| Abd paracentesis w/imaging (49083) |
$998.92 |
$1,051.50 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$998.92 |
$1,051.50 |
1.1× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$8,604.75 |
$9,057.63 |
4.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$16,731.88 |
$17,612.51 |
8.1× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$6,897.11 |
$7,260.12 |
3.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$7,966.78 |
$8,386.08 |
3.8× |
| Amniocentesis diagnostic (59000) |
$861.89 |
$907.25 |
0.9× |
| Amputate metacarpal bone (26910) |
$6,257.33 |
$6,586.66 |
1.9× |
| Amputation Finger/Thumb (26951) |
$4,621.48 |
$4,864.72 |
1.4× |
| Amputation metatarsal with toe single (28810) |
$7,796.40 |
$8,206.74 |
2.4× |
| Amputation of finger/thumb (26952) |
$3,876.66 |
$4,080.70 |
1.2× |
| Amputation of penis; partial (54120) |
$14,866.11 |
$15,648.54 |
4.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$5,138.62 |
$5,409.08 |
1.6× |
| Amputation, foot; transmetatarsal (28805) |
$6,427.25 |
$6,765.53 |
2.0× |
| Anoscopy control bleeding (46614) |
$5,220.25 |
$5,495 |
4.3× |
| Anoscopy diagnostic (46600) |
$127.63 |
$134.35 |
1.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$6,152.15 |
$6,475.95 |
2.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$12,337.94 |
$12,987.30 |
2.5× |
| Anterior Tibial Tubercleplasty (27418) |
$13,151.52 |
$13,843.70 |
1.8× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$378.15 |
$398.05 |
2.3× |
| Application cast elbow finger short arm (29075) |
$229.24 |
$241.30 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$157.04 |
$165.30 |
2.7× |
| Application finger splint static (29130) |
$195.22 |
$205.50 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$247.95 |
$261 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$302.81 |
$318.75 |
1.9× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$19,721.45 |
$20,759.42 |
1.5× |
| Application of body cast, shoulder to hips; Other Surgical Services (29035) |
$718.39 |
$756.20 |
2.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$612.80 |
$645.05 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$487.35 |
$513 |
3.6× |
| Application short arm splint forearm-hand static (29125) |
$212.32 |
$223.50 |
1.6× |
| Application short leg splint calf foot (29515) |
$229.42 |
$241.50 |
1.4× |
| Apply short leg cast (29405) |
$268.94 |
$283.10 |
1.0× |
| Arterial puncture (36600) |
$142.60 |
$150.10 |
1.1× |
| Arteriovenous Anastomosis Open Direct (36821) |
$14,222.49 |
$14,971.04 |
4.5× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$15,282.94 |
$16,087.30 |
2.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,523.67 |
$1,603.86 |
4.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$786.08 |
$827.45 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,082.52 |
$1,139.50 |
3.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,260 |
$1,326.32 |
4.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$808.78 |
$851.35 |
2.6× |
| Arthrodesis ankle open (27870) |
$43,053.60 |
$45,319.58 |
3.3× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
unusually low: confirm this is the full procedure |
$5,170.62 |
$5,442.76 |
0.4× |
| Arthrodesis great toe interphalangeal joint (28755) |
$9,888.39 |
$10,408.83 |
1.4× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$21,810.54 |
$22,958.47 |
1.2× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$24,100.40 |
$25,368.84 |
0.9× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low: confirm this is the full procedure |
$10,291.76 |
$10,833.43 |
0.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$13,577.33 |
$14,291.93 |
1.9× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$26,339.34 |
$27,725.62 |
1.0× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$7,790.93 |
$8,200.98 |
0.4× |
| Arthroplasty Ankle W/Implant (27702) |
$63,965.55 |
$67,332.16 |
2.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$21,770.76 |
$22,916.59 |
1.2× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$28,572.09 |
$30,075.88 |
3.9× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$19,926.86 |
$20,975.64 |
1.5× |
| Arthroscopy ankle; ext debridem (29898) |
$7,503.78 |
$7,898.72 |
2.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$8,273.27 |
$8,708.71 |
2.5× |
| Arthroscopy of joint (29999) |
$9,948.91 |
$10,472.54 |
40.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$6,813.22 |
$7,171.81 |
2.1× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$6,440.59 |
$6,779.57 |
2.0× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$6,533.65 |
$6,877.53 |
2.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$6,535.56 |
$6,879.54 |
2.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,519.39 |
$4,757.25 |
1.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$6,496.97 |
$6,838.92 |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$9,359.31 |
$9,851.91 |
2.8× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$5,673.91 |
$5,972.53 |
0.8× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$15,337.89 |
$16,145.15 |
2.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,957.31 |
$7,323.49 |
2.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$15,536.28 |
$16,353.98 |
4.7× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$5,619.71 |
$5,915.48 |
1.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$16,236.88 |
$17,091.46 |
2.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,747.48 |
$6,049.98 |
0.8× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$3,876.66 |
$4,080.70 |
1.2× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$13,062.33 |
$13,749.82 |
4.0× |
| Artl Cathj Prolng Nfs Ther Chemotx Cutdown (36640) |
$3,918.70 |
$4,124.95 |
1.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$357.63 |
$376.45 |
1.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,451.05 |
$2,580.05 |
1.2× |
| Av fistula revision (36833) |
$18,091.97 |
$19,044.18 |
3.2× |
| Av Fuse Uppr Arm Basilic (36819) |
$25,920.12 |
$27,284.34 |
4.6× |
| Av fusion/forearm vein (36820) |
$11,241.42 |
$11,833.07 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$397.10 |
$418 |
2.0× |
| Axillary lymphadenectomy; complete (38745) |
$15,325.03 |
$16,131.61 |
2.5× |
| Biliary Endoscopy Percut,Dil Strict (47555) |
$4,355.28 |
$4,584.50 |
0.7× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$6,926.54 |
$7,291.10 |
0.6× |
| Biopsy bone open superficial (20240) |
$11,626.43 |
$12,238.35 |
4.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,390.80 |
$1,464 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,926.08 |
$2,027.45 |
1.2× |
| Biopsy Breast Open Incisional (19101) |
$3,592.41 |
$3,781.48 |
0.9× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$2,831 |
$2,980 |
3.1× |
| Biopsy muscle percutaneous needle (20206) |
$1,926.08 |
$2,027.45 |
1.2× |
| Biopsy of mouth lesion (40808) |
$959.50 |
$1,010 |
1.8× |
| Biopsy of tongue (41100) |
$4,664.58 |
$4,910.08 |
8.6× |
| Biopsy of uterus lining (58100) |
$356.49 |
$375.25 |
1.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$6,400.05 |
$6,736.90 |
1.6× |
| Biopsy Oropharynx (42800) |
$8,446.05 |
$8,890.58 |
5.4× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,443.14 |
$1,519.10 |
0.9× |
| Biopsy pleura percutaneous needle (32400) |
$1,926.08 |
$2,027.45 |
1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,138.02 |
$2,250.55 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$1,926.08 |
$2,027.45 |
1.2× |
| Biopsy soft tissue of back (21920) |
$4,125.85 |
$4,343 |
2.5× |
| Biopsy/removal lymph nodes (38525) |
$8,375.05 |
$8,815.84 |
2.1× |
| Biopsy/removal lymph nodes (38510) |
$7,903.06 |
$8,319.01 |
2.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$981.02 |
$1,032.65 |
1.4× |
| Bladder Irrigation Simple (51700) |
$376.20 |
$396 |
1.5× |
| Blood patch (62273) |
$1,634.43 |
$1,720.45 |
2.3× |
| Blood transfusion service (36430) |
$543.35 |
$571.95 |
1.2× |
| Blood/Lymph System Procedure (38999) |
$4,021.16 |
$4,232.80 |
9.1× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$10,570.39 |
$11,126.72 |
1.5× |
| Bone marrow aspiration only (38220) |
$1,926.08 |
$2,027.45 |
1.2× |
| Bone Marrow Biopsy (38221) |
$1,926.08 |
$2,027.45 |
1.2× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$1,480.10 |
$1,558 |
2.1× |
| Breast augmentation with implant (19325) |
$4,963.73 |
$5,224.98 |
0.6× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,048.06 |
$2,155.85 |
1.1× |
| Bronch ebus samplng 1/2 node (31652) |
$11,553.68 |
$12,161.77 |
3.1× |
| Bronch ebus samplng 3/> node (31653) |
$13,091.10 |
$13,780.11 |
3.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$9,258.54 |
$9,745.83 |
5.2× |
| Bronchoscopy dilate/fx repr (31630) |
$10,839.86 |
$11,410.38 |
2.9× |
| Bronchoscopy W/Biopsy(S) (31625) |
$4,237 |
$4,460 |
2.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,610.35 |
$4,853 |
2.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,048.06 |
$2,155.85 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,926.08 |
$2,027.45 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$5,980.54 |
$6,295.30 |
3.6× |
| Bx breast 1st lesion strtctc (19081) |
$5,025.40 |
$5,289.90 |
3.0× |
| Bx breast 1st lesion us imag (19083) |
$4,802.82 |
$5,055.60 |
2.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$13,020.96 |
$13,706.27 |
7.8× |
| Bx vulva/perineum 1 lesion (56605) |
$9,526.91 |
$10,028.33 |
10.3× |
| Bx/exc lymph node needle superficial (38505) |
$1,926.08 |
$2,027.45 |
1.2× |
| Canthotomy Separate Procedure (67715) |
$2,863.19 |
$3,013.88 |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,585.80 |
$2,721.90 |
0.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,954.55 |
$4,162.68 |
1.2× |
| Cerv artific diskectomy (22856) |
$17,852.55 |
$18,792.16 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$5,037.94 |
$5,303.10 |
1.6× |
| Change Cystostomy Tube Simple (51705) |
$790.88 |
$832.50 |
3.2× |
| Chemical Cautery Tissue (17250) |
$240.82 |
$253.50 |
1.2× |
| Chest tube placement (32551) |
$1,203.18 |
$1,266.50 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$114 |
$120 |
0.9× |
| Chromotubation of oviduct, including materials (58350) |
$5,795.11 |
$6,100.11 |
1.2× |
| Circum 28 days or older (54161) |
$5,741.41 |
$6,043.59 |
2.7× |
| Circumcision (54150) |
$2,451.05 |
$2,580.05 |
1.2× |
| Circumcision Neonate (54160) |
$787.55 |
$829 |
1.1× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,614.57 |
$1,699.55 |
5.2× |
| Claviculectomy; partial (23120) |
$7,969.52 |
$8,388.97 |
2.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,906.65 |
$2,007 |
1.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,977.38 |
$2,081.45 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,893.82 |
$1,993.50 |
1.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,161.38 |
$1,222.50 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,351.04 |
$1,422.15 |
0.8× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,906.65 |
$2,007 |
1.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,906.65 |
$2,007 |
1.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$926.25 |
$975 |
3.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$759 |
$798.95 |
3.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,593.62 |
$1,677.50 |
1.0× |
| Closed treat wrist dislocation (25660) |
$435 |
$457.90 |
1.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$5,413.85 |
$5,698.79 |
1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$2,400.65 |
$2,527 |
