| Abd paracentesis w/imaging (49083) |
$1,816.72 |
$9,083.58 |
2.1× |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$294.20–$538.40 |
$1,471–$2,692 |
varies |
| Abdomen Surgery Procedure (22999) |
$9,400.26 |
$47,001.31 |
40.8× |
| Ablate inf turbinate submuc (30802) |
$518.40 |
$2,592 |
0.4× |
Ablate Pulm Tumor Perq Crybl (32994) likely a partial charge, not the full procedure |
$2,526.20 |
$12,631 |
0.3× |
Ablation 1/> liver tumor perq cryoablation (47383) likely a partial charge, not the full procedure |
$2,953.80 |
$14,769 |
0.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$29,936.34 |
$149,681.72 |
1.8× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$11,695.83 |
$58,479.17 |
1.7× |
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) range across 3 matching MRF lines |
$779.80–$1,219.60 |
$3,899–$6,098 |
varies |
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) range across 2 matching MRF lines |
$502–$823.80 |
$2,510–$4,119 |
varies |
| Acne surgery (10040) |
$96.60 |
$483 |
0.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$4,881.72 |
$24,408.62 |
2.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$7,411.28 |
$37,056.38 |
3.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$6,370.94 |
$31,854.69 |
1.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$2,456.15 |
$12,280.76 |
1.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$4,511.86 |
$22,559.32 |
2.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$3,888.12 |
$19,440.60 |
2.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$4,213.38 |
$21,066.89 |
2.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$4,804.11 |
$24,020.57 |
2.5× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$20,065.78 |
$100,328.92 |
3.0× |
| Allogeneic lymphocyte infusions (38242) |
$1,032 |
$5,160 |
0.7× |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) |
$6,466.28 |
$32,331.40 |
2.1× |
| Amniocentesis diagnostic (59000) |
$369.40 |
$1,847 |
0.4× |
Amniocentesis therapeutic (59001) range across 2 matching MRF lines |
$156.20–$306 |
$781–$1,530 |
varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$7,095.35 |
$35,476.76 |
2.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,027.27 |
$15,136.34 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$2,993.44 |
$14,967.22 |
1.0× |
| Amputate Thigh,Re-Amputatn (27596) |
$6,344.67 |
$31,723.36 |
2.1× |
| Amputation foot transmetarsal (28805) |
$4,524.88 |
$22,624.40 |
1.5× |
| Amputation metatarsal with toe single (28810) |
$2,606.83 |
$13,034.14 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$3,612.67 |
$18,063.35 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,616.89 |
$13,084.45 |
0.9× |
| Amputation, arm through humerus; with primary closure Facility (24900) |
$11,265.71 |
$56,328.53 |
0.9× |
| Amputation, forearm, through radius and ulna; Facility (25900) |
$14,004.07 |
$70,020.37 |
2.1× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$9,098.97 |
$45,494.85 |
3.0× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$3,170.91 |
$15,854.55 |
1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$1,335.57 |
$6,677.83 |
4.7× |
Anal/Urinary Muscle Study (51784) range across 2 matching MRF lines |
$49–$87 |
$245–$435 |
varies |
| Ankle Arthroscopy/Surgery (29892) |
$14,714.13 |
$73,570.66 |
2.2× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$4,762.94 |
$23,814.68 |
1.8× |
| Anoscopy Ablation Lesion (46615) |
$2,061.30 |
$10,306.49 |
0.8× |
| Anoscopy diagnostic (46600) |
$85.60 |
$428 |
0.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,263.57 |
$11,317.83 |
2.0× |
| Anoscopy remove lesion (46610) |
$2,053.56 |
$10,267.81 |
0.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$535.60 |
$2,678 |
0.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,131 |
$10,655.01 |
1.9× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,743.27 |
$8,716.34 |
1.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,389.41 |
$11,947.07 |
0.9× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$8,298.39 |
$41,491.97 |
1.8× |
| Anterior Tibial Tubercleplasty (27418) |
$13,134.38 |
$65,671.92 |
1.9× |
| Appendectomy (44950) |
$8,274.06 |
$41,370.30 |
1.4× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$7,839.78 |
$39,198.92 |
5.2× |
Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$128.40–$140.40 |
$642–$702 |
varies |
| Application Finger Splint Dynamic (29131) |
$65.40 |
$327 |
1.2× |
Application finger splint static (29130) range across 3 matching MRF lines |
$46.80–$81.20 |
$234–$406 |
varies |
Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$65.80–$96.20 |
$329–$481 |
varies |
Application Long Leg Splint (29505) range across 2 matching MRF lines |
$93.60–$148.20 |
$468–$741 |
varies |
| Application multiplane external fixation system (20692) |
$9,338.64 |
$46,693.21 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$128.40 |
$642 |
0.5× |
Application of long leg cast (29345) range across 2 matching MRF lines |
$143–$160.40 |
$715–$802 |
varies |
| Application of rigid total contact leg cast (29445) |
$128.40 |
$642 |
0.5× |
| Application Patellar Tendon Bearing Cast (29435) |
$128.40 |
$642 |
0.5× |
Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$53.40–$84 |
$267–$420 |
varies |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$69.80–$186.60 |
$349–$933 |
varies |
| Application short leg splint calf foot (29515) |
$83 |
$415 |
0.5× |
| Application uniplane external fixation system (20690) |
$4,915.03 |
$24,575.15 |
0.7× |
| Apply hand/wrist cast (29085) |
$101.60 |
$508 |
0.7× |
| Apply long arm cast (29065) |
$128.40 |
$642 |
0.5× |
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$75.60–$95.20 |
$378–$476 |
varies |
Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$128.40–$133.20 |
$642–$666 |
varies |
| Apply short leg cast (29425) |
$128.40 |
$642 |
0.5× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$4,605.89 |
$23,029.47 |
0.9× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$32,345.19 |
$161,725.96 |
10.6× |
| Arterial puncture (36600) |
$36.20 |
$181 |
0.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,220.07 |
$21,100.33 |
1.4× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,211.99 |
$36,059.97 |
1.4× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$15,086.60 |
$75,432.99 |
1.3× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$10,371.69 |
$51,858.43 |
0.9× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$17,704.13 |
$88,520.66 |
1.5× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$19,195.05 |
$95,975.23 |
1.6× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$6,613.91 |
$33,069.54 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$391.24 |
$1,956.20 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$358.58 |
$1,792.90 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$437.53 |
$2,187.67 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$297.21 |
$1,486.04 |
1.0× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$99–$304.40 |
$495–$1,522 |
varies |
| Arthrodesis ankle open (27870) |
$33,317.96 |
$166,589.80 |
2.8× |
| Arthrodesis great toe interphalangeal joint (28755) |
$13,822.34 |
$69,111.70 |
2.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$11,654.40 |
$58,271.99 |
1.7× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$7,906.69 |
$39,533.44 |
2.6× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$27,189.20 |
$135,945.98 |
1.1× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$28,223.94 |
$141,119.72 |
1.7× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
$21,392.35 |
$106,961.77 |
1.3× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$16,673.78 |
$83,368.90 |
1.0× |
| Arthrodesis subtalar (28725) |
$23,815.05 |
$119,075.25 |
2.0× |
| Arthrodesis triple (28715) |
$26,322.65 |
$131,613.26 |
2.2× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$7,133.72 |
$35,668.59 |
1.1× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$27,601.19 |
$138,005.94 |
1.1× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$11,579.77 |
$57,898.85 |
0.7× |
| Arthroplasty Ankle W/Implant (27702) |
$29,731.01 |
$148,655.05 |
1.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$16,942.62 |
$84,713.10 |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$26,422.85 |
$132,114.24 |
2.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$5,012.42 |
$25,062.10 |
1.6× |
| Arthroplasty Patella W/Prosthesis (27438) |
$13,614.91 |
$68,074.55 |
1.1× |
| Arthroplasty Radial Head W/Implant (24366) |
$24,761.90 |
$123,809.51 |
2.1× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$10,324.71 |
$51,623.55 |
1.9× |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) |
$75,305.14 |
$376,525.70 |
3.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$9,672.23 |
$48,361.16 |
3.2× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$8,612.30 |
$43,061.49 |
2.8× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$14,431.75 |
$72,158.77 |
2.1× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$8,511.60 |
$42,558.02 |
2.8× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$11,944.56 |
$59,722.78 |
3.9× |
| Arthroscopy hip w/femoroplasty (29914) |
$17,388.57 |
$86,942.84 |
2.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$4,055.68 |
$20,278.38 |
1.3× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$5,592.82 |
$27,964.09 |
1.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,967.80 |
$19,839.02 |
1.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,825.64 |
$24,128.18 |
1.6× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$9,888.50 |
$49,442.52 |
3.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$9,633.87 |
$48,169.36 |
1.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$8,328.78 |
$41,643.91 |
2.7× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$7,013.25 |
$35,066.24 |
2.3× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$11,942.30 |
$59,711.51 |
1.8× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$5,053.58 |
$25,267.90 |
0.7× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$20,229.27 |
$101,146.36 |
3.0× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$17,826.27 |
$89,131.36 |
5.8× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$17,503.59 |
$87,517.96 |
2.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$7,606.91 |
$38,034.54 |
2.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$16,577.04 |
$82,885.20 |
5.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$9,448.38 |
$47,241.92 |
3.1× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$4,250.07 |
$21,250.35 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$10,644.48 |
$53,222.42 |
3.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$5,976.22 |
$29,881.08 |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$13,767.34 |
$68,836.71 |
2.0× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$5,065.21 |
$25,326.03 |
1.7× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$6,030.61 |
$30,153.07 |
0.9× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$2,316.43 |
$11,582.13 |
1.5× |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
$9,286.88 |
$46,434.40 |
3.0× |
| Arthrotomy wrist joint with synovectomy (25105) |
$2,378.79 |
$11,893.96 |
0.8× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$5,075.99 |
$25,379.96 |
1.7× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$18,157.89 |
$90,789.44 |
1.5× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$3,916 |
$19,579.98 |
1.3× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$10,489.10 |
$52,445.51 |
0.9× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$10,247.96 |
$51,239.80 |
1.5× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$18,529.29 |
$92,646.46 |
1.5× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$10,827.32 |
$54,136.60 |
3.5× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$7,714 |
$38,569.99 |
2.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,711.55 |
$18,557.77 |
1.2× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$4,633 |
$23,164.98 |
0.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$5,766.95 |
$28,834.73 |
1.9× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$5,266.03 |
$26,330.14 |
1.7× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,753.51 |
$8,767.53 |
1.2× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$3,637.95 |
$18,189.76 |
1.2× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$18,938.64 |
$94,693.18 |
6.2× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$4,120.35 |
$20,601.74 |
1.3× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$6,759.15 |
$33,795.77 |
1.0× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$2,652.76 |
$13,263.78 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$1,467.60 |
$7,338 |
2.5× |
Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$209.80–$381.80 |
$1,049–$1,909 |
varies |
Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$100.40–$222.20 |
$502–$1,111 |
varies |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$2,277.10 |
$11,385.50 |
3.4× |
Aspiration and/or injection thyroid cyst (60300) range across 2 matching MRF lines |
$347.40–$357.60 |
$1,737–$1,788 |
varies |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,293.83 |
$21,469.14 |
2.2× |
| Aspiration Bladder Needle (51100) |
$235.20 |
$1,176 |
1.0× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$1,357.90 |
$6,789.48 |
0.6× |
| Av fistula revision (36833) |
$8,613.34 |
$43,066.69 |
1.7× |
| Av Fistula Revision Open (36832) |
$5,529.41 |
$27,647.05 |
1.1× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,199.19 |
$25,995.97 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$111.20 |
$556 |
0.6× |
| Axillary lymphadenectomy; complete (38745) |
$11,061.69 |
$55,308.46 |
2.0× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) unusually low: confirm this is the full procedure |
$3,003 |
$15,015 |
0.5× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$5,010.80 |
$25,054 |
0.5× |
| Biopsy Abdominal Mass (49180) |
$3,154.44 |
$15,772.22 |
2.0× |
| Biopsy bone open deep (20245) |
$5,823.02 |
$29,115.10 |
2.1× |
| Biopsy bone open superficial (20240) |
$3,312.20 |
$16,561.01 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$3,480.40 |
$17,402 |
2.3× |
Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$498.80–$793.80 |
$2,494–$3,969 |
varies |
| Biopsy External Auditory Canal (69105) |
$8,797.73 |
$43,988.63 |
6.1× |
| Biopsy external ear (69100) |
$526.80 |
$2,634 |
2.4× |
| Biopsy muscle percutaneous needle (20206) |
$2,656.84 |
$13,284.20 |
1.7× |
| Biopsy Muscle Superficial (20200) |
$2,178.66 |
$10,893.29 |
1.4× |
| Biopsy nail unit (11755) |
$227.60 |
$1,138 |
0.3× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$6,284.20 |
$31,421 |
2.0× |
| Biopsy of breast; open, incisional (19101) |
$1,876.40 |
$9,382 |
0.5× |
| Biopsy of conjunctiva (68100) |
$1,848.91 |
$9,244.56 |
0.8× |
| Biopsy of cornea (65410) |
$2,480.64 |
$12,403.18 |
1.1× |
| Biopsy of floor of mouth (41108) |
$1,067 |
$5,335 |
0.7× |
| Biopsy of lip (40490) |
$327.40 |
$1,637 |
1.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$3,346.21 |
$16,731.06 |
2.2× |
| Biopsy of nerve (64795) |
$3,748.82 |
$18,744.10 |
2.1× |
| Biopsy of palate, uvula (42100) |
$883.20 |
$4,416 |
0.6× |
| Biopsy of penis (54100) |
$1,256.20 |
$6,281 |
0.8× |
| Biopsy of penis; deep structures (54105) |
$4,898.18 |
$24,490.91 |
1.8× |
| Biopsy of rectum (45100) |
$1,742.62 |
$8,713.09 |
0.7× |
| Biopsy of upper nose/throat (42806) |
$9,304.85 |
$46,524.27 |
3.0× |
| Biopsy of urethra (53200) |
$3,328.59 |
$16,642.95 |
1.7× |
| Biopsy Oropharynx (42800) |
$2,322.96 |
$11,614.81 |
1.6× |
| Biopsy Pleura Percutaneous Needle (32400) |
$671.60 |
$3,358 |
0.4× |
| Biopsy Salivary Gland Incisional (42405) |
$743.40 |
$3,717 |
0.5× |
| Biopsy Salivary Gland Needle (42400) |
$2,052.84 |
$10,264.20 |
3.1× |
| Biopsy soft tissue back/flank deep (21925) |
$802.40 |
$4,012 |
0.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$520.40 |
$2,602 |
0.3× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$2,158.14 |
$10,790.69 |
0.8× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$818.20 |
$4,091 |
0.5× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$1,607.08 |
$8,035.38 |
0.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,338.40 |
$11,692 |
1.5× |
| Biopsy soft tissue neck/thorax (21550) |
$2,849.20 |
$14,246 |
1.8× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$3,971.40 |
$19,857.02 |
2.6× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,242.68 |
$6,213.38 |
0.8× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$7,135.28 |
$35,676.40 |
2.6× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$802.40 |
$4,012 |
0.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,071.68 |
$15,358.38 |
1.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,317.48 |
$11,587.38 |
1.5× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,266.68 |
$6,333.38 |
0.8× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$2,461.84 |
$12,309.20 |
0.7× |
| Biopsy Testis Needle Separate Procedure (54500) |
$7,077.21 |
$35,386.07 |
2.6× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$640.60 |
$3,203 |
1.3× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,068.43 |
$15,342.17 |
1.0× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,600.05 |
$18,000.25 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$512.30 |
$2,561.48 |
0.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$779 |
$3,894.98 |
0.9× |
| Biopsy, vestibule of mouth (40808) |
$587.20 |
$2,936 |
1.2× |
| Biopsy/removal lymph nodes (38510) |
$8,501.19 |
$42,505.93 |
2.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$313.20 |
$1,566 |
0.5× |
| Bladder Irrigation (51700) |
$215.71 |
$1,078.53 |
0.9× |
| Bladder Scan (51798) |
$102.20 |
$511 |
1.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$1,500 |
$7,500 |
1.0× |
| Blepharoplasty Lower Eyelid (15820) |
$8,424.58 |
$42,122.88 |
4.4× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$9,158.28 |
$45,791.41 |
4.8× |
| Blepharoplasty upper eyelid (15822) |
$9,158.28 |
$45,791.41 |
4.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,214.33 |
$11,071.65 |
1.1× |
Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$124.20–$171.80 |
$621–$859 |
varies |
| Blood Transfusion Service (36430) |
$508.20 |
$2,541 |
1.2× |
| Blood/Lymph System Procedure (38999) |
$12,929.61 |
$64,648.06 |
31.4× |
| Bone Graft Any Donor Area Major/Large (20902) |
$20,767.99 |
$103,839.93 |
3.1× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$14,425.54 |
$72,127.68 |
2.1× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$29,057.45 |
$145,287.23 |
4.3× |
| Bone Marrow Biopsy (38221) |
$5,034.68 |
$25,173.41 |
3.3× |
Bone marrow harvest allogen (38230) range across 2 matching MRF lines |
$34,994.40–$44,756 |
$174,972–$223,780 |
varies |
| Bone Marrow; Aspiration Only (38220) |
$6,090.48 |
$30,452.41 |
3.9× |
| Breast augmentation with implant (19325) |
$8,884.31 |
$44,421.54 |
1.2× |
| Breast Reduction (19318) |
$7,966.71 |
$39,833.56 |
1.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$17,995.73 |
$89,978.63 |
10.8× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$12,445.16 |
$62,225.78 |
3.6× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$12,562.36 |
$62,811.79 |
3.6× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$4,845.87 |
$24,229.33 |
2.9× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$4,845.87 |
$24,229.33 |
1.4× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) unusually low: confirm this is the full procedure |
$2,628.33 |
$13,141.66 |
0.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$6,061.39 |
$30,306.96 |
1.7× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$6,061.39 |
$30,306.96 |
1.7× |
| Bronch Thermoplsty 1 Lobe (31660) |
$9,083.89 |
$45,419.44 |
1.4× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$14,565.65 |
$72,828.26 |
2.2× |
| Bronchoscopy Balloon Occlusion (31634) |
$6,262.20 |
$31,311 |
1.0× |
| Bronchoscopy Bronch Stents (31636) |
$12,269.54 |
$61,347.71 |
1.9× |
| Bronchoscopy Clear Airways (31645) |
$6,697.99 |
$33,489.96 |
4.0× |
Bronchoscopy Dilate W/Stent (31631) unusually low: confirm this is the full procedure |
$2,893.51 |
$14,467.56 |
0.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$7,003.53 |
$35,017.67 |
4.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,021.54 |
$10,107.70 |
1.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$15,269.81 |
$76,349.04 |
4.4× |
| Bronchoscopy/Needle Bx Each (31629) |
$15,309.68 |
$76,548.40 |
4.4× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$2,928 |
$14,640 |
1.1× |
Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$789.20–$1,578.40 |
$3,946–$7,892 |
varies |
Bx breast 1st lesion strtctc (19081) range across 6 matching MRF lines |
$1,584.20–$3,168.40 |
$7,921–$15,842 |
varies |
Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$1,234.80–$2,469.60 |
$6,174–$12,348 |
varies |
Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$723–$802.40 |
$3,615–$4,012 |
varies |
| Bx Cervix (57500) |
$821.68 |
$4,108.40 |
1.0× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$3,869.68 |
$19,348.41 |
1.2× |
| Bx/exc lymph node open deep axillary node (38525) |
$9,874.40 |
$49,372.02 |
2.7× |
| Bx/exc lymph node open superficial (38500) |
$7,795.28 |
$38,976.40 |
2.1× |
| Canthoplasty (67950) |
$4,366.90 |
$21,834.49 |
2.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$9,529.16 |
$47,645.82 |
3.1× |
| Capsular contracture release (23020) |
$25,734.86 |
$128,674.28 |
8.4× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$2,788.17 |
$13,940.86 |
1.9× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,484.65 |
$12,423.24 |
0.8× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$7,689.80 |
$38,449.02 |
2.5× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$9,817.90 |
$49,089.50 |
1.4× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$9,807.15 |
$49,035.73 |
6.5× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$21,382.95 |
$106,914.75 |
14.2× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$28,604.47 |
$143,022.34 |
9.4× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$7,650.64 |
$38,253.19 |
2.5× |
| Car-t admn autologous (38228) |
$966 |
$4,830 |
3.1× |
| Carpal Tunnel Surgery (64721) |
$1,991.21 |
$9,956.07 |
1.1× |
| Carpectomy All Bones Proximal Row (25215) |
$3,790.90 |
$18,954.50 |
1.2× |
| Cartilage graft; costochondral (20910) |
$44,217.22 |
$221,086.10 |
64.1× |
| Cataract surgery complex (66982) |
$3,081.01 |
$15,405.05 |
1.4× |
| Catheter aspiration nasotracheal spx (31720) |
$153 |
$765 |
0.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$156.20 |
$781 |
0.5× |
| Cautery Cervix Electro/Thermal (57510) |
$1,512.80 |
$7,564 |
0.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,253.27 |
$11,266.37 |
0.7× |
| Cerv artific diskectomy (22856) |
$14,621.60 |
$73,108.01 |
0.9× |
| Cervical lymphadenectomy (complete) (38720) |
$7,137.97 |
$35,689.87 |
1.2× |
| Cessj Therapy Cath Removal (37214) |
$832 |
$4,160 |
0.3× |
| Change Cystostomy Tube Complicated (51710) |
$260.40 |
$1,302 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$105.40 |
$527 |
0.5× |
Change of Windpipe Airway (31502) range across 3 matching MRF lines |
$82–$168.40 |
$410–$842 |
varies |
Change ureter stent percut (50382) range across 3 matching MRF lines |
$1,294.20–$2,588.40 |
$6,471–$12,942 |
varies |
| Chemical Cautery Tissue (17250) |
$162 |
$810 |
0.9× |
| Chemical peel face dermal (15789) |
$9,158.28 |
$45,791.41 |
13.3× |
| Chemical peel nonfacial epidermal (15792) |
$311 |
$1,555 |
0.5× |
| Chemical peel, facial; epidermal (15788) |
$10,866.75 |
$54,333.77 |
28.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$249.20 |
$1,246 |
0.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,074.47 |
$5,372.36 |
1.6× |
| Chemodenerv Eccrine Glands (64650) |
$145.40 |
$727 |
0.5× |
| Chemodenerv Musc Migraine (64615) |
$776.47 |
$3,882.37 |
2.7× |
| Chemodenerv musc neck dyston (64616) |
$898.97 |
$4,494.87 |
3.1× |
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) range across 2 matching MRF lines |
$145.40–$159.60 |
$727–$798 |
varies |
| Chemodenerv trunk musc 1-5 (64646) |
$1,959.14 |
$9,795.72 |
3.0× |
Chemodenerv trunk musc 6/> (64647) range across 2 matching MRF lines |
$235.40–$344.80 |
$1,177–$1,724 |
varies |
| Chemodenervation eccrine glands oth area per day (64653) |
$103.80 |
$519 |
0.4× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$307.95 |
$1,539.76 |
0.5× |
| Chemodenervation of internal anal sphincter (46505) |
$2,126.02 |
$10,630.09 |
1.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$533.64 |
$2,668.18 |
1.9× |
| Chest tube placement (32551) |
$472.80 |
$2,364 |
