| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$12,499.74 |
$20,832.90 |
3.5× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$14,799.75 |
$24,666.25 |
4.2× |
| Abd paracentesis w/imaging (49083) |
$3,262.39 |
$5,437.31 |
3.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$513 |
$855 |
0.6× |
| Abdomen Surgery Procedure (22999) |
$2,551.80 |
$4,253 |
10.3× |
| Ablate inf turbinate submuc (30802) |
$38,599.70 |
$64,332.83 |
24.8× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$13,503.01 |
$22,505.01 |
1.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$15,745 |
$26,241.67 |
0.9× |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) |
$16,290 |
$27,150 |
1.5× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$14,529.49 |
$24,215.82 |
1.4× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$38,343.31 |
$63,905.52 |
3.6× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$18,313.29 |
$30,522.15 |
2.5× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$7,159.73 |
$11,932.88 |
4.3× |
| Abltj 1/> lvr tum prq rf (47382) |
$10,781.44 |
$17,969.07 |
1.8× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$658.20 |
$1,097 |
0.4× |
| Abortion (59841) |
$11,060.80 |
$18,434.67 |
3.4× |
| Acne surgery (10040) |
$57.60 |
$96 |
0.3× |
| Adding Walker Previously Applied Cast (29440) |
$72 |
$120 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$15,592.88 |
$25,988.14 |
7.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$13,964.77 |
$23,274.62 |
6.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$21,947.28 |
$36,578.80 |
6.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$10,414.48 |
$17,357.46 |
5.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$15,220.83 |
$25,368.06 |
7.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$11,017.84 |
$18,363.06 |
5.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$12,676.41 |
$21,127.36 |
6.1× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$16,887.17 |
$28,145.28 |
8.2× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$46,618.05 |
$77,696.75 |
6.4× |
| Allogeneic lymphocyte infusions (38242) |
$3,375.20 |
$5,625.34 |
2.2× |
| Amniocentesis diagnostic (59000) |
$226.80 |
$378 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$8,611.56 |
$14,352.60 |
2.6× |
| Amputate metacarpal bone (26910) |
$10,107.15 |
$16,845.25 |
3.1× |
| Amputation Finger/Thumb (26951) |
$7,831.76 |
$13,052.92 |
2.4× |
| Amputation foot transmetarsal (28805) |
$10,762.36 |
$17,937.26 |
3.3× |
| Amputation metatarsal with toe single (28810) |
$10,715.65 |
$17,859.42 |
3.3× |
| Amputation of penis; partial Facility (54120) |
$18,545.59 |
$30,909.31 |
5.2× |
| Amputation toe interphalangeal joint (28825) |
$8,014.58 |
$13,357.64 |
2.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$7,381.20 |
$12,301.99 |
2.2× |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
$50,190.72 |
$83,651.20 |
15.3× |
| Amputation, forearm, through radius and ulna; Facility (25900) |
$18,938.84 |
$31,564.73 |
2.6× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$23,338.02 |
$38,896.70 |
7.1× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$13,361.20 |
$22,268.66 |
4.1× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$8,941.04 |
$14,901.74 |
2.7× |
| Analyze spine infus pump (62367) |
$172.80 |
$288 |
0.6× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$12,958.19 |
$21,596.98 |
4.7× |
| Anoscopy Ablation Lesion (46615) |
$3,258.19 |
$5,430.32 |
1.2× |
| Anoscopy diagnostic (46600) |
$110.40 |
$184 |
0.8× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$6,456.25 |
$10,760.42 |
5.4× |
| Anoscopy w/control bleeding (46614) |
$3,530.59 |
$5,884.31 |
2.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$915.60 |
$1,526 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$7,326.15 |
$12,210.25 |
6.1× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$5,447.98 |
$9,079.97 |
4.5× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$11,298.80 |
$18,831.33 |
4.1× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$8,140.89 |
$13,568.15 |
2.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$6,632.94 |
$11,054.90 |
2.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$26,752.68 |
$44,587.80 |
5.3× |
| Anterior tibial tubercleplasty (27418) |
$32,622.95 |
$54,371.58 |
4.5× |
| Appendectomy (44950) |
$16,424.33 |
$27,373.89 |
2.5× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$108.90 |
$181.50 |
0.7× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$96,514.15 |
$160,856.92 |
59.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$161.40 |
$269 |
1.0× |
| Application cast elbow finger short arm (29075) |
$409.80 |
$683 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$517.80 |
$863 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$117.60 |
$196 |
2.0× |
| Application finger splint static (29130) |
$609.60 |
$1,016 |
4.6× |
| Application Hip Spica Cast 1 Leg (29305) |
$8,437.53 |
$14,062.55 |
30.1× |
| Application long arm splint shoulder hand (29105) |
$511.80 |
$853 |
3.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$470.40 |
$784 |
1.7× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$33,029.56 |
$55,049.28 |
2.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$231 |
$385 |
0.8× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$8,917.55 |
$14,862.58 |
31.8× |
| Application of long leg cast (29345) |
$406.20 |
$677 |
1.4× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
$36,051.19 |
$60,085.32 |
1.3× |
| Application of rigid total contact leg cast (29445) |
$479.40 |
$799 |
1.7× |
| Application Patellar Tendon Bearing Cast (29435) |
$414.60 |
$691 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$110.40 |
$184 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$632.10 |
$1,053.50 |
4.7× |
| Application uniplane external fixation system (20690) |
$15,266.72 |
$25,444.53 |
2.1× |
| Apply Body Cast,Risser Jacket (29010) |
$10,420.36 |
$17,367.26 |
37.1× |
| Apply Hand/Wrist Cast (29085) |
$812.40 |
$1,354 |
5.0× |
| Apply long leg splint (29505) |
$204.90 |
$341.50 |
1.3× |
| Apply short leg cast (29405) |
$998.40 |
$1,664 |
3.6× |
| Apply short leg cast (29425) |
$762.60 |
$1,271 |
2.7× |
| Apply short leg splint (29515) |
$904.80 |
$1,508 |
5.5× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$16,392.54 |
$27,320.90 |
3.1× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Facility (66179) |
$4,017.60 |
$6,696 |
0.8× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$17,767.64 |
$29,612.73 |
5.4× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Facility (27479) |
$13,941.54 |
$23,235.90 |
1.9× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475) |
$12,673.40 |
$21,122.32 |
1.7× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Facility (27477) |
$18,903.46 |
$31,505.78 |
2.6× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$18,491.80 |
$30,819.68 |
2.5× |
| Arterial puncture (36600) |
$174.60 |
$291 |
1.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$19,824.51 |
$33,040.85 |
6.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$20,249.77 |
$33,749.61 |
3.6× |
| Artery-vein autograft (36825) |
$27,909.80 |
$46,516.34 |
5.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$44,219.10 |
$73,698.52 |
3.4× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$47,186.32 |
$78,643.87 |
3.7× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$51,077.35 |
$85,128.91 |
4.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$38,432.74 |
$64,054.58 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$507.14 |
$845.22 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$312.44 |
$520.74 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$404.09 |
$673.48 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$616.87 |
$1,028.12 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$7,894.70 |
$13,157.83 |
25.6× |
| Arthrodesis ankle open (27870) |
$49,299.66 |
$82,166.10 |
3.8× |
| Arthrodesis great toe interphalangeal joint (28755) |
$13,400.89 |
$22,334.82 |
1.8× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$21,498.19 |
$35,830.32 |
3.0× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$13,968.20 |
$23,280.34 |
4.3× |
| Arthrodesis pantalar (28705) |
$24,022.20 |
$40,037 |
1.4× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$33,570.49 |
$55,950.81 |
1.9× |
| Arthrodesis triple (28715) |
$43,121.11 |
$71,868.52 |
3.3× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$120,146.92 |
$200,244.87 |
4.4× |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Facility (26844) |
$31,488.52 |
$52,480.86 |
4.3× |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
$4,941.60 |
$8,236 |
0.7× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$67,005.52 |
$111,675.86 |
2.5× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$25,157.87 |
$41,929.78 |
3.5× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$18,323.46 |
$30,539.10 |
2.5× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$67,724.83 |
$112,874.72 |
2.5× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$50,067.96 |
$83,446.60 |
2.8× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) |
$60,230.71 |
$100,384.51 |
4.7× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$66,417.25 |
$110,695.42 |
3.8× |
| Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) |
$26,155.74 |
$43,592.90 |
3.6× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$45,272.98 |
$75,454.96 |
3.5× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$22,280.60 |
$37,134.32 |
3.1× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$24,304.39 |
$40,507.32 |
1.9× |
| Arthrodesis; subtalar (28725) |
$32,110.43 |
$53,517.38 |
2.5× |
| Arthroplasty ankle revision total ankle (27703) |
$52,252.96 |
$87,088.26 |
3.0× |
| Arthroplasty Ankle W/Implant (27702) |
$60,862.46 |
$101,437.44 |
2.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$48,292.90 |
$80,488.16 |
2.7× |
| Arthroplasty interphalangeal joint each (26535) |
$2,228.40 |
$3,714 |
0.7× |
| Arthroplasty patella w/prosthesis (27438) |
$25,461.07 |
$42,435.11 |
2.0× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$42,566.06 |
$70,943.44 |
2.4× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$22,107.60 |
$36,846 |
1.3× |
| Arthroplasty with prosthetic replacement; trapezium Facility (25445) |
$29,262.49 |
$48,770.82 |
4.0× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$11,370 |
$18,950 |
3.5× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$28,051.31 |
$46,752.18 |
2.2× |
| Arthroplasty, radial head; with implant Facility (24366) |
$15,087.60 |
$25,146 |
1.2× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$46,994.28 |
$78,323.80 |
3.6× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$12,055.96 |
$20,093.26 |
1.7× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$20,752.85 |
$34,588.09 |
12.9× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$54,278.65 |
$90,464.42 |
33.6× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$23,754.90 |
$39,591.50 |
1.8× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$28,240.39 |
$47,067.32 |
3.9× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$6,252.16 |
$10,420.27 |
1.9× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$10,116.35 |
$16,860.58 |
3.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$7,634.01 |
$12,723.35 |
2.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$10,983.83 |
$18,306.39 |
3.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$23,270.77 |
$38,784.62 |
7.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$18,481.92 |
$30,803.20 |
5.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$13,014.67 |
$21,691.11 |
4.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$14,293.31 |
$23,822.19 |
4.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$11,692.26 |
$19,487.10 |
3.6× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$15,817.99 |
$26,363.31 |
4.8× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$15,454.25 |
$25,757.09 |
4.7× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$16,126.24 |
$26,877.06 |
2.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$15,454.25 |
$25,757.09 |
4.7× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$16,556.42 |
$27,594.04 |
2.3× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$31,944.32 |
$53,240.53 |
4.4× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$9,108.30 |
$15,180.50 |
2.8× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) |
$26,408.12 |
$44,013.52 |
3.6× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$34,860.42 |
$58,100.70 |
4.8× |
| Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) |
$51,626.05 |
$86,043.41 |
4.0× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$27,756.11 |
$46,260.19 |
3.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$8,761.48 |
$14,602.46 |
2.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$33,923.30 |
$56,538.83 |
10.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$23,923.65 |
$39,872.75 |
7.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$26,385.96 |
$43,976.60 |
3.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$24,429.68 |
$40,716.14 |
3.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$20,964.12 |
$34,940.19 |
6.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$26,290.12 |
$43,816.87 |
3.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$26,821.48 |
$44,702.48 |
3.7× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
$23,409.54 |
$39,015.90 |
7.1× |
| Arthroscopy, subtalar joint, surgical; with synovectomy Facility (29905) |
$19,485.08 |
$32,475.14 |
2.7× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$17,271.54 |
$28,785.91 |
5.3× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$20,498.09 |
$34,163.48 |
2.8× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$6,768.92 |
$11,281.54 |
2.1× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$12,605.63 |
$21,009.38 |
3.8× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$23,224.36 |
$38,707.26 |
7.1× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$7,111.90 |
$11,853.17 |
4.4× |
| Arthrotomy w/synovectomy ankle (27625) |
$16,440.55 |
$27,400.91 |
5.0× |
| Arthrotomy wrist joint with synovectomy (25105) |
$11,106.62 |
$18,511.04 |
3.4× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$2,228.40 |
$3,714 |
0.7× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$22,663.33 |
$37,772.22 |
6.9× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$18,645.38 |
$31,075.63 |
5.7× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$15,368.18 |
$25,613.63 |
4.7× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$2,470.80 |
$4,118 |
0.8× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$17,037.49 |
$28,395.81 |
5.2× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$15,505.42 |
$25,842.36 |
4.7× |
| Arthrotomy, wrist joint; with biopsy Facility (25100) |
$5,981.76 |
$9,969.60 |
1.8× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$11,938.72 |
$19,897.86 |
3.6× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$25,840.07 |
$43,066.79 |
7.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$25,521.28 |
$42,535.48 |
3.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$14,659.69 |
$24,432.81 |
4.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$11,825.09 |
$19,708.48 |
3.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$9,453.31 |
$15,755.51 |
5.9× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$7,125.42 |
$11,875.70 |
4.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$4,309.36 |
$7,182.26 |
1.3× |
| Artificial Insemination Intra-Uterine (58322) |
$301.20 |
$502 |
1.5× |
| Aspirate pleura w/ imaging (32555) |
$3,118.74 |
$5,197.90 |
5.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$1,387.80 |
$2,313 |
4.5× |
| Aspiration and injection for treatment of bone cyst (20615) |
$5,882.42 |
$9,804.04 |
8.3× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,273.37 |
$2,122.28 |
1.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$6,669.69 |
$11,116.15 |
3.2× |
| Aspiration bladder needle (51100) |
$147.60 |
$246 |
0.6× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$3,137.40 |
$5,229 |
1.4× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
$42,716.08 |
$71,193.46 |
7.2× |
| Autochondrocyte implant knee (27412) |
$82,632.09 |
$137,720.15 |
11.4× |
| Av fistula revision (36833) |
$28,801.05 |
$48,001.75 |
5.2× |
| Av Fuse Uppr Arm Basilic (36819) |
$28,580.50 |
$47,634.16 |
5.1× |
| Av fusion/forearm vein (36820) |
$45,356.55 |
$75,594.25 |
8.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$161.40 |
$269 |
0.8× |
| Axillary lymphadenectomy; complete (38745) |
$28,667.83 |
$47,779.71 |
4.7× |
| Axillary lymphadenectomy; superficial Facility (38740) |
$23,332.86 |
$38,888.10 |
3.8× |
| Beta amyloid, ab42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass… (0412U) |
$672 |
$1,120 |
0.9× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$10,323.77 |
$17,206.29 |
1.6× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$15,463.20 |
$25,772 |
1.4× |
| Biopsy bone open deep (20245) |
$26,739.90 |
$44,566.50 |
9.2× |
| Biopsy bone open superficial (20240) |
$16,116.15 |
$26,860.25 |
5.5× |
| Biopsy bone trocar/needle deep (20225) |
$5,619.62 |
$9,366.02 |
3.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$5,565.84 |
$9,276.39 |
3.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,486.44 |
$2,477.40 |
1.6× |
| Biopsy External Auditory Canal (69105) |
$9,855.61 |
$16,426.01 |
6.3× |
| Biopsy external ear (69100) |
$753.90 |
$1,256.50 |
3.2× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$5,712.75 |
$9,521.25 |
2.0× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$6,960.35 |
$11,600.58 |
4.2× |
| Biopsy intranasal (30100) |
$3,425.40 |
$5,709 |
2.2× |
| Biopsy muscle deep (20205) |
$11,646.42 |
$19,410.70 |
4.0× |
| Biopsy muscle percutaneous needle (20206) |
$4,537.18 |
$7,561.96 |
2.7× |
| Biopsy Muscle Superficial (20200) |
$6,928.70 |
$11,547.83 |
4.2× |
| Biopsy Nail Unit Separate Procedure (11755) |
$1,050 |
$1,750 |
1.5× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$15,776.60 |
$26,294.33 |
4.7× |
| Biopsy Nerve (64795) |
$14,073.97 |
$23,456.61 |
7.2× |
| Biopsy of breast; open, incisional (19101) |
$23,761.55 |
$39,602.58 |
6.0× |
| Biopsy of extraocular muscle Facility (67346) |
$2,215.80 |
$3,693 |
0.6× |
| Biopsy of eyelid lining (68100) |
$2,795.40 |
$4,659 |
1.2× |
| Biopsy of floor of mouth (41108) |
$708 |
$1,180 |
0.4× |
| Biopsy of lacrimal gland (68510) |
$1,615.80 |
$2,693 |
0.7× |
| Biopsy of lip (40490) |
$502.73 |
$837.88 |
2.1× |
| Biopsy of mouth lesion (40808) |
$600.80 |
$1,001.34 |
1.1× |
| Biopsy of palate, uvula (42100) |
$706.20 |
$1,177 |
0.5× |
| Biopsy of penis (54105) |
$9,121.53 |
$15,202.55 |
3.1× |
| Biopsy of penis (54100) |
$1,617.60 |
$2,696 |
1.0× |
| Biopsy of tear sac (68525) |
$1,634.40 |
$2,724 |
0.7× |
| Biopsy of tongue (41100) |
$696.90 |
$1,161.50 |
1.3× |
| Biopsy of urethra (53200) |
$10,442.53 |
$17,404.21 |
5.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$24,178.74 |
$40,297.90 |
6.2× |
| Biopsy Oropharynx (42800) |
$1,476 |
$2,460 |
0.9× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$5,356.20 |
$8,927 |
1.6× |
| Biopsy pleura percutaneous needle (32400) |
$477 |
$795 |
0.3× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$5,401.80 |
$9,003 |
1.5× |
| Biopsy Salivary Gland Incisional (42405) |
$1,248.60 |
$2,081 |
0.8× |
| Biopsy Salivary Gland,Needle (42400) |
$2,837.54 |
$4,729.23 |
4.0× |
| Biopsy soft tissue back,superf (21920) |
$7,333.40 |
$12,222.33 |
4.4× |
| Biopsy soft tissue back/flank deep (21925) |
$20,944.70 |
$34,907.83 |
12.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$268.80 |
$448 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$2,016 |
$3,360 |
1.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$17,882.78 |
$29,804.63 |
6.1× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$10,385.15 |
$17,308.58 |
3.6× |
| Biopsy Tongue Posterior One-Third (41105) |
$1,416.20 |
$2,360.34 |
0.4× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$9,071.50 |
$15,119.17 |
2.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,320.90 |
$2,201.50 |
1.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,485.02 |
$2,475.02 |
1.6× |
| Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712) |
$5,401.80 |
$9,003 |
1.5× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) |
$5,401.80 |
$9,003 |
1.5× |
| Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) |
$5,401.80 |
$9,003 |
1.5× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$5,401.80 |
$9,003 |
1.5× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$6,227.09 |
$10,378.48 |
1.8× |
| Biopsy/removal lymph nodes (38525) |
$26,651 |
$44,418.33 |
6.8× |
| Biopsy/removal lymph nodes (38510) |
$26,689.41 |
$44,482.35 |
6.8× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$3,072 |
$5,120 |
0.9× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,011.45 |
$1,685.74 |
1.4× |
| Bladder Irrigation Simple (51700) |
$475.80 |
$793 |
1.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$7,985.61 |
$13,309.35 |
5.1× |
| Blepharoplasty lower eyelid (15820) |
$10,786.65 |
$17,977.75 |
5.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$10,695.05 |
$17,825.08 |
5.2× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$27,448.46 |
$45,747.43 |
13.3× |
| Blepharoplasty, Upper Eyelid (15822) |
$45,632.68 |
$76,054.48 |
22.0× |
| Blepharotomy drain absc eyelid (67700) |
$588.60 |
$981 |
1.8× |
| Blood patch (62273) |
$1,167.24 |
$1,945.40 |
1.6× |
| Blood transfusion service (36430) |
$1,414.80 |
$2,358 |
3.2× |
| Blood/Lymph System Procedure (38999) |
$31,215.88 |
$52,026.46 |
70.5× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$48,204.97 |
$80,341.62 |
6.6× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$29,868.73 |
$49,781.21 |
4.1× |
| Bone marrow aspiration only (38220) |
$14,780.47 |
$24,634.12 |
8.9× |
| Bone Marrow Biopsy (38221) |
$12,318.72 |
$20,531.20 |
7.4× |
| Bone marrow harvest allogen (38230) |
$16,278.73 |
$27,131.21 |
10.4× |
| Breast augmentation with implant (19325) |
$19,039.93 |
$31,733.21 |
2.3× |
| Breast Reduction (19318) |
$25,784.89 |
$42,974.81 |
3.9× |
| Breast surgery procedure (19499) |
$2,045.40 |
$3,409 |
0.5× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$13,224.81 |
$22,041.34 |
7.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$12,831.48 |
$21,385.79 |
7.2× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$9,612.64 |
$16,021.06 |
5.4× |
| Brnchsc removal bronchial valve initial (31648) |
$7,463.86 |
$12,439.76 |
2.0× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$16,462.17 |
$27,436.95 |
2.3× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$14,567.96 |
$24,279.94 |
3.9× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$13,214.50 |
$22,024.16 |
3.5× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$15,841.88 |
$26,403.14 |
4.2× |
| Bronch ebus samplng 1/2 node (31652) |
$15,438.22 |
$25,730.36 |
4.1× |
| Bronch ebus samplng 3/> node (31653) |
$16,882.70 |
$28,137.84 |
4.5× |
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure |
$1,611 |
$2,685 |
0.2× |
| Bronchial valve init insert (31647) |
$28,582.20 |
$47,637.01 |
4.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$9,532.56 |
$15,887.60 |
5.3× |
Bronchoscopic Thermoplasty 2/> Lobes (31661)
unusually low: confirm this is the full procedure |
$3,222 |
$5,370 |
0.5× |
| Bronchoscopy Balloon Occlusion (31634) |
$17,321.53 |
$28,869.22 |
2.4× |
| Bronchoscopy Bronch Stents (31636) |
$21,337.72 |
$35,562.87 |
3.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$16,533.61 |
$27,556.02 |
4.4× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$45,927.67 |
$76,546.11 |
6.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$11,852.96 |
$19,754.93 |
6.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$13,305.08 |
$22,175.14 |
7.5× |
| Bronchoscopy w/tumor excise (31640) |
$21,337.72 |
$35,562.87 |
5.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$10,608.82 |
$17,681.36 |
5.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$4,625.94 |
$7,709.90 |
2.8× |
| Bx anorectal wall anal approach (45100) |
$11,633.78 |
$19,389.64 |
4.2× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$24,835.48 |
$41,392.46 |
8.5× |
| Bx breast 1st lesion mr imag (19085) |
$1,560.60 |
$2,601 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$2,126.40 |
$3,544 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$4,814.72 |
$8,024.54 |
2.9× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$17,350.48 |
$28,917.46 |
6.0× |
| Bx Prostate Transperineal Ultrasound-Guided (55709) |
$5,401.80 |
$9,003 |
1.5× |
| Bx prst8 in-bore CT/MRI 1 (55714) |
$8,217 |
$13,695 |
1.5× |
| Bx prst8 in-bore CT/MRI bx 1 (55713) |
$8,217 |
$13,695 |
1.5× |
| Bx/exc lymph node needle superficial (38505) |
$5,715.37 |
$9,525.62 |
3.4× |
| Canthoplasty (67950) |
$17,503.57 |
$29,172.62 |
7.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$12,839.49 |
$21,399.15 |
3.9× |
| Capsular contracture release (23020) |
$13,400.46 |
$22,334.10 |
4.1× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
$28,475.14 |
$47,458.57 |
3.9× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$7,350.99 |
$12,251.65 |
2.2× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$10,422.53 |
$17,370.88 |
3.2× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$15,765.40 |
$26,275.66 |
4.8× |
| Capsulorrhaphy, anterior, any type; with bone block Facility (23460) |
$55,896.04 |
$93,160.06 |
7.7× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$22,954.30 |
$38,257.17 |
3.2× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450)
unusually low: confirm this is the full procedure |
$3,459 |
$5,765 |
0.5× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$37,136.51 |
$61,894.19 |
5.1× |
| Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) |
$23,778.36 |
$39,630.59 |
3.3× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$32,469.16 |
$54,115.27 |
9.9× |
| Capsulotomy, midfoot; with tendon lengthening Facility (28261) |
$21,767.19 |
$36,278.64 |
13.5× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Facility (28264) |
$9,071.62 |
$15,119.36 |
5.6× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$21,923.98 |
$36,539.97 |
6.7× |
| Car-t admn autologous (38228) |
$1,284,938.11 |
$2,141,563.52 |
3877.4× |
| Carpectomy All Bones Proximal Row (25215) |
$13,490.47 |
$22,484.12 |
4.1× |
| Cartilage graft; costochondral (20910) |
$38,204.55 |
$63,674.25 |
51.5× |
| Cartilage graft; nasal septum Facility (20912) |
$28,862.75 |
$48,104.58 |
8.1× |
| Cataract surg w/iol 1 stage (66983) |
$1,864.20 |
$3,107 |
0.8× |
| Cataract surgery complex (66982) |
$20,178.86 |
$33,631.43 |
8.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$456.60 |
$761 |
2.1× |
| Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and… (53866) |
$382.80 |
$638 |
1.5× |
| Cautery cervix laser ablation (57513) |
$8,268.80 |
$13,781.34 |
2.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,617.98 |
$6,029.98 |
1.1× |
| Cervical lymphadenectomy (complete) (38720) |
$29,527.22 |
$49,212.03 |
4.4× |
| Cessj Therapy Cath Removal (37214) |
$4,169.40 |
$6,949 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$8,824.14 |
$14,706.90 |
12.6× |
| Change of cystostomy tube simple (51705) |
$2,940.46 |
$4,900.77 |
11.7× |
| Change stent via transureth (50385) |
$14,588.98 |
$24,314.96 |
7.0× |
| Change Ureter Stent, Percut (50382) |
$20,455.19 |
$34,091.98 |
9.8× |
| Chemical cautery tissue (17250) |
$111.60 |
$186 |
0.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$4,494.60 |
$7,491 |
6.3× |