9.7× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$435 |
$457.90 |
1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$9,659.14 |
$10,167.52 |
39.0× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,906.65 |
$2,007 |
1.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$13,848.97 |
$14,577.86 |
55.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$808.64 |
$851.20 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,411.51 |
$1,485.80 |
0.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,313.14 |
$1,382.25 |
5.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,221.08 |
$1,285.35 |
0.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,157.02 |
$1,217.92 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$796 |
$837.90 |
3.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,906.65 |
$2,007 |
1.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,851.74 |
$1,949.20 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$789.69 |
$831.25 |
3.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$526.16 |
$553.85 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,133.54 |
$1,193.20 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,023.50 |
$2,130 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,906.65 |
$2,007 |
1.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$2,221.05 |
$2,337.95 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$417.86 |
$439.85 |
1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,271.62 |
$1,338.55 |
0.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$359.20 |
$378.10 |
1.5× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$863.69 |
$909.15 |
1.6× |
| Closure of median sternotomy seperation with or without debridement (seperate procedure) (21750) |
$22,420 |
$23,600 |
3.1× |
| Closure of vagina (57120) |
$16,209.70 |
$17,062.85 |
3.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$814.96 |
$857.85 |
3.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,256.80 |
$1,322.95 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$629.04 |
$662.15 |
2.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,906.65 |
$2,007 |
1.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$749.98 |
$789.45 |
3.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$435 |
$457.90 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,628.98 |
$2,767.35 |
10.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$472.01 |
$496.85 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$717.49 |
$755.25 |
2.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$9,858.49 |
$10,377.36 |
6.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,906.65 |
$2,007 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,264.40 |
$1,330.95 |
5.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,744.10 |
$1,835.90 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$503.60 |
$530.10 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$377.24 |
$397.10 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,688.98 |
$2,830.50 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$740.38 |
$779.35 |
3.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$285.19 |
$300.20 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$408.83 |
$430.35 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$777.96 |
$818.90 |
3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$466.59 |
$491.15 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,906.65 |
$2,007 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$472.01 |
$496.85 |
1.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$374.54 |
$394.25 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$613.70 |
$646 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$352.88 |
$371.45 |
1.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$11,486.03 |
$12,090.56 |
7.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$917.84 |
$966.15 |
3.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,906.65 |
$2,007 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,751.75 |
$1,843.95 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$289.70 |
$304.95 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$368.22 |
$387.60 |
1.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,956.17 |
$2,059.13 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,601.04 |
$1,685.30 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,478.30 |
$1,556.10 |
0.9× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$648 |
$682.10 |
2.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,613.67 |
$1,698.60 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$3,235.70 |
$3,406 |
2.7× |
| Colonoscopy w/band ligation (45398) |
$5,690.67 |
$5,990.18 |
4.7× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$15,705.96 |
$16,532.59 |
2.1× |
| Colporrhaphy suture injury vagina (57200) |
$3,591.57 |
$3,780.60 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$224.72 |
$236.55 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$3,179.47 |
$3,346.82 |
10.4× |
| Colposcopy vulva (56820) |
$152.95 |
$161 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$3,218.33 |
$3,387.72 |
3.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$7,334.53 |
$7,720.56 |
6.1× |
| Complete replacement picc rs&i (36584) |
$2,900.56 |
$3,053.22 |
1.8× |
| Conization of cervix (57520) |
$6,108.48 |
$6,429.98 |
1.9× |
| Conization of cervix (57522) |
$6,111 |
$6,432.63 |
1.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$517.13 |
$544.35 |
2.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$592.80 |
$624 |
4.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$285.19 |
$300.20 |
2.1× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$416.05 |
$437.95 |
0.8× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$7,774.95 |
$8,184.16 |
2.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,326.63 |
$4,554.35 |
2.6× |
| Correction hammertoe (28285) |
$6,321 |
$6,653.68 |
1.9× |
| Correction of bunion (28299) |
$8,104.36 |
$8,530.91 |
1.1× |
| Correction of bunion (28297) |
$15,542.74 |
$16,360.78 |
1.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$18,012.53 |
$18,960.56 |
5.5× |
| Create eardrum opening (69436) |
$3,215.01 |
$3,384.22 |
2.1× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$15,741.59 |
$16,570.09 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$767.12 |
$807.50 |
5.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$690.41 |
$726.75 |
2.9× |
| Curettage postpartum (59160) |
$6,104.98 |
$6,426.30 |
1.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$6,215.83 |
$6,542.98 |
3.0× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$5,698.50 |
$5,998.42 |
1.6× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$17,411.19 |
$18,327.57 |
3.2× |
| Cysto w/removal of tumors small (52234) |
$12,159.71 |
$12,799.69 |
3.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$8,115.44 |
$8,542.57 |
3.9× |
| Cysto w/ureter stricture tx (52341) |
$2,969.12 |
$3,125.39 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$5,720.94 |
$6,022.04 |
1.6× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,793.90 |
$7,151.47 |
1.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,113.09 |
$4,329.57 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$13,548.71 |
$14,261.80 |
2.5× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$13,947.40 |
$14,681.47 |
2.6× |
| Cystolithotomy w rem stone wo vn res (51050) |
$43,562.44 |
$45,855.20 |
8.1× |
| Cystoscopy w/biopsy (52204) |
$5,869.58 |
$6,178.51 |
2.8× |
| Cystoscopy w/complex removal stone & stent (52315) |
$10,152.17 |
$10,686.50 |
4.8× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$5,654.97 |
$5,952.60 |
2.7× |
| Cystoscopy,insert ureteral stent (52332) |
$10,209.10 |
$10,746.43 |
2.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$7,648.45 |
$8,051 |
3.6× |
| Cystourethroscopy (52000) |
$10,425.40 |
$10,974.11 |
14.9× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$3,968.73 |
$4,177.61 |
1.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$5,800.07 |
$6,105.34 |
2.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$6,616.18 |
$6,964.40 |
1.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$3,694.92 |
$3,889.39 |
1.0× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$13,072.37 |
$13,760.39 |
3.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$716.96 |
$754.70 |
1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$13,289.26 |
$13,988.69 |
4.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$668.62 |
$703.81 |
0.2× |
| Debride nail 1-5 (11720) |
$76.24 |
$80.25 |
1.3× |
| Debride skin musc at fx site (11011) |
$4,898.20 |
$5,156 |
6.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$6,370.82 |
$6,706.13 |
31.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,372.75 |
$1,445 |
3.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$15,224.39 |
$16,025.67 |
20.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$5,773.13 |
$6,076.98 |
3.5× |
| Declot vascular device (36593) |
$343.42 |
$361.50 |
1.0× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$9,922.91 |
$10,445.17 |
4.8× |
| Delivery placenta separate procedure (59414) |
$3,591.57 |
$3,780.60 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$3,636.60 |
$3,828 |
1.9× |
| Destroy lumb/sac facet jnt (64635) |
$2,174.64 |
$2,289.10 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$166.96 |
$175.75 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,707.50 |
$2,850 |
3.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$2,699.02 |
$2,841.07 |
13.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$2,699.02 |
$2,841.07 |
13.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$11,317.35 |
$11,913 |
5.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,570.35 |
$1,653 |
2.2× |
| Diagnostic sigmoidoscopy (45330) |
$9,929.19 |
$10,451.78 |
10.6× |
| Dilate Urethra Stricture (53600) |
$2,036.31 |
$2,143.48 |
8.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,785.81 |
$6,090.33 |
1.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$4,911.10 |
$5,169.58 |
5.4× |
| Dilation Nasolacrimal Duct (68801) |
$9,937.39 |
$10,460.41 |
22.1× |
| Dilation of salivary duct (42650) |
$6,425.80 |
$6,764 |
4.1× |
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045)
likely a partial charge, not the full procedure |
$795.45 |
$837.32 |
0.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$4,829.48 |
$5,083.66 |
2.7× |
| Drain hand tendon sheath (26020) |
$3,876.66 |
$4,080.70 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$851.86 |
$896.70 |
1.2× |
| Drain penis lesion (54015) |
$1,411.51 |
$1,485.80 |
0.9× |
| Drainage abscess/hematoma nasal int approach (30000) |
$259.02 |
$272.65 |
1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$619.12 |
$651.70 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$1,926.08 |
$2,027.45 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$270.75 |
$285 |
1.3× |
| Drainage mouth roof lesion (42000) |
$416.05 |
$437.95 |
1.7× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$904.30 |
$951.90 |
1.7× |
| Drainage of deep rectal abscess (45020) |
$3,344.24 |
$3,520.25 |
1.2× |
| Drainage of eyelid abscess (67700) |
$255.41 |
$268.85 |
0.8× |
| Drainage of gum lesion (41800) |
$374.54 |
$394.25 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$1,926.08 |
$2,027.45 |
1.2× |
| Drainage of mouth lesion (41017) |
$3,418.67 |
$3,598.60 |
1.0× |
| Drainage of perirenal or renal abscess, open (50020) |
$4,875.30 |
$5,131.90 |
2.3× |
| Drainage of salivary gland (42305) |