0.3× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,495.80 |
$12,479.01 |
1.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$1,764.20 |
$8,821 |
0.5× |
| Chorionic Villus Sampling (59015) |
$272 |
$1,360 |
0.3× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$2,468.21 |
$12,341.04 |
1.1× |
| Circumcision 28 days or older (54161) |
$3,214.85 |
$16,074.24 |
1.6× |
| Circumcision Neonate (54160) |
$321.20 |
$1,606 |
0.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$666.80 |
$3,334 |
0.3× |
| Cl Tx Scapular Fx; W Manip (23575) |
$755.60 |
$3,778 |
0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$787.40 |
$3,937 |
0.5× |
| Claviculectomy partial (23120) |
$8,494.04 |
$42,470.22 |
2.8× |
Clear outer ear canal (69200) range across 2 matching MRF lines |
$53–$62.40 |
$265–$312 |
varies |
| Closed rx talotarsal disloc,anesth (28575) |
$1,655.60 |
$8,278 |
0.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$18,171.88 |
$90,859.40 |
12.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$168.40 |
$842 |
0.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$180.60 |
$903 |
0.8× |
Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$110.60–$274 |
$553–$1,370 |
varies |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$138 |
$690 |
0.6× |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$602.40–$767.40 |
$3,012–$3,837 |
varies |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$144.60–$167.60 |
$723–$838 |
varies |
Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$135.60–$142.60 |
$678–$713 |
varies |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$602.40 |
$3,012 |
0.4× |
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$137.40–$160.20 |
$687–$801 |
varies |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,088.20 |
$5,441 |
0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$140.20 |
$701 |
0.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$867.40 |
$4,337 |
0.6× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$3,991.39 |
$19,956.95 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$398.80 |
$1,994 |
1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$817 |
$4,085 |
0.5× |
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$471.40–$820.60 |
$2,357–$4,103 |
varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$1,753.53 |
$8,767.65 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$132.40 |
$662 |
0.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$431.40 |
$2,157 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$337 |
$1,685 |
0.2× |
Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$132–$148 |
$660–$740 |
varies |
| Closed tx radial shaft fracture w/manipulation (25505) |
$382.60 |
$1,913 |
0.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$153.20 |
$766 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,850.68 |
$14,253.39 |
1.9× |
Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$144.60–$152.20 |
$723–$761 |
varies |
Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$69–$168.20 |
$345–$841 |
varies |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$170.20 |
$851 |
0.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$70 |
$350 |
0.0× |
Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$137–$350.20 |
$685–$1,751 |
varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$19,235.58 |
$96,177.90 |
83.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$18,600.18 |
$93,000.89 |
80.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$168 |
$840 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$99.40 |
$497 |
0.1× |
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$155.40–$160.20 |
$777–$801 |
varies |
Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$110.60–$134 |
$553–$670 |
varies |
| Closure Gastrostomy Surg (43870) |
$6,431 |
$32,155.01 |
1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$110.60 |
$553 |
0.5× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$382.60 |
$1,913 |
0.8× |
| Closure lacrimal punctum (68760) |
$133.40 |
$667 |
0.5× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$7,099.06 |
$35,495.29 |
2.2× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$6,415.50 |
$32,077.48 |
2.1× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$19,951.21 |
$99,756.03 |
4.0× |
| Closure of urethrovaginal fistula; Facility (57310) |
$16,467.56 |
$82,337.79 |
2.4× |
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$110.60–$254.20 |
$553–$1,271 |
varies |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$265.40 |
$1,327 |
1.2× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$111.60 |
$558 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$310.40 |
$1,552 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$689.08 |
$3,445.42 |
3.0× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$3,437.48 |
$17,187.38 |
1.3× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$141.60 |
$708 |
0.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$439 |
$2,195 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$5,120.41 |
$25,602.03 |
3.4× |
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$140–$267 |
$700–$1,335 |
varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$297.80 |
$1,489 |
0.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$896 |
$4,480 |
3.9× |
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$134.20–$169.60 |
$671–$848 |
varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$110.60 |
$553 |
0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$287.40 |
$1,437 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$425 |
$2,125 |
1.8× |
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$130.60–$157.40 |
$653–$787 |
varies |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$69–$153.80 |
$345–$769 |
varies |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$136–$173.20 |
$680–$866 |
varies |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$398–$629.80 |
$1,990–$3,149 |
varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$602.40 |
$3,012 |
0.4× |
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$148.20–$201 |
$741–$1,005 |
varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$337.80 |
$1,689 |
0.2× |
Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$110.60–$169 |
$553–$845 |
varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$143 |
$715 |
0.6× |
Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$108.60–$160 |
$543–$800 |
varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$148.60 |
$743 |
0.6× |
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$107.40–$144.60 |
$537–$723 |
varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$385.40 |
$1,927 |
0.3× |
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$155.80–$167.20 |
$779–$836 |
varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$350.20 |
$1,751 |
1.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$452.40 |
$2,262 |
2.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,006.20 |
$5,031 |
0.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$429.20 |
$2,146 |
0.3× |
Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$126–$137.20 |
$630–$686 |
varies |
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$115.40–$148.80 |
$577–$744 |
varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$295 |
$1,475 |
0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$245 |
$1,225 |
0.2× |
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$110.60–$137.80 |
$553–$689 |
varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$602.40 |
$3,012 |
0.4× |
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$110.60–$153.20 |
$553–$766 |
varies |
Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$115–$152.80 |
$575–$764 |
varies |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,031.60 |
$5,158 |
0.7× |
Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$146–$168.20 |
$730–$841 |
varies |
Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$110.60–$134.60 |
$553–$673 |
varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$363.40 |
$1,817 |
1.6× |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$133–$167.20 |
$665–$836 |
varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$172.20 |
$861 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$857.80 |
$4,289 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$137.20 |
$686 |
0.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$539.80 |
$2,699 |
0.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$649.40 |
$3,247 |
2.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$907.20 |
$4,536 |
0.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$38,257.68 |
$191,288.41 |
166.1× |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$90.20–$251.20 |
$451–$1,256 |
varies |
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) range across 2 matching MRF lines |
$334.20–$767.40 |
$1,671–$3,837 |
varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$775.80 |
$3,879 |
0.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$778.40 |
$3,892 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$360.20 |
$1,801 |
0.2× |
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$157–$180.60 |
$785–$903 |
varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$772.60 |
$3,863 |
0.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$166.20 |
$831 |
0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$461.86 |
$2,309.29 |
2.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$419 |
$2,095 |
1.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$156.60 |
$783 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$380.20 |
$1,901 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$14,259.62 |
$71,298.10 |
61.9× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$17,190.79 |
$85,953.94 |
3.7× |
| Coccygectomy, primary (27080) |
$4,893.46 |
$24,467.29 |
1.6× |
Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$65.60–$81.40 |
$328–$407 |
varies |
| Collection of venous blood by venipuncture (36415) |
$8.40 |
$42 |
0.9× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$3,678.62 |
$18,393.12 |
3.3× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$2,063.69 |
$10,318.47 |
1.8× |
| Colonoscopy thru stoma (44388) |
$1,880.62 |
$9,403.12 |
2.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,251.23 |
$11,256.17 |
2.0× |
| Colonoscopy w/ablation (45388) |
$1,570.76 |
$7,853.80 |
1.4× |
| Colonoscopy W/Band Ligation (45398) |
$1,956.44 |
$9,782.22 |
1.8× |
| Colonoscopy w/fb removal (45379) |
$3,115.94 |
$15,579.71 |
2.8× |
| Colonoscopy w/submucosal inj (45381) |
$3,638.95 |
$18,194.76 |
3.3× |
| Colpocleisis (le fort type) (57120) |
$9,584.02 |
$47,920.12 |
2.1× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$3,421.16 |
$17,105.79 |
1.1× |
| Colpopexy extraperitoneal (57282) |
$10,266.25 |
$51,331.23 |
1.5× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$17,190.79 |
$85,953.94 |
2.5× |
| Colporrhaphy (57200) |
$1,984.41 |
$9,922.07 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$692.40 |
$3,462 |
2.4× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$405.80 |
$2,029 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$86 |
$430 |
0.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$495.60 |
$2,478 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,529.74 |
$7,648.71 |
0.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$928.40 |
$4,642 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$114.40 |
$572 |
0.4× |
| Colposcopy of vulva (56820) |
$84 |
$420 |
0.4× |
| Colposcopy Vulva W/Biopsy (56821) |
$156.20 |
$781 |
0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$612.80 |
$3,064 |
0.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,709.98 |
$13,549.89 |
2.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$3,674.62 |
$18,373.09 |
3.3× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$1,433.55 |
$7,167.74 |
1.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$11,786.49 |
$58,932.47 |
2.5× |
| Complex Cystometrogram (51726) |
$115 |
$575 |
0.5× |
| Complex drainage wound (10180) |
$3,173.36 |
$15,866.78 |
1.2× |
| Composite Skin Graft (15760) |
$6,466.85 |
$32,334.23 |
3.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$1,554.06 |
$7,770.28 |
0.5× |
| Conization of cervix (57520) |
$3,489.90 |
$17,449.50 |
1.2× |
| Conjunctival Flap Total (68362) |
$3,970.30 |
$19,851.51 |
1.8× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$5,719.95 |
$28,599.76 |
2.6× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$4,638.37 |
$23,191.85 |
1.3× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$6,189.77 |
$30,948.83 |
2.8× |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
$2,501.26 |
$12,506.31 |
1.1× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$4,477.37 |
$22,386.85 |
1.4× |
| Contour of face bone lesion (21029) |
$3,242.20 |
$16,211.02 |
1.0× |
Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$62.40–$140.20 |
$312–$701 |
varies |
Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$63–$128.60 |
$315–$643 |
varies |
| Control oropharyngeal hemorrhage simple (42960) |
$5,050.66 |
$25,253.28 |
10.0× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$18,411.02 |
$92,055.09 |
1.5× |
| Conversion ext bil drg cath (47535) |
$1,983.40 |
$9,917 |
0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$883.20 |
$4,416 |
0.5× |
Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$1,513.80–$3,027.60 |
$7,569–$15,138 |
varies |
Cordocentesis (59012) range across 2 matching MRF lines |
$156.20–$229 |
$781–$1,145 |
varies |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 6 matching MRF lines |
$520.20–$872.60 |
$2,601–$4,363 |
varies |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$123.20 |
$616 |
0.3× |
| Corneal Transplant,Penetrat,Aphakia (65750) |
$14,123.21 |
$70,616.03 |
2.8× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$1,298 |
$6,490 |
0.4× |
| Correction hammertoe (28285) |
$6,531.02 |
$32,655.09 |
2.1× |
| Correction of inverted nipples (19355) |
$5,326.01 |
$26,630.06 |
1.5× |
| Correction of lid retraction (67911) |
$2,888.93 |
$14,444.64 |
1.3× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$80.20 |
$401 |
0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,291.35 |
$31,456.74 |
2.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,864.91 |
$14,324.57 |
0.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$17,409.27 |
$87,046.33 |
1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$6,531.02 |
$32,655.09 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$14,425.54 |
$72,127.68 |
4.7× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$10,635.87 |
$53,179.34 |
1.6× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$3,915.80 |
$19,579.02 |
1.8× |
| Create Eardrum Opening (69433) |
$287.20 |
$1,436 |
0.6× |
| Create Tear Sac-Nasal Fistula (68720) |
$3,709.71 |
$18,548.53 |
1.0× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$10,247.96 |
$51,239.80 |
3.4× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$6,331.25 |
$31,656.26 |
1.2× |
Cryosurgical Ablation Fibroadenoma, Each (19105) range across 3 matching MRF lines |
$1,918.60–$3,837.20 |
$9,593–$19,186 |
varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$18.20 |
$91 |
0.3× |
| Csf shunt reprogram (62252) |
$148.20 |
$741 |
0.5× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$71.20–$97 |
$356–$485 |
varies |
| Curettage postpartum (59160) |
$6,572.60 |
$32,863 |
2.2× |
| Curette/treat cornea (65435) |
$467 |
$2,335 |
0.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,746.77 |
$13,733.87 |
1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,997.09 |
$14,985.47 |
1.5× |
| Cysto w/complex removal stone & stent (52315) |
$3,411.99 |
$17,059.96 |
1.7× |
| Cysto w/destruction of lesions (52214) |
$4,080.66 |
$20,403.30 |
1.2× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$10,594.14 |
$52,970.69 |
2.1× |
| Cysto w/insert ureteral stent (52332) |
$3,283.91 |
$16,419.55 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$6,042.46 |
$30,212.28 |
1.8× |
| Cysto w/removal of lesions small (52224) |
$3,009.13 |
$15,045.67 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$5,129.60 |
$25,647.98 |
1.6× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$8,284.89 |
$41,424.46 |
2.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$647.40 |
$3,237 |
0.3× |
| Cysto w/ureter stricture tx (52341) |
$4,775 |
$23,874.99 |
1.5× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$7,474.15 |
$37,370.73 |
1.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$10,996.67 |
$54,983.33 |
3.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$8,844.48 |
$44,222.40 |
2.7× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$5,175.66 |
$25,878.31 |
1.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$7,287.80 |
$36,439 |
1.5× |
| Cysto/uretero w/lithotripsy (52356) |
$8,440.23 |
$42,201.14 |
1.7× |
| Cysto/uretero w/up stricture (52345) |
$6,775.02 |
$33,875.12 |
2.1× |
| Cystometrogram W/Up (51727) |
$334.60 |
$1,673 |
0.5× |
| Cystometrogram W/Vp (51728) |
$212.80 |
$1,064 |
0.3× |
| Cystometrogram W/Vp&Up (51729) |
$232.80 |
$1,164 |
0.4× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$13,101.12 |
$65,505.58 |
1.5× |
| Cystostomy Cystotomy W/Drainage (51040) |
$5,377.91 |
$26,889.55 |
2.8× |
| Cystouretero w/excise tumor (52355) |
$7,051.16 |
$35,255.82 |
1.4× |
| Cystourethroscopy (52000) |
$299.60 |
$1,498 |
0.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$652.80 |
$3,264 |
0.3× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$13,476.22 |
$67,381.09 |
20.7× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$5,077.17 |
$25,385.86 |
1.5× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,798.88 |
$28,994.41 |
1.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,515.18 |
$12,575.90 |
1.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$4,360.95 |
$21,804.76 |
1.3× |
| Cystourethroscopy with biopsy (52204) |
$3,159.25 |
$15,796.27 |
1.6× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$3,051.61 |
$15,258.03 |
1.6× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$11,845.13 |
$59,225.65 |
3.6× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$4,304.06 |
$21,520.29 |
2.2× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$2,388.26 |
$11,941.30 |
1.2× |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$149.60–$184.20 |
$748–$921 |
varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$6,222.69 |
$31,113.45 |
2.3× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$347.40 |
$1,737 |
0.5× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$3,206.74 |
$16,033.72 |
1.0× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$4,629.28 |
$23,146.42 |
1.5× |
| Dcmprn fasct leg post compartment only (27601) |
$5,557.51 |
$27,787.53 |
1.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$3,199.27 |
$15,996.36 |
4.6× |
Debride nail 1-5 (11720) range across 2 matching MRF lines |
$23.40–$70.40 |
$117–$352 |
varies |
| Debride nail 6 or more (11721) |
$26.60 |
$133 |
0.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,604.27 |
$23,021.34 |
3.0× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$244.60 |
$1,223 |
0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$96.60 |
$483 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$268.80 |
$1,344 |
0.7× |
Declot vascular device (36593) range across 6 matching MRF lines |
$178–$329.20 |
$890–$1,646 |
varies |
| Decomp forearm,1 compart,w/o debride (25020) |
$5,851.52 |
$29,257.58 |
3.9× |
| Decompress Spinal Cord Lmbr (63056) |
$5,852.46 |
$29,262.31 |
0.9× |
| Decompression of tibia nerve (28035) |
$8,312.31 |
$41,561.53 |
4.6× |
| Deep Muscle Biopsy (20205) |
$2,516.83 |
$12,584.13 |
0.9× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$3,327.43 |
$16,637.15 |
1.7× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$2,516.78 |
$12,583.90 |
1.3× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$2,426.12 |
$12,130.61 |
0.7× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$1,594 |
$7,970 |
0.5× |
| Derma-fat-fascia graft (15770) |
$15,808.81 |
$79,044.05 |
4.8× |
| Dermabrasion regional other than face (15782) |
$910.20 |
$4,551 |
0.3× |
| Dermabrasion segmental face (15781) |
$381.60 |
$1,908 |
0.6× |
| Dermabrasion superficial any site (15783) |
$199.60 |
$998 |
0.5× |
| Dermabrasion total face (15780) |
$1,382.20 |
$6,911 |
0.5× |
| Destr penis lesion(s) (54065) |
$3,227.73 |
$16,138.65 |
1.7× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$7,180.33 |
$35,901.65 |
8.7× |
| Destroy cerv/thor facet jnt (64633) |
$649.20 |
$3,246 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$2,489.32 |
$12,446.62 |
1.4× |
| Destruc retinal lesn,photocoag (67210) |
$1,695.45 |
$8,477.24 |
3.3× |
| Destruct B9 Lesion 1-14 (17110) |
$201.40 |
$1,007 |
1.1× |
| Destruction Benign Lesions 15/> (17111) |
$86 |
$430 |
0.5× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,546.53 |
$7,732.64 |
1.9× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$10,285.31 |
$51,426.53 |
12.5× |
| Destruction Lesions Vulva Extensive (56515) |
$5,112.06 |
$25,560.31 |
2.7× |
| Destruction Lesions Vulva Simple (56501) |
$2,901.53 |
$14,507.64 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$149.60 |
$748 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$149.60 |
$748 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$199.60 |
$998 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$87.40 |
$437 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$95 |
$475 |
0.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$99 |
$495 |
0.5× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$150.40 |
$752 |
0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$199.60 |
$998 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$96.60 |
$483 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$99.20 |
$496 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$93.60 |
$468 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$98.80 |
$494 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$150.40 |
$752 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$199.60 |
$998 |
0.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$96.60 |
$483 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,508.03 |
$7,540.17 |
0.8× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$141.60 |
$708 |
0.5× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$467 |
$2,335 |
0.5× |
| Destruction of skin lesions (17106) |
$201.19 |
$1,005.96 |
0.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$146.60 |
$733 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$367.80 |
$1,839 |
2.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$2,600.44 |
$13,002.21 |
0.9× |
| Destruction Vaginal Lesions Simple (57061) |
$123.80 |
$619 |
0.0× |
| Diagnostic anoscopy (46601) |
$1,520.56 |
$7,602.80 |
3.6× |
| Diagnostic sigmoidoscopy (45330) |
$388.80 |
$1,944 |
0.4× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$161.60 |
$808 |
0.9× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,571.39 |
$7,856.97 |
1.4× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$75.40 |
$377 |
0.6× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$48.60 |
$243 |
0.4× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,669.52 |
$8,347.62 |
1.5× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$54.60 |
$273 |
0.4× |
| Dilat Xst Trc New Access Rcs (50437) |
$13,697.04 |
$68,485.19 |
4.2× |
| Dilate Esophagus 1/Mult Pass (43450) |
$3,145.50 |
$15,727.51 |
3.7× |
| Dilate Urethra Stricture (53620) |
$3,519.40 |
$17,597.01 |
5.4× |
| Dilate Urethra Stricture (53600) |
$3,327.32 |
$16,636.61 |
14.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,476.41 |
$17,382.03 |
1.2× |
Dilation and catheterization of salivary duct, with or without injection (42660) range across 2 matching MRF lines |
$244.60–$334.40 |
$1,223–$1,672 |
varies |
| Dilation Esophagus Guide Wire (43453) |
$4,188.61 |
$20,943.05 |
2.3× |
| Dilation of vagina (57400) |
$2,960.53 |
$14,802.67 |
1.0× |
| Dilation Salivary Duct (42650) |
$471 |
$2,355 |
0.3× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$7,646.41 |
$38,232.07 |
1.5× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,541.72 |
$7,708.60 |
0.9× |
| Drain Cerebro Spinal Fluid (62272) |
$424.80 |
$2,124 |
0.6× |
| Drain Hand Tendon Sheath (26020) |
$1,561.60 |
$7,808 |
0.5× |
| Drain penis lesion (54015) |
$1,191.80 |
$5,959 |
0.8× |
Drain/inj small joint/bursa w/us (20604) range across 25 matching MRF lines |
$145.40–$352.40 |
$727–$1,762 |
varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$245 |
$1,225 |
0.5× |
Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$145.80–$347.40 |
$729–$1,737 |
varies |
| Drainage external ear abscess/hematoma cmplx (69005) |
$521.80 |