| Chemodenerv Eccrine Glands (64650) |
$162.60 |
$271 |
0.5× |
| Chemodenerv musc migraine (64615) |
$136.20 |
$227 |
0.4× |
| Chemodenerv Musc Neck Dyston (64616) |
$2,511.46 |
$4,185.76 |
8.2× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$2,100 |
$3,500 |
6.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$255 |
$425 |
0.4× |
| Chemodenerv trunk musc 6/> (64647) |
$321.60 |
$536 |
0.5× |
| Chemodenervation internal anal sphincter (46505) |
$6,702.84 |
$11,171.40 |
5.6× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$321.60 |
$536 |
0.5× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$1,196.70 |
$1,994.50 |
3.9× |
| Chemodenervation of extraocular muscle (67345) |
$309.60 |
$516 |
1.0× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$3,011.70 |
$5,019.50 |
4.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$333 |
$555 |
1.1× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$7,796.02 |
$12,993.36 |
3.7× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,299 |
$2,165 |
0.4× |
| Chorionic villus sampling (59015) |
$288 |
$480 |
0.3× |
| Chromotubation oviduct (58350) |
$17,440.12 |
$29,066.88 |
3.5× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$1,734.60 |
$2,891 |
0.7× |
| Circum 28 days or older (54161) |
$6,836.45 |
$11,394.08 |
3.3× |
| Circumcision (54150) |
$2,984.78 |
$4,974.63 |
1.4× |
| Claviculectomy partial (23120) |
$18,577.90 |
$30,963.16 |
5.7× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$194.40 |
$324 |
0.8× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$546.60 |
$911 |
2.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$123.60 |
$206 |
0.5× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$311.40 |
$519 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$430.80 |
$718 |
1.7× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$15,756.58 |
$26,260.97 |
10.1× |
| Closed Rx Radial Shaft Fx (25500) |
$847.80 |
$1,413 |
3.4× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,150.80 |
$1,918 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$484.80 |
$808 |
2.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$265.20 |
$442 |
1.1× |
| Closed Treat Vert Body Fract (22310) |
$231 |
$385 |
0.9× |
| Closed treat wrist dislocation (25660) |
$904.80 |
$1,508 |
3.7× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,887.23 |
$8,145.38 |
1.5× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,395.60 |
$2,326 |
5.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,368.60 |
$2,281 |
5.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$786 |
$1,310 |
0.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$231 |
$385 |
0.9× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,555.40 |
$4,259 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$123.60 |
$206 |
0.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$526.80 |
$878 |
2.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$123.60 |
$206 |
0.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$134.40 |
$224 |
0.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$28,228.49 |
$47,047.49 |
17.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$12,306.49 |
$20,510.81 |
49.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$441 |
$735 |
1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$477.60 |
$796 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$518.40 |
$864 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$585 |
$975 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$123.60 |
$206 |
0.5× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$265.80 |
$443 |
1.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$857.40 |
$1,429 |
0.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$957.60 |
$1,596 |
3.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$751.80 |
$1,253 |
3.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$5,348.89 |
$8,914.82 |
3.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$22,056.08 |
$36,760.14 |
3.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$123.60 |
$206 |
0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,081.20 |
$1,802 |
0.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$5,432.09 |
$9,053.49 |
3.5× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,099.60 |
$5,166 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,431.60 |
$2,386 |
5.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$991.80 |
$1,653 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$237.66 |
$396.10 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$533.40 |
$889 |
0.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,638.20 |
$4,397 |
1.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$231 |
$385 |
0.9× |
| Closed tx septal&nose fx (21337) |
$7,274.17 |
$12,123.62 |
2.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$543.60 |
$906 |
2.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$857.40 |
$1,429 |
0.5× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$27,306.35 |
$45,510.59 |
110.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$473.40 |
$789 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,531.80 |
$2,553 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$258 |
$430 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$123.60 |
$206 |
0.5× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$16,454.69 |
$27,424.48 |
4.7× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$10,085.33 |
$16,808.89 |
3.0× |
| Closure of gastrostomy, surgical (43870) |
$13,064.43 |
$21,774.05 |
3.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$315 |
$525 |
1.3× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$14,300.93 |
$23,834.88 |
4.4× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$198 |
$330 |
0.6× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$310.80 |
$518 |
1.0× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$18,609.47 |
$31,015.78 |
3.5× |
| Closure of urethrovaginal fistula; Facility (57310) |
$32,699.78 |
$54,499.63 |
4.4× |
| Closure of vesicovaginal fistula; vaginal approach Facility (57320) |
$26,407.23 |
$44,012.05 |
5.3× |
| Closure salivary fistula (42600) |
$9,558.41 |
$15,930.68 |
2.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,729.80 |
$2,883 |
7.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$123.60 |
$206 |
0.5× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$643.20 |
$1,072 |
2.6× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$402 |
$670 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,968 |
$3,280 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$939.60 |
$1,566 |
3.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$354 |
$590 |
1.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$428.40 |
$714 |
0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$215.40 |
$359 |
0.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$26,449.49 |
$44,082.49 |
16.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$123.60 |
$206 |
0.5× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$235.20 |
$392 |
1.0× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,520.60 |
$4,201 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,485.60 |
$2,476 |
6.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,153.20 |
$1,922 |
4.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$216 |
$360 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$162 |
$270 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$484.20 |
$807 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,877.70 |
$3,129.50 |
1.2× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$8,178.81 |
$13,631.35 |
5.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$446.40 |
$744 |
0.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$123.60 |
$206 |
0.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$655.20 |
$1,092 |
2.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$857.40 |
$1,429 |
0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$361.20 |
$602 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$384.60 |
$641 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$361.20 |
$602 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$292.80 |
$488 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,086 |
$1,810 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$255 |
$425 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$139.80 |
$233 |
0.6× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$492 |
$820 |
2.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$978.60 |
$1,631 |
0.6× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$478.80 |
$798 |
0.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,036.20 |
$1,727 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$443.40 |
$739 |
1.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,504.20 |
$2,507 |
5.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$625.80 |
$1,043 |
2.5× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$627 |
$1,045 |
2.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,973.40 |
$3,289 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$243 |
$405 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$778.50 |
$1,297.50 |
3.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,413.60 |
$2,356 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$231 |
$385 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$123.60 |
$206 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$778.80 |
$1,298 |
3.1× |
| Cltx post ankle fx w/mnpj (27768) |
$252 |
$420 |
0.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,992.80 |
$4,988 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$445.20 |
$742 |
1.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$478.80 |
$798 |
0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$376.80 |
$628 |
1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$651.60 |
$1,086 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$859.80 |
$1,433 |
3.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$208.80 |
$348 |
0.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,581.60 |
$2,636 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$639.60 |
$1,066 |
0.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$514.80 |
$858 |
2.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$758.40 |
$1,264 |
3.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$639.60 |
$1,066 |
0.4× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$2,181 |
$3,635 |
8.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$704.40 |
$1,174 |
2.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$2,140.30 |
$3,567.17 |
16.0× |
| Colonoscopy flex w/blln dilat (45386) |
$6,472.16 |
$10,786.94 |
5.4× |
| Colonoscopy flex w/inj submuc (45381) |
$6,807.88 |
$11,346.46 |
5.7× |
| Colonoscopy flex w/rem forcep (45384) |
$6,960.80 |
$11,601.32 |
5.8× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$853.80 |
$1,423 |
0.7× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$1,161 |
$1,935 |
0.2× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,716.20 |
$4,527 |
2.3× |
| Colonoscopy stoma w/balloon dilation (44405) |
$2,721.37 |
$4,535.61 |
2.3× |
| Colonoscopy stoma w/biopsy (44389) |
$2,441.10 |
$4,068.50 |
2.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$5,158.81 |
$8,598.01 |
4.3× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,163.40 |
$1,939 |
1.0× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$1,264.80 |
$2,108 |
1.4× |
| Colonoscopy thru stoma (44388) |
$1,319.02 |
$2,198.36 |
1.4× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,776.56 |
$4,627.60 |
2.3× |
| Colonoscopy w/ablation (45388) |
$6,037.16 |
$10,061.94 |
5.0× |
| Colonoscopy w/band ligation (45398) |
$813 |
$1,355 |
0.7× |
| Colonoscopy w/endoscopic fnb (45392) |
$5,879.12 |
$9,798.53 |
4.9× |
| Colonoscopy w/fb removal (45379) |
$5,377.13 |
$8,961.88 |
4.5× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$7,780.67 |
$12,967.78 |
6.5× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$5,694.88 |
$9,491.48 |
2.0× |
| Colpocleisis (le fort type) (57120) |
$20,861.04 |
$34,768.40 |
4.2× |
| Colpoperineorrhaphy non ob (57210) |
$45,794.80 |
$76,324.66 |
14.1× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$33,134.86 |
$55,224.77 |
4.5× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$22,992.42 |
$38,320.68 |
3.1× |
| Colporrhaphy Suture Injury Vagina (57200) |
$29,227.16 |
$48,711.93 |
9.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$909.90 |
$1,516.50 |
3.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$474.30 |
$790.50 |
2.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$764.40 |
$1,274 |
2.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,626.36 |
$4,377.26 |
0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$6,469.67 |
$10,782.79 |
2.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$861.90 |
$1,436.50 |
2.8× |
| Colposcopy vulva (56820) |
$96.60 |
$161 |
0.5× |
| Colposcopy vulva w/biopsy (56821) |
$123 |
$205 |
0.4× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$549.30 |
$915.50 |
1.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$792.90 |
$1,321.50 |
0.9× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$21,798.17 |
$36,330.28 |
4.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$30,504.37 |
$50,840.62 |
6.1× |
| Complex Cystometrogram (51726) |
$3,953.72 |
$6,589.54 |
15.8× |
| Complex cystometrogram urethral press profile (51727) |
$519.60 |
$866 |
0.7× |
| Complex Uroflowmetry (51741) |
$412.20 |
$687 |
1.9× |
| Conization of cervix (57520) |
$9,142.74 |
$15,237.90 |
2.8× |
| Conization of cervix (57522) |
$5,700.60 |
$9,501 |
1.8× |
| Conjunctival Flap Total (68362) |
$1,422.60 |
$2,371 |
0.6× |
| Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Facility (68326) |
$38,541.46 |
$64,235.77 |
9.8× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$39,663.83 |
$66,106.39 |
10.1× |
| Constj Tracheoesophgl Fstl&Insj Sp Prosth (31611) |
$8,328.92 |
$13,881.53 |
2.5× |
| Construct thumb replacement (26550) |
$40,278.16 |
$67,130.26 |
12.3× |
| Construction of artificial vagina; with graft Facility (57292) |
$19,608.02 |
$32,680.04 |
3.9× |
| Construction of artificial vagina; without graft Facility (57291) |
$18,321.97 |
$30,536.62 |
3.7× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate… (67882) |
$14,224.02 |
$23,706.70 |
6.0× |
| Contour of face bone lesion (21029) |
$8,356.42 |
$13,927.37 |
2.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$771.74 |
$1,286.24 |
3.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,977.18 |
$3,295.32 |
14.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$175.41 |
$292.35 |
1.3× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$14,898 |
$24,830 |
4.5× |
| Conversion ext bil drg cath (47535) |
$23,691.65 |
$39,486.09 |
6.6× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$35,411.92 |
$59,019.87 |
2.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$4,308.72 |
$7,181.20 |
2.2× |
| Convert nephrostomy catheter (50434) |
$4,781.12 |
$7,968.54 |
2.3× |
| Cordocentesis (59012) |
$5,065.10 |
$8,441.84 |
16.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$6,783.03 |
$11,305.06 |
4.1× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$187.20 |
$312 |
0.4× |
| Corneal transplant (65730) |
$23,405.64 |
$39,009.40 |
5.6× |
| Corneal transplant (65755) |
$22,050.38 |
$36,750.63 |
5.3× |
| Corneal transplant (65710) |
$25,894.33 |
$43,157.22 |
4.9× |
| Corneal transplant (65750) |
$3,100.80 |
$5,168 |
0.6× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$2,901 |
$4,835 |
0.8× |
| Correction eyelid w/implant (67912) |
$23,999.59 |
$39,999.31 |
10.1× |
| Correction hammertoe (28285) |
$19,782.65 |
$32,971.08 |
6.0× |
| Correction of bunion (28298) |
$20,712.96 |
$34,521.60 |
2.8× |
| Correction of bunion (28292) |
$22,561.11 |
$37,601.85 |
6.9× |
| Correction of bunion (28299) |
$19,968.19 |
$33,280.32 |
2.7× |
| Correction of bunion (28297) |
$39,711.16 |
$66,185.27 |
3.1× |
| Correction of everted punctum, cautery (68705) |
$343.50 |
$572.50 |
1.1× |
| Correction of inverted nipples Facility (19355) |
$8,384.30 |
$13,973.83 |
2.1× |
| Correction of lid retraction (67911) |
$1,422.60 |
$2,371 |
0.6× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$820.20 |
$1,367 |
0.8× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$81 |
$135 |
0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$17,939.94 |
$29,899.90 |
5.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$4,986 |
$8,310 |
1.5× |
| Cover eye w/membrane (65778) |
$491.40 |
$819 |
0.5× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$28,511.84 |
$47,519.73 |
5.1× |
| Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) |
$21,966.48 |
$36,610.80 |
2.5× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$7,928.08 |
$13,213.48 |
4.0× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$20,551.69 |
$34,252.82 |
10.5× |
| Cricopharyngeal myotomy (43030) |
$13,350.94 |
$22,251.57 |
2.2× |
| Cricotracheal resection Facility (31592) |
$35,805.94 |
$59,676.57 |
6.0× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$9,975.60 |
$16,626 |
1.1× |
| Csf shunt reprogram (62252) |
$165 |
$275 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$373.20 |
$622 |
2.8× |
| Curettage postpartum (59160) |
$8,764.33 |
$14,607.22 |
2.7× |
| Curette/treat cornea (65436) |
$615.30 |
$1,025.50 |
0.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$11,301.52 |
$18,835.88 |
5.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$7,791.80 |
$12,986.32 |
3.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$10,947.84 |
$18,246.40 |
3.1× |
| Cysto w/destruction of lesions (52214) |
$13,126.57 |
$21,877.62 |
3.7× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$8,546.07 |
$14,243.45 |
1.6× |
| Cysto w/insert ureteral stent (52332) |
$11,104.32 |
$18,507.20 |
3.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$7,505.30 |
$12,508.84 |
2.1× |
| Cysto w/removal of tumors small (52234) |
$10,415.92 |
$17,359.86 |
2.9× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$8,039.72 |
$13,399.54 |
2.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,280.78 |
$7,134.64 |
2.0× |
| Cysto w/ureter stricture tx (52341) |
$13,855.52 |
$23,092.53 |
3.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$11,105.85 |
$18,509.75 |
3.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$12,137.18 |
$20,228.63 |
3.4× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$17,220.63 |
$28,701.05 |
3.2× |
| Cysto/uretero w/lithotripsy (52356) |
$15,451.41 |
$25,752.35 |
2.9× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$11,390.18 |
$18,983.63 |
2.1× |
| Cystolithotomy (51050) |
$26,154.11 |
$43,590.18 |
4.9× |
| Cystometrogram w/vp (51728) |
$431.40 |
$719 |
0.6× |
| Cystometrogram W/Vp&Up (51729) |
$933.60 |
$1,556 |
1.3× |
| Cystoscopy implant stent (52282) |
$11,671.37 |
$19,452.28 |
3.3× |
| Cystoscopy inject material (52327) |
$17,940.39 |
$29,900.65 |
3.3× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$11,188.24 |
$18,647.06 |
5.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$27,237.61 |
$45,396.02 |
13.0× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$11,358.46 |
$18,930.76 |
5.4× |
| Cystouretero & or pyeloscope (52351) |
$11,402.54 |
$19,004.23 |
3.2× |
| Cystourethroscopy (52000) |
$2,224.33 |
$3,707.22 |
3.2× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,925.80 |
$6,543 |
1.1× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$6,588.68 |
$10,981.12 |
3.1× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$11,655.12 |
$19,425.19 |
3.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$6,213.14 |
$10,355.23 |
3.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$5,909.99 |
$9,849.99 |
1.7× |
| Cystourethroscopy with biopsy (52204) |
$11,400.05 |
$19,000.09 |
5.4× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$7,399.34 |
$12,332.24 |
2.1× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$11,476.61 |
$19,127.69 |
3.2× |
| Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) |
$23,673.14 |
$39,455.24 |
4.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$9,350.42 |
$15,584.03 |
4.5× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$15,148.89 |
$25,248.15 |
2.8× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$2,428.20 |
$4,047 |
1.2× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,164.50 |
$3,607.50 |
1.0× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$4,040.12 |
$6,733.54 |
1.9× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$11,230.13 |
$18,716.89 |
3.2× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$7,837.81 |
$13,063.01 |
3.7× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$30,005.15 |
$50,008.58 |
8.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$17,335.34 |
$28,892.24 |
3.2× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$7,559.82 |
$12,599.70 |
2.1× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$9,358.22 |
$15,597.04 |
2.6× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$1,953.60 |
$3,256 |
0.6× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$16,535.57 |
$27,559.29 |
4.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$211.20 |
$352 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$15,041.78 |
$25,069.64 |
5.2× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$11,280.91 |
$18,801.52 |
3.4× |
| Dcmprn fasct leg post compartment only (27601) |
$25,993.03 |
$43,321.71 |
7.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$561.60 |
$936 |
0.8× |
| Debride nail 1-5 (11720) |
$126 |
$210 |
2.1× |
| Debride nail 6 or more (11721) |
$115.20 |
$192 |
1.9× |
| Debride skin musc at fx site (11011) |
$9,365.84 |
$15,609.73 |
13.2× |
| Debride tissue/muscle (11043) |
$13,652.20 |
$22,753.66 |
18.4× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$273 |
$455 |
0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$71.40 |
$119 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$843.90 |
$1,406.50 |
2.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$14,354.62 |
$23,924.36 |
8.7× |
| Declot vascular device (36593) |
$4,082.34 |
$6,803.90 |
12.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$14,002.93 |
$23,338.22 |
8.7× |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) |
$40,470.35 |
$67,450.59 |
6.8× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$10,694.28 |
$17,823.80 |
3.3× |
| Decompression of leg (27892) |
$9,559.50 |
$15,932.50 |
2.9× |
| Decompression Of Tibia Nerve (28035) |
$12,227.60 |
$20,379.34 |
6.2× |
| Decompression; plantar digital nerve Facility (64726) |
$17,075.74 |
$28,459.56 |
8.7× |
| Decompressive fasciotomy hand (26037) |
$29,742.45 |
$49,570.75 |
9.1× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$10,643.27 |
$17,738.78 |
5.1× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$11,823.34 |
$19,705.56 |
5.7× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Facility (15610) |
$10,643.10 |
$17,738.50 |
5.1× |
| Delivery placenta separate procedure (59414) |
$4,722.60 |
$7,871 |
1.5× |
| Denervation of hip joint (27035) |
$1,083.60 |
$1,806 |
0.3× |
| Derma-fat-fascia graft (15770) |
$31,901.72 |
$53,169.53 |
9.0× |
| Dermabrasion segmental face (15781) |
$479.10 |
$798.50 |
0.7× |
| Dermabrasion superficial any site (15783) |
$10,265.21 |
$17,108.68 |
25.2× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$24,186.24 |
$40,310.40 |
6.8× |
| Destroy cerv/thor facet jnt (64633) |
$18,818.35 |
$31,363.91 |
9.6× |
| Destroy internal hemorrhoids (46930) |
$9,140.81 |
$15,234.68 |
7.6× |
| Destroy lumb/sac facet jnt (64635) |
$5,701.15 |
$9,501.92 |
2.9× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$3,455.16 |
$5,758.60 |
1.4× |
| Destruction anal lesion(s) (46924) |
$9,871.11 |
$16,451.85 |
3.5× |
| Destruction Benign Lesions 15/> (17111) |
$91.20 |
$152 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$249.60 |
$416 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$508.80 |
$848 |
0.6× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$6,631.03 |
$11,051.72 |
3.4× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$11,605.65 |
$19,342.75 |
5.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$9,258.49 |
$15,430.82 |
10.4× |
| Destruction Lesions Vulva Extensive (56515) |
$9,043.27 |
$15,072.12 |
4.4× |
| Destruction Lesions Vulva Simple (56501) |
$7,246.55 |
$12,077.59 |
3.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$362.12 |
$603.54 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$79.80 |
$133 |
0.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$223.20 |
$372 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$472.80 |
$788 |
0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$57.60 |
$96 |
0.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$57.60 |
$96 |
0.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$57.60 |
$96 |
0.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$79.80 |
$133 |
0.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$186 |
$310 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$57.60 |
$96 |
0.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$79.80 |
$133 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$79.80 |
$133 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$57.60 |
$96 |
0.3× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$147.60 |
$246 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$544.80 |
$908 |
1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$57.60 |
$96 |
0.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,440.60 |
$2,401 |
0.7× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$823.20 |
$1,372 |
1.5× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Facility (67227) |
$1,897.20 |
$3,162 |
0.5× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$1,068 |
$1,780 |
3.4× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$6,145.01 |
$10,241.68 |
2.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$8,090.35 |
$13,483.91 |
3.9× |
| Destruction of lesion, conjunctiva (68135) |
$138 |
$230 |
0.1× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$396 |
$660 |
0.7× |
| Destruction of skin lesions (17106) |
$180.60 |
$301 |
0.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$79.80 |
$133 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$108 |
$180 |
0.5× |
| Destruction Vaginal Lesions Extensive (57065) |
$7,876 |
$13,126.66 |
2.4× |
| Destruction Vaginal Lesions Simple (57061) |
$8,265.18 |
$13,775.30 |
2.5× |
| Diagnostic anoscopy (46601) |
$5,978.80 |
$9,964.67 |
13.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,732.30 |
$4,553.84 |
3.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,220.14 |
$2,033.56 |
1.3× |
| Dil urethra,female,subsequent (53661) |
$63.60 |
$106 |
0.5× |
| Dilat female urethra general/cndj spinal anes (53665) |
$7,218.65 |
$12,031.09 |
3.4× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$4,440.68 |
$7,401.13 |
3.7× |
| Dilate Urethra Stricture (53620) |
$1,859.40 |
$3,099 |
2.7× |
| Dilate urethra stricture (53600) |
$123 |
$205 |
0.5× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$10,095.83 |
$16,826.38 |
18.7× |
| Dilation and curettage (58120) |
$8,116.60 |
$13,527.67 |
2.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$7,599.49 |
$12,665.82 |
8.4× |
| Dilation esophagus over guide wire (43453) |
$4,362.26 |
$7,270.42 |
2.3× |
| Dilation Nasolacrimal Duct (68801) |
$154.80 |
$258 |
0.3× |
| Dilation of anal sphincter (45905) |
$5,501.92 |
$9,169.86 |
4.6× |
| Dilation of cervical canal (57800) |
$5,414.18 |
$9,023.63 |
1.7× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$63 |
$105 |
0.5× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$28,039.85 |
$46,733.08 |
