| Abd paracentesis w/imaging (49083) |
$1,698.83 |
$3,397.67 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$427.50 |
$855 |
0.5× |
| Abdomen Surgery Procedure (22999) |
$2,126.50 |
$4,253 |
8.3× |
| Ablate inf turbinate submuc (30802) |
$862.50 |
$1,725 |
0.5× |
Ablation 1/> Liver Tumor Perq Cryoablation (47383)
likely a partial charge, not the full procedure |
$2,018.50 |
$4,037 |
0.2× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$8,374 |
$16,748 |
0.5× |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) |
$13,575 |
$27,150 |
1.2× |
Ablation renal tumor unilateral perq cryotherapy (50593)
unusually low: confirm this is the full procedure |
$4,525 |
$9,050 |
0.4× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$7,500 |
$15,000 |
0.7× |
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983)
unusually low: confirm this is the full procedure |
$2,305 |
$4,610 |
0.3× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$2,127 |
$4,254 |
1.2× |
Abltj 1/> lvr tum prq rf (47382)
unusually low: confirm this is the full procedure |
$2,018.50 |
$4,037 |
0.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$548.50 |
$1,097 |
0.3× |
| Abortion (59841) |
$1,214.50 |
$2,429 |
0.4× |
| Acne surgery (10040) |
$48 |
$96 |
0.2× |
| Adding Walker Previously Applied Cast (29440) |
$60 |
$120 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$9,768.74 |
$19,537.50 |
4.6× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,179 |
$2,358 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,711.50 |
$5,423 |
0.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$872 |
$1,744 |
0.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,179 |
$2,358 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,103 |
$2,206 |
0.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$872 |
$1,744 |
0.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$11,684.97 |
$23,369.95 |
5.5× |
| Allogeneic lymphocyte infusions (38242) |
$1,777 |
$3,554 |
1.1× |
| Amniocentesis diagnostic (59000) |
$189 |
$378 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,031 |
$2,062 |
0.3× |
| Amputate metacarpal bone (26910) |
$19,498.41 |
$38,996.83 |
5.8× |
| Amputation Finger/Thumb (26951) |
$7,097.79 |
$14,195.59 |
2.1× |
| Amputation foot transmetarsal (28805) |
$7,329.81 |
$14,659.62 |
2.2× |
| Amputation metatarsal with toe single (28810) |
$8,755.03 |
$17,510.06 |
2.6× |
| Amputation toe interphalangeal joint (28825) |
$5,192.28 |
$10,384.57 |
1.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,816.87 |
$11,633.74 |
1.7× |
| Analyze spine infus pump (62367) |
$144 |
$288 |
0.5× |
| Anoscopy Ablation Lesion (46615) |
$1,287 |
$2,574 |
0.4× |
| Anoscopy diagnostic (46600) |
$53 |
$106 |
0.4× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,164 |
$2,328 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$763 |
$1,526 |
0.8× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,672.65 |
$9,345.31 |
1.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$2,635 |
$5,270 |
0.5× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$72.50 |
$145 |
0.4× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$187.25 |
$374.50 |
1.1× |
| Application cast elbow finger short arm (29075) |
$253.50 |
$507 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$315.75 |
$631.50 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$98 |
$196 |
1.6× |
| Application finger splint static (29130) |
$508 |
$1,016 |
3.7× |
| Application Hip Spica Cast 1 Leg (29305) |
$629 |
$1,258 |
2.2× |
| Application long arm splint shoulder hand (29105) |
$301 |
$602 |
1.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$392 |
$784 |
1.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
$192.50 |
$385 |
0.7× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$606.50 |
$1,213 |
2.1× |
| Application of long leg cast (29345) |
$520 |
$1,040 |
1.8× |
| Application of rigid total contact leg cast (29445) |
$399.50 |
$799 |
1.4× |
| Application Patellar Tendon Bearing Cast (29435) |
$345.50 |
$691 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$92 |
$184 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$618.50 |
$1,237 |
4.5× |
| Apply Hand/Wrist Cast (29085) |
$584.50 |
$1,169 |
3.5× |
| Apply long leg splint (29505) |
$170.75 |
$341.50 |
1.0× |
| Apply short leg cast (29405) |
$587 |
$1,174 |
2.0× |
| Apply short leg cast (29425) |
$710.50 |
$1,421 |
2.5× |
| Apply short leg splint (29515) |
$244 |
$488 |
1.5× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$3,426.50 |
$6,853 |
0.6× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Facility (66179) |
$3,348 |
$6,696 |
0.6× |
| Arterial puncture (36600) |
$119 |
$238 |
0.9× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$49,384.69 |
$98,769.39 |
3.7× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$17,992.63 |
$35,985.27 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$360.05 |
$720.10 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$102 |
$204 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$558.21 |
$1,116.42 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$542.10 |
$1,084.20 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$483.73 |
$967.46 |
1.5× |
| Arthrodesis ankle open (27870) |
$12,343 |
$24,686 |
0.9× |
| Arthrodesis great toe interphalangeal joint (28755) |
$4,118 |
$8,236 |
0.5× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$18,860.84 |
$37,721.70 |
2.5× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$22,651.74 |
$45,303.48 |
6.7× |
| Arthrodesis pantalar (28705) |
$20,018.50 |
$40,037 |
1.1× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$43,154.18 |
$86,308.36 |
2.4× |
| Arthrodesis triple (28715) |
$12,685 |
$25,370 |
1.0× |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
$4,118 |
$8,236 |
0.5× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$66,126.91 |
$132,253.83 |
2.4× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$4,453 |
$8,906 |
0.6× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$4,118 |
$8,236 |
0.5× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$46,822.77 |
$93,645.54 |
2.6× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$82,600.21 |
$165,200.42 |
4.6× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$13,298.50 |
$26,597 |
1.0× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$5,611 |
$11,222 |
0.7× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$40,503.19 |
$81,006.38 |
3.0× |
| Arthrodesis; subtalar (28725) |
$31,138.05 |
$62,276.10 |
2.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$48,394.92 |
$96,789.85 |
2.7× |
| Arthroplasty interphalangeal joint each (26535) |
$1,857 |
$3,714 |
0.5× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$47,834.84 |
$95,669.69 |
2.6× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$18,423 |
$36,846 |
1.0× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
$25,326.19 |
$50,652.39 |
1.9× |
| Arthroplasty with prosthetic replacement; trapezium Facility (25445) |
$6,123 |
$12,246 |
0.8× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$14,711.08 |
$29,422.16 |
4.3× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$27,223.53 |
$54,447.07 |
2.0× |
| Arthroplasty, radial head; with implant Facility (24366) |
$12,573 |
$25,146 |
0.9× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,857 |
$3,714 |
0.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,059 |
$4,118 |
0.6× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$23,264.18 |
$46,528.36 |
6.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$15,993.88 |
$31,987.76 |
4.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$14,917.17 |
$29,834.34 |
4.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$1,857 |
$3,714 |
0.5× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$16,627.24 |
$33,254.48 |
4.9× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,993.50 |
$3,987 |
0.6× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$4,453 |
$8,906 |
0.6× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$4,118 |
$8,236 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$9,078.67 |
$18,157.35 |
2.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$1,857 |
$3,714 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$16,356.65 |
$32,713.31 |
4.8× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$24,360.42 |
$48,720.86 |
3.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$22,123.74 |
$44,247.49 |
2.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$19,361.02 |
$38,722.06 |
5.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$24,370.67 |
$48,741.34 |
3.2× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$10,410.13 |
$20,820.26 |
3.1× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$11,102.13 |
$22,204.26 |
3.3× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$1,857 |
$3,714 |
0.5× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$2,059 |
$4,118 |
0.6× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$19,389.93 |
$38,779.86 |
5.7× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$14,144.14 |
$28,288.29 |
4.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$29,003.40 |
$58,006.80 |
3.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$7,171.79 |
$14,343.58 |
2.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,993.50 |
$3,987 |
0.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$8,053.46 |
$16,106.92 |
4.8× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,857 |
$3,714 |
0.5× |
| Artificial Insemination Intra-Uterine (58322) |
$251 |
$502 |
1.2× |
| Aspirate pleura w/ imaging (32555) |
$1,524.38 |
$3,048.78 |
2.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$208.75 |
$417.50 |
0.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$208 |
$416 |
0.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,996.41 |
$3,992.83 |
0.9× |
| Aspiration bladder needle (51100) |
$123 |
$246 |
0.5× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$1,670.75 |
$3,341.50 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$118.34 |
$236.68 |
0.6× |
| Beta amyloid, ab42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass… (0412U) |
$560 |
$1,120 |
0.7× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure |
$1,746 |
$3,492 |
0.3× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$12,886 |
$25,772 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$2,993.04 |
$5,986.08 |
1.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$5,945.80 |
$11,891.61 |
3.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$749 |
$1,498 |
0.8× |
| Biopsy External Auditory Canal (69105) |
$548.50 |
$1,097 |
0.3× |
| Biopsy external ear (69100) |
$107 |
$214 |
0.4× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$1,577.50 |
$3,155 |
0.5× |
| Biopsy intranasal (30100) |
$412 |
$824 |
0.3× |
| Biopsy muscle deep (20205) |
$1,623.50 |
$3,247 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$2,748.54 |
$5,497.08 |
1.6× |
| Biopsy Nail Unit Separate Procedure (11755) |
$213.50 |
$427 |
0.3× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$1,996 |
$3,992 |
0.6× |
| Biopsy of breast; open, incisional (19101) |
$1,704.50 |
$3,409 |
0.4× |
| Biopsy of extraocular muscle Facility (67346) |
$1,846.50 |
$3,693 |
0.5× |
| Biopsy of eyelid lining (68100) |
$481.50 |
$963 |
0.2× |
| Biopsy of floor of mouth (41108) |
$240.50 |
$481 |
0.1× |
| Biopsy of lacrimal gland (68510) |
$1,346.50 |
$2,693 |
0.5× |
| Biopsy of lip (40490) |
$93.50 |
$187 |
0.4× |
| Biopsy of mouth lesion (40808) |
$154 |
$308 |
0.3× |
| Biopsy of palate, uvula (42100) |
$243 |
$486 |
0.2× |
| Biopsy of penis (54100) |
$791.50 |
$1,583 |
0.5× |
| Biopsy of tear sac (68525) |
$1,362 |
$2,724 |
0.6× |
| Biopsy of tongue (41100) |
$227.50 |
$455 |
0.4× |
| Biopsy Oropharynx (42800) |
$471.50 |
$943 |
0.3× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$4,463.50 |
$8,927 |
1.3× |
| Biopsy pleura percutaneous needle (32400) |
$397.50 |
$795 |
0.2× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$4,501.50 |
$9,003 |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$1,040.50 |
$2,081 |
0.6× |
| Biopsy Salivary Gland,Needle (42400) |
$2,748.54 |
$5,497.08 |
3.8× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$224 |
$448 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$1,680 |
$3,360 |
1.0× |
| Biopsy Tongue Posterior One-Third (41105) |
$538.50 |
$1,077 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$345.50 |
$691 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$587 |
$1,174 |
0.6× |
| Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712) |
$4,501.50 |
$9,003 |
1.2× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) |
$4,501.50 |
$9,003 |
1.2× |
| Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) |
$4,501.50 |
$9,003 |
1.2× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$4,501.50 |
$9,003 |
1.2× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$348 |
$696 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$16,340.75 |
$32,681.51 |
4.0× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$2,560 |
$5,120 |
0.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$6,855.55 |
$13,711.10 |
9.5× |
| Bladder Irrigation Simple (51700) |
$98 |
$196 |
0.4× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$693 |
$1,386 |
0.4× |
| Blepharoplasty lower eyelid (15820) |
$1,179 |
$2,358 |
0.6× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,427.50 |
$2,855 |
0.7× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$1,179 |
$2,358 |
0.6× |
| Blepharoplasty, Upper Eyelid (15822) |
$1,179 |
$2,358 |
0.6× |
| Blepharotomy drain absc eyelid (67700) |
$509.50 |
$1,019 |
1.6× |
| Blood patch (62273) |
$1,077.03 |
$2,154.06 |
1.5× |
| Blood transfusion service (36430) |
$721.50 |
$1,443 |
1.6× |
| Blood/Lymph System Procedure (38999) |
$1,091.50 |
$2,183 |
2.4× |
| Bone marrow aspiration only (38220) |
$746.50 |
$1,493 |
0.4× |
| Bone Marrow Biopsy (38221) |
$1,694.50 |
$3,389 |
1.0× |
Breast augmentation with implant (19325)
unusually low: confirm this is the full procedure |
$3,722.50 |
$7,445 |
0.4× |
| Breast Reduction (19318) |
$14,836.03 |
$29,672.07 |
2.2× |
| Breast surgery procedure (19499) |
$1,704.50 |
$3,409 |
0.4× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,710 |
$3,420 |
0.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,294.50 |
$2,589 |
0.7× |
| Brnchsc removal bronchial valve initial (31648) |
$2,685 |
$5,370 |
0.7× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,523.50 |
$3,047 |
0.4× |
| Bronch ebus samplng 1/2 node (31652) |
$2,207.50 |
$4,415 |
0.6× |
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure |
$1,342.50 |
$2,685 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,206.50 |
$4,413 |
1.2× |
Bronchoscopic Thermoplasty 2/> Lobes (31661)
unusually low: confirm this is the full procedure |
$2,685 |
$5,370 |
0.4× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,467 |
$2,934 |
0.2× |
| Bronchoscopy Bronch Stents (31636) |
$4,555 |
$9,110 |
0.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,574.50 |
$3,149 |
0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,269 |
$2,538 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,244.50 |
$2,489 |
0.7× |
| Bronchoscopy w/tumor excise (31640) |
$1,660 |
$3,320 |
0.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,840 |
$3,680 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,648.67 |
$7,297.34 |
2.1× |
| Bx anorectal wall anal approach (45100) |
$5,727.39 |
$11,454.78 |
2.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,300.50 |
$2,601 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$1,772 |
$3,544 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,606.50 |
$3,213 |
0.9× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$1,407.50 |
$2,815 |
0.5× |
| Bx Prostate Transperineal Ultrasound-Guided (55709) |
$4,501.50 |
$9,003 |
1.2× |
| Bx prst8 in-bore CT/MRI 1 (55714) |
$6,847.50 |
$13,695 |
1.2× |
| Bx prst8 in-bore CT/MRI bx 1 (55713) |
$6,847.50 |
$13,695 |
1.2× |
| Bx/exc lymph node needle superficial (38505) |
$4,511.93 |
$9,023.86 |
2.6× |
| Canthoplasty (67950) |
$1,185.50 |
$2,371 |
0.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,857 |
$3,714 |
0.5× |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
unusually low: confirm this is the full procedure |
$2,618.50 |
$5,237 |
0.3× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,857 |
$3,714 |
0.5× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$1,857 |
$3,714 |
0.5× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450)
unusually low: confirm this is the full procedure |
$2,882.50 |
$5,765 |
0.4× |
| Capsulotomy wrist (25085) |
$10,398.03 |
$20,796.06 |
3.1× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Facility (28264) |
$982.50 |
$1,965 |
0.6× |
| Car-t admn autologous (38228) |
$2,481.50 |
$4,963 |
7.3× |
| Carpectomy All Bones Proximal Row (25215) |
$15,122.76 |
$30,245.53 |
4.5× |
| Cataract surg w/iol 1 stage (66983) |
$1,553.50 |
$3,107 |
0.7× |
| Cataract surgery complex (66982) |
$7,709.34 |
$15,418.68 |
3.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$110.50 |
$221 |
0.5× |
| Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and… (53866) |
$319 |
$638 |
1.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$5,183.69 |
$10,367.38 |
1.5× |
| Cessj Therapy Cath Removal (37214) |
$3,474.50 |
$6,949 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$426 |
$852 |
0.6× |
| Change of cystostomy tube simple (51705) |
$208 |
$416 |
0.8× |
| Change stent via transureth (50385) |
$1,200.50 |
$2,401 |
0.6× |
| Chemical cautery tissue (17250) |
$366 |
$732 |
1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$268 |
$536 |
0.4× |
| Chemodenerv Eccrine Glands (64650) |
$135.50 |
$271 |
0.4× |
| Chemodenerv musc migraine (64615) |
$113.50 |
$227 |
0.4× |
| Chemodenerv Musc Neck Dyston (64616) |
$122.50 |
$245 |
0.4× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$122.50 |
$245 |
0.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$212.50 |
$425 |
0.3× |
| Chemodenerv trunk musc 6/> (64647) |
$268 |
$536 |
0.4× |
| Chemodenervation internal anal sphincter (46505) |
$7,955.35 |
$15,910.71 |
6.4× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$268 |
$536 |
0.4× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$154 |
$308 |
0.5× |
