| 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× |
| 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× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$12,081.60 |
$40,272 |
1.0× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$12,081.60 |
$40,272 |
1.0× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$8,289.90 |
$27,633 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$6,770.40 |
$22,568 |
1.0× |
| Abortion (59841) |
$3,689.70 |
$12,299 |
1.0× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (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 Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,122.80 |
$7,076 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$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× |
| Amputate metacarpal bone (26910) |
$3,765.30 |
$12,551 |
1.1× |
| Amputation Finger/Thumb (26951) |
$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 Facility (27884) |
$3,765.30 |
$12,551 |
1.1× |
| Anoscopy diagnostic (46600) |
$161.10 |
$537 |
1.1× |
| Anoscopy w/control bleeding (46614) |
$1,368.30 |
$4,561 |
1.0× |
| 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 colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$5,728.50 |
$19,095 |
1.0× |
| Appendectomy (44950) |
$7,240.80 |
$24,136 |
1.0× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$183 |
$610 |
1.0× |
| Appl Multlay Comprs Arm/Hand (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 cast shoulder hand long arm (29065) |
$326.10 |
$1,087 |
1.1× |
| 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 of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$14,931.30 |
$49,771 |
1.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$432 |
$1,440 |
1.4× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$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 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 leg splint (29505) |
$341.40 |
$1,138 |
1.9× |
| Apply short leg cast (29405) |
$432 |
$1,440 |
1.4× |
| Apply short leg cast (29425) |
$432 |
$1,440 |
1.4× |
| Apply short leg splint (29515) |
$197.10 |
$657 |
1.1× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Facility (27479) |
$8,289.90 |
$27,633 |
1.0× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475) |
$8,289.90 |
$27,633 |
1.0× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (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 interphalangeal jt w/wo int fixj (26860) |
$3,765.30 |
$12,551 |
1.1× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$27,627.60 |
$92,092 |
1.4× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$8,289.90 |
$27,633 |
1.0× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$27,627.60 |
$92,092 |
1.4× |
| Arthrodesis, tibiofibular joint, proximal or distal Facility (27871) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$16,462.50 |
$54,875 |
1.2× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$14,931.30 |
$49,771 |
1.1× |
| Arthrodesis; subtalar (28725) |
$14,931.30 |
$49,771 |
1.1× |
| Arthroplasty interphalangeal joint each (26535) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
$27,627.60 |
$92,092 |
1.4× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroplasty, radial head; with implant Facility (24366) |
$14,931.30 |
$49,771 |
1.1× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$6,864.90 |
$22,883 |
1.1× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$14,931.30 |
$49,771 |
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 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, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$3,765.30 |
$12,551 |
1.1× |
| 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; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) |
$8,345.70 |
$27,819 |
1.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,765.30 |
$12,551 |
1.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$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; capsulorrhaphy (29806) |
$8,289.90 |
$27,633 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$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 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, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$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 knee debridement/shaving artclr crtlg (29877) |
$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 expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,857.30 |
$6,191 |
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/Inj Ganglion Cyst (20612) |
$342.60 |
$1,142 |
1.0× |
| Aspiration and injection for treatment of 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× |
| Augmentation lower jaw bone (21127) |
$6,864.90 |
$22,883 |
1.1× |
| Av fistula revision (36833) |
$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 Endoscopy Percut,Biopsy (47553) |
$9,532.20 |
$31,774 |
1.3× |
| Biliary endoscopy percut,dil strict (47555) |
$4,095.30 |
$13,651 |
0.6× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$12,969.90 |
$43,233 |
1.1× |
| 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 Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,010.40 |
$3,368 |
1.0× |
| Biopsy external ear (69100) |
$269.40 |
$898 |
1.0× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$3,321.30 |
$11,071 |
1.0× |
| Biopsy intranasal (30100) |
$1,719 |
$5,730 |
1.0× |
| Biopsy muscle deep (20205) |
$3,321.30 |
$11,071 |
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 mouth lesion (40808) |
$621 |
$2,070 |
1.1× |
| Biopsy of palate, uvula (42100) |
$1,839 |
$6,130 |
1.1× |
| Biopsy of tongue (41100) |
$689.40 |
$2,298 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,443.60 |
$14,812 |
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 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 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/removal lymph nodes (38525) |
$4,443.60 |
$14,812 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$4,443.60 |
$14,812 |
1.0× |
| Bladder Irrigation Simple (51700) |
$285.90 |
$953 |
1.0× |
| Blepharoplasty, Upper Eyelid (15822) |
$2,122.80 |
$7,076 |
0.9× |
| Blepharotomy drain absc eyelid (67700) |
$346.80 |
$1,156 |
1.0× |
| Blood patch (62273) |
$894.30 |
$2,981 |
1.2× |
| 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; minor or small (eg, dowel or button) Facility (20900) |
$8,289.90 |
$27,633 |
1.0× |
| Bone marrow aspiration only (38220) |
$1,880.10 |
$6,267 |
1.0× |
| Bone Marrow Biopsy (38221) |
$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 Brncl/Endobrncl Bx 1+ Sits (31625) |
$2,001 |
$6,670 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,001 |
$6,670 |
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× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$4,278.60 |
$14,262 |
1.0× |
| Bronch ebus samplng 1/2 node (31652) |
$4,278.60 |
$14,262 |
1.0× |
| Bronch ebus samplng 3/> node (31653) |
$4,278.60 |
$14,262 |
1.0× |
| Bronchial valve init insert (31647) |
$8,434.80 |
$28,116 |
1.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,001 |
$6,670 |
1.0× |
| Bronchoscopy Bronch Stents (31636) |
$8,033.10 |
$26,777 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,278.60 |
$14,262 |
1.0× |
| Bronchoscopy w/markers (31626) |
$8,033.10 |
$26,777 |
1.0× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$8,033.10 |
$26,777 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,001 |
$6,670 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,001 |
$6,670 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$486.90 |
$1,623 |
1.1× |
| Bronchoscopy w/tumor excise (31640) |
$4,278.60 |
$14,262 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,001 |
$6,670 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,880.10 |
$6,267 |
1.0× |
| Bx anorectal wall anal approach (45100) |
$3,182.40 |
$10,608 |
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/exc lymph node needle superficial (38505) |
$1,880.10 |
$6,267 |
1.0× |
| Canthoplasty (67950) |
$2,944.20 |
$9,814 |
1.1× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,765.30 |
$12,551 |
1.1× |
| Capsulorrhaphy, anterior, any type; with bone block Facility (23460) |
$8,289.90 |
$27,633 |
1.0× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$8,289.90 |
$27,633 |
1.0× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$8,289.90 |
$27,633 |
1.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$1,857.30 |
$6,191 |
1.1× |
| Capsulotomy wrist (25085) |
$3,765.30 |
$12,551 |
1.1× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$3,765.30 |
$12,551 |
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× |
| Cartilage graft; nasal septum Facility (20912) |
$4,248.30 |
$14,161 |
1.1× |
| Casting/strapping procedure (29799) |
$183 |
$610 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,689.70 |
$12,299 |
1.0× |
| 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 of cystostomy tube simple (51705) |
$282.30 |
$941 |
1.0× |
| Change stent via transureth (50385) |
$2,377.20 |
$7,924 |
1.0× |
| Change Ureter Stent, Percut (50382) |
$2,377.20 |
$7,924 |
1.0× |
| Chemical cautery tissue (17250) |
$230.70 |
$769 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$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 internal anal sphincter (46505) |
$1,368.30 |
$4,561 |
1.0× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$803.70 |
$2,679 |
1.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,377.20 |
$7,924 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,095.30 |
$13,651 |
1.0× |
| Chromotubation oviduct (58350) |
$5,728.50 |
$19,095 |
1.0× |
| Circum 28 days or older (54161) |
$2,377.20 |
$7,924 |
1.0× |
| Circumcision (54150) |
$2,377.20 |
$7,924 |
1.0× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$355.20 |
$1,184 |
1.1× |
| Claviculectomy partial (23120) |
$3,765.30 |
$12,551 |
