| 68399-unlisted Procedures Conjunctiva (68399) |
$309.79 |
$885.09 |
0.9× |
| Abd paracentesis (49082) |
$929.95 |
$2,657 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$1,455.65 |
$4,159 |
1.5× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$6,684.65 |
$19,099 |
0.6× |
Ablation bone tumor rf perq w/img gdn when done (20982)
likely a partial charge — not the full procedure |
$4,924.85 |
$14,071 |
0.3× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$3,859.10 |
$11,026 |
0.6× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$6,684.65 |
$19,099 |
0.6× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$6,684.65 |
$19,099 |
0.6× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$1,024.80 |
$2,928 |
0.6× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$1,024.80 |
$2,928 |
0.6× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$4,858.70 |
$13,882 |
0.6× |
| Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) |
$11,425.05 |
$32,643 |
0.8× |
| Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) |
$1,417.85 |
$4,051 |
0.8× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$5,490.82 |
$15,688.04 |
0.9× |
| Abrasion 1 lesion (15786) |
$712.60 |
$2,036 |
3.4× |
| Acne surgery (10040) |
$151.20 |
$432 |
0.7× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$2,550.80 |
$7,288 |
0.7× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,962.80 |
$5,608 |
0.9× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,842.75 |
$5,265 |
0.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$2,247 |
$6,420 |
1.0× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$2,092.30 |
$5,978 |
1.0× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$1,494.85 |
$4,271 |
0.7× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$1,923.25 |
$5,495 |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,410.10 |
$6,886 |
1.1× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$1,680.35 |
$4,801 |
0.8× |
| Allogeneic lymphocyte infusions Donor Cell Infusions (38242) |
$2,320.50 |
$6,630 |
1.4× |
| Amniocentesis diagnostic (59000) |
$626.50 |
$1,790 |
0.6× |
| Amniocentesis therapeutic (59001) |
$924 |
$2,640 |
2.9× |
| Amnioinfusion (59070) |
$197.40 |
$564 |
0.6× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,257.45 |
$9,307 |
0.9× |
| Amputation of finger/thumb (26952) |
$2,139.55 |
$6,113 |
0.6× |
| Amputation of toe (28820) |
$2,139.55 |
$6,113 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$2,139.55 |
$6,113 |
0.6× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$2,915.85 |
$8,331 |
0.8× |
| Analyze infusn pump+reprogram (62368) |
$293.30 |
$838 |
0.9× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$334.95 |
$957 |
1.0× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$2,427.95 |
$6,937 |
0.8× |
| Anoscopy and biopsy (46606) |
$667.10 |
$1,906 |
0.5× |
| Anoscopy diagnostic (46600) |
$301 |
$860 |
2.1× |
| Anoscopy remove for body (46608) |
$758.45 |
$2,167 |
0.8× |
| Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,… (46615) |
$1,619.80 |
$4,628 |
0.6× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (46604) |
$593.95 |
$1,697 |
0.5× |
| Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent… (46607) |
$823.90 |
$2,354 |
0.7× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,843.45 |
$5,267 |
2.4× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$2,550.80 |
$7,288 |
1.2× |
| Application cast finger (29086) |
$318.85 |
$911 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$101.85 |
$291 |
1.6× |
| Application finger splint static (29130) |
$406.70 |
$1,162 |
2.9× |
| Application of long leg cast (thigh to toes); (29345) |
$414.05 |
$1,183 |
1.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$317.45 |
$907 |
1.9× |
| Application of short arm splint (forearm to hand); static (29125) |
$357 |
$1,020 |
2.5× |
| Application of short leg cast (below knee to toes); (29405) |
$366.45 |
$1,047 |
1.2× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$218.75 |
$625 |
0.7× |
| Application of short leg splint (calf to foot) (29515) |
$303.80 |
$868 |
1.8× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,806 |
$5,160 |
0.8× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$353.15 |
$1,009 |
2.1× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$238 |
$680 |
1.4× |
| Application rigid total contact leg cast (29445) |
$257.95 |
$737 |
0.9× |
Application uniplane external fixation system (20690)
unusually low — confirm this is the full procedure |
$3,765.65 |
$10,759 |
0.5× |
| Application, cast; shoulder to hand (long arm) (29065) |
$412.65 |
$1,179 |
1.4× |
| Apply hand/wrist cast (29085) |
$235.55 |
$673 |
1.4× |
| Apply long arm splint (29105) |
$362.95 |
$1,037 |
2.1× |
| Apply patella tendon bearing cast (29435) |
$263.90 |
$754 |
0.9× |
| Apply splint short arm dynamic (29126) |
$309.40 |
$884 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$321.65 |
$919 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$486.15 |
$1,389 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$432.60 |
$1,236 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$510.30 |
$1,458 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$312.90 |
$894 |
1.0× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$376.25 |
$1,075 |
1.2× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$2,969.05 |
$8,483 |
0.9× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$3,064.95 |
$8,757 |
0.9× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) |
$3,064.95 |
$8,757 |
0.9× |
| Arthrotomy with biopsy; metatarsophalangeal joint Age Under 21 (28052) |
$2,832.90 |
$8,094 |
0.8× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$3,064.95 |
$8,757 |
0.9× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,028.20 |
$8,652 |
0.9× |
| Aspirate pleura w/o imaging (32554) |
$447.30 |
$1,278 |
0.7× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$349.65 |
$999 |
0.5× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$207.55 |
$593 |
0.6× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,523.20 |
$4,352 |
2.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$449.05 |
$1,283 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,522.05 |
$10,063 |
1.6× |
| Aspiration bladder needle (51100) |
$427 |
$1,220 |
1.6× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$947.80 |
$2,708 |
1.0× |
| Assessment of penile blood flow (54240) |
$238.35 |
$681 |
1.0× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$443.10 |
$1,266 |
2.1× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$3,766.35 |
$10,761 |
0.6× |
Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556)
unusually low — confirm this is the full procedure |
$4,728.15 |
$13,509 |
0.4× |
Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554)
unusually low — confirm this is the full procedure |
$4,433.80 |
$12,668 |
0.4× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$4,174.45 |
$11,927 |
0.6× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$2,236.85 |
$6,391 |
0.6× |
| Biopsy bone open superficial (20240) |
$1,969.80 |
$5,628 |
0.6× |
| Biopsy bone trocar/needle deep (20225) |
$1,642.20 |
$4,692 |
0.9× |
| Biopsy external auditory canal (69105) |
$1,488.90 |
$4,254 |
0.9× |
| Biopsy external ear (69100) |
$410.55 |
$1,173 |
1.6× |
| Biopsy floor of mouth (41108) |
$1,131.20 |
$3,232 |
0.6× |
| Biopsy intranasal (30100) |
$1,024.80 |
$2,928 |
0.6× |
| Biopsy lip (40490) |
$268.10 |
$766 |
1.1× |
| Biopsy liver needle percutaneous (47000) |
$1,631.35 |
$4,661 |
0.9× |
| Biopsy lymph node (38505) |
$2,075.50 |
$5,930 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,719.90 |
$4,914 |
1.0× |
| Biopsy nail unit (11755) |
$553.35 |
$1,581 |
0.7× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$1,167.25 |
$3,335 |
0.7× |
| Biopsy of cervix (57500) |
$640.50 |
$1,830 |
0.7× |
| Biopsy of eyelid (67810) |
$420 |
$1,200 |
1.3× |
| Biopsy of eyelid lining (68100) |
$1,437.80 |
$4,108 |
0.6× |
| Biopsy of lacrimal gland Age Under 21 (68510) |
$1,735.30 |
$4,958 |
0.7× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,740.55 |
$4,973 |
1.4× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,055.95 |
$3,017 |
1.1× |
| Biopsy of nerve Age Under 21 (64795) |
$2,474.50 |
$7,070 |
1.2× |
| Biopsy of ovary(s) (58900) |
$2,175.60 |
$6,216 |
0.6× |
| Biopsy of penis; (separate procedure) (54100) |
$1,605.80 |
$4,588 |
0.9× |
| Biopsy of salivary gland (42405) |
$1,829.45 |
$5,227 |
1.1× |
| Biopsy of salivary gland; needle (42400) |
$1,345.75 |
$3,845 |
1.8× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$1,505.35 |
$4,301 |
1.6× |
| Biopsy of testis, incisional (separate procedure) Age Under 21 (54505) |
$3,091.20 |
$8,832 |
0.8× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$801.85 |
$2,291 |
1.4× |
| Biopsy of urethra (53200) |
$2,197.30 |
$6,278 |
1.0× |
| Biopsy of uterus lining (58100) |
$205.80 |
$588 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,371.20 |
$9,632 |
0.8× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$2,843.40 |
$8,124 |
0.7× |
| Biopsy oropharynx (42800) |
$1,317.75 |
$3,765 |
0.8× |
| Biopsy pleura percutaneous needle (32400) |
$1,097.60 |
$3,136 |
0.6× |
| Biopsy roof of mouth (42100) |
$1,124.20 |
$3,212 |
0.7× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$1,615.25 |
$4,615 |
0.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,097.60 |
$3,136 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$1,298.50 |
$3,710 |
0.7× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,097.60 |
$3,136 |
0.6× |
| Biopsy soft tissue upper arm/elbow superficial (24065) |
$1,097.95 |
$3,137 |
0.6× |
| Biopsy thyroid percutaneous core needle (60100) |
$885.15 |
$2,529 |
1.2× |
| Biopsy tongue,poster 1/3 (41105) |
$1,698.55 |
$4,853 |
0.5× |
| Biopsy vaginal mucosa simple (57100) |
$611.10 |
$1,746 |
0.6× |
| Biopsy vestibule mouth (40808) |
$389.90 |
$1,114 |
0.7× |
| Biopsy vulva/perineum 1 lesion (56605) |
$611.10 |
$1,746 |
0.6× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,674.75 |
$4,785 |
1.0× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$2,199.05 |
$6,283 |
0.7× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,104.60 |
$3,156 |
0.6× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$3,023.90 |
$8,639.69 |
0.7× |
| Biopsy, muscle; superficial (20200) |
$1,484 |
$4,240 |
0.9× |
| Biopsy, soft tissue of back or flank; deep Age Under 21 (21925) |
$2,461.55 |
$7,033 |
1.4× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$1,097.60 |
$3,136 |
0.6× |
| Biopsy, soft tissue of shoulder area; superficial Age Under 21 (23065) |
$1,097.60 |
$3,136 |
0.6× |
| Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21 (24066) |
$2,413.95 |
$6,897 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$2,650.90 |
$7,574 |
0.6× |
| Bladder irrigation (51700) |
$690.90 |
$1,974 |
2.6× |
| Bladder pressure measurement during filling (51726) |
$579.60 |
$1,656 |
2.2× |
| Blepharoplasty lower eyelid (15820) |
$2,595.25 |
$7,415 |
1.2× |
| Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE (15822) |
$2,030.70 |
$5,802 |
0.9× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Age Under 21 (15821) |
$2,769.90 |
$7,914 |
1.3× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$761.25 |
$2,175 |
2.3× |
| Brain canal shunt procedure (61070) |
$497.35 |
$1,421 |
0.7× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$2,650.90 |
$7,574 |
0.6× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$3,572.80 |
$10,208 |
0.9× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$3,978.45 |
$11,367 |
1.0× |
| Bronch foreign body removal (31635) |
$1,792.35 |
$5,121 |
1.0× |
| Bronch thermoplsty 1 lobe (31660) |
$4,503.80 |
$12,868 |
0.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,685.90 |
$7,674 |
0.7× |
| Bronchoscopy w biopsy (31625) |
$2,525.25 |
$7,215 |
1.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,792.35 |
$5,121 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$1,738.45 |
$4,967 |
4.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$2,150.40 |
$6,144 |
1.1× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661) |
$4,772.60 |
$13,636 |
0.6× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$4,091.15 |
$11,689 |
1.0× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s)… (31636) |
$3,782.80 |
$10,808 |
0.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) |
$3,782.80 |
$10,808 |
0.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638) |
$3,782.80 |
$10,808 |
0.5× |
| Bronchoscopy/lung bx each (31628) |
$2,519.65 |
$7,199 |
0.6× |
| Bx breast 1st lesion mr imag (19085) |
$3,165.05 |
$9,043 |
1.8× |
| Bx breast 1st lesion strtctc (19081) |
$4,798.50 |
$13,710 |
2.8× |
| Bx breast 1st lesion us imag (19083) |
$2,340.45 |
$6,687 |
1.3× |
| Bx pancreas ndl perc (48102) |
$1,097.60 |
$3,136 |
0.6× |
| C/c 41008 exploration floor of mouth for submandibular duct (42699) |
$231.54 |
$661.54 |
0.9× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$186.42 |
$532.60 |
0.7× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$210.70 |
$602 |
1.0× |
| C/c 69706 endoscopic augementation of eustachian tube (69799) |
$148.45 |
$424.12 |
0.6× |
| Cah artificial insemination intra-uterine (58322) |
$414.75 |
$1,185 |
1.9× |
| Canthoplasty (67950) |
$2,613.10 |
$7,466 |
1.0× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$225.64 |
$644.68 |
0.9× |
| Car-t therapy autol car-t cell administration (38228) |
$4,007.50 |
$11,450 |
11.5× |
| Cardiac surg procedure unlist (33999) |
$2,166.68 |
$6,190.49 |
3.3× |
| Care of miscarriage (59820) |
$2,175.60 |
$6,216 |
0.6× |
| Cartilage graft; nasal septum Age Under 21 (20912) |
$3,170.30 |
$9,058 |
0.8× |
| Cast short arm (29075) |
$382.90 |
$1,094 |
1.3× |
| Casting/strapping procedure (29799) |
$155.72 |
$444.90 |
0.9× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$432.60 |
$1,236 |
1.3× |
| Cautery of cervix; laser ablation Age Under 21 (57513) |
$2,175.60 |
$6,216 |
0.6× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$1,931.30 |
$5,518 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$578.55 |
$1,653 |
2.2× |
| Change g-tube to g-j perc (49446) |
$1,193.15 |
$3,409 |
0.6× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$1,265.60 |
$3,616 |
1.7× |
| Change of windpipe airway (31502) |
$220.50 |
$630 |
0.9× |
| Chemical cauterization of granulation tissue (17250) |
$311.85 |
$891 |
1.5× |
| Chemical peel face dermal (15789) |
$798.35 |
$2,281 |
1.0× |
| Chemical peel of deep layer of nonfacial skin (15793) |
$1,219.05 |
$3,483 |
2.8× |
| Chemical peel of outer layer of nonfacial skin (15792) |
$690.90 |
$1,974 |
0.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$489.30 |
$1,398 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$489.30 |
$1,398 |
0.7× |
| Chemodenerv eccrine glands both axillae (64650) |
$314.30 |
$898 |
1.0× |
| Chemodenerv saliv glands (64611) |
$332.50 |
$950 |
1.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$660.45 |
$1,887 |
0.9× |
| Chemodenerv trunk musc 6/> (64647) |
$486.15 |
$1,389 |
0.7× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$424.20 |
$1,212 |
0.6× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$433.30 |
$1,238 |
1.3× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Age Under 21 (64653) |
$208.25 |
$595 |
0.6× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$482.65 |
$1,379 |
1.5× |
| Chest tube placement (32551) |
$1,547 |
$4,420 |
0.9× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,906.80 |
$5,448 |
0.9× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$3,273.20 |
$9,352 |
0.9× |
| Chorionic villus sampling, any method Age Under 21 (59015) |
$811.65 |
$2,319 |
0.8× |