| Chemodenervation of extraocular muscle (67345) |
$258 |
$516 |
0.8× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$3,510.75 |
$7,021.50 |
4.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$222 |
$444 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$494.50 |
$989 |
0.2× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,939.50 |
$3,879 |
0.5× |
| Chorionic villus sampling (59015) |
$240 |
$480 |
0.3× |
| Chromotubation oviduct (58350) |
$6,670.68 |
$13,341.38 |
1.3× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$1,445.50 |
$2,891 |
0.6× |
| Circum 28 days or older (54161) |
$6,637.50 |
$13,275.01 |
3.1× |
| Circumcision (54150) |
$2,642.24 |
$5,284.48 |
1.2× |
| Claviculectomy partial (23120) |
$1,993.50 |
$3,987 |
0.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$576 |
$1,152 |
2.3× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$455.50 |
$911 |
1.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$103 |
$206 |
0.4× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$259.50 |
$519 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$103 |
$206 |
0.4× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,775.50 |
$3,551 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$135 |
$270 |
0.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$959 |
$1,918 |
0.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$117 |
$234 |
0.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$512.50 |
$1,025 |
2.0× |
| Closed Treat Vert Body Fract (22310) |
$192.50 |
$385 |
0.8× |
| Closed treat wrist dislocation (25660) |
$754 |
$1,508 |
3.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$1,259.75 |
$2,519.50 |
0.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$536.50 |
$1,073 |
2.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$8,400.67 |
$16,801.35 |
32.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$767 |
$1,534 |
0.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$192.50 |
$385 |
0.8× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,129.50 |
$4,259 |
0.6× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$221 |
$442 |
0.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$96.50 |
$193 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$103 |
$206 |
0.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$112 |
$224 |
0.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$475.50 |
$951 |
0.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$600 |
$1,200 |
2.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$367.50 |
$735 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$398 |
$796 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$432 |
$864 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$458 |
$916 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$103 |
$206 |
0.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$221.50 |
$443 |
0.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$714.50 |
$1,429 |
0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$798 |
$1,596 |
3.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$626.50 |
$1,253 |
2.5× |
| Closed tx lunate dislocation w/manipulation (25690) |
$833.50 |
$1,667 |
0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$136.75 |
$273.50 |
0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$901 |
$1,802 |
0.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$740.50 |
$1,481 |
0.5× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$2,583 |
$5,166 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,193 |
$2,386 |
4.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$826.50 |
$1,653 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$600.50 |
$1,201 |
2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$444.50 |
$889 |
0.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,507 |
$3,014 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,274.50 |
$2,549 |
5.0× |
| Closed tx septal&nose fx (21337) |
$1,830 |
$3,660 |
0.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$453 |
$906 |
1.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$714.50 |
$1,429 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315.50 |
$631 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,276.50 |
$2,553 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$226 |
$452 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$103 |
$206 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$262.50 |
$525 |
1.1× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$2,082 |
$4,164 |
0.6× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$132 |
$264 |
0.4× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$165.25 |
$330.50 |
0.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,441.50 |
$2,883 |
5.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$103 |
$206 |
0.4× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$536 |
$1,072 |
2.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$335 |
$670 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,213.19 |
$4,426.38 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$783 |
$1,566 |
3.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$295 |
$590 |
1.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$357 |
$714 |
0.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$179.50 |
$359 |
0.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,253 |
$2,506 |
0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$103 |
$206 |
0.4× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$196 |
$392 |
0.8× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,100.50 |
$4,201 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,238 |
$2,476 |
4.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$121 |
$242 |
0.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$180 |
$360 |
0.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$135 |
$270 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$722.50 |
$1,445 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,750.50 |
$3,501 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$372 |
$744 |
0.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$103 |
$206 |
0.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$546 |
$1,092 |
2.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$714.50 |
$1,429 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$301 |
$602 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$320.50 |
$641 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$301 |
$602 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$382 |
$764 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$905 |
$1,810 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$212.50 |
$425 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$116.50 |
$233 |
0.5× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$135 |
$270 |
0.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$815.50 |
$1,631 |
0.5× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$399 |
$798 |
0.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$863.50 |
$1,727 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$369.50 |
$739 |
1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,253.50 |
$2,507 |
4.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$521.50 |
$1,043 |
2.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$135 |
$270 |
0.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,644.50 |
$3,289 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$202.50 |
$405 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$594 |
$1,188 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,178 |
$2,356 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$192.50 |
$385 |
0.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$103 |
$206 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$250.50 |
$501 |
1.0× |
| Cltx post ankle fx w/mnpj (27768) |
$210 |
$420 |
0.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,494 |
$4,988 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$216 |
$432 |
0.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$399 |
$798 |
0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$275 |
$550 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$543 |
$1,086 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$454.50 |
$909 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$174 |
$348 |
0.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,318 |
$2,636 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$256 |
$512 |
0.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$429 |
$858 |
1.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$632 |
$1,264 |
2.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$533 |
$1,066 |
0.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,817.50 |
$3,635 |
7.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$587 |
$1,174 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$130.50 |
$261 |
0.9× |
| Colonoscopy flex w/blln dilat (45386) |
$2,283 |
$4,566 |
1.8× |
| Colonoscopy flex w/inj submuc (45381) |
$5,368.62 |
$10,737.26 |
4.3× |
| Colonoscopy flex w/rem forcep (45384) |
$3,571.94 |
$7,143.88 |
2.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$711.50 |
$1,423 |
0.6× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$967.50 |
$1,935 |
0.2× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,263.50 |
$4,527 |
1.8× |
| Colonoscopy stoma w/balloon dilation (44405) |
$737.50 |
$1,475 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$539 |
$1,078 |
0.4× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$923.50 |
$1,847 |
0.7× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$969.50 |
$1,939 |
0.8× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$1,054 |
$2,108 |
1.1× |
| Colonoscopy thru stoma (44388) |
$4,203.17 |
$8,406.35 |
4.4× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$3,898.89 |
$7,797.78 |
3.1× |
| Colonoscopy w/ablation (45388) |
$711.50 |
$1,423 |
0.6× |
| Colonoscopy w/band ligation (45398) |
$4,665.16 |
$9,330.33 |
3.8× |
| Colonoscopy w/endoscopic fnb (45392) |
$947 |
$1,894 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$539 |
$1,078 |
0.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,514 |
$3,028 |
1.2× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,312.25 |
$2,624.50 |
0.5× |
| Colpocleisis (le fort type) (57120) |
$2,635 |
$5,270 |
0.5× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$13,998.30 |
$27,996.61 |
1.8× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
unusually low: confirm this is the full procedure |
$3,682 |
$7,364 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$588.25 |
$1,176.50 |
1.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$447 |
$894 |
2.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$300.50 |
$601 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$594.50 |
$1,189 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,715.25 |
$3,430.50 |
0.5× |
| Colposcopy entire vagina w/cervix if present (57420) |
$145.50 |
$291 |
0.5× |
| Colposcopy vulva (56820) |
$80.50 |
$161 |
0.4× |
| Colposcopy vulva w/biopsy (56821) |
$102.50 |
$205 |
0.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$371.50 |
$743 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,147.50 |
$2,295 |
1.2× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$2,921 |
$5,842 |
0.6× |
| Combined anteroposterior colporrhaphy; (57260) |
$14,548.24 |
$29,096.49 |
2.8× |
| Complex Cystometrogram (51726) |
$193 |
$386 |
0.7× |
| Complex cystometrogram urethral press profile (51727) |
$433 |
$866 |
0.6× |
| Complex Uroflowmetry (51741) |
$343.50 |
$687 |
1.5× |
| Conization of cervix (57520) |
$5,958.35 |
$11,916.70 |
1.8× |
| Conization of cervix (57522) |
$2,654.10 |
$5,308.21 |
0.8× |
| Conjunctival Flap Total (68362) |
$1,185.50 |
$2,371 |
0.5× |
| Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Facility (68326) |
$2,083 |
$4,166 |
0.5× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$2,083 |
$4,166 |
0.5× |
| Construction of artificial vagina; without graft Facility (57291) |
$2,635 |
$5,270 |
0.5× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate… (67882) |
$1,410.25 |
$2,820.50 |
0.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$218.97 |
$437.94 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$53 |
$106 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$162.25 |
$324.50 |
1.2× |
| Conversion ext bil drg cath (47535) |
$1,876.50 |
$3,753 |
0.5× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,665 |
$3,330 |
0.8× |
| Convert nephrostomy catheter (50434) |
$481 |
$962 |
0.2× |
| Cordocentesis (59012) |
$275.50 |
$551 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,475.66 |
$8,951.32 |
2.6× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$156 |
$312 |
0.3× |
| Corneal transplant (65730) |
$2,584 |
$5,168 |
0.6× |
| Corneal transplant (65755) |
$2,584 |
$5,168 |
0.6× |
Corneal transplant (65710)
unusually low: confirm this is the full procedure |
$2,584 |
$5,168 |
0.5× |
Corneal transplant (65750)
unusually low: confirm this is the full procedure |
$2,584 |
$5,168 |
0.5× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$2,417.50 |
$4,835 |
0.7× |
| Correction eyelid w/implant (67912) |
$1,284 |
$2,568 |
0.5× |
| Correction hammertoe (28285) |
$10,662.09 |
$21,324.19 |
3.1× |
| Correction of bunion (28298) |
$12,502.15 |
$25,004.30 |
1.7× |
| Correction of bunion (28292) |
$1,857 |
$3,714 |
0.5× |
| Correction of bunion (28299) |
$15,663.30 |
$31,326.60 |
2.1× |
Correction of bunion (28297)
unusually low: confirm this is the full procedure |
$6,093 |
$12,186 |
0.5× |
| Correction of everted punctum, cautery (68705) |
$286.25 |
$572.50 |
0.9× |
| Correction of lid retraction (67911) |
$1,185.50 |
$2,371 |
0.5× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$683.50 |
$1,367 |
0.7× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$54 |
$108 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$9,343.33 |
$18,686.67 |
2.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$4,155 |
$8,310 |
1.2× |
| Cover eye w/membrane (65778) |
$533 |
$1,066 |
0.5× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$1,121 |
$2,242 |
0.6× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$8,313 |
$16,626 |
0.8× |
| Csf shunt reprogram (62252) |
$137.50 |
$275 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$311 |
$622 |
2.3× |
| Curettage postpartum (59160) |
$1,724 |
$3,448 |
0.5× |
| Curette/treat cornea (65436) |
$512.75 |
$1,025.50 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$5,607.34 |
$11,214.69 |
2.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,681.19 |
$3,362.38 |
0.8× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$8,959.29 |
$17,918.58 |
2.5× |
| Cysto w/destruction of lesions (52214) |
$6,695.56 |
$13,391.13 |
1.8× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$6,477.50 |
$12,955 |
1.2× |
| Cysto w/insert ureteral stent (52332) |
$6,649.03 |
$13,298.07 |
1.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$424.50 |
$849 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$7,161.04 |
$14,322.08 |
2.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,259.19 |
$2,518.38 |
0.6× |
| Cysto w/ureter stricture tx (52341) |
$8,244.46 |
$16,488.93 |
2.3× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$8,395.72 |
$16,791.44 |
2.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,693.47 |
$13,386.94 |
1.8× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$10,035.90 |
$20,071.80 |
1.8× |
| Cysto/uretero w/lithotripsy (52356) |
$11,284.31 |
$22,568.62 |
2.0× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$8,738.77 |
$17,477.54 |
1.6× |
| Cystolithotomy (51050) |
$11,767.93 |
$23,535.86 |
2.1× |
| Cystometrogram w/vp (51728) |
$359.50 |
$719 |
0.5× |
| Cystometrogram W/Vp&Up (51729) |
$778 |
$1,556 |
1.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$8,284.48 |
$16,568.96 |
3.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$814 |
$1,628 |
0.4× |
| Cystouretero & or pyeloscope (52351) |
$5,176.78 |
$10,353.56 |
1.4× |
| Cystourethroscopy (52000) |
$583.28 |
$1,166.56 |
0.8× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,271.50 |
$6,543 |
0.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,737.50 |
$3,475 |
0.8× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$8,812.26 |
$17,624.52 |
2.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$8,328.34 |
$16,656.68 |
3.9× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$4,440.50 |
$8,881 |
1.2× |
| Cystourethroscopy with biopsy (52204) |
$8,328.34 |
$16,656.68 |
3.9× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$886 |
$1,772 |
0.4× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$8,897.14 |
$17,794.29 |
1.6× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$2,023.50 |
$4,047 |
0.9× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$1,803.75 |
$3,607.50 |
0.8× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$869.50 |
$1,739 |
0.4× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$1,553.50 |
$3,107 |
0.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$2,988 |
$5,976 |
0.5× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$2,304 |
$4,608 |
0.6× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$1,628 |
$3,256 |
0.4× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$1,846.50 |
$3,693 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$148 |
$296 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$468 |
$936 |
0.6× |
| Debride nail 1-5 (11720) |
$143.50 |
$287 |
2.4× |
| Debride nail 6 or more (11721) |
$143.50 |
$287 |
2.4× |
| Debride tissue/muscle (11043) |
$5,465.12 |
$10,930.24 |
7.1× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$227.50 |
$455 |
0.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$59.50 |
$119 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$456.50 |
$913 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$7,510.34 |
$15,020.69 |
4.4× |
| Declot vascular device (36593) |
$4,713.46 |
$9,426.91 |
13.8× |
| Decompression Of Tibia Nerve (28035) |
$6,771.32 |
$13,542.64 |
3.4× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,241.50 |
$2,483 |
0.6× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$2,189.75 |
$4,379.50 |
1.0× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Facility (15610) |
$1,288 |
$2,576 |
0.6× |