1.1× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,311.30 |
$4,371 |
4.9× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,857.30 |
$6,191 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$320.10 |
$1,067 |
1.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,857.30 |
$6,191 |
1.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$278.40 |
$928 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$301.20 |
$1,004 |
1.1× |
| Closed treat wrist dislocation (25660) |
$278.40 |
$928 |
1.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,763.50 |
$12,545 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,083.90 |
$3,613 |
4.0× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,857.30 |
$6,191 |
1.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,857.30 |
$6,191 |
1.1× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$3,765.30 |
$12,551 |
1.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$278.40 |
$928 |
1.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$307.80 |
$1,026 |
1.1× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$1,857.30 |
$6,191 |
1.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$286.80 |
$956 |
1.1× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$278.40 |
$928 |
1.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$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 manip (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 fracture w/o stabilization (21315) |
$1,719 |
$5,730 |
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 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&ulnar shaft fractures w/manj (25565) |
$1,857.30 |
$6,191 |
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 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 of gastrostomy, surgical (43870) |
$4,414.80 |
$14,716 |
1.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$538.80 |
$1,796 |
2.1× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$3,689.70 |
$12,299 |
1.0× |
| Closure salivary fistula (42600) |
$3,763.50 |
$12,545 |
1.0× |
| 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× |
| 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 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 shft fx w/manj w/wo skeletal tracj (24505) |
$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 Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,763.50 |
$12,545 |
1.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (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 metacarpophalangeal dislc w/manj w/o anes (26700) |
$990.30 |
$3,301 |
3.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$565.80 |
$1,886 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$962.70 |
$3,209 |
3.6× |
| Cltx post ankle fx w/mnpj (27768) |
$1,857.30 |
$6,191 |
1.1× |
| 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 rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$497.10 |
$1,657 |
1.8× |
| 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 shaft fx w/manj w/wo skel tracj (27752) |
$1,857.30 |
$6,191 |
1.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$286.80 |
$956 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$278.40 |
$928 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$149.70 |
$499 |
1.0× |
| Colonoscopy flex w/blln dilat (45386) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy flex w/inj submuc (45381) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy Flx With Endoscopic Stent Placement (45389) |
$6,907.80 |
$23,026 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,368.30 |
$4,561 |
1.0× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,537.90 |
$11,793 |
1.2× |
| Colpocleisis (le fort type) (57120) |
$5,728.50 |
$19,095 |
1.0× |
| Colpoperineorrhaphy non ob (57210) |
$3,689.70 |
$12,299 |
1.0× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$8,581.20 |
$28,604 |
1.1× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$9,520.80 |
$31,736 |
1.2× |
| Colporrhaphy Suture Injury Vagina (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 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,Cervix W/Adj Vagina, Curettag (57456) |
$353.10 |
$1,177 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,010.40 |
$3,368 |
1.0× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$5,728.50 |
$19,095 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,728.50 |
$19,095 |
1.0× |
| Conization of cervix (57520) |
$3,689.70 |
$12,299 |
1.0× |
| Conization of cervix (57522) |
$3,689.70 |
$12,299 |
1.0× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (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× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$418.50 |
$1,395 |
1.8× |
| 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× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$3,763.50 |
$12,545 |
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× |
| Corneal transplant (65730) |
$4,668.30 |
$15,561 |
1.0× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$4,002.30 |
$13,341 |
1.0× |
| Correction eyelid w/implant (67912) |
$2,944.20 |
$9,814 |
1.1× |
| Correction hammertoe (28285) |
$4,078.20 |
$13,594 |
1.1× |
| Correction of bunion (28299) |
$8,345.70 |
$27,819 |
1.1× |
| Correction of bunion (28297) |
$14,931.30 |
$49,771 |
1.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,765.30 |
$12,551 |
1.1× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$6,273 |
$20,910 |
1.0× |
| Cricopharyngeal myotomy (43030) |
$6,864.90 |
$22,883 |
1.1× |
| 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× |
| 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 fulg of minor lesions <0.5cm (52224) |
$4,002.30 |
$13,341 |
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 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/ureter stricture tx (52341) |
$4,002.30 |
$13,341 |
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/uretero w/lithotripsy (52356) |
$5,899.20 |
$19,664 |
1.0× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,899.20 |
$19,664 |
1.0× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) |
$10,796.70 |
$35,989 |
1.0× |
| Cystoscopy implant stent (52282) |
$4,002.30 |
$13,341 |
1.0× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$2,377.20 |
$7,924 |
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× |
| Cystouretero & or pyeloscope (52351) |
$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 treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$4,002.30 |
$13,341 |
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× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$3,765.30 |
$12,551 |
1.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$816.60 |
$2,722 |
1.1× |
| Debride skin musc at fx site (11011) |
$816.60 |
$2,722 |
1.1× |
| Debride tissue/muscle (11043) |
$710.40 |
$2,368 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$463.50 |
$1,545 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,880.10 |
$6,267 |
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× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) Facility (26035) |
$3,765.30 |
$12,551 |
1.1× |
| 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 of flap or sectioning of flap (division and inset); at scalp, arms, or legs Facility (15610) |
$2,122.80 |
$7,076 |
0.9× |
| Delivery placenta separate procedure (59414) |
$3,689.70 |
$12,299 |
1.0× |
| Derma-fat-fascia graft (15770) |
$4,520.40 |
$15,068 |
1.2× |
| Dermabrasion segmental face (15781) |
$816.60 |
$2,722 |
1.1× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$4,248.30 |
$14,161 |
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× |
| Destroy cerv/thor facet jnt (64633) |
$2,266.20 |
$7,554 |
1.1× |
| Destroy internal hemorrhoids (46930) |
$1,486.80 |
$4,956 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$2,266.20 |
$7,554 |
1.1× |
| Destruction anal lesion(s) (46924) |
$3,182.40 |
$10,608 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$230.70 |
$769 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,034.70 |
$3,449 |
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 lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$2,122.80 |
$7,076 |
0.9× |
| 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 lumbar spinal puncture w/fluor or CT (62328) |
$803.70 |
$2,679 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,058.10 |
$3,527 |
1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,550.40 |
$5,168 |
1.2× |
| Dilate urethra stricture (53600) |
$282.30 |
$941 |
1.0× |
| Dilation and curettage (58120) |
$3,689.70 |
$12,299 |
1.0× |
| Dilation of anal sphincter (45905) |
$1,368.30 |
$4,561 |
1.0× |
| Dilation of 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 bladder by trocar/cath (51101) |
$1,180.50 |
$3,935 |
1.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,951.20 |
$6,504 |
1.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$819 |
$2,730 |
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 int approach (30000) |
$414.30 |
$1,381 |
1.6× |
| 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 Simple (69000) |
$816.60 |
$2,722 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$1,880.10 |
$6,267 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$553.20 |
$1,844 |
2.5× |
| Drainage Mouth Roof Lesion (42000) |
$307.80 |
$1,026 |
1.2× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$599.70 |
$1,999 |
1.0× |
| Drainage of eye (65800) |
$2,646.60 |
$8,822 |
1.0× |
| 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 lymph node abscess or lymphadenitis; extensive Facility (38305) |
$3,321.30 |
$11,071 |
1.0× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$3,765.30 |
$12,551 |
1.1× |
| Drainage of pelvic abscess (45000) |
$2,069.10 |
$6,897 |
1.6× |
| Drainage of scrotal wall abscess (55100) |
$1,880.10 |
$6,267 |
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× |
