| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$4,002.30 |
$13,341 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$1,088.10 |
$3,627 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,088.10 |
$3,627 |
1.1× |
| Ablate inf turbinate submuc (30802) |
$2,492.40 |
$8,308 |
1.5× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$12,081.60 |
$40,272 |
1.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$12,969.90 |
$43,233 |
1.1× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$16,582.50 |
$55,275 |
0.9× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$8,289.90 |
$27,633 |
1.0× |
| Acromiopl/Acromionect Partial (23130) |
$3,765.30 |
$12,551 |
1.1× |
| Adding Walker Previously Applied Cast (29440) |
$183 |
$610 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,122.80 |
$7,076 |
0.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,122.80 |
$7,076 |
0.9× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,520.40 |
$15,068 |
1.2× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$2,122.80 |
$7,076 |
0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,122.80 |
$7,076 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,122.80 |
$7,076 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,122.80 |
$7,076 |
0.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,122.80 |
$7,076 |
0.9× |
| Amniocentesis diagnostic (59000) |
$1,010.40 |
$3,368 |
1.0× |
| Amniocentesis therapeutic (59001) |
$611.40 |
$2,038 |
1.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,765.30 |
$12,551 |
1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,765.30 |
$12,551 |
1.1× |
| Amputate Metacarpal Bone (26910) |
$3,765.30 |
$12,551 |
1.1× |
| Amputation metatarsal with toe single (28810) |
$3,765.30 |
$12,551 |
1.1× |
| Amputation thigh through femur any level (27590) |
$7,852.20 |
$26,174 |
2.2× |
| Amputation toe interphalangeal joint (28825) |
$3,765.30 |
$12,551 |
1.1× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,078.20 |
$13,594 |
1.1× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$3,765.30 |
$12,551 |
1.1× |
| Anoscopy Control Bleeding (46614) |
$1,368.30 |
$4,561 |
1.0× |
| Anoscopy diagnostic (46600) |
$161.10 |
$537 |
1.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,058.10 |
$3,527 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,368.30 |
$4,561 |
1.0× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,368.30 |
$4,561 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$3,182.40 |
$10,608 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,728.50 |
$19,095 |
1.0× |
| Apheresis Platelets (36513) |
$1,158.30 |
$3,861 |
2.4× |
| Appendectomy (44950) |
$7,240.80 |
$24,136 |
1.0× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$432 |
$1,440 |
1.4× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$183 |
$610 |
1.0× |
| Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) |
$2,229 |
$7,430 |
1.0× |
| Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017) |
$2,229 |
$7,430 |
1.0× |
| Application cast elbow finger short arm (29075) |
$308.10 |
$1,027 |
1.0× |
| Application Cast Finger (29086) |
$183 |
$610 |
1.0× |
| Application finger splint static (29130) |
$278.40 |
$928 |
1.9× |
| Application Hip Spica Cast 1 Leg (29305) |
$308.10 |
$1,027 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$367.20 |
$1,224 |
2.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$474.60 |
$1,582 |
1.6× |
| Application Long Leg Splint (29505) |
$341.40 |
$1,138 |
1.9× |
| Application multiplane external fixation system (20692) |
$14,931.30 |
$49,771 |
1.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$432 |
$1,440 |
1.4× |
| Application of long leg cast (29345) |
$432 |
$1,440 |
1.4× |
| Application Patellar Tendon Bearing Cast (29435) |
$432 |
$1,440 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$225 |
$750 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$283.20 |
$944 |
1.9× |
| Application short leg splint calf foot (29515) |
$197.10 |
$657 |
1.1× |
| Application uniplane external fixation system (20690) |
$8,289.90 |
$27,633 |
1.0× |
| Apply hand/wrist cast (29085) |
$321.30 |
$1,071 |
1.8× |
| Apply long arm cast (29065) |
$326.10 |
$1,087 |
1.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$183 |
$610 |
1.0× |
| Apply Short Leg Cast (29405) |
$432 |
$1,440 |
1.4× |
| Apply short leg cast (29425) |
$432 |
$1,440 |
1.4× |
| Arrest Epiphyseal Distal Femur (27475) |
$8,289.90 |
$27,633 |
1.0× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$8,345.70 |
$27,819 |
1.1× |
| Arterial puncture (36600) |
$181.50 |
$605 |
1.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,652.50 |
$12,175 |
1.1× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$6,273 |
$20,910 |
1.0× |
| Artery-vein autograft (36825) |
$6,273 |
$20,910 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$342.60 |
$1,142 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$803.70 |
$2,679 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$342.60 |
$1,142 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$483.60 |
$1,612 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$342.60 |
$1,142 |
1.0× |
| Arthrodesis ankle open (27870) |
$16,462.50 |
$54,875 |
1.2× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$27,627.60 |
$92,092 |
1.4× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$27,627.60 |
$92,092 |
1.4× |
| Arthrodesis subtalar (28725) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$14,931.30 |
$49,771 |
1.1× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$14,931.30 |
$49,771 |
1.1× |
| Arthroplasty interphalangeal joint each (26535) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroplasty Radial Head W/Implant (24366) |
$14,931.30 |
$49,771 |
1.1× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
$27,627.60 |
$92,092 |
1.4× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$6,864.90 |
$22,883 |
1.1× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$2,079 |
$6,930 |
1.2× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy hip w/femoroplasty (29914) |
$8,289.90 |
$27,633 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$8,289.90 |
$27,633 |
1.0× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$8,289.90 |
$27,633 |
1.0× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$9,014.10 |
$30,047 |
1.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$8,289.90 |
$27,633 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,289.90 |
$27,633 |
1.0× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,289.90 |
$27,633 |
1.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrotomy wrist joint with synovectomy (25105) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$8,289.90 |
$27,633 |
1.0× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$8,345.70 |
$27,819 |
1.1× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,857.30 |
$6,191 |
1.1× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,765.30 |
$12,551 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$1,231.80 |
$4,106 |
1.8× |
| Aspirate Pleura W/O Imaging (32554) |
$729.60 |
$2,432 |
1.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$342.60 |
$1,142 |
1.0× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$816.60 |
$2,722 |
1.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$816.60 |
$2,722 |
1.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,377.20 |
$7,924 |
1.0× |
| Aspiration Bladder Needle (51100) |
$282.30 |
$941 |
1.0× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,180.50 |
$3,935 |
1.3× |
| Augmentation lower jaw bone (21127) |
$6,864.90 |
$22,883 |
1.1× |
| Av fistula revision (36833) |
$6,273 |
$20,910 |
1.0× |
| Av Fistula Revision Open (36832) |
$6,273 |
$20,910 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$6,273 |
$20,910 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$268.80 |
$896 |
1.2× |
| Axillary lymphadenectomy; complete (38745) |
$6,770.40 |
$22,568 |
1.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$9,532.20 |
$31,774 |
1.3× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$12,969.90 |
$43,233 |
1.1× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$9,532.20 |
$31,774 |
1.3× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$4,095.30 |
$13,651 |
0.6× |
| Biopsy Abdominal Mass (49180) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy bone open deep (20245) |
$3,321.30 |
$11,071 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,321.30 |
$11,071 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy external ear (69100) |
$269.40 |
$898 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy Muscle Superficial (20200) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$3,763.50 |
$12,545 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$4,443.60 |
$14,812 |
1.0× |
| Biopsy of floor of mouth (41108) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy of palate, uvula (42100) |
$1,839 |
$6,130 |
1.1× |
| Biopsy of rectum (45100) |
$3,182.40 |
$10,608 |
1.0× |
| Biopsy Oropharynx (42800) |
$2,231.70 |
$7,439 |
1.3× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy Salivary Gland Incisional (42405) |
$1,719 |
$5,730 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$816.60 |
$2,722 |
1.1× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$3,321.30 |
$11,071 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$2,042.70 |
$6,809 |
1.1× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,321.30 |
$11,071 |
1.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,880.10 |
$6,267 |
1.0× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$689.40 |
$2,298 |
1.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,763.50 |
$12,545 |
1.0× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,689.70 |
$12,299 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,010.40 |
$3,368 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,010.40 |
$3,368 |
1.0× |
| Biopsy, vestibule of mouth (40808) |
$621 |
$2,070 |
1.1× |
| Biopsy/removal lymph nodes (38510) |
$4,443.60 |
$14,812 |
1.0× |
| Bladder Irrigation (51700) |
$285.90 |
$953 |
1.0× |
| Bladder Scan (51798) |
$69 |
$230 |
1.1× |
| Blepharoplasty upper eyelid (15822) |
$2,122.80 |
$7,076 |
0.9× |
| Blepharotomy drainage abscess eyelid (67700) |
$346.80 |
$1,156 |
1.0× |
| Blood Transfusion Service (36430) |
$848.70 |
$2,829 |
1.8× |
| Blood/Lymph System Procedure (38999) |
$507.30 |
$1,691 |
1.1× |
| Bone Graft Any Donor Area Major/Large (20902) |
$8,345.70 |
$27,819 |
1.1× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$8,289.90 |
$27,633 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,880.10 |
$6,267 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,880.10 |
$6,267 |
1.0× |
| Breast augmentation with implant (19325) |
$11,104.20 |
$37,014 |
1.2× |
| Breast Reduction (19318) |
$8,216.10 |
$27,387 |
1.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,001 |
$6,670 |
1.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$4,278.60 |
$14,262 |
1.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$4,278.60 |
$14,262 |
1.0× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,103 |
$7,010 |
1.1× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$4,278.60 |
$14,262 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,278.60 |
$14,262 |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$4,278.60 |
$14,262 |
1.0× |
| Bronchial Valve Init Insert (31647) |
$8,434.80 |
$28,116 |
1.1× |
| Bronchoscopy Bronch Stents (31636) |
$8,033.10 |
$26,777 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,001 |
$6,670 |
1.0× |
| Bronchoscopy Dilate W/Stent (31631) |
$8,033.10 |
$26,777 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$486.90 |
$1,623 |
1.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,001 |
$6,670 |
1.0× |
| Bronchoscopy W/Excision Tumor (31640) |
$4,278.60 |
$14,262 |
1.0× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
$8,033.10 |
$26,777 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,001 |
$6,670 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,278.60 |
$14,262 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$4,278.60 |
$14,262 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,880.10 |
$6,267 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,880.10 |
$6,267 |
1.0× |
| Bx Cervix (57500) |
$1,010.40 |
$3,368 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,443.60 |
$14,812 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$4,443.60 |
$14,812 |
1.0× |
| Canthoplasty (67950) |
$2,944.20 |
$9,814 |
1.1× |
| Canthotomy Separate Procedure (67715) |
$2,707.20 |
$9,024 |
1.0× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,857.30 |
$6,191 |
1.1× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,765.30 |
$12,551 |
1.1× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$8,289.90 |
$27,633 |
1.0× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$8,289.90 |
$27,633 |
1.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$1,857.30 |
$6,191 |
1.1× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$3,765.30 |
$12,551 |
1.1× |
| Capsulotomy wrist (25085) |
$3,765.30 |
$12,551 |
1.1× |
| Carpal Tunnel Surgery (64721) |
$2,266.20 |
$7,554 |
1.1× |
| Carpectomy All Bones Proximal Row (25215) |
$3,765.30 |
$12,551 |
1.1× |
| Cartilage graft; costochondral (20910) |
$942.90 |
$3,143 |
1.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,689.70 |
$12,299 |
1.0× |
| Cerv artific diskectomy (22856) |
$21,340.50 |
$71,135 |
1.1× |
| Cervical lymphadenectomy (complete) (38720) |
$7,567.80 |
$25,226 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,652.50 |
$12,175 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$774.60 |
$2,582 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$282.30 |
$941 |
1.0× |
| Change of Windpipe Airway (31502) |
$269.40 |
$898 |
1.0× |
| Change ureter stent percut (50382) |
$2,377.20 |
$7,924 |
1.0× |
| Chemical Cautery Tissue (17250) |
$230.70 |
$769 |
1.1× |
| Chemical Pleurodesis (32560) |
$946.50 |
$3,155 |
1.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$803.70 |
$2,679 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$803.70 |
$2,679 |
1.0× |
| Chemodenerv musc neck dyston (64616) |
$441.90 |
$1,473 |
1.3× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$342.60 |
$1,142 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$1,368.30 |
$4,561 |
1.0× |
| Chest tube placement (32551) |
$1,813.20 |
$6,044 |
1.1× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,377.20 |
$7,924 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,095.30 |
$13,651 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,377.20 |
$7,924 |
1.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,377.20 |
$7,924 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,857.30 |
$6,191 |
1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,857.30 |
$6,191 |
1.1× |
| Claviculectomy partial (23120) |
$3,765.30 |
$12,551 |
1.1× |
| Clear outer ear canal (69200) |
$175.50 |
$585 |
1.2× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$4,078.20 |
$13,594 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,083.90 |
$3,613 |
4.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,857.30 |
$6,191 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$283.80 |
$946 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,612.20 |
$5,374 |
6.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,857.30 |
$6,191 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$286.80 |
$956 |
1.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$286.80 |
$956 |
1.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$2,153.40 |
$7,178 |
1.2× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$1,719 |
$5,730 |