| Ciliary body destruction; cryotherapy Age Under 21 (66720) |
$1,872.50 |
$5,350 |
0.7× |
| Ciliary body destruction; cyclophotocoagulation, transscleral Age Under 21 (66710) |
$1,613.85 |
$4,611 |
0.6× |
| Circumcision, Newborn (54150) |
$3,010 |
$8,600 |
1.4× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$1,724.80 |
$4,928 |
2.3× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$1,956.50 |
$5,590 |
0.9× |
| Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21 (61050) |
$992.60 |
$2,836 |
3.1× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$685.30 |
$1,958 |
2.1× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,513.40 |
$4,324 |
0.9× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,657.60 |
$4,736 |
1.0× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,879.50 |
$5,370 |
1.1× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$523.60 |
$1,496 |
2.0× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$693 |
$1,980 |
2.7× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$348.60 |
$996 |
1.3× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$240.10 |
$686 |
0.9× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$272.30 |
$778 |
1.0× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$538.30 |
$1,538 |
2.1× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) |
$1,823.50 |
$5,210 |
1.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$640.15 |
$1,829 |
2.5× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$614.95 |
$1,757 |
2.4× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$598.85 |
$1,711 |
2.3× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,014.95 |
$5,757 |
1.2× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,485 |
$7,100 |
1.5× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$368.55 |
$1,053 |
1.4× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$374.50 |
$1,070 |
1.4× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,587.60 |
$4,536 |
0.9× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$94.50 |
$270 |
0.1× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$289.45 |
$827 |
1.1× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,328.60 |
$3,796 |
0.8× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$364 |
$1,040 |
1.4× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$640.15 |
$1,829 |
2.5× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$629.30 |
$1,798 |
2.4× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$1,603.35 |
$4,581 |
0.5× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$2,203.95 |
$6,297 |
1.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$305.90 |
$874 |
1.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$614.95 |
$1,757 |
2.4× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$414.05 |
$1,183 |
1.6× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,732.85 |
$4,951 |
1.0× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,517.60 |
$4,336 |
0.9× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$1,173.90 |
$3,354 |
4.5× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,011.15 |
$2,889 |
0.6× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$199.85 |
$571 |
0.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$773.85 |
$2,211 |
3.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$614.95 |
$1,757 |
2.4× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,179.85 |
$3,371 |
0.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,179.85 |
$3,371 |
4.5× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,011.15 |
$2,889 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$347.20 |
$992 |
1.3× |
| Closed treatment of ulnar styloid fracture (25650) |
$224.35 |
$641 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$606.55 |
$1,733 |
2.3× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,758.75 |
$5,025 |
1.0× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$380.10 |
$1,086 |
1.5× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$781.20 |
$2,232 |
3.0× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$5,594.75 |
$15,985 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$532.70 |
$1,522 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$614.95 |
$1,757 |
2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,827 |
$5,220 |
1.1× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,408.05 |
$4,023 |
0.8× |
| Closed tx septal&nose fx (21337) |
$1,922.55 |
$5,493 |
0.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$361.55 |
$1,033 |
1.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$341.60 |
$976 |
1.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$2,039.45 |
$5,827 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$435.75 |
$1,245 |
1.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$602.35 |
$1,721 |
1.1× |
| Closure of the lacrimal punctum; by plug, each Age Under 21 (68761) |
$352.80 |
$1,008 |
1.1× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Age Under 21 (68760) |
$429.45 |
$1,227 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$341.25 |
$975 |
1.3× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$1,633.80 |
$4,668 |
1.0× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$2,245.25 |
$6,415 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,236.90 |
$3,534 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$952.35 |
$2,721 |
0.6× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$480.90 |
$1,374 |
1.8× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$267.40 |
$764 |
1.0× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$276.85 |
$791 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,017.10 |
$2,906 |
3.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,011.85 |
$2,891 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$751.80 |
$2,148 |
2.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$348.95 |
$997 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$640.15 |
$1,829 |
2.5× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$1,156.75 |
$3,305 |
4.4× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,011.15 |
$2,889 |
0.6× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$1,964.90 |
$5,614 |
6.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$280.70 |
$802 |
1.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$769.65 |
$2,199 |
3.0× |
| Cltx metar fx w/manj (28475) |
$225.75 |
$645 |
0.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$278.25 |
$795 |
1.1× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,166.90 |
$3,334 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,733.90 |
$4,954 |
1.0× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,476.65 |
$4,219 |
0.9× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$346.15 |
$989 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$946.05 |
$2,703 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$784.35 |
$2,241 |
3.0× |
| Collect blood from catheter venous nos (36592) |
$93.45 |
$267 |
0.7× |
| Collect blood from implant venous access device (36591) |
$287 |
$820 |
2.0× |
| Colonoscopy flexible with decompression (45393) |
$1,650.95 |
$4,717 |
1.3× |
| Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including… (44408) |
$2,337.65 |
$6,679 |
2.4× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$2,317.35 |
$6,621 |
1.8× |
| Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle… (44407) |
$2,466.45 |
$7,047 |
2.0× |
| Colonoscopy thru stoma spx (44388) |
$1,586.90 |
$4,534 |
1.6× |
| Colonoscopy w/ablation (45388) |
$2,703.05 |
$7,723 |
2.1× |
| Colonoscopy w/control bleed (45382) |
$2,588.25 |
$7,395 |
2.1× |
| Colonoscopy w/fb removal (45379) |
$2,385.25 |
$6,815 |
1.9× |
| Colonoscopy w/resection (45390) |
$1,893.50 |
$5,410 |
0.6× |
Colonoscopy w/stent plcmt (45389)
unusually low — confirm this is the full procedure |
$2,889.25 |
$8,255 |
0.5× |
Colonoscopy w/stent plcmt (44402)
unusually low — confirm this is the full procedure |
$2,631.30 |
$7,518 |
0.4× |
| Colonoscopy with ablation (44401) |
$2,338 |
$6,680 |
1.9× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$1,779.05 |
$5,083 |
1.4× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,290.40 |
$6,544 |
1.8× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$2,128 |
$6,080 |
1.7× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$2,650.55 |
$7,573 |
2.1× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$2,175.60 |
$6,216 |
0.6× |
| Colposcopy cervix (57452) |
$264.25 |
$755 |
1.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$318.85 |
$911 |
1.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$361.55 |
$1,033 |
1.1× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$414.05 |
$1,183 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$1,579.90 |
$4,514 |
0.5× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$611.10 |
$1,746 |
0.6× |
| Colposcopy vulva (56820) |
$243.25 |
$695 |
1.1× |
| Colposcopy vulva w/biopsy (56821) |
$327.25 |
$935 |
1.0× |
| Colposcopy w/endocervical curettage (57456) |
$300.30 |
$858 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,016.35 |
$5,761 |
1.6× |
| Complete replacement picc rs&i (36584) |
$2,374.05 |
$6,783 |
1.4× |
| Complex cystometrogram voiding pressure studies (51728) |
$714.70 |
$2,042 |
1.0× |
| Complex uroflowmetry (51741) |
$239.75 |
$685 |
1.1× |
| Complx cystometro w/void press & urethral profil (51729) |
$707.35 |
$2,021 |
1.0× |
| Conization of cervix (57520) |
$2,961.35 |
$8,461 |
0.9× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$2,651.60 |
$7,576 |
0.8× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Age Under 21 (67880) |
$1,613.85 |
$4,611 |
0.6× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Age… (67882) |
$2,382.10 |
$6,806 |
0.9× |
| Contrast injection perq radiologic eval gi tube (49465) |
$1,060.50 |
$3,030 |
4.2× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$830.90 |
$2,374 |
3.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$640.85 |
$1,831 |
4.6× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$618.45 |
$1,767 |
4.4× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$2,119.60 |
$6,056 |
1.7× |
| Control throat bleeding (42960) |
$475.65 |
$1,359 |
0.8× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$2,208.50 |
$6,310 |
0.6× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$2,972.20 |
$8,492 |
1.3× |
| Conz of cervix w/scope leep (57461) |
$2,175.60 |
$6,216 |
0.6× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,416.40 |
$6,904 |
1.4× |
| Corneal relaxing incision for correction of surgically induced astigmatism Age Under 21 (65772) |
$2,123.45 |
$6,067 |
2.0× |
| Correction eyelid w/implant (67912) |
$1,802.50 |
$5,150 |
0.7× |
| Correction of everted punctum, cautery Age Under 21 (68705) |
$553.35 |
$1,581 |
1.7× |
| Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Age Under… (67825) |
$359.80 |
$1,028 |
1.1× |
| Correction of widely-opened upper eyelid|RIGHT SIDE (67911) |
$2,761.85 |
$7,891 |
1.1× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$3,449.95 |
$9,857 |
1.0× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$4,394.60 |
$12,556 |
0.7× |
| Creation of nerve and blood vessel skin graft (15750) |
$2,510.90 |
$7,174 |
0.7× |
| Cryosurgery anal lesion(s) (46916) |
$245.35 |
$701 |
1.2× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$144.20 |
$412 |
2.3× |
| Csf shunt reprogram (62252) |
$387.80 |
$1,108 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$660.45 |
$1,887 |
4.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$157.15 |
$449 |
0.6× |
| Curettage postpartum (59160) |
$2,626.40 |
$7,504 |
0.8× |
| Curette/treat cornea (65435) |
$913.50 |
$2,610 |
0.9× |
| Curette/treat cornea (65436) |
$1,613.85 |
$4,611 |
0.6× |
| Cysto w/ureter stricture tx (52341) |
$2,848.65 |
$8,139 |
0.8× |
| Cystometrogram w/up (51727) |
$515.20 |
$1,472 |
0.7× |
| Cystoscopy and treatment (52310) |
$1,541.05 |
$4,403 |
0.7× |
| Cystoscopy removal of clots (52001) |
$2,236.85 |
$6,391 |
0.6× |
| Cystoscopy w/biopsy(s) (52204) |
$1,894.20 |
$5,412 |
0.9× |
| Cystourethroscopy (52000) |
$1,148 |
$3,280 |
1.6× |
| Cystourethroscopy with direct vision internal urethrotomy Age Under 21 (52276) |
$2,962.40 |
$8,464 |
1.3× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$3,074.05 |
$8,783 |
1.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Age Under 21 (52265) |
$1,253.35 |
$3,581 |
0.6× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$3,168.55 |
$9,053 |
0.6× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$2,699.90 |
$7,714 |
0.7× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$2,236.85 |
$6,391 |
0.6× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) |
$2,236.85 |
$6,391 |
0.6× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$2,236.85 |
$6,391 |
0.6× |
| Cystourethroscopy, with steroid injection into stricture Age Under 21 (52283) |
$2,716.35 |
$7,761 |
1.2× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$1,811.60 |
$5,176 |
0.8× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) |
$3,221.05 |
$9,203 |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$3,287.55 |
$9,393 |
0.9× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,526.30 |
$7,218 |
0.7× |
| Deb skin bone at fx site (11012) |
$1,969.80 |
$5,628 |
0.6× |
| Debride skin at fx site (11010) |
$634.55 |
$1,813 |
0.8× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$412.65 |
$1,179 |
1.0× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$134.75 |
$385 |
2.2× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$140.35 |
$401 |
2.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$765.45 |
$2,187 |
1.8× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,729.70 |
$4,942 |
1.0× |
| Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age Under 21 (69222) |
$405.30 |
$1,158 |
0.7× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$942.20 |
$2,692 |
1.2× |
| Declot vascular device (36593) |
$511 |
$1,460 |
1.5× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) |
$2,235.45 |
$6,387 |
0.6× |
| Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to… (62287) |
$4,566.45 |
$13,047 |
2.2× |
| Deep muscle biopsy (20205) |
$2,172.10 |
$6,206 |
0.7× |
| Delay flap trunk (15600) |
$2,570.75 |
$7,345 |
0.7× |
| Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age Under 21 (15630) |
$1,804.95 |
$5,157 |
0.8× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$1,800.40 |
$5,144 |
0.8× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Age Under 21 (15610) |
$2,268 |
$6,480 |
1.0× |
| Delivery of placenta (59414) |
$2,560.25 |
$7,315 |
0.7× |
| Denervation of hip joint (27035) |
$5,811.40 |
$16,604 |
1.7× |
| Dermabrasion segmental face (15781) |
$926.45 |
$2,647 |
1.2× |
| Dermabrasion superficial any site (15783) |
$500.50 |
$1,430 |
1.2× |
| Dermabrasion total face (15780) |
$2,858.10 |
$8,166 |
0.9× |
| Destroy nerve face muscle (64612) |
$468.30 |
$1,338 |
1.4× |
| Destroy nerve of eye muscle (67345) |
$896.35 |
$2,561 |
2.7× |
| Destroy vulva lesion/s compl (56515) |
$2,388.75 |
$6,825 |
1.1× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$254.80 |
$728 |
0.8× |
| Destruct lesion 15 or more (17111) |
$250.60 |
$716 |
1.2× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$163.45 |
$467 |
0.8× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$438.55 |
$1,253 |
1.0× |
| Destruction benign lesions up to 14 (17110) |
$216.30 |
$618 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,075.15 |
$5,929 |
2.2× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age Under 21 (64605) |
$2,114.70 |
$6,042 |
1.0× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$1,164.45 |
$3,327 |
1.2× |
| Destruction by neurolytic agent; pudendal nerve Age Under 21 (64630) |
$624.05 |