| Drainage tendon sheath digit&/palm each (26020) |
$3,765.30 |
$12,551 |
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 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 simple surg excision (46922) |
$3,182.40 |
$10,608 |
1.0× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,122.80 |
$7,076 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$3,321.30 |
$11,071 |
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× |
| Ear Cartilage Graft (21235) |
$6,864.90 |
$22,883 |
1.1× |
| Eardrum revision (69450) |
$3,763.50 |
$12,545 |
1.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$2,201.40 |
$7,338 |
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 band ligation esophgeal/gastric varices (43244) |
$2,201.40 |
$7,338 |
1.0× |
| Egd control bleeding any (43255) |
$2,201.40 |
$7,338 |
1.0× |
| Egd dilate 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 flex removal lesion(s) by hot biopsy forceps (43250) |
$2,201.40 |
$7,338 |
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 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 w/transmural drain cyst (43240) |
$6,907.80 |
$23,026 |
1.0× |
| Elbow Arthroscopy/Surgery (29837) |
$3,765.30 |
$12,551 |
1.1× |
| 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 bowel pouch/biop (44386) |
$1,058.10 |
$3,527 |
1.0× |
| Endoscopy of bowel pouch (44385) |
$1,058.10 |
$3,527 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$2,201.40 |
$7,338 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$13,160.10 |
$43,867 |
1.0× |
| Endoven ther chem adhes 1st (36482) |
$6,586.80 |
$21,956 |
1.1× |
| Endovenous laser, 1st vein (36478) |
$3,835.20 |
$12,784 |
1.1× |
| Endovenous rf 1st vein (36475) |
$3,835.20 |
$12,784 |
1.1× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,201.40 |
$7,338 |
1.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,468.70 |
$8,229 |
1.1× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Facility (25450) |
$5,451.60 |
$18,172 |
1.5× |
| Episiotomy or vaginal repair (59300) |
$3,689.70 |
$12,299 |
1.0× |
| Ercp Duct Stent Placement (43274) |
$7,181.10 |
$23,937 |
1.1× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,414.80 |
$14,716 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,414.80 |
$14,716 |
1.0× |
| Ercp lithotripsy calculi (43265) |
$6,907.80 |
$23,026 |
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 w/sphincterotomy/papillotomy (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× |
| Esophagoscopy control bleed (43227) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$2,201.40 |
$7,338 |
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 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 guide wire dilation (43196) |
$2,422.80 |
$8,076 |
1.2× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$4,414.80 |
$14,716 |
1.0× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy rigid trnso dx (43191) |
$2,201.40 |
$7,338 |
1.0× |
| Esophagoscopy transoral stent placement (43212) |
$6,907.80 |
$23,026 |
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 Rig Transoral Hypopharynx Crv Esoph (43180) |
$6,864.90 |
$22,883 |
1.1× |
| Ethmoidectomy Intranasal Anterior (31200) |
$6,864.90 |
$22,883 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$149.70 |
$499 |
1.0× |
| Evisceration of ocular contents; with implant Facility (65093) |
$4,376.10 |
$14,587 |
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 0.5 Cm/< (11420) |
$1,880.10 |
$6,267 |
1.0× |
| 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 b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,880.10 |
$6,267 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$816.60 |
$2,722 |
1.1× |
| Exc back les sc < 3 cm (21930) |
$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 2.1-3 Cm (11443) |
$1,880.10 |
$6,267 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,880.10 |
$6,267 |
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 lesion tendon sheath/capsule w/synvct foot (28090) |
$1,857.30 |
$6,191 |
1.1× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$3,763.50 |
$12,545 |
1.0× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,266.20 |
$7,554 |
1.1× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$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 Rct Tum Incl Muscularis Propria (45172) |
$3,182.40 |
$10,608 |
1.0× |
| Exc rect tum transanal part (45171) |
$3,182.40 |
$10,608 |
1.0× |
| Exc skin abd (15830) |
$8,216.10 |
$27,387 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$816.60 |
$2,722 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$656.40 |
$2,188 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$911.70 |
$3,039 |
1.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,880.10 |
$6,267 |
1.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,321.30 |
$11,071 |
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 Malig >4 Cm Face,Facial (11646) |
$3,321.30 |
$11,071 |
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 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 Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,880.10 |
$6,267 |
1.0× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,880.10 |
$6,267 |
1.0× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$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 back/flank subfascial 5 cm/> (21933) |
$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 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 cath (50435) |
$2,377.20 |
$7,924 |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,201.40 |
$7,338 |
1.0× |
| Excise cutaneous neurofibroma (64788) |
$2,266.20 |
$7,554 |
1.1× |
| Excise excessive skin arm (15836) |
$3,321.30 |
$11,071 |
1.0× |
| Excise Inferior Turbinate (30130) |
$3,763.50 |
$12,545 |
1.0× |
| Excise lesion testis (54512) |
$4,002.30 |
$13,341 |
1.0× |
| Excise mandible lesion (21040) |
$3,763.50 |
$12,545 |
1.0× |
| Excise tendon forearm/wrist (25109) |
$3,765.30 |
$12,551 |
1.1× |
| Excise/repair mouth lesion (40812) |
$1,719 |
$5,730 |
1.0× |
| Excision Bone Mandible (21025) |
$6,864.90 |
$22,883 |
1.1× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$3,763.50 |
$12,545 |
1.0× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$6,864.90 |
$22,883 |
1.1× |
| Excision Breast Lesion (19125) |
$4,443.60 |
$14,812 |
1.0× |
| 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 external ear partial simple repair (69110) |
$3,321.30 |
$11,071 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,321.30 |
$11,071 |
1.0× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$3,321.30 |
$11,071 |
1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,321.30 |
$11,071 |
1.0× |
| Excision interdigital morton neuroma single each (28080) |
$1,857.30 |
$6,191 |
1.1× |
| Excision Lesion Floor Mouth (41116) |
$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 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 2.1-3.0 Cm (11603) |
$911.70 |
$3,039 |
1.2× |
| 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 0.6-1.0 cm (11641) |
$816.60 |
$2,722 |
1.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$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 3.1-4.0 Cm (11644) |
$1,880.10 |
$6,267 |
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 2.1-3.0 Cm (11623) |
$1,880.10 |
$6,267 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,880.10 |
$6,267 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,182.40 |
$10,608 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$816.60 |
$2,722 |
1.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$816.60 |
$2,722 |
1.1× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$6,864.90 |
$22,883 |
1.1× |
| 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 cyst or adenoma of thyroid, or transection of isthmus Facility (60200) |
$6,770.40 |
$22,568 |
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 infected graft; extremity Facility (35903) |
$3,652.50 |
$12,175 |
1.1× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$4,002.30 |
$13,341 |
1.0× |
| Excision of lesion of tongue without closure (41110) |
$3,763.50 |
$12,545 |
1.0× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$3,763.50 |
$12,545 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,880.10 |
$6,267 |
1.0× |
| Excision of local lesion of epididymis (54830) |
$4,002.30 |
$13,341 |
1.0× |
| Excision of malignant tumor of mandible; Facility (21044) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of mucosa of vestibule of mouth as donor graft Facility (40818) |
$591 |
$1,970 |
1.0× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Facility (64792) |
$7,795.20 |
$25,984 |
2.1× |
| 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; lateral lobe, without nerve dissection Facility (42410) |
$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 skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$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) Facility (42408) |
$3,763.50 |
$12,545 |
1.0× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$6,864.90 |
$22,883 |
1.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,550.40 |
$5,168 |
1.2× |
| Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) |
$6,770.40 |
$22,568 |
1.0× |
| Excision of tongue lesion (41112) |
$3,763.50 |
$12,545 |
1.0× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$6,770.40 |
$22,568 |
1.0× |
| 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 curettage of bone cyst or benign tumor of femur; with allograft Facility (27356) |
$16,582.50 |
$55,275 |
1.2× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) |
$8,289.90 |
$27,633 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$3,765.30 |
$12,551 |
1.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) |
$8,289.90 |
$27,633 |
1.0× |
| Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870) |
$6,864.90 |
$22,883 |