$2,609 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$440.80 |
$2,204 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$4,750.18 |
$23,750.91 |
3.1× |
| Drainage lymph node lesion (38305) |
$1,279.80 |
$6,399 |
0.5× |
| Drainage Mouth Roof Lesion (42000) |
$4,950.45 |
$24,752.25 |
22.4× |
| Drainage of eye (65800) |
$1,961.20 |
$9,806 |
0.9× |
Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$96.60–$119.60 |
$483–$598 |
varies |
| Drainage of gum lesion (41800) |
$101.20 |
$506 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$4,258 |
$21,289.98 |
2.8× |
Drainage of hydrocele (55000) range across 2 matching MRF lines |
$235–$508.40 |
$1,175–$2,542 |
varies |
| Drainage of nose lesion (30000) |
$111.20 |
$556 |
0.5× |
| Drainage of palmar bursa single bursa (26025) |
$2,829.80 |
$14,149 |
0.9× |
| Drainage of rectal abscess (45020) |
$3,842.80 |
$19,214.02 |
1.5× |
| Drainage of rectal abscess (45005) |
$579.60 |
$2,898 |
0.5× |
| Drainage of salivary cyst (42409) |
$1,522.40 |
$7,612 |
0.5× |
Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$524–$836 |
$2,620–$4,180 |
varies |
| Drainage of scrotum (54700) |
$3,896.78 |
$19,483.89 |
2.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$7,810.95 |
$39,054.74 |
2.6× |
Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$60.20–$62.20 |
$301–$311 |
varies |
| Dressing Change Under Anesthesia (15852) |
$2,573.81 |
$12,869.05 |
3.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$214.80 |
$1,074 |
0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$197 |
$985 |
0.3× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$1,077.20 |
$5,386 |
0.4× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 6 matching MRF lines |
$150.40–$312.80 |
$752–$1,564 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$95.40–$195.80 |
$477–$979 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$74.80–$161.80 |
$374–$809 |
varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$2,362.93 |
$11,814.65 |
3.4× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,190.38 |
$10,951.92 |
1.1× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$7,234.25 |
$36,171.25 |
2.3× |
| Dstrj Lesion Anus Extensive (46924) |
$3,441.33 |
$17,206.65 |
1.3× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$199.60 |
$998 |
0.5× |
| Dstrj lesion anus simple cryosurgery (46916) |
$105.40 |
$527 |
0.6× |
| Dstrj lesion anus simple surg excision (46922) |
$2,416.24 |
$12,081.20 |
0.9× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,091.12 |
$10,455.61 |
1.1× |
| Dstrj lesion choroid pc 1/> sess (67220) |
$3,371.18 |
$16,855.88 |
6.6× |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
$284 |
$1,420 |
0.6× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$199.60 |
$998 |
0.5× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$95 |
$475 |
0.5× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$870.20 |
$4,351 |
0.5× |
| Dstrj lesion penis simple laser (54057) |
$3,038.54 |
$15,192.71 |
1.6× |
| Dstrj lesion penis simple surg excision (54060) |
$738.80 |
$3,694 |
0.4× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$44 |
$220 |
0.1× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$961.80 |
$4,809 |
0.5× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$313.40–$561.40 |
$1,567–$2,807 |
varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$613.53 |
$3,067.64 |
0.7× |
Dx Bone Marrow Bx & Aspir (38222) range across 6 matching MRF lines |
$986–$2,057.20 |
$4,930–$10,286 |
varies |
| Dx Bronchoscope/Lavage (31624) |
$4,222.04 |
$21,110.22 |
2.5× |
| Dx Bronchoscope/Wash (31622) |
$2,833.24 |
$14,166.21 |
1.7× |
| Dx Laryngoscopy Excl Nb (31525) |
$7,996.97 |
$39,984.85 |
4.8× |
| Dx laryngoscopy w/oper scope (31526) |
$8,067.23 |
$40,336.15 |
4.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,391.41 |
$6,957.07 |
2.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,034.57 |
$10,172.86 |
1.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,946.76 |
$14,733.80 |
1.6× |
| Egd control bleeding any (43255) |
$2,891.52 |
$14,457.62 |
1.6× |
| Egd dilation gastric/duodenal stricture (43245) |
$3,320.98 |
$16,604.91 |
1.9× |
| Egd endo mucosal resection (43254) |
$3,665.48 |
$18,327.39 |
2.0× |
| Egd Endoscopic Stent Place (43266) |
$3,063.22 |
$15,316.09 |
0.5× |
| Egd Flexible Foreign Body Removal (43247) |
$2,280.98 |
$11,404.89 |
2.7× |
| Egd guide wire insertion (43248) |
$2,313.10 |
$11,565.49 |
2.7× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,447.19 |
$17,235.94 |
1.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,437.75 |
$17,188.74 |
1.9× |
| Egd lesion ablation (43270) |
$5,604.32 |
$28,021.58 |
3.1× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$6,259.05 |
$31,295.27 |
0.6× |
| Egd place gastrostomy tube (43246) |
$4,862.56 |
$24,312.82 |
2.7× |
| Egd remove lesion snare (43251) |
$2,435.95 |
$12,179.74 |
1.4× |
| Egd Tube/Cath Insertion (43241) |
$3,547.55 |
$17,737.75 |
2.0× |
| Egd us exam duodenum/jejunum (43259) |
$1,268.02 |
$6,340.08 |
0.7× |
| Egd us transmural injxn/mark (43253) |
$3,462.96 |
$17,314.79 |
1.9× |
| Egd Varices Ligation (43244) |
$1,651.92 |
$8,259.58 |
0.9× |
| Egd W/Transmural Drain Cyst (43240) |
$10,443.33 |
$52,216.66 |
1.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$387 |
$1,935 |
1.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$145.20 |
$726 |
0.5× |
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 2 matching MRF lines |
$99.40–$148.20 |
$497–$741 |
varies |
| Electro-Uroflowmetry First (51741) |
$49.40 |
$247 |
0.2× |
| Electroejaculation (55870) |
$376.40 |
$1,882 |
0.4× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$294.60 |
$1,473 |
0.4× |
| Endocervical curettage (57505) |
$3,027.88 |
$15,139.42 |
3.5× |
| Endometrial Biopsy (58100) |
$347 |
$1,735 |
1.8× |
| Endoscopic injection/implant (51715) |
$3,694.33 |
$18,471.66 |
1.1× |
| Endoscopic plantar fasciotomy (29893) |
$9,448.25 |
$47,241.27 |
3.1× |
| Endoscopic us exam esoph (43237) |
$1,820.98 |
$9,104.92 |
1.0× |
| Endoscopy of ureter (50953) |
$6,435.03 |
$32,175.17 |
2.0× |
| Endoscopy Upper Small Intestine (44360) |
$2,378.55 |
$11,892.74 |
1.3× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,342.37 |
$11,711.84 |
1.3× |
Endovasc Temp Balloon Occlus,Head/Nck (61623) likely a partial charge, not the full procedure |
$1,255 |
$6,275 |
0.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$5,413.11 |
$27,065.57 |
1.8× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,057.80 |
$15,289.02 |
1.0× |
Endoven ther chem adhes 1st (36482) range across 2 matching MRF lines |
$2,346.60–$2,859.40 |
$11,733–$14,297 |
varies |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$2,360.78 |
$11,803.90 |
1.3× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,032.50 |
$10,162.51 |
1.1× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$3,294.58 |
$16,472.88 |
1.8× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,762.74 |
$13,813.70 |
1.5× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$2,533.18 |
$12,665.90 |
1.4× |
| Epididymectomy bilateral (54861) |
$6,271.70 |
$31,358.52 |
1.9× |
| Epididymectomy unilateral (54860) |
$5,072.35 |
$25,361.73 |
1.5× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
$14,705.22 |
$73,526.09 |
4.5× |
| Epidural Blood Patch (62273) |
$1,057.41 |
$5,287.05 |
1.6× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$18,109.41 |
$90,547.06 |
3.2× |
| Ercp duct stent placement (43274) |
$7,623.81 |
$38,119.05 |
1.3× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,800.39 |
$24,001.95 |
1.3× |
| Ercp ea duct/ampulla dilate (43277) |
$8,202.67 |
$41,013.35 |
2.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$5,538.32 |
$27,691.58 |
1.5× |
| Ercp remove forgn body duct (43275) |
$4,808.28 |
$24,041.38 |
2.7× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,973.36 |
$29,866.79 |
1.1× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$5,442.60 |
$27,213.01 |
1.5× |
| Ercp W/Biopsy Single/Multiple (43261) |
$12,561.83 |
$62,809.13 |
3.5× |
| Ercp,Sphincterotomy (43262) |
$5,538.32 |
$27,691.58 |
1.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$2,369.68 |
$11,848.40 |
2.8× |
| Esophagoscop Stent Placement (43212) |
$6,770.34 |
$33,851.70 |
1.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$4,672.40 |
$23,362.02 |
2.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$3,736.90 |
$18,684.52 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$5,251.46 |
$26,257.30 |
2.9× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$296.80 |
$1,484 |
0.4× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$441.80 |
$2,209 |
0.5× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$2,872.20 |
$14,360.99 |
3.4× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,107.39 |
$5,536.95 |
0.6× |
| Esophagoscopy Retro Balloon (43213) |
$5,063.68 |
$25,318.38 |
2.8× |
| Esophagoscopy Rigid Balloon (43195) |
$4,070.51 |
$20,352.55 |
1.1× |
| Esophagoscopy rigid trnso dx (43191) |
$4,845.18 |
$24,225.88 |
2.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$4,283.85 |
$21,419.24 |
2.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,622.51 |
$18,112.56 |
2.0× |
| Esophagoscp Guide Wire Dilat (43196) |
$2,802.56 |
$14,012.79 |
1.6× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$5,213.49 |
$26,067.45 |
0.9× |
| Esophagoscp Rig Trnso Inject (43192) |
$3,904.16 |
$19,520.81 |
2.2× |
| Ethmoidectomy Extranasal Total (31205) |
$5,646.67 |
$28,233.33 |
1.8× |
| Evacuate mole of uterus (59870) |
$2,928.47 |
$14,642.36 |
1.0× |
Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$48–$104.20 |
$240–$521 |
varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$609.80 |
$3,049 |
0.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,241.41 |
$16,207.04 |
2.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,269.93 |
$11,349.64 |
1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$470.60 |
$2,353 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$765.20 |
$3,826 |
0.5× |
| Exc Back Les Sc < 3 Cm (21930) |
$3,758.80 |
$18,794 |
2.4× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$5,534.22 |
$27,671.11 |
2.0× |
| Exc back tum deep < 5 cm (21932) |
$1,003.20 |
$5,016 |
0.4× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
$31,000.68 |
$155,003.39 |
5.6× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$4,598.01 |
$22,990.04 |
0.8× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$2,390.61 |
$11,953.03 |
0.8× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$2,738.15 |
$13,690.75 |
1.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$835 |
$4,175 |
1.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,147.20 |
$5,736 |
1.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$6,329.44 |
$31,647.19 |
4.1× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$3,618.42 |
$18,092.09 |
2.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$847.51 |
$4,237.54 |
1.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,402.40 |
$7,012 |
2.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$627.98 |
$3,139.92 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$781.21 |
$3,906.07 |
0.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,510.45 |
$7,552.26 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$4,043.66 |
$20,218.29 |
2.6× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$1,377.40 |
$6,887 |
0.5× |
| Exc Frenum Labial/Buccal (40819) |
$516.40 |
$2,582 |
0.4× |
| Exc ganglion wrist recurrent (25112) |
$2,474.41 |
$12,372.03 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$813.28 |
$4,066.38 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$813.28 |
$4,066.38 |
1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$513.60 |
$2,568 |
0.3× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,987.64 |
$9,938.20 |
1.3× |
| Exc hand tum deep < 1.5 cm (26116) |
$3,340.07 |
$16,700.34 |
2.2× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$502 |
$2,510 |
0.5× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$2,539.37 |
$12,696.86 |
0.8× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$10,600.47 |
$53,002.37 |
7.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,243.57 |
$6,217.85 |
0.8× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$3,642.76 |
$18,213.81 |
1.2× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$4,453.33 |
$22,266.65 |
1.4× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$3,176.21 |
$15,881.06 |
1.0× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$3,981.61 |
$19,908.04 |
1.3× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$2,691 |
$13,455 |
1.5× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$3,286.43 |
$16,432.17 |
1.8× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$16,749.06 |
$83,745.29 |
9.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$5,215.27 |
$26,076.36 |
2.9× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$7,795.28 |
$38,976.40 |
1.4× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$5,170.39 |
$25,851.97 |
2.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,372.77 |
$11,863.83 |
0.9× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,731 |
$18,655.01 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$609.40 |
$3,047 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,833.12 |
$19,165.59 |
2.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,548.85 |
$12,744.27 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$6,358.43 |
$31,792.15 |
4.1× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$1,582.60 |
$7,913 |
0.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$3,576.55 |
$17,882.76 |
2.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$7,004.72 |
$35,023.60 |
2.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$6,809.10 |
$34,045.50 |
4.4× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,381.77 |
$16,908.85 |
1.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,667.86 |
$28,339.30 |
2.1× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$7,129.74 |
$35,648.69 |
2.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,294.70 |
$11,473.48 |
2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$422 |
$2,110 |
1.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$603.29 |
$3,016.45 |
0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,085.68 |
$5,428.38 |
0.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,702.63 |
$13,513.16 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,758.63 |
$13,793.14 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$3,105.60 |
$15,528 |
2.0× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,152.24 |
$10,761.20 |
1.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$3,357.56 |
$16,787.81 |
1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$965.60 |
$4,828 |
0.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,619.13 |
$18,095.66 |
1.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$966.40 |
$4,832 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,578.60 |
$7,893 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$576 |
$2,880 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,997.15 |
$19,985.74 |
1.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,097.08 |
$5,485.38 |
0.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$3,907.45 |
$19,537.25 |
1.4× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,150.64 |
$15,753.20 |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,310.13 |
$11,550.63 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,911.54 |
$19,557.69 |
1.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,679.18 |
$8,395.92 |
1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,970.43 |
$14,852.14 |
1.1× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,500.44 |
$17,502.18 |
1.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,624.93 |
$13,124.66 |
1.0× |
| Exc urethral diverticulum spx female (53230) |
$9,655.08 |
$48,275.38 |
1.9× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$13,244.71 |
$66,223.54 |
2.0× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$5,211.89 |
$26,059.44 |
0.8× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,680.57 |
$23,402.85 |
1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,476.49 |
$17,382.43 |
2.3× |
| Exc/fulguration urethral caruncle (53265) |
$9,784.12 |
$48,920.62 |
5.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$1,962 |
$9,810 |
0.6× |
| Exchange Intraocular Lens (66986) |
$9,684.27 |
$48,421.36 |
4.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,701.32 |
$13,506.59 |
1.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$657.80 |
$3,289 |
0.4× |
| Excis conjunc lesn+adj sclera (68130) |
$3,245.02 |
$16,225.12 |
1.5× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$7,098.08 |
$35,490.40 |
2.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$3,503.54 |
$17,517.69 |
1.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$3,761.45 |
$18,807.24 |
2.6× |
| Excis penile plaque (54110) |
$16,107.40 |
$80,537.02 |
4.9× |
| Excis urethral prolapse (53275) |
$4,129.62 |
$20,648.12 |
1.3× |
| Excise excessive skin arm (15836) |
$6,025.71 |
$30,128.56 |
2.2× |
| Excise intraspinal lesion (63267) |
$9,888.66 |
$49,443.32 |
1.5× |
| Excise mandible lesion (21040) |
$5,787.43 |
$28,937.17 |
1.9× |
| Excise oral mucosa for graft (40818) |
$6,824.32 |
$34,121.60 |
13.6× |
| Excise tendon forearm/wrist (25109) |
$2,680.15 |
$13,400.76 |
0.9× |
| Excise Wrist Tendon Sheath (25118) |
$4,152.65 |
$20,763.27 |
2.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$631.40 |
$3,157 |
1.0× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$2,350.71 |
$11,753.53 |
1.1× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$2,477.46 |
$12,387.30 |
1.1× |
| Excision Aural Polyp (69540) |
$742.80 |
$3,714 |
0.5× |
| Excision Bone Mandible (21025) |
$5,372.17 |
$26,860.83 |
1.0× |
| Excision Chalazion Multiple Same Lid (67801) |
$466.20 |
$2,331 |
0.5× |
| Excision Chalazion Single (67800) |
$322.60 |
$1,613 |
1.1× |
| Excision Distal Ulna Partial/Complete (25240) |
$3,928.29 |
$19,641.46 |
1.3× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$10,914.23 |
$54,571.14 |
4.0× |
| Excision External Ear Partial Simple Repair (69110) |
$5,935.05 |
$29,675.23 |
2.2× |
| Excision external ear; complete amputation Facility (69120) |
$4,718.63 |
$23,593.16 |
0.9× |
| Excision Facial Bone (21026) |
$3,175.21 |
$15,876.04 |
0.6× |
| Excision H/P/P/U Complex Repair (11471) |
$4,356.86 |
$21,784.30 |
1.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$5,038.18 |
$25,190.89 |
1.9× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$5,174.39 |
$25,871.94 |
1.9× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$4,181.33 |
$20,906.64 |
1.5× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,943.73 |
$14,718.67 |
1.1× |
| Excision Infected Graft Extremity (35903) |
$3,460 |
$17,300 |
1.2× |
| Excision inferior turbinate partial/complete (30130) |
$18,281.81 |
$91,409.05 |
5.9× |
| Excision Lacrimal Sac (68520) |
$3,348.61 |
$16,743.07 |
0.9× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$1,981.89 |
$9,909.46 |
0.9× |
| Excision lesion conjunctiva > 1 cm (68115) |
$5,339.32 |
$26,696.58 |
2.4× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,654.29 |
$8,271.44 |
1.8× |
| Excision lesion mouth roof (42104) |
$958 |
$4,790 |
0.3× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,317 |
$6,585 |
0.9× |
| Excision Lesion Tongue W/O Closure (41110) |
$3,765.51 |
$18,827.53 |
1.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$499.20 |
$2,496 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$728.80 |
$3,644 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$528.40 |
$2,642 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$525.97 |
$2,629.83 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$852.60 |
$4,263 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$7,830.06 |
$39,150.30 |
11.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,652.27 |
$8,261.34 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$6,677.95 |
$33,389.76 |
2.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$802.40 |
$4,012 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$347.40 |
$1,737 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$4,536.76 |
$22,683.79 |
6.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$8,297.46 |
$41,487.28 |
5.4× |
| Excision malignant tumor mandible (21044) |
$3,295.84 |
$16,479.21 |
0.6× |
| Excision Maxillary Torus Palatinus (21032) |
$3,143.43 |
$15,717.15 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,870.30 |
$9,351.49 |
0.7× |
| Excision of bartholin's gland or cyst (56740) |
$3,147.11 |
$15,735.54 |
1.0× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$4,792.99 |
$23,964.94 |
0.9× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$4,288.67 |
$21,443.33 |
0.8× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$4,178.74 |
$20,893.70 |
1.4× |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
$7,498.11 |
$37,490.54 |
2.3× |
| Excision of chalazion; multiple, different lids (67805) |
$139.80 |
$699 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,597.14 |
$12,985.68 |
1.7× |
| Excision of hydrocele; bilateral (55041) |
$4,554.47 |
$22,772.37 |
1.4× |
| Excision of lingual tonsil (42870) |
$10,024.76 |
$50,123.80 |
1.8× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$6,880.35 |
$34,401.77 |
3.8× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$13,006.43 |
$65,032.16 |
4.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$8,797.34 |
$43,986.70 |
1.6× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$19,094.63 |
$95,473.15 |
3.5× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$10,133.36 |
$50,666.80 |
1.8× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
$9,933.16 |
$49,665.78 |
1.1× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$9,657.85 |
$48,289.25 |
1.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,311.52 |
$16,557.61 |
1.2× |
| Excision of single external papilla or tag, anus (46220) |
$5,344.20 |
$26,720.99 |
4.8× |
| Excision of sublingual gland (42450) |
$3,398.88 |
$16,994.39 |
0.6× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$4,819.29 |
$24,096.47 |
1.6× |
| Excision of submandibular (submaxillary) gland (42440) |
$5,721.02 |
$28,605.08 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$5,314.26 |
$26,571.31 |
1.8× |
| Excision of vaginal septum (57130) |
$4,466.95 |
$22,334.73 |
1.5× |
| Excision olecranon bursa (24105) |
$2,341.78 |
$11,708.88 |
0.8× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$5,584 |
$27,919.99 |
1.8× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$18,792.21 |
$93,961.05 |
2.8× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$7,009.69 |
$35,048.46 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$7,319.61 |
$36,598.05 |
2.4× |
| Excision or fulguration; Skene's glands Facility (53270) |
$4,596.66 |
$22,983.31 |
1.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$5,395.97 |
$26,979.83 |
2.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,452.02 |
$17,260.12 |
1.3× |
| Excision Radial Head (24130) |
$18,041.22 |
$90,206.08 |
5.9× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$7,221.23 |
$36,106.14 |
1.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,659.66 |
$13,298.30 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$3,679.98 |
$18,399.88 |
1.9× |
| Excision synovial cyst popliteal space (27345) |
$5,592.82 |
$27,964.09 |
1.8× |
| Excision tendon finger flexor/extensor each (26180) |
$3,233.23 |
$16,166.13 |
2.2× |
| Excision tendon palm flexor/extensor single each (26170) |
$2,137.64 |
$10,688.18 |
1.4× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$6,802.58 |
$34,012.92 |
1.2× |
| Excision Torus Mandibularis (21031) |
$7,699.78 |
$38,498.91 |
2.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,631.36 |
$18,156.82 |
2.4× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$5,619.30 |
$28,096.50 |
2.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$5,040.16 |
$25,200.81 |
3.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,317.43 |
$11,587.15 |
1.5× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$570.40 |
$2,852 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$1,071.20 |
$5,356 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$11,071.10 |
$55,355.50 |
4.1× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$3,408.05 |
$17,040.25 |
2.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$2,965.77 |
$14,828.86 |
1.1× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$5,308.97 |
$26,544.87 |
1.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,249.59 |
$16,247.95 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,405.60 |
$7,028 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,105.75 |