210.1× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$7,169.35 |
$11,948.91 |
2.0× |
| Dilation of vagina (57400) |
$2,268 |
$3,780 |
0.7× |
| Dilation Salivary Duct (42650) |
$8,490.57 |
$14,150.95 |
5.5× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$29,802.73 |
$49,671.21 |
4.1× |
| Discission Secondary Membranous Cataract (66820) |
$32,329.52 |
$53,882.54 |
14.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$5,854.88 |
$9,758.12 |
3.3× |
| Dissection, deep jugular node(s) Facility (38542) |
$20,118.65 |
$33,531.08 |
3.3× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$27,473.79 |
$45,789.65 |
4.9× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$20,350.69 |
$33,917.81 |
3.4× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$17,131.98 |
$28,553.30 |
5.2× |
| Division of scalenus anticus; with resection of cervical rib Facility (21705) |
$26,824.74 |
$44,707.90 |
3.7× |
| Division of scalenus anticus; without resection of cervical rib Facility (21700) |
$24,382.81 |
$40,638.01 |
3.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,948.40 |
$4,914 |
1.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$138.60 |
$231 |
0.2× |
| Drain penis lesion (54015) |
$1,003.80 |
$1,673 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$1,511.73 |
$2,519.54 |
4.9× |
| Drainage abscess/hematoma nasal int approach (30000) |
$229.80 |
$383 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$304.80 |
$508 |
0.6× |
| Drainage external auditory canal abscess (69020) |
$360.60 |
$601 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$6,591.56 |
$10,985.94 |
9.3× |
| Drainage Finger Abscess Complicated (26011) |
$565.80 |
$943 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$292.50 |
$487.50 |
1.5× |
| Drainage Mouth Roof Lesion (42000) |
$130.20 |
$217 |
0.5× |
| Drainage of deep periurethral abscess Facility (53040) |
$29,009.11 |
$48,348.51 |
8.2× |
| Drainage of eye (65815) |
$1,734.60 |
$2,891 |
0.7× |
| Drainage of eye (65810) |
$3,501.60 |
$5,836 |
1.5× |
| Drainage of eye (65800) |
$1,365.28 |
$2,275.48 |
0.6× |
| Drainage of gum lesion (41800) |
$271.80 |
$453 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$11,303.70 |
$18,839.50 |
6.8× |
| Drainage of hydrocele (55000) |
$9,871.02 |
$16,451.70 |
13.9× |
| Drainage of mouth lesion (41017) |
$5,825.40 |
$9,709 |
1.8× |
| Drainage of ovarian cyst(s) (58800) |
$1,050.60 |
$1,751 |
0.3× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$11,560.67 |
$19,267.78 |
3.5× |
| Drainage of scrotal wall abscess (55100) |
$588 |
$980 |
0.4× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$4,594.80 |
$7,658 |
1.4× |
| Drainage tendon sheath digit&/palm each (26020) |
$9,213.90 |
$15,356.51 |
2.8× |
| Draw blood off venous device (36591) |
$3,592.80 |
$5,988 |
26.9× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$826.20 |
$1,377 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$216.60 |
$361 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$189.60 |
$316 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$235.80 |
$393 |
1.2× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$373.80 |
$623 |
0.5× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$4,256.14 |
$7,093.56 |
2.1× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$6,050.63 |
$10,084.39 |
1.8× |
| Dstrj lesion anus simple chemical (46900) |
$587.40 |
$979 |
1.4× |
| Dstrj lesion anus simple cryosurgery (46916) |
$108 |
$180 |
0.5× |
| Dstrj lesion anus simple surg excision (46922) |
$8,186.74 |
$13,644.57 |
2.9× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$7,694.76 |
$12,824.61 |
3.7× |
| Dstrj Lesion Choroid Pc 1/> Sess (67220) |
$2,440.80 |
$4,068 |
4.4× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$43.20 |
$72 |
0.2× |
| Dstrj Lesion Penis Simple Laser (54057) |
$1,816.20 |
$3,027 |
0.9× |
| Dstrj lesion penis simple surg excision (54060) |
$4,967.91 |
$8,279.85 |
2.4× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$240.60 |
$401 |
0.6× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$1,194.60 |
$1,991 |
1.3× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$603.60 |
$1,006 |
0.7× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$128.40 |
$214 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$15,985.48 |
$26,642.46 |
5.5× |
| Dx Laryngoscopy Excl Nb (31525) |
$8,594.36 |
$14,323.94 |
4.8× |
| Dx laryngoscopy w/oper scope (31526) |
$10,453.30 |
$17,422.16 |
5.9× |
| Ear Cartilage Graft (21235) |
$22,874.19 |
$38,123.65 |
3.9× |
| Eardrum revision (69450) |
$5,606.89 |
$9,344.82 |
1.7× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$4,040.86 |
$6,734.76 |
2.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$12,347.44 |
$20,579.07 |
6.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$4,702.86 |
$7,838.09 |
2.4× |
| Egd band ligation esophgeal/gastric varices (43244) |
$3,011.38 |
$5,018.98 |
1.6× |
| Egd control bleeding any (43255) |
$3,397.95 |
$5,663.24 |
1.8× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$2,905.80 |
$4,843 |
0.8× |
| Egd dilate stricture (43245) |
$5,227.79 |
$8,712.99 |
2.7× |
| Egd endo mucosal resection (43254) |
$4,877.75 |
$8,129.58 |
2.5× |
| Egd endoscopic stent place (43266) |
$26,708.85 |
$44,514.75 |
4.4× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$6,372.63 |
$10,621.05 |
3.3× |
| Egd flexible foreign body removal (43247) |
$6,800.74 |
$11,334.56 |
7.5× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$2,743.80 |
$4,573 |
1.4× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
$1,300.80 |
$2,168 |
1.4× |
| Egd guide wire insertion (43248) |
$4,662.76 |
$7,771.27 |
5.1× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$814.20 |
$1,357 |
0.4× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$6,827.87 |
$11,379.78 |
3.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$6,010.51 |
$10,017.51 |
3.1× |
| Egd place gastrostomy tube (43246) |
$6,281.68 |
$10,469.46 |
3.3× |
| Egd remove lesion snare (43251) |
$5,951.77 |
$9,919.61 |
3.1× |
| Egd tube/cath insertion (43241) |
$5,431.76 |
$9,052.94 |
2.8× |
| Egd us exam duodenum/jejunum (43259) |
$4,470.18 |
$7,450.31 |
2.3× |
| Egd us transmural injxn/mark (43253) |
$12,341.78 |
$20,569.62 |
6.4× |
| Egd w/transmural drain cyst (43240) |
$19,038.98 |
$31,731.63 |
3.1× |
| Elbow Arthroscopy/Surgery (29837) |
$28,140.28 |
$46,900.47 |
8.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$165 |
$275 |
0.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$165 |
$275 |
0.5× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$6,738.60 |
$11,231 |
1.2× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111)
likely a partial charge, not the full procedure |
$1,657.20 |
$2,762 |
0.3× |
| EMG anal/urethral sphincter (51785) |
$723.60 |
$1,206 |
2.9× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$562.20 |
$937 |
4.4× |
| Endocervical Curettage (57505) |
$1,205.18 |
$2,008.62 |
1.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,377.54 |
$7,295.90 |
0.9× |
| Endometrial Biopsy (58100) |
$602.70 |
$1,004.50 |
3.0× |
| Endoscopic plantar fasciotomy (29893) |
$9,287.52 |
$15,479.21 |
2.8× |
| Endoscopic us exam esoph (43237) |
$5,149.55 |
$8,582.58 |
2.7× |
| Endoscopy bowel pouch/biop (44386) |
$2,472.59 |
$4,120.98 |
2.7× |
| Endoscopy of bowel pouch (44385) |
$4,539.19 |
$7,565.31 |
4.9× |
| Endoscopy Upper Small Intestine (44360) |
$2,993.80 |
$4,989.66 |
1.6× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$6,342.60 |
$10,571 |
0.5× |
| Endoven ther chem adhes 1st (36482) |
$7,905.60 |
$13,176 |
1.4× |
| Endovenous laser, 1st vein (36478) |
$4,604.92 |
$7,674.86 |
1.5× |
| Endovenous rf 1st vein (36475) |
$7,156.62 |
$11,927.70 |
2.3× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$3,102.39 |
$5,170.65 |
1.6× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$933.60 |
$1,556 |
0.5× |
| Enucleation of eye; with implant, muscles not attached to implant Facility (65103) |
$2,215.80 |
$3,693 |
0.6× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,672.42 |
$2,787.36 |
0.8× |
| Epididymectomy unilateral (54860) |
$16,632.65 |
$27,721.09 |
4.7× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Facility (54900) |
$2,539.20 |
$4,232 |
1.2× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$19,585.34 |
$32,642.23 |
6.0× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$8,437.47 |
$14,062.45 |
2.6× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Facility (25450) |
$9,472.46 |
$15,787.44 |
2.9× |
| Episiotomy or vaginal repair (59300) |
$10,268.68 |
$17,114.46 |
3.2× |
| Ercp Duct Stent Placement (43274) |
$19,853.70 |
$33,089.50 |
3.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$8,848.52 |
$14,747.54 |
2.3× |
| Ercp ea duct/ampulla dilate (43277) |
$14,628.53 |
$24,380.88 |
3.8× |
| Ercp lithotripsy calculi (43265) |
$26,096.42 |
$43,494.03 |
4.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$14,019.68 |
$23,366.13 |
3.6× |
| Ercp remove forgn body duct (43275) |
$10,516.55 |
$17,527.58 |
5.5× |
| Ercp Stent Exchange W/Dilate (43276) |
$15,882.92 |
$26,471.53 |
2.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$25,793.18 |
$42,988.63 |
6.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$18,908.47 |
$31,514.12 |
4.9× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$15,518.88 |
$25,864.80 |
4.0× |
| Esoph Scope W/Submucous Inj (43201) |
$5,662.59 |
$9,437.66 |
2.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$5,210.90 |
$8,684.83 |
5.7× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$7,641.53 |
$12,735.88 |
4.0× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$4,087.75 |
$6,812.92 |
2.1× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$3,112.20 |
$5,187 |
0.8× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,411.20 |
$2,352 |
0.7× |
| Esophagoscopy flexible guide wire dilation (43226) |
$8,630.23 |
$14,383.72 |
4.5× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,112.40 |
$1,854 |
1.2× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$5,052.13 |
$8,420.21 |
5.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$6,076.09 |
$10,126.81 |
6.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,005.76 |
$3,342.93 |
1.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$1,206.60 |
$2,011 |
0.6× |
| Esophagoscopy rig transoral guide wire dilation (43196) |
$14,925.89 |
$24,876.48 |
7.8× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$10,233.50 |
$17,055.84 |
2.6× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$14,886.75 |
$24,811.25 |
7.7× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$9,592.49 |
$15,987.49 |
5.0× |
| Esophagoscopy rigid trnso dx (43191) |
$9,377.44 |
$15,629.07 |
4.9× |
| Esophagoscopy transoral stent placement (43212) |
$15,024.28 |
$25,040.46 |
2.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,827.48 |
$4,712.46 |
1.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,312.04 |
$5,520.06 |
1.7× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$15,645.44 |
$26,075.74 |
2.6× |
| Evacuation of subungual hematoma (11740) |
$64.20 |
$107 |
0.5× |
| Evisceration of ocular contents; without implant Facility (65091) |
$2,215.80 |
$3,693 |
0.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$6,546.34 |
$10,910.56 |
4.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$9,994.32 |
$16,657.20 |
6.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$9,689.31 |
$16,148.85 |
3.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$8,512.64 |
$14,187.74 |
5.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$729.90 |
$1,216.50 |
1.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,098.50 |
$3,497.50 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,672.07 |
$2,786.78 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,843.20 |
$3,072 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$794.92 |
$1,324.86 |
1.1× |
| Exc back les sc < 3 cm (21930) |
$11,719.02 |
$19,531.70 |
7.1× |
| Exc back tum deep < 5 cm (21932) |
$7,802.90 |
$13,004.84 |
2.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,158.90 |
$1,931.50 |
1.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$9,824.62 |
$16,374.36 |
5.9× |
| Exc forearm les sc 3 cm/> (25071) |
$9,229.99 |
$15,383.32 |
5.6× |
| Exc Frenum Labial/Buccal (40819) |
$6,072.94 |
$10,121.56 |
3.9× |
| Exc ganglion wrist recurrent (25112) |
$7,389.11 |
$12,315.19 |
4.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$10,046.69 |
$16,744.48 |
2.8× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$27,630.67 |
$46,051.12 |
8.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$9,715.52 |
$16,192.53 |
6.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$5,803.76 |
$9,672.92 |
3.6× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$5,342.81 |
$8,904.69 |
1.6× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$8,404.90 |
$14,008.16 |
2.5× |
| Exc neck tum deep < 5 cm (21556) |
$15,430.01 |
$25,716.68 |
5.3× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$15,461.56 |
$25,769.28 |
7.9× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$12,252.88 |
$20,421.46 |
6.3× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$18,879.16 |
$31,465.26 |
9.6× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$21,926.54 |
$36,544.22 |
11.2× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$10,910.65 |
$18,184.41 |
3.9× |
| Exc rect tum transanal part (45171) |
$9,084.93 |
$15,141.55 |
3.3× |
| Exc skin abd (15830) |
$23,647.16 |
$39,411.93 |
3.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$3,262.20 |
$5,437 |
4.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$902.70 |
$1,504.50 |
2.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,764.02 |
$2,940.04 |
2.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$9,915.87 |
$16,526.45 |
6.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$11,790.52 |
$19,650.88 |
4.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$6,108.83 |
$10,181.38 |
2.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$15,011.76 |
$25,019.60 |
9.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$11,431.16 |
$19,051.94 |
3.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$16,015.46 |
$26,692.44 |
5.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$17,026.90 |
$28,378.16 |
10.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$11,748.25 |
$19,580.41 |
4.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$17,618.68 |
$29,364.46 |
6.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$8,589.50 |
$14,315.84 |
5.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$6,635.53 |
$11,059.22 |
4.0× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$5,841.32 |
$9,735.54 |
3.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$12,970.68 |
$21,617.80 |
4.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$13,743.84 |
$22,906.40 |
4.7× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$7,939.49 |
$13,232.48 |
2.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$10,859.83 |
$18,099.72 |
6.6× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$12,223.56 |
$20,372.60 |
7.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$17,882.78 |
$29,804.63 |
6.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$10,833.46 |
$18,055.76 |
3.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,689 |
$2,815 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$10,209.25 |
$17,015.41 |
6.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$7,928.78 |
$13,214.63 |
2.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,689 |
$2,815 |
0.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$11,107.34 |
$18,512.24 |
6.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$12,599.48 |
$20,999.14 |
4.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$9,523.82 |
$15,873.04 |
5.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$12,346.88 |
$20,578.12 |
4.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$8,159.32 |
$13,598.86 |
4.9× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$14,596.10 |
$24,326.83 |
5.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$14,262.63 |
$23,771.05 |
4.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$9,239.66 |
$15,399.44 |
3.2× |
| Exc urethral diverticulum spx female (53230) |
$30,533.33 |
$50,888.89 |
5.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$8,716.28 |
$14,527.14 |
2.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$6,160.46 |
$10,267.44 |
3.8× |
| Exc/fulguration urethral caruncle (53265) |
$11,591.33 |
$19,318.88 |
5.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,015.26 |
$6,692.10 |
1.1× |
| Exchange intraocular lens (66986) |
$24,209.02 |
$40,348.37 |
10.5× |
| Exchange nephrostomy cath (50435) |
$3,865.68 |
$6,442.79 |
1.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$4,539.38 |
$7,565.62 |
2.4× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$14,862.22 |
$24,770.36 |
4.5× |
| Excis Pterygium (65420) |
$1,422.60 |
$2,371 |
0.6× |
| Excise cutaneous neurofibroma (64788) |
$13,966.96 |
$23,278.27 |
7.1× |
| Excise excessive skin arm (15836) |
$22,192.27 |
$36,987.12 |
7.6× |
| Excise Inferior Turbinate (30130) |
$28,486.70 |
$47,477.82 |
8.6× |
| Excise lesion testis (54512) |
$8,476.12 |
$14,126.86 |
2.4× |
| Excise pharynx lesion (42808) |
$12,391.67 |
$20,652.78 |
3.7× |
| Excise tendon forearm/wrist (25109) |
$5,454.74 |
$9,091.24 |
1.7× |
| Excise Wrist Tendon Sheath (25118) |
$8,671.42 |
$14,452.37 |
5.4× |
| Excise/repair mouth lesion (40812) |
$16,166.20 |
$26,943.67 |
10.4× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$18,279.90 |
$30,466.50 |
7.7× |
| Excision Bone Mandible (21025) |
$36,745.74 |
$61,242.90 |
6.2× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$10,405.08 |
$17,341.80 |
3.1× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$17,058.75 |
$28,431.25 |
2.9× |
| Excision Breast Lesion (19125) |
$10,264.57 |
$17,107.62 |
2.6× |
| Excision Chalazion Single (67800) |
$158.40 |
$264 |
0.5× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
$13,144.70 |
$21,907.82 |
2.2× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$16,082.69 |
$26,804.48 |
4.9× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$8,954.95 |
$14,924.91 |
1.5× |
| Excision external ear partial simple repair (69110) |
$16,371.06 |
$27,285.09 |
5.6× |
| Excision external ear; complete amputation Facility (69120) |
$37,176.35 |
$61,960.59 |
6.3× |
| Excision Facial Bone (21026) |
$16,475.65 |
$27,459.41 |
2.8× |
| Excision first and/or cervical rib for outlet compression syndrome or other cause; (21615) |
$39,441.27 |
$65,735.46 |
5.4× |
| Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Facility (26390) |
$39,321.94 |
$65,536.57 |
5.4× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$12,811.84 |
$21,353.06 |
4.4× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,680.82 |
$2,801.37 |
0.6× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$25,394.24 |
$42,323.74 |
8.7× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,466.80 |
$5,778 |
1.2× |
| Excision hydrocele bilateral (55041) |
$8,158.51 |
$13,597.52 |
2.3× |
| Excision interdigital morton neuroma single each (28080) |
$8,471.12 |
$14,118.54 |
5.3× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,360.80 |
$2,268 |
1.4× |
| Excision Lesion Floor Mouth (41116) |
$24,144.14 |
$40,240.24 |
7.3× |
| Excision lesion meniscus/capsule knee (27347) |
$12,769.73 |
$21,282.89 |
3.9× |
| Excision lesion mouth roof (42104) |
$13,202.44 |
$22,004.06 |
4.0× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$17,077.71 |
$28,462.85 |
10.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$868.87 |
$1,448.12 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,180.80 |
$1,968 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$603 |
$1,005 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$749.76 |
$1,249.61 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$926.10 |
$1,543.50 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,397.34 |
$2,328.90 |
2.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$853.80 |
$1,423 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$594.03 |
$990.05 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,595.40 |
$2,659 |
2.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$5,744.65 |
$9,574.42 |
3.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$5,179.66 |
$8,632.76 |
3.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,501.80 |
$2,503 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$806.23 |
$1,343.72 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,698 |
$2,830 |
2.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$3,729.61 |
$6,216.01 |
2.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$9,173.20 |
$15,288.66 |
5.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,935.85 |
$9,893.08 |
2.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$5,038.67 |
$8,397.78 |
7.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$6,388.72 |
$10,647.87 |
9.0× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$24,144.14 |
$40,240.24 |
4.1× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$10,097.42 |
$16,829.04 |
1.7× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$20,535.32 |
$34,225.54 |
6.3× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$27,373.98 |
$45,623.30 |
3.8× |
| Excision of chalazion; multiple, different lids (67805) |
$361.20 |
$602 |
1.1× |
| Excision of chalazion; multiple, same lid (67801) |
$703.80 |
$1,173 |
0.7× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$5,457.71 |
$9,096.19 |
2.3× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$16,555.97 |
$27,593.28 |
5.7× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) |
$15,820.13 |
$26,366.89 |
2.6× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) |
$16,023.14 |
$26,705.23 |
2.4× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$33,541.12 |
$55,901.86 |
10.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$7,755.85 |
$12,926.41 |
4.8× |
| Excision of gum lesion (41828) |
$21,297.26 |
$35,495.43 |
13.7× |
| Excision of hydrocele unilateral (55040) |
$9,634.50 |
$16,057.50 |
2.7× |
| Excision of infected graft; extremity Facility (35903) |
$12,405.91 |
$20,676.51 |
3.9× |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
$41,273.83 |
$68,789.72 |
10.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$938.10 |
$1,563.50 |
0.9× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$18,051.60 |
$30,085.98 |
5.4× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$15,686.67 |
$26,144.45 |
4.4× |
| Excision of lesion of tongue with closure; with local tongue flap Facility (41114) |
$12,924.22 |
$21,540.37 |
3.9× |
| Excision of lesion of tongue without closure (41110) |
$15,213.96 |
$25,356.60 |
4.6× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$26,342.83 |
$43,904.71 |
4.4× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$21,002.31 |
$35,003.85 |
6.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,203.38 |
$3,672.31 |
1.3× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$19,369.27 |
$32,282.11 |
8.1× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$1,687.20 |
$2,812 |
0.7× |
| Excision of lesion, conjunctiva; with adjacent sclera Facility (68130) |
$1,422.60 |
$2,371 |
0.6× |
| Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Facility (40527) |
$26,410.90 |
$44,018.16 |
4.4× |
| Excision of local lesion of epididymis (54830) |
$6,060.25 |
$10,100.41 |
1.7× |
| Excision of malignant tumor of maxilla or zygoma Facility (21034) |
$41,273.83 |
$68,789.72 |
6.9× |
| Excision of maxillary torus palatinus (21032) |
$21,297.26 |
$35,495.43 |
6.4× |
| Excision of mucosa of vestibule of mouth as donor graft Facility (40818) |
$17,266.07 |
$28,776.78 |
31.9× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Facility (64792) |
$9,919.01 |
$16,531.68 |
2.9× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$11,500.90 |
$19,168.16 |
5.9× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$13,222.91 |
$22,038.18 |
3.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$23,285.37 |
$38,808.95 |
3.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$14,813.77 |
$24,689.62 |
2.5× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$27,767.62 |
$46,279.37 |
4.7× |
| Excision of penile plaque (Peyronie disease); Facility (54110) |
$8,198.33 |
$13,663.88 |
2.3× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
$33,449.75 |
$55,749.59 |
3.5× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$33,613.27 |
$56,022.11 |
6.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$10,063.33 |
$16,772.22 |
3.5× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$16,600.57 |
$27,667.61 |
6.0× |
| Excision of rib, partial Facility (21600) |
$29,497.43 |
$49,162.38 |
4.1× |
| Excision of single external papilla or tag, anus (46220) |
$7,536.52 |
$12,560.87 |
6.3× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$13,357.42 |
$22,262.37 |
4.6× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$12,569.70 |
$20,949.50 |
6.0× |
| Excision of sublingual gland (42450) |
$18,802.24 |
$31,337.06 |
3.2× |
| Excision of sublingual salivary cyst (ranula) Facility (42408) |
$11,083.79 |
$18,472.98 |
3.3× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$19,169.04 |
$31,948.39 |
3.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$7,235.72 |
$12,059.54 |
6.0× |
| Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) |
$13,994.01 |
$23,323.35 |
2.3× |
| Excision of tongue lesion (41112) |
$1,893 |
$3,155 |
0.6× |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
$27,509.47 |
$45,849.11 |
4.6× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$12,925.49 |
$21,542.48 |
2.1× |
| Excision of vaginal cyst or tumor (57135) |
$15,333.73 |
$25,556.22 |
4.7× |
| Excision of vaginal septum (57130) |
$9,450.13 |
$15,750.21 |
2.9× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$12,399.05 |
$20,665.09 |
3.5× |
| Excision olecranon bursa (24105) |
$11,045.95 |
$18,409.92 |
3.4× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) |
$5,343.60 |
$8,906 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$12,077.14 |
$20,128.56 |
3.7× |
| Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356) |
$26,874.36 |
$44,790.60 |
2.1× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$10,844.91 |
$18,074.85 |
3.3× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) |
$21,213.67 |
$35,356.12 |
2.9× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$15,455.68 |
$25,759.47 |
4.7× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25126) |
$20,443.10 |
$34,071.83 |
6.2× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$22,416.57 |
$37,360.95 |
3.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$9,500.31 |
$15,833.85 |
2.9× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) |
$24,646.27 |
$41,077.12 |
3.4× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft… (28107) |
$20,342.30 |
$33,903.82 |
2.8× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$25,759.88 |
$42,933.13 |
3.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$24,646.27 |
$41,077.12 |
3.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) |
$42,662.69 |
$71,104.48 |
5.9× |
| Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870) |
$30,881.07 |
$51,468.45 |
5.2× |
| Excision or fulguration; Skene's glands Facility (53270) |
$17,827.39 |
$29,712.32 |
5.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$13,085.94 |
$21,809.90 |
4.5× |
| Excision radial head (24130) |
$11,833.30 |
$19,722.17 |
3.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$10,959.16 |
$18,265.26 |
3.8× |
| Excision Synovial Cyst Popliteal Space (27345) |
$31,962.79 |
$53,271.32 |
9.7× |
| Excision tendon finger flexor/extensor each (26180) |