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 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 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, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$3,321.30 |
$11,071 |
1.0× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$2,122.80 |
$7,076 |
0.9× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$3,763.50 |
$12,545 |
1.0× |
| 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, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$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 face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,880.10 |
$6,267 |
1.0× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$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 leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$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 metacarpal (26200) |
$1,857.30 |
$6,191 |
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× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,857.30 |
$6,191 |
1.1× |
| 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 of middle ear (69440) |
$3,763.50 |
$12,545 |
1.0× |
| 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 & Treat Metacarpo-Phal Jt (26075) |
$3,765.30 |
$12,551 |
1.1× |
| Explore for undescended testis (54550) |
$4,095.30 |
$13,651 |
1.0× |
| Explore Parathyroid Glands (60500) |
$6,864.90 |
$22,883 |
1.1× |
| Explore/irrigate tear ducts (68840) |
$357 |
$1,190 |
1.0× |
| Explore/Treat Elbow Joint (24101) |
$3,765.30 |
$12,551 |
1.1× |
| Explore/treat eye socket (67412) |
$2,707.20 |
$9,024 |
1.0× |
| Explore/treat hand joint (26070) |
$1,857.30 |
$6,191 |
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× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) |
$1,719 |
$5,730 |
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× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$3,765.30 |
$12,551 |
1.1× |
| Fasciotomy foot and/or toe (28008) |
$4,078.20 |
$13,594 |
1.1× |
| Fasciotomy palmar open partial (26045) |
$3,884.10 |
$12,947 |
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 biopsy, including MR guidance; first lesion (10011) |
$816.60 |
$2,722 |
1.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,185.30 |
$3,951 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$816.60 |
$2,722 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$463.50 |
$1,545 |
1.0× |
| Fit/Insert Intravag Support Device (57160) |
$233.40 |
$778 |
1.1× |
| Fixation contralateral testis separate procedure (54620) |
$4,002.30 |
$13,341 |
1.0× |
| Fixation of shoulder (23700) |
$1,857.30 |
$6,191 |
1.1× |
| 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× |
| 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(s), therapeutic (30930) |
$3,763.50 |
$12,545 |
1.0× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$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 Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$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 cm/< (15200) |
$2,122.80 |
$7,076 |
0.9× |
| 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/graft of finger joint (26862) |
$3,765.30 |
$12,551 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$361.50 |
$1,205 |
1.5× |
| Gastrocnemius recession (27687) |
$3,765.30 |
$12,551 |
1.1× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$3,763.50 |
$12,545 |
1.0× |
| Glossectomy; less than one-half tongue Facility (41120) |
$6,864.90 |
$22,883 |
1.1× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$7,378.20 |
$24,594 |
1.1× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,122.80 |
$7,076 |
0.9× |
| 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× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$3,765.30 |
$12,551 |
1.1× |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less (15011) |
$2,229 |
$7,430 |
1.0× |
| Hemorrhoidectomy (46255) |
$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 and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$3,182.40 |
$10,608 |
1.0× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,182.40 |
$10,608 |
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× |
| Hysteroscopy biopsy (58558) |
$3,689.70 |
$12,299 |
1.0× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$5,728.50 |
$19,095 |
1.0× |
| Hysteroscopy removal leiomyomata (58561) |
$5,728.50 |
$19,095 |
1.0× |
| Hysteroscopy w endometrial ablation (58563) |
$5,728.50 |
$19,095 |
1.0× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$3,689.70 |
$12,299 |
1.0× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,689.70 |
$12,299 |
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 epididymis tstis&/scrotal space (54700) |
$2,377.20 |
$7,924 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,765.30 |
$12,551 |
1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,078.20 |
$13,594 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$816.60 |
$2,722 |
1.1× |
| I&d submucosal abscess rectum (45005) |
$1,550.40 |
$5,168 |
1.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,974 |
$6,580 |
1.1× |
| I&d vulva/perineal abscess (56405) |
$424.80 |
$1,416 |
1.3× |
| Ileoscopy thru stoma (44380) |
$1,088.10 |
$3,627 |
1.1× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$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 Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,880.10 |
$6,267 |
1.0× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$8,216.10 |
$27,387 |
0.9× |
| Implant neuroelectrodes (63650) |
$8,332.20 |
$27,774 |
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 and custom preparation; surgical obturator prosthesis Facility (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 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 & drainage pilonidal cyst complicated (10081) |
$816.60 |
$2,722 |
1.1× |
| 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 ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$3,182.40 |
$10,608 |
1.0× |
| Incision and drainage perianal abscess superficial (46050) |
$1,058.10 |
$3,527 |
1.0× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,321.30 |
$11,071 |
1.0× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$3,579.90 |
$11,933 |
1.1× |
| 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 eyelid fold (67715) |
$2,707.20 |
$9,024 |
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 (46045) |
$3,182.40 |
$10,608 |
1.0× |
| Incision of rectal abscess (46040) |
$1,550.40 |
$5,168 |
1.2× |
| Incision of tibia (27705) |
$8,289.90 |
$27,633 |
1.0× |
| Incision of tibia & fibula (27709) |
$14,931.30 |
$49,771 |
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× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$7,567.80 |
$25,226 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$230.70 |
$769 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,033.20 |
$3,444 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$342.60 |
$1,142 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,033.20 |
$3,444 |
1.1× |
| 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× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,033.20 |
$3,444 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,033.20 |
$3,444 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,033.20 |
$3,444 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$803.70 |
$2,679 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,033.20 |
$3,444 |
1.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$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 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 Other Peripheral Nerve/Branch (64450) |
$803.70 |
$2,679 |
1.0× |
| Injection aa&/strd pudendal nerve (64430) |
$1,033.20 |
$3,444 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$342.60 |
$1,142 |
1.0× |
| 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 femoral nerve single (64447) |
$803.70 |
$2,679 |
1.0× |
| 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 skin lesions (11900) |
$230.70 |
$769 |
1.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$974.70 |
$3,249 |
1.4× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$463.50 |
$1,545 |
1.0× |
| 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(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,033.20 |
$3,444 |
1.1× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$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× |
| 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 New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$12,144.30 |
$40,481 |
1.1× |
| Ins tun ip cath for dial opn (49421) |
$4,095.30 |
$13,651 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$40,470 |
$134,900 |
1.2× |
| 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 Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,652.50 |
$12,175 |
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 subq implantable defib electrode (33271) |
$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,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 of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$23,358 |
$77,860 |
1.0× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$21,340.50 |
$71,135 |
1.1× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) |
$24,885 |
$82,950 |
0.7× |
| Insertion phrenic nerve stimulator system (33276) |
$52,220.40 |
$174,068 |
1.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$753.60 |
$2,512 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,603.90 |
$32,013 |
1.1× |
| 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× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$24,885 |
$82,950 |
1.2× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$9,603.90 |
$32,013 |
1.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,603.90 |
$32,013 |
1.1× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$12,144.30 |
