| Abd paracentesis w/imaging (49083) |
$5,923.54 |
$9,872.56 |
6.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$3,939.98 |
$6,566.64 |
4.4× |
| Ablate inf turbinate submuc (30802) |
$7,313.15 |
$12,188.59 |
4.7× |
| Amputation metatarsal with toe single (28810) |
$15,452.95 |
$25,754.92 |
4.7× |
| Amputation toe interphalangeal joint (28825) |
$3,962.12 |
$6,603.54 |
1.2× |
Anal/Urinary Muscle Study (51784)
range across 2 matching MRF lines |
$372.98–$406.55 |
$621.64–$677.59 |
varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$12,612.19 |
$21,020.32 |
2.5× |
| Appendectomy (44950) |
$28,767.90 |
$47,946.50 |
4.5× |
| Application finger splint static (29130) |
$746.65 |
$1,244.42 |
5.6× |
| Application long arm splint shoulder hand (29105) |
$1,236.20 |
$2,060.33 |
7.6× |
| Application Long Leg Splint (29505) |
$4,130.06 |
$6,883.43 |
25.5× |
| Application short arm splint forearm-hand static (29125) |
$2,466.70 |
$4,111.17 |
18.6× |
| Application short leg splint calf foot (29515) |
$832.24 |
$1,387.07 |
5.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$352.28 |
$587.14 |
2.2× |
| Arterial puncture (36600) |
$117.53 |
$195.89 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$3,887.57 |
$6,479.28 |
12.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$2,036.62 |
$3,394.36 |
6.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$390.32 |
$650.53 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$3,075.81 |
$5,126.35 |
10.1× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$33,340.71 |
$55,567.85 |
2.6× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$23,776.09 |
$39,626.82 |
3.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$22,884.82 |
$38,141.38 |
7.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$10,344.04 |
$17,240.07 |
3.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$21,102.43 |
$35,170.71 |
6.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$17,545.89 |
$29,243.15 |
5.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$45,486.87 |
$75,811.45 |
6.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$48,790.28 |
$81,317.13 |
3.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$33,290.59 |
$55,484.31 |
4.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$13,822.96 |
$23,038.26 |
4.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$14,092.53 |
$23,487.55 |
4.3× |
| Aspirate pleura w/ imaging (32555) |
$214.91 |
$358.19 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$669.53 |
$1,115.89 |
3.3× |
| Biopsy Muscle Superficial (20200) |
$2,349.75 |
$3,916.25 |
1.4× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$512.71 |
$854.51 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$6,831.10 |
$11,385.17 |
7.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$8,554.38 |
$14,257.31 |
9.3× |
| Biopsy/removal lymph nodes (38510) |
$8,735.85 |
$14,559.75 |
2.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$188.08 |
$313.47 |
0.3× |
| Bladder Irrigation (51700) |
$481.38 |
$802.30 |
1.9× |
| Bladder Scan (51798) |
$229.96 |
$383.27 |
3.9× |
| Blood Transfusion Service (36430) |
$759.59 |
$1,265.99 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$4,312.73 |
$7,187.88 |
2.6× |
| Bx/exc lymph node open deep axillary node (38525) |
$6,722.17 |
$11,203.62 |
1.7× |
| Bx/exc lymph node open superficial (38500) |
$16,246.81 |
$27,078.02 |
4.2× |
| Carpal Tunnel Surgery (64721) |
$4,519.32 |
$7,532.20 |
2.3× |
| Change Cystostomy Tube Simple (51705) |
$157.36 |
$262.27 |
0.6× |
| Chemical Cautery Tissue (17250) |
$39.10 |
$65.16 |
0.2× |
| Chest tube placement (32551) |
$2,828.98 |
$4,714.96 |
1.8× |
| Cl Tx Scapular Fx; W Manip (23575) |
$8,384.45 |
$13,974.09 |
5.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$7,126.91 |
$11,878.18 |
4.4× |
| Claviculectomy partial (23120) |
$13,447.14 |
$22,411.90 |
4.1× |
| Clear outer ear canal (69200) |
$600.60 |
$1,001 |
4.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$3,054.53 |
$5,090.89 |
12.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$5,956.48 |
$9,927.47 |
3.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,141.28 |
$1,902.13 |
4.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$6,852.29 |
$11,420.49 |
4.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,866.33 |
$3,110.55 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$4,299.99 |
$7,166.65 |
17.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,202.80 |
$3,671.34 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,514.01 |
$4,190.01 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$275.59 |
$459.32 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,660.46 |
$4,434.10 |
1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$7,057.57 |
$11,762.61 |
28.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,521.25 |
$2,535.42 |