$10,872.98 |
$18,121.63 |
6.7× |
| Excision tendon palm flexor/extensor single each (26170) |
$1,179 |
$1,965 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$13,165.34 |
$21,942.22 |
7.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$10,214.22 |
$17,023.70 |
3.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$8,609.06 |
$14,348.43 |
5.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$9,465.14 |
$15,775.23 |
5.7× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$11,657.16 |
$19,428.60 |
7.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$7,592.75 |
$12,654.58 |
4.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Facility (15835) |
$24,348.01 |
$40,580.02 |
8.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$35,779.99 |
$59,633.32 |
12.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$21,257.80 |
$35,429.68 |
7.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$16,294.44 |
$27,157.40 |
5.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$2,047.80 |
$3,413 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$22,927.10 |
$38,211.84 |
7.9× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$21,496.94 |
$35,828.24 |
3.6× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$9,594.41 |
$15,990.69 |
2.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$9,026.75 |
$15,044.58 |
3.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$6,792.98 |
$11,321.63 |
4.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$10,250.04 |
$17,083.40 |
6.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$8,257.20 |
$13,762 |
2.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$9,604.74 |
$16,007.89 |
3.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$7,597.81 |
$12,663.01 |
2.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$9,000.71 |
$15,001.19 |
3.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$14,320.27 |
$23,867.11 |
4.9× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$32,120.70 |
$53,534.50 |
5.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$2,228.40 |
$3,714 |
0.7× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$8,671.99 |
$14,453.32 |
5.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$23,533.94 |
$39,223.24 |
7.1× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$10,470.29 |
$17,450.48 |
3.1× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$15,590.72 |
$25,984.53 |
6.5× |
| Excision; trochanteric bursa or calcification (27062) |
$4,862.40 |
$8,104 |
1.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,607 |
$4,345 |
1.3× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$25,678.70 |
$42,797.84 |
4.6× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,290 |
$2,150 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$2,037 |
$3,395 |
1.2× |
| Exploration maxillary sinus (31020) |
$39,648.65 |
$66,081.08 |
11.9× |
| Exploration Of Hip Joint (27033) |
$27,648.78 |
$46,081.30 |
3.8× |
| Exploration of knee joint (27310) |
$13,921.51 |
$23,202.52 |
4.2× |
| Exploration of spinal fusion (22830) |
$95,157.27 |
$158,595.45 |
13.1× |
| Exploration penetrating wound spx chest (20101) |
$2,391.60 |
$3,986 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$17,433.14 |
$29,055.23 |
10.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$8,054.03 |
$13,423.38 |
2.5× |
| Explore inner ear (69805) |
$59,348.54 |
$98,914.23 |
10.0× |
| Explore Parathyroid Glands (60500) |
$19,665.38 |
$32,775.62 |
3.3× |
| Explore/biopsy eye socket (67400) |
$2,215.80 |
$3,693 |
0.6× |
| Explore/irrigate tear ducts (68840) |
$233.40 |
$389 |
0.7× |
| Explore/Treat Elbow Joint (24101) |
$16,731.53 |
$27,885.88 |
5.1× |
| Explore/treat eye socket (67412) |
$35,162.91 |
$58,604.86 |
14.7× |
| Explore/Treat Knee Joint (27331) |
$10,313.78 |
$17,189.63 |
3.1× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$14,202.16 |
$23,670.27 |
25.7× |
| External cephalic version (59412) |
$5,647.16 |
$9,411.93 |
1.7× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical… (66987) |
$3,100.80 |
$5,168 |
0.7× |
| Extraction of lens (66940) |
$1,734.60 |
$2,891 |
0.7× |
| Extraction of lens (66920) |
$1,734.60 |
$2,891 |
0.7× |
| Extraction of lens (66930) |
$50,243.35 |
$83,738.91 |
12.1× |
| Eye surgery procedure (66999) |
$475.80 |
$793 |
0.2× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$30,398.21 |
$50,663.68 |
14.7× |
| Fasciectomy Palm Only (26121) |
$10,745.18 |
$17,908.64 |
3.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$9,168.62 |
$15,281.04 |
2.8× |
| Fasciotomy foot and/or toe (28008) |
$28,115.15 |
$46,858.58 |
8.6× |
| Fasciotomy palmar open partial (26045) |
$16,839.06 |
$28,065.10 |
5.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$12,254.65 |
$20,424.42 |
3.7× |
| Fetal Invas Px W/ US (59897) |
$470.40 |
$784 |
2.3× |
| Fetal non-stress test (59025) |
$447.30 |
$745.50 |
2.2× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,509 |
$2,515 |
2.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$6,569.44 |
$10,949.08 |
9.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,804.10 |
$4,673.50 |
3.9× |
| Fine needle aspiration of orbital contents Facility (67415) |
$3,577.80 |
$5,963 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$1,618.80 |
$2,698 |
4.0× |
| Fit/Insert Intravag Support Device (57160) |
$83.40 |
$139 |
0.4× |
| Fix Entropion,Extensv Lid Repair (67924) |
$9,650.58 |
$16,084.30 |
4.0× |
| Fixation contralateral testis separate procedure (54620) |
$6,596.61 |
$10,994.34 |
1.9× |
| Fixation of shoulder (23700) |
$12,962.11 |
$21,603.52 |
8.0× |
| Flap; neurovascular pedicle (15750) |
$21,258.65 |
$35,431.09 |
6.0× |
| Fluid pressure muscle (20950) |
$202.80 |
$338 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$167.54 |
$279.24 |
0.7× |
| Fna bx w/fluor gdn 1st les (10007) |
$16,610.74 |
$27,684.56 |
23.4× |
| Follow-up surgery of eye (66250) |
$1,212.60 |
$2,021 |
0.5× |
| Forearm or wrist surgery (25999) |
$8,954.18 |
$14,923.63 |
36.2× |
| Forehead flap w/vasc pedicle (15731) |
$20,815.80 |
$34,693 |
5.9× |
| Foreskin manipulation (54450) |
$1,182 |
$1,970 |
4.7× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$20,553.03 |
$34,255.05 |
9.9× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$55,208.56 |
$92,014.26 |
15.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$21,539.80 |
$35,899.66 |
6.5× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
$61,375.55 |
$102,292.58 |
8.4× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$8,336.99 |
$13,894.98 |
2.5× |
| Frenulotomy of penis (54164) |
$2,670.16 |
$4,450.26 |
1.3× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$11,652.91 |
$19,421.52 |
5.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$21,730.95 |
$36,218.25 |
10.5× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$11,020.06 |
$18,366.76 |
5.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$13,848.85 |
$23,081.42 |
6.7× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$13,233.84 |
$22,056.40 |
6.4× |
| Fusion of finger tendons (26474) |
$10,817.72 |
$18,029.53 |
6.7× |
| Fusion of finger tendons (26471) |
$2,228.40 |
$3,714 |
0.7× |
| Fusion of foot bones (28740) |
$31,191.34 |
$51,985.56 |
4.3× |
| Fusion of hand bones (25820) |
$23,118.84 |
$38,531.40 |
3.2× |
| Fusion of hand joint (26843) |
$7,008.60 |
$11,681 |
1.0× |
| Fusion of knuckle (26850) |
$17,892.92 |
$29,821.53 |
2.5× |
| Fusion of thumb (26841) |
$29,355.26 |
$48,925.44 |
4.0× |
| Fusion of toes (28280) |
$2,228.40 |
$3,714 |
0.7× |
| Fusion of wrist joint (25800) |
$23,847.80 |
$39,746.34 |
3.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$471 |
$785 |
2.2× |
| Gastrocnemius recession (27687) |
$22,646.21 |
$37,743.68 |
6.9× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$19,342.49 |
$32,237.48 |
10.0× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$58,675.07 |
$97,791.78 |
9.9× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$56,093.16 |
$93,488.60 |
9.4× |
| Genioplasty; sliding osteotomy, single piece Facility (21121) |
$46,741.33 |
$77,902.22 |
14.1× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$11,414.27 |
$19,023.79 |
3.4× |
| Glaucoma surgery (66160) |
$1,734.60 |
$2,891 |
0.7× |
| Glaucoma surgery (66170) |
$1,734.60 |
$2,891 |
0.7× |
| Glossectomy; less than one-half tongue Facility (41120) |
$17,817.34 |
$29,695.56 |
3.0× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$268.20 |
$447 |
7.3× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$19,455.28 |
$32,425.47 |
3.3× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$19,754.98 |
$32,924.98 |
9.5× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$28,477.86 |
$47,463.10 |
8.0× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
$17,872.60 |
$29,787.67 |
5.0× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$18,641.84 |
$31,069.73 |
9.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$20,387.24 |
$33,978.74 |
5.7× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$28,084.90 |
$46,808.17 |
7.9× |
| Guide Cathet Fluid Drainage (10030) |
$3,470.95 |
$5,784.92 |
4.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$8,530.50 |
$14,217.50 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$7,674.52 |
$12,790.86 |
2.3× |
| Hem gen pltlt do 43 genes (0274U) |
$1,214.40 |
$2,024 |
2.0× |
| Hem genetic bld do 60 genes (0272U) |
$2,923.80 |
$4,873 |
4.8× |
| Hem inh thrombocytopenia gen seq alys 42 genes (0276U) |
$1,979.40 |
$3,299 |
0.8× |
| Hem Vwd Propeptide Ag Lvl (0281U) |
$181.20 |
$302 |
10.5× |
| Hemorrhoidectomy (46255) |
$8,155.89 |
$13,593.14 |
2.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$9,450.30 |
$15,750.50 |
3.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$12,621.91 |
$21,036.52 |
4.5× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$9,657.49 |
$16,095.81 |
3.5× |
| Hip arthro acetabuloplasty (29915) |
$29,847.38 |
$49,745.63 |
4.1× |
| Hip arthro w/labral repair (29916) |
$27,250.99 |
$45,418.31 |
3.7× |
| Hysteroscopy biopsy (58558) |
$7,671.13 |
$12,785.21 |
2.4× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$9,585.13 |
$15,975.21 |
1.9× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$7,820 |
$13,033.33 |
1.6× |
| Hysteroscopy removal leiomyomata (58561) |
$9,877.66 |
$16,462.77 |
2.0× |
| Hysteroscopy w endometrial ablation (58563) |
$9,593.20 |
$15,988.67 |
1.9× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$6,894.28 |
$11,490.47 |
2.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$6,117.17 |
$10,195.28 |
1.9× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$19,840.29 |
$33,067.15 |
6.0× |
| I&D Abscess Peritonsillar (42700) |
$1,416.60 |
$2,361 |
6.0× |
| I&d abscess simple (10060) |
$327 |
$545 |
1.6× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$11,272.03 |
$18,786.72 |
7.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$18,676.50 |
$31,127.50 |
6.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$13,633.07 |
$22,721.78 |
4.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,260.30 |
$2,100.50 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$12,110.89 |
$20,184.82 |
3.7× |
| I&d pilonidal cyst simple (10080) |
$269.86 |
$449.77 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$6,502.31 |
$10,837.18 |
5.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$949.80 |
$1,583 |
0.6× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$901.20 |
$1,502 |
0.3× |
| I&d vulva/perineal abscess (56405) |
$1,708.67 |
$2,847.78 |
5.6× |
| Ileoscopy stoma w/balloon dilation (44381) |
$23,712.43 |
$39,520.72 |
12.3× |
| Ileoscopy thru stoma (44380) |
$3,166.59 |
$5,277.65 |
3.5× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,199.02 |
$3,665.02 |
2.4× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$2,438.40 |
$4,064 |
1.3× |
| Image Cath Fluid Colxn Visc (49405) |
$6,376.08 |
$10,626.80 |
3.8× |
| Image Cath Fluid Peri/Retro (49406) |
$7,288.62 |
$12,147.70 |
4.4× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,394.40 |
$2,324 |
0.8× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$52,307.30 |
$87,178.83 |
6.4× |
| Implant cochlear device (69930) |
$47,257.23 |
$78,762.05 |
1.4× |
Implant eye drug system (67027)
unusually low: confirm this is the full procedure |
$5,046.60 |
$8,411 |
0.4× |
| Implant neuroelectrodes (63650) |
$38,220 |
$63,700 |
6.0× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$22,380.42 |
$37,300.70 |
1.7× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$39,720.82 |
$66,201.36 |
4.5× |
| Impression and custom preparation; auricular prosthesis Facility (21086) |
$2,047.80 |
$3,413 |
0.6× |
| Incise external hemorrhoid (46083) |
$415.80 |
$693 |
1.7× |
| Incise finger tendon sheath (26055) |
$5,362.16 |
$8,936.94 |
3.3× |
| Incise inner eye adhesions (65865) |
$1,734.60 |
$2,891 |
0.7× |
| Incise wrist/forearm tendon (25290) |
$32,355.06 |
$53,925.09 |
9.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$9,035.98 |
$15,059.97 |
22.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$8,978.30 |
$14,963.84 |
3.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$8,947.07 |
$14,911.79 |
12.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$10,567.84 |
$17,613.06 |
6.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$5,299.15 |
$8,831.92 |
13.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$387.44 |
$645.74 |
1.9× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$8,929.58 |
$14,882.64 |
3.2× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$10,032.22 |
$16,720.36 |
3.4× |
| Incision and drainage perianal abscess superficial (46050) |
$8,253.02 |
$13,755.04 |
8.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$9,392.96 |
$15,654.94 |
3.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$19,661.87 |
$32,769.79 |
6.7× |
| Incision Drainage Lacrimal Sac (68420) |
$383.40 |
$639 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$6,610.68 |
$11,017.80 |
4.1× |
| Incision of conjunctiva, drainage of cyst (68020) |
$1,302.60 |
$2,171 |
1.3× |
| Incision of eardrum (69421) |
$9,270.97 |
$15,451.61 |
2.8× |
| Incision of eardrum (69420) |
$26,645.30 |
$44,408.83 |
112.1× |
| Incision of eyelid fold (67715) |
$1,422.60 |
$2,371 |
0.6× |
| Incision of fibula (27707) |
$32,453.39 |
$54,088.98 |
9.9× |
| Incision of iris (66500) |
$1,734.60 |
$2,891 |
0.7× |
| Incision of labial frenum (frenotomy) (40806) |
$1,270.94 |
$2,118.24 |
2.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,972.12 |
$3,286.87 |
1.3× |
| Incision of rectal abscess (46045) |
$8,699.26 |
$14,498.76 |
3.1× |
| Incision of rectal abscess (46040) |
$7,588.75 |
$12,647.92 |
6.3× |
| Incision of tibia (27705) |
$37,913.21 |
$63,188.68 |
5.2× |
| Incision of tibia & fibula (27709) |
$38,412.14 |
$64,020.24 |
3.0× |
| Incision of urethra (53010) |
$22,502.93 |
$37,504.88 |
4.2× |
| Incision of urethra (53020) |
$3,122.26 |
$5,203.78 |
1.5× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$534.98 |
$891.64 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$837.57 |
$1,395.95 |
1.1× |
| Induced abortion by d&c (59840) |
$9,067.84 |
$15,113.06 |
2.8× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$809.40 |
$1,349 |
1.9× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$26,714.09 |
$44,523.48 |
4.0× |
| Initial tx 1st degree burn local tx (16000) |
$553.20 |
$922 |
2.7× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$108 |
$180 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$698.40 |
$1,164 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$919.97 |
$1,533.28 |
3.0× |
| Inj therapeutic carpal tunnel (20526) |
$1,862.18 |
$3,103.64 |
6.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$15,498.59 |
$25,830.98 |
17.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$685.80 |
$1,143 |
0.8× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$9,893.76 |
$16,489.60 |
31.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$412.80 |
$688 |
0.5× |
| Inject Intravitreal Pharmcologic (67028) |
$2,598.60 |
$4,331 |
7.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$533.70 |
$889.50 |
0.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,655.62 |
$4,426.03 |
3.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$553.20 |
$922 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$498.30 |
$830.50 |
0.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$479.70 |
$799.50 |
0.5× |
| Inject Rx Celiac Plexus Nerve (64680) |
$21,111.71 |
$35,186.18 |
23.8× |
| Inject Sinus Tract Theraputic (20500) |
$16,849.76 |
$28,082.93 |
10.8× |
| Inject Tendon Origin/Insert (20551) |
$4,846.36 |
$8,077.27 |
15.7× |
| Inject/treat eye socket (67500) |
$5,508.43 |
$9,180.72 |
17.3× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,369.20 |
$2,282 |
1.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$324.90 |
$541.50 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$456.90 |
$761.50 |
0.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$15,198.69 |
$25,331.16 |
21.5× |
| Injection aa&/strd pudendal nerve (64430) |
$2,581.70 |
$4,302.84 |
2.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$343.20 |
$572 |
1.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$392.93 |
$654.88 |
1.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$939.60 |
$1,566 |
1.1× |
| Injection anesthetic agent femoral nerve single (64447) |
$385.20 |
$642 |
0.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,300.20 |
$2,167 |
1.8× |
| Injection for identification of sentinel node (38792) |
$30,010.99 |
$50,018.32 |
74.8× |
| Injection into skin lesions (11900) |
$99.97 |
$166.61 |
0.5× |
| Injection peyronie disease (54200) |
$128.40 |
$214 |
0.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$8,536.65 |
$14,227.75 |
13.6× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$4,589.66 |
$7,649.44 |
11.3× |
| Injection sclerosing solution hemorrhoids (46500) |
$8,874.62 |
$14,791.04 |
9.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$294 |
$490 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$641.84 |
$1,069.74 |
2.1× |
| Injection Turbinate Therapeutic (30200) |
$20,745.10 |
$34,575.17 |
38.3× |
| Injection(s) spider veins (36468) |
$62.40 |
$104 |
0.2× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$750 |
$1,250 |
0.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$1,334.62 |
$2,224.36 |
4.3× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Facility (66020) |
$1,788 |
$2,980 |
0.8× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$1,914.90 |
$3,191.50 |
0.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$5,408.91 |
$9,014.85 |
26.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$933.60 |
$1,556 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$27,102.78 |
$45,171.31 |
8.6× |
| Ins cath ren art 1st unilat (36251) |
$25,213.08 |
$42,021.80 |
8.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$32,744.99 |
$54,574.98 |
10.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$25,594.28 |
$42,657.13 |
4.6× |
| Ins endovas vena cava filtr (37191) |
$15,803.35 |
$26,338.92 |
2.8× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$23,465.83 |
$39,109.72 |
2.2× |
| Ins tun ip cath for dial opn (49421) |
$15,607.71 |
$26,012.85 |
4.3× |
| Ins Vag Brachytx Device (57156) |
$174.60 |
$291 |
0.6× |
| Ins/Rep Subq Defibrillator (33270) |
$159,396.10 |
$265,660.17 |
5.1× |
| Insert and remove bone pin (20650) |
$7,203.60 |
$12,006 |
2.2× |
| Insert Bladder Cath Complex (51703) |
$9,538.02 |
$15,896.70 |
73.9× |
| Insert cath pleura w/ image (32557) |
$24,093.74 |
$40,156.24 |
15.3× |
| Insert cath pleura w/o image (32556) |
$11,869.37 |
$19,782.29 |
6.2× |
| Insert cervical dilator (59200) |
$278.40 |
$464 |
0.9× |
| Insert Drug Implant Device (11981) |
$13,416.08 |
$22,360.13 |
100.5× |
| Insert eye socket implant (67550) |
$17,071.42 |
$28,452.38 |
4.3× |
| Insert gastrostomy tube percutaneous (49440) |
$6,065.67 |
$10,109.45 |
3.2× |
| Insert heart pm atrial (33206) |
$47,351.88 |
$78,919.80 |
4.5× |
| Insert heart pm ventricular (33207) |
$37,126.17 |
$61,876.94 |
3.5× |
| Insert hepatic shunt (tips) (37182) |
$30,529.02 |
$50,881.70 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$10,087.47 |
$16,812.45 |
3.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$4,206.60 |
$7,011 |
1.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$4,169.40 |
$6,949 |
2.6× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$3,702.60 |
$6,171 |
0.4× |
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure |
$7,395.60 |
$12,326 |
0.4× |
| Insert pulse gen sngl lead (33212) |
$6,882 |
$11,470 |
0.8× |
| Insert spine infusion device (62360) |
$44,132.66 |
$73,554.44 |
2.4× |
| Insert subq implantable defib electrode (33271) |
$13,041 |
$21,735 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$1,111.20 |
$1,852 |
8.3× |
| Insert testicular prosthesis (54660) |
$22,702 |
$37,836.67 |
4.2× |
| Insert tun ip cath perc (49418) |
$3,965.78 |
$6,609.62 |
1.1× |
| Insert tunneled cv cath (36561) |
$10,038.61 |
$16,731.02 |
3.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$27,489.73 |
$45,816.21 |
4.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$177.60 |
$296 |
1.3× |
| Insert/ replace infusn pump,programmable (62362) |
$35,225.12 |
$58,708.54 |
1.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,395.74 |
$5,659.56 |
0.9× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$25,115.76 |
$41,859.60 |
16.1× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Facility (66183) |
$4,570.80 |
$7,618 |
1.1× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$48,535.64 |
$80,892.72 |
2.3× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$38,033.92 |
$63,389.87 |
2.2× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$17,799.52 |
$29,665.87 |
7.7× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$36,900.65 |
$61,501.08 |
1.8× |
| Insertion of penile prosthesis; inflatable (self-contained) Facility (54401) |
$38,326.63 |
$63,877.71 |
1.8× |
| Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) |
$20,651.81 |
$34,419.68 |
1.6× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Facility (25430) |
$15,726.16 |
$26,210.27 |
4.8× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) |
$43,868.38 |
$73,113.96 |
1.4× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) |
$39,774.08 |
$66,290.13 |
1.3× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$16,625.74 |
$27,709.57 |
1.5× |
| Insertion picc w/rs&i < 5 yr (36572) |
$7,080 |
$11,800 |
11.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$14,967.76 |
$24,946.26 |
1.8× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$8,287.11 |
$13,811.86 |
1.7× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$25,640.86 |
$42,734.78 |
1.3× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$37,244.09 |
$62,073.48 |
4.5× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,678.20 |
$7,797 |
0.6× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
likely a partial charge, not the full procedure |
$2,619 |
$4,365 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$5,041.22 |
$8,402.04 |
3.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$7,805.23 |
$13,008.72 |
2.5× |
| Insj rx elut implt lac canal (68841) |
$157.80 |
$263 |
0.1× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$57,133.43 |
$95,222.38 |
4.4× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$11,361.91 |
$18,936.51 |
2.0× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$21,330.55 |
$35,550.92 |
6.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,391 |
$12,318.33 |
2.3× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$20,135.36 |
$33,558.94 |
2.5× |
| Insj/rplcmt defib w/lead(s) (33249) |
$52,027.32 |
$86,712.19 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,601.20 |
$11,002 |
0.8× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$4,820.40 |
$8,034 |
0.6× |
| Insrt pulse gen w/dual leads (33230) |
$94,375.60 |
$157,292.66 |
4.2× |
| Insrt pulse gen w/mult leads (33231) |
$17,112.60 |
$28,521 |
0.5× |
| Insrt/redo spine n generator (63685) |
$60,535.79 |
$100,892.98 |
2.0× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$128.40 |
$214 |
0.5× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$10,349.11 |
$17,248.52 |
3.7× |
| Interdental Fixation (21110) |
$1,530 |
$2,550 |
1.0× |
| Intersex surgery; female to male (55980) |
$24,270.83 |
$40,451.38 |
6.9× |
| Intersex surgery; male to female (55970) |
$16,804.47 |
$28,007.45 |
3.3× |
| Intraoral i&d tongue/floor lingual (41000) |
$2,218.80 |
$3,698 |
4.1× |
| Intraoral i&d tongue/floor masticator space (41009) |
$403.80 |
$673 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$28,695.60 |
$47,826 |
8.6× |
| Intro cath dialysis circuit (36901) |
$11,469.54 |
$19,115.90 |
7.3× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$24,473.93 |
$40,789.88 |
2.1× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$16,926.43 |
$28,210.72 |
3.0× |
| Intro Gastrointestinal Tube (44500) |
$1,431.60 |
$2,386 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$12,581.89 |
$20,969.82 |
52.9× |
| Iridectomy, with corneoscleral or corneal section; for removal of lesion Facility (66600) |
$20,081.08 |
$33,468.47 |
4.8× |
| Irrigation maxillary sinus (31000) |
$380.40 |
$634 |
1.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$334.80 |
$558 |
1.3× |
| Island pedicle flap graft (15740) |
$20,077.63 |
$33,462.72 |
9.7× |
| IV injection test vascular flow flap/graft (15860) |
$42,657.19 |
$71,095.31 |
95.2× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$17,924.77 |
$29,874.62 |
4.3× |
| Kidney endoscopy (50553) |
$16,463.88 |
$27,439.80 |
3.1× |
| Kidney endoscopy (50551) |
$24,360.73 |
$40,601.22 |
4.5× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$496.20 |
$827 |
13.6× |
| Knee Arthroscopy/Surgery (29885) |
$16,498.12 |
$27,496.87 |
2.3× |
| Knee Arthroscopy/Surgery (29874) |
$11,032.97 |
$18,388.29 |
3.4× |
| Knee Arthroscopy/Surgery (29879) |
$8,956.87 |
$14,928.12 |
2.7× |
| Labyrinthotomy Transcanal (69801) |
$658.20 |
$1,097 |
0.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Facility (63265) |
$31,714.25 |
$52,857.08 |
4.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$23,051.41 |
$38,419.02 |
3.2× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$67,620.26 |
$112,700.42 |
3.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$30,074.99 |
$50,124.98 |
4.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$23,248.42 |
$38,747.36 |
3.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$36,106.53 |
$60,177.55 |
5.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$31,916.75 |
$53,194.58 |
4.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$23,357.13 |
$38,928.55 |
3.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$41,607.34 |
$69,345.57 |
5.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$49,765.70 |
$82,942.84 |
6.8× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$23,758.45 |
$39,597.42 |
3.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$21,517.38 |
$35,862.30 |
3.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$24,385.82 |
$40,643.04 |
3.3× |
| Lap impl electrode antrum (43647) |
$27,070.67 |
$45,117.79 |
2.4× |
| Lap ing hernia repair init (49650) |
$21,402.68 |
$35,671.14 |
3.5× |
| Lap insert tunnel ip cath (49324) |
$12,153.37 |
$20,255.62 |
2.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$28,060.28 |
$46,767.13 |
2.6× |
| Lap paraesophag hern repair (43281) |
$30,502 |
$50,836.67 |
2.9× |
| Lap revision perm ip cath (49325) |
$14,369.33 |
$23,948.89 |
2.4× |
| Laparoscopic surgical splenectomy (38120) |
$34,606.04 |
$57,676.73 |
3.2× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$16,506.49 |
$27,510.82 |
2.7× |
| Laparoscopy appendectomy (44970) |