$10,528.74 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,089.38 |
$15,446.89 |
1.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,378.74 |
$16,893.70 |
1.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$4,408.19 |
$22,040.93 |
2.9× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$4,773.11 |
$23,865.56 |
3.2× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$4,152.65 |
$20,763.27 |
1.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$8,646.20 |
$43,231 |
2.8× |
| Excision/destruction lesion pharynx any method (42808) |
$3,864.33 |
$19,321.67 |
1.2× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$9,324.15 |
$46,620.77 |
3.0× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$2,512.91 |
$12,564.57 |
1.1× |
| Excision; trochanteric bursa or calcification (27062) |
$2,210.80 |
$11,054 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,142.60 |
$5,713 |
0.6× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$11,653.33 |
$58,266.64 |
2.2× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$10,360.34 |
$51,801.72 |
3.5× |
| Explo/Drain Breast Abscess (19020) |
$5,577.60 |
$27,888.02 |
3.6× |
| Exploration of hip joint (27033) |
$15,772.56 |
$78,862.81 |
2.3× |
| Exploration of knee joint (27310) |
$3,151.80 |
$15,758.98 |
1.0× |
| Exploration of spinal fusion (22830) |
$41,923.89 |
$209,619.43 |
6.2× |
| Exploration penetrating wound spx extremity (20103) |
$4,086.98 |
$20,434.90 |
2.7× |
| Explore inner ear (69805) |
$8,097.34 |
$40,486.72 |
1.5× |
| Explore treat shoulder joint (23107) |
$4,973.06 |
$24,865.29 |
0.7× |
| Explore/Treat Elbow Joint (24101) |
$3,166.17 |
$15,830.84 |
1.0× |
| Explore/Treat Knee Joint (27331) |
$9,370.53 |
$46,852.63 |
3.1× |
| Extensive ear canal surgery (69150) |
$4,843.98 |
$24,219.89 |
0.9× |
| Extensive mastoid surgery (69511) |
$7,949.18 |
$39,745.89 |
1.4× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$5,152.76 |
$25,763.81 |
10.0× |
| External cephalic version (59412) |
$1,629.41 |
$8,147.03 |
0.5× |
| Extraction of lens (66940) |
$7,376.28 |
$36,881.42 |
3.4× |
| Extraction of lens (66920) |
$6,935.87 |
$34,679.33 |
3.2× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$10,227.92 |
$51,139.60 |
4.7× |
| Eye surgery procedure (67299) |
$7,379.04 |
$36,895.21 |
3.4× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$6,219.23 |
$31,096.14 |
3.2× |
| Fascia lata graft; by stripper Facility (20920) |
$9,756.02 |
$48,780.11 |
5.1× |
| Fasciectomy Palm Only (26121) |
$2,167.57 |
$10,837.84 |
0.7× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,085 |
$5,425 |
0.4× |
| Fasciotomy Iliotibial Open (27305) |
$4,761.02 |
$23,805.10 |
1.6× |
| Fasciotomy palmar open partial (26045) |
$1,603 |
$8,015 |
0.5× |
| Fasciotomy palmar percutaneous (26040) |
$770.20 |
$3,851 |
0.5× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$2,921.41 |
$14,607.03 |
1.0× |
| Fasciotomy, foot and/or toe (28008) |
$1,069.43 |
$5,347.17 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,857.27 |
$14,286.35 |
0.9× |
Fetal Fluid Drainage W/Ultrasound Guidance (59074) range across 2 matching MRF lines |
$156.20–$244 |
$781–$1,220 |
varies |
| Fetal non-stress test (59025) |
$499.20 |
$2,496 |
2.6× |
Fetal Shunt Placement W/Ultrasound Guidance (59076) range across 2 matching MRF lines |
$156.20–$229 |
$781–$1,145 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$985 |
$4,925 |
1.5× |
Fine Needle Aspiration Orbital Contents (67415) range across 3 matching MRF lines |
$856.60–$1,713.20 |
$4,283–$8,566 |
varies |
Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$185.80–$231.40 |
$929–$1,157 |
varies |
| Flap; neurovascular pedicle (15750) |
$1,377.80 |
$6,889 |
0.4× |
| Fluid Pressure Muscle (20950) |
$235.80 |
$1,179 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$250.80 |
$1,254 |
1.1× |
Fna Bx W/Fluor Gdn 1St Les (10007) range across 2 matching MRF lines |
$348.40–$531.80 |
$1,742–$2,659 |
varies |
| Fna bx w/us gdn 1st les (10005) |
$1,454.80 |
$7,274 |
2.2× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$1,692.61 |
$8,463.06 |
2.0× |
| Forehead flap w/vasc pedicle (15731) |
$6,370.94 |
$31,854.69 |
1.9× |
| Foreskin manipulation (54450) |
$152 |
$760 |
0.7× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$7,257.69 |
$36,288.44 |
2.3× |
| Frenulotomy of penis (54164) |
$661 |
$3,305 |
0.3× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$6,550 |
$32,750.01 |
3.4× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,651.47 |
$8,257.37 |
0.9× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$3,304.74 |
$16,523.71 |
1.5× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,931.79 |
$14,658.94 |
1.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$5,407.16 |
$27,035.82 |
2.8× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$5,862.59 |
$29,312.96 |
3.0× |
| Fuse hand bones with graft (25825) |
$4,132.28 |
$20,661.41 |
0.6× |
| Fusion Finger Joint (26860) |
$4,157.66 |
$20,788.29 |
1.4× |
| Fusion of foot bones (28740) |
$15,307.23 |
$76,536.13 |
2.3× |
| Fusion of hand bones (25820) |
$7,165.27 |
$35,826.33 |
1.1× |
| Fusion of hand joint (26843) |
$3,792.82 |
$18,964.10 |
0.6× |
| Fusion of knuckle joint (26516) |
$5,724.54 |
$28,622.70 |
1.9× |
| Fusion of knuckle joints (26518) |
$14,744.73 |
$73,723.65 |
2.2× |
| Fusion of knuckle with graft (26852) |
$5,000.41 |
$25,002.03 |
0.7× |
| Fusion of spermatic ducts (54900) |
$10,020.05 |
$50,100.25 |
5.1× |
| Fusion of tibiofibular joint (27871) |
$18,272.43 |
$91,362.16 |
1.5× |
| Gastrocnemius recession (27687) |
$10,675.71 |
$53,378.53 |
3.5× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$11,524.85 |
$57,624.26 |
3.2× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$2,718.69 |
$13,593.45 |
1.5× |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
$18,067.35 |
$90,336.76 |
5.8× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$19,119.53 |
$95,597.66 |
3.5× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) |
$47,696.70 |
$238,483.49 |
15.4× |
| Goniotomy (65820) |
$5,023.31 |
$25,116.53 |
1.3× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$6,026.97 |
$30,134.85 |
1.1× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$5,982.03 |
$29,910.13 |
1.1× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$5,836.33 |
$29,181.66 |
1.8× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$4,021.72 |
$20,108.59 |
0.7× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$5,548.90 |
$27,744.50 |
2.9× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$8,702.10 |
$43,510.51 |
2.6× |
| Grafting of autologous soft tiss by direct exc (15769) |
$7,183.99 |
$35,919.93 |
2.2× |
| Guide Cathet Fluid Drainage (10030) |
$394 |
$1,970 |
0.6× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$13,822.34 |
$69,111.70 |
2.0× |
| Head Surgery Procedure (21499) |
$4,387.86 |
$21,939.32 |
19.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,437.38 |
$12,186.88 |
0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,460.93 |
$17,304.63 |
1.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,964.57 |
$9,822.86 |
2.3× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$3,675.67 |
$18,378.36 |
1.4× |
| Hip arthro w/labral repair (29916) |
$17,388.57 |
$86,942.84 |
2.6× |
| Hymenotomy Simple Incision (56442) |
$1,366.17 |
$6,830.87 |
0.5× |
| Hysteroscopy Biopsy (58558) |
$5,235.65 |
$26,178.26 |
1.7× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$5,644.81 |
$28,224.06 |
1.2× |
| Hysteroscopy Dx Sep Proc (58555) |
$4,742.69 |
$23,713.46 |
1.6× |
| Hysteroscopy Endometrial Ablation (58563) |
$8,139.38 |
$40,696.90 |
1.7× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$4,996.40 |
$24,981.98 |
1.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,492.90 |
$12,464.52 |
0.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,563.62 |
$27,818.12 |
1.2× |
I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$111.20–$174.80 |
$556–$874 |
varies |
| I&d abscess simple (10060) |
$181.40 |
$907 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,672.64 |
$23,363.22 |
1.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$22,918.25 |
$114,591.26 |
8.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,431.88 |
$27,159.38 |
1.8× |
| I&d perianal abscess superficial (46050) |
$1,687.16 |
$8,435.79 |
1.9× |
| I&d pilonidal cyst complicated (10081) |
$422.80 |
$2,114 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$3,090.10 |
$15,450.48 |
4.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$5,920.68 |
$29,603.42 |
2.2× |
| Icd Pocket Revision (33223) |
$1,004.80 |
$5,024 |
0.5× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,902.16 |
$9,510.79 |
2.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,408.73 |
$7,043.67 |
1.7× |
| Image Cath Fluid Colxn Visc (49405) |
$898 |
$4,490 |
0.6× |
Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$899.40–$947 |
$4,497–$4,735 |
varies |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,038.60 |
$5,193 |
0.7× |
| Immediate breast prosthesis (19340) |
$26,896.23 |
$134,481.16 |
3.5× |
| Implant cochlear device (69930) |
$34,662.98 |
$173,314.90 |
1.1× |
| Implant eye drug system (67027) |
$45,245.74 |
$226,228.72 |
3.5× |
| Implant neuroelectrodes (63650) |
$9,308.21 |
$46,541.05 |
1.6× |
| Implant Neuroelectrodes (64561) |
$8,807.63 |
$44,038.17 |
1.5× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$15,722.74 |
$78,613.71 |
0.9× |
| Implant Spine Infusion Pump (62362) |
$15,271.05 |
$76,355.23 |
0.9× |
| Implantation iris prosthesis (66683) |
$21,028.55 |
$105,142.73 |
1.4× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$17,936.99 |
$89,684.93 |
1.5× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) |
$19,018.11 |
$95,090.53 |
1.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$19,265.55 |
$96,327.77 |
2.4× |
| Impression & Preparation Auricular Prosthesis (21086) |
$20,041.54 |
$100,207.71 |
6.5× |
| Impression & Preparation Oral Surgical Splint (21085) |
$18,618.52 |
$93,092.60 |
84.2× |
Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$124–$130.60 |
$620–$653 |
varies |
| Incise finger tendon sheath (26055) |
$1,562.98 |
$7,814.88 |
1.0× |
| Incise tendon(s) & muscle(s) (23406) |
$3,539.20 |
$17,696 |
0.5× |
| Incise Wrist/Forearm Tendon (25290) |
$3,186.04 |
$15,930.20 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,771.16 |
$13,855.82 |
7.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,871.03 |
$19,355.16 |
2.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,966.13 |
$9,830.63 |
5.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$94.23 |
$471.16 |
0.5× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$5,944.87 |
$29,724.35 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$219.40 |
$1,097 |
0.8× |
| Incision bone cortex foot (28005) |
$3,584.14 |
$17,920.70 |
1.2× |
| Incision Drainage Lacrimal Sac (68420) |
$2,852.64 |
$14,263.19 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,667.96 |
$8,339.78 |
1.1× |
| Incision of eardrum (69420) |
$207.20 |
$1,036 |
0.9× |
| Incision of Foot Tendon (28234) |
$3,392.96 |
$16,964.82 |
2.3× |
| Incision of hip tendon (27001) |
$2,522.81 |
$12,614.06 |
0.8× |
| Incision of labial frenum (frenotomy) (40806) |
$245 |
$1,225 |
0.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$524.80 |
$2,624 |
0.4× |
| Incision of lymph channels (38308) |
$7,264.60 |
$36,322.99 |
2.0× |
| Incision of rectal abscess (46040) |
$2,313.06 |
$11,565.32 |
2.1× |
| Incision of tibia & fibula (27709) |
$42,860.43 |
$214,302.15 |
3.6× |
| Incision of urethra (53010) |
$5,738.05 |
$28,690.23 |
1.1× |
| Incision of urethra (53020) |
$2,722.46 |
$13,612.28 |
1.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$652.60 |
$3,263 |
2.2× |
| Incisional biopsy skin single lesion (11106) |
$1,294.06 |
$6,470.30 |
1.9× |
| Induced abortion dilation and curettage (59840) |
$4,444.78 |
$22,223.89 |
1.5× |
| Induced abortion, by dilation and evacuation (59841) |
$5,098.44 |
$25,492.22 |
1.7× |
Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$41.40–$74.40 |
$207–$372 |
varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,483.20 |
$7,416.02 |
1.8× |
| Inj W/Fluor Eval Cv Device (36598) |
$158.60 |
$793 |
0.8× |
Inject Intravitreal Pharmcologic (67028) range across 2 matching MRF lines |
$156.20–$178 |
$781–$890 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$217.85 |
$1,089.23 |
0.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$457 |
$2,285 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$571.72 |
$2,858.59 |
0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$742.58 |
$3,712.92 |
0.9× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$295.20 |
$1,476 |
0.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$483.27 |
$2,416.34 |
0.7× |
Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$145.40–$175.20 |
$727–$876 |
varies |
| Injection Anes Superior Hypogastric Plexus (64517) |
$630.84 |
$3,154.18 |
0.8× |
| Injection anesthetic agent suprascapular nerve (64418) |
$369.32 |
$1,846.58 |
0.6× |
| Injection enzyme palmar fascial cord (20527) |
$108 |
$540 |
0.4× |
| Injection for identification of sentinel node (38792) |
$9,800.53 |
$49,002.65 |
26.3× |
| Injection Into Brain Canal (61055) |
$302.60 |
$1,513 |
1.1× |
| Injection medication/other subst tenon capsule (67515) |
$213.18 |
$1,065.89 |
0.7× |
| Injection procedure for peyronie disease (54200) |
$115 |
$575 |
0.5× |
| Injection single tendon origin/insertion (20551) |
$184.89 |
$924.46 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$149.57 |
$747.87 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$128.86 |
$644.30 |
0.4× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$707.20 |
$3,536 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$223.76 |
$1,118.82 |
0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$298.97 |
$1,494.87 |
0.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$333.05 |
$1,665.23 |
0.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$526.93 |
$2,634.66 |
0.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$101.60 |
$508 |
0.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$89.40 |
$447 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$137.44 |
$687.19 |
0.7× |
| Injx anterior chamber eye air/liquid spx (66020) |
$766.80 |
$3,834 |
0.4× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$3,136.20 |
$15,681 |
1.5× |
| Inner ear surgery proc unlisted (69949) |
$3,824.42 |
$19,122.08 |
17.3× |
| Ins cath ren art 1st bilat (36252) |
$2,127.60 |
$10,638 |
0.7× |
| Ins cath ren art 1st unilat (36251) |
$1,646.40 |
$8,232 |
0.6× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,244 |
$16,220 |
1.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$2,620.60 |
$13,103 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$2,913.40 |
$14,567 |
0.6× |
| Ins Vag Brachytx Device (57156) |
$226.20 |
$1,131 |
0.8× |
Ins/Rep Subq Defibrillator (33270) likely a partial charge, not the full procedure |
$1,773.80 |
$8,869 |
0.1× |
Insert 1 Electrode Pm-Defib (33216) likely a partial charge, not the full procedure |
$1,017.40 |
$5,087 |
0.1× |
| Insert and remove bone pin (20650) |
$3,166.54 |
$15,832.69 |
1.0× |
Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$71.20–$99.40 |
$356–$497 |
varies |
| Insert cath pleura w/ image (32557) |
$6,739.96 |
$33,699.78 |
4.6× |
| Insert cath pleura w/o image (32556) |
$527.60 |
$2,638 |
0.3× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$780.60 |
$3,903 |
0.7× |
| Insert cervical dilator (59200) |
$156.20 |
$781 |
0.5× |
| Insert Drug Implant Device (11981) |
$648.06 |
$3,240.30 |
5.2× |
| Insert eye socket implant (67550) |
$4,087.13 |
$20,435.65 |
1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$4,085.16 |
$20,425.82 |
2.3× |
Insert Heart Pm Atrial (33206) likely a partial charge, not the full procedure |
$2,448.80 |
$12,244 |
0.3× |
Insert Heart Pm Ventricular (33207) likely a partial charge, not the full procedure |
$2,622.80 |
$13,114 |
0.3× |
Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$3,500.20 |
$17,501 |
0.2× |
| Insert multi-comp penis pros (54405) |
$20,347.81 |
$101,739.07 |
1.1× |
| Insert Nasal Septal Button (30220) |
$493.20 |
$2,466 |
0.3× |
Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$713–$1,150.40 |
$3,565–$5,752 |
varies |
| Insert Pacing Lead & Connect (33224) |
$38,341.19 |
$191,705.96 |
3.9× |
| Insert pessary/other device (57160) |
$202 |
$1,010 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$442.80 |
$2,214 |
0.3× |
Insert pulse gen dual leads (33213) likely a partial charge, not the full procedure |
$898.40 |
$4,492 |
0.1× |
Insert pulse gen mult leads (33221) likely a partial charge, not the full procedure |
$948 |
$4,740 |
0.1× |
| Insert self-contd prosthesis (54401) |
$11,804.14 |
$59,020.72 |
0.6× |
| Insert semi-rigid prosthesis (54400) |
$16,107.40 |
$80,537.02 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$76.20 |
$381 |
0.6× |
| Insert testicular prosthesis (54660) |
$8,563.31 |
$42,816.53 |
1.7× |
| Insert tissue expander(s) (11960) |
$11,279.77 |
$56,398.84 |
3.4× |
| Insert tun ip cath perc (49418) |
$2,188 |
$10,940 |
0.7× |
| Insert tunneled cv cath (36561) |
$2,371.26 |
$11,856.32 |
0.8× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) likely a partial charge, not the full procedure |
$609.40 |
$3,047 |
0.1× |
| Insert Uro/Ves Nck Sphincter (53445) |
$22,321.26 |
$111,606.29 |
1.2× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$46–$66.60 |
$230–$333 |
varies |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,478.43 |
$17,392.16 |
1.0× |
Insertion of cannula (36800) likely a partial charge, not the full procedure |
$384 |
$1,920 |
0.1× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
$9,125.05 |
$45,625.23 |
1.1× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$9,629.48 |
$48,147.42 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,114.40 |
$5,572 |
0.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$4,689.88 |
$23,449.42 |
0.6× |
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) likely a partial charge, not the full procedure |
$599.60 |
$2,998 |
0.1× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$6,921.14 |
$34,605.69 |
1.5× |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$6,485.46 |
$32,427.31 |
2.1× |
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) likely a partial charge, not the full procedure |
$1,071.20 |
$5,356 |
0.1× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$9,263.20 |
$46,315.99 |
4.3× |
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$364–$891.60 |
$1,820–$4,458 |
varies |
| Insj Picc Rs&I <5 Yr (36572) |
$788.80 |
$3,944 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,971.65 |
$14,858.27 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
$967.80–$1,263.20 |
$4,839–$6,316 |
varies |
Insj Subq Impltbl Dfb Elctrd (33271) likely a partial charge, not the full procedure |
$2,066.40 |
$10,332 |
0.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$2,721.60 |
$13,608 |
0.5× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$656.60 |
$3,283 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,813.35 |
$19,066.73 |
1.3× |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) |
$29,830.51 |
$149,152.56 |
1.0× |
Insj/Rplcmt Defib W/Lead(S) (33249) likely a partial charge, not the full procedure |
$1,570.20 |
$7,851 |
0.1× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$25,221.06 |
$126,105.32 |
0.9× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$2,932 |
$14,660 |
0.4× |
Insrt heart pm atrial & vent (33208) unusually low: confirm this is the full procedure |
$3,664.40 |
$18,322 |
0.4× |
Insrt Pulse Gen W/Mult Leads (33231) likely a partial charge, not the full procedure |
$360.40 |
$1,802 |
0.0× |
Insrt Pulse Gen W/Singl Lead (33240) likely a partial charge, not the full procedure |
$360.40 |
$1,802 |
0.0× |
| Insrt/Redo Neurostim 1 Array (61885) |
$31,975.78 |
$159,878.89 |
1.1× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$117 |
$585 |
0.5× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,459.92 |
$22,299.60 |
1.7× |
| Interdental fixation (21110) |
$5,814.79 |
$29,073.94 |
4.0× |
| Interdental Wiring Other Than Fracture (21497) |
$35,777.59 |
$178,887.97 |
24.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$766.40 |
$3,832 |
0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$238.40 |
$1,192 |
0.6× |
| Intranasal Biopsy (30100) |
$4,105.94 |
$20,529.69 |
2.8× |
| Intraoral i&d tongue/floor lingual (41000) |
$296.80 |
$1,484 |
0.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,514.40 |
$7,572 |
0.5× |
| Intro cath dialysis circuit (36901) |
$803.60 |
$4,018 |
0.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$5,979.60 |
$29,898 |
0.6× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$4,026.60 |
$20,133 |
0.8× |
| Intro Gastrointestinal Tube (44500) |
$391.60 |
$1,958 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$341 |
$1,705 |
1.5× |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
$2,541.33 |
$12,706.67 |
1.2× |
| Iridotomy/irridectomy laser surg per session (66761) |
$1,940.40 |
$9,702.01 |
3.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$144 |
$720 |
0.6× |
| Island pedicle flap graft (15740) |
$8,984.18 |
$44,920.92 |
4.7× |
| IV injection test vascular flow flap/graft (15860) |
$26,896.23 |
$134,481.16 |
64.5× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$7,901.15 |
$39,505.74 |
2.0× |
| Keratoplasty Penetrating Pseudophakia (65755) |
$9,537.91 |
$47,689.53 |
2.5× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$9,577.10 |
$47,885.50 |
2.5× |
| Kidney endoscopy (50553) |
$6,832.29 |
$34,161.43 |
1.4× |
| Kidney endoscopy (50551) |
$5,407.72 |
$27,038.59 |
1.1× |
| Knee arthroscopy/drainage (29871) |
$3,432.99 |
$17,164.97 |
1.1× |
| Knee Arthroscopy/Surgery (29874) |
$6,502.28 |
$32,511.39 |
2.1× |
| Labyrinthectomy; with mastoidectomy Facility (69910) |
$10,928.46 |
$54,642.29 |
2.0× |
| Labyrinthotomy Transcanal (69801) |
$492.20 |
$2,461 |
0.3× |
| Lam facetec & foramot lumbar (63047) |
$11,904.57 |
$59,522.84 |
1.8× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$40,447.69 |
$202,238.47 |
6.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$8,591.65 |
$42,958.24 |
1.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$17,362.31 |
$86,811.55 |
2.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$7,212.73 |
$36,063.67 |
1.1× |
| Laminotomy Single Lumbar (63042) |
$9,188.31 |
$45,941.56 |
1.4× |
| Lap insert tunnel ip cath (49324) |
$3,117.34 |
$15,586.70 |
0.6× |
| Lap paraesoph her rpr w/mesh (43282) |
$10,712.01 |
$53,560.03 |
1.1× |
| Lap paraesophag hern repair (43281) |
$13,674.75 |
$68,373.75 |
1.4× |
| Laparo ablate renal cyst (50541) |
$21,944.02 |
$109,720.08 |
2.2× |
| Laparo new ureter/bladder (50947) |
$16,924.46 |
$84,622.29 |
1.7× |
| Laparo-vag hyst incl t/o (58552) |
$9,887.64 |
$49,438.19 |
1.0× |
| Laparoscope proc ureter (50949) |
$12,377.73 |
$61,888.63 |
2.2× |
| Laparoscopy aspiration (49322) |
$8,459.85 |
$42,299.26 |
1.5× |
| Laparoscopy fimbrioplasty (58672) |
$10,071.86 |
$50,359.32 |
1.8× |
| Laparoscopy gastrostomy (43653) |
$4,907.83 |
$24,539.14 |
0.9× |
| Laparoscopy salpingostomy (58673) |
$12,342.34 |
$61,711.68 |
1.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$7,705.04 |
$38,525.20 |
1.4× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$13,570.78 |
$67,853.88 |
1.4× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,229.60 |
$61,147.99 |
1.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,951.19 |
$39,755.95 |
1.4× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$18,334.71 |
$91,673.56 |
1.8× |
| Laparoscopy, surgical, appendectomy (44970) |
$9,608.25 |
$48,041.25 |
1.7× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$19,316.98 |
$96,584.91 |
1.9× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$11,380.28 |
$56,901.40 |
1.1× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$13,318.44 |
$66,592.22 |
1.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,464.13 |
$62,320.64 |
1.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,254.85 |
$31,274.23 |
1.1× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$9,660.31 |
$48,301.57 |
1.7× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$16,775.91 |
$83,879.57 |
1.7× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$16,716.81 |
$83,584.04 |
1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$9,361.28 |
$46,806.40 |
1.7× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$14,519.80 |
$72,598.99 |
1.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$16,194.45 |
$80,972.27 |
1.6× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$4,888.83 |
$24,444.17 |
0.9× |
| Laparoscopy, Tubal Block (58671) |
$6,021.12 |