1.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,857.30 |
$6,191 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$310.50 |
$1,035 |
1.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,857.30 |
$6,191 |
1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$591 |
$1,970 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,864.90 |
$22,883 |
1.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,857.30 |
$6,191 |
1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,719 |
$5,730 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,763.50 |
$12,545 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,763.50 |
$12,545 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,291.20 |
$4,304 |
4.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$474.30 |
$1,581 |
1.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$278.40 |
$928 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,857.30 |
$6,191 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$879.90 |
$2,933 |
3.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,857.30 |
$6,191 |
1.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$320.10 |
$1,067 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,857.30 |
$6,191 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$307.80 |
$1,026 |
1.1× |
| Closed tx septal&nose fx (21337) |
$3,763.50 |
$12,545 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$278.40 |
$928 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,393.40 |
$7,978 |
1.4× |
| Closed tx talus fracture w/o manipulation (28430) |
$286.80 |
$956 |
1.1× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$278.40 |
$928 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$278.40 |
$928 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,857.30 |
$6,191 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$286.80 |
$956 |
1.1× |
| Closure Gastrostomy Surg (43870) |
$4,414.80 |
$14,716 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$538.80 |
$1,796 |
2.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$689.40 |
$2,298 |
1.2× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$3,689.70 |
$12,299 |
1.0× |
| Closure of salivary fistula (42600) |
$3,763.50 |
$12,545 |
1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,857.30 |
$6,191 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$2,903.40 |
$9,678 |
10.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,857.30 |
$6,191 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$802.20 |
$2,674 |
3.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$959.40 |
$3,198 |
3.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$380.70 |
$1,269 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$905.70 |
$3,019 |
3.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$913.50 |
$3,045 |
3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$278.40 |
$928 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$441.60 |
$1,472 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,275 |
$4,250 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$278.40 |
$928 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$278.40 |
$928 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$278.40 |
$928 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$846.30 |
$2,821 |
3.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$308.10 |
$1,027 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$278.40 |
$928 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,433.40 |
$4,778 |
0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,127.40 |
$3,758 |
3.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$723.30 |
$2,411 |
2.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$278.40 |
$928 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$990 |
$3,300 |
3.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$962.70 |
$3,209 |
3.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$636.30 |
$2,121 |
2.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$278.40 |
$928 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$278.40 |
$928 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$497.10 |
$1,657 |
1.8× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$278.40 |
$928 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$301.20 |
$1,004 |
1.1× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$278.40 |
$928 |
1.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$286.80 |
$956 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$278.40 |
$928 |
1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$5,728.50 |
$19,095 |
1.0× |
| Coccygectomy, primary (27080) |
$3,765.30 |
$12,551 |
1.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$149.70 |
$499 |
1.0× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$10.20–$27.30 |
$34–$91 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy W/Resection (45390) |
$3,537.90 |
$11,793 |
1.2× |
| Colonoscopy w/stent plcmt (45389) |
$6,907.80 |
$23,026 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,368.30 |
$4,561 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$5,728.50 |
$19,095 |
1.0× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$3,689.70 |
$12,299 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$9,520.80 |
$31,736 |
1.2× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$8,581.20 |
$28,604 |
1.1× |
| Colporrhaphy (57200) |
$3,689.70 |
$12,299 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$353.10 |
$1,177 |
1.1× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$353.10 |
$1,177 |
1.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,689.70 |
$12,299 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,689.70 |
$12,299 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$353.10 |
$1,177 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,010.40 |
$3,368 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,368.30 |
$4,561 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,368.30 |
$4,561 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,368.30 |
$4,561 |
1.0× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$1,368.30 |
$4,561 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,728.50 |
$19,095 |
1.0× |
| Complex drainage wound (10180) |
$3,321.30 |
$11,071 |
1.0× |
| Composite Skin Graft (15760) |
$2,122.80 |
$7,076 |
0.9× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,689.70 |
$12,299 |
1.0× |
| Conization of cervix (57520) |
$3,689.70 |
$12,299 |
1.0× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$4,376.10 |
$14,587 |
1.0× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$3,763.50 |
$12,545 |
1.0× |
| Construct thumb replacement (26550) |
$3,765.30 |
$12,551 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$360.60 |
$1,202 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$289.80 |
$966 |
2.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$591 |
$1,970 |
1.0× |
| Conversion ext bil drg cath (47535) |
$4,095.30 |
$13,651 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,201.40 |
$7,338 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,377.20 |
$7,924 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,880.10 |
$6,267 |
1.0× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$4,002.30 |
$13,341 |
1.0× |
| Correction hammertoe (28285) |
$4,078.20 |
$13,594 |
1.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,765.30 |
$12,551 |
1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$14,931.30 |
$49,771 |
1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$8,345.70 |
$27,819 |
1.1× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$2,944.20 |
$9,814 |
1.1× |
| Create Eardrum Opening (69433) |
$1,004.40 |
$3,348 |
1.7× |
| Cricopharyngeal myotomy (43030) |
$6,864.90 |
$22,883 |
1.1× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$6,273 |
$20,910 |
1.0× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$269.40 |
$898 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$408.90 |
$1,363 |
2.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$269.40 |
$898 |
1.0× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$3,763.50 |
$12,545 |
1.0× |
| Curettage postpartum (59160) |
$3,689.70 |
$12,299 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,377.20 |
$7,924 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,377.20 |
$7,924 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,377.20 |
$7,924 |
1.0× |
| Cysto w/up stricture tx (52342) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,899.20 |
$19,664 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$4,043.70 |
$13,479 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,002.30 |
$13,341 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,899.20 |
$19,664 |
1.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$10,796.70 |
$35,989 |
1.0× |
| Cystoscopy implant stent (52282) |
$4,002.30 |
$13,341 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,377.20 |
$7,924 |
1.0× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$4,002.30 |
$13,341 |
1.0× |
| Cystourethroscopy (52000) |
$774.60 |
$2,582 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,377.20 |
$7,924 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$4,002.30 |
$13,341 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,377.20 |
$7,924 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,377.20 |
$7,924 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,377.20 |
$7,924 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$710.40 |
$2,368 |
1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,321.30 |
$11,071 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$816.60 |
$2,722 |
1.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$816.60 |
$2,722 |
1.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$3,765.30 |
$12,551 |
1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$710.40 |
$2,368 |
0.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,880.10 |
$6,267 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$463.50 |
$1,545 |
1.0× |
| Declot vascular device (36593) |
$384.90 |
$1,283 |
1.1× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,857.30 |
$6,191 |
1.1× |
| Decompress Fingers/Hand (26035) |
$3,765.30 |
$12,551 |
1.1× |
| Deep Muscle Biopsy (20205) |
$3,321.30 |
$11,071 |
1.0× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,122.80 |
$7,076 |
0.9× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$2,159.40 |
$7,198 |
1.0× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$2,122.80 |
$7,076 |
0.9× |
| Delivery of placenta (59414) |
$3,689.70 |
$12,299 |
1.0× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$4,248.30 |
$14,161 |
1.1× |
| Derma-fat-fascia graft (15770) |
$4,520.40 |
$15,068 |
1.2× |
| Dermabrasion segmental face (15781) |
$816.60 |
$2,722 |
1.1× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$2,229 |
$7,430 |
1.0× |
| Destr penis lesion(s) (54065) |
$2,122.80 |
$7,076 |
0.9× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,033.20 |
$3,444 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,266.20 |
$7,554 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$2,266.20 |
$7,554 |
1.1× |
| Destruct B9 Lesion 1-14 (17110) |
$230.70 |
$769 |
1.1× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,486.80 |
$4,956 |
1.1× |
| Destruction Lesions Vulva Extensive (56515) |
$2,122.80 |
$7,076 |
0.9× |
| Destruction Lesions Vulva Simple (56501) |
$2,122.80 |
$7,076 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,379.60 |
$7,932 |
1.1× |
| Destruction of skin lesions (17106) |
$819.30 |
$2,731 |
1.8× |
| Destruction premalignant lesion 1st (17000) |
$230.70 |
$769 |
1.1× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,689.70 |
$12,299 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,058.10 |
$3,527 |
1.0× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,368.30 |
$4,561 |
1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,550.40 |
$5,168 |
1.2× |
| Dilat Xst Trc New Access Rcs (50437) |
$4,002.30 |
$13,341 |
1.0× |
| Dilate Urethra Stricture (53600) |
$282.30 |
$941 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,689.70 |
$12,299 |
1.0× |
| Dilation Cervical Canal (57800) |
$3,689.70 |
$12,299 |
1.0× |
| Dilation Salivary Duct (42650) |
$2,310.90 |
$7,703 |
1.4× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$6,273 |
$20,910 |
1.0× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$8,289.90 |
$27,633 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$803.70 |
$2,679 |
1.0× |
| Drain Hand Tendon Sheath (26020) |
$3,765.30 |
$12,551 |
1.1× |
| Drain penis lesion (54015) |
$1,880.10 |
$6,267 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$1,033.20 |
$3,444 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$342.60 |
$1,142 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$591 |
$1,970 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$816.60 |
$2,722 |
1.1× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,951.20 |
$6,504 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$816.60 |
$2,722 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$1,880.10 |
$6,267 |
1.0× |
| Drainage lymph node lesion (38305) |
$3,321.30 |
$11,071 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$307.80 |
$1,026 |
1.2× |
| Drainage of eye (65800) |
$2,646.60 |
$8,822 |
1.0× |
| Drainage of finger abscess simple (26010) |
$553.20 |
$1,844 |
2.5× |
| Drainage of gum lesion (41800) |
$354.60 |
$1,182 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$2,042.70 |
$6,809 |
1.1× |
| Drainage of hydrocele (55000) |
$816.60 |
$2,722 |
1.1× |
| Drainage of nose lesion (30000) |
$414.30 |
$1,381 |
1.6× |
| Drainage of palmar bursa single bursa (26025) |
$3,765.30 |
$12,551 |
1.1× |
| Drainage of rectal abscess (45005) |
$1,550.40 |
$5,168 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$1,880.10 |
$6,267 |
1.0× |
| Drainage of scrotum (54700) |
$2,377.20 |
$7,924 |
1.0× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,580 |
$8,600 |
1.1× |
| Drainage of throat abscess (42725) |
$6,864.90 |
$22,883 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$149.70 |
$499 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$898.50 |
$2,995 |
1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$819 |
$2,730 |
1.1× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$599.70 |
$1,999 |
1.0× |
| Drg privesical/prevesical space absc (51080) |
$3,321.30 |
$11,071 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$521.10 |
$1,737 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$405.30 |
$1,351 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$230.70 |
$769 |
1.1× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,457.40 |
$4,858 |
1.8× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,122.80 |
$7,076 |
0.9× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$3,763.50 |
$12,545 |
1.0× |
| Dstrj Lesion Anus Extensive (46924) |
$3,182.40 |
$10,608 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$3,182.40 |
$10,608 |
1.0× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,122.80 |
$7,076 |
0.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,034.70 |
$3,449 |
1.1× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,321.30 |
$11,071 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,001 |
$6,670 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$2,001 |
$6,670 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,001 |
$6,670 |
1.0× |
| Dx laryngoscopy w/oper scope (31526) |
$2,001 |
$6,670 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$803.70 |
$2,679 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,201.40 |
$7,338 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,201.40 |
$7,338 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,201.40 |