$40,481 |
1.1× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$26,047.50 |
$86,825 |
1.1× |
| Insj picc rs&i 5 yr+ (36573) |
$1,892.70 |
$6,309 |
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 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 temp transvns 1chmbr eltrd/pm cath (33210) |
$9,603.90 |
$32,013 |
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/redo spine n generator (63685) |
$35,362.80 |
$117,876 |
1.0× |
| 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× |
| Intraoral i&d tongue/floor masticator space (41009) |
$621 |
$2,070 |
1.1× |
| 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× |
| Knee Arthroscopy/Surgery (29874) |
$3,765.30 |
$12,551 |
1.1× |
| Knee Arthroscopy/Surgery (29879) |
$3,765.30 |
$12,551 |
1.1× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$24,885 |
$82,950 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (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 (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$8,289.90 |
$27,633 |
1.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,289.90 |
$27,633 |
1.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$8,289.90 |
$27,633 |
1.0× |
| Lap impl electrode antrum (43647) |
$15,080.40 |
$50,268 |
1.2× |
| Lap ing hernia repair init (49650) |
$6,770.40 |
$22,568 |
1.0× |
| 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× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy biopsy (49321) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy tubal block (58671) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Facility (47370) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,770.40 |
$22,568 |
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 and subcutaneous… (43774) |
$4,414.80 |
$14,716 |
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; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$6,770.40 |
$22,568 |
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 total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$12,081.60 |
$40,272 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$12,081.60 |
$40,272 |
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 fimbrioplasty Facility (58672) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$6,770.40 |
$22,568 |
1.0× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$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 supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$12,969.90 |
$43,233 |
1.1× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$6,770.40 |
$22,568 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,770.40 |
$22,568 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,770.40 |
$22,568 |
1.0× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,770.40 |
$22,568 |
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 diagnostic (31505) |
$291.90 |
$973 |
1.3× |
| Laryngoscopy Direct Aspiration (31515) |
$492.90 |
$1,643 |
1.2× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$4,718.10 |
$15,727 |
1.2× |
| 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 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/bx op scope (31536) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy w/exc of tumor (31540) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy w/fb & op scope (31531) |
$4,278.60 |
$14,262 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,001 |
$6,670 |
1.0× |
| Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Facility (31561) |
$8,033.10 |
$26,777 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,278.60 |
$14,262 |
1.0× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (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 (augmentation), 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 hemorrhoid(s) (46221) |
$1,058.10 |
$3,527 |
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 (50590) |
$1,991.10 |
$6,637 |
0.5× |
| Liver Biopsy (47000) |
$1,880.10 |
$6,267 |
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 knee joint under general anesthesia (27570) |
$1,857.30 |
$6,191 |
1.1× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$3,765.30 |
$12,551 |
1.1× |
| Manipulation, elbow, under anesthesia (24300) |
$1,857.30 |
$6,191 |
1.1× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,857.30 |
$6,191 |
1.1× |
| Manipulation, wrist, under anesthesia (25259) |
$1,857.30 |
$6,191 |
1.1× |
| Marsupialization Bartholins 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 simple complete (19303) |
$7,567.80 |
$25,226 |
1.0× |
| Mastoidectomy; complete (69502) |
$6,864.90 |
$22,883 |
1.1× |
| Mastoidectomy; modified radical Facility (69505) |
$6,864.90 |
$22,883 |
1.1× |
| Mastoidectomy; radical (69511) |
$6,864.90 |
$22,883 |
1.1× |
| Mastopexy (19316) |
$7,567.80 |
$25,226 |
1.0× |
| 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× |
| 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 Facility (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 Ilio-Ing/Hypogi (64425) |
$803.70 |
$2,679 |
1.0× |
| N Block Inj, Plantar Digit (64455) |
$342.60 |
$1,142 |
1.0× |
| Nasal endoscopy dx (31231) |
$603.90 |
$2,013 |
2.8× |
| Nasal surgery procedure (30999) |
$269.40 |
$898 |
1.0× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,278.60 |
$14,262 |
1.0× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$831.30 |
$2,771 |
1.9× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,001 |
$6,670 |
1.0× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$8,033.10 |
$26,777 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$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/Total Ethoidectomy (31255) |
$8,033.10 |
$26,777 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$463.20 |
$1,544 |
0.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,857.30 |
$6,191 |
1.1× |
| Needle biopsy of 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/allograft (64910) |
$7,795.20 |
$25,984 |
0.8× |
| Nerve repair w/nerve allograft first strand (64912) |
$7,431.60 |
$24,772 |
0.8× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,266.20 |
$7,554 |
1.1× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$2,266.20 |
$7,554 |
1.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,266.20 |
$7,554 |
1.1× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$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× |
| Nipple exploration (19110) |
$4,443.60 |
$14,812 |
1.0× |
| Nipple/areola reconstruction (19350) |
$4,443.60 |
$14,812 |
1.0× |
| Njx aa&/strd sciatic nerve (64445) |
$803.70 |
$2,679 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,033.20 |
$3,444 |
1.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$294.90 |
$983 |
1.1× |
| 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 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× |
| Obstructive material removal from gi tube (49460) |
$1,088.10 |
$3,627 |
1.1× |
| Occipital Nerve Block (64405) |
$342.60 |
$1,142 |
1.0× |
| Occlude fallopian tube(s) (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 thrombect av fistula (36831) |
$6,273 |
$20,910 |
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 only (27827) |
$16,462.50 |
$54,875 |
1.2× |
| 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 ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$8,345.70 |
$27,819 |
1.1× |
| 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 malar fracture, including zygomatic arch and malar tripod Facility (21360) |
$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 distal radioulnar dislocation, acute or chronic Facility (25676) |
$8,289.90 |
$27,633 |
1.0× |
| 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 greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$14,931.30 |
$49,771 |
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 mandibular fracture; with interdental fixation Facility (21462) |
$7,378.20 |
$24,594 |
1.1× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$6,864.90 |
$22,883 |
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 radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$16,462.50 |
$54,875 |
1.2× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$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 sternoclavicular dislocation, acute or chronic; Facility (23530) |
$8,345.70 |
$27,819 |
1.1× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$14,931.30 |
$49,771 |
1.1× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$8,289.90 |
$27,633 |
1.0× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (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 Humeral Fracture (23615) |
$14,931.30 |
$49,771 |
1.1× |
| Open treatment talus fracture (28445) |
$8,345.70 |
$27,819 |
1.1× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$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 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 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 Metacarpal Fracture Single Ea Bone (26615) |
$3,765.30 |
$12,551 |
1.1× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$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 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 Same (37238) |
$13,160.10 |
$43,867 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$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 dstl radl x-artic fx/epiphysl sep (25607) |
$8,289.90 |
$27,633 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,462.50 |
$54,875 |
1.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$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× |
| Ostectomy calcaneus (28118) |
$3,765.30 |
$12,551 |
1.1× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,765.30 |
$12,551 |
1.1× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$8,289.90 |
$27,633 |
1.0× |
| Osteot shrt corrj prox phalanx 1st toe (28310) |
$9,014.10 |
$30,047 |
1.1× |