6.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,744.71 |
$6,241.19 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$296.59 |
$494.32 |
1.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$13,251.05 |
$22,085.09 |
8.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$3,571.09 |
$5,951.82 |
14.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,060.30 |
$3,433.83 |
7.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$3,150.68 |
$5,251.14 |
12.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,302.18 |
$3,836.96 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$2,642.98 |
$4,404.97 |
10.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,633.41 |
$6,055.68 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$8,870.52 |
$14,784.19 |
36.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$17,341.09 |
$28,901.81 |
10.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$8,248.67 |
$13,747.79 |
33.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,829.98 |
$4,716.64 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$3,281.88 |
$5,469.80 |
13.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$7,816.15 |
$13,026.92 |
4.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,724.47 |
$4,540.79 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$4,847.77 |
$8,079.62 |
3.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$12,159.40 |
$20,265.67 |
2.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$207.95 |
$346.58 |
1.6× |
| Collection of venous blood by venipuncture (36415) |
$19.58 |
$32.63 |
2.1× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$4,429.69 |
$7,382.81 |
3.7× |
| Colonoscopy thru stoma (44388) |
$3,294.91 |
$5,491.52 |
3.6× |
| Colonoscopy w/submucosal inj (45381) |
$3,611.96 |
$6,019.94 |
3.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$8,099.17 |
$13,498.61 |
26.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$7,552.97 |
$12,588.29 |
2.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$6,066.67 |
$10,111.11 |
1.9× |
| Colposcopy Vulva W/Biopsy (56821) |
$6,361.60 |
$10,602.67 |
21.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$3,094.22 |
$5,157.03 |
2.6× |
| Combined anteroposterior colporrhaphy; (57260) |
$19,482.15 |
$32,470.25 |
3.9× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$11,490.35 |
$19,150.58 |
3.6× |
| Conization of cervix (57520) |
$11,152.57 |
$18,587.61 |
3.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$904.04 |
$1,506.74 |
6.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$192.91 |
$321.51 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,278.39 |
$2,130.65 |
9.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$10,514.61 |
$17,524.34 |
2.0× |
Cystometrogram W/Vp&Up (51729)
range across 2 matching MRF lines |
$733.81–$799.85 |
$1,223.02–$1,333.09 |
varies |
| Cystostomy Cystotomy W/Drainage (51040) |
$235.68 |
$392.80 |
0.1× |
| Cystourethroscopy (52000) |
$11,583.02 |
$19,305.03 |
16.7× |
| Cystourethroscopy with biopsy (52204) |
$11,862.76 |
$19,771.27 |
5.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$12,382.48 |
$20,637.47 |
17.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$9,039.61 |
$15,066.01 |
12.3× |
| Debride nail 1-5 (11720) |
$26.49 |
$44.15 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$10,839.40 |
$18,065.67 |
26.8× |
| Declot vascular device (36593) |
$395.78 |
$659.63 |
1.2× |
| Destruction Lesions Vulva Simple (56501) |
$2,950.05 |
$4,916.74 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$3,624.40 |
$6,040.66 |
3.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$8,724.87 |
$14,541.45 |
2.7× |
| Drain Cerebro Spinal Fluid (62272) |
$1,844.59 |
$3,074.31 |
2.6× |
| Drainage of gum lesion (41800) |
$944.48 |
$1,574.13 |
7.1× |
| Drainage of hematoma/fluid (10140) |
$10,933.50 |
$18,222.50 |
6.6× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$17,207.87 |
$28,679.78 |
5.3× |
| Draw Blood Off Venous Device (36591) |
$218.95 |
$364.91 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$414.65 |
$691.09 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$249.54 |
$415.90 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$249.54 |
$415.90 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$5,736.45 |
$9,560.76 |
2.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$7,388.19 |
$12,313.65 |
3.6× |
| Dstrj lesion penis simple surg excision (54060) |
$2,297.23 |
$3,828.72 |
1.1× |
| Dx Bone Marrow Bx & Aspir (38222) |
$6,351.53 |
$10,585.88 |
2.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,351.40 |
$2,252.34 |
1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$5,014.63 |
$8,357.72 |
2.6× |
| Egd control bleeding any (43255) |
$11,713.25 |
$19,522.08 |
6.1× |
| Egd Flexible Foreign Body Removal (43247) |
$5,449 |
$9,081.67 |
6.0× |