$7,338 |
1.0× |
| Egd control bleeding any (43255) |
$2,201.40 |
$7,338 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,201.40 |
$7,338 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,201.40 |
$7,338 |
1.0× |
| Egd Endoscopic Stent Place (43266) |
$6,907.80 |
$23,026 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,088.10 |
$3,627 |
1.1× |
| Egd guide wire insertion (43248) |
$1,088.10 |
$3,627 |
1.1× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,201.40 |
$7,338 |
1.0× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,201.40 |
$7,338 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,201.40 |
$7,338 |
1.0× |
| Egd lesion ablation (43270) |
$2,201.40 |
$7,338 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,201.40 |
$7,338 |
1.0× |
| Egd remove lesion snare (43251) |
$2,201.40 |
$7,338 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$2,201.40 |
$7,338 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$2,201.40 |
$7,338 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$2,201.40 |
$7,338 |
1.0× |
| Egd Varices Ligation (43244) |
$2,201.40 |
$7,338 |
1.0× |
| Egd W/Transmural Drain Cyst (43240) |
$6,907.80 |
$23,026 |
1.0× |
| Endocervical curettage (57505) |
$1,010.40 |
$3,368 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$5,728.50 |
$19,095 |
1.0× |
| Endometrial Biopsy (58100) |
$520.80 |
$1,736 |
2.4× |
| Endoscopic plantar fasciotomy (29893) |
$4,078.20 |
$13,594 |
1.1× |
| Endoscopic us exam esoph (43237) |
$2,201.40 |
$7,338 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$2,201.40 |
$7,338 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,201.40 |
$7,338 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$13,160.10 |
$43,867 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,835.20 |
$12,784 |
1.1× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,835.20 |
$12,784 |
1.1× |
| Endoven ther chem adhes 1st (36482) |
$6,586.80 |
$21,956 |
1.1× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$2,201.40 |
$7,338 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,201.40 |
$7,338 |
1.0× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
$6,907.80 |
$23,026 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,201.40 |
$7,338 |
1.0× |
| Enucleation of Eye W/O Implant (65101) |
$4,376.10 |
$14,587 |
1.0× |
| Epidural Blood Patch (62273) |
$894.30 |
$2,981 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$3,689.70 |
$12,299 |
1.0× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$6,907.80 |
$23,026 |
1.0× |
| Ercp duct stent placement (43274) |
$7,181.10 |
$23,937 |
1.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,414.80 |
$14,716 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,414.80 |
$14,716 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,414.80 |
$14,716 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,201.40 |
$7,338 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,907.80 |
$23,026 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,414.80 |
$14,716 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,414.80 |
$14,716 |
1.0× |
| Esc i p ulcer w ostect & flap (15946) |
$3,386.40 |
$11,288 |
1.5× |
| Escharotomy; initial incision (16035) |
$547.80 |
$1,826 |
1.2× |
| Esoph Scope W/Submucous Inj (43201) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,147.20 |
$3,824 |
1.2× |
| Esophagosc Dilate Balloon 30 (43214) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscop Stent Placement (43212) |
$6,907.80 |
$23,026 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,414.80 |
$14,716 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,134.90 |
$3,783 |
1.1× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy Rigid Balloon (43195) |
$4,414.80 |
$14,716 |
1.0× |
| Esophagoscopy rigid trnso dx (43191) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscp Guide Wire Dilat (43196) |
$2,422.80 |
$8,076 |
1.2× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$6,864.90 |
$22,883 |
1.1× |
| Esophagoscp Rig Trnso Inject (43192) |
$2,201.40 |
$7,338 |
1.0× |
| Ethmoidectomy Intranasal Anterior (31200) |
$6,864.90 |
$22,883 |
1.1× |
| Evacuate mole of uterus (59870) |
$3,689.70 |
$12,299 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$149.70 |
$499 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,880.10 |
$6,267 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$3,321.30 |
$11,071 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,880.10 |
$6,267 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$816.60 |
$2,722 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) |
$6,864.90 |
$22,883 |
1.1× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$6,864.90 |
$22,883 |
1.1× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$3,763.50 |
$12,545 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,443.60 |
$14,812 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$816.60 |
$2,722 |
1.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$816.60 |
$2,722 |
1.1× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$816.60 |
$2,722 |
1.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$816.60 |
$2,722 |
1.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$816.60 |
$2,722 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Frenum Labial/Buccal (40819) |
$1,719 |
$5,730 |
1.0× |
| Exc ganglion wrist recurrent (25112) |
$1,857.30 |
$6,191 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,880.10 |
$6,267 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$816.60 |
$2,722 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,880.10 |
$6,267 |
1.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$3,763.50 |
$12,545 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,857.30 |
$6,191 |
1.1× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$3,763.50 |
$12,545 |
1.0× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$3,763.50 |
$12,545 |
1.0× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$3,763.50 |
$12,545 |
1.0× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$2,266.20 |
$7,554 |
1.1× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,266.20 |
$7,554 |
1.1× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,266.20 |
$7,554 |
1.1× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,266.20 |
$7,554 |
1.1× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$6,864.90 |
$22,883 |
1.1× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$3,182.40 |
$10,608 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$3,182.40 |
$10,608 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$911.70 |
$3,039 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,880.10 |
$6,267 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,765.30 |
$12,551 |
1.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,321.30 |
$11,071 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,550.40 |
$5,168 |
1.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$656.40 |
$2,188 |
1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$816.60 |
$2,722 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,880.10 |
$6,267 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$3,321.30 |
$11,071 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,880.10 |
$6,267 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,321.30 |
$11,071 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,880.10 |
$6,267 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,321.30 |
$11,071 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,321.30 |
$11,071 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,880.10 |
$6,267 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,321.30 |
$11,071 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,321.30 |
$11,071 |
1.0× |
| Exc urethral diverticulum spx female (53230) |
$5,899.20 |
$19,664 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,095.30 |
$13,651 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,377.20 |
$7,924 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,201.40 |
$7,338 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,719 |
$5,730 |
1.0× |
| Excise excessive skin arm (15836) |
$3,321.30 |
$11,071 |
1.0× |
| Excise mandible lesion (21040) |
$3,763.50 |
$12,545 |
1.0× |
| Excise Neurofibroma Extensive (64792) |
$7,795.20 |
$25,984 |
2.1× |
| Excise oral mucosa for graft (40818) |
$591 |
$1,970 |
1.0× |
| Excise tendon forearm/wrist (25109) |
$3,765.30 |
$12,551 |
1.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$911.70 |
$3,039 |
1.2× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$2,707.20 |
$9,024 |
1.0× |
| Excision Bone Mandible (21025) |
$6,864.90 |
$22,883 |
1.1× |
| Excision Chalazion Single (67800) |
$346.80 |
$1,156 |
1.0× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$6,864.90 |
$22,883 |
1.1× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$3,321.30 |
$11,071 |
1.0× |
| Excision External Ear Partial Simple Repair (69110) |
$3,321.30 |
$11,071 |
1.0× |
| Excision gum each quadrant (41820) |
$3,763.50 |
$12,545 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,321.30 |
$11,071 |
1.0× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$3,321.30 |
$11,071 |
1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,321.30 |
$11,071 |
1.0× |
| Excision Infected Graft Extremity (35903) |
$3,652.50 |
$12,175 |
1.1× |
| Excision inferior turbinate partial/complete (30130) |
$3,763.50 |
$12,545 |
1.0× |
| Excision lesion meniscus/capsule knee (27347) |
$3,765.30 |
$12,551 |
1.1× |
| Excision lesion mouth roof (42104) |
$3,763.50 |
$12,545 |
1.0× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,857.30 |
$6,191 |
1.1× |
| Excision Lesion Tongue W/O Closure (41110) |
$3,763.50 |
$12,545 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,719 |
$5,730 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$816.60 |
$2,722 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$463.50 |
$1,545 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,038.90 |
$3,463 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$816.60 |
$2,722 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,880.10 |
$6,267 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,321.30 |
$11,071 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$816.60 |
$2,722 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,880.10 |
$6,267 |
1.0× |
| Excision malignant tumor mandible (21044) |
$6,864.90 |
$22,883 |
1.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,182.40 |
$10,608 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,689.70 |
$12,299 |
1.0× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$3,765.30 |
$12,551 |
1.1× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$3,765.30 |
$12,551 |
1.1× |
| Excision of extraparenchymal lesion of testis (54512) |
$4,002.30 |
$13,341 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,857.30 |
$6,191 |
1.1× |
| Excision of hydrocele; unilateral (55040) |
$4,095.30 |
$13,651 |
1.0× |
| Excision of lingual tonsil (42870) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of local lesion of epididymis (54830) |
$4,002.30 |
$13,341 |
1.0× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$2,387.40 |
$7,958 |
1.1× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$7,431.60 |
$24,772 |
2.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,321.30 |
$11,071 |
1.0× |
| Excision of sublingual gland (42450) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$3,763.50 |
$12,545 |
1.0× |
| Excision of submandibular (submaxillary) gland (42440) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of vaginal cyst or tumor (57135) |
$3,689.70 |
$12,299 |
1.0× |
| Excision olecranon bursa (24105) |
$4,078.20 |
$13,594 |
1.1× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$3,765.30 |
$12,551 |
1.1× |
| Excision or fulguration; Skene's glands Facility (53270) |
$4,002.30 |
$13,341 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,321.30 |
$11,071 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,321.30 |
$11,071 |
1.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$8,216.10 |
$27,387 |
1.1× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,321.30 |
$11,071 |
1.0× |
| Excision tendon finger flexor/extensor each (26180) |
$1,857.30 |
$6,191 |
1.1× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$6,770.40 |
$22,568 |
1.0× |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) |
$6,770.40 |
$22,568 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,880.10 |
$6,267 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,880.10 |
$6,267 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,857.30 |
$6,191 |
1.1× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$2,122.80 |
$7,076 |
0.9× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$2,122.80 |
$7,076 |
0.9× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$4,248.30 |
$14,161 |
1.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,321.30 |
$11,071 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,321.30 |
$11,071 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,321.30 |
$11,071 |
1.0× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,857.30 |
$6,191 |
1.1× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$3,765.30 |
$12,551 |
1.1× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,763.50 |
$12,545 |
1.0× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$3,763.50 |
$12,545 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$3,765.30 |
$12,551 |
1.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,122.80 |
$7,076 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$1,880.10 |
$6,267 |
1.0× |
| Exploration of hip joint (27033) |
$8,345.70 |
$27,819 |
1.1× |
| Exploration of knee joint (27310) |
$3,765.30 |
$12,551 |
1.1× |
| Exploration penetrating wound spx chest (20101) |
$2,122.80 |
$7,076 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$2,042.70 |
$6,809 |
1.1× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,140.60 |
$3,802 |
1.9× |
| Explore for undescended testis (54550) |
$4,095.30 |
$13,651 |
1.0× |
| Explore/Treat Elbow Joint (24101) |
$3,765.30 |
$12,551 |
1.1× |
| Explore/Treat Hand Joint (26070) |
$1,857.30 |
$6,191 |
1.1× |
| Extensive ear canal surgery (69150) |
$6,864.90 |
$22,883 |
1.1× |
| Extensive mastoid surgery (69511) |
$6,864.90 |
$22,883 |
1.1× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$697.50 |
$2,325 |
1.2× |
| External cephalic version (59412) |
$3,689.70 |
$12,299 |
1.0× |
| Fasciectomy Palm Only (26121) |
$3,765.30 |
$12,551 |
1.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,765.30 |
$12,551 |
1.1× |
| Fasciotomy palmar open partial (26045) |
$3,884.10 |
$12,947 |
1.1× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$3,765.30 |
$12,551 |
1.1× |
| Fasciotomy, foot and/or toe (28008) |
$4,078.20 |
$13,594 |
1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,765.30 |
$12,551 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$233.40 |
$778 |
1.1× |
| Fetal non-stress test (59025) |
$284.70 |
$949 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,185.30 |
$3,951 |
1.5× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$816.60 |
$2,722 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$463.50 |
$1,545 |
1.0× |
| Fixation contralateral testis separate procedure (54620) |
$4,002.30 |
$13,341 |
1.0× |
| Flap; neurovascular pedicle (15750) |
$4,248.30 |
$14,161 |
1.1× |
| Fluid Pressure Muscle (20950) |
$816.60 |
$2,722 |
1.1× |
| Fluoro exam of g/colon tube (49465) |
$280.50 |
$935 |
1.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$848.10 |
$2,827 |
1.1× |
| Fna bx w/us gdn 1st les (10005) |
$816.60 |
$2,722 |
1.1× |
| Forehead flap w/vasc pedicle (15731) |