| 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 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, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$14,931.30 |
$49,771 |
1.1× |
| Osteotomy, mandible, segmental; Facility (21198) |
$7,378.20 |
$24,594 |
1.1× |
| Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) |
$8,289.90 |
$27,633 |
1.0× |
| Ovarian cystectomy (58925) |
$5,728.50 |
$19,095 |
1.0× |
| P-mastectomy w/ln removal (19302) |
$8,216.10 |
$27,387 |
1.1× |
| Palatopharyngoplasty (42145) |
$6,864.90 |
$22,883 |
1.1× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$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, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$6,864.90 |
$22,883 |
1.1× |
| 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× |
| Palatoplasty for cleft palate; secondary lengthening procedure Facility (42220) |
$6,864.90 |
$22,883 |
1.1× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,765.30 |
$12,551 |
1.1× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$3,765.30 |
$12,551 |
1.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$3,765.30 |
$12,551 |
1.1× |
| Partial excision bone tibia (27640) |
$3,765.30 |
$12,551 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,857.30 |
$6,191 |
1.1× |
| Partial hymenectomy or revision (56700) |
$3,689.70 |
$12,299 |
1.0× |
| Partial removal of hand bone (26230) |
$3,765.30 |
$12,551 |
1.1× |
| Partial removal of thyroid (60220) |
$6,770.40 |
$22,568 |
1.0× |
| Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (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× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$6,905.10 |
$23,017 |
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 (37187) |
$13,393.20 |
$44,644 |
1.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,652.50 |
$12,175 |
1.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$8,345.70 |
$27,819 |
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 metacarpal fracture, each bone (26608) |
$4,078.20 |
$13,594 |
1.1× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706) |
$3,765.30 |
$12,551 |
1.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,765.30 |
$12,551 |
1.1× |
| 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 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 dilation xst trc new access renal coltj sys (50437) |
$4,002.30 |
$13,341 |
1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,770.40 |
$22,568 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$744.90 |
$2,483 |
2.7× |
| 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 tcat plmt IV stent (36906) |
$20,837.70 |
$69,459 |
1.0× |
| 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× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,765.30 |
$12,551 |
1.1× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,765.30 |
$12,551 |
1.1× |
| Picc line placement (36569) |
$1,892.70 |
$6,309 |
1.1× |
| Pin hand dislocation (26676) |
$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 operation on penis to correct angulation Facility (54360) |
$4,002.30 |
$13,341 |
1.0× |
| Plastic repair of canaliculi (68700) |
$2,707.20 |
$9,024 |
1.0× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Facility (40702) |
$6,864.90 |
$22,883 |
1.1× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$6,864.90 |
$22,883 |
1.1× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) |
$6,864.90 |
$22,883 |
1.1× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) |
$3,763.50 |
$12,545 |
1.0× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500) |
$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 cath prq new access rs&i (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× |
| 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 Nasolac Duct,Insert Tube/Stent (68815) |
$2,707.20 |
$9,024 |
1.0× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (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× |
| Proctosigmoid w/biopsy (45305) |
$1,368.30 |
$4,561 |
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× |
| 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 Iphal Jt Dislc W/Manj (26776) |
$3,765.30 |
$12,551 |
1.1× |
| Prq skel fixj metar fx w/manj (28476) |
$3,765.30 |
$12,551 |
1.1× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$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× |
| 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 Cyst Breast (19000) |
$816.60 |
$2,722 |
1.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$463.50 |
$1,545 |
1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$829.80 |
$2,766 |
1.1× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (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 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× |
| Radical excision external auditory canal lesion; without neck dissection Facility (69150) |
$6,864.90 |
$22,883 |
1.1× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$1,857.30 |
$6,191 |
1.1× |
| 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 back or flank; less than 5 cm Facility (21935) |
$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 thigh or knee area; 5 cm or greater Facility (27364) |
$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 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 Procidentia Under Anes Separate Procedure (45900) |
$1,058.10 |
$3,527 |
1.0× |
| Reconstruct extra finger (26587) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruct Finger Joint (26548) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruct Shoulder Joint (23470) |
$14,931.30 |
$49,771 |
1.1× |
| Reconstruct ulna/radioulnar (25337) |
$8,289.90 |
$27,633 |
1.0× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$8,289.90 |
$27,633 |
1.0× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$7,378.20 |
$24,594 |
1.1× |
| Reconstruction of nail bed with graft (11762) |
$2,122.80 |
$7,076 |
0.9× |
| 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, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$3,765.30 |
$12,551 |
1.1× |
| Reconstruction, toe, macrodactyly; soft tissue resection Facility (28340) |
$3,765.30 |
$12,551 |
1.1× |
| Reduce testis torsion (54600) |
$4,002.30 |
$13,341 |
1.0× |
| Reinforce humerus (24498) |
$14,931.30 |
$49,771 |
1.1× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$9,014.10 |
$30,047 |
1.1× |
| Release elbow joint (24006) |
$3,765.30 |
$12,551 |
1.1× |
| Release finger contracture (26525) |
$1,857.30 |
$6,191 |
1.1× |
| Release of big toe (28240) |
$3,765.30 |
$12,551 |
1.1× |
| Release wrist/forearm tendon (25295) |
$4,078.20 |
$13,594 |
1.1× |
| Relieve pressure on nerve(s) (64722) |
$2,266.20 |
$7,554 |
1.1× |
| Relocation of skin pocket for 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 cath (47537) |
$1,088.10 |
$3,627 |
1.1× |
| 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 intranasal (30300) |
$246 |
$820 |
1.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,880.10 |
$6,267 |
1.0× |
| Removal foreign body pharynx (42809) |
$463.20 |
$1,544 |
0.9× |
| Removal foreign body shoulder subcutaneous (23330) |
$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 Mammary Implant (19328) |
$4,443.60 |
$14,812 |
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 bone for graft (20902) |
$8,345.70 |
$27,819 |
1.1× |
| Removal of breast capsule (19371) |
$4,443.60 |
$14,812 |
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 embedded foreign body, eyelid (67938) |
$354.30 |
$1,181 |
1.0× |
| Removal of eye (65101) |
$4,376.10 |
$14,587 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,368.30 |
$4,561 |
1.0× |
| Removal of finger lesion (26210) |
$1,857.30 |
$6,191 |
1.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$463.20 |
$1,544 |
0.9× |
| Removal of heel spur (28119) |
$3,765.30 |
$12,551 |
1.1× |
| Removal of implant from finger or hand (26320) |
$1,880.10 |
$6,267 |
1.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$939.90 |
$3,133 |
1.4× |
| Removal of intranasal lesion (30118) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of iud (58301) |
$435.30 |
$1,451 |
1.3× |
| Removal of kidney stone (50081) |
$11,267.10 |
$37,557 |
1.1× |
| Removal of kidney stone (50080) |
$11,267.10 |
$37,557 |
1.1× |
| Removal of nail bed (11750) |
$571.20 |
$1,904 |
1.3× |
| Removal of salivary stone (42330) |
$3,763.50 |
$12,545 |
1.0× |
| Removal of sesamoid bone (28315) |
$3,765.30 |
$12,551 |
1.1× |
| Removal of tail bone (27080) |
$3,765.30 |
$12,551 |
1.1× |
| Removal Of Tendon Lesion (27630) |
$3,765.30 |
$12,551 |
1.1× |
| 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 revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,689.70 |
$12,299 |
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, under anesthesia, of external fixation system (20694) |
$2,212.20 |
$7,374 |
1.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$308.10 |
$1,027 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$308.10 |
$1,027 |
1.0× |
| Remove anal fist subq (46270) |
$3,182.40 |
$10,608 |
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 ext hem groups 2+ (46250) |
$3,182.40 |
$10,608 |
1.0× |
| Remove eye/attach implant (65105) |
$4,376.10 |
$14,587 |
1.0× |
| Remove foreign body from eye (65235) |
$2,646.60 |
$8,822 |
1.0× |
| 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 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 Peritoneal Foreign Body (49402) |
$4,095.30 |
$13,651 |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$3,321.30 |
$11,071 |
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 spine eltrd perq aray (63661) |
$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 duct lesion (60280) |
$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 vagina gland lesion (56740) |
$3,689.70 |
$12,299 |
1.0× |
| Remove&replace pm gen singl (33227) |