| Egd place gastrostomy tube (43246) |
$3,723.83 |
$6,206.39 |
1.9× |
Electro-Uroflowmetry First (51741)
range across 2 matching MRF lines |
$176.11–$191.96 |
$293.51–$319.93 |
varies |
| Endocervical curettage (57505) |
$7,347.25 |
$12,245.41 |
8.0× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$8,046.72 |
$13,411.20 |
1.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$4,197.19 |
$6,995.31 |
2.2× |
| Evacuation of subungual hematoma (11740) |
$950.29 |
$1,583.81 |
7.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$7,203.93 |
$12,006.55 |
4.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,150.99 |
$3,584.98 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,962.05 |
$4,936.75 |
1.8× |
| Exc Back Les Sc < 3 Cm (21930) |
$6,250.11 |
$10,416.85 |
3.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$9,286.01 |
$15,476.69 |
2.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$4,875.65 |
$8,126.09 |
3.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$8,029.66 |
$13,382.77 |
4.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$6,470.32 |
$10,783.87 |
9.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$6,176.98 |
$10,294.96 |
3.8× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$2,300.55 |
$3,834.26 |
1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$7,119.28 |
$11,865.47 |
4.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$5,552.64 |
$9,254.40 |
7.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$6,895.26 |
$11,492.10 |
4.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$4,503.89 |
$7,506.49 |
2.7× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$8,062.96 |
$13,438.27 |
5.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$6,643.47 |
$11,072.45 |
4.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$7,102.24 |
$11,837.06 |
4.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$6,913.69 |
$11,522.81 |
2.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$7,447.32 |
$12,412.20 |
4.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$12,391.94 |
$20,653.23 |
4.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$8,293.98 |
$13,823.30 |
7.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$2,962.05 |
$4,936.75 |
7.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$3,188.48 |
$5,314.13 |
4.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$6,457.91 |
$10,763.19 |
3.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,158.61 |
$6,931.01 |
1.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$10,938.64 |
$18,231.07 |
3.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$2,150.99 |
$3,584.98 |
1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,680.72 |
$9,467.86 |
3.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$14,684.39 |
$24,473.98 |
5.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$3,762.57 |
$6,270.95 |
1.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,782.22 |
$2,970.37 |
1.2× |
| Excise Wrist Tendon Sheath (25118) |
$9,607.21 |
$16,012.01 |
6.0× |
| Excision Lesion Tongue W/O Closure (41110) |
$4,064.19 |
$6,773.65 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,162.71 |
$5,271.18 |
1.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$8,158.10 |
$13,596.83 |
2.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$7,259.11 |
$12,098.52 |
2.5× |
| Excision of vaginal cyst or tumor (57135) |
$8,463.67 |
$14,106.11 |
2.6× |
| Excision olecranon bursa (24105) |
$8,698.92 |
$14,498.20 |
2.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$8,657.24 |
$14,428.74 |
3.0× |
| Excision prepatellar bursa (27340) |
$8,118.10 |
$13,530.16 |
2.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$7,180.79 |
$11,967.99 |
4.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$7,349.47 |
$12,249.12 |
4.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$14,073.89 |
$23,456.49 |
4.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$12,581.97 |
$20,969.95 |
4.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,450.12 |
$4,083.53 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$13,109.67 |
$21,849.45 |
8.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$11,299.45 |
$18,832.41 |
3.5× |
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines |
$831.77–$906.64 |
$1,386.29–$1,511.06 |
varies |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$272.77–$297.32 |
$454.62–$495.54 |
varies |
| Fna bx w/us gdn 1st les (10005) |
$1,571.89 |
$2,619.82 |
2.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$14,381.60 |
$23,969.34 |
5.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$13,091.49 |
$21,819.15 |
4.7× |
| Hysteroscopy Biopsy (58558) |
$11,286.85 |
$18,811.42 |
3.5× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$5,214.54 |
$8,690.90 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$16,727.24 |
$27,878.74 |
5.2× |