$4,520.40 |
$15,068 |
1.2× |
| Foreskin manipulation (54450) |
$583.80 |
$1,946 |
2.1× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$3,763.50 |
$12,545 |
1.0× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,122.80 |
$7,076 |
0.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,122.80 |
$7,076 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,122.80 |
$7,076 |
0.9× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$2,122.80 |
$7,076 |
0.9× |
| Fusion Finger Joint (26860) |
$3,765.30 |
$12,551 |
1.1× |
| Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) |
$8,289.90 |
$27,633 |
1.0× |
| Fusion of foot bones (28740) |
$8,289.90 |
$27,633 |
1.0× |
| Fusion of knuckle with graft (26852) |
$8,289.90 |
$27,633 |
1.0× |
| Fusion of tibiofibular joint (27871) |
$14,931.30 |
$49,771 |
1.1× |
| Gastrocnemius recession (27687) |
$3,765.30 |
$12,551 |
1.1× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$7,378.20 |
$24,594 |
1.1× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$6,864.90 |
$22,883 |
1.1× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$4,248.30 |
$14,161 |
1.1× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$4,309.20 |
$14,364 |
1.1× |
| Grafting of autologous soft tiss by direct exc (15769) |
$4,248.30 |
$14,161 |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$816.60 |
$2,722 |
1.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$8,289.90 |
$27,633 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,182.40 |
$10,608 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,182.40 |
$10,608 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,182.40 |
$10,608 |
1.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,182.40 |
$10,608 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,058.10 |
$3,527 |
1.0× |
| Hemorrhoidopexy by stapling (46947) |
$3,182.40 |
$10,608 |
1.0× |
| Hip arthro acetabuloplasty (29915) |
$8,289.90 |
$27,633 |
1.0× |
| Hip arthro w/labral repair (29916) |
$8,289.90 |
$27,633 |
1.0× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$3,182.40 |
$10,608 |
1.0× |
| Hrv skin for skin cell ssp agrft 1st 25 sq cm/< (15011) |
$2,229 |
$7,430 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,689.70 |
$12,299 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,689.70 |
$12,299 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,728.50 |
$19,095 |
1.0× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$5,728.50 |
$19,095 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,689.70 |
$12,299 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,728.50 |
$19,095 |
1.0× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$3,763.50 |
$12,545 |
1.0× |
| I&d abscess peritonsillar (42700) |
$636.30 |
$2,121 |
2.5× |
| I&d abscess simple (10060) |
$342.90 |
$1,143 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,321.30 |
$11,071 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,321.30 |
$11,071 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,765.30 |
$12,551 |
1.1× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$3,182.40 |
$10,608 |
1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$3,182.40 |
$10,608 |
1.0× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$621 |
$2,070 |
1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,078.20 |
$13,594 |
1.1× |
| I&d perianal abscess superficial (46050) |
$1,058.10 |
$3,527 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$816.60 |
$2,722 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$816.60 |
$2,722 |
1.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,579.90 |
$11,933 |
1.1× |
| Icd Pocket Revision (33223) |
$2,468.70 |
$8,229 |
1.1× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,088.10 |
$3,627 |
1.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,088.10 |
$3,627 |
1.1× |
| Image Cath Fluid Colxn Visc (49405) |
$1,880.10 |
$6,267 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,880.10 |
$6,267 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,880.10 |
$6,267 |
1.0× |
| Immediate breast prosthesis (19340) |
$8,216.10 |
$27,387 |
0.9× |
| Implant neuroelectrodes (63650) |
$8,332.20 |
$27,774 |
1.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$24,885 |
$82,950 |
1.2× |
| Impression & Preparation Oral Surgical Splint (21085) |
$822.30 |
$2,741 |
3.2× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$3,763.50 |
$12,545 |
1.0× |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
$3,763.50 |
$12,545 |
1.0× |
| Impression&Preparation Surg Obturator Prosthes (21076) |
$1,790.10 |
$5,967 |
1.1× |
| Incise external hemorrhoid (46083) |
$282.30 |
$941 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,857.30 |
$6,191 |
1.1× |
| Incise tendon(s) & muscle(s) (23406) |
$8,345.70 |
$27,819 |
1.1× |
| Incise Wrist/Forearm Tendon (25290) |
$3,765.30 |
$12,551 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$585.90 |
$1,953 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,321.30 |
$11,071 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,880.10 |
$6,267 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$463.50 |
$1,545 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$375.90 |
$1,253 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$424.80 |
$1,416 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,857.30 |
$6,191 |
1.1× |
| Incision of eardrum (69421) |
$3,763.50 |
$12,545 |
1.0× |
| Incision of fibula (27707) |
$3,765.30 |
$12,551 |
1.1× |
| Incision of labial frenum (frenotomy) (40806) |
$591 |
$1,970 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,719 |
$5,730 |
1.0× |
| Incision of rectal abscess (46040) |
$1,550.40 |
$5,168 |
1.2× |
| Incision of tibia & fibula (27709) |
$14,931.30 |
$49,771 |
1.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,974 |
$6,580 |
1.1× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$1,857.30 |
$6,191 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$710.40 |
$2,368 |
0.9× |
| Induced abortion, by dilation and evacuation (59841) |
$3,689.70 |
$12,299 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$230.70 |
$769 |
1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,033.20 |
$3,444 |
1.1× |
| Inj W/Fluor Eval Cv Device (36598) |
$418.50 |
$1,395 |
1.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,033.20 |
$3,444 |
1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,033.20 |
$3,444 |
1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$342.60 |
$1,142 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,033.20 |
$3,444 |
1.1× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,033.20 |
$3,444 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$803.70 |
$2,679 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,033.20 |
$3,444 |
1.1× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,033.20 |
$3,444 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$803.70 |
$2,679 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$803.70 |
$2,679 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,033.20 |
$3,444 |
1.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$342.60 |
$1,142 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,033.20 |
$3,444 |
1.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$803.70 |
$2,679 |
1.0× |
| Injection for identification of sentinel node (38792) |
$466.20 |
$1,554 |
1.1× |
| Injection Into Brain Canal (61055) |
$355.20 |
$1,184 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$342.60 |
$1,142 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$342.60 |
$1,142 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,033.20 |
$3,444 |
1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$803.70 |
$2,679 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$803.70 |
$2,679 |
1.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$342.60 |
$1,142 |
1.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$456.30 |
$1,521 |
2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$230.70 |
$769 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$3,652.50 |
$12,175 |
1.1× |
| Ins cath ren art 1st unilat (36251) |
$3,652.50 |
$12,175 |
1.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,652.50 |
$12,175 |
1.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,273 |
$20,910 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$6,273 |
$20,910 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$40,470 |
$134,900 |
1.2× |
| Insert 1 Electrode Pm-Defib (33216) |
$9,603.90 |
$32,013 |
1.1× |
| Insert and remove bone pin (20650) |
$3,765.30 |
$12,551 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$354.60 |
$1,182 |
2.5× |
| Insert cath pleura w/ image (32557) |
$1,813.20 |
$6,044 |
1.1× |
| Insert cath pleura w/o image (32556) |
$2,201.40 |
$7,338 |
1.0× |
| Insert cervical dilator (59200) |
$353.10 |
$1,177 |
1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,201.40 |
$7,338 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$12,144.30 |
$40,481 |
1.1× |
| Insert Heart Pm Ventricular (33207) |
$12,144.30 |
$40,481 |
1.1× |
Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$3,846.90 |
$12,823 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$3,652.50 |
$12,175 |
1.1× |
| Insert Pacing Lead & Connect (33224) |
$12,144.30 |
$40,481 |
1.1× |
| Insert pessary/other device (57160) |
$233.40 |
$778 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,892.70 |
$6,309 |
1.1× |
| Insert pulse gen dual leads (33213) |
$12,144.30 |
$40,481 |
1.1× |
| Insert pulse gen mult leads (33221) |
$23,557.80 |
$78,526 |
1.1× |
| Insert Pulse Gen Sngl Lead (33212) |
$9,603.90 |
$32,013 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$193.50 |
$645 |
1.3× |
| Insert tissue expander(s) (11960) |
$4,520.40 |
$15,068 |
1.2× |
| Insert tun ip cath perc (49418) |
$4,095.30 |
$13,651 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,652.50 |
$12,175 |
1.1× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,273 |
$20,910 |
1.0× |
| Insert Uro/Ves Nck Sphincter (53445) |
$23,358 |
$77,860 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$149.70 |
$499 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,095.30 |
$13,651 |
1.0× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$6,273 |
$20,910 |
1.0× |
| Insertion phrenic nerve stimulator system (33276) |
$52,220.40 |
$174,068 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,892.70 |
$6,309 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,603.90 |
$32,013 |
1.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$4,095.30 |
$13,651 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$6,273 |
$20,910 |
1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$5,847.90 |
$19,493 |
1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$9,603.90 |
$32,013 |
1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,652.50 |
$12,175 |
1.1× |
| Insj Picc Rs&I <5 Yr (36572) |
$753.60 |
$2,512 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,652.50 |
$12,175 |
1.1× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,652.50 |
$12,175 |
1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,892.70 |
$6,309 |
1.1× |
| Insj Stablj Dev W/Dcmprn (22867) |
$21,340.50 |
$71,135 |
1.1× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$9,603.90 |
$32,013 |
1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,652.50 |
$12,175 |
1.1× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$3,652.50 |
$12,175 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,652.50 |
$12,175 |
1.1× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$11,104.20 |
$37,014 |
1.2× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$37,205.40 |
$124,018 |
1.1× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$35,362.80 |
$117,876 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,603.90 |
$32,013 |
1.1× |
| Insrt heart pm atrial & vent (33208) |
$12,144.30 |
$40,481 |
1.1× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$26,047.50 |
$86,825 |
1.1× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$37,205.40 |
$124,018 |
1.1× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$26,047.50 |
$86,825 |
1.1× |
| Insrt/Redo Neurostim 1 Array (61885) |
$24,885 |
$82,950 |
0.7× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$282.30 |
$941 |
1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$3,182.40 |
$10,608 |
1.0× |
| Interdental fixation (21110) |
$1,751.40 |
$5,838 |
1.0× |
| Interdental Wiring Other Than Fracture (21497) |
$1,921.20 |
$6,404 |
1.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,587.90 |
$5,293 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,066.50 |
$3,555 |
2.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,049.70 |
$3,499 |
2.4× |
| Intranasal Biopsy (30100) |
$1,719 |
$5,730 |
1.0× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$269.40 |
$898 |
1.0× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,719 |
$5,730 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,802.70 |
$6,009 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$13,160.10 |
$43,867 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$6,616.20 |
$22,054 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$1,088.10 |
$3,627 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$438.60 |
$1,462 |
1.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$282.30 |
$941 |
1.0× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$4,668.30 |
$15,561 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,765.30 |
$12,551 |
1.1× |
| Lam facetec & foramot lumbar (63047) |
$8,289.90 |
$27,633 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,289.90 |
$27,633 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$8,289.90 |
$27,633 |
1.0× |
| Laminotomy Single Lumbar (63042) |
$8,289.90 |
$27,633 |
1.0× |
| Lap impl electrode antrum (43647) |
$15,080.40 |
$50,268 |
1.2× |
| Lap insert tunnel ip cath (49324) |
$6,770.40 |
$22,568 |
1.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$12,081.60 |
$40,272 |
1.0× |
| Lap paraesophag hern repair (43281) |
$12,081.60 |
$40,272 |
1.0× |
| Lap replace gastr adj device (43773) |
$6,770.40 |
$22,568 |
1.0× |
| Lap revision perm ip cath (49325) |
$6,770.40 |
$22,568 |
1.0× |
| Laparo ablate liver tumor rf (47370) |
$12,081.60 |
$40,272 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy aspiration (49322) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy fimbrioplasty (58672) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy gastrostomy (43653) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$4,414.80 |
$14,716 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$12,969.90 |
$43,233 |
1.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, Tubal Block (58671) |
$6,770.40 |
$22,568 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,770.40 |
$22,568 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,770.40 |
$22,568 |
1.0× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$4,414.80 |
$14,716 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$12,969.90 |
$43,233 |
1.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,770.40 |
$22,568 |
1.0× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,770.40 |
$22,568 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$12,081.60 |
$40,272 |
1.0× |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
$8,033.10 |
$26,777 |
1.0× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,718.10 |
$15,727 |
1.2× |
| Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) |
$6,864.90 |
$22,883 |
1.1× |
| Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) |
$6,864.90 |
$22,883 |
1.1× |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) |
$6,864.90 |
$22,883 |
1.1× |
| Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) |