$1,783 |
0.7× |
| Destruction lesion conjunctiva (68135) |
$1,413.30 |
$4,038 |
0.6× |
| Destruction lesions vulva simple (56501) |
$1,780.45 |
$5,087 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,762.20 |
$7,892 |
1.3× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) |
$803.25 |
$2,295 |
1.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$819.70 |
$2,342 |
1.9× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) |
$1,556.80 |
$4,448 |
0.7× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Age Under 21 (66770) |
$912.45 |
$2,607 |
1.6× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Age Under 21 (65450) |
$647.50 |
$1,850 |
1.9× |
| Destruction of lesion of lid margin (up to 1 cm) Age Under 21 (67850) |
$1,909.95 |
$5,457 |
1.8× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$2,250.85 |
$6,431 |
0.8× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$409.15 |
$1,169 |
1.0× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$1,865.85 |
$5,331 |
0.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$1,865.85 |
$5,331 |
0.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$2,631.30 |
$7,518 |
1.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$1,559.60 |
$4,456 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$174.30 |
$498 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
$1,586.20 |
$4,532 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$2,481.15 |
$7,089 |
1.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$245.35 |
$701 |
0.6× |
| Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age Under 21 (42160) |
$2,970.80 |
$8,488 |
0.8× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age Under 21 (67210) |
$980.70 |
$2,802 |
1.7× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$4,015.20 |
$11,472 |
1.0× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) |
$2,732.10 |
$7,806 |
0.8× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$2,483.60 |
$7,096 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$401.45 |
$1,147 |
1.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$277.55 |
$793 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$493.50 |
$1,410 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$349.30 |
$998 |
1.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$457.10 |
$1,306 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$291.55 |
$833 |
1.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$284.90 |
$814 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$403.55 |
$1,153 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) |
$612.50 |
$1,750 |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$359.80 |
$1,028 |
1.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$357 |
$1,020 |
1.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$277.55 |
$793 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$325.85 |
$931 |
1.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$583.45 |
$1,667 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$385.70 |
$1,102 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$311.15 |
$889 |
1.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$500.15 |
$1,429 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$591.85 |
$1,691 |
1.4× |
| Diagnostic anoscopy (46601) |
$93.10 |
$266 |
0.2× |
| Diagnostic bone marrow aspirations (38220) |
$1,097.60 |
$3,136 |
0.6× |
| Diagnostic bone marrow biopsies (38221) |
$2,261 |
$6,460 |
1.3× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,396.45 |
$6,847 |
0.8× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$2,437.05 |
$6,963 |
0.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,160.60 |
$3,316 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,162.35 |
$3,321 |
1.2× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$252.70 |
$722 |
1.2× |
| Dilate esophagus (43453) |
$938 |
$2,680 |
0.5× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$2,812.95 |
$8,037 |
0.8× |
| Dilation of cervical canal (57800) |
$2,125.20 |
$6,072 |
0.6× |
| Dilation of female urethra including suppository and/or instillation; initial Age Under 21 (53660) |
$183.05 |
$523 |
1.3× |
| Dilation of female urethra including suppository and/or instillation; subsequent Age Under 21 (53661) |
$116.20 |
$332 |
0.8× |
| Dilation of lacrimal punctum, with or without irrigation (68801) |
$279.65 |
$799 |
0.6× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$2,219.35 |
$6,341 |
3.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$258.65 |
$739 |
1.0× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$4,272.10 |
$12,206 |
0.7× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) (36838) |
$4,140.15 |
$11,829 |
0.7× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Age Under 21 (28250) |
$2,139.55 |
$6,113 |
0.6× |
| Drain lower leg lesion (27603) |
$2,734.20 |
$7,812 |
0.9× |
| Drain neck/chest lesion (21501) |
$1,969.80 |
$5,628 |
0.6× |
| Drain shoulder lesion (23030) |
$1,969.80 |
$5,628 |
0.6× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$159.95 |
$457 |
0.6× |
| Drainage external auditory canal, abscess (69020) |
$449.05 |
$1,283 |
0.6× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$1,097.60 |
$3,136 |
0.6× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$434.70 |
$1,242 |
0.6× |
| Drainage finger abscess simple (26010) |
$421.40 |
$1,204 |
2.0× |
| Drainage of abscess of palate, uvula (42000) |
$423.85 |
$1,211 |
1.7× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$1,954.05 |
$5,583 |
0.9× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$924 |
$2,640 |
1.6× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$424.90 |
$1,214 |
0.6× |
| Drainage of abscess; parotid, complicated Age Under 21 (42305) |
$2,901.85 |
$8,291 |
0.8× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$1,353.10 |
$3,866 |
0.8× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$504 |
$1,440 |
0.9× |
| Drainage of eye (65810) |
$2,138.50 |
$6,110 |
0.9× |
| Drainage of eye (65800) |
$1,440.60 |
$4,116 |
0.6× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,097.60 |
$3,136 |
0.6× |
| Drainage of hydrocele (55000) |
$498.75 |
$1,425 |
0.7× |
| Drainage of lymph node abscess or lymphadenitis; simple Age Under 21 (38300) |
$2,467.85 |
$7,051 |
0.8× |
| Drainage of nose lesion (30020) |
$389.90 |
$1,114 |
0.7× |
| Drainage of ovarian cyst(s) (58800) |
$2,175.60 |
$6,216 |
0.6× |
| Drainage of palmar bursa single bursa (26025) |
$2,139.55 |
$6,113 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$2,060.10 |
$5,886 |
1.2× |
| Drainage of scrotum (54700) |
$3,863.30 |
$11,038 |
1.8× |
| Drainage of tonsil abscess (42700) |
$614.95 |
$1,757 |
2.5× |
| Dry needling (20999) |
$4,992.26 |
$14,263.59 |
19.2× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$3,664.50 |
$10,470 |
1.8× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,081.05 |
$8,803 |
1.5× |
| Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens… (43757) |
$444.50 |
$1,270 |
0.5× |
| Dx bronchoscope/brush (31623) |
$2,139.20 |
$6,112 |
1.1× |
| Dx bronchoscope/lavage (31624) |
$2,172.45 |
$6,207 |
1.2× |
| Dx laryngoscopy excl nb (31525) |
$2,687.30 |
$7,678 |
1.4× |
| Eardrum revision (69450) |
$2,599.10 |
$7,426 |
0.7× |
| Ed proc insert intraosseous IV (36680) |
$249.90 |
$714 |
0.5× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$232.40 |
$664 |
1.7× |
| Ed proc remve fb nasal- hospital (30300) |
$148.75 |
$425 |
1.1× |
| Ed prof arthrocentesis sm - hospital (20551) |
$272.65 |
$779 |
0.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$125.30 |
$358 |
0.9× |
| Ed prof burn - large - hospital (16030) |
$1,035.65 |
$2,959 |
2.4× |
| Ed prof burn medium - hospital (16025) |
$644.35 |
$1,841 |
3.0× |
| Ed prof burn small - hospital (16020) |
$576.45 |
$1,647 |
2.7× |
| Ed prof catheterization/straight (51701) |
$169.75 |
$485 |
1.2× |
| Ed prof closed tx post hip arthroplasty (27265) |
$640.15 |
$1,829 |
2.5× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,423.80 |
$4,068 |
0.8× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$944.30 |
$2,698 |
0.6× |
| Ed prof drain dental abscess-hospital (41800) |
$614.95 |
$1,757 |
4.4× |
| Ed prof insert foley cath simple (51702) |
$169.75 |
$485 |
1.2× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,576.70 |
$7,362 |
0.8× |
| Ed prof insertion of heart electr (33210) |
$5,344.85 |
$15,271 |
0.6× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$970.55 |
$2,773 |
2.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$822.85 |
$2,351 |
1.9× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$814.80 |
$2,328 |
3.1× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$1,013.60 |
$2,896 |
2.2× |
| Egd endo mucosal resection (43254) |
$1,365.70 |
$3,902 |
0.7× |
Egd endoscopic stent place (43266)
unusually low — confirm this is the full procedure |
$2,810.85 |
$8,031 |
0.4× |
| Egd injection varices (43243) |
$2,123.45 |
$6,067 |
1.0× |
| Egd lesion ablation (43270) |
$3,177.30 |
$9,078 |
1.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,980.30 |
$5,658 |
1.0× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$2,138.50 |
$6,110 |
1.1× |
| Egd transoral control bleeding any method (43255) |
$2,314.90 |
$6,614 |
1.1× |
| Egd tube/cath insertion (43241) |
$1,915.20 |
$5,472 |
0.9× |
| Egd us exam duodenum/jejunum (43259) |
$2,611.70 |
$7,462 |
1.3× |
| Egd us fine needle bx/aspir (43242) |
$2,800.35 |
$8,001 |
1.4× |
| Egd us transmural injxn/mark (43253) |
$3,029.25 |
$8,655 |
1.5× |
Egd w/transmural drain cyst (43240)
unusually low — confirm this is the full procedure |
$2,810.85 |
$8,031 |
0.4× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$313.25 |
$895 |
1.0× |
| Electrical stimulation to aid bone healing; noninvasive (nonoperative) Other Outpatient (20974) |
$861.35 |
$2,461 |
— |
| Electroejaculation (55870) |
$746.90 |
$2,134 |
0.8× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$211.05 |
$603 |
0.7× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$293.30 |
$838 |
0.9× |
| Elimination of fetuses of a multifetal pregnancy (59866) |
$490.70 |
$1,402 |
1.5× |
| Embedded ip cath exit-site (49436) |
$1,193.15 |
$3,409 |
0.6× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$3,885.35 |
$11,101 |
0.7× |
| Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201) |
$3,184.65 |
$9,099 |
0.5× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision (34203) |
$3,184.65 |
$9,099 |
0.5× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision (34111) |
$4,027.45 |
$11,507 |
0.7× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$414.05 |
$1,183 |
3.1× |
| Endocervical curettage (57505) |
$629.30 |
$1,798 |
0.6× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$1,527.75 |
$4,365 |
1.6× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$1,865.85 |
$5,331 |
1.9× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$4,292.75 |
$12,265 |
1.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$3,544.80 |
$10,128 |
0.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$4,752.65 |
$13,579 |
1.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$3,716.30 |
$10,618 |
0.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi Age Under 21 (43263) |
$3,928.75 |
$11,225 |
1.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$3,921.40 |
$11,204 |
1.0× |
| Endoscopic us exam esoph (43237) |
$1,609.30 |
$4,598 |
0.8× |
| Endoscopy upper small intestine (44360) |
$1,757 |
$5,020 |
0.9× |
Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623)
unusually low — confirm this is the full procedure |
$5,048.40 |
$14,424 |
0.4× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$3,956.40 |
$11,304 |
0.7× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,192.35 |
$9,121 |
1.0× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$4,396.70 |
$12,562 |
1.3× |
| Episiotomy or vaginal repair (59300) |
$2,175.60 |
$6,216 |
0.6× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$880.60 |
$2,516 |
1.2× |
| Ercp duct stent placement (43274) |
$5,076.75 |
$14,505 |
0.8× |
| Ercp ea duct/ampulla dilate (43277) |
$4,156.25 |
$11,875 |
1.0× |
| Ercp lithotripsy calculi (43265) |
$4,744.95 |
$13,557 |
0.7× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,608.50 |
$10,310 |
0.9× |
| Ercp remove forgn body duct (43275) |
$4,133.85 |
$11,811 |
2.0× |
| Ercp stent exchange w/dilate (43276) |
$5,281.85 |
$15,091 |
0.8× |
| Escharotomy 1st incision (16035) |
$560.70 |
$1,602 |
1.3× |
| Esoph egd dilation <30 mm (43249) |
$1,776.25 |
$5,075 |
0.9× |
| Esoph scope w/submucous inj (43201) |
$903.35 |
$2,581 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,600.55 |
$4,573 |
1.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$2,424.80 |
$6,928 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal… (43257) |
$2,681.70 |
$7,662 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon (43290) |
$2,345.35 |
$6,701 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$2,382.10 |
$6,806 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,881.95 |
$5,377 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes… (43210) |
$6,684.65 |
$19,099 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,920.45 |
$5,487 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,041.55 |
$5,833 |
2.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) (43291) |
$1,307.95 |
$3,737 |
1.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,975.40 |
$5,644 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$2,009.35 |
$5,741 |
1.0× |
Esophagoscop stent placement (43212)
unusually low — confirm this is the full procedure |
$2,446.15 |
$6,989 |
0.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,212.75 |
$3,465 |
0.6× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$942.20 |
$2,692 |
1.0× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$752.85 |
$2,151 |
0.8× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$879.20 |
$2,512 |
0.4× |
| Esophagoscopy lesion ablate (43229) |
$2,896.95 |
$8,277 |
0.7× |
| Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Age Under 21 (43198) |
$1,909.95 |
$5,457 |
2.0× |
| Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age Under 21 (43205) |
$1,198.40 |
$3,424 |
0.6× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method Age Under 21 (43227) |
$1,405.25 |
$4,015 |
0.7× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes… (43213) |
$2,209.55 |
$6,313 |
1.1× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$1,418.55 |
$4,053 |
0.7× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Age Under 21 (43204) |
$1,155 |
$3,300 |
0.6× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age… (43226) |
$2,282.70 |
$6,522 |
1.1× |
| Esophagoscopy, flexible, transoral; with optical endomicroscopy Age Under 21 (43206) |
$1,137.85 |
$3,251 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age… (43216) |
$1,143.80 |
$3,268 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under… (43217) |
$1,365 |
$3,900 |
0.7× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,014.30 |
$2,898 |
0.5× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$1,683.85 |
$4,811 |
0.8× |
| Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, zenker's diverticulum),… (43180) |
$3,956.75 |
$11,305 |
0.6× |
| Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed… (43191) |
$1,739.15 |
$4,969 |
0.9× |
| Ethmoidectomy; intranasal, anterior Age Under 21 (31200) |
$4,905.95 |
$14,017 |
0.8× |
| Evac subungual hematoma (11740) |
$206.15 |
$589 |
1.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,714.30 |
$4,898 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,699.95 |
$4,857 |
1.0× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$600.95 |
$1,717 |