$34,399 |
$36,209.47 |
10.3× |
| Drainage of scrotal wall abscess (55100) |
$1,926.08 |
$2,027.45 |
1.2× |
| Draw blood off venous device (36591) |
$102.60 |
$108 |
0.8× |
| Dressing change under anesthesia (15852) |
$716.96 |
$754.70 |
1.0× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$1,166.03 |
$1,227.40 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$582.11 |
$612.75 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$619.88 |
$652.50 |
3.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$345.56 |
$363.75 |
1.7× |
| Dry Needling 3+ Muscles (20561) |
$70.30 |
$74 |
2.4× |
| Dstl revsc&interval lig uxtr hemo access (36838) |
$12,947.36 |
$13,628.81 |
2.3× |
| Dstrj lesion anus simple surg excision (46922) |
$5,787.92 |
$6,092.55 |
2.1× |
| Dx bone marrow bx & aspir (38222) |
$3,245.72 |
$3,416.55 |
1.1× |
| Egd Endo Mucosal Resection (43254) |
$1,012.40 |
$1,065.68 |
0.5× |
| Egd flexible foreign body removal (43247) |
$10,136.51 |
$10,670.01 |
11.1× |
| Egd guide wire insertion (43248) |
$6,026.56 |
$6,343.75 |
6.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$11,341.25 |
$11,938.16 |
5.9× |
| Egd place gastrostomy tube (43246) |
$2,550.46 |
$2,684.70 |
1.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$3,491.25 |
$3,675 |
1.8× |
| Egd us exam duodenum/jejunum (43259) |
$7,440.77 |
$7,832.39 |
3.9× |
| Egd Varices Ligation (43244) |
$3,629 |
$3,820 |
1.9× |
| Emblc/thrmbc popliteal-tibio-proneal art leg inc (34203) |
$10,193.26 |
$10,729.75 |
1.8× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$8,351.28 |
$8,790.82 |
1.7× |
| Endoscopic Injection/Implant (51715) |
$4,817.64 |
$5,071.20 |
1.4× |
| Endoscopic Plantar Fasciotomy (29893) |
$13,951.34 |
$14,685.62 |
4.2× |
| Endoscopic us exam esoph (43237) |
$8,913.91 |
$9,383.06 |
4.6× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$3,662.25 |
$3,855 |
1.9× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,344.65 |
$2,468.05 |
1.1× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,713.80 |
$4,961.90 |
1.3× |
| Epididymectomy unilateral (54860) |
$12,060.46 |
$12,695.22 |
3.4× |
| Episiotomy or vaginal repair (59300) |
$16,585.20 |
$17,458.10 |
5.1× |
| Ercp Duct Stent Placement (43274) |
$14,884.67 |
$15,668.07 |
2.4× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,853.06 |
$4,055.85 |
1.0× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$723.14 |
$761.20 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,685.03 |
$2,826.35 |
0.7× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,454.50 |
$1,531.06 |
0.4× |
| Esoph endoscopy dilation (43226) |
$4,714.29 |
$4,962.42 |
2.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$2,550.46 |
$2,684.70 |
1.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,756.13 |
$1,848.55 |
1.9× |
| Esophagoscopy rigid trnso dx (43191) |
$3,716.58 |
$3,912.19 |
1.9× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$15,373.51 |
$16,182.64 |
2.6× |
| Esophagus Surg Procedure Unlisted (43499) |
$3,833.25 |
$4,035 |
4.2× |
| Evacuate mole of uterus (59870) |
$15,750.20 |
$16,579.16 |
4.8× |
| Evacuation of subungual hematoma (11740) |
$138.32 |
$145.60 |
1.0× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$6,678.15 |
$7,029.63 |
4.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,534.23 |
$2,667.61 |
1.5× |
| Exc abd les sc 3 cm/> (22903) |
$5,889.13 |
$6,199.08 |
2.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$5,802.03 |
$6,107.40 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$5,561.23 |
$5,853.93 |
3.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,885.19 |
$4,089.67 |
2.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$5,846.94 |
$6,154.67 |
3.5× |
| Exc back les sc < 3 cm (21930) |
$5,660.65 |
$5,958.58 |
3.4× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$10,097 |
$10,628.42 |
1.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$5,838.86 |
$6,146.17 |
8.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$10,630.74 |
$11,190.25 |
6.4× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$4,321.60 |
$4,549.05 |
2.6× |
| Exc forearm les sc 3 cm/> (25071) |
$6,490.38 |
$6,831.98 |
3.9× |
| Exc forearm les sc < 3 cm (25075) |
$8,032.87 |
$8,455.65 |
4.8× |
| Exc hand les sc < 1.5 cm (26115) |
$6,343.99 |
$6,677.88 |
3.8× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$12,844.10 |
$13,520.11 |
6.5× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$6,102.83 |
$6,424.03 |
3.1× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$22,057.58 |
$23,218.51 |
3.7× |
| Exc skin abd (15830) |
$7,520.52 |
$7,916.34 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$5,811.31 |
$6,117.17 |
8.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$428.03 |
$450.56 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$615.94 |
$648.36 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$670.57 |
$705.86 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$3,255.32 |
$3,426.65 |
2.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$5,059.23 |
$5,325.51 |
1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,915.72 |
$6,227.07 |
3.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$7,029.11 |
$7,399.06 |
4.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,255.17 |
$3,426.49 |
1.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$12,816.96 |
$13,491.54 |
4.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,455.78 |
$4,690.29 |
2.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,903.58 |
$6,214.29 |
2.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$13,513.62 |
$14,224.86 |
4.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,419.54 |
$1,494.25 |
1.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$851.86 |
$896.70 |
1.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$4,685.95 |
$4,932.58 |
2.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$9,879.24 |
$10,399.20 |
3.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$6,598.96 |
$6,946.27 |
2.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$13,206.31 |
$13,901.38 |
4.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$9,049.13 |
$9,525.40 |
5.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,350.71 |
$2,474.43 |
0.8× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$6,131.98 |
$6,454.72 |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$9,290.92 |
$9,779.92 |
3.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$6,021.74 |
$6,338.67 |
2.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,643.23 |
$5,940.24 |
3.4× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$16,492.43 |
$17,360.45 |
4.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,911.12 |
$3,064.34 |
0.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$9,687.74 |
$10,197.62 |
6.0× |
| Exchange nephrostomy cath (50435) |
$2,451.05 |
$2,580.05 |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,657.84 |
$1,745.10 |
0.9× |
| Excis lesn,palete/uvula-flap clos (42107) |
$9,177.65 |
$9,660.68 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$6,871.60 |
$7,233.26 |
4.3× |
| Excise Inferior Turbinate (30130) |
$7,547.63 |
$7,944.87 |
2.3× |
| Excise parotid gland/lesion (42420) |
$57,022.91 |
$60,024.12 |
9.6× |
| Excision Breast Lesion (19125) |
$6,375.80 |
$6,711.37 |
1.6× |
| Excision hydrocele bilateral (55041) |
$5,115.05 |
$5,384.27 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$4,760.95 |
$5,011.53 |
3.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$4,493.33 |
$4,729.83 |
6.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$2,988.10 |
$3,145.37 |
4.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$5,989.20 |
$6,304.42 |
14.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,855.55 |
$1,953.21 |
2.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,699.02 |
$2,841.07 |
3.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$12,359.33 |
$13,009.82 |
7.4× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,855.55 |
$1,953.21 |
2.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$6,097.35 |
$6,418.26 |
3.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$7,687.36 |
$8,091.96 |
4.6× |
| Excision of bartholin's gland or cyst (56740) |
$6,566.92 |
$6,912.55 |
2.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$5,760.24 |
$6,063.41 |
8.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$5,686.01 |
$5,985.28 |
8.0× |
| Excision of benign tumor or cyst of facial bone other than mandible (21030) |
$8,547.54 |
$8,997.42 |
1.4× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$3,460.24 |
$3,642.36 |
2.1× |
| Excision of hydrocele; unilateral (55040) |
$10,141.86 |
$10,675.64 |
2.8× |
| Excision of lesion of tongue without closure (41110) |
$14,687.87 |
$15,460.92 |
4.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$3,292.27 |
$3,465.55 |
2.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,926.08 |
$2,027.45 |
1.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$5,011.85 |
$5,275.63 |
3.1× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$6,420.22 |
$6,758.13 |
1.9× |
| Excision of local lesion of epididymis (54830) |
$4,996.21 |
$5,259.17 |
1.4× |
| Excision of mouth lesion (40816) |
$6,255.71 |
$6,584.96 |
1.9× |
| Excision of nail fold toe (11765) |
$473.15 |
$498.05 |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,909.01 |
$6,220.01 |
2.0× |
| Excision of single external papilla or tag, anus (46220) |
$6,741.62 |
$7,096.44 |
5.6× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$12,142.71 |
$12,781.80 |
5.8× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$7,170.24 |
$7,547.62 |
2.2× |
| Excision of tongue lesion (41112) |
$4,110.92 |
$4,327.28 |
1.2× |
| Excision of vaginal cyst or tumor (57135) |
$3,631.84 |
$3,822.99 |
1.1× |
| Excision olecranon bursa (24105) |
$10,981.18 |
$11,559.14 |
3.3× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$25,513.98 |
$26,856.82 |
7.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$7,271.53 |
$7,654.24 |
2.5× |
| Excision Prepatellar Bursa (27340) |
$10,097.01 |
$10,628.44 |
3.1× |
| Excision soft tissue lesion, external auditory canal (69145) |
$5,885.72 |
$6,195.50 |
2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,014.29 |
$6,330.83 |
3.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$5,848.64 |
$6,156.46 |
3.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$11,743.20 |
$12,361.26 |
7.3× |
| Excision, nasal polyp(s), simple (30110) |
$8,446.05 |
$8,890.58 |
5.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$5,760.88 |
$6,064.08 |
3.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$9,868.46 |
$10,387.86 |
3.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$10,386.03 |
$10,932.66 |
3.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$6,489.98 |
$6,831.56 |
2.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$5,814.86 |
$6,120.91 |
3.5× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$6,465.02 |
$6,805.28 |
2.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,344.65 |
$2,468.05 |
1.1× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$11,577.68 |
$12,187.03 |
2.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,906.65 |
$2,007 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$6,160.67 |
$6,484.92 |
3.7× |
| Exploration maxillary sinus (31030) |
$10,547.25 |
$11,102.37 |
1.8× |
| Exploration of knee joint (27310) |
$14,667.35 |
$15,439.32 |
4.5× |
| Exploration of spinal fusion (22830) |
$9,967.21 |
$10,491.80 |
1.4× |
| Exploration penetrating wound spx extremity (20103) |
$2,747.40 |
$2,892 |