$6,864.90 |
$22,883 |
1.1× |
| Laryngoscop w/arytenoidectom (31560) |
$8,033.10 |
$26,777 |
1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy and dilation (31528) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$291.90 |
$973 |
1.3× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$4,718.10 |
$15,727 |
1.2× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$647.70 |
$2,159 |
3.0× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$2,001 |
$6,670 |
1.0× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,297.40 |
$7,658 |
1.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$492.90 |
$1,643 |
1.2× |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$703.80 |
$2,346 |
3.2× |
| Laryngoscopy W/Biopsy (31535) |
$4,718.10 |
$15,727 |
1.2× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,001 |
$6,670 |
1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$492.90 |
$1,643 |
1.2× |
| Larynscop w/tumr exc + scope (31541) |
$4,278.60 |
$14,262 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,899.20 |
$19,664 |
1.0× |
| Late closure of wound (13160) |
$2,122.80 |
$7,076 |
0.5× |
| Lateral Canthopexy (21282) |
$3,763.50 |
$12,545 |
1.0× |
| Lateral retinacular release open (27425) |
$3,765.30 |
$12,551 |
1.1× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$3,765.30 |
$12,551 |
1.1× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$8,289.90 |
$27,633 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$14,931.30 |
$49,771 |
1.1× |
Ligation Major Artery Abdomen (37617) unusually low: confirm this is the full procedure |
$1,889.10 |
$6,297 |
0.3× |
| Ligation of a-v fistula (37607) |
$3,652.50 |
$12,175 |
1.1× |
| Ligation of hemorrhoids (46946) |
$3,182.40 |
$10,608 |
1.0× |
| Ligation Of Inf Vena Cava (37619) |
$6,273 |
$20,910 |
1.0× |
| Ligation Of Neck Artery (37615) |
$3,652.50 |
$12,175 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$1,880.10 |
$6,267 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$4,002.30 |
$13,341 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,002.30 |
$13,341 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$1,991.10 |
$6,637 |
0.5× |
| Low Back Disk Surgery (63030) |
$8,289.90 |
$27,633 |
1.0× |
| Lysis Intranasal Synechia (30560) |
$602.10 |
$2,007 |
1.0× |
| Lysis of labial adhesions (56441) |
$3,689.70 |
$12,299 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,377.20 |
$7,924 |
1.0× |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,765.30 |
$12,551 |
1.1× |
| Manipulation Elbow Under Anesthesia (24300) |
$1,857.30 |
$6,191 |
1.1× |
| Manipulation knee joint under general anesthesia (27570) |
$1,857.30 |
$6,191 |
1.1× |
| Manipulation wrist under anesthesia (25259) |
$1,857.30 |
$6,191 |
1.1× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,857.30 |
$6,191 |
1.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,857.30 |
$6,191 |
1.1× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,689.70 |
$12,299 |
1.0× |
| Mast mod rad (19307) |
$8,216.10 |
$27,387 |
1.1× |
| Mastectomy partial (19301) |
$4,443.60 |
$14,812 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$8,216.10 |
$27,387 |
1.1× |
| Mastectomy simple complete (19303) |
$7,567.80 |
$25,226 |
1.0× |
| Mastoidectomy; complete (69502) |
$6,864.90 |
$22,883 |
1.1× |
| Mastopexy (19316) |
$7,567.80 |
$25,226 |
1.0× |
| Maternity Care Procedure (59899) |
$233.40 |
$778 |
1.1× |
| Maxillary impression for palatal prosthesis Facility (42280) |
$591 |
$1,970 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,802.70 |
$6,009 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,652.50 |
$12,175 |
1.1× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$6,770.40 |
$22,568 |
1.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$6,770.40 |
$22,568 |
1.0× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$3,763.50 |
$12,545 |
1.0× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,122.80 |
$7,076 |
0.9× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$4,248.30 |
$14,161 |
1.1× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$4,520.40 |
$15,068 |
1.2× |
| Muscle-skin graft trunk (15734) |
$4,520.40 |
$15,068 |
1.2× |
| Myelography Lumbar Injection (62305) |
$1,077.30 |
$3,591 |
1.3× |
| Myelography Lumbar Injection (62304) |
$1,077.30 |
$3,591 |
1.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,077.30 |
$3,591 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,077.30 |
$3,591 |
1.3× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$3,689.70 |
$12,299 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$1,033.20 |
$3,444 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$803.70 |
$2,679 |
1.0× |
| N block inj intercost sng (64420) |
$803.70 |
$2,679 |
1.0× |
| N Block Inj Paracervical (64435) |
$803.70 |
$2,679 |
1.0× |
| N Block Inj Plantar Digit (64455) |
$342.60 |
$1,142 |
1.0× |
| N Block Inj Pudendal (64430) |
$1,033.20 |
$3,444 |
1.1× |
| N Block Lumbar/Thoracic (64520) |
$1,033.20 |
$3,444 |
1.1× |
| Nasal Endoscopy Dx (31231) |
$603.90 |
$2,013 |
2.8× |
| Nasal surgery procedure (30999) |
$269.40 |
$898 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$463.20 |
$1,544 |
0.9× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$831.30 |
$2,771 |
1.9× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,278.60 |
$14,262 |
1.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$2,001 |
$6,670 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$2,001 |
$6,670 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,001 |
$6,670 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$8,033.10 |
$26,777 |
1.0× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,058.10 |
$3,527 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,058.10 |
$3,527 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,857.30 |
$6,191 |
1.1× |
| Neck spine disk surgery (63020) |
$8,289.90 |
$27,633 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,880.10 |
$6,267 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,880.10 |
$6,267 |
1.0× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
$7,795.20 |
$25,984 |
0.8× |
| Nerve repair w/conduit each nerve (64910) |
$7,795.20 |
$25,984 |
0.8× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$7,431.60 |
$24,772 |
0.8× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$2,266.20 |
$7,554 |
1.1× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,266.20 |
$7,554 |
1.1× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,266.20 |
$7,554 |
1.1× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$2,266.20 |
$7,554 |
1.1× |
| Nipple Exploration (19110) |
$4,443.60 |
$14,812 |
1.0× |
| Nipple/areola reconstruction (19350) |
$4,443.60 |
$14,812 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,033.20 |
$3,444 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$342.60 |
$1,142 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,095.30 |
$13,651 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,095.30 |
$13,651 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,033.20 |
$3,444 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,033.20 |
$3,444 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$803.70 |
$2,679 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$803.70 |
$2,679 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,033.20 |
$3,444 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,033.20 |
$3,444 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$803.70 |
$2,679 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,033.20 |
$3,444 |
1.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$774.60 |
$2,582 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$774.60 |
$2,582 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$463.50 |
$1,545 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$463.50 |
$1,545 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$8,033.10 |
$26,777 |
1.0× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$8,033.10 |
$26,777 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$1,088.10 |
$3,627 |
1.1× |
| Occipital Nerve Block (64405) |
$342.60 |
$1,142 |
1.0× |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$3,689.70 |
$12,299 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,443.60 |
$14,812 |
1.0× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$35,362.80 |
$117,876 |
0.7× |
| Open nasoethmoid fx w/o fixj (21338) |
$6,864.90 |
$22,883 |
1.1× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$8,289.90 |
$27,633 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,345.70 |
$27,819 |
1.1× |
| Open treatment calcaneal fracture (28415) |
$8,289.90 |
$27,633 |
1.0× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$16,462.50 |
$54,875 |
1.2× |
| Open treatment fracture distal tibia only (27827) |
$16,462.50 |
$54,875 |
1.2× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$8,289.90 |
$27,633 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$14,931.30 |
$49,771 |
1.1× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,765.30 |
$12,551 |
1.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment metacarpophalangeal dislocation (26715) |
$3,765.30 |
$12,551 |
1.1× |
| Open treatment metatarsal fracture each (28485) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$6,864.90 |
$22,883 |
1.1× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$6,864.90 |
$22,883 |
1.1× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$6,864.90 |
$22,883 |
1.1× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$6,864.90 |
$22,883 |
1.1× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$7,378.20 |
$24,594 |
1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$14,931.30 |
$49,771 |
1.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$3,763.50 |
$12,545 |
1.0× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$4,056.60 |
$13,522 |
1.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$7,378.20 |
$24,594 |
1.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
$8,289.90 |
$27,633 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$8,289.90 |
$27,633 |
1.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$8,289.90 |
$27,633 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$14,931.30 |
$49,771 |
1.1× |
| Open Treatment Radial Shaft Fracture (25515) |
$8,289.90 |
$27,633 |
1.0× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$8,289.90 |
$27,633 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,765.30 |
$12,551 |
1.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$3,765.30 |
$12,551 |
1.1× |
| Open tx carpal scaphoid navicular fracture (25628) |
$8,289.90 |
$27,633 |
1.0× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$3,765.30 |
$12,551 |
1.1× |
| Open Tx Depressed Malar Fracture (21360) |
$6,864.90 |
$22,883 |
1.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$8,289.90 |
$27,633 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,765.30 |
$12,551 |
1.1× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$8,289.90 |
$27,633 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$8,345.70 |
$27,819 |
1.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$3,765.30 |
$12,551 |
1.1× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$16,462.50 |
$54,875 |
1.2× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$14,931.30 |
$49,771 |
1.1× |
| Open tx interphalangeal joint dislocation (26785) |
$3,765.30 |
$12,551 |
1.1× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$7,378.20 |
$24,594 |
1.1× |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
$6,864.90 |
$22,883 |
1.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,765.30 |
$12,551 |
1.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,765.30 |
$12,551 |
1.1× |
| Open Tx Radial Head/Neck Fracture (24665) |
$8,289.90 |
$27,633 |
1.0× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$16,462.50 |
$54,875 |
1.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$8,289.90 |
$27,633 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$8,345.70 |
$27,819 |
1.1× |
| Open tx ulnar fx proximal end (24685) |
$8,289.90 |
$27,633 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$13,160.10 |
$43,867 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$13,160.10 |
$43,867 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$8,289.90 |
$27,633 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$8,345.70 |
$27,819 |
1.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,462.50 |
$54,875 |
1.2× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$14,931.30 |
$49,771 |
1.1× |
| Orbital implant removal/revision (67560) |
$4,376.10 |
$14,587 |
1.0× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$2,707.20 |
$9,024 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,095.30 |
$13,651 |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$4,095.30 |
$13,651 |
1.0× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$4,095.30 |
$13,651 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,765.30 |
$12,551 |
1.1× |
| Ostectomy calcaneus (28118) |
$3,765.30 |
$12,551 |
1.1× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$8,289.90 |
$27,633 |
1.0× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$8,289.90 |
$27,633 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$8,289.90 |
$27,633 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,765.30 |
$12,551 |
1.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$8,289.90 |
$27,633 |
1.0× |
| Osteotomy Clavicle W Bone Graft (23485) |
$14,931.30 |
$49,771 |
1.1× |
| Osteotomy Metacarpal Each (26565) |
$3,765.30 |
$12,551 |
1.1× |
| Osteotomy Phalanx Finger Each (26567) |
$3,765.30 |
$12,551 |
1.1× |
| Osteotomy radius distal third (25350) |
$8,289.90 |
$27,633 |
1.0× |
| Osteotomy talus (28302) |
$8,289.90 |
$27,633 |
1.0× |
| Osteotomy Tibia (27705) |
$8,289.90 |
$27,633 |
1.0× |
| Osteotomy Ulna (25360) |
$8,289.90 |
$27,633 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$5,728.50 |
$19,095 |
1.0× |
| Palatop cl palate soft&/hard palate only (42200) |
$6,864.90 |
$22,883 |
1.1× |
| Palatopharyngoplasty (42145) |
$6,864.90 |
$22,883 |
1.1× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$3,763.50 |
$12,545 |
1.0× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$6,864.90 |
$22,883 |
1.1× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$6,864.90 |
$22,883 |
1.1× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$6,864.90 |
$22,883 |
1.1× |
| Part exc bone femur prox tibia (27360) |
$3,765.30 |
$12,551 |
1.1× |
| Part remv talus or calcaneus (28120) |
$3,765.30 |
$12,551 |
1.1× |
| Partial Excision Bone Humerus (24140) |
$3,765.30 |
$12,551 |
1.1× |
| Partial excision bone metacarpal (26230) |
$3,765.30 |
$12,551 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,857.30 |
$6,191 |
1.1× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,689.70 |
$12,299 |
1.0× |
| Partial removal of lip (40530) |
$3,763.50 |
$12,545 |
1.0× |
| Partial removal of nose (30150) |
$6,864.90 |
$22,883 |
1.1× |
| Partial removal of thyroid (60220) |
$6,770.40 |
$22,568 |
1.0× |
| Partial removal of tibia (27640) |
$3,765.30 |
$12,551 |
1.1× |
| Partial removal of tongue (41120) |
$6,864.90 |
$22,883 |
1.1× |
| Partial thyroid excision (60212) |
$6,770.40 |
$22,568 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$6,770.40 |
$22,568 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,689.70 |
$12,299 |
1.0× |
| Penile Injection (54235) |
$294.90 |
$983 |
1.1× |
| Penis plastic surgery (54360) |
$4,002.30 |
$13,341 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$12,081.60 |
$40,272 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,905.10 |
$23,017 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$6,770.40 |