1.1× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$1,587.25 |
$4,535 |
0.7× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$1,057 |
$3,020 |
1.4× |
| Exc face les sbq 2 cm/> (21012) |
$1,419.25 |
$4,055 |
0.8× |
| Exc face tum deep < 2 cm (21013) |
$1,673.70 |
$4,782 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$2,506.35 |
$7,161 |
1.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$821.10 |
$2,346 |
0.5× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$875.35 |
$2,501 |
1.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,097.60 |
$3,136 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,430.80 |
$4,088 |
0.8× |
| Exc neck tum deep < 5 cm (21556) |
$2,004.45 |
$5,727 |
0.7× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$1,869.35 |
$5,341 |
0.9× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,387 |
$6,820 |
1.2× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$464.80 |
$1,328 |
0.6× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$634.90 |
$1,814 |
0.8× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,580.60 |
$4,516 |
0.9× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,295.35 |
$3,701 |
0.7× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$2,282 |
$6,520 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,558.50 |
$7,310 |
0.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,338 |
$6,680 |
0.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,764.70 |
$5,042 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,569.35 |
$7,341 |
0.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,969.80 |
$5,628 |
0.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,244.25 |
$3,555 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,155.30 |
$6,158 |
1.2× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$2,558.50 |
$7,310 |
0.8× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,430.40 |
$6,944 |
0.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,519.35 |
$4,341 |
0.5× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$1,969.80 |
$5,628 |
0.6× |
| Exc. pentagonal wedge, csd/w deep and lash/grey line sutures (67999) |
$338.64 |
$967.54 |
1.0× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$2,847.25 |
$8,135 |
0.8× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,705.50 |
$7,730 |
1.2× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$393.40 |
$1,124 |
0.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,804.60 |
$5,156 |
0.9× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$2,773.40 |
$7,924 |
1.1× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$2,743.30 |
$7,838 |
1.1× |
| Excision bone mandible (21025) |
$3,956.75 |
$11,305 |
0.6× |
| Excision external ear partial simple repair (69110) |
$1,969.80 |
$5,628 |
0.6× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$2,693.25 |
$7,695 |
1.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,550.10 |
$7,286 |
0.8× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$2,678.20 |
$7,652 |
0.9× |
| Excision lesion mouth roof (42104) |
$2,245.25 |
$6,415 |
0.6× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,430.80 |
$4,088 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$992.25 |
$2,835 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$1,017.45 |
$2,907 |
2.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,138.55 |
$3,253 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,313.20 |
$3,752 |
1.8× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$2,250.85 |
$6,431 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$885.85 |
$2,531 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,025.15 |
$2,929 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$1,138.55 |
$3,253 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,500.10 |
$4,286 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,702.40 |
$4,864 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$2,676.80 |
$7,648 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$2,374.40 |
$6,784 |
1.4× |
| Excision of lacrimal gland tumor; frontal approach Age Under 21 (68540) |
$2,262.05 |
$6,463 |
0.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$756.70 |
$2,162 |
0.7× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$1,362.90 |
$3,894 |
0.8× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$2,245.25 |
$6,415 |
0.6× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,406.30 |
$4,018 |
0.8× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$2,245.25 |
$6,415 |
0.6× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Age Under 21 (41826) |
$2,854.95 |
$8,157 |
0.8× |
| Excision of lesion, conjunctiva; over 1 cm Age Under 21 (68115) |
$1,802.50 |
$5,150 |
0.7× |
| Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Age Under 21 (40525) |
$2,245.25 |
$6,415 |
0.6× |
| Excision of lip; transverse wedge excision with primary closure Age Under 21 (40510) |
$2,245.25 |
$6,415 |
0.6× |
| Excision of lip; V-excision with primary direct linear closure Age Under 21 (40520) |
$1,897.35 |
$5,421 |
0.5× |
| Excision of mouth lesion (41116) |
$2,649.50 |
$7,570 |
0.8× |
| Excision of neurofibroma or neurolemmoma; cutaneous nerve Age Under 21 (64788) |
$2,387 |
$6,820 |
1.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$2,894.50 |
$8,270 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$1,574.65 |
$4,499 |
1.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$3,386.25 |
$9,675 |
1.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$3,342.50 |
$9,550 |
1.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$2,550.10 |
$7,286 |
0.8× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) |
$3,111.85 |
$8,891 |
1.0× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$2,657.06 |
$7,591.60 |
12.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,907.85 |
$5,451 |
1.5× |
| Excision of tongue fold (41115) |
$1,353.10 |
$3,866 |
0.8× |
| Excision of tongue lesion (41112) |
$2,235.45 |
$6,387 |
0.6× |
| Excision of vaginal cyst or tumor (57135) |
$2,175.60 |
$6,216 |
0.6× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$1,909.95 |
$5,457 |
1.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$3,398.50 |
$9,710 |
1.0× |
| Excision or fulguration; urethral prolapse Age Under 21 (53275) |
$2,236.85 |
$6,391 |
0.6× |
| Excision or surgical planing of skin of nose for rhinophyma Age Under 21 (30120) |
$2,245.25 |
$6,415 |
0.6× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$2,114.35 |
$6,041 |
0.7× |
| Excision tendon finger flexor/extensor each (26180) |
$1,475.25 |
$4,215 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,159.85 |
$6,171 |
1.2× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$1,963.50 |
$5,610 |
1.1× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$2,558.50 |
$7,310 |
0.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,999.20 |
$5,712 |
1.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,212 |
$6,320 |
1.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,097.60 |
$3,136 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$1,484 |
$4,240 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$1,969.80 |
$5,628 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,500.10 |
$4,286 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$580.65 |
$1,659 |
1.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,500.10 |
$4,286 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$826.70 |
$2,362 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,575 |
$4,500 |
0.9× |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830)
unusually low — confirm this is the full procedure |
$3,201.10 |
$9,146 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$2,173.85 |
$6,211 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$740.25 |
$2,115 |
1.0× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$906.50 |
$2,590 |
1.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$1,138.55 |
$3,253 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$1,500.10 |
$4,286 |
0.9× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,969.80 |
$5,628 |
0.6× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$605.85 |
$1,731 |
0.8× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,500.10 |
$4,286 |
0.9× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$1,758.40 |
$5,024 |
1.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$870.45 |
$2,487 |
1.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$786.80 |
$2,248 |
1.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$1,341.90 |
$3,834 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$634.90 |
$1,814 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$1,061.55 |
$3,033 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,969.80 |
$5,628 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$2,663.85 |
$7,611 |
0.9× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$2,535.40 |
$7,244 |
0.8× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$2,174.55 |
$6,213 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$1,097.60 |
$3,136 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$2,569.70 |
$7,342 |
0.8× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$1,969.80 |
$5,628 |
0.6× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,290.10 |
$3,686 |
0.7× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$2,763.60 |
$7,896 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,969.80 |
$5,628 |
0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$1,736.35 |
$4,961 |
1.0× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$1,295.35 |
$3,701 |
0.7× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$2,517.20 |
$7,192 |
0.8× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$2,155.30 |
$6,158 |
1.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,910.60 |
$8,316 |
0.8× |
| Excision/Destruction Lesion Pharynx Any Method (42808) |
$2,489.20 |
$7,112 |
0.7× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$1,969.80 |
$5,628 |
0.6× |
| Explantation of cochlear implant electrode coil and/or receiver (69949) |
$239.84 |
$685.25 |
1.0× |
| Exploration of arm or leg for bleeding, blood clot, or infection after surgery (35860) |
$2,811.20 |
$8,032 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,549.80 |
$4,428 |
0.9× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$1,613.15 |
$4,609 |
1.0× |
| Explore wound abdomen (20102) |
$3,006.15 |
$8,589 |
1.4× |
| Explore wound chest (20101) |
$1,739.85 |
$4,971 |
0.8× |
| Explore wound neck (20100) |
$1,514.45 |
$4,327 |
2.7× |
| Explore/irrigate tear ducts (68840) |
$484.75 |
$1,385 |
1.4× |
| Extraction of lens (66940) |
$1,163.05 |
$3,323 |
0.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Age Under 21 (41015) |
$466.90 |
$1,334 |
0.8× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$2,645.65 |
$7,559 |
0.8× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21 (41016) |
$4,099.55 |
$11,713 |
0.7× |
| Fasciectomy plantar fascia partial spx (28060) |
$2,914.45 |
$8,327 |
0.8× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$3,334.10 |
$9,526 |
1.0× |
| Fetal contraction stress test (59020) |
$623 |
$1,780 |
2.9× |
| Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age Under 21 (59074) |
$876.75 |
$2,505 |
2.7× |
| Filleted finger or toe flap, including preparation of recipient site Age Under 21 (14350) |
$2,793 |
$7,980 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,298.85 |
$3,711 |
1.7× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$822.50 |
$2,350 |
1.1× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$536.55 |
$1,533 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,364.30 |
$3,898 |
1.8× |
| Fine needle aspiration of orbital contents Age Under 21 (67415) |
$1,856.75 |
$5,305 |
0.7× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Age Under 21 (66170) |
$3,185.35 |
$9,101 |
1.3× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$3,001.25 |
$8,575 |
0.9× |
| Flap island pedicle (15740) |
$2,479.40 |
$7,084 |
1.1× |
| Fluid pressure muscle (20950) |
$419.65 |
$1,199 |
0.6× |
| Follicle puncture for oocyte retrieval, any method (58970) |
$3,270.40 |
$9,344 |
3.4× |
| Follow-up surgery of eye (66250) |
$1,621.55 |
$4,633 |
0.6× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21 (15731) |
$2,922.85 |
$8,351 |
0.8× |
| Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Age Under 21 (15576) |
$2,037.70 |
$5,822 |
0.9× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,610.30 |
$7,458 |
1.2× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Age Under 21 (15572) |
$2,550.80 |
$7,288 |
0.7× |
| Formation of direct or tubed pedicle, with or without transfer; trunk Age Under 21 (15570) |
$2,409.05 |
$6,883 |
1.1× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Age Under 21 (41520) |
$2,441.95 |
$6,977 |
0.7× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$2,351.30 |
$6,718 |
1.1× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$2,496.90 |
$7,134 |
1.1× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$1,954.05 |
$5,583 |
0.9× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$2,449.30 |
$6,998 |
1.1× |
| Ganglion impar nerve block (64999) |
$417.67 |
$1,193.32 |
1.3× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$150.85 |
$431 |
0.7× |
| Gastric lavage (43753) |
$219.10 |
$626 |
1.0× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$373.24 |
$1,066.39 |
10.2× |
| Graft derma-fat-fascia (15770) |
$1,991.15 |
$5,689 |
0.5× |
| Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Age Under 21 (15760) |
$2,055.55 |
$5,873 |
0.9× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235) |
$3,956.75 |
$11,305 |
0.6× |
| Guide cathet fluid drainage (10030) |
$3,521.70 |
$10,062 |
4.7× |
| Hair removal by electrolysis, each 30 minutes (17380) |
$430.15 |
$1,229 |
0.6× |
| Harvest auto stem cells (38206) |
$4,200.70 |
$12,002 |
2.6× |
Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous to Allogeneic Unrelated - 1st… (38240)
likely a partial charge — not the full procedure |
$5,418 |
$15,480 |
0.1× |
| Hematopoietic progenitor cell (HPC); autologous transplantation Autologous Outpatient / Allogeneic Related Non ICU (38241) |
$2,608.55 |
$7,453 |
1.6× |
| Hematopoietic progenitor cell (HPC); HPC boost Age Under 21 (38243) |
$1,886.50 |
$5,390 |
1.1× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$906.15 |
$2,589 |
0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,439.85 |
$6,971 |
0.8× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$2,122.40 |
$6,064 |
0.7× |
| Hysteroscopy biopsy (58558) |
$2,376.15 |
$6,789 |
0.7× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$4,714.50 |
$13,470 |
0.9× |
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563)
unusually low — confirm this is the full procedure |
$2,520 |
$7,200 |
0.5× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$2,270.10 |
$6,486 |
0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561) |
$3,663.45 |
$10,467 |
0.7× |
| I&d abscess simple/single (10060) |
$318.50 |
$910 |
1.5× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,969.80 |
$5,628 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$1,642.20 |
$4,692 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$449.05 |
$1,283 |
0.6× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,903.95 |
$8,297 |
1.4× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$2,641.10 |
$7,546 |
2.8× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$1,139.38 |
$3,255.34 |
4.4× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$2,040.85 |
$5,831 |
1.2× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$3,367.70 |
$9,622 |
1.9× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$3,719.80 |
$10,628 |
2.1× |
| Implant subq hormone pellet (11980) |