| Delivery placenta separate procedure (59414) |
$3,935.50 |
$7,871 |
1.2× |
| Denervation of hip joint (27035) |
$903 |
$1,806 |
0.3× |
| Derma-fat-fascia graft (15770) |
$2,439.50 |
$4,879 |
0.7× |
| Dermabrasion segmental face (15781) |
$399.25 |
$798.50 |
0.5× |
| Destroy cerv/thor facet jnt (64633) |
$1,312.50 |
$2,625 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,982.34 |
$5,964.70 |
1.5× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$1,360 |
$2,720 |
0.6× |
| Destruction Benign Lesions 15/> (17111) |
$48 |
$96 |
0.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$204.50 |
$409 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$424 |
$848 |
0.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$284.25 |
$568.50 |
0.3× |
| Destruction Lesions Vulva Extensive (56515) |
$1,289 |
$2,578 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$1,128.50 |
$2,257 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$66.50 |
$133 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$66.50 |
$133 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$186 |
$372 |
0.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$394 |
$788 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$48 |
$96 |
0.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$48 |
$96 |
0.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$48 |
$96 |
0.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$66.50 |
$133 |
0.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$155 |
$310 |
0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$48 |
$96 |
0.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$66.50 |
$133 |
0.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$66.50 |
$133 |
0.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$48 |
$96 |
0.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$123 |
$246 |
0.3× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$454 |
$908 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$48 |
$96 |
0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,200.50 |
$2,401 |
0.6× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$686 |
$1,372 |
1.2× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Facility (67227) |
$1,581 |
$3,162 |
0.4× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$890 |
$1,780 |
2.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$1,548 |
$3,096 |
0.7× |
| Destruction of lesion, conjunctiva (68135) |
$115 |
$230 |
0.0× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$264 |
$528 |
0.5× |
| Destruction of skin lesions (17106) |
$122.50 |
$245 |
0.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$66.50 |
$133 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$90 |
$180 |
0.4× |
| Destruction Vaginal Lesions Simple (57061) |
$895.25 |
$1,790.50 |
0.3× |
| Diagnostic anoscopy (46601) |
$1,035 |
$2,070 |
2.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,494.76 |
$2,989.53 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$3,342.86 |
$6,685.73 |
3.5× |
| Dil urethra,female,subsequent (53661) |
$53 |
$106 |
0.4× |
| Dilat female urethra general/cndj spinal anes (53665) |
$1,505.50 |
$3,011 |
0.7× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,725.50 |
$3,451 |
1.4× |
| Dilate Urethra Stricture (53620) |
$1,549.50 |
$3,099 |
2.1× |
| Dilate urethra stricture (53600) |
$102.50 |
$205 |
0.4× |
| Dilation and curettage (58120) |
$1,408 |
$2,816 |
0.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$937 |
$1,874 |
1.0× |
| Dilation esophagus over guide wire (43453) |
$554 |
$1,108 |
0.3× |
| Dilation Nasolacrimal Duct (68801) |
$314.25 |
$628.50 |
0.7× |
| Dilation of cervical canal (57800) |
$63 |
$126 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$52.50 |
$105 |
0.4× |
| Dilation of vagina (57400) |
$1,890 |
$3,780 |
0.6× |
| Dilation Salivary Duct (42650) |
$1,638 |
$3,276 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,039.50 |
$2,079 |
0.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,457 |
$4,914 |
1.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$256.25 |
$512.50 |
0.3× |
| Drain penis lesion (54015) |
$836.50 |
$1,673 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$90 |
$180 |
0.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$191.50 |
$383 |
0.8× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$254 |
$508 |
0.5× |
| Drainage external auditory canal abscess (69020) |
$300.50 |
$601 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$277.50 |
$555 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$471.50 |
$943 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$243.75 |
$487.50 |
1.2× |
| Drainage Mouth Roof Lesion (42000) |
$108.50 |
$217 |
0.4× |
| Drainage of eye (65815) |
$1,445.50 |
$2,891 |
0.6× |
| Drainage of eye (65810) |
$2,918 |
$5,836 |
1.2× |
| Drainage of eye (65800) |
$1,069 |
$2,138 |
0.4× |
| Drainage of gum lesion (41800) |
$197.50 |
$395 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$881.50 |
$1,763 |
0.5× |
| Drainage of hydrocele (55000) |
$904.50 |
$1,809 |
1.2× |
| Drainage of mouth lesion (41017) |
$4,854.50 |
$9,709 |
1.4× |
| Drainage of ovarian cyst(s) (58800) |
$875.50 |
$1,751 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$490 |
$980 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$3,829 |
$7,658 |
1.1× |
| Drainage tendon sheath digit&/palm each (26020) |
$2,047.25 |
$4,094.50 |
0.6× |
| Draw blood off venous device (36591) |
$1,439.98 |
$2,879.95 |
10.5× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$688.50 |
$1,377 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$180.50 |
$361 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$158 |
$316 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$157.50 |
$315 |
0.8× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$174.75 |
$349.50 |
0.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$122.50 |
$245 |
0.1× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$1,416.50 |
$2,833 |
0.4× |
| Dstrj lesion anus simple chemical (46900) |
$489.50 |
$979 |
1.2× |
| Dstrj lesion anus simple cryosurgery (46916) |
$90 |
$180 |
0.4× |
| Dstrj lesion anus simple surg excision (46922) |
$6,176.93 |
$12,353.86 |
2.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$247 |
$494 |
0.1× |
| Dstrj Lesion Choroid Pc 1/> Sess (67220) |
$2,034 |
$4,068 |
3.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$36 |
$72 |
0.2× |
| Dstrj Lesion Penis Simple Laser (54057) |
$7,429.25 |
$14,858.50 |
3.5× |
| Dstrj lesion penis simple surg excision (54060) |
$1,009 |
$2,018 |
0.5× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$200.50 |
$401 |
0.5× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$995.50 |
$1,991 |
1.1× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$503 |
$1,006 |
0.5× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$107 |
$214 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$11,139.90 |
$22,279.82 |
3.7× |
| Dx Laryngoscopy Excl Nb (31525) |
$796 |
$1,592 |
0.4× |
Ear Cartilage Graft (21235)
unusually low: confirm this is the full procedure |
$2,637.50 |
$5,275 |
0.4× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$771 |
$1,542 |
0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,049 |
$4,098 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,386.16 |
$10,772.32 |
2.7× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,554.50 |
$3,109 |
0.8× |
| Egd control bleeding any (43255) |
$7,775.17 |
$15,550.34 |
3.9× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$2,421.50 |
$4,843 |
0.6× |
| Egd dilate stricture (43245) |
$822 |
$1,644 |
0.4× |
| Egd endo mucosal resection (43254) |
$510 |
$1,020 |
0.3× |
| Egd endoscopic stent place (43266) |
$11,881 |
$23,762 |
1.9× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$3,433.34 |
$6,866.69 |
1.7× |
| Egd flexible foreign body removal (43247) |
$3,754.37 |
$7,508.74 |
4.0× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$2,286.50 |
$4,573 |
1.2× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
$1,084 |
$2,168 |
1.2× |
| Egd guide wire insertion (43248) |
$1,104 |
$2,208 |
1.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$678.50 |
$1,357 |
0.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$787.50 |
$1,575 |
0.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$701.50 |
$1,403 |
0.4× |
| Egd place gastrostomy tube (43246) |
$2,421.50 |
$4,843 |
1.2× |
| Egd remove lesion snare (43251) |
$3,666.51 |
$7,333.03 |
1.8× |
| Egd tube/cath insertion (43241) |
$1,920.50 |
$3,841 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$1,040.50 |
$2,081 |
0.5× |
| Egd us transmural injxn/mark (43253) |
$771 |
$1,542 |
0.4× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$847 |
$1,694 |
0.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$137.50 |
$275 |
0.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$137.50 |
$275 |
0.4× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$5,615.50 |
$11,231 |
1.0× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111)
likely a partial charge, not the full procedure |
$1,381 |
$2,762 |
0.2× |
| EMG anal/urethral sphincter (51785) |
$603 |
$1,206 |
2.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$468.50 |
$937 |
3.5× |
| Endocervical Curettage (57505) |
$6,137.53 |
$12,275.07 |
6.4× |
| Endometrial Biopsy (58100) |
$422.75 |
$845.50 |
2.0× |
| Endoscopic plantar fasciotomy (29893) |
$6,652.52 |
$13,305.05 |
2.0× |
| Endoscopic us exam esoph (43237) |
$1,380 |
$2,760 |
0.7× |
| Endoscopy bowel pouch/biop (44386) |
$651 |
$1,302 |
0.7× |
| Endoscopy of bowel pouch (44385) |
$413.50 |
$827 |
0.4× |
| Endoscopy Upper Small Intestine (44360) |
$629 |
$1,258 |
0.3× |
Endovasc Temp Balloon Occlus,Head/Nck (61623)
unusually low: confirm this is the full procedure |
$5,285.50 |
$10,571 |
0.4× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$2,358 |
$4,716 |
0.4× |
| Endovenous laser, 1st vein (36478) |
$1,483 |
$2,966 |
0.5× |
| Endovenous rf 1st vein (36475) |
$2,113.50 |
$4,227 |
0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$772 |
$1,544 |
0.4× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$778 |
$1,556 |
0.4× |
| Enucleation of eye; with implant, muscles not attached to implant Facility (65103) |
$1,846.50 |
$3,693 |
0.5× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$859.50 |
$1,719 |
0.4× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Facility (54900) |
$2,116 |
$4,232 |
1.0× |
| Episiotomy or vaginal repair (59300) |
$1,341 |
$2,682 |
0.4× |
| Ercp Duct Stent Placement (43274) |
$20,412.94 |
$40,825.88 |
3.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,837.50 |
$3,675 |
0.5× |
| Ercp ea duct/ampulla dilate (43277) |
$2,809 |
$5,618 |
0.7× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$1,203 |
$2,406 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$20,412.94 |
$40,825.88 |
5.1× |
| Ercp remove forgn body duct (43275) |
$1,899.50 |
$3,799 |
1.0× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$1,471.50 |
$2,943 |
0.2× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$1,739 |
$3,478 |
0.4× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,313 |
$2,626 |
0.3× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,803.50 |
$3,607 |
0.5× |
| Esoph Scope W/Submucous Inj (43201) |
$660.50 |
$1,321 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,757.04 |
$3,514.08 |
1.9× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$703 |
$1,406 |
0.4× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$510.50 |
$1,021 |
0.3× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,593.50 |
$5,187 |
0.7× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,176 |
$2,352 |
0.6× |
| Esophagoscopy flexible guide wire dilation (43226) |
$1,121.50 |
$2,243 |
0.6× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$927 |
$1,854 |
1.0× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$758.50 |
$1,517 |
0.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$411 |
$822 |
0.4× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$729 |
$1,458 |
0.4× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$1,005.50 |
$2,011 |
0.5× |
Esophagoscopy transoral stent placement (43212)
likely a partial charge, not the full procedure |
$914.50 |
$1,829 |
0.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$829 |
$1,658 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$578 |
$1,156 |
0.3× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
unusually low: confirm this is the full procedure |
$1,882 |
$3,764 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$105.50 |
$211 |
0.8× |
| Evisceration of ocular contents; without implant Facility (65091) |
$1,846.50 |
$3,693 |
0.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$6,507 |
$13,014 |
3.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,584.06 |
$9,168.13 |
2.7× |
| Exc abdl tum deep 5 cm/> (22901) |
$12,784.24 |
$25,568.48 |
4.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,933.05 |
$9,866.11 |
2.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$9,939.25 |
$19,878.50 |
13.6× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$9,093.17 |
$18,186.35 |
5.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,806.80 |
$7,613.61 |
2.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,424.76 |
$2,849.52 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$5,389.44 |
$10,778.89 |
7.4× |
| Exc back les sc < 3 cm (21930) |
$8,408.72 |
$16,817.45 |
4.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$231.75 |
$463.50 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$656 |
$1,312 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$11,274.80 |
$22,549.62 |
6.6× |
| Exc ganglion wrist recurrent (25112) |
$4,996.54 |
$9,993.09 |
3.0× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,734.50 |
$3,469 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$6,424.44 |
$12,848.89 |
3.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$982.50 |
$1,965 |
0.6× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$939 |
$1,878 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$6,954.17 |
$13,908.34 |
2.3× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,121 |
$2,242 |
0.6× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,271.75 |
$4,543.50 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$5,840.55 |
$11,681.11 |
8.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$3,794.91 |
$7,589.82 |
9.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$5,479.68 |
$10,959.37 |
7.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$11,168.47 |
$22,336.94 |
6.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,407.50 |
$2,815 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,347 |
$2,694 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,976.82 |
$11,953.64 |
3.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,391.75 |
$2,783.50 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,623.25 |
$3,246.50 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$6,895.30 |
$13,790.62 |
4.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$6,089.05 |
$12,178.10 |
2.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,407.50 |
$2,815 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$7,952.89 |
$15,905.79 |
4.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$8,254.67 |
$16,509.35 |
4.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,985.62 |
$5,971.25 |
1.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$6,670.12 |
$13,340.25 |
2.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,777.41 |
$9,554.83 |
1.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$12,963.09 |
$25,926.18 |
4.3× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$5,736.79 |
$11,473.58 |
3.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$7,988.15 |
$15,976.30 |
2.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,407.50 |
$2,815 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$8,757.09 |
$17,514.18 |
2.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$8,457.30 |
$16,914.61 |
2.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,407.50 |
$2,815 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,778.09 |
$7,556.18 |
2.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$836.50 |
$1,673 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$10,861.87 |
$21,723.74 |
3.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$8,357.94 |
$16,715.88 |
4.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$7,775.22 |
$15,550.45 |
2.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,407.50 |
$2,815 |
0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$9,402.40 |
$18,804.80 |
3.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,857 |
$3,714 |
0.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$982.50 |
$1,965 |
0.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,139.71 |
$4,279.43 |
0.6× |
| Exchange intraocular lens (66986) |
$1,445.50 |
$2,891 |
0.6× |
| Exchange nephrostomy cath (50435) |
$1,892.38 |
$3,784.76 |
0.9× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,857.07 |
$5,714.15 |
1.4× |
| Excis Pterygium (65420) |
$1,185.50 |
$2,371 |
0.5× |
| Excise excessive skin arm (15836) |
$1,407.50 |
$2,815 |
0.5× |
| Excise pharynx lesion (42808) |
$1,759.50 |
$3,519 |
0.5× |
| Excise tendon forearm/wrist (25109) |
$1,857 |
$3,714 |
0.5× |
| Excise Wrist Tendon Sheath (25118) |
$982.50 |
$1,965 |
0.6× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$1,185.50 |
$2,371 |
0.5× |
| Excision Breast Lesion (19125) |
$7,506.22 |
$15,012.45 |
1.9× |
| Excision Chalazion Single (67800) |
$117.50 |
$235 |
0.4× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$40,503.19 |
$81,006.38 |
12.0× |
| Excision external ear partial simple repair (69110) |
$1,174 |
$2,348 |
0.4× |
| Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Facility (26390) |
$4,118 |
$8,236 |
0.5× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$867.50 |
$1,735 |
0.3× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,286.50 |
$2,573 |
0.4× |
| Excision hydrocele bilateral (55041) |
$18,389.29 |
$36,778.58 |
5.0× |
| Excision interdigital morton neuroma single each (28080) |
$6,921.90 |
$13,843.81 |
4.2× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,134 |
$2,268 |
1.1× |
| Excision lesion meniscus/capsule knee (27347) |
$9,848.25 |
$19,696.51 |
2.9× |