1.7× |
| Explore parathyroid glands (60500) |
$20,832.81 |
$21,929.28 |
3.5× |
| Explore sinus remove polyps (31032) |
$13,910.52 |
$14,642.65 |
2.3× |
| Explore/treat ankle joint (27620) |
$6,465.02 |
$6,805.28 |
2.0× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,582.64 |
$1,665.94 |
1.0× |
| External Cephalic Version (59412) |
$3,591.57 |
$3,780.60 |
1.1× |
| Fasciotomy foot and/or toe (28008) |
$19,642.15 |
$20,675.95 |
6.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$7,557.38 |
$7,955.14 |
2.3× |
| Fetal Contraction Stress Test (59020) |
$520.74 |
$548.15 |
2.6× |
| Fetal non-stress test (59025) |
$791.87 |
$833.55 |
3.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,563.70 |
$1,646 |
2.2× |
| Fine needle aspiration without imaging guidance (10021) |
$301.44 |
$317.30 |
0.7× |
| Fixation of knee joint (27570) |
$4,681.82 |
$4,928.23 |
2.9× |
| Fixation of shoulder (23700) |
$4,208.02 |
$4,429.50 |
2.6× |
| Fluoro exam of g/colon tube (49465) |
$578.31 |
$608.75 |
2.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$9,778.45 |
$10,293.11 |
2.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,066.10 |
$3,227.48 |
1.5× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,699.02 |
$2,841.07 |
1.3× |
| Fusion Finger Joint (26860) |
$15,564.39 |
$16,383.57 |
4.7× |
| Fusion of foot bones (28730) |
$14,314.63 |
$15,068.04 |
1.1× |
| Fusion of foot bones (28735) |
$33,808.28 |
$35,587.66 |
2.6× |
| Fusion of foot bones (28740) |
$15,831.87 |
$16,665.13 |
2.2× |
| Graft ear crtlg autogenous nose/ear (21235) |
$9,696.13 |
$10,206.45 |
1.6× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$9,977.89 |
$10,503.04 |
2.8× |
| Guide Cathet Fluid Drainage (10030) |
$1,198.42 |
$1,261.50 |
1.7× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$8,987.73 |
$9,460.77 |
2.7× |
| Hemorrhoidectomy (46255) |
$8,074.19 |
$8,499.15 |
2.9× |
| Hemorrhoidectomy external complete (46250) |
$9,083.73 |
$9,561.83 |
3.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$12,397.23 |
$13,049.72 |
4.4× |
| Hysteroscopy ablation (58563) |
$16,959.83 |
$17,852.45 |
3.4× |
| Hysteroscopy biopsy (58558) |
$7,610.40 |
$8,010.95 |
2.3× |
| Hysteroscopy dx sep proc (58555) |
$5,085.22 |
$5,352.86 |
1.6× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,941.11 |
$5,201.17 |
1.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$9,063.19 |
$9,540.20 |
1.8× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$6,617.75 |
$6,966.05 |
2.0× |
| I&D Abscess Peritonsillar (42700) |
$432.30 |
$455.05 |
1.8× |
| I&d abscess simple (10060) |
$359.10 |
$378 |
1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,307.03 |
$3,481.08 |
1.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$27,464.67 |
$28,910.18 |
9.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,451.05 |
$2,580.05 |
1.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$15,640.59 |
$16,463.78 |
4.8× |
| I&d perianal abscess superficial (46050) |
$1,086.32 |
$1,143.50 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$851.86 |
$896.70 |
1.2× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$3,344.24 |
$3,520.25 |
1.2× |
| I&d thyroglossal duct cyst infected (60000) |
$1,851.74 |
$1,949.20 |
1.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,926.08 |
$2,027.45 |
1.2× |
| Image Cath Fluid Peri/Retro (49406) |
$3,710.70 |
$3,906 |
2.2× |
| Impl oi implt skull mag tc attachment esp<100 (69716) |
$17,077.21 |
$17,976.01 |
1.3× |
| Implant cochlear device (69930) |
$24,697.55 |
$25,997.42 |
0.7× |
| Implant neuroelectrodes (63650) |
$15,502.82 |
$16,318.76 |
2.4× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$12,937.48 |
$13,618.40 |
0.7× |
| Incise finger tendon sheath (26055) |
$4,213.28 |
$4,435.03 |
2.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$504.50 |
$531.05 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$6,621.50 |
$6,970 |
2.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$654.31 |
$688.75 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,926.08 |
$2,027.45 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$314.92 |
$331.50 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$454.86 |
$478.80 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$515.18 |
$542.30 |
1.7× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$18,309.34 |
$19,272.99 |
2.5× |
| Incision bone cortex foot (28005) |
$1,438.42 |
$1,514.13 |
0.4× |
| Incision extensor tendon sheath wrist (25000) |
$7,103.48 |
$7,477.35 |
4.4× |
| Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) |
$24,279.72 |
$25,557.60 |
0.5× |
| Incision of achilles tendon (27605) |
$5,122.12 |
$5,391.71 |
3.2× |
| Incision of eardrum (69421) |
$2,628.76 |
$2,767.12 |
0.8× |
| Incision of lingual frenum (41010) |
$3,857 |
$4,060 |
2.5× |
| Incision of metatarsal (28308) |
$13,032.59 |
$13,718.52 |
4.0× |
| Incision of rectal abscess (46040) |
$6,652.84 |
$7,002.99 |
5.5× |
| Incision of urethra (53020) |
$4,792.57 |
$5,044.81 |
2.3× |
| Incision thrombosed hemorrhoid external (46083) |
$418.95 |
$441 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$2,312.62 |
$2,434.34 |
3.1× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$29,937 |
$31,512.64 |
4.5× |
| Initial tx 1st degree burn local tx (16000) |
$162.45 |
$171 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,683.16 |
$1,771.75 |
1.9× |
| Inj tendon sheath/ligament (20550) |
$259.35 |
$273 |
0.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$752.40 |
$792 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,126.89 |
$1,186.20 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$869.25 |
$915 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,404.38 |
$1,478.30 |
1.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,126.89 |
$1,186.20 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,000.84 |
$2,106.15 |
2.3× |
| Inject Tendon Origin/Insert (20551) |
$476.52 |
$501.60 |
1.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,126.89 |
$1,186.20 |
1.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$4,322.98 |
$4,550.50 |
6.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$3,537.80 |
$3,724 |
5.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,424.14 |
$1,499.10 |
2.0× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,126.89 |
$1,186.20 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$607.98 |
$639.98 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$1,304.35 |
$1,373 |
1.8× |
| Injection for identification of sentinel node (38792) |
$516.04 |
$543.20 |
1.3× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$692.93 |
$729.40 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$275.02 |
$289.50 |
0.9× |
| Injection(s) spider veins (36468) |
$334.83 |
$352.45 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$5,776.95 |
$6,081 |
1.8× |
| Ins cath ren art 1st unilat (36251) |
$4,695.33 |
$4,942.45 |
1.5× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,427.36 |
$3,607.75 |
0.6× |
| Ins endovas vena cava filtr (37191) |
$6,304.77 |
$6,636.60 |
1.1× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$14,233.66 |
$14,982.80 |
1.4× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$14,233.66 |
$14,982.80 |
1.4× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$14,233.66 |
$14,982.80 |
1.4× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$24,859.70 |
$26,168.10 |
2.4× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$9,459.34 |
$9,957.20 |
0.3× |
| Insert 1 electrode pm-defib (33216) |
$11,168.34 |
$11,756.15 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$651.22 |
$685.50 |
5.0× |
| Insert cervical dilator (59200) |
$259.92 |
$273.60 |
0.8× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$4,132.74 |
$4,350.25 |
2.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,383.44 |
$1,456.25 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$3,918.70 |
$4,124.95 |
1.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,918.70 |
$4,124.95 |
1.2× |
| Insert pacing lead & connect (33224) |
$14,233.66 |
$14,982.80 |
1.4× |
| Insert picc cath (36569) |
$3,069.29 |
$3,230.83 |
1.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,900.56 |
$3,053.22 |
1.8× |
| Insert pulse gen mult leads (33221) |
$25,494.63 |
$26,836.45 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$357.68 |
$376.50 |
2.7× |
| Insert Tissue Expander(S) (11960) |
$10,921.34 |
$11,496.15 |
3.1× |
| Insert tun ip cath perc (49418) |
$4,355.28 |
$4,584.50 |
1.2× |
| Insert tunneled cv cath (36561) |
$6,039.95 |
$6,357.84 |
1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$223.82 |
$235.60 |
1.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$10,558.65 |
$11,114.37 |
2.9× |
| Insertion of brain neurostimulator pulse with connection to single (61885) |
$28,820.59 |
$30,337.46 |
0.9× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$11,482.25 |
$12,086.58 |
3.2× |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
$5,407.67 |
$5,692.28 |
2.8× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$10,006.38 |
$10,533.03 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,078 |
$3,240 |
1.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$4,298.51 |
$4,524.75 |
0.5× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,371 |
$4,601.05 |
0.5× |
| Insj multi-component inflatable penile prosth (54405) |
$18,002.58 |
$18,950.08 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,039.95 |
$6,357.84 |
1.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$7,300.32 |
$7,684.55 |
2.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,978.25 |
$3,135 |
0.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$14,714.24 |
$15,488.68 |
1.8× |
| Insj/rplcmt defib w/lead(s) (33249) |
$44,964.92 |
$47,331.50 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,168.34 |
$11,756.15 |
1.3× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$11,997.55 |
$12,629 |
1.4× |
| Insrt pulse gen w/mult leads (33231) |
$44,964.92 |
$47,331.50 |
1.4× |
| Insrt/redo spine n generator (63685) |
$21,040.09 |
$22,147.46 |
0.7× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$10,412.97 |
$10,961.02 |
6.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$10,862.55 |
$11,434.26 |
0.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$10,412.97 |
$10,961.02 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$1,107.65 |
$1,165.95 |
1.2× |
| Intro windpipe wire/tube (31730) |
$2,048.06 |
$2,155.85 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$601.64 |
$633.30 |
2.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$7,150.34 |
$7,526.67 |
28.5× |
| Knee arthroscopy/surgery (29883) |
$13,364.15 |
$14,067.52 |
4.1× |
| Knee arthroscopy/surgery (29885) |
$8,032.48 |
$8,455.24 |
1.1× |
| Knee arthroscopy/surgery (29876) |
$9,526.91 |
$10,028.33 |
2.9× |
| Knee arthroscopy/surgery (29886) |
$7,284.63 |
$7,668.04 |
2.2× |
| Lam w/o facetec foramot/dsc 1/2 vrt sgm crv (63001) |
$34,775.75 |
$36,606.05 |
4.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$15,859.33 |
$16,694.04 |
2.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266) |
$25,236.28 |
$26,564.51 |
3.5× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$43,022.88 |
$45,287.24 |
2.2× |
| Laminectomy w/o ffd 1/2 vert seg thoracic (63003) |
$13,406.68 |
$14,112.30 |
1.8× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$20,375.43 |
$21,447.82 |
2.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$13,348.32 |
$14,050.86 |
1.8× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