$279.65 |
$799 |
0.6× |
Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed (66683)
unusually low — confirm this is the full procedure |
$7,217.70 |
$20,622 |
0.4× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) |
$12,804.05 |
$36,583 |
0.7× |
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Age Under 21 (69714)
unusually low — confirm this is the full procedure |
$5,206.25 |
$14,875 |
0.4× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350)
unusually low — confirm this is the full procedure |
$3,350.90 |
$9,574 |
0.4× |
| Incise external hemorrhoid (46083) |
$860.65 |
$2,459 |
3.3× |
| Incise finger tendon sheath (26055) |
$1,871.45 |
$5,347 |
1.1× |
| Incise/drain eyelid lining (68020) |
$2,919.35 |
$8,341 |
2.8× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$543.20 |
$1,552 |
1.3× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$649.95 |
$1,857 |
3.0× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,963.50 |
$5,610 |
2.6× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$1,859.55 |
$5,313 |
1.5× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21 (57023) |
$2,132.90 |
$6,094 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$375.55 |
$1,073 |
1.2× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$1,969.80 |
$5,628 |
0.6× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,249.15 |
$3,569 |
1.3× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$1,230.95 |
$3,517 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,921.50 |
$5,490 |
1.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$557.20 |
$1,592 |
1.3× |
| Incision bone cortex hand/finger (26034) |
$1,664.95 |
$4,757 |
1.0× |
| Incision deep opening bone cortex thorax (21510) |
$8,944.60 |
$25,556 |
2.6× |
| Incision extensor tendon sheath wrist (25000) |
$1,565.55 |
$4,473 |
0.9× |
| Incision of connective tissue of foot and/or toe (28008) |
$2,672.25 |
$7,635 |
0.8× |
| Incision of eardrum with insertion of eardrum tube under local or topical anesthesia|BILATERAL PROCEDURE (69433) |
$801.85 |
$2,291 |
1.4× |
| Incision of eyelid (67710) |
$662.55 |
$1,893 |
0.6× |
| Incision of eyelid fold (67715) |
$2,364.95 |
$6,757 |
0.9× |
| Incision of foot tendon(s) (28230) |
$2,387 |
$6,820 |
1.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,544.55 |
$4,413 |
0.9× |
| Incision of rectal abscess (46040) |
$1,946.35 |
$5,561 |
1.5× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$311.15 |
$889 |
0.7× |
| Incision of windpipe (31600) |
$2,823.45 |
$8,067 |
0.8× |
| Incision of windpipe (31603) |
$1,181.25 |
$3,375 |
0.7× |
| Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Age Under 21 (68420) |
$2,386.65 |
$6,819 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$536.55 |
$1,533 |
0.7× |
| Induced abortion by d&c (59840) |
$2,175.60 |
$6,216 |
0.6× |
| Induced abortion dilation & evacuation (59841) |
$1,725.15 |
$4,929 |
0.5× |
| Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation… (0480U) |
$2,362.50 |
$6,750 |
1.1× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$409.85 |
$1,171 |
1.0× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$235.90 |
$674 |
1.1× |
| Inj epidural blood or clot patch (62273) |
$905.10 |
$2,586 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,178.10 |
$3,366 |
1.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,178.10 |
$3,366 |
1.3× |
| Inj substitute pars plana/limbl w/wo aspir spx (67025) |
$1,836.10 |
$5,246 |
0.8× |
| Inj tx nerve (64640) |
$1,449.70 |
$4,142 |
1.6× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$128.16 |
$366.15 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$927.50 |
$2,650 |
1.2× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$2,711.54 |
$7,747.23 |
2.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$624.05 |
$1,783 |
0.7× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,142.40 |
$3,264 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$935.20 |
$2,672 |
1.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$771.05 |
$2,203 |
2.4× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$923.65 |
$2,639 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,279.25 |
$3,655 |
1.4× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,193.85 |
$3,411 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,004.15 |
$2,869 |
1.3× |
| Injection aa&/strd pudendal nerve (64430) |
$849.10 |
$2,426 |
0.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$989.80 |
$2,828 |
1.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$937.30 |
$2,678 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,697.50 |
$4,850 |
5.2× |
| Injection aa&/strd vagus nerve (64408) |
$1,080.80 |
$3,088 |
3.3× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$1,111.25 |
$3,175 |
1.2× |
| Injection anes superior hypogastric plexus (64517) |
$1,056.65 |
$3,019 |
1.1× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$1,740.55 |
$4,973 |
1.4× |
| Injection enzyme palmar fascial cord (20527) |
$289.10 |
$826 |
0.9× |
| Injection eye drug (67028) |
$479.85 |
$1,371 |
1.4× |
| Injection for identification of sentinel node (38792) |
$376.25 |
$1,075 |
0.9× |
| Injection of drug or substance into membrane covering eyeball|BILATERAL PROCEDURE (67515) |
$388.50 |
$1,110 |
1.2× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$2,289.35 |
$6,541 |
1.4× |
| Injection procedure for Peyronie disease; Age Under 21 (54200) |
$261.80 |
$748 |
1.0× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$1,534.75 |
$4,385 |
2.3× |
| Injection sclerosant multiple incmptnt veins (36471) |
$2,473.45 |
$7,067 |
5.8× |
| Injection sclerosant single incmptnt vein (36470) |
$1,648.85 |
$4,711 |
3.8× |
| Injection sclerosing solution hemorrhoids (46500) |
$830.90 |
$2,374 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$207.55 |
$593 |
0.6× |
| Injection treatment of nerve (64681) |
$934.85 |
$2,671 |
1.0× |
| Injection treatment of nose (30200) |
$1,990.80 |
$5,688 |
3.5× |
| Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) |
$247.10 |
$706 |
0.6× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$1,526 |
$4,360 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$985.25 |
$2,815 |
1.1× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$1,213.80 |
$3,468 |
1.3× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$495.25 |
$1,415 |
0.7× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$764.05 |
$2,183 |
0.8× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$207.55 |
$593 |
0.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$241.50 |
$690 |
0.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$312.90 |
$894 |
1.0× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,140.30 |
$3,258 |
1.2× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$309.05 |
$883 |
1.0× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Age Under 21 (66020) |
$1,440.60 |
$4,116 |
0.6× |
| Injection, anterior chamber of eye (separate procedure); medication Age Under 21 (66030) |
$1,235.50 |
$3,530 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$152.25 |
$435 |
0.7× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62281) |
$757.75 |
$2,165 |
0.8× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62280) |
$1,093.05 |
$3,123 |
1.2× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$624.05 |
$1,783 |
0.7× |
| Ins cath ren art 1st bilat (36252) |
$4,693.15 |
$13,409 |
1.4× |
| Ins cath ren art 1st unilat (36251) |
$3,642.45 |
$10,407 |
1.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,803.65 |
$19,439 |
2.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,642.45 |
$10,407 |
0.6× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$8,301.30 |
$23,718 |
1.4× |
| Ins vag brachytx device (57156) |
$667.45 |
$1,907 |
2.1× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$28,161.70 |
$80,462 |
0.9× |
| Insert and remove bone pin (20650) |
$3,640.70 |
$10,402 |
1.1× |
| Insert cecostomy/other colonic tube percutaneous (49442) |
$1,087.45 |
$3,107 |
0.9× |
| Insert cervical dilator (59200) |
$431.55 |
$1,233 |
1.3× |
| Insert drug implant device (11981) |
$206.15 |
$589 |
1.5× |
| Insert gastrostomy tube percutaneous (49440) |
$1,193.15 |
$3,409 |
0.6× |
| Insert heart pm atrial (33206) |
$7,606.90 |
$21,734 |
0.7× |
| Insert nasal septal button (30220) |
$1,024.80 |
$2,928 |
0.6× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$1,840.65 |
$5,259 |
0.6× |
| Insert pessary/other device (57160) |
$296.80 |
$848 |
1.4× |
Insert pulse gen mult leads (33221)
unusually low — confirm this is the full procedure |
$6,706.35 |
$19,161 |
0.3× |
| Insert uteri tandem/ovoids (57155) |
$5,119.10 |
$14,626 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,641.45 |
$7,547 |
0.7× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$9,487.45 |
$27,107 |
0.9× |
Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213)
unusually low — confirm this is the full procedure |
$5,503.05 |
$15,723 |
0.5× |
| Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age… (36570) |
$2,024.75 |
$5,785 |
0.6× |
| Insertion of probe to widen saliva gland duct (42650) |
$1,353.10 |
$3,866 |
0.8× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$2,236.85 |
$6,391 |
0.6× |
| Insertion of tissue expander(s) for other than breast, including subsequent expansion (11960) |
$3,543.05 |
$10,123 |
0.9× |
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182)
likely a partial charge — not the full procedure |
$3,629.50 |
$10,370 |
0.2× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$4,663.75 |
$13,325 |
1.4× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$3,698.10 |
$10,566 |
1.1× |
| Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590) |
$21,585.20 |
$61,672 |
1.1× |
| Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) |
$5,547.85 |
$15,851 |
0.6× |
| Insertion phrenic nerve stimulator system (33276) |
$31,657.15 |
$90,449 |
0.7× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,548.35 |
$7,281 |
1.5× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,868.30 |
$5,338 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,369.15 |
$26,769 |
1.1× |
Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216)
unusually low — confirm this is the full procedure |
$3,118.50 |
$8,910 |
0.4× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low — confirm this is the full procedure |
$3,123.75 |
$8,925 |
0.4× |
| Insj intraperitoneal catheter w/img guid (49418) |
$3,611.30 |
$10,318 |
1.0× |
Insj of subq implantable defibrillator electrode (33271)
unusually low — confirm this is the full procedure |
$2,746.80 |
$7,848 |
0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,991.75 |
$11,405 |
1.2× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$1,138.90 |
$3,254 |
0.5× |
Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249)
unusually low — confirm this is the full procedure |
$10,931.90 |
$31,234 |
0.3× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$19,885.95 |
$56,817 |
0.6× |
| Insrt heart pm atrial & vent (33208) |
$14,544.60 |
$41,556 |
1.3× |
| Insrt pulse gen w/dual leads (33230) |
$12,477.85 |
$35,651 |
0.5× |
Insrt pulse gen w/mult leads (33231)
unusually low — confirm this is the full procedure |
$13,368.25 |
$38,195 |
0.4× |
| Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or… (50391) |
$413.35 |
$1,181 |
1.6× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$1,314.60 |
$3,756 |
2.0× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$1,474.90 |
$4,214 |
2.2× |
| Interdental fixation (21110) |
$1,038.45 |
$2,967 |
0.6× |
| Interdental wiring (21497) |
$1,402.45 |
$4,007 |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$2,187.15 |
$6,249 |
3.8× |
| Intraoral i&d tongue/floor masticator space (41009) |
$742.70 |
$2,122 |
1.3× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$444.50 |
$1,270 |
1.8× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,754.90 |
$5,014 |
1.1× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,652.65 |
$7,579 |
0.8× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$900.55 |
$2,573 |
0.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$9,090.20 |
$25,972 |
0.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$4,497.50 |
$12,850 |
0.7× |
| Intubation endotracheal (31500) |
$856.10 |
$2,446 |
3.4× |
| Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber… (66762) |
$1,029.70 |
$2,942 |
1.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$355.95 |
$1,017 |
1.4× |
| Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) |
$63.15 |
$180.42 |
1.7× |
| Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21 (69801) |
$2,383.15 |
$6,809 |
1.5× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency (47370) |
$9,698.85 |
$27,711 |
0.9× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$4,717.30 |
$13,478 |
0.7× |
| Largsc w/ther injection (31573) |
$2,104.90 |
$6,014 |
1.1× |
| Laryngoscope w/vc inj (31570) |
$2,641.10 |
$7,546 |
0.7× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$1,999.20 |
$5,712 |
4.8× |
| Laryngoscopy flex diagnostic (31575) |
$567.35 |
$1,621 |
2.7× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$3,149.30 |
$8,998 |
0.8× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$1,432.20 |
$4,092 |
0.8× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$2,200.10 |
$6,286 |
1.2× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$628.60 |
$1,796 |
1.5× |
| Laryngoscopy indirect diagnostic (31505) |
$230.30 |
$658 |
1.1× |
| Laryngoscopy w stroboscopy (31579) |
$652.75 |
$1,865 |
1.6× |
| Laryngoscopy w/biopsy (31535) |
$2,519.65 |
$7,199 |
0.6× |
| Laryngoscopy w/foreign body removal (31530) |
$1,535.45 |
$4,387 |
0.8× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$3,475.15 |
$9,929 |
0.9× |
| Laryngoscopy, indirect; with vocal cord injection Age Under 21 (31513) |
$1,562.75 |
$4,465 |
3.8× |
| Laryngoscopy,direct, injctn arytenoid/larynx, agmenttn,w/ or w/o mcrscp (31599) |
$2,883.24 |
$8,237.81 |
11.5× |
| Laser treatment of retina (67040) |
$4,256.35 |
$12,161 |
1.0× |
| Lateral canthopexy (21282) |
$2,755.20 |
$7,872 |
0.8× |
| Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) (31000) |
$369.60 |
$1,056 |
1.5× |
| Ligation of a-v fistula (37607) |
$1,933.40 |
$5,524 |
0.6× |
| Ligation or biopsy, temporal artery (37609) |
$1,612.80 |
$4,608 |
0.9× |
| Ligation, major artery (eg, post-traumatic, rupture); neck (37615) |
$2,769.20 |
$7,912 |
0.8× |
| Lip mucosa excision and reapproximation (40799) |
$87.12 |
$248.89 |
0.3× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$2,236.85 |
$6,391 |
0.6× |
| Long gi tube placement (44500) |
$824.60 |
$2,356 |
0.9× |
| Lumbar puncture (62270) |
$1,062.60 |
$3,036 |
1.4× |
| Lysis intranasal synechia (30560) |
$447.30 |
$1,278 |
0.8× |
| Lysis of labial adhesions (56441) |
$2,796.85 |
$7,991 |
0.8× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$2,552.20 |
$7,292 |
1.2× |
| Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target,… (61715) |
$10,681.30 |
$30,518 |
0.9× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$563.50 |
$1,610 |
2.2× |
| Manipulation finger joint under anes each joint (26340) |
$1,345.40 |
$3,844 |
0.8× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$1,123.15 |
$3,209 |
0.7× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$456.40 |
$1,304 |
0.6× |
| Marsupialization bartholin's gland cyst (56440) |
$2,493.75 |
$7,125 |
0.7× |
| Mastectomy gynecomastia (19300) |
$3,468.85 |
$9,911 |
0.8× |
Mastopexy (19316)
likely a partial charge — not the full procedure |
$907.55 |
$2,593 |
0.1× |
| Mastotomy expl drg absc dp (19020) |
$1,752.45 |
$5,007 |
1.0× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$141.40 |
$404 |
2.3× |