| Hysteroscopy Endometrial Ablation (58563) |
$12,855.61 |
$21,426.02 |
2.6× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$8,508.65 |
$14,181.08 |
1.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$27,893.72 |
$46,489.54 |
8.6× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$12,869.62 |
$21,449.37 |
2.6× |
| I&d abscess peritonsillar (42700) |
$3,588.66 |
$5,981.10 |
15.2× |
| I&d abscess simple (10060) |
$921.82 |
$1,536.37 |
4.6× |
| I&d pilonidal cyst complicated (10081) |
$1,273.44 |
$2,122.41 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$388.16 |
$646.93 |
0.6× |
| Incise finger tendon sheath (26055) |
$4,699.66 |
$7,832.76 |
2.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$932.67 |
$1,554.46 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,224.89 |
$2,041.49 |
3.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,667.90 |
$2,779.84 |
8.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,031.71 |
$1,719.52 |
3.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$3,864.45 |
$6,440.75 |
2.5× |
| Incision of rectal abscess (46040) |
$5,428.18 |
$9,046.97 |
4.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$3,945.23 |
$6,575.38 |
4.5× |
| Injection for identification of sentinel node (38792) |
$8,726.82 |
$14,544.71 |
21.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$347.06 |
$578.44 |
1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,046.80 |
$1,744.68 |
1.5× |
| Insert cath pleura w/ image (32557) |
$9,234.55 |
$15,390.92 |
5.9× |
| Insert cath pleura w/o image (32556) |
$11,604.19 |
$19,340.32 |
6.1× |
| Insert non-tunnel cv cath (36556) |
$21,350.75 |
$35,584.59 |
6.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,291.03 |
$3,818.38 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$172.35 |
$287.25 |
1.3× |
| Insert tunneled cv cath (36561) |
$11,568.94 |
$19,281.57 |
3.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$145.55 |
$242.59 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$9,063.96 |
$15,106.60 |
2.9× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$9,220.94 |
$15,368.23 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$9,660.68 |
$16,101.13 |
3.1× |
| Intubation endotracheal emergency procedure (31500) |
$14,048.98 |
$23,414.97 |
59.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,377.48 |
$2,295.80 |
5.5× |
| Laparo-vag hyst incl t/o (58552) |
$31,301.08 |
$52,168.46 |
3.0× |
| Laparoscopic myomectomy (58545) |
$7,355.27 |
$12,258.78 |
1.2× |
| Laparoscopy aspiration (49322) |
$14,964.88 |
$24,941.47 |
2.5× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$24,703.33 |
$41,172.22 |
4.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$27,169.07 |
$45,281.79 |
2.6× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$9,893.98 |
$16,489.97 |
1.6× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$12,436.70 |
$20,727.84 |
2.1× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$8,046.72 |
$13,411.20 |
0.8× |
| Laparoscopy, surgical, appendectomy (44970) |
$27,595.57 |
$45,992.61 |
4.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$34,135.09 |
$56,891.82 |
5.7× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$12,580.16 |
$20,966.93 |
1.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,380.86 |
$10,634.76 |
1.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$23,120.81 |
$38,534.69 |
3.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$24,690.11 |
$41,150.18 |
4.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$12,810.18 |
$21,350.30 |
2.1× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$37,857.15 |
$63,095.25 |
3.6× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$6,766.62 |
$11,277.70 |
1.8× |
| Late closure of wound (13160) |
$10,011.51 |
$16,685.85 |
2.8× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,620.63 |
$6,034.39 |
1.2× |
| Ligation or biopsy temporal artery (37609) |
$8,714.54 |
$14,524.24 |
5.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$7,727.50 |
$12,879.17 |
4.8× |
| Mast mod rad (19307) |
$22,089.39 |
$36,815.65 |
3.3× |
| Mastectomy partial (19301) |
$9,915.54 |
$16,525.91 |
2.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$8,036.66 |
$13,394.43 |
1.2× |
| Mastectomy simple complete (19303) |
$14,281.30 |
$23,802.17 |
2.2× |
| Myelography Lumbar Injection (62304) |
$3,664.06 |
$6,106.76 |
4.7× |
| N Block Inj Paracervical (64435) |
$1,202.06 |
$2,003.43 |
1.7× |
| Needle Biopsy Lymph Nodes (38505) |
$4,465.63 |
$7,442.71 |
2.7× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$7,987.57 |
$13,312.61 |
4.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$554.92 |
$924.87 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,998.28 |
$3,330.47 |
2.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$4,669.21 |
$7,782.02 |
11.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$13,206.35 |