likely a partial charge, not the full procedure |
$197.50 |
$207.90 |
0.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$11,145.75 |
$11,732.37 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$16,684.91 |
$17,563.06 |
2.3× |
| Lap ing hernia repair init (49650) |
$18,936.93 |
$19,933.61 |
3.1× |
| Lap insert tunnel ip cath (49324) |
$10,961.58 |
$11,538.51 |
1.8× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$15,879.55 |
$16,715.32 |
1.5× |
| Laparoscopy appendectomy (44970) |
$17,896.18 |
$18,838.08 |
2.9× |
| Laparoscopy biopsy (49321) |
$19,688.53 |
$20,724.77 |
3.2× |
| Laparoscopy Remove Adnexa (58661) |
$13,197.48 |
$13,892.08 |
2.2× |
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure |
$1,102.17 |
$1,160.18 |
0.2× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$24,523.78 |
$25,814.50 |
2.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$26,006.92 |
$27,375.70 |
2.4× |
| Laparoscopy Tubal Cautery (58670) |
$10,698.20 |
$11,261.26 |
1.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$13,738.42 |
$14,461.50 |
2.3× |
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867)
likely a partial charge, not the full procedure |
$1,301.65 |
$1,370.16 |
0.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$8,155.36 |
$8,584.59 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,387.03 |
$6,723.19 |
1.1× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$19,446.75 |
$20,470.26 |
1.8× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$14,367.83 |
$15,124.03 |
2.4× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$19,886.06 |
$20,932.70 |
1.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$16,675.19 |
$17,552.83 |
1.6× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
$13,077.04 |
$13,765.31 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$19,923.50 |
$20,972.11 |
3.3× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$31,571.92 |
$33,233.60 |
3.0× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$27,168.18 |
$28,598.08 |
2.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$24,922.15 |
$26,233.84 |
4.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$15,608.35 |
$16,429.84 |
2.6× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$13,995.71 |
$14,732.33 |
3.6× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$16,393.93 |
$17,256.77 |
1.5× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$8,597.62 |
$9,050.13 |
1.4× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$17,072.42 |
$17,970.97 |
2.8× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$22,682.78 |
$23,876.61 |
2.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$9,716.01 |
$10,227.38 |
2.6× |
| Laryngoplasty medialization (31591) |
$14,516.56 |
$15,280.59 |
2.4× |
| Laryngoscope w/vc inj (31570) |
$5,191.98 |
$5,465.25 |
1.4× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$10,174.39 |
$10,709.88 |
2.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$594.22 |
$625.50 |
3.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$566.77 |
$596.60 |
1.4× |
| Laryngoscopy w/biopsy (31535) |
$5,603.05 |
$5,897.95 |
1.5× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$3,716.58 |
$3,912.19 |
2.1× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$8,141.10 |
$8,569.58 |
4.6× |
| Larynscop w/tumr exc + scope (31541) |
$6,028.08 |
$6,345.35 |
1.6× |
| Late closure of wound (13160) |
$8,106.35 |
$8,533 |
2.3× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$13,037.99 |
$13,724.20 |
1.8× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$19,972.24 |
$21,023.41 |
1.5× |
| Ligation of a-v fistula (37607) |
$12,052.58 |
$12,686.93 |
3.8× |
| Ligation of hemorrhoid(s) (46221) |
$1,148.55 |
$1,209 |
1.2× |
| Ligation of neck vein (37565) |
$10,730.26 |
$11,295.02 |
3.4× |
| Ligation or biopsy temporal artery (37609) |
$10,234.48 |
$10,773.14 |
6.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$9,158.94 |
$9,640.99 |
2.6× |
| Lithotripsy (50590) |
$16,918.95 |
$17,809.42 |
4.8× |
| Liver Biopsy (47000) |
$1,926.08 |
$2,027.45 |
1.2× |
| Lysis Intranasal Synechia (30560) |
$5,001.78 |
$5,265.03 |
9.2× |
| Lysis of labial adhesions (56441) |
$6,265.32 |
$6,595.08 |
1.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$4,867.61 |
$5,123.80 |
2.3× |
| Manipulation, wrist, under anesthesia (25259) |
$6,225.83 |
$6,553.51 |
3.9× |
| Mast mod rad (19307) |
$18,675.52 |
$19,658.44 |
2.8× |
| Mastectomy partial (19301) |
$12,570.92 |
$13,232.55 |
3.2× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$26,146.48 |
$27,522.61 |
3.9× |
| Mastectomy simple complete (19303) |
$18,415.56 |
$19,384.80 |
2.8× |
| Mediastinoscopy Includes Mediastinal Mass Biopsy (39401) |
$15,040.86 |
$15,832.48 |
2.5× |
| Mediastinoscpy w/lmph nod bx (39402) |
$17,702.23 |
$18,633.93 |
2.9× |
| Middle ear surgery proc unlisted (69799) |
$18,660.79 |
$19,642.94 |
78.4× |
| Myelography Lumbar Injection (62305) |
$5,964.10 |
$6,278 |
7.6× |
| Myelography Lumbar Injection (62304) |
$3,447.84 |
$3,629.30 |
4.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$3,775.87 |
$3,974.60 |
4.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$3,600.22 |
$3,789.70 |
4.6× |
| Myringoplasty (69620) |
$9,716.01 |
$10,227.38 |
2.9× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$712.50 |
$750 |
3.6× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$38,663.96 |
$40,698.90 |
5.5× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$13,621.62 |
$14,338.55 |
1.9× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$5,054 |
$5,320 |
0.7× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$12,816.69 |
$13,491.25 |
3.4× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$5,827.33 |
$6,134.03 |
3.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$8,989.04 |
$9,462.14 |
1.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$7,282.57 |
$7,665.86 |
1.0× |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
$18,294.81 |
$19,257.69 |
4.9× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$3,736.15 |
$3,932.79 |
2.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$10,356.91 |
$10,902.01 |
5.8× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$9,908.54 |
$10,430.04 |
1.4× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$11,020.39 |
$11,600.41 |
1.6× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$5,873.78 |
$6,182.92 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$422.37 |
$444.60 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$54.15 |
$57 |
1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$601.35 |
$633 |
1.4× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,314.20 |
$2,436 |
1.1× |
| Nipple/areola reconstruction (19350) |
$11,014.95 |
$11,594.68 |
2.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$8,645.57 |
$9,100.60 |
2.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,838.39 |
$1,935.15 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,927.74 |
$2,029.20 |
2.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$667.19 |
$702.31 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$334.83 |
$352.45 |
0.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$497.28 |
$523.45 |
1.2× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$9,638.70 |
$10,146 |
1.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$8,707.29 |
$9,165.57 |
2.2× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$23,802.34 |
$25,055.09 |
0.8× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$15,390.11 |
$16,200.12 |
2.1× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$17,131.10 |
$18,032.74 |
2.4× |
| Open thrombect av fistula (36831) |
$12,716.39 |
$13,385.67 |
2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$19,410.55 |
$20,432.16 |
2.7× |
| Open treatment metatarsal fracture each (28485) |
$7,384.68 |
$7,773.35 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$26,525.64 |
$27,921.73 |
3.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$15,869.33 |
$16,704.56 |
2.2× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$21,894.73 |
$23,047.08 |
1.7× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$13,151.52 |
$13,843.70 |
1.8× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$16,586.65 |
$17,459.63 |
2.3× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$19,103.26 |
$20,108.70 |
2.6× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$19,982.97 |
$21,034.71 |
2.7× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$16,910.62 |
$17,800.65 |
2.3× |
| Open treatment of ulnar styloid fracture (25652) |
$10,157.84 |
$10,692.47 |
1.4× |
| Open Treatment Radial Shaft Fracture (25515) |
$19,846.22 |
$20,890.76 |
2.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$7,875.50 |
$8,290.01 |
2.4× |
| Open tx carpal scaphoid navicular fracture (25628) |
$11,246.79 |
$11,838.73 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$7,790.36 |
$8,200.38 |
2.4× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$17,314.20 |
$18,225.47 |
2.4× |
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure |
$5,509.53 |
$5,799.51 |
0.4× |
| Open tx interphalangeal joint dislocation (26785) |
$6,194.92 |
$6,520.97 |
1.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$14,092.62 |
$14,834.34 |
4.3× |
| Open tx nose fx uncomplicatd (21325) |
$6,130.69 |
$6,453.36 |
1.8× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$9,975.53 |
$10,500.56 |
1.4× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$7,318.41 |
$7,703.59 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$7,676.60 |
$8,080.63 |
2.3× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$27,169.87 |
$28,599.86 |
2.1× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$15,382.60 |
$16,192.21 |
2.1× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$18,536.20 |
$19,511.79 |
1.4× |
| Open/Perq Place Stent Same (37238) |
$7,582.52 |
$7,981.60 |
0.7× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$7,582.52 |
$7,981.60 |
0.7× |
| Optx complicated mndblr fx (21470) |
$17,048.68 |
$17,945.98 |
2.9× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$17,955 |
$18,900 |
2.5× |
| Optx mndblr fx wo ntrdntl (21461) |
$19,433.64 |
$20,456.46 |
3.3× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$668.62 |
$703.81 |
0.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$13,880.32 |
$14,610.86 |
3.9× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$14,635.22 |
$15,405.49 |
4.5× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$6,982.45 |
$7,349.95 |
2.1× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$10,485.23 |
$11,037.08 |
3.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$8,726.10 |
$9,185.37 |
2.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$5,116.21 |
$5,385.48 |
1.6× |
| Osteochondral knee autograft (27416) |
$16,146.01 |
$16,995.80 |
2.2× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$34,228.87 |
$36,030.39 |
4.7× |
| Osteotomy Clavicle W Bone Graft (23485) |
$27,345.62 |
$28,784.86 |
2.1× |
| Osteotomy Fibula (27707) |
$8,497.50 |
$8,944.74 |
2.6× |
| Osteotomy of spine, including diskectomy, anterior aproach, single vertebral segment; cervical (22220) |
$11,145.75 |
$11,732.37 |
1.5× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$4,880.42 |
$5,137.28 |
0.8× |
| Partial Excision Bone Olecranon Process (24147) |
$3,062.92 |
$3,224.13 |
0.9× |
| Partial Excision Bone Radius (25151) |
$13,560.66 |
$14,274.38 |
4.1× |
| Partial excision bone talus/calcaneus (28120) |
$14,762.36 |
$15,539.33 |
4.5× |
| Partial Excision Bone Ulna (25150) |
$6,193.40 |
$6,519.37 |