| Excision lesion mouth roof (42104) |
$1,416.50 |
$2,833 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$691.50 |
$1,383 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$211.50 |
$423 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$7,740.76 |
$15,481.53 |
10.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$247.50 |
$495 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$4,741.36 |
$9,482.72 |
6.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$5,817.46 |
$11,634.93 |
7.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$236.25 |
$472.50 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$201.75 |
$403.50 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$227 |
$454 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$323.25 |
$646.50 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$836.50 |
$1,673 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$285.25 |
$570.50 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$243.50 |
$487 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$10,025.92 |
$20,051.84 |
13.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$318.50 |
$637 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$745 |
$1,490 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$175.75 |
$351.50 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$423.92 |
$847.84 |
0.6× |
| Excision of chalazion; multiple, different lids (67805) |
$301 |
$602 |
0.9× |
| Excision of chalazion; multiple, same lid (67801) |
$586.50 |
$1,173 |
0.6× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$1,185.50 |
$2,371 |
0.5× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$1,857 |
$3,714 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$6,033.84 |
$12,067.68 |
3.6× |
| Excision of hydrocele unilateral (55040) |
$9,939.25 |
$19,878.50 |
2.7× |
| Excision of lactiferous duct fistula Facility (19112) |
$5,734.92 |
$11,469.85 |
1.4× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$4,975.83 |
$9,951.66 |
4.8× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$14,806.80 |
$29,613.60 |
4.1× |
| Excision of lesion of tongue without closure (41110) |
$1,907 |
$3,814 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$4,008.72 |
$8,017.45 |
2.3× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$1,185.50 |
$2,371 |
0.5× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$8,334.80 |
$16,669.60 |
3.4× |
| Excision of lesion, conjunctiva; with adjacent sclera Facility (68130) |
$1,185.50 |
$2,371 |
0.5× |
| Excision of local lesion of epididymis (54830) |
$1,964 |
$3,928 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,212.50 |
$4,425 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$5,301.89 |
$10,603.79 |
4.3× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$1,100.50 |
$2,201 |
0.4× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$13,452.10 |
$26,904.20 |
6.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$802 |
$1,604 |
0.6× |
| Excision of tongue lesion (41112) |
$1,416.50 |
$2,833 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$1,887.50 |
$3,775 |
0.6× |
| Excision of vaginal septum (57130) |
$1,887.50 |
$3,775 |
0.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$11,781.32 |
$23,562.64 |
3.2× |
| Excision olecranon bursa (24105) |
$9,106.46 |
$18,212.92 |
2.7× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) |
$4,453 |
$8,906 |
0.6× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$1,857 |
$3,714 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,993.50 |
$3,987 |
0.6× |
| Excision or fulguration; Skene's glands Facility (53270) |
$1,964 |
$3,928 |
0.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$10,368.59 |
$20,737.19 |
3.5× |
| Excision prepatellar bursa (27340) |
$6,390.36 |
$12,780.72 |
1.9× |
| Excision tendon finger flexor/extensor each (26180) |
$982.50 |
$1,965 |
0.6× |
| Excision tendon palm flexor/extensor single each (26170) |
$982.50 |
$1,965 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$9,300 |
$18,600 |
5.4× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,407.50 |
$2,815 |
0.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,741.66 |
$7,483.32 |
2.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$6,238.75 |
$12,477.50 |
3.7× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$8,408.72 |
$16,817.45 |
4.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$836.50 |
$1,673 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Facility (15835) |
$1,519 |
$3,038 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$1,407.50 |
$2,815 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,407.50 |
$2,815 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$1,706.50 |
$3,413 |
0.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$1,732.25 |
$3,464.50 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$7,392.40 |
$14,784.80 |
2.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$6,220.62 |
$12,441.24 |
3.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$335.50 |
$671 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$6,773.40 |
$13,546.81 |
2.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$9,334.99 |
$18,669.98 |
3.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,297.55 |
$8,595.11 |
1.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$7,235.18 |
$14,470.36 |
2.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$6,045.81 |
$12,091.62 |
1.8× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$8,317.68 |
$16,635.37 |
5.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,440 |
$2,880 |
0.4× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$739 |
$1,478 |
0.2× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$1,185.50 |
$2,371 |
0.5× |
| Excision; trochanteric bursa or calcification (27062) |
$4,052 |
$8,104 |
1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,172.50 |
$4,345 |
1.0× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$7,592.26 |
$15,184.52 |
4.6× |
| Explo/Drain Breast Abscess (19020) |
$1,697.50 |
$3,395 |
1.0× |
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure |
$941 |
$1,882 |
0.1× |
| Exploration penetrating wound spx chest (20101) |
$1,993 |
$3,986 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$592.50 |
$1,185 |
0.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,072.50 |
$4,145 |
0.6× |
| Explore Parathyroid Glands (60500) |
$4,109 |
$8,218 |
0.7× |
| Explore/biopsy eye socket (67400) |
$1,846.50 |
$3,693 |
0.5× |
| Explore/irrigate tear ducts (68840) |
$123 |
$246 |
0.4× |
| Explore/treat eye socket (67412) |
$7,360.15 |
$14,720.30 |
3.0× |
| Explore/Treat Knee Joint (27331) |
$2,015 |
$4,030 |
0.6× |
| External cephalic version (59412) |
$3,935.50 |
$7,871 |
1.2× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical… (66987) |
$2,584 |
$5,168 |
0.6× |
| Extraction of lens (66940) |
$1,445.50 |
$2,891 |
0.6× |
| Extraction of lens (66920) |
$1,445.50 |
$2,891 |
0.6× |
| Extraction of lens (66930) |
$2,584 |
$5,168 |
0.6× |
| Eye surgery procedure (66999) |
$7,340.20 |
$14,680.41 |
3.1× |
| Fasciectomy Palm Only (26121) |
$6,730.85 |
$13,461.71 |
2.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$4,527.30 |
$9,054.61 |
1.3× |
| Fasciotomy foot and/or toe (28008) |
$1,857 |
$3,714 |
0.5× |
| Fasciotomy palmar open partial (26045) |
$2,618.50 |
$5,237 |
0.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$12,513.21 |
$25,026.42 |
3.7× |
| Fetal Invas Px W/ US (59897) |
$392 |
$784 |
1.9× |
| Fetal non-stress test (59025) |
$632 |
$1,264 |
3.0× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,257.50 |
$2,515 |
1.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$5,325.38 |
$10,650.76 |
7.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,271.14 |
$2,542.28 |
1.7× |
| Fine needle aspiration of orbital contents Facility (67415) |
$2,981.50 |
$5,963 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$339 |
$678 |
0.8× |
| Fit/Insert Intravag Support Device (57160) |
$69.50 |
$139 |
0.3× |
| Fix Entropion,Extensv Lid Repair (67924) |
$1,185.50 |
$2,371 |
0.5× |
| Fixation of shoulder (23700) |
$2,257.87 |
$4,515.75 |
1.4× |
| Fluid pressure muscle (20950) |
$169 |
$338 |
0.2× |
| Fluoro exam of g/colon tube (49465) |
$322.04 |
$644.08 |
1.3× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,180.50 |
$2,361 |
1.6× |
| Follow-up surgery of eye (66250) |
$1,052.25 |
$2,104.50 |
0.4× |
| Forearm or wrist surgery (25999) |
$16,938.94 |
$33,877.88 |
66.4× |
| Forehead flap w/vasc pedicle (15731) |
$2,443 |
$4,886 |
0.7× |
| Foreskin manipulation (54450) |
$107 |
$214 |
0.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$1,830 |
$3,660 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$12,752.79 |
$25,505.59 |
6.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,103 |
$2,206 |
0.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$939.75 |
$1,879.50 |
0.4× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,179 |
$2,358 |
0.6× |
| Fusion of finger tendons (26471) |
$1,857 |
$3,714 |
0.5× |
| Fusion of foot bones (28740) |
$18,211.44 |
$36,422.88 |
2.4× |
| Fusion of hand bones (25820) |
$5,920 |
$11,840 |
0.8× |
| Fusion of hand joint (26843) |
$5,840.50 |
$11,681 |
0.8× |
| Fusion of knuckle (26850) |
$4,118 |
$8,236 |
0.5× |
| Fusion of thumb (26841) |
$4,118 |
$8,236 |
0.5× |
| Fusion of toes (28280) |
$1,857 |
$3,714 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$392.50 |
$785 |
1.8× |
| Gastrocnemius recession (27687) |
$14,917.17 |
$29,834.34 |
4.4× |
| Glaucoma surgery (66160) |
$1,445.50 |
$2,891 |
0.6× |
| Glaucoma surgery (66170) |
$1,445.50 |
$2,891 |
0.6× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$223.50 |
$447 |
6.1× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$1,600.50 |
$3,201 |
0.7× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$1,718.25 |
$3,436.50 |
0.8× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$2,223 |
$4,446 |
0.6× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$2,443 |
$4,886 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,743.10 |
$3,486.21 |
2.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,108.75 |
$14,217.50 |
0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$6,690.54 |
$13,381.09 |
2.0× |
| Hem gen pltlt do 43 genes (0274U) |
$1,012 |
$2,024 |
1.7× |
| Hem genetic bld do 60 genes (0272U) |
$2,436.50 |
$4,873 |
4.0× |
| Hem inh thrombocytopenia gen seq alys 42 genes (0276U) |
$1,649.50 |
$3,299 |
0.7× |
| Hem Vwd Propeptide Ag Lvl (0281U) |
$151 |
$302 |
8.7× |
| Hemorrhoidectomy (46255) |
$7,739.83 |
$15,479.66 |
2.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$8,643.30 |
$17,286.61 |
3.0× |
| Hysteroscopy biopsy (58558) |
$4,291.34 |
$8,582.67 |
1.3× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$2,635 |
$5,270 |
0.5× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$2,635 |
$5,270 |
0.5× |
| Hysteroscopy removal leiomyomata (58561) |
$9,329.29 |
$18,658.59 |
1.8× |
| Hysteroscopy w endometrial ablation (58563) |
$5,751.01 |
$11,502.02 |
1.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,887.50 |
$3,775 |
0.6× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,466.12 |
$8,932.24 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$228 |
$456 |
0.9× |
| I&d abscess simple (10060) |
$471.56 |
$943.12 |
2.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,405.50 |
$2,811 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,756.50 |
$7,513 |
1.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$7,038.17 |
$14,076.35 |
3.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,857 |
$3,714 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$215.50 |
$431 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$791.50 |
$1,583 |
0.5× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$751 |
$1,502 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$409 |
$818 |
1.3× |
| Ileoscopy stoma w/balloon dilation (44381) |
$867.50 |
$1,735 |
0.4× |
| Ileoscopy thru stoma (44380) |
$411 |
$822 |
0.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$703.50 |
$1,407 |
0.7× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$2,032 |
$4,064 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$3,230.93 |
$6,461.87 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$3,615.24 |
$7,230.48 |
2.1× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,162 |
$2,324 |
0.7× |
Implant eye drug system (67027)
likely a partial charge, not the full procedure |
$4,205.50 |
$8,411 |
0.3× |
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure |
$3,288 |
$6,576 |
0.5× |
| Impression and custom preparation; auricular prosthesis Facility (21086) |
$1,706.50 |
$3,413 |
0.5× |
| Incise external hemorrhoid (46083) |
$370 |
$740 |
1.4× |
| Incise finger tendon sheath (26055) |
$3,544.90 |
$7,089.82 |
2.1× |
| Incise inner eye adhesions (65865) |
$1,445.50 |
$2,891 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$816.27 |
$1,632.55 |
1.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,331.25 |
$2,662.50 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$791.50 |
$1,583 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$4,056.82 |
$8,113.64 |
9.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$235 |
$470 |
1.1× |
| Incision and drainage perianal abscess superficial (46050) |
$1,195.75 |
$2,391.50 |
1.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,286.50 |
$2,573 |
0.4× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$10,838.47 |
$21,676.94 |
3.6× |
| Incision Drainage Lacrimal Sac (68420) |
$319.50 |
$639 |
0.1× |
| Incision extensor tendon sheath wrist (25000) |
$5,026.03 |
$10,052.07 |
3.0× |
| Incision of conjunctiva, drainage of cyst (68020) |
$1,085.50 |
$2,171 |
1.1× |
| Incision of eardrum (69420) |
$93.50 |
$187 |
0.4× |
| Incision of eyelid fold (67715) |
$1,185.50 |
$2,371 |
0.5× |
| Incision of iris (66500) |
$1,445.50 |
$2,891 |
0.6× |
| Incision of labial frenum (frenotomy) (40806) |
$470 |
$940 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$548.50 |
$1,097 |
0.3× |
| Incision of rectal abscess (46045) |
$2,215.50 |
$4,431 |
0.8× |
| Incision of rectal abscess (46040) |
$6,652.48 |
$13,304.97 |
5.4× |
| Incision of urethra (53020) |
$819 |
$1,638 |
0.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$153.25 |
$306.50 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$157.75 |
$315.50 |
0.2× |
| Induced abortion by d&c (59840) |
$1,335.50 |
$2,671 |
0.4× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$674.50 |
$1,349 |
1.6× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$9,677.53 |
$19,355.07 |
1.4× |
| Initial tx 1st degree burn local tx (16000) |
$461 |
$922 |
2.2× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$90 |
$180 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$424 |
$848 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$341.07 |
$682.14 |
1.1× |
| Inj therapeutic carpal tunnel (20526) |
$466.61 |
$933.22 |
1.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$22,233.01 |
$44,466.03 |
24.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$571.50 |
$1,143 |
0.6× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$132 |
$264 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$610.71 |
$1,221.42 |
0.7× |
| Inject Intravitreal Pharmcologic (67028) |
$179.25 |
$358.50 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$444.75 |
$889.50 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$998.25 |
$1,996.50 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$461 |
$922 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$415.25 |
$830.50 |
0.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$399.75 |
$799.50 |
0.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$424 |
$848 |
0.5× |
| Inject Sinus Tract Theraputic (20500) |
$427 |
$854 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$135.50 |
$271 |
0.4× |
| Inject/treat eye socket (67500) |
$311.50 |
$623 |
0.9× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,141 |
$2,282 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$270.75 |
$541.50 |
0.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$380.75 |
$761.50 |
0.5× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$28,039.71 |
$56,079.42 |
38.4× |
| Injection aa&/strd pudendal nerve (64430) |
$399.75 |
$799.50 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$253.50 |
$507 |
0.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$166.25 |
$332.50 |
0.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$783 |
$1,566 |
0.9× |
| Injection anesthetic agent femoral nerve single (64447) |
$205.75 |
$411.50 |
0.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$156.75 |
$313.50 |
0.2× |
| Injection for identification of sentinel node (38792) |
$15,043.95 |
$30,087.91 |
36.4× |
| Injection into skin lesions (11900) |
$48 |
$96 |
0.2× |
| Injection peyronie disease (54200) |
$107 |
$214 |
0.4× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$382 |
$764 |
0.6× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$139.50 |
$279 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$163 |
$326 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$85.75 |
$171.50 |
0.3× |
| Injection(s) spider veins (36468) |
$52 |
$104 |
0.1× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$625 |
$1,250 |
0.7× |
| Injection, anesthetic agent; vagus nerve (64408) |
$122.50 |
$245 |
0.4× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Facility (66020) |
$1,332.75 |
$2,665.50 |
0.6× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$1,595.75 |
$3,191.50 |
0.7× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$48 |
$96 |
0.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$778 |
$1,556 |
0.9× |
| Ins cath ren art 1st bilat (36252) |
$3,834 |
$7,668 |
1.2× |
| Ins cath ren art 1st unilat (36251) |
$6,509 |
$13,018 |
2.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,941.50 |
$7,883 |
1.2× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,404 |
$8,808 |
0.8× |
| Ins endovas vena cava filtr (37191) |
$6,614.25 |
$13,228.51 |
1.1× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$10,747.50 |
$21,495 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$145.50 |
$291 |
0.5× |
| Ins/Rep Subq Defibrillator (33270) |
$103,288 |
$206,576 |
3.2× |
| Insert and remove bone pin (20650) |
$6,003 |
$12,006 |
1.8× |