$14,574.60 |
$24,291.02 |
2.4× |
| Laparoscopy biopsy (49321) |
$13,869.88 |
$23,116.47 |
2.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$31,496.92 |
$52,494.87 |
3.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$26,949.18 |
$44,915.29 |
2.5× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$15,073.86 |
$25,123.10 |
2.5× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Facility (47370) |
$14,050.58 |
$23,417.64 |
1.3× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$14,071.80 |
$23,453 |
1.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$45,844.73 |
$76,407.89 |
4.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$15,460.06 |
$25,766.76 |
2.5× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$24,512.09 |
$40,853.48 |
2.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$15,173.57 |
$25,289.28 |
3.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$21,532.88 |
$35,888.13 |
5.6× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$27,735.78 |
$46,226.30 |
4.6× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$40,428.03 |
$67,380.05 |
3.8× |
| Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550) |
$11,365.74 |
$18,942.90 |
1.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$26,306.20 |
$43,843.67 |
2.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$27,717.14 |
$46,195.24 |
2.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$29,890.25 |
$49,817.08 |
4.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$32,296.30 |
$53,827.16 |
3.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$35,537.84 |
$59,229.73 |
3.3× |
| Laparoscopy, surgical; ablation of renal cysts Facility (50541) |
$24,066.86 |
$40,111.43 |
2.3× |
| Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring,… (50542) |
$6,060.60 |
$10,101 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$17,919.89 |
$29,866.48 |
3.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$25,944.85 |
$43,241.42 |
2.4× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$41,131.24 |
$68,552.06 |
6.8× |
| Laparoscopy, surgical; orchiectomy Facility (54690) |
$13,183.01 |
$21,971.68 |
2.2× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$13,257.44 |
$22,095.74 |
2.2× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$35,476.17 |
$59,126.95 |
3.3× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$30,866.11 |
$51,443.52 |
2.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$23,295.32 |
$38,825.53 |
3.8× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947) |
$44,412.05 |
$74,020.09 |
4.2× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$39,638.14 |
$66,063.57 |
3.7× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$29,852.38 |
$49,753.97 |
2.8× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573) |
$26,783.57 |
$44,639.29 |
2.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$39,849.48 |
$66,415.79 |
3.7× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$4,713 |
$7,855 |
0.8× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$11,090.05 |
$18,483.42 |
1.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$21,726.14 |
$36,210.23 |
3.6× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$46,870.35 |
$78,117.25 |
4.4× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$16,491.81 |
$27,486.35 |
2.7× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$29,191.16 |
$48,651.94 |
4.8× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$11,621.39 |
$19,368.98 |
1.9× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$14,925.89 |
$24,876.48 |
4.0× |
| Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) |
$27,676.79 |
$46,127.99 |
4.7× |
| Laryngoplasty, medialization, unilateral Facility (31591) |
$28,689.37 |
$47,815.61 |
4.8× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
$40,767.65 |
$67,946.08 |
6.9× |
| Laryngoscop w/arytenoidectom (31560) |
$13,600.60 |
$22,667.66 |
1.9× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$13,509.74 |
$22,516.23 |
3.6× |
| Laryngoscopy diagnostic (31505) |
$190.80 |
$318 |
1.0× |
| Laryngoscopy Direct Aspiration (31515) |
$12,139.56 |
$20,232.60 |
30.9× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$15,735.43 |
$26,225.71 |
4.2× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$14,941.22 |
$24,902.04 |
4.0× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$12,726.37 |
$21,210.62 |
3.4× |
| Laryngoscopy flexible diagnostic (31575) |
$226.50 |
$377.50 |
1.1× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$20,848.90 |
$34,748.17 |
5.6× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$5,712.98 |
$9,521.63 |
3.2× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$805.20 |
$1,342 |
0.5× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$9,702.78 |
$16,171.30 |
5.4× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$483 |
$805 |
1.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$225.60 |
$376 |
0.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$525.60 |
$876 |
2.6× |
| Laryngoscopy w/biopsy (31535) |
$11,713.04 |
$19,521.73 |
3.1× |
| Laryngoscopy w/bx op scope (31536) |
$13,956.06 |
$23,260.10 |
3.7× |
| Laryngoscopy w/exc of tumor (31540) |
$14,985.36 |
$24,975.60 |
4.0× |
| Laryngoscopy w/fb & op scope (31531) |
$8,369.46 |
$13,949.11 |
2.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$12,856.06 |
$21,426.76 |
7.2× |
| Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Facility (31561) |
$17,269.62 |
$28,782.72 |
2.4× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$30,521.27 |
$50,868.79 |
9.2× |
| Larynscop w/tumr exc + scope (31541) |
$15,772.67 |
$26,287.78 |
4.2× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$25,643.61 |
$42,739.35 |
4.8× |
| Laser surgery of eye (65855) |
$372.90 |
$621.50 |
0.7× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$435.60 |
$726 |
0.8× |
| Laser treatment of retina (67040) |
$12,125.27 |
$20,208.78 |
2.9× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$13,218.92 |
$22,031.52 |
2.5× |
| Late closure of wound (13160) |
$12,441.82 |
$20,736.36 |
3.5× |
| Lateral canthopexy (21282) |
$19,817.76 |
$33,029.60 |
6.0× |
| Lateral retinacular release open (27425) |
$39,188.99 |
$65,314.98 |
11.9× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$21,923.98 |
$36,539.97 |
3.0× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$15,626.97 |
$26,044.95 |
4.8× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$11,841.35 |
$19,735.59 |
1.6× |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
$14,492.50 |
$24,154.16 |
2.4× |
| Lengthening of palate, with island flap Facility (42227) |
$18,418.88 |
$30,698.14 |
3.1× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$17,175.01 |
$28,625.01 |
5.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$32,101.08 |
$53,501.81 |
4.4× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$43,817.55 |
$73,029.25 |
3.4× |
| Ligamentous reconstruction knee intra-articular (27428) |
$57,016.08 |
$95,026.80 |
4.4× |
Ligation major artery abdomen (37617)
unusually low: confirm this is the full procedure |
$2,787 |
$4,645 |
0.5× |
| Ligation of a-v fistula (37607) |
$19,047.62 |
$31,746.04 |
6.0× |
| Ligation of hemorrhoid(s) (46221) |
$452.40 |
$754 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$1,984.80 |
$3,308 |
1.2× |
| Ligation salivary duct, intraoral Facility (42665) |
$17,221.06 |
$28,701.76 |
5.2× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$4,369.20 |
$7,282 |
1.4× |
| Limited pharyngectomy Facility (42890) |
$27,492.38 |
$45,820.64 |
4.6× |
| Lip shave (40500) |
$2,735.40 |
$4,559 |
0.8× |
| Lip Surgery Procedure (40799) |
$55,940.32 |
$93,233.86 |
235.4× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$20,228.34 |
$33,713.90 |
5.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$10,801.30 |
$18,002.18 |
3.1× |
| Lithotripsy (50590) |
$12,496.14 |
$20,826.91 |
3.5× |
| Liver Biopsy (47000) |
$3,291.26 |
$5,485.44 |
2.0× |
| Lyse chest fibrin init day (32561) |
$1,325.90 |
$2,209.84 |
2.1× |
| Lysis Intranasal Synechia (30560) |
$32,465.26 |
$54,108.76 |
60.0× |
| Lysis of labial adhesions (56441) |
$3,591.62 |
$5,986.03 |
1.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,579.54 |
$4,299.24 |
1.2× |
| Malar augmentation, prosthetic material Facility (21270) |
$40,014.17 |
$66,690.28 |
6.7× |
| Male sling procedure (53440) |
$28,743.07 |
$47,905.11 |
2.2× |
| Manipulat Palm Cord Post Inj (26341) |
$123.60 |
$206 |
0.5× |
| Manipulation hip joint general anesthesia (27275) |
$11,615.73 |
$19,359.55 |
7.2× |
| Manipulation knee joint under general anesthesia (27570) |
$6,204.54 |
$10,340.90 |
3.8× |
| Manipulation, elbow, under anesthesia (24300) |
$12,962.11 |
$21,603.52 |
8.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$5,359.64 |
$8,932.74 |
3.3× |
| Manipulation, wrist, under anesthesia (25259) |
$7,366.58 |
$12,277.63 |
4.6× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
$146.40 |
$244 |
1.1× |
| Marsupialization Bartholins Gland Cyst (56440) |
$9,624.13 |
$16,040.21 |
3.0× |
| Mast mod rad (19307) |
$37,669.29 |
$62,782.15 |
5.7× |
| Mastectomy for gynecomastia (19300) |
$21,195.91 |
$35,326.52 |
5.4× |
| Mastectomy partial (19301) |
$15,177.26 |
$25,295.44 |
3.9× |
| Mastectomy simple complete (19303) |
$41,557.44 |
$69,262.38 |
6.2× |
| Mastoidectomy; complete (69502) |
$66,692.56 |
$111,154.26 |
11.2× |
| Mastopexy (19316) |
$20,135.36 |
$33,558.94 |
3.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$9,833.93 |
$16,389.88 |
6.2× |
| Mech remov tunneled cv cath (36595) |
$7,417.02 |
$12,361.69 |
2.3× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$32,948.16 |
$54,913.60 |
5.4× |
| Mediastinoscpy w/lmph nod bx (39402) |
$23,149.98 |
$38,583.30 |
3.8× |
| Middle ear surgery proc unlisted (69799) |
$16,388.04 |
$27,313.40 |
69.0× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$14,755.83 |
$24,593.05 |
4.2× |
| Mohs 1 stage h/n/hf/g (17311) |
$147 |
$245 |
0.2× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$147 |
$245 |
0.2× |
| Mrgfus strtctc ablt trgt icr (61715) |
$109,505.40 |
$182,509 |
9.8× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$12,460.09 |
$20,766.81 |
6.0× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$21,120.06 |
$35,200.10 |
5.9× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$48,221.84 |
$80,369.74 |
6.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$9,844.10 |
$16,406.84 |
2.8× |
| Muscle-skin graft trunk (15734) |
$29,715.82 |
$49,526.36 |
8.4× |
| Myelography Lumbar Injection (62305) |
$7,366.58 |
$12,277.64 |
9.4× |
| Myelography Lumbar Injection (62304) |
$3,110.70 |
$5,184.50 |
4.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$3,347.81 |
$5,579.68 |
4.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$3,419.10 |
$5,698.50 |
4.3× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$19,742.25 |
$32,903.75 |
6.1× |
| Myringoplasty (69620) |
$7,065.33 |
$11,775.55 |
2.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,044.34 |
$1,740.56 |
1.5× |
| N Block Inj, Plantar Digit (64455) |
$9,638.53 |
$16,064.22 |
31.3× |
| Nasal endoscopy dx (31231) |
$461.41 |
$769.02 |
2.3× |
| Nasal surgery procedure (30999) |
$33,924.59 |
$56,540.98 |
142.8× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$21,787.02 |
$36,311.69 |
3.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$23,779.44 |
$39,632.40 |
6.4× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$955.20 |
$1,592 |
0.5× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$32,796.75 |
$54,661.25 |
4.6× |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) |
$58,916.97 |
$98,194.95 |
8.3× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$11,547.99 |
$19,246.65 |
1.6× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$23,969.04 |
$39,948.40 |
13.4× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$19,561.96 |
$32,603.27 |
5.2× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) |
$16,561.31 |
$27,602.18 |
9.3× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$14,711.93 |
$24,519.88 |
2.1× |
| Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243) |
$10,281 |
$17,135 |
1.7× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
$10,281 |
$17,135 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$5,107.10 |
$8,511.84 |
2.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$6,238.82 |
$10,398.04 |
3.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$25,408.12 |
$42,346.87 |
3.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$23,141.67 |
$38,569.45 |
3.3× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure |
$3,121.80 |
$5,203 |
0.4× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$28,173.21 |
$46,955.35 |
4.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$33,448.54 |
$55,747.57 |
4.7× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$25,835.32 |
$43,058.86 |
3.6× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$19,063.18 |
$31,771.96 |
2.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$477 |
$795 |
1.1× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$8,255.14 |
$13,758.56 |
2.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$8,476.96 |
$14,128.26 |
5.3× |
| Needle biopsy of pancreas (48102) |
$1,337.40 |
$2,229 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$69.60 |
$116 |
2.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$69.60 |
$116 |
2.4× |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) |
$107,738.16 |
$179,563.60 |
12.2× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
$44,579.18 |
$74,298.64 |
5.1× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$44,679.58 |
$74,465.96 |
5.1× |
| Nerve pedicle transfer; first stage Facility (64905) |
$25,754.62 |
$42,924.37 |
2.9× |
| Nerve repair w/allograft (64910) |
$24,690.70 |
$41,151.16 |
2.8× |
| Nerve repair w/nerve allograft first strand (64912) |
$27,300.81 |
$45,501.35 |
3.1× |
| Neu prksn msfl a-syncln prtn (0393U) |
$1,260 |
$2,100 |
2.3× |
| Neuro alz ds bamyl&tau prtn (0503U) |
$1,279.20 |
$2,132 |
1.7× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$192 |
$320 |
1.7× |
| Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quakinginduced conformational conversion,… (0584U) |
$285 |
$475 |
0.5× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$15,776.41 |
$26,294.02 |
8.1× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$30,952.88 |
$51,588.14 |
15.8× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$6,299.36 |
$10,498.94 |
3.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$59,895.29 |
$99,825.49 |
30.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$20,463.72 |
$34,106.20 |
10.4× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$15,216.21 |
$25,360.35 |
7.8× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$464.40 |
$774 |
0.6× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$460.20 |
$767 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,454.40 |
$2,424 |
3.5× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,716.80 |
$4,528 |
1.3× |
| Nipple exploration (19110) |
$10,628.15 |
$17,713.58 |
2.7× |
| Nipple/areola reconstruction (19350) |
$20,306.92 |
$33,844.86 |
5.2× |
| Njx aa&/strd sciatic nerve (64445) |
$23,560.74 |
$39,267.90 |
33.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$479.70 |
$799.50 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$2,127.05 |
$3,545.08 |
8.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,550.11 |
$2,583.52 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$5,546.01 |
$9,243.35 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$825.30 |
$1,375.50 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,569 |
$2,615 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,127.40 |
$1,879 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$728.70 |
$1,214.50 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,659 |
$2,765 |
1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$984.30 |
$1,640.50 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,237.91 |
$5,396.51 |
4.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$864 |
$1,440 |
1.0× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$10,056 |
$16,760 |
4.9× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$6,340 |
$10,566.67 |
3.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$8,361.49 |
$13,935.82 |
12.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$7,100.77 |
$11,834.61 |
10.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$7,641.75 |
$12,736.24 |
18.7× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$19,794.44 |
$32,990.74 |
2.8× |
| OB Pe Biochem Asy Sflt1&Plgf (0482U) |
$336 |
$560 |
2.6× |
| Obstructive material removal from gi tube (49460) |
$825.60 |
$1,376 |
0.9× |
| Occipital Nerve Block (64405) |
$1,607.35 |
$2,678.92 |
5.2× |
| Ocular reconst transplant (65780) |
$35,227.64 |
$58,712.74 |
8.9× |
| Omntc epiploectomy rescj omentum spx (49255) |
$17,039.03 |
$28,398.38 |
2.6× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$1,987.20 |
$3,312 |
0.7× |
Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (cox2,… (0295U)
unusually low: confirm this is the full procedure |
$2,100 |
$3,500 |
0.4× |
| Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous… (0172U) |
$84 |
$140 |
0.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$22,559.68 |
$37,599.46 |
5.7× |
| Open bone biopsy (20251) |
$33,176.32 |
$55,293.86 |
4.6× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$65,296.96 |
$108,828.26 |
1.5× |
| Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Facility (64575) |
$25,754.62 |
$42,924.37 |
2.3× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$22,914.37 |
$38,190.61 |
3.6× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$53,829.60 |
$89,716 |
1.7× |
| Open nasoethmoid fx w/o fixj (21338) |
$51,907.22 |
$86,512.04 |
8.7× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Facility (28446) |
$25,416.24 |
$42,360.40 |
3.5× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$30,986.41 |
$51,644.01 |
4.3× |
| Open thrombect av fistula (36831) |
$19,661.87 |
$32,769.79 |
3.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$22,333.19 |
$37,221.99 |
3.1× |
| Open treatment calcaneal fracture (28415) |
$28,029.10 |
$46,715.17 |
3.9× |
| Open treatment fracture distal tibia only (27827) |
$40,143.78 |
$66,906.30 |
3.1× |
| Open treatment interphalangeal joint dislocation (28675) |
$2,228.40 |
$3,714 |
0.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$19,249.31 |
$32,082.18 |
2.6× |
| Open treatment metatarsal fracture each (28485) |
$19,100.36 |
$31,833.93 |
2.6× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$28,468.60 |
$47,447.66 |
3.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$30,112.06 |
$50,186.76 |
4.1× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$23,179.92 |
$38,633.20 |
3.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$25,831.54 |
$43,052.56 |
3.5× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) |
$71,208.15 |
$118,680.25 |
12.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$30,592.85 |
$50,988.09 |
5.2× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$30,250.28 |
$50,417.12 |
5.1× |
| Open treatment of depressed frontal sinus fracture Facility (21343) |
$24,089.50 |
$40,149.16 |
4.1× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$9,491.99 |
$15,819.99 |
1.6× |
| Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) |
$20,274.37 |
$33,790.61 |
2.8× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) |
$28,971.90 |
$48,286.50 |
2.2× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$36,632.87 |
$61,054.79 |
5.0× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$13,057.46 |
$21,762.43 |
2.2× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$44,561.17 |
$74,268.61 |
7.5× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$21,306.32 |
$35,510.54 |
2.9× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$41,252.29 |
$68,753.81 |
12.6× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$21,499.63 |
$35,832.72 |
1.7× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$53,316.75 |
$88,861.25 |
4.1× |
| Open treatment of lunate dislocation Facility (25695) |
$15,759.91 |
$26,266.51 |
2.2× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$27,218.24 |
$45,363.73 |
4.6× |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
$28,208.57 |
$47,014.29 |
4.7× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$27,031.52 |
$45,052.54 |
4.6× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$21,370.77 |
$35,617.95 |
3.6× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$8,869.57 |
$14,782.61 |
2.7× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$19,664.40 |
$32,774 |
6.0× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) |
$50,841.51 |
$84,735.85 |
8.6× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$27,918.03 |
$46,530.05 |
4.7× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$28,483.49 |
$47,472.48 |
4.8× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
$18,985.61 |
$31,642.68 |
3.2× |
| Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) |
$54,411.69 |
$90,686.15 |
9.2× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$27,181.51 |
$45,302.52 |
4.6× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$35,462.27 |
$59,103.78 |
4.9× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$27,412.61 |
$45,687.69 |
3.8× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$30,729.92 |
$51,216.52 |
2.4× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$14,798.54 |
$24,664.23 |
2.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$35,064.53 |
$58,440.88 |
4.8× |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) |
$23,999.62 |
$39,999.36 |
3.3× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$39,734.72 |
$66,224.53 |
5.5× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$27,194.46 |
$45,324.10 |
3.7× |
| Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) |
$35,160.58 |
$58,600.96 |
2.7× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$25,396.79 |
$42,327.99 |
7.7× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$27,018.41 |
$45,030.69 |
3.7× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$23,179.92 |
$38,633.20 |
3.2× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) |
$12,885.91 |
$21,476.52 |
1.8× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$34,427.24 |
$57,378.74 |
2.7× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$27,949.68 |
$46,582.80 |
3.8× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$23,209.68 |
$38,682.79 |
3.2× |
| Open treatment of ulnar styloid fracture (25652) |
$21,532.59 |
$35,887.65 |
3.0× |
| Open treatment posterior malleolus fracture (27769) |
$23,672.18 |
$39,453.63 |
3.3× |
| Open Treatment Proximal Humeral Fracture (23615) |
$29,689.98 |
$49,483.29 |
2.3× |
| Open treatment talus fracture (28445) |
$27,106.30 |
$45,177.17 |
3.7× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$23,401.30 |
$39,002.18 |
3.2× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$16,851.38 |
$28,085.64 |
5.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$14,673.17 |
$24,455.29 |
4.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$16,592.32 |
$27,653.87 |
2.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$18,665.45 |
$31,109.09 |
2.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$9,346.28 |
$15,577.13 |
2.8× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$21,147.66 |
$35,246.10 |
2.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$17,435.71 |
$29,059.52 |
1.4× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$18,137.27 |
$30,228.79 |
1.4× |
| Open tx interphalangeal joint dislocation (26785) |
$13,515.29 |
$22,525.48 |
4.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$15,885.74 |
$26,476.24 |
4.8× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$11,284.34 |
$18,807.23 |
3.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$16,208.92 |
$27,014.86 |
4.9× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$11,407.51 |
$19,012.52 |
1.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$22,480.50 |
$37,467.50 |
3.1× |
| Open tx ulnar fx proximal end (24685) |
$22,896.28 |
$38,160.48 |
3.1× |
| Open/Perq Place Stent Same (37238) |
$54,193.60 |
$90,322.66 |
4.7× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$42,214.69 |
$70,357.81 |
3.6× |
| Opponensplasty; hypothenar muscle transfer Facility (26494) |
$10,062.99 |
$16,771.65 |
3.1× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Facility (26492) |
$17,531.95 |
$29,219.91 |
5.3× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$17,394.31 |
$28,990.51 |
5.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$20,223.84 |
$33,706.42 |
2.8× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$23,959.15 |
$39,931.91 |
3.3× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$18,825.30 |
$31,375.51 |
2.6× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$20,874.82 |
$34,791.37 |
2.9× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$29,530.32 |
$49,217.20 |
2.3× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
$25,589.89 |
$42,649.82 |
3.5× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$37,970.46 |
$63,284.10 |
5.2× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$58,916.97 |
$98,194.95 |
14.9× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Facility (67413) |
$20,265.28 |
$33,775.46 |
8.5× |
| Orchiectomy partial (54522) |
$13,392.34 |
$22,320.57 |
3.8× |
| Orchiectomy radical tumor inguinal approach (54530) |
$14,892.69 |
$24,821.15 |
4.1× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$12,322.84 |
$20,538.06 |
3.4× |
| Ostectomy calcaneus (28118) |
$21,757.79 |
$36,262.99 |
6.6× |
| Ostectomy complete 1st metatarsal head (28111) |
$16,784.23 |
$27,973.72 |
5.1× |
| Ostectomy complete 5th metatarsal head (28113) |
$6,930.16 |
$11,550.26 |
2.1× |
| Ostectomy of sternum, partial Facility (21620) |
$13,114.96 |
$21,858.27 |
4.0× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$9,303.84 |
$15,506.40 |
2.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$14,260.60 |
$23,767.67 |
4.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$9,598.76 |
$15,997.94 |
2.9× |
| Osteochondral allograft, knee, open (27415) |
$42,028 |
$70,046.66 |
3.3× |
| Osteochondral knee autograft (27416) |
$25,539.95 |
$42,566.59 |
3.5× |
| Osteoplasty, facial bones; reduction Facility (21209) |
$82,224.53 |
$137,040.88 |
13.8× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$26,525.26 |
$44,208.76 |
3.6× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
$67,253.30 |
$112,088.84 |
5.2× |
| Osteot shrt corrj prox phalanx 1st toe (28310) |
$30,004.83 |
$50,008.05 |
4.1× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$26,310.54 |
$43,850.90 |
3.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$22,087.40 |
$36,812.34 |
6.7× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$27,272.17 |
$45,453.62 |
3.7× |
| Osteotomy Metacarpal Each (26565) |
$31,488.52 |
$52,480.86 |
9.6× |
| Osteotomy Phalanx Finger Each (26567) |
$11,988.38 |
$19,980.64 |
3.7× |
| Osteotomy talus (28302) |
$31,310.90 |
$52,184.82 |
4.3× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$33,498.41 |
$55,830.68 |
4.6× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$24,835.44 |
$41,392.40 |
1.9× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$34,526.97 |
$57,544.95 |
4.7× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$35,058.21 |
$58,430.35 |
4.8× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) |
$22,063.45 |
$36,772.42 |
3.0× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$32,987.27 |
$54,978.79 |
4.5× |
| Osteotomy, mandible, segmental; Facility (21198) |
$64,066.54 |
$106,777.57 |