$9,603.90 |
$32,013 |
1.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,880.10 |
$6,267 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$175.50 |
$585 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$149.70 |
$499 |
1.0× |
| 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 Percutaneous (50200) |
$1,880.10 |
$6,267 |
1.0× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$5,899.20 |
$19,664 |
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 with graft other than vein; upper extremity Facility (35266) |
$6,273 |
$20,910 |
1.0× |
| Repair brow defect (67900) |
$2,944.20 |
$9,814 |
1.1× |
| Repair cleft lip/nasal (40761) |
$7,378.20 |
$24,594 |
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 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 defect (67916) |
$2,707.20 |
$9,024 |
1.0× |
| Repair Eyelid Wound (67935) |
$2,707.20 |
$9,024 |
1.0× |
| Repair eyelid wound (67930) |
$2,707.20 |
$9,024 |
1.0× |
| Repair Fibula Nonunion (27726) |
$8,289.90 |
$27,633 |
1.0× |
| Repair Finger Tendon (26433) |
$3,765.30 |
$12,551 |
1.1× |
| Repair fistula; oronasal Facility (30600) |
$6,864.90 |
$22,883 |
1.1× |
| Repair Forearm Tendon Sheath (25275) |
$3,765.30 |
$12,551 |
1.1× |
| Repair forearm tendon/muscle (25260) |
$3,765.30 |
$12,551 |
1.1× |
| Repair hand tendon (26410) |
$1,857.30 |
$6,191 |
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 initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$9,532.20 |
$31,774 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,066.50 |
$3,555 |
2.4× |
| 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 20.1-30.0cm (12056) |
$1,049.70 |
$3,499 |
2.4× |
| 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 medial collateral ligament, elbow, with local tissue Facility (24345) |
$8,289.90 |
$27,633 |
1.0× |
| Repair Mouth Laceration (40831) |
$689.40 |
$2,298 |
1.2× |
| Repair nasal septal perforations (30630) |
$3,763.50 |
$12,545 |
1.0× |
| Repair Nasal Stenosis (30465) |
$6,864.90 |
$22,883 |
1.1× |
| Repair of biceps tendon (24340) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$6,266.70 |
$20,889 |
1.1× |
| Repair of eye wound (65280) |
$6,585.30 |
$21,951 |
1.1× |
| Repair of eye wound (65275) |
$4,376.10 |
$14,587 |
1.0× |
| Repair of eye wound (65270) |
$2,944.20 |
$9,814 |
1.1× |
| Repair of humerus (24430) |
$14,931.30 |
$49,771 |
1.1× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$6,519.60 |
$21,732 |
1.1× |
| Repair of leg tendon each (27658) |
$3,765.30 |
$12,551 |
1.1× |
| Repair of nail bed (11760) |
$710.40 |
$2,368 |
0.9× |
| Repair of nasal septum (30520) |
$3,763.50 |
$12,545 |
1.0× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
$6,864.90 |
$22,883 |
1.1× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$14,931.30 |
$49,771 |
1.1× |
| 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 penis (54440) |
$4,002.30 |
$13,341 |
1.0× |
| Repair of rectocele (45560) |
$3,182.40 |
$10,608 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of shoulder (23420) |
$8,289.90 |
$27,633 |
1.0× |
| Repair of tibia (27720) |
$8,345.70 |
$27,819 |
1.1× |
| 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 or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$3,765.30 |
$12,551 |
1.1× |
| Repair palate (42235) |
$6,864.90 |
$22,883 |
1.1× |
| Repair paravag defect vag (57285) |
$8,581.20 |
$28,604 |
1.1× |
| Repair Profundus Tendon,Primary (26370) |
$3,765.30 |
$12,551 |
1.1× |
| 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 recurrent inguinal hernia, any age; reducible (49520) |
$4,095.30 |
$13,651 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$8,289.90 |
$27,633 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$8,289.90 |
$27,633 |
1.0× |
| 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, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$8,289.90 |
$27,633 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$8,345.70 |
$27,819 |
1.1× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$8,289.90 |
$27,633 |
1.0× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$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× |
| Repeat control of nosebleed (30906) |
$269.40 |
$898 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,088.10 |
$3,627 |
1.1× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,088.10 |
$3,627 |
1.1× |
| Replace Tissue Expander (11970) |
$8,345.70 |
$27,819 |
1.1× |
| Replace tunneled cv cath (36578) |
$3,652.50 |
$12,175 |
1.1× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,088.10 |
$3,627 |
1.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,223.10 |
$14,077 |
1.0× |
| Reposition cv cath w/fluoro (36597) |
$1,813.20 |
$6,044 |
1.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$794.70 |
$2,649 |
2.9× |
| 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× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,652.50 |
$12,175 |
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 radius/ulnar tumor (25170) |
$8,289.90 |
$27,633 |
1.0× |
| Resect shoulder tumor < 5 cm (23077) |
$3,321.30 |
$11,071 |
1.0× |
| Resection of lip, more than one-fourth, without reconstruction Facility (40530) |
$3,763.50 |
$12,545 |
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 socket implant (67560) |
$4,376.10 |
$14,587 |
1.0× |
| Revise finger/toe nerve (64702) |
$2,266.20 |
$7,554 |
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 Lower Leg Tendon (27691) |
$9,014.10 |
$30,047 |
1.1× |
| Revise Spine Eltrd Plate (63664) |
$14,471.10 |
$48,237 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$2,266.20 |
$7,554 |
1.1× |
| Revise vag graft via vagina (57295) |
$3,689.70 |
$12,299 |
1.0× |
| 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/Remove Neuroreceiver (63688) |
$3,990.90 |
$13,303 |
1.0× |
| Revision eyelid unlisted (67999) |
$346.80 |
$1,156 |
1.0× |
| Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601) |
$6,864.90 |
$22,883 |
1.1× |
| Revision of colostomy simple (44340) |
$4,248.30 |
$14,161 |
1.1× |
| Revision of eyelid (67961) |
$2,707.20 |
$9,024 |
1.0× |
| 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 (30430) |
$6,864.90 |
$22,883 |
1.1× |
| Revision of nose (30462) |
$6,864.90 |
$22,883 |
1.1× |
| Revision of nose (30460) |
$6,864.90 |
$22,883 |
1.1× |
| Revision of nose (30435) |
$6,864.90 |
$22,883 |
1.1× |
| Revision of nose (30450) |
$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 scrotum (55175) |
$4,002.30 |
$13,341 |
1.0× |
| Revision of tips (37183) |
$6,616.20 |
$22,054 |
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 ulna (25360) |
$8,289.90 |
$27,633 |
1.0× |
| Revision of urethra (57220) |
$5,728.50 |
$19,095 |
1.0× |
| Revision of urethra (53450) |
$4,002.30 |
$13,341 |
1.0× |
| Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) |
$14,471.10 |
$48,237 |
1.2× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$6,273 |
$20,910 |
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× |
| Rhinectomy; partial (30150) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$6,864.90 |
$22,883 |
1.1× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (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 eye corneal w/slit lamp (65222) |
$149.70 |
$499 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,321.30 |
$11,071 |
1.0× |
| Rmvl of subq defibrillator (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 transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,223.10 |
$14,077 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$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× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,223.10 |
$14,077 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$769.80 |
$2,566 |
2.8× |
| 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× |
| Rplcmt/revj csf shunt valve/cath shunt sys (62230) |
$7,431.60 |
$24,772 |
0.8× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$1,857.30 |
$6,191 |
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 Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,765.30 |
$12,551 |
1.1× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,095.30 |
$13,651 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$745.80 |
$2,486 |
0.9× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$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 non-union mtcrpl/phalanx (26546) |
$8,289.90 |
$27,633 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$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 n/z/2 w/o fr graft ea tendon (26350) |
$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× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,652.50 |
$12,175 |
1.1× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$3,652.50 |
$12,175 |
1.1× |
| Sclerotx Fluid Collection (49185) |
$1,880.10 |
$6,267 |
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× |
| Shoulder Arthroscopy/Surgery (29819) |
$3,765.30 |
$12,551 |
1.1× |
| Sigmoidoscopy & decompress (45337) |
$1,151.70 |
$3,839 |
1.1× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,058.10 |
$3,527 |
1.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,058.10 |
$3,527 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,368.30 |
$4,561 |
1.0× |
| Sigmoidoscopy place stent (45347) |
$7,181.10 |
$23,937 |
1.1× |
| Sigmoidoscopy w/biopsy (45331) |
$1,058.10 |
$3,527 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$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 f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$798.30 |
$2,661 |
3.6× |
| 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 (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$6,864.90 |
$22,883 |
1.1× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030) |
$6,864.90 |
$22,883 |
1.1× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$6,864.90 |
$22,883 |
1.1× |