| Insert Bladder Cath Complex (51703) |
$445 |
$890 |
3.3× |
| Insert cath pleura w/ image (32557) |
$995 |
$1,990 |
0.6× |
| Insert cath pleura w/o image (32556) |
$958 |
$1,916 |
0.5× |
| Insert cervical dilator (59200) |
$232 |
$464 |
0.7× |
| Insert Drug Implant Device (11981) |
$147.50 |
$295.01 |
1.1× |
| Insert eye socket implant (67550) |
$2,187 |
$4,374 |
0.5× |
| Insert gastrostomy tube percutaneous (49440) |
$1,616.68 |
$3,233.37 |
0.8× |
| Insert heart pm atrial (33206) |
$15,465 |
$30,930 |
1.4× |
| Insert heart pm ventricular (33207) |
$9,578 |
$19,156 |
0.9× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$1,168.50 |
$2,337 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$1,814.75 |
$3,629.50 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,505.50 |
$7,011 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$3,474.50 |
$6,949 |
2.1× |
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure |
$3,085.50 |
$6,171 |
0.3× |
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure |
$6,163 |
$12,326 |
0.3× |
| Insert pulse gen sngl lead (33212) |
$5,735 |
$11,470 |
0.7× |
| Insert subq implantable defib electrode (33271) |
$10,867.50 |
$21,735 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$351 |
$702 |
2.5× |
| Insert testicular prosthesis (54660) |
$4,476.50 |
$8,953 |
0.8× |
| Insert tun ip cath perc (49418) |
$2,116.06 |
$4,232.14 |
0.6× |
| Insert tunneled cv cath (36561) |
$4,343.51 |
$8,687.03 |
1.3× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$2,876 |
$5,752 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$175.75 |
$351.50 |
1.3× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$8,015 |
$16,030 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,902.50 |
$3,805 |
0.5× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Facility (66183) |
$3,809 |
$7,618 |
0.9× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$23,018 |
$46,036 |
1.3× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$5,129.09 |
$10,258.18 |
2.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$5,900 |
$11,800 |
9.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,072 |
$12,144 |
0.7× |
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
likely a partial charge, not the full procedure |
$618 |
$1,236 |
0.1× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$26,510.87 |
$53,021.74 |
1.3× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$3,701.50 |
$7,403 |
0.4× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$3,898.50 |
$7,797 |
0.5× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
likely a partial charge, not the full procedure |
$2,182.50 |
$4,365 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$2,037.04 |
$4,074.07 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,413.50 |
$2,827 |
0.4× |
| Insj rx elut implt lac canal (68841) |
$131.50 |
$263 |
0.1× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$21,103.50 |
$42,207 |
1.6× |
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
unusually low: confirm this is the full procedure |
$2,425 |
$4,850 |
0.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,621.50 |
$5,243 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,661.82 |
$9,323.65 |
1.4× |
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure |
$3,722.50 |
$7,445 |
0.4× |
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure |
$10,597 |
$21,194 |
0.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,501 |
$11,002 |
0.6× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$4,017 |
$8,034 |
0.5× |
| Insrt pulse gen w/dual leads (33230) |
$40,744.50 |
$81,489 |
1.8× |
Insrt pulse gen w/mult leads (33231)
unusually low: confirm this is the full procedure |
$14,260.50 |
$28,521 |
0.4× |
| Insrt/redo spine n generator (63685) |
$26,379.87 |
$52,759.74 |
0.8× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$107 |
$214 |
0.4× |
| Interdental Fixation (21110) |
$1,275 |
$2,550 |
0.8× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,849 |
$3,698 |
3.3× |
| Intraoral i&d tongue/floor masticator space (41009) |
$336.50 |
$673 |
0.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,234 |
$8,468 |
1.2× |
| Intro cath dialysis circuit (36901) |
$900 |
$1,800 |
0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,312.50 |
$24,625 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$6,115 |
$12,230 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$1,193 |
$2,386 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$524 |
$1,048 |
2.1× |
| Irrigation maxillary sinus (31000) |
$317 |
$634 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$369.75 |
$739.50 |
1.4× |
| Island pedicle flap graft (15740) |
$710 |
$1,420 |
0.3× |
| IV injection test vascular flow flap/graft (15860) |
$131.50 |
$263 |
0.3× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$2,584 |
$5,168 |
0.6× |
Kidney endoscopy (50553)
likely a partial charge, not the full procedure |
$713.50 |
$1,427 |
0.1× |
Kidney endoscopy (50551)
likely a partial charge, not the full procedure |
$917.50 |
$1,835 |
0.2× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$413.50 |
$827 |
11.3× |
| Knee Arthroscopy/Surgery (29874) |
$31,040.48 |
$62,080.96 |
9.2× |
| Labyrinthotomy Transcanal (69801) |
$548.50 |
$1,097 |
0.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$28,512.50 |
$57,025.02 |
3.8× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$15,636.31 |
$31,272.63 |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$14,483.97 |
$28,967.94 |
1.9× |
| Lap ing hernia repair init (49650) |
$15,638.30 |
$31,276.60 |
2.5× |
| Lap paraesoph her rpr w/mesh (43282) |
$29,202.90 |
$58,405.80 |
2.7× |
| Lap paraesophag hern repair (43281) |
$21,828.23 |
$43,656.46 |
2.0× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$3,315 |
$6,630 |
0.5× |
| Laparoscopy appendectomy (44970) |
$11,221.59 |
$22,443.19 |
1.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$17,340.30 |
$34,680.60 |
1.6× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,201.40 |
$26,402.81 |
1.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,942.34 |
$13,884.68 |
1.1× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$11,726.50 |
$23,453 |
1.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$22,948.10 |
$45,896.20 |
2.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,408.38 |
$12,816.77 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$23,480.99 |
$46,961.98 |
2.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,323.42 |
$24,646.84 |
1.1× |
Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring,… (50542)
unusually low: confirm this is the full procedure |
$5,050.50 |
$10,101 |
0.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$12,360.19 |
$24,720.38 |
2.0× |
| Laparoscopy, surgical; orchiectomy Facility (54690) |
$3,279 |
$6,558 |
0.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$15,539.82 |
$31,079.64 |
2.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$9,335 |
$18,670 |
0.8× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$3,927.50 |
$7,855 |
0.6× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$5,446.86 |
$10,893.73 |
0.9× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,922.32 |
$11,844.64 |
0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$13,189.71 |
$26,379.42 |
2.1× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$10,253.46 |
$20,506.92 |
1.6× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,740.43 |
$13,480.87 |
1.1× |
Laryngoplasty, medialization, unilateral Facility (31591)
unusually low: confirm this is the full procedure |
$2,907.50 |
$5,815 |
0.5× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$1,660 |
$3,320 |
0.4× |
| Laryngoscopy diagnostic (31505) |
$159 |
$318 |
0.8× |
| Laryngoscopy Direct Aspiration (31515) |
$347.50 |
$695 |
0.9× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$1,740.50 |
$3,481 |
0.5× |
| Laryngoscopy flexible diagnostic (31575) |
$392.50 |
$785 |
1.9× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$1,549.50 |
$3,099 |
0.8× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$671 |
$1,342 |
0.4× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$796 |
$1,592 |
0.4× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$402.50 |
$805 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$188 |
$376 |
0.5× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$438 |
$876 |
2.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,110.50 |
$4,221 |
1.1× |
| Laser surgery of eye (65855) |
$248.50 |
$497 |
0.4× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$363 |
$726 |
0.6× |
| Laser treatment of retina (67040) |
$2,584 |
$5,168 |
0.6× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$8,287.82 |
$16,575.65 |
1.5× |
| Late closure of wound (13160) |
$1,287.50 |
$2,575 |
0.4× |
| Lateral canthopexy (21282) |
$1,508 |
$3,016 |
0.4× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$21,477.51 |
$42,955.02 |
2.9× |
Ligation major artery abdomen (37617)
unusually low: confirm this is the full procedure |
$2,322.50 |
$4,645 |
0.4× |
| Ligation of a-v fistula (37607) |
$2,986 |
$5,972 |
0.9× |
| Ligation of hemorrhoid(s) (46221) |
$5,288.82 |
$10,577.66 |
5.5× |
| Ligation or biopsy temporal artery (37609) |
$1,012.25 |
$2,024.50 |
0.6× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,641 |
$7,282 |
1.1× |
| Lip shave (40500) |
$2,279.50 |
$4,559 |
0.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$11,048.83 |
$22,097.67 |
3.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$11,610.13 |
$23,220.26 |
3.2× |
| Lithotripsy (50590) |
$6,858.23 |
$13,716.46 |
1.9× |
| Liver Biopsy (47000) |
$2,993.76 |
$5,987.53 |
1.8× |
| Lyse chest fibrin init day (32561) |
$746.50 |
$1,493 |
1.2× |
| Lysis Intranasal Synechia (30560) |
$807 |
$1,614 |
1.4× |
| Lysis of labial adhesions (56441) |
$1,244 |
$2,488 |
0.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,547.50 |
$3,095 |
0.7× |
| Manipulat Palm Cord Post Inj (26341) |
$103 |
$206 |
0.4× |
| Manipulation knee joint under general anesthesia (27570) |
$2,752.62 |
$5,505.26 |
1.7× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
$122 |
$244 |
0.9× |
| Marsupialization Bartholins Gland Cyst (56440) |
$1,793.75 |
$3,587.50 |
0.5× |
| Mast mod rad (19307) |
$27,740.09 |
$55,480.19 |
4.0× |
| Mastectomy for gynecomastia (19300) |
$1,704.50 |
$3,409 |
0.4× |
| Mastectomy partial (19301) |
$9,317.86 |
$18,635.72 |
2.3× |
| Mastectomy simple complete (19303) |
$14,972.54 |
$29,945.08 |
2.2× |
Mastopexy (19316)
unusually low: confirm this is the full procedure |
$3,161.50 |
$6,323 |
0.5× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$215.50 |
$431 |
0.1× |
| Mech remov tunneled cv cath (36595) |
$1,138 |
$2,276 |
0.3× |
| Middle ear surgery proc unlisted (69799) |
$689 |
$1,378 |
2.8× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$3,167.25 |
$6,334.50 |
0.9× |
| Mohs 1 stage h/n/hf/g (17311) |
$122.50 |
$245 |
0.2× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$122.50 |
$245 |
0.2× |
| Mrgfus strtctc ablt trgt icr (61715) |
$91,254.50 |
$182,509 |
7.9× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$1,362 |
$2,724 |
0.4× |
| Muscle-skin graft trunk (15734) |
$2,569 |
$5,138 |
0.7× |
| Myelography Lumbar Injection (62305) |
$1,116.50 |
$2,233 |
1.4× |
| Myelography Lumbar Injection (62304) |
$3,197.04 |
$6,394.09 |
3.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$3,386.72 |
$6,773.45 |
4.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$4,110.03 |
$8,220.07 |
5.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$157.75 |
$315.50 |
0.2× |
| N Block Inj, Plantar Digit (64455) |
$421.83 |
$843.66 |
1.3× |
| Nasal endoscopy dx (31231) |
$78 |
$156 |
0.4× |
| Nasal surgery procedure (30999) |
$1,116.50 |
$2,233 |
4.6× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure |
$2,855 |
$5,710 |
0.4× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$796 |
$1,592 |
0.4× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$1,855 |
$3,710 |
0.5× |
| Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243) |
$8,567.50 |
$17,135 |
1.4× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
$8,567.50 |
$17,135 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,220 |
$2,440 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$631.50 |
$1,263 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$6,983.50 |
$13,967 |
1.0× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure |
$2,601.50 |
$5,203 |
0.4× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$4,888.50 |
$9,777 |
0.7× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$6,983.50 |
$13,967 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$4,888.50 |
$9,777 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$278.75 |
$557.50 |
0.6× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$1,948 |
$3,896 |
0.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,145.46 |
$10,290.92 |
3.1× |
| Needle biopsy of pancreas (48102) |
$1,114.50 |
$2,229 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$58 |
$116 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$58 |
$116 |
1.9× |
| Nerve pedicle transfer; first stage Facility (64905) |
$24,468.47 |
$48,936.94 |
2.7× |
| Nerve repair w/allograft (64910) |
$31,098.09 |
$62,196.19 |
3.4× |
| Nerve repair w/nerve allograft first strand (64912) |
$28,024.68 |
$56,049.37 |
3.1× |
| Neu prksn msfl a-syncln prtn (0393U) |
$1,050 |
$2,100 |
1.9× |
| Neuro alz ds bamyl&tau prtn (0503U) |
$1,066 |
$2,132 |
1.4× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$160 |
$320 |
1.4× |
| Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quakinginduced conformational conversion,… (0584U) |
$237.50 |
$475 |
0.4× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$11,862.61 |
$23,725.22 |
5.9× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,768.56 |
$7,537.12 |
1.9× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$1,350.50 |
$2,701 |
0.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$1,121 |
$2,242 |
0.6× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$13,506.70 |
$27,013.41 |
6.7× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$387 |
$774 |
0.5× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$383.50 |
$767 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,212 |
$2,424 |
2.9× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,264 |
$4,528 |
1.1× |
| Nipple/areola reconstruction (19350) |
$1,881 |
$3,762 |
0.5× |
| Njx aa&/strd sciatic nerve (64445) |
$20,348.97 |
$40,697.94 |
27.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$399.75 |
$799.50 |
0.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$107 |
$214 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$746.76 |
$1,493.52 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$735 |
$1,470 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$687.75 |
$1,375.50 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,548.71 |
$3,097.42 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,159.30 |
$2,318.61 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,594.32 |
$3,188.65 |
2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,382.50 |
$2,765 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$820.25 |
$1,640.50 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,156.46 |
$2,312.91 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$720 |
$1,440 |
0.8× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,251.50 |
$4,503 |
1.1× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,103 |
$2,206 |
0.5× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$420.20 |
$840.40 |
0.6× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,876.99 |
$3,753.99 |
2.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$148.75 |
$297.50 |
0.4× |
| OB Pe Biochem Asy Sflt1&Plgf (0482U) |
$280 |
$560 |
2.2× |
| Obstructive material removal from gi tube (49460) |
$688 |
$1,376 |
0.7× |
| Occipital Nerve Block (64405) |
$135.25 |
$270.50 |
0.4× |
| Ocular reconst transplant (65780) |
$2,370.50 |
$4,741 |
0.6× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$1,656 |
$3,312 |
0.6× |
Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (cox2,… (0295U)
unusually low: confirm this is the full procedure |
$1,750 |
$3,500 |
0.3× |
| Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous… (0172U) |
$70 |
$140 |
0.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$15,665.90 |
$31,331.80 |
3.9× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$6,993.50 |
$13,987 |
1.1× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$25,064.72 |
$50,129.45 |
3.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$21,213.47 |
$42,426.95 |
2.8× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,857 |
$3,714 |
0.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$15,768.75 |
$31,537.50 |
2.1× |
| Open treatment metatarsal fracture each (28485) |
$7,617.03 |
$15,234.07 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$23,123.83 |
$46,247.66 |
3.1× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$5,315 |
$10,630 |
0.7× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$27,420.04 |
$54,840.08 |
2.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$12,318 |
$24,636 |
0.9× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$68,039.74 |
$136,079.49 |
5.1× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$5,803 |
$11,606 |
0.8× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$17,837.42 |
$35,674.85 |
2.4× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$5,415 |
$10,830 |
0.7× |
| Open treatment of ulnar styloid fracture (25652) |
$4,836.50 |
$9,673 |
0.6× |
| Open Treatment Proximal Humeral Fracture (23615) |
$30,789.48 |
$61,578.97 |
2.3× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$17,055.19 |
$34,110.38 |
2.3× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$1,857 |
$3,714 |
0.5× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$14,679.54 |
$29,359.08 |
4.3× |
| Open tx carpal scaphoid navicular fracture (25628) |
$21,921.26 |
$43,842.52 |
2.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$21,535.27 |
$43,070.55 |
2.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$14,120.45 |
$28,240.90 |
4.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$23,043.55 |
$46,087.10 |
3.1× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$55,946.97 |