$30,105.58 |
1.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,138.19 |
$25,690.93 |
0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$10,072.78 |
$50,363.91 |
1.8× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$5,418.95 |
$27,094.74 |
1.5× |
| Laps pelvic lymphadec (38573) |
$25,660.57 |
$128,302.83 |
2.6× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$23,895.51 |
$119,477.57 |
2.4× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$26,142.70 |
$130,713.52 |
2.6× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$13,792.86 |
$68,964.31 |
2.4× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$5,268.15 |
$26,340.74 |
0.9× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$11,960.39 |
$59,801.94 |
1.2× |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
$9,994.28 |
$49,971.41 |
1.5× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$1,115.20 |
$5,576 |
0.3× |
| Laryngoplasty Medialization Unliateral (31591) |
$7,366.63 |
$36,833.15 |
1.3× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
$8,021.10 |
$40,105.49 |
1.5× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$1,108.80 |
$5,544 |
0.3× |
| Laryngoscopy and dilation (31528) |
$5,514 |
$27,570 |
1.6× |
Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$86.60–$103 |
$433–$515 |
varies |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$5,857.53 |
$29,287.66 |
1.7× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
$5,922.25 |
$29,611.23 |
1.7× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$3,653.78 |
$18,268.89 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$170.10 |
$850.50 |
0.9× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$863.14 |
$4,315.69 |
0.5× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$538.20 |
$2,691 |
0.3× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$815.43 |
$4,077.16 |
0.5× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$252.80 |
$1,264 |
0.7× |
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$163.80–$202 |
$819–$1,010 |
varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$123.80 |
$619 |
0.7× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$202 |
$1,010 |
0.6× |
| Laryngoscopy W/Biopsy (31535) |
$3,753.43 |
$18,767.17 |
1.1× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$4,845.18 |
$24,225.88 |
1.4× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$419.80 |
$2,099 |
1.1× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$8,090.52 |
$40,452.58 |
2.6× |
| Larynscop w/tumr exc + scope (31541) |
$6,200.72 |
$31,003.60 |
1.8× |
| Laser Surgery Anal Lesions (46917) |
$2,527.90 |
$12,639.51 |
1.0× |
| Laser Surgery of Cervix (57513) |
$2,841.95 |
$14,209.75 |
0.9× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$1,830.80 |
$9,154.01 |
3.6× |
| Laser treatment of retina (67040) |
$5,342.10 |
$26,710.49 |
1.4× |
| Laser vaporization of prostate (52648) |
$8,759.21 |
$43,796.04 |
1.7× |
| Late closure of wound (13160) |
$4,683.12 |
$23,415.61 |
1.4× |
| Lateral Canthopexy (21282) |
$9,909.85 |
$49,549.24 |
3.2× |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
$6,433.79 |
$32,168.95 |
1.2× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$18,886.27 |
$94,431.36 |
2.8× |
| Ligation Major Artery Abdomen (37617) |
$9,400.26 |
$47,001.31 |
1.8× |
| Ligation of a-v fistula (37607) |
$3,808.46 |
$19,042.29 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$3,098.33 |
$15,491.65 |
2.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$1,625.60 |
$8,128 |
0.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$6,488.78 |
$32,443.91 |
2.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,920.74 |
$29,603.72 |
1.8× |
| Low Back Disk Surgery (63030) |
$8,958.92 |
$44,794.59 |
1.3× |
| Lsh uterus 250 g or less (58541) |
$6,797.83 |
$33,989.13 |
0.7× |
| Lsh w/t/o uterus above 250 g (58544) |
$9,506.39 |
$47,531.95 |
1.0× |
| Lumbar spine fusion combined (22633) |
$29,425.98 |
$147,129.88 |
1.2× |
| Lyse chest fibrin init day (32561) |
$227 |
$1,135 |
0.4× |
| Lysis of labial adhesions (56441) |
$2,820.34 |
$14,101.72 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,932.46 |
$9,662.32 |
1.0× |
| Malar Augmentation Prosthetic Material (21270) |
$24,330.42 |
$121,652.10 |
4.4× |
| Male sling procedure (53440) |
$11,030.19 |
$55,150.96 |
0.9× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$110.60 |
$553 |
0.5× |
| Manipulation Ankle Under General Anesthesia (27860) |
$4,183.92 |
$20,919.62 |
1.4× |
| Manipulation Elbow Under Anesthesia (24300) |
$3,280.17 |
$16,400.83 |
2.2× |
| Manipulation hip joint general anesthesia (27275) |
$7,301.04 |
$36,505.20 |
4.9× |
| Manipulation knee joint under general anesthesia (27570) |
$1,640.84 |
$8,204.20 |
1.1× |
| Manipulation wrist under anesthesia (25259) |
$2,320.23 |
$11,601.13 |
1.5× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$6,346.93 |
$31,734.67 |
4.2× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,902.69 |
$9,513.44 |
1.3× |
Manometric stds thru tube/ndwellg urtrl cath (50396) range across 3 matching MRF lines |
$223.80–$447.60 |
$1,119–$2,238 |
varies |
| Marsupialization of bartholin's gland cyst (56440) |
$2,572.15 |
$12,860.74 |
0.9× |
| Mast mod rad (19307) |
$13,431.38 |
$67,156.88 |
2.2× |
| Mastectomy for gynecomastia (19300) |
$3,906.11 |
$19,530.53 |
1.1× |
| Mastectomy partial (19301) |
$7,096.40 |
$35,482.02 |
1.9× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$14,774.92 |
$73,874.60 |
2.4× |
| Mastectomy simple complete (19303) |
$14,085.85 |
$70,429.27 |
2.3× |
| Mastoid obliteration separate procedure (69670) |
$11,692.53 |
$58,462.64 |
2.1× |
| Mastoidectomy (69501) |
$7,605.39 |
$38,026.94 |
1.4× |
| Mastoidectomy; complete (69502) |
$4,963.52 |
$24,817.61 |
0.9× |
| Mastopexy (19316) |
$10,704.17 |
$53,520.85 |
1.7× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$584.60 |
$2,923 |
0.4× |
| Mech remov tunneled cv cath (36595) |
$653.40 |
$3,267 |
0.2× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$14,373.58 |
$71,867.90 |
2.5× |
| Mediastinoscpy w/lmph nod bx (39402) |
$8,540.91 |
$42,704.53 |
1.5× |
| Metatarsectomy (28140) |
$8,898.50 |
$44,492.52 |
2.9× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$3,113 |
$15,564.99 |
1.0× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$3,112.59 |
$15,562.93 |
0.9× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$311 |
$1,555 |
0.5× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$311 |
$1,555 |
0.5× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) |
$14,472.67 |
$72,363.35 |
1.4× |
| Multifetal Pregnancy Reduction (59866) |
$229 |
$1,145 |
0.8× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$1,131.20 |
$5,656 |
0.5× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$13,343.69 |
$66,718.46 |
6.9× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$7,195.68 |
$35,978.38 |
2.2× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$18,282.69 |
$91,413.46 |
2.7× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$10,376.21 |
$51,881.04 |
3.1× |
| Muscle-skin graft trunk (15734) |
$13,490.99 |
$67,454.95 |
4.1× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$18,958.11 |
$94,790.56 |
2.8× |
| Myelography Lumbar Injection (62305) |
$940.80 |
$4,704 |
1.3× |
| Myelography Lumbar Injection (62304) |
$763.20 |
$3,816 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$680.40 |
$3,402 |
0.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$577 |
$2,885 |
0.8× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$4,512 |
$22,560 |
1.5× |
| N Block Inj Celiac Pelus (64530) |
$663.28 |
$3,316.40 |
0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$315.55 |
$1,577.76 |
0.5× |
| N block inj intercost sng (64420) |
$742.58 |
$3,712.92 |
1.1× |
N Block Inj Paracervical (64435) range across 2 matching MRF lines |
$260.60–$344.80 |
$1,303–$1,724 |
varies |
| N Block Inj Plantar Digit (64455) |
$475.32 |
$2,376.59 |
1.7× |
| N Block Inj Pudendal (64430) |
$422.49 |
$2,112.47 |
0.5× |
| N Block Lumbar/Thoracic (64520) |
$626.78 |
$3,133.88 |
0.8× |
| Nasal Endoscopy Dx (31231) |
$115.60 |
$578 |
0.6× |
| Nasal surgery procedure (30999) |
$1,094.60 |
$5,473 |
5.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$358.20 |
$1,791 |
0.9× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$11,781 |
$58,905 |
3.4× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$12,825.61 |
$64,128.06 |
1.9× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$3,074.80 |
$15,374 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$861.30 |
$4,306.50 |
0.5× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$8,498.93 |
$42,494.66 |
5.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$590.60 |
$2,953 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$7,961.64 |
$39,808.20 |
2.3× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) likely a partial charge, not the full procedure |
$96.60 |
$483 |
0.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$12,359.95 |
$61,799.77 |
1.9× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$15,877.35 |
$79,386.76 |
2.4× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$17,232.60 |
$86,162.98 |
2.6× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) |
$8,578.63 |
$42,893.17 |
5.2× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$11,781 |
$58,905 |
1.8× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$16,292.96 |
$81,464.78 |
2.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$13,865.29 |
$69,326.43 |
2.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$106.20 |
$531 |
0.5× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,669.52 |
$8,347.62 |
1.9× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$294 |
$1,470 |
0.3× |
| Neck spine fusion (22600) |
$49,651.35 |
$248,256.75 |
3.0× |
| Needle Biopsy Lymph Nodes (38505) |
$3,231.50 |
$16,157.50 |
2.1× |
| Needle Biopsy Pancreas (48102) |
$781.40 |
$3,907 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40 |
$40 |
1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$80 |
$80 |
3.0× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
$14,800.82 |
$74,004.10 |
1.8× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$19,952.63 |
$99,763.13 |
2.4× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$9,895.76 |
$49,478.80 |
1.2× |
| Nerve Pedicle Transfer First Stage (64905) |
$7,419.74 |
$37,098.72 |
0.9× |
| Nerve repair w/conduit each nerve (64910) |
$25,595.17 |
$127,975.84 |
3.1× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$9,011.56 |
$45,057.82 |
1.1× |
| Neuroeltrd Stim Post Tibial (64566) |
$97 |
$485 |
0.3× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$28,410 |
$142,050.01 |
15.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$3,177.35 |
$15,886.74 |
1.7× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$5,124.17 |
$25,620.86 |
2.8× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$5,522.12 |
$27,610.58 |
3.0× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$7,042.88 |
$35,214.42 |
3.9× |
| Nipple/areola reconstruction (19350) |
$5,529.15 |
$27,645.74 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$366.12 |
$1,830.60 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$381.03 |
$1,905.16 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$642.40 |
$3,212 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,878 |
$9,390 |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,485.14 |
$7,425.68 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$644.46 |
$3,222.29 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$521.20 |
$2,606 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$655.95 |
$3,279.73 |
1.0× |
Njx Noncmpnd Sclrsnt 1 Vein (36465) range across 2 matching MRF lines |
$753.80–$1,319.80 |
$3,769–$6,599 |
varies |
Njx Noncmpnd Sclrsnt Mlt Vn (36466) range across 2 matching MRF lines |
$688.40–$1,077.60 |
$3,442–$5,388 |
varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$2,190.22 |
$10,951.10 |
3.4× |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$538.40–$1,076.80 |
$2,692–$5,384 |
varies |
Njx Sclrsnt 1 Incmptnt Vein (36470) range across 2 matching MRF lines |
$193.40–$256.60 |
$967–$1,283 |
varies |
Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 3 matching MRF lines |
$188–$294.80 |
$940–$1,474 |
varies |
Njx Sclrsnt Spider Veins (36468) range across 3 matching MRF lines |
$115.40–$300.80 |
$577–$1,504 |
varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$14,283.49 |
$71,417.45 |
2.2× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$15,033.90 |
$75,169.52 |
2.3× |
| Obstructive material removal from gi tube (49460) |
$566.60 |
$2,833 |
0.7× |
| Occipital Nerve Block (64405) |
$338.25 |
$1,691.24 |
1.2× |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
$2,746.93 |
$13,734.67 |
0.7× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$9,040.08 |
$45,200.40 |
2.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$7,323.21 |
$36,616.04 |
2.0× |
| Open bowel to skin (44300) |
$6,454.51 |
$32,272.55 |
3.6× |
| Open Implantation Nea Sacral Nerve (64581) |
$23,852.39 |
$119,261.93 |
4.0× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$28,826.96 |
$144,134.81 |
0.7× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$28,779.29 |
$143,896.43 |
1.0× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$10,360.34 |
$51,801.72 |
1.5× |
| Open Repair of Rotator Cuff Acute (23410) |
$9,298.12 |
$46,490.61 |
1.4× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$27,334.54 |
$136,672.71 |
2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,409.09 |
$42,045.47 |
1.2× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$18,898.22 |
$94,491.08 |
1.6× |
| Open treatment fracture distal tibia only (27827) |
$12,452.29 |
$62,261.47 |
1.0× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$13,470.50 |
$67,352.52 |
2.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$13,238.75 |
$66,193.75 |
1.1× |
| Open Treatment Lunate Dislocation (25695) |
$5,512.56 |
$27,562.82 |
0.8× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,016.27 |
$25,081.34 |
0.7× |
| Open treatment metacarpophalangeal dislocation (26715) |
$5,001.14 |
$25,005.69 |
1.6× |
| Open treatment metatarsal fracture each (28485) |
$7,873.12 |
$39,365.59 |
1.2× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
$7,727.82 |
$38,639.12 |
1.1× |
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) unusually low: confirm this is the full procedure |
$2,637.77 |
$13,188.84 |
0.4× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$8,712.90 |
$43,564.52 |
1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$10,436.58 |
$52,182.88 |
1.5× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$12,602.86 |
$63,014.28 |
2.3× |
| Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) |
$11,878.70 |
$59,393.50 |
2.1× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$35,777.59 |
$178,887.97 |
6.5× |
| Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435) |
$4,280.28 |
$21,401.38 |
0.8× |
| Open treatment of depressed frontal sinus fracture Facility (21343) |
$8,567.03 |
$42,835.17 |
1.6× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$3,331.34 |
$16,656.69 |
0.6× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$4,252.32 |
$21,261.62 |
0.6× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$34,909.50 |
$174,547.50 |
6.3× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$14,785.99 |
$73,929.94 |
1.2× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$15,630.51 |
$78,152.53 |
2.8× |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) |
$13,561.78 |
$67,808.91 |
2.5× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$6,466.22 |
$32,331.11 |
1.2× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$12,602.86 |
$63,014.28 |
2.3× |
| Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) |
$12,920.70 |
$64,603.48 |
2.3× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$10,488.10 |
$52,440.51 |
1.9× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$10,646.79 |
$53,233.93 |
1.6× |
| Open treatment of sternum fracture with or without skeletal fixation Facility (21825) |
$5,985.53 |
$29,927.66 |
0.9× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$19,091.19 |
$95,455.93 |
2.8× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$8,401.76 |
$42,008.80 |
1.2× |
| Open treatment of ulnar styloid fracture (25652) |
$9,663.85 |
$48,319.24 |
1.4× |
| Open treatment posterior malleolus fracture (27769) |
$14,731.20 |
$73,655.99 |
2.2× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$11,865.75 |
$59,328.76 |
1.8× |
| Open Treatment Proximal Humeral Fracture (23615) |
$14,239.58 |
$71,197.92 |
1.2× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,876.05 |
$39,380.23 |
1.2× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$19,195.05 |
$95,975.23 |
2.8× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$11,944.56 |
$59,722.78 |
1.8× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$6,089.09 |
$30,445.44 |
2.0× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$5,340.18 |
$26,700.92 |
1.7× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,934.02 |
$39,670.09 |
1.2× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$4,555.72 |
$22,778.60 |
1.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$8,557.66 |
$42,788.31 |
1.3× |
Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$1,107.80–$1,580.20 |
$5,539–$7,901 |
varies |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$11,570 |
$57,849.98 |
1.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$9,671.61 |
$48,358.07 |
1.4× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$11,305.55 |
$56,527.77 |
0.9× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$13,569.67 |
$67,848.35 |
1.1× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$7,656.33 |
$38,281.63 |
1.1× |
| Open tx interphalangeal joint dislocation (26785) |
$2,559.31 |
$12,796.57 |
0.8× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$9,836.73 |
$49,183.67 |
1.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,275.23 |
$31,376.17 |
2.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,789.15 |
$23,945.74 |
1.6× |
| Open Tx Radial Head/Neck Fracture (24665) |
$9,073.51 |
$45,367.57 |
1.3× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$8,640.70 |
$43,203.49 |
0.7× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
$4,161.18 |
$20,805.91 |
0.6× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$12,781.59 |
$63,907.93 |
1.9× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$8,813.59 |
$44,067.96 |
1.3× |
| Open tx ulnar fx proximal end (24685) |
$8,640.70 |
$43,203.49 |
1.3× |
| Open/Perq Place Stent 1St (37236) |
$14,643.10 |
$73,215.52 |
1.4× |
Open/Perq Place Stent Same (37238) unusually low: confirm this is the full procedure |
$4,714.20 |
$23,571 |
0.4× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$2,777.42 |
$13,887.10 |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,867.19 |
$39,335.95 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$8,007.22 |
$40,036.08 |
1.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$13,806.31 |
$69,031.56 |
2.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$15,459.20 |
$77,296 |
1.3× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
$18,911.68 |
$94,558.40 |
2.8× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$15,321.48 |
$76,607.38 |
2.3× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$12,035.78 |
$60,178.88 |
1.0× |
| Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) |
$9,715.72 |
$48,578.60 |
2.6× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$3,372.76 |
$16,863.82 |
0.9× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$6,305.18 |
$31,525.89 |
2.8× |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
$4,085.28 |
$20,426.41 |
1.8× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$7,839.85 |
$39,199.24 |
2.1× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$6,212.35 |
$31,061.73 |
1.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$5,512.30 |
$27,561.50 |
1.6× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$2,810.13 |
$14,050.67 |
0.8× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$13,822.34 |
$69,111.70 |
4.5× |
| Ostc prtl exostc/condylc metar head (28288) |
$2,940.76 |
$14,703.80 |
1.0× |
| Ostectomy calcaneus (28118) |
$4,585.62 |
$22,928.12 |
1.5× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$8,961.61 |
$44,808.05 |
2.9× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$8,722.61 |
$43,613.03 |
2.9× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$4,471.60 |
$22,357.98 |
1.5× |
| Osteochondral talus autogrft (28446) |
$21,407.73 |
$107,038.65 |
3.2× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$8,338.99 |
$41,694.97 |
1.2× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$15,141.47 |
$75,707.37 |
2.7× |
| Osteoplasty, facial bones; reduction (21209) |
$18,971.70 |
$94,858.52 |
3.4× |
| Osteoplasty, femur; lengthening Facility (27466) |
$33,006.84 |
$165,034.20 |
4.9× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$5,402.30 |
$27,011.52 |
0.8× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$13,055.27 |
$65,276.36 |
1.9× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$7,633.83 |
$38,169.14 |
2.5× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$13,055.27 |
$65,276.36 |
1.9× |
| Osteotomy Clavicle W Bone Graft (23485) |
$11,537.65 |
$57,688.24 |
1.0× |
Osteotomy radius distal third (25350) unusually low: confirm this is the full procedure |
$2,611.10 |
$13,055.49 |
0.4× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$5,225.23 |
$26,126.17 |
1.7× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$13,656.18 |
$68,280.92 |
2.0× |
| Osteotomy Tibia (27705) |
$13,055.27 |
$65,276.36 |
1.9× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$20,121.62 |
$100,608.08 |
3.0× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$20,539.53 |
$102,697.66 |
3.0× |
| Osteotomy, mandible, segmental; with genioglossus advancement (21199) |
$24,666.04 |
$123,330.22 |
4.5× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$18,367.79 |
$91,838.94 |
3.9× |
| Palatop cl palate soft&/hard palate only (42200) |
$6,245.69 |
$31,228.45 |
1.1× |
| Palatopharyngoplasty (42145) |
$5,159.67 |
$25,798.35 |
0.9× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$6,737.42 |
$33,687.11 |
2.2× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$21,255.89 |
$106,279.43 |
3.8× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$1,753.68 |
$8,768.38 |
0.8× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$7,557.73 |
$37,788.64 |
1.4× |
| Part exc bone femur prox tibia (27360) |
$3,283.12 |
$16,415.62 |
1.1× |
| Part remv talus or calcaneus (28120) |
$9,749.20 |
$48,746 |
3.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$12,254.75 |
$61,273.75 |
1.8× |
| Partial excision bone clavicle (23180) |
$5,999.60 |
$29,998.02 |
0.9× |
| Partial Excision Bone Humerus (24140) |
$9,568.80 |
$47,843.99 |
3.1× |
| Partial excision bone metacarpal (26230) |
$10,235.73 |
$51,178.67 |
3.4× |
| Partial excision bone olecranon process (24147) |
$5,531.47 |
$27,657.37 |
1.8× |
| Partial Excision Bone Ulna (25150) |
$5,143.26 |
$25,716.32 |
1.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,753.51 |
$8,767.53 |
1.2× |
| Partial excision of lip (40520) |
$5,006.44 |
$25,032.18 |
1.6× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$4,261.79 |
$21,308.96 |
0.6× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$5,074.71 |
$25,373.55 |
3.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,548.53 |
$17,742.67 |
1.2× |
| Partial removal of fibula (27641) |
$8,612.30 |
$43,061.49 |
2.8× |
| Partial removal of lip (40530) |
$25,297.35 |
$126,486.75 |
8.2× |
Partial removal of nose (30150) unusually low: confirm this is the full procedure |
$2,544.77 |
$12,723.84 |
0.5× |
| Partial removal of penis (54120) |
$5,394.04 |
$26,970.21 |
1.6× |
| Partial removal of radius (24145) |
$5,279.84 |
$26,399.21 |
0.8× |
| Partial removal of rib (21600) |
$5,278.97 |
$26,394.83 |
0.8× |
| Partial removal of thyroid (60220) |
$8,627.32 |
$43,136.60 |
1.5× |
| Partial removal of tibia (27640) |
$9,830.72 |
$49,153.59 |
3.2× |
| Partial removal of tongue (41120) |
$3,455.12 |
$17,275.59 |
0.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,981.07 |
$24,905.34 |
1.6× |
| Patellectomy or hemipatellectomy (27350) |
$5,544.99 |
$27,724.97 |
0.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,394.86 |
$11,974.31 |
0.8× |
Penile Injection (54235) range across 2 matching MRF lines |
$115–$149.40 |
$575–$747 |
varies |
| Penis plastic surgery (54360) |
$3,976.10 |
$19,880.49 |
1.2× |
Perc Cryo Ablate Renal Tum (50593) range across 3 matching MRF lines |
$2,727–$5,454 |
$13,635–$27,270 |
varies |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$686.20 |
$3,431 |
0.5× |