1.9× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$10,139.68 |
$10,673.35 |
3.1× |
| Partial Removal Foot Fascia (28060) |
$6,521.66 |
$6,864.90 |
2.0× |
| Partial removal of thyroid (60220) |
$19,828.40 |
$20,872 |
3.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$30,322.96 |
$31,918.91 |
5.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$15,748.44 |
$16,577.31 |
4.8× |
| Pelvic exam under anesthesia (57410) |
$6,294.59 |
$6,625.88 |
1.9× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$20,676.90 |
$21,765.16 |
2.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,343.78 |
$1,414.50 |
1.9× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,537.06 |
$7,933.75 |
0.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$8,319.24 |
$8,757.10 |
2.6× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$14,339.88 |
$15,094.61 |
2.0× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$6,371.64 |
$6,706.99 |
1.9× |
| Peri-implant capsulectomy breast complete (19371) |
$15,374.10 |
$16,183.26 |
3.9× |
| Pericardiocentesis W/Imaging (33016) |
$3,850.21 |
$4,052.85 |
2.4× |
| Peritoneal Lavage (49084) |
$732.54 |
$771.10 |
0.8× |
| Perq dev breast 1st mr guide (19287) |
$2,356.81 |
$2,480.85 |
3.3× |
| Perq dev breast 1st strtctc (19283) |
$1,463.95 |
$1,541 |
2.1× |
| Perq dev breast 1st us imag (19285) |
$340.42 |
$358.33 |
0.5× |
| Perq device breast 1st imag (19281) |
$353.27 |
$371.87 |
0.2× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,856.71 |
$4,059.69 |
1.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,260 |
$1,326.32 |
0.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,223.38 |
$2,340.40 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$510.72 |
$537.60 |
2.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$12,983.96 |
$13,667.33 |
0.7× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,619.89 |
$12,231.46 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$21,518.36 |
$22,650.90 |
3.8× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$16,314.71 |
$17,173.38 |
2.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$25,124.35 |
$26,446.68 |
3.4× |
| Pin finger fracture each (26756) |
$5,809.07 |
$6,114.81 |
1.8× |
| Place Cath Subclavian Art (36225) |
$5,756.19 |
$6,059.15 |
1.8× |
| Place Cath Thoracic Aorta (36221) |
$4,959 |
$5,220 |
1.6× |
| Place Cath Vertebral Art (36226) |
$6,527.88 |
$6,871.45 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$421.94 |
$444.15 |
0.9× |
| Placement of seton (46020) |
$7,003.64 |
$7,372.26 |
2.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,399.88 |
$3,578.82 |
1.6× |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
$4,598.40 |
$4,840.42 |
0.9× |
| Pr laryngoscopy direct,w/dilat, subsequent (31529) |
$3,085.71 |
$3,248.12 |
0.8× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$25,839.50 |
$27,199.48 |
4.3× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$7,073.03 |
$7,445.29 |
1.2× |
| Preputial Stretching (54450) |
$952.14 |
$1,002.25 |
3.8× |
| Prim art mech thrombectomy (37184) |
$20,059.82 |
$21,115.60 |
1.1× |
| Probe nasolacrimal duct (68815) |
$9,140.14 |
$9,621.20 |
3.8× |
| Probe nasolacrimal duct (68811) |
$2,784.55 |
$2,931.10 |
1.2× |
| Prostatectomy (turp) (52601) |
$15,192.96 |
$15,992.59 |
2.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$2,090.43 |
$2,200.45 |
2.9× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$12,394.99 |
$13,047.36 |
1.9× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$53,919.56 |
$56,757.43 |
8.4× |
| Prq skel fixj humrl cndylr fx medial/lat w/manj (24582) |
$24,356.07 |
$25,637.97 |
3.3× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$15,353.47 |
$16,161.55 |
2.1× |
| Punch biopsy skin single lesion (11104) |
$647.90 |
$682 |
1.6× |
| Puncture Aspiration (10160) |
$556.84 |
$586.15 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$851.86 |
$896.70 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,522.49 |
$3,707.88 |
2.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$16,555.02 |
$17,426.34 |
5.0× |
| Radical resection tumor phalanx or toe (28175) |
$2,942.51 |
$3,097.38 |
1.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$6,668.62 |
$7,019.60 |
3.4× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$13,542.39 |
$14,255.15 |
1.9× |
| Re-explore parathyroids (60502) |
$30,215.36 |
$31,805.64 |
5.1× |
| Realignment extensor tendon hand each tendon (26437) |
$10,606.76 |
$11,165.02 |
3.2× |
| Rebuild eardrum structures (69637) |
$23,188.92 |
$24,409.39 |
3.9× |
| Rebuild eardrum structures (69632) |
$19,737.23 |
$20,776.04 |
3.3× |
| Rebuild eardrum structures (69636) |
$19,219.89 |
$20,231.46 |
3.2× |
| Reconstr disloc patella w mscl adv (27422) |
$23,425.59 |
$24,658.52 |
3.2× |
| Reconstruc toe deform,soft tissue (28313) |
$4,555.23 |
$4,794.98 |
1.4× |
| Reconstruction tongue fold (41520) |
$4,335.61 |
$4,563.81 |
1.3× |
| Reconstruction, knee (27429) |
$19,926.86 |
$20,975.64 |
1.5× |
| Reduce testis torsion (54600) |
$28,486.28 |
$29,985.56 |
8.0× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$14,716.19 |
$15,490.73 |
2.0× |
| Release hip flexion contracture (27036) |
$6,541.41 |
$6,885.69 |
0.9× |
| Release of big toe (28240) |
$5,007.26 |
$5,270.80 |
1.5× |
| Release palm contracture (26121) |
$6,783.61 |
$7,140.64 |
2.1× |
| Relocation of skin pocket for pacemaker (33222) |
$4,058.40 |
$4,272 |
2.0× |
| Rem endovas vena cava filter (37193) |
$10,508.90 |
$11,062 |
3.3× |
| Removal entire oi implt skl perq attachment esp (69726) |
$13,764.96 |
$14,489.43 |
4.2× |
| Removal fb intranasal (30300) |
$217.50 |
$228.95 |
1.6× |
| Removal Foreign Body Foot Complicated (28193) |
$1,926.08 |
$2,027.45 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,389.38 |
$1,462.50 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$890.62 |
$937.50 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,926.08 |
$2,027.45 |
1.2× |
| Removal foreign body pharynx (42809) |
$368.22 |
$387.60 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$174.18 |
$183.35 |
2.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$166.72 |
$175.50 |
2.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$5,705.99 |
$6,006.31 |
1.8× |
| Removal Implant Deep (20680) |
$9,716.01 |
$10,227.38 |
3.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,926.08 |
$2,027.45 |
1.2× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$4,034.74 |
$4,247.10 |
1.1× |
| Removal Intact Mammary Implant (19328) |
$8,131.01 |
$8,558.96 |
2.1× |
| Removal of adenoids (42835) |
$3,096.36 |
$3,259.33 |
0.9× |
| Removal of adenoids (42830) |
$4,569.78 |
$4,810.30 |
1.4× |
| Removal of arm foreign body (24200) |
$1,926.08 |
$2,027.45 |
1.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$5,298.25 |
$5,577.11 |
3.3× |
| Removal of fascia for graft (20922) |
$8,105.17 |
$8,531.76 |
3.9× |
| Removal of growth of chest wall and rib (21601) |
$22,888.16 |
$24,092.80 |
7.8× |
| Removal of heel bone (28118) |
$7,380.06 |
$7,768.48 |
2.2× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$26,446.87 |
$27,838.81 |
7.7× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$4,388.14 |
$4,619.09 |
7.0× |
| Removal of intrauterine device (iud) (58301) |
$386.08 |
$406.40 |
1.3× |
| Removal of kidney stone (50081) |
$19,777.08 |
$20,817.98 |
2.1× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
likely a partial charge, not the full procedure |
$53.86 |
$56.70 |
0.0× |
| Removal of nail bed (11750) |
$9,652.83 |
$10,160.87 |
23.6× |
| Removal of palm tendon each (26170) |
$7,048.24 |
$7,419.20 |
4.4× |
| Removal of salivary stone (42330) |
$3,744.95 |
$3,942.05 |
1.1× |
| Removal of sesamoid bone (28315) |
$1,438.42 |
$1,514.13 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$455.15 |
$479.10 |
2.3× |
| Removal of sperm cord lesion (55520) |
$6,146.04 |
$6,469.52 |
1.7× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$11,815.84 |
$12,437.73 |
6.0× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$13,655.74 |
$14,374.46 |
3.9× |
| Removal of testis (54520) |
$6,206.99 |
$6,533.68 |
1.8× |
| Removal of thyroid (60271) |
$53,364.01 |
$56,172.65 |
9.0× |
| Removal of thyroid lesion (60200) |
$40,200.98 |
$42,316.82 |
6.6× |
| Removal of tonsils (42825) |
$4,826.14 |
$5,080.15 |
0.8× |
| Removal of tonsils (42826) |
$4,942.39 |
$5,202.52 |
1.5× |
| Removal of wrist bone (25210) |
$6,627.39 |
$6,976.20 |
2.0× |
| Removal ppm generator only (33233) |
$11,168.34 |
$11,756.15 |
1.3× |
| Removal subq cardiac rhythm monitor (33286) |
$1,860.86 |
$1,958.80 |
2.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,160.23 |
$1,221.29 |
0.6× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$11,401.43 |
$12,001.51 |
3.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$330.22 |
$347.60 |
1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$277.97 |
$292.60 |
1.0× |
| Remove anal fist subq (46270) |
$5,803.02 |
$6,108.45 |
2.1× |
| Remove bladder stone (52318) |
$11,780.86 |
$12,400.91 |
3.3× |
| Remove Brain Cavity Fluid (61020) |
$1,829.42 |
$1,925.70 |
2.1× |
| Remove drug implant device (11982) |
$12,895.92 |
$13,574.65 |
28.7× |
| Remove Eyelid Foreign Body (67938) |
$281.10 |
$295.90 |
0.9× |
| Remove foreign body from eye (65235) |
$3,864.41 |
$4,067.80 |
1.7× |
| Remove foreign body from eye (65210) |
$246.62 |
$259.60 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$8,046.39 |
$8,469.88 |
2.9× |
| Remove in/ex hem grp w/fistu (46258) |
$2,900.56 |
$3,053.23 |
1.0× |
| Remove intrvas foreign body (37197) |
$10,120.82 |
$10,653.50 |
3.2× |
| Remove muti-comp penis pros (54406) |
$7,004.66 |
$7,373.33 |
2.0× |
| Remove Pilonidal Cyst Exten (11771) |
$6,494.84 |
$6,836.67 |
2.2× |
| Remove prostate regrowth (52630) |
$12,039.82 |
$12,673.50 |
2.2× |
| Remove renal tube w/fluoro (50389) |
$5,906.03 |
$6,216.87 |
8.4× |
| Remove thyroid duct lesion (60280) |
$7,125.28 |
$7,500.29 |
1.2× |
| Remove tissue expander (11971) |
$13,328.25 |
$14,029.74 |
4.6× |
| Remove vc lesion w/scope (31545) |
$9,716.01 |
$10,227.38 |
2.6× |
| Remove wrist tendon lesion (25111) |
$3,342.83 |
$3,518.77 |
2.1× |
| Remove&replace pm gen singl (33227) |
$11,168.34 |
$11,756.15 |
1.3× |
| Remv cartilage for graft nasal (20912) |
$4,288.64 |
$4,514.36 |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$4,840.07 |
$5,094.81 |
2.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$229.19 |
$241.25 |
1.7× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$9,185.41 |
$9,668.85 |
0.4× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$9,185.41 |
$9,668.85 |
0.3× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$9,185.41 |
$9,668.85 |
0.4× |
| Remv&replc pm gen dual lead (33228) |
$14,233.66 |
$14,982.80 |
1.4× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$5,663.71 |
$5,961.80 |
0.3× |
| Renal biopsy (50200) |
$1,613 |
$1,697.90 |
1.0× |
| Repair achilles tendon (27650) |
$21,748.86 |
$22,893.54 |
3.0× |
| Repair arm tendon/muscle (24341) |
$13,070.31 |
$13,758.22 |
1.8× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$4,845.28 |
$5,100.30 |
1.5× |
| Repair blood vessel direct neck (35201) |
$8,136.30 |
$8,564.53 |
1.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,562.56 |
$4,802.70 |
1.4× |
| Repair collat ankle ligmnt,secondary (27698) |
$17,734.23 |
$18,667.61 |
2.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,089.89 |
$1,147.25 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,637.68 |
$2,776.50 |
3.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$679.58 |