$111,893.94 |
4.2× |
| Open tx interphalangeal joint dislocation (26785) |
$1,993.50 |
$3,987 |
0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$17,177.62 |
$34,355.24 |
5.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$14,561.05 |
$29,122.10 |
4.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$17,252.23 |
$34,504.47 |
2.3× |
| Open tx ulnar fx proximal end (24685) |
$24,182.14 |
$48,364.29 |
3.2× |
| Open/Perq Place Stent Same (37238) |
$10,224 |
$20,448 |
0.9× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$14,487 |
$28,974 |
1.2× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$14,679.54 |
$29,359.08 |
4.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$17,554.72 |
$35,109.43 |
2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$23,163.08 |
$46,326.18 |
3.1× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$17,921.46 |
$35,842.92 |
2.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$37,205.03 |
$74,410.06 |
2.8× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Facility (67413) |
$1,362 |
$2,724 |
0.6× |
| Ostectomy calcaneus (28118) |
$22,028.64 |
$44,057.30 |
6.5× |
| Ostectomy complete 1st metatarsal head (28111) |
$1,857 |
$3,714 |
0.5× |
| Ostectomy complete 5th metatarsal head (28113) |
$9,115.74 |
$18,231.48 |
2.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,857 |
$3,714 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$12,781.66 |
$25,563.32 |
3.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$5,404.27 |
$10,808.54 |
1.6× |
| Osteochondral knee autograft (27416) |
$4,118 |
$8,236 |
0.5× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$15,626.08 |
$31,252.16 |
2.1× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$4,118 |
$8,236 |
0.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$13,014.86 |
$26,029.71 |
3.8× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$18,645.87 |
$37,291.74 |
2.5× |
| Osteotomy Phalanx Finger Each (26567) |
$1,857 |
$3,714 |
0.5× |
| Osteotomy talus (28302) |
$6,195.50 |
$12,391 |
0.8× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$35,013.94 |
$70,027.88 |
4.7× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$27,421.32 |
$54,842.65 |
2.1× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457)
unusually low: confirm this is the full procedure |
$2,550 |
$5,100 |
0.3× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$4,118 |
$8,236 |
0.5× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$11,818.97 |
$23,637.94 |
1.6× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$2,308 |
$4,616 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$9,668.56 |
$19,337.12 |
2.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$1,857 |
$3,714 |
0.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$1,857 |
$3,714 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$7,510.34 |
$15,020.69 |
2.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$7,815.73 |
$15,631.46 |
2.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$848.50 |
$1,697 |
0.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$982.50 |
$1,965 |
0.6× |
| Partial hymenectomy or revision (56700) |
$1,887.50 |
$3,775 |
0.6× |
| Partial removal of hand bone (26230) |
$1,857 |
$3,714 |
0.5× |
| Partial removal of thyroid (60220) |
$9,828.49 |
$19,656.98 |
1.6× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$9,219.96 |
$18,439.93 |
1.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,404.27 |
$10,808.54 |
1.6× |
| Pelvic examination under anesthesia (other than local) (57410) |
$1,915 |
$3,830 |
0.6× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$4,373.50 |
$8,747 |
0.7× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$5,285.50 |
$10,571 |
0.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,310.72 |
$2,621.44 |
1.8× |
| Percut Mech Thrombectomy, Venous (37187) |
$11,799 |
$23,598 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$1,483 |
$2,966 |
0.5× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$1,857 |
$3,714 |
0.5× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$3,200.90 |
$6,401.81 |
0.4× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$1,857 |
$3,714 |
0.5× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$10,591.40 |
$21,182.81 |
3.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,857 |
$3,714 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$1,334 |
$2,668 |
0.8× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$22,948.10 |
$45,896.20 |
6.9× |
| Peritoneal Lavage (49084) |
$338 |
$676 |
0.4× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$9,600.50 |
$19,201 |
0.5× |
| Perq av fistula creation uxtr sep access sites (36837) |
$15,619 |
$31,238 |
0.8× |
| Perq av fistula creation uxtr single access (36836) |
$15,619 |
$31,238 |
0.8× |
| Perq dev breast 1st mr guide (19287) |
$2,351.50 |
$4,703 |
3.2× |
| Perq dev breast 1st strtctc (19283) |
$2,767 |
$5,534 |
3.8× |
| Perq dev breast 1st us imag (19285) |
$15,043.95 |
$30,087.91 |
20.5× |
| Perq device breast 1st imag (19281) |
$948 |
$1,896 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,258 |
$2,516 |
0.3× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$2,230 |
$4,460 |
0.6× |
| Perq elec nrv field stimj cn (64567) |
$1,158.50 |
$2,317 |
1.2× |
| Perq p-art revsc 1 nm nt uni (33900) |
$15,750 |
$31,500 |
1.3× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$15,750 |
$31,500 |
0.8× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$15,802.50 |
$31,605 |
1.3× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$13,912.50 |
$27,825 |
1.2× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$5,000 |
$10,000 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$275.75 |
$551.50 |
1.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,301.90 |
$2,603.80 |
1.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,857 |
$3,714 |
0.5× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$18,700.50 |
$37,401 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,312.50 |
$24,625 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,115 |
$12,230 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$16,430.26 |
$32,860.54 |
2.2× |
| Perq Vertebral Augmentation (22513) |
$19,221.12 |
$38,442.24 |
2.6× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$1,482 |
$2,964 |
0.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$1,482 |
$2,964 |
0.4× |
| Phleb veins - extrem 20+ (37766) |
$5,617.50 |
$11,235 |
1.7× |
| Photopheresis, extracorporeal (36522) |
$3,364.50 |
$6,729 |
0.7× |
| Picc line placement (36569) |
$1,502.25 |
$3,004.50 |
0.9× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$131.50 |
$263 |
0.0× |
| Place Cath Subclavian Art (36225) |
$4,195 |
$8,390 |
1.3× |
| Place Cath Vertebral Art (36226) |
$11,831.50 |
$23,663 |
2.1× |
| Place duod/jej tube perc (49441) |
$2,253.50 |
$4,507 |
1.1× |
Placement needle pelvic organ radioelement appl (55920)
unusually low: confirm this is the full procedure |
$1,854 |
$3,708 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$117.50 |
$235 |
0.3× |
| Plastic operation on penis to correct angulation Facility (54360) |
$9,754.77 |
$19,509.54 |
2.7× |
| Plastic repair of canaliculi (68700) |
$1,353.25 |
$2,706.50 |
0.6× |
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure |
$2,595.50 |
$5,191 |
0.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$3,622.50 |
$7,245 |
0.6× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$3,622.50 |
$7,245 |
0.6× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$421.50 |
$843 |
0.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$5,379.88 |
$10,759.76 |
2.5× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,084 |
$2,168 |
0.3× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,468.90 |
$10,937.81 |
1.5× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,092.03 |
$8,184.06 |
1.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,698 |
$9,396 |
1.3× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$119.50 |
$239 |
0.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$2,635 |
$5,270 |
0.5× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$3,731 |
$7,462 |
0.2× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$1,185.50 |
$2,371 |
0.5× |
| Probe nasolacrimal duct (68810) |
$132 |
$264 |
0.4× |
| Probe nl duct w/balloon (68816) |
$1,346.50 |
$2,693 |
0.5× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$1,414 |
$2,828 |
0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$691.50 |
$1,383 |
0.7× |
| Proctosigmoid w/biopsy (45305) |
$498.75 |
$997.50 |
0.4× |
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure |
$1,255.50 |
$2,511 |
0.2× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$224.25 |
$448.50 |
0.4× |
| Prostate Saturation Sampling (55706) |
$4,311 |
$8,622 |
1.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$532.50 |
$1,065 |
0.7× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$6,548 |
$13,096 |
1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$26,510.87 |
$53,021.74 |
4.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,362.50 |
$4,725 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$963.50 |
$1,927 |
0.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,857 |
$3,714 |
0.5× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure |
$2,654.50 |
$5,309 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$391.92 |
$783.84 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$424.50 |
$849 |
0.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$1,068.37 |
$2,136.74 |
2.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$321 |
$642 |
0.4× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$832.50 |
$1,665 |
1.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$321 |
$642 |
0.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$7,368.62 |
$14,737.25 |
2.2× |
| Rad resect elbow caps/sr bone w rels (24149) |
$4,608 |
$9,216 |
0.6× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$982.50 |
$1,965 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,008 |
$2,016 |
0.5× |
| Rare diseases genetic testing of complete DNA of first affected person in family (0212U) |
$3,150 |
$6,300 |
0.6× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,857 |
$3,714 |
0.5× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$4,118 |
$8,236 |
0.5× |
| Realignment extensor tendon hand each tendon (26437) |
$9,492.90 |
$18,985.80 |
2.8× |
| Reconstruct Finger Joint (26548) |
$1,857 |
$3,714 |
0.5× |
| Reconstruct ulna/radioulnar (25337) |
$47,834.84 |
$95,669.69 |
6.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$1,185.50 |
$2,371 |
0.5× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$1,185.50 |
$2,371 |
0.5× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$1,846.50 |
$3,693 |
0.5× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$1,185.50 |
$2,371 |
0.5× |
| Reconstruction Toe Polydactyly (28344) |
$1,857 |
$3,714 |
0.5× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$2,393.50 |
$4,787 |
0.7× |
| Reinforce/graft eye wall (67255) |
$1,445.50 |
$2,891 |
0.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$18,824.56 |
$37,649.13 |
2.5× |
| Reinsertion of spinal fixation device Facility (22849) |
$52,330.96 |
$104,661.94 |
3.9× |
| Release elbow joint (24006) |
$1,993.50 |
$3,987 |
0.6× |
| Release finger contracture (26525) |
$982.50 |
$1,965 |
0.6× |
| Release wrist/forearm tendon (25295) |
$1,857 |
$3,714 |
0.5× |
| Relieve inner eye pressure (65820) |
$8,303.61 |
$16,607.22 |
1.9× |
| Relieve pressure on nerve(s) (64722) |
$1,121 |
$2,242 |
0.6× |
| Relocation of skin pocket for pacemaker (33222) |
$859.50 |
$1,719 |
0.4× |
| Rem Endovas Vena Cava Filter (37193) |
$2,580.78 |
$5,161.57 |
0.8× |
| Removal biliary drg cath (47537) |
$494.50 |
$989 |
0.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,519 |
$3,038 |
0.5× |
| Removal Foreign Body Foot Complicated (28193) |
$1,481.50 |
$2,963 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,283.75 |
$2,567.50 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$534 |
$1,068 |
0.7× |
| Removal foreign body intranasal (30300) |
$164.50 |
$329 |
1.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$3,458.49 |
$6,916.99 |
2.0× |
| Removal foreign body pharynx (42809) |
$477 |
$954 |
1.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,375 |
$2,750 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$113 |
$226 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$142 |
$284 |
2.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,731 |
$3,462 |
0.5× |
| Removal implant deep (20680) |
$13,110.20 |
$26,220.40 |
4.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$836.50 |
$1,673 |
0.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$96 |
$192 |
0.1× |
| Removal Intact Mammary Implant (19328) |
$1,704.50 |
$3,409 |
0.4× |
| Removal of adenoids (42830) |
$1,714.50 |
$3,429 |
0.5× |
| Removal of arm foreign body (24200) |
$193.50 |
$387 |
0.1× |
| Removal of blood clot, anterior segment of eye Facility (65930) |
$1,445.50 |
$2,891 |
0.6× |
| Removal of bone for graft (20902) |
$17,992.63 |
$35,985.27 |
2.4× |
| Removal of breast capsule (19371) |
$1,704.50 |
$3,409 |
0.4× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$196 |
$392 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$1,013 |
$2,026 |
3.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$955 |
$1,910 |
0.8× |
| Removal of finger lesion (26210) |
$982.50 |
$1,965 |
0.6× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$181 |
$362 |
0.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$269 |
$538 |
0.6× |
| Removal of heel spur (28119) |
$13,602.60 |
$27,205.20 |
4.0× |
| Removal of implant from finger or hand (26320) |
$836.50 |
$1,673 |
0.5× |
| Removal of implant material (19330) |
$1,704.50 |
$3,409 |
0.4× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$1,445.50 |
$2,891 |
0.6× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$1,445.50 |
$2,891 |
0.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$645 |
$1,290 |
1.0× |
| Removal of iris (66625) |
$1,445.50 |
$2,891 |
0.6× |
| Removal of iud (58301) |
$548.50 |
$1,097 |
1.7× |
Removal of kidney stone (50081)
likely a partial charge, not the full procedure |
$1,340 |
$2,680 |
0.1× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$2,584 |
$5,168 |
0.6× |
| Removal of nail bed (11750) |
$256.64 |
$513.28 |
0.6× |
| Removal of sesamoid bone (28315) |
$6,971.07 |
$13,942.14 |
2.1× |
| Removal of skin wrinkles (15829) |
$2,223 |
$4,446 |
0.6× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$1,857 |
$3,714 |
0.5× |
| Removal Of Tendon Lesion (27630) |
$1,857 |
$3,714 |
0.5× |
| Removal of testis (54520) |
$1,964 |
$3,928 |
0.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,361.81 |
$2,723.62 |
0.4× |
| Removal of wrist bone (25210) |
$1,857 |
$3,714 |
0.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,887.50 |
$3,775 |
0.6× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$2,081 |
$4,162 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$88.25 |
$176.50 |
0.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$510.50 |
$1,021 |
0.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,259 |
$2,518 |
0.6× |
| Removal, under anesthesia, of external fixation system (20694) |
$982.50 |
$1,965 |
0.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$253 |
$506 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$174 |
$348 |
0.6× |
| Remove cerclage suture (59871) |
$8,604.86 |
$17,209.72 |
2.6× |
| Remove drug implant device (11982) |
$284.50 |
$569 |
0.6× |
| Remove Elbow Joint Lining (24102) |
$1,857 |
$3,714 |
0.5× |
| Remove eye/attach implant (65105) |
$1,846.50 |
$3,693 |
0.5× |
| Remove foreign body from eye (65235) |
$1,445.50 |
$2,891 |
0.6× |
| Remove intrvas foreign body (37197) |
$3,090 |
$6,180 |
0.9× |
| Remove Pilonidal Cyst Exten (11771) |
$8,856.20 |
$17,712.40 |
2.9× |
| Remove Prostate Regrowth (52630) |
$3,242 |
$6,484 |
0.6× |
| Remove pulse generator (33241) |
$1,738 |
$3,476 |
0.4× |
| Remove renal tube w/fluoro (50389) |
$4,092.03 |
$8,184.06 |
5.7× |
| Remove Tendon Sheath Lesion (26160) |
$4,536.14 |
$9,072.28 |
2.7× |
| Remove thyroid duct lesion (60280) |
$12,195.93 |
$24,391.86 |
1.9× |
| Remove tissue expander (11971) |
$3,010 |
$6,020 |
1.0× |
| Remove ureter stent, percut (50384) |
$870 |
$1,740 |
0.4× |
| Remove vagina gland lesion (56740) |
$6,836.25 |
$13,672.50 |
2.0× |
| Remove&replace pm gen singl (33227) |
$9,359.50 |
$18,719 |
1.1× |
| Remove/graft finger lesion (26215) |
$1,857 |
$3,714 |
0.5× |
| Remove/Insert Drug Implant (11983) |
$289 |
$578.01 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,125 |
$2,250 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$138.75 |
$277.50 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$181.50 |
$363 |
1.3× |
| Remv Post Eye Implnt Mater,Extraocul (67120) |
$1,445.50 |
$2,891 |
0.6× |
| Remv&replc cvd gen dual lead (33263) |
$26,734.50 |
$53,469 |
1.2× |
| Remv&replc cvd gen mult lead (33264) |
$26,734.50 |
$53,469 |
0.8× |
| Remv&replc cvd gen sing lead (33262) |
$18,000 |
$36,000 |
0.8× |
| Remv&replc pm gen dual lead (33228) |
$12,244 |
$24,488 |
1.1× |
| Remv&replc pm gen mult leads (33229) |
$12,474 |
$24,948 |
0.6× |
| Renal Biopsy Percutaneous (50200) |
$4,463.72 |
$8,927.44 |
2.6× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562)
likely a partial charge, not the full procedure |
$849.50 |
$1,699 |
0.1× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$1,505.50 |
$3,011 |
0.4× |
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)
likely a partial charge, not the full procedure |
$678 |
$1,356 |
0.1× |
| Repair achilles tendon (27650) |
$13,013.47 |
$26,026.94 |
1.7× |
Repair blood vessel direct neck (35201)
likely a partial charge, not the full procedure |
$1,575.50 |
$3,151 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,878.50 |
$5,757 |
0.9× |
| Repair brow defect (67900) |
$1,176.50 |
$2,353 |
0.5× |
| Repair clitoris (56805) |
$1,887.50 |
$3,775 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$202 |
$404 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$276.75 |
$553.50 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$244 |
$488 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$320.50 |
$641 |