Perc Rf Ablate Renal Tumor (50592) range across 3 matching MRF lines |
$2,701.20–$5,402.40 |
$13,506–$27,012 |
varies |
| Percut Ablate Liver Rf (47382) |
$2,895 |
$14,475 |
0.5× |
Percut Cath Occlusn Non Cns Lesn (61626) likely a partial charge, not the full procedure |
$1,398.60 |
$6,993 |
0.1× |
Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$566.80–$1,133.60 |
$2,834–$5,668 |
varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$624.80 |
$3,124 |
0.2× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$3,594.20 |
$17,971 |
1.2× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$17,639.51 |
$88,197.53 |
5.8× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$9,719.39 |
$48,596.97 |
2.7× |
| Pericardiocentesis W/Imaging (33016) |
$864.80 |
$4,324 |
0.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$2,960.53 |
$14,802.67 |
1.0× |
| Peritoneal Lavage (49084) |
$562 |
$2,810 |
0.7× |
| Periurethral tprnl adjtbl balo cntnc dev adjmt (53454) |
$138.60 |
$693 |
0.6× |
| Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) |
$2,242.80 |
$11,214 |
0.7× |
| Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451) |
$10,562.18 |
$52,810.89 |
0.9× |
| Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and… (53452) |
$9,849.55 |
$49,247.77 |
1.1× |
Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$1,270.60 |
$6,353 |
0.1× |
| Perq Cervicothoracic Inject (22510) |
$2,168 |
$10,840 |
0.7× |
Perq dev breast 1st mr guide (19287) range across 3 matching MRF lines |
$407.40–$814.80 |
$2,037–$4,074 |
varies |
Perq dev breast 1st strtctc (19283) range across 6 matching MRF lines |
$664.80–$1,329.60 |
$3,324–$6,648 |
varies |
Perq dev breast 1st us imag (19285) range across 12 matching MRF lines |
$906–$1,812 |
$4,530–$9,060 |
varies |
Perq device breast 1st imag (19281) range across 6 matching MRF lines |
$1,085.60–$2,171.20 |
$5,428–$10,856 |
varies |
| Perq dilation xst trc endourologic px w/img (50436) |
$13,259.01 |
$66,295.07 |
4.0× |
| Perq Lumbosacral Injection (22511) |
$2,348.40 |
$11,742 |
0.8× |
Perq p-art revsc 1 nm nt uni (33900) unusually low: confirm this is the full procedure |
$4,219.80 |
$21,099 |
0.4× |
Perq p-art revsc st 1st abnor connj unilateral (33902) likely a partial charge, not the full procedure |
$4,940 |
$24,700 |
0.3× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$7,903.60 |
$39,518 |
0.7× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$6,752 |
$33,760 |
0.6× |
Perq Radiofreq Ablation Tx, Pul Tumor (32998) unusually low: confirm this is the full procedure |
$1,977.40 |
$9,887 |
0.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$511.40 |
$2,557 |
0.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,655.78 |
$8,278.88 |
0.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$5,906.80 |
$29,534 |
0.5× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) unusually low: confirm this is the full procedure |
$2,489.40 |
$12,447 |
0.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,262.69 |
$41,313.47 |
1.2× |
| Perq Vertebral Augmentation (22513) |
$5,108.90 |
$25,544.49 |
0.8× |
| Phleb Veins - Extrem 20+ (37766) |
$3,138.80 |
$15,694.02 |
1.1× |
| Photopheresis extracorporeal (36522) |
$4,545 |
$22,725 |
1.1× |
| Pin Finger Dislocation (26776) |
$2,953.32 |
$14,766.59 |
1.0× |
| Pin hand dislocation (26676) |
$2,544.50 |
$12,722.50 |
0.8× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
$509.60 |
$2,548 |
0.5× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$2,412.47 |
$12,062.34 |
0.7× |
Place Cath Subclavian Art (36225) range across 4 matching MRF lines |
$2,122.80–$4,245.60 |
$10,614–$21,228 |
varies |
Place Cath Thoracic Aorta (36221) range across 2 matching MRF lines |
$1,577.20–$2,154 |
$7,886–$10,770 |
varies |
Place Cath Vertebral Art (36226) range across 4 matching MRF lines |
$2,878.20–$5,756.40 |
$14,391–$28,782 |
varies |
| Place Duod/Jej Tube Perc (49441) |
$1,082.40 |
$5,412 |
0.6× |
| Place ndl musc/tis for rt (20555) |
$1,733.80 |
$8,669 |
0.6× |
| Place Rt Device/Marker Pros (55876) |
$5,927.32 |
$29,636.61 |
4.6× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$7,252.07 |
$36,260.35 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$16,766.46 |
$83,832.30 |
40.2× |
| Placement of seton (46020) |
$2,046.65 |
$10,233.26 |
0.8× |
| Plastic Repair Canaliculi (68700) |
$4,160.93 |
$20,804.63 |
1.9× |
| Plastic Repair Introitus (56800) |
$1,009.11 |
$5,045.57 |
0.3× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) unusually low: confirm this is the full procedure |
$2,239 |
$11,195 |
0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$2,904.20 |
$14,521 |
0.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$3,489.20 |
$17,446 |
0.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$3,778.40 |
$18,892 |
0.7× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$6,226.60 |
$31,133.01 |
3.2× |
| Plmt Nephroureteral Catheter (50433) |
$4,892.78 |
$24,463.92 |
1.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$15,230.25 |
$76,151.27 |
4.6× |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$1,776.40–$3,552.80 |
$8,882–$17,764 |
varies |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$2,198.80–$4,397.60 |
$10,994–$21,988 |
varies |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$4,772.07 |
$23,860.36 |
0.9× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$5,577.69 |
$27,888.47 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$10,343.95 |
$51,719.76 |
2.2× |
Prim art mech thrombectomy (37184) range across 2 matching MRF lines |
$1,283.20–$1,385.80 |
$6,416–$6,929 |
varies |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$249.40 |
$1,247 |
0.8× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$3,709.71 |
$18,548.53 |
1.7× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$3,348.61 |
$16,743.07 |
1.5× |
| Probing nasolacrimal duct (68810) |
$141.60 |
$708 |
0.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$16,522.91 |
$82,614.55 |
19.0× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$1,556.70 |
$7,783.49 |
3.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$10,839.97 |
$54,199.85 |
0.9× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$7,238.57 |
$36,192.86 |
1.1× |
| Prostate laser enucleation (52649) |
$9,054.13 |
$45,270.64 |
1.8× |
| Prostatic microwave thermotx (53850) |
$1,714.80 |
$8,574 |
0.5× |
Prostatic Rf Thermotx (53852) range across 2 matching MRF lines |
$1,150–$2,262.60 |
$5,750–$11,313 |
varies |
| Prostatotomy external drg abscess simple (55720) |
$1,714.80 |
$8,574 |
0.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$429.80 |
$2,149 |
0.7× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$9,539 |
$47,695.01 |
1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$1,805.20 |
$9,026 |
0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$1,908.20 |
$9,541 |
0.6× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,681.40 |
$8,407 |
0.6× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$7,611.94 |
$38,059.71 |
2.5× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$4,300.59 |
$21,502.97 |
0.6× |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) |
$11,254.66 |
$56,273.29 |
1.7× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$11,254.66 |
$56,273.29 |
3.7× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$4,811.43 |
$24,057.15 |
0.7× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$5,061.57 |
$25,307.83 |
1.7× |
| Pseudoaneurysm Injection Trt (36002) |
$390.80 |
$1,954 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$573 |
$2,865 |
1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,118.20 |
$5,591 |
2.9× |
| Puncture Aspiration Cyst Breast (19000) |
$892.80 |
$4,464 |
1.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,142 |
$5,710 |
1.7× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$28,604.47 |
$143,022.34 |
4.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,883.81 |
$19,419.06 |
2.6× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,824.12 |
$24,120.62 |
1.6× |
| Rad resect elbow caps/sr bone w rels (24149) |
$6,810.67 |
$34,053.35 |
1.0× |
| Rad resect hand tumor 3 cm/> (26118) |
$13,343.69 |
$66,718.46 |
4.9× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$4,680.08 |
$23,400.41 |
1.7× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$2,151.44 |
$10,757.19 |
0.8× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$6,712.83 |
$33,564.17 |
2.5× |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
$1,077.20 |
$5,386 |
0.4× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$6,902.07 |
$34,510.33 |
2.5× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$4,647.41 |
$23,237.06 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$2,779.21 |
$13,896.05 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$4,259.69 |
$21,298.47 |
1.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$2,543.62 |
$12,718.12 |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$3,906.22 |
$19,531.11 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$4,741.75 |
$23,708.73 |
1.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$18,157.89 |
$90,789.46 |
6.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$7,666.93 |
$38,334.65 |
2.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$5,677.18 |
$28,385.89 |
2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$6,844.87 |
$34,224.35 |
2.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$3,512.74 |
$17,563.70 |
1.3× |
| Radical resection of tumor, femur or knee Facility (27365) |
$61,451.14 |
$307,255.69 |
20.1× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
$36,680.59 |
$183,402.94 |
5.4× |
| Radical resection of tumor; clavicle Facility (23200) |
$3,633.83 |
$18,169.16 |
0.5× |
| Radical resection of tumor; scapula Facility (23210) |
$6,991.13 |
$34,955.66 |
1.0× |
| Radical resection of tumor; tibia Facility (27645) |
$12,802.87 |
$64,014.34 |
4.2× |
| Radical styloidectomy separate procedure (25230) |
$3,775.03 |
$18,875.13 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,299.80 |
$6,499 |
0.7× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$10,535.30 |
$52,676.49 |
3.4× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$4,438.32 |
$22,191.59 |
1.5× |
| Rcnstj Dislocating Patella (27420) |
$7,688.89 |
$38,444.43 |
1.1× |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
$6,259.71 |
$31,298.57 |
2.8× |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
$3,553.22 |
$17,766.11 |
1.6× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
$3,081.85 |
$15,409.25 |
1.4× |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
$13,829.75 |
$69,148.74 |
2.5× |
| Realignment extensor tendon hand each tendon (26437) |
$6,271.88 |
$31,359.42 |
2.1× |
| Realignment of knee (27457) |
$25,107.85 |
$125,539.23 |
3.7× |
| Reconst lwr jaw w/fixation (21196) |
$18,553.81 |
$92,769.06 |
3.4× |
| Reconstruct cleft palate (42220) |
$8,827.94 |
$44,139.72 |
1.6× |
| Reconstruct cleft palate (42210) |
$5,848.65 |
$29,243.26 |
1.1× |
| Reconstruct elbow lat ligmnt (24344) |
$11,944.56 |
$59,722.78 |
1.8× |
| Reconstruct elbow med ligmnt (24346) |
$6,202.44 |
$31,012.18 |
0.5× |
| Reconstruct finger joint (26545) |
$2,345.61 |
$11,728.05 |
0.8× |
| Reconstruct Finger Joint (26548) |
$2,842.37 |
$14,211.84 |
0.9× |
| Reconstruct lip with flap (40525) |
$4,720.62 |
$23,603.08 |
1.5× |
| Reconstruct lip with flap (40527) |
$7,800.93 |
$39,004.66 |
1.4× |
| Reconstruct midface lefort (21143) |
$19,646.58 |
$98,232.92 |
3.6× |
| Reconstruct ulna/radioulnar (25337) |
$7,056.67 |
$35,283.35 |
1.0× |
| Reconstruct upper jaw bone (21206) |
$6,403.54 |
$32,017.71 |
1.2× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
$13,281.38 |
$66,406.89 |
2.4× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
$20,466.23 |
$102,331.15 |
3.7× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$18,245.46 |
$91,227.31 |
3.3× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$76,545.63 |
$382,728.16 |
13.8× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21155) |
$59,830.50 |
$299,152.49 |
10.8× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$4,785.76 |
$23,928.78 |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$4,065.88 |
$20,329.41 |
1.1× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$44,217.22 |
$221,086.10 |
8.0× |
| Reconstruction of mouth (40842) |
$5,037.69 |
$25,188.45 |
0.9× |
| Reconstruction of throat (42950) |
$4,930.53 |
$24,652.66 |
0.9× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$4,097.45 |
$20,487.27 |
0.7× |
| Redo Endovas Vena Cava Filtr (37192) |
$1,790.80 |
$8,954 |
0.6× |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) |
$16,789.86 |
$83,949.31 |
3.0× |
| Reduction forehead; contouring only Facility (21137) |
$9,598.20 |
$47,991.01 |
3.1× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) |
$42,869.85 |
$214,349.27 |
13.8× |
| Reinforce hip bones (27187) |
$22,689.88 |
$113,449.42 |
3.3× |
| Reinforce humerus (24498) |
$10,047.51 |
$50,237.53 |
0.8× |
| Reinforce radius (25490) |
$9,361.43 |
$46,807.17 |
1.4× |
| Reinforce tibia (27745) |
$11,695.83 |
$58,479.17 |
1.7× |
| Reinforce ulna (25491) |
$6,001.98 |
$30,009.91 |
0.5× |
| Reinsert spinal fixation (22849) |
$28,759.87 |
$143,799.37 |
2.4× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$4,422.69 |
$22,113.44 |
1.2× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$4,064.34 |
$20,321.70 |
1.3× |
| Release Thenar Muscle (26508) |
$4,452.51 |
$22,262.56 |
1.5× |
| Relieve Pressure on Nerve(S) (64722) |
$6,080.19 |
$30,400.96 |
3.3× |
| Relocation Pocket Pacemaker (33222) |
$1,011 |
$5,055 |
0.5× |
| Rem Endovas Vena Cava Filter (37193) |
$2,536.40 |
$12,682 |
0.9× |
| Removal Anal Seton Other Marker (46030) |
$1,992.20 |
$9,961.02 |
1.8× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$22,755.45 |
$113,777.23 |
1.2× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$19,383.27 |
$96,916.35 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$529.40 |
$2,647 |
0.6× |
Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$124.80–$225 |
$624–$1,125 |
varies |
| Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) |
$3,189.75 |
$15,948.74 |
1.0× |
| Removal entire oi implt skl perq attachment esp (69726) |
$1,909.37 |
$9,546.85 |
0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,156.94 |
$10,784.68 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$3,545.13 |
$17,725.63 |
2.3× |
| Removal foreign body foot deep (28192) |
$3,624.53 |
$18,122.67 |
2.4× |
Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$250.80–$432.80 |
$1,254–$2,164 |
varies |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$517.60–$605 |
$2,588–$3,025 |
varies |
| Removal Foreign Body Scrotum (55120) |
$3,663.50 |
$18,317.49 |
1.9× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$29.80–$50 |
$149–$250 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$50.80 |
$254 |
0.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$9,720.34 |
$48,601.71 |
3.2× |
| Removal Implant Deep (20680) |
$4,559.96 |
$22,799.78 |
1.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,961.25 |
$9,806.26 |
1.3× |
| Removal implantable contraceptive capsules (11976) |
$1,901.28 |
$9,506.40 |
2.9× |
| Removal intact breast implant (19328) |
$5,207.17 |
$26,035.83 |
1.4× |
| Removal of a lesion from the floor of the mouth (41116) |
$8,520.33 |
$42,601.65 |
2.8× |
| Removal of adenoids (42835) |
$3,611.86 |
$18,059.28 |
1.2× |
| Removal of adenoids (42830) |
$2,622.67 |
$13,113.34 |
0.8× |
| Removal of anal fissure (46200) |
$2,212.37 |
$11,061.87 |
0.9× |
| Removal of ankle implant (27704) |
$64,960.01 |
$324,800.06 |
21.3× |
| Removal of anterior instrumentation (22855) |
$12,545.81 |
$62,729.07 |
1.9× |
Removal of bladder cyst (51500) unusually low: confirm this is the full procedure |
$2,381.63 |
$11,908.13 |
0.4× |
| Removal of bone lesion (23140) |
$4,972.40 |
$24,862 |
1.6× |
| Removal of calcium deposits (23000) |
$1,382.20 |
$6,911 |
0.5× |
| Removal of cervix (57530) |
$11,589.01 |
$57,945.05 |
2.5× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$12,265.07 |
$61,325.33 |
3.8× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$5,308.48 |
$26,542.41 |
2.9× |
| Removal of esophageal sphincter augmentation device (43285) |
$5,683.57 |
$28,417.87 |
1.0× |
Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$168.20–$202.20 |
$841–$1,011 |
varies |
| Removal of heel spur (28119) |
$1,064.60 |
$5,323 |
0.3× |
| Removal of humerus lesion (23150) |
$6,865.73 |
$34,328.66 |
2.2× |
| Removal of humerus lesion (23156) |
$9,392.49 |
$46,962.44 |
1.4× |
| Removal of implanted material, anterior segment of eye (65920) |
$9,060.42 |
$45,302.12 |
4.2× |
Removal of ischial bursa (27060) likely a partial charge, not the full procedure |
$1,427.79 |
$7,138.95 |
0.2× |
| Removal of kidney stone (50081) |
$13,697.04 |
$68,485.19 |
1.5× |
| Removal of knee prosthesis (27488) |
$12,027.03 |
$60,135.17 |
1.0× |
| Removal of lens material (66852) |
$8,082.37 |
$40,411.85 |
2.1× |
| Removal of mammary implant material (19330) |
$10,561.63 |
$52,808.13 |
2.9× |
| Removal of nail bed (11750) |
$191.20 |
$956 |
0.5× |
| Removal of posterior segmental instrumentation Facility (22852) |
$7,243.75 |
$36,218.75 |
1.1× |
| Removal of rib (21615) |
$8,112.80 |
$40,564.01 |
1.2× |
| Removal of sesamoid bone (28315) |
$8,929.31 |
$44,646.55 |
2.9× |
| Removal of skin wrinkles (15829) |
$18,971.70 |
$94,858.52 |
5.7× |
| Removal of tendon for graft (20924) |
$18,059.06 |
$90,295.30 |
2.7× |
| Removal of testis (54520) |
$3,854.11 |
$19,270.56 |
1.2× |
| Removal of thyroid (60271) |
$11,899.53 |
$59,497.64 |
2.2× |
| Removal of tonsils (42825) |
$3,726.35 |
$18,631.77 |
0.7× |
| Removal of tonsils (42826) |
$5,270.19 |
$26,350.94 |
1.7× |
| Removal of tumor, temporal bone Facility (69970) |
$7,165.69 |
$35,828.47 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,810.57 |
$14,052.87 |
1.0× |
| Removal of urethra (53210) |
$1,277.40 |
$6,387 |
0.4× |
| Removal of wrist bone (25210) |
$4,013.95 |
$20,069.75 |
1.3× |
Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$128.40–$177.40 |
$642–$887 |
varies |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$8,804.22 |
$44,021.10 |
1.8× |
| Removal Pacemaker Electrode (33235) |
$1,865.20 |
$9,326 |
0.5× |
Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$2,066.60 |
$10,333 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$226.69 |
$1,133.47 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$4,914.80 |
$24,574 |
7.4× |
| Removal Submand Stone,Complicated (42335) |
$4,772.07 |
$23,860.36 |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,872.96 |
$9,364.81 |
1.0× |
| Removal sweat gland lesion (11450) |
$6,505.21 |
$32,526.04 |
2.4× |
| Removal, under anesthesia, of external fixation system (20694) |
$9,671.61 |
$48,358.07 |
6.4× |
Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$128.40–$177.20 |
$642–$886 |
varies |
| Remove & graft wrist lesion (25136) |
$4,463.83 |
$22,319.15 |
0.7× |
| Remove brain canal fluid (61050) |
$313.80 |
$1,569 |
1.1× |
Remove Brain Cavity Fluid (61020) range across 2 matching MRF lines |
$307.80–$531 |
$1,539–$2,655 |
varies |
| Remove coronoid process (21070) |
$76,545.63 |
$382,728.16 |
13.8× |
| Remove drug implant device (11982) |
$162.23 |
$811.17 |
0.4× |
| Remove ear lesion (69550) |
$7,280.59 |
$36,402.96 |
1.3× |
| Remove elbow joint implant (24160) |
$8,363.86 |
$41,819.28 |
2.7× |
| Remove Elbow Joint Lining (24102) |
$6,362.48 |
$31,812.39 |
2.1× |
| Remove Elctrd Transvenously (33244) |
$1,869 |
$9,345 |
0.5× |
| Remove eye/attach implant (65105) |
$4,821.82 |
$24,109.08 |
1.3× |
| Remove femur lesion/graft (27356) |
$6,726.73 |
$33,633.65 |
0.6× |
| Remove finger bone (26185) |
$770.20 |
$3,851 |
0.5× |
| Remove Forearm Foreign Body (25248) |
$2,874.32 |
$14,371.60 |
1.9× |
| Remove foreign body from eye (65265) |
$11,884.41 |
$59,422.07 |
5.5× |
Remove foreign body from eye (65205) range across 2 matching MRF lines |
$47–$97 |
$235–$485 |
varies |
| Remove groin lymph nodes (38760) |
$6,809.10 |
$34,045.50 |
1.1× |
| Remove Hand Bone Lesion (26200) |
$4,032.26 |
$20,161.31 |
2.7× |
| Remove humerus lesion (24110) |
$11,797.97 |
$58,989.85 |
3.9× |
| Remove Intrauterine Device (58301) |
$578.63 |
$2,893.16 |
2.0× |
| Remove intrvas foreign body (37197) |
$1,728 |
$8,640 |
0.6× |
| Remove knee joint lining (27334) |
$28,604.47 |
$143,022.34 |
9.4× |
| Remove lamina/facets lumbar (63012) |
$9,972.11 |
$49,860.57 |
1.5× |
| Remove Lower Leg Bone Lesion (27635) |
$14,091.55 |
$70,457.75 |
4.6× |
| Remove lung catheter (32552) |
$576.40 |
$2,882 |
1.0× |
| Remove muti-comp penis pros (54406) |
$6,472.83 |
$32,364.17 |
2.0× |
Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$73–$77.80 |
$365–$389 |
varies |
| Remove palate/lesion (42120) |
$11,337.95 |
$56,689.76 |
2.1× |
| Remove part thorax vertebra (22101) |
$4,261.79 |
$21,308.96 |
0.6× |
| Remove prostate regrowth (52630) |
$4,974.73 |
$24,873.67 |
1.0× |
| Remove Pulse Generator (33241) |
$1,867.40 |
$9,337 |
0.5× |
| Remove renal tube w/fluoro (50389) |
$1,264.74 |
$6,323.70 |
1.9× |
| Remove sacrum pressure sore (15937) |
$6,863.27 |
$34,316.34 |
3.6× |
| Remove self-contd penis pros (54415) |
$4,346.91 |
$21,734.53 |
1.3× |
| Remove Shoulder Foreign Body (23330) |
$508.20 |
$2,541 |
0.3× |
| Remove shoulder joint lining (23105) |
$5,524.98 |
$27,624.89 |
0.8× |
| Remove Skin Nerve Lesion (64774) |
$6,467.86 |
$32,339.31 |
3.5× |
| Remove spine eltrd plate (63662) |
$6,891.38 |
$34,456.90 |
2.1× |
| Remove spine fixation device (22850) |
$9,342.40 |
$46,711.98 |
1.4× |
| Remove spine lamina 1/2 lmbr (63005) |
$7,836.13 |
$39,180.65 |
1.2× |
| Remove spine lamina 1/2 thrc (63003) |
$40,447.69 |
$202,238.47 |
6.0× |
| Remove sympathetic nerves (64821) |
$4,358.93 |
$21,794.63 |
1.4× |
| Remove Tendon Sheath Lesion (26160) |
$1,244.02 |
$6,220.11 |
0.8× |
| Remove thyroid lesion (60200) |
$6,389.10 |
$31,945.51 |
1.1× |
| Remove tissue expander (11971) |
$5,660.49 |
$28,302.46 |
2.1× |
Remove ureter stent percut (50384) range across 4 matching MRF lines |
$671.80–$2,058 |
$3,359–$10,290 |
varies |
| Remove vc lesion w/scope (31545) |
$5,981.53 |
$29,907.63 |
1.7× |
| Remove wrist joint cartilage (25107) |
$6,206.10 |
$31,030.51 |
2.0× |
Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$1,765.80 |
$8,829 |
0.2× |
| Remove/graft finger lesion (26215) |
$3,097.17 |
$15,485.85 |
1.0× |
| Remove/graft foot lesion (28102) |
$54,741.51 |
$273,707.57 |
8.1× |
| Remove/graft forearm lesion (25126) |
$8,261.85 |
$41,309.23 |
2.7× |
| Remove/Insert Drug Implant (11983) |
$745 |
$3,724.99 |
1.8× |
| Remove/replace penis prosth (54410) |
$21,139.83 |
$105,699.16 |
1.1× |
| Remv cartilage for graft nasal (20912) |
$6,256.87 |
$31,284.33 |
1.9× |
Remv&replc cvd gen dual lead (33263) likely a partial charge, not the full procedure |
$1,111.40 |
$5,557 |
0.1× |
Remv&replc cvd gen mult lead (33264) likely a partial charge, not the full procedure |
$1,111.40 |
$5,557 |
0.0× |
Remv&replc cvd gen sing lead (33262) likely a partial charge, not the full procedure |
$1,111.40 |
$5,557 |
0.1× |
| Remv&replc pm gen dual lead (33228) |
$7,027.57 |
$35,137.87 |
0.7× |
Remv&replc pm gen mult leads (33229) likely a partial charge, not the full procedure |
$2,848.20 |
$14,241 |
0.2× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$6,412.44 |
$32,062.19 |
1.3× |
| Renal Biopsy Perq (50200) |
$828 |
$4,140 |
0.5× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$5,904.11 |
$29,520.53 |
1.2× |
| Renal scope w/tumor resect (50562) |
$11,459.85 |
$57,299.25 |
1.3× |
| Reopen fallopian tube (58350) |
$9,898.02 |
$49,490.08 |
2.1× |
| Repair Achilles Tendon (27650) |
$5,651.23 |
$28,256.15 |
0.8× |
| Repair Anorectal Fistula Plug (46707) |
$4,274.33 |
$21,371.66 |
1.6× |
| Repair arm/leg nerve (64857) |
$28,650.03 |
$143,250.17 |
9.0× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$6,151.44 |
$30,757.20 |
2.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$12,854.04 |
$64,270.19 |
4.4× |
| Repair blood vessel lesion (35236) |
$10,602.65 |
$53,013.24 |
2.0× |
| Repair brow ptosis (67900) |
$9,158.28 |
$45,791.41 |
4.1× |
| Repair Choanal Atresia Intranasal (30540) |
$11,836.46 |
$59,182.31 |
2.1× |
| Repair cleft lip/nasal (40720) |
$8,403.73 |
$42,018.66 |
2.7× |
| Repair cleft lip/nasal (40761) |
$3,017.78 |
$15,088.90 |
0.5× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$9,337.85 |
$46,689.23 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$576.91 |
$2,884.54 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$811.97 |
$4,059.87 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,034.05 |
$5,170.27 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$772.94 |