10.8× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$33,484.22 |
$55,807.04 |
4.6× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455) |
$52,418 |
$87,363.34 |
7.2× |
| Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) |
$22,159.58 |
$36,932.63 |
3.0× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$15,738.94 |
$26,231.57 |
2.2× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$23,493.75 |
$39,156.25 |
3.2× |
| Ovarian cystectomy (58925) |
$23,205.92 |
$38,676.54 |
4.6× |
| Palatopharyngoplasty (42145) |
$14,429.51 |
$24,049.19 |
2.4× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$30,029.31 |
$50,048.85 |
5.1× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$26,646.39 |
$44,410.65 |
4.5× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$24,910.07 |
$41,516.78 |
4.2× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$20,403.73 |
$34,006.22 |
3.4× |
| Palatoplasty for cleft palate; secondary lengthening procedure Facility (42220) |
$32,500.14 |
$54,166.90 |
5.5× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$18,959 |
$31,598.33 |
5.7× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$14,951.11 |
$24,918.51 |
4.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$10,618.15 |
$17,696.92 |
3.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$94,286.29 |
$157,143.82 |
13.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$10,587.44 |
$17,645.74 |
3.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$2,228.40 |
$3,714 |
0.7× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$19,990.58 |
$33,317.63 |
6.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$17,834.18 |
$29,723.64 |
5.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$9,271.81 |
$15,453.02 |
2.8× |
| Partial excision bone clavicle (23180) |
$21,517.51 |
$35,862.52 |
3.0× |
| Partial excision bone tibia (27640) |
$12,493.68 |
$20,822.80 |
3.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$10,177.88 |
$16,963.14 |
6.3× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$54,760.15 |
$91,266.91 |
7.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$6,027.62 |
$10,046.04 |
3.7× |
| Partial hymenectomy or revision (56700) |
$8,793.55 |
$14,655.92 |
2.7× |
| Partial removal of hand bone (26230) |
$8,934.07 |
$14,890.11 |
2.7× |
| Partial removal of thyroid (60220) |
$19,708.73 |
$32,847.88 |
3.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$19,669.41 |
$32,782.35 |
3.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$9,859.40 |
$16,432.33 |
3.0× |
| Patellectomy or hemipatellectomy (27350) |
$24,066.38 |
$40,110.63 |
3.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$6,957.64 |
$11,596.06 |
2.1× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$22,424.42 |
$37,374.02 |
3.7× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$6,342.60 |
$10,571 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$3,114.14 |
$5,190.24 |
4.4× |
| Percut Mech Thrombectomy, Venous (37187) |
$58,539.75 |
$97,566.25 |
5.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$1,779.60 |
$2,966 |
0.6× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$2,228.40 |
$3,714 |
0.7× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$8,922.83 |
$14,871.39 |
2.7× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$8,474.10 |
$14,123.50 |
1.2× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$7,138.07 |
$11,896.79 |
4.4× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$8,509.64 |
$14,182.74 |
2.6× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$39,091.20 |
$65,152 |
24.2× |
| Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456) |
$17,637.48 |
$29,395.80 |
2.4× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$17,656.73 |
$29,427.89 |
5.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$15,924.19 |
$26,540.31 |
4.9× |
| Pericardiocentesis W/Imaging (33016) |
$1,600.80 |
$2,668 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$11,257.46 |
$18,762.43 |
3.5× |
| Peritoneal Lavage (49084) |
$405.60 |
$676 |
0.4× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$11,520.60 |
$19,201 |
0.6× |
| Perq av fistula creation uxtr sep access sites (36837) |
$31,908.04 |
$53,180.06 |
1.7× |
| Perq av fistula creation uxtr single access (36836) |
$24,675.52 |
$41,125.86 |
1.3× |
| Perq dev breast 1st mr guide (19287) |
$2,821.80 |
$4,703 |
4.0× |
| Perq dev breast 1st strtctc (19283) |
$3,320.40 |
$5,534 |
4.7× |
| Perq dev breast 1st us imag (19285) |
$9,677.50 |
$16,129.16 |
13.6× |
| Perq device breast 1st imag (19281) |
$22,413.99 |
$37,356.65 |
13.5× |
| Perq dilation xst trc endourologic px w/img (50436) |
$25,121.59 |
$41,869.32 |
7.1× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$27,099.63 |
$45,166.05 |
7.7× |
| Perq elec nrv field stimj cn (64567) |
$1,390.20 |
$2,317 |
1.5× |
| Perq p-art revsc 1 nm nt uni (33900) |
$55,491.16 |
$92,485.27 |
4.8× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$66,262.88 |
$110,438.12 |
3.6× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$18,963 |
$31,605 |
1.6× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$16,695 |
$27,825 |
1.4× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$24,051.53 |
$40,085.88 |
4.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$301.80 |
$503 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$10,980.97 |
$18,301.62 |
15.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$9,353.84 |
$15,589.74 |
2.8× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$25,955.78 |
$43,259.64 |
1.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$19,503.47 |
$32,505.79 |
1.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$15,653.02 |
$26,088.36 |
2.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$18,804.70 |
$31,341.16 |
2.6× |
| Perq Vertebral Augmentation (22513) |
$22,918.02 |
$38,196.71 |
3.1× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$11,576.08 |
$19,293.46 |
3.5× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$12,954.48 |
$21,590.80 |
3.9× |
| Petrous apicectomy including radical mastoidectomy Facility (69530) |
$43,604.15 |
$72,673.59 |
7.3× |
| Phleb veins - extrem 20+ (37766) |
$6,741 |
$11,235 |
2.1× |
| Photopheresis, extracorporeal (36522) |
$4,037.40 |
$6,729 |
0.9× |
| Picc line placement (36569) |
$65,921.27 |
$109,868.79 |
41.7× |
| Pin hand dislocation (26676) |
$6,413.06 |
$10,688.43 |
2.0× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$47,577.78 |
$79,296.30 |
12.1× |
| Place Cath Subclavian Art (36225) |
$39,790.82 |
$66,318.03 |
12.6× |
| Place Cath Vertebral Art (36226) |
$17,747.40 |
$29,579 |
3.2× |
| Place duod/jej tube perc (49441) |
$2,704.20 |
$4,507 |
1.4× |
Placement needle pelvic organ radioelement appl (55920)
unusually low: confirm this is the full procedure |
$2,224.80 |
$3,708 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$141 |
$235 |
0.3× |
| Placement of seton (46020) |
$8,046.88 |
$13,411.46 |
2.9× |
| Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) |
$20,760.54 |
$34,600.90 |
9.9× |
| Plastic operation on penis to correct angulation Facility (54360) |
$9,630.10 |
$16,050.16 |
2.7× |
| Plastic repair of canaliculi (68700) |
$24,628.78 |
$41,047.96 |
10.3× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$19,028.14 |
$31,713.56 |
3.2× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) |
$22,403.67 |
$37,339.45 |
3.8× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) |
$19,680.40 |
$32,800.66 |
5.9× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500) |
$14,144.94 |
$23,574.90 |
2.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$13,141.84 |
$21,903.06 |
2.2× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$24,362.68 |
$40,604.46 |
4.0× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$4,347 |
$7,245 |
0.7× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$8,154.52 |
$13,590.86 |
5.9× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$7,678.34 |
$12,797.23 |
3.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$7,594.49 |
$12,657.48 |
2.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,492.80 |
$7,488 |
1.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$15,669.74 |
$26,116.22 |
4.4× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$47,984.45 |
$79,974.09 |
13.6× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$143.40 |
$239 |
0.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$21,035.90 |
$35,059.84 |
4.2× |
| Prim art mech thrombectomy (37184) |
$59,283.88 |
$98,806.46 |
3.2× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$7,090.18 |
$11,816.98 |
3.0× |
| Probe nasolacrimal duct (68810) |
$158.40 |
$264 |
0.5× |
| Probe nl duct w/balloon (68816) |
$1,615.80 |
$2,693 |
0.7× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$4,262.11 |
$7,103.52 |
1.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$829.80 |
$1,383 |
0.9× |
| Proctosigmoid w/biopsy (45305) |
$598.50 |
$997.50 |
0.5× |
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure |
$1,506.60 |
$2,511 |
0.2× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$15,803.67 |
$26,339.45 |
2.2× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$35,689.57 |
$59,482.62 |
4.9× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$269.10 |
$448.50 |
0.5× |
| Prostate Saturation Sampling (55706) |
$8,487.85 |
$14,146.41 |
2.4× |
| Prostatotomy external drg abscess simple (55720) |
$10,678.91 |
$17,798.18 |
3.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$639 |
$1,065 |
0.9× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$24,051.36 |
$40,085.60 |
3.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$16,169.90 |
$26,949.84 |
2.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$8,791.45 |
$14,652.42 |
2.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$14,680.19 |
$24,466.99 |
4.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$9,579.46 |
$15,965.76 |
2.9× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$6,045.23 |
$10,075.39 |
1.8× |
| Prq skel fixj metar fx w/manj (28476) |
$46,015.84 |
$76,693.06 |
14.0× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$7,850.52 |
$13,084.20 |
2.4× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$9,263.08 |
$15,438.48 |
1.3× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$15,161.44 |
$25,269.06 |
4.6× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$11,894.62 |
$19,824.36 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$753.92 |
$1,256.54 |
1.8× |
| Puncture Aspiration Cyst Breast (19000) |
$509.40 |
$849 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$2,407.56 |
$4,012.60 |
5.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,884.07 |
$3,140.12 |
2.7× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$999 |
$1,665 |
1.4× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$481.50 |
$802.50 |
0.7× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$38,033.69 |
$63,389.49 |
5.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,228.40 |
$3,714 |
0.7× |
| Rad resect elbow caps/sr bone w rels (24149) |
$21,795.48 |
$36,325.80 |
3.0× |
| Radical excision external auditory canal lesion; without neck dissection Facility (69150) |
$38,292.28 |
$63,820.46 |
6.4× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$8,646.35 |
$14,410.58 |
5.4× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$42,806.46 |
$71,344.10 |
7.2× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
$25,492.15 |
$42,486.92 |
4.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Facility (22905) |
$14,713.05 |
$24,521.75 |
5.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$13,391.63 |
$22,319.38 |
4.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$25,463.22 |
$42,438.70 |
8.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$37,304.70 |
$62,174.50 |
12.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$18,448.09 |
$30,746.82 |
6.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$19,445.58 |
$32,409.30 |
6.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$10,046.29 |
$16,743.81 |
3.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Facility (23078) |
$17,232.80 |
$28,721.33 |
5.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Facility (27364) |
$16,878.65 |
$28,131.09 |
5.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$9,865.42 |
$16,442.36 |
3.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$20,812.04 |
$34,686.74 |
7.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$8,271.15 |
$13,785.25 |
2.8× |
| Radical resection of tumor, proximal humerus Facility (23220) |
$83,486.20 |
$139,143.66 |
11.5× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
$43,496.92 |
$72,494.86 |
6.0× |
| Radical resection of tumor; fibula Facility (27646) |
$74,474.13 |
$124,123.55 |
22.7× |
| Radical resection of tumor; tibia Facility (27645) |
$35,471.09 |
$59,118.48 |
10.8× |
| Radical styloidectomy separate procedure (25230) |
$11,248.28 |
$18,747.13 |
3.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,209.60 |
$2,016 |
0.6× |
| Rare diseases genetic testing of complete DNA of first affected person in family (0212U) |
$3,780 |
$6,300 |
0.7× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$8,395.49 |
$13,992.49 |
2.6× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$15,797.17 |
$26,328.62 |
2.2× |
| Re-explore parathyroids (60502) |
$18,430.72 |
$30,717.86 |
3.1× |
| Realignment extensor tendon hand each tendon (26437) |
$21,222.82 |
$35,371.36 |
6.5× |
| Reconstruct extra finger (26587) |
$8,144.83 |
$13,574.71 |
2.5× |
| Reconstruct Finger Joint (26548) |
$13,809.05 |
$23,015.08 |
4.2× |
| Reconstruct lip with flap (40525) |
$12,975.98 |
$21,626.63 |
3.9× |
| Reconstruct Shoulder Joint (23470) |
$35,992.97 |
$59,988.28 |
2.8× |
| Reconstruct ulna/radioulnar (25337) |
$18,283.28 |
$30,472.13 |
2.5× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$37,463.42 |
$62,439.04 |
6.3× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$21,278.11 |
$35,463.52 |
2.9× |
| Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346) |
$20,145.53 |
$33,575.88 |
1.6× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft Facility (21142) |
$89,029.68 |
$148,382.80 |
15.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$19,544.08 |
$32,573.47 |
2.7× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$35,077.09 |
$58,461.82 |
5.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$9,193.37 |
$15,322.29 |
3.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$19,052.59 |
$31,754.31 |
8.0× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$2,215.80 |
$3,693 |
0.6× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$16,349.63 |
$27,249.39 |
6.9× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196) |
$49,829.95 |
$83,049.92 |
8.4× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$29,646.22 |
$49,410.36 |
9.0× |
| Reconstruction of throat (42950) |
$9,950.88 |
$16,584.80 |
1.7× |
| Reconstruction of urethra (54326) |
$12,723.46 |
$21,205.78 |
3.6× |
| Reconstruction Toe Polydactyly (28344) |
$9,807.16 |
$16,345.26 |
3.0× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$18,570.23 |
$30,950.38 |
5.7× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) |
$82,131.98 |
$136,886.64 |
13.8× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) |
$47,910.37 |
$79,850.62 |
14.6× |
| Reduce testis torsion (54600) |
$5,682.33 |
$9,470.55 |
1.6× |
| Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) |
$33,465.23 |
$55,775.39 |
5.6× |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) |
$42,127.33 |
$70,212.21 |
7.1× |
| Reduction forehead; contouring only Facility (21137) |
$23,551.44 |
$39,252.40 |
7.1× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) |
$35,850.71 |
$59,751.18 |
10.8× |
| Reinforce humerus (24498) |
$32,828.11 |
$54,713.52 |
2.5× |
| Reinforce tibia (27745) |
$35,471.09 |
$59,118.48 |
4.9× |
| Reinforce/graft eye wall (67255) |
$1,734.60 |
$2,891 |
0.4× |
| Reinnervate larynx (31590) |
$45,779.76 |
$76,299.61 |
7.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$16,877.44 |
$28,129.06 |
2.3× |
| Release elbow joint (24006) |
$15,229.06 |
$25,381.76 |
4.6× |
| Release facial nerve (69720) |
$107,738.16 |
$179,563.60 |
18.1× |
| Release finger contracture (26525) |
$13,237.36 |
$22,062.27 |
8.2× |
| Release muscles of hand (26593) |
$18,277.80 |
$30,463 |
5.6× |
| Release of big toe (28240) |
$24,684.17 |
$41,140.29 |
7.5× |
| Release of thenar muscle(s) (eg, thumb contracture) Facility (26508) |
$23,691.04 |
$39,485.06 |
7.2× |
| Release wrist/forearm tendon (25295) |
$11,177.40 |
$18,629 |
3.4× |
| Relieve inner eye pressure (65820) |
$12,980.05 |
$21,633.42 |
3.1× |
| Relieve pressure on nerve(s) (64722) |
$10,570.33 |
$17,617.21 |
5.4× |
| Relocation of skin pocket for pacemaker (33222) |
$1,776.08 |
$2,960.14 |
0.9× |
| Rem Endovas Vena Cava Filter (37193) |
$8,826.48 |
$14,710.80 |
2.8× |
| Removal Anal Seton Other Marker (46030) |
$8,850.36 |
$14,750.60 |
7.4× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$41,721.53 |
$69,535.88 |
2.0× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$54,329.13 |
$90,548.55 |
2.6× |
| Removal biliary drg cath (47537) |
$1,633.08 |
$2,721.81 |
1.8× |
| Removal entire oi implt skl perq attachment esp (69726) |
$15,231.82 |
$25,386.36 |
4.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$10,496.41 |
$17,494.01 |
3.6× |
| Removal Foreign Body Foot Complicated (28193) |
$4,814.41 |
$8,024.01 |
2.9× |
| Removal foreign body foot deep (28192) |
$7,090.18 |
$11,816.96 |
4.3× |
| Removal foreign body foot subcutaneous (28190) |
$6,373.57 |
$10,622.62 |
9.0× |
| Removal foreign body intranasal (30300) |
$396.30 |
$660.50 |
3.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$12,438.86 |
$20,731.44 |
7.5× |
| Removal foreign body pharynx (42809) |
$572.40 |
$954 |
1.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$4,649.98 |
$7,749.96 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$10,390.55 |
$17,317.59 |
175.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$7,560.83 |
$12,601.38 |
127.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$16,591.91 |
$27,653.19 |
5.1× |
| Removal implant deep (20680) |
$14,378.44 |
$23,964.06 |
4.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,532.70 |
$7,554.50 |
2.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$9,197.98 |
$15,329.96 |
12.9× |
| Removal Intact Mammary Implant (19328) |
$19,355.77 |
$32,259.62 |
4.9× |
| Removal of adenoids (42835) |
$7,682.42 |
$12,804.04 |
2.3× |
| Removal of adenoids (42831) |
$6,192.10 |
$10,320.18 |
1.9× |
| Removal of adenoids (42830) |
$7,005.39 |
$11,675.65 |
2.1× |
| Removal of adenoids (42836) |
$10,624.64 |
$17,707.74 |
3.2× |
| Removal of anal fissure (46200) |
$11,803.58 |
$19,672.63 |
4.2× |
| Removal of arm foreign body (24200) |
$6,977.15 |
$11,628.58 |
4.2× |
| Removal of blood clot, anterior segment of eye Facility (65930) |
$27,603.42 |
$46,005.70 |
11.9× |
| Removal of bone for graft (20902) |
$23,004.24 |
$38,340.39 |
3.2× |
| Removal of bone lesion (23140) |
$30,483.74 |
$50,806.24 |
9.3× |
| Removal of breast capsule (19371) |
$17,892.29 |
$29,820.48 |
4.6× |
| Removal of cervix (57530) |
$28,459.10 |
$47,431.84 |
5.7× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$553.20 |
$922 |
0.6× |
| Removal of embedded foreign body, eyelid (67938) |
$13,951.07 |
$23,251.78 |
43.8× |
| Removal of eye (65101) |
$24,156.13 |
$40,260.21 |
6.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$5,966.51 |
$9,944.18 |
5.0× |
| Removal of finger lesion (26210) |
$5,536.89 |
$9,228.15 |
3.4× |
| Removal of foreign body in scrotum (55120) |
$5,004.91 |
$8,341.52 |
2.4× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$5,542.59 |
$9,237.65 |
17.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$1,028.70 |
$1,714.50 |
2.3× |
| Removal of heel spur (28119) |
$18,225.80 |
$30,376.32 |
5.6× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$39,498.41 |
$65,830.68 |
11.5× |
| Removal of implant from finger or hand (26320) |
$10,890.25 |
$18,150.41 |
6.6× |
| Removal of implant material (19330) |
$17,248.08 |
$28,746.81 |
4.4× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$27,296.72 |
$45,494.54 |
11.8× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$18,245 |
$30,408.34 |
7.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$366.86 |
$611.44 |
0.6× |
| Removal of iris (66625) |
$21,093.40 |
$35,155.66 |
9.1× |
| Removal of iud (58301) |
$1,724.06 |
$2,873.44 |
5.6× |
| Removal of kidney stone (50081) |
$27,042.48 |
$45,070.80 |
2.8× |
| Removal of kidney stone (50080) |
$22,778.32 |
$37,963.86 |
2.4× |
| Removal Of Knee Prosthesis (27488) |
$52,103.56 |
$86,839.26 |
4.0× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$3,100.80 |
$5,168 |
0.7× |
| Removal of nail bed (11750) |
$411.60 |
$686 |
1.0× |
| Removal of nose lesion (30124) |
$17,426.98 |
$29,044.96 |
11.2× |
| Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) |
$15,791.47 |
$26,319.12 |
2.2× |
| Removal of posterior segmental instrumentation Facility (22852) |
$23,704.23 |
$39,507.05 |
3.3× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$47,395.69 |
$78,992.82 |
6.5× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Facility (24160) |
$23,269.30 |
$38,782.17 |
7.1× |
| Removal of salivary stone (42330) |
$11,382.12 |
$18,970.20 |
3.4× |
| Removal of sesamoid bone (28315) |
$9,456.31 |
$15,760.51 |
2.9× |
| Removal of skin wrinkles (15829) |
$34,594.78 |
$57,657.96 |
9.7× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$18,277.80 |
$30,463 |
5.6× |
| Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod… (26392) |
$29,614.75 |
$49,357.91 |
4.1× |
| Removal of tail bone (27080) |
$12,921.92 |
$21,536.53 |
3.9× |
| Removal of tear sac (68520) |
$11,105.66 |
$18,509.43 |
2.8× |
| Removal Of Tendon Lesion (27630) |
$12,912.56 |
$21,520.94 |
3.9× |
| Removal of testis (54520) |
$10,946.32 |
$18,243.87 |
3.1× |
| Removal of thyroid (60271) |
$30,312.38 |
$50,520.64 |
5.1× |
| Removal of tonsils (42825) |
$8,002.25 |
$13,337.09 |
1.3× |
| Removal of tonsils (42826) |
$9,574.81 |
$15,958.02 |
2.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$11,032.28 |
$18,387.12 |
3.5× |
| Removal of wrist bone (25210) |
$11,535.61 |
$19,226.01 |
3.5× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711) |
$11,776.58 |
$19,627.63 |
3.5× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$43,405.97 |
$72,343.28 |
8.1× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$11,629.89 |
$19,383.15 |
3.6× |
| Removal ppm generator only (33233) |
$55,606.25 |
$92,677.08 |
6.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$286.25 |
$477.08 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,150.20 |
$1,916.99 |
1.6× |
| Removal Submand Stone,Complicated (42335) |
$10,382.42 |
$17,304.03 |
3.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$5,136.84 |
$8,561.40 |
2.5× |
| Removal, under anesthesia, of external fixation system (20694) |
$35,587.68 |
$59,312.80 |
22.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$303.60 |
$506 |
1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$208.80 |
$348 |
0.7× |
| Remove anal fist subq (46270) |
$7,499.08 |
$12,498.46 |
2.7× |
| Remove cerclage suture (59871) |
$3,276.77 |
$5,461.29 |
1.0× |
| Remove drug implant device (11982) |
$141.85 |
$236.42 |
0.3× |
| Remove ear lesion (69550) |
$20,085.41 |
$33,475.69 |
3.4× |
| Remove Elbow Joint Lining (24102) |
$2,228.40 |
$3,714 |
0.7× |
| Remove ext hem groups 2+ (46250) |
$7,943.60 |
$13,239.34 |
2.9× |
| Remove eye/attach implant (65105) |
$17,328.87 |
$28,881.45 |
4.4× |
| Remove foreign body from eye (65265) |
$34,552.81 |
$57,588.02 |
14.9× |
| Remove foreign body from eye (65235) |
$1,734.60 |
$2,891 |
0.7× |
| Remove intrvas foreign body (37197) |
$10,516.96 |
$17,528.26 |
3.3× |
| Remove Lower Leg Bone Lesion (27635) |
$10,595.20 |
$17,658.67 |
3.2× |
| Remove muti-comp penis pros (54406) |
$16,283.92 |
$27,139.86 |
4.6× |
| Remove palate/lesion (42120) |
$41,755.29 |
$69,592.15 |
7.0× |
| Remove Pilonidal Cyst Exten (11771) |
$12,112.42 |
$20,187.36 |
4.2× |
| Remove Prostate Regrowth (52630) |
$15,735.72 |
$26,226.20 |
2.9× |
| Remove pulse generator (33241) |
$70,698.10 |
$117,830.17 |
18.9× |
| Remove renal tube w/fluoro (50389) |
$1,726.29 |
$2,877.15 |
2.5× |
| Remove spine eltrd perq aray (63661) |
$13,074.40 |
$21,790.67 |
6.7× |
| Remove spine eltrd plate (63662) |
$15,100.82 |
$25,168.04 |
4.3× |
| Remove Tendon Sheath Lesion (26160) |
$5,704.81 |
$9,508.01 |
3.5× |
| Remove thyroid duct lesion (60280) |
$17,706.04 |
$29,510.07 |
2.9× |
| Remove tissue expander (11971) |
$9,022.39 |
$15,037.32 |
3.1× |
| Remove ureter stent, percut (50384) |
$14,090.52 |
$23,484.20 |
6.7× |
| Remove uro sphincter (53446) |
$22,837.72 |
$38,062.86 |
4.2× |
| Remove vagina gland lesion (56740) |
$12,882.19 |
$21,470.32 |
4.0× |
| Remove vc lesion scope/graft (31546) |
$58,365.61 |
$97,276.02 |
8.2× |
| Remove vc lesion w/scope (31545) |
$17,790.34 |
$29,650.57 |
4.8× |
| Remove&replace pm gen singl (33227) |
$16,032.39 |
$26,720.65 |
1.9× |
| Remove/graft finger lesion (26215) |
$2,228.40 |
$3,714 |
0.7× |
| Remove/Insert Drug Implant (11983) |
$1,624.26 |
$2,707.09 |
3.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$7,275.68 |
$12,126.14 |
4.4× |
| Remv Ext Canal Foreign Body (69200) |
$234.60 |
$391 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$248.40 |
$414 |
1.9× |
| Remv Post Eye Implnt Mater,Extraocul (67120) |
$14,939.22 |
$24,898.70 |
6.5× |
| Remv&replc cvd gen dual lead (33263) |
$43,905.30 |
$73,175.50 |
2.0× |
| Remv&replc cvd gen mult lead (33264) |
$48,873.42 |
$81,455.70 |
1.6× |
| Remv&replc cvd gen sing lead (33262) |
$37,459.24 |
$62,432.07 |
1.7× |
| Remv&replc pm gen dual lead (33228) |
$20,669.41 |
$34,449.01 |
2.0× |
| Remv&replc pm gen mult leads (33229) |
$44,313.33 |
$73,855.55 |
2.3× |
| Renal Biopsy Percutaneous (50200) |
$6,891.67 |
$11,486.12 |
4.2× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) |
$22,793.62 |
$37,989.37 |
2.4× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) |
$27,132.32 |
$45,220.54 |
2.9× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562) |
$26,942.05 |
$44,903.41 |
2.8× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$32,088.57 |
$53,480.95 |
6.0× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$21,597.35 |
$35,995.59 |
6.1× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$32,324.78 |
$53,874.63 |
6.0× |
| Repair achilles tendon (27650) |
$15,040.46 |
$25,067.44 |
2.1× |
| Repair anal fistula (46288) |
$10,533.65 |
$17,556.08 |
3.8× |
| Repair blood vessel direct hand finger (35207) |
$11,504.08 |
$19,173.47 |
3.6× |
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure |
$1,890.60 |
$3,151 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$20,881.60 |
$34,802.66 |
6.6× |
| Repair blood vessel lesion (35190) |
$31,232.61 |
$52,054.35 |
5.6× |
| Repair blood vessel lesion (35236) |
$44,679.58 |
$74,465.96 |
8.0× |
| Repair blood vessel with graft other than vein; upper extremity Facility (35266) |
$18,014.95 |
$30,024.91 |
3.2× |
| Repair brow defect (67900) |
$23,816.72 |
$39,694.54 |
10.0× |
| Repair Choanal Atresia Intranasal (30540) |
$21,539.80 |
$35,899.66 |
3.6× |
| Repair cleft hand deformity (26580) |
$17,652.53 |
$29,420.88 |
5.4× |
| Repair clitoris (56805) |
$20,905.80 |
$34,843 |
6.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$305.25 |
$508.75 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$311.42 |
$519.04 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$7,468.16 |
$12,446.94 |
18.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$460.16 |
$766.93 |
1.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$9,275.82 |
$15,459.70 |