$22,010.59 |
3.4× |
| Open Repair of Rotator Cuff Acute (23410) |
$21,426.46 |
$35,710.77 |
3.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$18,588.73 |
$30,981.22 |
2.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$18,700.74 |
$31,167.90 |
2.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$13,834.11 |
$23,056.85 |
1.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$8,870.52 |
$14,784.19 |
2.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$17,703.72 |
$29,506.20 |
2.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$10,626.50 |
$17,710.83 |
3.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$17,997.62 |
$29,996.04 |
2.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$19,664.57 |
$32,774.29 |
2.7× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$38,594.81 |
$64,324.68 |
3.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$7,462.59 |
$12,437.66 |
1.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$6,776 |
$11,293.34 |
2.1× |
| Partial removal of toe (28160) |
$9,827.23 |
$16,378.72 |
3.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$8,825.72 |
$14,709.53 |
2.7× |
| Perq device breast 1st imag (19281) |
$9,915.54 |
$16,525.91 |
6.0× |
| Placement of needle for intraosseous infusion (36680) |
$6,625.80 |
$11,043 |
14.9× |
| Placement of seton (46020) |
$8,143.06 |
$13,571.78 |
2.9× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$16,744.10 |
$27,906.83 |
3.4× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$15,375.83 |
$25,626.38 |
2.1× |
| Punch biopsy skin single lesion (11104) |
$3,951.01 |
$6,585.02 |
9.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$924.74 |
$1,541.23 |
2.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$401.84 |
$669.74 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$821.83 |
$1,369.72 |
14.0× |
| Removal Implant Deep (20680) |
$10,655.47 |
$17,759.12 |
3.7× |
| Removal of adenoids (42830) |
$7,482.45 |
$12,470.75 |
2.3× |
| Removal of nail bed (11750) |
$6,887.13 |
$11,478.55 |
17.0× |
| Removal of tonsils (42826) |
$7,401.36 |
$12,335.60 |
2.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$5,487.18 |
$9,145.30 |
7.8× |
| Remove drug implant device (11982) |
$4,941.66 |
$8,236.10 |
11.1× |
| Remove elbow lesion (24120) |
$8,566.48 |
$14,277.46 |
2.6× |
| Remove foreign body from eye (65205) |
$816.55 |
$1,360.92 |
6.2× |
| Remove Intrauterine Device (58301) |
$3,752.05 |
$6,253.41 |
12.4× |
| Remove lung catheter (32552) |
$1,043.63 |
$1,739.38 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$1,398.35 |
$2,330.58 |
10.5× |
| Remove Tendon Sheath Lesion (26160) |
$5,493.23 |
$9,155.39 |
3.4× |
| Reopen fallopian tube (58350) |
$6,815.65 |
$11,359.41 |
1.4× |
| Repair Achilles Tendon (27650) |
$13,380.68 |
$22,301.14 |
1.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$7,205.51 |
$12,009.19 |
9.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$909.58 |
$1,515.96 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$914.15 |
$1,523.59 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$2,270.81 |
$3,784.69 |
5.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$5,620.56 |
$9,367.60 |
13.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$12,935.98 |
$21,559.97 |
3.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$584.50 |
$974.17 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,794.61 |
$2,991.02 |
4.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,676.51 |
$2,794.18 |
4.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,006.94 |
$1,678.24 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$3,934.26 |
$6,557.10 |
5.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,097.86 |
$1,829.77 |
2.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$584.50 |
$974.17 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$952.93 |
$1,588.22 |
2.4× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$14,260.72 |
$23,767.87 |
2.9× |
| Repair of nail bed (11760) |
$1,250.78 |
$2,084.63 |
1.7× |
| Repair of rectocele (45560) |
$12,041.45 |
$20,069.09 |
4.4× |
| Repair of Ruptured Tendon (24342) |
$16,634.09 |
$27,723.48 |
2.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$13,886.20 |
$23,143.67 |
2.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$24,252.95 |
$40,421.59 |
3.4× |
| Repair tongue laceration (41250) |
$2,179.02 |
$3,631.70 |
4.9× |
| Revision of leg vein (37780) |
$4,669.21 |
$7,782.02 |
1.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,652.97 |
$2,754.95 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$949.40 |
$1,582.33 |
2.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$824.79 |
$1,374.65 |
6.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$736.96 |
$1,228.26 |
1.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$12,328.39 |
$20,547.31 |