$715.35 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,321.26 |
$1,390.80 |
3.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$583.02 |
$613.70 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,412.18 |
$1,486.50 |
3.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$716.96 |
$754.70 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$879.42 |
$925.71 |
1.2× |
| Repair elbow deb/attch open (24359) |
$10,508.96 |
$11,062.07 |
3.2× |
| Repair elbow perc (24357) |
$7,042.62 |
$7,413.28 |
2.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,741.78 |
$2,886.09 |
1.7× |
| Repair finger tendon (26433) |
$4,208.56 |
$4,430.07 |
1.3× |
| Repair finger/hand tendon (26350) |
$14,399.41 |
$15,157.28 |
4.4× |
| Repair finger/hand tendon (26370) |
$14,900.72 |
$15,684.97 |
4.5× |
| Repair forearm tendon/muscle (25270) |
$3,876.66 |
$4,080.70 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$3,876.66 |
$4,080.70 |
1.2× |
| Repair hallux rigidus (28289) |
$12,268.88 |
$12,914.61 |
3.7× |
| Repair hand tendon (26410) |
$7,979.35 |
$8,399.32 |
4.9× |
| Repair incomplete circumcision (54163) |
$6,304.70 |
$6,636.53 |
3.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$14,926.87 |
$15,712.49 |
4.2× |
| Repair initial femoral hernia, any age; reducible (49550) |
$7,300.35 |
$7,684.58 |
2.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$11,797.08 |
$12,417.98 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,363.68 |
$1,435.45 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$880.65 |
$927 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$619.12 |
$651.70 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$817.66 |
$860.70 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,065.85 |
$1,121.95 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$842.94 |
$887.30 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$723.90 |
$762 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$779.24 |
$820.25 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,018.88 |
$1,072.50 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,194.15 |
$1,257 |
2.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$607.05 |
$639 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$783.75 |
$825 |
1.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,010.23 |
$1,063.40 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$880.65 |
$927 |
2.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,344.65 |
$2,468.05 |
1.1× |
| Repair kneecap tendon (27380) |
$34,574.37 |
$36,394.08 |
4.7× |
| Repair lead pace-defib one (33218) |
$4,713.80 |
$4,961.90 |
1.3× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$7,439.64 |
$7,831.20 |
1.0× |
| Repair nasal vestibular stenosis (30465) |
$4,611.97 |
$4,854.70 |
0.8× |
| Repair nonunion hand (26546) |
$5,498.69 |
$5,788.09 |
0.8× |
| Repair nonunion radius/ulna w autogrft (25405) |
$25,813.59 |
$27,172.20 |
3.5× |
| Repair of ankle ligament (27695) |
$6,600.83 |
$6,948.24 |
0.9× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$25,381.80 |
$26,717.68 |
3.9× |
| Repair of eardrum structures (69631) |
$23,471.28 |
$24,706.61 |
3.9× |
| Repair of eye socket wound (65290) |
$4,525.94 |
$4,764.15 |
1.1× |
| Repair of humerus (24430) |
$36,083.87 |
$37,983.03 |
2.8× |
| Repair of leg tendon each (27658) |
$5,714.98 |
$6,015.77 |
1.7× |
| Repair of nail bed (11760) |
$765.22 |
$805.50 |
1.0× |
| Repair of nasal septum (30520) |
$8,392.61 |
$8,834.33 |
2.5× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$7,004.97 |
$7,373.66 |
1.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$17,306.95 |
$18,217.84 |
2.4× |
| Repair of shoulder (23420) |
$10,393.54 |
$10,940.57 |
1.4× |
| Repair of sperm duct (55400) |
$14,561.67 |
$15,328.07 |
4.1× |
| Repair of thigh musc (27385) |
$15,078.88 |
$15,872.51 |
2.1× |
| Repair of tibia (27720) |
$16,710.12 |
$17,589.61 |
2.3× |
| Repair of vagina (57260) |
$29,316.14 |
$30,859.10 |
5.8× |
| Repair of windpipe defect (31825) |
$10,545.47 |
$11,100.49 |
3.2× |
| Repair rectum & vagina (57250) |
$14,446.28 |
$15,206.61 |
2.9× |
| Repair rotator cuff acute (23410) |
$19,734.04 |
$20,772.67 |
2.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,883.04 |
$7,245.30 |
0.9× |
| Repair shoulder capsule (23465) |
$16,535.84 |
$17,406.15 |
2.3× |
| Repair Tongue Laceration (41250) |
$795.67 |
$837.55 |
1.8× |
| Repair tympanic membrane (69610) |
$12,324.38 |
$12,973.04 |
7.9× |
| Repair wrist joints (25447) |
$15,346.87 |
$16,154.60 |
4.7× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$17,033.60 |
$17,930.10 |
5.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$9,493.18 |
$9,992.82 |
1.3× |
| Replace duod/jej tube perc (49451) |
$1,582.60 |
$1,665.90 |
1.7× |
| Replace g/c tube perc (49450) |
$1,169.64 |
$1,231.20 |
1.3× |
| Replace Tissue Expander (11970) |
$14,000.43 |
$14,737.29 |
1.9× |
| Reposition gastrostomy tube (43761) |
$1,218.76 |
$1,282.90 |
4.9× |
| Reposition pacing-defib lead (33215) |
$3,918.70 |
$4,124.95 |
1.2× |
| Rerepair ing hernia blocked (49521) |
$10,715.03 |
$11,278.98 |
1.6× |
| Rerepair ing hernia reduce (49520) |
$29,089.66 |
$30,620.70 |
8.1× |
| Resect Inferior Turbinate (30140) |
$5,509.68 |
$5,799.66 |
1.7× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$8,628.71 |
$9,082.85 |
2.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$110,221.76 |
$116,022.91 |
8.5× |
| Revise arm/leg nerve (64708) |
$4,959.09 |
$5,220.10 |
2.5× |
| Revise knuckle with implant (26531) |
$13,730.15 |
$14,452.79 |
1.9× |
| Revise median n/carpal tunnel surg (64721) |
$3,613.20 |
$3,803.37 |
1.8× |
| Revise middle ear & mastoid (69642) |
$14,069.65 |
$14,810.15 |
2.4× |
| Revise middle ear & mastoid (69643) |
$35,251.49 |
$37,106.83 |
5.9× |
| Revise middle ear & mastoid (69645) |
$22,557.50 |
$23,744.74 |
3.8× |
| Revise middle ear & mastoid (69641) |
$33,999.46 |
$35,788.90 |
5.7× |
| Revise middle ear bone (69660) |
$23,233.69 |
$24,456.52 |
3.9× |
| Revise ulnar nerve at elbow (64718) |
$3,505.87 |
$3,690.39 |
1.8× |
| Revise ulnar nerve at wrist (64719) |
$3,820.58 |
$4,021.66 |
1.9× |
| Revise/implant finger joint (26536) |
$15,415.74 |
$16,227.09 |
2.1× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$12,351.60 |
$13,001.69 |
1.1× |
| Revision of cervix (57720) |
$9,892.65 |
$10,413.32 |
3.0× |
| Revision of colostomy simple (44340) |
$9,813.50 |
$10,330 |
2.8× |
| Revision of lower leg tendon (27685) |
$12,599.36 |
$13,262.48 |
3.8× |
| Revision of reconstructed breast (19380) |
$12,319.06 |
$12,967.43 |
1.8× |
| Revision of toe (28312) |
$3,425.81 |
$3,606.12 |
1.0× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$29,499.95 |
$31,052.58 |
2.3× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$23,516.09 |
$24,753.78 |
1.3× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$17,349.64 |
$18,262.78 |
1.3× |
| Revision of upper eyelid (15823) |
$7,225.47 |
$7,605.76 |
3.5× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$13,807.37 |
$14,534.07 |
3.9× |
| Revision peri-implant capsule breast (19370) |
$8,685.43 |
$9,142.56 |
2.2× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$9,172.18 |
$9,654.93 |
1.4× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$6,086.22 |
$6,406.55 |
1.7× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$28,311.54 |
$29,801.62 |
5.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$10,300.43 |
$10,842.56 |
2.9× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$14,970.02 |
$15,757.92 |
2.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,851.74 |
$1,949.20 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$763.52 |
$803.70 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$288.42 |
$303.60 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$335.44 |
$353.10 |
2.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,562.15 |
$2,697 |
2.1× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,661.50 |
$1,748.95 |
1.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,245.72 |
$3,416.55 |
1.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$3,245.72 |
$3,416.55 |
1.1× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$4,963.73 |
$5,224.98 |
1.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,434.76 |
$2,562.90 |
0.6× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,159.42 |
$3,325.70 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,198.92 |
$2,314.65 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,147.03 |
$1,207.40 |
1.8× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$28,536.33 |
$30,038.24 |
8.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,491.98 |
$1,570.50 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$11,737.08 |
$12,354.82 |
3.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$8,747.55 |
$9,207.95 |
2.8× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$4,355.28 |
$4,584.50 |
0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$20,893.79 |
$21,993.46 |
3.4× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$20,514.21 |
$21,593.91 |
3.2× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$18,552.57 |
$19,529.02 |
3.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$19,759.52 |
$20,799.50 |
5.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$19,201.61 |
$20,212.22 |
5.3× |
| Rpr blood vessel direct lower extremity (35226) |
$5,103.54 |
$5,372.15 |
7.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$12,311.57 |
$12,959.55 |
3.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$10,599.08 |
$11,156.93 |
6.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$10,689.47 |
$11,252.07 |
1.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,091.12 |
$1,148.55 |
1.5× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,762.92 |
$1,855.70 |
7.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,425.05 |
$1,500.05 |
2.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,122.71 |
$1,181.80 |
2.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,110.95 |
$2,222.05 |
1.4× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$13,666.58 |
$14,385.87 |
1.9× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$13,699.22 |
$14,420.23 |
1.9× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$9,010.06 |
$9,484.27 |
2.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$15,588.25 |
$16,408.68 |
4.7× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,918.70 |
$4,124.95 |
1.2× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$13,181.48 |
$13,875.24 |
8.3× |
| Scrotal exploration (55110) |
$12,140.20 |
$12,779.16 |
3.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$178.70 |
$188.10 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$473.15 |
$498.05 |
1.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$6,644.35 |
$6,994.05 |
2.0× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,736.49 |
$3,933.15 |
3.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,813.90 |
$2,962 |
3.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$916.94 |
$965.20 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$422.37 |
$444.60 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$494.57 |
$520.60 |
2.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,755.36 |
$1,847.75 |
4.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$567.67 |
$597.55 |
2.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$741.86 |
$780.90 |
3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$349.27 |
$367.65 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$967.48 |
$1,018.40 |