| Meatotomy cutting meatus spx except infant (53020) |
$2,530.15 |
$7,229 |
1.1× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,153.05 |
$3,294.42 |
1.7× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,908.90 |
$5,454 |
1.1× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$2,040.15 |
$5,829 |
0.6× |
| Medial canthopexy (21280) |
$5,270.30 |
$15,058 |
1.5× |
| Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43252) |
$1,943.90 |
$5,554 |
1.0× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17311) |
$889 |
$2,540 |
1.1× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17313) |
$795.20 |
$2,272 |
1.0× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21 (15738) |
$3,270.40 |
$9,344 |
0.9× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$3,270.40 |
$9,344 |
0.9× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21 (15736) |
$3,270.40 |
$9,344 |
1.5× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,730.75 |
$4,945 |
2.1× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,800.05 |
$5,143 |
2.2× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,708.70 |
$4,882 |
2.1× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,110.55 |
$3,173 |
1.3× |
| Myringoplasty (69620) |
$2,245.25 |
$6,415 |
0.6× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$417.90 |
$1,194 |
1.7× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$662.90 |
$1,894 |
3.1× |
| Nasal surg proc unlisted (30999) |
$109.28 |
$312.22 |
0.4× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Age Under 21 (31296) |
$4,466 |
$12,760 |
0.6× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine… (31295) |
$5,846.75 |
$16,705 |
0.8× |
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267)
unusually low — confirm this is the full procedure |
$3,332.70 |
$9,522 |
0.4× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$2,290.75 |
$6,545 |
1.2× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$1,710.45 |
$4,887 |
0.9× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$5,278 |
$15,080 |
0.8× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$5,278 |
$15,080 |
0.8× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
unusually low — confirm this is the full procedure |
$3,059.70 |
$8,742 |
0.4× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$1,090.48 |
$3,115.63 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$43.40 |
$124 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$65.80 |
$188 |
2.2× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$911.05 |
$2,603 |
3.5× |
| Neuroeltrd stim post tibial (64566) |
$372.05 |
$1,063 |
1.1× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$131.25 |
$375 |
1.1× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,457.75 |
$4,165 |
0.7× |
| Nipple/areola reconstruction (19350) |
$3,040.10 |
$8,686 |
0.7× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,333.85 |
$3,811 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$915.60 |
$2,616 |
1.0× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$2,208.50 |
$6,310 |
0.6× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$2,429.35 |
$6,941 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,079.40 |
$3,084 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$857.50 |
$2,450 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$911.75 |
$2,605 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,241.80 |
$3,548 |
1.7× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,383.90 |
$3,954 |
0.6× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,299.55 |
$3,713 |
0.6× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$873.60 |
$2,496 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,256.85 |
$3,591 |
1.7× |
| Non stress test (59025) |
$497.70 |
$1,422 |
2.3× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$13,194.30 |
$37,698 |
4.0× |
| Obstructive material removal from gi tube (49460) |
$1,733.55 |
$4,953 |
1.8× |
| Ocular photodynamic ther (67221) |
$1,679.65 |
$4,799 |
2.9× |
| Ocular reconst transplant (65780) |
$3,421.95 |
$9,777 |
0.8× |
| Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Age Under 21 (64575) |
$21,585.20 |
$61,672 |
1.8× |
| Open treatment talus fracture (28445) |
$6,180.65 |
$17,659 |
0.8× |
| Open tx distal phalangeal fracture each (26765) |
$2,499 |
$7,140 |
0.7× |
| Open/perq placement intravascular stent initial (37236) |
$8,878.10 |
$25,366 |
0.7× |
| Open/perq placement intravascular stent same 1st (37238) |
$14,096.95 |
$40,277 |
1.2× |
| Or placement of amniotic membrane on the ocular surface; single layer, sutured (65779) |
$3,647.35 |
$10,421 |
0.9× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Age Under… (67400) |
$2,602.25 |
$7,435 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Age Under 21 (67413) |
$3,183.95 |
$9,097 |
1.3× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Age Under 21 (67412) |
$2,628.50 |
$7,510 |
1.0× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$2,606.10 |
$7,446 |
0.8× |
| Other procedure on uterus accessed through vagina using an endoscope (58579) |
$7,658 |
$21,880 |
35.9× |
| Palate/uvula surgery (42299) |
$386.44 |
$1,104.08 |
1.5× |
| Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or… (65815) |
$2,700.25 |
$7,715 |
1.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$240.10 |
$686 |
1.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$247.45 |
$707 |
1.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$204.40 |
$584 |
1.0× |
| Partial excision bone metacarpal (26230) |
$3,056.90 |
$8,734 |
0.9× |
| Partial excision bone tibia (27640) |
$3,334.10 |
$9,526 |
1.0× |
| Partial excision distal phalanx finger (26236) |
$1,335.25 |
$3,815 |
0.8× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,175.60 |
$6,216 |
0.6× |
| Peel or microdermanrasi on superficial by nurse (15788) |
$297.15 |
$849 |
0.7× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$2,983.75 |
$8,525 |
0.9× |
| Pelvis/hip joint surgery unlisted (27299) |
$252.53 |
$721.51 |
1.0× |
| Penile injection (54235) |
$282.80 |
$808 |
1.1× |
| Perc rf ablate renal tumor (50592) |
$4,037.95 |
$11,537 |
0.6× |
| Percut ablate liver rf (47382) |
$4,035.15 |
$11,529 |
0.6× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$474.60 |
$1,356 |
0.6× |
| Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561) |
$7,484.05 |
$21,383 |
1.1× |
Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or… (27509)
unusually low — confirm this is the full procedure |
$3,682 |
$10,520 |
0.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,708.65 |
$7,739 |
0.8× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$2,078.08 |
$5,937.34 |
8.0× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$4,796.05 |
$13,703 |
1.4× |
| Pericardiocentesis w/img guidance when performed (33016) |
$2,622.90 |
$7,494 |
1.6× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$640.85 |
$1,831 |
0.7× |
| Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume (53454) |
$282.45 |
$807 |
1.1× |
| Periurethral transperineal adjustable balloon continence device; removal, each balloon (53453) |
$3,075.45 |
$8,787 |
0.8× |
| Perq av fistula creation uxtr sep access sites (36837) |
$17,134.25 |
$48,955 |
0.9× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$866.60 |
$2,476 |
1.2× |
| Perq dev breast 1st strtctc (19283) |
$1,930.60 |
$5,516 |
2.6× |
| Perq dev breast 1st us imag (19285) |
$1,333.85 |
$3,811 |
1.8× |
| Perq device breast 1st imag (19281) |
$1,333.85 |
$3,811 |
0.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,236.85 |
$6,391 |
0.6× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,416.10 |
$4,046 |
0.9× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,193.15 |
$3,409 |
0.6× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$13,580 |
$38,800 |
0.7× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$14,294.70 |
$40,842 |
1.2× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$13,920.90 |
$39,774 |
1.1× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$10,588.55 |
$30,253 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$276.50 |
$790 |
1.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$22,669.15 |
$64,769 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$9,090.20 |
$25,972 |
0.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,947.25 |
$14,135 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$6,793.50 |
$19,410 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,347.95 |
$18,137 |
0.8× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$3,644.20 |
$10,412 |
1.1× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$3,644.20 |
$10,412 |
1.1× |
| Pg mock transfer/trial transfer (58974) |
$2,034.20 |
$5,812 |
2.1× |
| Phleb veins - extrem 20+ (37766) |
$2,033.85 |
$5,811 |
0.6× |
| Photopheresis extracorporeal (36522) |
$4,558.40 |
$13,024 |
1.0× |
| Pin finger fracture each (26756) |
$2,452.10 |
$7,006 |
0.7× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$1,070.30 |
$3,058 |
1.4× |
| Place duod/jej tube perc (49441) |
$1,696.45 |
$4,847 |
0.8× |
| Placement of amniotic membrane on eye surface for wound healing|RIGHT SIDE (65778) |
$1,242.85 |
$3,551 |
1.2× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$2,642.15 |
$7,549 |
1.8× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$1,088.15 |
$3,109 |
0.7× |
| Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial… (19296) |
$4,935.70 |
$14,102 |
0.6× |
| Placement of seton (46020) |
$2,614.50 |
$7,470 |
0.9× |
| Placement of shunt into fetal chest using ultrasound guidance (59076) |
$475.65 |
$1,359 |
1.5× |
| Plastic repair of canaliculi (68700) |
$3,565.80 |
$10,188 |
1.4× |
| Plmt bile duct stent prq existing access (47538) |
$3,859.10 |
$11,026 |
0.6× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$4,049.15 |
$11,569 |
0.6× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$4,300.45 |
$12,287 |
0.7× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,999.15 |
$8,569 |
1.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,632 |
$7,520 |
0.7× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,309 |
$3,740 |
1.8× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$2,511.25 |
$7,175 |
0.7× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,236.85 |
$6,391 |
0.6× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$2,236.85 |
$6,391 |
0.6× |
| Pr closed treatment sesamoid fracture (28530) |
$319.90 |
$914 |
1.2× |
| Pr dermabrasion regional other than face (15782) |
$1,881.95 |
$5,377 |
0.6× |
| Pr inj. intralesional gt 7 lesions (11901) |
$167.30 |
$478 |
0.8× |
| Pr transfusion intrauterine fetal (36460) |
$510.30 |
$1,458 |
1.1× |
| Preputial stretching (54450) |
$227.85 |
$651 |
0.9× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
unusually low — confirm this is the full procedure |
$6,549.20 |
$18,712 |
0.3× |
| Prineoplasty rpr pr nonobal spx (56810) |
$2,624.65 |
$7,499 |
0.8× |
| Probe nasolacrimal duct (68815) |
$2,743.30 |
$7,838 |
1.1× |
| Probing of nasolacrimal duct, with or without irrigation; Age Under 21 (68810) |
$549.85 |
$1,571 |
1.6× |
| Proctosigmoidoscopy dx (45300) |
$640.50 |
$1,830 |
0.7× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$823.90 |
$2,354 |
0.7× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$1,013.25 |
$2,895 |
0.8× |
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur (27495)
likely a partial charge — not the full procedure |
$1,456.70 |
$4,162 |
0.2× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy… (67141) |
$499.10 |
$1,426 |
1.5× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age… (67145) |
$631.40 |
$1,804 |
1.1× |
| Prostatotomy, external drainage of prostatic abscess, any approach; simple Age Under 21 (55720) |
$2,236.85 |
$6,391 |
0.6× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$4,502.75 |
$12,865 |
0.7× |
| Prq impltj nstim electrode array epidural (63650) |
$5,652.85 |
$16,151 |
0.8× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$3,155.60 |
$9,016 |
0.8× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$3,929.10 |
$11,226 |
1.0× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$3,164.70 |
$9,042 |
0.9× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$5,728.80 |
$16,368 |
1.7× |
Prq transluminal mechanical thrombectomy vein (37187)
unusually low — confirm this is the full procedure |
$5,048.40 |
$14,424 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$535.15 |
$1,529 |
1.2× |
| Punch graft for hair transplant; more than 15 punch grafts (15776) |
$2,244.55 |
$6,413 |
5.2× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$535.15 |
$1,529 |
1.2× |
| Puncture aspiration of cyst of breast (19000) |
$730.10 |
$2,086 |
1.0× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$2,565.62 |
$7,330.32 |
2.7× |
| Pvb thoracic single injection site w/img gid (64461) |
$912.80 |
$2,608 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,965.25 |
$5,615 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,915.85 |
$8,331 |
0.8× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$2,222.15 |
$6,349 |
0.7× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$2,958.90 |
$8,454 |
1.0× |
| Radiant-excision infected graft extremity (35903) |
$3,550.40 |
$10,144 |
1.1× |
| Radiant-neck/chest procedure unlisted (21899) |
$962.74 |
$2,750.66 |
3.9× |
Radiant-repair blood vessel direct neck (35201)
unusually low — confirm this is the full procedure |
$2,768.50 |
$7,910 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Age Under 21 (21936) |
$5,299.70 |
$15,142 |
1.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Age Under 21 (25077) |
$2,576.70 |
$7,362 |
0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,762.20 |
$7,892 |
1.3× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$8,153.95 |
$23,297 |
2.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Age… (67975) |
$1,981.70 |
$5,662 |
0.8× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$2,684.15 |
$7,669 |
1.1× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$3,007.90 |
$8,594 |
1.2× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$1,674.75 |
$4,785 |
0.8× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$682.90 |
$1,951.12 |
3.2× |
| Reduction overcorrection ptosis (67909) |
$2,446.15 |
$6,989 |
1.0× |
| Reinsertion of ocular implant; with or without conjunctival graft Age Under 21 (65150) |
$2,830.10 |
$8,086 |
0.7× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$4,392.15 |
$12,549 |
1.1× |
| Release i-p jt contracture (26525) |
$3,094.35 |
$8,841 |
1.8× |
| Release of encircling material (posterior segment) Age Under 21 (67115) |
$2,549.05 |
$7,283 |
0.6× |
| Release of eye fluid (67015) |
$3,577.35 |
$10,221 |
1.5× |
| Release palm contracture (26040) |
$1,123.15 |
$3,209 |
0.7× |
| Relieve pressure on nerve(s) (64722) |
$2,623.95 |
$7,497 |
1.3× |
| Relocation of skin pocket for pacemaker (33222) |
$1,817.55 |
$5,193 |
0.8× |
| Relocation of upper arm surface vein with connection to arm artery for hemodialysis|RIGHT SIDE (36819) |
$3,818.85 |
$10,911 |
0.7× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$1,988.35 |
$5,681 |
0.9× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$2,425.15 |
$6,929 |
2.5× |
| Removal entire oi implt skl mag tc attch esp<100 (69727) |
$2,832.90 |
$8,094 |
0.8× |
| Removal entire oi implt skl perq attachment esp (69726) |
$2,832.90 |
$8,094 |
0.8× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$702.45 |
$2,007 |
0.9× |
| Removal foreign body mouth (40804) |
$906.50 |
$2,590 |
0.9× |
| Removal foreign body shoulder subcutaneous (23330) |
$870.10 |
$2,486 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,481.50 |
$7,090 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$122.50 |
$350 |