$3,864.68 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$3,155.17 |
$15,775.86 |
8.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$883.25 |
$4,416.25 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$5,113.35 |
$25,566.76 |
7.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$7,463.59 |
$37,317.94 |
10.8× |
| Repair defect w/autograft radius/ulna (25425) |
$5,022.92 |
$25,114.60 |
0.7× |
| Repair detached retina (67105) |
$1,904.90 |
$9,524.49 |
3.7× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$1,131.20 |
$5,656 |
0.5× |
| Repair Ectropion Extensive (67917) |
$3,915.80 |
$19,579.02 |
1.8× |
| Repair Elbow Perc (24357) |
$1,104.40 |
$5,522 |
0.4× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$1,131.20 |
$5,656 |
0.5× |
| Repair Entropion Extensive (67924) |
$3,225.21 |
$16,126.03 |
1.5× |
| Repair Entropion Suture (67921) |
$1,131.20 |
$5,656 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,680.15 |
$13,400.76 |
1.8× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$4,415.45 |
$22,077.26 |
1.4× |
| Repair Eyelid Wound (67935) |
$3,837.68 |
$19,188.40 |
1.7× |
| Repair Finger/Hand Tendon (26350) |
$6,151.44 |
$30,757.20 |
2.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$8,514.98 |
$42,574.92 |
2.8× |
| Repair Foot Dislocation (28615) |
$19,235.58 |
$96,177.90 |
2.8× |
| Repair forearm tendon/muscle (25265) |
$3,883.81 |
$19,419.06 |
1.3× |
| Repair Hallux Rigidus (28289) |
$3,164.61 |
$15,823.04 |
1.0× |
| Repair Hand Joint (26540) |
$2,611.85 |
$13,059.25 |
0.9× |
| Repair Hand Tendon (26410) |
$4,086.98 |
$20,434.90 |
2.7× |
| Repair humerus with graft (24435) |
$17,811.57 |
$89,057.86 |
1.5× |
| Repair incomplete circumcision (54163) |
$2,893.74 |
$14,468.71 |
1.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,761.96 |
$18,809.81 |
1.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,971.35 |
$14,856.75 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,397.08 |
$26,985.42 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$606.43 |
$3,032.15 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$626 |
$3,130 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$691.61 |
$3,458.04 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,169.73 |
$5,848.65 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$2,955.82 |
$14,779.10 |
4.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$736 |
$3,680 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$723.20 |
$3,616 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$897.80 |
$4,489 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,505 |
$7,525 |
4.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$663.78 |
$3,318.92 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$616.20 |
$3,081 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$6,948.39 |
$34,741.95 |
10.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$3,183.30 |
$15,916.48 |
8.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$7,959.94 |
$39,799.72 |
4.1× |
| Repair iris ciliary body (66680) |
$13,227.04 |
$66,135.22 |
6.1× |
| Repair lead pace-defib dual (33220) |
$1,903.60 |
$9,518 |
0.5× |
| Repair Lead Pace-Defib One (33218) |
$1,862.60 |
$9,313 |
0.5× |
| Repair lower leg tendons (27676) |
$5,078.02 |
$25,390.09 |
0.7× |
| Repair mouth/nose fistula (30600) |
$7,800.93 |
$39,004.66 |
1.4× |
| Repair nasal septal perforations (30630) |
$5,299.43 |
$26,497.16 |
1.7× |
| Repair Nasal Vestibular Stenosis (30465) |
$6,385.83 |
$31,929.14 |
1.2× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$7,673.65 |
$38,368.26 |
0.6× |
| Repair Nonunion Hand (26546) |
$7,618.80 |
$38,093.99 |
1.1× |
Repair Nonunion/Malunion Tarsal Bones (28320) likely a partial charge, not the full procedure |
$3,045.47 |
$15,227.33 |
0.3× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$26,464.28 |
$132,321.41 |
3.9× |
| Repair nose to lip fistula (42260) |
$6,737.42 |
$33,687.11 |
1.2× |
| Repair of biceps tendon (24340) |
$22,431.69 |
$112,158.44 |
3.3× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$4,564.21 |
$22,821.05 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$8,907.64 |
$44,538.21 |
1.3× |
| Repair of hydrocele (55060) |
$4,219.26 |
$21,096.29 |
1.3× |
| Repair of metatarsals (28322) |
$15,304.50 |
$76,522.52 |
2.3× |
| Repair of nail bed (11760) |
$1,555.80 |
$7,779 |
2.3× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) unusually low: confirm this is the full procedure |
$3,179.36 |
$15,896.82 |
0.5× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$12,240.85 |
$61,204.23 |
1.8× |
| Repair of Ruptured Tendon (24342) |
$5,471.34 |
$27,356.71 |
0.8× |
| Repair of shoulder (23420) |
$18,958.11 |
$94,790.56 |
2.8× |
| Repair of traumatic corporeal tear(s) (54437) |
$25,838.05 |
$129,190.26 |
7.9× |
| Repair of windpipe defect (31825) |
$3,447.28 |
$17,236.41 |
1.1× |
Repair paravag defect vag (57285) unusually low: confirm this is the full procedure |
$2,459.63 |
$12,298.17 |
0.4× |
| Repair penis post injury (54440) |
$4,080.04 |
$20,400.20 |
1.2× |
| Repair retinal detach cplx (67113) |
$8,438.60 |
$42,192.99 |
1.7× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$4,741.67 |
$23,708.34 |
1.2× |
| Repair Rotator Cuff Chronic (23412) |
$8,052.35 |
$40,261.74 |
1.2× |
| Repair round window fistula (69667) |
$4,032.32 |
$20,161.62 |
1.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,749.20 |
$48,746 |
1.4× |
| Repair shoulder capsule (23462) |
$5,757.27 |
$28,786.36 |
0.8× |
| Repair shoulder capsule (23466) |
$17,714.66 |
$88,573.32 |
2.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,758.20 |
$13,791.02 |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,865.73 |
$34,328.66 |
1.0× |
| Repair Toe Dislocation (28645) |
$14,425.54 |
$72,127.68 |
4.7× |
| Repair tongue laceration (41252) |
$241.40 |
$1,207 |
1.1× |
| Repair tongue laceration (41250) |
$176.60 |
$883 |
0.4× |
| Repair Tooth Socket (41874) |
$4,634.88 |
$23,174.39 |
1.5× |
| Repair uro sphincter (53449) |
$11,825.11 |
$59,125.54 |
1.3× |
| Repair webbed toe(s) (28345) |
$2,936.72 |
$14,683.58 |
2.0× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$5,581.95 |
$27,909.74 |
0.8× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$4,100.38 |
$20,501.92 |
0.7× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$21,314.85 |
$106,574.27 |
3.1× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$4,481.81 |
$22,409.07 |
0.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$10,300.88 |
$51,504.41 |
1.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$21,591.90 |
$107,959.50 |
3.2× |
| Repair/graft femur head/neck (27170) |
$20,539.53 |
$102,697.66 |
3.0× |
| Repair/Graft Wrist Bone (25440) |
$9,716.24 |
$48,581.22 |
1.4× |
| Repair/Revise Wrist Joint (25320) |
$5,340.18 |
$26,700.92 |
0.8× |
Repair/transpose nerve (64856) unusually low: confirm this is the full procedure |
$4,086.98 |
$20,434.90 |
0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,698.06 |
$8,490.31 |
2.0× |
| Replace elbow joint (24363) |
$23,578.47 |
$117,892.34 |
1.4× |
| Replace eye fluid (67025) |
$1,088.60 |
$5,443 |
0.5× |
| Replace G-J Tube Perc (49452) |
$674.40 |
$3,372 |
0.8× |
| Replace g/c tube perc (49450) |
$1,565.14 |
$7,825.68 |
1.8× |
| Replace/Revise Brain Shunt (62230) |
$10,716.71 |
$53,583.54 |
1.3× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719) |
$11,500.40 |
$57,502.02 |
1.0× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$7,734.28 |
$38,671.40 |
1.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$1,263.60 |
$6,318 |
0.4× |
| Reposition Gastrostomy Tube (43761) |
$258 |
$1,290 |
1.1× |
| Reposition L Ventric Lead (33226) |
$1,022.60 |
$5,113 |
0.3× |
| Reposition Pacing-Defib Lead (33215) |
$1,700.20 |
$8,501 |
0.6× |
| Reposition Venous Catheter (36597) |
$480.60 |
$2,403 |
0.3× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$2,159.32 |
$10,796.58 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$8,640.70 |
$43,203.49 |
2.8× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$5,214.10 |
$26,070.50 |
0.8× |
| Rerepair ing hernia reduce (49520) |
$3,987.41 |
$19,937.03 |
1.2× |
| Resect back tum < 5 cm (21935) |
$5,172.47 |
$25,862.33 |
1.9× |
| Resect forarm/wrist tum 3cm> (25078) |
$4,097.16 |
$20,485.80 |
1.5× |
| Resect hip/pelv tum 5 cm/> (27059) |
$5,754.91 |
$28,774.53 |
2.1× |
| Resect hip/pelv tum < 5 cm (27049) |
$12,897.79 |
$64,488.96 |
4.8× |
| Resect leg/ankle tum < 5 cm (27615) |
$4,741.75 |
$23,708.73 |
1.7× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$6,140.88 |
$30,704.39 |
2.3× |
| Resect thigh/knee tum < 5 cm (27329) |
$4,741.75 |
$23,708.73 |
1.7× |
| Resection of scrotum (55150) |
$5,195.22 |
$25,976.09 |
1.6× |
| Resection, humeral head Facility (23195) |
$8,608.49 |
$43,042.43 |
1.3× |
| Retrobulbar injection (67500) |
$141.60 |
$708 |
0.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$5,620.93 |
$28,104.67 |
1.7× |
| Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) |
$10,968.63 |
$54,843.16 |
0.9× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$15,471.80 |
$77,359 |
1.3× |
| Revise Abdomen-Venous Shunt (49426) |
$1,464 |
$7,320 |
0.4× |
| Revise cornea with implant (65770) |
$14,123.21 |
$70,616.03 |
1.0× |
| Revise external ear (69300) |
$9,909.85 |
$49,549.24 |
3.2× |
| Revise eye (65091) |
$3,633.48 |
$18,167.40 |
1.0× |
| Revise eye with implant (65093) |
$4,303.12 |
$21,515.59 |
1.2× |
| Revise eyelashes (67835) |
$2,848.88 |
$14,244.38 |
1.3× |
| Revise eyelashes (67825) |
$1,138.79 |
$5,693.97 |
3.8× |
| Revise Hand/Foot Nerve (64704) |
$3,525.15 |
$17,625.75 |
1.9× |
| Revise knuckle joint (26530) |
$10,247.96 |
$51,239.80 |
1.5× |
| Revise lower leg tendon (27690) |
$19,223.58 |
$96,117.88 |
2.8× |
| Revise Lower Leg Tendons (27686) |
$64,084.90 |
$320,424.51 |
21.0× |
| Revise thumb tendon (26496) |
$3,385 |
$16,925 |
1.1× |
| Revise ulnar nerve at wrist (64719) |
$4,943 |
$24,714.98 |
2.7× |
| Revise ureter (50727) |
$4,764.13 |
$23,820.65 |
1.4× |
| Revise Wrist/Forearm Tendon (25280) |
$5,350.63 |
$26,753.14 |
1.8× |
| Revise/Implant Finger Joint (26536) |
$11,006.61 |
$55,033.03 |
1.6× |
| Revise/remove neuroelectrode (61880) |
$9,094.80 |
$45,474.02 |
2.8× |
| Revise/Repair Finger/Toe Nerve (64702) |
$4,652.33 |
$23,261.64 |
2.6× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$25,893.30 |
$129,466.52 |
3.7× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$2,602.17 |
$13,010.86 |
0.9× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
$6,281.37 |
$31,406.86 |
1.1× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$5,835.35 |
$29,176.75 |
1.1× |
| Revision of big toe (28310) |
$19,053.35 |
$95,266.76 |
2.8× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$4,973.95 |
$24,869.75 |
1.5× |
| Revision of eyelid (67880) |
$1,788.28 |
$8,941.38 |
0.8× |
| Revision of foot (28116) |
$6,960.44 |
$34,802.19 |
2.3× |
| Revision of foot and ankle (28262) |
$26,792.29 |
$133,961.46 |
4.0× |
| Revision of foot fascia (28250) |
$3,702.70 |
$18,513.52 |
1.2× |
| Revision of lower leg tendon (27685) |
$13,656.18 |
$68,280.92 |
4.5× |
| Revision of neck muscle (21720) |
$4,306.68 |
$21,533.38 |
1.4× |
| Revision of nose (30462) |
$14,647.55 |
$73,237.76 |
2.7× |
| Revision of penis (54304) |
$12,183.96 |
$60,919.82 |
3.7× |
Revision of reconstructed breast (19380) unusually low: confirm this is the full procedure |
$2,107.20 |
$10,536 |
0.3× |
| Revision of scrotum (55180) |
$12,658.63 |
$63,293.16 |
2.5× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$4,799.34 |
$23,996.69 |
0.9× |
| Revision of toe (28312) |
$12,622.72 |
$63,113.58 |
4.1× |
| Revision of tracheostomy scar (31830) |
$2,917.84 |
$14,589.19 |
0.9× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$26,647.58 |
$133,237.88 |
2.6× |
| Revision Peri-Implant Capsule Breast (19370) |
$1,269.20 |
$6,346 |
0.3× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) |
$42,459.79 |
$212,298.96 |
4.1× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$2,924.03 |
$14,620.16 |
1.4× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,851.55 |
$34,257.74 |
1.2× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
$6,926.11 |
$34,630.54 |
1.3× |
| Revj Shunt Extraocular Reservoir W/O Graft (66184) |
$2,554.29 |
$12,771.47 |
1.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$12,046.31 |
$60,231.56 |
0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$2,865.60 |
$14,328 |
0.5× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$4,007.66 |
$20,038.29 |
1.2× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$10,044.43 |
$50,222.17 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$5,620.93 |
$28,104.67 |
1.7× |
| Revj/rpr oprative wound anterior segment (66250) |
$1,165.46 |
$5,827.30 |
0.5× |
| Rhinoplasty primary w/major septal repair (30420) |
$6,831.69 |
$34,158.47 |
1.2× |
| Rhinoplasty Secondary Intermediate Revision (30435) |
$3,888.85 |
$19,444.27 |
0.7× |
| Rhinoplasty Secondary Minor Revision (30430) |
$3,689.19 |
$18,445.93 |
0.7× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
$6,043.82 |
$30,219.11 |
1.1× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$6,696.43 |
$33,482.16 |
1.2× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$1,177.60 |
$5,888 |
0.4× |
| Rhytidectomy Forehead (15824) |
$5,209.75 |
$26,048.76 |
2.7× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$7,873.62 |
$39,368.12 |
2.4× |
| Rib cartilage graft (21230) |
$6,817.83 |
$34,089.14 |
1.2× |
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 3 matching MRF lines |
$593.40–$1,186.80 |
$2,967–$5,934 |
varies |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$1,360.64 |
$6,803.19 |
0.6× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$244.60 |
$1,223 |
0.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$4,797.97 |
$23,989.86 |
3.1× |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$103.80–$207 |
$519–$1,035 |
varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$104.80 |
$524 |
0.8× |
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$100.60–$102.60 |
$503–$513 |
varies |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$141.60 |
$708 |
0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$5,074.71 |
$25,373.55 |
1.9× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,410.20 |
$7,051 |
0.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$3,097.28 |
$15,486.42 |
2.0× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$2,757.23 |
$13,786.17 |
1.3× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$4,727.49 |
$23,637.47 |
2.2× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$1,804.60 |
$9,022.99 |
0.8× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$7,567.13 |
$37,835.67 |
3.5× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$1,871.40 |
$9,357 |
0.5× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$9,333.65 |
$46,668.25 |
5.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$3,523.45 |
$17,617.25 |
1.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$3,134.73 |
$15,673.65 |
1.0× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$7,054.18 |
$35,270.91 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$1,852.40 |
$9,262 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$842.80 |
$4,214 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$562.83 |
$2,814.14 |
1.0× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$7,567.13 |
$37,835.67 |
3.5× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$6,935.87 |
$34,679.33 |
3.2× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$173.20 |
$866 |
0.7× |
| Rmvl/revj sling stress incontinence (57287) |
$7,147.65 |
$35,738.27 |
2.4× |
| Rplc Gtube No Revj Trc (43762) |
$833.66 |
$4,168.29 |
3.6× |
Rplc gtube revj gstrst trc (43763) range across 3 matching MRF lines |
$115–$247.40 |
$575–$1,237 |
varies |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,867.27 |
$14,336.34 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$531.40 |
$2,657 |
0.4× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$429.20 |
$2,146 |
0.1× |
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 5 matching MRF lines |
$827–$1,169.40 |
$4,135–$5,847 |
varies |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,271.98 |
$16,359.88 |
1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$205 |
$1,025 |
0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,757.76 |
$38,788.79 |
1.4× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,598.65 |
$22,993.26 |
1.4× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$5,486.48 |
$27,432.41 |
0.9× |
Rpr aa hernia recr 3-10 cm reducible (49615) unusually low: confirm this is the full procedure |
$2,718.52 |
$13,592.61 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,787.63 |
$23,938.16 |
1.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$5,652.34 |
$28,261.71 |
0.9× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,164.60 |
$30,823.02 |
1.1× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$1,679.76 |
$8,398.82 |
0.8× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$4,283.16 |
$21,415.78 |
1.9× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$15,838.78 |
$79,193.88 |
3.0× |
| Rpr Component Inflatable Penile Prosthesis (54408) |
$4,928.95 |
$24,644.74 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,380.21 |
$11,901.04 |
1.6× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$7,550.58 |
$37,752.92 |
2.5× |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$104.20–$239.20 |
$521–$1,196 |
varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$11,659.97 |
$58,299.84 |
1.7× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,101.15 |
$20,505.76 |
1.2× |
| Rpr ing hernia init reduce (49500) |
$4,181.34 |
$20,906.70 |
0.7× |
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) range across 2 matching MRF lines |
$947–$1,155.40 |
$4,735–$5,777 |
varies |
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) range across 2 matching MRF lines |
$714–$1,147.80 |
$3,570–$5,739 |
varies |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$6,254.87 |
$31,274.37 |
1.3× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$6,371.82 |
$31,859.10 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$358.80 |
$1,794 |
0.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$345.20 |
$1,726 |
0.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$675.80 |
$3,379 |
0.5× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$15,652.23 |
$78,261.15 |
2.3× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$4,898.44 |
$24,492.22 |
0.9× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$3,519.85 |
$17,599.25 |
0.6× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
$1,819 |
$9,094.98 |
0.8× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$7,456.35 |
$37,281.74 |
1.9× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,076.49 |
$15,382.45 |
1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$5,851.52 |
$29,257.58 |
1.9× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$7,033.33 |
$35,166.63 |
2.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$447 |
$2,235 |
0.8× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$11,006.61 |
$55,033.03 |
3.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,683.83 |
$33,419.17 |
2.2× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$4,452.03 |
$22,260.13 |
1.5× |
| Scleral Reinforcement Spx W/Graft (67255) |
$3,319.96 |
$16,599.81 |
0.9× |
| Sclerotx Fluid Collection (49185) |
$831.80 |
$4,159 |
0.5× |
| Scrotal exploration (55110) |
$3,675.36 |
$18,376.78 |
1.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$7,334.22 |
$36,671.10 |
2.4× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$3,828.43 |
$19,142.14 |
1.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) |
$5,124.17 |
$25,620.86 |
0.8× |
| Sequestrectomy Olecranon Process (24138) |
$5,279.84 |
$26,399.21 |
0.8× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$2,474.62 |
$12,373.08 |
1.1× |
| Severing tarsorrhaphy (67710) |
$302 |
$1,510 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$453.60 |
$2,268 |
0.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,030.32 |
$10,151.58 |
1.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$126.60 |
$633 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$74.60 |
$373 |
0.4× |
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$64–$199.60 |
$320–$998 |
varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$72.60 |
$363 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$74.80 |
$374 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$74.80 |
$374 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$138.60 |
$693 |
0.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$5,965.04 |
$29,825.20 |
2.0× |
| Shoulder joint surgery (23101) |
$7,718.31 |
$38,591.54 |
2.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$74.80 |
$374 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$139.40 |
$697 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$76.40 |
$382 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$138.40 |
$692 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$79.40 |
$397 |
0.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$967.80 |
$4,839 |
0.3× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$2,692.34 |
$13,461.72 |
2.4× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$2,054.78 |
$10,273.91 |
1.8× |
| Sigmoidoscopy w/fb removal (45332) |
$719.80 |
$3,599 |
0.6× |
| Sigmoidoscopy W/Resection (45349) |
$3,123.84 |
$15,619.20 |
1.2× |
| Sigmoidoscopy W/Ultrasound (45341) |
$1,383.59 |
$6,917.93 |
1.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,841.70 |
$9,208.52 |
2.1× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,781.20 |
$8,906.02 |
1.6× |
| Simple Cystometrogram (51725) |
$115 |
$575 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$245.40 |
$1,227 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$111.80 |
$559 |
0.6× |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$74.80–$224.60 |
$374–$1,123 |
varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$181.20 |
$906 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$177.97 |
$889.87 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$273.80 |
$1,369 |
1.5× |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$83.20–$149.80 |
$416–$749 |
varies |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$6,105.65 |
$30,528.23 |
1.1× |
| Skin Full Grft Face/Genit/Hf (15240) |
$5,318.14 |
$26,590.72 |
2.8× |
| Skin Pedicle Flap Trunk (15570) |
$14,763.89 |
$73,819.47 |
7.7× |
| Skin sub graft face/nk/hf/g (15275) |
$5,662.34 |
$28,311.72 |
8.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,488.40 |
$7,442 |
2.2× |
| Skin sub grft t/arm/lg child (15273) |
$4,898.84 |
$24,494.18 |
2.5× |
| Skin Tissue Procedure (17999) |
$6,818.30 |
$34,091.50 |
36.4× |
| Skn sub grft f/n/hf/g child (15277) |
$5,038.18 |
$25,190.89 |
2.6× |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 4 matching MRF lines |
$2,678.80–$5,357.60 |
$13,394–$26,788 |
varies |
Slctv cath carotid/innom art angio xtrcranl art (36222) range across 4 matching MRF lines |
$1,710–$3,420 |
$8,550–$17,100 |
varies |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 3 matching MRF lines |
$2,653.40–$5,306.80 |
$13,267–$26,534 |
varies |
| Slitting of prepuce (54001) |
$643.60 |
$3,218 |
0.3× |
| Small bowel endoscopy (44384) |
$2,927.05 |
$14,635.24 |
1.6× |
| Small bowel endoscopy (44366) |
$3,616.70 |
$18,083.51 |
2.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,502.74 |
$12,513.69 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$117.40 |
$587 |
0.6× |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$145.80–$250.80 |
$729–$1,254 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$281 |
$1,405 |
0.7× |
| Snip Incision Lacrimal Punctum (68440) |
$2,428.22 |
$12,141.10 |
8.2× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$34,019.45 |
$170,097.25 |
13.1× |
| Spinal puncture lumbar diagnostic (62270) |
$2,246.80 |
$11,234 |
3.4× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$5,836.36 |
$29,181.81 |
1.8× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$5,763.56 |
$28,817.81 |
3.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,057.80 |
$15,289.02 |
1.0× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$6,708.90 |
$33,544.48 |
1.2× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$7,344.60 |
$36,722.99 |
1.3× |
| Sternal debridement (21627) |
$5,906.21 |
$29,531.05 |
1.9× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$3,370.22 |
$16,851.09 |
1.5× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$2,978.63 |
$14,893.15 |
1.3× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$4,469.47 |
$22,347.34 |
1.2× |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