0.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$232.50 |
$465 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$5,921.04 |
$11,842.09 |
14.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$435 |
$870 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$320.50 |
$641 |
0.4× |
| Repair Detached Retina (67101) |
$1,376.50 |
$2,753 |
0.6× |
| Repair detached retina (67110) |
$964 |
$1,928 |
0.4× |
| Repair Ectropion Extensive (67917) |
$1,185.50 |
$2,371 |
0.5× |
| Repair ectropion suture (67914) |
$1,185.50 |
$2,371 |
0.5× |
| Repair Entropion Suture (67921) |
$1,346.50 |
$2,693 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$8,280.42 |
$16,560.84 |
5.0× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$1,857 |
$3,714 |
0.5× |
| Repair eyelid defect (67916) |
$1,346.50 |
$2,693 |
0.5× |
| Repair eyelid defect (67908) |
$1,185.50 |
$2,371 |
0.5× |
| Repair eyelid defect (67923) |
$1,765.25 |
$3,530.50 |
0.7× |
| Repair eyelid defect (67904) |
$1,185.50 |
$2,371 |
0.5× |
| Repair eyelid defect (67903) |
$1,185.50 |
$2,371 |
0.5× |
| Repair eyelid defect (67901) |
$1,185.50 |
$2,371 |
0.5× |
| Repair Eyelid Wound (67935) |
$990.75 |
$1,981.50 |
0.4× |
| Repair eyelid wound (67930) |
$1,471.75 |
$2,943.50 |
0.6× |
| Repair Finger Tendon (26433) |
$1,857 |
$3,714 |
0.5× |
| Repair Forearm Tendon Sheath (25275) |
$1,993.50 |
$3,987 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$1,857 |
$3,714 |
0.5× |
| Repair hand joint with graft (26542) |
$1,993.50 |
$3,987 |
0.6× |
| Repair hand tendon (26410) |
$982.50 |
$1,965 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$11,916.79 |
$23,833.59 |
3.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$510.50 |
$1,021 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$199.50 |
$399 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$207.75 |
$415.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$642.50 |
$1,285 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$197 |
$394 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$423 |
$846 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$289.50 |
$579 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$105 |
$210 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$7,721.96 |
$15,443.92 |
18.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$360.25 |
$720.50 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$7,495.38 |
$14,990.76 |
17.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$5,971.62 |
$11,943.24 |
14.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$5,479.68 |
$10,959.37 |
13.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$623.50 |
$1,247 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$4,741.36 |
$9,482.72 |
11.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$985.25 |
$1,970.50 |
0.5× |
| Repair intrinsic muscles hand each muscle (26591) |
$2,204 |
$4,408 |
0.7× |
| Repair Laceration Palate </2 Cm (42180) |
$289 |
$578 |
0.5× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$6,064 |
$12,128 |
1.0× |
| Repair lead pace-defib one (33218) |
$2,358.50 |
$4,717 |
0.6× |
| Repair lower leg tendons (27676) |
$10,337.82 |
$20,675.64 |
1.4× |
| Repair Lower Leg Tendons (27675) |
$16,627.24 |
$33,254.48 |
4.9× |
| Repair Mouth Laceration (40831) |
$412.50 |
$825 |
0.7× |
| Repair Nasal Stenosis (30465) |
$3,405.50 |
$6,811 |
0.6× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$24,161.26 |
$48,322.52 |
3.6× |
| Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Facility (67906) |
$1,846.50 |
$3,693 |
0.5× |
Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113)
unusually low: confirm this is the full procedure |
$2,584 |
$5,168 |
0.5× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$1,857 |
$3,714 |
0.5× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$1,857 |
$3,714 |
0.5× |
| Repair of eye wound (65280) |
$3,449 |
$6,898 |
0.6× |
| Repair of eye wound (65275) |
$2,250.50 |
$4,501 |
0.6× |
| Repair of eye wound (65270) |
$1,185.50 |
$2,371 |
0.5× |
| Repair of iris, ciliary body (as for iridodialysis) Facility (66680) |
$1,445.50 |
$2,891 |
0.6× |
| Repair of laceration; application of tissue glue, wounds of cornea and/or sclera (65286) |
$714 |
$1,428 |
0.3× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$1,764.50 |
$3,529 |
0.7× |
| Repair of leg tendon each (27664) |
$4,118 |
$8,236 |
0.5× |
| Repair of leg tendon each (27658) |
$10,337.82 |
$20,675.64 |
3.1× |
| Repair of nail bed (11760) |
$7,747.63 |
$15,495.26 |
10.1× |
| Repair of nasal septum (30520) |
$1,731 |
$3,462 |
0.5× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$33,302.57 |
$66,605.14 |
2.5× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$21,438.02 |
$42,876.04 |
2.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$20,955.80 |
$41,911.60 |
2.8× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$5,207 |
$10,414 |
0.7× |
| Repair of scleral staphyloma with graft Facility (66225) |
$3,450 |
$6,900 |
0.6× |
| Repair of shoulder (23420) |
$5,900.50 |
$11,801 |
0.8× |
| Repair of sperm duct (55400) |
$24,314.59 |
$48,629.19 |
6.7× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Facility (68340) |
$2,774.50 |
$5,549 |
1.1× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372) |
$5,323.50 |
$10,647 |
0.7× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$1,857 |
$3,714 |
0.5× |
| Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) |
$4,118 |
$8,236 |
0.5× |
| Repair Profundus Tendon,Primary (26370) |
$3,289.25 |
$6,578.50 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$24,650.36 |
$49,300.72 |
3.7× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$22,631.37 |
$45,262.74 |
6.1× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$2,584 |
$5,168 |
0.6× |
| Repair rotator cuff acute (23410) |
$4,118 |
$8,236 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$22,089.96 |
$44,179.92 |
2.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,391.75 |
$4,783.50 |
0.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$25,456.25 |
$50,912.50 |
3.4× |
| Repair tongue laceration (41252) |
$1,068 |
$2,136 |
4.4× |
| Repair Tongue Laceration (41250) |
$374.25 |
$748.50 |
0.8× |
| Repair webbed toe(s) (28345) |
$982.50 |
$1,965 |
0.6× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$4,118 |
$8,236 |
0.5× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$5,968.50 |
$11,937 |
0.8× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$5,561 |
$11,122 |
0.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$14,951.45 |
$29,902.90 |
2.0× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$18,104.86 |
$36,209.72 |
2.4× |
| Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28210) |
$5,448 |
$10,896 |
0.7× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$22,878.93 |
$45,757.86 |
3.0× |
| Repair/graft achilles tendon (27652) |
$5,460 |
$10,920 |
0.7× |
| Repair/graft finger tendon (26420) |
$1,857 |
$3,714 |
0.5× |
| Repair/graft wrist bone (25440) |
$20,521.30 |
$41,042.61 |
2.7× |
| Repair/revise wrist joint (25320) |
$18,824.80 |
$37,649.61 |
2.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$4,792.12 |
$9,584.24 |
5.1× |
| Replace eye fluid (67025) |
$1,251.50 |
$2,503 |
0.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$861.21 |
$1,722.42 |
0.9× |
| Replace Tissue Expander (11970) |
$5,293.50 |
$10,587 |
0.7× |
| Replace tunneled cv cath (36578) |
$2,501 |
$5,002 |
0.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$855.36 |
$1,710.73 |
0.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,087 |
$4,174 |
0.5× |
| Reposition cv cath w/fluoro (36597) |
$648.50 |
$1,297 |
0.4× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,390 |
$2,780 |
5.4× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$1,445.50 |
$2,891 |
0.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,072.50 |
$4,145 |
0.6× |
| Resection of scrotum (55150) |
$5,800.14 |
$11,600.28 |
1.6× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$1,857 |
$3,714 |
0.5× |
| Respir iadna 18 viral&2 bact (0115U) |
$481.50 |
$963 |
1.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$16,648.81 |
$33,297.62 |
4.6× |
| Revise external ear (69300) |
$1,731 |
$3,462 |
0.5× |
| Revise eye muscle(s) (67318) |
$1,185.50 |
$2,371 |
0.5× |
| Revise eye socket implant (67560) |
$2,154.50 |
$4,309 |
0.5× |
| Revise eyelashes (67835) |
$1,346.50 |
$2,693 |
0.5× |
| Revise eyelashes (67825) |
$132 |
$264 |
0.4× |
| Revise eyelid defect (67909) |
$1,185.50 |
$2,371 |
0.5× |
| Revise finger/toe nerve (64702) |
$19,498.41 |
$38,996.83 |
9.7× |
| Revise Hand/Foot Nerve (64704) |
$1,214 |
$2,428 |
0.6× |
| Revise knuckle with implant (26531) |
$15,616.80 |
$31,233.61 |
2.1× |
| Revise Lower Leg Tendon (27691) |
$18,645.87 |
$37,291.74 |
2.5× |
Revise Spine Eltrd Plate (63664)
likely a partial charge, not the full procedure |
$2,685 |
$5,370 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$11,749.03 |
$23,498.06 |
5.8× |
| Revise vag graft via vagina (57295) |
$2,197.50 |
$4,395 |
0.7× |
| Revise/graft eyelid lining (68328) |
$1,346.50 |
$2,693 |
0.5× |
| Revise/graft eyelid lining (68320) |
$2,046.50 |
$4,093 |
0.8× |
| Revise/Implant Finger Joint (26536) |
$15,834.05 |
$31,668.11 |
2.1× |
| Revise/Remove Neuroreceiver (63688) |
$2,383 |
$4,766 |
0.7× |
| Revision eyelid unlisted (67999) |
$1,334.50 |
$2,669 |
4.1× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$1,445.50 |
$2,891 |
0.6× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Facility (66184) |
$1,445.50 |
$2,891 |
0.6× |
| Revision of arthroplasty, including removal of implant, wrist joint Facility (25449) |
$4,118 |
$8,236 |
0.5× |
| Revision of cervix (57700) |
$1,283 |
$2,566 |
0.4× |
| Revision of eyelid (67880) |
$929.75 |
$1,859.50 |
0.4× |
| Revision of eyelid (67961) |
$1,760.25 |
$3,520.50 |
0.7× |
| Revision of eyelid (21280) |
$2,882.25 |
$5,764.50 |
0.8× |
| Revision of foot (28116) |
$18,468.72 |
$36,937.44 |
5.5× |
| Revision of iris (66761) |
$248.50 |
$497 |
0.4× |
| Revision of iris (66762) |
$264 |
$528 |
0.5× |
| Revision of lower leg tendon (27685) |
$11,655.66 |
$23,311.32 |
3.4× |
| Revision of nose (30430) |
$3,836 |
$7,672 |
0.6× |
| Revision of nose (30450) |
$3,829 |
$7,658 |
0.6× |
| Revision of reconstructed breast (19380) |
$3,666.50 |
$7,333 |
0.5× |
| Revision of scrotum (55180) |
$3,243.50 |
$6,487 |
0.6× |
| Revision of tips (37183) |
$3,167 |
$6,334 |
0.5× |
| Revision of urethra (53460) |
$2,172.50 |
$4,345 |
0.6× |
| Revision of urethra (57220) |
$2,803 |
$5,606 |
0.5× |
| Revision of urethra (53450) |
$1,964 |
$3,928 |
0.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$16,648.81 |
$33,297.62 |
4.6× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$7,268.50 |
$14,537 |
1.2× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$7,268.50 |
$14,537 |
1.2× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$7,268.50 |
$14,537 |
1.2× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$7,268.50 |
$14,537 |
1.2× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$14,743 |
$29,486 |
1.2× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$23,411 |
$46,822 |
1.2× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$23,411 |
$46,822 |
1.2× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$3,346 |
$6,692 |
0.5× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$3,829 |
$7,658 |
0.6× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) |
$3,829 |
$7,658 |
0.6× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$2,569 |
$5,138 |
0.7× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$2,223 |
$4,446 |
0.6× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,950.10 |
$5,900.21 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$187 |
$374 |
1.4× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$777.50 |
$1,555 |
1.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,519 |
$3,038 |
0.5× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$1,445.50 |
$2,891 |
0.6× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$1,445.50 |
$2,891 |
0.6× |
| Rmvl of subq defibrillator (33272) |
$901 |
$1,802 |
0.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$1,748.50 |
$3,497 |
0.5× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$1,749.50 |
$3,499 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,070.71 |
$2,141.42 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,056.68 |
$2,113.36 |
1.6× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$1,445.50 |
$2,891 |
0.6× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$1,445.50 |
$2,891 |
0.6× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$1,398 |
$2,796 |
0.4× |
| Rplc gtube revj gstrst trc (43763) |
$112 |
$224 |
0.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,144 |
$2,288 |
0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$520 |
$1,040 |
0.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,144 |
$2,288 |
0.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,300.50 |
$2,601 |
0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$14,292.74 |
$28,585.48 |
2.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$12,365.75 |
$24,731.50 |
3.3× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$22,688.03 |
$45,376.07 |
3.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$15,203.27 |
$30,406.55 |
4.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$14,943.53 |
$29,887.07 |
2.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$12,117.29 |
$24,234.59 |
1.9× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$1,846.50 |
$3,693 |
0.5× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$323.50 |
$647 |
0.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$13,804.13 |
$27,608.26 |
4.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,090.38 |
$2,180.77 |
0.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$11,138.56 |
$22,277.12 |
1.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$803.50 |
$1,607 |
1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,407 |
$2,814 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$818.50 |
$1,637 |
1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,368 |
$4,736 |
1.5× |
| Rpr non-union mtcrpl/phalanx (26546) |
$17,662.10 |
$35,324.21 |
2.4× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$7,764 |
$15,528 |
1.3× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$1,359 |
$2,718 |
2.4× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$2,584 |
$5,168 |
0.6× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$1,952 |
$3,904 |
0.5× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$16,950.81 |
$33,901.62 |
5.0× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$16,461.21 |
$32,922.43 |
4.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$542.50 |
$1,085 |
0.8× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$1,857 |
$3,714 |
0.5× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$14,120.45 |
$28,240.90 |
4.2× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$4,118 |
$8,236 |
0.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,857 |
$3,714 |
0.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$1,857 |
$3,714 |
0.5× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$1,938 |
$3,876 |
0.6× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$1,282.50 |
$2,565 |
0.4× |
| Sclerotx Fluid Collection (49185) |
$2,857.07 |
$5,714.15 |
1.7× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$1,445.50 |
$2,891 |
0.6× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$2,584 |
$5,168 |
0.6× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Facility (65860) |
$1,311 |
$2,622 |
2.3× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$1,445.50 |
$2,891 |
0.6× |
| Severing of tarsorrhaphy (67710) |
$320.75 |
$641.50 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$413.50 |
$827 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$513 |
$1,026 |
0.4× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$853.50 |
$1,707 |
0.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$68.50 |
$137 |
0.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$48 |
$96 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$66.50 |
$133 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$136.50 |
$273 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$91.50 |
$183 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$65 |
$130 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$183 |
$366 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$66.50 |
$133 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$66.50 |
$133 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$48 |
$96 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$48 |
$96 |
0.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$48 |
$96 |
0.2× |
| Sigmoidoscopy & decompress (45337) |
$948.50 |
$1,897 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$539 |
$1,078 |
0.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$966 |
$1,932 |
0.8× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$413.50 |
$827 |
0.4× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$457.50 |
$915 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$901.50 |
$1,803 |
0.9× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,477 |
$2,954 |
1.2× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$1,117.50 |
$2,235 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$4,399.22 |
$8,798.44 |
4.6× |
| Sigmoidoscopy w/fb removal (45332) |
$452 |
$904 |
0.4× |
| Sigmoidoscopy w/us guide bx (45342) |
$539 |
$1,078 |
0.4× |
| Simple Cystometrogram (51725) |
$193.50 |
$387 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$138 |
$276 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$248.50 |
$497 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$420 |
$840 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$428 |
$856 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$428.50 |
$857 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$127.50 |
$255 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$121.50 |
$243 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$613 |
$1,226 |
3.0× |
| Skin sub graft face/nk/hf/g (15275) |
$13,754.39 |
$27,508.78 |
18.0× |
| Skin sub graft trnk/arm/leg (15271) |
$1,291.50 |
$2,583 |
1.7× |
| Skin sub grft t/arm/lg child (15273) |
$3,168 |
$6,336 |
1.5× |