2.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$287 |
$820 |
4.6× |
| Removal implant deep (20680) |
$1,969.80 |
$5,628 |
0.6× |
| Removal implant from finger/hand (26320) |
$1,882.30 |
$5,378 |
1.1× |
| Removal implant superficial (20670) |
$1,733.90 |
$4,954 |
1.0× |
| Removal implantable contraceptive capsules (11976) |
$501.55 |
$1,433 |
0.7× |
| Removal implantable defib pulse generator only (33241) |
$2,597 |
$7,420 |
0.7× |
| Removal of blood from fetal umbilical cord (59012) |
$1,729.35 |
$4,941 |
5.4× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$2,175.60 |
$6,216 |
0.6× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$486.15 |
$1,389 |
1.5× |
| Removal of eye lesion (65400) |
$1,765.05 |
$5,043 |
1.7× |
| Removal of eyelashes using forceps|BILATERAL PROCEDURE (67820) |
$190.40 |
$544 |
1.4× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$823.90 |
$2,354 |
0.7× |
| Removal of foreign bodies from large bowel using an endoscope inserted through surgically created opening from large… (44390) |
$2,023.70 |
$5,782 |
2.1× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,097.60 |
$3,136 |
0.6× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$552.65 |
$1,579 |
2.6× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,079.75 |
$3,085 |
0.6× |
| Removal of foreign body or dacryolith, lacrimal passages Age Under 21 (68530) |
$474.60 |
$1,356 |
1.4× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$548.80 |
$1,568 |
3.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$356.65 |
$1,019 |
0.8× |
| Removal of foreign body, foot; deep (28192) |
$1,026.90 |
$2,934 |
0.6× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$2,295.65 |
$6,559 |
0.9× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$211.77 |
$605.04 |
0.8× |
| Removal of growth of eyelid lining 1.0 cm or less|RIGHT SIDE (68110) |
$1,613.85 |
$4,611 |
0.6× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$2,276.40 |
$6,504 |
1.8× |
| Removal of intact breast implant Age Under 21 (19328) |
$2,650.90 |
$7,574 |
0.6× |
| Removal of iud (58301) |
$393.75 |
$1,125 |
1.2× |
| Removal of lens material; aspiration technique, 1 or more stages Age Under 21 (66840) |
$2,014.25 |
$5,755 |
0.8× |
| Removal of nail bed (11750) |
$1,114.40 |
$3,184 |
2.6× |
Removal of pm generator (33233)
unusually low — confirm this is the full procedure |
$2,741.90 |
$7,834 |
0.3× |
| Removal of salivary stone (42330) |
$2,502.50 |
$7,150 |
0.7× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$1,840.65 |
$5,259 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$238.70 |
$682 |
1.1× |
| Removal of skin wrinkles (15829) |
$3,292.10 |
$9,406 |
0.9× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$2,792.30 |
$7,978 |
0.8× |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21 (62365) |
$3,350.90 |
$9,574 |
0.9× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$2,508.45 |
$7,167 |
0.8× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$3,101 |
$8,860 |
0.8× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$2,307.20 |
$6,592 |
0.6× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,175.60 |
$6,216 |
0.7× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$191.10 |
$546 |
0.6× |
| Removal phrenic nerve stimulator system (33278) |
$3,066.70 |
$8,762 |
0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,709.75 |
$4,885 |
2.3× |
| Removal tunneled cv cath (36590) |
$1,934.45 |
$5,527 |
1.2× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$334.95 |
$957 |
0.7× |
| Removal, non-biodegradable drug delivery implant (11982) |
$323.75 |
$925 |
0.7× |
| Removal/revision of cast (29700) |
$186.90 |
$534 |
0.6× |
| Remove eyelid foreign body (67938) |
$338.10 |
$966 |
1.0× |
| Remove eyelid lesions (67805) |
$818.65 |
$2,339 |
2.4× |
| Remove eyelid lesions (67801) |
$1,023.75 |
$2,925 |
1.0× |
| Remove foreign body from eye (65210) |
$319.55 |
$913 |
0.7× |
| Remove lung catheter (32552) |
$1,495.55 |
$4,273 |
2.3× |
| Remove pharynx foreign body (42809) |
$250.25 |
$715 |
0.5× |
| Remove spinal canal catheter (62355) |
$1,687 |
$4,820 |
0.8× |
| Remove stent via transureth (50386) |
$2,105.25 |
$6,015 |
1.0× |
| Remove ureter stent percut (50384) |
$1,838.55 |
$5,253 |
0.8× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$7,818.30 |
$22,338 |
0.7× |
Remvl perm pm pls gen w/repl plse gen mult lead (33229)
unusually low — confirm this is the full procedure |
$8,197.35 |
$23,421 |
0.4× |
Remvl perm pm plse gen w/repl plse gen sngl lead (33227)
unusually low — confirm this is the full procedure |
$2,741.90 |
$7,834 |
0.3× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$1,420.30 |
$4,058 |
0.8× |
| Repair blood vessel lesion (35226) |
$2,311.40 |
$6,604 |
3.1× |
| Repair blood vessel upper ext (35206) |
$2,966.95 |
$8,477 |
0.9× |
| Repair brow defect (67900) |
$3,064.25 |
$8,755 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$707 |
$2,020 |
1.6× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$811.30 |
$2,318 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,158.85 |
$3,311 |
2.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$945 |
$2,700 |
1.2× |
| Repair ectropion suture (67914) |
$2,532.95 |
$7,237 |
1.0× |
| Repair entropion excision tarsal wedge (67923) |
$1,936.20 |
$5,532 |
0.8× |
| Repair entropion suture (67921) |
$1,696.10 |
$4,846 |
0.7× |
| Repair extensor tendon hand w/o graft each (26410) |
$2,549.05 |
$7,283 |
1.5× |
| Repair eyelid defect (67908) |
$2,168.60 |
$6,196 |
0.9× |
| Repair eyelid defect (67924) |
$2,885.75 |
$8,245 |
1.2× |
| Repair eyelid defect (67904) |
$2,773.40 |
$7,924 |
1.1× |
| Repair eyelid defect (67903) |
$2,773.40 |
$7,924 |
1.1× |
| Repair eyelid wound (67930) |
$2,769.20 |
$7,912 |
1.1× |
| Repair finger tendon (26418) |
$2,349.90 |
$6,714 |
1.4× |
| Repair finger/hand tendon (26350) |
$3,084.20 |
$8,812 |
0.9× |
| Repair forearm tendon/muscle (25260) |
$2,946.65 |
$8,419 |
0.9× |
| Repair incomplete circumcision (54163) |
$2,114.70 |
$6,042 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$711.55 |
$2,033 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$840 |
$2,400 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$925.05 |
$2,643 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$933.80 |
$2,668 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,158.15 |
$3,309 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$619.15 |
$1,769 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$831.60 |
$2,376 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$913.15 |
$2,609 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$660.45 |
$1,887 |
1.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$764.40 |
$2,184 |
1.8× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,135.40 |
$3,244 |
1.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$905.45 |
$2,587 |
2.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,589.70 |
$4,542 |
3.7× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,775.90 |
$5,074 |
4.1× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,283.80 |
$3,668 |
0.6× |
| Repair intrinsic muscles hand each muscle (26591) |
$2,969.05 |
$8,483 |
0.9× |
| Repair lead pace-defib one (33218) |
$2,671.20 |
$7,632 |
0.7× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$759.15 |
$2,169 |
1.3× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$809.20 |
$2,312 |
1.4× |
| Repair nasal vestibular stenosis (30465) |
$4,633.65 |
$13,239 |
0.7× |
| Repair of abnormal anal drainage tract with tissue glue (46706) |
$3,960.95 |
$11,317 |
1.4× |
| Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Age Under 21 (67901) |
$2,285.15 |
$6,529 |
0.9× |
| Repair of ectropion; excision tarsal wedge Age Under 21 (67916) |
$2,135 |
$6,100 |
0.9× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$1,783.25 |
$5,095 |
0.7× |
| Repair of eye wound (65286) |
$2,207.10 |
$6,306 |
0.9× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$454.65 |
$1,299 |
1.0× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$613.55 |
$1,753 |
2.5× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Age Under 21 (65272) |
$2,879.80 |
$8,228 |
1.1× |
| Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age Under 21 (65270) |
$2,611 |
$7,460 |
1.0× |
| Repair of laceration; cornea, nonperforating, with or without removal foreign body Age Under 21 (65275) |
$3,052.70 |
$8,722 |
0.7× |
| Repair of nail bed (11760) |
$450.80 |
$1,288 |
0.6× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Age Under 21 (67101) |
$2,313.15 |
$6,609 |
1.0× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age Under 21 (67105) |
$801.50 |
$2,290 |
1.4× |
| Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Age Under 21 (67110) |
$2,365.30 |
$6,758 |
1.0× |
| Repair of spica, body cast or jacket Age Under 21 (29720) |
$175.70 |
$502 |
1.0× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Age Under 21 (68340) |
$2,051.70 |
$5,862 |
0.8× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$814.45 |
$2,327 |
1.2× |
| Repair of turning-outward defect of upper or lower eyelid using heat (67915) |
$2,214.45 |
$6,327 |
0.9× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) |
$3,084.20 |
$8,812 |
0.9× |
| Repair tongue lacer,post 1/3 (41251) |
$285.60 |
$816 |
1.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$810.60 |
$2,316 |
1.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$973.70 |
$2,782 |
1.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$675.50 |
$1,930 |
1.6× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$771.40 |
$2,204 |
1.0× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$3,449.95 |
$9,857 |
1.0× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,535.10 |
$4,386 |
0.7× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$3,126.55 |
$8,933 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$2,792.30 |
$7,978 |
0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,484.70 |
$4,242 |
1.6× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$824.60 |
$2,356 |
0.9× |
| Replace picvad cath (36585) |
$2,716.70 |
$7,762 |
0.8× |
| Replace tunneled cv cath (36582) |
$4,132.80 |
$11,808 |
1.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,696.45 |
$4,847 |
1.8× |
| Repos previously implanted subq implantable dfb (33273) |
$2,017.05 |
$5,763 |
0.5× |
| Reposition venous catheter (36597) |
$900.55 |
$2,573 |
0.5× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$559.30 |
$1,598 |
2.1× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$2,481.15 |
$7,089 |
0.7× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$3,066.70 |
$8,762 |
0.8× |
| Reset dislocated jaw (21480) |
$223.65 |
$639 |
0.9× |
| Retrobulbar injection; alcohol Age Under 21 (67505) |
$291.55 |
$833 |
0.9× |
| Retrobulbar injection; medication (separate procedure, does not include supply of medication) Age Under 21 (67500) |
$426.65 |
$1,219 |
1.3× |
| Revise abdomen-venous shunt (49426) |
$2,208.50 |
$6,310 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$2,239.65 |
$6,399 |
1.1× |
| Revise ulnar nerve at wrist (64719) |
$1,820 |
$5,200 |
0.9× |
| Revise/graft eyelid lining (68320) |
$2,875.60 |
$8,216 |
1.1× |
| Revision of cervix (59320) |
$3,151.05 |
$9,003 |
0.9× |
| Revision of cornea (65600) |
$2,068.15 |
$5,909 |
0.8× |
| Revision of iris (66761) |
$907.90 |
$2,594 |
1.6× |
| Revision of permanent windpipe opening scar (31830) |
$2,245.25 |
$6,415 |
0.6× |
| Revision of reconstructed breast (19380) |
$4,963.70 |
$14,182 |
0.7× |
| Revision of upper eyelid (15823) |
$2,800.35 |
$8,001 |
1.3× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$2,243.15 |
$6,409 |
0.6× |
| Revision peri-implant capsule breast (19370) |
$3,334.10 |
$9,526 |
0.8× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty (35879) |
$4,130 |
$11,800 |
0.7× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$6,564.25 |
$18,755 |
1.1× |
| Rhinoplasty secondary intermediate revision (30435) |
$5,202.05 |
$14,863 |
0.8× |
| Rhytidectomy forehead (15824) |
$2,024.75 |
$5,785 |
0.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,906.80 |
$5,448 |
0.9× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$214.20 |
$612 |
1.5× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$554.75 |
$1,585 |
4.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,651.60 |
$7,576 |
0.9× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$23,716.70 |
$67,762 |
0.7× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$15,106.70 |
$43,162 |
0.6× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$15,709.75 |
$44,885 |
0.7× |
| Rmvl nfros tube req fluoro guidance (50389) |
$2,350.95 |
$6,717 |
3.2× |
| Rmvl of access device (36589) |
$1,253 |
$3,580 |
1.9× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$2,017.05 |
$5,763 |
0.5× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$2,483.95 |
$7,097 |
0.7× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$2,760.10 |
$7,886 |
0.7× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$27,987.05 |
$79,963 |
0.9× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$12,277.30 |
$35,078 |
1.0× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$2,526.30 |
$7,218 |
0.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,143.10 |
$3,266 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,102.45 |
$6,007 |
0.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,418.20 |
$4,052 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,276.45 |
$3,647 |
1.6× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$1,091.65 |
$3,119 |
0.7× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$3,956.75 |
$11,305 |
0.6× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$3,560.55 |
$10,173 |
1.0× |
| Rpr xtnsr tdn ctr slip 2 tiss w/lat band ea fngr (26426) |
$3,639.30 |
$10,398 |
1.1× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$2,915.85 |
$8,331 |
0.8× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$1,840.65 |
$5,259 |
0.6× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$3,798.90 |
$10,854 |
1.1× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$2,594.55 |
$7,413 |
1.5× |
| Scraping of cornea, diagnostic, for smear and/or culture (65430) |
$260.40 |
$744 |
0.6× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,333.45 |
$6,667 |
0.6× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$2,932.65 |
$8,379 |
0.8× |
| Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)… (67031) |
$789.95 |
$2,257 |
1.4× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$3,186.24 |
$9,103.52 |
3.3× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$172.90 |
$494 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$179.55 |
$513 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$206.85 |
$591 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$360.50 |
$1,030 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$170.80 |
$488 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$202.30 |
$578 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$204.75 |
$585 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$281.05 |
$803 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$225.40 |
$644 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$281.05 |
$803 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$281.05 |
$803 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$191.45 |
$547 |
0.9× |
| Sigmoidoscopy & polypectomy (45333) |
$849.80 |
$2,428 |
0.9× |
| Sigmoidoscopy flx control bleeding (45334) |
$1,582.70 |
$4,522 |
1.3× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$2,133.95 |
$6,097 |
2.2× |
| Sigmoidoscopy w/ablation (45346) |
$2,800.70 |
$8,002 |
2.2× |
| Sigmoidoscopy w/fb removal (45332) |
$1,119.65 |