$22,568 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$13,160.10 |
$43,867 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,122 |
$3,740 |
1.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,652.50 |
$12,175 |
1.1× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$8,345.70 |
$27,819 |
1.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,765.30 |
$12,551 |
1.1× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$4,443.60 |
$14,812 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,802.70 |
$6,009 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,689.70 |
$12,299 |
1.0× |
| Peritoneal Lavage (49084) |
$1,088.10 |
$3,627 |
1.1× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$14,904 |
$49,680 |
0.7× |
| Perq Cervicothoracic Inject (22510) |
$3,765.30 |
$12,551 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$816.60 |
$2,722 |
1.1× |
| Perq device breast 1st imag (19281) |
$1,880.10 |
$6,267 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,002.30 |
$13,341 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,765.30 |
$12,551 |
1.1× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$11,267.10 |
$37,557 |
1.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,770.40 |
$22,568 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$819 |
$2,730 |
1.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,765.30 |
$12,551 |
1.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$13,160.10 |
$43,867 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,616.20 |
$22,054 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,289.90 |
$27,633 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$8,289.90 |
$27,633 |
1.0× |
| Pin Finger Dislocation (26776) |
$3,765.30 |
$12,551 |
1.1× |
| Pin hand dislocation (26676) |
$3,765.30 |
$12,551 |
1.1× |
| Pin knuckle dislocation (26706) |
$3,765.30 |
$12,551 |
1.1× |
| Place Cath Subclavian Art (36225) |
$3,652.50 |
$12,175 |
1.1× |
| Place Cath Thoracic Aorta (36221) |
$3,652.50 |
$12,175 |
1.1× |
| Place Cath Vertebral Art (36226) |
$6,273 |
$20,910 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,201.40 |
$7,338 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$463.20 |
$1,544 |
0.9× |
| Placement of seton (46020) |
$3,182.40 |
$10,608 |
1.0× |
| Plastic Repair Canaliculi (68700) |
$2,707.20 |
$9,024 |
1.0× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$6,864.90 |
$22,883 |
1.1× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,770.40 |
$22,568 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,770.40 |
$22,568 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,770.40 |
$22,568 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,545.20 |
$8,484 |
1.1× |
| Plmt Nephroureteral Catheter (50433) |
$4,002.30 |
$13,341 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,002.30 |
$13,341 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$4,002.30 |
$13,341 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,002.30 |
$13,341 |
1.0× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$6,864.90 |
$22,883 |
1.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,728.50 |
$19,095 |
1.0× |
| Preparation skin cell ssp agrft 1st 25 sq cm/< (15013) |
$8,413.80 |
$28,046 |
1.1× |
| Prim art mech thrombectomy (37184) |
$22,093.50 |
$73,645 |
1.1× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$357 |
$1,190 |
1.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$2,707.20 |
$9,024 |
1.0× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$2,944.20 |
$9,814 |
1.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,058.10 |
$3,527 |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,182.40 |
$10,608 |
1.0× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$3,182.40 |
$10,608 |
1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,368.30 |
$4,561 |
1.0× |
| Prostatotomy external drg abscess simple (55720) |
$4,183.20 |
$13,944 |
1.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$816.60 |
$2,722 |
1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,095.30 |
$13,651 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,095.30 |
$13,651 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,765.30 |
$12,551 |
1.1× |
| Prq skel fixj femoral fx prox end neck (27235) |
$8,345.70 |
$27,819 |
1.1× |
| Prq skel fixj metar fx w/manj (28476) |
$3,765.30 |
$12,551 |
1.1× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$8,345.70 |
$27,819 |
1.1× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,765.30 |
$12,551 |
1.1× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
$8,289.90 |
$27,633 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$974.70 |
$3,249 |
1.4× |
| Pterygomaxillary fossa surgery, any approach Facility (31040) |
$6,864.90 |
$22,883 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$463.50 |
$1,545 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$463.50 |
$1,545 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$816.60 |
$2,722 |
1.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$829.80 |
$2,766 |
1.1× |
| Pvb thoracic cont infusion (64463) |
$803.70 |
$2,679 |
1.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$803.70 |
$2,679 |
1.0× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$8,289.90 |
$27,633 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,857.30 |
$6,191 |
1.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,765.30 |
$12,551 |
1.1× |
| Rad resect elbow caps/sr bone w rels (24149) |
$8,289.90 |
$27,633 |
1.0× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$3,321.30 |
$11,071 |
1.0× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$3,321.30 |
$11,071 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$3,321.30 |
$11,071 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$3,321.30 |
$11,071 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$3,321.30 |
$11,071 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$3,321.30 |
$11,071 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$3,321.30 |
$11,071 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$3,321.30 |
$11,071 |
1.0× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$1,857.30 |
$6,191 |
1.1× |
| Radical resection of tumor, radius or ulna (25170) |
$8,289.90 |
$27,633 |
1.0× |
| Radical Resection Tumor Metacarpal (26250) |
$3,765.30 |
$12,551 |
1.1× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$4,078.20 |
$13,594 |
1.1× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$8,289.90 |
$27,633 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$4,002.30 |
$13,341 |
1.0× |
| Reconstr lwr jaw segment (21198) |
$7,378.20 |
$24,594 |
1.1× |
| Reconstruct cleft palate (42220) |
$6,864.90 |
$22,883 |
1.1× |
| Reconstruct cleft palate (42210) |
$6,864.90 |
$22,883 |
1.1× |
| Reconstruct elbow lat ligmnt (24344) |
$8,289.90 |
$27,633 |
1.0× |
| Reconstruct extra finger (26587) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruct finger joint (26545) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruct Finger Joint (26548) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruct ulna/radioulnar (25337) |
$8,289.90 |
$27,633 |
1.0× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,122.80 |
$7,076 |
0.9× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$7,378.20 |
$24,594 |
1.1× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruction of throat (42950) |
$6,864.90 |
$22,883 |
1.1× |
| Reconstruction Toe Polydactyly (28344) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruction Tongue Fold (41520) |
$3,763.50 |
$12,545 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,652.50 |
$12,175 |
1.1× |
| Reduction of rectal prolapse (45900) |
$1,058.10 |
$3,527 |
1.0× |
| Reinforce humerus (24498) |
$14,931.30 |
$49,771 |
1.1× |
| Release of big toe (28240) |
$3,765.30 |
$12,551 |
1.1× |
| Relieve Pressure on Nerve(S) (64722) |
$2,266.20 |
$7,554 |
1.1× |
| Relocation Pocket Pacemaker (33222) |
$2,468.70 |
$8,229 |
1.1× |
| Rem Endovas Vena Cava Filter (37193) |
$3,652.50 |
$12,175 |
1.1× |
| Removal Anal Seton Other Marker (46030) |
$1,368.30 |
$4,561 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,088.10 |
$3,627 |
1.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$354.30 |
$1,181 |
1.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,321.30 |
$11,071 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,880.10 |
$6,267 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$816.60 |
$2,722 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,880.10 |
$6,267 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,321.30 |
$11,071 |
1.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$3,763.50 |
$12,545 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$101.10 |
$337 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$157.20 |
$524 |
2.4× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,689.70 |
$12,299 |
1.0× |
| Removal Implant Deep (20680) |
$3,321.30 |
$11,071 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,880.10 |
$6,267 |
1.0× |
| Removal implantable contraceptive capsules (11976) |
$816.60 |
$2,722 |
1.1× |
| Removal intact breast implant (19328) |
$4,443.60 |
$14,812 |
1.0× |
| Removal of a lesion from the floor of the mouth (41116) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of adenoids (42835) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of adenoids (42831) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of adenoids (42830) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of adenoids (42836) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of anal fissure (46200) |
$3,182.40 |
$10,608 |
1.0× |
| Removal of ankle implant (27704) |
$3,765.30 |
$12,551 |
1.1× |
| Removal of bladder cyst (51500) |
$6,770.40 |
$22,568 |
1.0× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$7,431.60 |
$24,772 |
2.0× |
| Removal of foreign body from pharynx (42809) |
$463.20 |
$1,544 |
0.9× |
| Removal of heel spur (28119) |
$3,765.30 |
$12,551 |
1.1× |
| Removal of humerus lesion (23156) |
$8,289.90 |
$27,633 |
1.0× |
| Removal of implant from finger or hand (26320) |
$1,880.10 |
$6,267 |
1.0× |
| Removal of intranasal lesion (30118) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of kidney stone (50081) |
$11,267.10 |
$37,557 |
1.1× |
| Removal of nail bed (11750) |
$571.20 |
$1,904 |
1.3× |
| Removal of sesamoid bone (28315) |
$3,765.30 |
$12,551 |
1.1× |
| Removal of sperm cord lesion (55520) |
$4,002.30 |
$13,341 |
1.0× |
| Removal of testis (54520) |
$4,002.30 |
$13,341 |
1.0× |
| Removal of thyroid (60271) |
$6,864.90 |
$22,883 |
1.1× |
| Removal of tonsils (42825) |
$7,378.20 |
$24,594 |
1.1× |
| Removal of tonsils (42826) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,824.70 |
$12,749 |
1.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$308.10 |
$1,027 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$4,223.10 |
$14,077 |
1.0× |
| Removal phrenic nerve stimulator system (33278) |
$4,083 |
$13,610 |
1.1× |
| Removal ppm generator only (33233) |
$9,603.90 |
$32,013 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$252.30 |
$841 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$816.60 |
$2,722 |
1.1× |
| Removal Submand Stone,Complicated (42335) |
$3,763.50 |
$12,545 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,122.80 |
$7,076 |
0.9× |
| Removal sweat gland lesion (11450) |
$3,321.30 |
$11,071 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,212.20 |
$7,374 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$308.10 |
$1,027 |
1.0× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,377.20 |
$7,924 |
1.0× |
| Remove cerclage suture (59871) |
$3,689.70 |
$12,299 |
1.0× |
| Remove drug implant device (11982) |
$514.50 |
$1,715 |
1.1× |
| Remove ear lesion (69552) |
$6,864.90 |
$22,883 |
1.1× |
| Remove ear lesion (69550) |
$7,378.20 |
$24,594 |
1.1× |
| Remove elbow lesion (24120) |
$3,765.30 |
$12,551 |
1.1× |
| Remove Elctrd Transvenously (33244) |
$4,223.10 |
$14,077 |
1.0× |
| Remove eye/attach implant (65105) |
$4,376.10 |
$14,587 |
1.0× |
| Remove femur lesion/graft (27356) |
$16,582.50 |
$55,275 |
1.2× |
| Remove Forearm Foreign Body (25248) |
$1,857.30 |
$6,191 |
1.1× |
| Remove foreign body from eye (65235) |
$2,646.60 |
$8,822 |
1.0× |
| Remove foreign body from eye (65205) |
$149.70 |
$499 |
1.0× |
| Remove groin lymph nodes (38760) |
$7,567.80 |
$25,226 |
1.0× |
| Remove Hand Bone Lesion (26200) |
$1,857.30 |
$6,191 |
1.1× |
| Remove humerus lesion (24110) |
$3,765.30 |
$12,551 |
1.1× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,377.20 |
$7,924 |
1.0× |
| Remove Intrauterine Device (58301) |
$435.30 |
$1,451 |
1.3× |
| Remove intrvas foreign body (37197) |
$3,652.50 |
$12,175 |
1.1× |
| Remove Lower Leg Bone Lesion (27635) |
$3,765.30 |
$12,551 |
1.1× |
| Remove lung catheter (32552) |
$939.90 |
$3,133 |
1.4× |
| Remove mastoid structures (69505) |
$6,864.90 |
$22,883 |
1.1× |
| Remove Nasal Foreign Body (30300) |
$246 |
$820 |
1.7× |
| Remove Peritoneal Foreign Body (49402) |
$4,095.30 |
$13,651 |
1.0× |
| Remove Pulse Generator (33241) |
$4,223.10 |
$14,077 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$774.60 |
$2,582 |
1.0× |
| Remove sacrum pressure sore (15937) |
$2,122.80 |
$7,076 |
0.9× |
| Remove Shoulder Foreign Body (23330) |
$1,880.10 |
$6,267 |
1.0× |
| Remove Skin Nerve Lesion (64774) |
$2,266.20 |
$7,554 |
1.1× |
| Remove spine eltrd plate (63662) |
$3,990.90 |
$13,303 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,857.30 |
$6,191 |
1.1× |
| Remove thyroid lesion (60200) |
$6,770.40 |
$22,568 |
1.0× |
| Remove tissue expander (11971) |
$3,579.90 |
$11,933 |
1.1× |
| Remove ureter stent percut (50384) |
$2,377.20 |
$7,924 |
1.0× |
| Remove wrist joint cartilage (25107) |
$3,765.30 |
$12,551 |
1.1× |
| Remove&replace pm gen singl (33227) |
$9,603.90 |
$32,013 |
1.1× |
| Remove/graft leg bone lesion (27637) |
$8,289.90 |
$27,633 |
1.0× |
| Remv cartilage for graft nasal (20912) |
$4,248.30 |
$14,161 |
1.1× |
| Remv&replc cvd gen dual lead (33263) |
$26,047.50 |
$86,825 |
1.1× |
| Remv&replc cvd gen mult lead (33264) |
$37,205.40 |
$124,018 |
1.1× |
| Remv&replc cvd gen sing lead (33262) |
$26,047.50 |
$86,825 |
1.1× |
| Remv&replc pm gen dual lead (33228) |
$12,144.30 |
$40,481 |
1.1× |
| Remv&replc pm gen mult leads (33229) |
$22,131 |
$73,770 |
1.1× |
| Renal Biopsy Perq (50200) |
$1,880.10 |
$6,267 |
1.0× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$5,899.20 |
$19,664 |
1.0× |
| Reopen fallopian tube (58350) |
$5,728.50 |
$19,095 |
1.0× |
| Repair Achilles Tendon (27650) |
$8,345.70 |
$27,819 |
1.1× |
| Repair arm/leg nerve (64857) |
$7,795.20 |
$25,984 |
2.1× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,652.50 |
$12,175 |
1.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,652.50 |
$12,175 |
1.1× |
| Repair blood vessel lesion (35266) |
$6,273 |
$20,910 |
1.0× |
| Repair brow ptosis (67900) |
$2,944.20 |
$9,814 |
1.1× |
| Repair cleft lip/nasal (40720) |
$3,763.50 |
$12,545 |
1.0× |
| Repair cleft lip/nasal (40702) |
$6,864.90 |
$22,883 |
1.1× |
| Repair cleft lip/nasal (40761) |
$7,378.20 |
$24,594 |
1.1× |
| Repair cleft lip/nasal (40700) |
$6,864.90 |
$22,883 |
1.1× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$8,345.70 |
$27,819 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,176 |
$3,920 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,442.70 |
$4,809 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$545.40 |
$1,818 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$710.40 |
$2,368 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,176 |
$3,920 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,442.70 |