22.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$7,827.92 |
$13,046.54 |
19.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$16,524.16 |
$27,540.26 |
22.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$17,655.26 |
$29,425.44 |
23.8× |
| Repair Detached Retina (67101) |
$1,651.80 |
$2,753 |
0.7× |
| Repair detached retina (67110) |
$1,156.80 |
$1,928 |
0.5× |
| Repair Ectropion Extensive (67917) |
$21,170.91 |
$35,284.84 |
8.9× |
| Repair ectropion suture (67914) |
$1,422.60 |
$2,371 |
0.6× |
| Repair Entropion Suture (67921) |
$1,615.80 |
$2,693 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$14,402.98 |
$24,004.96 |
8.9× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$21,990.33 |
$36,650.55 |
6.7× |
| Repair eyelid defect (67916) |
$15,800.62 |
$26,334.37 |
6.6× |
| Repair eyelid defect (67908) |
$1,422.60 |
$2,371 |
0.6× |
| Repair eyelid defect (67923) |
$2,118.30 |
$3,530.50 |
0.9× |
| Repair eyelid defect (67904) |
$11,346.80 |
$18,911.33 |
4.8× |
| Repair eyelid defect (67903) |
$1,422.60 |
$2,371 |
0.6× |
| Repair eyelid defect (67901) |
$10,703.92 |
$17,839.86 |
4.5× |
| Repair Eyelid Wound (67935) |
$12,866.64 |
$21,444.39 |
5.4× |
| Repair eyelid wound (67930) |
$1,766.10 |
$2,943.50 |
0.7× |
| Repair Fibula Nonunion (27726) |
$20,740.39 |
$34,567.32 |
2.8× |
| Repair Finger Tendon (26433) |
$51,893.28 |
$86,488.80 |
15.8× |
| Repair Fistula Oromaxillary (30580) |
$18,013.40 |
$30,022.34 |
3.0× |
| Repair fistula; oronasal Facility (30600) |
$23,304.52 |
$38,840.87 |
3.9× |
| Repair Forearm Tendon Sheath (25275) |
$17,678.52 |
$29,464.18 |
5.4× |
| Repair forearm tendon/muscle (25260) |
$42,864.21 |
$71,440.35 |
13.1× |
| Repair forearm tendon/muscle (25265) |
$12,819.22 |
$21,365.36 |
3.9× |
| Repair hand joint with graft (26542) |
$9,770.87 |
$16,284.78 |
3.0× |
| Repair hand tendon (26410) |
$16,721.17 |
$27,868.61 |
10.4× |
| Repair incomplete circumcision (54163) |
$6,739.60 |
$11,232.66 |
3.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$14,805.36 |
$24,675.60 |
4.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$29,760.28 |
$49,600.46 |
8.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$28,178.77 |
$46,964.61 |
7.8× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$24,876.82 |
$41,461.37 |
6.9× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$10,215.77 |
$17,026.28 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$201 |
$335 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$660.50 |
$1,100.84 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$332.26 |
$553.77 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$15,842.08 |
$26,403.46 |
38.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$576.29 |
$960.48 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$848.46 |
$1,414.10 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$4,269.60 |
$7,116 |
5.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$5,520.77 |
$9,201.28 |
13.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$337.88 |
$563.14 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$842.54 |
$1,404.24 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$16,920.80 |
$28,201.34 |
41.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,202.90 |
$2,004.84 |
2.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$850.50 |
$1,417.50 |
2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$16,239.19 |
$27,065.32 |
21.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,383.84 |
$2,306.40 |
3.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$17,877.58 |
$29,795.96 |
8.6× |
| Repair intrinsic muscles hand each muscle (26591) |
$7,836.83 |
$13,061.39 |
2.4× |
| Repair Laceration Palate </2 Cm (42180) |
$587.40 |
$979 |
1.1× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$7,276.80 |
$12,128 |
1.2× |
| Repair lead pace-defib one (33218) |
$116,217.85 |
$193,696.42 |
31.0× |
| Repair lower leg tendons (27676) |
$28,033.49 |
$46,722.49 |
3.9× |
| Repair Lower Leg Tendons (27675) |
$19,564.58 |
$32,607.64 |
6.0× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$17,766.26 |
$29,610.44 |
2.4× |
| Repair Mouth Laceration (40831) |
$328.80 |
$548 |
0.6× |
| Repair nasal septal perforations (30630) |
$29,343.02 |
$48,905.03 |
8.8× |
| Repair Nasal Stenosis (30465) |
$23,560.16 |
$39,266.94 |
4.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$33,684.53 |
$56,140.89 |
5.2× |
| Repair of biceps tendon (24340) |
$29,459.36 |
$49,098.93 |
4.0× |
| Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Facility (67906) |
$2,215.80 |
$3,693 |
0.6× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$20,574.64 |
$34,291.07 |
3.9× |
| Repair of component(s) of a multi-component, inflatable penile prosthesis Facility (54408) |
$15,198.18 |
$25,330.30 |
2.8× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$2,228.40 |
$3,714 |
0.7× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$2,228.40 |
$3,714 |
0.7× |
| Repair of eye wound (65280) |
$4,138.80 |
$6,898 |
0.8× |
| Repair of eye wound (65275) |
$2,700.60 |
$4,501 |
0.7× |
| Repair of eye wound (65270) |
$1,422.60 |
$2,371 |
0.6× |
| Repair of humerus (24430) |
$36,519.25 |
$60,865.42 |
2.8× |
| Repair of hydrocele (55060) |
$21,699.10 |
$36,165.17 |
6.1× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$6,370.43 |
$10,617.39 |
1.8× |
| Repair of iris, ciliary body (as for iridodialysis) Facility (66680) |
$1,734.60 |
$2,891 |
0.7× |
| Repair of knee cartilage (27403) |
$25,873.98 |
$43,123.30 |
3.6× |
| Repair of laceration; application of tissue glue, wounds of cornea and/or sclera (65286) |
$1,229.40 |
$2,049 |
0.5× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$2,117.40 |
$3,529 |
0.9× |
| Repair of leg tendon each (27664) |
$16,686.18 |
$27,810.30 |
2.3× |
| Repair of leg tendon each (27658) |
$16,525.86 |
$27,543.10 |
5.0× |
| Repair of nail bed (11760) |
$5,528.53 |
$9,214.21 |
7.5× |
| Repair of nasal septum (30520) |
$24,874.74 |
$41,457.90 |
7.5× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
$46,634.37 |
$77,723.95 |
7.9× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$33,321.27 |
$55,535.45 |
2.6× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$35,260.48 |
$58,767.46 |
4.8× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$22,844.51 |
$38,074.19 |
3.1× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$51,948.28 |
$86,580.47 |
7.1× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$20,443.31 |
$34,072.18 |
2.8× |
| Repair of penis (54440) |
$15,639.66 |
$26,066.10 |
4.4× |
| Repair of rectum (45505) |
$11,241.55 |
$18,735.92 |
4.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$20,545.41 |
$34,242.35 |
2.8× |
| Repair of scleral staphyloma with graft Facility (66225) |
$4,140 |
$6,900 |
0.8× |
| Repair of shoulder (23420) |
$7,080.60 |
$11,801 |
1.0× |
| Repair of sperm duct (55400) |
$16,987.60 |
$28,312.66 |
4.8× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Facility (68340) |
$29,115.95 |
$48,526.59 |
12.2× |
| Repair of tibia (27720) |
$37,678.76 |
$62,797.93 |
5.2× |
| Repair of urethra injury (53502) |
$17,018.66 |
$28,364.43 |
4.8× |
| Repair of web finger (26562) |
$19,934.28 |
$33,223.80 |
6.1× |
| Repair of web finger (26560) |
$17,652.53 |
$29,420.88 |
10.9× |
| Repair of web finger (26561) |
$17,169.57 |
$28,615.96 |
5.2× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372) |
$20,449.87 |
$34,083.12 |
2.8× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$2,228.40 |
$3,714 |
0.7× |
| Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) |
$39,750.32 |
$66,250.53 |
5.5× |
| Repair palate (42235) |
$32,726.56 |
$54,544.28 |
5.5× |
| Repair Profundus Tendon,Primary (26370) |
$21,308.60 |
$35,514.33 |
6.5× |
| Repair radius & ulna (25415) |
$17,327.84 |
$28,879.73 |
2.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$18,916.91 |
$31,528.18 |
2.9× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$17,330.83 |
$28,884.71 |
4.8× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$25,018.75 |
$41,697.91 |
6.0× |
| Repair rotator cuff acute (23410) |
$28,078.14 |
$46,796.90 |
3.9× |
| Repair round window fistula Facility (69667) |
$19,954 |
$33,256.66 |
6.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$21,739.50 |
$36,232.49 |
3.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$10,719.92 |
$17,866.54 |
3.3× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$24,835.48 |
$41,392.46 |
3.4× |
| Repair tongue laceration (41252) |
$1,281.60 |
$2,136 |
5.4× |
| Repair Tongue Laceration (41250) |
$24,401.04 |
$40,668.40 |
54.4× |
| Repair tooth socket (41874) |
$18,285.18 |
$30,475.30 |
5.5× |
| Repair tympanic membrane (69610) |
$3,908.34 |
$6,513.90 |
2.5× |
| Repair webbed toe(s) (28345) |
$14,524.07 |
$24,206.79 |
9.0× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$18,055.55 |
$30,092.59 |
2.5× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$16,795.72 |
$27,992.87 |
2.8× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$50,540.15 |
$84,233.59 |
6.9× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$75,727.20 |
$126,212 |
10.4× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$22,566 |
$37,609.98 |
3.1× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$22,090.29 |
$36,817.15 |
3.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$21,833.20 |
$36,388.67 |
3.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$42,121.64 |
$70,202.73 |
5.8× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$18,860.78 |
$31,434.63 |
2.6× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$13,906.15 |
$23,176.92 |
4.2× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
$22,949.06 |
$38,248.44 |
3.2× |
| Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28210) |
$26,759.49 |
$44,599.15 |
3.7× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$30,535.08 |
$50,891.80 |
4.2× |
| Repair/graft achilles tendon (27652) |
$27,208.78 |
$45,347.97 |
3.7× |
| Repair/graft finger tendon (26420) |
$11,509.64 |
$19,182.74 |
3.5× |
| Repair/graft wrist bone (25440) |
$22,274.67 |
$37,124.45 |
3.1× |
| Repair/revise wrist joint (25320) |
$21,888.84 |
$36,481.40 |
3.0× |
| Repair/transpose nerve (64856) |
$42,703.77 |
$71,172.95 |
4.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,139.66 |
$3,566.10 |
2.4× |
| Replace elbow joint (24363) |
$43,894.54 |
$73,157.58 |
2.5× |
| Replace eye fluid (67025) |
$1,501.80 |
$2,503 |
0.6× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,451.07 |
$4,085.12 |
2.7× |
| Replace Tissue Expander (11970) |
$24,091.22 |
$40,152.03 |
3.3× |
| Replace tunneled cv cath (36578) |
$6,505.70 |
$10,842.84 |
2.1× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719) |
$15,028.82 |
$25,048.03 |
1.2× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to… (69717) |
$27,096.89 |
$45,161.48 |
3.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,929.75 |
$4,882.92 |
3.2× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,504.40 |
$4,174 |
0.7× |
| Reposition cv cath w/fluoro (36597) |
$1,191.36 |
$1,985.60 |
0.8× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,668 |
$2,780 |
6.7× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$16,390.51 |
$27,317.51 |
7.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$34,504.02 |
$57,506.70 |
10.5× |
| Resect forarm/wrist tum 3cm> (25078) |
$16,787.78 |
$27,979.63 |
5.8× |
| Resect hip/pelv tum 5 cm/> (27059) |
$18,551.21 |
$30,918.69 |
6.4× |
| Resect leg/ankle tum < 5 cm (27615) |
$18,995.41 |
$31,659.02 |
6.5× |
| Resection of scrotum (55150) |
$18,632.03 |
$31,053.38 |
5.3× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$2,228.40 |
$3,714 |
0.7× |
| Resection, humeral head Facility (23195) |
$46,802.15 |
$78,003.59 |
6.4× |
| Respir iadna 18 viral&2 bact (0115U) |
$577.80 |
$963 |
2.1× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$9,584.41 |
$15,974.02 |
2.7× |
| Revis reconst shoulder joint (23473) |
$33,217.96 |
$55,363.27 |
2.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$52,280.72 |
$87,134.54 |
4.1× |
| Revise external ear (69300) |
$18,476.34 |
$30,793.91 |
5.6× |
| Revise eye muscle(s) (67318) |
$1,422.60 |
$2,371 |
0.6× |
| Revise eye socket implant (67560) |
$24,847.31 |
$41,412.19 |
6.3× |
| Revise eyelashes (67835) |
$1,615.80 |
$2,693 |
0.7× |
| Revise eyelashes (67825) |
$198 |
$330 |
0.6× |
| Revise eyelid defect (67909) |
$1,422.60 |
$2,371 |
0.6× |
| Revise finger/toe nerve (64702) |
$10,442.05 |
$17,403.42 |
5.3× |
| Revise Hand/Foot Nerve (64704) |
$13,569.23 |
$22,615.38 |
6.9× |
| Revise knuckle joint (26530) |
$47,755.04 |
$79,591.73 |
6.6× |
| Revise knuckle with implant (26531) |
$23,987.21 |
$39,978.68 |
3.3× |
| Revise Lower Leg Tendon (27691) |
$32,092.68 |
$53,487.80 |
4.4× |
| Revise Lower Leg Tendons (27686) |
$26,273.38 |
$43,788.98 |
8.0× |
| Revise palsy hand tendon(s) (25315) |
$11,421.33 |
$19,035.55 |
1.6× |
| Revise penis/urethra (54328) |
$11,499.99 |
$19,166.65 |
3.3× |
| Revise penis/urethra (54332) |
$12,720.74 |
$21,201.23 |
3.6× |
| Revise reconst elbow joint (24370) |
$41,217.88 |
$68,696.47 |
3.2× |
| Revise reconst elbow joint (24371) |
$27,955.49 |
$46,592.48 |
1.6× |
| Revise spine eltrd perq aray (63663) |
$14,809.82 |
$24,683.04 |
2.3× |
| Revise Spine Eltrd Plate (63664) |
$79,122.51 |
$131,870.85 |
7.1× |
| Revise thumb tendon (26490) |
$23,421.02 |
$39,035.03 |
7.1× |
| Revise ulnar nerve at elbow (64718) |
$13,142.08 |
$21,903.46 |
6.7× |
| Revise ureter (50727) |
$8,349.68 |
$13,916.14 |
2.4× |
| Revise vag graft via vagina (57295) |
$10,564.72 |
$17,607.88 |
3.3× |
| Revise wrist/forearm tendon (25280) |
$14,305.64 |
$23,842.74 |
4.4× |
| Revise/graft eyelid lining (68328) |
$16,357.67 |
$27,262.79 |
6.9× |
| Revise/graft eyelid lining (68320) |
$10,166.74 |
$16,944.56 |
4.3× |
| Revise/Implant Finger Joint (26536) |
$17,490.46 |
$29,150.77 |
2.4× |
| Revise/Remove Neuroreceiver (63688) |
$14,262.97 |
$23,771.62 |
4.1× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$40,089.86 |
$66,816.44 |
5.4× |
| Revision eyelid unlisted (67999) |
$27,912.48 |
$46,520.80 |
87.7× |
| Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601) |
$22,662.77 |
$37,771.28 |
3.8× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$40,386.47 |
$67,310.79 |
6.8× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$1,734.60 |
$2,891 |
0.7× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Facility (66184) |
$1,734.60 |
$2,891 |
0.7× |
| Revision of arthroplasty, including removal of implant, wrist joint Facility (25449) |
$4,941.60 |
$8,236 |
0.7× |
| Revision of cervix (57700) |
$5,113.67 |
$8,522.79 |
1.6× |
| Revision of colostomy simple (44340) |
$11,446.86 |
$19,078.10 |
3.2× |
| Revision of eyelid (67880) |
$1,265.40 |
$2,109 |
0.5× |
| Revision of eyelid (67961) |
$18,065.60 |
$30,109.34 |
7.6× |
| Revision of eyelid (21280) |
$26,710.30 |
$44,517.17 |
8.0× |
| Revision of foot (28116) |
$15,845.57 |
$26,409.28 |
4.8× |
| Revision of humerus (24400) |
$16,458.05 |
$27,430.09 |
2.3× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$11,502.07 |
$19,170.12 |
3.2× |
| Revision of iris (66761) |
$372.90 |
$621.50 |
0.7× |
| Revision of iris (66762) |
$396 |
$660 |
0.7× |
| Revision of larynx (31400) |
$46,383.16 |
$77,305.26 |
7.8× |
| Revision of lower leg tendon (27685) |
$20,682.17 |
$34,470.28 |
6.3× |
| Revision of nose (30430) |
$20,990.35 |
$34,983.92 |
3.5× |
| Revision of nose (30462) |
$27,855.32 |
$46,425.53 |
4.7× |
| Revision of nose (30460) |
$22,688.99 |
$37,814.99 |
3.8× |
| Revision of nose (30435) |
$34,316.27 |
$57,193.79 |
5.8× |
| Revision of nose (30450) |
$22,667.86 |
$37,779.77 |
3.8× |
| Revision of penis (54300) |
$8,868.81 |
$14,781.35 |
2.5× |
| Revision of penis (54304) |
$11,545.09 |
$19,241.81 |
3.3× |
| Revision of reconstructed breast (19380) |
$19,500.34 |
$32,500.57 |
2.9× |
| Revision of scrotum (55180) |
$18,765.60 |
$31,276 |
3.5× |
| Revision of scrotum (55175) |
$7,159.98 |
$11,933.30 |
2.0× |
| Revision of spinal shunt (63744) |
$24,861.20 |
$41,435.34 |
7.3× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$19,760.71 |
$32,934.51 |
3.3× |
| Revision of tips (37183) |
$23,638.11 |
$39,396.84 |
4.1× |
| Revision of toe (28312) |
$16,028.47 |
$26,714.12 |
4.9× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$40,907.80 |
$68,179.66 |
3.2× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$18,927.08 |
$31,545.12 |
1.5× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$70,365.60 |
$117,276.01 |
4.0× |
| Revision of tracheostomy scar (31830) |
$27,480.09 |
$45,800.15 |
8.3× |
| Revision of ulna (25360) |
$19,112.94 |
$31,854.88 |
2.6× |
| Revision of urethra (53460) |
$5,909.70 |
$9,849.50 |
1.7× |
| Revision of urethra (57220) |
$19,133.41 |
$31,889.02 |
3.8× |
| Revision of urethra (53450) |
$7,154.72 |
$11,924.54 |
2.0× |
| Revision or removal of intracranial neurostimulator electrodes Facility (61880) |
$17,097.91 |
$28,496.51 |
4.9× |
| Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) |
$13,186.61 |
$21,977.69 |
1.2× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$11,235.21 |
$18,725.35 |
3.2× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$22,195.06 |
$36,991.78 |
4.0× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$38,288.29 |
$63,813.82 |
3.0× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$12,660.78 |
$21,101.30 |
1.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$9,857.26 |
$16,428.78 |
2.8× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$28,093.20 |
$46,822 |
1.5× |
| Rhinectomy; partial (30150) |
$10,056.38 |
$16,760.63 |
1.7× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$25,397.95 |
$42,329.92 |
4.3× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$38,863.60 |
$64,772.68 |
6.5× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) |
$24,874.74 |
$41,457.90 |
4.2× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$28,260.09 |
$47,100.15 |
7.9× |
| Rhytidectomy Forehead (15824) |
$38,240.14 |
$63,733.56 |
18.5× |
| Rhytidectomy Glabellar Frown Lines (15826) |
$32,047.07 |
$53,411.79 |
9.0× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$57,918.31 |
$96,530.51 |
16.3× |
| Rib cartilage graft (21230) |
$38,830.20 |
$64,717 |
6.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,827.63 |
$4,712.72 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$224.40 |
$374 |
1.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$933 |
$1,555 |
2.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$6,900.08 |
$11,500.13 |
2.4× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$1,734.60 |
$2,891 |
0.7× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$18,690.46 |
$31,150.76 |
8.1× |
| Rmvl of subq defibrillator (33272) |
$70,711.48 |
$117,852.46 |
18.9× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$89,193.59 |
$148,655.99 |
45.5× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$14,078.42 |
$23,464.03 |
4.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$56,877.64 |
$94,796.06 |
15.2× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$58,486.79 |
$97,477.98 |
15.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,045.19 |
$5,075.32 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,028.40 |
$1,714 |
1.6× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$1,734.60 |
$2,891 |
0.7× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$1,734.60 |
$2,891 |
0.7× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$66,907.07 |
$111,511.78 |
17.8× |
| Rplc gtube revj gstrst trc (43763) |
$134.40 |
$224 |
0.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$889.20 |
$1,482 |
0.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,426.80 |
$5,711.34 |
2.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$13,540.08 |
$22,566.80 |
4.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$6,181.66 |
$10,302.78 |
2.0× |
| Rplcmt/Irrigation Ventricular Catheter (62225) |
$24,280.63 |
$40,467.72 |
7.1× |
| Rplcmt/revj csf shunt valve/cath shunt sys (62230) |
$22,024.67 |
$36,707.78 |
2.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$22,619.62 |
$37,699.38 |
3.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$12,735.56 |
$21,225.94 |
3.5× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$21,402.79 |
$35,671.32 |
3.3× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$8,981.42 |
$14,969.04 |
1.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$14,457.43 |
$24,095.71 |
4.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$22,427.40 |
$37,379.02 |
3.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$14,254.06 |
$23,756.77 |
2.4× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$2,215.80 |
$3,693 |
0.6× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$388.20 |
$647 |
0.5× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$11,804.32 |
$19,673.88 |
3.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$388.20 |
$647 |
0.2× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$21,177.64 |
$35,296.07 |
2.9× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$12,726.19 |
$21,210.32 |
3.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$964.20 |
$1,607 |
1.3× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$14,923.19 |
$24,871.99 |
2.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,688.40 |
$2,814 |
3.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$982.20 |
$1,637 |
1.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,841.60 |
$4,736 |
1.8× |
| Rpr non-union mtcrpl/phalanx (26546) |
$25,589.35 |
$42,648.91 |
3.5× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$9,316.80 |
$15,528 |
1.6× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$2,263.20 |
$3,772 |
4.1× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$18,056.76 |
$30,094.61 |
4.4× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$2,342.40 |
$3,904 |
0.6× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$16,863.86 |
$28,106.44 |
5.1× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$10,674.88 |
$17,791.46 |
3.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$2,008.44 |
$3,347.40 |
3.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$12,084.31 |
$20,140.52 |
3.7× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$16,725.34 |
$27,875.56 |
5.1× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$33,871.25 |
$56,452.09 |
4.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$18,733.42 |
$31,222.38 |
5.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$13,740.94 |
$22,901.56 |
4.2× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,325.60 |
$3,876 |
0.7× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$1,539 |
$2,565 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$4,677.10 |
$7,795.18 |
2.8× |
| Scrotal exploration (55110) |
$19,761.17 |
$32,935.29 |
5.6× |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
$53,271.25 |
$88,785.42 |
9.0× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$22,572.20 |
$37,620.34 |
3.8× |
| Sever cranial nerve (64771) |
$29,813.78 |
$49,689.64 |
15.2× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$21,565.62 |
$35,942.70 |
9.3× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$3,100.80 |
$5,168 |
0.7× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Facility (65860) |
$1,573.20 |
$2,622 |
2.9× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$1,734.60 |
$2,891 |
0.7× |
| Severing of tarsorrhaphy (67710) |
$747.60 |
$1,246 |
0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,638.67 |
$2,731.12 |
1.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,508.36 |
$4,180.60 |
2.1× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$3,503.44 |
$5,839.06 |
1.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$82.20 |
$137 |
0.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$57.60 |
$96 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$79.80 |
$133 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$163.80 |
$273 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$109.80 |
$183 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$78 |
$130 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$219.60 |
$366 |
0.5× |
| Shoulder arthroscopy (29820) |
$25,256.41 |
$42,094.02 |
3.5× |
| Shoulder Arthroscopy/Surgery (29819) |
$17,837.39 |
$29,728.98 |
5.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$16,462.94 |
$27,438.24 |
5.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$79.80 |
$133 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$79.80 |
$133 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$57.60 |
$96 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$57.60 |
$96 |
0.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$654.02 |
$1,090.04 |
3.2× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$8,249.18 |
$13,748.63 |
2.5× |
| Sigmoidoscopy & decompress (45337) |
$1,138.20 |
$1,897 |
1.2× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$3,415.64 |
$5,692.73 |
2.8× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,496.03 |
$5,826.72 |
2.9× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$2,616.08 |
$4,360.14 |
2.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,114.96 |
$1,858.27 |
0.9× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,081.80 |
$1,803 |
1.2× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$6,006.09 |
$10,010.15 |
5.0× |
| Sigmoidoscopy place stent (45347) |
$10,597.15 |
$17,661.92 |
1.7× |
| Sigmoidoscopy w/biopsy (45331) |
$2,717.04 |
$4,528.40 |
2.9× |
| Sigmoidoscopy w/fb removal (45332) |
$542.40 |
$904 |
0.5× |
| Sigmoidoscopy w/us guide bx (45342) |
$3,217.08 |
$5,361.80 |
2.7× |
| Simple Cystometrogram (51725) |
$232.20 |
$387 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$165.60 |
$276 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$460.80 |
$768 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$772.62 |
$1,287.70 |
3.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$828 |
$1,380 |
4.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$514.20 |
$857 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$760.12 |
$1,266.86 |
3.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$145.80 |
$243 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$893.14 |
$1,488.57 |
4.4× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030) |
$17,749.24 |
$29,582.06 |
3.0× |
| Skin splt grft trnk/arm/leg (15100) |
$14,051.46 |
$23,419.09 |
6.8× |
| Skin sub graft face/nk/hf/g (15275) |
$21,426.68 |
$35,711.14 |
28.9× |
| Skin sub graft trnk/arm/leg (15271) |
$26,587.50 |
$44,312.50 |
35.9× |
| Skin sub grft t/arm/lg child (15273) |
$3,801.60 |
$6,336 |
1.8× |
| Skin Tissue Procedure (17999) |
$15,405.86 |
$25,676.42 |
76.5× |
| Skin tissue rearrangement (14040) |
$11,710.72 |
$19,517.87 |
5.7× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$17,735.78 |
$29,559.63 |
5.0× |
| Skn sub grft f/n/hf/g child (15277) |
$27,744.61 |
$46,241.01 |
13.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,660 |
$16,100 |
1.7× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$27,351.35 |
$45,585.58 |
8.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$45,693.31 |
$76,155.52 |
8.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$20,689.60 |
$34,482.68 |
4.1× |
| Slitting of prepuce (54001) |
$7,802.92 |
$13,004.86 |
3.7× |
| Small Bowel Endoscopy (44373) |
$34,068.56 |
$56,780.93 |
17.7× |
| Small bowel endoscopy (44366) |
$3,480.05 |
$5,800.08 |
1.8× |
| Small bowel endoscopy (44364) |
$7,050.88 |
$11,751.47 |
3.7× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$9,095.95 |
$15,159.92 |
4.7× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$3,332.18 |
$5,553.63 |
1.7× |
| Small bowel endoscopy/biopsy (44377) |
$3,994.94 |
$6,658.23 |