| Skin Tissue Procedure (17999) |
$236.50 |
$473 |
1.1× |
| Skin tissue rearrangement (14040) |
$1,103 |
$2,206 |
0.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,440 |
$12,880 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$1,882 |
$3,764 |
0.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$11,486.50 |
$22,973 |
2.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$18,797.33 |
$37,594.66 |
3.6× |
| Slitting of prepuce (54001) |
$569 |
$1,138 |
0.3× |
| Small Bowel Endoscopy (44373) |
$590.50 |
$1,181 |
0.3× |
| Small bowel endoscopy (44366) |
$755 |
$1,510 |
0.4× |
| Small bowel endoscopy (44364) |
$816 |
$1,632 |
0.4× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$867.50 |
$1,735 |
0.4× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$876 |
$1,752 |
0.4× |
| Small bowel endoscopy/biopsy (44377) |
$734 |
$1,468 |
0.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$732 |
$1,464 |
0.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$688.50 |
$1,377 |
0.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$530.50 |
$1,061 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$248.50 |
$497 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$347.50 |
$695 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$210.25 |
$420.50 |
0.5× |
| Snip incision lacrimal punctum (68440) |
$135.50 |
$271 |
0.4× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$1,771 |
$3,542 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,502.12 |
$3,004.25 |
2.1× |
| Spinal Puncture Therapeutic (62272) |
$1,844.50 |
$3,689 |
2.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,835.50 |
$5,671 |
0.9× |
| Stimulus evoked response (51792) |
$354.50 |
$709 |
5.8× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$1,185.50 |
$2,371 |
0.5× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$1,185.50 |
$2,371 |
0.5× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$1,846.50 |
$3,693 |
0.5× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Facility (67316) |
$1,185.50 |
$2,371 |
0.5× |
| Strapping ankle (29540) |
$72.50 |
$145 |
0.4× |
| Strapping hand/finger (29280) |
$98 |
$196 |
1.6× |
| Strapping Hip (29520) |
$208.50 |
$417 |
1.5× |
| Strapping toes (29550) |
$191.50 |
$383 |
3.1× |
| Strapping unna boot (29580) |
$127 |
$254 |
0.8× |
| Subconjunctival injection (68200) |
$63.50 |
$127 |
0.1× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$113 |
$226 |
0.2× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$231.75 |
$463.50 |
1.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$1,731 |
$3,462 |
0.5× |
| Suction assisted lipectomy lower extremity (15879) |
$2,223 |
$4,446 |
0.6× |
| Suction Assisted Lipectomy Trunk (15877) |
$2,223 |
$4,446 |
0.6× |
| Suction assisted lipectomy; head and neck (15876) |
$2,223 |
$4,446 |
0.6× |
| Suction assisted lipectomy; upper extremity (15878) |
$1,179 |
$2,358 |
0.6× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$435 |
$870 |
1.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$6,064 |
$12,128 |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$6,064 |
$12,128 |
1.0× |
| Surgery of breast capsule (19370) |
$1,704.50 |
$3,409 |
0.4× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,857 |
$3,714 |
0.5× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$368 |
$736 |
0.1× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,121 |
$2,242 |
0.6× |
| Suture infrapatellar tendon primary (27380) |
$29,665.34 |
$59,330.68 |
4.0× |
| Suture of 1 nerve ulnar motor (64836) |
$3,453.50 |
$6,907 |
1.0× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$3,453.50 |
$6,907 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$5,277 |
$10,554 |
0.7× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$1,445.50 |
$2,891 |
0.6× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$12,042.58 |
$24,085.17 |
1.6× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$4,118 |
$8,236 |
0.5× |
| Sympathectomy; radial artery Facility (64821) |
$1,857 |
$3,714 |
0.5× |
| Synovectomy tendon sheath foot extensor (28088) |
$2,072.50 |
$4,145 |
0.6× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$1,100.50 |
$2,201 |
0.7× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$1,857 |
$3,714 |
0.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$5,570.40 |
$11,140.81 |
3.3× |
| T-cell depletion of harvest (38210) |
$1,155.50 |
$2,311 |
2.5× |
| Tangential biopsy skin single lesion (11102) |
$75 |
$150 |
0.2× |
| Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) |
$787.50 |
$1,575 |
1.0× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$23,536 |
$47,072 |
0.8× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$16,210.50 |
$32,421 |
0.8× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$1,823.50 |
$3,647 |
0.6× |
| Temporary Closure Eyelids Suture (67875) |
$488.50 |
$977 |
0.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$1,857 |
$3,714 |
0.5× |
| Tenodesis long tendon biceps (23430) |
$30,789.48 |
$61,578.97 |
4.1× |
| Tenolysis extensor foot single tendon (28225) |
$1,857 |
$3,714 |
0.5× |
| Tenolysis extensor tendon hand/finger each (26445) |
$12,972.35 |
$25,944.70 |
3.8× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$1,857 |
$3,714 |
0.5× |
| Tenolysis flexor foot single tendon (28220) |
$368 |
$736 |
0.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$982.50 |
$1,965 |
0.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$14,993.46 |
$29,986.92 |
4.4× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$1,857 |
$3,714 |
0.5× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$1,857 |
$3,714 |
0.5× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$1,857 |
$3,714 |
0.5× |
| Tenotomy flexor finger open each tendon (26455) |
$12,972.35 |
$25,944.70 |
7.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,064.92 |
$4,129.84 |
1.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$643 |
$1,286 |
0.4× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$810.50 |
$1,621 |
0.2× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$2,551 |
$5,102 |
0.8× |
| Tenotomy shoulder area single tendon (23405) |
$5,350 |
$10,700 |
0.7× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$4,052 |
$8,104 |
1.2× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$982.50 |
$1,965 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$6,081.88 |
$12,163.77 |
3.7× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$9,115.74 |
$18,231.48 |
2.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$982.50 |
$1,965 |
0.6× |
| Thaw preserved stem cells (38208) |
$396.50 |
$793 |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,315.50 |
$6,631 |
2.1× |
| Ther Apheresis,Platelets (36513) |
$1,803.50 |
$3,607 |
4.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,505.50 |
$5,011 |
1.6× |
| Ther Apheresis,White Blood Cells (36511) |
$2,621.50 |
$5,243 |
1.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,587 |
$3,174 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$967.50 |
$1,935 |
1.5× |
| Throat Surgery Procedure (42999) |
$261 |
$522 |
1.1× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,474.50 |
$6,949 |
1.1× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,235 |
$4,470 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$305.50 |
$611 |
0.9× |
| Thrombolytic Venous Therapy (37212) |
$7,698.50 |
$15,397 |
2.4× |
| Thyroid biopsy (60100) |
$1,984.69 |
$3,969.38 |
2.7× |
| Thyroidectomy, total or complete (60240) |
$15,225.02 |
$30,450.04 |
2.4× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357)
unusually low: confirm this is the full procedure |
$7,028.50 |
$14,057 |
0.5× |
| Tnot elbow lateral/medial debride open (24358) |
$9,703.05 |
$19,406.11 |
2.9× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$9,648.50 |
$19,297.01 |
2.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,741 |
$5,482 |
0.8× |
| Total hip arthroplasty (27130) |
$29,502.83 |
$59,005.67 |
2.2× |
| Total Knee Arthroplasty (27447) |
$29,098.35 |
$58,196.70 |
2.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$3,443 |
$6,886 |
1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$227.50 |
$455 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$975 |
$1,950 |
4.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$681 |
$1,362 |
0.4× |
| Tracheostomy planned (31600) |
$6,322 |
$12,644 |
1.8× |
| Tracheotomy tube change (31502) |
$226.50 |
$453 |
0.9× |
| Transcatheter biopsy (37200) |
$3,034 |
$6,068 |
0.5× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$23,446.40 |
$46,892.82 |
11.6× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$1,121 |
$2,242 |
0.6× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$14,465.91 |
$28,931.83 |
1.9× |
| Transfusion intrauterine fetal (36460) |
$394.50 |
$789 |
0.9× |
| Translum Dil Eye Canal (66174) |
$2,584 |
$5,168 |
0.6× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$3,321 |
$6,642 |
0.6× |
| Transoral Lower Esophageal Myotomy (43497) |
$8,026 |
$16,052 |
1.3× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874)
likely a partial charge, not the full procedure |
$1,447.50 |
$2,895 |
0.3× |
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
unusually low: confirm this is the full procedure |
$2,045 |
$4,090 |
0.4× |
| Transplant hand tendon (26480) |
$9,395.32 |
$18,790.64 |
2.8× |
| Transplant palm tendon (26485) |
$15,200.09 |
$30,400.18 |
4.5× |
| Transplj Hematopoietic Boost (38243) |
$1,759.50 |
$3,519 |
1.1× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$5,474.50 |
$10,949 |
0.6× |
| Transur electr resection of prostate (52601) |
$6,654.27 |
$13,308.54 |
1.2× |
| Transurethral incision of prostate (52450) |
$1,825 |
$3,650 |
0.5× |
| Transurethral resection bladder neck (52500) |
$2,163 |
$4,326 |
0.6× |
| Treat Big Toe Fracture (28505) |
$9,833.19 |
$19,666.39 |
2.9× |
| Treat clavicle dislocation (23540) |
$367.50 |
$735 |
1.4× |
| Treat clavicle fracture (23505) |
$949.50 |
$1,899 |
0.6× |
| Treat elbow fracture (24586) |
$88,688.95 |
$177,377.90 |
6.7× |
| Treat Elbow Fracture (24635) |
$20,806.28 |
$41,612.57 |
2.8× |
| Treat humerus fracture (24500) |
$103 |
$206 |
0.4× |
| Treat humerus fracture (23600) |
$620 |
$1,240 |
2.4× |
| Treat knee fracture (27532) |
$443 |
$886 |
0.1× |
| Treat Knee Fracture(S) (27538) |
$684.50 |
$1,369 |
2.7× |
| Treat Kneecap Fracture (27524) |
$20,941.66 |
$41,883.32 |
2.8× |
| Treat Metatarsal Fracture (28475) |
$389 |
$778 |
1.5× |
| Treat radius fracture (24665) |
$4,118 |
$8,236 |
0.5× |
| Treat Thigh Fracture (27246) |
$272 |
$544 |
1.1× |
| Treat Thumb Dislocation (26641) |
$143 |
$286 |
0.6× |
| Treat thumb fracture (26665) |
$1,857 |
$3,714 |
0.5× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$281.50 |
$563 |
0.2× |
| Treat wrist bone fracture (25622) |
$135 |
$270 |
0.5× |
| Treat Wrist Bone Fracture (25630) |
$275 |
$550 |
1.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,353 |
$2,706 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$308 |
$616 |
1.2× |
| Treatment extensive retinopathy photocoagulation (67228) |
$237.50 |
$475 |
0.4× |
| Treatment of fibula fracture (27784) |
$22,324.90 |
$44,649.80 |
3.0× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$4,466.71 |
$8,933.42 |
1.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$4,185.75 |
$8,371.51 |
1.2× |
| Treatment of retina (67141) |
$948 |
$1,896 |
2.9× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$264 |
$528 |
1.0× |
| Trim skin lesion (11055) |
$162.50 |
$325 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$48 |
$96 |
0.2× |
| Trim skin lesions over 4 (11057) |
$66.50 |
$133 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$24.50 |
$49 |
0.4× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,055.50 |
$14,111 |
1.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,787.50 |
$11,575 |
1.0× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$396.50 |
$793 |
0.9× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$1,618.50 |
$3,237 |
3.5× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$396.50 |
$793 |
0.9× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$1,155.50 |
$2,311 |
2.5× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$1,010 |
$2,020 |
2.2× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$755.50 |
$1,511 |
0.5× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,431.50 |
$4,863 |
0.7× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,115 |
$6,230 |
0.9× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,004 |
$2,008 |
0.5× |
| Tube thoracostomy includes water seal (32551) |
$995 |
$1,990 |
0.6× |
| Tumor cell deplete of harvst (38211) |
$1,155.50 |
$2,311 |
2.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,620.50 |
$3,241 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,176.92 |
$10,353.86 |
1.5× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$347 |
$694 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$6,648.30 |
$13,296.60 |
8.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$525 |
$1,050 |
1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$127.50 |
$255 |
0.1× |
| Tympanostomy (69433) |
$227.50 |
$455 |
0.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$11,943.10 |
$23,886.20 |
3.2× |
| Unlisted Cardiac Surgery (33999) |
$8,598 |
$17,196 |
13.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$3,008.47 |
$6,016.94 |
14.4× |
| Unlisted laparoscopy procedure stomach (43659) |
$29,412.82 |
$58,825.65 |
4.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$12,333.03 |
$24,666.06 |
2.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$13,853.92 |
$27,707.84 |
2.2× |
| Unlisted Procedure Accessory Sinuses (31299) |
$103.50 |
$207 |
0.4× |
| Unlisted procedure anus (46999) |
$7,699.27 |
$15,398.55 |
8.0× |
| Unlisted procedure arthroscopy (29999) |
$18,006.15 |
$36,012.30 |
70.6× |
| Unlisted Procedure Biliary Tract (47999) |
$1,151.50 |
$2,303 |
1.2× |
| Unlisted procedure colon (45399) |
$1,211.50 |
$2,423 |
1.3× |
| Unlisted procedure dentoalveolar structures (41899) |
$12,176.85 |
$24,353.70 |
49.7× |
| Unlisted Procedure Endocrine System (60699) |
$5,347 |
$10,694 |
0.9× |
| Unlisted Procedure Esophagus (43499) |
$283.50 |
$567 |
0.3× |
| Unlisted procedure femur or knee (27599) |
$1,816.75 |
$3,633.50 |
7.1× |
| Unlisted procedure foot or toes (28899) |
$1,878 |
$3,756 |
7.4× |
| Unlisted procedure humerus/elbow (24999) |
$2,577 |
$5,154 |
10.1× |
| Unlisted procedure larynx (31599) |
$2,163.50 |
$4,327 |
8.8× |
| Unlisted procedure liver (47399) |
$595 |
$1,190 |
0.8× |
| Unlisted Procedure Lungs & Pleura (32999) |
$248.50 |
$497 |
0.4× |
| Unlisted Procedure Male Genital System (55899) |
$14,256.98 |
$28,513.97 |
55.2× |
| Unlisted procedure nervous system (64999) |
$9,878.32 |
$19,756.65 |
31.1× |
| Unlisted procedure pancreas (48999) |
$1,015.50 |
$2,031 |
1.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$31,125.73 |
$62,251.47 |
122.0× |
| Unlisted procedure rectum (45999) |
$336 |
$672 |
0.3× |
| Unlisted Procedure Small Intestine (44799) |
$4,820 |
$9,640 |
5.1× |
| Unlisted Procedure Trachea Bronchi (31899) |
$1,051 |
$2,102 |
5.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,027.50 |
$4,055 |
3.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,358.50 |
$2,717 |
1.4× |
| Unlisted procedure, hands or fingers (26989) |
$798.50 |
$1,597 |
3.1× |
| Unlisted procedure, lacrimal system (68899) |
$260.25 |
$520.50 |
0.8× |
| Unlisted procedure, leg or ankle (27899) |
$176.50 |
$353 |
0.7× |
| Unlisted procedure, maternity care and delivery (59899) |
$401.25 |
$802.50 |
1.9× |
| Unlisted procedure, stomach (43999) |
$1,027.50 |
$2,055 |
1.1× |
| Unlisted px extraocular musc (67399) |
$1,742.50 |
$3,485 |
5.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$590.75 |
$1,181.50 |
2.8× |
| Upgrade of pacemaker system (33214) |
$6,825.50 |
$13,651 |
0.6× |
| Uppr gi opticl endomicrscopy (43252) |
$1,108 |
$2,216 |
0.6× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957)
unusually low: confirm this is the full procedure |
$1,940.50 |
$3,881 |
0.3× |
| Ureteral endoscopy via ureterostomy (50951) |
$1,581 |
$3,162 |
0.4× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$1,964 |
$3,928 |
0.5× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$2,971 |
$5,942 |
0.5× |
| Urine flow measurement (51736) |
$573.50 |
$1,147 |
4.2× |
| Urology Surgery Procedure (53899) |
$724 |
$1,448 |
2.8× |
| Us urine capacity measure (51798) |
$218.75 |
$437.50 |
3.6× |
| Vaginal delivery only (59409) |
$1,356.50 |
$2,713 |
0.4× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$15,098.18 |
$30,196.37 |
2.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$13,998.30 |
$27,996.61 |
2.7× |
Vaginoplasty for intersex state Facility (57335)
unusually low: confirm this is the full procedure |
$2,197.50 |
$4,395 |
0.4× |
| Vasc embolize/occlude artery (37242) |
$17,694.50 |
$35,389 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$53,069.59 |
$106,139.18 |
4.4× |
| Vasc embolize/occlude organ (37243) |
$13,912.16 |
$27,824.33 |
1.2× |
| Vasc embolize/occlude venous (37241) |
$8,272.50 |
$16,545 |
0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,208.02 |
$8,416.05 |
1.9× |
| Venipuncture (36415) |
$343 |
$686 |
36.7× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,330.50 |
$2,661 |
1.5× |
| Vitrectomy mechanical pars plana (67036) |
$2,584 |
$5,168 |
0.6× |
| Vitrectomy pars plana remove int memb retina (67042) |
$2,584 |
$5,168 |
0.6× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$2,584 |
$5,168 |
0.6× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$2,584 |
$5,168 |
0.6× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$2,584 |
$5,168 |
0.6× |
| Vulvectomy Simple Partial (56620) |
$1,887.50 |
$3,775 |
0.6× |
| Wash harvest stem cells (38209) |
$563 |
$1,126 |
1.2× |
| Wedge excision skin nail fold (11765) |
$190 |
$380 |
0.5× |
| Windowing of cast (29730) |
$66.50 |
$133 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$12,752.79 |
$25,505.59 |
30.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$859.50 |
$1,719 |
1.1× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$4,296 |
$8,592 |
0.8× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$2,584 |
$5,168 |
0.6× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$4,296 |
$8,592 |
0.8× |