$3,199 |
0.9× |
| Sigmoidoscopy w/resection (45349) |
$1,859.90 |
$5,314 |
0.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,568.65 |
$7,339 |
2.0× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$1,745.45 |
$4,987 |
1.4× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$1,174.25 |
$3,355 |
1.2× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$1,373.05 |
$3,923 |
1.4× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) |
$3,479.35 |
$9,941 |
0.5× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,999.90 |
$5,714 |
1.6× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$1,577.10 |
$4,506 |
1.2× |
| Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) |
$399.70 |
$1,142 |
1.5× |
| Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) |
$143.50 |
$410 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$548.80 |
$1,568 |
2.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$623 |
$1,780 |
2.9× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$753.20 |
$2,152 |
3.6× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$967.75 |
$2,765 |
4.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$2,083.90 |
$5,954 |
9.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$340.55 |
$973 |
1.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,804.95 |
$5,157 |
8.5× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$1,733.90 |
$4,954 |
4.0× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$1,621.55 |
$4,633 |
3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$693.35 |
$1,981 |
3.3× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) |
$119.70 |
$342 |
0.9× |
| Sinusotomy maxillary antrotomy intranasal (31020) |
$2,506.35 |
$7,161 |
0.7× |
| Skin tissue procedure unlisted (17999) |
$368.40 |
$1,052.58 |
1.7× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$12,838.70 |
$36,682 |
2.2× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$2,972.55 |
$8,493 |
0.9× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$12,839.05 |
$36,683 |
2.2× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$3,156.65 |
$9,019 |
0.9× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$6,434.40 |
$18,384 |
1.1× |
| Slitting of prepuce (54001) |
$2,435.30 |
$6,958 |
1.1× |
| Small bowel endoscopy (44384) |
$3,263.40 |
$9,324 |
1.6× |
| Small bowel endoscopy (44366) |
$2,113.30 |
$6,038 |
1.0× |
| Small bowel endoscopy (44376) |
$1,877.05 |
$5,363 |
0.9× |
| Small bowel endoscopy/biopsy (44377) |
$1,915.20 |
$5,472 |
0.9× |
| Small bowel endoscopy/biopsy (44361) |
$1,767.15 |
$5,049 |
0.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$2,113.30 |
$6,038 |
1.0× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
unusually low — confirm this is the full procedure |
$2,810.85 |
$8,031 |
0.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$2,651.95 |
$7,577 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$2,356.55 |
$6,733 |
1.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$2,651.95 |
$7,577 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign… (44363) |
$2,339.75 |
$6,685 |
1.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$2,034.90 |
$5,814 |
1.0× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370)
unusually low — confirm this is the full procedure |
$2,810.85 |
$8,031 |
0.4× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$575.75 |
$1,645 |
2.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$883.05 |
$2,523 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,601.60 |
$4,576 |
3.7× |
| Snip incision lacrimal punctum (68440) |
$295.40 |
$844 |
0.9× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$2,550.80 |
$7,288 |
0.7× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$2,099.65 |
$5,999 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,393.60 |
$9,696 |
1.0× |
| Stimulus evoked response (51792) |
$513.80 |
$1,468 |
8.3× |
| Stomach surgery procedure unlisted (43999) |
$1,254.45 |
$3,584.13 |
1.3× |
| Strapping ankle (29540) |
$124.95 |
$357 |
0.7× |
| Strapping hand/finger (29280) |
$101.50 |
$290 |
1.6× |
| Strapping of chest (29200) |
$147 |
$420 |
0.9× |
| Strapping of knee (29530) |
$124.60 |
$356 |
0.9× |
| Strapping of shoulder (29240) |
$124.95 |
$357 |
0.9× |
| Strapping of toes (29550) |
$192.50 |
$550 |
3.1× |
| Strapping unna boot (29580) |
$256.20 |
$732 |
1.5× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,843.45 |
$5,267 |
2.4× |
| Subconjunctival injection (68200) |
$279.65 |
$799 |
0.6× |
| Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age Under 21 (11950) |
$267.05 |
$763 |
1.3× |
| Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age Under 21 (11951) |
$430.15 |
$1,229 |
0.6× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age Under 21 (11952) |
$474.25 |
$1,355 |
0.6× |
| Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age Under 21 (11954) |
$507.15 |
$1,449 |
0.7× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$2,245.25 |
$6,415 |
0.6× |
| Suction assisted removal of fat of body (15877) |
$3,230.15 |
$9,229 |
0.9× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$305.20 |
$872 |
0.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,283.80 |
$3,668 |
1.6× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$646.10 |
$1,846 |
1.5× |
| Suture 1 nerve ulnar motor (64836) |
$5,604.20 |
$16,012 |
1.6× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$3,013.85 |
$8,611 |
1.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,557.15 |
$4,449 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$396.20 |
$1,132 |
0.9× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$1,025.85 |
$2,931 |
1.3× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$1,091.65 |
$3,119 |
1.4× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$24,097.85 |
$68,851 |
0.8× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$24,234.35 |
$69,241 |
1.2× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,337.60 |
$9,536 |
1.0× |
| Temporary closure of eyelids by suture (eg, Frost suture) Age Under 21 (67875) |
$705.95 |
$2,017 |
0.7× |
| Tenodesis proximal interphalangeal joint each (26471) |
$2,915.85 |
$8,331 |
0.8× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$2,903.60 |
$8,296 |
0.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,196.25 |
$6,275 |
1.3× |
| Tenotomy adductor hip percutaneous spx (27000) |
$1,551.55 |
$4,433 |
0.9× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$2,881.90 |
$8,234 |
0.8× |
| Tenotomy percutaneous single each digit (26060) |
$2,155.30 |
$6,158 |
1.3× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$2,623.95 |
$7,497 |
1.5× |
| Tenotomy percutaneous toe single tendon (28010) |
$1,624 |
$4,640 |
1.0× |
| Tenotomy prq achilles tendon spx local anes (27605) |
$1,882.65 |
$5,379 |
1.1× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$1,559.60 |
$4,456 |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$1,617 |
$4,620 |
1.0× |
| Tenotomy, percutaneous, adductor or hamstring; multiple tendons Age Under 21 (27307) |
$3,787.35 |
$10,821 |
1.1× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21 (27306) |
$2,815.05 |
$8,043 |
0.8× |
| Tenotomy, shoulder area; single tendon Age Under 21 (23405) |
$4,627 |
$13,220 |
0.6× |
| Therapeutic apheresis platelet (36513) |
$1,622.25 |
$4,635 |
3.5× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$4,577.30 |
$13,078 |
2.8× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$5,175.80 |
$14,788 |
3.2× |
| Therapeutic apheresis; for white blood cells Age Under 21 (36511) |
$4,046.70 |
$11,562 |
2.5× |
| Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma… (36516) |
$6,997.20 |
$19,992 |
1.5× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$501.90 |
$1,434 |
0.7× |
| Therapeutic spinal puncture drainage csf (62272) |
$750.40 |
$2,144 |
1.0× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,544.55 |
$4,413 |
2.3× |
| Throat surgery procedure (42999) |
$110.35 |
$315.27 |
0.4× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21 (35875) |
$3,184.65 |
$9,099 |
0.5× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$4,394.60 |
$12,556 |
0.7× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
unusually low — confirm this is the full procedure |
$2,702 |
$7,720 |
0.5× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$4,964.05 |
$14,183 |
1.5× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$3,184.65 |
$9,099 |
0.5× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$2,910.25 |
$8,315 |
0.9× |
| Trabeculoplasty by laser surgery Age Under 21 (65855) |
$866.25 |
$2,475 |
1.5× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$2,587.90 |
$7,394 |
0.8× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$3,069.15 |
$8,769 |
12.3× |
| Transcatheter biopsy (37200) |
$3,184.65 |
$9,099 |
0.5× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626)
unusually low — confirm this is the full procedure |
$5,048.40 |
$14,424 |
0.4× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624)
likely a partial charge — not the full procedure |
$5,783.05 |
$16,523 |
0.3× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$2,324 |
$6,640 |
0.7× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$1,745.80 |
$4,988 |
0.8× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Age Under 21 (15650) |
$2,556.40 |
$7,304 |
1.2× |
| Transfusion, blood or blood components (36430) |
$876.40 |
$2,504 |
1.9× |
| Transoral lower esophageal myotomy (43497) |
$4,012.75 |
$11,465 |
0.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,814.90 |
$16,614 |
1.0× |
| Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer (38215) |
$3,140.20 |
$8,972 |
6.7× |
| Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage (38207) |
$2,939.65 |
$8,399 |
6.3× |
| Transplant preparation of hematopoietic progenitor cells; red blood cell removal (38212) |
$516.25 |
$1,475 |
1.1× |
| Transurethral destruction of prostate tissue; by microwave thermotherapy Age Under 21 (53850) |
$7,032.20 |
$20,092 |
1.9× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Age Under 21 (53852) |
$7,032.20 |
$20,092 |
1.9× |
| Treat big toe fracture (28495) |
$350.35 |
$1,001 |
1.3× |
| Treat dental ridge fracture (21440) |
$2,926.35 |
$8,361 |
0.8× |
| Treat finger dislocation (26775) |
$247.80 |
$708 |
0.8× |
| Treat hip socket fracture (27222) |
$689.85 |
$1,971 |
2.7× |
| Treat humerus fracture (24577) |
$1,546.65 |
$4,419 |
0.9× |
| Treat lower leg fracture (27825) |
$1,498 |
$4,280 |
0.9× |
| Treat mouth roof fracture (21421) |
$2,599.10 |
$7,426 |
0.7× |
| Treat pleurodesis w/agent (32560) |
$420.35 |
$1,201 |
0.6× |
| Treat thumb fracture (26645) |
$1,011.15 |
$2,889 |
0.6× |
| Treat toe dislocation (28630) |
$272.30 |
$778 |
1.0× |
| Treat ulnar fracture (24675) |
$1,472.80 |
$4,208 |
0.9× |
| Treat vaginal bleeding (57180) |
$196.35 |
$561 |
0.9× |
| Treat wrist bone fracture (25635) |
$1,301.65 |
$3,719 |
0.8× |
| Treat wrist bone fracture (25624) |
$1,517.60 |
$4,336 |
0.9× |
| Treat wrist dislocation (25690) |
$2,304.40 |
$6,584 |
1.4× |
| Treat wrist dislocation (25675) |
$239.75 |
$685 |
0.9× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,442.70 |
$4,122 |
0.9× |
| Treatment of bladder lesion (51720) |
$468.65 |
$1,339 |
0.6× |
| Treatment of choroid lesion (67220) |
$765.10 |
$2,186 |
1.3× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$536.55 |
$1,533 |
2.1× |
| Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21 (67228) |
$992.95 |
$2,837 |
1.7× |
| Treatment of gum lesion (41850) |
$2,142.70 |
$6,122 |
1.3× |
| Treatment of heel fracture (28405) |
$363.30 |
$1,038 |
1.4× |
| Treatment of miscarriage (59812) |
$2,551.15 |
$7,289 |
0.7× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$2,175.60 |
$6,216 |
0.6× |
| Treatment of retinal lesion (67208) |
$2,279.55 |
$6,513 |
6.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$326.55 |
$933 |
1.3× |
| Trimming of nondystrophic nails, any number (11719) |
$113.40 |
$324 |
1.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$8,151.15 |
$23,289 |
1.4× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$10,970.05 |
$31,343 |
1.8× |
| Trurl dstrj prst8 tiss rf wv (53854) |
$2,236.85 |
$6,391 |
0.6× |
| Tx superficial wound dehiscence simple closure (12020) |
$670.60 |
$1,916 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$413.35 |
$1,181 |
1.0× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$1,462.65 |
$4,179 |
0.9× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) |
$1,689.80 |
$4,828 |
1.0× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$2,462.49 |
$7,035.67 |
1.0× |
| Unlisted craniofacial and maxillofacial procedure (21299) |
$1,696.89 |
$4,848.24 |
6.8× |
| Unlisted fetal invasive procedure, including ultrasound guidance, when performed (59897) |
$1,781.86 |
$5,091.02 |
8.4× |
| Unlisted procedure accessory sinuses (31299) |
$591.99 |
$1,691.38 |
2.4× |
| Unlisted procedure anus (46999) |
$1,412.57 |
$4,035.90 |
1.4× |
| Unlisted procedure colon (45399) |
$1,975.44 |
$5,644.10 |
2.0× |
| Unlisted procedure leg/ankle (27899) |
$474.30 |
$1,355.12 |
1.8× |
| Unlisted procedure pancreas (48999) |
$545.52 |
$1,558.61 |
0.7× |
| Unlisted procedure rectum (45999) |
$774.43 |
$2,212.66 |
0.8× |
| Unlisted procedure shoulder (23929) |
$273.26 |
$780.74 |
1.1× |
| Unlisted procedure, dentoalveolar structures (41899) |
$207.64 |
$593.25 |
0.8× |
| Unlisted procedure, hands or fingers (26989) |
$495.51 |
$1,415.73 |
1.9× |
| Unlisted procedure, lacrimal system (68899) |
$329.05 |
$940.13 |
1.0× |
| Unlisted procedure, liver (47399) |
$1,484.98 |
$4,242.80 |
2.0× |
| Unlisted procedure, posterior segment (67299) |
$1,534.16 |
$4,383.32 |
0.6× |
| Unlisted procedure, vestibule of mouth (40899) |
$244.79 |
$699.39 |
1.0× |
| Upgrade of pacemaker system (33214) |
$9,938.95 |
$28,397 |
0.9× |
| Upper arm/elbow surgery unlisted (24999) |
$217.52 |
$621.46 |
0.8× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$3,168.55 |
$9,053 |
0.6× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$4,448.15 |
$12,709 |
0.8× |
| Urology surgery procedure unlisted (53899) |
$2,133.93 |
$6,096.93 |
8.1× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$2,360.81 |
$6,745.15 |
5.1× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$2,558.50 |
$7,310 |
0.7× |
| Uvulectomy, excision of uvula (42140) |
$1,532.30 |
$4,378 |
0.4× |
| Vaginal delivery (59409) |
$4,364.50 |
$12,470 |
1.3× |
| Vasc embolize/occlude bleed (37244) |
$11,291 |
$32,260 |
0.9× |
Vascular embolization or occlusion arterial rs&i (37242)
unusually low — confirm this is the full procedure |
$6,443.50 |
$18,410 |
0.3× |
| Vascular embolization or occlusion venous rs&i (37241) |
$11,291 |
$32,260 |
0.9× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$11,291 |
$32,260 |
0.9× |
| Vascular surgery procedure (37799) |
$1,965.64 |
$5,616.09 |
3.0× |
| Vasectomy (55250) |
$1,788.50 |
$5,110 |
0.8× |
| Vbac delivery only (59612) |
$4,364.50 |
$12,470 |
1.3× |
| Venipuncture (36415) |
$43.40 |
$124 |
4.6× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$624.05 |
$1,783 |
0.7× |
| Version cephalic external (59412) |
$1,389.50 |
$3,970 |
0.4× |
| Wedge excision skin nail fold (11765) |
$281.05 |
$803 |
0.7× |
| Wedging of cast (29740) |
$274.40 |
$784 |
0.9× |
| Windowing of cast (29730) |
$208.95 |
$597 |
1.2× |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) |
$4,006.10 |
$11,446 |
0.9× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$2,298.45 |
$6,567 |
0.9× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,163.25 |
$11,895 |
0.7× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$4,006.10 |
$11,446 |
0.9× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$4,163.25 |
$11,895 |
0.7× |