$4,809 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,005.90 |
$3,353 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$918.90 |
$3,063 |
1.1× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$2,707.20 |
$9,024 |
1.0× |
| Repair Entropion Suture (67921) |
$2,707.20 |
$9,024 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,857.30 |
$6,191 |
1.1× |
| Repair Eyelid Wound (67935) |
$2,707.20 |
$9,024 |
1.0× |
| Repair Finger Tendon (26433) |
$3,765.30 |
$12,551 |
1.1× |
| Repair Finger/Hand Tendon (26350) |
$3,765.30 |
$12,551 |
1.1× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,765.30 |
$12,551 |
1.1× |
| Repair Foot Dislocation (28615) |
$8,289.90 |
$27,633 |
1.0× |
| Repair Forearm Tendon Sheath (25275) |
$3,765.30 |
$12,551 |
1.1× |
| Repair Hallux Rigidus (28289) |
$3,765.30 |
$12,551 |
1.1× |
| Repair Hand Joint (26540) |
$3,765.30 |
$12,551 |
1.1× |
| Repair Hand Tendon (26410) |
$1,857.30 |
$6,191 |
1.1× |
| Repair humerus with graft (24435) |
$14,931.30 |
$49,771 |
1.1× |
| Repair incomplete circumcision (54163) |
$2,377.20 |
$7,924 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,095.30 |
$13,651 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$552.90 |
$1,843 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$681 |
$2,270 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$810 |
$2,700 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$938.40 |
$3,128 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,066.50 |
$3,555 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$552.90 |
$1,843 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$693.90 |
$2,313 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$938.40 |
$3,128 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$937.50 |
$3,125 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$552.90 |
$1,843 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$734.10 |
$2,447 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,195.20 |
$3,984 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$795.90 |
$2,653 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,122.80 |
$7,076 |
0.9× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,765.30 |
$12,551 |
1.1× |
| Repair mouth/nose fistula (30600) |
$6,864.90 |
$22,883 |
1.1× |
| Repair nasal septal perforations (30630) |
$3,763.50 |
$12,545 |
1.0× |
| Repair Nasal Vestibular Stenosis (30465) |
$6,864.90 |
$22,883 |
1.1× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$14,931.30 |
$49,771 |
1.1× |
| Repair Nonunion Hand (26546) |
$8,289.90 |
$27,633 |
1.0× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$8,345.70 |
$27,819 |
1.1× |
| Repair of biceps tendon (24340) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$6,266.70 |
$20,889 |
1.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$6,519.60 |
$21,732 |
1.1× |
| Repair of metatarsals (28322) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of nail bed (11760) |
$710.40 |
$2,368 |
0.9× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
$8,345.70 |
$27,819 |
1.1× |
| Repair of rectocele (45560) |
$3,182.40 |
$10,608 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$9,014.10 |
$30,047 |
1.1× |
| Repair of shoulder (23420) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of traumatic corporeal tear(s) (54437) |
$4,002.30 |
$13,341 |
1.0× |
| Repair of web finger (26562) |
$3,765.30 |
$12,551 |
1.1× |
| Repair of web finger (26560) |
$1,857.30 |
$6,191 |
1.1× |
| Repair of web finger (26561) |
$3,765.30 |
$12,551 |
1.1× |
| Repair of windpipe defect (31825) |
$3,763.50 |
$12,545 |
1.0× |
| Repair palate (42235) |
$6,864.90 |
$22,883 |
1.1× |
| Repair paravag defect vag (57285) |
$8,581.20 |
$28,604 |
1.1× |
| Repair penis post injury (54440) |
$4,002.30 |
$13,341 |
1.0× |
| Repair radius & ulna (25415) |
$8,289.90 |
$27,633 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$9,532.20 |
$31,774 |
1.3× |
| Repair Rotator Cuff Chronic (23412) |
$8,289.90 |
$27,633 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$8,289.90 |
$27,633 |
1.0× |
| Repair shoulder capsule (23462) |
$8,289.90 |
$27,633 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$8,289.90 |
$27,633 |
1.0× |
| Repair Toe Dislocation (28645) |
$3,765.30 |
$12,551 |
1.1× |
| Repair tongue laceration (41252) |
$555.90 |
$1,853 |
2.1× |
| Repair tongue laceration (41250) |
$879.30 |
$2,931 |
1.8× |
| Repair Tooth Socket (41874) |
$4,056.60 |
$13,522 |
1.1× |
| Repair webbed toe(s) (28345) |
$1,857.30 |
$6,191 |
1.1× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$8,289.90 |
$27,633 |
1.0× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$6,770.40 |
$22,568 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$8,345.70 |
$27,819 |
1.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$3,765.30 |
$12,551 |
1.1× |
| Repair/graft achilles tendon (27652) |
$8,289.90 |
$27,633 |
1.0× |
| Repair/Graft Wrist Bone (25440) |
$8,289.90 |
$27,633 |
1.0× |
| Repair/Revise Wrist Joint (25320) |
$9,014.10 |
$30,047 |
1.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,088.10 |
$3,627 |
1.1× |
| Replace G-J Tube Perc (49452) |
$1,088.10 |
$3,627 |
1.1× |
| Replace g/c tube perc (49450) |
$1,088.10 |
$3,627 |
1.1× |
| Replace/Revise Brain Shunt (62230) |
$7,431.60 |
$24,772 |
0.8× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$8,345.70 |
$27,819 |
1.1× |
| Replantation digit complete (20822) |
$1,857.30 |
$6,191 |
1.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,223.10 |
$14,077 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$794.70 |
$2,649 |
2.9× |
| Reposition L Ventric Lead (33226) |
$3,652.50 |
$12,175 |
1.1× |
| Reposition Pacing-Defib Lead (33215) |
$3,652.50 |
$12,175 |
1.1× |
| Reposition Venous Catheter (36597) |
$1,813.20 |
$6,044 |
1.1× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$4,083 |
$13,610 |
1.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,765.30 |
$12,551 |
1.1× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$8,289.90 |
$27,633 |
1.0× |
| Repr torn cruciate knee ligam (27407) |
$8,289.90 |
$27,633 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$4,095.30 |
$13,651 |
1.0× |
| Resect back tum < 5 cm (21935) |
$3,321.30 |
$11,071 |
1.0× |
| Resect enlarged toe tissue (28340) |
$3,765.30 |
$12,551 |
1.1× |
| Resect forarm/wrist tum 3cm> (25078) |
$3,321.30 |
$11,071 |
1.0× |
| Resect hip/pelv tum 5 cm/> (27059) |
$3,321.30 |
$11,071 |
1.0× |
| Resect leg/ankle tum < 5 cm (27615) |
$3,321.30 |
$11,071 |
1.0× |
| Resect shoulder tumor < 5 cm (23077) |
$3,321.30 |
$11,071 |
1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,990.90 |
$13,303 |
1.0× |
| Revis reconst shoulder joint (23473) |
$14,931.30 |
$49,771 |
1.1× |
| Revise Abdomen-Venous Shunt (49426) |
$4,095.30 |
$13,651 |
1.0× |
| Revise external ear (69300) |
$4,056.60 |
$13,522 |
1.1× |
| Revise eye with implant (65093) |
$4,376.10 |
$14,587 |
1.0× |
| Revise finger joint each (26140) |
$1,857.30 |
$6,191 |
1.1× |
| Revise Hand/Foot Nerve (64704) |
$2,266.20 |
$7,554 |
1.1× |
| Revise knuckle joint (26530) |
$8,345.70 |
$27,819 |
1.1× |
| Revise Spine Eltrd Plate (63664) |
$14,471.10 |
$48,237 |
1.2× |
| Revise ulnar nerve at wrist (64719) |
$2,266.20 |
$7,554 |
1.1× |
| Revise Wrist/Forearm Tendon (25280) |
$3,765.30 |
$12,551 |
1.1× |
| Revise/Implant Finger Joint (26536) |
$8,289.90 |
$27,633 |
1.0× |
| Revise/Repair Finger/Toe Nerve (64702) |
$2,266.20 |
$7,554 |
1.1× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$3,689.70 |
$12,299 |
1.0× |
| Revision of big toe (28310) |
$9,014.10 |
$30,047 |
1.1× |
| Revision of foot bones (28737) |
$16,462.50 |
$54,875 |
1.2× |
| Revision of humerus (24400) |
$8,289.90 |
$27,633 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,765.30 |
$12,551 |
1.1× |
| Revision of nose (30462) |
$6,864.90 |
$22,883 |
1.1× |
| Revision of penis (54300) |
$4,002.30 |
$13,341 |
1.0× |
| Revision of penis (54304) |
$4,002.30 |
$13,341 |
1.0× |
| Revision of reconstructed breast (19380) |
$8,216.10 |
$27,387 |
1.1× |
| Revision of toe (28312) |
$3,765.30 |
$12,551 |
1.1× |
| Revision of tracheostomy scar (31830) |
$3,763.50 |
$12,545 |
1.0× |
| Revision of urethra (57220) |
$5,728.50 |
$19,095 |
1.0× |
| Revision of wrist joint (25450) |
$5,451.60 |
$18,172 |
1.5× |
| Revision Peri-Implant Capsule Breast (19370) |
$4,802.40 |
$16,008 |
1.1× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) |
$14,471.10 |
$48,237 |
1.2× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$4,248.30 |
$14,161 |
1.1× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
$6,864.90 |
$22,883 |
1.1× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$6,616.20 |
$22,054 |
1.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,990.90 |
$13,303 |
1.0× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$14,471.10 |
$48,237 |
1.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,990.90 |
$13,303 |
1.0× |
| Rhinoplasty primary w/major septal repair (30420) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinoplasty Secondary Intermediate Revision (30435) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinoplasty Secondary Major Revision (30450) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinoplasty Secondary Minor Revision (30430) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
$6,864.90 |
$22,883 |
1.1× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$4,248.30 |
$14,161 |
1.1× |
| Rib cartilage graft (21230) |
$6,864.90 |
$22,883 |
1.1× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,377.20 |
$7,924 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,719 |
$5,730 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,088.10 |
$3,627 |
1.1× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,880.10 |
$6,267 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$463.20 |
$1,544 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$149.70 |
$499 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,368.30 |
$4,561 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,321.30 |
$11,071 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$4,223.10 |
$14,077 |
1.0× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$4,083 |
$13,610 |
1.1× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$4,083 |
$13,610 |
1.1× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$2,266.20 |
$7,554 |
1.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,266.20 |
$7,554 |
1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,223.10 |
$14,077 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,877.40 |
$6,258 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$729.60 |
$2,432 |
1.1× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$37,261.50 |
$124,205 |
1.1× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$16,345.80 |
$54,486 |
1.3× |
| Rmvl/revj sling stress incontinence (57287) |
$3,689.70 |
$12,299 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$744.90 |
$2,483 |
2.7× |
| Rplc gtube revj gstrst trc (43763) |
$769.80 |
$2,566 |
2.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,652.50 |
$12,175 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,887.30 |
$6,291 |
1.1× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,652.50 |
$12,175 |
1.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,865.40 |
$6,218 |
1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,652.50 |
$12,175 |
1.1× |
| Rpr blood vessel direct lower extremity (35226) |
$2,560.20 |
$8,534 |
3.3× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$6,273 |
$20,910 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$798.30 |
$2,661 |
3.6× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,095.30 |
$13,651 |
1.0× |
| Rpr ing hernia init reduce (49500) |
$9,532.20 |
$31,774 |
1.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$745.80 |
$2,486 |
0.9× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$2,944.20 |
$9,814 |
1.1× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$6,585.30 |
$21,951 |
1.1× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$4,376.10 |
$14,587 |
1.0× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$6,585.30 |
$21,951 |
1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$591 |
$1,970 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$690.30 |
$2,301 |
1.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,719 |
$5,730 |
1.0× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$6,864.90 |
$22,883 |
1.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$729.60 |
$2,432 |
1.1× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$4,376.10 |
$14,587 |
1.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$8,345.70 |
$27,819 |
1.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$3,765.30 |
$12,551 |
1.1× |
| Sclerotx Fluid Collection (49185) |
$1,880.10 |
$6,267 |
1.0× |
| Scrotoplasty Simple (55175) |
$4,002.30 |
$13,341 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,763.50 |
$12,545 |
1.0× |
| Sever cranial nerve (64771) |
$2,266.20 |
$7,554 |
1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,058.10 |
$3,527 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,368.30 |
$4,561 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$515.40 |
$1,718 |
2.4× |
| Shoulder arthroscopy (29820) |
$8,289.90 |
$27,633 |
1.0× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$3,763.50 |
$12,545 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$1,151.70 |
$3,839 |
1.1× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,058.10 |
$3,527 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy w/plcmt stent (45347) |
$7,181.10 |
$23,937 |
1.1× |
| Sigmoidoscopy W/Ultrasound (45341) |
$1,058.10 |
$3,527 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,058.10 |
$3,527 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,368.30 |
$4,561 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,266.90 |
$4,223 |
2.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$427.80 |
$1,426 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$550.80 |
$1,836 |
2.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,045.50 |
$3,485 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$657.60 |
$2,192 |
3.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$428.10 |
$1,427 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,168.80 |
$3,896 |
5.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$605.40 |
$2,018 |
2.8× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$6,864.90 |
$22,883 |
1.1× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
$6,864.90 |
$22,883 |
1.1× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$6,864.90 |
$22,883 |
1.1× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$6,864.90 |
$22,883 |
1.1× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$6,864.90 |
$22,883 |
1.1× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,122.80 |
$7,076 |
0.9× |
| Skin Pinch Graft (15050) |
$1,488 |
$4,960 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$2,229 |
$7,430 |
2.8× |
| Skin sub graft trnk/arm/leg (15271) |
$2,229 |
$7,430 |
2.8× |
| Skin sub grft t/arm/lg child (15273) |
$4,248.30 |
$14,161 |
1.9× |
| Skin Tissue Procedure (17999) |
$230.70 |
$769 |
1.1× |
| Skn sub grft f/n/hf/g child (15277) |
$2,122.80 |
$7,076 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,273 |
$20,910 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,652.50 |
$12,175 |
1.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,273 |
$20,910 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,728.50 |
$19,095 |
1.0× |
| Slitting of prepuce (54001) |
$2,377.20 |
$7,924 |
1.0× |
| Small bowel endoscopy (44366) |
$2,201.40 |
$7,338 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$493.50 |