4.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$523.45 |
$551 |
2.6× |
| Sinus endo w/balloon dil (31296) |
$4,372.87 |
$4,603.02 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$1,855.55 |
$1,953.21 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$2,344.65 |
$2,468.05 |
3.2× |
| Skin sub graft trnk/arm/leg (15271) |
$2,344.65 |
$2,468.05 |
3.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,820.20 |
$5,073.90 |
2.3× |
| Skin Tissue Procedure (17999) |
$245.81 |
$258.75 |
1.2× |
| Skin tissue rearrangement (14040) |
$2,699.02 |
$2,841.07 |
1.3× |
| Skn sub grft f/n/hf/g child (15277) |
$6,404.30 |
$6,741.37 |
3.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,859.43 |
$10,378.35 |
1.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$7,090.80 |
$7,464 |
2.2× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$9,311.09 |
$9,801.15 |
1.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$12,747.86 |
$13,418.80 |
2.5× |
| Slitting of prepuce (54001) |
$3,125.44 |
$3,289.94 |
1.5× |
| Small bowel endoscopy (44366) |
$4,037.50 |
$4,250 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$422.37 |
$444.60 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$553.23 |
$582.35 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$727.42 |
$765.70 |
1.8× |
| Sphincterotomy (46080) |
$6,142.04 |
$6,465.30 |
2.2× |
| Spinal puncture lumbar diagnostic (62270) |
$835.90 |
$879.90 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$954.75 |
$1,005 |
1.3× |
| Strapping ankle (29540) |
$193.42 |
$203.60 |
1.2× |
| Strapping elbow/wrist (29260) |
$78.52 |
$82.65 |
1.3× |
| Strapping Hip (29520) |
$134.47 |
$141.55 |
1.0× |
| Strapping knee (29530) |
$102.88 |
$108.30 |
0.8× |
| Strapping shoulder (29240) |
$154.38 |
$162.50 |
1.2× |
| Strapping toes (29550) |
$55.96 |
$58.90 |
0.9× |
| Strapping unna boot (29580) |
$618.45 |
$651 |
3.8× |
| Suction assisted lipectomy lower extremity (15879) |
$7,374.51 |
$7,762.64 |
2.1× |
| Suction assisted lipectomy; trunk (15877) |
$8,102.98 |
$8,529.45 |
2.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$9,515.07 |
$10,015.87 |
1.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$6,490.05 |
$6,831.63 |
2.3× |
| Suspension of testis (54640) |
$12,455.59 |
$13,111.15 |
3.5× |
| Suspension of testis (54620) |
$11,942.54 |
$12,571.09 |
3.4× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$17,850.74 |
$18,790.25 |
2.4× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,858.75 |
$3,009.21 |
1.5× |
| Suture Eyelid Wound,Full Thick (67935) |
$2,739.28 |
$2,883.45 |
1.1× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$6,638.24 |
$6,987.62 |
4.1× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$37,795.75 |
$39,785 |
2.0× |
| Tenodesis long tendon biceps (23430) |
$11,706.28 |
$12,322.40 |
1.6× |
| Tenodesis Wrist Extensors Fingers (25301) |
$3,545.21 |
$3,731.80 |
1.1× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$4,397.26 |
$4,628.69 |
1.3× |
| Tenotomy adductor hip percutaneous spx (27000) |
$5,844.41 |
$6,152.01 |
3.6× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,883.18 |
$3,034.93 |
1.8× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$6,572.44 |
$6,918.36 |
2.0× |
| Tenotomy shoulder area single tendon (23405) |
$8,244.56 |
$8,678.48 |
1.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$7,752.83 |
$8,160.87 |
4.8× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$5,536.27 |
$5,827.65 |
1.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,922.32 |
$2,023.50 |
1.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,570.35 |
$1,653 |
2.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$20,035.18 |
$21,089.67 |
1.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$3,739.06 |
$3,935.85 |
5.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,030.32 |
$1,084.55 |
1.6× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$17,126.76 |
$18,028.17 |
3.1× |
| Throat Surgery Procedure (42999) |
$481.74 |
$507.10 |
2.0× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,019.20 |
$6,336 |
1.9× |
| Thrombolytic Art Therapy (37211) |
$10,227.42 |
$10,765.70 |
1.8× |
| Thrombolytic Therapy, Stroke (37195) |
$976.70 |
$1,028.10 |
2.9× |
| Thrombolytic Venous Therapy (37212) |
$10,227.42 |
$10,765.70 |
3.2× |
| Thyroid biopsy (60100) |
$1,572.25 |
$1,655 |
2.2× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$27,923.65 |
$29,393.32 |
4.7× |
| Thyroidectomy, total or complete (60240) |
$22,514.11 |
$23,699.06 |
3.7× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$20,578.26 |
$21,661.33 |
3.5× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$3,723.07 |
$3,919.03 |
1.8× |
| Tissue expander placement breast reconstruction (19357) |
$14,233.15 |
$14,982.26 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,951.33 |
$5,211.93 |
1.5× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$29,512.27 |
$31,065.55 |
1.7× |
| Total hip arthroplasty (27130) |
$20,502.61 |
$21,581.69 |
1.6× |
| Total knee arthroplasty (27447) |
$23,587.25 |
$24,828.68 |
1.8× |
| Trach Tube Change (31502) |
$749.55 |
$789 |
3.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$2,180.25 |
$2,295 |
4.0× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$4,301.32 |
$4,527.70 |
1.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,682.45 |
$1,771 |
7.1× |
| Tracheostomy planned (31600) |
$5,481.50 |
$5,770 |
1.6× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$7,308.75 |
$7,693.42 |
3.7× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$15,795.35 |
$16,626.69 |
2.2× |
| Transplant hand tendon (26480) |
$13,560.66 |
$14,274.38 |
4.1× |
| Transurethral resection of bladder neck (52500) |
$12,795.78 |
$13,469.24 |
3.6× |
| Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) |
$16,609.67 |
$17,483.86 |
2.8× |
| Treat clavicle dislocation (23552) |
$9,035.13 |
$9,510.66 |
1.2× |
| Treat dislocation/fracture (23670) |
$14,377.78 |
$15,134.51 |
2.0× |
| Treat ectopic pregnancy (59151) |
$19,146.17 |
$20,153.87 |
3.2× |
| Treat finger dislocation (26775) |
$768.03 |
$808.45 |
2.7× |
| Treat Finger Fracture Each (26727) |
$6,220.30 |
$6,547.68 |
1.9× |
| Treat Fracture Radius & Ulna (25560) |
$675.97 |
$711.55 |
2.7× |
| Treat fracture radius/ulna (25575) |
$6,935.69 |
$7,300.73 |
1.0× |
| Treat fx distal radial (25606) |
$5,926.01 |
$6,237.91 |
1.8× |
| Treat fx rad extra-articul (25607) |
$13,049.90 |
$13,736.74 |
1.8× |
| Treat heel fracture (28415) |
$16,186.31 |
$17,038.22 |
2.2× |
| Treat humerus fracture (23630) |
$30,077.08 |
$31,660.09 |
4.1× |
| Treat humerus fracture (24577) |
$1,509.88 |
$1,589.35 |
0.9× |
| Treat knee fracture (27532) |
$3,574.80 |
$3,762.95 |
1.1× |
| Treat kneecap dislocation (27566) |
$9,807.52 |
$10,323.70 |
1.3× |
| Treat lower leg fracture (27828) |
$23,471.54 |
$24,706.88 |
1.8× |
| Treat Lower Leg Fracture (27827) |
$14,060.90 |
$14,800.95 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$777.96 |
$818.90 |
3.1× |
| Treat scapula fracture (23585) |
$28,900.01 |
$30,421.06 |
4.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,906.65 |
$2,007 |
1.2× |
| Treat ulnar fracture (24685) |
$7,729.40 |
$8,136.21 |
1.1× |
| Treat wrist bone fracture (25635) |
$1,906.65 |
$2,007 |
1.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,833.98 |
$1,930.50 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$774.34 |
$815.10 |
3.1× |
| Treatment of ankle fracture (27822) |
$7,895.73 |
$8,311.29 |
1.1× |
| Treatment of ankle fracture (27792) |
$14,979.59 |
$15,767.99 |
2.1× |
| Treatment of tibia fracture (27759) |
$56,087.97 |
$59,039.97 |
4.3× |
| Treatment of urethra lesion (53260) |
$12,339.28 |
$12,988.72 |
3.5× |
| Trim skin lesion (11055) |
$376.84 |
$396.67 |
1.9× |
| Trim skin lesions 2 to 4 (11056) |
$363.85 |
$383 |
1.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$8,580.78 |
$9,032.40 |
1.5× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$7,700.60 |
$8,105.90 |
1.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,790.66 |
$6,095.43 |
2.1× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$25,698.66 |
$27,051.22 |
2.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,633.58 |
$6,982.72 |
2.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,983.88 |
$6,298.82 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$941.92 |
$991.50 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$625.43 |
$658.35 |
1.5× |
| Unlisted Cardiac Surgery (33999) |
$47,453.33 |
$49,950.87 |
75.3× |
| Unlisted laparoscopic procedure liver (47379) |
$12,439.70 |
$13,094.42 |
2.0× |
| Unlisted laparoscopic procedure, ureter (50949) |
$11,719.34 |
$12,336.15 |
1.9× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$9,131.43 |
$9,612.03 |
1.5× |
| Unlisted laparoscopy procedure, uterus (58578) |
$10,468.36 |
$11,019.33 |
1.7× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$17,507.71 |
$18,429.17 |
2.9× |
| Unlisted procedure anus (46999) |
$5,720.99 |
$6,022.10 |
6.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$193.42 |
$203.60 |
1.2× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$4,529.51 |
$4,767.91 |
19.0× |
| Unlisted Procedure Endocrine System (60699) |
$6,926.54 |
$7,291.10 |
1.1× |
| Unlisted Procedure External Ear (69399) |
$15,291.46 |
$16,096.27 |
64.3× |
| Unlisted procedure femur or knee (27599) |
$3,412.65 |
$3,592.26 |
13.8× |
| Unlisted procedure foot or toes (28899) |
$17,461.34 |
$18,380.36 |
70.5× |
| Unlisted procedure liver (47399) |
$1,808.80 |
$1,904 |
2.5× |
| Unlisted procedure maternity care & delivery (59899) |
$4,615.76 |
$4,858.70 |
22.7× |
| Unlisted Procedure Nervous System (64999) |
$1,123.61 |
$1,182.75 |
3.6× |
| Unlisted procedure pelvis/hip joint (27299) |
$17,749.70 |
$18,683.90 |
71.6× |
| Unlisted Procedure Rectum (45999) |
$1,086.32 |
$1,143.50 |
1.2× |
| Unlisted procedure shoulder (23929) |
$5,165.94 |
$5,437.84 |
20.8× |
| Unlisted Procedure Small Intestine (44799) |
$2,873.75 |
$3,025 |
3.2× |
| Unlisted Procedure Trachea Bronchi (31899) |
$3,085.71 |
$3,248.12 |
15.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$739.91 |
$778.85 |
1.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,107.65 |
$1,165.95 |
1.2× |
| Unlisted procedure, hands or fingers (26989) |
$1,153.68 |
$1,214.40 |
4.7× |
| Unlisted procedure, male genital system (55899) |
$9,989.46 |
$10,515.22 |
39.8× |
| Unlisted procedure, stomach (43999) |
$3,983.35 |
$4,193 |
4.4× |
| Urology Surgery Procedure (53899) |
$263.91 |
$277.80 |
1.1× |
| Uvulectomy excision uvula (42140) |
$1,657.20 |
$1,744.42 |
0.5× |
| Vaginal delivery only (59409) |
$2,242.57 |
$2,360.60 |
0.7× |
| Vasc embolize/occlude artery (37242) |
$11,650.70 |
$12,263.90 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$14,102.28 |
$14,844.50 |
1.2× |
| Vasectomy (55250) |
$6,198.77 |
$6,525.02 |
3.0× |
| Venipuncture (36415) |
$16.24 |
$17.10 |
1.7× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$494.57 |
$520.60 |
3.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$232.84 |
$245.10 |
0.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,760.95 |
$5,011.53 |
1.4× |
| Ventricular puncture previous burr hole w/inj (61026) |
$1,480.10 |
$1,558 |
2.1× |
| Vermilionectomy (lip shave), with mucosal advancement (40500) |
$7,243.03 |
$7,624.24 |
2.2× |
| Vulvectomy simple partial (56620) |
$11,987.96 |
$12,618.90 |
3.7× |
| Wrist arthroscop,excis triang cart (29846) |
$40,479.98 |
$42,610.50 |
12.3× |
| Xtroral i&d absc cst/hmtma floor mouth subment (41016) |
$6,962.17 |
$7,328.60 |
1.2× |