 |
3.8× |
| Treat pleurodesis w/agent (32560) |
$1,760.50 |
$2,515 |
2.3× |
| Treat shoulder blade fx (23575) |
$1,675.80 |
$2,394 |
0.9× |
| Treat Thigh Fracture (27246) |
$1,675.80 |
$2,394 |
5.7× |
| Treat Thumb Dislocation (26641) |
$1,114.40 |
$1,592 |
3.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,675.80 |
$2,394 |
0.9× |
| Treat vagina infection (57150) |
$298.90 |
$427 |
4.2× |
| Treat Vaginal Bleeding (57180) |
$388.50 |
$555 |
1.6× |
| Treat wrist bone fracture (25622) |
$1,810.20 |
$2,586 |
6.1× |
| Treat Wrist Bone Fracture (25630) |
$997.50 |
$1,425 |
3.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,675.80 |
$2,394 |
5.7× |
| Treatment extensive retinopathy photocoagulation (67228) |
$2,094.75 |
$2,992.50 |
3.2× |
| Treatment mouth roof lesion (42160) |
$2,843.40 |
$4,062 |
0.7× |
| Treatment of foot infection (28003) |
$5,617.50 |
$8,025 |
1.4× |
| Treatment of heel fracture (28406) |
$4,730.60 |
$6,758 |
0.5× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$5,866 |
$8,380 |
1.5× |
| Treatment of retina (67141) |
$1,112.30 |
$1,589 |
2.9× |
| Treatment of retinal lesion (67208) |
$1,002.40 |
$1,432 |
2.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,040.20 |
$1,486 |
3.5× |
| Trim skin lesion (11055) |
$241.50 |
$345 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$296.10 |
$423 |
1.2× |
| Trim skin lesions over 4 (11057) |
$330.40 |
$472 |
1.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$189 |
$270 |
2.7× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$16,948.40 |
$24,212 |
2.5× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$15,295.70 |
$21,851 |
2.2× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$1,673.70 |
$2,391 |
3.2× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$2,243.50 |
$3,205 |
4.2× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$2,243.50 |
$3,205 |
4.2× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$1,212.40 |
$1,732 |
2.3× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$2,243.50 |
$3,205 |
4.2× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$75,060.30 |
$107,229 |
1.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$9,381.40 |
$13,402 |
5.0× |
| Trnsplj Don-Drv Cll-Fr Dna (0118U) |
$2,601.90 |
$3,717 |
0.9× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$3,536.40 |
$5,052 |
0.8× |
| Trurl Rf Female Bladder Neck Strs Urin Incont (53860) |
$3,703.70 |
$5,291 |
1.5× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,155.70 |
$1,651 |
0.5× |
| Tube thoracostomy includes water seal (32551) |
$1,258.60 |
$1,798 |
0.7× |
| Tumor cell deplete of harvst (38211) |
$4,216.10 |
$6,023 |
8.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,617.50 |
$8,025 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$975.10 |
$1,393 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$746.20 |
$1,066 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,675.80 |
$2,394 |
0.9× |
| Tympanostomy (69433) |
$1,780.62 |
$2,543.75 |
2.8× |
| Tympanostomy general anesthesia (69436) |
$7,021.88 |
$10,031.25 |
3.8× |
| Unlisted Cardiac Surgery (33999) |
$903.70 |
$1,291 |
1.2× |
| Unlisted Procedure Biliary Tract (47999) |
$5,617.50 |
$8,025 |
5.2× |
| Unlisted procedure colon (45399) |
$3,009.30 |
$4,299 |
2.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$1,518.30 |
$2,169 |
5.3× |
| Unlisted Procedure Esophagus (43499) |
$1,675.80 |
$2,394 |
1.5× |
| Unlisted Procedure External Ear (69399) |
$910 |
$1,300 |
3.2× |
| Unlisted procedure larynx (31599) |
$1,655.50 |
$2,365 |
5.8× |
| Unlisted Procedure Lungs & Pleura (32999) |
$917.70 |
$1,311 |
1.2× |
| Unlisted Procedure Male Genital System (55899) |
$469 |
$670 |
1.6× |
| Unlisted procedure nervous system (64999) |
$525 |
$750 |
1.4× |
| Unlisted Procedure Small Intestine (44799) |
$5,618.90 |
$8,027 |
5.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,570.45 |
$2,243.50 |
2.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$5,617.50 |
$8,025 |
5.2× |
| Unlisted procedure, hands or fingers (26989) |
$420 |
$600 |
1.4× |
| Unlisted procedure, stomach (43999) |
$2,093 |
$2,990 |
1.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$2,170 |
$3,100 |
9.0× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$1,725.50 |
$2,465 |
6.1× |
| Upgrade of pacemaker system (33214) |
$20,325.90 |
$29,037 |
1.6× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50955) |
$4,730.60 |
$6,758 |
0.7× |
| Urine flow measurement (51736) |
$476.70 |
$681 |
3.0× |
| Urology Surgery Procedure (53899) |
$260.40 |
$372 |
0.9× |
| Us urine capacity measure (51798) |
$256.20 |
$366 |
3.6× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$5,617.50 |
$8,025 |
1.4× |
| Uvulectomy excision of uvula (42140) |
$3,703.70 |
$5,291 |
0.9× |
| Vaginal delivery only (59409) |
$7,451.50 |
$10,645 |
1.9× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$3,029.60 |
$4,328 |
0.8× |
| Vaginoplasty for intersex state Facility (57335) |
$6,540.80 |
$9,344 |
1.1× |
| Vasc embolize/occlude artery (37242) |
$16,158.80 |
$23,084 |
0.7× |
| Vasc Embolize/Occlude Bleed (37244) |
$19,010.60 |
$27,158 |
1.4× |
| Vasc embolize/occlude organ (37243) |
$16,158.80 |
$23,084 |
1.2× |
| Vasc embolize/occlude venous (37241) |
$16,158.80 |
$23,084 |
1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$6,233.50 |
$8,905 |
2.5× |
| Venipuncture (36415) |
$15.75 |
$22.50 |
1.7× |
| Venipuncture cutdown under age 1 yr (36420) |
$292.60 |
$418 |
1.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$319.20 |
$456 |
0.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,554.25 |
$5,077.50 |
0.9× |
| Ventricular puncture previous burr hole w/inj (61026) |
$1,675.80 |
$2,394 |
2.0× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,656.20 |
$2,366 |
1.6× |
| Vulvectomy Simple Partial (56620) |
$7,170.80 |
$10,244 |
1.8× |
| Wash harvest stem cells (38209) |
$1,673.70 |
$2,391 |
3.2× |
| Wedge excision skin nail fold (11765) |
$373.10 |
$533 |
0.8× |
| Wedging of cast (29740) |
$606.20 |
$866 |
1.8× |
| Wedging of clubfoot cast (29750) |
$606.20 |
$866 |
1.8× |
| Windowing of cast (29730) |
$416.50 |
$595 |
2.1× |
| Wound Prep F/N/Hf/G (15004) |
$1,185.10 |
$1,693 |
2.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,185.10 |
$1,693 |
1.3× |