$1,645 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$780.60 |
$2,602 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,045.50 |
$3,485 |
2.4× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$3,182.40 |
$10,608 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,182.40 |
$10,608 |
1.0× |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
$3,182.40 |
$10,608 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$803.70 |
$2,679 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,520.40 |
$15,068 |
1.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,122.80 |
$7,076 |
0.9× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$2,944.20 |
$9,814 |
1.1× |
| Strapping ankle (29540) |
$183 |
$610 |
1.0× |
| Strapping elbow or wrist (29260) |
$123.60 |
$412 |
1.9× |
| Strapping hand/finger (29280) |
$158.70 |
$529 |
2.5× |
| Strapping Hip (29520) |
$161.10 |
$537 |
1.1× |
| Strapping knee (29530) |
$168.30 |
$561 |
1.2× |
| Strapping shoulder (29240) |
$176.40 |
$588 |
1.2× |
| Strapping thorax (29200) |
$198.60 |
$662 |
1.1× |
| Strapping toes (29550) |
$96.30 |
$321 |
1.5× |
| Strapping Unna Boot (29580) |
$183 |
$610 |
1.0× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$710.40 |
$2,368 |
0.9× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$803.70 |
$2,679 |
1.0× |
| Submucosal abltj tongue rf 1/> sites pr session (41530) |
$3,763.50 |
$12,545 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,763.50 |
$12,545 |
1.0× |
| Subtalar arthro w/deb (29906) |
$3,765.30 |
$12,551 |
1.1× |
| Suprahyoid lymphadenectomy (38700) |
$7,567.80 |
$25,226 |
1.0× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$3,763.50 |
$12,545 |
1.0× |
| Surg Implnt Neuroelect,Epidural (63655) |
$24,885 |
$82,950 |
1.2× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$6,864.90 |
$22,883 |
1.1× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$6,864.90 |
$22,883 |
1.1× |
| Surg tx anal fistula subq (46270) |
$3,182.40 |
$10,608 |
1.0× |
| Surgery to stop leg growth (27479) |
$8,289.90 |
$27,633 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,182.40 |
$10,608 |
1.0× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$2,707.20 |
$9,024 |
1.0× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$7,795.20 |
$25,984 |
2.1× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$7,795.20 |
$25,984 |
2.1× |
| Suture 1 Nerve Ulnar Motor (64836) |
$7,795.20 |
$25,984 |
2.1× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,266.20 |
$7,554 |
1.1× |
| Suture infrapatellar tendon primary (27380) |
$8,345.70 |
$27,819 |
1.1× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$8,345.70 |
$27,819 |
1.1× |
| Suture pharynx for wound or injury (42900) |
$1,719 |
$5,730 |
1.0× |
| Suture/repair testicular injury (54670) |
$4,002.30 |
$13,341 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,857.30 |
$6,191 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$330.90 |
$1,103 |
0.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$36,172.80 |
$120,576 |
1.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$22,131 |
$73,770 |
1.1× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$3,652.50 |
$12,175 |
1.1× |
| Temporary Closure Eyelids Suture (67875) |
$1,123.80 |
$3,746 |
1.0× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$3,765.30 |
$12,551 |
1.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,765.30 |
$12,551 |
1.1× |
| Tenodesis long tendon biceps (23430) |
$8,289.90 |
$27,633 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,857.30 |
$6,191 |
1.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,765.30 |
$12,551 |
1.1× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$3,765.30 |
$12,551 |
1.1× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$4,078.20 |
$13,594 |
1.1× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,857.30 |
$6,191 |
1.1× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$3,765.30 |
$12,551 |
1.1× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,857.30 |
$6,191 |
1.1× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,902.30 |
$6,341 |
1.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$803.70 |
$2,679 |
1.0× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,902.30 |
$6,341 |
1.1× |
| Therapeutic plasma exchange (36514) |
$1,902.30 |
$6,341 |
1.1× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$6,273 |
$20,910 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$20,837.70 |
$69,459 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$3,652.50 |
$12,175 |
1.1× |
| Thrombolytic Art Therapy (37211) |
$6,484.50 |
$21,615 |
1.1× |
| Thrombolytic Therapy Stroke (37195) |
$384.90 |
$1,283 |
1.1× |
| Thrombolytic Venous Therapy (37212) |
$3,652.50 |
$12,175 |
1.1× |
| Thyroid biopsy (60100) |
$816.60 |
$2,722 |
1.1× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$6,864.90 |
$22,883 |
1.1× |
| Thyroidectomy, total or complete (60240) |
$6,770.40 |
$22,568 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$6,864.90 |
$22,883 |
1.1× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,122.80 |
$7,076 |
0.9× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$21,049.50 |
$70,165 |
1.4× |
| Tlh uterus over 250 g (58572) |
$12,081.60 |
$40,272 |
1.0× |
| Tnot elbow lateral/medial debride open (24358) |
$3,765.30 |
$12,551 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,763.50 |
$12,545 |
1.0× |
| Tooth extraction (41899) |
$269.40 |
$898 |
1.0× |
| Total Knee Arthroplasty (27447) |
$14,931.30 |
$49,771 |
1.1× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$6,770.40 |
$22,568 |
1.0× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$3,689.70 |
$12,299 |
1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$591 |
$1,970 |
1.0× |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
$7,378.20 |
$24,594 |
1.1× |
| Tracheostoma revj smpl w/o flap rotation (31613) |
$3,763.50 |
$12,545 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$716.70 |
$2,389 |
2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,719 |
$5,730 |
1.0× |
| Tracheostomy planned (31600) |
$3,763.50 |
$12,545 |
1.0× |
| Transcatheter biopsy (37200) |
$6,273 |
$20,910 |
1.0× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$2,266.20 |
$7,554 |
1.1× |
| Transfusion Intrauterine Fetal (36460) |
$654.30 |
$2,181 |
1.4× |
| Transplant hand tendon (26480) |
$3,765.30 |
$12,551 |
1.1× |
| Transplant of thigh tendon (27396) |
$8,289.90 |
$27,633 |
1.0× |
| Transplant/graft hand tendon (26483) |
$3,765.30 |
$12,551 |
1.1× |
| Transplant/graft palm tendon (26489) |
$3,765.30 |
$12,551 |
1.1× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$10,796.70 |
$35,989 |
1.0× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$2,069.10 |
$6,897 |
1.6× |
| Transur electr resection of prostate (52601) |
$5,899.20 |
$19,664 |
1.0× |
| Transurethral resection bladder neck (52500) |
$4,002.30 |
$13,341 |
1.0× |
| Treat Ankle Dislocation (27846) |
$8,345.70 |
$27,819 |
1.1× |
| Treat ankle fracture (28445) |
$8,345.70 |
$27,819 |
1.1× |
| Treat Big Toe Fracture (28505) |
$3,765.30 |
$12,551 |
1.1× |
| Treat clavicle dislocation (23530) |
$8,345.70 |
$27,819 |
1.1× |
| Treat Dental Ridge Fracture (21440) |
$3,763.50 |
$12,545 |
1.0× |
| Treat dislocation/fracture (23670) |
$8,289.90 |
$27,633 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,770.40 |
$22,568 |
1.0× |
| Treat elbow fracture (24586) |
$14,931.30 |
$49,771 |
1.1× |
| Treat Elbow Fracture (24635) |
$8,289.90 |
$27,633 |
1.0× |
| Treat elbow fracture (24587) |
$14,931.30 |
$49,771 |
1.1× |
| Treat Finger Fracture Each (26727) |
$3,765.30 |
$12,551 |
1.1× |
| Treat fracture radius/ulna (25575) |
$8,289.90 |
$27,633 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$8,289.90 |
$27,633 |
1.0× |
| Treat Hip Socket Fracture (27222) |
$1,311.30 |
$4,371 |
4.9× |
| Treat humerus fracture (24500) |
$278.40 |
$928 |
1.0× |
| Treat Humerus Fracture (24505) |
$1,857.30 |
$6,191 |
1.1× |
| Treat knee fracture (27532) |
$3,765.30 |
$12,551 |
1.1× |
| Treat Knee Fracture(S) (27538) |
$278.40 |
$928 |
1.0× |
| Treat Kneecap Fracture (27524) |
$8,289.90 |
$27,633 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$990.30 |
$3,301 |
3.7× |
| Treat metacarpal fracture (26607) |
$3,765.30 |
$12,551 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$278.40 |
$928 |
1.0× |
| Treat scapula fracture (23585) |
$8,289.90 |
$27,633 |
1.0× |
| Treat Thumb Dislocation (26641) |
$286.80 |
$956 |
1.1× |
| Treat Thumb Fracture (26645) |
$1,857.30 |
$6,191 |
1.1× |
| Treat thumb fracture (26665) |
$3,765.30 |
$12,551 |
1.1× |
| Treat toe dislocation (28630) |
$565.80 |
$1,886 |
2.1× |
| Treat/graft heel fracture (28420) |
$16,462.50 |
$54,875 |
1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,857.30 |
$6,191 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,295.70 |
$4,319 |
4.8× |
| Treatment of ankle fracture (27823) |
$8,289.90 |
$27,633 |
1.0× |
| Treatment of nose fracture (21330) |
$6,864.90 |
$22,883 |
1.1× |
| Treatment of tibia fracture (27756) |
$8,289.90 |
$27,633 |
1.0× |
| Trim skin lesion (11055) |
$230.70 |
$769 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$230.70 |
$769 |
1.1× |
| Trimming Nondystrophic Nails Any Number (11719) |
$72.60 |
$242 |
1.1× |
| Trluml Balo Angiop 1St Art (37246) |
$6,616.20 |
$22,054 |
1.1× |
| Trluml Balo Angiop 1St Vein (37248) |
$6,616.20 |
$22,054 |
1.1× |
| Tubal ligation (58600) |
$3,689.70 |
$12,299 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,182.40 |
$10,608 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$361.50 |
$1,205 |
1.5× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$14,931.30 |
$49,771 |
1.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,689.70 |
$12,299 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,689.70 |
$12,299 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,689.70 |
$12,299 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,857.30 |
$6,191 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,857.30 |
$6,191 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,442.70 |
$4,809 |
1.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$561.90 |
$1,873 |
1.3× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$16,462.50 |
$54,875 |
1.2× |
| Tympanolysis transcanal (69450) |
$3,763.50 |
$12,545 |
1.0× |
| Tympanoplasty (69631) |
$7,378.20 |
$24,594 |
1.1× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$6,864.90 |
$22,883 |
1.1× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$6,864.90 |
$22,883 |
1.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$6,864.90 |
$22,883 |
1.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$6,864.90 |
$22,883 |
1.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$6,864.90 |
$22,883 |
1.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$7,378.20 |
$24,594 |
1.1× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$6,864.90 |
$22,883 |
1.1× |
| Tympanostomy general anesthesia (69436) |
$1,894.50 |
$6,315 |
1.1× |
Unlisted Cardiac Surgery (33999) range across 4 matching MRF lines |
$753.60–$5,631.30 |
$2,512–$18,771 |
varies |
| Unlisted laparoscopic procedure liver (47379) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure appendix (44979) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted Procedure Accessory Sinuses (31299) |
$269.40 |
$898 |
1.0× |
| Unlisted procedure anus (46999) |
$1,058.10 |
$3,527 |
1.0× |
| Unlisted Procedure Biliary Tract (47999) |
$1,088.10 |
$3,627 |
1.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$183 |
$610 |
1.0× |
| Unlisted procedure colon (45399) |
$1,058.10 |
$3,527 |
1.0× |
| Unlisted procedure excision pressure ulcer (15999) |
$816.60 |
$2,722 |
1.1× |
| Unlisted Procedure External Ear (69399) |
$293.40 |
$978 |
1.1× |
| Unlisted procedure eyelids (67999) |
$346.80 |
$1,156 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$278.40 |
$928 |
1.0× |
| Unlisted Procedure Hands/Fingers (26989) |
$286.80 |
$956 |
1.1× |
| Unlisted procedure humerus/elbow (24999) |
$278.40 |
$928 |
1.0× |
| Unlisted Procedure Intestine (44799) |
$1,088.10 |
$3,627 |
1.1× |
| Unlisted procedure larynx (31599) |
$269.40 |
$898 |
1.0× |
| Unlisted procedure lungs and pleura (32999) |
$753.60 |
$2,512 |
1.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$278.40 |
$928 |
1.0× |
| Unlisted procedure neck or thorax (21899) |
$269.40 |
$898 |
1.0× |
Unlisted procedure nervous system (64999) range across 8 matching MRF lines |
$360–$2,531.70 |
$1,200–$8,439 |
varies |
| Unlisted Procedure Palate Uvula (42299) |
$269.40 |
$898 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$278.40 |
$928 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$269.40 |
$898 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$1,058.10 |
$3,527 |
1.0× |
| Unlisted procedure stomach (43999) |
$1,088.10 |
$3,627 |
1.1× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$269.40 |
$898 |
1.0× |
| Unlisted Procedure Trachea Bronchi (31899) |
$225.30 |
$751 |
1.0× |
Unlisted Procedure Vascular Surgery (37799) range across 4 matching MRF lines |
$717.60–$895.20 |
$2,392–$2,984 |
varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,088.10 |
$3,627 |
1.1× |
| Unlisted procedure, orbit (67599) |
$346.80 |
$1,156 |
1.0× |
Unlisted Procedure, Urinary System (53899) range across 3 matching MRF lines |
$316.80–$2,103 |
$1,056–$7,010 |
varies |
| Upgrade of pacemaker system (33214) |
$12,144.30 |
$40,481 |
1.1× |
| Urethrlys Transvag W/ Scope (53500) |
$4,002.30 |
$13,341 |
1.0× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$4,002.30 |
$13,341 |
1.0× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$5,899.20 |
$19,664 |
1.0× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$5,899.20 |
$19,664 |
1.0× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$5,899.20 |
$19,664 |
1.0× |
| Uvulectomy excision of uvula (42140) |
$3,763.50 |
$12,545 |
1.0× |
| Vag hyst complex (58290) |
$8,581.20 |
$28,604 |
1.1× |
| Vag hyst w/t/o & vag repair (58263) |
$5,728.50 |
$19,095 |
1.0× |
| Vaginal delivery only (59409) |
$3,689.70 |
$12,299 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,728.50 |
$19,095 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$5,728.50 |
$19,095 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,728.50 |
$19,095 |
1.0× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$3,689.70 |
$12,299 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$22,093.50 |
$73,645 |
1.1× |
| Vasc Embolize/Occlude Bleed (37244) |
$13,160.10 |
$43,867 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$13,160.10 |
$43,867 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$13,160.10 |
$43,867 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,377.20 |
$7,924 |
1.0× |
| Venous Cutdown >1 Y/O (36425) |
$476.40 |
$1,588 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$13,393.20 |
$44,644 |
1.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,763.50 |
$12,545 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,689.70 |
$12,299 |
1.0× |
| Vulvectomy simple; complete (56625) |
$3,689.70 |
$12,299 |
1.0× |
| Wedge excision skin nail fold (11765) |
$463.50 |
$1,545 |
1.0× |
| Wedging of cast (29740) |
$323.40 |
$1,078 |
1.1× |
| Windowing of cast (29730) |
$183 |
$610 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$745.80 |
$2,486 |
1.7× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,122.80 |
$7,076 |
2.6× |
| Xfer Single Deep Low Leg Tendon (27691) |
$9,014.10 |
$30,047 |
1.1× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$6,273 |
$20,910 |
1.0× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$1,802.70 |
$6,009 |
1.0× |
| Xtroral I&D Floor Masticator Space (41018) |
$1,719 |
$5,730 |
1.0× |