4.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$5,916.34 |
$9,860.56 |
3.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$6,051.25 |
$10,085.42 |
9.7× |
| Rplc Gtube No Revj Trc (43762) |
$1,238.78 |
$2,064.64 |
5.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$14,245.35 |
$23,742.25 |
2.4× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$7,854.57 |
$13,090.96 |
2.2× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$23,497.50 |
$39,162.50 |
3.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$26,320 |
$43,866.67 |
4.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$7,372.85 |
$12,288.09 |
2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$10,134.68 |
$16,891.14 |
1.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$9,875.91 |
$16,459.86 |
1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,831.81 |
$3,053.01 |
9.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$5,427.71 |
$9,046.19 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$3,284.48 |
$5,474.13 |
3.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$4,203.07 |
$7,005.12 |
3.5× |
| Sigmoidoscopy w/fb removal (45332) |
$15,173.86 |
$25,289.76 |
12.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$3,966.68 |
$6,611.14 |
4.3× |
Simple Cystometrogram (51725)
range across 2 matching MRF lines |
$402.85–$439.10 |
$671.41–$731.84 |
varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$999.45 |
$1,665.75 |
5.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$2,137.50 |
$3,562.50 |
10.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$11,316.62 |
$18,861.03 |
56.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$1,003.65 |
$1,672.76 |
5.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,821.67 |
$3,036.11 |
9.1× |
| Skin sub graft trnk/arm/leg (15271) |
$14,362.51 |
$23,937.52 |
19.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,124.90 |
$15,208.16 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$1,207.54 |
$2,012.58 |
6.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$925.35 |
$1,542.25 |
2.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$7,862.99 |
$13,104.99 |
2.8× |
| Spinal puncture lumbar diagnostic (62270) |
$8,609.60 |
$14,349.33 |
12.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$9,878.61 |
$16,464.35 |
4.8× |
| Strapping hand/finger (29280) |
$229.96 |
$383.27 |
3.9× |
| Strapping knee (29530) |
$1,886.26 |
$3,143.77 |
14.2× |
| Strapping Unna Boot (29580) |
$458.70 |
$764.50 |
2.8× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$5,269.46 |
$8,782.44 |
1.9× |
| Surg tx anal fistula subq (46270) |
$9,152.17 |
$15,253.61 |
3.3× |
| Suture infrapatellar tendon primary (27380) |
$27,928.18 |
$46,546.96 |
3.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$8,315.17 |
$13,858.61 |
2.5× |
| Tooth extraction (41899) |
$14,770.45 |
$24,617.42 |
62.6× |
| Total Knee Arthroplasty (27447) |
$36,205.38 |
$60,342.30 |
2.8× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$21,181.25 |
$35,302.09 |
2.9× |
| Treat ectopic pregnancy (59151) |
$25,572.85 |
$42,621.42 |
4.2× |
| Treat Fx Rad Extra-Articul (25607) |
$20,760.95 |
$34,601.58 |
2.9× |
| Treat humerus fracture (24500) |
$275.59 |
$459.32 |
1.1× |
| Treat Humerus Fracture (24505) |
$2,183.35 |
$3,638.91 |
1.4× |
| Treat Kneecap Fracture (27524) |
$21,613.10 |
$36,021.83 |
3.0× |
| Treat Knuckle Dislocation (26700) |
$1,030.24 |
$1,717.06 |
4.2× |
| Trim skin lesion (11055) |
$4,841.31 |
$8,068.85 |
24.2× |
| Trim skin lesions 2 to 4 (11056) |
$5,445.62 |
$9,076.03 |
27.2× |
| Trim skin lesions over 4 (11057) |
$312.17 |
$520.29 |
1.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$8,017.98 |
$13,363.30 |
2.5× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$7,641.97 |
$12,736.61 |
2.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,233.23 |
$3,722.06 |
3.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$25,693.61 |
$42,822.68 |
2.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$16,675.67 |
$27,792.78 |
10.8× |
| Tympanostomy general anesthesia (69436) |
$6,584.53 |
$10,974.22 |
4.3× |
| Unlisted laparoscopy procedure appendix (44979) |
$9,003.09 |
$15,005.15 |
1.5× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$7,476.05 |
$12,460.09 |
1.2× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$17,170.65 |
$28,617.75 |
2.9× |
| Unlisted procedure anus (46999) |
$7,770.01 |
$12,950.01 |
8.4× |
| Unlisted procedure humerus/elbow (24999) |
$25,751.01 |
$42,918.35 |
104.8× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$5,611.81 |
$9,353.02 |
23.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$12,433.52 |
$20,722.54 |
61.7× |
Urine Flow Measurement (51736)
range across 2 matching MRF lines |
$97.41–$106.18 |
$162.35–$176.96 |
varies |
| Vulvectomy simple partial (56620) |
$9,868.67 |
$16,447.78 |
3.1× |