2.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$4,166.68 |
$6,944.46 |
2.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$826.20 |
$1,377 |
0.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$3,836.70 |
$6,394.50 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$529.38 |
$882.30 |
2.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$417 |
$695 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$252.30 |
$420.50 |
0.6× |
| Snip incision lacrimal punctum (68440) |
$487.80 |
$813 |
1.5× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$21,163.71 |
$35,272.85 |
7.6× |
| Sphincterotomy anal division sphincter spx (46080) |
$7,906.86 |
$13,178.10 |
2.8× |
| Spinal puncture lumbar diagnostic (62270) |
$3,261.32 |
$5,435.54 |
4.6× |
| Spinal Puncture Therapeutic (62272) |
$2,213.40 |
$3,689 |
3.1× |
| Spine Surgery Procedure Unlisted (22899) |
$18,191.98 |
$30,319.96 |
73.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$15,022.30 |
$25,037.16 |
4.7× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$21,180.07 |
$35,300.12 |
3.6× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$22,070.30 |
$36,783.84 |
3.7× |
| Stapes mobilization Facility (69650) |
$24,473.15 |
$40,788.59 |
7.4× |
| Stimulus evoked response (51792) |
$425.40 |
$709 |
7.2× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$7,267.17 |
$12,111.95 |
3.0× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$9,203.26 |
$15,338.78 |
3.9× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$9,425.80 |
$15,709.66 |
2.4× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Facility (67316) |
$1,422.60 |
$2,371 |
0.6× |
| Strapping ankle (29540) |
$87 |
$145 |
0.5× |
| Strapping hand/finger (29280) |
$117.60 |
$196 |
2.0× |
| Strapping Hip (29520) |
$250.20 |
$417 |
1.9× |
| Strapping toes (29550) |
$229.80 |
$383 |
3.9× |
| Strapping unna boot (29580) |
$99.90 |
$166.50 |
0.6× |
| Subconjunctival injection (68200) |
$231.90 |
$386.51 |
0.5× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$135.60 |
$226 |
0.3× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$480 |
$800 |
2.4× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$6,573.71 |
$10,956.18 |
8.9× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$28,763.10 |
$47,938.51 |
38.8× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$20,082.97 |
$33,471.61 |
27.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$32,273.74 |
$53,789.57 |
9.7× |
| Subtalar Arthro W/Deb (29906) |
$17,505.73 |
$29,176.21 |
5.3× |
| Suction assisted lipectomy lower extremity (15879) |
$17,615.06 |
$29,358.44 |
5.0× |
| Suction Assisted Lipectomy Trunk (15877) |
$23,113.08 |
$38,521.80 |
6.5× |
| Suction assisted lipectomy; head and neck (15876) |
$54,907.30 |
$91,512.16 |
15.4× |
| Suction assisted lipectomy; upper extremity (15878) |
$1,414.80 |
$2,358 |
0.7× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$522 |
$870 |
1.6× |
| Suprahyoid lymphadenectomy (38700) |
$27,429.69 |
$45,716.15 |
4.1× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$13,583.41 |
$22,639.02 |
2.3× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$11,152 |
$18,586.68 |
1.9× |
| Surgery of breast capsule (19370) |
$20,224.01 |
$33,706.69 |
5.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$18,553.13 |
$30,921.88 |
5.7× |
| Surgical closure tracheostomy or fistula; with plastic repair Facility (31825) |
$14,338.85 |
$23,898.08 |
4.3× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$15,307.40 |
$25,512.34 |
4.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$8,286.16 |
$13,810.26 |
3.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$7,497.99 |
$12,496.64 |
2.7× |
| Suspension of testis (54640) |
$7,666.70 |
$12,777.84 |
2.1× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$20,001.70 |
$33,336.16 |
10.2× |
| Suture infrapatellar tendon primary (27380) |
$16,181.39 |
$26,968.98 |
2.2× |
| Suture of 1 nerve ulnar motor (64836) |
$10,177.88 |
$16,963.14 |
3.0× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$25,952.50 |
$43,254.17 |
7.6× |
| Suture of facial nerve; extracranial Facility (64864) |
$32,522.75 |
$54,204.59 |
3.7× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$84,221.58 |
$140,369.30 |
24.6× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$36,869.39 |
$61,448.98 |
5.1× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$1,734.60 |
$2,891 |
0.7× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$19,666.72 |
$32,777.88 |
2.7× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$27,924.64 |
$46,541.06 |
3.8× |
| Suture pharynx for wound or injury Facility (42900) |
$15,255.50 |
$25,425.84 |
9.8× |
| Sympathectomy; radial artery Facility (64821) |
$11,732.51 |
$19,554.18 |
3.6× |
| Synovectomy tendon sheath foot extensor (28088) |
$2,487 |
$4,145 |
0.8× |
| Synovectomy, carpometacarpal joint Facility (26130) |
$7,210.61 |
$12,017.69 |
2.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$12,392.32 |
$20,653.87 |
3.8× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$1,320.60 |
$2,201 |
0.8× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$10,843.61 |
$18,072.69 |
3.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$14,750.02 |
$24,583.37 |
9.1× |
| T-cell depletion of harvest (38210) |
$1,386.60 |
$2,311 |
3.1× |
| Tangential biopsy skin single lesion (11102) |
$519.32 |
$865.54 |
1.3× |
| Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) |
$945 |
$1,575 |
1.3× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$48,396.90 |
$80,661.51 |
1.7× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$34,979.16 |
$58,298.59 |
1.8× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,188.20 |
$3,647 |
0.7× |
| Temporary Closure Eyelids Suture (67875) |
$16,298.20 |
$27,163.67 |
16.3× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) |
$39,321.94 |
$65,536.57 |
5.4× |
| Tendon lengthening, upper arm or elbow, each tendon Facility (24305) |
$51,893.28 |
$86,488.80 |
15.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$16,996.98 |
$28,328.30 |
5.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$7,162.73 |
$11,937.88 |
2.2× |
| Tenodesis at wrist; flexors of fingers Facility (25300) |
$37,712.97 |
$62,854.95 |
11.5× |
| Tenodesis long tendon biceps (23430) |
$26,227.36 |
$43,712.26 |
3.6× |
| Tenolysis extensor foot single tendon (28225) |
$20,696.48 |
$34,494.14 |
6.3× |
| Tenolysis extensor tendon hand/finger each (26445) |
$9,862.05 |
$16,436.76 |
3.0× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$2,228.40 |
$3,714 |
0.7× |
| Tenolysis flexor foot single tendon (28220) |
$19,100 |
$31,833.33 |
11.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$12,365.81 |
$20,609.69 |
7.7× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$10,643.10 |
$17,738.50 |
3.2× |
| Tenolysis Triceps (24332) |
$8,416.48 |
$14,027.47 |
2.6× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$11,110.28 |
$18,517.13 |
3.4× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$12,588.65 |
$20,981.08 |
3.8× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$14,951.88 |
$24,919.80 |
4.6× |
| Tenotomy flexor finger open each tendon (26455) |
$9,007.91 |
$15,013.18 |
5.6× |
| Tenotomy Hip Flexor Open (27005) |
$15,626.97 |
$26,044.95 |
4.8× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$18,273.76 |
$30,456.26 |
11.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$13,128.29 |
$21,880.49 |
8.1× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,137.82 |
$1,896.37 |
0.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$14,008.07 |
$23,346.78 |
4.3× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$14,764.74 |
$24,607.90 |
4.5× |
| Tenotomy shoulder area single tendon (23405) |
$13,648.58 |
$22,747.63 |
1.9× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$15,123.19 |
$25,205.31 |
4.6× |
| Tenotomy, adductor of hip, open Facility (27001) |
$15,880.82 |
$26,468.02 |
4.8× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
$11,116.43 |
$18,527.38 |
1.5× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$17,175.01 |
$28,625.01 |
10.6× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$24,382.81 |
$40,638.01 |
7.4× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral Facility (27392) |
$13,589.38 |
$22,648.96 |
4.1× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$23,339.96 |
$38,899.94 |
7.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$19,537.44 |
$32,562.40 |
12.1× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$13,351.45 |
$22,252.41 |
4.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$17,861.49 |
$29,769.15 |
11.1× |
| Thaw preserved stem cells (38208) |
$475.80 |
$793 |
1.1× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,978.60 |
$6,631 |
2.5× |
| Ther Apheresis,Platelets (36513) |
$2,164.20 |
$3,607 |
4.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,006.60 |
$5,011 |
1.9× |
| Ther Apheresis,White Blood Cells (36511) |
$3,145.80 |
$5,243 |
2.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,847.86 |
$4,746.44 |
4.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$19,224.23 |
$32,040.38 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$2,051.53 |
$3,419.22 |
3.3× |
| Thoracoscopy w/bx pleura (32609) |
$23,103.05 |
$38,505.08 |
3.8× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$26,030.40 |
$43,384 |
2.4× |
| Throat Surgery Procedure (42999) |
$12,165.94 |
$20,276.57 |
51.2× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,169.40 |
$6,949 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$3,352.50 |
$5,587.50 |
0.6× |
| Thrombolytic Therapy Stroke (37195) |
$366.60 |
$611 |
1.1× |
| Thrombolytic Venous Therapy (37212) |
$9,238.20 |
$15,397 |
2.9× |
| Thymectomy, partial or total; transcervical approach (separate procedure) Facility (60520) |
$31,563.71 |
$52,606.18 |
5.3× |
| Thyroid biopsy (60100) |
$2,457.49 |
$4,095.82 |
3.5× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$20,619.60 |
$34,366 |
3.5× |
| Thyroidectomy, total or complete (60240) |
$25,425.02 |
$42,375.02 |
4.2× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$35,805.94 |
$59,676.57 |
6.0× |
| Tibial Arthroscopy/Surgery (29855) |
$24,144.80 |
$40,241.34 |
3.3× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$36,478.69 |
$60,797.81 |
2.6× |
| Tnot elbow lateral/medial debride open (24358) |
$10,196.05 |
$16,993.42 |
3.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$10,400.68 |
$17,334.47 |
3.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$8,679.12 |
$14,465.18 |
2.6× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$42,829.57 |
$71,382.61 |
2.4× |
| Total hip arthroplasty (27130) |
$33,644.28 |
$56,073.81 |
2.6× |
| Total Knee Arthroplasty (27447) |
$29,915.61 |
$49,859.35 |
2.3× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$4,131.60 |
$6,886 |
1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$854.40 |
$1,424 |
1.6× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$6,214.63 |
$10,357.71 |
1.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,170 |
$1,950 |
4.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$817.20 |
$1,362 |
0.5× |
| Tracheostomy planned (31600) |
$7,586.40 |
$12,644 |
2.3× |
| Tracheotomy tube change (31502) |
$1,927.10 |
$3,211.84 |
8.1× |
| Transcatheter biopsy (37200) |
$15,702.14 |
$26,170.23 |
2.8× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$11,543.44 |
$19,239.08 |
1.6× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$18,962.57 |
$31,604.29 |
9.7× |
| Transection or avulsion of; facial nerve, differential or complete Facility (64742) |
$33,053.80 |
$55,089.67 |
16.9× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$20,540.12 |
$34,233.54 |
10.5× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$10,644.70 |
$17,741.16 |
5.4× |
| Transection or avulsion of; mental nerve Facility (64736) |
$17,510.39 |
$29,183.99 |
8.9× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$29,082.16 |
$48,470.26 |
14.8× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$23,493.14 |
$39,155.24 |
7.2× |
| Transfer of tendon to restore intrinsic function; ring and small finger Facility (26497) |
$12,365.81 |
$20,609.69 |
3.8× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$19,224.20 |
$32,040.33 |
2.6× |
| Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Facility (26489) |
$19,821.58 |
$33,035.97 |
6.0× |
| Transfusion intrauterine fetal (36460) |
$5,065.10 |
$8,441.84 |
11.4× |
| Translum Dil Eye Canal (66174) |
$3,100.80 |
$5,168 |
0.7× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$3,985.20 |
$6,642 |
0.7× |
| Transoral Lower Esophageal Myotomy (43497) |
$20,480.65 |
$34,134.41 |
3.4× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$22,316.26 |
$37,193.76 |
3.1× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,147.83 |
$8,579.72 |
1.0× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$14,242.04 |
$23,736.72 |
2.6× |
| Transplant hand tendon (26480) |
$10,646.33 |
$17,743.89 |
3.2× |
| Transplant palm tendon (26485) |
$18,602.94 |
$31,004.90 |
5.7× |
| Transplant/graft hand tendon (26483) |
$23,493.14 |
$39,155.24 |
7.2× |
| Transplj Hematopoietic Boost (38243) |
$2,111.40 |
$3,519 |
1.4× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$6,569.40 |
$10,949 |
0.7× |
| Transur electr resection of prostate (52601) |
$14,769.82 |
$24,616.37 |
2.7× |
| Transurethral incision of prostate (52450) |
$9,283.40 |
$15,472.34 |
2.6× |
| Transurethral resection bladder neck (52500) |
$9,493.28 |
$15,822.12 |
2.7× |
| Treat Big Toe Fracture (28505) |
$10,185.31 |
$16,975.51 |
3.1× |
| Treat clavicle dislocation (23540) |
$441 |
$735 |
1.8× |
| Treat clavicle fracture (23505) |
$1,139.40 |
$1,899 |
0.7× |
| Treat elbow dislocation (24615) |
$23,756.88 |
$39,594.79 |
3.3× |
| Treat elbow fracture (24586) |
$32,131.95 |
$53,553.25 |
2.5× |
| Treat Elbow Fracture (24635) |
$37,830.64 |
$63,051.07 |
5.2× |
| Treat fracture radius/ulna (25575) |
$32,254.66 |
$53,757.78 |
4.4× |
| Treat Hand Dislocation (26685) |
$10,167.30 |
$16,945.50 |
3.1× |
| Treat humerus fracture (24500) |
$843.60 |
$1,406 |
3.4× |
| Treat humerus fracture (23600) |
$1,047 |
$1,745 |
4.2× |
| Treat knee fracture (27532) |
$531.60 |
$886 |
0.2× |
| Treat Knee Fracture (27535) |
$24,695.17 |
$41,158.62 |
3.4× |
| Treat Knee Fracture (27540) |
$17,470.42 |
$29,117.37 |
2.4× |
| Treat Knee Fracture(S) (27538) |
$821.40 |
$1,369 |
3.3× |
| Treat Kneecap Fracture (27524) |
$23,232.55 |
$38,720.91 |
3.2× |
| Treat Lower Leg Fracture (27828) |
$30,313.87 |
$50,523.12 |
2.4× |
| Treat Metatarsal Fracture (28475) |
$466.80 |
$778 |
1.9× |
| Treat radius fracture (24665) |
$25,490.46 |
$42,484.09 |
3.5× |
| Treat scapula fracture (23585) |
$32,541.93 |
$54,236.55 |
4.5× |
| Treat Thigh Fracture (27246) |
$326.40 |
$544 |
1.3× |
| Treat Thigh Fracture (27245) |
$35,975.17 |
$59,958.62 |
4.9× |
| Treat Thumb Dislocation (26641) |
$171.60 |
$286 |
0.7× |
| Treat thumb fracture (26665) |
$2,228.40 |
$3,714 |
0.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$337.80 |
$563 |
0.2× |
| Treat wrist bone fracture (25622) |
$8,020.27 |
$13,367.12 |
32.4× |
| Treat Wrist Bone Fracture (25630) |
$488.40 |
$814 |
2.0× |
| Treat wrist fracture (25685) |
$25,300.16 |
$42,166.93 |
3.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,623.60 |
$2,706 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$369.60 |
$616 |
1.5× |
| Treatment extensive retinopathy photocoagulation (67228) |
$515.40 |
$859 |
0.9× |
| Treatment of fibula fracture (27784) |
$19,926.57 |
$33,210.95 |
2.7× |
| Treatment of foot infection (28003) |
$9,626.74 |
$16,044.56 |
2.9× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$17,376.89 |
$28,961.49 |
2.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$7,027.40 |
$11,712.34 |
2.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$11,576.01 |
$19,293.35 |
3.6× |
| Treatment of retina (67141) |
$2,775.60 |
$4,626 |
8.7× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$14,076.04 |
$23,460.06 |
4.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$316.80 |
$528 |
1.3× |
| Treatment of tibia fracture (27756) |
$10,932.70 |
$18,221.17 |
1.5× |
| Trim skin lesion (11055) |
$127.80 |
$213 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$57.60 |
$96 |
0.3× |
| Trim skin lesions over 4 (11057) |
$79.80 |
$133 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$110.40 |
$184 |
1.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$27,785.90 |
$46,309.83 |
4.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$27,666.45 |
$46,110.75 |
4.8× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$475.80 |
$793 |
1.1× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$1,942.20 |
$3,237 |
4.4× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$475.80 |
$793 |
1.1× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$1,386.60 |
$2,311 |
3.1× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$1,212 |
$2,020 |
2.7× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$3,228.02 |
$5,380.04 |
2.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$4,947.16 |
$8,245.28 |
1.4× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,738 |
$6,230 |
1.1× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,204.80 |
$2,008 |
0.7× |
| Tube thoracostomy includes water seal (32551) |
$1,624.50 |
$2,707.50 |
1.0× |
| Tumor cell deplete of harvst (38211) |
$1,386.60 |
$2,311 |
3.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$8,403.16 |
$14,005.28 |
3.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$25,308.10 |
$42,180.16 |
2.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$8,551.69 |
$14,252.82 |
2.6× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$24,609.08 |
$41,015.12 |
15.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$9,226.60 |
$15,377.68 |
5.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$10,508.50 |
$17,514.17 |
14.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$7,506.91 |
$12,511.52 |
18.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$153 |
$255 |
0.1× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$33,069.66 |
$55,116.10 |
2.6× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$33,612.22 |
$56,020.38 |
5.7× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$45,975.64 |
$76,626.06 |
7.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$35,105.14 |
$58,508.57 |
5.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$30,193.39 |
$50,322.31 |
5.1× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$38,388.08 |
$63,980.14 |
6.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$39,245.40 |
$65,409 |
6.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$40,538.35 |
$67,563.92 |
6.8× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$36,358.10 |
$60,596.84 |
6.1× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$30,975.80 |
$51,626.34 |
5.2× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$25,182.86 |
$41,971.44 |
4.2× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$27,166.52 |
$45,277.54 |
4.6× |
| Tympanostomy (69433) |
$273 |
$455 |
0.5× |
| Tympanostomy general anesthesia (69436) |
$7,704.64 |
$12,841.07 |
4.9× |
| Unlisted Cardiac Surgery (33999) |
$10,317.60 |
$17,196 |
16.4× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$34,678.47 |
$57,797.45 |
145.9× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$7,233.07 |
$12,055.11 |
35.7× |
| Unlisted laparoscopic procedure liver (47379) |
$20,527.18 |
$34,211.96 |
3.4× |
| Unlisted laparoscopic procedure, ureter (50949) |
$36,457.99 |
$60,763.31 |
6.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$30,661.75 |
$51,102.91 |
5.1× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$23,855.15 |
$39,758.58 |
3.9× |
| Unlisted laparoscopy procedure, appendix (44979) |
$21,357.34 |
$35,595.56 |
3.5× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$29,679.46 |
$49,465.76 |
4.9× |
| Unlisted laparoscopy procedure, bladder (51999) |
$31,255.75 |
$52,092.92 |
5.2× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$33,345.50 |
$55,575.83 |
5.5× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$21,434.23 |
$35,723.71 |
3.5× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$17,757.69 |
$29,596.15 |
2.9× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$31,327.82 |
$52,213.04 |
5.2× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$13,202.59 |
$22,004.31 |
2.2× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$19,851.59 |
$33,085.99 |
3.3× |
| Unlisted laparoscopy procedure, spleen (38129) |
$25,736.08 |
$42,893.47 |
4.2× |
| Unlisted laparoscopy procedure, uterus (58578) |
$21,245.72 |
$35,409.54 |
3.5× |
| Unlisted musculoskeletal procedure head (21499) |
$15,239.30 |
$25,398.83 |
64.1× |
| Unlisted Procedure Accessory Sinuses (31299) |
$16,583.77 |
$27,639.62 |
69.8× |
| Unlisted procedure anus (46999) |
$8,690.90 |
$14,484.82 |
9.3× |
| Unlisted procedure arthroscopy (29999) |
$24,868.78 |
$41,447.96 |
100.5× |
| Unlisted Procedure Biliary Tract (47999) |
$13,971.12 |
$23,285.20 |
15.4× |
| Unlisted procedure colon (45399) |
$1,453.80 |
$2,423 |
1.6× |
| Unlisted procedure dentoalveolar structures (41899) |
$20,404.21 |
$34,007.02 |
85.9× |
| Unlisted Procedure Endocrine System (60699) |
$6,416.40 |
$10,694 |
1.1× |
| Unlisted Procedure Esophagus (43499) |
$5,913.50 |
$9,855.82 |
6.5× |
| Unlisted Procedure External Ear (69399) |
$38,918.38 |
$64,863.97 |
163.8× |
| Unlisted procedure femur or knee (27599) |
$29,688.24 |
$49,480.41 |
120.0× |
| Unlisted procedure foot or toes (28899) |
$14,891.49 |
$24,819.15 |
60.2× |
| Unlisted procedure humerus/elbow (24999) |
$23,454.37 |
$39,090.61 |
94.8× |
| Unlisted procedure larynx (31599) |
$15,019.75 |
$25,032.92 |
63.2× |
| Unlisted procedure liver (47399) |
$93,106.87 |
$155,178.11 |
131.1× |
| Unlisted Procedure Lungs & Pleura (32999) |
$298.20 |
$497 |
0.5× |
| Unlisted Procedure Male Genital System (55899) |
$13,583.86 |
$22,639.77 |
54.2× |
| Unlisted Procedure Muscskeletal System General (20999) |
$38,492.55 |
$64,154.25 |
155.5× |
| Unlisted procedure neck or thorax (21899) |
$19,429.82 |
$32,383.04 |
81.8× |
| Unlisted procedure nervous system (64999) |
$13,431.16 |
$22,385.27 |
43.6× |
| Unlisted procedure pancreas (48999) |
$9,308.60 |
$15,514.34 |
13.1× |
| Unlisted procedure pelvis/hip joint (27299) |
$28,920.82 |
$48,201.36 |
116.9× |
| Unlisted procedure rectum (45999) |
$8,400.87 |
$14,001.45 |
9.0× |
| Unlisted procedure shoulder (23929) |
$18,401.70 |
$30,669.49 |
74.4× |
| Unlisted Procedure Small Intestine (44799) |
$9,113.72 |
$15,189.54 |
10.0× |
| Unlisted Procedure Trachea Bronchi (31899) |
$9,395.78 |
$15,659.64 |
46.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$11,256.72 |
$18,761.20 |
17.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$14,069.03 |
$23,448.38 |
15.5× |
| Unlisted procedure, hands or fingers (26989) |
$958.20 |
$1,597 |
3.9× |
| Unlisted procedure, inner ear (69949) |
$18,181.08 |
$30,301.80 |
76.5× |
| Unlisted procedure, lacrimal system (68899) |
$312.30 |
$520.50 |
1.0× |
| Unlisted procedure, leg or ankle (27899) |
$29,617.06 |
$49,361.77 |
119.7× |
| Unlisted procedure, maternity care and delivery (59899) |
$7,078.48 |
$11,797.46 |
34.9× |
| Unlisted procedure, stomach (43999) |
$10,863.46 |
$18,105.76 |
11.9× |
| Unlisted px extraocular musc (67399) |
$2,091 |
$3,485 |
6.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$18,632.03 |
$31,053.38 |
91.9× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$7,080.34 |
$11,800.56 |
29.8× |
| Upgrade of pacemaker system (33214) |
$22,271.41 |
$37,119.02 |
2.1× |
| Uppr gi opticl endomicrscopy (43252) |
$1,329.60 |
$2,216 |
0.7× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) |
$16,229.55 |
$27,049.25 |
3.0× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50953) |
$18,987.16 |
$31,645.26 |
5.4× |
| Ureteral endoscopy via ureterostomy (50951) |
$18,589.88 |
$30,983.14 |
5.3× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$32,394.33 |
$53,990.55 |
6.0× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$9,438.55 |
$15,730.91 |
2.7× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) |
$19,532.41 |
$32,554.01 |
2.1× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$16,619.26 |
$27,698.76 |
4.7× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$16,494.73 |
$27,491.22 |
3.1× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$24,697.15 |
$41,161.91 |
4.6× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$20,771.60 |
$34,619.34 |
3.9× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$22,909.08 |
$38,181.80 |
4.3× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$13,081.12 |
$21,801.87 |
2.4× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
$26,505.92 |
$44,176.54 |
4.9× |
| Urine flow measurement (51736) |
$688.20 |
$1,147 |
5.2× |
| Urology Surgery Procedure (53899) |
$17,509.94 |
$29,183.24 |
69.9× |
| Us urine capacity measure (51798) |
$613.80 |
$1,023 |
10.4× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$9,717.56 |
$16,195.93 |
3.0× |
| Vag hyst complex (58290) |
$39,010.81 |
$65,018.02 |
5.2× |
| Vaginal delivery only (59409) |
$9,287.63 |
$15,479.38 |
2.9× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$32,003.34 |
$53,338.91 |
6.4× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$36,502.79 |
$60,837.99 |
7.3× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$19,833.69 |
$33,056.15 |
4.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$31,853.78 |
$53,089.64 |
6.3× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$8,856.70 |
$14,761.18 |
2.7× |
| Vaginoplasty for intersex state Facility (57335) |
$19,490.06 |
$32,483.44 |
3.9× |
| Vasc embolize/occlude artery (37242) |
$54,311.64 |
$90,519.42 |
3.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$74,251.52 |
$123,752.52 |
6.4× |
| Vasc embolize/occlude organ (37243) |
$30,598.93 |
$50,998.22 |
2.6× |
| Vasc embolize/occlude venous (37241) |
$15,904.10 |
$26,506.84 |
1.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$6,034.81 |
$10,058.01 |
2.9× |
| Venipuncture (36415) |
$1,120.20 |
$1,867 |
119.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$5,976.61 |
$9,961.02 |
1.8× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,596.60 |
$2,661 |
1.8× |
| Vestibuloplasty Anterior (40840) |
$16,172.91 |
$26,954.85 |
2.7× |
| Vestibuloplasty; complex (including ridge extension, muscle repositioning) Facility (40845) |
$17,072.52 |
$28,454.20 |
2.9× |
| Vestibuloplasty; posterior, unilateral Facility (40842) |
$13,506.96 |
$22,511.60 |
2.3× |
| Vitrectomy mechanical pars plana (67036) |
$18,643.94 |
$31,073.23 |
4.5× |
| Vitrectomy pars plana remove int memb retina (67042) |
$17,406.95 |
$29,011.59 |
4.2× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$17,134.40 |
$28,557.33 |
4.1× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$18,531.82 |
$30,886.36 |
4.5× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$12,133.94 |
$20,223.24 |
2.9× |
| Vulvectomy Simple Partial (56620) |
$9,939.46 |
$16,565.76 |
3.1× |
| Vulvectomy simple; complete (56625) |
$15,650.03 |
$26,083.39 |
4.8× |
| Vulvectomy, radical, partial; Facility (56630) |
$9,577.75 |
$15,962.91 |
1.9× |
| Wash harvest stem cells (38209) |
$675.60 |
$1,126 |
1.5× |
| Wedge excision skin nail fold (11765) |
$228 |
$380 |
0.6× |
| Windowing of cast (29730) |
$79.80 |
$133 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$13,097.60 |
$21,829.32 |
32.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$12,594.28 |
$20,990.47 |
17.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$5,155.20 |
$8,592 |
1.0× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$3,100.80 |
$5,168 |
0.7× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$5,155.20 |
$8,592 |
1.0× |