$3,584.60 |
$17,923.02 |
1.6× |
Strapping ankle (29540) range across 2 matching MRF lines |
$78–$115 |
$390–$575 |
varies |
| Strapping elbow or wrist (29260) |
$30.80 |
$154 |
0.6× |
Strapping hand/finger (29280) range across 2 matching MRF lines |
$30.80–$93.60 |
$154–$468 |
varies |
| Strapping Hip (29520) |
$62.20 |
$311 |
0.5× |
| Strapping knee (29530) |
$62.20 |
$311 |
0.5× |
Strapping shoulder (29240) range across 2 matching MRF lines |
$62.20–$97 |
$311–$485 |
varies |
| Strapping thorax (29200) |
$78 |
$390 |
0.5× |
Strapping toes (29550) range across 2 matching MRF lines |
$3.60–$86 |
$18–$430 |
varies |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
$56–$78 |
$280–$390 |
varies |
| Subconjunctival injection (68200) |
$2,609.12 |
$13,045.58 |
6.3× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$202.20 |
$1,011 |
0.5× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$96.60 |
$483 |
0.5× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$198.20 |
$991 |
0.3× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$311 |
$1,555 |
0.5× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$207.80 |
$1,039 |
0.3× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$11,366.53 |
$56,832.65 |
3.7× |
| Subtalar arthro w/deb (29906) |
$5,641.88 |
$28,209.40 |
1.8× |
| Suction assisted lipectomy; head and neck (15876) |
$9,598.20 |
$47,991.01 |
2.9× |
| Suction assisted lipectomy; trunk (15877) |
$9,123.98 |
$45,619.91 |
2.8× |
| Suction assisted lipectomy; upper extremity (15878) |
$4,796.35 |
$23,981.73 |
2.5× |
| Suction Lipectomy Lwr Extrem (15879) |
$6,953.20 |
$34,765.99 |
2.1× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$178 |
$890 |
0.6× |
| Suprahyoid lymphadenectomy (38700) |
$7,321.30 |
$36,606.49 |
1.2× |
| Surg Implnt Neuroelect,Epidural (63655) |
$30,010.24 |
$150,051.19 |
1.7× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$8,461.40 |
$42,306.98 |
1.5× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$6,753.34 |
$33,766.69 |
1.2× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$1,974.02 |
$9,870.09 |
0.8× |
| Surg tx anal fistula subq (46270) |
$1,864.74 |
$9,323.72 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,141.63 |
$10,708.13 |
0.8× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$3,274.08 |
$16,370.39 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$6,151.44 |
$30,757.20 |
3.4× |
| Suture infrapatellar tendon primary (27380) |
$6,788.39 |
$33,941.96 |
1.0× |
| Suture of facial nerve; extracranial Facility (64864) |
$20,466.23 |
$102,331.15 |
2.5× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$19,094.63 |
$95,473.15 |
6.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$13,628.43 |
$68,142.13 |
2.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,520.89 |
$37,604.46 |
1.1× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$15,902.17 |
$79,510.85 |
2.3× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$5,070.43 |
$25,352.17 |
2.8× |
| Sympathectomy; superficial palmar arch (64823) |
$2,947.07 |
$14,735.34 |
1.0× |
| Sympathectomy; ulnar artery (64822) |
$4,358.93 |
$21,794.63 |
1.4× |
| Syndactylization toes (28280) |
$3,255.81 |
$16,279.04 |
1.1× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$3,900.79 |
$19,503.97 |
1.3× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$4,703.83 |
$23,519.14 |
1.5× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$9,337.85 |
$46,689.23 |
1.4× |
T-cell depletion of harvest (38210) range across 2 matching MRF lines |
$2,900–$13,000 |
$14,500–$65,000 |
varies |
| Tangential biopsy skin single lesion (11102) |
$513.20 |
$2,566 |
1.4× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$164.80 |
$824 |
0.2× |
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) likely a partial charge, not the full procedure |
$920.40 |
$4,602 |
0.0× |
Tcat Insj/Rpl Perm Ldls Pm (33274) likely a partial charge, not the full procedure |
$4,193.20 |
$20,966 |
0.2× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$1,730.20 |
$8,651 |
0.6× |
| Temple bone implant revision (69717) |
$15,618.39 |
$78,091.94 |
2.3× |
| Temporary Closure Eyelids Suture (67875) |
$4,303.12 |
$21,515.59 |
4.6× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$4,943 |
$24,714.98 |
1.6× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$5,104.70 |
$25,523.51 |
1.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$5,619.97 |
$28,099.86 |
1.8× |
| Tenodesis distal joint each (26474) |
$3,834.93 |
$19,174.66 |
2.6× |
| Tenodesis long tendon biceps (23430) |
$15,340.36 |
$76,701.78 |
2.3× |
| Tenodesis proximal interphalangeal joint each (26471) |
$11,006.61 |
$55,033.03 |
3.6× |
| Tenodesis Wrist Extensors Fingers (25301) |
$5,257.26 |
$26,286.32 |
1.7× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$2,680.15 |
$13,400.76 |
0.9× |
| Tenolysis extensor foot single tendon (28225) |
$2,792.07 |
$13,960.37 |
0.9× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$5,074.71 |
$25,373.55 |
1.7× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$767.40 |
$3,837 |
0.5× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$9,337.85 |
$46,689.23 |
3.1× |
| Tenolysis Triceps (24332) |
$4,835.79 |
$24,178.96 |
1.6× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$2,943.25 |
$14,716.24 |
1.0× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$2,680.15 |
$13,400.76 |
0.9× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$1,526.44 |
$7,632.19 |
1.0× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$767.40 |
$3,837 |
0.5× |
| Tenotomy Hip Abd/Ext Open (27006) |
$1,004.84 |
$5,024.18 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$4,337.43 |
$21,687.16 |
2.9× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$927.53 |
$4,637.64 |
0.3× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$546.60 |
$2,733 |
0.4× |
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) range across 2 matching MRF lines |
$786–$1,057.60 |
$3,930–$5,288 |
varies |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$1,427.79 |
$7,138.95 |
0.5× |
Tenotomy shoulder area single tendon (23405) range across 2 matching MRF lines |
$1,245.80–$2,292.60 |
$6,229–$11,463 |
varies |
| Tenotomy, hip flexor(s), open (27005) |
$28,604.47 |
$143,022.34 |
9.4× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$3,534.71 |
$17,673.54 |
1.2× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$28,604.47 |
$143,022.34 |
9.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,265.15 |
$11,325.74 |
1.5× |
| Thaw preserved stem cells (38208) |
$496 |
$2,480 |
1.2× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$2,628.80 |
$13,144 |
0.6× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,200.80 |
$11,004 |
1.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$521.20 |
$2,606 |
0.8× |
| Therapeutic Apheresis White Blood Cells (36511) |
$932.20 |
$4,661 |
0.6× |
Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$789–$2,959.40 |
$3,945–$14,797 |
varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$19,214.25 |
$96,071.25 |
1.6× |
| Thoracoscopy w/bx pleura (32609) |
$12,183.30 |
$60,916.49 |
2.2× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$4,211.41 |
$21,057.06 |
0.8× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$1,366.40 |
$6,832 |
0.5× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$2,618.55 |
$13,092.76 |
0.5× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$9,075.80 |
$45,379 |
0.5× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
$527 |
$2,635 |
0.9× |
| Thromblytic art/ven therapy (37213) |
$1,159.40 |
$5,797 |
0.4× |
Thrombolytic Art Therapy (37211) unusually low: confirm this is the full procedure |
$2,033.20 |
$10,166 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$143.20 |
$716 |
0.5× |
| Thrombolytic Venous Therapy (37212) |
$1,590.80 |
$7,954 |
0.5× |
| Thyroid biopsy (60100) |
$481 |
$2,405 |
0.7× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$9,317.62 |
$46,588.12 |
1.7× |
| Thyroidectomy, total or complete (60240) |
$10,482.50 |
$52,412.49 |
1.9× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$13,269.60 |
$66,348 |
2.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$1,730.15 |
$8,650.74 |
0.9× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$22,316.46 |
$111,582.28 |
1.7× |
| Tlh uterus over 250 g (58572) |
$13,300.22 |
$66,501.08 |
1.3× |
| Tnot elbow lateral/medial debride open (24358) |
$2,396.49 |
$11,982.44 |
0.8× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,923.87 |
$14,619.34 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,964.05 |
$24,820.24 |
1.6× |
| Tooth extraction (41899) |
$3,866.83 |
$19,334.13 |
17.5× |
| Total Knee Arthroplasty (27447) |
$15,781.43 |
$78,907.16 |
1.3× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$6,031.32 |
$30,156.61 |
1.2× |
| Trabeculoplasty by laser surgery (65855) |
$1,577.53 |
$7,887.65 |
3.1× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
$1,573.60 |
$7,868 |
0.5× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$2,181.47 |
$10,907.35 |
0.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$356.60 |
$1,783 |
0.7× |
| Tracheostoma revj smpl w/o flap rotation (31613) |
$1,489.29 |
$7,446.45 |
0.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$267 |
$1,335 |
1.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$856.80 |
$4,284 |
0.6× |
| Tracheostomy planned (31600) |
$1,641 |
$8,205 |
0.5× |
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) range across 2 matching MRF lines |
$156.20–$229 |
$781–$1,145 |
varies |
Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$276.80 |
$1,384 |
0.1× |
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 3 matching MRF lines |
$1,171.40–$2,342.80 |
$5,857–$11,714 |
varies |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$14,889.74 |
$74,448.71 |
2.2× |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) |
$13,913.44 |
$69,567.18 |
7.6× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$4,463.83 |
$22,319.15 |
2.4× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$4,019.53 |
$20,097.66 |
1.3× |
Transfusion Intrauterine Fetal (36460) range across 2 matching MRF lines |
$218.20–$262.20 |
$1,091–$1,311 |
varies |
| Translum Dil Eye Canal (66174) |
$6,844.27 |
$34,221.35 |
1.8× |
| Transoral lower esophageal myotomy (43497) |
$15,374.83 |
$76,874.17 |
2.7× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$9,654.95 |
$48,274.76 |
1.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$14,947.74 |
$74,738.70 |
3.0× |
| Transplant hand tendon (26480) |
$4,824.12 |
$24,120.62 |
1.6× |
| Transplant/graft hand tendon (26483) |
$5,724.54 |
$28,622.70 |
1.9× |
| Transplant/graft palm tendon (26489) |
$5,724.54 |
$28,622.70 |
1.9× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$7,976.58 |
$39,882.91 |
0.9× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$8,821.89 |
$44,109.47 |
7.9× |
| Transur electr resection of prostate (52601) |
$5,498.64 |
$27,493.19 |
1.1× |
| Transurethral resection bladder neck (52500) |
$9,074.08 |
$45,370.41 |
2.8× |
| Treat ankle dislocation (27848) |
$8,152.28 |
$40,761.38 |
1.2× |
| Treat Ankle Dislocation (27846) |
$5,915.40 |
$29,577 |
0.9× |
| Treat ankle fracture (28445) |
$7,173.44 |
$35,867.19 |
1.1× |
| Treat Big Toe Fracture (28505) |
$12,817.83 |
$64,089.14 |
4.2× |
| Treat clavicle dislocation (23530) |
$10,597.17 |
$52,985.83 |
1.6× |
| Treat dislocation/fracture (23670) |
$33,135.35 |
$165,676.75 |
4.9× |
| Treat ectopic pregnancy (59151) |
$6,593.42 |
$32,967.10 |
1.2× |
| Treat elbow fracture (24586) |
$20,130.74 |
$100,653.69 |
1.7× |
| Treat Elbow Fracture (24635) |
$8,674.56 |
$43,372.78 |
1.3× |
| Treat Finger Fracture Each (26727) |
$6,598.72 |
$32,993.62 |
2.2× |
| Treat forearm bone lesion (25035) |
$6,485.46 |
$32,427.31 |
1.0× |
| Treat fracture radius/ulna (25575) |
$8,372.53 |
$41,862.64 |
1.2× |
| Treat Fx Rad Extra-Articul (25607) |
$6,212.83 |
$31,064.13 |
0.9× |
| Treat Hand Bone Lesion (26034) |
$1,580 |
$7,900 |
1.1× |
Treat humerus fracture (24500) range across 2 matching MRF lines |
$110.60–$117.80 |
$553–$589 |
varies |
| Treat Humerus Fracture (24505) |
$76.40 |
$382 |
0.1× |
| Treat humerus fracture (23616) |
$32,903.09 |
$164,515.45 |
2.0× |
| Treat humerus fracture (23600) |
$266.60 |
$1,333 |
1.2× |
| Treat knee fracture (27532) |
$16,637.36 |
$83,186.81 |
5.4× |
Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$104.40–$168.40 |
$522–$842 |
varies |
| Treat Kneecap Fracture (27524) |
$8,328.84 |
$41,644.20 |
1.2× |
Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$110.60–$120.60 |
$553–$603 |
varies |
| Treat lower leg dislocation (27832) |
$4,003.72 |
$20,018.62 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$157.40 |
$787 |
0.7× |
| Treat Tail Bone Fracture (27200) |
$110.60 |
$553 |
0.5× |
Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$115.40–$254.20 |
$577–$1,271 |
varies |
| Treat thumb fracture (26665) |
$8,374.56 |
$41,872.80 |
2.7× |
| Treat toe dislocation (28630) |
$160.80 |
$804 |
0.7× |
| Treat Trigeminal Nerve (61790) |
$3,126.97 |
$15,634.87 |
1.7× |
| Treat vagina infection (57150) |
$27 |
$135 |
0.5× |
| Treat Vaginal Bleeding (57180) |
$115.20 |
$576 |
0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$873.80 |
$4,369 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,078.20 |
$5,391 |
4.7× |
| Treatment extensive retinopathy photocoagulation (67228) |
$284 |
$1,420 |
0.6× |
| Treatment of ankle fracture (27823) |
$11,832.76 |
$59,163.81 |
1.7× |
Treatment of nose fracture (21330) unusually low: confirm this is the full procedure |
$2,183.73 |
$10,918.67 |
0.4× |
| Treatment of tibia fracture (27756) |
$11,935.10 |
$59,675.49 |
1.8× |
| Trim skin lesion (11055) |
$61.80 |
$309 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$67.40 |
$337 |
0.4× |
| Trim skin lesions over 4 (11057) |
$122.40 |
$612 |
0.7× |
| Trimming Nondystrophic Nails Any Number (11719) |
$30.80 |
$154 |
0.6× |
| Trluml Balo Angiop 1St Art (37246) |
$2,718 |
$13,590 |
0.5× |
| Trluml Balo Angiop 1St Vein (37248) |
$2,669.60 |
$13,348 |
0.5× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$1,125.20 |
$5,626 |
2.7× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$1,977 |
$9,885 |
4.8× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$520 |
$2,600 |
1.3× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$380 |
$1,900 |
0.9× |
| Trnspl prepj hematop progen tum cell deplj (38211) |
$13,000 |
$65,000 |
31.6× |
Trnsplj allogeneic hematopoietic cells per donor (38240) unusually low: confirm this is the full procedure |
$19,722.99 |
$98,614.95 |
0.3× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$990 |
$4,950 |
0.7× |
| Trnsplj Hematopoietic Cell Boost (38243) |
$1,365 |
$6,825 |
0.9× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$695.60 |
$3,478 |
0.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,372.64 |
$16,863.19 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,081.98 |
$10,409.88 |
0.8× |
| Tx Gastro Intub W/Asp (43753) |
$172.80 |
$864 |
0.9× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$13,583.60 |
$67,918.01 |
1.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,284.42 |
$6,422.09 |
0.4× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$9,718.04 |
$48,590.18 |
1.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,924.04 |
$14,620.20 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$5,910.77 |
$29,553.86 |
2.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,932.88 |
$14,664.41 |
2.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$5,374.57 |
$26,872.87 |
3.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$218.80 |
$1,094 |
0.3× |
Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$199.60–$241.20 |
$998–$1,206 |
varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,545.13 |
$17,725.63 |
2.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$394.40 |
$1,972 |
1.7× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$14,731.20 |
$73,655.99 |
1.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$846.60 |
$4,233 |
0.6× |
| Tympanoplasty (69631) |
$5,081.90 |
$25,409.51 |
0.9× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$6,275.52 |
$31,377.61 |
1.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$6,872.52 |
$34,362.58 |
1.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$6,521.08 |
$32,605.42 |
1.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$7,184.44 |
$35,922.19 |
1.3× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$8,284.88 |
$41,424.39 |
1.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$6,164.03 |
$30,820.14 |
1.1× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$4,670.25 |
$23,351.24 |
0.8× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$4,691.29 |
$23,456.43 |
0.8× |
| Tympanostomy general anesthesia (69436) |
$2,428 |
$12,140.02 |
1.7× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$10,733.62 |
$53,668.08 |
3.2× |
Umbilical cord occlud w/us (59072) range across 2 matching MRF lines |
$156.20–$229 |
$781–$1,145 |
varies |
Unlisted Cardiac Surgery (33999) range across 9 matching MRF lines |
$209.40–$14,791.60 |
$1,047–$73,958 |
varies |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$5,885.60 |
$29,427.99 |
26.6× |
Unlisted fetal invasive px w/ultrasound (59897) range across 3 matching MRF lines |
$236.60–$1,147.80 |
$1,183–$5,739 |
varies |
| Unlisted hysteroscopy procedure, uterus (58579) |
$4,744.83 |
$23,724.15 |
25.1× |
| Unlisted laparoscopic procedure liver (47379) |
$3,683.52 |
$18,417.62 |
0.7× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$11,732.44 |
$58,662.22 |
2.1× |
| Unlisted laparoscopy procedure stomach (43659) |
$13,775.55 |
$68,877.76 |
2.4× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,876.25 |
$34,381.23 |
1.2× |
| Unlisted laparoscopy procedure, bladder (51999) |
$26,332.04 |
$131,660.19 |
4.7× |
Unlisted laparoscopy procedure, esophagus (43289) likely a partial charge, not the full procedure |
$623.40 |
$3,117 |
0.1× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$3,890.59 |
$19,452.96 |
0.7× |
| Unlisted laparoscopy procedure, renal (50549) |
$12,962.66 |
$64,813.30 |
2.3× |
| Unlisted laparoscopy procedure, uterus (58578) |
$12,388.26 |
$61,941.30 |
2.2× |
| Unlisted Procedure Accessory Sinuses (31299) |
$18,781.67 |
$93,908.34 |
84.9× |
| Unlisted procedure anus (46999) |
$3,021.93 |
$15,109.63 |
3.5× |
| Unlisted procedure arthroscopy (29999) |
$15,036.70 |
$75,183.49 |
65.3× |
| Unlisted Procedure Biliary Tract (47999) |
$11,827.90 |
$59,139.48 |
14.0× |
| Unlisted procedure colon (45399) |
$2,101.23 |
$10,506.17 |
2.4× |
| Unlisted Procedure Endocrine System (60699) |
$10,469.19 |
$52,345.94 |
1.9× |
| Unlisted Procedure Esophagus (43499) |
$11,444.53 |
$57,222.63 |
13.5× |
| Unlisted Procedure External Ear (69399) |
$1,553.73 |
$7,768.65 |
7.0× |
| Unlisted procedure eyelids (67999) |
$124.80 |
$624 |
0.4× |
| Unlisted procedure femur or knee (27599) |
$13,175.78 |
$65,878.90 |
57.2× |
| Unlisted procedure foot or toes (28899) |
$19,211.75 |
$96,058.74 |
83.4× |
| Unlisted procedure humerus/elbow (24999) |
$11,349.31 |
$56,746.55 |
49.3× |
| Unlisted Procedure Intestine (44799) |
$1,789.13 |
$8,945.63 |
2.1× |
| Unlisted procedure larynx (31599) |
$9,598.20 |
$47,991.01 |
43.4× |
| Unlisted Procedure Leg/Ankle (27899) |
$21,407.73 |
$107,038.65 |
93.0× |
| Unlisted procedure liver (47399) |
$317,383.01 |
$1,586,915.05 |
480.1× |
| Unlisted procedure lungs and pleura (32999) |
$3,598.80 |
$17,994 |
6.1× |
| Unlisted Procedure Male Genital System (55899) |
$4,097.89 |
$20,489.47 |
17.6× |
Unlisted Procedure Muscskeletal System General (20999) range across 5 matching MRF lines |
$76.60–$3,458.80 |
$383–$17,294 |
varies |
Unlisted procedure neck or thorax (21899) range across 3 matching MRF lines |
$1,053–$3,458.80 |
$5,265–$17,294 |
varies |
Unlisted procedure nervous system (64999) range across 17 matching MRF lines |
$78–$3,121.40 |
$390–$15,607 |
varies |
| Unlisted procedure pancreas (48999) |
$3,239.49 |
$16,197.44 |
4.9× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,522.81 |
$12,614.06 |
11.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$5,170.87 |
$25,854.34 |
23.4× |
| Unlisted procedure shoulder (23929) |
$6,060.34 |
$30,301.71 |
26.3× |
| Unlisted procedure spine (22899) |
$1,226.20 |
$6,131 |
5.3× |
| Unlisted procedure stomach (43999) |
$5,581.96 |
$27,909.82 |
6.6× |
| Unlisted Procedure Trachea Bronchi (31899) |
$2,710.06 |
$13,550.32 |
14.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$3,057.80 |
$15,289.02 |
5.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$27,913.60 |
$139,567.98 |
33.0× |
| Unlisted Procedure, Urinary System (53899) |
$3,305.87 |
$16,529.36 |
14.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$6,973.35 |
$34,866.76 |
36.9× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$3,873.84 |
$19,369.21 |
17.5× |
Upgrade of pacemaker system (33214) likely a partial charge, not the full procedure |
$170.20 |
$851 |
0.0× |
| Ureter endoscopy & biopsy (50955) |
$7,767.92 |
$38,839.58 |
1.6× |
| Ureteral endoscopy via ureterostomy (50951) |
$10,045.90 |
$50,229.52 |
3.1× |
Urethrectomy, total, including cystostomy; male Facility (53215) unusually low: confirm this is the full procedure |
$1,773 |
$8,865 |
0.4× |
| Urethrlys Transvag W/ Scope (53500) |
$9,655.08 |
$48,275.38 |
2.9× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$11,607.46 |
$58,037.29 |
2.3× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$9,725.09 |
$48,625.45 |
1.9× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$7,147.65 |
$35,738.27 |
1.4× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$7,662.52 |
$38,312.61 |
1.5× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$10,133.20 |
$50,666.01 |
2.0× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$8,975.85 |
$44,879.23 |
1.8× |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) |
$7,812.73 |
$39,063.67 |
1.6× |
| Urine Flow Measurement (51736) |
$62.20 |
$311 |
0.5× |
| Uvulectomy excision of uvula (42140) |
$2,833.91 |
$14,169.55 |
0.9× |
| Vag hyst complex (58290) |
$8,865.96 |
$44,329.81 |
1.3× |
| Vag hyst incl t/o complex (58291) |
$10,902.57 |
$54,512.87 |
2.3× |
| Vag hyst w/t/o & vag repair (58263) |
$19,464.04 |
$97,320.20 |
4.2× |
| Vaginal delivery only (59409) |
$982.40 |
$4,912 |
0.3× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$8,257.76 |
$41,288.79 |
1.8× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$15,921.87 |
$79,609.36 |
3.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$9,054.41 |
$45,272.07 |
1.9× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$2,990.53 |
$14,952.64 |
1.0× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) |
$17,240.23 |
$86,201.16 |
5.7× |
Vasc embolize/occlude artery (37242) likely a partial charge, not the full procedure |
$4,984 |
$24,920 |
0.3× |
Vasc Embolize/Occlude Bleed (37244) range across 2 matching MRF lines |
$4,614.60–$4,984 |
$23,073–$24,920 |
varies |
Vasc Embolize/Occlude Organ (37243) unusually low: confirm this is the full procedure |
$4,984 |
$24,920 |
0.5× |
Vasc embolize/occlude venous (37241) unusually low: confirm this is the full procedure |
$4,984 |
$24,920 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$679.50 |
$3,397.52 |
0.3× |
| Vasovasostomy vasovasorrhaphy (55400) |
$9,628.39 |
$48,141.95 |
2.9× |
Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$839.20 |
$4,196 |
0.1× |
| Vestibuloplasty Anterior (40840) |
$3,736.65 |
$18,683.23 |
0.7× |
| Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) |
$3,831.99 |
$19,159.94 |
0.7× |
| Vitrectomy mechanical pars plana (67036) |
$3,803.25 |
$19,016.25 |
1.0× |
| Vitrectomy pars plana remove int memb retina (67042) |
$6,202.60 |
$31,012.98 |
1.6× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$7,379.04 |
$36,895.21 |
1.9× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$5,254.60 |
$26,273.02 |
1.4× |
| Vulvectomy simple partial (56620) |
$3,784.55 |
$18,922.75 |
1.3× |
| Vulvectomy simple; complete (56625) |
$6,915.93 |
$34,579.64 |
2.3× |
| Vulvectomy, radical, partial; Facility (56630) |
$4,164.75 |
$20,823.75 |
0.9× |
| Wash harvest stem cells (38209) |
$663 |
$3,315 |
1.6× |
Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$145.20–$197.40 |
$726–$987 |
varies |
| Windowing of cast (29730) |
$78 |
$390 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$5,019.09 |
$25,095.46 |
13.2× |
| Wound Prep Trk/Arm/Leg (15002) |
$5,750.69 |
$28,753.44 |
8.3× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,404.27 |
$22,021.35 |
0.9× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) |
$4,774.98 |
$23,874.91 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$8,898.50 |
$44,492.52 |
1.3× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$368.40 |
$1,842 |
0.7× |