| Skin pinch graft (15050) |
$1,488 |
$4,960 |
1.8× |
| Skin splt grft trnk/arm/leg (15100) |
$2,122.80 |
$7,076 |
0.9× |
| 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× |
| Skin tissue rearrangement (14040) |
$2,122.80 |
$7,076 |
0.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,520.40 |
$15,068 |
1.2× |
| 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× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,201.40 |
$7,338 |
1.0× |
| Small bowel endoscopy/biopsy (44377) |
$2,201.40 |
$7,338 |
1.0× |
| Small bowel endoscopy/stent (44370) |
$6,907.80 |
$23,026 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$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× |
| Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Facility (46761) |
$3,182.40 |
$10,608 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,182.40 |
$10,608 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$803.70 |
$2,679 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$803.70 |
$2,679 |
1.0× |
| 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 ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (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 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× |
| Surgery of breast capsule (19370) |
$4,802.40 |
$16,008 |
1.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,765.30 |
$12,551 |
1.1× |
| Surgical closure tracheostomy or fistula; with plastic repair Facility (31825) |
$3,763.50 |
$12,545 |
1.0× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$3,763.50 |
$12,545 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,182.40 |
$10,608 |
1.0× |
| Suspension of testis (54640) |
$4,095.30 |
$13,651 |
1.0× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$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 1 nerve ulnar motor (64836) |
$7,795.20 |
$25,984 |
2.1× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$7,795.20 |
$25,984 |
2.1× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$8,345.70 |
$27,819 |
1.1× |
| Suture pharynx for wound or injury Facility (42900) |
$1,719 |
$5,730 |
1.0× |
| Suture/repair testicular injury (54670) |
$4,002.30 |
$13,341 |
1.0× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$1,857.30 |
$6,191 |
1.1× |
| 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 leadless pacemaker rv w/img (33274) |
$22,131 |
$73,770 |
1.1× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,652.50 |
$12,175 |
1.1× |
| Temporary Closure Eyelids Suture (67875) |
$1,123.80 |
$3,746 |
1.0× |
| Tendon lengthening, upper arm or elbow, each tendon Facility (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 extensor tendon hand/finger each (26445) |
$3,765.30 |
$12,551 |
1.1× |
| 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× |
| Tenotomy flexor finger open each tendon (26455) |
$1,857.30 |
$6,191 |
1.1× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,857.30 |
$6,191 |
1.1× |
| Tenotomy Shoulder Multiple Thru Same Incision (23406) |
$8,345.70 |
$27,819 |
1.1× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$3,765.30 |
$12,551 |
1.1× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,902.30 |
$6,341 |
1.1× |
| Ther Apheresis,Platelets (36513) |
$1,158.30 |
$3,861 |
2.4× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,902.30 |
$6,341 |
1.1× |
| Ther Apheresis,White Blood Cells (36511) |
$1,902.30 |
$6,341 |
1.1× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$803.70 |
$2,679 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$729.60 |
$2,432 |
1.1× |
| Throat Surgery Procedure (42999) |
$269.40 |
$898 |
1.0× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (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, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (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× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$21,049.50 |
$70,165 |
1.4× |
| Tnot elbow lateral/medial debride open (24358) |
$3,765.30 |
$12,551 |
1.1× |
| Tongue and mouth surg unlisted (41599) |
$269.40 |
$898 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,763.50 |
$12,545 |
1.0× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$21,340.50 |
$71,135 |
1.1× |
| 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, plastic repair of uterine cervix, vaginal approach (57720) |
$3,689.70 |
$12,299 |
1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$591 |
$1,970 |
1.0× |
| Tracheostoma revision; complex, with flap rotation Facility (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× |
| Tracheotomy tube change (31502) |
$269.40 |
$898 |
1.0× |
| Transcatheter biopsy (37200) |
$6,273 |
$20,910 |
1.0× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$2,266.20 |
$7,554 |
1.1× |
| Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Facility (26489) |
$3,765.30 |
$12,551 |
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× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$10,796.70 |
$35,989 |
1.0× |
| 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 Big Toe Fracture (28505) |
$3,765.30 |
$12,551 |
1.1× |
| Treat clavicle fracture (23505) |
$1,857.30 |
$6,191 |
1.1× |
| Treat elbow dislocation (24615) |
$8,289.90 |
$27,633 |
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 fracture radius/ulna (25575) |
$8,289.90 |
$27,633 |
1.0× |
| Treat Hand Dislocation (26685) |
$3,765.30 |
$12,551 |
1.1× |
| Treat humerus fracture (24500) |
$278.40 |
$928 |
1.0× |
| 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 Lower Leg Fracture (27828) |
$16,462.50 |
$54,875 |
1.2× |
| Treat Metatarsal Fracture (28475) |
$278.40 |
$928 |
1.0× |
| Treat pleurodesis w/agent (32560) |
$946.50 |
$3,155 |
1.4× |
| Treat radius fracture (24665) |
$8,289.90 |
$27,633 |
1.0× |
| Treat scapula fracture (23585) |
$8,289.90 |
$27,633 |
1.0× |
| Treat shoulder blade fx (23575) |
$1,857.30 |
$6,191 |
1.1× |
| Treat Thumb Dislocation (26641) |
$286.80 |
$956 |
1.1× |
| Treat thumb fracture (26665) |
$3,765.30 |
$12,551 |
1.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,857.30 |
$6,191 |
1.1× |
| 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 fibula fracture (27784) |
$8,289.90 |
$27,633 |
1.0× |
| Treatment of heel fracture (28406) |
$8,289.90 |
$27,633 |
1.0× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$3,689.70 |
$12,299 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,689.70 |
$12,299 |
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 Of Nondystrophic Nails, Any Number (11719) |
$72.60 |
$242 |
1.1× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$6,616.20 |
$22,054 |
1.1× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,616.20 |
$22,054 |
1.1× |
| Tubal ligation (58600) |
$3,689.70 |
$12,299 |
1.0× |
| Tube thoracostomy includes water seal (32551) |
$1,813.20 |
$6,044 |
1.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,182.40 |
$10,608 |
1.0× |
| 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 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× |
| 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); radical or… (69645) |
$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× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$7,378.20 |
$24,594 |
1.1× |
| Tympanostomy (69433) |
$1,004.40 |
$3,348 |
1.7× |
| Tympanostomy general anesthesia (69436) |
$1,894.50 |
$6,315 |
1.1× |
| Unlisted Cardiac Surgery (33999) |
$2,201.10 |
$7,337 |
3.2× |
| Unlisted laparoscopic procedure liver (47379) |
$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, appendix (44979) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,770.40 |
$22,568 |
1.0× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$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 colon (45399) |
$1,058.10 |
$3,527 |
1.0× |
| Unlisted procedure dentoalveolar structures (41899) |
$269.40 |
$898 |
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 foot or toes (28899) |
$278.40 |
$928 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$278.40 |
$928 |
1.0× |
| Unlisted procedure larynx (31599) |
$269.40 |
$898 |
1.0× |
| Unlisted Procedure Lungs & 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) |
$1,041.45 |
$3,471.50 |
3.1× |
| Unlisted procedure palate uvula (42299) |
$269.40 |
$898 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$278.40 |
$928 |
1.0× |
| Unlisted procedure rectum (45999) |
$1,058.10 |
$3,527 |
1.0× |
| Unlisted Procedure Small Intestine (44799) |
$1,088.10 |
$3,627 |
1.1× |
| Unlisted Procedure Trachea Bronchi (31899) |
$225.30 |
$751 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$717.60 |
$2,392 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,088.10 |
$3,627 |
1.1× |
| Unlisted procedure, hands or fingers (26989) |
$286.80 |
$956 |
1.1× |
| Unlisted procedure, maternity care and delivery (59899) |
$233.40 |
$778 |
1.1× |
| Unlisted procedure, orbit (67599) |
$346.80 |
$1,156 |
1.0× |
| Unlisted procedure, stomach (43999) |
$1,088.10 |
$3,627 |
1.1× |
| Upgrade of pacemaker system (33214) |
$12,144.30 |
$40,481 |
1.1× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$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× |
| Urology Surgery Procedure (53899) |
$316.80 |
$1,056 |
1.2× |
| Us urine capacity measure (51798) |
$69 |
$230 |
1.1× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$3,689.70 |
$12,299 |
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× |
| 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 removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$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× |
| Venipuncture (36415) |
$18.75 |
$62.50 |
2.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$476.40 |
$1,588 |
1.0× |
| 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 1st 100 sq cm (15002) |
$2,122.80 |
$7,076 |
2.6× |
| 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× |